HomeMy WebLinkAbout#8037 Whitmire RICEIVID
TOWN OF SOUTHOLD 'JUN 19 2025
BUILDING DEPARTMENT
ZONING SOUTHOLD,N.Y. BOARD OF APPEALS
NOTICE OF DISAPPROVAL
DATE: May 30, 2025
TO: Erica Whitmore
960 Marratooka Road
Mattituck, NY 11952
Please take notice that your application dated March 25, 2025:
For permit; to construct additions and alterations to an existiag �farn
and to le aline built'
g_"gg -accessor shed at:
y
Location of property: 960 Marratooka Road Mattituck. NY
County Tax Map No. 1000- Section 115 Block 9 Lot 8.1
Is returned herewith and disapproved on the following grounds:
on this nonconformi 25,$91 i. ft. lot in the R-80 District,
.to Article XXIIII .Section 280-124, which,states lots measuring
I in total size reaurre a rear and qc-thr4e,k of 50 feet. The
nronosed construction has a real, and setback of 25 feet.
The as built' Arqn,,,zqn rysled is riot 11 1 1
:)ermitti'11:11 nUr rant to Article III Section 280-15
_twhich states aecessor �l
fildinias and structures InnAtn'd on lots rneasL'ired 20 000-39 9991
s 1 11 have a minimirm rear and setback of 10 .feet. The shed has a rear and
§etback qf±6 feet.
Authorized S7ignibL61'e—
Note to Applicant: Any change or deviation to the above referenced application may
require further review by the Southold Town Building Department.
CC: file, Z.B.A.
RECEIVED
APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALSJUN 18 2025
AREA VARIANCE &3- —
House No.9 U 0 Street MCLf rQLl dO(b _Hamlet M((j ° .r;_ ANING BOARD OF APPEALS
SCTM 1000 Section: 5 Block: Lot($) Lot Size � � Zone r,
I(WE) APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR
DATED BASED ON SURVEY/SITE PLAN DATED
Owner(s): r Off, 1 \N 6- m ft C— i C(,k_ T
Mailing Address: ?.O-fbo_� Lvb l C k-A GVA0(- e, N\A 1 M 3 5
. e w0�1 - lKKmv.11 .cc�m
Telephone:(5klR')1.`Jyk"W1M Fax: . . Email•._
NOTE: In addition to the above please complete below if application is signed by applicant's attorney,agent,
architect,builder,contract vendee,etc.and nameof person who agent represents:
Name of Representative: 1 K o x a ' , "tt1.J for( ) Owner O Other:Address:_ 3 a 25
". .�.-. I t 11 � [`P
Telephone•ml) Fax: Email:1 6 'l�(,I;.6C
Please check to specifjr who you wr m
*cOffespoaaderace to be ailed lo,from m t e above naes:
(\Applicant/Owner(s), ( Authorized Representative, ( Other Name/Address below:
ak
� 1�'�. fit �5 , t` � , � wbc�b4�
WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN
DATED t&L(�1, - and DENIED AN APPLICATION DATED MO, . 34j4 LS FOR:
Permit
( ) Certificate of Occupancy ( )Pre-Certificate of Occupancy
( ) Change of Use
( )Permit for As-Built Construction
Provision of the Zoning Ordinance Appealed. (Indicate Article,Section,Subsection of Zoning Ordinance
by numbers.Do not quote the code.)
Article: )X'\ 1 I� Section: J 11'k Subsection:
Type of Appeal. An Appeal is made for:
00 A Variance to the Zoning Code or Zoning Map.
( )A Variance clue to lack of access required by New York Town Law-Section 280-A.
( )Interpretation of the Town Code,Article Section
( )Request for Reversal or Overturn the Zoning Officer's Denial
Other
A prior appeal ( has, has not been made at any time with respect to this property,
UNDER Appeal No(s). Year(s).
(Please be sure to research before completing this question or call our office for assistance)
RECEIVED
Page 2, Area Variance Application
Revised 6/2023 JUN 18 2025
- 0
REASONS FOR APPE'AL ZONING BOARD OF APPEALS
(Please be specific,additional sheets ntay be used with preparer's signature notarized):
1. An undesirable change will not be produced in the CHARACTER of the neighbor or a detriment to
nearby properties if granted, because: -Vf\e,
O(� QoLrcp��, t v\
2. The benefit sought by the applicant CANNOT be achieved by some method feasible for the applicant o
pursue, other than an area variance, because: -ttrl-e WC NOO5 —(3-4- �e
l►'Y GO^1jl v-10,A (00 —Mctit►r-- U►'�` v-)0j--,CZ
3. The amount of relief requested is not substantial because: iD(a(y (Yl1 n
4.The variance will NOT have an adverse effect or impact on the physical or environmental conditions in
the neighborhood or district because: M rA+► tt ( S�.
1 Y l
5. Has the alleged difficulty been self created? ( } Yes, or ;1T,-No Why: `� 00+
hG V-\o-�- van c `` ` + epk wq uLundv
• Are there any Covenants or Restrictions concerning this land? KNo { } Yes(please furnish a
copy)
a This is the MINIMUM that is necessary and adequate, and at the same time preserve and protect the
character of the neighborhood and the health, safety and welfare of the community.
By signing this document,the PROPERTY OWNER understands that pursuant to Chapter 280-
146(B)of the Code of the Town of Southold,any variance granted by the Board of Appeals shall
become null and void where a Certificate of Occupancy has not been procured, and/or a subdivision
map has not been filed with the Suffolk County Clerk,within three(3)years from the date such
variance was granted. The Board may, upon written request prior to the date of expiration,grant
an extension not to exceed three(3)consecutive one(1)year terms. IT IS THE PROPERTY
OWNER'S RESPONSIBILITY TO E SU COMPL ANCE WIT CODE REQUIRED
TIME FRAME DESCRIBED HEREI
ignature of Applicant or Authorized Agent
(Agent must submit written Authorization from Owner)
wor to before me this��L day ANA M RODRIGU'"
OUALIM IN SUFFOLK COUNTY
NOTARY PUBLIC,STATE OF NEW YORK
N
My COM
0.01 B064019722
a Public
RECEIVED
JU `H, ;2025
Zoning Board of Appeals 3
APPLICANT'S PROJECT DESCRIPTION
1 ZONING BOARD OF APPEALS
APPLICANT: t I SCTM No.
1. For Demolition of Existing Building Areas
Please describe areas beiniq removed: .Q.� 6kkx k �w� _ _. _ r
&e Cie
II. New Construction Areas (New Dwelling or New Additions/Extensions):
Dimensions of first floor extension:
Dimensions of new second floor: icr>
4al
Dimensions of floor above second level:
Height(from existing natural grade): .
Is basement or lowest floor area being constructed? If yes, please provide height(above ground) measured from
natural existing grade to first floor:
III.Proposed Construction Description (Alterations or Structural Changes)
(Attach extra sheet if necessary). Please describe building areas: t, y
Nu er of Floors and General Characters. ' s BEFORE Alterations: -
Number of Floors and Changes WITH Alterations:
IV. Calculations of building areas and lot coverage,sky plane(From Surveyor,Design Professional):
Existing square footage of buildings
ldings on your property
q g y coverage
Square footage Of ease Your lodin. V
11
. _.. ._ ._... _.._ .. .�_.
Percentage of coverage of your lot building area (lot coverage)—Q.N w
Toss Floor Area(GFA of single family dwelling including the attached garage and/or habitable detached
accessory structure: (Please refer to Chapter 280, Section 280-207 of the Town Code):
r Residential lots
, is project within the allowable Sk__ Pam?(Please refer to Chapter 280, Section 280-208 of
the Town Code): mm _ .
V.Purpose of New Construction: , le
VI.Please describe the land contours (flat,slope %, heavily wooded, marsh area,etc.) on your land and
how it relates to the difficulty in eeting the code requirement(s). Describe on separate page if needed:
- �
Please submit 8 sets of photos,labeled to show different angles of yard areas after staking corners for
new construction,and photos of building area to be altered with yard view.
ZONING BOARD OF APPEALS
Revised 6/2023
QUESTIONNAIRE
FOR FILING WITH YOUR ZBA APPLICATION
RECEIVED
A. Is the subject premi s currently listed on the real estate market for sale?
---.--,Yes No JUN 18 2025
B. Are ere any proposals to change or alter land contours? 31—
No Yes,please explain on separate sheet. . Zt1+I1N�BOAB OF APPEALS
C. 1.) Are there areas that contain sand or wetland grasses? _ 4AJ
2.) Are those areas shown on the Sur e submitted with this application?
3.) Is the property bulk headed bet n he wetlands area and the upland buildingarea?
If your property contains wetlands or pond areas, have you contacted the-_......Office of the
BOARD OF TRUSTEES for its determination of jurisdiction?
Please confirm status of your inquiry or application with the Board of Trustees:
If issued, pleaseattach copies of your permit listing conditio
ns of approval with a copy of
the approved survey.
D. Is there a depression or sloping elevation near the area of roldsed construction at or
below five feet above mean sea level?
E. Are there any patios, concrete barriers, bulkhe 's or fences that exist that are not shown
on the survey that you are submitting
If any of the aforementioned items exist on your property, please show them on a site
plan.
F. Are there any construction projects currently in process on your property?_ -3
If yes, please submit a copy of your building permit and survey as approved by the Building
Department and please describe scope of work:
G. Please attach all pre-certificates of occupancy and certificates of occupancy for the subject
premises. If none exist, please apply to the Building Department to obtain them or to obtain an
Amended Notice of Disapproval.
H. Do you or any co-owner also own other land adjoining or close to this parcel?
If yes, please label the proximity of y lands on your survey and identify the Suffolk
County Tax Map No.
I. Please list present use or operati ns dducted at your property, and/or the proposed use
te: es.existing site ily.proposed:same with garage,pool or other)
6t)i,Qrized signatureµ_ ,� m
e
RECEIVED
RECEIVED
FORM NO.4 JUN 18 2125
JUN 18 2025
TOWN OF SOUTHOLD
BUILDING DEPARTMENT ZONING BOARD OF APPEALS
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
No. Z19900 Date . . . . . .June. .27,. . . . . . . . . . . 00
11 19
THIS CERTIFIES that h b ilding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`1
Location of Property Wis4 0 Marratoo.ka.Ro.ad, . . . . . . Mattituck
. . . .
use No. Street . . . . . . . . . . . .Hamle.t
County Tax Map No. 1000 Section . . .115. . . . . .Block . . . .Lot
Subdivision . . . . . . . . . . . . . . . . . . — . . . . . . . . . .Filed Map No. . . . . . . . .Lot No.
requirements for a one-family dwelling built prior to
conforms substantially�W_tha fox Hull --thi&-Qm0e.dated
ficate Occupanc
19 . .?Tursuant to which C Bertiufttrig-Pennit-Noof-7 . . . . . . . . . f.i.0000 . . .
dated ARe -27?. . . . . . . . . . . . . . . . . . 1980 ,was issued,and conforms to all of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is . . . . . . . . .
Private one family dwelling
. . . . . . . . . . . . . . . . . I . . . . . ... . . . . . . . . . . . . . . . _ _ _ _ . . . . . . . . _ . . . . . _ . . . . . . . . . .
The certificate is issued to . P(?PPL;1�4 .k4l43rsh.iem. . . . . . . . . . . . . . . .
(Owner,
of the aforesaid building.
Suffolk County Department of Health Approval . . . N/R . . . . . . . . . . . . . . . . .
UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . .. . .NI.R . . . . . . . . . . . . .
Coo-oii4rooe�—
Building Inspector
Raw 4/79
I I Town of Southold 5/17/2023
P.O.Box 1179
Xr. 53095 Main Rd RECEIVED
Southold,New York 11971 03
..�._.� JUN 18_202L
CERTIFICATE OF OCCUPANCY ZONING BOARD OF APPEALS
No: 44107 Date: 5/17/2023
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 960 Marratooka Rd,Mattituck
SCTM#: 473889 Sec/Block/Lot: 115.-9-8,1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/28/1983 pursuant to which Building Permit No. 49009 dated 3/10/2023
was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
alters`0ns and a' itions to existing single family dwelling as a lied for.
The certificate is issued to Parkin,Dianne
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
49009 4/4/2023 W m
PLUMBERS CERTIFICATION DATED
nA
Au r cl ig atur
FORM NO. 4
TOWN OF SOUTHOLD E c E 117
E .0 3
BUILDING DPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y. JUN 2025
ZONING BOARD Or APPEALS
CERTIFICATE OF OCCUPANCY
No. . .1044. Date ... ...... ............Z=Axavy...19............ 19...63.
THIS CERTIFIES that the building located at WRT44;PO4Jt4l 04��4��!�fttreet
Map No. ... .. ...... Block No. ...... ..... ,..,Lot No, _. ****, �,— ........
conforms &ubstantially to the Application for Building Permit heretofore filed in this office
dated ...................774Y..A................I 194k. pursuant to which Building Permit No. ...751
dated . ......... ......44V-.6.......... I.... .2 19.1 ., was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
n 10M
issued is --.. .................� V91VA .T........E o . .. . ...FA.... ......MY...... LLING...
This certificate is issued to R. Hild6sbeim, owners
..... .. .... ........* .............*..... ... ... ....(owner, lessee or tenant)
of the aforesaid building.
...........
Building*
u i,Idin g.1n,spectoA--............
FORM NO. 4
�
TOWN OF SOUTHOLD wCVI 3
BUILDING DEPARTMENT ��N 1 8 2015
Office of the Building Inspector
Town Hall
Southold, N.Y. ZONING SOARS OF AppEALS
CERTIFICATE OF OCCUPANCY
No: Z-31633 Date: 06/27/06
THIS CERTIFIES that the building ADDITION
Location of Property: 960 MARRATOOKA RD MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 115 Block 9 Lot 8.1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 24 2006 pursuant to which
Building Permit No. 32021-Z dated MAY 24, 2006
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is issued
is DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to DIANNE L PARKIN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. NA
PLUMBERS CERTIFICATION DATED N/A
uthorized Signature
Rev. 1/81
RECEIVED
AGRICULTURAL DATA STATEMENT JUN 18 2025
ZONING BOARD OF APPEALS 6)3— —
TOWN OF SOUTHOLD ZONING BOARD OF APPEALS
WHEN TO USE THIS FORM: This form must be completed by the applicant for any special use
permit, site plan approval, use variance, area variance or subdivision approval on property within
an agricultural district OR within 500 feet of a farm operation located in an agricultural district.
All applications requiring an agricultural data statement must be referred to the Suffolk County
Department of Planning in accordance with Section 239m and 239n of the General Municipal
Law.
1. Name of A licant: \1%w n
2. Address of Applicant;_
3. Name of Land Owner(if other than Applicant). m
4. Address of Land Owner:
5. Description of Proposed Pro
ject:
6. Location of Property: R p rty: (Road and Tax map Number)______,_ ..�.
7. Is the parcel within 500 feet of a farm operation? Yes� { �} { } No
8. Is this parcel actively farmed? { ) Yes { } No
9. Name and addresses of any owner(s)of land within the agricultural district containing active
farm operations. Suffolk County Tax Lot numbers will be provided to you by the Zoning Board
Staff, it is your responsibility to obtain the current names and mailing addresses from the Town
Assessor's Office(765-1937) or from the Real Property Tax Office located in Riverhead.
NAME,and WwADDRESS
L-U-C Q.___���w4. w..�� � °gin..._.. .....
2.
3. N�a �Cr 1 k Lc
4.
5.
6.
a'plg;,natre
f this page if there are additional property owners)
of Applicant
lic � Date rrl an
Note:
1.The local Board will solicit comments from the owners of land identified above in order to consider the
effect of the proposed action on their farm operation. Solicitations will be made by supplying a copy of
this statement.
2. Comments returned to the local Board will be taken into consideration as part as the overall review of
this application.
3. Copies of the completed Agricultural Data Statement shall be sent by applicant to the property owners
identified above. The cost for mailing shall be paid by the Applicant at the time the application is
submitted for review.
RECEIVED
617.20 9 ,
Appendix B JUN 18 2025
Short Environmental Assessment Form
Instructions,for Completing ZONING BOARD OF APPEALS
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
1
Name of Action or Project:
�'% 1 -��-n l
Project Location(describe,and attach a location map):
.M
Brief Description�oProp�osledtion: _'
vec
C -bon �Or e'-)a-rS(c)f�
�� Ck " ..
Name of Applicant or Sponsor: Telephone: _
E-Mai I: ( col_..
Address:
CIO,
City/PO: State: Zip Code:
1.Does the proposed iction only involve the legislative adoption of a plan,local law,ordinawe, YES
administrative rule,or regulation? NO
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? NCY YES
If Yes,list agency(s)name and permit or approval:
b.Total acreage to be physically disturbed? mm. es
c.Total acreage ' p y' y he proposed ,acres
3.a.Total acreage ofrohect set and an osed action? acres
g (p y 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) 0 Industrial ❑Commercial Residential(suburban)
❑Forest ❑Agriculture ❑Aquatic ❑Other(specify):
Parkland
Page l of 4
5. Is the proposed action, g 03 NO Y N/A
P P
a.A permitted use under the zoning regulations?
b.Consistent with the adopted comprehensive plan? �UN 1 05 .
6. Is the proposed action consistent with the predominant character of the existing built or natural NO Y
landscape? ZONING BOARD OF APPEALS
7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES
If Yes,identify:
8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES
b.Are public transportation service(s)available at or near the site of the proposed action?
c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action?
9.
f thep Does
proposed action swill exceed requirements,describe design features and technologies:
NO YES
p P energy code requirements.
P P
10. Will the proposed action connect to an existing publiclprivate water supply? _ NO YE
If No,describe method for providing potable water:
-,
11.Will the proposed action co�...to
nnect to existirag wastewater..—.am utilities? NO YES.`
If No,describe method for providing wastewater treatment:
12. a.Does the site contain a structure that is listed on either the State or Natio
nal 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 Y
wetlands or other waterbodies regulated by a federal,state or local agency?
b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody?
If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: _ -
14. Identi the Identify typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: u
�❑/Shor�e Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional
® Wetland ❑Urban ❑Suburban
15.Does the site of the proposed action contain any species of animal,or associated habitats,listed N YES
by the State or Federal government as threatened or endangered?
16.Is the project site located in the 100 year flood plain? NO YES
17. Will the proposed action create storm water discharge,either from point or non-point sources? NO YES
If Yes,
a.Will storm water discharges flow to adjacent properties? 0fN0❑YES
b.Will storm water discharges be directed to established conveyance systems(runo and storm drains)?
If Yes,briefly describe: EYNO❑YES
Page 2 of 4
18.Does the proposed action include construction or other activities that result in inept of NO YES
water or other liquids(e.g.retention pond,waste lagoon,dam)?
If Yes,explain purpose and size:
19.Has the site of the proposed action or an adjoining property been tl _ BILE..__
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:
KNOWLEDGE AND ACCURATE TO THE BEST OF MY m
I AFFIRM THAT THE INFORi"�IATIO O'VIDED A. IS TRUE
Applicant/sponsor nam
e: A�WkL
Date: Z�
Sig .._.
..... _ -
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
trcc occur
L Will the proposed action create a material conflict with an adopted land use plan or zoning
regulations?
2. Will the proposed action result in a change in the use or intensity of use of land?
3. Will the proposed action impair the character or quality of the existing community?
4. Will the proposed action have an impact on the environmental characteristics that caused the
establishment of 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
reasonabl available ene conservation or renewable ever opportunities?
7. Will the proposed action'impact existing:
a.public 1 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? V
9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, /
waterbodies,groundwater,air quality,flora and fauna)? V
Page 3 of 4
RECEIVED
No,or Moderate JUN 18
202, small to large
impact impact
may may
ZONING BOARD OF APPEAL oce occur
10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage
problems?
11. Will the proposed action create a hazard to environmental resources or human health?
Part 3-Determination of significance. The lead.Agency is responsible for the completion of Part 3. For every
question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular
element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3.
Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by
the project sponsor to avoid or reduce impacts.. Part 3 should also explain how the lead agency determined that the impact
may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring,
duration, irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and
cumulative impacts,
❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation,
that the proposed action may result in one or more potentially large or significant adverse impacts and an
environmental impact statement is required.
❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation,
that the proposed action will not result in any significant adverse environmental impacts.
Name of Lead Agency Date
Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer
Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer)
Page 4 of 4
RECEIVED
'3�-
JUN 18 2025
APPLIC T/O &'r1ER ZONING BOARD OF APPEALS
TRANSACTIONAL S'OL' II FORM
The Town of Southold's Code of Ethics probibiLs c nflicts of inter s't on the part of town officers anti gMiglgyLes. he ggrogse.of
thi§f rtn is to rovid formation which can alert the town of ossible c uflict i to est and allow it to take whatever action is
necessary to avoid same.
11R�i�(w —__0_4 ffmN
YOUR NAME : Lock.
0 _,
(Last name,first n ,middle initial, �,unless you are applying itrtfre name w simeoun else or other entity,such as
company.If so,indicate the other person's or company's name.)
Tax grievance APPLICATION: (Check all that apply)TYPE OF APPL � Building Permit
Variance Trustee Permit
Change of Zone Coastal Erosion
Approval of Plat Mooring
Other(activity) ..... Planning
Do you personally(or through your company,spouse,sibling,parent,or child) have a relationship with any officer
or employee of the Town of Southold? "Relationship" includes by blood,marriage,or business interest."Business
interest" means a business, including a partnership, in which the town officer or employee has even a partial
ownership of(or employment by)a corporation in w the town officer or employee owns more than 5%of the
shares.
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/agent/representative)and the town officer or employee.
Either check the appropriate line A)through D) and/or describe in the space provided.
The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply)
A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a
corporation)
B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation)
C)an officer,director,partner,or employee of the applicant;or
D)the actual applicant
DESCRIPTION OF RELATIONSHIP
ANA IIII IBODRIGUEZ
NOTARYPUBLIC-STATE OF NE° YORK
Submitted this d of ,20a's N0,01R06401972
f�MN) IN SUFFOL'g W II�'T'i'
MY. 1 23.2027
Signature
Print Name '( wI
RECEIVED
JUN 18 202
AG :NTIRFPRESENTATI"V
TRANSACTIONAL D11S LOSURF FOR
IVI�DNING BOARD OF APPEALS
11c'"fo n of South i Code Qf E hies 11rolijbits.confligts of interest 2n the part of town oft"i ers and employees.The J)ury,ose of
this form is to prgvide info r ation which can alert the tow of W§sible conflicts of interest and allow it to take whatever action is
necessary to av id sarne.
YOUR NAME :
(Last name,first name,middle initial„unless you acre applying in the name of someone else or other entity,such as a
company.if so,indicate the other person's or company's name.)
TYPE OF APPLICATION: (Check all that apply)
Tax grievance Building Permit
Variance Trustee Permit
Change of Zone Coastal Erosion
Approval of Plat Mooring
Other(activity) Planning
Do you personally(or through your company,spouse,sibling, parent,or child) have a relationship with any officer
or employee of the Town of Southold? "Relationship" includes by blood, marriage,or business interest."Business
interest" means a business, including,a partnership„ i hich the town officer or employee has even a partial
ownership of(or employment by)a corporation in ich the town officer or employee owns more than 5% of the
shares..
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/agent/representative)and the town officer or employee.
Either check the appropriate line A)through D)and/or describe in the space provided.
The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply):
A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a
corporation)
B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation)
C)an officer,director,partner,or employee of the applicant;or
D)the actual applicant
DESCRIPTION OF RELATIONSHIP
ubt fitted tl Iyp ps m 0 Co t,"
tN
2V3
Sig tore .
Print Name
MV3ddV 10 OW08 ONINOZ
SZOZ 91 Nnr
Board of Zoning Appeals Application Q3N3�3a
OWNER'S AUTHORIZATION
(Where the Applicant is not the Owner)
I, E ca y1/n a residing at-R rm a dit --t952
(Print property owner's name) (Mailing Address)
do herebyauthorize
Ir .
(Agent)
to apply for variance(s) on my behalf from the
Southold Zoning Board of Appeals.
By signing this document,the Property Owner understands that pursuant to Chapter 280-
146(B)of the Code of the Town of Southold any variance granted by the Board of Appeals
shall become null and void where a Certificate of Occupancy has not been procured,andlor a
subdivision map has not been filed with the Suffolk County Clerk,within three(3)years from
the date such variance was granted. The Board of Appeals may, upon written request p.rior
to the date of expiration,grant an extension not to exceed three(3)consecutive one(1)year
terms. IT 1S THE PROPERTY OWNER'S ER'S RESPONSIBILITY TO ENSURE
COMPLIANCE WITH THE CODE R U11tED TIME FRAME DESCRIBED HEREIN.
Failure to comply in a timely manner may result in the denial by the Building
Department of a Certificate of Occupancy, nullify the approved variance relief, and
require a new variance application with public hearing before the Board of Appeals
(Owner's Signature)
Exic Whj
(Print Owner's Name)
RECEIVED
Town of Southold 3
JUN 18 2025
LWRP CONSISTENCY ASSESSMENT FORM
A. INSTRUCTIONS ZONING BOARD OF APPEALS
1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for
proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This
assessment is intended to supplement other information used by a Town of Southold agency in
making a determination of consistency. *Except minor exempt actions including Building Permits
and other ministerial permits not located within the Coastal Erosion Hazard Area.
2. Before answering the questions in Section C, the preparer of this form should review the exempt
minor action list, policies and explanations of each policy contained in the Town of Southold Local
Waterfront Revitalization Program. A proposed action will be evaluated as to its significant
beneficial and adverse effects upon the coastal area(which includes all of Southold Town).
3. If any question in Section C on this form is answered "yes", then the proposed action may affect the
achievement of the LWRP policy standards and conditions contained in the consistency review law.
Thus, the action should be analyzed in more detail and, if ri'ecessary, modified prior to making a
determination that it is consistent to the maximum extent practicable with the LWRP policy
standards and conditions. if an action cannot be certified as consistent with the LWRP policy
standards and conditions, it shall not be undertaken.
A copy of the LWRP is available in the following places: online at the Town of Southold's t
-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# _ r
The Application has been submitted to (check appropriate response):
Town Board Planning Dept. Building Dept. Board of Trustees
1. Category of.Town of Southold agency action (check appropriate response):
M'
(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:, ��_.
Site acreage:
Present land use:
Present zoning classification:
ZONING BOARD OF
2. If an application for the proposed action has been filed with the Town of Southold agency, tie lfoNdwing
information shall be provided:
O PP i ���......_
a Name of a hcant: � ���....._..
(b) Mailing address:_-' � ". l l� 5
(c) Telephone number: Area Code 5 "DIA
(d) Application number,if
Will the action b directly undertaken, require funding,or approval by a state or federal agency?
Yes � No If yes, which state or federal agency?_._
DEVELOPED COAST POLICY
Policy 1. Foster a pattern of development in the Town of Southold that enhances community character,
preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and
minimizes adverse effect s of development. See LWRP Section III—Policies; Page 2 for evaluation
criteria.
E'Yes F No (Not Applicable- please explain)
Attach additional sheets if necessary
Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See
LWRP Section III—Po 'cies Pages 3 through 6 for evaluation criteria
Yes R No (Not Applicable— please explain)
RECEIVED
3�
JUN 18 2025
Attach addi� -tion�.al-sheets—if—necessary _ ZL3ti''+llNGfft)AWOF APPEALS
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—please explain)
Attach additional shietsf necessary
NATURAL COAST POLICIES
Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP
Section III—Policies Pages g through 16 for evaluation criteria
Yes No (Not Applicable—please explain)
TL
T-5
VW
..
Attach additional Sheets if necessary
Policy 5. Protect and .improve water quality and supply in the Town of Southold. See LWRP Section III
—Policies PrN
hrou,gh 21 for evaluation criteria
Yes (Not Applicable—please explain)
4AIR—R—-
1 a
,.. — ",.m.n. —La 1 4-PI
.. � ,J/Aj' - W M..P ..,. ..
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—please explain)
Of
t"yrflE
RECEIVED
JUG ....
m- ary ... _._.�.__.r...__..mm-.._....-__ _..�m....�..._.....�.-_..........._.-.�.._...�..
Attach additional sheets if necess
Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies
Pages 32 through 34 for evaluation criteria. See Section III-Policies Pages; 34 through 38 for evaluation
criteria.
M Yes F-� No (Not Applicable-please explain)
. � ( nod Cl�� '<�6-60jd-�
-AN T-
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 El No Not A plicab a-� please explai
F
S t� e
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.
G YeU No 4ot Applicable-please explain)
VITI d
.S . �.
Attach additional sheets if necessary
WORKING COAST POLICIES
RECEIVED
?J
JUN 18 2025
Policy 10. Protect Southold's water-dependent uses and promote siting of new wal M teAppEALS
suitable locations. S L P Section III-Policies; Pages 47 through 56 for evaluation criteria.
E Yes E] No r", (Not Applicable-please explain)
Attach additional sheets if necessary
Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic
Estuary and Town waters. See LWRP Section III-Policies; Pages 57 through 62 for evaluation criteria.
❑ Yes ❑ No Not Applicable-please explain
UL
70 -
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 lifNot Applica le pl se explain
Ins, -C--- CSS 4,a� C� L�
Attach additional sheets if m necessary— .....—
Policy 13. Promote appropriate use and development of energy and mineral resources, See LWRP
Section III-Policies; P ages 65 through 68 for evaluation criteria.
Yes E] No Not Applicable-please explain
V s
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Department of KATHY HOCHUL
YORK
TATE Environmental Governor
Conservation SEAN MAHAR
Interim Commissioner
NO PERMIT NECESSARY
WHITMIRE April 10, 2025
960 MARRATOOKA RD
MATTITUCK, NY 11952 3-�-
Re: WHITMIRE PROPERTY RECEIVED
960 MARRATOOKA RD
MATTITUCK, NY 11952 UUN 18 2025
SCTM #1000-11500-0900-008.001
Application #1-4738-05059/00001 ZONING BOARD OF APPEALS
Dear Applicant:
The Department of Environmental Conservation (DEC) has completed a review of your
proposal to add new house and basement extensions.
Based on the information you submitted, DEC has determined that the project is listed
in the Tidal Wetlands Land Use Regulations (6 NYCRR Part 661.5#26) as a use not
requiring a permit. Therefore, no permit is required under the Tidal Wetlands Act (Article
25) of the Environmental Conservation Law.
Be advised, any additional work or modification to the project as described, may require
DEC authorization. Please contact this office if such activities are contemplated.
Please note that this letter does not relieve you of the responsibility of obtaining any
necessary permits or approvals from other agencies or local municipalities.
Sincerely,
Laura F. Star
Permit Administrator
cc: Traci's Permits
BMHP
File
Division of Environmental Permits, Region 1
50 Circle Road, Stony Brook, NY 11790 1 dec.ny.gov I dep.r1@dec.ny.gov I (631)444-0365
BUILDING DEPARTMr-`'
TOWN OF SOUTHOLD,
HOUSING CODE INSPECTION REPORT
Location 960 Marratooka Road, Mattituck
num er street municipality �� L
Subdivision Map No. Lot(s)
EENED
Name of Owner(s) Donald Hildershiem
Occupancy R-1 Unoccupied 'JU N 18 2025
type owner-tenant)
Admitted by: Self Accompanied by: Self
115-9-e
Key available Suffolk Co. Tax No. ZONING BOARD OF APPEALS
. e at may Source of request Abigail A. Wickham b y 1 , 1ga0
DWELLING:
Type of construction Wood Framed #stories 2
Foundation Cement Block CellarPartial Crawl space Rest
Total rooms, lst. F1 2 2nd. F1 3 3rd. Fl
Bathroom(s) One Toilet rooms)
Porch, type Deck, type Wood Patio, type
Breezeway Garage Utility room
Type Heat Oil Warm Air Centra1 Hotwater
Fireplace(s) No. Exits Airconditioning
Domestic hotwater Yes Type heater Electric
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const. Metal
Swimming pool Guest, type const. _-
Other
VIOLATIONS. Housing Co�de, Chapter
52
L cation _ Descri tion Art. i Sec,
Outside. Ste a
__ P to Wood,Deck
Stairway Need more �8d� �a;i � _..I�. -�°7S
�..._
Remarks: f
Inspected by: ( 1/�/y, Date of Insp. 627-90
Curtis Horton Time start 10:30 end IlloO
= � �r SUTO rF` a0 "`RTC, —QL� COED
J. IEi S E VILLAGE ®.� T SUB, LO T
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LAM iPAP, TOT,AL DATE REMARKS _
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AGE =JILDING CONDITION
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Form nalde Per Ac eVlii
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