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HomeMy WebLinkAboutSinger, Joel V 1 BOARD MEMBERS Southold Town Hall Leslie Kanes Weisman,Chairperson ���rjiF S0 � 53095 Main Road-P.O.Box 1179 0 Southold,NY 11971=0959 Patricia Acampora Office.Location: Eric Dantes G Town Annex/First Floor, Robert Lehnert,Jr. ® yo 54375 Main Road(at Youngs Avenue) Nicholas Planamento. ��yCOUNT`I Southol ILYOF- 1ED hq://southoldtownny.gov UG 3 20 22 ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel.(631)765-1809-Fax(631)765-9064 Southold Town Clerk FINDINGS,DELIBERATIONS AND DETERMINATION MEETING OF AUGUST 18, 2022 ZBA FILE:#7661 NAME OF APPLICANT: Joel B. Singer PROPERTY LOCATION: 20575 Soundview Ave,(Adj.to Long Island Sound)Southold,NY i SCTM# 1000-51-4-11. 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 II category of the State's List of Actions, without further steps under SEQRA. SUFFOLK COUNTY 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 3/17/22 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 Waterfi•ont Revitalization Program (LWRP) Policy Standards. The LWRP Coordinator issued a recommendation dated July 25, 2022. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department,as well as the records available, it is recommended that the proposed action is CONSISTENT with LWRP policy standards and therefore is- CONSISTENT with the LWRP for the pool's non-conforming bluff setback because the swimming pool is landward of the existing residence. The proposed garage's non-conforming side yard setback and its proposed additional use as a bedroom loft are EXEMPT from Coastal Consistency Review. However,there is ample area on the property to build a.code conforming garage and a code conforming swimming pool. PROPERTY FACTS/DESCRIPTION: The parcel is a non-conforming 27,578 square foot waterfront parcel. The parcel has 115.67 feet of bluff frontage along the Long Island Sound. The parcel runs 135.12 feet along Sound View Avenue. The parcel runs 231.76 feet on the West side and 210.33 feet on the East side. The parcel is improved with a 2-story frame house that is located partially within the coastal erosion hazard line, a frame garage, and a landing with wood steps going down the bluff to a wood bulkhead. All is shown on a survey by John T.Metzger L L.S, last revised September 27, 2019 BASIS OF APPLICATION: Request for Variances from Sections 280-124 and the building inspector's February 7, 2022, Amended April 2,5, 2022 and June 22, 2022 Notice of Disapproval based on an application for a permit to construct an accessory in ground swimming pool and accessory garage with a non-permitted bedroom loft on the second floor; at 1)the swimming pool is located less than 100 feet from the top of the bluff;2)accessory garage is located less than the code required minimum side yard setback of 20 feet; and 3) Request to overturn the-building inspector's June 22,2022 Notice of Disapproval for the non-permitted use of a second floor finished bedroom loft to be constructed in the Accessory Garage; located at 20575 Soundview Ave(Adj.to the Long Island Sound)Southold, NY. SCTM# 1000-51-4-11. Page 2,August 18,2022 #7661,Singer SCTM No. I 000-51-4-11 RELIEF REQUESTED: The applicant requests variances to 1)construct a swimming pool 71 feet from the top of the bluff where code requires a 100 foot minimum bluff setback;2) Construct a new accessory garage with a side yard setback of 15 feet,9 inches where town code requires a minimum side yard setback of 20 feet,and to permit the construction of a bedroom and full bathroom with shower in the second floor loft of the proposed garage where town code does not permit bedrooms or full bathroom in accessory structures unless the homeowner applies for a,special exception to establish a legal accessory apartment that is approved by the Board of Appeals based upon documentation verifying compliance with the code requirements for such use. AMENDED APPLICATION: During the hearing, the applicant was asked to bring the plan into more conformity with the code.`The applicant on August 11,2022 submitted a plan that is dated January 2021 that shows a-pioposed I/A septic system,pool equipment,pool backwash leaching pool,and adds an outdoor shower to the proposed;garage. The revised plan does not bring the plan into more conforming with the code. ADDITIONAL INFORMATION: The applicant has submitted multiple proposals for the scope of work'on this project. The Architectural plans by Charles W.Kuehn show the scope of work being to add an accessory garage and in ground swimming pool. During the hearing the applicant stated that the/owner is not working on the frame dwelling at this time and is only,applying for the proposed work in the accessory garage and in-ground swimming pool at this time. The proposed habitable space in the garage is to be used when the dwelling cannot be occuoied during improvements. The Board members advised the applicant that if the dwelling is demolished, in accordance with Town Law(50%or more of value),that an application to the ZBA would be required if the applicant proposed the reconstruction of the dwelling less than the permitted 100 feet from top of bluff. In response,the applicant stated that demolition has not been considered. The applicant has a Coastal Erosion Management Permit from the Southold Town Board Trustees dated March 23, 2021 which allowed the installation of additional 150 ton,of 1-to-3-ton rock as armoring at base the base of the eastern section of the bulkhead,among other improvements to the subject property shown on'the site plan prepared by Costello Marine Contracting stamped approved on March 18, 2021. The New York State Department of Environmental Conservation (NYSDEC) issued permit #1-4738-01561/00007 dated August 9, 2021. The permit identifies an area of severe erosion and it permits the applicant to reset and install armoring at the base of the;eastern section of the bulkhead;reset any existing dispersed rock at the western section of the bulkhead(rock armoring not to exceed 2.5 ton per linear foot), vegetate the top of the bluff and any disturbed areas along bluff face with native plantings; all as depicted on the site plan by Costello Marine Contracting Corp., stamped approved on March 18, 2021. In support of the application,the applicant submitted ZBA Appeal#5427 dated December 4,2003. In this decision, the ZBA granted approval for an as-built deck setback 10 feet from the top of the bank. This decision occurred prior to the hurricane event known as Superstorm Sandy on October 22, 2012, which did substantial damage along Soundview Drive. The Board of Trustees and the NYSDEC now identifies this parcel and neighboring parcels as areas experiencing severe bluff erosion. Accessory`uses in accessory structures: Article III. Section 280-13(C) does not list bedrooms or full bathrooms as an accessory use which is permitted in accessory structures;nor is a bedroom a customary use in an accessory garage structure. FINDINGS OF FACT/REASONS FOR BOARD ACTION: The Zoning Board of Appeals held a public hearing on this application on August 4,2022 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: • Page 3,August 18,2022 #7661,Singer SCTM No. 1000-51-4-11 1. Town Law 4267-b(3)(b)(1). Grant of the variances will produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The neighborhood consists of waterfront properties developed with single family homes. Site inspection and Suffolk'County GIS ariel photos show that many of the residences in the neighborhood are less than the code conforming 100 feet from the top of the bluff. However, these-residences are older residences and the parcels have faced substantial coastal damage from storms over the years. Accessory structures with non-conforming bluff setbacks and non-conforming side yard setbacks are not characteristic of this neighborhood. The proposed garage loft bedroom is not a permitted use in an accessory structure pursuant to the Southold Town Code. ` 2. Town Law 4267-b(3)6)(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 Architectural drawings show that the applicant has a code conforming building envelope to build an accessory garage and in-ground swimming pool. The applicant could build an accessory garage with a code conforming side yard setback and without a nonconforming habitable use. 3. Town Law §267-b(3)(b)(3). The variances denied herein for the in-ground swimming pool bluff setback is mathematically substantial,representing 29%relief from the code. The variance for the non-conforming accessory garage side yard setback is mathematically substantial representing 2 1% relief from the code. The variance denial of overturning the notice of disapproval for the non-conforming bedroom in an accessory structure is a request for a use variance and represents a request for 100%relief from the code 4. Town Law_267-b(3)(b)(4). Evidence relating to permits from the New York State Department of Environmental Conservation and Southold Town Board of Trustees files suggest that a variance to construct an accessory structure closer than 100 feet from the top of the bluff in this residential community may have an adverse impact on the physical or environmental conditions in the neighborhood,as well as evidence accumulated by these agencies;relating to Superstorm Sandy and other storm occurrences. 5. Town Law U67-b(3)(b)(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$267-b. Grant of the requested relief is not the minimum action necessary and adequate to enable the applicant to enjoy the benefit of a garage and swimming pool 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 Lehnert,and duly carried,to or DENY as applied for, Vote of the Board: Ayes: Members Weisman(Chairperson)Dantes,Acampora, and Lehnert. This Resolution was duly adopted(4-0)(Member Planamento Recused) Leslie Kanes Weisman,Chairperson Approved for filing /� /2022 Cantrell, Elizabeth From: Cantrell, Elizabeth Sent: Friday, October 29, 2021 3:50 PM To: 'cwkarchitect@gmail.com' Subject: Joel Singer, SCTM# 1000-51-4-11 Mr. Kuehn, The office of the Board of Trustees is in receipt of the Wetland Permit application noted above. After an initial review it was determined that the proposed projects require a variance for the Town's Zoning Board of Appeals(additions/new structures within 100'from top of bluff). The process in Southold Town is that if you need a variance,you need to apply to the Zoning Board and receive a determination prior to this office moving forward with your application. At this time, this office is postponing your application until a determination has been rendered by the ZBA. When a determination has been made by the ZBA if they modified your current plan,you must submit a revised project description and four revised sets of plans to this office in order for us to proceed. I also reviewed your written project description and I am requesting a little more information which you can send via email. Could you please give me the total square footage (footprint) of the total dwelling(with additions). Please submit the approximate length of the proposed retaining walls along the pool/pergola. The site plan last dated January 2021 does not show a pool backwash drywell or gutters to leaders to drywells for the dwelling/garage. Please update your site plan to show these items as they are a requirement. Will the sanitary system be upgraded? If you have plans for this, please submit four sets of sanitary upgrading plans and add that notation to the written project description. If you have any questions regarding this email please feel free to contact me. ' OW& Senior Office Assistant Town of Southold Board of Trustees Office: 631-765.1892 Email: elizabethc@southoldtownny.gov i i W CLARK ROADloe I o S 02 10 00 210 . 3 3'E _ �_,� �'_'_ _ r - - - _ _ - - .- - - --- - --- W PHOTO o L0 I 00 00 J co td z NNco ........... J 0 al W � o Proposed I I X o f 20' X 52' mz CN 1 � -� � o I.G. POOL U o �-7, ` Q_ 0 I ; 40'-0' ' V 0-00 ' I PHOTO oN 0 62.75' U 8 ` �� }t 2 Q 2:N II 00 I 001 f n Ce 48„ i h , , . . � new i t- v � N , Propo ed �..� ! existing I I � 10' X proposed � d°°d I Pergola retaining wall i Z i , I Existing LJ I I 2 Story Dwelling ` � driveway i existing I (f.f.el.35.0') i wood I 5 �- w stair z p p �� io5.5' ro osed - I I roofed over m F onZ�f� I P p e en CD �j exi ting I O o ► 21 .0 0 nod o ILJ o I d 10 o O _ -� PHOTO i w �: w 3 Y '. J I L� 5' I ' , � I �- 3 � Proposed m � J I I, Garage o i proposed I (g.f.el.29.3') o 00 Z C-0 io roofed over I o L 10 I e�isting deck I CDI X i o ilco II U 0 w : m oor existing garage I I 0 I r osed -- to be rerroved J - (� I — — — w roo ed over N line of balcony �' eck In above (48 s. f. ) I 28• 42'-0• O Proposed ► < o -m z 15 x 22 0 N Roofed Over _ o 0 0 Porch I Q z 0 w Q v7 D --_"_. -- -- - 0 O rLQ (n -, Lr-> w 1 231 . 76 ' - - - - - date; JANUARY 2021 PLOT PLAN I i�1 `' CE WE scale: PROPOSED LOT COVERAGE: SEP 14 2021 drawn bu C.W.Kuehn 20'- 0" EXISTING 1ST FL MAIN DWELLING — 1 ,342 S.F. LOT AREA — 27,578 S.F. autrmw down checked b�; EXISTING REAR WOOD DECK — 532 S.F. P;;:�ard o4Trustees PROPOSED 1ST FLOOR ADDITION — 858 S.F. DIMENSION REQUIREMENTS: ( MAIN DWELLING DIMENSION REQUIREMENTS: ( ACCESSORY STRUCTURES PROPOSED SCREENED PORCH -- 353 S.F. REQUIRED PROPOSED REQUIRED PROPOSED project no; PROPOSED ROOFED OVER DECK #1 — 84 S.F. PROPOSED ROOFED OVER DECK #2 — 112 S.F. PROPERTY WIDTH 150.0', 135.12' 2,00s � FRONT YARD (DETACHED GARAGE) NOT PERMITTED 42.0' ( VARIANCE REQUIRED ) PROPOSED DETACHED GARAGE — 1 ,050 S.F. PROPERTY DEPTH 175.0 210.33 (IN—GROUND POOL) NOT PERMITTED 40.0' ( VARIANCE REQUIRED ) PROPOSED ROOFED OVER ENTRY — 64 S.F. FRONT YARD 50.0' 105.5' PROPOSED IN—GROUND POOL — 1,040 S.F. SIDE YARD 15.0' (35.0') 20.3' + 31 .5' SIDE YARD 10.0' 15.9' sheet # PROPOSED PERGOLA -- 120 S.F. REAR YARD 50.0' 62.75' REAR YARD 10.0, N/A PLOT- 1 TOTAL PROPOSED LOT COVERAGE — 5,555 S.F. PROPOSED LOT COVERAGE 20.0 % 20.14 % (VARIANCE REQUIRED) PERMITTED LOT COVERAGE (20.0%) — 5,515.6 S.F. drawinq title PLOT PLAN gU'FFO(4-�oG � s John Stein,Chairperson y Town Hall,53095 Main Rd. Lauren Standish,Secretary 0 P.O.Box 1179 ♦ ` Southold,NY 11971 y'�Ip1 �ao� Telephone(631)765=1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., November 10, 2021 the following recommendation was made: Moved by John Stein, seconded by Maggie Merrill, it was RESOVLED to NOT SUPPORT the application of JOEL B. SINGER for additions and alterations to the existing main dwelling. Construct a two-story addition to front of dwelling, addition of a front covered portico, new screened-in covered porch on the west side of the dwelling of 353 sf. with a covered open deck on.each side totaling 196 sf, Existing 426 sf. one-car detached garage will be removed. New 1,050 sf. detached two-car garage will be constructed in approx. the same location. Detached garage will have an art studio above. Proposed 20'X 52' in-ground pool to be located on the front East side of the property with a 10'X 12' pergola. A 24" (maximum height) retaining wall to be constructed along the west side of the pool and pergola. Located: 20575 Soundview Rd., Southold. SCTM#51-4-11 Inspected by: Maggie Merrill, Caroline Burghardt, John Stein The CAC does Not Support the application as there is a pending ZBA decision. There is also a concern with the lot coverage and the setback of only 5' to the wetlands. Vote of Council: Ayes: All Motion Carried LONG ISLA VD SOUNP SURVEY OF PROPERTY AT SOUTHOLD s 8s37'2©A E &�►D l TOWN T OF SO UT.HOLD TAX STEPS ROCKS. ___.. 67 SUFTF'OLK COUNTY NEW YQ.RK sFnwuL wW0 woo ROOKS 1000-5.1--04-11 JD OU HEADSCALE: 1'--30' r b "7$---—_` BOTTOM OF BLUFF _ r, � �.— — __.�._ . ., BULK June •10, 1996 (partial survey & topo) o.s E BO MOWJan. 8, 1997 (coostal erosion line) July 6, 2000 (survey & proposed addition) SEPTEMBER 27, 2019 LANDING — TOP OF BLUFF `3�`••`� -^' a 3TOP OF BLUFF GRAt�ffE —3k„) END FE 3.4E. MON ,A OWE` DECK --2ND FIR. Zz •_ .,,�.;=^ CANTILEVER COASTAL \� WELL ~�~ 47.3 H)M. EROSION � N�($1 cE 2 �SE N� � HAZARD LINE AC THEODORE M. GAULT �� `� tz.s"� �: ts. ' 34.$' ' 4 DOUGLAS A DEY CAROL A. WLT �� STONE LANDING JANE M DEY FE U/0 PROPANE ��, Rj0 STOOP ZO CHRISTOPHER FlZNAZZO A6 �� TANK FE \ `ti 4JE ELEVATIONS REfERENC.ED TO NAYD 88 ``` 0 19.6' 26.3 1� -m KEY _ NFR, GAR.z OONC. ,� �� GF KEBAR 26.3' i 0 rri � = f;VEll i�= �` �� �• w A — STAKE E C E Q = TEST HOLE ! ZX1 . r • = PIPE I►,� I— I ��� S E P_ 14 2021 ■ = MONUMENT i�ry! FE.COR N 2 W L—S—ou f,OLE CMF thold Town : C " I f, Board of Trustees !l j� XI Fc M3 IN ANY AL7ERA77ON OR ADDITION TO THIS SURVEY IS A ..l `^""`"r ROW OF, ERCRF Ns �� Wa A110N OF SEC77ON 7209 OF THE NEW YORK STATE O MNITI `�'''�' ��^^^^^`�s .12 � N.Y.S. LIC. NO. 49618 EDUCA77ON LAW. EXCEPT AS PER SEC770M MON OWOF EYEAGRB 135 PECONIC SURVEYORS, P.C. 73O9—SUBDJVISlON 2 ALL CER7TfICA710NS HEREON ARE MEND ' A�4EA--27;5�`BS.F. 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EL ��� ,•'" _+ emu. ��'• --�-- a HoncE COUNTY OFSUFFOLK © x SOUTHOLD sscnoNRo O _ —�— �.1 Q __ Real PrapeRy Tax Service Agency v C C�iYrWn d.N v11Kt OJ1 p wrr n .� ix,w•v „ -__ e..u:. --.-- a..u.--�-- w P eM 0H ,wc+NO f000 PROPERTY MAP Glenn Goldsmith,President Town Hall Annex A.Nicholas Krupski,Vice President ` 54375 Route 25 P.O.Box 1179 AL John M.Bredemeyer III 9 [ Southold,New York 11971 Michael J.Domino G Ic- Telephone(631) 765-1892 Greg Williams I BOARD OF TOWN TRUSTEES SEP 1 4 2021 ! TOWN OF SOUTHOLD f Thzc Section For Office Use Only B li :cas, Coastal Erosion Permit Application Wetland Permit Application Administrative Permit Amendment/Transfer/Extensjon•Z' Received Application: Ceceived Fee:$ ��• ompleted Application: Incomplete: _ SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: �oordmati6ni(date sent): WRP Consistency Assessment Form Sent: DAC Referral Sent: ate of Inspection: Receipt of CAC Report: Technical Review: �Publie Hearing Held; IV 1741 Resolution: CrOvcner's,)Legal Name of Property(as shown on Deed): S1 Mailing Address: E$� kJ` �� ��t- ��� , � �^,� �. Phone Number: 2_�k Z✓ ' 9 Co` T1,:1 7i Suffolk County Tax Map Number: 1000- P Property Location: Zy �'J 14oK.T-A .s►� y Sb�AV V AVM • � Ce63 W e:5Z 0!;: 6L A 0-Y V-D . (If necessary,provide LILCO Pole#, distance to cro s streets,and location) AGENT(If applicable)i A . r Mailing Address: QD i JpX CA 1 0 N DV%-Cla FO h—"T N 1�1 9) Phone Number: ���1 - �Z" 64 Email: �w�a �T u" �% 6��i'L . Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: 4SER-F-., MA eAWnEWl- i Area of wetlands on lot: zZ,O�square feet Percent coverage of lot: 1A•r, % Closest distance between nearest existing structure and upland edge of wetlands: i7 feet Closest distance between nearest proposed structure and upland edge of wetlands: Cp,' feet Does the project involve excavation or filling? No ✓ Yes If yes,how much material will be excavated?, kCaQ cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: 5616 }� Manner in which material will be removed or deposited: Ga+1 Statement of the effect; if any; on the wetlands and tidn!waters Qf 1 e town that may resuit by reason of such proposed operations(use attachments if appropriate): rlo�t� Board of Trustees Application GENERAL DATA Land Area(in square feet): Z.Z � Area Zoning: 1� n Previous use of property:. 'St 1 LE FA V" I L c D w i-�u-t tJ 5 Intended use of property:, F�v%^► C'-( °DW 9LU 4� Covenants and Restrictions on property? Yes No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? V Yes No If"Yes",be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and B1evaon Plans will be�equized, Does this project require a variance from the Zoning Board of Appeals? Yes No If"Yes",please provide copy of decision. Will this project requirf any demolition as per Town Code or as determined by the Building Dept.? Yes i/ No Does the structure(s)on property have a valid Certificate of Occupancy? 1/ Yes No Prior permits/approvals for site improvements: Agency Date _ v8zD 7zo APPL zt�,^'D aF 1!,,15T6E P74-7 -Z l 413-8) No prior permits/approvals for site improvements. / Has any permit/approval ever been revoked or suspended by a governmental agency?-4 No Yes If yes,provide explanation: -. Project Description(use attachments if necessary): CHARL S W. KU EH N ARCHITECT p. 0. Box 641 Northport,NY 11768 Tel: (631) 262-8540 Fax: (631) 262-8541. September 5, 2021 Town of Southold Board of Town Trustees Town Hall Annex 64375 Route 25 Southold, NY 11971 Re: Rina&Joel Singer Zo6?5- 24767 Sound View Road, Southold NY Description of proposed work: Additions and alterations to existing main dwelling to include the following. • Two story framed addition to front of dwelling to expand existing kitchen and foyer. Create a new laundry room, powder room, master bathroom,walk-in closets, and study area. Second floor to create a new playroom. The addition will add 858 s.f.to the 1 st floor and 720 s.f. to the 2"d floor. • Addition of a front covered portico of 84 s.f. • New screened in covered porch on the west side of the dwelling of 353 s.f. with a covered open deck on each side totaling 196 s.f. The existing 426 s.f. one car detached garage will be removed. A new 1,050 s.f. detached (2)car garage will be constructed in approximately the same location. The detached garage will have an Art Studio above. A proposed 20'x 52' in-ground pool to be located on the front East side of the property with a 10'x 12' Pergola. A 24" ( maximum height)retaining wall to be constructed along the west side of the pool and pergola. 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1-Project and Sponsor Information Name of Action or Project: _ 1 Project Location(describe,and attach a location map): r1o►�-�t 5 i vf- cam 54xic4 J \/%tAo Me. 1 �C8 10-� � Wen- off= wz> Brief Description of Proposed Action: Name of Applicant or Sponsor: Telephone: a 4j eu$a E-Mail: ) A'12 i t Address: v -)3oX CAI City/PO: State, Zip Code: ov'-TkA 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, Nb 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: , j, ❑ 3.a.Total acreage of the site of the proposed action? T;acres b.Total acreage to be physically.distprbed? :ZA, 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 ural(non-agriculture) ❑Industrial ❑Commercial &(Residential(suburban) ❑Forest Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page I of 4 5. is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? El M ❑ b.Consistent with the adopted comprehensive plan? 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? 7. Is the site of the proposed a tion located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: ILG•. E Cubs _ a 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements;describe design features and technologies: 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: El 9 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: QJJ SiTIF- @T V_ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? b.Is the proposed action located in an archeological sensitive area? ❑ 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YE / wetlands or other waterbodies regulated by a federal,state or local agency? V b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: EJ 14. Id ntify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ®Shoreline El Forest ❑Agricultural/grasslands El Early mid-successional ❑ Wetland ❑Urban dsuburban 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' YE 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? 160 []YES !-I ❑ b.Will storm water discharges be directed to established conveyance systems(rurloff and storm drains)? If Yes,briefly describe: NO YES Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: Q 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: a 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? 1fYes;describe: I ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE L Applicant/sponsor e: A ?�(�� Uy Ct{-tom Date: g ho —Z�-Zt Signature: e v 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? ❑ E 2. Will the proposed action result in a change in the use or intensity of use of land? E 3. Will the proposed action impair the character or quality of the existing community? El 1:1 4. Will the proposed action have an impact on the environmental characteristics that caused the El ❑ 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? El 1:1 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-tern,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. Town of Southold-Board of Trustees Name of Lead Agency Date President 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) PRINT Page 4 of 4 Board of Trustees Appl" "Ltion AUTHORIZATION (Where the applicant is not the owner) � . owners of the property identified as SCTM# 1000- 'J\ "S " in the town of SOdTi4 r>l A7D ,New York, hereby authorizes to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. Property Owner's gnatur Property Owner's Signature SWORN TO BEFORE ME THIS_ `lS DAY OF _ ;.20 '�I jw—z SUSAN S. GOLDENBERG Otary 06lic U Notary Public.State of New York No.:01GO6067664 Qualified in Kings County My Commission Expires January 14,2022 Board of Trustees Appl;� tion j AFFIDAVIT BEING DULY SWORN -` DEPOSES AND-AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE. COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES-DURING THE TERM OF THE PERMIT. Signature of Pro rty Owner Signature of Property Owner SWORN TO.BEFORE ME THIS_ l DAY OF_ �k$,4s ;.20 ?� otary lic SUSAN S. GOLDENBERG Notary PuW> ,- State of New York No.:01606067664 Qua{iw in Kings County My Comrrjsslon Explm January 14,2022 APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM �e Town of Southola's Code of Ethics prohibits conflicts of interest on the partof town ofi icers and:emplovees The-purpose of'. +tits form ts'to provide iiifoririation which can alertthe to�Vri ofpos"sible conEliccs of interest and allow.it to fake whatever action=is+ necessary tit avaia:sa►ne..` , YOUR NAME: (Last name,first name,ipiddle initial,unless you-are applying iii the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee . Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map, Planning Other (If"Other,name the activity.) Do youpersortly;(ortttroughyourcompany„spouse;stbling,,garent;orch:(c4}hs►ve;arelahonslupwtfh anyoceroremployee of the Town of Southold? "Relationship"Includes by blood,tiairiage;:or,busmess interest "Business,mtcrest1'means business, including a piirtnership;ta which the town officer or,employee leas even a partial�ownership 01(or eiployinent by)a corparatiot in which the4,lown;oi finer or,employee,owns more thane%ofthetshareS. YES NO J 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 than 5%:ofthe':s!%ares ofthe cotpgrate,stock,of the-appltctint. (whenap the plicant is a corpoEatton) . 13)the legal or benefciat owner of any,,Wvist n a non-eorporate•eritity'(rvhen e appkc,,is not;agorpoiiiition). C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP UW 14 ErL- Submitted this_day of t� 202� Signature _ Print Name_ Form TS 1 APPLICANT/AGENUREPRESENTA.TIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest--the nlrt oftowmofficers and empl_oYees.The puroose 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.. uRN ,I�I (� E to A nam(Last e,first name,.rpiddle initial,unless you are applying in the name of sorneone eisg or otiletr entity;such as a company.If so,indicate'the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval ofplat Mooring Exemption from plat or official map Planning Other (If"Other,name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have ii relationship with any officer or;employee of the Town of Southold? "Relationship"includes by blood;tilarriage,,or business interest."Business interest'means a business, including a partnership;in which the town officer or employ .has even apartial ownership or(oremploytnent by)a corporation in which the town officer or employee owns more than 1 -the shames. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person : Describe the relationship between yourself(the applicant/agGnt/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 than 5%of the.shares of the corporate stock of the.appiicant (when the applicant is a eorpanr#ioP); 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 lbfday of (2a t� �20 Signature Print Name Form TS I � I Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Tmvn 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 1 If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review,law. Thus, each answer must be explained in detail, listing both supporting and non- supporting facts,. If an action cannot be certified as consistent with the LWRP policy standards and conditions,.it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website(southoldtown.northfork.net),the Board of Trustees Office,the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM## OGl 04 ol 1 PROJECT NAME a�Z- TES CC 7051 S SIM4 LA VkeW �}�,,;, 1 The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 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: Location of action: '7_c:;,511 —De�1 t�V \ teW Ne Site acreage: Present land use: 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: t. ) a• 0 y ° "t (b) Mailing address: /D 0 yy tTr :�-7 S4. _ 1 gewghk , IV 0 (c) Telephone number:Area Code( ) Z I y l rb g3 d D (d) Application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ Nog If yes,which state or federal agency? 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. Poster 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 LR'RP Section III—Policies; Page 2 for evaluation criteria. r- Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LNW Section III—Policies Pages 3 through 6 for evaluation criteria 11 Yes 0 No 1� Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ ❑ Yes No CotApplicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III -Polities Pages lh thro .gh 21 for evaluation criteria Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ Yes No Not Applicable 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 Nod Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and vast See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. Yes ❑ No Not Applicable MUC COA9T 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. n Yet--1 No IZNot Applicable Attach additional sheets if necessary WORTUNG 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 [0 Not Applicable Attach additidnal sheets if tieeessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town w ters. 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 ev luation 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. Yet ❑ No ❑^' Nnt Applicable PREPARED BY 'A 4 TITLE.__���1 DATE ZOV