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HomeMy WebLinkAboutWine Country Promotions LLC 1 BOARD MEMBERS � SO® Southold Town Hall Leslie Kanes Weisman, Chairperson ®�� T�®� 53095 Main Road• P.O. Box 1179 Patricia Acampora ® Southold,NY 11971-0959 Eric Dantes Office Location: Robert Lehnert,Jr. Town Annex/First Floor Nicholas Planamento 54375 Main Road(at Youngs Avenue) Cou V, Southold,NY 11971 http://southoldtownny.gov RECEIVED,� ZONING BOARD OF APPEALS v"-- 2 (Lj�� TOWN OF SOUTHOLD S E 6 2023 Tel. (631) 765-1809 FINDINGS, DELIBERATIONS AND DETERMINATION SoUthl d Town Clerk MEETING OF SEPTEMBER 21, 2023 ZBA FILE No.: #7819 NAM9 OF APPLICANT: Wine Country Promotions LLC PROPERTY LOCATION: 63615 Country Road 48, Greenport SCTM No. 1000-40-1-20.1 SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type 11 category of the State's List of Actions, without further steps under SEQRA. LWRP DETERMINATION: The relief, permit, or interpretation requested in this application is listed under the Minor Actions exempt list and is not subject to review under Chapter 268. PROPERTY FACTS/DESCRIPTION: The subject property is a conforming, rectangular-shaped, waterfront parcel located in the R80 Zoning District, and measures 127.63 feet along North Road, also known as Country Route 48, then runs north 859.10 feet along a residentially developed lot to the west, then runs 151.57 feet along a tie line at the Long Island Sound, and returns 919.05 feet along a residentially developed lot to the east. The subject parcel is developed with a 2-story wood-frame dwelling with attached, front and rear decks, a dirt and gravel driveway and a parking area, as shown on the survey prepared by John C. Ehlers, Licensed Land Surveyor, last revised January 15, 2003. BASIS OF APPLICATION: This is a request under Section 280-146D for an Interpretation of the Town Code, Article III, Section 280-13A(1) "Permitted Uses", appealing the Building Inspector's May 1, 2023 Notice of Disapproval based on an application for a permit to construct additions and alterations to an existing single family dwelling. The Disapproval indicates that the design, and functionality of the site, do not constitute a single-family dwelling. This Zoning Board of Appeals interprets the Building Departments determination to mean the project's appearance, orientation and layout appears as a multiple family dwelling,which is prohibited by the Town Code, located at: 63615 County Road 48—(Adj. to Long Island Sound) Greenport,NY. SCTM No. 1000-40-1-20.1-. RELIEF REQUESTED: The Board has been asked to interpret the Zoning Enforcement Officer's deternination, that this corporate applicant's proposed development plan, establishing two separate habitable structures about 150 feet apart,on a residentially zoned parcel, connected only by an enclosed walkway extending about 100 feet, with multiple vehicle parking areas, would create the design, functionality and layout of a multiple family dwelling, which is prohibited by the Code. ADDITIONAL/BACKGROUND INFORMATION: The subject lot was created as the result of relief granted by the Zoning Board of Appeals under file 43688 which allowed for insufficient lot width(provided each of the two lots Page 2, September 21,2023 #7819, Wine Country Promotions, LLC, SCTM No.40-1-20.1 created is a minimum of 80,000 square feet). Prior relief requested for similar subdivision was denied under Zoning Board of Appeals file#3354. Lots in the general area are developed with single family dwelling units, located along the road and meeting the minimum front yard setback or are developed with homes hugging the coastline at the shores of the Long Island Sound meeting the Code or were developed prior to the adoption of Zoning; many have accessory structures such as pools, sheds, or detached garages. Most lots are sited with either a larger front or rear yard. A residential rental complex and a campground are located to the southeast of the subject parcel, outside of the R80 Zoning District. Improvements on the subject parcel are covered by Certificate of Occupancy#Z-29908 dated December 11,2003 for a single-family dwelling with attached roof over wood decks. A small shed,located in a compliant rear yard location, does not require a Certificate of Occupancy. The wooden stairs leading to the beach are not covered by a Certificate of Occupancy or Town of Southold Board of Trustees permit. The corporate applicant, Wine Country Promotions LLC, provided architectural drawings,as submitted to the Town of Southold Building Department, labeled A-101.00 —A-106.00, A-201.00, and A-206.00 consisting of a site plan, floor plans, foundation and roof plans, elevations, and sections, prepared by Levrat Design Consultants LLC and Saverio Taratino, Professional Engineer, last revised June 3, 2022. The applicant provided copy of the New York State, Department of State, Division of Corporations entity creation file illustrating the Organization name as Wine Country Promotion, LLC filed December 4, 2013 and copy of the Operating Agreement illustrating Member Percentage Interest: Societe de Promotion de L'Identite Helvetique S.A., 98% and G. Victoria Calle, 2%. Documentation was not provided by the corporation to illustrate 98% controlling ownership within the foreign corporation. Prior to the proposed second habitable structure and approximately 100 foot enclosed walkway,the existing residence consists of a first-floor kitchen and living room with,three bedrooms located on the second floor. The structure is located some distance landward of the 100 feet bluff setback, according to the applicant's agent. The existing residence is sited in a woodland. The corporate applicant provided a project description,as follows: "To construct an addition to the main house(2,122 square feet) with terrace pool (1,013 square feet) and pool (264 square feet) to be a minimum 100 linear feet from top of bluff. Addition to be connected to existing dwelling by enclosed conditioned passage (1,709;sq. ft.) with integrated canopies(3,791 sq. ft.). The enclosed conditioned passage encloses a green house area and an art studio. The corridors function as a viewing area for the owner's private art collection. Establish a thirty (30) foot non-turf buffer landward of the top of the bluff to be planted with bayberries, blueberries and indigenous plants." The application illustrates the new construction to include a first and second-floor extension of 55.5 feet by 43.12 feet(two stories resting on a partially exposed basement foundation),with a finished ridge height of 33.75 feet, with a basement elevation 3 feet over the natural existing grade at the ground. The proposed new structure adds two bedrooms each with full bathrooms, a second living room, pool, changing room, craft room, a second ;dining room, terrace, greenhouse, art studio, art display corridor, parking spaces. Additionally, the applicant's agent includes: "The owner wishes to expand the existing dwelling within the permitted building envelope,adding an art studio with viewing corridors for its extensive art collection, creating a two (2) car garage, an addition to contain a pool with changing room, dark room,-craft room as well as a sauna and bathroom, mud room in the cellar with direct access from the outside for family and children upon return from the beach. An'open space entertainment area for mediation and yoga is adjacent to the terrace bedside the pool on the first floor. The proposed extension has been designed specifically to maintain the maximum number of trees and forestry on the property, as well as optimizing, to the extent available, a view of the Long Island Sound." l Page 3, September 21,2023 #7819, Wine Country Promotions, LLC, SCTM No.40-1-20.1 The applicant argues that the proposed design does not violate any policy or definition that has been imposed by the Building Department or Town Code 280 that would consider the design as inferring a second dwelling: l. The addition attaches to the existing dwelling with conditioned space thereby clearly not constituting a second dwelling and by its use and intention manifestly shows a single dwelling. 2. There is no kitchen in the proposed addition and a large empty entertainment space with no bathrooms on the main floor. 3.' All of the proposed "functions" would be found to a greater or lesser degree in any number of dwellings that have received building permits. A review by the Zoning Board of Appeals of the architectural drawings;illustrates the existing residence `connected' to the proposed habitable structure by a corridor which is punctuated by what are typically accessory structures including: a greenhouse, an art studio, a bike canopy, and a carport. The `conditioned' at-grade corridor, when scaled measures approximately 4 feet wide and appears to extend greater than 100 feet between the existing residence and the proposed structure,allowing for the various turns and meandering, serpentine, design. The corridor appears to have a`slab' foundation with a flat'roof and a ceiling height of approximately 8 feet. Incorporated into the design, as part of the `accessory uses' is a floating canopy structures over the corridor,and attaching the accessory structures. The corridor is designed with substantial glass fenestration running the entire length, punctuated by doors. The waterside structure contains a living room,dining room, `wet bar' service kitchen in addition to other amenities listed and appears to have a separate sanitary and HVAC system. The proposed"functions"of the structure,do not compare to the neighboring properties because in this instance the many bedrooms would be split between the two structures, not contained under one roof. The corporate minority shareholder offered testimony that the structure as proposed is a single-family dwelling to be used by her mother and two sisters and their children, as a multi-generational residence with various workspaces for their creative lifestyle, allowing them to age in place while enjoying their extensive art collection. She also states that they desire to have a home on the shore of the `ocean' to allow for enjoyment of the view and that sensitive consideration was given to the site's environmental constraints allowing for the design as submitted to achieve their goals, including the creation of the `beach house'. DEFINITIONS: The following words, as defined by the Town of Southold, used in this application are relevant to the determination of the requested interpretation. Town of Southold Code,Article I General Provisions §280-4 Definitions. A. Word usage. Words used in the present tense include the future: the singular number includes the plural, and the plural the singular; the word "person" includes a corporation as well as an individual; the word "lot" includes the word "plot"; the term "occupied" or "used," as applied to any building, shall be construed as though followed by the words "or intended, arranged or designed to be occupied or used." B. Definitions and usages. Unless otherwise expressly stated, the following terms shall, for the purpose of this chapter, have the meanings as herein defined. Any word or term not noted below shall be used with a meaning as defined in Webster's Third New International Dictionary of the English Language, unabridged (or latest edition). BREEZEWAY Open construction with a roof prujccting fruit► the outside wall of a building, not to exceed dimensions of eight feet by 10 feet, connecting the main building and a garage. Other types of attachments which extend more than 10 feet, or exceed 80 square feet in area, shall not attach a main building to a separate building unless such attachment meets the requirements of livable floor area. Page 4, September 21,2023 #7819, Wine Country Promotions, LLC, SCTM No.40-1-20.1 BUILDING A structure wholly or partially enclosed within exterior walls,or within exterior and party walls,and a roof,affording shelter to persons, animals or property. DWELLING, ONE-FAMILY A detached building containing one dwelling unit only consisting of a minimum living area of 850 square feet. DWELLING UNIT A building or entirely self-contained portion thereof consisting of a minimum living area of 850 square feet containing complete housekeeping facilities for only one family, including any domestic servants employed on the premises, and having no enclosed space(other than vestibules, entrance or other hallways or porches) or cooking or sanitary facilities in common with any "dwelling unit." A house trailer, a boarding- or rooming house, convalescent home; fraternity or sorority house, hotel, motel, inn, lodging or nursing or similar home or other similar structure shall not be deemed to constitute a "dwelling unit." FLOOR AREA, LIVABLE All spaces within the exterior walls of a dwelling unit, exclusive of garages, breezeways, unheated porches, cellars, heater rooms and approved basements having a window area of less than 10% of the square foot area of the room. Usable floor area shall include all spaces not otherwise excluded above, such as principal rooms, utility rooms, bathrooms, all closets and hallways opening directly into any rooms within the dwelling unit. FINDINGS OF FACT/ REASONS FOR BOARD ACTION: The Zoning Board of Appeals held a public hearing on this application on September 7, 2023 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: The proposed second habitable structure as submitted in architectural drawings labeled A-101.00—A-106.00, A- 201.00, and A-206.00 consisting of a site plan, floor plans, foundation and roof plans, elevations, and sections, prepared by Levrat Design Consultants, LLC and Saverio Taratino, Professional Engineer, last revised June 3, 2022 do not constitute a single-family-residence for the following reasons: • As defined in the Town Code, "breezeway", other types of attachments which extend more than 10 feet, or exceed 80 square feet in area, shall not attach a main building to a separate building unless such attachment meets the requirements of livable floor area, as defined above. ' • The proposed corridors linking the common accessory uses; i.e., greenhouse,art studio, bike canopy, car port,etc. do not constitute livable floor area, despite being conditioned, and in design perform as an enclosed,disproportionate, long breezeway. • A breezeway (enclosed) as presented in the applicant's design is not a permitted use allowed within the Town of Southold Code, §280-13(1)to connect livable floor areas unless is it 80 square feet or less in area and open without enclosure. The applicant's agent stated the conditioned passage is 1,709 sq. ft. and is enclosed. • The vast majority of one family dwellings within the Town of Southold are designed to contain all hallways and corridors-within the exterior walls of the dwelling unit. As designed,the corridors are the exterior walls connecting the existing residence with the proposed addition and accessory structures.No single-family dwelling, in this area and the Town of Southold, extend approximately over 300 feet in length. There are no existing residential uses of similar layout, orientation or dimensions. The sheer size Page 5, September 21,2023 #7819, Wine Country Promotions, LLC, SCTM No. 40-1-20.1 appears to establish two dwellings on a single parcel including multiple parking areas. This configuration, if allowed, would be precedent setting in the applicable radius. • As designed, the waterside structure, accessed via the corridors, acts as its own dwelling unit, with rudimentary cooking or food preparation facilities, designated living and dining rooms, bedrooms and bathrooms and a separate sanitary and 14VAC form the original residential structure. • As designed, the'practicality to access common residential uses such as a full kitchen, is not accommodated given the excessive, meandering, serpentine nature of the corridor and that the total cumulative length between the existing residence and the proposed habitable structure can only be accessed via the proposed long, disproportionate corridor. • Applicant can construct a more compliant addition to the existing dwelling, which to conform to single family requirements, do not connect two separate structures via passageway, corridor or breeze way of this length and dimension. There are more feasible options the applicant can pursue. • The project will produce an adverse effect on the physical density and environmental conditions in the neighborhood. RESOLUTION OF THE BOARD: In considering all of the above factors, amotion was offered by Member Planamento, seconded by Member Acampora, and duly carried, to uphold the Town of Southold Building Department's Notice of Disapproval,dated November 2, 2022 and renewed May 1,2023, stating the proposed intent as designed, and functionality of the site, DO NOT constitute a single family dwelling. Vote of the Board: Ayes: Members Planamento,Acampora, and Dantes(3-0)(Members Weisman and Lehnert Absent). Nic olas . Planamento, Vice Chair App ove for filing s� John G.Stein,Chairperson y Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 Southold,NY 11971 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., March 9, 2022 the following recommendation was made: Moved by John Stein, seconded by Caroline Burghardt, it was RESOLVED to NOT SUPPORT the application of WINE COUNTRY PROMOTIONS, LLC to construct a pool house with habitable facilities to existing dwelling (2,122 sf.) with terrace pool (1013 sf.) and pool (264 sf.) to be a minimum 100 If. from top of bluff. Pool house to be connected to existing dwelling by enclosed conditioned passage (1,709 sf.) with integrated canopies (3,791 sf). Establish a 30' non-turf buffer landward of the top of bluff to be planted with bayberries, blueberries and indigenous plants. Located: 63615 County Road 48, Greenport. SCTM#40-1-20.1 Inspected by: John Stein The CAC does Not Support the application. There are inconsistencies in the application and the CAC questions the proposed use of the pool house. More information is needed. Vote of Council: Ayes: All Motion Carried CENTER POINT OF THE SLOPED ROOF CENTER OF TOP SLOPED ROOF �- LEVRAT DESIGN V-r FROM THE GROUND CONSULTANTS LLC 150 W 25th St �.'��EFLDDR NEW YORK, NY, 10001 . 49'£FIRST FLOOR 79WLMERCELLAR LEVEL ---- -� ^-..-. f I"s 1 9 2022 PD ELEVATIONS - vUtiil,U(u Town Scale: 1/16"=1' 0° Board of Trustees t�rteePorraFTNEanPEoaoDF , CENTER OF TOP SLOPED ROOF 39'A'FROM THE GROUND L �[�Or 7t SECOND ADM �C 49$'FIRST FLOOR -----"-------------- -C V4r LOM CELLAR LEVEL . ELEVATIONS Scale: 1/16"=l'-0" ® REVISION No. DATE O e I SUBMISSION TYPE DATE SD SET 04.16.21 ® ' ELEVATIONS �7 Scale: 1/16"=V-0" PROJECT NAME&ADDRESS HELEN'S HOUSES z _ - 63615 Country Road 48 o GREENPORT, NY v z zi ELEVATIONS w o SEAL&SIGNATURE PATE: PROJECT#: J DRAWN BY:IT -Q CHK BY:FL op SCALE: I i NOTED O -� A-20,1900 'i CAD FILE NO. PAGE X OF XX NYC DOB No. ELEVATIONS , Scale: 1/16"=1'-0" NOT FOR CONSTRUCTION BID SET ONLY LEVRAT DESIGN CONSULTANTS LLC 150 W 25th St NEW YORK, NY, 10001 40 t40 35 ........................................... ................................ .............. ......... ............................... ........... ............... NEWWATERAND ELECTRICAL EXISTING WATER CONNECTION CONNECTION 4 FEET UNDERGROUND EXISTING NON TURF BUFFER ZONE .. ...................... .. ....—-—-—-.. ... .... . .. ...... .. .. .. STAIRS TO TO BE PLANTED WITH BERRIES REMAIN BAYBERRIES,BLUEBERRIES INDIGENOUS PLANTS AND EVAPORATION FIELD INDIGENOUS PLANTSAND AND INDIGENOUS PLANTS TREES TO BE PRESERVED TREES TO BE PRESERVED EXISTING�WAE.R IST T ...CONNECTION NEW PROP D EXISTINGSE T""E'T:IC�ZNK SEPTIC TANK 0 0 0 00 0 0 0 V 1 L and ���r\\ ; \ / /j� / .\ ' T o , � ISTING STO M \ \ \ y \ © \ / \ // \ DRAINAGE DRY TILL OSTAL RD EROSION NYS FRESHWATER EA WETLANDBOUNDARY EXISTING STORM AR 26,083 SF WATERAND CANOPIES COVERED AREA DRAINAGE DRY WELL AREA 4,886 SF ELECTRICAL • CONNECTION INDIGENOUS PLANTS AND INDIGENOUS PLANTS AND TREES TO BE PRESERVED TREES TO BE PRESERVED 5 ot 5 10 15 20 2 30 35 40 45 50 50 45 44 40 35 35 REVISION No. DATE SUBMISSION TYPE DATE SD SET 04.16.2021 TOTAL PROPERTY SURFACE 110,951 SF WET LAND 4886 SF CEHA TO SEA 26,083 SF PROJECT NAME&ADDRESS HELEN 'S POOLHOUSES B ILDABLE AREA 79,982 SF 4z EX STING HOUSE 1,628 SF 2.0% 63615 Country Road 4 EX STING SOUTH DECK 760 SF 1.0% GREENPORT, NY cn EX STING NORTH DECK 908 SF 1.1% ENCLOSED PASSAGE 1,709 SF 2.1% CANOPIES (- passage) 3,791 4.7% SITE PLAN PC CIL HOUSE 21122 SF 2.7% SEAL&SIGNATURE DATE:11.15.21 o TE RACE POOL 11013 SF 1.3% -f —-TReJ E CT#: � F- P00L 264 SF 0.3% E 0 E t-- 1PONN BY:IT BY:FL LSt�A. TOTAL 12,195 SF —15% `BAN I 4)z0a2— P E-AS NOTED - Tr n __-�A 101 .00 CAD FILE NO. PAGE X OF XX NYC DOB No. k SITE PLAN Scala: 1/32"=l'-O" i'c LEVRAT DESIGN CONSULTANTS LLC 40 150 W 25th St NEW YORK, NY, 10001 41 . : 40 41 42 42 43 --- _ 4Y-0' 44 CHANGINGF , , , a � SHOWERS \ \ , r F-1 STORAGE UNtT 45 m?sF \ \. \ — \RECREAiJONALAREA '\ �- -,� — ❑ 4 46 POOL POOL ` MACHINE 4zOR0UND FLOOR Roots 47 ENTRY VESTIBULE 4 8 UTUTY ROOM { � WASHER BbRYER �)O(SF \ BICYCLE CANOPY %�. CANOPY y \ ENTRANCE ONLY50 ,r REVISION No. DATE 44 SUBMISSION TYPE DATE SD SET PROJECT NAME&ADDRM HELEN'S HOUSES 63615 Country Road 4 GREENPORT, NY 45 GROUND FLOOR PLAN SEAL&SIGNATURE DATE:04.16.21 PROJECT#: 4 30 35 40 45 50 50 49 48 47 46 D 1^��� �+..tl t DRAW BY:IT CH C ;FL SCALE~AS NOTED JAPd l 4 Zl oz A-101 ,00 ry CAD FILE NO. PAGE X OF XX •� NYC DOB No. 0 GIROUND FLOOR PLAN NOT FOR CONSTRUCTION, BID SET ONLY W Scale: 1/16"=V-0" LEVRAT DESIGN ------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------ CONSULTANTS LLC 150 W 25th St NEW YORK, NY, 10001 — - ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------- --------------q____ 4r.'P q ----------------\----------------- 0 lilt, ---------------------- ------------ ---------------------------------------------------------------------- -------------K ---- ------ -------. 47-V --------------------------------------------------------------------------------------------------------------------------------------------------------- ti THIRD FLOOR PLAN NOT FOR CONSTRUCTION, BID SET ONLY 7,- . .............................................................................................................. REVISION No. DATE 1A ............ ............ -— —-—-—-—-—-— SUBMISSION TYPE DATE Bm PM-11508F SD SET 04.16.21 STAMS GOING INTODiE POOIL-FUU.LENGTH 0 U 0 0 (7) ENTRY PROTECT NAME&ADDRESS POOL-1160SF TEFMCE-12403F HELEN'S HOUSES 4z 63615 Country Road %KT� GREENPORT, NY ------------------------------------------------------------------------------------------------ SECOND + THIRD FLOOR PLAN W \\ \' \ \ \ SEAL&SIGNATURE DATE:04.16.21 PROJECT#: -b N BY:IT NICE CF(KfBY FL LE:AS NOTED JAN CID 102 ,00 c1q LE NO. PAGE X OF)O( NYC DOB No. )I B SECOND FLOOR PLAN NOT FOR CONSTRUCTION, BID SET ONLY LEVRAT DESIGN CONSULTANTS LLC 150 W 25th St NEW YORK, NY, 10001 f I Tr .................. TT II I 4 �---� ---------- .' 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H%'�•�,'-�' `'s`" �:F..;,:�:�.:, i >.��":,: '.')'a'�S ,^i xt.�i :r,E t_:9.`5.9J,.;;:�"'.3.:,:•+��':i>•�GsA,vt..ea r:i'' ..- � ���J.3•� LEVRAT DESIGN CONSULTANTS LLC 150 W 25th St NEW YORK, NY, 10001 40 l 40 35 ------------- Yti 1 r' NEW WATERAND ELECTRICAL EXISTING WATER t t CONNECTION CONNECTION EXISTING NON TURF BUFFER ZONE 4 FEET UNDERGROUND . _._._. —._._._.—. _._ ._ ._.t—.�- . _._ _ _._._._._. _. _._ _ . STAIRS TO \ TO BE PLANTED WITH REMAIN BAYBERRIES,BLUEBERRIES BERRIES INDIGENOUS PLANTS t, \ AND INDIGENOUS PLANTS \ \ EVAPORATION FIELD INDIGENOUS PLANTS AND TREES TO BE PRESERVED TREES TO BE PRESERVED 0 - \ \ '\ \ - ,•t` \�- NEW PROP D �EMSINGTICTANK i SEPTIC TANK t 0 0 B . B oar `y .r7� o��r\ \ \ \ so IF"-0 � _ U \ \ \ \\oJ ` y \� © O / \ s.aErvm. \ .moo \ /DRAITNAGE DRY V�ELL • OSTAL RD EROSION DD�---�� ® _ NYS FRESHWATER Z \ EA \ \ \ \ ice! / �. � \/ � WETLANDBOUNDARY -� AR 26,063 SF \ \ J CANOPIES COVERED AREA EXISTING STORMDRAINAGE DRY WELL AREA 4,666 SF NEW WATE ND •\ '\ _._._._. _ ELECTRICAL ._._._._._._ ._._._ ._. _._._._._._._._. CONNECTION \ \ \ \ INDIGENOUS RE INDIGENOUS TREES O E PRESERVED TREES TO E PRESERVED .\dyed •\d2>d 5 10 15 20 25 30 35 40 45 50 50 45 44 40 35 REVISION No. DATE SUBMISSION TYPE DATE TOTAL PROPERTY SURFACE 110,951 SF SD SET 04.16.2021 W T LA N D 4886 SF PROJECT NAME&ADDRESS C E A TO SEA 26,083 SF HELEN 'S POOLHOUSES B ILDABLE AREA 79,982 SF v J J z EX STING HOUSE 1,628 SF 2.0% 63615 Country Road 4 J EX STING SOUTH DECK 760 SF 1.0% GREENPORT, NY y EX STING NORTH DECK 908 SF 1.1% Z ENCLOSED PASSAGE 1,709 SF 2.1% SITE PLAN z C NOPIES (- passage) 3,791 4.7% P OL HOUSE 2,122 SF 2.7% DATE:11.15.21 SEAL&SIGNATURE TE ACE POOL 1,013 SF 1.3% PROJECT#: P 0 L 264 SF 0.3% DRAWNH 1- BY: IT U l K BY: FL ALE:AS NOTED .c TOTAL 12,195 SF 15% CIO �Ar< 1tZ� . . 101 .00 N `L ]C �DF�ILEN0. PAGEXOFXX t+ C I;- ,,.,, NYC DOB No. 0 A SITE PLAN Scale: 1/32"=V-0" f4f soy Town Hall Annex / John M.Bredemeyer III,President ���� ly�l0 54375 Main Road Michael J.Domino,Vice-President P.O.Box 1179 James F.King,Trustee Southold,New York 11971-0959 x Dave Bergen,Trustee O �O Telephone(631)765-1892 Charles J.Sanders,Trustee COU ' Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE #0980C Date:MayT 9,2014 THIS CERTIFIES that the 4'x25' timber stairs includin 4'x4' latform down bluff to beach.• 3' wide cleared wood chi ath- and uDDer 4'x8' platform located to side of timber stairs At 63615 CR 48 Gre mport New York Suffolk County Tax Map#40-1-20.1 Conforms to the application for a Trustees Permit heretofore filed in this office ' Dated July 2,2002 pursuant to which Trustees Wetland Permit#5594_Dated July 24,2002,was issued and Amended on April D 2014 and conforms:to all of the requirements and conditions of-the applicable provisions of law. The project for which this.certificate is being issued is for the 4'x25' timber stairs including 4'x4'. latform down bluff to beach-, 3' wide cleared wood chip path,• and upper 4'x8' plat.form located to side of timber stairs. The certificate is issued to EDGEWATER I,LLC owner of the aforesaid property. Authorized Signature 4U ,i -—•—. I NEWWATE& BERRIES —.—.—.—..—.—- ELECTRICAL, . \ _._..._._ r CONNECTM INDIGENOUS PLANTS AND \ _ 4FEETUNDM \ TREES TO BE PRF�^ERV® EVAPORATION FIELD —.—.— . \ \� OO ITREES TO S PRESENED \ ,n NEW PROP SEPTfC TANK SWMG SE'RC TANK L �17 / p10 \ NE AT =. \ ELECTRICAL . \ ... CONNECTION"—.�.'—. _--�-_ •—.— �"' ' \ \ fNDIGENOUS PLANTSAND r \ \ TREES TO BEPRESHNEp \ MDIGENOUS PIANIS AhD \ \ - TREES TO BE PRESERVED 45 50 50 . f � '� �mod': ? ,f ♦ r f rjj'a IF i o, f.;j�,j it• - J =. �►.1�s ��' �:�', v;�.. a1►�4#¢t �y�.'1' � s^ j V (1)Wine Country LLC Taken:Jan 6,2022 Looking North of I .,#Car _ •� _ y _ C *{ 11 ►,r r. �+. .'`,� .••�. -" �''tom v s a'"_' al„ 14 •'� T t�fi M ' ,•�l1�4'♦ -lam. � _ _ t Y�_ y�ll •Si I _ "+. r.. 'I��yT"lP I 1� a'- i, L. s tN' �����`�'�'• �,� -* �. i;�� � a..� �'.. w +' tea t" _; w {2 j Wine Country LLC 0 d Taken jan.6,2022 • t +� .,yam �+}}'� _Y. �, .N.A' Looking WNW It i V*4A L ��+1 1, ♦ �V ♦ �� �� � ire �y .7 � ( � 11 /tom:� �� ~ �•� o:' ... - !,. � j•� r �..f�,♦•i�,.tom ,i,. _ ' �( �.:- is M o �,{�, ;ra•"�'� . . s,a ..'.ii" ..ty>- k3)Wine Country LLC • �,��"r �., ► Taken Jan 6,2022 Looking SW r� ♦,. 46 71, mot - °C uA a `? 'A, �G� A��.� ./ i .x• ,e.- � ram• '•��'!!"�� .. ♦ .'L �� � ♦� t,� .. ,� �1+. r � 'I ; c f, /� (4 alone Country LLC Taken Jan. 6,2022 �drytr ' ��,,..�.: �• r, �+ �6 .�: -.' ^1► " �^ .i Looking SSW 4 "s p M r •l r�t� � I (5)Wine Country LLC Taken:Jan 6,2022 Looking NNW Ow taie R � '1 1 y a �jx �. , sue• h .�,r r 4�t1 �,� {6 )Wine Country LLC �j: ~� Y' �.,y7,.y Takenjan. 6,2022 •e �w' f- , s.s� . -.. J+;_. "r+4 Looking SSW Vt±,�, r Jv { A (7)Wine Country LLC Taken Jan 6,2022 Looking SE • ,� Legend 63615 County Rd 48 411 ^w xy 1101 P � � y °: r d �a b 3 f ' 63615 County Rd 48 qi s X 4 r y tp p a � rd� q x Ai Google Earth w 200 ft R— mm" as.ax.o+ _ aFA•E.x.m. 'u /o S ♦ 1`� -,4 P \1 aiioro mM o / RINr Pone .I !.e pwA 4\ N '{J \.! `� ,eA i r P L •,s�'e,e � � SID, 233 o. 4 e:an —IE:w.sem 'ts Ly wPOF+r°Saa+Esw+o C Z CONDOMINIUM j' COUMY OF 2wiLw® �o� ° (FOR UNITS SEE SEC. , 3 loa SEE SCE NO.+xl / , (J 1 N -(, T EO B 170 0F SOV EENQ�� f s tlm \.Dx O CON sE F G� 1g F O � O ao xa, °*„"q' cneE PD�RT xoA(q 5' a 'e iN 4. N Sp. o. �,• / oL s s• E2.NN,. t 2W4 e1 �Ne a xx px I.TNcI � f .. • , xWq " lQ A g. a i ,alo ./ 31 to fxNcl +Wcl x O �5O e } s°peai_� mm /,q ♦ toN., �� T.xA xxANc) e..m,°n,. .w«. g ,.•Nc 2�P � I3 e ex=wrE m ZO I v ?Nc Q T i ,W 1 Fa w.s.a / tSA pi..Neu ,r (. m FOR%NO. 1 /. , c°+ ���'�»_�a R ? ,m» sEE SEc.No. »sox.aas.+ ,.wa TOWN OF SOUTHOLD o O S.IMq '�Y e�to• �O O fl u.w.a»a. T. /I wnT,= d sC xv= a— »VILLAGE OF GREENPORT p �ggq�/ ANTCN LIN ? «A`15O ---- + Y'tq MATCN 7 �LINEI SEE SEC.NO.IMS p«.._. �Ap t MATLN SEE 5'EC.NO.ele LHE Y WSW g x r t _J e COUNTY OF SUFFOLK © x I a. SOUTHOLD SECTION NO µ — _ —Q �_ --F— w— -- Real Property Tax Service Agency v H - D•»na.xMNWNM».NY 040 0...... a .� ,x,M.r `^ —__— ...w --•-- ,rw--�-- Ya:a' A .mc.xo 1000 PROPERTY MAP ' �t Glenn Goldsmith,President ;� ��' o//) Town Hall Annex 54375 Route 25 A.Nicholas Krupski,Vice President ; P.O. Box 17 79' John M. Bredemeyer III >` .Southold,New Yorki11971 Michael J.Domino t44t1 Telephone(631) 765-1892 Greg Williams x ' Fax(631.) 765-6Fi41 Olu BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application Wetland Permit Application Administrative Permit mendment/Transfer/Extension Received Application: 2.Z- Received Fee: $ Z50.00 Completed Application: '/ -� Incomplete: SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: ICC*_ oordmati on:(date sent):. WRP Consistency Assessment Form Sent: : AC Referral Sent: Date of Inspection: Receipt of CAC Report: !._ Il� ,Technical Review: ✓ Public Hearing Held: •2?O' `' J�� 4 j Z�z� Resolution: Owner(s) Legal Name of Property (as shown on Deed):W144!5 C041WI `.eY p1C'o�ia la�l ,LL c Mailing Address: // el, "0AP W" ,1'715 69 �T /� y All y QQ 3g Phone Number: 7�4/ 7 7 Suffolk County Tax Map Number: 1000 - q0 2D- / Property Location: 0�6125r C O ONZ Y e�D�_ (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): HI C60& A eldAC G Mailing Address: � 6, 13 0)e /od , Phone Number: Email:H eZY--4 C&Z Q VfYZ- N,/Vo Board of Trustees Applicaiaion GENERAL DATA Land Area(in square feet): zzo Q� f Area Zoning: I Previous use of property: ,R�LC,S� �,5A 14 L_ OME JrX"/L.k Intended use of property: ,� 5'���iV Tlo1L. QAAE F 4HI Z Covenants and Restrictions on property? Yes X No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? X Yes No If"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes No If"Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes _�C No Does the structure (s) on property have a valid Certificate of Occupancy?��Yes No Prior permits/approvals for site improvements: Agency Date MUD .9 e��9�I'T."gAy—e) IYAY q. zo l4 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?�_No Yes If yes, provide explanation: Project Description(use attachments if necessary): S5,6 Project Description To construct a Pool House with habitable facilities to existing dwelling (2122 SF )with Terrace pool (1013 SF) and pool (264 SF)to be minimum 100 lin. feet from top of bluff. Pool House to be connected to existing dwelling by enclosed conditioned passage (1709 SF)with integrated canopies (3791 SF ). Establish a thirty(30)foot non turf buffer landward of the top of bluff to be planted with bayberries, blueberries and indigenous plants. I i i i Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ?� � �� A1- ! ZZV Q rd JV G /4 06 D f'JVJD.q 77 OaS Uv� PO Q L, ��,�l�1lM NT e97�• AMP AFC9207041 AZEAS' FOR FAWKY, .4 C p"lYl � l Area of wetlands on lot:.. O square feet Percent coverage of lot: 0 % Closest distance between nearest existing structure and upland edge of wetlands: .N1�feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? No �� Yes If yes,how much material will be excavated?_�5�0 cubic yards �0 How much material will be filled? cubic yards 7L/— Depth of which material will be removed or deposited:_ feet �`— Proposed slope throughout the area of operations: C S /O Manner in which material will be removed or deposited: FUG J Vh1-A1& A4 Statement of the effect, if any,on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): go 'rSr' z1 w MRrn- eu'eew I-IAIE �, _ , moo.y 1A ES A p C/�itJ`�,�/U� �/�ileC>GU,4Z�D .44� 6 6�D c�i�-lC�l/r4� AAI)l 4C �CT�rU z"z b,W L 4-0.4 ''-9b 617.20 Appendix B Short Environmental Assessment Form Ittstrttct:i.otis for Completing Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item, Part.1 -Project and Sponsor Information Name of Action or Project: 1A1 E C QaAl &eiQ D7 D x 4 G Project Location(describe,and attach a location map): Brief Description of Proposed Action: OT.5(f7- D4rsC dW`'s Name of Applicant or Sponsor: Telephon. 6 6 �8_ 9 6 icy E-M��CK r&y V4 y Address: City/PO: D State: Zip Code: 07X 0L4 M ` 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. 1 f 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/p�ermiiitt or approval: 3.a.Total acreage of the site of the proposed action? _acres b.Total acreage to be physically disturbed? ,......Joe __ 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 gResidential(suburban) El Forest ❑Agriculture ❑Aquatic ❑Other(specify):. ❑Parkland Page 1 of 4 i Project Description j To construct a Pool House with habitable facilities to existing dwelling(2122 SF )with Terrace pool (1013 SF) and pool (264 SF)to be minimum 100 lin. feet from top of bluff. Pool House to be connected to existing dwelling by enclosed conditioned passage (1709 SF)with integrated canopies (3791 SF ). Establish a thirty(30)foot non turf buffer landward of the top of bluff to be planted with bayberries, blueberries and indigenous plants. i i i 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? ❑ rVT 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: _..�..,.m...-,,�.w-.....__..__._._._._ � gyp( ❑ 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 excee equirements,describe design features and technolo-ies: 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑ (' 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatrnent:d f�' �1. _�r� �LJ ❑ 12. a.Does the site contain a structure that is listed can either the State or National Register of Historic NO YES Places? X ❑ b. Is the proposed action located in an archeological sensitive area? L0�1 ❑ 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? jam( ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: VIL 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: 'Shoreline El Forest ❑Agri cultural/grasslands El Early mid-successional ❑ Wetland ❑Urban Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? (' ❑ 16.Is the project site located in the 100 year flood plain? NO ! YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES I f Yes, �--f a.Will storm water discharges now to adjacent properties? X Nn ❑YES U b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: NO ®YES Page 2 of 4 I S.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)? f 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/sponsorname: / C Date: --/ 2027_ 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 I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may Ocean• OCCur i. Will the proposed action create a material conflict with an adopted land use plan or zoning El ❑ regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? _ I Will the proposed action impair the character or quality of the existing community? F1 El 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? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate Elreasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: El a.public/private water supplies? b,public/private wastewater treatment utilities? S. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? El 0- 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 ❑ a problems? I I. W ill 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. ElCheck 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 w ..........__..........I..........._.._.__._................... .._...........----_......................................................................................................................................... .... Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 Board of Trust;ees Application AFRDAN4'IT Cra—PJ,4_C2. WL-4 BEIING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR TILE ABOVE DESCRIBED PERMIT(S) AND THAT A1..L +TA"I'EME'VT'S CONTAINED HEREIN ARI;TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIF,F, AND THAT . ALL. WORK WILL, 13E 1DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE AI'P1;OVED BY THE SOUTHOLD TOWN BOAR]) OF TRUSTEES.' 'IT(E: APPLICANT AGREES TO HOLD THE: TOWN OF SOUTHIOLD AND THE BOAR-) OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR 13Y VIRTUE', OF SAID PERMIT(S), IF GRANTED. 1N COMPLETING THIS APPLICATION, I 1-1.EREBY AlLTHORI.ZE THE TRUSTEES,THEIR AGENT(S) OR RFPRE,!;EN'I'ATIVIES, INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH TFIIS APPLICATION, INCLUDING A FINAL INSPECTION. I FUl.?.T'HF,R AUTHORIZE THE BOARD OF 'TRUSTEES TO ENTER ONTO MY PROPERTY AND AS RFQUiR.El[) TO INSURE C:'OMPL,I.4NCE_ WITH ANY CONDITION O ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES CURING THE TERM OF T1IF. PERMIT. Sinaturc of ' rt� ���ner Si�nau.trc i�f'Pri�l:�eiT� Owner V1 C7-opl,4 G. 1,4 LLB', SWORN TO BEFORE ME THIS _./6.�'DAY Or 0_CTl����? ?c Notary Public MICHAEL A.10MACK Notary Pulalic,State of New York No.02IG5056823 Qualified in Nassau County Commission Expires March 11,2022 Board of Trust,aes Application. AUTHORIZATION (Where the applicant is not the owner) i a�'e, _.._..._..--__1L1_.._C�,�k•1�_._._Cz:��4LL�• r_.17�JAI.��I�,(�/_�'.._,C�'!�1y,B,c�� .._____• owners of the property identified as SGTMk l U0l)-_ d in the town of' Now York., hereby authorizes to act as nnv agent and handle all necessary work involved vvith the application process for permit(s) f"rorn the Southold'FoWn Board of Trustees tier this property. PropeOwner'snature Property Owner's Signature V��'r"O�/�J G. C,'�Cl�, �'1itJGyP/yL��•���it' SWORN' "C() BEFORE lvlli "1 I fiS _f( C)AY OF _. zoz/._. ._._. _-�16: Notary Public MICHAEL A.IOMACK Notary Public,State of New York No.02VJ5056823 Qualified in Nassau County Commission Expires March 11,2022 APPI,ICANT/AGEN'f,'REI'RESEN'l.I ATIVI: TRANSACTIONAL DISCLOSURE FORM 'rhe iq%An of—Sm,I h al—Lq—Code-U)M1 tic LQlAwts con p(Ln-1he p ir Ll jLi is Corti)is to imah-ilk in for 1 0 Li&I-11 -ictuLu nnla Luoubs.—to«-Ll—o fmo-'Ahl�,�Lom ft ic-_Lf 1 ul"�'C Suldulivy-Lug-la e—\v IV LI-C.vLo—racii Lie s_sn�itc�avoid sapic. YOUR NAME: r- (Last mune,f rst name,middle in[�j'.3 1,unless you are applying in the naine(it' someon,�else or other entity,such as a eom::mny. It's(),irldicRto,'Ile Other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance ------- Building Variance. I'njswe Change of Zone Comtid Lrosion, Approval of plat Mooring Exemption from plat or official nitip Planning Other Of"Other-,name the activity.) Do you i personally(or through yO Ur company,spowse.sibling,pure tit,or chile!)have vC 4' okl Lit)11-shi p with any Off ices of cnil floYc? of the of'Southold? "ReIntiollshir"includes by N,blood,multi Igu,"!r business '1Hujnw:,,s mwresi"meons at including apartnership.in which tlw�town of liar or employe,:.It;,,,even.1 Pailial owilership employmo-W twl in which the town ollliccr it-employee owns more than 5'!-0 of 11,C s-)arcs YES If you answered"YES",tminplete the balance of this fonri and dimv and-;ign where indiCaLtd. Name ol'person employed by the.Town of Southold I'itk or position of tnat person Dvs,iribe the relationship between yourself(the ipplic;uiL/agent/i-el:i*(!scciiative)and the(own officer nreniplo%ec.f-Jth,-r cl)M: the appropriate line A)through D)and/or describe in the space provided The lown officer or employee or his or her spouse,sibling,parent,or child is(cliccl,all that apply): A)the owner of'preater than 59.of the shares ot':Ire corpor.tte stock ol'the applicum (when the applicant is a corporation); B)the Icgtil or beneficial owner of any interest in,,non-corporate entity(wh,.m the applicant is not a corporaJon); ----C)an officer.director,partner,or employee of the applicant;or the iic:Iiml applicant. DESCRIPTION OF RELATIONSHIP Submitted this day of 2 0 S iollaturc C Print Name Jz-4 Z�VI- v �— Form'I'S I APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE' FORM The Town of Southold's Cade_g_f_Ethics prohibits conflicts of interest on the part of town officers and employees.The pumose of this form is to provide information which can alert the town oftossible conflicts of interest and allow it to take whatever aetion,is ,necessary to.avaidsame. YOUR NAME: (Last name,first name,giiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) 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 you personally(orthrough your company,spouse,sibling,parent,or child),have a relationship.with any officeror employee of the Townof.Southold? "Relationship"includesby'blood,inarriiige,.or business interest."Business interest"means a business, including a partnership,in which the town officer or employee_has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO Sf' 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%n 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(wheil ilie applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submftted this /.q day of 2 ZZ Signature Print Name. INA— Form TS 1 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. I 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 sianific�int beneficial and.adyerse effects upon the coastal area(which includes all of Southold Town ). 3: If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the; consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- suoporting 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# / - ZO PROJECT NAME WZNg co 1JV Bl2 d MM&,4,Vg L L C The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees J9 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: Project Description To construct a Pool House with habitable facilities to existing dwelling (2122 SF )with Terrace pool (1013 SF) and pool (264 SF)to be minimum 100 lin. feet from top of bluff. Pool House to be connected to existing dwelling by enclosed conditioned passage (1709 SF)with integrated canopies (3791 SF ). Establish a thirty (30)foot non turf buffer landward of the top of bliuff to be planted with bayberries, blueberries and indigenous plants. Location of action: _&aEs— ,eoRfr Site acreage: Present land use: Z5-J"1P,6 7Z4Z_ QN&C, -AHZZ-Y Present zoning classification: 8 D 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: 0/(/`Y� (b) Mailing address:, // &/?D,¢D�i(SiSt,Y, _ 1�T, 8 A3 Y N Y 1 DOFg (c) Telephone number: Area Code( ;). 14 7 9 9 96— 56" (d) Application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ No R! 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. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. Yes ❑ No Not Applicable N /' /0 ,F Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No Z 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 X Not Applicable o 7V.zr,4V,21UD& 401ZZ- ALAY- CAI P 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 S through 16 for evaluation criteria ❑ Yes ❑ No X Not Applicable lJ &I J' Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP,Section III —Policies Pages 16 through 21 for evaluation criteria 0 Yes ❑ No ❑Not Applicable Vd95Q GU Al Q T'o oCG U o DEA 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. ❑ 0 X 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 R1 No j`j Not Applicable I !� C r Z�Z64�4e Zt5xcz�a& A4& U Q N 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 9 No ❑ Not Applicable BAV ZV-,0E1 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.ElYef]nn No RT 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. DYes ❑ No LF)a7j Not Applicab e RV 41 CY /o & A TO ZbYs Aep,1 C.A 2Za1y i 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 0. No 0 Not Applicable /q / 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 V%_J Not Applicable 7V_ S � _� 1, r'Q�LS �W MZ P1062� aft U>��-, 1,l/1�- fLV I Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LVVRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No,® Not A 1plica le PREPARED BYE . K TITLE �-�� f�' DATE4 &Z 2