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HomeMy WebLinkAbout8047-White ZBA application FORM NO. 3 Received TOWN OF SOUTHOLD JUL 21 2025 BUILDING DEPARTMENT SOUTHOLD,N.Y. Zoning Board of Appeals NOTICE OF DISAPPROVAL DATE: May 14, 2025 TO: Gregory White 35 Sylvan Ave Tuckahoe,NY, 10707 Please take notice that your application dated March 6, 2025: For permit to: construct first and second story additions to an existing sin le-famil dwellin and t: Location of property: 550 Locust Lane Southold NY County Tax Map No. 1000—Section 62 Block 3 Lot 31 Is returned herewith and disapproved on the following grounds: The proposed construction on this non� onfiarin 891 sf arcel ire a Residential -40 District is not permitted pursuant to Article XXIII Section 280-124 which states lots measuring less than 20 000 square feet in total size require a front yard setback of 35 feet a side yard setback of 10 and a combined side yard total of 25 feet. The survey shows the construction to have a front yard setback of 21.6 . The survey shows the construction to have a side yard setback of 2.7'. The survey shows the construction to have a combined side and setback of 19.4'. In addition the proposed additions are not permitted pursuant to Article X:XX'VI Section 280-208 which states any building of structure on an lot in R-40 must be within the sky ...plane. The building lans indicate the structure to be be and tle limits ofthe k lane. �4A dr-W /-j�, Aut)F, ed. Signature Note to Applicant: Any change or deviation to the above referenced application may require further review by the Southold Town Building Department. CC: file, ZBA Received APPLICATION TO THE'SOUTHOLD TOWN BOARD OF APPEALS JUL 2 12025 AREA VARIANCE Zoning Board of Appeals House No. 550 Street Locust Lane Hamlet Southold SCTM 1000 Section: 62 Block: 3 Lot(s) 31 Lot Size: 6,891 SF Zone R-40 I(WE)APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED 3/6/2025 BASED ON SURVEY/SITE PLAN DATED 01/27/2025 Owner(s): Gregory White Mailing Address: 35 Sylvan Ave, Tuckahoe, NY 10707 Telephone: 646-670-1834 Fax: Email: gregjwhitel3l@gmail.com NOTE:In addition to the above,please complete below if application is signed by applicant's attorney,agent, architect,builder,contract vendee,etc.and name of person who agent represents: Name of Representative: Megan Carrick for(X)Owner( ) Other: Address: PO Box 877 James ort NY 11947 Telephone: 631-804-3796 Fax: Email: megan.cmtarchitecture@gmail.com Please check to specify who you wish correspondence to be mailed to,from the above names.- ( )Applicant/Owner(s), (X)Authorized Representative, ( )Other Name/Address below: WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN DATED 01/27/2025 and DENIED AN APPLICATION DATED 05/14/2025 FOR: (X) Building Permit ( ) Certificate of Occupancy ( ) Pre-Certificate of Occupancy O Change of Use ( )Permit for As-Built Construction ( ) Other: Provision of the Zoning Ordinance Appealed. (indicate Article,Section,Subsection of Zoning Ordinance by numbers.Do not quote the code.) Article: XXIII &XXXVI Section: 280 Subsection: 124 &208 Type of Appeal. An Appeal is made for: (X)A Variance to the Zoning Code or Zoning Map. ( )A Variance due to lack of access required by New York Town Law-Section 280-A. ( )Interpretation of the Town Code,Article Section ( )Request for Reversal or Overturn the Zoning Officer's Denial Other A prior appeal( ) has, (X) has not been made;at any time with res ect to this ro er 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 JUL 212025 Revised 6/2023 ,Zoning Board of Appeals REASONS FOR APPEAL (Please be specific,additional sheets may be used with preparer's signature notarized): 1.An undesirable change will not be produced in the CHARACTER of the neighbor or a detriment to nearby properties if granted,because: The proposed front addition will enclose the existing covered porch without extending beyond its current footprint, maintaining alignment with neighboring homes.The existing 2.7'side yard setback will remain unchanged,consistent with the character of the neighborhood and its small lot sizes.The current structure already encroaches upon the pyramid law due to its location 2.7' from the property line;the proposed changes maintain this encroachment due to the location of the house. 2.The benefit sought by the applicant CANNOT be achieved by some method feasible for the applicant to pursue,other than an area variance,because: The existing house remains on a small, non-conforming lot, leaving no feasible alternative to achieve the proposed benefit without an area variance. t 3.The amount of relief requested is not substantial because: The amount of relief requested is not substantial because it aligns with existing conditions on the property and is consistent with the development pattern of neighboring lots. 4.The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: The variance will not adversely affect the physical or environmental conditions of the neighborhood,as the proposed construction builds off the existing structure and encloses the front porch,with minimal ground disturbance for the rear addition. 5.Has the alleged difficulty been self created? { } Yes,or {X} No Why: The difficulty is not self-created, as the property was purchased in its existing condition.The proposed changes are intended to make the home more functional and livable for the family's needs. • Are there any Covenants or Restrictions concerning this land? {X}No { }Yes(please furnish a copy) • This is the MINIMUM that is necessary and adequate, and at the same time preserve and protect the character of the neighborhood and the health,safety and welfare of the community. 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 fled 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 ENSURE COMPLIANCE WITH THE CODE REQUIRED TIME FRAME DESCRIBED HEREIN. Signat °e fApp `oant or Authorized e nt (Agent must submit written Authorization from Owner) Sworn to before me thine day PAWN C.THOMAS 20 � NOTARY PUBLIC,STATE OF NEW YORK 4a.t i ,' IVO.tl2TH�FFOL CQUALIFIED IN SUFFOLK CO "{"Y 1NYC' SSION�S MAY 2 a lic Received Zoning Board of Appeals JUL 21 2025 APPLICANT'S PROJECT DESCRIPTION Zoning Board of Appeal6 APPLICANT: Gregory White (Megan Carrick-Agent) SCTM No. 1000-62-03-31 1.For Demolition of Existing Building Areas Please describe areas being removed: The brick& Concrete steps leading to the exiting front porch are to be removed. The existing wood stoop, steps& paver patio are to be removed off of the existin2 rear of the house. The roof over brick& concrete stoop over the existing side entrance are to be removed. II.New Construction Areas (New Dwelling or New Additions/Extensions): Dimensions of first floor extension: 16.5'x 17.8'addition off the rear&12.3'x 6.9'addition by enclosing existing front porch Dimensions of new second floor: Roughly 17'-1"x 24'-0" Dimensions of floor above second level: NA Height(from existing natural grade): 24'-2" Is basement or lowest floor area being constructed? If yes,please provide height(above ground)measured from natural existing grade to first floor: No-basement already exists III.Proposed Construction Description(Alterations or Structural Changes) (Attach extra sheet if necessary). Please describe building areas: Number of Floors and General Characteristics BEFORE Alterations: The existing house has a living room, kitchen bathroom,and two bedrooms on the first floor.The second floor is a loft with cathedral ceilings over the kitchen&living room. Number of Floors and Changes WITH Alterations: The existinq kitchen, livinq room, bathroom and two bedrooms will remain with the addition of a bathroom in bedroom#2. Bedroom#2 will be expanded by enclosing the front porch.A dining room will e add-ed-Mr—ou—g-h an Addition oft the Back of he house. he s cond floor oft is to be trans orme $n o 2 bedrooms&a bathroom with the proper ceiling height.The cathedral ceilings over the kitchen&living room are to remain. IV.Calculations of building areas and lot coverage,sky plane(From Surveyor,Design Professional): Existing square footage of buildings on your property: 868 SF Proposed increase of building coverage; 476 sf Total Pro osed= 1,344 SF Square footage of your lot: 6,891 sf Percentage of coverage of your lot by building area(lot coverage) 19.5 % (Proposed) Gross Floor Area_(C"FAJ 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): 1,592 SF For Residential lots,is project within the allowable Sky Plane? (Please refer to Chapter 280, Section 280-208 of the Town Code): No V.Purpose of New Construction: The proposed additions&alterations are intended to make:the home more functional and livable for the famil 's needs. VI. Please describe the land contours (flat,slope %,heavily wooded,marsh area, etc.)on your land and how it relates to the difficulty in meeting the code requirement(s): Describe on separate page if needed: Flat Please submit S 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. QUESTIONNAIRE ReV1R666ived FOR FILING WITH YOUR ZBA APPLICATION JUL 21 2025 A. Is the subject premises currently listed on the real estate market for sale? Zoning Board of Appeals Yes X No B. Are there any proposals to change or alter land contours? X No Yes,p p p lease explain on separate sheet. m_____ C. 1.)Are there areas that contain sand or wetland grasses? NO 2.)Are those areas shown on the survey submitted with this application? 3.)Is the property bulk headed between the wetlands area and the upland building area? 4.)If your property contains wetlands or pond areas,have you contacted the Office of the BOARD OF TRUSTEES for its determination of jurisdiction? Please confirin status of your inquiry or application with the Board of Trustees: ......_ ..........._ ...............� If issued,please attach copies of your permit listing conditions of approval with a copy of the approved survey. D. Is there a depression or sloping elevation near the area of proposed construction at or below five feet above mean sea level? NO E. Are there any patios, concrete barriers,bulkheads or fences that exist that are not shown on the survey that you are submitting? NO 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? NO 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? NO If yes,please label the proximity of your lands on your survey and identify the Suffolk County Tax Map No. I. Please list present use or operations conducted at your property, and/or the proposed use Existing Sin9.le family home J. (examples:existing single family,proposed:same with garage,pool or other) �i✓� Autla( i , signature Date � Il d1C,f Town of Southold 1/31/2022 P.O.Box 1179 53095 Main Rd by ` Southold,New York 11971 Received JUL 2 ���� CERTIFICATE OF OCCUPANCY Zoning BO � 1 No: 42714 Date: 1/31/2022 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 550 Locust Ln., Southold SCTM#: 473889 Sec/Block/Lot: 62.-3-31 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/28/2021 pursuant to which Building Permit No. 47339 dated 1/13/2022 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: "as built"alterations including HVAC hot water heater bathroom kitchen and finished loft to existing single-family dwelling as appliedfor. The certificate is issued to Hastanan,Montalee of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47339 1/25/2022 PLUMBERS CERTIFICATION DATED 9/26/2021 a is an i bi g I c Aut ri edD ture Town Full Annex Telephone(631)765-1802 54375 Main Road Re C&W J765-9502 P.O.Box 1179 (a Southold,NY 11971-0959 ., JUL 21 2025 BUILDING DEPARTMENT Zoning Board of Appea{s TOWN OF SOUTHOLD CERTIFICATIO-N Date: Building Permit No Owner: - - - - (Please print) Plumber: Samaritan Plumbing Inc..- .. - G ohs' M P (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plu Signature) Sworn to before me this ° day o 20 Pubk SW of Now York Camrf I 10R E 91M81+Eov la r Notary Public—, hilt Town of Southold 1/31/2022 53095 Main Rd Southold,New York 11971 Received 3)4A J JUL 21 PRE EXISTING zoning Board of Appeals CERTIFICATE OF OCCUPANCY No: 42715 1Date: 1/31/2022 THIS CERTIFIES that the structure(s)located at: 550 Locust Ln., Southold SCTM#: 473889 Sec/Block/Lot: 62.-3-31 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a ` built prior,to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 42715 dated 1/31/2022 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame sin le family dwelling with covered front arch The certificate is issued to Hastanan,Montalee (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. dd thor' a Signature AGRICULTURAL DATA STATEMENT ZONING BOARD OF APPEALS TOWN OF SOUTHOLD WHEN TO USE THIS FORM: This form must be completed h)r the applicant for afflD permit,site plate approval, use variance, area variance or subdivision approval on pr � t i�,.I an agricultural district OR ruithin, 00 feet of a faun operation located in an agricultural district. All applications requiring an agricultural data statement must be referred to the suffolkMAJ 2025 Department of Planning in accordance with Section 239m and 239n of the General Municipal Law. Zoning Board of Appeals 1. Name of Applicant: Megan Carrick 2. Address of Applicant: PO Box 877 James ort NY 11947 3. Name of Land Owner(if other than Applicant): Gregory White 4. Address of Land Owner: 550 Locust Lane, Southold 5. Description of Proposed Project: Construct additions and alterati'm to exsstin single frniy borne.__ _ 6. Location of Property: (Road and Tax map Number)... 550 Locust Lane,Southold 1000-62-03-31 7. Is the parcel within 500 feet of a farm operation? { } Yes {X} 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 ADDRESS, 1. 2. 3. 4. 5. 6. (Please use the back of this l,a e if there are additional property owners) Sigtr b rt f Applicant Date Note: 1.The local Board will solicit comments from the owners of land identified above in order to consider the effect of the proposed action on their farm operation. Solicitations will be made by supplying a copy of this statement. 2. Comments returned to the local Board will be taken into consideration as part as the overall review of this application. 3. Copies of the completed Agricultural Data Statement shall be sent by applicant to the property owners identified above. The cost for mailing shall be paid by the Applicant at the time the,application is submitted for review. 617.20 Appendix B bistructions Coml2lefing Short Environmental Assessment Form �eCReceived <�JAA Part 1-Project Information. The applicant or project sponsor is responsible for the completion of Jq t Responses' become part of the application for approval or funding,are subject to public review,and may be subject t 'dv tion, Complete Part 1 based on information currently available. If additional research or investigation would be needed to f,1 yy respond to any item,please answer as thoroughly as possible based on current"anfornat..ion.. Zoning Bo rcl Of APPeale 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: White Residence Project Location(describe,and attach a location map): 550 Locust Lane,Southold NY Brief Description of Proposed Action: Proposed additions and alterations to an existing single-family residence,including: -Construction of a 16.5'x 17.8'rear addition -Installation of an outdoor shower off the rear addition -Enclosure of the existing front porch -Construction of a 5.7'x 6.0'side mudroom addition with a covered porch entry Name of Applicant or Sponsor: Telephone: 631-804-3796 Megan Carrick E-Mail: megan.cmtarchitecture@gmail.com Address: City/PO: State: Zip Code: PO Box 877,Jamesport NY 11947 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 X may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: X 3.a.Total acreage of the site of the proposed action? 0.158 _acres b.Total acreage to be physically disturbed? 0.030 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.158 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial in Residential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑ Other(specify): ❑Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? X s b. Consistent with the adoptedP comprehensive plan? -3 i e ff 6. Is the proposed action consistent with the predominant character of the existing built or ral NO YES landscape? it 21 2025 X 7. Is the site of the proposed action located in,or does it adjoin,a state listed Cri vi�paie pf Area? NO YES If Yes,identify: I[I e X 8, a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES X b.Are public transportation service(s)available at or near the site of the proposed action? X c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? X 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: X 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: X 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: NEW IA SEPTIC SYSTEM X 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? X b.Is the proposed action located in an archeological sensitive area? e X 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? X 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: X 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑ Shoreline ❑ Forest ❑Agricultural/grasslands ❑ Early mid-successional ❑ Wetland ❑Urban ® 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? x 16.Is the project site located in the 100 year flood plain? NO YES X 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? ®NO ❑YES X b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO ®YES RAINWATER DRYWELLS Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g. retention pond,waste lagoon,dam)? If Yes,explain purpose and size: X 19.Has the site of the proposed action or an adjoining property been the locatiRODIN" r closed NO YES solid waste management facility? If Yes,describe: �o� 1 LV25 X 20.Has the site of the proposed action or an adjoining property been the s W"Preniediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: X I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Appiicantlsponsor n tile: Megan Carrick Date: 6/13/25 Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur I,. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 3, Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No, r Moderate small to large edipact may may o w rr occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-tern,long-term and cumulative impacts. • Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. • Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. 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 A Received Sbl- Board of Zoning A eats Application JUL 21 2025 Zoning Board of Appeals OWNER'S AUTHORIZATION (Where the Applicant is not the Owner) residing at S� � U 7 WE (Print property owner's name) (Mailing Address) j'r\0� do hereby authorize (Agent) C 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,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 of Appeals may,upon written request prior to the date of expiratlou,grant an extension not to exceed three(3)consecutive one(1)year terms. IT IS HE PRO RTY O RISRES]LQNSMILITXTOENSU_RECpl_qP__LJAN E WITH THE CODE RE UMED TIME FRA DESCRIBED HEREIN. (Owner's Signature) r (Print Owner's Name) Received JUL 21 2025 APPLICANT/OWNER Zoning Board of Appeals TRANSACTIONAL DISCLOSURE FORM Y h o o t d° de afhibib—illits finterest go tht alEj gfit wo.afflan aa4 ee this,form is to provide inf2rmatign which can alert the town of possible conflicts of interest and allow it to take whatever action is necessswrw to avteid aatne. ,,,c� YOUR NAME: LW��T� 1`Q^ r (Last name,first name,middle Initial,unless you are applying In the name of someone else;or other entity,such as a company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION:(Check all that apply) Tax grievance Building Permit Variance ` Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business interest""means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. I Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agenttrepresentative)and the town officer or employee. Either check the appropriate line A)through D,)s nd/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation) B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant;is not a corporation) C)an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this day of JNQMC ,20 ZS Signature � = Print Name G-vir-C4- uk�rmn S Received JUL 2 1202 AGENT/REPRESENTATIVE Zoning Board of Appeals TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibit's conflicts of interest on the part of town officers and emploves.The ose of this form is to provide information which can alert the town of possible cqnfllcts of interest and allow it to take whatever action is necessaij to avoid same. 4 YOUR NAME : " , &YDdCk/ At AA FE375 t name,first Heartmiddle itial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business interest" means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO 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) Q an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this f-1 day of . ,20 Signature Print Name Town of Southold Received SAO JUL 2 12025 LWRP CONSISTENCY ASSESSMENT FORM Zoning Board of Appeals A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in:the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 62 - 03 - 31 The Application has been submitted to(check appropriate response): Town Board 0 Planning Dept. © Building Dept. 0 Board of Trustees 0 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital 0 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: To construct additions/alterations to an existing single family residence. Received Location of action: 550 Locust Lane,Southold JUL 21 2025 Site acreage: 0.158 Zoning Board of Appea16 Present land use: Single Family Residence Present zoning classification: R-40 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: Megan Carrick(agent) Gregory White(property owner) (b) Mailing address: Po Box 877,Jamesport NY 11947 (c) Telephone number: Area Code( ) 631-804-3796 (d) Application number, if any: Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes ❑ No l If yes,which state or federal agency? DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. R Yes [] No Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria Yes 11 No E Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the DateW cold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria © Yes No 0 Not Applicable JUL 21 2025 --or-61-ly- Board of Appea*— Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria Yes 1:1No © Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria di Yes No D Not Applicable proposed IA septic system 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. 11 Yes [] No© Not Applicable I'll 10- Attach additional sheets if necessary JUL 2 12025 Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Sectio IIT Policies Pages 32 through 34 for evaluation criteria. Zoning Boar of Appea�s 11 Yes ❑ No® Not Applicable Attach additional sheets if necessary Policy S. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No © Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. E] YeO No El Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. Yes 11 No [ Not Applicable L oar o Appeals 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. 1 Yes ❑ No © Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes 0 No❑ Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. Yes ❑ No ® Not Applicable Created on 5125105 11:20 AM Addition through Enclosing Existing Front Porch ' �< < I� t x I a - i u.. 4 � r t View looking south-west at the front of the home, _ ' 3 y View looking south-east. View looking north west, m m aT Property Owner:Greg White: Address:550 Locust Lane,Southold SCTM# 1000-62-3-31 Photographed on:6/13/25 Proposed Side Entry Addition with Porch i s _ — F r e — ofP - yV er nor � � I of Side er of Por,- V 2100 View looking north-east. View looking south-west. Property Owner:Greg White Address: 550 Locust Lane,Southold SCTM M 1000-62-3-31 Photographed on:6/13/25 Proposed Side Entry Addition with Porch \Vv�v .. . �E ^d1 _ -, Corner-of-Porch 1 wq �. `� - O T 0- N View looking north west. Property Owner:Greg White Address: 550 Locust Lane,Southold SCTM#:1000-62-3-31 Photographed on: 6/13/25 Proposed Rear Addition \'\\ O c N\ \U\ \\ qg \ A \ `\ - y _ CD y _A o r (D — 0 < O CD i n y Corner of proposed 3 rear porch View looking north-east. Property Owner:Greg White Address:550 Locust Lane,Southold SUM#: 1000-62-3-31 Photographed on:6/13/25 Proposed Rear Addition i ate_ View looking south-east. View looking north-east.. N 0 c0 CD L W r— CD Q Lz O i" ` CID N � Ul (D w Properly Owner:Greg White' Address:550 Locust Lane,Southold SUM M10OD-62-3 31 Photographed on:6/13/25 Proposed Rear Porch off Proposed Rear Addition =� e View looking north west.. o cc �— CD °— CD LIZ N_ CD N `ZD tsi c�1 View looking north-east. Property Owner:Greg White Address: 550 Locust Lane,Southold SCTM#:1000-62-3-31 Photographed on:6/13/25 1 l TOWN OF S T L 2- PROPERTY E 51 a�-� - 0 9 a-. OWNER STREET v# VILLAGE LOT Fm FORMER OWNER N E - ACREAGE On, 4 S W TYPE OF BUILDING RES. 6 SEAS. VL. FARM COMM. IND. CB. MISC. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS Cl I , 70rI` / 1 al 7 4 g I AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD '52 w b Tillable 1 BULKHEAD Tillable 2 DOCK - Tillable, 3 Woodland w Z6bz 4 � a_ Swampland 0 Brushland House Plot Total All 33 < ---.� 3 0 �s CD i r � wJ 0 a _ CD 3 KA d _ - Foundation /� Bath ' &`y lxte ion — ' Basement !✓ Floors Extension Ext. Walls ? r,� Interior Finish Extension i Fire Place HeatIla ) _F Porch :Roof Type �� � Porch Rooms 1 st Floor ' Breezeway j Patio Rooms 2nd Floor _ � i Garage Driveway Dormer O. B. J _ e) 3