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HomeMy WebLinkAboutzba # 8029 1875 Jackson LLC FORM NO. 3 REGg1VED TOWN OF SOUTHOLD q-0 BUILDING DEPARTMENTQY SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL ZONING BOARD OF WEALS DATE: February 25, 2025 RENEWED: May 19,2025 REVISED: May 27, 2025 TO: 1875 Jackson LLC PO BOX 66 150 King St PO BOX 66 New Suffolk,NY, 11956 Please take notice that your application received February 19, 2025: For permit to: construct a dormer addition to an existing rigle-family dwelling at: Location of property: 1875 Jackson Street New Suffolk NY County Tax Map No. 1000—Section 117 Block 9 Lot 14 Is returned herewith and disapproved on the following grounds: The proposed construction on this nonc mforming 16,722 s . ft. pggel in the Residential R-40 District is not ermitted ursuant to Article XXIII Section 280-124 which states: lots measuring less than 20,000 s mare feet in total size require a minimum front yard setback of 35 feet. 7 rA The construction as shown on the site plan has a front yard setback of 5'9"_ �(V I Aacyrvov Additional) ursuant to Article XXXVI Section 280-208 gn buiidin or structure must be located within the ky plane. The buildinglans indicate the structure to be be ❑nd the limits of the s lane. Auporized Signaturpj 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. FORM NO. 3 RECEIVED TOWN OF SOUTHOLD MAY 2 8 2025Q BUILDING DEPARTMENT SOUTHOLD,N.Y. ZONING BOARD OF APPEALS NOTICE OF DISAPPROVAL DATE: February 25, 2025 RENEWED: May 19, 2025 TO: 1875 Jackson LLC PO BOX 66 150 King St PO BOX 66 New Suffolk,NY, 11956 Please take notice that your application received February 19, 2025: For permit to: construct a dormer addition to an existing sin le-famil dwelling at: Location of property: 1875 Jackson Street New Suffolk NY County Tax Map No. 1000—Section 117 Block 9 Lot 14 Is returned herewith and disapproved on the following grounds: The prol2osed construction on this nonconforming 16,722 s . ft. parcel in the Residential R40 District is not permitted pursuant to Article XXIII Section 280-124 which states: lots measuring less than 20 000 s uare feet in total size re wire a minimum front yard setback of 35 feet. The construction as shown on the site plan,has a front yard setback of 4'9". �V� 40J'mov Additionally.pursuant to Article XXXVI Section 280-208 an buildin or structure must be located within the s lane. The building R1aps indicate the structure to be be and the limits of the sky lane. 4m'raa )I L12-AOA Aut rized Signature Note to Applicant: Any change or deviation to the above referenced application may require further review by the Southold Town Building Department. CC: file,Z.B.A. RECEIVED APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS MAY 2 8 2025 AREA VARIANCE `boa j House No. 1875 street Jackson St Hamlet New SlJff01iONiNG SOAR©OF APPEALS SCTM 1000 Section: 117 Block: 9 Lot(s) 14 Lot Size: 16,722 SF ZoneR-40 I(WE)APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED 02.25.25 BASED ON ATED 02.19.25 PLANS Owner(s): David Noonan Mailing Address: Telephone: Fax: Email: NOTE:In addition to the aboov 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: Zacke!y E. Nicholson, RA forXOwner( )Other: Address: PO Box 88 - CutehO ue NY 11935 Telephone: 631.513.6589 Fax: Email: ZENicholFon.Arch@gmail.com Please check to specify who you wish correspondence to be mailed 1v,from the above names: ( )Applicant/Owner(s), X Authorized Representative, ( )Other Name/Address below: PLANS WHEREBY THE BUILDING INSPECTOR REVIEWED DATED 02.14.25 and DENIED AN APPLICATION DATED 02.19.25 FOR: NBuilding 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: A Variance to the Zoning Code or Zoning Map. { )A Variance due to lack of access required by New Fork Town Law- Section 280-A. ( )Interpretation of the Town Code,Article Section ( )Request for Reversal or Overturn the Zoning Officer's Denial Other A prior appeal( )has, Xhas not been made at any time with res ect to this prroperryt , UNDER Appeal No(s). Year(s). (Please be sure to research before completing this question or call our office for assistance) XXXVI 280-208 XXXV 1 280-124 RECEIVED Page 2, Area Variance Application Revised 6/2023 MAY 2 8 2025 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 NEIGHBORHOOD CHARACTER WILL NOT BE NEGATIVELY AFFECTED BECAUSE THE PROPOSED DORMER IS IN KEEPING WITH BOTH THE ARCHITECTURAL STYLE AND THE CONSTRUCTION MATERIALS OF THE MAJORITY OF THE RESIDENCES IN THIS AREA.THE TYPE OF ROOF LINES,WINDOWS&DETAILS ARE COMMON PLACE IN THIS NEIGHBORHOOD.ALL OF ADJACENT HOUSES WITHIN THE ZONING DISTRICT HAVE SIMILARITIES. 2. The benefit sought by the applicant CANNOT be achieved by some method feasible for the applicant to pursue, other than an area variance,because: DUE TO THE EXISTING SITING OF THE HOUSE ANY CHANGES TO THE FRONT OF THE HOUSE WOULD REQUIRE A VARIANCE. 3.The amount of relief requested is not substantial because: THE PROPOSED DORMER IS MINIMAL IN SIZE AND HAS APPROPRIATE PROPORTIONS TO THE FRONT OF THE HOUSE. 4.The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: THE PROPOSED DORMER DOES NOT CREATE ANY ADDITIONAL NON PERMIABLE AREA OF THE SITE.THE PROPOSED DORMER DOES NOT AFFECT ANYONES VIEWS FROM ADJACENT PROPERTY. 5.Has the alleged difficulty been self created? { }Yes,or W No Why: THIS STRUCTURE WAS PRE EXISTING(1957).THE ZONING MODIFICATIONS DONE BY SOUTHOLD TOWN HAVE CHANGED THE LOT TO R-40 DESIGNATION.AT THE TIME OF THE CONSTRUCTION OF THE HOUSE THERE WERE NO REQUIREMENTS FOR SETBACK DISTANCES,THERE FOR THE VARIANCES IS REQUIRED BECAUSE OF THE NEW ZONING CHANGES IN THIS AREA. • Are there any Covenants or Restrictions concerning this land? M 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 Nqkuthorized Agent (Agent must submit written Authorization from Owner) Sworn to before me this I�l day TPACEY L. DWYM of CL 20 ZS NOTARY PUSLLIC,STATE OF NEW YORK NO.OI t)W63069o0 t?tf,LIFIED IN SUPPOLK COUNTY COMNMS9I0N EXPIRCS JUNE 30,2Aatp Not Pub Zoning Board of Appeals APPLICANT'S PROJECT DESCRIPTION APPLICANT: 1875 JACKSON LLC SCTM No. 1000-117-9-14 1.For Demolition of Existing Building Areas Please describe areas being removed: If agproved for construction the on ly dernolition to be done would be the roofing re uired to construct the proposed dormer. F EIVED G� H.New Construction Areas(New Dwelling or New Additions/Extensions): MAY 2 8 2025 Dimensions of first floor extension: N/A Dimensions of new second floor: 10' wide shed dormer Dimensions of floor above second level: N/A ZONING BOARD OF APPEALS Height(from existing natural grade): N/A Is basement or lowest floor area being constructed?If yes,please provide height(above ground)measured from natural existing grade to first floor: N/A III.Proposed Construction Description(Alterations or Structural Changes) (Attach extra sheet if necessary).Please describe building areas: Number of Floors and General Characteristics BEFORE Alterations: No change to the existing two story single family dwelling Number of Floors and Changes WITH Alterations: No change to the number of floors. IV.Calculations of building areas and lot coverage,sky plane(From Surveyor,Design Professional): Existing square footage of buildings on your property:.2s760 SF Main House & 627 SF Gara e Proposed increase of building coverage:_ 0 Square footage of your lot: 16,722 SF Percentage of coverage of your lot by building area(lot coverage) +- 13% Gross Floor Area 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): 2,760 SF Main House & +-300 SF Finished Garage For Residential lots,is project within the allowable S Plane?(Please refer to Chapter 280, Section 280-208 of the Town Code): Yes,_the proposed dormer projects into the sky plane by about 2' V.Purpose of New Construction: The impose for the propgsed dormer is to provide more natural light to an xisting bedroom. During the current renovation the existing bedroom only had walls ace enough for a modest size a ress window. When the hosue was constructed in 1830's it had two dog house dormers, 1 for each of the existing bedrooms at the front of the house. Said dormers were demolished in the mid 90's and replaced with skylights. We removed the skylights because they are not historically appropiate for our restoration of the front facade. We would now like to construct a modest historically appropriate shed dormer. VI.Please describe the land contours(flat,slope %,heavily wooded,marsh area,etc.)on your land and how it relates to the difficulty in meeting the code requirement(s): Describe on separate page if needed: Mostly flat. Modest pitch from West down to East side of property. Please submit 8 sets of photos,labeled to show different angles of yard areas after staldng corners for new construction,and photos of building area to be altered with yard view. Revised 6/2023 QUESTIONNAIRE FOR FILING WITH YOUR ZBA APPLICATION RECEIVED '��� A. Is the subject premises currently listed on the real estate market for sale? _Yes No MAY 2 8 2025 B. Are there any proposals to change or alter land contours? No Yes,please explain on separate sheet. _ ZONING BOAR QF�ppEALS C. 1.)Are there areas that contain sand or wetland grasses? NO 2.)Are those areas shown on the survey submitted with this application? N/A 3.)Is the property bulk headed between the wetlands area and the upland building area? N/A 4.) If your property contains wetlands or pond areas,have you contacted the Office of the BOARD OF TRUSTEES for its determination of jurisdiction? N/A Please confirm status of your inquiry or application with the Board of Trustees: If issued,please attach copies of your permit listing conditions of approval with a copy of the approved survey. D. Is there a depression or sloping elevation near the area of proposed construction at or below five feet above mean sea level? NO E. Are there any patios,concrete barriers,bulkheads or fences that exist that are not shown on the survey that you are submitting? Yes - All recently built. If any of the aforementioned items exist on your property,please show them on a site plan. F. Are there any construction projects currently in process on your property? Yes If yes,please submit a copy of your building permit and survey as approved by the Building Department and please describe scope of work: Interior and exterior renovations. Second floor at<fdftjon. G. Please attach all pre-certificates of occupancy and certificates of occupancy for the subject premises. If none exist,please apply to the Building Department to obtain them or to obtain an Amended Notice of Disapproval. H. Do you or any co-owner also own other land adjoining or close to this parcel? Yes If yes,please label the proximity of your lands on your survey and identify the Suffolk County Tax Map No. 1000-117-8-4 I. Please list present use or operations conducted at your property,and/or the proposed use J. (examples.existing single family,proposed:same with garage,pool or other) N�'Z_71/ 05.19.25 Authorize gnature Date TOWN OF SOUTHOLD RECEIVED BUILDING DEPARTMENT l TOWN CLERK'S OFFICE MAY 2 8 2025 Iwo- 01, SOUTHOLD, NY BUILDING PERMIT ZONING BOARD OF APPEALS (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVE_❑ PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 51046 Date: 8/8/2024 Permission is hereby granted to: 1875 Jackson LLC 150 King St PO Box 66 New Suffolk, NY 11956 To: Construct alterations to an existing non-habitable accessory garage as applied for_ At premises located at: 1876 Jackson St., New Suffolk SCTM #473889 Sec/Block/Lot# 117.-9-14 Pursuant to application dated 8/612024 and approved by the Building Inspector. To expire on 217/2026. Fees: ACCESSORY $125.00 CO-ACCESSORY BUILDING $100.00 Total: $225.00 'Azli) Building Inspector r FORM NO. 4 TOWN OF SOUTHOLD RECEIVED BUILDING DEPARTMENT vo Office of the Building Inspector Town Hall MAY 2 8 2025 Southold, N.Y. ZONING BOARD OF APPEALS PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-18803 Date FEBRUARY 15 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 615 FOURTH ST. & 1875 JACRSON S__T. NEW SUFFOLK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 117 Block 9 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the requirements for a private one family dwelling built prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCC. #Z-18803 dated FEBRUARY 15, 1990 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH WOOD FRAME ACCESSORY GARAGE WITH WOOD FRAME STORAGE SHED ATTACHED TO GARAGE . * The certificate is issued to ESTATE OF MALVIENNE STARBUCK ACKER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD PRE EXISTING UNDERWRITERS CERTIFICATE NO. NO RECORD PRE EXISTING PLUMBERS CERTIFICATION DATEDNO RECORD PRE EXISTING *SEE ATTACHED INSPECTION REPORT. Building Inspector BUILDING DEPARTMENT T01,11N OF SOUTHOLD, N. Y. RECEIVED 3�n HOUSI77G CODE INSPECTION REPORT `�/J Location 615 FOURTH ST. 6 1875 JACKSON STREET NEW SUFFOLK, N.Y. MAY 2 8 2025 �numoer & street) Municipality) Subdivision- Mav No. Lot(s) ZONING BOARD OF APPEALS Name of Owner(s) ESTATE OF MALVIENNE STARBDCK ACKER Occupancy R-40 OWNER (type) kowner-tenant) Admitted by: MR. KING Accompanied by: SAME Key available Suffolk Co. Tax. No. 117-9-14 Source of request THOMAS M. METTLER, B%ECUTOR Date 12/29/89 D',TELLING: Type of construction WOOD FRAME #stories 2 Foundation CEMENT BLOCK Cellar I/2 Crawl space 1/2 Total rooms, 1st. Fl 4 2nd. F1 3 3rd. F1 Bathroom(s) ONE Toilet room(s) ONE Porch, type Deck, type Patio, type_ Breeze=:ray Gara;re Utility room Type Heat LILCO GAS alarm Air Hotwater XX Fireplace(s) ONE No. E:cits 2 Airconditioning Domestic hotwater LILCO GAS Tyne heater RHEAM Other ACCESSORY STRUCTURES: WOOD FRAME ATTACHED Garage, type const.WOOD FRAME Storage, type const.TO GARAGE. Swimming pool Guest, type const. Other VIOLATIONS: CHAPTER 45—N.Y_ STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE Location D�zcr°� or. fArt. Sec. I Remarks Inspected by: Date of Insp. FEB. 14. 1990 4ARYavjM11 Time start 11:00 end 11:20 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT RECEIVED Office of the Building Inspector Town Hall Southold, N.Y. MAY 2 8 2025 CERTIFICATE OF OCCUPANCY ZONING BOARD OF APPEALS No Z-22013 Date DECEMBER 8, 1992 THIS CERTIFIES that the building ADDITION Location of Property 1875 JACKSON STREET NEW SUFFOLK N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 117 Block 9 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 16, 1990 ___pursuant -to which Building Permit No. 19216-Z dated JULY 20 1990 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to MICHAEL E. GUILL & BARBARA BUTTERWOR` H (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NIA UNDERWRITERS CERTIFICATE NO. N A PLUMBERS CERTIFICATION DATED N/A Z Building Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD RECEIVED BUILDING DEPARTMENT � � Office of the Building Inspector MAY 2 8 2025 Town Hall Southold, N.Y. ZONING BOARD OF APPEALS CERTIFICATE OF OCCUPANCY No Z-22352 Date MAY 21, 1993 THIS CERTIFIES that the building PiLTFYR�ITION Location of Property 1875 3ACKS01� ST.&615 FOURTH Sfi. NEW SCIFFOLk N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 117 Block 9 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated .TULY 129 1991 _pursuant to which Building Permit No. 20031-Z dated JULY 19, 1991 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ALTERATIONS TO EXISTING ACCESSORY GARAGE AS APPLIED FOR The certificate is issued to MICHAEL GILL & ANO. (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-275992 -- MAY 14, 1993 PLUMBERS CERTIFICATION DATED N A '4"' r /";,e /�AuiYding fnspector Rev. 1/81 • `• FORD! NO. 4 RECEIVED TOWN OF SOUTHOLD MAY r, aOI BUILDING DEPARTMENT 2 8 2025 Office of the Building Inspector Town Hall ZONING BOARD Southold, N.Y. OF APPEALS CERTIFICATE OF OCCUPANCY No Z-22014 Date DECEMBER 8 1992 THIS CERTIFIES that the building REPAIR & ALTERATION Location of Property 1875 JACKSON STREET NSW SUFFOLK, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 117 Block 9 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 9, 1990 pursuant to which Building Permit No. 18854-Z dated MARCH 9, 1990 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is REPAIR & ALTERATION TO EXISTING ONE FAMILY DWELLING The certificate is issued to MICHALE GILL & BARBARA BUT'IERWORTE (owners) of the aforesaid building. SUFFOLK COUNTY ]DEPARTMENT OF HEALTH APPROVAL NIA UNDERWRITERS CERTIFICATE NO. N-181156 - MARCH 29, 1991 _ PLUMBERS CERTIFICATION DATED NOV. 9 1990-PECOMIC PLUMS. & HEAT. Building Inspector Rev. 1/81 rosac s� si TOWN OF SOUTHOLD RECEIVEDoa-� BUILDING DEPARTMENT a TOWN HALL MAY 2 8 2025 SOUTHOLD, N.Y. ZONING BOARD OF APPEALS BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N° 18854 z Date ...� I9...2d 14 Permission is hereby granted ... . ... :....................... to ........ . .... .......... . ... ......... ...........Ql... .... ......�:':!: .�... .............. at premises located at ..... .......f.. ..f.. .... . .. . ..... . ................... .................................................... .�..x.Z.. ................... ...............................................................11..�- . .....................a.NM....................................... L County Tax Map No. 1000 Section ...LL7...... Block .......'/......... rrLot No .... ...... .......... pursuant to application dated ........../../...�.. . ........•�••..... ., i9.1.�, and approved by the Building Inspector. Fee �d.. ..r� .. �• ... .......... ....... Build(no nswtor Rev. 6130180 BOARD 0' —')EALTH - --- -- FORM Q 3 SETS �_ PLANS - ------ SURVEYNa.1 ........ .. TOW NI OF SOUTHOLD CHECK -- - • - • . - BUILIaING DEPARTMENT SEPTIC FOR.t TOWN HALL - SLOG, 50UTHOLD.N.Y. 17rJ71 NOTIFY 7t?NJfJ UF •;i; 0 �� CALL •. ••. TEL.:765.1802 MAIL TO: Examined .yy.�._. .. ...�..... . . 19. .. QQ pp Approved..1......, 19 l�Petmit No. .�.r7.G7. � '� RECEIVED Disapprovedale ..................................... MAY 2 8 2025 (Building Inspector) ZONING BOARD OF APPEALS APPLICATION FOR BUILDING PERMIT Date ....... .......... . 19... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector,with sets of plans,accurate plot plan to scale. Fee according to schedule. b. PIot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public street or areas,and giving a detailed description of layout of property must be drawn on the dingram7 which is part of this appli cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application,the Building Inspector will issued a Building Permit to the applicant. Such permi shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Oceupanc shall have been granted by the Building Inspector. '" APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County.New York,and other applicable Laws,Ordinances c Rectilations, for the construction of buildings,additions or alterations,or for removal,or demolition,as herein describe, The applicant agrees to comply with all applicable laws,ordinances, building code,housing code,and regulations,and t admit authorized inspectors on premises and in building for necessary ins tt,ons, . � ' + . (Signature o applicant,or name,if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde .......................0+4:IL'Iek ...... ............;hl.,.:�.! .Je .................... Name of owner of premises .. .. . .. (as on the tax roll or latest deed) If applicant is a corporation,signature of duly authorized officer. . (Name and title of corporate officer) ALL CONTRACTOR'S MUST SUFFOLK COUNTY LICENSED Builders License No. ....... �! S PIumbar's License No. ... eGnh►e.. .�rt AsN�arti� 1 f Ce�ec� Electrician's License No. Other Trade's License No. ....... ..... . . ..... .. 1. Location of land on which proposed work will be done ............... ........................... ..... .. ......J.T;5 ........ ...�TreeT, House Number Street Hamlet County Tax Asap No. 1000 Section ....u,7. ......... Block ..�............... Lot. .1.. ..,•,, ,.• Subdivision.................. ................... Filed Asap Edo. .............. Lot ......_.._•._ (Name) 2. State existing.use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ......41�;�.4 cl ¢`a.T.°�. .............................................. b.Intended use and occupancy ...... .�. _• � . ............... 3. Nature of work(check which aF pble): New Building .......... Addition ... ..•.• Alteration Repair .............. Removal ..... ..... _... Demolition .............. Other Woe ............... 4. Estimated Cost ...joy oQ a............................ Fee ........I.... .......— ... i>� get ` (to be paid on filing this application) S. if dwelling",number of dwelling units ........0...... Number of dwelling units on each floor................ Ifgarage,number of cars ....... ............................... .................................. 6. if business,commercial or mired occupancy,specify nature and extent of each type of use .............�....... 7. Dimensions of existing structures,if any:Front . . .. v•••••• Rear .••• -•-•• Ilepth ......... HciPht .. ....e�nA......Number of Stories . .....1.�X........ .21........ ..... .�........... Dimensions of same structure with alterations or addit�=Front ....2.1; ......... Rear '............. Depth ........3G�.........Height ....A#..............Number of Stories..�J;� ........•...•. S. Dimensions of entire new construction: Front ................ Rear ............... Depth •..•........... Height ................ u uber of Stories ...... �4�. 4... ............. 9. Size of lot: Front .......)2 4.......... Rear......l ZA'........... Depth I-SO......... ..... 0. Date of Purchase Mq rph:J.T`T Q....... .........Name of Former Owner .......AWIl �.............. I. Zone or use district in which premises are situated.........R V's"4g h7`R--.... •. ••........•..••....•..•• 2. Does proposed construction violate any zoning law,ordinance or regulation: .(3...................... 3. 11'pl lot be regraded ..... �?. ft`rl�1!°s� r�iV t1 exce fill be removed from premises: Yes 4. Name of Owner❑f.premi9A a h.l.i. ....Address .r .�t� 1�>akl .••Phone No. Dame of Architect ...... .......Address ^ r ..Phone No. ... Dame of Contractor 4r2». ?�l�l:1?is...Address . !s 1l lit :ts'°►..1'hvne No. .$:t►y .5. Is this property local within 300 feet of a tidal wetland? es ..... No *If yes, Southold Town Trustees Permit LAT be required.Med. Locate clearly and distinctly all buildings, whether existing orproposed, and.indicate all set-back dimensions from •roperty lines.Give street and block number or description according to deed,and show street names and indicate whethCL -itcrior or corner lot.CA f 9 P , � 1 -qT-1' j_Sp f Lill 0D,7- 1 —E . —— RECEIVED L MAY 2 8 2025 ,., ZONING BOARD OF APP AL3 t� A" rATE OF NEW YORE;� S.S OU%-rY OF............ ..... , , , ,,,, ,,,,,,,,,,, ,,,, ,,,,,,,,,, being duly sworn,deposes and says that he is the applican (Nacre of individual signing contract) :ovc named. isthe . .... . .. .... ... .. . . .... ... ... .. . .. .. . ........ ... ..... . .. ...... ....... .. .......... ...... (Contractor,agent,corporate officer,etc.) said owner or owners,and is duly authorized to perform or have performed the said work and to make and file thi plication:that all statements contained in this application are true to the best of his knowledge and belief;and that th )rk will be performed in the manner set forth in the application filed therewith. :am to before the this �.. ....day of..... r...... , 1970. )tary�,Public, . .. ..k. �..�J. �.. County DEYN � or ... .•. . (Signature of applieanl ft 45-00 Tam rx*ft MSM'A A TOWN OF SOUTHOLD BUILDING DEPARTMENT RECEIVED (; o TOWN CLERK'S OFFICE xti SOUTHOLD, NY MAY 2 8 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#: 50533 Date: 4/10/2024 Permission is hereby granted to: Gill, Michael PO BOX 507 Cutchogue, NY 11935 To: construct accessory in-ground swimming pool as applied for. At premises located at: 1875 Jackson St, New Suffolk SCTM #473889 Sec/Block/Lot# 117.-9-14 Pursuant to application dated 2/14/2024 and approved by the Building Inspector. To expire on 10110/2025. Fees: SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00 CO-SWIMMING POOL $100.00 Total: $400.00 Building Inspector . � � p � 3 S ( c ® E >_ - B \ \ § Q } } \ 0 \ RECEIVED MAY 2 8 2025 ZONING BOARD OF AP EA � § { / \ } 7CE 7 / \ 7 J ; \ ( § ( df z 1 I[ � z � §Sk!»@ � N§§ \ § IEkk® ^7 | g « \ ram§\E (k ; -- ;) EB/ &® ^ !£ | ` \� \\'Am \ \ } | - 3 M. ((( it \ q .0 E; ! = 2_2 0 i =«2(/ . _, , ti• TOWN OF SOUTHOLD RECEIVED �� S�FfaiK�,ar-� BUILDING DEPARTMENT TOWN CLERK'S OFFICE - a J SOUTHOLD, NY MAY Z 8 Z�Z5 a{,,....,. 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#: 50030 Date: 11/15/2023 _ Permission is hereby granted to: Gill, Michael PO BOX 607 Cutcho ue NY 11935 To: Demolish portions of and additions to an existing two story single-family dwelling as applied for. Additional approvals, certification or amendment may be required. N .- . Is sued G� �S P� �fjpe � se- a'o awexna uv v&W�— wI ew- 0"d t tv U-V\ At premises located at: 1875 Jackson St, New Suffolk SCTM #473889 Sec/Block/Lot# 117.-9-14 Pursuant to application dated 10/30/2023 and approved by the Building Inspector. To expire on 5/1612025. Fees: DEMOLITION $548.40 Total- $548.40 Building Inspector TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631)765-1802 Fax(631) 765-9502 hqps://www.southoldtownnv.ggv Date Received APPLICATION FOR BUILDING PERMIT E C E 0 V E �`- For Office Use Only PERMITNO. J J Building inspector. 0CT 3 0 2023 Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an Building Department Owners Authorization form(Page 2)shall be completed. Town of Southold Date: 10 1; 1 — ZO Z3 OWNER(S)OF PROPERTY: Name: � C6") 4 G LL�.r SCTM#10i10- 111 —� i4 Project Address: r��1 ���, �,� -, 1)t►%) v 11� tic, S(O Phone#: Email; a Mailing Address: CONTACT PERSON: MAY Name: Mailing Address: Zolynyu-SOARO OF gpp�q Phone#: Email: DESIGN PROFESSIONAL INFORMATION: Name: el 4Gl"Z�L Mailing Address: ,p C) Co CO 4-U.- o.{ il � Phone#: 15; 1ko VI (0 Email: CONTRACTOR INFORMATION: Name: L/C, -a 'd5 6V Yhbo Mailing Address: gl� 1!;h S Phone#: j -1" 0 3 —d C16 Email: �CLG05 P�► DESCRIPTION OF PROPOSED CONSTRUCTION ❑NewStr lure ❑ ddition XAteration ❑ epair emolition Estimated Cost of Project: OtherCLIX 0• 3 Will the lot be re-graded? ❑Yes*0 Will excess fill be removed from premises? []Yes Wo 1 PROPERTY INFORMATION Existing use of property: 0% - l4 Intended use of property: S1 f @S N Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to (' `A 0 this property? ❑Yes XNo IF YES, PROVIDE A COPY. 19 Check Box After Reading: The owner/contractor/design professional is responsible for all drainap artd storm water Issues as provided by Chapter 236 of the Town code. APPLICATION Is HEREBY MADE to the Bulldhrd Department for th a bam mca of a Bulldlt Permit pursuant to the Building zone Ordlnance of the Town of Southold,Suffolk,County,New York and other applicable Laws,Ordlnanoes or Rgpft lorL%for the construction of bulklinp, additions,alterations or for removal or demolition as herein described.The applicant agrees to comply with ag applicable laws,ordinances,building code, housing code and regulations a rnd to admit authortted Inspectors on promises and In building(s)for necessary Inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210AS of the New York State penal Law. Application Submitted B print name): ID r'V , Iv p'(�L�c,h ❑Authorized Agent *wner Signature of Applicant: _ _t Date: 10 J ?, 7)Z 3 RiECl=1uE Qf �! STATE OF NEW YORK) MAY 2 8 2Q25 COUNTY OF l�'� 1"-' ) IV A.V- �' L , voe)V'V' being duly sworn, deposes an491jV I5qgfflP ?"WA,Mt (Name of individual signing contract)above named, (S)he is the 1M ,L l' - ' D � i k L Z, C, (Contractor,Agent,Corporate Officer,etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this `�/ (` day of 20 Nolary Public 5E7W G BANK ENotary'Public-state of New York PROPERTY OWNER AUTHORIZATION .Qi8A ffolk c3 ed in 5uffelk County (Where the applicant is not the owner) sion Expires Jan 3.xG residing at og Ar do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. 2��-o IV /%-iO Z'3 Owner's SI nature Date Print Owner's Name 2 B ewd b N05'19'00"E Ian 2'S0 10 lI , 150.0o, � g $ z Ems, "+pR+aa7 y gE G 5 OD � w -00 ¢ r a * I g ter' ri -3st ? I till I cyp �,-Xjl r 50459'50"W FOURTH AVENUE 15o.o0 ,cn ° ° E i f i I I �I I Ii I it I � i I I r I --- I I o m 3 wlmFl m m 7� v iv m C.n o m rn g ' ; 3 - WEBB HOUSE � AGRICULTURAL DATA STATEMENT ZONING BOARD OF APPEALS TOWN OF SOUTHOLD WHEN TO USE THIS FORM: This form must be completed by the applicant for any special use permit, site plan approval, use variance, area variance or subdivision approval on property within an agricultural district OR within 500 feet of a farm operation located in an agricultural district. All applications requiring an agricultural data statement must be referred to the Suffolk County Department of Planning in accordance with Section 239m and 239n of the General Municipal Law. 1. Name of Applicant: Zackery E. Nicholson, RA - ZEN Design 2. Address of Applicant: PO BOX 88 - Cutcho ue, NY 11935 3. Name of Land Owner(if other than Applicant): 1875 Jackson LLC 4. Address of Land Owner: 150 King Street - New Suffolk 11956 _ 5. Description of Proposed Project: Construct a Shed dormer at an existing single family dwellin . 6. Location of Property: (Road and Tax map Number)1875 Jackson Street _ New Suffolk 11956 1000-117-9-14 7. Is the parcel within 500 feet of a farm operation? { } Yes W No 8. Is this parcel actively farmed? { } Yes W No 9. Name and addresses of any owner(s)of land within the agricultural district containing active farm operations. Suffolk County Tax Lot numbers will be provided to you by the Zoning Board Staff,it is your responsibility to obtain the current names and mailing addresses from the Town Assessor's Office(765-1937)or from the Real Property Tax Office located in Riverhead. NAME and ADDRESS vdo 1. NIA RECEIVED 2. 3. MAY 2 8 2025 4. WnU°101'no a ur APPEALS 5. 6. (Please use the back of this page if there are additional property owners) 0-5 1 18 202,5-- Signature of Applicant Date Note: 1.The local Board will solicit comments from the owners of land identified above in order to consider the effect of the proposed action on their farm operation. Solicitations will be made by supplying a copy of this statement. 2. Comments returned to the local Board will be taken into consideration as part as the overall review of this application. 3. Copies of the completed Agricultural Data Statement shall be sent by applicant to the property owners identified above. The cost for mailing shall be paid by the Applicant at the time the application is submitted for review. 617.20 Appendix B Short Environmental Assessment Form Instructions for Com le in 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 Vn 9 Name of Action or Project: 1875 Jackson - Proposed Shed Dormer MAY Project Location(describe,and attach a location map): 1875 Jackson Street - New Suffolk 11956 ZONING BOA Brief Description of Proposed Action: Construct a 10' wide shed dormer on the front (South Elevation) of an existing single family dwelling. Name of Applicant or Sponsor: Telephone:917.612.3764 1875 Jackson LLC E-Mail: dln27nm@gmail.com Address: 150 King Street City/PO: State: Zip Code: New Suffolk New York 11956 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that X may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: X 3.a.Total acreage of the site of the proposed action? _ .384 acres b.Total acreage to be physically disturbed? _0 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? .384 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial XResidential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 RECENED 5. Is the proposed action, MAY 2 8 2025 NO YES N/A a.A permitted use under the zoning regulations? X b.Consistent with the adopted comprehensive plan? X 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? X 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: X 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES X b.Are public transportation service(s)available at or near the site of the proposed action? X c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? X 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: X 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: - - N/A 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment:._ N/A 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? X b.Is the proposed action located in an archeological sensitive area? X 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? X b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? X If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑ Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ❑ Wetland ❑Urban ❑ Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? X 16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, 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 Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: X 19.Has the site of the proposed action or an adjoining property been the locatioiqe or closed NO YES solid waste management facility? _1 If Yes,describe: �O ,MAI X 20.Has the site of the proposed action or an adjoining property beenfJ(9i;{ppjbing 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 p Appli'a" onsorname: ]LE. Nichols ,�1A_ _ Date: w OJ_1 9.2rJ 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 l. 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 2EM conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. $09-1 RECEIVED MAY 2 8 2025 ZONING BOARD OF APPEALS ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. o Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Name of Lead Agency Date Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) Page 4 of 4 Board of Zoning Avveals Application RECEIVED OWNER'S AUTHORIZATION (Where the Applicant is not the Owner) MAY 2 8 2025 ZONING BOARD OF APPEALS 1, David Noonan residing at 150 King.Street (Print property owner's name) (Mailing Address) do hereby authorize (Agent) Zackery E. Nicholson, RA to apply for variance(s)on my behalf from the Southold Zoning Board of Appeals. By signing this document,the Property Owner understands that pursuant to Chapter 280- 146(B)of the Code of the Town of Southold any variance granted by the Board of Appeals shall become null and void where a Certificate of Occupancy has not been procured,and/or a subdivision map has not been filed with the Suffolk County Clerk,within three(3)years from the date such variance was granted. The Board of Appeals may,upon written request prior to the date of expiration,grant an extension not to exceed three(3)consecutive one(1)year terms. IT IS THE PROPERTY OWNER'S RESPONSIBILITY TO ENSURE COMPLIANCE WITH THE CODE RE UIRED TIME FRAME DESCRIBED HEREIN. t R � . (Owner's Signature) David Noonan (Print Owner's Name) RECEIVED �U I MAY 2 8 2025 AGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM ZONING BOARD OF APPEALS The Town of Southold's Corte of Ethics prohibits conflicts of interest on the part of town officers and em lovees.The purpose of this form is to provide information which can alert the town of Rossible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOURNAME : Zackery E. Nicholson RA (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance Trustee Permit Change of Zone Coastal Erosion Approval of flat Mooring Other(activity) Planning Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business interest"means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee. Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation) B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation) C)an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this 21 St day of Ma 20 25 Signature Print Name Zackery E. Nicholson, RA RECEIVED APPLICANT/OWNER MAY 28 2025 TRANSACTIONAL DISCLOSURE FORM ZONING B❑ The Town of Southold's_Code of Ethics prohibits conflicts of interest on the part of town officers and emp'FMpkl 1wsf this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOURNAME : David Noonan (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business interest"means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5% of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee. Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation) B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation) C)an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submftte his 21 St day of May 20 25 Signature (� , Print Name David N_ onar RECEIVED MAY d 8 2025 11111111 IN 1111111111111111111111111111111111111111111 ZONING BOARD OF APPEAL" 11111111111111111 IN IN SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 8/18/2023 Number of Pages: 4 At: 7:44:06 PM Receipt Number: 23-0106309 *ELECTRONICALLY RECORDED* Transfer Tax Number: 23-02251 LIBER: D00013214 PAGE: 627 District: Section: Block: Lot: 1000 117.00 09.00 014 .000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount $1,250,000.00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $20. 00 NO Handling $20 .00 NO COE $5.00 NO NYS SRCHG $15.00 NO Notation $0. 00 NO Cert.Copies $0.00 NO RPT $200.00 NO Mansion Tax $12,500.00 NO EA-CTY $5. 00 NO EA-STATE $125.00 NO TP-584 $5.00 NO Comm.Pres $26,250.00 NO Transfer Tax $5,000. 00 NO Transfer Tax Number: 23-02251 Fees Paid $44,145. 00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Vincent Puleo County Clerk, Suffolk County BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS(INDIVIDUAL OR CORPORATION) STANDARD NYBTU FORM 8007 CAUTION.THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND RECEIVED PURCHASER BEFORE SIGNING. THIS INDENTURE,made the }� day of —:5 s 1 ti , 2023 MAY 28 2025 betweenAHCHAEL E.GILL and ZOAIII�C'BOgRD BUTTERWORTH AND N.GILL RUSST dated February BARA 119,1994 TRUSTEES OF THE B. OF'4PPEgLS residing at 12030 New Suffolk Avenue,Cutchogue,NY 11935 party of the first part,and 1875 JACKSON LLC residing at 150 King Street,P.O.Box 66,New Suffolk,NY 11956 party of the second part, WITNESSETH,that the party of the first part,in consideration of One Million Two Hundred Fifty Thousand and 00/100($1,250,000.00),lawful money of the United States,paid by the party of the second part, does hereby grant and release unto the party of the second part,the heirs or successors and assigns of the party of the second part forever, ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected, situate,lying and being in the Town of Southold,County of Suffolk and State of New York. SEE SCHEDULE`A'ATTACHED HERETO AND MADE A PART HEREOF Being the same premises described in the deed to the parties of the first part herein from Michael E.Gill and Barbara Butterworth,as tenants by the entirety,dated February 19, 1994 and recorded on July 29,1994 in Liber 11687 Page 507. Said premises are known and designated as District 1000,Section 117.00,Block 09.00 and Lot 014.000. TOGETHER with all right,title and interest,if any,of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof, TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises, TO HAPEAND TO HOLD the premises herein granted unto the party of the second part,the heirs or successors and assigns of the party of the second part forever. AND the party of the first part,covenants that the party of the first part has not done or suffered anything whereby the said premises have been encumbered in any way whatever,except as aforesaid. AND the party of the first part,in compliance with Section 13 of the Lien Law,covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose. The word"party"shall be construed as if it read"parties"whenever the sense of this indenture so requires. IN WITNESS WHEREOF,the party of the first part has duly executed this deed the day and year first bove written. T ti e 13, 1� r��1Pr^^+or �, + r+-+. Cn;I l i�cS— - D iYT E- f—t 5 r.s..a�'. l 1`�9`l. MICHAEL E.GILL, ec BARBARA BUTTERWORTH,Trustee NYSBA Residential Real Estate For ns on HotDocs®(9/00) Copyright CapsoftO Development -L- RECEIVED MAY 2 g � ADVANTAGE 2025 SCHEDULE A BOARD OF APPEALS Amended 6-30-2023 ALL that certain plot, piece or parcel of land,situate, lying and being in the Town of Southold,County of Suffolk and State of New York bounded and described as follows: BEGINNING at the corner formed by the intersection of the Northerly side of Jackson Street with the Westerly side of Fourth Avenue; RUNNING THENCE North 85 degrees 42 minutes 39 seconds West along the Northerly side of Jackson Street, 111.91 feet to land now or formerly of Thomas McKenzie; THENCE North 05 degrees 19 minutes 00 seconds East along the last mentioned land, 150.00 feet to a concrete monument and land now or formerly of Whitecap North Fork LLC; THENCE South 85 degrees 43 minutes 10 seconds East along the last mentioned land, 111.08 feet to the Westerly side of Fourth Avenue; THENCE South 04 degrees 59 minutes 50 seconds West along the Westerly side of Fourth Avenue, 150.00 feet to the corner,at the point or place of BEGINNING. The policy to be issued under this report will insure the title to such buildings and improvements erected on FOR the premises which by law constitute real property. CONVEYANCING ONLY TOGETHER with all the right,title and interest of the party of the first part,of,in and to the land lying in the street in front of and adjoining said premises. TITLE#23-AS-60052 ADDENDUM TO RP- 5217 RECEIVED kDx< Mar 28 2025 Grantor: ZONING BOARD OF APPEALS Michael E. Gill and Barbara Butterworth, as Trustees of the B. Butterworth and M. Gill Trust dated February 19, 1994. Town of Southold RECEIVED3,) LWRP CONSISTENCY ASSESSMENT FORM MAY 2 8 2025 A. INSTRUCTIONS ZONING BOARD OF APPEALS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 117 = 9 - 14 The Application has been submitted to(check appropriate response): Town Board 0 Planning Dept. 0 Building Dept. © Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g.capital 0 construction,planning activity,agency regulation,land transaction) (b) Financial assistance(e.g.grant,loan, subsidy) (c) Permit,approval, license,certification: Nature and extent of action: Construct a 10' wide shed dormer on the front South Elevation of an existing single family dwelling. Location of action: 1875 Jackson Street - New Suffolk 11956 q, Site acreage: 0.384 � '�' 25 Present land use: Signle Family Dwelling _ ZONING BOARD OF gppEgLS Present zoning classification: R-40 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: Zackery E. Nicholson, RA (b) Mailing address: PO Box 88 - Cutchog ue New York 11935 (c) Telephone number:Area Code( ) 631.513.6589 (d) Application number,if my: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ No® If yes,which state or federal agency? DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. ❑Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ® Yes ❑ No ❑ Not Applicable The original house on this lot was constructed sometime between 1832 & 1958. It was home to Captain Benjamin Emlen Webb. Based on historical photos the house is believed to originally have had 2) dog_house dormer on the front of the house. While doghouse dormer provide light they dont aid in as much volumetricaly spacious light as a shed dormer. Our proposed shed dormer is approporiate to the original architecture and neighborhood character. Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ® Yes Fr-1 No 0 Not Applicable The proposed shed dormer is in keeping with the original architecture of the house and neighborhood. The proposed materials and details are appropriate to the area. - RECEIVED Attach additional sheets if necessary MAY 2 8 MA NATURAL COAST POLICIES ZONING BOARD OF APPEALF Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages S through 16 for evaluation criteria Yes 0 No ® Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria El Yes 13 No ®Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. Yes D No' Not Applicable RECEIVED Attach additional sheets if necessary MAY 2625 Policy 7. Protect and improve air quality in the Town of Southold. ie0ftJCNW%LQroWM4tsPolicies Pages 32 through 34 for evaluation criteria. ❑ Yes 0 No® Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. 0 Yes ❑ No ® Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria.0 Yes n 1 No® Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable EIVEB C 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. 0 Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No® Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. 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Iw "+ n _ oo AREA = 16,722 sq. ft. 1-7'N w 4 6 INw LLC N H- 0.384 OC. FE 0.7'E 6'WOOD FENCE 0.5'S PAVER WALKWAY 5'WOOD FEkr,E 5.4'S FE 0.1'E 4'CHAIKUNK FENCE ern rn a 0 r.r pbA C) o Ei o w eE2 w1 GRAVEL DRIVEWAY O FE 0.2'E w/STONE CURB O LO raj ACCESSORY . GARAGE I � 20.2' I LC) i.5'E + WOODSTEP FE O.fi'W FE OA I 3 Tax Map Lot 12 a � N/O/F of THOMAS f MCKENZIE W Tax Map Lot 14 f U BRICK SlipsENCL r x o W x 15.8' PA D06 1 s CD * 26.8' O FE 0.3'w � 2—STORY o w000 � 1 HOUSE ad DECK & c/E No. 1875 N STEPS g z � 3a I o E06 —i 5-7 LC)n r o10a rn z FE O/L / 16.41 Q f L 3 fi3.1' �0.3'W .3 iS.1' ko 1.0'N f /0n / — 3.8' &sip STOOP ! v 1 O SLATE .e•s Pi0.8,� WALKWAY `°- EDGE OF PAVEMENT LEGEND: N85°42'39"W STREET 111 .91 ' -N — OVERHEAD UTILITY WIRES JACKS 0 qL UTILITY POLE — SIGN AERIAL LAND SURVEYING, D.P.C. NOTE LOCATIONS AND E)USTENCE OF ANY ' WATER METER SUBSURFACE UTILITIES AND/OR STRUCTURES NOT 53 PROBST DRIVE READILY VISIBLE,ARE NOT CERTIFIED. THE CONC. MONUMENT SHIRLEY. NY 11967 CERTIFICATIONS HEREON ARE NOT TRANSFERABLE. PHONE: 833-787-8393 E—MAIL- SURVEYSOAERIALLANDSURVEYING.COM EM m ELEC. METER WEBSITE: WWW.AERIALLANDSURVEYING.COM THIS�„ Is SUB=To ANY EASEMENT aF RECOM AND ANY oT PENNBNT FACTS-IM A TITLE SEAARUI MIGHT DISCLOSE GM m GAS METER DISTRICT:1000 LOT:014.000 BLOCK:09.00 SECTION:1 17.00 'UNAUTHMM ALTERATIOR OR ADWIIGN TO A SURVEY YAP BEMING A MAP/FILE NO.: N/A LICENSED TZG�e,SURVEYOR'S SON Z OFOF IS NNEM�raw SATE�CATI N uW- •Glow MAP OF: "NOT ON A FILED SUBDIVISION MAP" na w Ar LsM 4ure,e eewLea Lry w Nee raW S.—�a o d=d sem:r wf w ur TITLE NO.: N/A m°�".e r e..:nm�La evriaw '-b eeme4%heN41b.s.lywil rwr.ri N MAP FILED DATE: N/A COUNTY TAX MAP ID: 1000-11700-0900-014000 SITUATED AT: TOWN OF SOUTHOLD r SUBDIVISION MAP LOT&BLOCK 'S: N/A o ' Lw1610 Jackson LLC ' urxaon ms RALEti1 HDL r_-_ L`O Van e @ e AOWu wo aIW+[Twa OP C. •, on a nsuronce Campnn JOB No.: 23-1163 0 DATE: dUNS TB, 2023 ��==- �� � LINE FOR PCL NO --- - 1 2gc y SEE SEC.NO_ 1<�1 �. 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Ia _ a & (c) 2 51 -r7 8.1 2.SAlc1 7 Ne, - '� s 4.1 29A(c) O 39. 2p r R'e'i r•-r�T g 32 1.3A(c) v E 14 Y ZV6 15G1 , t4$ 22 R Ir i >~ dM1C9C90N y 2pR 1.3A1c) i r I= 7,s_1 20. L0 1 1 r 4.1 Y12 4 8 14.1 Y �� 1 � 2.2A(c) 5 s 7 g 9.7 9-2 1 21A(c) 1-.A(c) r es _ S 12.s _ t 15 ` A2 I'I m F.0, ur gAY PECONIC GREAT se�o•�T,Lea --sw— Mann u,,,a LAM --„-- u.zsu.rw en�ce ti. IIrWl NOTICE :'•`, COUNTY OF SUFFOLK © E gRE.1.1 E FOLL NG DISTRICTS ss E w oa�.t� •-- n.,.o w° —• swop TR -AER MAINTENANCE,ALTERATION,SALE OR �Y' . Real Property Tax Service Agency Y p L w-- oialGwd t.m ---T-- L ?2 — '.'M"' ANY PORTION OF THE �. �J. �� IRE DISTRIBUTION OF —— L� 1 County Canter Riverhead,N Y 11901 M W _y 4�tr —E SUFFOLK COUNTY TA%MAP IS PROHIBITED ,'f SCALE IN FEET: NITHOUTMITTENPERMISSIONOFTHE �� U 2a0 �00 A wurnn. P REAL PROPERTY TAX SERVICE AGENCY