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1000-123.-8-21
OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex �F so P.O. Box 1179 54375 State Route 25 ®�� r�°®� Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY Telephone: 631 765-1938 www.southoldtowirmy.gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD To: Leslie Weisman, Chair Members of the Zoning Board of Appeals From: Mark Terry, AICP Assistant Town Planning Director LWRP Coordinator Date April 23, 2024 Re: LWRP Coastal Consistency Review for ZBA File Ref CHRISTOPHER ROSS, TRUSTEE OF THE CHRISTOPHER ROSS TRUST #7896 SCTM No. 1000-123-8-2 f. CHRISTOPHER ROSS, TRUSTEE OF THE CHRISTOPHER ROSS TRUST#7896 Request for Variances from Article XXIII, Section 280-124; Article XXXVI, Section 280-208A; and the Building Inspector's December 5, 2023 Notice of Disapproval based on an application for a permit to construct additions and alterations to an existing single family dwelling; at 1) located less than the code required minimum side yard setback of 10 feet; 2) located less than the code required minimum combined side yard setback of 25 feet; 3)more than the code permitted maximum lot coverage of 20%; 4) the construction exceeds the permitted sky plane as defined in Article I, Section 280-4 of the Town Code; located at: 3340 Park Avenue (Adj. to the Great Peconic Bay), Mattituck,NY. SCTM No. 1000-123-8- 21. The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program(LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, the proposal is recommended as INCONSISTENT with the below LWRP policies. Policy 4. Minimize the loss of life, structures, and natural resources from flooding and erosion. The proposed 47.6 percent lot coverage on the parcel is contrary to preventing loss of structure in and near flood hazards. The parcel and portions of the structure are located in a Flood Zone X Flood Zone Subtype 0.2 Percent Annual Chance Flood Hazard. The structures within these areas are subject to repetitive loss from storm surge-induced events and should be avoided and/or minimized. Expansion over the maximum permitted lot coverage (20 Percent) is not supported by this policy. 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 OFFICE LOCATION: V AL AILING ADDRESS: Town Hall Annex �*OF SO ljflO P.O.Box 1179 54375 State Road Route 25 ,`O l0 Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) Southold,NY Telephone: 631 765-1809 • �OQ http://southoldtownny.gov olyCOMM ZONING BOARD OF APPEALS Town of Southold January 22, 2024 RECEIVED Mark Terry, Assistant Town Planning Director I �JAN 2 2 2024 LWRP Coordinator L ___—._._ Planning Board Office Southold Town Town of Southold Planning Board Town Hall Annex Southold,NY 11971 Re: ZBA File Ref. No. # 7896 CHRISTOPHER ROSS TURST Dear Mark: We have received an application to construct additions and alterations to an existing single family dwelling. A copy of the Building Inspector's Notice of Disapproval under Chapter 280 (Zoning Code), and survey map, project description form, are attached for your reference. Your written evaluation with recommendations for this proposal, as required under the Code procedures of LWRP Section 268-5D is requested within 30 days of receipt of this letter. Thank you. Very truly yours, Leslie K. Weisman Chairperson By: Encls Survey/Site Plan Samuels+ Steelman Date : 11/21/2023 i i. TOWN OF SOUTHOLD BUILDING DEPARTMENT j SOUTHOLD,N.Y. j NOTICE OF DISAPPROVAL DATE: December 5,2023 IKatherine Samuels(Christopher Ross Trust) 25235 Main Road Cutchogue,NY 11935 I Please take notice that your application dated October 11,2023: For permit:to construct additions.and alterations to existing single-familyling at: Location of property:3340 Park Avenue,Mattituck,NY j County Tax Map No. 1000—Section 123 Block 8 Lot 21 j Is returned herewith and disapproved on the following grounds: The proposed construction,on this nonconforming 9,761 sq. ft. lot(4,824 sq. ft. buildable i land in the R-40 District,is not permitted pursuant to Article=11 Section 280-124. i ) p I which states lots measuring less than 20,000 square feet in total size require.a minimum i side yard setback of.10 feet,a combined side yard setback of 25 feet and maximum lot coverage of 20%. The proposed,minimum side yard setback is 5 inches:the combined i side yard setback is foot 7 inches and the proposed lot coverage is 47.6%. i j In addition the proposed construction is not permitted pursuant to 280-208(A)which states "Any building or structure on.any lot in the A-C,R40,R-80,R-120, R-200.and R-400 Zoning Districts must be within.the sky plane:" The proposed construction . exceeds the permitted sky plane. Authorized Signature Note to Applicant: Any change or deviation to the above referenced application may require further review by the Southold Town Building Department. rl. CC: file,Z,B.A. i v. j . IT IS THE APPLICANT/AGENT'S RESPONSIBILTY TO REVIEW THEIR FILE FOR ANY CORRESPONDENCE FROM OTHER WENCIES INCLUDING LWRP COUNTY PLANNING TRUSTEES PLANNING NEIGHBOR'S ETC.,PRIOR TO THE HEARING. Fee:$ Filed By: Assignment No. APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS AREA VARIANCE House No.3340 Street Park Avenue Hamlet Mattituck SCTM 1000 Section 123 Block 8 Lot(s)21 Lot Size 9,761 (4,824 sq.ft.buildable) Zone R-40 I(WE)APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED October 11,2023 BASED ON SURVEY/SITE PLAN DATED 8-23-23. Owner(s): Christopher Ross,Trustee of the Christopher Ross Trust-2015 50%and Michelle Ross,Trustee of the Michelle Ross Trust-2015 50% Mailing Address: 10 Rangeley Ridge,Winchester.MA 01890 Telephone: 857-204-2458 Fax: Email: NOTE:In addition to the above,please:complete below if application is signed by applicant's attorney,agent,architect, builder,contract vendee,etc.and name,of person who agent represents: Name of Representative:Patricia C.Moore for(X) Owner( )Other: Address: 51020 Main Rd, Southold,NY 11971 Telephone: 631-765-4330 Fax: Email: pcmoore@mooreattys.com Please check to specify who you wish correspondence to be mailed to,from the above names: ( )Applicant/Owner(s), (X)Authorized Representative, ( ) Other Name/Address below: WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN DATED 8-23-23 and DENIED AN APPLICATION DATED 10-11-23 FOR: (X)Building Permit O Certificate of Occupancy O Pre-Certificate of Occupancy O Change of Use )-Permit-for As-Built-Construction O Other: Provision of the Zoning Ordinance Appealed. (Indicate Article,.Section,Subsection of Zoning Ordinance by numbers.Do not quote the code.) Article: XXIII Section: 280-124 Subsection:_(setbacks and lot coverage)and Section: 280-208 W: 'Subsection:_(sky plain) Type of Appeal. An Appeal is made for: (X)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()has, (X)has not been made at any time with respect to this property, UNDER Appeal No(s). Year(s).(Please be sure to research before completing this question or call our office for assistance) (Garage in front yard) Name of Owner: ZBA File# REASONS FOR APPEAL (Please be speck, 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: a proposed new second floor over the existing structure will not change the character of the neighborhood or detriment to nearby properties. 2-story houses are standard in the neighborhood and along the shoreline. Due to the environmental constraints of the property, the building envelope, and setback constraints of the existing house, the second floor over part of the existing dwelling is the only viable alternative for a bedroom relocation which does not expand the footprint of the dwelling. The existing,house and closest setback are on the west side. The adjacent owner is family and supports the application. The adjacent owner is Nancy Ross . (SCTM#1000-123-8-22.2) and was the subject of a variance (Appeal#5231 in 2003). Like the subject application, the homes on Park Avenue are primarily pre- existing nonconforming structures. Attached is the list of area variances granted for the homes in the immediate area. The common element in all these variances (5 properties) is that the existing homes'pre-date zoning, the setbacks were preexisting, and each home had to consider the location adjacent to the Bay and to the Creek. Some of the properties contain more than one dwelling on the property which requires variances to be repaired or replaced. Many of the existing dwellings began as summer cottages or seasonal second homes. These homes have been updated and became year-round dwellings. The Ross home was expanded.over the many years in accordance with the codes at the time. The proposed relocation of the bedroom is consistent with the. neighborhood. 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: a bedroom suit is proposed on the second floor of the existing one-story structure which now contains the bedrooms on the first floor. The property has severe restrictions due to the wetlands along Great Peconic Bay. The area of activity is already elevated above the beach, but the unique size and shape of the property only allows for a small addition over the existing structure. The existing structure has preexisting setbacks and preexisting lot coverage based.on the overall size of the property. The existing structures were legally constructed and are evidenced by proper CO's. 3.The amount of relief requested is not substantial because: the first floor is existing. The new portion of the existing one-story is 27.4' x 17.61. The existing 1St floor deck is proposed to be reconstructed. The existing house is nonconforming. The proposed addition is over the existing structure which, on the east side of the house, is 8' from the property line. The setbacks will not be reduced and the lot coverage will not change. 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 addition is over the existing structure. All construction is proposed more than 100' from the High-water line on the survey. The proposed construction includes updating the sanitary system which is an environmental benefit. Since the number of bedrooms is not changing the HD would not require the system to be updated. s.Has the alleged difficulty been self-created? { } Yes, or {X } No Why: It is all existing and constructed with permits issued at the time of construction. Are there any Covenants or Restrictions concerning this land? {X } 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. Signa re of Applicant Authorized Agent (Agent must submit written Authorization from Owner) Sworn to before me this 1'1 day of 2024. Nota Publi KYLEE S DEFRESE NOTARY PUBLIC-STATE OF NEW YORK No.01 DE6420166 Qualified in Suffolk County My Commission Expires 06-02-2025 MGmail Patricia C. Moore< cmoore moorea s com> 3340 Park Ave, Mattituck NY 1 message Pamela Ross <rossgay108@gmall.com> Wed,Jan 17,2024 at 12:58 AM To: "Patricia C. Moore"<pcmoore@mooreattys.com> Dear Ms. Moore, This email is to confirm that we support the application of Chris and Michelle Ross to renovate the Sandpiper, also known as 3340 Park Ave, Mattituck N.Y.We are co-owners of 3350 Park Ave with Nancy Ross and C.William Carmean. Pamela Ross Charles Gay From: Brad Helies<brad.helies@gmail.com> Sent:Wednesday,January 17,202410:44:35 AM To:Chris Ross<Chris.Ross@parthenon.ey.com>; Michelle Ross<michelleross@hotmail.com> Cc:Jennifer Helies<jennifer.helies@gmail.com> Subject: Re:Sandpiper/Nss renovation You don't often get email from brad.helies@gmail.com.Learn why this is important Hey Chris&Michelle, Happy 20241 We hope everyone is well&we are happy to provide neighbor support for your plans. I'm assuming these are the plans you showed us over the summer. However, I don't see Pat Moore's email address on the email Jen forwarded. Please share this email with Pat or put her in touch with me if that's helpful.Thanks. Best Wishes, Brad 646:417.4714 brad.helies@gmail.com Brad&Jennifer Helies 3190 Park Ave Mattituck, NY FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 33001 Date: 04/28/08 THIS CERTIFIES that the building DWELLING Location of Property 3340 PARK AVE MATTITUCK (HOUSE NO.) (STREET) ,(HAMLET) County Tax Map No. 473889 Section 123 Block 0008 Lot 021 Subdivision Filed leap No. Lot No. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 33001 dated APRIL 28, 2008 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* The certificate is issued to DOUGLAS' W. & MARCIA G. POLLOCK (OWNER) of the aforesaid building.' SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACKED INSPECTION REPORT. Aut orized Signature Rev. 1/81 FORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERICS OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. .......... Date ..............................�'V.. ............... 19... THIS CERTIFIES that the building located at Park--,A:7-G...................................................Street Map No. ...XXX........... Block,No. .........=........ Lot No. .......=..........Ift Wk.......................... conforms substantially to the Application for Building Permit heretofore filed in this office dated .................................CatiabW......2.0....... 19..6P-. pursuant to which Building Permit No. M.91.6.. dated ..........................00to-ber-20...... 19...62., 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 ........ ............... ...duelling.......................................................I.......................... The certificate is issued to ...1dr.r.Xlara.-Poggeub= .........Q .. VI11'e'r...................... ............ tner, lessee or tenant) of the aforesaid building. ................................ ................... Building Inspector FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy No. .Z1.1726 . . . . . . . . Date . . . . . . . . . .June .13. . . . . . . . . . . . .. .1 19 83 THIS CERTIFIES that the building .Addition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property 25 O Bungalow Lane Mattituck House No. ' Street *Hamlet County T"Map No. 1000 Section . . . .!?. . . . .Block . . . . .08. . . . . . . .Lot . . . . .02.1. . . . . . . . . Subdivision .Marratocka Park , , , . . , .Filed Map No. l g . . . .Lot No. . . 26A . conforms substantially to the Application for Building Permit heretofore filed in this office dated October 27 19 82 pursuant to which Building Permit No. . .'l 1 98.9Z. . . . . ... . . . . . dated . . .�ctobe. . . 19 .82 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 . . . ... . . . . For living room &deck .addition to an existing dwelling . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . HELEN. GOETZ . . . . . . . . . . . . . . . . . . . . . (owner,%ssee or�tenantl of the aforesaid building. Suffolk County Department of Health Approval . . . N/A . , . . , , , , . , , . , . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . 870 162 , , , , , , , , . v Building Inspector Rev.1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z--25700 Date: 05/01/98 THIS CERTIFIES.that the building ADDITION Location of Property: 3340 PARK AVE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 123 Block 8 Lot 21 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 23, 1997 pursuant to which Building Permit No. 24211-Z dated JUNNE 23, 1997 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DOUGLAS WILLIAM POLLOCK (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Bui ding Inspect r Rev. 1/81 APPLICANT'S PROJECT DESCRIPTION APPLICANT: DATE PREPARED: 1.For Demolition of Existing Building Areas Please describe areas being removed: none-Ir"floor roof over existing to build 2°d floor II.New Construction Areas(New Dwelling or New Additions/Extensions): Dimensions of first floor extension: none Dimensions of new second floor: 17.6 x 27.4 Dimensions of floor above second level: none Height(from finished ground to top of ridge):_24'11" Is basement or lowest floor area being constructed?If yes,please provide height(above ground) Is from natural existing grade to first floor: Existing basement walkout on the water side 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: existing one story house IV.Number of Floors and Changes WITH Alterations: one story and partial two story V. Calculations of building areas and lot coverage(from surveyor): Existing square footage of buildings on your property: Existing lot coverage 47.6% Proposed increase of building coverage: none_Square footage of your lot: (9,761)Buildable 4,824 SF Percentage of coverage of your lot by building area: . 47.6% V1. Purpose of New Construction: _218 floor over existing 11,floor VIL 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): Beach along Great Peconic Bay 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 QUESTIONNAIRE FOR FILING WITH YOUR ZBA APPLICATION A. Is the subject premises listed on the'real estate market for sale? Yes X No B. Are there any proposals to change or alter land contours? X No Yes please explain on attached sheet. C. 1.)Are there areas that contain sand or wetland grasses? yes D. 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?After ZBA 5.) Please confirm status of your inquiry or application with the Trustees: pre_ submission 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. OK 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 House and the proposed use same (ex: existing single family,proposed: same with garage,pool or other)_ A zed,signature and Date BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE See Instructions for Item A6 Expiration Date: November 30,2022 IMPORTANT:In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number: 3340 BUNGALOW LANE City ~��-- State ZIP Code Company NAIC Number MATTITUCK New York 11952 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken;"Front View"and'Rear View";and, if required, "Right Side View"and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page,use the Continuation Page. Isms •ti f f, Photo One Photo One Caption FRONT Clear Photo One - U Photo Two Clear Photo Two Photo Two Caption REAR FEMA Form 086-0-33(12119) Replaces all previous editions. Form Page 5 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE Continuation Page Expiration Date: November 30, 2022 IMPORTANT:In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt., Unit,Suite, and/or Bldg. No.)or P.O. Route and Box No Policy Number: 3340 BUNGALOW LANE City State ZIP Code i Company NAIC Number MATTITUCK New York 11952 If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and 'Rear View"; and, if required, 'Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. I 'a I Pnolo Three Photo Three Caption MACHINERY Clear Photo Three Photo Four Photo Four Photo Four Caption t:lear Photo Four FEMA Form 086-0-33(12119) Replaces all previous editions Form Page 6 of 6 Board of Zoning Appeals Application AUTHORIZATION (Where the Applicant is not the Owner) We, Christopher Ross as Trustee of the Christopher Ross Trust-2015 and Michelle Ross. as Trustee of the Michelle Ross Trust—2015 residing at 10 Rangeley Ridge, Winchester,MA 01890 do hereby authorize Patricia C.Moore to apply for variance(s)on our behalf frgIn the Southold Zoning Board of Appeals. Christopher Ross " LL- MicTielle Sworn to before me this .4Q� C°M�I�� day of J an vacM 2024 'srgCHUS�,-' Notary PublicI'�g�'�G`�,• APPLICANT TRANSACTIONAL DISCLOSURE FORM (FOR SUBMISSION BY OWNER and OWNERS AGENT) The Town of Southolds 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: ROSS CIMSTOPHER AS TRUSTEE AND ROSS,MICHELLE,AS TRUSTEE AND MOORE.PATRICIA Q. (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 or company name.) NATURE OF APPLICATION:(Check all that apply.) Tax Grievance Variance X Special Exception If Other, name the activity: Change of Zone Approval of Plat Exemption from Plat or.Official Map Other Trustees 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. A business interest means a business, includi- a partnership, in which the Town officer or employee has even a partial ownership of(or employment by) a corporation in which th,- Town officer or employee owns more than 5%of the shares. YES NO X Complete the balance of this form and date and sign below where indicated. Name of person employed by the To-vim of Southold: Title or position of that person: Describe that relationship between yourself(the applicant) and the Town officer or employee. Either check the appropriate lino A through D(below)and/or describe the relationship 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 than 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 Signature: Christopher Ross ielie a oss atricia C.Moore SURVEY OF: PROPERTY LOCATED AT MATTITUCK TOWN OF SOUTHdLO SUFFOLK COUNTY, NEW YORK TEST HOLE DATA S.C.T.M. # 1000-123-8-21 (NOT TO SCALE) BY AREA = 9.761.1 SF. : ROY K. REISSIG. PE SCALE: 1"=38' MAY 19. 2023 0 11:30 AM - - TOP SOIL_. PT � NOTE: THE EXISTENCE OF RIGHT OF WAYS. w _ WETLANDS AND/OR EASEMENTS OF RECORD F 0.5'-3.0' DARK BROWN SILT SM IF ANY. NOT SHOWN ARE NOT GUARANTEED.. = 3 _ 0- 3.0'-6.0' BROWN SILTY SAND o - WATER SM 6.0'-8.0' PALE BROWN SAND SW WET PALE SW BROWN SAND �38` `f PEDGE OF AVEMENT S 55o42'00"E \ J 30.00' LAND N/F C WILLIAM CARMEAN Is•, CHARLES W GAY � N 34018'00"E °�cF�F< 2 ��o NANCY R ROSS PAMELA M ROSS 17.00' WATER h war ro �2 LSJ METER N 55°42'00°W Ilk 2,�O 3 3.3 3' �F'�c�o� o - � �;IraYL WATERRip StSEOS _ LINE m �r o TEST mO HOLE h 2p 6 io D RES. ELEVATIONS REFER TO 1988 NAVD 0® 1z.3 r 0ziw ELEVATIONS SHOWN THUS LP FEMA: r:�,�{ TANK S s� m TOWN OF SOUTHOLD 360813 0, BFE MINIMAL HAZARD UNIT O n y �" COMMUNITY No. 36103CO482 H 0• y r� Y • DO 4® �? DECK o WALK o OE to SANITARY O O LAND N/F � p BRADLEY HELIES C O c� 2013 TRUST 0 Z., LAND N/F DAVID A ROSS & 9m ELIZABETH H ROSS BULKHEAD IRREVOCABLE TRUST Ul N Nt W O O 'MHW IS EQUAL TO THE M LANDWARD EDGE OF TIDAL WETLANDS, W AS CONFIRMED BY �d SURVEYED BY: COLE ENVIRONMENTAL SERVICES ON 10/04/23. PAUL BARYLSKI LAND SURVEYING 'a OAKDALE NY 11769 z 1*5 PHONE 631-294-6985 s-3iW20z3 y FAX 631-627-3186 N 83°33,n6„yY \ PAULBARYLSKIa YAHOO-CGM 1.72, MAY 31. 2023 ll 20-20 3: ADDED NOTEITIES G R E A T P E C O N I C UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION BA Y OF SECTION 7M OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY NO NOT SEARING THE LAID SURVEYORS INKED OR EMBOSSED SEQL--,W-L NOT HE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES OR CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED.AND ON HIS BEHALF TO THE TITLE COMPANY.GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON.AND TO THE ASSIGNEES OF THE LEADING INSTITUTION. GUARANTEES OR CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEDLENT OWNERS. 5525-1 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: Christopher Ross,Trustee of the Christopher Ross Trust-2015 50% and Michelle Ross,Trustee of the Michelle Ross Trust-2015 50% 2. Address of Applicant:_10 Rangeley Ride,Winchester MA 01890 3. Name of Land Owner(if other than Applicant): same 4. Address of Land Owner: same 5. Description of Proposed Project: 2nd floor over portion of existing house 6. Location of Property: (road and Tax map number) 3340 Park Avenue, Mattituck 7. Is the parcel within 500 feet of a farm operation? { } Yes {X} No 8. Is this parcel actively farmed? { } Yes {X) No 9. Name and addresses of any owner(s) of land within the agricultural district containing active farm operations. Suffolk County Tax Lot numbers will be provided to you by the Zoning Board Staff, it is your responsibility to obtain the current names and mailing addresses from the Town Assessor's Office (765-1937) or from the Real Property Tax Office located in Riverhead. NAME and ADDRESS 1. �_; 2. 3. (Please use the back of_hi age if there are additional property owners) Signature o scant 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 of the over all 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. I TOWN OF:SOUTHO.LD PROPERTY RECORD CARD SCTM l OWNER STREET 3 J F-10 VILLAGE DIST.' SUB. LOT ACR. , REMARKS CAt-j%s*p✓ er" ✓,,95:5 7,-,V6•f- TYPE OF�BLDD. PROP fl-As LAND IMP. TOTAL DATE 5400 1 j I 1 FRONTAGE ON WATER Y _V HOUSE/LOT i BULKHEAD TOTAL 1 TOWN �OF S011THOLD PROPERTY .:RECORD' OWNER . : ; ;... STREET `:> - 1' r�+ .:'J.': : VIL""CAGE DIST: :SUB'.:' ' LOT 'L' 4;�"(��t�•t`�/Tfr'���L:_ .� - fit, �'(i'li ��. .-. � . .;.� ,._ � � t _ cl '.i•,��/`',Yl '� r.�wl��✓: i-.: e_ :,. _. :l Crir�/ I _ . FORMER,OV�✓NER L '.ti ' Z/Jt�dluG•: ' '�t� E ACR. S w L PE�OF:B.UILOI'NG } %1CJ: ,� ;• ., '' FARM MISC. ' Mkt; Value 1 rRES: jd SEAS :VL'. .. . � �a.���% �..,._ :�,�,���Z 4��- h✓Ic c.����a'r�it a -d-t� I�����.�-ai'�l-,t-'�•, Ld�N® IM1F:' -TOT DATE' 'REMARKS �, t -, • , 1� -.� :"' '�%• �), lr'ii 'a+`:,,C - !�l4'����S�"• ��,� ,fit+, '�,n,'-:t.l G�-_- r'a;,�,�•;�i,-'r.��.�.:� �.�' �f' l (."�,.✓�. t:tl...a:✓,^.-'�,s/i� 1-ei' P�� r/rj,n:r'. ,/ `,1� l'1,(,}. � � � �I i :�. ✓:: 7si,'c 'u f.' :�lo / �, Imo/ y, �, ,cn'arr '�. .Fi-ta, ;r: ,� �.; /•. r/",�D I�ai � .C{• f. •:p-1 �'?7GF^rt`/2y�- G'�'Y✓-r. d' ;�� - ,_�; - - "� �/'•d' Holz p// � � � Via.-F'.�"y�.��_:���� ��o i 7� // �s' ;`�^ / G'Sc�.", �"'- ' ..S�a _ ::'L���' � Sloe .� •�!��Ci l�� _a. /. / .s j'. af�.c•/G.. _ p _ . ;AGE' , BUILDING;:'CONDITION _ i. YC -ii,ia RNi iv w:' No AL ::$ELOV / k ABOVE r ; Azre'' Value.Per Value ,r a Aire 60'51`�`�'�sl:� e,7,'��c'�'l% �{'J�Y:��?�k _�' �.'-'�. f. �' �, �-�° -•,�.'- ,.�-�� •„ 5�bk;; �-Jam.5�&o t C/C ►- -k I Tillable 2.. j Woodland'. f Swamplund', FRONTAGE ON, WATER` I ,Bi�ushland' FRONTAGE ON ROAD` - House Plot:.:':_ 'DEPTK ".: .BULKHEAD' ::,. i Total. DOCK. - r - CCL02'° — - 6. I T, _ 1} p .1 i ,�tl.'T,+'h,� m_+��-..lr' ,..^-,.w.....'+-�— -.�-• -, ilFm:.'7:rN� An' — -- �-- ;'� � M. $idgl { P� ' <bj�';;'_ >; ": .D.. _ c Founcl'otiori: G!'; � Eatfi j 1 ;:Dinette' ` M Floors Extensi" .`., , ;`%i`:^. /, a'- %Basement'.q�.t 1 `�- on, +:- e /� ,:, .:; �- - P. �� ,rirJ� a' ►e r S :/r _ I �r. — —--- ---- -- = Ext: Walls 'bnterf r Finish LR. ExtensionV x r' x.F• .1; eat y Dr . Extension`' ✓ ;` v:° / t f ( �: R to r ,E r�;- Roorns 1 st F o �of'� - �T �e_Ro p Porch Recreation Room Rooms 2nd 'Flaor " — - Potch�''�;"_ ..' .p �V ®. Dormer Pa#io r. O. B. 1 _ t '7 1 h 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# / i - u _ f The Application has been submitted to(check appropriate response): Town Board 0 Planning Dept. 0 Building Dept. 0 Board of Trustees 0- Z 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital, construction,planning activity,agency regulation, land transaction) (b) Financial assistance(e.g. grant, loan,subsidy) (c) Permit,approval,license,certification: Nature and extent of action: o2ice � �� Location of action: 7`O pa_t4 Aye Site acreage: 76 i 1/ a,r. 1-3 Present land use: Z� Present zoning classification: ® 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: "t1J s1VO1k - &5;, `1/Itxlke- tc�iej%_Aossl `rusk (b) Mailing address: 4e_41�7e_ley t'If�l�3�C�PS7��' i�i� •G�Ss�� (c) Telephone number:Area Code( ) �n _ ' C/�5 (d) Application number, if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ No Y 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. LaiYes ❑. No ❑ Not Applicable � o �. Attach additional sheets if nece,sary. 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�X.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 NZI Yes 0 No R 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 Yes No Not Applicable LQ�Qt�c� fay /I-Oy ti � 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 LB Yes E No 0 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. FV Yes F No� 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. ❑ YeO No R�'] Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No P(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 6I Z20 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 formation v Z7-/(,,/) lhe z A/'1a�7vlelck_ Name of Action or Project: ` Project Location(describe,and attach a location map): Brief Description of Proposed Action: hC7.z." Name of Applicant or Sponsor: Telephone: L'Fi Y� ✓ �� �rU3 ,=f —r E-Mail: Address: Cr/ / e City/PO: State: Zip Code: 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: 3.a.Total acreage of the site of the proposed action? DLi acres b.Total acreage to be physically disturbed? 11:�) 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 esidential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 5. Is the proposed action; NO YES N/A a.A permitted use under the zoning regulations? 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? I X 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: v 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES x b.Are public transportation service(s)available at or near the site of the proposed action? x c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? 1)( 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: (1 {' X 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? l/ 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? X If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Ide ify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ❑ Wetland ❑Urban El Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? 16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, --// a.Will storm water discharges flow to adjacent properties? M O❑YES /1 b.Will storm water discharges be directed to established conveyance systems(rung and storm drains)? If Yes,briefly describe: CTNO❑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 Applicant/sponsor nam 4171-.1 �` �9�`Yyy�e Date: Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate. . small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate' reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. ❑ 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 6 n a I I Patricia C. Moore<pcmoore@mooreattys.com> Renovation of Ross home 3340 Park Ave Mattituck 1 message Nancy Ross <nancyrross@me.com> Fri, Jan 19,2024 at 12:21 PM To: pcmoore@mooreattys.com Cc: Chris Ross<Chris.Ross@parthenon.ey.com>, Michelle Ross<michelleross@hotmail.com>, Bill Carmean <bcarmean@gmail.com> Ms Moore(and Southold Township Authorities): My husband, Curtis Carmean, and I are the owners(together with my sister, Pam Ross'and her husband)of 3350 Park Ave, Mattituck, N.Y.,which is our residence. Our home is immediately adjacent to Chris and Michelle Ross's house at 3340 Park Avenue. Our house is the house that would be most affected by the renovation of Chris and Michelle's house. We completely support the renovation of 3340 Park Avenue, as designed by Kate Samuels of Samuels and Steelman. In fact,Tom Samuels designed our home at 3350. We love Samuels and Steelman designs. Chris and Michelle have kept us completely informed about the renovation plans. They have shown us the architectural plans for their intended renovation.We love the design. We sincerely hope the Town approves this renovation. If we can answer any further questions, our cell phone numbers are below. Nancy Ross (215)983-5802 Curtis Carmean (215)595-8387 SEE SEC.NO.115 LINE MATCH LINE N302882 w SEE SEC NO 115 _ �'— 4 FOR PC'NO h w d SEE SEC NO ;; m Wp M, 115-17-018 y O 14 MI y M1 ^ Isl a�. q} 2 e4 eel $ °0 LE DR. b 13�� you 10 s A 26 y a o 6 2 6 10 1.SA(c)as n) InI '2 7 1 42.8A(c) ^� 1.OA(c) 1.4A(c) �,°,:e � 1A •Ne aTl a uu� e � � 2.6A(c) ca •� x > >6 •B° l„1 i R . 15 16 . TOWN OF / es' .ba ,0 •eg`s 8 Wy --,ems... R °"' '•,0 / �2 0�0 C� t•�+ �5a1 nn SOUTHOLD .� NNQfMw1iER 1AND1 1 Sj �, ,sa16 �a �`' cnl ,no' ,,,, •—� CREEK ,m 18 AJ Sri 2 2t3 CO u e '��� n "' 2� ,� 26.1 `k' '� `- ..\ y �• / ,w �w ,� ° 35 q�cl o r h e ea Kwy ,�g6 m�,Q i• 3A '� � � 32� 33 ,a b0 � ,2 2:LP' �A c\ �'2 � � 2�� 2�'79.1�6•\g,��^\.� g 31 ,m ,�3 1gP 2oP� v � 2A1 nb.�ON$ '�T•`�' ,aA'� � $ 28 29 6 v YICFE''*E ` 5 2.0Plal 1 4 24Plc)I .� •A �/ 19P1� �®1 `� 1• '1 \ m 31P1c\, 111 gyp.� ch�i SA-0 P ass c r1,c i — 1LQ3- 8� a1 N 299.082 NOTICE �Y,r, COUNTY OF SUFFOLK © K E I8 TOWN OF SOUTHOLD SECTION NO I 118 WO MAINTENANCE,ALTERATION,SALE OR ^ ^y( Real Property Tax Service Agency Y I� 123 DISTRIBIffION OF ANY PORTION OF THE -lp�i„y 1T<. NLLAGE OF EUFFOLK COUNTY TAX MAP IS PROHIBITED •-a�LSP-�� ~� County Center Riverhead,N Y 11901 M WTHOU MIT TEN ITTEN PERMISSION OF THE +'I}+'+ p0 0 SCALLEE IN N FEET 400 A fp`p 1x DISTRICT NO 1000 REAL PROPERTY TAX SERNCEAGENCY. P PROPERTY MAP CONVERSION DATE'Feb 10,2011 ARCHITECTS: ROSS RENOVATION SAMUELS+ GENERAL NOTES 12. ALL WORK OF THE VARIOUS TRADES INVOLVED WITH THE STEELMAN CONSTRUCTION OF THIS PROJECT, IS TO BE PERFORMED KEY PLAN 1. ALL WORKS SHALL BE PERFORMED IN ACCORDANCE BY CAPABLE AND REPUTABLE CONTRACTORS, LICENSED IN 25235 MAIN ROAD WITH ALL STATE, MUNICIPAL, LOCAL ZONING AND BUILDING THE STATE OF NEW YORK AND AS REQUIRED BY THE LOCAL CUTCHOGUE NY 11935 CODES AND ORDINANCES HAVING JURISDICTION AND BEST GOVERNING AGENCY. 631.734.6405 STANDARDS OF CONSTRUCTION PRACTICE. 13. ALL WORK OF THE VARIOUS TRADES IS TO BE CONSULTANTS: 2. THE AMERICAN INSTITUTE OF ARCHITECTS CONDITIONS PERFORMED IN ACCORDANCE WITH STATE AND LOCAL SHALL APPLY TO OIL WORK PERFORMED ON THIS PROJECT. CODES, AND ALL OTHER APPLICABLE AGENCIES AND THE CONTRACTOR SHALL VERIFY OIL CONDITIONS CT THE STANDARDS GOVERNING THAT PARTICULAR TRADE, AND AS SITE. ANY DISCREPANCIES MUST BE BROUGHT TO THE HEREINAFTER STATED OR IMPLIED. ATTENTION OF THE ARCHITECT PRIOR TO COMMENCEMENT 14. ANY WORK HEREINAFTER STATED OR IMPLIED WHICH IS OF CONSTRUCTTON, THE CONTROCTOR SHALL BE CONTRARY TO THAT REQUIRED BY THE APPLICABLE RESPONSIBLE FOR CORRECTIONS NOT REPORTED ONCE HE GOVERNING AGENCIES AND CODES IS TO BE BROUGHT TO HAS STARTED WORK EXCEPT FOR HIDDEN JOB CONDITIONS, THE ATTENTION OF THE OWNER, AND CORRECTED IN 3. WIIL BE OF GOOD QUALLTY, FREE FROM FAULTS END ORDER TO CONFORM TO THOSE GOVERNING DEFECTS FOR 0 PERIOD OF ONE YEAR FORM THE DOTE OF REQUIREMENTS. THE FINAL CERTIFICATE OF OCCUPOM;Y. 15. ANY DISCREPANCIES FROM THIS PLAN AND THE ACTUAL OWNER: 4. THE ARCHITECT SHALL NOT BE RESPONSIBLE FOR THE CONDITIONS ARE TO BE REPORTED IMMEDIATELY TO THE CONSTRUCTION MEANS METHOD, TECHNIQUES, ARCHITECT OR HIS REPRESENTATIVE. CHRIS AND MICHELLEROSS SEQUENCES OR PROCEDURES, OR FOR THE SAFETY 16. ALL CONSTRUCTION MATERIALS ARE TO BE NEW AND OF 3340 PARKAVE e� PRECAUTIONS AND PROGRAMS IN CONNECTION WITH THE A LEVEL OF QUALITY WHICH WILL INSURE THE QUALITY OF MATTITUCK, NY 11952 zoz WORK AND HO WORK DESIRED BY THE OWNER. 5. SHALL NOT BE RESPONSIBLE FOR THE CONTRACTORS 17. RELOCATED PARTITIONS ARE TO BE DISASSEMBLED AND FAILURE TO CARRY OUT THE WORK IN ACCORDANCE WITH RECONSTRUCTED TO INSURE DURABLE STRONG REVISIONS: THE CONSTRUCTION DOCUMENTS. THE ARCHITECT SHALL CONSTRUCTION. DO NOT RELOCATE PARTITIONS AS A o NOT BE RESPONSIBLE FOR THE ACTS OR OMISSION BY COMPLETE WALL PERMIT SET 10.1.23 p CENTER . �v 3340 PARK AVE THE CONTRACTOR NO CHANGES SHALL BE MADE IN THE 18. SILL PLATES OF NEW AND RELOCATED PARTITIONS REVISION PERMIT SET 11.21.23 DOCUMENTS AND/OR THE BUILDING AS DESIGNED WITHOUT ARE TO BE SECURED DIRECTLY TO THE EXISTING FLOORING. THE EXPRESSED WRITTEN CONSENT OF THE ARCHITECT. REMOVE ANY FINISH MATERIALS, SUCH AS CARPETING, THE CONTRACTOR AND ALL SUBCONTRACTORS SHALL PRIOR TO ANCHORING PLATE. MAINTAIN CONTINUOUS INSURANCE ,COVERAGE 19. PRIOR TO COMPLETION OF THE WORK, REMOVE FROM STATUTORY POLICLES (WORKER COMPENSATION, ETC.) AND THE JOB SITE ALL TOOLS, SURPLUS MATERIALS, EQUIPMENT, GENERAL LIABILITY IN AN AMOUNT NOT LESS THAN $ 5 SCRAP, DEBRIS, AND WASTE, EXCEPT AS OTHERWISE MLLLLON AND AUTOMOBILE LLOBLLLTY AND DAMAGE NOTED BY THE OWNER. p,VE COVERAGE NOT LESS THON $ 2 MILLION. THE ARCHITECT ALL CONDITIONS INDICATED OR IMPLIED AS EXISTING AT THE SHALL BENAMED INSURED ON ANY AND ALL POLICIES. TIME OF THIS APPLICATION ARE NOT THE 6. ALL CONSTRUCTION SHALL MEET NYS ENERGY RESPONSIBILITY OF THE ARCHITECT. CONVERSATION CONSTRUCTION CODE. ALL GLAZED AREA 20. ALL CONDITIONS INDICATED OR IMPLIED AS EXISTING AT TO BE DOUBLE GLAZED AND ALL EXTERLOR DOOR TO HAVE THE TIME OF CONSTRUCTION ARE NOT THE RESPONSIBILITY LNSULOTED CORES. THE INSULATION PROTECTION AS OF THE ARCHITECT. ECONIG BAY INDICATED ON THESE PLANS EXCEEDSTHE CODE'S MINIMUM 21. CONTRACTOR WILL FULLY z STANDARDS. OF THE FEDERAL OCCUPATIONAL 7. THESE DRAWINGS AND SPECIFICATION ARE OF 1920 AND TO ANY RULES AND k... _ . _ . .,��uaNT O INSTRUMENTS OF SERVICE AND SHALL SITE INFO SIT E INFO PROPERTY OF THE ARCHITECT WHETHER TIH THE FOR 22. ALL MATERIALS PS WELL AS METHODS AND PROCESSES SCOPE OF WORK. LOCATION: 3340 PARK AVE WHICH THEY MADE LS EXECUTED OR NOT. THEY MAY NOT USED IN THE PERFORMANCE OF THE WORK SHALL Q BE USED ON ONY OTHER PROJECT EXCEPT BY WRITTEN CONFORM TO THE STANDARDS OF THE BUILDING. SITE AREA: .2241 ACRE (9,761SF) LOOD ZONES: OUTHORLZATLON OF THE ARCHITECT. 23. CERTIFICATES OF INSURANCE AS REQUIRED UNDER THE INTERIOR AND EXTERIOR RENOVATION AND ADDITION TO AN TYPE: RESIDENTIAL PROPERTY IN FLOOD ZONE X 8. A SINGLE STATION SMOKE DETECTOR ALARM DEVICE DOCUMENT TITLED "INSURANCE REQUIREMENTS FOR O EXISTING ONE-FAMILY DWELLING. S.C. Tax Map #: 1000-95-03-09.1 ZONE AE: BASE FLOOD ELEVATIONS DETERMINED SHALL BE INSTALLED TRADES CONDUCTING OPERATIONS IN BUILDINGS FOR z OWNER: ZONE X: AREAS OF 0.2% ANNUAL CHANCE FLOOD; AREAS OF 1% IN EACH BEDROOM, ON ALL FLOORS AND SHALL BE WHICH CUSHMAN & WAKEFIELD INC. ACTS AS AGENT" CHRIS AND MICHELLE ROSS ANNUAL CHANCE FLOOD WITH AVERAGE DEPTH OF LESS THAN 1 INTERCONNECTED PER CODE. INCLUDED IN THE CONTRACT DOCUMENTS, MUST BE W 10 RANGELEY RIDGE FOOT OR WITH DRAINAGE AREAS LESS THAN 1 SQUIRE MILE; AND 9. ALL BATHROOM WITHOUT OPERABLE WINDOWS TO BE FURNISHED TO THE ARCHITECT PRIOR TO PROCEEDING ry >_ WINCHESTHESTER, MA 01890 REAS PROTECTED BY LEVEES FROM 1 /o o ANNUAL CHANCE OF MECHANICALLY VENTILATED OS PER NEW YORK STATE WITH ANY WORK AND REQUIRED INSURANCE IS TO BE Z DRAWING LIST: LOOD. 0 10.ON0 WORK IS TO BE STARTED UNTIL A BUILDING PERMIT MAINTAINED AT ALL TIMES DURING CONSTRUCTION. � � SURVEYOR: ONE X: AREAS DETERMINED TO BE OUTSIDE THE 0.2 /o ANNUAL 0 PAUL BARYLSKI LAND SURVERYING CHANCE OR FLOOD PLAIN. ELEVATIONS ARE REFERENCED TO HAS BEEN SECURED AS REQUIRED BY THE APPLICABLE T-1 TITLE SHEET, SITE PLAN OAKDALE NY 11769 NAVD 1988 DATUM. GOVERNING AGENCY OR AGENCIES. O ST-1 SITE PLAN 11. ALL CONDITIONS AND DIMENSIONS ARE TO BE VERIFIED U A-1 BASEMENT / 1ST PLANS SETBACKS: NON-CONFORMING SEPTIC INFORMATION: BEFORE START OF ANY WORK AND DISCREPANCIES OR ry ELEVATIONS, VARIATIONS TO APPROVED PLAN ARE TO BE BROUGHT TO A-2 FAR / ROOF FRONT: 40 FT PROPOSED NEW Al SEPTIC SYSTEM. APPLICATION TO SUFFOLK THE ATTENTION OF THE OWNER BEFORE PROCEEDING. A-3 ELEVATIONS A-4 ELEVATIONS MINIMUM SIDE: 15 FT (EXISTING IS NON CONFORMING) COUNTY HEALTH DEPARTMENT PENDING. TOTAL SIDE YARD: 35 FT (EXISTING IS NON CONFORMING) REAR: 50 FT TRUSTEES: PROJECT ADDRESS: PROPOSED WORK IS OUTSIDE OF TRUSTEES JURISDICTION. 334o PARKAVE LETTER OF NON JURISDICTION PENDING. 3340 PARKA UCK E 1952 LOT COVERAGE CALCULATION: MA SITE AREA: .2241 ACRE (9,761 SF) CODE INFO BUILDABLE SITE AREA: (4,824 SF) ALL WORK DONE UNDER THIS CONTRACT SHALL COMPLY WITH TOTAL LOT COVERAGE % ALLOWED: 20% (NON-CONFORMING) THE PROVISIONS OF THE: SPECIFICATIONS, DRAWINGS AND EXISTING LOT COVERAGE SF ALLOWED: 965 SF CONSTRUCTION CRITERIA OF THE OWNER AND SHALL SATISFY TOTAL EXISTING LOT COVERAGE: 2231 SF (1,266 SF OVER) E°ARCy, ALL APPLICABLE CODES, ORDINANCES AND REGULATIONS OF YRAM I D LAW. JFA"s ALL GOVERNING BODIES INVOLVED. ANY MODIFICATIONS TO HOUSE: 1547 SF e`` �� THE CONTRACT WORK REQUIRED BY SUCH AUTHORITIES SHA L DECKS: 510 + 63 =573 SF PROPOSED WITHIN PYRAMID ALLOWANCES. SEE DIAGRAM , y BE PERFORMED BY THE TENANTS CONTRACTOR; ALL PERMIT ACCESSORY: 48 + 48 = 96 SF ELOW. SEE ELEVATION FOR EXACT DIMEKI.Cs VS. SHALL BE SECURED AND PAID FOR BY THE TENANTS BASEMENT ACCESS: 15 SF CONTRACTOR(S). APPLICABLE CODES INCLUDE BUT ARE NO ST�A 04436 LIMITED TO THE FOLLOWING: TOTAL PROPOSED LOT COVERAGE: 2,300 SF \ ( r� I FOFNE�`�� BUILDING AND STRUCTURAL 2020 CODE zmmo =p (1,335 SF OVER ALLOWABLE, INCREASE OF 69 SF) m0 SMOKE AND CARBON MONO. 2020 CODE ° I SAFETY NOTICES 2020 CODE HOUSE: 1547 SFQ �5IT-2- FLOOR MECHANICAL 2020 MECHANICAL CODE DECK: 526 +110 = 636 SF Lis, �5% "� I I DRAWN BY: KS PLUMBING 2020 PLUMBING CODE BASEMENT ACCESS: 117 SF 71_01f s s" DATE: 8.23.23 A 4 2 1 NYS ENERGY COMPLIANCE: 47.6% PROPOSED > 2 ° ALLOWABLE �`�0° A - SCALE: 1/4"= 1'0" ENERGY CODE 0 80/o O CONSERVATION \ I I m DRAWING SHEET NAME. AREA RATIO: HOUSE ALLOWED PER CODE: 2,100 SF o I t o CDI o TITLE PAGE EXISTING HOUSE TOTAL: 1,534 SF ALLOWED ADDITION SF: 566 SF - PROPOSED ADDITION SF: 544 SF DRAWING SHEET NO: TOTAL PROPOSAL SF: 2,078 SF SOUTH ELEVATION NORTH ELEVATION COMPLIANCE: 2,100>2,078 SF NTS NTS Vol ARCHITECTS: GENERAL NOTES(CONT. ) TEST HOLE 26. CONTRACTORS SHALL MAKE AVAILABLE FIRE U.S. DEPARTMENT OF HOMEL�kND SECURITY OMB No. 1660-0008 OMB No. 1660-0008 SAMUELS+ Federal Emergency Management Agency Expiration Date: November 30,2022 ELEVATION CERTIFICATE Expiration Date: November 30, 2022 EXTINGUISHERS BASED ON THE FOLLOWING: ALTERATIONS National Flood Insurance Program IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE STEELMAN UP TO 3,000 SQ.FT, - ONE (1) FIRE EXTINGUISHER. ELEVATION CERTIFICATE g (including p g ) y Buildin Street AddressApt.,Unit, Suite, and/or Bldg. No. or P.O. Route and Box No. Policy Number: ALTERATIONS OVER 3,000 SQ.FT, - ONE (1) FIRE Important:Follow the instructions on pages 1-9. 3340 BUNGALOW LANE EXTINGUISHER FOR EVERY ADDITIONAL 3,000 SQ.FT. City State ZIP Code Company NAIC Number 25235 MAIN ROAD THEREOVER. SAID FIRE EXTINGUISHER SHALL BE 25LB. TYPE Copy all pages of this Elevation Certificate and all attachments for(1)community official,(2)insurance agent/company,and(3)building owner. MATTITUCK New York 11952 CUTCHOGUE NY 11935 SECTION A-PROPERTY INFORMATION FOR INSURANCE COMPANY USE SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) 631.734,6405 APPROVED FOR TYPE A,B,C FIRES AND SHALL BE KEPT AND TEST H 0 L E DATA Al. Building Owner's Name Policy Number: MAINTAINED ON THE PREMISES Cl. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ❑ Finished Construction CONSULTANTS: 27. PLANS AND APPLICATIONS ARE FILED TO LEGALIZE (NOT TO SCALE) A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg. No.)or P.O. Route and Company NAIL Number: *A new Elevation Certificate will be required when construction of the building is complete. THE WORK INDICATED ONLY, AND NO OTHER WORK ON THE B Y: R 0 Y K. R E I S S I G, PE Box No. C2. Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,Vl-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. PREMISES EXISTING AT THE TIME OF THIS APPLICATION IS 3340 BUNGALOW LANE Complete Items C2.a-h below according to the building diagram specified in Item A7. In Puerto Rico only,enter meters. MAY 19. 2023 a 11:3 0 AM City State ZIP Code Benchmark Utilized: Vertical Datum: TO BE CONSIDERED PART OF THIS APPLICATION OR THE _ - - - _ MATTITUCK New York 11952 Indicate elevation datum used for the elevations in items a)through h)below. RESPONSIBILITY OF THE ARCHITECT. 0:� 0.0'-0.5' T 0 P SOIL PT A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description, etc.) 28. PLANS HAVE BEEN PREPARED TO INDICATE THE iw ❑ NGVD 1929 ❑ NAVD 1988 ❑Other/Source: 1000-123-8-21 Datum used for building elevations must be the same as that used for the BFE. EXISTING CONDITIONS TO BE LEGALIZED FOR ROOM Q 0.5'-3.0' DARK BROWN SILT S M Check the measurement used. A4. Building Use(e.g ,Residential, Non-Residential,Addition,Accessory,etc.) RESIDENCE 11.0 ❑ feet ❑ meters LAYOUT AND PLUMBING ONLY. = a) Top of bottom floor(including basement,crawlspace,or enclosure floor) I- °59'06" Long.72°30'28" Horizontal Datum: ❑ NAD 1927 ZNAD 1983 b) Top of the next higher floor 7.5 El feet ❑ meters 29. DUST PARTITIONS ARE TO BE ERECTED TO I- 3.0'-6.0' BROWN SILTY SAND PREVENT THE SPREAD OF DIRT AND DEBRIS TO OCCUPIED o -00 WATER S M A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. c) Bottom of the lowest horizontal structural member(V Zones only) ❑ feet ❑meters AND USABLE AREAS. HEAVY PLASTIC SECURELY FASTENED - A7. Building Diagram Number 9 d) Attached garage(top of slab) ❑ feet ❑ meters IS ACCEPTABLE. 6.0'-8.0' PALE BROWN SAND SW OWNER: A8. For a building with a crawlspace or enclosure(s): e) Lowest elevation of machinery or equipment servicing the building g,0 ❑ feet meters (Describe type of equipment and location in Comments] 30. CERTIFICATES OF INSURANCE ARE TO BE a) Square footage of crawlspace orenclosure(s) 1546.00 sq ftCHRIS AND PRESENTED TO THE OWNER PRIOR TO START OF ANY WET PALE f) Lowest adjacent{finished)grade next to building(LAG) 8.0 ❑ feet meters E 8.0'-14.0 S W b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade 3340 PARKA VE WORK, AND ALL REQUIRED INSURANCE IS TO BE BROWN SAND g) Highest adjacent(finished)grade next to building(HAG) 9.0 feet meters MATTITUCK, NY 11952 MAINTAINED AT ALL TIMES DURING CONSTRUCTION. - - - - - - � - - - - - - - - - � - c) Total net area of openings in As.b sq in h) Lowest adjacent grade at lowest elevation of deck or stairs,including AND SUBSOIL CONDITIONS HAVE d) Engineered flood openings? ❑Yes ❑x No structural support 8.0 feet meters 31 . FOUNDATIONSSECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION BEEN DESIGNED BASED ON INFORMATION CONTAINED A9.For a building with an attached garage: This certification Is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. REVISIONS: WITHIN BORINGS AND/TEST PITS AS FURNISHED BY OWNER. a) Square footage of attached garage sgft I certify that the information on this Certificate represents my best efforts to interpret the data available. /understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. PERMIT SET 10.1.23 EXACT FOUNDATION REQUIREMENTS ARE SUBJECT TO b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade Were latitude and longitude in Section A provided by a licensed land surveyor? ❑Yes ❑x No ❑Check here if attachments. REVISION PERMIT SET 11.21.23 CHANGE BASED ON CONTROLLED INSPECTION OF SUBSOIL CONDITIONS, AND MAY VARY FROM THOSE INDICATED ON c) Total net area of flood openings in A9.b sq in Certifier's Name License Number ,°�L O NEB, , d) Engineered flood openings? ❑Yes ❑ PAUL BARYLSKI 050782 No A��' ilt �RY '�Q� THE CONSTRUCTION DOCUMENTS. Title Elf 32. PRIOR TO COMMENCEMENT OF ANY WORK, SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION OWNER 4� CONTRACTOR/OWNER SHALL VERIFY THE INTEGRITY OF ALL Company Name T REMAIN AND TO B1. NFIP Community Name&Community Number B2. County Name B3. State EXISTING STRUCTURAL ELEMENTS O UFFOLK New York PAUL BARYLSKI LAND SURVEYING TOWN OF SOUTHOLD 360813 S Address VERIFY ADEQUATE SOIL BEARING CAPACITY FOR PROPOSED ,� ` ` a CONSTRUCTION THROUGH INDEPENDENT ANALYSIS. B4. Map/Panel B5, Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) 5 MANTA COURT , O5�1e� Number Date Effective/ Zone(s) (Zone AO,use Base Flood Depth) City State ZIP Code �4 N® 33. GENERAL CONTRACTOR SHALL PROVIDE Revised Date11769 COMPLETE ENGINEERED SHOP DRAWINGS SHOWING ALL 36103CO482 H 04-02-1997 09-11-2009 "XI. AREA OF MINIMAL HAZARD OAKDALE New York APPLICABLE DETAILS FOR METAL STUD AND METAL JOIST signaturef:p Date T Telepelephone Ext. CONNECTIONS. B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69: 05-31-2023 (631)294-6985 5525 C 3 ALL DIMENSIONS ARE APPROXIMATE AND ARE TO ❑ FIS Profile ZFIRM ❑Community Determined ❑ Other/Source: Copy all pages of this Elevation Certificate and all attachments for(1)community official,(2)insurance agent/company, and(3)building owner, Comments(including type of equipment and location, per C2(e),if applicable) BE FIELD VERIFIED PRIOR TO START OF WORK. B11. Indicate elevation datum used for BFE in Item 139: ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source: FRAME RES. 35. DO NOT :SCALE DIMENSIONS FROM DRAWINGS. ❑ WRITTEN DIMENSIONS ARE TO BE FOLLOWED FOR B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? Yes ❑x No MACHINERY=AC UNIT @GRADE CONSTRUCTION PURPOSES. Designation Date: ❑ CBRs ❑ oPA O 36. DAMP PROOF ALL NEW FOUNDATIONS AND EXPOSED EXISTING FOUNDATIONS WITH 2 COATS OF FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 1 of 6 FEMA Form 086-0-33(12/19) Replaces all previous editions. Farm Page 2 of 6 CELOTEX "FLAT-T(JPP EMULSION" IN ACCORDANCE WITH MANUFACTURERS SPECIFICATIONS. APPLY PROTECTION > COURSE OF 1/8" ELASTIBORD. 0 Z UJ ry >_ Z (� Lu O O Il U PROJECT ADDRESS: 3340 PARK AVE MATTITUCK NY 11952 ED ARCyi J EAN S9 CFO A S'T,9r 04436 FOF NE�� DRAWN BY.' KS DATE: 8.23.23 SCALE: 114"= 1'-0" DRAWING SHEET NAME: NOTES DRAWING SHEET NO: r_ ■ ARCHITECTS: SURVEYED BY/ SITE PLAN BASED ON: \ \ � PAUL BARYLSKI LAND SURVEYING SAMUELS+ OAKDALE NY 11769 STEELMAN \ 0 PHONE 631-294-6985 25235 MAIN ROAD CUTCHOGUE NY 11935 8 EDGE OF FAX 631-627-3186 631.734.6405\� � 6�, \ PAVE ENT S 5 5°4 2'0 0"E PAULBARYLSKI@YAHOO.COM CONSULTANTS: � 3 0.0 0' EW CONCRETE \ \ RETAINING WALL p MAY 31, 2023 2' TO NEW FINISHED n .; 4,1 GRADE 10'-2" ELEVATIONS REFER TO 1988 NAVD WATER METER 4' m ELEVATIONS SHOWN THUS FEMA: TOWN OF SOUTHOLD 360813 EW STEP STONE BFE MINIMAL HAZARD ° a N 34 18 00 E XISTING �2 PATH w COMMUNITY NO. 36103CO482 17.00' VEWAY; EW SEPTIC LOCATION oo LAND N/F PENDING SCHD APPROVAL C WILLIAM CARMEAN SEE SEPTIC DRAWINGS CHARLES W GAY FOR DETAILS NANCY R ROSS OWNER: PAMELA M ROSS CHRIS D N 5 5°4 2'0 0"W 3340 PAR A I�HELLE ROSS 3 3.3 3' EW CONCRETE MATTITUCK, NY 11952 RETAINING WALL EXISTING CONCRETE RETAINING WALL CJ T T NEW WOOD STAIR AND DECK PROPOSED ;;;; AT NEW HEIGHT (13') REVISIONS: WATER LINE EMO EXISTING STAIRS AND DECK EW RETAILING WALL PERMIT SET 10.1.23 OVERHEAD AT PROPERTY LINE REMOVE VINYL SHEDS .� REVISION PERMIT SET 11.21.23 UTILITIES EW PROPANE TANK STOCKADE FENCE (ELEC) AT EXISTING LOCATION �. UILDABLE AREA PORTION OF SITE ADD FILL THROUGHOUT t P 2 /W 4824 SF FRONT YARD #t ', � -:f , X �;t r j ROPOSED ROOF TO NEW FINISHED f � i�¢ . RUNOFF DRAINAGE �j - yyff GRADE 10'-2" tf NEW OUTDOOR SHOWER o p. 5 " EW PATIO, STEPS AND r CONCRETE RETAINING WALL FOR BASEMENT EGRESS EXISTING AC UNIT , r - y, 6' ;.1.j .x �S XISTING WALK, OUTDOOR SHOWER X ply. 5g ,y t O J 3 4.4 ,FY'z..!,t^;,'?-k• ", `.,`.'#"., .[[ `LF " AND BASEMENT BILCO Z DOORS TO BE REMOVED " f �ij r ors.�. `.1�A:, A : I'g,,;'S,.Y •t hxq .. r1, 4gk;:. EW DRYWELL FOR PATIO, SHOWER AND ROOF RUNOFF PROPOSE , ROOF RUNOFF DRAINAGE UNDER DECK O - EXISTING WOO DECK TO BE RAISED TO MATCH HOUSE ELEVATION N NEW STEPS TO GRADE TRUSTEES AND Z LINE OF BUILDABLE A EA Cn W EXISTING SEPTIC a �� 0 TO BE FILLED � O U O N EXISTING DECK AT GRADE �� c fy U TO BE REMOVED NO VEGETATIO LAND N/F TO BE DISTURBED Trl AO BRADLEY HELIES o S�pE`�PI OT BUILDABLE AREA PROJECTADDRESS: 2013 TRUST 15-� PORTION OF SITE (BEACH) rn 3340 PARK AVE MATTITUCK NY 11952 p� a BULKHEAD o N LAND N/F Gj o \ DAVID A ROSS & I IRREVOCABLE TRUST �ERED ARCS J Eq/(�,�s V 04436 � m TFOF NE�� MHW IS EQUAL TO THE LANDWARDLn ; EDGE OF TIDAL WETLANDS 6 D AS CONFIRMED BY COLE ENVIRONMENTAL DRAWN BY. KS SERVICES ON 10/04/23. 0 : Q � DATE: 8.23.23 SCALE: 1/4"= 1'0" y DRAWING SHEET NAME: o T 2 SITE PLAN H.W.M LINE T N 83°33'06"W GREAT PEC. ONIC 51. 72 DRAWING SHEET NO: BA Y u ml ml U ARCHITECTS: NOTES 1. EXISTING DIMENSIONS SHOWN IN PLAN TO BE CONFIRMED. 2. CEILING DIMENSIONS ,AND MATERIAL ON RCP/ELEC PLAN. 3. PRIOR TO DEMO, WALK THROUGH REQUIRED. S A 4. ELECTRICAL WALKTHROUGH REQUIRED BEFORE WIRING. AMUELS+ 5. CONFIRM WINDOW SIZES BEFORE PLACING ORDER. DEMO WALL STEELMAN EXISTING WALL 25235 MAIN ROAD CUTCHOGUE NY 11935 V�JALL 10'-7 1/2" T-8° 4'-10" NEW 631.734.6405 a ——— —— Lr CONSULTANTS: EXIST. I I lO` I p ECK TO BE REMOVED I I I I II I , EXISTING I IIII HALL II u ENTRY II IIII EXISTING ,� �I I DECK III N BEDROOM #3 / / EXIST. I�JIII I BATH < L—— I I II LOOR JOISTS TO REMAIN CEILING JOISTS----,,. I I I Ir�C 11� TO BE REMOVEDI I I II L J I III I \\ I ___ '' J=—J I I RIF I IIII XTERIOR SHEATHING L J I — AND INSULATION — 9,6„ TO REMAIN OWNER: W i I =I� I I SIDING TO BE REPLACED CHRIS AND MICHELLE ROSS I III EXIST. HALL& L_——_J I I >- I r 3340 PARKA VE EXISTING I LAUNDRY r ,I I z I Q MATTITUCK, NY 11952 BEDROOM #2 i D i I I d I I WINDOWS TO BE REPLACED 0 IIII L_--�I I X I L---- w —, REVISIONS: EXISTING III b) PERMIT SET 10.1.23 9 11 1/2 \� I I IIII I ABINETRY, FINISHES, ———�' KITCHEN III IIII I RAND EMOVED FIXTURES TO BE REVISION PERMIT SET 11.21.23 _____________JL___� II I ILL fi/ r II R/F I I IN `G/ ICI I LL== J I _ IN EXISTING EX. CL I r 9j zo M BEDROOM #1II�� 16'-9" I I r----3— --------------------- r_ LOORING TO BE REMOVED ---------------------� I—= ROO STRUCTURE TO--,,, I I EX. REMAIN 16'-91/2" EX. CL CL. IL II EX. \\\ CL. I EXISTING \\\\\ EILING JOISTS TO REMAIN Z EXISTING L——J _ MAIN BEDROOM �� DINING AREA \ O IIII rr-7rr=--11 e, > IIII I � ' n' EXIST. `\ O I III i I LL�J i BATH z ry XTERIOR DOORS II I Z 0 BE REPLACED W 0 III o III \\\ EXISTING III \\\ LIVING ROOM U II j EXISTING II DECK III \\\ \ PROJECT ADDRESS: 3340 PARK AVE II \\\\ MATTITUCK NY 11952 III , / i Vk D AR�h'i ILL — �'T„Qr 04436 OQ�' FOF NE�� DRAWN BY: KS DATE: 8.23.23 SCALE: 114"= 1'--0" DRAWING SHEET NAME: DEMO PLANS PROPOSED DEMO PLAN SCALE: 1 /4" =V-0" DRAWING SHEET NO: ■ NOTES ARCHITECTS: 1. EXISTING DIMENSIONS SHOWN IN PLAN TO BE CONFIRMED. 2. CEILING DIMENSIONS AND MATERIAL ON RCP/ELEC PLAN. 3. PRIOR TO DEMO, WALK THROUGH REQUIRED. 4. ELECTRICAL WALKTHROUGH REQUIRED BEFORE WIRING. 5. CONFIRM WINDOW SIZES BEFORE PLACING ORDER. SAMUELS+ C _ _ ] DEMO WALL M A STEEL AN EXISTING WALL 25235 MAIN ROAD NEW WALL CUTCHOGUE NY 11935 \ \ 631.734.6405 CONSULTANTS: 5'-5 1/2" 9'-0 1/2" 9'-1 l 1/2" 5'-2 1/2" 19'4" 3'-111/2" 2'-9" co T-111/2" 4'-11" N CLG HT 8'4" N N N OWNER: BATH EXISTING DECK 11'-7 1/2" N .O CHRIS AND MICHELLE ROSS a HALL '- o" 3340 PARKA VE MATTITUCK, NY 11952 q q z io _ N HW N REVISIONS: STORAGE BEDROOM 1 CLG HT 8'-0" PERMIT SET 10.1.23 N 3"4 o EEC MECHANICAL N REVISION PERMIT SET 11.21.23 M M V V CV (o O - CLG HT 8'-0" DROOM 2 N N O (V 11'-6" 7'-3 1/2" HVAC CLG HT 8'-0" w N V _ CV N ,._$. o BEDROOM 3in M N N �CL� G HT T-6" UP UP 'T N P. BATH LAUNDRY "a , 0 ti s MILLWORK O io • P. BATH 0 zo DINING AREA T-7 1/2" / r, 15'-5 1/2" DN DW ih �j O «^>, 7'0 1/2" - KITCHEN 30"FRIDGE Z T-8" 8 0 WINE 0 STORAGE N PANTRY 9 z � 1 TRASH N CLG HT 8'-6" r n uj (EXPOSED) in o r n io CLG HT 8'-6" O a 36"FRIDGE (E D) a, _ O U m -< 3'-9" 11'-8 1/2" 1IS 0 z DEN m LIVING SPACE O PROJECT ADDRESS: m p 3340 PARK AVE .� MATTITUCK NY 11952 oll Z m �. N NEW DE K a' a, co p a, �EFtED ARph, D �,��2 ¢�G �NE JEA/v596`p.A p m O n0443ro pF'� a: 1N NEW STONE TIO No DRAWN BY. KS / UP r, 19'-3 1/2" DATE: 8.23.23 SCALE. 114"= 1'0dol DRAWING SHEET NAME: a, 6��2 R31�2 BASEMENT FIRST FLOOR PLANS DRAWING SHEET NO: PROPOSED BASEMENT PLAN PROPOSED FIRST FLOOR PLAN SCALE: 114" =V-0" SCALE: 114" =V--0" ® ■ ARCHITECTS: NOTES 1. EXISTING DIMENSIONS SHOWN IN PLAN TO BE CONFIRMED. 2. CEILING DIMENSIONS AND MATERIAL ON RCP/ELEC PLAN. 3. PRIOR TO DEMO, WALK THROUGH REQUIRED. 4. ELECTRICAL WALKTHROUGH REQUIRED BEFORE WIRING. 5. CONFIRM WINDOW SIZE%"> BEFORE PLACING ORDER. 6AMUELS+ om' C — ] DEMO WALL 6TEELMAN EXISTING WALL 25235 MAIN ROAD UTCHOGUE NY 11935 NEW WALL 631.734.6405 .............. ..............................................................................................................................................: ..............................................................................................................! .... -..... -- - ...__........._.._... .... ..... ...... _.. _..._ _...... .r.............._.... .... ...... ... , ! i I i : -. - r I T. 1 _ 1 r I P S OF 4/12 _ , .�. _,i--I '.�'•LT-- -- -I L i- '.I� 1•''I .i Ii _- � -- -c�I QTF I II, i , ! :I I IIi - - �Ii! OREWCHNS REIRIOS:YLIG i T N i 1 3340 P NAA7 RNPK' DE AR MMVIE MATTITUCK, NY T H 1SE1EL9LT5E 2--- REVISIONS KYLIGH TPERMIT ROSS1�4�1 I 1�- - _ 4 - .21.23 r 1_.IfiI11 :!!. , r: ^ .......... , i a! V EXIII N�G!--�-AS� �'HA�L J--.-..--O-I�F--J ........... &CLG HT 8'-0" I _ _ OFFICE LG HT 8-0 --�;i---,_I � -'—W- �'�J- , i � W _...._: ,....... _ BATH, _ CLG HT 8-0 HALL o O m Z vUry m cL �, O s; DEE�F S F tS: 0 PARKA 334 CLG HT 10'-3" M. BEDROOM MATTITUCK NY 11952 Zm o D E AAR- ROOF DECK OFN Lo DRAWNBY: KS DATE: 8.23.23 SCALE: 114 = 1,0 DRAWING SHEET NAME: SECOND Li ROOF PLAN DRAWING SHEET NO: � y PROPOSED SECOND FLOOR PLAN PROPOSED ROOF PLAN SCALE: 1 /4" =1'-0" SCALE: 1 /4" =1'-0" Amami ARCHITECTS: SAMUELS+ 1k I NEW SECOND FLOOR ADDITION ,,11111,.....��...000,.,�'',...�ll,''',,,�����������,,������,�����,�........�,,�,��\,."��,,���,�������������������.......�,,�,,�.......� I'll.., STEELMAN NEW SIDING THROUGHOUT _ ( - Level _ . . -- -._ _ ._ . _ ® 24'-11" CUTCHOGUE NY 11935. _ _ - - _ - .... . . .. _._____ _ - _ _ -_-- __- __ _. _ -. - --_ __ _ :, 631.734.6405..........::. ... ..... . . :: --...:.......::_..............,.. - - = -- -= - -- - -- - . _ - _ - - --= ----------------------- ------------- - - .. - -- - - — - - -- -- ----- -----'._ .......... .. _...._....................._..........._.................. :.4.. . ..... . ... _.... _. _...... .......................... __..__._._......_.... .._.... ........._...._._......- =:..---....._........._........__.....................:-..:..:.:..::..:.:..:. _.__._................ ._._......... -......................:...............__....__._...._._.._.._._ _ _._...._._.__......._.__.....__. .....__._ .__��_�------ -..... ..._........._....�u._-.-__.,..�_................0 .:: u::::::......_.._......_.._:.::m::::::.:::: _..:::::: ::::::::::::,:.m:mm::T: :.. 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REVISION PERMIT SET 11.21.23 ......._.................I--.........................-............_.............._........................_....._...._.........--...........................-.....-..-_.._. _. / \ -._.........................-...._............._.._.__.........._._............................_.._...._.._._._......._........._................ .... ............................................................................................................ _.........__... - 4'-11" �i - - - - ---- -- _..__..... - - - -------- - -- - - -- --- - - 1 �I i jI i i III ;i - --- --- _._. EXISTING HOUSE 1ST FLOOR -- - -- ---- --- L-Z \- --- - -- ----- - i ! 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TT TUCK NY 1 . . __A_...._. ... - _._-----L-INE-OF-€XISTING HOUSE__..__--._-__.__._.__.__._....__._..._.-.----___.......-_._._...._ -_ ._.._.__ Level..__.._--._.._................................__._.._-_._.._...._...__..._._._._..___.._...._......_.._._......__....__........._..._.._._.._...........--------___._____-----_.._....-- o CEILING 12' 1 1" _... ......_............--............._..._._...................__........._................._.....-......................................._............_......_..._..-------- . .....-......-........................................... -.- . . . . ..-.. ...... .- .. . -....-... -. ................-....-...--............................--.._. .... . .._-..._...........-........-_...................................I. ................ ............--...-. . . .. ...._.._.._.._..... -................................................... .. . .. ........-- .. ...... .-..........-.........--..........................................-.....-...........--...--......._.............. ._. ................................................................................... ........ .............. .....-............................. .... .-.......-. ..........-....-....... .. ..... .........--......................................... 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Level FIRST FLR �° � ..........._.._........................................................................_.--......_..................... .......... ..................................-.....-..............-....I .. ... _ - . - . - _. - _...._. II I' ST 04436 t� -m ......_... --- --- ._.. .._ -- E 1 EXISTING HOUSE 1ST FLOOR _ i .......... I. _. .... = iI LLJ I ... \ _.__.. --- --._ ....._._. 11 ) o N j - -. .. .. . .............................._._..............__.........._._...._.-_.... ................_. .. ......... . . .. .... . .... .... ... .. ........._..._......__...............-._...._........_. ._......-. .._.. .................. II o Lev::::�j el vel GROUND PROPOSED r i ' _ f. LD FILL ----------- - - l 1 �, Level GROUND EXISTING r.... .. j ill .. _.._...__._. . . ._� .-_._.. ..- 11 �I I� I .._:..................... ............................'._. ..................................... ..... .. ..:. ... ...... 9._0., ......_-..........'... ......... ............................._. _-.............................. ..._..._................. ........__..............__. I l i I _. (BASE ENT...BEYOND ! I ........................... DRAWN BY KS ( ' ... , : ! . __.......I._..... DATE. 8.23.23 ........ : _._. i I b' ...-..__......_.............. ......_._......_-_............ _....._..... : - __ ................................_.. __ `.----. _..._....__..............__ ._._.._....._.._._..... . .... .. ................. ... ..... .... ..........................__..... _._..__._........ _. _____..__..__._.......... ..._.....__ .._._......._._............... I _I .. ...--....... __... . 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