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HomeMy WebLinkAbout#8052 Costantino FORM NO. 3 RECEIVED 8p�R TOWN OF SOUTHOLD AUG 01 2025 BUILDING DEPARTMENT SOUTHOLD,N.Y. ZONING BOARD OF APPEALS NOTICE OF DISAPPROVAL DATE: May 27, 2025 TO: Jaclyn Costantino 295 Beckwith Ave Southold,NY, 11971 Please take notice that your application dated April 17, 2025: For permit to: construct an accesso pool to an existing single-family dwelling at: Location of property: 155 Manor road East Marion NY County Tax Map No. 1000—Section 38 Block 4 Lot 5_1 Is returned herewith and disapproved on the following grounds: The Proposed construction on this 13 939.2 s .Ft. p arceI in the Residential.B-40 is not permittedpursuant to Article III Section 2 0-15 which states accessory buildings and structures shall be located in the required rear yard. The proposed construction places the accessory ool in the side Yard. AutlVzed 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 �� AUG 01 2025 APPLICATION TO SO OLD TOWN B ARD OF APP ALS AREA VARIANCE ZONING BOARD OF APPEALS House No. 155 Street Manor Road Hamlet East Marion SCTM 1000 Section: 38 Bloch: 4 Lot(s) 5-1 Lot Size: 13,9392 Zone R-40 I(WE)APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED 5-27-202,5 BASED ON SURVEY/SITE PLAN DATED 4-2-2024 Owner(s): ANDREW CHARRON&JACLYN COSTANTINO Mailing Address: 295 BECKWITH AVE SOUTHOLD NY 11971 Telephone: 8603773898 Fax: N/A Email: andrewdaenorth:nh.cozn NOTE:In addition to the aft"v please complete below dapplication is signed by applicant's attorney,agent, architect,builder,contract vendee,eta and name of person who agent represents: Name of Representative: for( )Owner( )Other: Address: Telephone: Fax:- Email: , Please check to specify who you wish correspondence to be mailed to,from the above names: (4 Applicant/Owner(s), ( )Authorized Representative, ( )Other Name/Address below: WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN DATED 4-2-2024 and DENIED AN APPLICATION DATED 5/27/25 FOR: 00 Building Permit ( )Certificate of Occupancy ( )Pre-Certificate of Occupancy ( )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Do not quote the code.)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. III Section: 280-15 ,Subsection: Type of Appeal. An Appeal is made for: (2)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 ZoningOfficer's Denial Other A prior appeal( )has, (x)has not been made at any time with res ect to tttiis roe , UNDER Appeal No(s). Year(s). (Please be sure to research before completing this question or call our office for assistance) Page 2,Area Variance Application RECENED Revised 62023 AUG 01 2025 EAS+O!NS FOR"_PEAL (Please he specifies addidonal sheets may he used with preparer's signature notarized): ZONING BOARD OF APPEALS 1.An undesirable change will not be produced in the CHARACTER of the neighbor or a detriment to nearby properties if granted,because: THIS PROPERTY IS A UNIQUE OUTTER CORNER LOT WITH ADJCENT ROAD ON EAST SIDE YARD ALMOST GIVING PROPERTY TWO FRONT YARDS. BECAUSE OF THIS,ALONG WITH,POOLS AT OTHER PROPERTIES IN THE NEIGHBORHOOD,THIS WILL NOT BE AN UNDESIRABLE CHANGE 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: THERE IS NOT ENOUGH ROOM AT THE REAR OR FRONT OF THE PROPERTY TO PUT A POOL WITH OR WITHOUT SIGNIFCANT ENCOURAGEMENT OF SETBACKS 3.The amount of relief requested is not substantial because: THIS POOL WILL BE LOCATED WITHIN THE PROPERTY SIDEYARD SETBACKS 4.The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: THIS POOL WILL BE CONSISTANT WITH OTHER POOLS IN THE NEIGHBORHOOD. 5.Has the alleged difficulty been self created? { }Yes,or{)f No Why: WHEN THE HOUSE WAS BUILT IN 1971,NO ROOM WAS LEFT FOR CONSIDER OF A POOL • Are there any Covenants or Restrictions concerning this land? { 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 ofthe 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)consecutiveg(1)yerms. IT IS THE PROPERTY OWNER'S RESPONSIBILI'T°Y TO ENSURE CE WITH THE CODE REQUIRED TIME FRAME DESCRIBED HEREIN. Si or Authorized Agent (Agent must submit written Authorization from Owner) Sworn to before me this j:�5 —day �Fuentes of Kim E.Fuentes Notary Public,State of New York Oualified in Suffolk County 0 PUb i -- UC.#01 FU4811709 Commission E ires nI 39,"20 RECEIVED Zoning Board of Appeals AUG 01 2025 APPLICANT'S PROJECT DESCRIPTION ZONING BOARD OF APPEALS APPLICANT: Andrew Charron&Jacl Costantino SCTM No. 100038 4 5.1 1.For Demolition of Existing Building Areas Please describe areas being removed: N/A H.New Construction Areas(New Dwelling or New Additions/Extensions): Dimensions of first floor extension: N/A Dimensions of new second floor: N/A Dimensions of floor above second level: N/A Height(from existing natural grade): N/A Is basement or lowest floor area being constructed?If yes,please provide height(above ground)measured from natural existing grade to first floor: N/A M.Proposed Construction Description(Alterations or Structural Changes) (Attach extra sheet if necessary).Please describe building areas: Number of Floors and General Characteristics BEFORE Alterations: N/A Number of Floors and Changes WITH Alterations: N/A IV.Calculations of building areas and lot coverage,sky plane(From Surveyor,Design Professional): Existing square footage of buildings on your property: N/A Proposed increase of building coverage: N/A Square footage of your lot: N/A. Percentage of coverage of your lot by building area(lot coverage) N/A. Gross Floor Area( rFA)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): N/A For Residential lots,,is project within the allowable Sky Plane?(Please refer to Chapter 280,Section 280-208 of the Town Code): N/A. V.Purpose of New Construction: Pool 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: AREA IS CURRENTLY A FLAT GRASS LAWN 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. Revised 6/2023 QUESTIONNAIRE FOR FILING WITH YOUR ZBA APPLICATION RECEIVED A. Is the subject premises currently listed on the real estate market for sale? AUG 0 1 Yes X No 2025 B. Are there any proposals to change or alter land contours? ZONING BOARD OF APPEALS X No Yes,please explain on separate sheet. C. l.)Are there areas that contain sand or wetland grasses? N 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? N/A 4.)If your property contains wetlands or pond areas,have you contacted the Office of the BOARD QE]MLJ&MM for its determination of jurisdiction? Please confirm status of your inquiry or application with the Board of Trustees: N/A 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? N E. Are there any patios,concrete barriers,bulkheads or fences that exist that are not shown on the survey that you are submitting? YES If any of the aforementioned items exist on your property,please show them on a site plan. PATIO F. Are there any construction projects currently in process on your property? N Ifyes,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? N 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 SINGLE FAMILY,PROPOSED;SAME WITH POOL J. (examples:existing single family,proposed same with garage,pool or other) 7 Z /2-5 JAM U& FORM NO.4 RECEIVED TOWN OF SOUTHOLD BUILDING DEPARTMENT AUG 01 2025 Office of the Building Inspector Town Hall Southold,N.Y. ZONING BOARD OF APPEALS UPDATED C.O. Certificate Of Occupancy No.Z15025 .. . .. . ... . Date . . . . _October 22.. . . . . .. ... . . 1986. THIS CERTIFIES that the building . M . „ . . .... . . . . . N Location of Property ,155 Manor Road . mm East MarionF . Hou,se No M. » • • ., . . `sir .Ha.rra. . County Tax Map No. 1000 Section . . 3.8 . . .. . . .Block . . . ...4.. . . . . . .Lot . . , ' . . . . . . . .. . Subdivision . . . . . . . . . . . . . . . . . . . . .. . .. . . . . . .Filed Map No. .. . . . .. .Lot No. . ... .. . . . . .. . conforms substantially to the Application for Building Permit heretofore filed in this office dated _ . .Oct .2 7_ _ . _ . . __ . . . 19 7 P.pursuant to which Building Permit No. . . 5 0 3 6 Z . . .. . .* . dated . Oct ,_ U . . . . . . . . . . . .. . . . . . 19 .70,was issued,and conforms to all of the requirements of the applicable provisions of the law.The occupancy for which this certificate is issued is .. . .. . .. . One family dwelling with attached 2 car garage. The certificate is issued to wife. . .. ... . . . of the aforesaid building. Suffolk County Department of Health Approval . . . .Julie, 2 ,. 1971. Robert A:. Villa.. . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . .... .. . . .. .. . . . . .. . .. . .. . ****Update of C.O. Z4272 June 23, 1971 . . . ./.� .. » . . » . . .. . . ."... . .. . .Y. .. .. Building Inspector Rev.1/81 Town of Southold Annex 1/15/2014 P.O.Box 1179 54375 Main Road RECEIVED Southold,New York 11971 AUG 01 2025 CERTIFICATE CATS 'F OCCUPANCYZONING BOARD OF APPEALS No: 36715 Date. 1/15/2014 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 1090 Cedar Ln,East Marion, SCTM#: 473889 Sec/Block/Lot: 38.4-5.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 7/12/2013 pursuant to which Building Permit No. 38183 dated 7/18/2013 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: ROOF MOUNTED SOLAR PAI�IELS TO Ali E lST1NCa O ELLII�C AS Al'PLlE11 I~OR The certificate is issued to Egert Fmly 2008 Irrev Trt (OWNER) mm�" of the aforesaid building_ SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38183 _ 01-14-2014 PLUMBERS CERTIFICATION DATED Authorized Signature at sari Town of Southold P.O. Box 1179 RECEIVED 53095 Main Rd Southold, New York 11971 AUG 0 1 2025 CERTIFICATE OF OCCUPANCY ZONING BOARD OF APPEALS No: 46118 Date: 04/17/2025 THIS CERTIFIES that the building WINDOWS IN DWELLING Location of Property: 155 Manor Rd East Marion,a NY 11939 Sec/Block/Lot: 3 8.-4-5.1 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 05/06/2024 Pursuant to which Building Permit No. 50874 and dated: 06/26/2024 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: Window replacements, HVAC system and water heater to an existing single-family dwelling as applied for. The certificate is issued to: JaSbT Costantino , Andrew Charron Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL. ELECTRICAL CERTIFICATE: 50874 3/25/2025 PLUMBERS CERTIFICATION: Atkh riz Signature RECEIVED 86;L AUG 0 1 2025 AGRICULTURAL DATA STATEMENT ZONING BOARD OF APPEALS 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 agricuUural 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 ofApplicant: ANDREW CHARRON&JACLYN COSTANTINO 2. Address of Applicant: 155 MANOR ROAD EAST MARION NY 11939 3. Name of Land Owner(if other than Applicant): 4. Address of Land Owner: 5. Description of Proposed Project: INGROUND POOL 6. Location of Property:(Road and Tax map Number) 1000-38-4-5.1 7. Is the parcel within 500 feet of a farm operation?{X}Yes { }No 8. Is this parcel actively farmed? { }Yes {X}No 9. Name and addresses of any owner(s)of land within the agricultural district containing active farm operations. Suffolk County Tax Lot numbers will be provided to you by the Zoning Board Staff,it is your responsibility to obtain the current names and mailing addresses from the Town Assessor's Office(765-1937)or from the Real Property Tax Office located in Riverhead. NAME and ADDRESS 1 31-6-28.6 ROZENBAUM,SUSAN 100 GREENWAY TER FOREST HILL NY 11373 2 38-5-7 ROZENBAUM,SUSAN 100 GREENWAY TER FOREST HILL NY 11373 3. 38-1-1.13 6500 MAIN ROAD E MARION LLC C/O SOLOW REALTY&DEV 9 W 57TH ST STE 4500 NEW YORK,NY 10019 4. 5. 6. (Please the ck this page if there are additional property owners) Signa of 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. Rozenbaurn Susan 100 Greenway Ter Forest Hills, NY 11375 RECEIVED AUG 01 2025 ZONING BOARD OF APPEALS 6500 Main Rd E Marion LLC c/o Solow Realty & Devi 9 W 57th St Ste 4500 New York, NY 10019 RECEIVED 00��� AUG 0 1 2025 APPLICAN' IOWTER. TRANSACTIONAL DISCLOSURE:FORM ZONING BOARD OF APPEALS It own hold's C 1bi i c i9krSA an 1bg pgaijqfn officers and emnlovees.The nurnose of thifi EOEM laft9wids" rorm ti which m alert Ms 12ffo ofgwjhLe c and allow It lo,1mkewb*teveragj!&n is flocesmary t avold same. YOUR NAME•• CHARRON,ANDREW J (Last name,fast name,middle initial,unless you are)ppbft 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 X Variance X 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 witb any officer or employee of the Town of Southold?"RelationsliV includes by blood.,marriage;,or business interest"Business interest"meads 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 X 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(ageut(r presentative)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 Submitted this day of �, 1M j Signature Print Name RECEIVED 6I Z20 ICJ AppendixB AUG 01 2025 Short Environmental Assessment Form InstEMIJiLons for Comnlreting 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 Name of Action or Project: POOL AT 155 MANOR ROAD EAST MARION NY Project Location(describe,and attach a location map): 155 MANOR ROAD EAST MARION NY 11939 Brief Description of Proposed Action: INSTALL A NEW POOL IN THE EAST SIDE YARD OF PROPERTY Name of Applicant or Sponsor. LE-Mail: one: 8603773898 ANDREW CHARRON&JACLYN COSTANTINO andrew@duenort'hnb.com Address: 295 BECKWITH AVE City/PO: State: Zip Code: SOUTHOLD NY 11971 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? 0.33 acres b.Total acreage to be physically disturbed? 0.013 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.33 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) 0 Industrial ❑Commercial EXResidential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 RECEIVED 5. Is the proposed action, AUG 0 1 2025 NO YES N/A a.A permitted use under the zoning regulations? X b.Consistent with the adopted comprehensive plan? OF APPEALS 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? X 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: 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: 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? 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? X If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: I 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 IlSuburban 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 stone 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 O YES Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? f If Yes,explain purpose and size: RECEIVED �J Z X 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: ZONING BOARD OF APPEALS X 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: X I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Date: Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2, Answer all of the following questions in fart 2 using the inforrnation contained in Dart.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 any responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonabi available eta conservation or renewable ene o rtunities?' 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 RECEIVED n� No,or Moderate AUG 0 1 2025 small to large impact impact ZONING BOARD OF APPEALS may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems. 11. Will the proposed action create a hazard to environmental resources or human health? Pant 3-Determination ofsignificance, 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 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 bow 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 bog if"you have det rmincd,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 Town of Southold RECEIVED AUG 0 1 2025 LAP C S>�STENC''l�'ASSESS NTFORM A. INSTRUCTIONS ZONING BOARD OF APPEALS I. 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. *Ewept minor exempt actions including Building permits and other ministerial permits not located within the Coastal Erosion HazardArea. 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 snaking 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 LYW policy standards and conditions,it shall n—ot be un 'ertaken. 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# 38 _ 4 _5.1 The Application has been submitted to(check appropriate response): Town Board E] Planning Dept. 0 Building Dept. M Board of Trustees ZBA X 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g.capital Q 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: INGROUND POOL Location of action: 155 MANOR ROAD EAST MARION NY 11939 RECEIVED Site acreage: 0.33 1 2025 MVV Present land use: SINGLE FAMILY RESIDENTIAL Present zoning classification: R40 ZONING BOARD OF APPEALS 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- (b) Mailing address:. (c) Telephone number:Area Code (d) Application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes II No D 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_ Yes 0 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 11 Yes D No 0 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 0 Yes Q No © Not Applicable RECEIVED 'EALS 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 E] Yes [!] No ® Not Applicable Attach additional sheets if necessary Policy S. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria 11 Yes 0 No ®Not Applicable Attach additional sheets ifnecessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Msh and WddN aHabitats and wetlands. See LWRP Section M—Policies;Pages 22 through 32 for evaluation criteria. M Yes [3 No® Not Applicable RECEIVED Attach additional sheets if necessary ZONING BOARD OF APPEALS Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III—Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑No® Not Applicable Attach additional sheets ifnecessary Policy 8. Minimize environmental, degradation m Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies;Pages 34 through 38 for evaluation criteria. 0 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 lII—Policies;Pages 38 through 46 for evaluation criteria. nn 0 YeEl No© Not Applicable Attach additional sheets if necessary WORJMG COAST POLICEES 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. Q Yes ❑ No ® Not Applicable q RECEIVED OARD Attach additional sheets if necessary OF APPEAI» Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies;Pages 57 through 62 for evaluation criteria. ❑Yes ❑ No© Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluation criteria. 0 Yes ❑ No© Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section M—Policies;Pages 65 through 68 for evaluation criteria. ❑Yes ❑ No ® Not Applicable Created on 512510511.20 AM f s �p RECEIVED AUG 01 2025 ZONING BOARD OF APPEALS O IQO ca LL �y 1 dNS�II vP T� fp- P� a? 0 O7 UO C (a LL IM � u � • i 5. 2 I , TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST- SUB. LOT ' , e C's ' AC REMARKS TYPE OF BLD. _ PROP. CLASS 7" 2-0 LAND IMP TOTAL ` A DATE 1 � yy r - I � , Mo Ia � r , o r � , } — I ��1;i v. rLrji� t` I 7 /ul tj j2 q 7y hi o IAAa t FRONTAGE ON WATER LLABLE_ WN F , e� R FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD -� HOUSE/LOT � . 1 / =3 — TOTAL 4 TOWN OF SOUTIHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT . a 3 3 ACR= REMARKS TYPE OF BLD. PROP. CLASS LAND IMP. TOTAL DATE ° a � a ez O - f r LA- CNJ Lu O Ix L'7 0 f r s z TOWN 1 SOUTHOLD O FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT !` TOTAL TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST SUB LOT ACR. REMARKS ,, TYPE OF BLD. PROP. CLASS LAND IMP TOTAL DATE 2 ri -74- C-4 C14 > o .31 FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT TOTAL Y. - TOWN ®F S® THOL PRO 4 13 61:" -f :)RD CAR® WNER _ m STR VILLAGE ` . SUB, LOT FORMER OWNER N E ACR. f , S W TYPE OF BUILDING r a Rom, SEAS VL, FARM COMM. CB. MICS. Mkt. Value _ LAND IMP. T01-AL I _ DATE REMARKS E , L , AGE BUILDING CONDITION NEW NORMAL i BELOW ABOVE -,- Aere Value Per 1 Value AcreTillable U-1) 1 * FRONTAGE ON WATER W�lar � - a FRONTAGE ON ROAD M a wl�an 0 DEPTH n . im _ - . � 19m Nape Plot BULKHEAD _ Total 1 DOCKr.t- "OUTHOLD PROPERTY ' TOViN OF S CARD 11 OWNER I"-X � STREET VILLAGE DISTRICT SUB, LOT i N E ACREAGE S _ 1w TYPE OF B U1 LDI NG VL. -RES. S. FARM comm. IND. C13. MISC. L,A,I,',ID !kAp "I"OTAL DATE REMARKS rn AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE Farm Acre Cn Value Per Acre Value I lob!e I J a r C%j lillable 2 C:1 C`4 C3 3 LU Swampland Z � 0 , 3111shland N ' H o u-s o P I o t Gil 3 _ COLOR TRIWt.. = m E 3,8.•4-�u.1 .2/2 4/2025 NI. Bldg, Extension Extension E xlensionParch Both I�z .rs Porch , ^ a � : d: I i nor Cini�h �1 ' D o Q _ _ d__ m _ Dreezo,va1,; - N Eire (aharc Gu rcacr.. V p 0 1`� a I ovaf ,n••� 2' i � '. 1 st Pnoi. Pavia m f�.,rettiiic�t7 Roo,:r,, R _7is 2 J f=cor jl=- Dormer Taal 0 a _ L N/F UNKNOWN OWNER 11AP S 25°2220"E Ira lam 96.48' Lm m El EIVED � m q r A UG 1 2025 LOT 64 ZONING SCp A D OF APPEALS UP L7 W O! W d co z r raGv»o o O 37-7 33 9J' m ti 2 STY ss_tr F FR RES MAS z FR g _ SOLAR YES_ F„ RVAP S ONCE aQ a SR O WALK W 13A' c �iORYr'i STOOP - ASPHALT W GAR. DRW.-WAY N .y c EAS I t1• - GILLETTE 8D DRIVE m c� z m CR Q LU Q U N Q UPL.L.. J WOOD..... S 4CCTCAT3E FFSJCE O.$'VV � a LOT 62 25°08'50"W LOT K- 105.4T O z o` Z NOTE• Imn ADDRESS#155 MANOR ROAD.EAST MARION o AWA#1090 CEDAR LANE,EAST MARION LOT 64 ON "MAP OF MARION MANOR" SITUATE AT EAST MARION TOWN OF SOUTHOL D SUFFOLK COUNTY,NEW YORK FILED_MARCH 18, 1953,FILE#2038 GILLET I E DRIVE CERTIFIED TO:ANDREW CHARRON JACLYN COSTANTINO ALL STATE ABSTRACT CORP_ STEWART TITLE INSURANCE COMPANY '.4 COPNR&Crlly zw;Av.7,.M ROOMS.ALLRttdOSRESMRVEO.DUPLrA-I 10FTHGDOCULXHTISAVKUT*NOFF-UD 2'e.Wr� Ud TJaW '1. TH155{liiiV=Y HAS EMN PWARED IN ACCOPMUCE WfM THE OME OF PRAC=-AMPTED BY iTE FL97YOM1:SATEASS=A716;1 oF P;;aFSssKrgAL U:oSI EM;UL CERTIFICARON SW L RUN ONLY TO THE PERSON.THM Cl ERM AHDA,TASSWZ Cc'RTIFR:ATR 'ARM WTTR&''JSFERA8LE SCALE1*=20' THE PoGHfS OF C'AY,ANMOR EASEIJ1fS OF RECCRD.G:J7i p10TSF.�il.:I AfENQi GUAR:.`l1cEC. SCTM IOOOASB.00-04.0O.00S.0O1 ANI'ALTER-T10N 03ADDRIO.V TO THIS SIIWU R A VIOLATION OF S:CTION TS+2 OFftc REWYMXSTAT<E JCATIONL%V. SURVUED:AUGUST 16,2023 ew NDT ae'Ae, PaDl'cAm.aF'rTa¢ 'rtsA,:'rVs. UPDATE:APRIL2,2024 LAND SURVEY LONG ISLAND.COM WARD BROOKS LAND SURVEYOR 1� 11 OCEAN AVENUE . BLUE POINT, NY. 11715 (631) 576-7794 (631) 363-3179 , ' WARDBROOKSOOGMAIL.CONI ._ .. 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