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S ,J c�swl LLC ( !�- ( Sf � �30�9 ��c� a 4�v✓�e�- a ddr It Serx'Lcl- c: s ' I V. au.t Ids' �►(a�v1s rd ic&k, 44-.e sty),t o'-vre to tr e h e �vti t tirn, tp Ski- .floe. a2 .,l Ad- �1 Owner: 1875 Jackson LLC File M 8029 Address: 1875 Jackson St Code: 17PA Agent Info ZEN Design P.O. Box 88 Cutchogue, NY 11935 Phone: (631)513-6589 Fax: Email: zenicholson.arch@gmail.com /U O a-S-w (Ab�k- avA4,3 BOARD MEMBERS ®� S®(/r� Southold Town Hall Leslie Kanes Weisman,Chairperson , ® 53095 Main Road•P.O.Box 1179 �® �® Southold,NY 11971-0959 Patricia Acampora q;::, Office Location: Eric Dantes cea Town Annex/First Floor, Robert Lehnert,Jr. ® �� 54375 Main Road(at Youngs Avenue) Nicholas Planamento c®U Southold,NY 11971 http://southoldtownny.gov ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel.(631)765-1809•Fax (631)765-9064 COVER SHEET WITH ZBA FILE STATUS OF FILE ZBA# ac01 / Name : LL Cf, Tax Map# t o-00� Location : , (FYI S/ . St.,, [ ] Refund issued CANNOT activate or reactivate file (Applicant has withdrawn application). [ ] NO REFUND DUE, based on time spent for Town to process application and hearings. [ Obsolete & expired; CANNOT reactivate this file: NEW APPLICATION NECESSARY: Extensive time has passed; Zoning Code changes are now in effect and this application expired. NOTE: Applicant may apply for a new application with Building Inspector for a new Notice of Disapproval and submit NEW application with all documents and current maps to ZBA, or modify plan to conform to the current code. This Town file based on applicant's previous year requests has expired. [ ] No forms to be scanned; FILE # VOID: APPLICATION RETURNED., (All forms were returned to applicant early in process, as requested by applicant.) ------------------------------------------------------------------------------------------------------- FYI: Please note: Unless otherwise agreed by Resolution of the Board of Appeals, a submission for processing that is incomplete or outdated, with or without activity or updates by the applicant for 12 months or more, remain INCOMPLETE and may not be further processed. Also, an application remains incomplete when it is NOT up-to-date under the current year Zoning Code, LWRP,FEMA or other Codes, or not followed up by applicant with the Building Inspector under current Codes. If applicant wishes to begin a complete application for processing, an applicant is requested follow steps under the current code for a new application submission as per agency's current Instruction Sheet. In all situations, an Applicant ALWAYS has the option to EITHER : (a), follow the Town's procedure for a Notice of Disapproval and apply for a variance with a new submissions and current code filing fees under the current Codes, or (b) if applicant's chooses to modify plan to conform to the current Zoning Code, applicant will not need to return to ZBA with a new application. Z E N DESIGN RECEIVED ZACKERY E. NICHOLSON POST OFFICE BOX 88 JUL I U 2025 CUTCHOGUE, NY 11935 ZENICHOLSON.ARCH@GMAIL.COM 631.513.6589 ZONING BOARD OF APPEALS Southold Town Zoning Board of Appeals July 10, 2025 Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, NY 11971 I q r i Dear Members of the Zoning Board, I am writing on behalf of my client, 1875 Jackson LLC, regarding the pending variance application for a proposed dormer addition at 1875 Jackson Street, New Suffolk. Please be advised that the applicant has decided t �'prty he application at this time. This decision was made at the discretion of the owner, and we respectfully ask that the application be removed from the ZBA'Agenda and any further consideration. Thank you for your time and attention to this matter. Please confirm receipt of this withdrawal at your earliest convenience. Sincerely, Zackery E. Nicholson, RA Fuentes, Kim From: Zackery Nicholson <zenicholson.arch@gmail.com> Sent: Thursday,July 10, 2025 6:11 PM To: Sakarellos, Elizabeth Cc: Fuentes, Kim;Westermann, Donna; David Noonan; barnes lucy Subject: Re: 1875 Jackson LLC Attachments: 25.07.10_1875 Jackson LLC-Variance withdrawal letter.pdf Good Evening All, Please find my letter attached Re: withdrawing our,application. Thank you, Zackery E. Nicholson, RA ZEN Design 631.513.6589 On Wed, Jul9, 2025 at 2:36 PM Sakarellos, Elizabeth <elizabeth sakarellosCcbtown.southold.ny.us> wrote: Good afternoon Zackery, We will need a letter withdrawing the application for 1875 Jackson LLC. Thank you, I l Zoning Board of Appeals Senior Office Assistant Economic Development Committee Secretary Town Annex/First Floor 54375 Main Rd. Southold, New York 11944 i FORM NO. 3 RECEIVED TOWN OF SOUTHOLD q--D 9-1- BUILDING DEPARTMENT MAY 2 a 2(J25 SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL ZONING BOARD OF APPEALS DATE: February 25, 2025 RENEWED: May 19,2025 REVISED: May 27,2025 TO: 1.875 Jackson LLC PO BOX 66 150 King St PO BOX 66 New Suffolk,NY, 11956 Please take notice that your application received February 19, 2025: For permit to: construct a dormer addition to an existing single-family dwelling at: Location of property: 1875 Jackson Street,New Suffolk,NY County Tax Map No. 1000—Section 117 Block 9 Lot 14 Is returned herewith and disapproved on the following grounds: The proposed construction on this nonconforming 16,722 sq ft parcel in the Residential R-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 minimum front yard setback of 35 feet. Z^d ,Qr The construction as shown on the site plan has a front yard setback of 5'9". Additionally, pursuant to Article XXXVI Section 280-208 any building or structure must be located within the sky plane. The building plans indicate the structure'to be beyond the limits of the sky plane. +"_ d. 1 Atoorized Signatur 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. r� 7 FORM NO. 3 RECEIVED TOWN OF SOUTHOLD MAY 2 8 2025 BUILDING DEPARTMENT SOUTHOLD,N.Y. ZONING BOARD O�APPEALS NOTICE OF DISAPPROVAL DATE: February 25, 2025 RENEWED: May 19,2025 TO: 1875 Jackson LLC PO BOX 66 150 King St PO BOX 66 New Suffolk,NY, 11956 Please take notice that your application received February 19, 2025: For permit to: construct a dormer addition to an existing single-family dwelling at: Location of property: 1875 Jackson Street New Suffolk,NY County Tax Map No. 1000— Section 117 Block 9 Lot 14 Is returned herewith and disapproved on the following grounds: The proposed construction on this nonconforming 16,722 sq. ft. parcel in the Residential R-40 District is not ermitted pursuant to Article XXIII Section 280-124 which states: lots measuring less than 20,000 square feet in total size require a minimum front yard setback of 35 feet. The construction as shown on the site plan has a front yard setback of 4'9". y�yy� AD mov Additionally, pursuant to Article XXXVI Section 280-208 any building or structure must be located within the sky plane. The building plans indicate the structure to be beyond the limits of the sky plane. 'jAaL"_ r�2 2)[LaAQz Aut rized 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,Z.B.A. no T"OV5 FORM NO. 3 TOWN OF SOUTHOLD 46P BUILDING DEPARTMENT SOUTHOLD,N.Y. r NOTICE OF DISAPPROVAL �00 S DATE: February 25, 2025 TO: 1875 Jackson LLC PO BOX 66 150 King St PO BOX 66 New Suffolk,NY, 11956 Please take notice that your application received February 19, 2025: For permit to: construct a dormer addition to an existing single-family dwelling at: Location of property: 1875 Jackson Street,New Suffolk,NY County Tax Map No. 1000—Section 117 Block 9 Lot 14 Is returned herewith and disapproved on the following grounds: The proposed construction, on this nonconforming 16,722 sq. ft. parcel in the Residential R-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 minimum front yard setback of 35 feet. The construction as shown on the site plan, has a front K,.setbac;kofD4'9'-'. Additionally,pursuant to Article XXXVI Section 280-208, any building or structure must be located within the sky plane. The building plans indicate the structure to be beyond the li is of the sky lane. JAI Z. horized Sign re 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. F VEY OFPERTY a&cE1vE® SI TUA TE MAY 2 8 2025 TOWN OF SOU TH OLD S85 a „ S U F F O L K COUNTY, NEW YO R K 4 3 10 E ZONING BOARD OF APPEALS TAX No. 1000-11700-0900-014000 111 . 08 ' SCALE 1"=20' JUNE 16, 2023 SHED oM F of HOUSEJ4.6'N �� WHITECAP NORTH Tax Map Lot 13 OF/ORK ,w WZ AREA = 16,722 sq. ft. 1.7'N w W `} LLC �� 0.384 ac. FE 0.7'E �M cog 0.5 S PAVER WALKWAY s'WOOD FENCE 5'WOOD FENCE w ^aI FE 0.1'E 4'CHAINLINK FENCE .. , 0 5.4 S Z •r�.';N. \N a 0 ir oo 0o a. Q GRAVEL DRIVEWAY •. O FE 0.2'E CS IN/STONE CURB 0 0 0 �— ACCESSORY GARAGE I 0 20.2' LO 4.5'E WOOD I STEP FE 0.6'W r, FE O/L I w 3 - Tax Map Lot 12 Q N/O/F of THOMAS L MCKENZIE z o Tax Map Lot 14 : U •t I U I BRICK STEPS i Y 16.1 z 15.8' PATIO ENCLOSED� L.L� a I 26.8' O0 FE 0.31W 2—STORY o wooD DECK & 0:HOUSE o0 C/E No. 1875 STEPS o z i EW _ 9-1 0 °' I 5.7 Ln 0 / 11 Lfi I z FE o 16.4'1 Q a L 0.3'w L 1�.3' �n �,3 63.1' I 16.1' 1.4 0 3.8' RICK STOOP I & STEP O 10.6 S SLATE — 7.8'S P.O.B. WALKWAY _ EDGE OF PAVEMENT — N85a42 '39 " W LEGEND: JACKSON. OVERHEAD UTILITY WIRES STREET C-0.) UTILITY POLE SIGN WATER METER AERIAL LAND SURVEYING, D.P.C. NOTE: LOCATIONS AND EXISTENCE OF ANY 53 PROBST DRIVE SUBSURFACE UTILITIES AND/OR STRUCTURES NOT ■ READILY VISIBLE, ARE NOT CERTIFIED. THE CONIC. MONUMENT SHIRLEY, NY 11967 CERTIFICATIONS HEREON ARE NOT TRANSFERABLE. PHONE: 833-787-8393 E—MAIL: SURVEYSOAERIALLANDSURVEYING.COM EM ELEC. METER m WEBSITE: WWW.AERIALLANDSURVEYING.COM THIS SURVEY IS SUBJECT TO ANY EASEMENT OF RECORD AND ANY 01HER PERTINENT FACTS WHICH A TITLE SEARCH MIGHT DISCLOSE GM m GAS METER DISTRICT:1000 LOT:014.000 BLOCK:09.00 SECTION:117.00 'UNAUTHORIZED ALTERATION OR ADDITION TID A SURVEY MAP BEARING A LIMM LAND SURVEYOR'S SEAL IS A VIOLATION OF ARTICLE 134. MAP/FILE NO.: N/A SECTION 7209,SUBDIVISION 2, OF THE NEW YORK STATE EDUCATION LAZY 'Copies from the original of this survey map not marked with an original of the land surveyor's Inked seal or his embossed seal shall not be MAP OF: "NOT ON A FILED SUBDIVISION MAP" considered a valid true copy.' "Certification indicated heroin signify that this survey was prepared In aocordonce with the existing Code of Practice for I.=Surveys adapted by the New York State Association of Profesional Land Surveyors. Sold certifications shall run only to the TITLE N0.• N/A person for wham the survey is prepared, and on his behalf to the title company,governmental agency and lending Institution. Certifications are NMAP FILED DATE: N/A not transferabla to additional Institutions or subsequent owners* COUNTY TAX MAP ID: 1000-11700-0900-014000 SITUATED AT: TOWN OF SOUTHOLD SUBDIVISION MAP LOT & BLOCK r S: NIA o , 4J Jackso LLC n La-O COPYRIGHT 2022 RALPH HEIL, Advantage Title AERIAL LAND SURVEYING,D.P.C. esconanIensuranceoar an J JOB NO.: 23-1163 LAMD U DATE: JUNE 16, 2023 r � O WINDOW SCHEDULE SIZE Al I.D. TYPE SILL HTA.FF, UN/TS/ZE(WXH) R.O,(WXH) N07B SECOND FLOOR W217 AWNING 2' • 2L11°X5'21/2• VERIFY W.MNfIL LL19 ZEN DESIGN W218 AWNING 2'0' 2.11°X5`-21,/2' WRIFYW.MNFR. 1L19 1250 EVERGREEN DRIVE CUTCHOGUE,NY U935 PHONE 631513.6589 ' NOTE- *CONTRACTOR TO VERIFY WINDOW JAMB DIMENSIONS W.ROUGH OPENINGS. *ALL GLAZING SHALL MEET WIND BORNE DEBRIS REQUIREMENTS PER THE BUILDING CODE OF NYS. *EGRESS OPENING MIN.5.7 SQ Fi•MAX.44°SILL-AFF . O inn°om°m mppAQA°A°rd°ma,EHammprW Phu®'udul n°d r/aMmAer Secfo74m° °°utbnlmm�lw°Am nM&n Rdnnmactdfseanr w°rmum mama e,A a�rrad m w or.rr m°°m a nwma°m gmmpnmmdyaw°ro Wmmnd A°cbL 4M°raum uchp p�dotKibM1 mmrtlwrtrntl un dmep p4rtm, °MIOt lwlll°cwnpw=mWnNeD710416111ngsmt1011d �/-� miutr°epn°rEWmep EY+6°AaAed/a rt®stuvy y mmp°m°IbnmIIN D6GN.,r RECEIVEDV� 0 0 MAY 2 8 2025 N0. ISSUE DATE C Q Q I 01 AS GUILTS 12.23.24 02 PROPOSED DORMER 02.14.25 00 ZONING BOARD OF APPEALS I EXISTING 2x10 RAFTERS @ 16"O.C.AT DORMER I N O O } C i BRED ARC E.NIC y�T Jr _ __ __ _ _ _ NCI' Z — -___- _-_ — _ _ _ .A M ----------------- - w, (2)2x10 RAFTERS UNDER DORMER WALL eI N sT D4442'' 0 ----- Z I IllgTF,OF NEB yO W O m Q i �N 0° o -------_W 2 I NEW 2x10 RAFTERS N p WEBS o @ 16"O.C.AT DORMER 0 __I im HOUSE _ C4 I Q NN Q 1875JACKSON ST m N I I m N n NEW SUFFOLK,NY 11956 - L i _ S.C.T.M.S 1000-117-9-14 = SCALE N tcq V DATE 02.14.25 -----E_ _- -_= =___=-- DRAWN BY. ZEN �N SECOND FLOOR PLAN A-102 ANOW ZEN DESIGN 1250 EVERGREEN DRIVE CUfCHOGUE,NY 11935 PHONE 631513.6589 RECEIVED Thnemmmn�tw andmnftSom o atth nra smn_.e•.m�oecturet�onrwaerscfmaroe c.pnlprt�a,i7 usa.sam_a.a mo ea wm.n �wnee.n Waft uarrort Raaam m_m au or a w sera nr MAY 2 8 2025 .. ..���a.m�rome.ro".,dm_.� es w eme6.ment aro mmo.oia,a.oa.w em.w._es a .o..n.m..p.sul moSsd ndm tiroemetm, a o.mtivabn or mWmep o zm m.amq/amo.etap cempan_Ilwro 3A UESgN LLC ZONING BOARD OF APPEALS NO. ISSUE DATE 01 ASBUILTS 122324 02 PROPOSED DORMER 02.14 25 PROPOSED SHED DORMER W W E I . I , � . 4- 1 1 1 :1] 21 2 O Z O ~ N D_ � @D ARC i� a N +I LN CP c IN 0 4442 -Ao F �F tdE'41, +� E-111; Et WEBB HOUSE 1876 aACK50N SL NEW SUFFOLK NY 11956 S.C.T.M.#1000—117—9—14 SCALE �q..1�•0. DATE 02.14.25 DRAWN BY: ZEN. EAST ELEVATION A-200 Nz:: ZEN DESIGN 1250 EVERGREEN DRIVE CUTCHOGUE,NY 11935 PHONE:631.513.6589 These plans ere copyrighted and are subject to copyri Protection as an-architectural wank'under See.=of Copyright Act,V U.S.O.as amended December 1990 and as Architectural Works Copyright Protection Act of 1991t. protect]on Inductee but Is not limited to the overall form as the arrangement and composition of spectra and elem design.Under such protection,unauthorized use of these work or home represented,can legally result In the cease construction or buDdings being ached and/or moneta compensation to ZEN DESIGN I.I.C. NO. ISSUE 0 01 AS GUILTS 12.22 02 PROPOSED DORMER 02.i1 i PROPOSED SHED DORMER 1z �4 RECEIVED s� JUL 0 2 2025 W?� W. c ZOP ING BOARD OF APPEALS o � O9EEI IEEI Ll �R9 LL o z U) �D q (f) o UJ ��y� E.N!,y�T� t_ tt o a M Q 00 0 0 +I N Z o a .G w cc ` o LIU TU Oa Cq S 04444' 0 a TF OF N V-'`j �1 11 c, ELI CO WEBB HOUSE 1875JACKSON ST NEW SUFFOLK,NY 11956 S.C.T.M.#1000-117^9-14 SCALE: 1/4e DATE: 05.2 DRAWN BY: 2 FRONT OF HOUSE IN LINE WITH PROPERTY LINE EAST ELEVATION FRONT OF HOUSE t14.5' FROM STREET LINE - EAST ELEVATION A-20 M RECEIVED APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS MAY 2 8 2025 AREA VARIANCE 90AI House No. 1875 Street Jackson St Hamlet New SUffollz ONING BOARD OF APPEALS SCTM 1000 Section: 117 Block: 9 Lot(s) 14 Lot Size:16.722 SF ZoneR=40 I(WE)APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED 02.25.25 BASED ON ATED 02.19.25 PLANS Owner(s): David Noonan Mailing Address: Telephone: 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 name of person who agent represents: Name of Representative: Zackery E. Nicholson. RA forXOwner( )Other: Address: PO BOX 88 - Cutchogue, NY 11935 Telephone: 631.513.6589 Fax: Email: ZENicholson.Arch@gmaii.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: PLANS WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEYffiffE PLAN DATED 02.14.25 and DENIED AN APPLICATION DATED 02.19.25 FOR: 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: Section: Subsection: Type of Appeal. An Appeal is made for: XA 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, Xhas 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) XXXVI 280-208 XXXVI 280-124 RECEIVED Page 2,Area Variance Application Revised 6/2023 MAY 2 8 2025 REASONS FOR APPEAL Sal Please he specific,additional sheets may he used with re arer's signature notarized ZONING BOARD OF APPEALS ( Y P. P g I 1.An undesirable change will not be produced in the CHARACTER of the neighbor or a detriment to nearby properties if granted,because: THE NEIGHBORHOOD CHARACTER WILL NOT BE NEGATIVELY AFFECTED BECAUSE THE PROPOSED DORMER IS IN KEEPING WITH BOTH THE ARCHITECTURAL STYLE AND THE CONSTRUCTION MATERIALS OF THE MAJORITY OF THE RESIDENCES IN THIS AREA.THE TYPE OF ROOF LINES,WINDOWS&DETAILS ARE COMMON PLACE IN THIS NEIGHBORHOOD.ALL OF ADJACENT HOUSES WITHIN THE ZONING DISTRICT HAVE SIMILARITIES. 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: DUE TO THE EXISTING SITING OF THE HOUSE ANY CHANGES TO THE FRONT OF THE HOUSE WOULD REQUIRE A VARIANCE. 3.The amount of relief requested is not substantial because: THE PROPOSED DORMER IS MINIMAL IN SIZE AND HAS APPROPRIATE PROPORTIONS TO THE FRONT OF THE HOUSE. 4.The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: THE PROPOSED DORMER DOES NOT CREATE ANY ADDITIONAL NON PERMIABLE AREA OF THE SITE.THE PROPOSED DORMER DOES NOT AFFECT ANYONES VIEWS FROM ADJACENT PROPERTY. 5.Has the alleged difficulty been self created? { }Yes,or M No Why:. THIS STRUCTURE WAS PRE EXISTING(1957).THE ZONING MODIFICATIONS DONE BY SOUTHOLD TOWN HAVE CHANGED THE LOT TO R-40 DESIGNATION.AT THE TIME OF THE CONSTRUCTION OF THE HOUSE THERE WERE NO REQUIREMENTS FOR SETBACK DISTANCES,THERE FOR THE VARIANCES IS REQUIRED BECAUSE OF THE NEW ZONING CHANGES IN THIS AREA. • 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 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 ENSURE COMPLIANCE WITH THE CODE REQUIRED TIME FRAME DESCRIBED HEREIN. Signature of Applicant uthorized Agent (Agent must submit written Authorization from Owner) Sworn to before me this "i�h day TRACEY L. DWYER of 20 25 NOTARY PUBLIC,STATE OF NEW YORK NO.010W63o690o QQA,,LIFIEO IN SUMFOLK COUNTY COMMISSION EXPIFICS Jt1NE 30,2-a(p Notary Pub Zoning Board of Appeals APPLICANT'S PROJECT DESCRIPTION APPLICANT: 1875 JACKSON LLC SCTM No. 1000-117-9-14 1.For Demolition of Existing Building Areas Please describe areas being removed: If approved for construction the only demolition to be done would be the roofing required to construct the proposed dormer. e��EIVED H.New Construction Areas(New Dwelling or New Additions/Extensions): 2Daq Dimensions of first floor extension: N/A MAY 2 8 2025 Dimensions of new second floor: 10' wide shed dormer Dimensions of floor above second level: N/A ZONING BOARD OF APPEALS 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 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: No change to the existing two story single family dwelling Number of Floors and Changes WITH Alterations: No change to the number of floors. IV.Calculations of building areas and lot coverage,sky plane(From Surveyor,Design Professional): Existing square footage of buildings on your property: 2,760 SF Main House & 627 SF Garage Proposed increase of building coverage: 0 Square footage of your lot: 16,722 SF Percentage of coverage of your lot by building area(lot coverage) +- 13% Gross Floor Area(GFAI 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): 2,760 SF Main House & +-300 SF Finished Garage For Residential lots,is project within the allowable S Plane?(Please refer to Chapter 280,Section 280-208 of the Town Code): Yes, the proposed dormer projects into the sky plane by about 2' V.Purpose of New Construction: The purpose for the proposed dormer is to provide more natural light to an existing bedroom. During the current renovation the existing bedroom only had wall space enough for a modest size egress window. When the hosue was constructed in 1830's it had two dog house dormers, (1)for each of the existing bedrooms at the front of the house. Said dormers were demolished in the mid 90's and replaced with skylights. We removed the skylights because they are not historically appropiate for our restoration of the front facade.We would now like to construct a modest historically appropriate shed dormer. 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: Mostly flat. Modest pitch from West down to East side of property. 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 Q��'� A. Is the subject premises currently listed on the real estate market for sale? v _X—Yes No MAY 2 8 2025 B. Are there any proposals to change or alter land contours? _X _No Yes,please explain on separate sheet. ZONING BOARD OF appEALS C. 1.)Are there areas that contain sand or wetland grasses? No 2.)Are those areas shown on the survey submitted with this application? N/A 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 OF TRUSTEES for its determination of jurisdiction? N/A Please confirm 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? Yes - All recently built. 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? Yes If yes,please submit a copy of your building permit and survey as approved by the Building Department and please describe scope of work: Interior and exterior renovations. Second floor addition. 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? Yes If yes,please label the proximity of your lands on your survey and identify the Suffolk County Tax Map No. 1000-117-8-4 I. Please list present use or operations conducted at your property,and/or the proposed use Single family dwelling J. (examples:existing single family,proposed:same with garage,pool or other) NZ —� 05.19.25 Authoriz gnature Date TOWN OF SOUTHOLD RECEIVED " o`� �' •s BUILDING DEPARTMENT U-��TOWN CLERK'S OFFICE MAY 2 8 '2025 QV g SOUTHOLD, NY � �bl wilt ZONING BOARD OF APPEALS BUILDING PERMIT . (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit* 51046 Date: 8/8/2024 Permission is hereby granted to: 1875 Jackson LLC 150 King St PO Box 66 New Suffolk, NY 11956 To: Construct alterations to an existing non-habitable accessory garage as applied for. At premises located at: 1875 Jackson St., New Suffolk SCTM #473889 Sec/Block/Lot# 117.-9-14 Pursuant to application dated 8/6/2024 and approved by the Building Inspector. To expire on 217/2026. Fees: ACCESSORY $125.00 CO-ACCESSORY BUILDING $100.00 Total: $225.00 Building Inspector FORM NO. 4 TOWN OF SOUTHOLD RECEIVED BUILDING DEPARTMENT Office of the Building Inspector Town Hall MAY 2 g 2025 Southold, N.Y. ZONING BOARD OF APPEALS PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-18803 Date FEBRUARY 15, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 615 FOURTH ST. & 1875 JACKSON ST. NEW SUFFOLK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 117 Block 9 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the requirements for a private one family dwelling built prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCC. #Z-18803 dated FEBRUARY 15, 1990 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 WOOD FRAME ACCESSORY GARAGE WITH WOOD FRAME STORAGE. SHED ATTACHED TO GARAGE The certificate is issued to ESTATE OF MALVIENNE STARBUCK ACKER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD PRE EXISTING UNDERWRITERS CERTIFICATE NO. NO RECORD PRE EXISTING PLUMBERS CERTIFICATION DATEDNO RECORD PRE EXISTING *SEE ATTACHED INSPECTION REPORT. Building Inspector BUILDII•:G DEP!,RTNENT T00 OF SOUTHOLD, N. Y. RECEIVED 3��j HOUSING CODE INSPECTION REPORT Location 615 FOURTH ST. 6 1875 JACKSON STREET NEW SUFFOLK, N.Y. MAY 2 8 2025 (numoer do streeti) (Municipality) Subdivision I`Iap No. Lot(s) ZONING BOARD OF APPEALS Name of Owner(s) ESTATE OF MALVIENNE STARBUCK ACKER Occupancy R-40 OWNER (type owner-zenanz Admitted by: ME- KING Accompanied by: SAME Key available Suffolk Co. Tax. No. 117-9-14 Source of request THOMAS H. METTLER,'E%ECUTOR Date 12/29/89 DWELLING Type of construction WOOD FRS #stories 2 Foundation CEMENT BLOCK Cellar 1�2 Crawl space 172 Total rooms, 1st. Fl 4 P-nd. F1 3 3rd. Fl — Bathroom(s) ONE Toilet room(s) ONE Porch, type Deck, type Patio, type_ Breeze:•ray Garage Utility room Type Heat LILCO GAS Warm Air Hot-water xx Fireplace(s) ONE No.. E:cits 2 Airconditioning Domestic hotwater LILCO GAS Type heater Other ACCESSORY STRUCTURES: WOOD FAAME ATTACHED Garage, type const.WOOD FRAME Storage, type const.TO GARAGE. Swimming pool Guest, type const. Other VIOLATIONS: CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE Location Descrivtion � Art. I) Sec. 1 Remarks Inspected by: • .v L Date of Insp. FEE. 14, 1990 GARY J FISH Time start 11:00 end 11:20 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT RECEIVED smOffice of the Building Inspector Town Hall Southold, N.Y. MAY 2 8 2025 CERTIFICATE OF OCCUPANCY ZONING BOARD OF APPEALS No Z-22013 Date DECEMBER 8, 1992 THIS CERTIFIES that the building ADDITION Location of Property 1875 JACKSON STREET NEW SUFFOLK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 1,17 Block 9 Lot 14 Subdivision Filed Map No. Lot No. i conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 16, 1990 _ __pursuant to which Building Permit No. 19216-Z dated JULY 20, 1990 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 EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to MICHAEL E. GUILL & BARBARA BUTTERWORTH (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building 'Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD RECEIVED BUILDING DEPARTMENT Office of the Building Inspector MAY 2 8. 2025 Town Hall Southold, N.Y. ZONING BOARD OF APPEALS CERTIFICATE OF OCCUPANCY No Z-22352 Date MAY 21, 1993 THIS CERTIFIES that the building ALTERATION Location of Property 1875 JACKSON ST.&615 FOURTH ST. , NEW SUFFOLK, N.Y. House No. Street' Hamlet County Tax Map No. 1000 Section 117 Block 9 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 12, 1991 pursuant to which Building Permit No. 20031-Z dated JULY 19, 1991 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 ALTERATIONS TO EXISTING ACCESSORY GARAGE AS APPLIED FOR The certificate is issued to MICHAEL GILL & ANO. (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-275992 -- MAY 14, 1993 PLUMBERS CERTIFICATION DATED N/A /�Aui-Yding f nspector Rev. 1/81 • FORM NO. 4 RECEIVED TOWN of SOUTHOLD MAY BUILDING DEPARTMENT 2 8 2025 Office of the Building Inspector Town Hall ZONING APPEALS Southold, N.Y. BOARD OF CERTIFICATE OF OCCUPANCY No Z-22014 Date DECEMBER 8, 1992 THIS CERTIFIES that the building REPAIR & ALTERATION Location of Property, 1875 JA.CKSON STREET NEW SUFFOLK, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 117 Block 9 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MMCH 9, 1990 pursuant to which Building Permit No. 18854-Z dated MARCH 9, 1990 was issued, and conforms to all of the requirements of the applicable provisions of the lava. The occupancy for which this certificate is issued is REPAIR & ALTERATION TO MUSTING ONE FAMILY DWELLING The certificate is issued to HICHALF GILL & BARBARA BUTTERWORTH (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL H& UNDERWRITERS CERTIFICATE NO. N-181156 - MARCH 29, 1991 PLUMBERS CERTIFICATION DATED NOV. 9, 1990-PECONIC PLUMB. & HEAT. Building Inspector Rev. 1 f 81 1 TOWN OF SOUTHOLD RECEIVED q BUILDING DEPARTMENT TOWN HALL MAY 2 8 2025 SOUTHOLD, N.Y. ZONING BOARD OF APPEALS SUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 18854 � N_ Z Date ....�.�-,�......�............................ 14...f. tics Permission is hereby granted .. ... . . ........... :.............. .. .... .. .e..,.....'4eY'4e'. .................../............. to ....... .... . ......... .......... .. ... . ...... ... ...........A........ ... ...:'1:4...... .. ..... . . .. ............. at premises located at ...... ...... ................ .....................................................' .. . ... .......... .................... ................................................................1.�..g�... , .................................................................... County Tax Map No. 1000 Section ...LL.7...... Block ........'/............ Lot No. ....l....L�........ pursuant to application dated .........` . ........Gf.......... 19.1.�, and approved by the Building Inspector. Fee .. ..d............ Bu1ldl � or ng r�sNct Rev. 6130180 BOARD U; EALTH �MC � '� Z SETS PLA1�S 'FORM NO.1 SURVEY ......... TOW NI OF SOUTHOLD CHECK - S !.; BUILDING DEPARTMENT SEPTIC FORM _ L.—�....�•� 4. ;�; ' TOWN HALL NOTIFY tiLOG D�'FT. SOUTHOLD.N.Y. 11971 CALL ...-----►,..� �... TEL.:7GS-1802 .... .. MAIL TO: Examined ................. 19... O v Approved..1.......19 eFermit NoJ.t7 G�.d[r:.1-7— RECEIVED Disapproved alc ..................................... MAY 2 8 2025 ...ee:u- (Building Inspector) ZONING BOARD OF APPEALS APPLICATION FOR BUILDING PERMIT Date ...................19... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector,with: sets of plans,accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public street or areas,and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application,the Building Inspector will issued a Building Permit to the applicant. Such penui shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupanc shall have been granted by the Building Inspector. 'h APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to th Building Zone Ordinance of the Town of Southold.Suffolk County,New York,and other applicable Laws,Ordinances c Reculations. for the construction of buildings,additions or alterations,or for removal,or demolition,as herein describe, The applicant agrees to comply with all applicable laws,ordinances, building code,housing code,and regulations,and t admit authorized inspectors on premises and in building for necessary ins Lions. 3 ... .. � ............... (Signature o applicant,or name,if a corporation) Cw'Tdke..w;!................ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde, ....................... :.:11.dQ ............................... .................... . Name of owner of premises .. .. .. ..... (as on the tar roll or latest deed) if applicant is a corporation,signature of duty authorized officer. • • • (Name and title o corporate officer)f ALL CONTRACTOR'S- MU T SUFFOLK COUNTY LICENSED Builder's License No. .� �._-.1 t X....... _ Plumber's License No. ...T.n.�-9h R1A%4,W'T 1 t`=ed ed Electrician's License No. ?a9t;�,jf,,S°4-!S71r;e-- F' n gee 4ecl Other Trade's License No. ....... ............ . t 1. Location of land on which proposed work will be done. .........................................:....... . .. .d.7,5,........tTj aK.�°:'....STreeT........1`�ew. $ ?. fir,'-:... r a House Number Street ••Hamlet County Tax Map No. 1000 Section .... .�.(......... Block ..�............... Lot. :1....••.,•••. Subdivision..................................... Filed Map No. .............. Lot ............. (Namc) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... �;�.i c� e�;,T°4 .............................................. b.intended use and occupancy �•e•�� d e�l RL_ _ ............... 3. Nature of work(check which a ible):New Building ........... Addition ... ••• Alteration Repair .......... Removvai.............. Demolition ......... �lther 1Var ........ .... ... e.W �0 •' cripiio ) 4 4. Estimated Cost ...10 ................................066 . Fee . ....... cy ' (to be paid on filing this application) S. If dwelling.number of dwelling units........ Number of dwelling units on each floor................ Ifgarage,number of cars ........................................................ .............. 6. If business,commercial or mixed occupancy,specify nature and extent of each type of use .............�....... 7. Dimensions of existing structures,if any: Front..... �...... Rear ....`Y O;.......Depth .. �......... Height ......e�o4.....Number of Stories ...... •�r........ . {........ ..... /........... Dimensions of same structure with alterations or addit�ns: Front ....�.(m...........Rea i W..... ...... Depth ........,3G f......:..Height ....9,t..............Number of Stories. ` .............. S. Dimensions of entire new construction: Front ................ Rear ............... Depth ............... Height umber of Stories ....:. �„- .r............. 9. Size of lot: Front .... .l Z-Z! ........ Rear.....l X2.'........... Depth .... ` r.............. 0. Date of Purchase�srp—.h t4.7-T V....... .........Name of Former Owner .......{kWO--c .............. 1. Zone or use district in which premises are situated.........R 5.%rh�,"rR�-. .......................... 2. Does proposed construction violate any zoning law,ordinance or regulation: .t3........... .... 3. Will lot be regraded .....�.Zt. yyrr�� flS 4ea� 6,4 1 excae�fill be removed from premises:t•,••••Yes 4. Name of Owner of.premise�•t": 9h4�er.d 7.....Address .J`C('d:%.�u� �d��rl f:..Phone No. Name of Architect ...... +p. .......Address ^ p .. ..Phone No. . Name of Contractor tom: 4r e...J.rl}'1�!?'f l�...Address .C:3 1 a•►:1 a ��.+..Phone No.I Ji.-mil .5. Is this property locatdd within 300 feet of a tidal wetland? Yes ..... No ..`' *If yes, Southold Town Trustees Permit av'I'be requ Med. PLOLocate clearly and distinctly all buildings, whether existingRoor proposed, and.indicate all set-back dimensions from •roperty lines.Give street and block number or description according to deed,and show street names and indicate whetheL zterior or corner lot. 9 a E - _ Oua� RECEIVED MAY 2 8 2025 r. ZONING BOARD OF APPEALS rATE OF NEW YORK, S.S OUti'fY OF..... ........... ....,.,• ,, •,•, ....... ......... being duly sworn,deposes and says that he,is the applican (lame of individual signing contract) :ova named. is the ........................... ................................. .......................... (Contractor,agent,corporate officer,etc.)• said owner or owners,and is duly authorized to perform or have performed the said work and to make and file thi plication:that all statements contained in this application are true to the best of his knowledge and belief;and that th )rk will be performed in the manner set forth in the application filed therewith. :orn to before me this .............. .......day of.... A-4444......... I9,�Q. ,tarppublic, ... .. .�.4..�J. County ydttntr (Signature of applicant TOWN OF SOUTHOLD �os•ff01�`? k� BUILDING DEPARTMENT RECEIVED ' TOWN CLERK'S OFFICE SOUTHOLD, NY MAY 2 8 2025 r`;�Oj $a Jyy4 v "' w BUILDING PERMIT ZONING BOARD OF APPEALS (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 50533 Date: 4/10/2024 Permission is hereby granted to: Gill, Michael PO BOX 507 Cutchogue, NY 11935 To: construct accessory in-ground swimming pool as applied for. At premises located at: 1875 Jackson St, New Suffolk SCTM #473889 Sec/Block/Lot# 117.-9-14 Pursuant to application dated 2/14/2024 and approved by the Building Inspector. To expire on 10110/2025. Fees: SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00 CO-SWIMMING POOL $100.00 Total: $400.00 Building Inspector a I� s. '1fi75Jad� 50030 Muriclty 5 ': Marketplace Search a]Dashboard GIS Contacts Refcesn r Codes Calendar `� Moae }'BufkMovey,;:P nL t1Aap -'Help �oetece E" Overview WordReportr Applicant Gill Michael" - Permit Type DEMOLITION Commercial.rNo - S -LogiReports Permit 50030 - - Residential No - ' �� ® - PO BOX 507 Status - Issued - - ®Console - - Cutchogue,NY 11935 Application.Date- 10/30/2023 - Issued Date 11/15/2023 Reminders '` Expiration Date 05/16/2025 _ User • �> - - v Groups Is,Permit Info 1 Comment CO/CC Notes Recently Viewed o ® Permit Info .i--- - I Application No: �� Demolish portions of and construct additions to an existing two-story Ordinance Code i ( single-family dwelling as applied for.Additional approvals,certification ■ Tents 1 Permit No: s0030 T } or amendment may be required.Amended 8-8-24 to include additions Media _ �4 and alterations as applied for.Amended 2-25-25 to update floor plan { Permit Date: r 1115/2D23 j I and door and window schedule changes and to remove the pergola L' l Expiation Date: i and second story terrace. 05r6rz025 �G, ,L, *'Amended 2-25-25 tatinclude dormer addition requiring a disapproval. Application Date: � t= • .. { ? i10/30/202.3 i Closed Date: 17 Status: Issued a. Permit Type: DEAAOLITION It - i i � vLi t t t , w _ a w o a CV LL 10:25AM ,� ] UJ oo O V C"iLU Q Q' Q m � O Z_ Z O N ,1aglfOhk� TOWN OF SOUTHOLD RECEIVED: BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY MAY Z 8 2p25 BUILDING PERMIT 20NING BOARD OF APPEALS (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 50030 Date: 11/15/2023 Permission is hereby granted to: Gill, Michael PO BOX 607 Cutchogue, NY 11935 To: Demolish portions of and additions to an existing two story single-family dwelling as applied for. Additional approvals, certification or amendment may be required. r N ,-O .-D GCfw KJS e&N th iDeCOW S9,- - GPM Uv�PrK� A(WVVj dl � W ne;e S Gin . waAce Mk At premises located at: 1875 Jackson St, New Suffolk SCTM #473889 Sec/Block/Lot# 117.-9-14 Pursuant to application dated 10/30/2023 and approved by the Building Inspector. To expire on 611612025. Fees: DEMOLITION $548.40 Total: $548.40 Building Inspector K � TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O.Box 1179 Southold,NY 11971-0959 Telephone(631)765-1802 Fax(631) 765-9502 https://www.sou#baldtor un+gq Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PLA PERMIT NO. Building Inspector, y ��-�� OCT 3 0 2023 Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant Is not the owner,an Building Department Owners Authorization form(Page 2)shall be completed. Town of Southold Date: r 0 " 7,-) _ 207i3 OWNER(S)OF PROPERTY: Name: 1 %I 1� LL� SCTM#1000- Project Address: r� 1 �C�L S��111 .�T+ Ot K) Phone#: Email: Mailing Address: CONTACT PERSON: AY Name: Mailing Address: BOARD OFgpPF_4 Phone#: Email: DESIGN PROFESSIONAL INFORMATION: Name: tQt CANVIr �\K(A.-ZA -1v0 S Mailing Address: &7W S 9 Co d Am.,v` b W ��c1L1� Phone#: � 1 1' 1�0 Email: ��-i�C �IZZ� Yv© �13���'�,i+1�hCv CONTRACTOR INFORMATION: Name: /O$ �f7 bO Mailing Address: .k;oets r Phone#: "-1 3 '_� �� Email: �U► ��p,$ fn'+ ?2,$'�$ �C DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Str�cture ❑ ddition A teration ❑ epair emolition LEstimated Cost of Project: Other `+� Ot �7'i10 7 Will the lot be re-graded? ❑Yes)(No Will excess fill be removed from premises? ❑Yes [Po 1 PROPERTY INFORMATION Existing use of property: S� - .� Intended use of property: Sl er �eS>�d1 Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to ..l� this property? ❑Yes)(No IF YES,PROVIDE A COPY. 19 Check Box After Reading: The ownw/watractor/design professional is responsible for all drakuw and storm water Issues as provided by Chapter 236 of the Town Code.APPl1CATION IS HEREBY MADE to the Buckling Department for the Im ca of a Bullding Permit pursuant to the Building Zone Ordinanm of the Town of Southold,Suffolk,Counts,New York and other applicable laws„ordinances or Regulations,for the construction of buildings, additions,alterations or for removal or demolition as herein described.The applicant epees to comply with ail applicable laws,onSnanms,building code, housing code and regulations and to admit authadmd Inspectors on premises and in buildings)for necessary inspection.False statements made herein we punishable as a Oats A misdemeanor pursuant to Section 210AS of the New York State Penal law. Application Submitted print name): Q C v , �J LYO K e,N OAuthorized Agent PrDwner - Signature of Applicant:_ Date: } d ' 7)Z 3 RECE���^// STATE OF NEW YORK) � COUNTY OF MAY 2 8 2025 l� ) IV 011-4: � � , Uv D�j v�a� being duly sworn,deposes aJ9MjVAAAQffl@i'96T8%X5liWt (Name of individual signing contract)above named, �+ (S)he is the di 1ni�'t ^ D � 1 k (Contractor,Agent,Corporate Officer,etc.) of said owner or owners,and is duly authorized to perform or have performed the said-work and to make and file this application;that all statements contained in this application are true to the best of his/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this day of G�V(� .20� Nolary Public SET14 G BANK Notary Public-state of New York PROPERTY OWNER AUTHORIZATION No.01BA6427783 Qualified in suffol county (Where the applicant is not the owner) My Commission Exp' s Jan 3 I, ��s 40&2ti� 'O residing at 0� ill4 do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Si nature Date Print Owner's Name 2 — - - - IN PROGRFEss SURVEY OF RECEIVED g'J� PROPERTY DD o TOWN OF SOU 7HOLD S85'43'1 p"E MAY 2 8 2025 SUFFOLK COUNTY. NEW YORK 111.08' Imwr• n TAX No. 1000-11700-09OG-014000 SCALE i- 20' Tax Map Lot L3 NIWP of AW ��- ZONING BOARD OF Lmmll—j WHrr�p�� APPEALS 0722 sq f! FE a + tic Mum r ° utar r i Lo t , s7_FE Fc t -- � W r �D j Tax Map Lot 12 r rr W/0/F of THOMAS jr I MCK +1ZtE TT'ax Map Lot 14 j + ► r�>, r = uj I r OO ~ a TOR SY b s�oaa 1 r+-i ft f CA nww cd s C) r ii7) r �j'' J KO. Rnifta Da'A -aYy~PROl�y N85'42'39"W HOt■E 717.91' s�stzr JACKSON STREET � �al,fl,►,iess poll �... roams VM AERIAL LAND SURVEYING D.P.C. affirm s "ar � SEW ■ com.m mmw rye ` 11mv o=um 4 IVENM anratmm rr w°e'4�e` i.c�if' wm.re� O �+9�► aim ms Ht MST& mtaOa Io 014s 0a0 ewciceo�.� SEC7IOIktt7. ,�. „„, MAP HQ:. AwoesacxN� � ' �,o.•aa�wc:� br.rr.a. rp w� .awrW" Barr .r.. 'r'"3"Sr�J°r�ora HAP M 'HOT OR A F".0 5U8DMSION M W' ��"ir r4y w SM,9 E LN' s rm w. N MAP FILED DAZE: H/A t."p'rt�mr •+.wn.ra a 80—M TAX MAP gh toftn-1l:ao-�osga-Ot4�a w S11M IED AA TOWN OF SOKOOLD {��A,• [Af Mir 164r "° '°II° SITE PLAN oAse o ou► a zags U9$°s 9'-0" SR—mart AMW aucsir. owaae zoos yA AGRICULTURAL DATA STATEMENT ZONING BOARD OF APPEALS TOWN OF SOUTHOLD 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 Applicant: Zackery E. Nicholson, RA - ZEN Design 2. Address of Applicant: PO Box 88 - Cutchoque, NY 11935 3. Name of Land Owner(if other than Applicant): 1875 Jackson LLC 4. Address of Land owner: 150 King Street - New Suffolk 11956 5. Description of Proposed Project: Construct a Shed dormer at an existing single family dwelling. 6. Location of Property: (Road and Tax map Number)1875 Jackson Street - New Suffolk 11956 1000-117-9-14 7. Is the parcel within 500 feet of a farm operation? { } Yes W No 8. Is this parcel actively farmed? ( ) Yes W 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. N/A NECEIVED 2. 3. MAY 2 8 2025 4. ZONING B^"""OF APPEALS 5. 6. (Please use the back of this page if there are additional property owners) 2-7/ Signature of Applicant N 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 S Short Environmental Assessment Form Instructions for Completing Part 1-Project Information. The.applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 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 U�� Name of Action or Project: IRECERAW 1875 Jackson - Proposed Shed Dormer MAY Project Location(describe,and attach a location map): 1875 Jackson Street - New Suffolk 11956 ZONING BOq Brief Description of Proposed Action: Construct a 10' wide shed dormer on the front (South Elevation) of an existing single family dwelling. Name of Applicant or Sponsor: Telephone:917.612.3764 1875 Jackson LLC E-Mail: dln27nm@gmail.com Address: 150 King Street City/PO: State: Zip Code: New Suffolk New York 11956 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? .384 acres b.Total acreage to be physically disturbed? 0 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? .384 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial XResidential.(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 RECEIVED 5. Is the proposed action, MAY 2 $ ZQ25 NO YES N/A a.A permitted use under the zoning regulations? X b.Consistent with the adopted comprehensive plan? X 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: N/A 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: N/A 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: 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 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 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 locatioRe or closed NO YES solid waste management facility? p�a� If Yes,describe: 925 X 20.Has the site of the proposed action or an adjoining property been20Nft18(9ARgi p0 ing 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 Applican onsor name: Date: 05,19.25 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 z 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 reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design,elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. %G9-1 RECEIVED MAY 2 8 2025 ZONING BOARD OF APPEALS ❑ 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 Board of Zoning Appeals Application OWNER'S AUTHORIZATION RECEIVED (Where the Applicant is not the Owner) MAY 2 8 2025 ZONING BOARD OF APPEALS 1, David Noonan residing at 150 King Street (Print property owner's name) (Mailing Address) do hereby authorize (Agent) Zackery E. Nicholson,=RA 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 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. � f ' I . (Owner's Signature) David Noonan (Print Owner's Name) RECEIVED�f 9 MAY 2 8 1�2025 J AGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM ZONING BOARD OF APPEALS The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOURNAME: Zackery E. Nicholson, RA (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. 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 Submitted this 21 St day of May 20 25 Signature Print Name Zackery E. Nicholson, RA RECEIVED 900 MAY APPLICANT/OWNER 2 8 2025 TRANSACTIONAL DISCLOSURE FORM �p� The Town of Southold's Code of Ethics Prohibits conflicts of interest on the Dart of town officers land eem'PAAQe2rr osa of this form is to Provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: David Noonan (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. 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 Submitte his 21 St day of a 20 25 Signature L ; /Prin�Name/ _ DaVId NOOnan RECEIVED MAY 2 8 2025 IIIIIII IIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII ZONING BOARD OF APPEAL: 111111111111,111111111 IN SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of instrument: DEED ,Recorded: 8/18/2023. Number of Pages: 4 At: 7:44:06 PM Receipt Number: 23-0106309 *ELECTRONICALLY RECORDED* Transfer Tax Number: 23-02251 LIBER: 000013214 PAGE: 627 District': Section: Block: Lot: 10.00 117.00 A9.00 014.000: EXAMINED AND CHARGED AS FOLLOWS Deed Amount $11;250,000.00 Received the 'Following Fees For Above Instrument Exempt Exempt Page,/Filing $20.00 NO Handling $20.,00 NO C.OE $:5.00 NO NYS SRCHG $15.00 NO Notation $0.00 NO Cert.Coples $0.00 NO RPT $200.00 NO Mansion Tax $12,500.00 NO EA-CTY $5.00 NO EA-STATE $125.00 NO TP-584 $5.00 NO Comm.Pres $26,250.00 NO Transfer Tax $5,000.00 NO Transfer Tax Number': 23-02251 Fees. Paid $44,145.00 THIS PAGE IS A PART .OF THE INSTRUMENT THIS IS NOT A 'BI'LL Vincent Puleo County Clerk, Suffolk County RECORDED Numtr rof pages 4 --�/1812.023 7:44:06 -PM VINCENT PULEO CLERK OF T his-,dnt..umerd vAl be pf.bliv, SUFFOLK COUNTY record, fIlea;erewove all L D00013214 Social Su runty Numbers P 627 prior-td t'93cor-ding. 23=02251 Daod',i Mortga0e Instrunwt Deed J Mortgage 7'aac'Stamp Recording 1 Filing Stamps PagoJ Filing Fee Mortgage Ant RP:C IVED 1,Basic Tax O Handling 20. 00. 2. Additional Tax TP-5$4 5.00 SubTotal ►'� 2025 Notation 0..00 Spec4lAssk., EW 17(County) 5.00 "SuhTdfal 50.00 pee/Add or ZONING BOARD OF APPEALS EA•52V(State) 125.00 TOT.MTG.TAX R:P;r.S.A 200.00 Dual Town Dual'County 1'iOd fQr.Appainttnent Comm.of Ed. S. Transfer Tax 5.,0 0 0..00 ` Mansion Tit 12,5,0 0.0 0 Affidavit Cartified Co 0:00 The property coveted by this mortgage I-,pY or WII be kriproved iay a one or two WSSurcharge 15. Otl 345..00- family a`mllingonly:, Srib Total - YES ar N6 Other 395.,00 Grand Total If 140,see appropriate tax clause on page* of this insttumont Die. Section Brack Lot. 5. Gommur* Preservation Fund zsosoasz 1 250 000.00 RwI Propxrty T Cot?si.deration Amount..$ , TaxService e S R oTr a Agency uaerzozs G;I'F't'ax Dim.: $ 26,250.00-. Verification 'Improved x � a rs a ions, srges a eases rs rope Hers ai gag ress RECORD&RcrURNTG: ltacrrstl.arid „____r Advantage Title TD 10 201. Old Country Etd Ste 200 MelvLlle NY '11747-2731 Tp� Mailta 'Vincent Puleo,SIffolk'Cbunty Clerk °7 Title Company-Information. 310 Certter Drive, Riverhead, NY 11901 (O.Name -www,suffolkcountyny,govlclerk. Tide# Suffolk ounty Recanding &Endorsement Page This pageforms part of the attached DS® made ky; (SPECIFY'f.YPE'60:'iNSTRUMENT) The prorrrusss herein issitirsled in SUFFOLK COUNTY,NEW YORK. -To In the TOWN of SOUTHOLD n t11e 1JILLAAGE, or"AMLET of "nOYES$THRU S MU EETYPED OR PRINTED IN BLACK INK ONLY FRIORTO RECORDIIIC OR,FILING. .ov i BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS(INDIVIDUAL OR CORPORATION) STANDARD NYBTU FORM 800.7 CAUTION:THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND-REVIEWED BY ATTORNEYS FOR SELLER AND OECEIVE� PURCHASER BEFORE SIGNING. A®THIS INDENTURE,made V the d, day of —�s r`t 2023 ,'IAI 8 2025 between,' ,- 2 MICHAEL E.GILL and BARBARA BUT TERWORTH,TRUSTEES OF THE B. ZOIV/NG F30A"RD OF BUTTERWORTH,AND,M.GILL TRUST dated February 19,1994 APPEALS residing at 12636 New Suffolk Avenue,Cutchogue,NY 11935 party,of the first part,.and' 1875 JACKSON LLC residing at,150King Street,P.O.Boz 66,New Suffolk,NY 11956 party of the second part, WITNESSETH,that the party of the first part,in consideration of One Million Two Hundred Fifiy Thousand and 00/100($1,250,000.00),lawful money of the United States,paid by the partyof the second part, does hereby grant and release unto.the party of the second part,the heirs or successors and,assigns of.the party of the:second part forever, ALL that;certain plot,piece or parcel of land,with the buildings and improvements thereon erected; situate,lying and being in the Town of Southold,County of Suffolk and State of New York. SEE SCHEDULE`A'ATTACHED HERETO AND MADE A PART HEREOF Being the same premises described in:the deed to the parties of the first part herein from Michael E.Gill and Barbara Butterworth,as tenants by the entirety,dated February 19,1994 and recorded on July 29,1994.in Liber 11687 Page 507. Said premises are known and designated as District 1000,Section I 17.00,Block 09.00 and Lot 014.000. TOGETHER with all right,title and interest,if any,of the party of the first part in and to any streets and roads abutting the above describOpremises to the center lines thereof, TOGETHER with the appurtenances and all the estate and rights of the party of the first part'in and to said premises, TD HAVE AND TO HOLD the premises herein granted unto the party of the:second part,the heirs or successors and assigns of the party of the second part forever. AND the party of the first part,:eovenants that the party of the first part'has not.done or suffered anything whereby the said premises have been encumbered in any way whatever,except as aforesaid. AND the party of the first part,in compliance with Section 13 of the Lien Law,covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before-using any part of the total of the same 'for any other purpose. The word,"party"shall be construed as if it read"parties"whenever the sense of this,indenture so requires. IN WITNESS WHEREOF,the party of the first part has duly executed this deed the day and year first 'T ke 3. � ,� bove written. 3���o��1-� + Y"- Cn,)1 MICC FLL E.GILL, to ee BARBARA BUTTERW ORTH,Trustee NYSBA Residential Real Estate Foons on HotDocs®(9/00) CopyrilotCapsoR"'Development -L- RECENED MAY 2 0 2025 STATE OF NEW YORK ) COUNTY OF SUFFOLK ZONING BOARD OF APPEAL: On the Co day of Sl,y ,in the year 2023,before me,'the undersigned personally appeared Michael E.Gill and Barbara Butterworth,personally known to me-or proved tome on the basis of satisfactory evidence to be the individuals whose names ire subscribed to the within instrument and acknowledged to me that they executed the same in their capacity;that by their signatures on the instrument,the individual,or the person upon behalf'of which the individual acted,executed the instrument. NOTARY PUBLIC MARY KOIAKOYISKI NOTARY PUSLIC,:STATE OF NEW YORK Registration No.01KO4670M Qualified in Suffolk County Commission Expires September 2,2026 DEED District 1000 Title No. Section 117:00 Block 09.00 GILL&13UTTERWORTH Lot 014.000 TRUST County or Town SUFFOLK To 1875 JACKSON LLC Return By Mail To: Valerie Marvin,Esq. 62 Main Street,2"d Floor P.O.Box 3163 Sag Harbor,NY 11963 Reserve This Space For Use Of Recording Office NYSBA Residential Real Estate Forms on HotDoes®(9/00) Copyright Capsoft®Development. -2- RECEIVED • MAY ADVANTAGE 28 2025 SCREEWLEA RD OF APPEALS Amended&.30 2023 ALL that certain'plot,.piece or parcel of land,situate; lying and being in the Town of Southold,'County of Suffolk and State of New York bounded and described as follows: BEGINNING'at tliercorner formed by the intersection of the North.erlyside of.Jackson Street with the Westerly side of Fourth Avenue; RUNNING THENCE ,North; 85 degrees 42 ;minutes 39. seconds West: along the Northerly side of Jackson Street,.111:91 feet to land now or formerly of Thomas McKenzie; THENCE North 05 degrees 19:minutes 00 seconds East along the,last-mentioned land, 150,00 feet to a,concrete monument.and land now or formerly of Whitecap North Fork.-LLC; THENCE South 85 degrees 43 minutes 10 seconds East along the.last mentioned:land, 111.08 feet to the Westerlyside of Fourth Avenue; THENCE'South.04 degrees'59.minutes 50 seconds West along the Westerly side of Fourth Avenue, 150.00-feett6-the sorrier,at,the pointor.;place of BEGINNING. The policy to beissued under this report.will insure.the:title to'such buildings and improvements erected,on FOR-- the,premises;whlch bylaw constitute real property. CONVEYANCING .ONLY TOGETHER with.all the right;title and interest of'the:party of the firsbpart,,of,in and'to the land'lying"in the street;in front of and adjoining said prendses TITLE#23-AS=6:0052' FOR COUNTY USE 4jN1` Cl: SWIS code 14 t 7 t 3, B r B i 9 I =INS)r tNwW:OEpsstata..:;ais New York Siate lJOpartment of C2_ Date need Recorded B / 18 / '2A23 Taxation and Finalrice '!bath Day Year, Office',of Real Property Tax Services c3_ Book 'L1,-312 I. 4 1 C4_ Page j 16 1 2, 71 - RP-,52.17'-PDF PROPERTY.INFORMATION I Real Proper y Tratwor.Report:Julio) t.Pro 1875 Location Jtackson Street gECENED •6)'el=ttT NUMaFn 'aTRGET NAML+ Southold Now 119.E 6 Suffolk r .._..._ .._......_. .._._.� •otrYORTwm �ti�t� - " ' -x�PepbE 2.Buyer 1.815 3ack'spn "LLC MAY 2 � �20� Name LAST NAMEICCMpANY piart'NAME '" �• "'• LAST MAW/COMPANY FIRFTMAMB ZpNING BOA� 3.Tax Indicate where future Tax Bills ate to be,sent Billing If other than buyer addross(of bottom otform) I,AesNAUErcoMPAxr "��'•" rtnsrNAME ""• - Address E7TITEET NUMBER AND NAMIi CITYWr YnWN ti?A:ir -SIP CODE 4.Indicate the number of Assessment ';I, Part of a Parcel (Only if Part of a Parcoij Chock as they apply. Roil parcels transferred on the deed #of Parcels OR L..:1 bA.Planning•Soard with Sutidivlsfon quthorliy Eltisle s.oeett X •- "- OR 0.25 Property FEET •nurar •nCxes __.__... 4B.SubdivisionApproval was'Requimdfor7ronsfor 0 Sire AC.Pacel Approved for Subdivision with'Map Provided 0 G13.1, as Trustee Michael E- 6.Seller ._.....,...... .m..,..,... _. •LAST NAMGfCQMFANY .1 ZkGT NAME Herne 13utterworth, a.s Truotee Barbara LAST NANJ:tt`l1tfPANY ,_ —_ •�� FIRST NAM_'�� - ""^"•,. "7.Select the description which most accurately.,describes the Check,the boxes below as they apply, I� use'ofthe property at the trme of sale! S.Ownership Type Is Condominium 1 1 A. O'ne Family Residential e.New Construction on a'vacant Land 0 ----••^--- -•-�• 1eA.Property Located within an Agricultural District 10M 13uyer'reoelved a c0sctasura notice Indleathtg.thatthe property is In an Agricultural.Distdct U SALE INFORMATION 15.Check ono or more of these conditions as applicable to transfer; A.Sale Between Relatives or Former'Ralativos t 1.Salo Contract Date 0 L 0,2 2 0 2 3 Id.Sale betwsen Related Companies or Partners ImBueiness. ^'•^^^^• C.One of the Buyers is also a'.Seller - D.Buyer or Seller is'Goveirnment Agency or Lending Institution 12.Date of Salerfronafrr- ..." •—.—] 2. E.peed 1'ype net Warranty ar.Elargaln and Sala(Specify Below) F.Salo of Fractional or Less than'Fac'Interest_(Specify y Below)" •13.Full Sato Price 1,r 250,000:00 G.Significant Change in Property Between'Taxable Status and Sale Dates _ H.Sale of Business is Included in Saie.Price (Full Sale.Prise Is the total amount patd for the property Including.personal property. 1, Other Unusual Faclors Affecting Sale Price.(Specify Below) This payment may be in the fond of cash,other ptoporty or goods,or the assumption of J.None mortgages or other obligations•):Pleasa round to the nearest whole obflar amoorlt, domment(s);on Condition- 14.Indicate the value of personal property included in the sale 00 ASSESSMENT INFORMATION"Data should reflect the latest Final rAstiessiTtent Roil and Tax Bill 16.Year of Assessment Roll from which Information token(YY) 23 '17.Total Assessed Value" 6,200 '1S.Property Class 2.1 O — _ •19.School District Name New S.U.f fol)< •2e-Tax Wrap Identiffor(s)IRell ldentifer(s)(It more than four,attach sheet with additional Identlfrerts)i .._�M"• •- iooa--117•00.09.a0--014.000 ER rl F ICA ON t Certify that all of the items of informatlon entered on this form are true and correct Ito the best of my knowledge and belief)and'i understand thatthe making of any willful fals statement of material fact herein subject me to the-pLQY.i'£.i.ODD-9t7d1@AennlLi.�Y1.:retativo to the making and'fting of false Instruments. —` SaNATURE �(,,f.)(>.R.CiQNTACT INFORIIAATIO(y( ( ♦ 1�> (-nter Mtwmatlon f&the buycr.,NOW If buyer is l.LO.aociety,eafiodat;pn.Corporation.joint Stock oa npary.estateIX entity that is rot on MtGvkoal traont pr nduciaty,then a nane and contact lre--eon clan indtvidimUrmponslbte { P. who cart anaWerQlIDYUtMa rogard ng thoIrenatar mustbo:entamd.,lype orP.An;cWattyj 8ELL61r sIr,NATU0.a DATEi 1 tlYER,.;' bjA_jyR6 7V875 Jadksari L'LC R 9 J •t RT NAMF. FIRC7 YAME�"' yA` �L (633AREACoas 725—&300 .Yvtjsmca_Nurnarntrx9satoaal T"•avwn 6I6rb5SUAP- '��••�"�-�"-� nATE ay_O Kira. S ree.t, P. 0. Box 66 ��'aTAi'.ET,NUMPEn •St'RtlraT NAME. } r j Now •Su'-f6lk -----_ 'NY 11955 -CITY O`2•I'OI.YN' -p- --T/ pp A•t••}r� •St•AT4'� V'.[P Ctann ' - AQX9ir..AA-:1YRNEY 1 ,1 Marvin, Esq. Valerie l t r ^(6:311 �7?5-63C}0 n7tE.Aco05I rcLcnrtuNe.NUMesrr;kx�.rnasamn ADDENDUM TO RP- 5217 RECEIVS0 MAY 2 8'2025 Grantor, ZONING sogRp OF qp PEALS Michael E. Gill and Barbara Butterworth, as Trustees ofthe B. Butterworth :and M. Gi'II.Trust dated February 19, 1994. \Town of Southold __-� RECEIVED LNVRP CONSISTENCY ASSESSMENT FORM MAY 2 8 2025 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 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# 117 The Application has been submitted to(check appropriate response): Town Board © Planning Dept. 0 Building Dept. © Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g.capital 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: Construct a 10' wide shed dormer on the front (South Elevation) of an existing single family dwelling. J - Location of action: 1875 Jackson Street - New Suffolk 11956 REC-EaRl Site acreage: 0.384 25 Present land use:_ Signle Family Dwelling NING BOARD OF APPEALS 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: Zackery E. Nicholson, RA (b) Mailing address: PO Box 88 - Cutchogue, New York 11935 (c) Telephone number:Area Code( ) 631.513.6589 (d) Application number,if any: Will the action be 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 effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. ❑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 ❑ No ❑ Not Applicable The original house on this lot was constructed sometime between 1832 & 1958. It was home to Captain Benjamin Emlen Webb. Based on historical photos the house is believed to originally have had (2) dog house dormer on the front of the house. While doghouse dormer provide light they dont . aid in as much volumetricaly spacious light as a shed dormer. Our proposed shed dormer is approporiate to the original architecture and neighborhood character. t 1 Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ® Yes Q No © Not Applicable The proposed shed dormer is in keeping with the original architecture of the house and neighborhood. The proposed materials and details are appropriate to the area. RECEIVED MAY 2 8 2975 Attach additional sheets if necessary NATURAL COAST POLICIES ZONING BOARD OF APPEALS 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 0 Yes 0 No ® 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 0 Yes El No M Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. 0 Yes Q No© Not Applicable RECENED 1 Attach additional sheets if necessary MAY 2 R 2OZ-5 Policy 7. Protect and improve air quality in the Town of Southold. &MM9A%dffW$gtSPolicies Pages 32 through 34 for evaluation criteria. © Yes © No® Not Applicable 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 ❑ 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. © Ye ] No® 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 ❑ No ® Not Applicable OVER 9r,n4i ZONING ROAR]OF 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. ❑ 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 ❑ No X 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 LOCATION OF r PROPOSED SHED DORMER MO t» �i IIIIR�h ,� � ;. � � � ��e dti •�R',ve�re `�'av"E�� -� w �-� �.� ��i� '��.a�-a.�`�ii 'cam � _ s e ll Z Z 0 3 o 1875 Jackson LLC o cc m o© Page 1/1 1875 Jackson St D N v Existing South Elevation New Suffolk, NY 11956 n —'° Photo Dated 05.19.25 r -- _- TOWN OF SOUTHOLD PROPERT) �t �� � CARD OWNER STREET VILLAGE T SUB. LOT FORMER OWNER �� � ��� N , E ACREAGE # AG er r=t4' S .. Wr rg Jj�� TYPE OF BUILDING RES. /p SEAS. VL. I FARM COMM. IND. I CB. I MISC. Est. Mkt. Value i LAND IMP. TOTAL DATE REMARKS Z9 I111fJ9t' d � � Tdi>Ch�C / �"fi f�°rj� �: Yt. ~fG 5600 5-/'q AD P F�,5-q R g-P4 ig 4- IZ,,L+ clvol(o1g 1-I►o33 �PC3_M, A4,er Ems} -�d ���� a- -� AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Form Acre Value Per Acre Value FRONTAGE ON ROAD _ _ • fable 1 BULKHEAD Tilloble 2 13 --- _ DOCK Tillable 3 P W o O �y Woodland W `l-' Swampland Brushland FE House Plot ` ho/2Ll— t ,53513 - Y7 6f Owl a - Sl d L 6- Total 1 r � �,,O x M. Bldg. � � � � + Foundation —,i Bath � Extension 1 �, Basement , Floors f Interior F ension Ext. Walls n for Finish I Extension, ! { / g Fire Place Heat s °—+-V Porch Roof Type .. . .' — ____-_-__ a I fi k Porch Rooms 1st Floor - ---- -- —-- Breezeway Patio Rooms 2nd Floor Garage — � � ' "` - q�50 ( Driveway { Dormer I O. =til ZBA CHECK FEES - 2025 Funding Account-B2110.10 DATE NAME ZBA FILE# FEE CHECK# DATE SENT TO TCO Paricia Moore for LICUL Y1314 ` "'.;ADDITIONAL FEE FOR ADDITIONAL VARIANCE REVOCABLE TRUST 8008 $50000• . Strongs West Mill,LLC- 5/22/2025 INTERPRETATION 8027 $750.00 31404 5/30/2025 Charles Cuddy(Dime Cashiers 5/22/2025 Check)-INTERPRETATION 8027 $250.00 440003912 5/30/2025 AMP Architecture for:PERL, 5/27/2025 Stephanie 8028 $1,250.00 3319 5/30/2025 Zackery Nicholson for:1875 5/28/2025 JACKSON LLC At8bZ9-W $1,250.00 174 5/30/2025 $4,000.00 J U N - 2 2025 Southold`town Clerk -.,own of Southold P.n Box 1.179 Southold, NY 11971 * * * RECEIPT * * * Date: 06/02/25 Receipt#: 340702 Quantity Transactions Reference Subtotal 1 ZBA Application Fees 8008 $500.00 1 ZBA Application Fees 8027 $250.00 1 ZBA Application Fees 8027. $750.00 1 ZBA Application Fees 8028 $1,250.00 1 ZBA Application Fees 8029 $1,250.00 Total Paid: $4,000.00 Notes: Payment Type Amount Paid By CK#3319 $1,250.00 AMP Architecture, PLLC CK#440003912 $250.00 DIME Cashier's Check CK#174 $1,250.00 Nicholson, Zackery E CK#11314 $500.00 Patricia C. Moore CK#31404 $750.00 Stron's Marine LLC Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: AMP, Architecture 10200 Main Rd. Unit 3 A Mattituck, NY 11952 Clerk ID: JENNIFER Internal ID:8008 BOARD MEMBERS ��0� S�Ujyo Southold Town Hall Leslie Kanes Weisman, Chairperson 53095 Main Road- P.O. Box 1179 Patricia Acampora Southold,NY 11971-0959 Robert Lehnert, Jr. y Office Location: Nicholas Planamento _• �OQ Town Annex/First Floor Margaret Steinbugler lij'COU 54375 Main Road(at Youngs Avenue) ' Southold,NY 11971 http://southoldtownny.gov ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631)765-1809 LEGAL NOTICE SOUTHOLD TOWN ZONING BOARD OF APPEALS THURSDAY, AUGUST 7, 2025 at 10:00 AM PUBLIC HEARINGS NOTICE IS HEREBY GIVEN, pursuant to Section 267 of the Town Law and Town Code Chapter 280 (Zoning), Town of Southold, the following "IN PERSON" public hearing will be held by the SOUTHOLD TOWN ZONING BOARD OF APPEALS at the Town Hall, 53095 Main Road, Southold, New York 11971-0959, on THURSDAY, AUGUST 7, 2025: The public may ALSO have access to view, listen and make comment during the PUBLIC HEARING as it is happening via ZOOM WEBINAR. There will be a link to the Zoom Webinar meeting at http://southoldtownny.aov/calendar.aspx. 10:40 A.M. - DAVID NOONAN/1875 JACKSON, LLC #8029 - Request for Variances from Article XXIII, Section 280-124; Article XXXVI, Section 280-208; and the Building Inspector's May 19, 2025, Amended May 27, 2025 Notice of Disapproval based on an application for a permit to construct a dormer addition to a single family dwelling; at 1) less than the code required minimum front yard setback of 35 feet; 2)the construction exceeds the permitted sky plane as defined in Article 1; Section 280-4 of the Town Code; located at: 1875 Jackson Street, New Suffolk, NY. SCTM No. 1000-117-9-14. The Board of Appeals will hear all persons or their representatives, desiring to be heard at each hearing, and/or desiring to submit writter,statements before the conclusion of each hearing. Each hearing will not start earlier than designated-above. Files are available for review on The Town's Weblink/Laserfiche under Zonisig Board of Appeals(ZBA)\Board Actions\Pending. Click Link: http://24.38.28.228/WebLink/Browse.aspx?id=935072&dbid=0&repo=TownOfSouthold If you have questions, please telephone our office at(631)765-1809, or by email: kimf@southoldtownny.gov. Dated: July 24, 2025 ZONING BOARD OF APPEALS LESLIE KANES WEISMAN, CHAIRPERSON By: Kim E. Fuentes 54375 Main Road (Office Location) 53095 Main Road (Mailing/USPS) P.O. Box 1179 Southold, NY 11971-0959 ��S1�FFOL�-�O Town Hall Annex, 54375 NYS Route 25 C P.O.Box 1179 ti Southold,New York 11971-0959 2 Fax(631) 765-9064 ZONING BOARD OF APPEALS DATE: July 7, 2025 + . IINS17iR+i�l1C�1TI(3,NrS FiOR 1UIB{LIC HJEAR+IiN,r Dear Applicant; The August 7, 2025 Zoning Board of Appeals Regular Meeting will be held BOTH in person in the Town Hall Meeting Room at 53095 Main Road, Southold AND via video conferencing (Zoom Webinar), and a transcript will be provided at a later date. The public will have an opportunity to see and hear the meeting live, and make comments. Below, please see instructions required to'prepare for the ZBA public hearing which includ s PLEASiE READ CAR+E�FUiLLY. 1. Yellow sign to post on your property a minimum of seven(7) days prior to your hearing,to be placed not more than 10 feet from the front property line (within your property) bordering the street. If you border more than one street or roadway, an extra sign is supplied for posting on both street frontages. Posting should be done no later than July 31, 2025.To avoid weather damage to your sign please affix it to a sturdv surface such as plywood. If your sign is damaged please call the office and we will provide you with another one. Prior to your public hearing, members of the Board of Appeals will each conduct a personal inspection of your property. If a Board member reports that there is no signage visibly on display as required by law, your scheduled hearing will be adjourned to a later date to ensure compliance with Chapter 55-1 (B) 1 of the Town Code. 2. SC Tax Map with property numbers. 3. Legal Notice of in person meeting,as well as video conferencing. Instructions for participation will follow, and will be posted on the Town's Website under the meeting date, and the Legal Notice section of Suffolk Times Newspaper. 4. Affidavits of Mailings and Posting to be completed by you, notarized, and returned to our office along with the mailing receipts and green cards by July 31, 2025, verifying that you have properly mailed and posted. Please attach a photograph of the posting on your Property with your affidavit of posting. 5. Instructions for Laserfiche/Weblink to view application. MAILING INSTRUCTIONS: Please send by V�SfPS-Certified Mail Return MEMO the following documents to all owners of property (tax map with property numbers enclosed) vacant or improved, which abuts and any property which is across from any public or private street. Instructions for ZBA Public Hearing Page 2 Tease maul doc-_upments to the is al malin address: tas on fide wtih Southold a ssessors®ffice Ma�Y�i�n to b do,�ne b. July 21 2425. a. Legal Notice informing interested parties of meeting being conducted IN PERSON and via video conferencing. (Enclosed) A WEBLINK to the meeting will be provided on the Town's Website under the date of the meeting. b. Your Cover Letter which should include your contact information, date and time of hearing, procedures for submitting written comment via email or USPS to our office. Recipients should be able to contact you for additional information. Furthermore, if recipients need to contact the ZBA staff,they may telephone 631-765-1809 or email us at kimf@southoldtownny.gov or elizabeth.sakarellos@town.southold.n�us c. Instructions for Laserfiche/Weblink to view all pending applications. (Enclosed) Link to view pending applications: http://24.38.28.228:2040/weblink/Browse.aspx?dbid=0. d. Survey or Site Plan depicting "as-built" and proposed improvements requiring ZBA relief. The Town's Laserfiche/Weblink files provides both location addresses and mailing addresses in their current Assessment Roll listing. (See Link Below). Also,the Town Assessor's Office can be reached at 631-765-1937. Contact us via email or by phone if you need further assistance. TownOfSouthold>Assessors>Assessment Books/Tax Rolls> https://southoldtownny.gov/DocumentCenter/View/11008/tentroII2025-1 IMPORTANT INSTRUCTIONS: Scan and email the USPS mailing receipts, green signature cards and affidavits to kimf&,,southoldtownny.gov, and ** PROMPTLY USPS MAIL** the ORIGINALS to the Town of Southold, ZBA, P.O. Box 1179, Southold,NY 11971. Please note that without your mailing receipts, the ZBA will be prevented from conducting your hearing,pursuant to Chapter 55 of the Southold Town Code and New York State Law. Please note that you or your representative are required to attend. If you or your representative are not present, the hearing will be adjourned to the next available hearing date. Please be reminded that New York State Law requires the ZBA to follow the above specific policies. If for any reason,you are unable to prepare for your public hearing as instructed, please let us know. ***PLEAS'E N:.CI�T�E�_** TI3E LAST DAY TU SU�BM+I�T 'Wi2,ITTwElT � ®CU+MENTS TO T �+ FFICE FOR THE BOO , � + 'IVI+BEJRS W +LL B'E TgHE R+++AY PR+L©R TOO TH+E PU+ � I ACCEPTEdD BY TH+E UFFT« BU AN BE S'U+BIVI+TTTE�D T®TH+E SO +� 1VI+E�M+BF�RS T THE PUiBI.I I�+EA +� 'G Kim E. Fuentes—Board Assistant Laserfiche Instructions for Zoning Board of Appeals Records (6/16/2025) �QO� ,.KCOGA / HOLD �9po� Searrn 4 fNFWYORK Governmen Services > MIND" I... CONUACT 7•+ y s f 's Notify Me® Maps, � Agendas do • Town Coda Online Payments Taws 13acords Forms ' -" sigouptozwelve „ IMIi�`tlte8 .^ rEasilgpay- biu, tYebbnk�LaseeY6che Fonns/Appliesdona i�..a�......i ' ....V......_.,_....._....,....nnlinn. Above: Homepage, Click on Link"Town Records" Weblink/Laserfiche Instructions to search Pending Applications: • Click "Town of Southold". • Click "ZBA". • Click "Board Actions". • Click "Pending" Or the below URL address will take you directly to Board Actions. http•//24 38 28 228/WebLink/Browse.aspx?id=935072&dbid=0&repo=TownOfSo uthold ' T I Ul� Lj Al The following application will be heard by the Southold Town Board of Appeals at Town Hall, 53095 Main Road, Southold The application will ALSO be available VIA ZOOM WEBINAR - Follow link - httpm.//Southoldtownny.gov/calendar.aspx NAME : 1875 JACKSON LLC/DAVID NOONAN #8029 SCTM #.m 1000= 117=9= 14 'JARIANCE: YARD SETBACK, EXCEEDS PERMITTED SKY PLANE REQUEST: CONSTRUCT DORMER ADDITION TO SINGLE FAMILY DWELLING E ATE : THURS. , AUG . 712025 10m40 AM You may review the file(s) on the town's website under Town Records/Weblink: ZBA/ Board Actions/ Pending. ZBA Office telephone (631 ) 765-1809 80Q9 lovz)-/)-7--9- 14- LJ_C FOR PCL NO. SEE SEC.NO. 2A S 110-8-034 3.1 1AIN-) 13 4.2 1.3A4.1 1.8A 12 7:7- .4 6 Q* f 2-BA T 8.9 8.4 to- - 8 .9 i 51 in 12.. CUTCHOGUE N, 18.6 14 8 33 1141 j IS I.SA(c) V 32 2 G) 29.1 2 HARBOR 1� 31 2..2A(C) LLJ 2127 30 ",:--D 1 %25 bVse Creek F-SLA.) 47 Sehed S c c 22 asox Z2A 4 46. 33 it 6 30 8 34 1,e FISHER 7 9 36 2 3 '04.) 4 a S 34 1.6A(-) 211 - 8 33- ST 291 e, " 3AA-) go X 9 r7� -n 11.2 10 zo G) 0 g Tl 113-11 12 13.2 C: -4 0 9 32 30 0 kbu) 8.2 a 115g� HKOUROIs RD FF 0 IT 2 119.3 19-1 31 u KIND 8. 16 ems 23� 41 16.6 27pkc) 1.01(c) V A 21 16.3 m a 32.2 i4 14.2 6A I 16.5 I.IA 2�3 -24: 26. 15 NEW SUFFOLK 21 (GO 9 _111 12 4 AT "' 3. 2 8.1 (C) 9 _11 1 .1 I.3A 2.9A(C) 32 ILL as mJ zso N 5.2 6 6 9 a r JACKSON ior 22 20.2 6! A(c) 1.2 3.I 5A(c) tt 20.9 2.11A(c) I.SA(c) 1-2A 16 P.D. 9019 '12.2 is 4.2 @ F.D. ee 2. BAY pEcONIC GREAT --rd- -S Hyd.1-d- --H-- UNLESS ORANNOTIIE MBE,ALLPROPER,IES NOTICE COUNTY OF SUFFOLK K "IS E MAJNTENANCE,ALTERATION,SALE OR Cy DISTRISUTION OFANY PORTION OF THE Real Property Tax Service Agency y --L-- Deftl-A 45 SUFFOLK COUNTY TAX MAP IS PROHIBITED County Center Riverhead,N Y 11901 m LATH OUT MITTEN PERMISSION OF THE m SCALE IN FEE`f.� A REAL PROPERTY TAX SERVICE AGENCY. (Nmw p �o��c,UfFQ(KcoG µ TOWN OF SOUTHOLD—BUILDING DEPARTMENT j y2j; Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtowM.gov— Date Received APPLICATION FOR BUILDING PERMIT � For Office Use Only C E 0 W E PERMIT NO. E5(DO ?)CD Building Inspector: . OCT 3 0 2023 Applications and forms must be filled out in their<entirety.Inco►nplete, applications will not be accepted.-Where the Applicant is not tYie owner,arD Buffaling Department Owner's Authorization form(Page.2)shall'be completed. Town of Souti'! old Date: 0 'Z,� - -7,0?3 OWNER($)OF PROPERTY:, Name: �", �` �L� SCTM#1000- Project Address: I.C �S' ��CC c,11� �. vi Phone#: Email: Mailing Address: CONTACT PERSON. Name: Mailing Address: Phone#: Email: DESIGN PROFESSIONAL INFORMATION: Name: . Mailing Address: 'P 0 CJ C2 -kZ Phone#: � '�y ���7.�'_.- �1 �1. Email: CONTRACTOR INFORMATION: ���� Name: (" rh �C?Cti�l( 11' O- Mailing Address:Phone#: (273 C16 Email: y[C)3 nS62�j�P,�rF C DESCRIPTION OF PROPOSED CONSTRUCTION El New StrActture ❑Addition Alteration ❑ epair emolition Estimated Cost of Project: Other ` e " q3A F: �fAN-3 Ve y $ Will the lot be re-graded? ❑Yes 'XNo Will excess fill be removed from premises? ❑Yes WO 1 PROPERTY INFORMATION: Existing use of property: �� 1� t Intended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to (� 'A this property? ❑Yes A"No IF YES, PROVIDE A COPY. 'Cheek Box After Reading':The owner/contractor/design.professional,is responsiblefior all drainage and storm water issues.as provided by Chapter 236 of the Town Code:APPUCATIONiS HEREBY,MADE to the;Building,Department for the issuance of of Permit pursuanttothe Building Zone_ 64nance•of the Tow-h of Southold,Suffolk;County,New York anti othec'applicable hws;Ordinances'o(Regulations,for the construction ofbulldings,,. additions,alterations or for removal-brdemolition;as herein,desc►ibed:The-applicant agiees.to comply with'all applicabl0aws;ordinances,building.code, housing code and regulation's.and"toadmit authorlied inspectors on,premises and in buildmg(sf for necessary inspections.•False statements made herein are puni__shable as a dasi-A misdemeanor,pursuant;to Section210 it of the New•York State;Penal Law: Application Submitted B (print name): �v ; �J �'rj y��� ❑Authorized Agent growner Signature of Applicant: _ Date: I d Z Z 3 STATE OF NEW YORRKK)) COUNTY OF ) IV A-V , �, L, , V 1,0,k l being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, l (S)he is the WN .{,L�1j,� �- p `7� a le-y a(� �—(r C, (Contractor,Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his/her knowledge and belief; and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this V r1 day of C a ,20 Notary Public =Public- BANK ate of New YoPROPERTY OWNER AUTHORIZATION427783ffolk County(Where the applicant is not the owner) ires Jan 3,20 I, ��� gclC^2�_, W AO residing at 9f Ar do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Si nature Date Print Owner's Name 2 F VEY OF PERTY `sDISAPPROVAL Sl TU A TE TOWN OF SOUTH OLDS SUFFOLK COUNTY, NEW YORK S85043 " 10 "E TAX No. 1000-11700-0900-014000 1111 . 081 SCALE 1"=20' JUNE 16, 2023 Tax Map Lot 13 N/O/F of I 0 SHED zo 6 o' HOUSE 9-� WHITECAP NORTH FORK W Wlw AREA = 16,722 sq. ft. 1.7'N W .6' W o LLC 1�T —5:1 W 0.384 aC. FE 0.7'E 0.5'S 6'WOOD FENCE PAVER WALKWAY 5'WOOD FENCE �,i FE 0.1'E 0 5.4's N_ 4 CHAINLINK FENCE J 0 oN W D o Q WLL- I GRAVEL DRIVEWAY O FE .2'E = v W/STONE CURB w o o I 0 "' 0 cD • 20.23 I 4.5'E WOOD 1 STEP FE 0.6'W � FE 0/L I J I 1 J 3 Tax Map Lot 12 a I N/O/F of THOMAS MCKENZIE o Tax Map Lot14 �I W I 0BRICK STEPS Y 16.1 I z ENCLOSED o z 15.8' PATIO 1 W = .- 0 26.8' O FE 0.3'W 2—STORY '0 WOOD 1 GM HOUSE oo DECK & � O� C/E No. 1875 STEPS 3 Q N 1 0 [ 0 .� 0 L0 5^7 0 r),--3 z / co FE 0 L 16.4'1 Q Q LO / 6 cn 3 1 _ o.3'w + 1�.3' 16.1' � 1.o'N 63•1) BRICK STOOP I 0 & STEP 0 SLATE — . . _ . . _ . . _ P.O.B. WALKWAY EDGE OF PAVEMENT N 8 5 °42 '3 91) w LEGEND: JACKSON OVERHEAD UTILITY WIRES STREE � qk-) UTILITY POLE n SIGN WATER METER AERIAL LAND SURVEYING, D.P.C. NOTE: LOCATIONS AND EXISTENCE OF ANY SUBSURFACE UTILITIES AND/OR STRUCTURES NOT 53 PROBST DRIVE . READILY VISIBLE, ARE NOT CERTIFIED. THE CONC. MONUMENT SHIRLEY, NY 11967 CERTIFICATIONS HEREON ARE NOT TRANSFERABLE. PHONE: 833-787-8393 ELEC. METER E—MAIL: SURVEYSOAERIALLANDSURVEYING.COM EM m WEBSITE: WWW.AERIALLANDSURVEYING.COM THIS SURVEY IS SUBJECT TO ANY EASEMENT OF RECORD AND ANY OTHER PERTINENT FACTS WHICH A TITLE SEARCH MIGHT DISCLOSE GM m GAS METER DISTRICT:1000 LOT:014.000 BLOCK:09.00 SECTION:117.00 'UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED LAND SURVEYOR'S SEAL IS A VIOLATION OF ARTICLE 134, MAP/FILE NO.: N/A SECTION 7209, SUBDIVISION 2, OF THE NEW YORK STATE EDUCATION LAW "Copies from the original of this survey map not marked with an original of the land surveyofs Inked seal or his embossed seal shall not be MAP OF: "NOT ON A FILED SUBDIVISION MAP" considered a valid true copy.• 'Certification Indicated hereon signify that this survey was prepared In accordance with the existing Code of Practice for Land Surveys adopted by the New York State Association of Profesional Land Surveyors. Sold certifications shall run only to the TITLE N0.• N/A person for whom the survey Is prepared, and on his behalf to the title company, governmental agency and lending Institution. Certifications are MAP FILED DATE: N/A not transferable to additional Institutions or subsequent owners.' N COUNTY TAX MAP ID: 1000-11700-0900-014000 SITUATED AT: TOWN OF SOUTHOLD SUBDIVISION MAP LOT & BLOCK 'S: N/A W L� COPYRIGHT 2022 RALPH HEIL, 1875 Jo ;on LLC AERIAL LAND SURVEYING, D.P.C. w JOB NO.: 23-1163 U U . DATE: JUNE 16, 2023 SURVEY OF: E C E 0 w PROPERTY r SI TUATE TOWN OF SOUTHOLD S85°43'1 Q"� APR 10 2024 DJ SUFFOLK COUNTY, NEW YORK TAX No. 1000-11700-0900-014000 I •Qs�r SCALE 1•�20' l talP iFf�L �431"1tCt0 JU.NE 16, 2023 Z= Tax Map Lot 13 N/O/F of SHED o co WHITECAP NORTH FORK �� %�C?I11Z171i� AREA - 16;722 sq, it. I•?'N 4 •4' LLC In „ 0.384 ac. ��S.7'E VaD +� (/.� t FE O.I'E PwAV W"WAY 9 h `�'� V-V.Gr�� Mti1{+��r 5.4'S �* N {'CNAIhyWI( O YW' od ba In o 0 � O PY�9 :L,ld 20.2' In ` � �nfP �ool lL,, FjD'a FE o�L Tax hMap Lot 12 N/O/F 4 THOMAS IW MCKENZIE Tax Map Lot 14 �a Fa. Cove-��e. •I s tom' srEPs � 7°tea I' C►iSvY�:� �j,{ EN:kpsEp� fS.B' pArlD CD 1 �x 0.3w r w 2-STORY o WOOD , ROUSE ai MCK A No. I975 s1EPs r O 0 z " FE 4 16.4' I ` L0 a3* S' f 1b.1'ai .OM 63,E Cste ' O (n EOGE'CF DAyUSWT N85'42'39"W CEND• JACKSpNSTREET - &a¢IHM UTILITY"Us S TR E F T VTILTTT Par SIGN Y(AT>i1 PETER AERIAL LAND SURVEYING, D.P'C. ti ��nµDCd-'�W.AW . m Pawn O;rd 979AIRrAt2 uritiis wa srsiucn�es eal ,QAcir tiRSO1G�ru>rur i�nrsm ae CONC. MOHLUENT SN118ir.XY 11"? cLK1rltAtl:ws fsQtov wt Ilp7 SrisxglA�&L PNONQ: 6l.4-TBT-A)IIS Emm E7.EC.'4ETER E-W114 SURy¢9SOWULARO WYtYWa&OM .. . Waml YW11'.AMALWi95UR'/Cn"XDY „a reR.a wn rar�,r o.�o�uD a►rr ono GMm GAS METER DISTRICT OOO LOT:014.000 SLOCK:09.00 SECTION:117.00 Kniut ncn u Yw pc Ocumm you Dray{[ MAP/FILE NO.: N A rr s^ r.axwym v W r MAIM oa WW"ur r ow y.l�,, ;''r.l r.nga�trartM MAP OF: "NOT ON'A FILED SUBDIVISION YAP" w�.M+�w�.,,� aa�.+r�r+.►e �« w.wrr.r w.vwa w�w�q.•ray�. a r» TITLE NO.: N/A wr M.ram b.uws p�rW r1 nr rma. vwMlY�u w/Y.�'IwH� �lr�.wl ao• w MAP FILED DATE: .N/A COUNTY TAX-MAP 0: 1000-1 17WO900-014000 S11i1ATED AT: TOWN OF SOUTHOLD SUBDIVISION MAP LOT A BLOCK S: -N A c 1875 !on WC 'rr ur� odic . jo mK 23-1te1 DAM A,NE 1B,4C23 0 WINDOW SCHEDULE SIZE I.D. TYPE SILLWA.FF UNITSIZE(KH) R.O.(WxH) NOTES SECOND FLOOR W217 AWNING 2'-0" 2-Wx5'-2112" VERIFYW.MNFR. 0.19 ZEN DESIGN W218 AWNING 2'0" 2-11aXS2112n VERIFYW..MNFR 1f19 1250 EVERGREEN DRIVE CUTCHOGUE,NY 11935 PHONE:63L513.6589 *CONTRACTOR NOTE. VERIFY WINDOW JAMB DIMENSIONS W.ROUGH OPENINGS. N CTOR TO *ALL GLAZING SHALL MEET WIND BORNE DEBRIS REQUIREMENTS PER THE BUILDING CODE OF NYS. *EGRESS OPENING MIN.5.7 SQ FT-MAX 44"SILL-AFF O O roeston"areaouY&teal woonnderSto 102oQn pratectbn m an•e,ddteAural wont'undmgec a�dthe Copyright Act,17 U,0-m emended December 19W and grown m eelJon otumt bat I Copyright I*ow o Act f39 a%w pntegbn btduam but b not umua to the oremllomt m wel DISAPPROVAL mtheemmgerepre aoannisgndepaom and teememsd design.Under such watectlon,unouthodmd ase at these WM wontwhome ropmsemea,deningoelmala b r aneatlottd comtrutdwn w buildings being ZEN DESIGN ena/w monetary compemedan to ZEN DESIGN I.I.C. o o AMENDMENT ()C),3 Q NO. ISSUE DATE O 01 AS BUILTS 12.23.24 cit a a 1 m m 02 PROPOSED DORMER 02.14.25 uj _. EXISTING 2x10 RAFTERS 1 @ 16"O.C.AT DORMER o ' CV C4 0-) O. O� u Lu >• W J 1 c c 0�5 E.N/c iT 1. R N S c, . N� Z v ------------------ - --_ —_— —_—----- (2)2x10 RAFTERS UNDER W DORMER WALL %c" m' N s�yT .044'42', p Z` Lu I = 1 F OF NE.)`I 0 i 1 NN W 0° C ________W xc L NEW 2x10 RAFTERS C N o WEBB @ 16 O.C.AT DORMER O X = HOUSE Ix i 4 -- ----- 04 in1875 JACKSON ST I m N m (V t• NEW SUFFOLK,NY 11956 1 v 1 N ' S.C.T.M.#1000-117-9-14 1 I cm SCALE V4a-1t-0. J DATE: 02.14.25 1 DRAWN BY: Z.E.N. ;. - 1 SECOND FLOOR PLAN A=102 ZEN DESIGN 1250 EVERGREEN DRIVE CUiCHOGUE,NY 11935 PHONE 631 513.6569 mew plans ere cepyd&ad and ere object to cooy4ott prote,dlon ae an'artMactural erorh'under Sec.102 of th COPMt Act,17 U.S.O.w amended December IM and Imom to Architecture]World Copydpnt Protection Act of 1990.7he Into bn Includes but Is not Indent!to Ina o mil torn as was ns the arrangement and pomposltion of spoors and elements of deafg' Under such proteWon.uneuthodsed uw of these plans, xodt as home represented,on legallyresuA In the cessation of construction or bulldhnge be"setead andfarmonetmy compenel to ZEN DESIGN I.I.C. N0. ISSUE DATE 01 AS BUILTS 12.23.24 02 PROPOSED DORMER 02.14.25 PROPOSED SHED DORMER UJ UJ � � 21 `.• 21 - C � � C Z C H LL y a LL y �4tED qR e IlcV c �C �l E.N/cx/ x G N� Z a In LU a77 N jj +I eilN op &D LM - + lulU11 WEBB HOUSE 1875 JACKSON ST NEW SUFFOLK,NY 11956 S.C.T.M.#1000-117-9-14 SCALE: �4a 1,-0. DATE- 02.14.25 DRAWN BY: ZEN. EAST ELEVATION Am200 ZEN DESIGN 1250 EVERGREEN DRIVE CUiCHOGUEr NY 11935 PHONE:63L513.6589 Thm plans am copydghted and are subloct tocoppW protection as an-anintiecturel worts underSee.102 of tee CopyrWt Act,17 U5.0.as emended December 1990 and W— ea ArchhectUral Work'Copydot Protectlern Act of 1990.11na protection Includes but is not dm overall lted to the orall form es was es the charge.., not of spaces and elements of dtalpr.Under such protection,unauUrodnd u'e of these plars, work or home ropresanted,can legally result In the cessation of construction or buildings being sound and/"monetary compematiun to ZEN DESIGN I.I.C. NO. ISSUE DATE 01 AS BUILTS 12.23.24 02 PROPOSED DORMER 02.14.25 12 PROPOSED SHED DORMER —moo W W C ILL I= C Z - 'h IL a y x RSO C Ic ti� V oey r Co G IX N 2 In a _C d � syT1 44'OF t4e V41N +1 WEBB HOUSE 1875 JACKSON ST NEW SUFFOLK,NY 11956 S.C.T.M.#1000-J17-9-14 SCALE: 1/4"-1'-0" DATE: 02.14.25 FRONT OF HOUSE IN LINE WITH PROPERTY LINE DRAWN BY: Z.E.N. EAST ELEVATION FRONT OF HOUSE±14.51 FROM STREET LINE EAST ELEVATION X-201