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%-30 TOWN OF SOUTHOLD RECEIVED BUILDING DEPARTMENT SOUTHOLD,N.Y. JUN U 2 2025 NOTICE OF DISAPPROVAL ZONING BOARD OF APPEAL: DATE: April 16, 2025 TO: Richard Mato (Plaia) PO Box 2284 Aquebogue, NY 11931 Please take notice that your application dated February 21, 2025: For permit: to construct additions and alterations to existing single-family dwell in at: Location of property: 1020 Laurel Court: Laurel, NY County Tax Map No. 1000— Section 126 Block 13 Lot 1 Is returned herewith and disapproved on the following grounds: The proposed construction to the existing single-family dwelling.on this nonconforming 37.230.14 sq. ft. lot in the AC District. is not permitted_pursuant to Article XXXVI Section 280-207A(b) which states: "the gross floor area shall not exceed the permitted square footage calculated as follows-.-Lots containing up to 40.000 square feet of lot area.: 4.350 square feet plus 7 5%of the Iot in excess of 30.000 sg. ft. up to a total of 5.100 sc. ft. maximum." The proposed gross floor area is 6.456 sq. ft. Authorized 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. RECEIVED APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALON U 2 2025 AREA VARIANCE O Z O Est DNING BOARD OF APPEALS House No. Street t•'p� G�• Hamlet L Y4•�! C.+ SCTM 1000 Section: 2ll Block: �� Lot(s) Lot Size:f7-29h r 4' Zone A G I(WE)APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED BASED ON SURVEY/SITE PLAN DATED Owner(s): 0-re VA l A Mailing Address: IOU 1.0W GT LAi-.,r4L 0- Telephone: Fag: Email: NOTE:In iiddition to the alms e,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: t0ntp t-AAPTy, A.LA_ for( *wner O Other: Address: ],7Q' +S 4' A Q1 Uf 0,, • 114) Telephoner("7Z3' r Fag: Email:kA" �� L.« Please check to sped who you wrs orrespandence to be mailed to,from the above names: ( }Applicant/Owner(s), (v)Authorized Representative, ( )Other Name/Address below: WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN DATED and DENIED AN APPLICATION DATED 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: (. 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, (}Chas not been made at any time rvith respect to this propeM, UNDER Appeal No(s). Year(s). (Please be sure to research before completing this question or call our office for assistance) RECEIVED Page 2,Area Variance Application JUN 0 2 2025 Revised 6/2023 SD ZONING BOARD OF APPEALS REASONS FOR APPEAL (Please be specific,additional sheets may be used with preparer's signature notarized): 1.An undesirable change will not be produced in the CHARACTER of the neighbor or a detriment to nearby properties if granted,because: AV* GQl"Q/V 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: 09� om, NdT- �Pa� � VW t kjGj- 11AI t- to HIGH 5 1419- !-'IONAkt4- OF rA T1*1"A U*9 'P(f;RGVL-T-. 3.The amount of relief requested is not substantial because: -nW, Ailk). 4.The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: -rK (Y ( ftvr f I(W-T iZ A41r W&L-, . 5.Has the alleged difficulty been self created? { }Yes,or{vj'No Why: -04110lTt&4f C&J fO'ly W1 • Are there any Covenants or Restrictions concerning this land? ( No { )Yes(please furnish a copy) • This is the MINIMUM that is necessary and adequate,and at the same time preserve and protect the character of the neighborhood and the health,safety and welfare 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 Autho 'zed Agent (Agent must submit written Author Lion from Owner) Sworn to before me this day of 2fl NotaBARBARA H.TANDY ry No. of ueoState qD Of � ' Ouslifled In Suffolk Gourtt�r No Vary Public Commission Expires @ 1,5•ot o�`� Zoning Board of Appeals APPLICANT'S PROJECT DESCRIPTION APPLICANT: MA" Nd Pr SCTM No. 1.For Demolition of Existing Building Areas r RECEIVED Q Please describe areas being removed: 1L1�1 n � II.New Construction Areas(New Dwelling or New Additions/Extensions): ZONING BOARD OF APPEALS Dimensions of first floor extension: pp . 22 •S -c 12.D Dimensions of new second flo( F rilm Dimensions of floor above second level: N A 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 and General Characteristics BEFORE Alterations: IAr 1 N 2 'nVotr Number of Floors and Changes WITH Alterations: r l VW L IV. Calculations of building areas and lot coverage,sky plane(From Surveyor, sign P of scions]): Existing square footage of buildings on your property: 4-7 ti'l ' � Proposed increase of building coverage: V7 Square footage of your lot: S—] D. Percentage of coverage of your lot by building area(lot coverage) n • 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): t . col to *.t MT • C045-& s�. For Residential lots,it projecl within the allowable Sky Plane?(Please refer to Chapter 280, Section 280-208 of the Town Code): V.Purpose of New Construction: plVP M6Yj of f -T-V AN ly-Q C-Z 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: 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 RECEIVED FOR FILING WITH YOUR ZBA APPLICATION JUN 0 2 2025 A. Is the subject premis currently listed on the real estate market for sale? �0 3n Yes No ZONING BOARD OF APPEAL B. Are�tri'e any proposals to change or alter land contours? No Yes,please explain on separate sheet. C. 1.)Are there areas that contain sand or wetland grasses? 2.)Are those areas shown on the survey submitted with this application? iR 3.)Is the property bulk headed betw en the wetlands area and the upland building area? --- PiI P- - 4.)If your property contains wetlands or pond areas, have you contacteI the office of the BOARD OF TRUSTEES for its determination of jurisdiction? N 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? P 0 E. Are there any patios,concrete barriers,bulkheads or fences that exist that are not shown on the survey that you are submitting? tjo If any of the aforementioned items exist on your property,please show them on a site plan. tt F. Are there any construction projects currently in process on your property? N 0 If yes,please submit a copy of your building permit and survey as approved by the Building Department and please describe scope of work: G. Please attach all pre-certificates of occupancy and certificates of occupancy for the subject premises. If none exist,please apply to the Building Department to obtain them or to obtain an Amended Notice of Disapproval. r H. Do you or any co-owner also own other land adjoining or close to this parcel? I� 0 If yes,please label the proximity of your lands on your survey and identify the Suffolk County Tax Map No. I. Please list present use or operations conducted¢at your roperty,and/or the pro osed use 4+d ,vf tGer.k.E ifov> �aAw�1� J. (examples:existing s ingl a Family,proposed:same with garage,pdb I or ther) S 'K5_ Authorize signature Date FORM NO. 4 RECEIVED TOWN OF SOUTHOLD Y D3C BUILDING DEPARTMENT Office of the Building Inspector JUN 0 2 2025 Town Hall Southold, N.Y. ZONING BOARD OF APPEALS CERTIFICATE OF OCCUPANCY No: Z-29923 Date: 12/19/03 THIS CERTIFIES that the building NEW DWELLING Location of Property: 1020 LAUREL CT LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 126 Block 13 Lot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 27 2002 pursuant to which Building Permit No. 28952-Z dated DECEMBER 2, 2002 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 SINGLE FAMILY DWELLING WITH ATTACHED GARAGE & REAR DECK AS APPLIED FOR. The certificate is issued to ROBERT L CELENTANO & JOSEPH MANZI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-02-0067 11/25/03 ELECTRICAL CERTIFICATE NO. 76876C 12/03 03 PLUMBERS CERTIFICATION DATED 12/12 03 WILLIAM SCHWARB a/edgnature Rev. 1/81 TOWN OF SOUTHOLD E CEMD ,aA�FF�'r�o BUILDING DEPARTMENT TOWN CLERK'S OFFICE JUN a 2025 Kv SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS A SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 50712 Date: 6/20/2024 Permission is hereby granted to: Plaia Vito - 1020 Laurel Ct Laurel, NY 11948 To- install roof-mounted solar panels to existing single-family dwelling as applied for. At premises located at: 1020 Laurel Ct. Laurel SCTM #473889 Sec/Block/Lot# 126.-13-1 Pursuant to application dated 4/912024 and approved by the Building Inspector. To expire on 11/1912025. Fees: SOLAR PANELS $125.00 ELECTRIC $100.00 CO-ALTERATION TO DWELLING $100.00 Total: $325.00 Building Inspector RECEIVED �"�°F soluf Town of Southold JUN 0 2 2025 * P.O. Box 1179 � d4 53095 Main Rd Southold, New York 11971 ZONING BOARD OF APPEALS CERTIFICATE OF OCCUPANCY No: 46047 Date: 03/20/2025 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 1020 Laurel Ct Laurel,_NY 11948 Sec/Block/Lot: 126.4 3-1 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 04/09/2024 Pursuant to which Building Permit No. 50712 and dated: 05/20/2024 Was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: Roof-mounted solar panels to existing single-family dwelling as applied for. The certificate is issued to: Vito Plaia Marilyn Plaia Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 50712 3/12/2025 PLUMBERS CERTIFICATION: Aut o ' ed ipature FORM NO. 4 TOWN OF SOUTHOLD RECEIVED BUILDING DEPARTMENTS Office of the Building Inspector jUN 0 2 2025 Town Hall Southold, N.Y. ZONING BOARD OF APPEALS CERTIFICATE OF OCCUPANCY No: Z-30586 Date: 11/23/04 THIS CERTIFIES that the building ADDITION Location of Property: 1020 LAUREL CT LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 126 Block 13 Lot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 30, 2004 pursuant to wbich Building Permit No. 30057-Z dated JANUARY 30, 2004 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 REAR DECK ADDITION TO EXISTING SINGLE FAMILY OWE;LLING AS APPLIED FOR. The certificate is issued to SALVATORE & CAMILLE CIOFFALO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2022544 10 12/04 PLUMBERS CERTIFICATION DATED N/A u ho zed Signature Rev. 1/81 RECEIVE[) AGRICULTURAL DATA STATEMENT JUN 0 2 2025 ZONING BOARD OF APPEALS gc-3,z) TOWN OF SOUTHOLD ZONING BOARD OF APPEALS WHEN TO USE THIS FORM: This form must be completed by the applicant for any special use permit,site plan approval,use variance, area variance or subdivision approval on property within an agricultural district OR within 500 feet of a farm operation located in an 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: l HA-", A. I. A. 19 L441 A fvvWa—:� 2. Address of Applicant: -6. 60y. IZ94 PA P.t �?3 3. Name of Land Owner(if other than Applicant): N WO vw6k 1q 4. Address of Land Owner: 107.0 to GT, N 5. Description of Proposed Project: d0-1p 1 �POt�Ct�N 6. Location of Property: (Road and Tax map Number) I Z0 �- 440 - ISO- 177- ! 7. Is the parcel within 500 feet of a farm operation? { } Yes { o 8. Is this parcel actively farmed? { } Yes {-}'No 9. Name and addresses of any owner(s)of land within the agricultural district containing active farm operations. Suffolk County Tax Lot numbers will be provided to you by the Zoning Board Staff, it is your responsibility to obtain the current names and mailing addresses from the Town Assessor's Office(765-1937)or from the Real Property Tax Office located in Riverhead. NAME and ADDRESS 1. 2. 3. 4. 5. �. 6. (Please use the back of this page if there are additional property owners) �i 27 25-' Signature of Applicant L 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. RECEIVED RoaM or zoniit , A t teais >> t tlication JUN 0 2 2025 OWNER'S AUTHORIZATION L)5 (Where the Applicant is not the Owner) ZONING BOARD OF APPEALS residing at_ O ?.0 -ert.JMkCT— (Print property owner's name) (Mailing Address) do hereby authorize 1014 H&41, A.L. A . (Age lit) to apply for variance(s) on my behalf front the Southold Zoning Board of Appeals. By signing this document, the Property Owner understands that pursuant to Chapter 280- 1�6(B)of the Code of the Town of Southold any variance granted by the Board of Appeals shall become mull 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 TIE PROPERTY OIVNEWS RESPONSIBILITY TO ENSURE COMPLIANCE WITH THE CODE REQUIRED TIME FRAME DESCRIBED HEREIN. (Owner's Signature) (Print Owner's Name) APPLICANVOWNER TRANSACTIONAL DISCLOSURE FORM The To-wn of Southold%Code of Ethics prohibits conflicts of intcresl on Elie nart of wive officers and can alo yecs.The Inir nse of this form is to provide information which can alert the town or nonible conflicts of interest and allow it to take whatever action is ncces5ary to avoid saante. YOUR NATME: Vtrp 01A A _ (l.aarl name,first naane.,middle initial,ontess you are applying in the name of aat,nleone LIw or other entity,!ouch as a company.If so,indicate the other wrson's or companv's na€ne,) TYPE OF APPT..T.CATTON- (Check all that apply) RECEIVED Tax grievance Building Permit Variance '1'rttstee Permit Change of zone � Coastal Erosion _ _ JUN 0 2 2025 Approval of Plat 'Mooring Other(activity) ]'fanning ZONING BOARD OF APPEALS 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. YE>S 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. Thither 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 omier tar greater that 5°.%c of the shares of the corporate stock or 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) 0 an officer,director,partner,or employee of the applicant;or D)the actual applicant DF,SCRTPTT()N OF RT C.AT iONSTUP Submitted this 20 2+ Signature -- Print Name AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The To►vn of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and em loyees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest un(l allow it to take whatever action is necessary to avoid same. �j YOUR NAME: 1, (Last name,first n ne,middle I itial,Unless you are applying in thc1na me of someone else or other entity,sueh as a company.If so,in irate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) RECEIVED Tax grievance Building Permit JUN 0 2 2025 Variance Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning ZONING BOARD OF APPEALS 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 day of FA A-f ,20 2 Signature n Print Name C RECEIVED 617.20 Appendix B SUN 0 2 2025 Short Environmental Assessment Form Instructions for ComBleting 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: Project Location(describe,and attach a location map): ^ 1010 I,A-V vr. Lw, t to-`f, l Brief Description of Proposed Action: ppopeop Cl ) G� A'pp E 11#eV "t"t1 +4/U P�Z LST#NUT 1 i Name of Applicant or Sponsor: Telephone: l FA A. 1.A . E-Mail: .CoAof Address: P.o. 4- City/PO: State: Zip Co 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: $u I c�P d►�- �M t� 3.a.Total acreage of the site of the proposed action? acres b.Total acreage to be physically disturbed? d. 00 L* 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 ZResidential (suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 r�IrC�I1/�O 5. Is the proposed action, JUN 02 2025 NO YES TUA a.A permitted use under the zoning regulations? � y S� b.Consistent with the adopted comprehensive plan? ZONING BOARD OFAPPEAiS 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? 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: 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO h'ES 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? .1110 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: Voll 10. Will the proposed action connect to an existing public/private water supply? l NO YES If No,describe method for providing potable water: 11.Will the proposed action connect to existing wastewater utilities? �J I NO YES If No,describe method for providing wastewater treatment:___ 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 VES wetlands or other waterbodies regulated by a federal,state or local agency? b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? oe 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 ❑ cultural/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 ES by the State or Federal government as threatened or endangered? 16.Is the project site located in the 100 year flood plain? NO ES 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(run and storm drains)? If Yes,briefly describe: ENO❑YES Page 2 of 4 18.Does the proposed action include construction or other activities that resulf�fi(tundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: - 2f)� � L UZJ 19.Has the site of the proposed action or an adjoining property beeZ01q1Fffitb0AAVWi tM%W NO YES solid waste management facility? If Yes,describe: _ 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 I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: AA- r- A • Date: 7 eZ7 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, [ waterbodies,groundwater,air quality,flora and fauna)? h` Page 3 of 4 - r'7�r � - ���� :spy ��• -t Ar ` W6. P.O.— VITO f"A I A i r 151 lip co � 1 Ln ■ C14 • i / - ■, - LLI - 1 ■ �.- FF, •�. ZA .r 00 VITO VUAI co us CD • �. • � f i ` f_nl I Im -. TOWN OF SOUTHOLD PROPERTY RECORD CARD � MINER STREET VILLAGE DIST sue LOT ACR, REMARKS TYPE OF RLD I r:•+ J 'F2 7 - '.i -�' rt:1.I.�-�•" r 1•._� ...v _� r 1 r1�! vA' ',., .�.- \ �.- +'�. PROP CLASSi r r LAND #MP TOTAL DATE - '� _ 1 f. .s� v% .; J?. 1—•jj•. • r�.iFrt' s'" .� r ri✓�'c. �� r -tea-- `.� _'�,�f. r- � ;,,C`.r_ ! k�- --.�•. ._ ._ ; _ ., '� - •- - - - r - _.Pr' r_ s. ���••"� -- - 1 ` l -f .`l_ 's ! !' R� II '��1 ' ° ���_�ll<' Or ----T-_'"'._-•—.. -- r � i"' � � J 1'7 i � r ry � ! 'fit !1. r ['" "J /' f ��`✓rJ__ —_ r„w _ .67 N v N { FRONTAGE ON WATER 3lLl ABLE [7 IL FRONTAGE ON ROAD _ WOO DLANU 50 S DEPTH MLADOWLAND BULKHEAD HOUSE LOT TOTAL MEIN■■■■■S®■MI■®■■®0-■■■■EMS OEM ■■■OEMM■®■mm■■■g■■■■■■ MINE■■■■■®■■!■_■_■_■_M ON 1■■■■■■■ `L - ' ■■■■■■■ -"�i■■■ ■■■■■■■ MEN MMEMENHE 1' �. ' ..r ■■■■��®■ ■■■ -: Emus ENE SOME IMMEMANUMMMEN ONENESS ■E■M■■■■■■■■■■■■ ME MEMO 01 Elm MMEMMEMMOMMIMEM MEN ■ ■■■■i■ I IMM■■■O■MO■■■OS■EM■ ■■■■■■I■ME■■■■■M■MEMOS■■■O■■- - - ■■■■■■I■®■■E■■■■■■■■■MEMS■MIN _ . _ ■INN■®It■■■INN■■■■■■■:!■E■■■E ■gSSMM■■Eli■®MEI■OM■■ENE ■■MIN■■■■■■■■■ENEMME■■■■smog ■�E■■EEMN■E■■■■■■■■gS■■SEEN ■OEEMO■E■OMENS E■■■■■■MEMOS MEME■ME■■■■■■■■!is■■■MMEMO r- S.C.T.M. NO. DISTRICT: 1000 SECTION:126 BLOCK: 13 LOT(S):1 I" c LAND NIF OF RECEIVED LAUREL LINKS COUNTRY CLUB INC JUN 0 2 2025 179 p3' ZC NING BOARD OF APPEAL ti P LOT 13 x •�i WOOD DECK 5� z 13;• oy ar-r• w. 3' a 'oi B3 y Z6.3' COVERED 2 STY FRAME a a R GOP OVVELLING 41020 a 27 9 ry s>s q86• GARAGE r � 2 5•x w `a?W" LP. P p PROPOSED STY { GARAGEADDITION z � LOT 14 C� 84. cb R=Bs S aELs.BLOCK CURe \ �f LAUREL COURT TOWN OF SOUTHOLD LOT COVERAGE -• � DWELLING W/COVERED PORCHES:4740 S.F. REAR DECK:1505 S.F. SHED: 102 S.F. \ 6347 S.F.or 17.0 k \ PROPOSED GARAGE:270 S.F. I PROPOSED TOTAL COVERAGE:6617 S.F.or 17.8% I I I I I THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL REVISED 04-08-25 LOCA77ONS SHOWN ARE FROM FIELD OBSERVA 77ONS AND OR DATA OBTAINED FROM OTHERS. AREA: 37,230.14 Sq. Feet or 0.85 ACRES ELEVA77ON DATUM: UNAUTHORIZED ALTERATION OR AD0177ON TO THIS SURVEY IS A WOLA77ON OF SECTION 7209 OF THE NEW YORK STATE EDUCA770M LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INS77TU770N, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES, ADD177ONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE 77ME OF SURVEY SURVEY OF: LOT 13 CERTIFIED TO: VITO PLAIA: MAP OF: LAUREL LINKS FILED: NOV. 23. 2001 No. 10712 SITUATED AT:MATTITUCK TOWN OF:SOUTHOLD C SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design P.O. Boa 153 Aquebogue, New York 11931 FILE$225-23 SCALE:1"=30' DATE:FEB. 18, 2025 PHONE(831)298-1588 FAX(831) 298-1588 N.Y.S. LISC. 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