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HomeMy WebLinkAbout#8068-BMB Homes Inc (August) - ZBA application FORM NO. 3 � TOWN OF SOUTHOLD Received BUILDING DEPARTMENT SOUTHOLD,N.Y. SEP 2 5 2-025 NOTICE OF DISAPPROVAL Zoning Board of 1_�Ppeal6 DATE: September 16, 2025 TO: BMB Homes Inc 170 S Penataquit Ave Bay Shore,NY, 11706 Please take notice that your amendment received: September 15, 2025 For permit to: legalize as built alterations to a new sin le-family dwelling at: Location of property: 1900 Gillette Drive East Marion NY County Tax Map No. 1000— Section 38 Block 2 Lot 20 Is returned herewith and disapproved on the following grounds: The construction on this 10,500 s . ft. parcel in the.Residential R- 0 District is not permitted pursuant Article XXIII 280-124 which states lots measuring less than 20 000 sf re uire a minin um front yard setback of 35 feet and a minimum rear yard setback of 35 feet. The as built construction as shown on the revised serve has a front vard setback of 30 feet. The as built construction as shown on the revised survey,has a rear yard setback of 32 feet. • In conjunction with BP# 51237. '`"'" RW_ 9. "_NLY09A AWhonzed. Signa 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. APPLICATION TO THE SOU"1`HOLD TOWN BOARD OF APPEALS AREA VARIANCE I IA i � N House No. "/r l�Q Street �� 4� �.;��� �� ' Hamlet ` o s1 F;. p Lot Size: I u S 0 Zone 4 SCTM 1000 Section: Block: Lots ,..� I(WE) APPEA 7111E WRITTEN DETERMINATION OF THE BUILDING Ili SPE TOR , DATED � 6 BASED ON SURVEY/SITE PLAN DATED l Mailing Address: 7 0 's » o 7 0G . f,a Telephone: "93°3Fax: Email: NOTE. In addition tq the abthe abovg,please complete below if application is signed by applicant's attor a ent, architect,builder,contract vendee,etc,and name.of person who agent represents: � K Name of Representative: for( ) OwneT)1Qt6@w ,qp Address: Telephone: Fax: Email: Please check to specify who you wish correspondence to be mailed to,from the above names: WApplicant/Owner(s), ( ) Authorized Representative, ( ) Other Name/Address below: WHEREBY THk/ BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN DATED V I I / 2 C and DENIED AN APPLICATION DATED 'y116/-AS FOR: O Building Permit (� Certificate of Occupancy O 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,ryot quote the code.) Article: ! Z Section: Subsection: I Type of Appeal. An Appeal is made for: A Variance to the Zoning Code or Zoning Map. ( )A Variance due to lack of access required by New York Town Law- Section 280-A. ( )Interpretation of the Town Code,Article Section ( )Request for Reversal or Overturn the Zoning Officer's Denial Other A prior appeal ( ) has, 'has not been made at any time with res ect to this two ert, , UNDER Appeal No(s). Year(s). (Please be sure to research before completing this question or call our office.for assistance) Page 2, Area Variance Application Revised 6/2023 Re ceiveri r REASONS FOR APPEAL SEP 26 1,1?5 (Please be specific, additional sheets may be used with preparer's signature notarized): Zoning Boarcl C Appeal6 1. An undesirable change will not be produced in the CHARACTER of the neighbor or a detriment to nearby properties if granted, because: �- l,(,g S p 2 Q r+ (,`"t q Ir e U)y `I -Pi4, t�., vi �l Sumo ad 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: r u N{- a n d Rta r 'PC C1 p p e QAdy 3. The amount of relief requested is not substantial because: 4. The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: St S o r I-r- «,�- Q 2 t an or ty . 5. Has the alleged difficulty been self created? ;�;Yes, or ( ; No Why: • 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 or Au orized Agent (Agent must submit written Au orization from Owner) Sworn to before me this =�44 day CAROLYN SNYDER of r 20 NOTARY PUBLIC,STATE OF NEW YORK Registration No.01SN6101622 Qualified In Suffolk County Notary Pub[ c Comm anion Expires November 17,20 �1 Zoning Board of Appeals APPLICANT'S PROJECT DESCRIPTION NfM A (�% M J Jr SCTM No. V APPLICANT: A I� 1. For Demolition of Existing Building Areas Received Please describe areas being removed; II. New Construction Areas (New Dwelling or New Additions/Extensions): Zoning Board of Appeals Dimensions of first floor extension: Dimensions of new second floor: Dimensions of floor above second level: Height(from existing natural grade): Is basement or lowest floor area being constructed? If yes, please provide height(above ground) measured from natural existing grade to first floor: III. Proposed Construction Description (Alterations or Structural Changes) (Attach extra sheet if necessary). Please describe building areas: Number of Floors nd General Characteristics BEFORE Alterations, 0, Number of Floors and Changes WITH Alterations: IV. Calculations of building areas and lot coverage,sky plane (From Surveyor, Design Professional): Existing square footage of buildings on your property: ._r.. _. Proposed increase of building coverage: Square footage of your lot: 1 o 1 S d 0 Percentage of coverage of your lot by building area(lot coverage) Gross Floor Area GFA of single family dwelling including the attached garage and/or habitable detached accessory structure: (Please refer to Chapter 280, Section 280-207 of the Town Code): project For Residential lots, is t p e within the allowable SkyPlane?lane? (Please refer to Chapter 280, Section 280-208 of the Town Code): V. Purpose of New Construction: l ri VI. Please describe the land contours (flat,slope %, heavily wooded, marsh area,etc.) on your land and how it relates to he difficulty in meeting the code requirement(s): Describe on separate page if needed: Please submit 8 sets of photos, labeled to show different angles of yard areas after staking corners for new construction,and photos of building area to be altered with yard view. Revised 6/2023 QUESTIONNAIRE FOR FILING WITH YOUR ZBA APPLICAT bceived on the real estate market for ? ? A. Is the subject premises currently listed �� 2 5 Z�c.`) Yes No B. Are there any proposals to change or alter land contours? ZOning Board of Appeals �( No Yes, please explain on separate sheet. No C. 1. Are there areas that contain sand or wetland grasses? e those shown on the ted 3.) I the areas propertybulk headed bet een the wetl l andsahea is application? survey and the upland building area? 0 4.) If your property contains wetlands or pond areas, have you contacted the Office of the BOARD OF TRUSTEES for its determination of jurisdiction? Please 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? b E. Are there any patios, concrete barriers, bulkheads or fences that exist that are not shown on the survey that you are submitting? N Q If any of the aforementioned items exist on your property, please show them on a site plan. F. Are there an construction projects currently in permit and on r p approved oved y P J Y P Y property? y" --- - the Building If yes, please submit a copy of your building pe y pp by Iding Department and please describe scope of work: G, Please attach all pre-certificates of occupancy and certificates of occupancy for the subject premises. If none exist, please apply to the Building Department to obtain them or to obtain an Amended Notice of Disapproval. H. Do you or any co-owner also own other land adjoining or close to this parcel? J If yes, please label the proximity of your lands on your survey and identify the Suffolk County Tax Map No. list Poperations p y property, y� e proposed use Your o ert a � 9. Please �,.�. ........- tst resent use or o erations c nducted at and/or t (examples:existing Ingle family. proposed,same with g nage_,pool or other) _ Ir- 07/ Authorized signature Date TOWN OF SOUTHOLD Received BUILDING DEPARTMENT � Q TOWN CLERK'S OFFICE SEP 2 5 2025 v�" - � �°� ""' SOUTHOLD NY ' Zoning Board of Appealc, 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#: 51238 Date: 10/03/2024 Permission is hereby granted to: Petros A Mamais 179 Executive Dr Manhasset Hills, NY 11040 To: Construct an inground swimming pool accessory to a new single-family dwelling as applied for. Pool and pool equipment must maintain a minimum side and rear yard setback of 5 feet. Premises Located at: 1900 Gillette Dr, East Marion, NY 11939 SCTM#38.-2-20 Pursuant to application dated 08/12/2024 and approved by the Building Inspector. To expire on 10/03/2026. Contractors: Required Inspections. FOOTING/REBAR, ELECTRICAL-ROUGH, ELECTRICAL-FINAL,DRAINAGE, FINAL, Fees: SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00 CO Swimming Pool $100.00 Total S400.00 Building Inspector TOWN OF SOUTHOLD ` BUILDING DEPARTMENT Received TOWN CLERK'S OFFICE SEP 2 5 2025 SOUTHOLD, NY Zoning Board of Appeal6 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#: 51237 Date: 10/03/2024 Permission is hereby granted to: Petros A Mamais 179 Executive Dr Manhasset Hills, NY 11040 To: Construct a single-family dwelling with HVAC system as applied for per SCHD approval. Premises Located at: 1900 Gillette Dr, East Marion, NY 11939 SCTM# 38.-2-20 Pursuant to application dated 08/12/2024 and approved by the Building Inspector. To expire on 10/03/2026. Contractors: Required Inspections: DRAINAGE, FOOTING/REBAR, FOUNDATION 1ST, FOUNDATION 2ND, FRAMING/STRAPPING, PLUMBING , ELECTRICAL-ROUGH, FIRE RESISTANT PENETRATION, ELECTRICAL- FINAL, INSULATION , FIRE SAFETY INSPECTION , FIRE RESISTANT CONSTRUCTION , FINAL, Fees: Single Family Dwelling-NEW $1,825.00 CO Single'Family Dwelling-New $100.00 Total $1,925.00 Building Inspector 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 car ricultrral d"strict. All applications requiring an agricultural data statement must be referred t unty l Department of Planning in accordance with Section 239m and 2 9n of the General Municipal Law. SEP 2 5 20�25 1. Name of Applicant: "/41L% � /'� � � � onl� raN cA l.. 2. Address of Applicant:..__3 5 ' � "��m� 1` -1� 3. Name of Land Owner(if other than Applicant): 4. Address of Land Owner: 5. Description of Proposed Project: r• ►. � cl f, a d e- d 6. Location of Property: (Road and Tax map Number) Iu a .3 - 3 2 — — 2a 7. Is the parcel within 500 feet of a farm operation? { } Yes {>q No 8. Is this parcel actively farmed? { } Yes {n} 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 w 2. � � � _... ....: .....®..m, �� . 4. �_..�...... _... 5. __. ...... 6. �............... �._. (Please use the back of this page if there are additional property owners) C7 � 1 -7 2S Sig azure of A licant 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. APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics 2rohi bits conflicts interest on the 2art of town officers and e nlovees.'rhepurooseo this form is t which can alert the town of ossiblc--- conflicts of interest and allow it to take_whatever action is neegs,sary.to avoid same. YOUR NAME : (Last name,first name,middle initial,u2essyLoi are applying i�the name ofsomeone c hnt* Cch as a company.If so,indicate the other person's or company's name.) R�mvb el TYPE OF APPLICATION: (Check all that apply) SEP 2 5 2025 Tax grievance Building Permit Variance Trustee Permit Zen ffg Board of Appeals Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning Do you personally(or through your company,spouse,sibling,parent,or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage,or business interest. "Business interest" means a business,including a partnership, in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5% of the shares. YES NO If you answered "YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee. Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation) B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation) Q an officer,director,partner,or employee of the applicant; or D)the actual applicant DESCRIPTION OF RELATIONSHIP e— Submitted this i day of 20 !44 Signature Print Name �i X11 t.4 �t-4 617.20 Appendix Received Short Environmental Assessment Form Instructions for Comma ,lefin SEP 2 5 2025 Part I -Project Information. The applicant or project sponsor is responsible for the cAW9f@n4Wit 41 become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1 -Project and Sponsor Information Name of Action or Project: Jq do (a ► II 1,+ 14 'br, Project Location(describe,and attach a location map): Brief Description of Proposed Action: Fr ,t, + d- fLc-e I&Nr 12e1ie � Ay Name of Applicant or Sponsor: Telephone: P R 1 n N N V 4 S E-Mail: Q) Address: 17Q City/PO: State Zip Code: 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. 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? Ick acres b.Total acreage to be physically disturbed? acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑ Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial XResidential(suburban) ❑Forest ❑Agriculture ❑ Aquatic ❑Other(specify): ❑ Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? Receiveoci �( b.Consistent with the adopted comprehensive plan? 6. Is the proposed action consistent with the predominant character of the existin&uPt 2r F 5 NO YES landscape? X 7. Is the site of the proposed action located in,or does it adjoin,a state li Wr*i&bT5-nsir®pn}T0bKea? NO YES If Yes,identify: 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? 9.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: 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: X 11. Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: x 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? b.Is the proposed action located in an archeological sensitive area? 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? 7( b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. 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 h 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 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 N`O/ YES If Yes,explain purpose and size:_ g )� x water or other li uids e. retention and waste lagoon,dam)? '\ q ( g• P , 19.Has the site of the proposed action or an adjoining property been the location of an a9& b NO YES solid waste management facility? If Yes,describe: _ � ApPe 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Appl`icanntdspons me; Q Nd A 19L4 LA �"' Date: Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? X 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 �I 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 eneM conservation or renewable eneM opportunities? 7. Will the proposed action impact existing: X 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 nece 2Q25 No,or Moderate SEP 2 5 small to large impact impact rd oA appeals may may ring Boa occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage \/ problems? J� 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-tern and cumulative impacts. 0 Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Name of Lead Agency Date Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) Page 4 of 4 Received Town of Southold SEP 2 5 2025 Lam' CONSISTENCE'" ASSESSMENT FORM Zoning Board of Appeals A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt ;minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization. Program, A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall.not be tindert ken. 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# The Application has been submitted to(check appropriate response): rNA Town Board 4n Planning Dept. 0 Building Dept. E Board of Trustees 0 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g.capital construction,planning activity, agency regulation, land transaction) Ed (b) Financial assistance (e.g. grant, loan,subsidy) (c) Permit, approval, license, certification: �r Nature and extent of action: ZPT1 A a r t v k P-, .lw A ft 7)- l 1 Location of action: I ( � 0 c ci 7! �" r 5� 'q a,,,i o/J Site acreage;; • �y Received Present land use: R S �► ` " S EP 2 5 2025 Present zoning classification: Zoning Board of Ap ea 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: (b) Mailing address: 'S n . . � 7 Q (c) Telephone number: Area Code( ) b 3 4 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval byna state or federal agency? Yes ❑I No E] 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. 17 Yes Q No ❑ (Not Applicable- please explain) Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes © No ❑ (Not Applicable—please explain) Attach additional sheets if necessary 4 . Received Policy 3. Enhance visual quality and protect scenic resources throughout the Town f AF old. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria SEP 2 9 Yes No E (Not Applicable—please explain) Zoning Board of Appeals .......___. Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ' YI Yes ® No (Not Applicable—please explain) Attach additional sheeta 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 r Yes ® No F (Not Applicable—please explain) Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. Yes ® No R (Not Applicable—please explain) w Received Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. See Section III—Policies Pages; 34 through 38 for evaluation criteria. �r Yes N No E (Not Applicable—please explain) 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 Ln No (Not Applicable—please explain) 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. Yel� No E (Not Applicable—please explain) 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 M No 0 (Not Applicable— please explain) 5oa 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 0 Not Applicable—please explain 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 D Not Applicable—please explain Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section IIII—(Policies; Pages 65 through 68 for evaluation criteria. L.F 1 Yes [A No E Not Applicable—please explain Lq I-I )ZJ5 TOWN Of SOMOLD PROPERTY RECORD CAR STREET VILLAGE DIST� SUB. r - LOT FORMER qwt` N E ACR. e S _ NG a � SEAS. VL. 'FARM Comm, C13. MISC. Mkt. Value i y, LAND imp. TOTAL g DE REMARKS go is 97 a � � s� A, AGE Zr, BUILDING CONDITION L BELOW ABOVE FARM Acre Value Per Votes _ Acre TdIable T#I3able 3 TOW Woodland 'FRONTAGE O ` :R Swampland '� v`J�T. a Bn hfond FRONTAGE ON ROAD House Plot - DEPTH BUIXHEAD Total DOCK