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Donaldson application
TOWN OF SOUTHOLD BUILDING DEPARTMENT '9C) SOUTHOLD N.Y. NOTICE OF DISAPPROVAL DATE: September 22,202hECEIVED TO: Lisa Poyer(Donaldson) OCT 21 2025 288 East Montauk Highway Hampton Bays,NY 11946 ZONING BOARD OF APPEALS Please take notice that your application dated August 6, 2025: For permit: to constni-ot addi ions and alterations to an exi ting sin "IL-,fa lily dwelling at: Location of property: 710 East load, Cutchoguae.NY County Tax Map No. 1000-Section 110 Block 7 Lot 20 Is returned herewith and disapproved on the following grounds: Tbg propgsed construction on this nonconforming 6 285 s . ft. lot in the R-40 leis 'ct is not gmittcrl pursuant to Article XXIII Section 280-124 which,states lots measuring less than 20,OQO square feet in total sizee uir a front yard setback of 35 feet.. The construction will have a front yard s tba k of 23.2 feet Aot ;ori, a igi a c�. Note to Applicant: Any change or deviation to the above referenced application may require further review by the Southold Town Building Department. CC: file,Z.B.A. RECEIVED eo 5T 0 APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEA T 2 1 2025 AREA VARIANCE House No. 710 Street East Road Hamlet CutchogueZIONINGOF APPEALS SCTM 1000 Section: 110 Block: 7 Lot(s) 20 Lot Size: 6,285 Zone R-40 I(WE)APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED September 22, 2025 BASED ON SURVEY/SITE PLAN DATED 7/24/25 Owner(s): Hayley Donaldson Mailing Address: 1645 Marratooka Road, Mattituck, NY 11952 Telephone: 908-304-3325 Fax: Email: wgoydan@gmail.com NOTE: In additi n to the above please complete below if applicatii<eirAsigned by applicant's attorney,agent, architect,builder,contract vendee,etc.and name of person who agent represents: Name of Representative: Lisa Poyer, Twin Forks Permits for( ) Owner()o Other: Agent Address: 288 E. Montauk Highway, Hampton Bays, NY 11946 Telephone: 631-644-599 Fax: Email: lisa@twinforkspermits.com Please check to specify who you wish correspondence to be mailed to,from the above names: ( )Applicant/Owner(s), (x)Authorized Representative, ( ) Other Name/Address below: WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN DATED 7/24/25 and DENIED AN APPLICATION DATED 9/22//25 FOR: (X)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: XXIII Section: 28Q Subsection; 124 Type of Appeal. An Appeal is made for: ()o A Variance to the Zoning Code or Zoning Map. ( )A Variance due to lack of access required by New York Town Law- Section 280-A. ( )Interpretation of the Town Code,Article Section ( )Request for Reversal or Overturn the Zoning Officer's Denial Other A prior appeal( ) has, (X)has not been made at any time with respect to this propeEty UNDER Appeal No(s). Year(s). (Please be sure to research before completing this question or call our office for assistance) RECEIVED EC q4 Page 2, Area Variance Application OCT 21 2025 Revised 6/2023 REASONS FOR APPEAL ZONING BOARD OF APPEALS (Please be specific,additional sheets may be used with preparer's signature notarized): 1. An undesirable change will not be produced in the CHARACTER of the neighbor or a detriment to nearby properties if granted,because: The proposed variance request is to reconstruct the existing roof line to a new roof line within the current footprint and front yard setback. There will be no change to the existing residence area within the non-conforming front yard setback. The proposed roof line will include a front facing dormer to the existing roof with no change in interior area and to reconfigure the covered front entry stoop. 2. The benefit sought by the applicant CANNOT be achieved by some method feasible for the applicant to pursue, other than an area variance, because: The proposed change is to a pre-existing and non-conforming residence. The only modification is to change the roof line for the front and east side of the roof and the existing covered front entry. 3.The amount of relief requested is not substantial because: The requested change is to an existing residence with no change to the footprint or setbacks. 4. The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: It is a modification to an existing residence with no increase in footprint or change to setbacks. 5. Has the alleged difficulty been self created? { ) Yes, or {X} No Why: Pre-existing and non-conforiming residence on a non-confomring lot in the R-40 zone. • 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. No change to the existing footprint or front yard setback from the pre-exising residence. 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. Iigna ur of App *writtenthorization zed.Agent (Agent must submit from Owner) Sworn to before me this cZ O day CHRISTOPHER B RONDARCHLIK NOTAR\ Pl'RIM CTATF 01 NFM PORK of �?G1 . , 20� Reeorarion No oiR(xinis iia Qualified in Suffolk(«aww Notary ublic M%Commission Expires '*1 Zoning Board of Appeals RECEIVED OONAPPLICANT'S PROJECT DESCRIPTION OCT 2 1 2025 APPLICANT: Hayley Donaldson SCTM No. 1000-110.-7-20 ZONING BOARD OF APPEALS 1.For Demolition of Existing Building Areas Please describe areas being removed: r . 2 ft. of th e f i i o i ' f li li h n c nstr with a new roof line. Approx. 4.67'x 7.16'covered front entry roof to be reconstructed with a new roof line. U.New Construction Areas (New Dwelling or New Additions/Extensions): Dimensions of first floor extension: N/A- no new addition area. Dimensions of new second floor: N/A Dimensions of floor above second level: N/A Height(from existing natural grade): N/A Is basement or lowest floor area being constructed?If yes, please provide height(above ground)measured from natural existing grade to first floor: N/A 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: One story residence with partial finished basement. Number of Floors and Changes WITH Alterations: One story residence with partial finished basement. IV. Calculations of building areas and lot coverage,sky plane(From Surveyor,Design Professional): Existing square footage of buildings on your property: 1067 s . ft. Proposed increase of building coverage: 0 for pr000sed aEA as.aQciate.d-, Square footage of your lot: 6,285 Percentage of coverage of your lot by building area(lot coverage) existing: 1 .6%, proposed 19% (deck addition) Gross Floor Area CrFA_C____l 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): 858 s . ft. existing, 2100 s . ft. allowed For Residential lots, is project within the allowable Sky Plane? (Please refer to Chapter 280, Section 280-208 of the Town Code): Yes, the proposed roof line changes fall below the sky plan re urements, V.Purpose of New Construction: The proposed reconstruction of the roof line and existing coverered entry will improve the street front character of the existing residence for the homeowners. 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: Therg is.a 61gpe to,the land at thg strMand n the, r n fr n,, f Jhg oxialingLqjideno is agntlyI east, cleared land with some large trees. The proposed relief is to reconstruct the existing roof line only with no change to the house footprint. 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 &+q RECEIVED A. Is the subject premises currently listed on the real estate market for sale? Yes X No O C T 2 1 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: N/A If issued,please attach copies of your permit listing conditions of approval with a copy of the approved survey. D. Is there a depression or sloping elevation near the area of proposed construction at or below five feet above mean sea level? No E. Are there any patios, concrete barriers, bulkheads or fences that exist that are not shown on the survey that you are submitting? No If any of the aforementioned items exist on your property, please show them on a site plan. F. Are there any construction projects currently in process on your property? No If yes, please submit a copy of your building permit and survey as approved by the Building Department and please describe scope of work: N/A 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. Attached. H. Do you or any co-owner also own other land adjoining or close to this parcel? No If yes, please label the proximity of your lands on your survey and identify the Suffolk County Tax Map No. N/A I. Please list present use or operations conducted at your property, and/or the proposed use i ' J. (examples:existing single family,proposed:same with garage,pool or other) t 'o �S AW_orLed signatu Date 11 Town of Southold 7/11/2019 P.O.Box 1179 53095 Main Rd z Southold,New York 11971IIVD 2025 CERTIFICATE IFICAT E F OCCUPANCY ZONING BOARD OF APPEALS No: 40495 Date: 7/11/2019 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 710 East Rd., Cutchogue SCTM#: 473889 Sec/Block/Lot: 110.-7-20 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/2/2019 pursuant to which Building Permit No. 43704 dated 5/2/2019 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: "as built"alterations to IdtchM basement windows and poLch to an existing one family dwelling as avDlied for. The certificate is issued to Leary,Bruce&Paul of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43704 6/18/2019 PLUMBERS CERTIFICATION DATED 6/3/2019 W. Zees Pl bipg&HcAting Inc. o gignature, � TOWN OF SOUTHOLD r BUILDING DEPARTMENT TOWN CLERK'S OFFICE RECEIVED SOUTHOLD, NY UILDING PERMIT OCTO 11 2025 (THIS PERMIT MUST BE KEPT ON THE PREMISESZONiNG BOARD OF APPEALS WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 43704 Date: 5/2/2019 Permission is hereby granted to: Lea , Bruce PO BOX 529 Cutcho ue NY 11935 To: "as built" alter kitchen and basement windows Replaces BP# 36345 At premises located at: 710 East Rd., Cutcho ue SCTM #473889 Sec/Block/Lot# 110:7-20 Pursuant to application dated 5/2/2019 and approved by the Building Inspector. To expire on 10/31/2020. Fees: PERMIT RENEWAL $284.40 Total: $284.40 A I Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT RECEIVED TOWN CLERK'S OFFICE OC T 2 SOUTHOLD, NY 2025 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#: 36345 Date: 4/26/2011 Permission is hereby granted to: Leary, Bruce & Lea , Barbara PO BOX 529 Cutcho gue, NY 11935 To: as built" alter kitchen and basement windows At premises located at: 710 East Rd, Cutcho ue, NY 11935 SCTM #473889 Sec/Block/Lot# 110.-7-20 Pursuant to application dated 4/11/2011 and approved by the Building Inspector. To expire on 4/25/2012. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $568.80 CO-ADDITION TO DWELLING $50.00 Total: $618.80 Building Inspector Eq S T RECEIVED N ROAD 1 2025 E N/F FLEEi NR19 56.12' T 2�+,�;�,�.�'O F z GI" ZONINC BOARD OF APPEALS 61 N 11 + ° O m T WOOD FRAME v Z 0 RESIDENCE n« 00 9" 0 z rel g 0 v o v cN �w O D C� Ci S" ✓8 1 MW B'13,'00 mT N N/F LEARV SURVEY OF DESCRIBED PROPERTY SITUATE CUTCHOGUE, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR: BARBARA BALDWIN LEARY BRUCE LEARY TM# 1000-110-07-020 GUARANTEED TO BARBARA BALDWIN LEARY BRUCE LEARY SURVEYED 19 AUGUST 2008 NOTE AS PER A SUPREME COURT RULING, INDEX 45— ,31013, MOTION PRATE 5 12/00, RTIVI'S TO USE SCALE 1"= 20' THE 20" STRRP OF TO THE EAST OF THIS PROPERTY FOR INGRESS AND EGRESS'70 SAD AREA = 6,285 S F LOT AND ALSO A FOOTPATH (ACCESS SOUT"58ty OR TO THE SMH AcW$S THE LANDS:OF LEARY), JOINING TO THE SOUTH OF THIS LOT HAVE 0 144 ACRES BEEN EXTINGUISHED arAA"tFRS&,DKX WZJ+a 'swSHALLRUN SURVEYED BY Y m 1w, prpsaq ow whw ME sURWY STANLEY J ISAKSEN, JR 0 Aho&4 MIS SMAV*R'h'E 1R '0WAMY.00 AMNUVAe AGiNGS t Rmsini M A N`0SWO MiA�W AND P 0 BOX 294 V AAC ASMGKT$OF W URNWRG rNs'n'iumv« c`pJAnAMr1'g,'S.4fdE MOF FAgpRW;+, 'RAF Fo NEW SUF L�<'. N Y 11.' Auwrlwx+AR as 1.10.1 0 SaABSF�AAFAPi o As 631-734 S$3S wWlAUlo0VZW AR 1FRAFf1NP OR AMWN FAR 00 $t*W6Y IS A MA%'AV Or SECR NP 3'd'48�W RME orw TTSRA"SiAm EVOCA94N'LAW cc x of irAs scvrR »R1aP NOT SEAS Ld NSED _ND SI! Y3 a awxr c roSirA4 SMALL S Lie 0 �9�' 3 OBR I BJ6 cone FORM NO. 4 803� RECEIVED TOWN OF SOUTHOLD BUILDING DEPARTMENT 0C T 2 1 2025 Office of the Building Inspector Town Hall Southold, N.Y. ZONING BOARD OF APPEALS CERTIFICATE OF OCCUPANCY No: Z-32938 Date: 03/20 08 THIS CxwriFISS that the building ALTERATION Location of Property: 710 BAST RD CUTCHOGDE (HOUSE NO.) (STREET) (HAMLET) County Tag Map No. 473889 Section 110 Block 7 Lot 20 subdivision Filed Map No. Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 4 2008 pursuant to which Building Permit No. 33734-Z dated MARCH 14,�2008 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is "AS BUILT" NON-HABITABLE BASEMENT ALTERATION IN AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to BRUCE & BARBARA LEARY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF nY.TH APPROVAL N/A QrAC RtICAL CERTIFIC kTB NO. 3051678 11 26 07 PLIERS CERTIFTCATION' DATED 02/07/08 J ZEES PLUMBING r f5o�quthorized Signature Rev. 1/81 b m FORM NO. 3 RECEI VE TOWN OF SOUTHOLD BUILDING DEPARTMENT OC T 2 1 2025 Town Hall Southold, N.Y. ZONING BOA RD OF APPEALS BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT ]NO. 33734 Z Date MARCH 14_, 2 0 0 8 Permission is hereby granted to: BRUCE & BARBARA LEARY 351 ASHROKEN AVENUE NORTHPORT NY 11768 for BASEMENT ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR - NON HABITABLE - AS BUILT. at premises located at 710 EAST RD CUTCHOGUE County Tax Map No. 473889 Section 110 Block 0007 Lot No. 020 pursuant to application dated MARCH 4 2008 and approved by the Building Inspector to expire on SEPTEMBER 14, 200 Fee $ 400.00 oriz Sguature ORIGINAL Rev. 5/8/02 RECEIVED OCT 2 1 2025 ZONING g0A RD OF APPEALS dzs Z 0 $4T Z off o 1'� / fit , W „IM �, 1 o�MCS ill LEARY HOUSE E)=NG CONDITIONS Mad` F=WmA 710 EAST Roan r NY.UMS F--� airaiOGUEr NY PLANS Ph.—(M)M4M eaM4M1-2m [ a FORM NO. 4 TOWN OF SOUTHOLD O BUILDING DEPARTMENT RECEIVED Office of the Building inspector Town Hall Southold, N.Y. OCT 2 1 2025 PRE EXISTING ZONING BOARD OF APPEALS CERTIFICATE OF OCCUPANCY No E'-24503 Date JULY 16 1996 THIS CERTIFIES that the building ONS FAMILY DWELLING Location of Property 710 FMT OGUR, N*Y. House No. Street Hamlet County Tax Map No. 1000 Section 110 Block 7 Lot 20 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER E-24503 dated JULY 16 1996 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 OWN FAMILY DWIUMING * The certificate is issued to IJd1R]WCX KISSLINGER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING -- JULY 15 1996 PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Bui ing Inspector Rev. 1/81 Y 00' Coll , RECEIVED OCT 2 1 2025 ZONING BOARD OF APPE kLS Ura0 o ted ar rd"GA to Q/�w w�n oe f �� I\ a+� r Yangw !s; bnbarpwwl t1kM Idlrh di to awl. 71 domok co III kok0m. b wddwdo t xVtvgm v*AmoqarrW ownara. qV. LE s7 tea.✓ d , " c .G't7'�v.Y��rS vr�r�:Ju ell�� RECEIVED AGRICULTURAL DATA STATEMENT OC T 2 1 2025 ZONING BOARD OF APPEALS TOWN OF SOUTHOLD ZONING BOARD OF APPEALS WHEN TO USE THIS FORM: This form must be completed by the applicantfor 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: Hayley Donaldson 2. Address of Applicant: 1645 Marratooka Road Mattituck NY 11952 3. Name of Land Owner(if other than Applicant): 4. Address of Land Owner: 5. Description of Proposed Project: The ro osed variance request is to reconstruct the existing roof line to a new roof line within the current footprint and front yard setback. 6. Location of Property: (Road and Tax map Number) 710 East Road, Cutchog ue, SCTM No. 1000-110.-7-20 7. Is the parcel within 500 feet of a farm operation? { } Yes {X} No 8. Is this parcel actively farmed? { } Yes {X} No 9. Name and addresses of any owner(s) of land within the agricultural district containing active farm operations. Suffolk County Tax Lot numbers will be provided to you by the Zoning Board Staff, it is your responsibility to obtain the current names and mailing addresses from the Town Assessor's Office (765-1937) or from the Real Property Tax Office located in Riverhead. NAME and ADDRESS 1. N/A 2. 3. 4. 5. ............ 6. (Please use the back of this page if there are additional property owners) 1 d/ a v i re of ,as . Appli nt 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 RECEIVED �O Appendix B O C T 2 1 2025 Short Environmental Assessment Form Instructions for Cow lean ZONING BOARD OF APPEALS Part 1-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1 -Project and Sponsor Information Name of Action or Project: Hayley Donaldson Project Location(describe,and attach a location map): 710 East Road, Cutchogue, SCTM No. 1000-110.-7-20 Brief Description of Proposed Action: The proposed variance request is to reconstruct the existing roof line to a new roof line within the current footprint and front yard setback. There will be no change to the existing residence area within the non-conforming front yard setback. The proposed roof line will include a front facing dormer to the existing roof with no change in interior area and to reconfigure the covered front entry stoop. Name of Applicant or Sponsor: Telephone: 908-304-3325 Hayley Donaldson E-Mail: wgoydan@gmail.com Address: 1645 Marratooka Road, Mattituck, NY 11952 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 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: Town of Southold Building Permit X 3.a.Total acreage of the site of the proposed action? 0.144 acres b.Total acreage to be physically disturbed? 0.05 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.144 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑ Rural(non-agriculture) ❑Industrial ❑ Commercial X Residential(suburban) ❑ Forest ❑ Agriculture ❑Aquatic ❑ Other(specify): ❑Parkland Page 1 of 4 -T, 4 44 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? 0 C T 2 1 2025 X b.Consistent with the adopted comprehensive plan? X 6. Is the proposed action consistent with the predominant character of MOMMIM09T&VALSNO 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: onbeau#ic A tency;Souitho d Town of. Abe .�ft glCounty, Dla#e 3 24 88._Da#e 7 12 8 n - Y 9 oc :Buffo 8 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: Will meet ever code requirements. X 10. Will the proposed action connect to an existing public/private water supply? NO YES Existing PW connection„ If No,describe method for providing potable water: X 11.Will the proposed action connect to existing wastewater utilities? Existing septic system. NO YES If No,describe method for providing wastewater treatment: X 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? X b. Is the proposed action located in an archeological sensitive area? X 13. a. Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? Neighboring lot, none on X this parcel 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? Piping Plover, Common Tern, Least X Tern, Northern Long-eared Bat 16. Is the project site located in the 100 year flood plain? NO YES X 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, X 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 Roof runoff directed to on-site dry wells. Page 2 of 4 18.Does the proposed action include construction or other activities that RE+dtV9b impoundment of NO YES water or other liquids(e.g. retention pond,waste lagoon,dam)? 6�4 If Yes,explain purpose and size: X 19.Has the site of the proposed action or an adjoining propert}WM&BGAtkM®fqAFapl&cad'closed NO YES solid waste management facility? If Yes,describe: X 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: X I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Lisa Poyer,Twin Forks Permits 10/20/25 Applicant/spool or name: Date: Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in 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? 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, p p g waterbodies,groundwater, air quality,flora and fauna)? Page 3 of 4 RECEIVED ���� No,or Moderate OCT small to large impact impact ZONING BOARD OF APPEALS may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Name of Lead Agency Date Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) Page 4 of 4 ,oil RECEIVED Board of Zonigg_Appeals Aj2plication OCT 2 1 2025 OWNER'S AUTHORIZATION ZONING BOARD OF APPEALS (Where the Applicant is not the Owner) Hayley Donaldson residing at 1645 Marratooka Road, Mattituck, NY 11952 I, (Print property owner's name) (Mailing Address) do herebyauthorize Lisa Poyer,Twin Forks Permits (Agent) to apply for variance(s)on my behalf from the Southold Zoning Board of Appeals. By signing this document,the Property Owner understands that pursuant to Chapter 280- 146(B)of the Code of the Town of Southold any variance granted by the Board of Appeals shall become null and void where a Certificate of Occupancy has not been procured, 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 ENS THE COMPLIANCE WITH THE CODE REQUIRED TIME FRAME DESCRIBED HEREIN. 66( rtrs Signature) Print 1�vrrer's Name) RECEIVED OCT 2 1 2025 APPLICANT/OWNER ZONING BOARD OF APPEALS TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the par(of town officers and empl2yees.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 nece-ssary to avoid same. YOUR NAME: Hayley Donaldson (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 w ch the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee. Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation) B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation) Q an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this 21 day oqffi*y_nA_1_, Signature Doj)AIJ Print Name RECEIVED APPLICANTJAGENT RESE Al OCT 2 1 2025 TRANSACTIONAL DISCLOSURE FORM ZONING BOARD OF APPEALS l e � o th f"o F "s ib` ,c nllict fine t � t �� rs and c s."I°lae u f t s o o side i as ion w " 7 saa le t town ssi a co (list tsrsst a d allow it o wlaa r a " ese.s to v id "i , YOUR NAME: Lisa Poyer, Twin Forks Permits (Last name,first name,ipiddle'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.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning _. Other (If"Other,name the activity.) Do you personally(or through your company,spowe,s l ling,parent,or child)have a relationship with any officer or employee ofthe'rown of Southold? "Relationshi "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 cnaploymnent by)a corporation in which the town officer or employcc owns more than 5%of the shares. ly 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(tile applicantlagewthepresentative)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): f4ll k- A)the owner of greater than 51/6 of the shames of the corporate stock of the appl icgnt (when the applicant is a corporation) B)the legal or beneficial owner of army 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 1. day of Signatu , Print m P Form TS 1 RECEIVED Town of Southold ov LWRP CONSISTENCY ASSESSMENT FORM ocr z 1 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# 110 _ 7 _ 20 The Application has been submitted to (check appropriate response): X -Zoning Board of Appeals Town Board 13 Planning Dept. © 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 El construction,planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit,approval, license, certification: UID Nature and extent of action: current footprint and front yard setback. There will be no change to the existing residence area within the non-conforming front yard setback. The proposed roof line will include a front facing dormer to the existing roof with no change in interior area and to reconfigure t e covere runt entry stoop. Location of action: 710 East Road, Cutchogue, SCTM No. 1000-110.-7-20 Site acreage: 0.144 Acres RECEIVED �Eo� Present land use: SFR ACT M l M Present zoning classification: R-40 ZONING BOAR 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: Hayley Donaldson (b) Mailing address: 1645 Marratooka Road, Mattituck, NY 11952 (c) Telephone number: Area Code( ) 908-304-3325 (d) Application number, if any: None assi ned to date. Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes D 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. Yes [:] No F-Xj Not Applicable Not a waterfront or coastal property,,priyate residence, No expansion of the existing residence. Will utilize existing infrastructure along the residential street. 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 LD No El Not Applicable Not a historic or archeological significant property, private residence. 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 �ON [3 Yes No © Not Applicable RECbvv-w Not a waterfront or coastal property, rivate residence. I , n,� ZONING BOARD OF APPEAL 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 R Yes 13 No 2 Not Applicable Not a waterfront or coastal roperty, private residence. 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 13 Yes Ed No 1E Not Applicable Not a waterfront or coastal property, private residence. 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. 13 Yes 0 No® Not Applicable Not a waterfront or coastal property, private residence.. RECEIVED Attach additional sheets if necessary ZOARD L Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. Yes [ No© Not Applicable Not a waterfront or coastal property, private residence.. 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. 0 Yes ❑ No 1E Not Applicable Not a waterfront or coastal property, private residence. 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. 0 YesO No© Not Applicable Not a waterfront or coastal property, private residence,. 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 Ell Not Applicable RECEIVED Not a waterfront or coastal propprty, private residence. ZONMOP OARD 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 Not a waterfront or coastal property, private residence. 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® Not Applicable Not a agricultural properprivate residence. 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 512510511:20 AM Y Hayley Donaldson 710 East Road, Cutchogue SCTM No. 1000-110.-7-20 Quo v € 0 1011, a] ` . Z a _ a. AM s P e � e Photograph 1) View looking south from East Road at the street Photograph 2) View looking north from rear yard at the south (north) elevation of the existing residence. elevation of the existing residence. Hayley Donaldson 710 East Road, Cutchogue SCTM No. 1000-110.-7-20 � A �4 F US pi \\ y r oz .� v ,ems_ mot— a ti Photograph 3) View looking west from the east property line at Photograph 4) View looking northeast from rear yard at the south the east elevation of the existing residence. and west elevation of the existing residence. g CO Hayley Donaldson %— w 710 East Road, Cutchogue g a SCTM No. 1000-110.-7-20 Lcn 0-HIM- . \\ ° — # \SI � _ 4� _\ I a. v. .a u � a e o a e a� r s _ Photograph 5) View looking north at East Road and the Photograph 6) View looking east across the front yard of the neighboring property across East Road. property. ti TOWN OF S-WOUTHOLD PIRCUPEERTY REM STREET VILLAGE DISTRICT SUB. LOT a E"' OWNER N ACREAGE _ S - _ TYPE OF BUILDING r $ 5 I l RES. SEAS. VL. f FARM COMM. IND. CB. MISC. AND IMP, TOTAL DATE EM_ I / o ,2 �� � - __ a� 3 r - { 00 ` a ' �rG. ►o AGE BUILDING CONDITION _ NEW NORMAL BELOW ABODE 25 Farris Acre Q Value Per Acre Value le 1CL , Til table 2 35# Tillable 3 W d ; Ca ,F Woodland U 3 »_ - - - i Swampland i —01 _ - - - Broshlarl41" House Plot - a CL LCI N oN is f C} i --A 10 € c ZI I i Awft- 1 _ - - - ," � j E 110.7-20 10/08 r Jt- - E 3 M. Bldg. v - Foundation Bath Extension p a Basement — 1 Floors m � E � sion' Ext. Walls Interior Finish - Extension ' Fire Place Heat C��S 2 �s Porch _ Attic a Porch ' Rooms 1st Floor B �waV ;� Patio Rooms 2nd Floor Garage = _ = Driveway f , o ti e e - 3 ; O. B. i TWIN F W"k K KS PERMITS October 21,2025 '13DBI'�' D -Via Hand Delivery- Leslie Kanes Weisman,Chairperson OCT 2 1 20-15 Southold Town Zoning Board of Appeals ''' 54375 Main Road PO Box 1179 ZONING BOARD OF APPEALS Southold,NY 11971 RE: Zoning Board of Appeals Application Owner:Hayley Donaldson Situate: 710 East Road,Cutchogue SCTM No. 1000-110.-7-20 Dear Chairperson Weisman: Please find the enclosed ZBA application for a variance to reconstruct a portion of the pre-existing and non-conforming residential roof and covered entry for the property located at 710 East Road,Cutchogue(SCTM No. 1000-110.-7-20). Pursuant to the notice of disapproval,the proposed roof reconstruction will occur within the required front and setback. PP P P q Y The pre-existing and non-conforming residence is located 25.6'from the street property line(24'from the roof overhang to the street property line). The proposed project includes partial demolition of the existing roof and construction of a new roof line on the east side of the front facing roof exposure. The pre-existing and non-conforming covered front entry area is located 23.2'to the stoop. This covered entry roof will be reconstructed with a new roof lie. There are no other changes to the GFA or footprint of the residence what will require a variance. In support of this application,please find the following: 1. Application fee in the amount of$750.00; Eight copies of the following: 2. Notice of Disapproval dated September 22,2025; 3. Application to the Southold Town Board of Appeals Area Variance,Applicant's Project Description,Questionnaire, Agricultural Data Statement,Owners Authorization and Transactional Disclosure Form from the owner and the agent; 4. Property Certificate of Occupancy records; 5. Property Record Card; 6. Short Environmental Assessment Form; 7. LWRP Form; 8. Photographs of the property; 9. Proposed site plan survey as prepared by Pinnacle Land Surveyors LLP,dated May 20,2025 last revised July 16,2025;and 10.Two(2)full size and six(6)mini sets of the proposed site plan,elevations and floor plans for the residence improvements as prepared by John C Gramlich Architect,sheets CV-1 dated 7.24.25,SP-1.1 dated 2.28.25,EX-1,A-1.0,A-1.1,A-1.2,A-2.0, A-2.1,A-3.0, S-1.1 dated 7.24.25. Please review the enclosed materials for the proposed residence roof reconstruction. If you have additional questions regarding the overall project,do not hesitate to contact this office. Thank you. Sincerely, Lisa Poyer Principal Planner 631.644.5998 1 lisa@twinforkspermits.com 1 288 East Montauk Highway,Hampton Bays,NY 11946 IV v ,"✓',^p t � ✓"vw ,.tea _v, �,.,�. r, ve P. ✓"r^' a +'� 6° C1 �'uv t" �4 td,,,.. a 28 ;n✓w" 1 ,�" y '�, .u,✓ �',✓ �"� w � r"° ✓. 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