HomeMy WebLinkAbout5592FALBO, JIMMY 122-2-9 R40 5592 VO
DEMO OLD & BLD NEW HOME - SY SB'S
10120 SOUND AVE MATTITUCK
!
APPEALS BOARD MEMBERS
Ruth D. Oliva, Chairwoman
Gerard P. Goehringer
Lydia A. Tortora
Vincent Orlando
James Dinizio, Jr.
http://sout holdtown.northfork.net
BOARD OF APPEALS
TOWN OF SOUTHOLD
FINDINGS, DELIBERATIONS AND DETERMINATION
MEETING OF NOVEMBER 4, 2004
Southold Town Hail
53095 Main Road
P.O. Box 1179
Southoid, NY 11971-0959
Tel. (631) 765-1809
Fax (631) 765-9064
RECEIVED
~ov~n Clerk
ZBA Ref. 5592 - JIMMY FALBO
Property Location: 10120 Sound Avenue, Mattituck; CTM 122-2-9.
SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under
consideration in this application and determines that this review falls under the Type II category of
the State's List of Actions, without an adverse effect on the environment if the project is implemented
as planned.
PROPERTY FACTS/DESCRIPTION: The applicant's 15,756 sq. ft. parcel has 50 ft. frontage along
Sound Avenue and 331 ft. of depth along the easterly side line. The property is improved with an
existing one-story frame dwelling with deck, and accessory shed.
BASIS OF APPLICATION: Building Department's June 30, 2004 Notice of Disapproval, citing
Section 100-244B, in its denial of a building permit application for a new dwelling with side setbacks
at less than the code required minimum of 10 feet and 15 feet on each side, and a combined total of
less than 25 feet for both side yards (after demolition of the existing building).
FINDINGS OF FACT
The Zoning Board of Appeals held a public hearing on this application on October 21, 2004 at which
time written and oral evidence were presented. Based upon all testimony, documentation, personal
inspection of the property, and other evidence, the Zoning Board finds the following facts to be true
and relevant:
AREA VARIANCE RELIEF REQUESTED: The applicant wishes to construct a new dwelling, after
removing the existing dwelling. The new dwelling is proposed at 9.1 feet from the southeast corner
to the easterly property line, and 5.1 feet from the northwest corner of the proposed covered porch
to the westerly property line, as shown on the January 29, 2004 map, revised 6/2/04, prepared by
Hands on Surveying.
REASONS FOR BOARD ACTION: On the basis of testimony presented, materials submitted and
personal inspections, the Board makes the following findings:
1. Grant of the variance will not produce an undesirable change in the character of the
neighborhood or a detriment to nearby properties. The proposed new single-story dwelling
construction measures 62 feet x 28 feet, resulting in a 9 ft. 1 in. side yard setback on the east side of
,13age 2 - November 4, 2004
File No. 5592 - J. Falbo
CTM Id: 122-2-9
the house and a 5 ft. 1 in. side yard setback on the west side. The new dwelling is a reduction of the
existing degree of nonconforming setbacks at the property.
2. The benefit sought by the applicant cannot be achieved by some method, feasible for the
applicant to pursue, other than an area variance. This lot is long but narrow. To conform with both
code required side yards on this lot would leave a house only 21 feet wide. Without a variance, the
new dwelling would not possible.
3. The requested area variance is substantial, with a 49% reduction in the current code for a
minimum single side yard setback of 5.1 feet instead of 10 feet and a 56.8% reduction in the current
code for total side yard setback of 14.2 feet instead of 25 feet.
4. The difficulty was self-created when the new dwelling was being designed to fit a narrow lot
without conformity to the current town zoning code.
5. No evidence has been submitted to suggest that a variance in this residential community will
have an adverse impact on the physical or environmental conditions in the neighborhood.
6. Grant of the requested relief is the minimum action necessary and adequate to enable the
applicant to enjoy the benefit of a dwelling, while preserving and protecting the character of the
neighborhood and the health, safety and welfare of the community.
RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing
test under New York Town Law 267-B, motion was offered by Member Orlando, seconded by
Member Oliva, and duly carried, to
GRANT the variance as applied for, as shown on the January 29, 2004 map, revised 6/2/04,
prepared by Hands on Surveying.
This action does not authorize or condone any current or future use, setback or other feature of the
subject property that may violate the Zoning Code, other than such uses, setbacks and other
features as are expressly addressed in this action.
Vote of the Board: Ayes: Members Oliva (Chairwoman), Goehringer, Tortora, and Orlando. Member
Dinizio was absent during this Resolution.,~This Re~lut'. ~ ~j~3k.~ as duly adopted (4-0).
Ruth D. Oliva, Chairwoman 11/29/04
Approved for Filing
APPEALS BOARD MEMBERS
Ruth D. Oliva, Chairwoman
Gerard E Goehringer
Lydia A. Tortora
Vincent Orlando
James Dinizio, Jr.
http://southoldtown.northfork,net
BOARD OF APPEALS
TOWN OF SOUTHOLD
November 30, 2004
Southold Town Hall
53095 Main Road
P.O. Box 1179
Southold, NY 11971-(J959
Tel. (631) 765-1809
Fax (631) 765-9064
Mr. James Falbo
10120 Old Sound Avenue
Mattituck, NY 11952
Re: ZBA Ref. 5592 - Variance for Setbacks (New Dwelling)
Dear Mr. Falbo:
Please find enclosed a copy of the variance determination rendered by the Board of
Appeals at its November 4, 2004 Meeting. Please be sure to contact the Building
Department (765-1802) regarding the next step in the building and zoning review process.
Also please include a copy of the enclosed determination when submitting other documents
or maps to the Building Department for final reviews.
Thank you.
Very truly yours,
Enclosure
Copy of Decision 11/30/04 to:
Building Department
Linda Kowalski
LEGAL NOTICE
SOUTHOLD TOWN BOARD OF APPEALS
THURSDAY, OCTOBER 21, 2004
NOTICE IS HEREBY GIVEN, pursuant to Section 267 of the Town Law and Chapter
100 (Zoning), Code of the Town of Southold, the following public hearing will be held
by the SOUTHOLD TOWN BOARD OF APPEALS at the Town Hall, 53095 Main Road,
P.O. Box 1179, Southold, New York 11971-0959, on THURSDAY, OCTOBER 21, 2004,
at the time noted below:
10:05 AM JIMMY FALBO #5592. Request for a Variance under Section 100-
244B, based on the Building Inspector's June 30, 2004 Notice of Disapproval
concerning demolition of the existing building and construction of a new
dwelling with side setbacks at less than the code required minimum of 10 feet
and 15 feet on each side, and a combined total of less than 25 feet for both side
yards, at 10120 Sound Avenue, Mattituck; CTM 122-2-9.
The Board of Appeals will hear all persons, or their representatives, desiring to be
heard at each hearing, and/or desiring to submit written statements before the
conclusion of each hearing. Each hearing will not start earlier than designated
above. Files are available for review during regular business hours. If you have
questions, please do not hesitate to call (631) 765-1809.
Dated: September 20, 2004.
BOARD OF APPEALS
RUTH D. OLIVA, CHAIRWOMAN
By Linda Kowalski
FORM NO. 3
NOTICE OF DISAPPROVAL
DATE: June 30, 2004
TO: Jimmy Falbo
10120 Old Sound Ave
Mattituck, NY 11952
Please take notice that your application dated June 24, 2004
For permit to demolish and construct a single family dwelling at
Location of property: 10120 Old Sound Ave. Mattituck, NY
County Tax Map No. 1000 - Section 122 Block 2 Lot 9
Is returned herewith and disapproved on the following grounds:
The proposed construction ora single family dwelling, located in the R-40 District, is not
permitted pursuant to Article XXIV Section 100-244B. The non-conforming side yard
setbacks for a lot measuring less than 20,000 sq. fi. are 10' minimum & 25' combined.
The proposed survey of this 15,756 sq.ft, lot, indicates a minimum setback of 5.1' and
combined setback of 14.2'.
The lot coverage as proposed is less than 20%.
/ Authorized Signature
NOTE: Any change or deviation to the above referenced application, following any
ZBA decision may require further review by the Southold Town Building
Department.
APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS
Office Notes:
Filed By:
For Office Use Only
Date Assigned/Assignment No.
ParcelLocation: HouseNo. /d/.2t~Street~YfOooq,~/' /~..~¢_ Hamlet /~7~//~c
SCTM 1000 Section f~ Block0& Lot(s) ~ Lot Size ~ffO Zone District
1 (~) APPEAL THE ~EN DETE~INAT1ON OF THE BUILDING INSPECTOR
DATED:
AEplieant/Owner(s): ~,~ ~/~0
Mailihg
NOTE: If applicant is not (he owner state If applicant ts ownePs attorney, agent, architect, builder, contract vendee, etc.
Authorized Representative:
Address:
Telephone: ~-~;
Please specify who you wish correspondence tO be mailed to, from th~ above listed names:
~pplicant/Owner(s) [3 Authorized Representative [30therl '
WHEREBY THE BUILDING INSPECTOR DENIED AN APPLICATION DATED
FOR:
~Bufiding Permit
D Certificate of Occupancy [] Pre-Certificate of Occupancy
[3 Change of Use
[] Permit for As-Built Construction
Other:
Provision of the Zoning Ordinance Appealed. Indicate Article, Section, Subsection and paragraph
of Zoning Ordinance by numbers. Do not quote the code.
Article Section 100- 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 York Town Law-Section 280-A.
El Interpretation of the Town Code, Article Section
[] Reversal or Other
A prior appeal 13 has}~has not been made with respect to this property UNDER,Appeal
No. Year
Page 2 of 3 - Appeal Application
Part A: AREA VARIANCE REASONS (attach extra sheet as needed):
(1) An undesirable change will not be produced In the CHARACTER ol~the neighborhood ora
d~triment to nearby properties, if ~iranfed, because:
(2) The benefit ~ought by the appllca~CANNO~6~'~chleved by some method feasible for the
applicaot to p~rsue, other ~an an area varlance,,because:
(3) The amount of relief requested is not substantial because.
(~ Has the varlance been self created? (~ Yes, oF ( ) No. If hot, It the con~n '
e~s~ng, asbuilt? ( ) Yes, or ( )No.
(6) Additional Information about the surrounding topography and building areas that relate to
the dl~cult~ In/m. eeflr~g the code requirements: (~ttach extra sheet as needed)
This is the MINIMUM that is necessary and adequate, and at the same time preserves and
protects the character of the neighborhood and the health, safety, and welfare of the
community.
( ) Check this box and complete PART B, Questions on next page to apply~
~ (Please consult your attorney.} Otherwise, please proceed fo the slanature ap,4
notary area bel.ow.
Sl~atqf'e of A~pellant or Authorized Agent
(Agent must submit A'uthorization from Owner)
Page 3 of 3 - Appeal Application
Part B: REASONS FOR USE VARIANCE £~f requested):
For Each and Every Permitted Use under the Zoning Regulations for the Particular District Where
the Project is Located (please consult yo'ur attorney before completing):
1. Applicant cannot realize a reasonable return for each and every permitted use under the
zoning regulations fo[ the particular disl~ict where the properly is located, demonstrated by
competent financial evidence. The applicant CANNOT realize a REASONABLE RETURN because:
(desc~ibe on a separate sheet).
2. The alleged hardship relating to the property is unique because:
3. The alleged hardship does not apply to a substantial portion of the district or neighborhood
because:
4. The request will not alter the essenflat character of the neighborhood because:
5. The alleged hardship has not been self-created because:
6. This is the minimum relief necessary, while at the same time preserving and protecting the
character of the neighborhood, and the health, safely and welfare of the communily. (Please
explain on a separate sheet il necessary.)
7. The spirit of the ordinance will be observed, public safely and welfare will be secured, and
substantial Justice will be done because: (Please explain on a separate sheet ii necessaly.)
{ ) Check this box and complete PART A, Questions on previous page to apply AREA
VARIANCE STANDARDS, (Please consult your aiforney.) Otherwise. please proceed lo the
slanature and notary area below.
Sworn to before me Jhls
t Cdoy o, .. ., 200
Slgnatu~ of Al~ellant or Authorized Agent
(Agent must submit AuthorizatiO~ Itom Owner)
3WNER STREET /(~ I (;~O VILLAGE DIST. SUB. LOT
ACR. REMARKS
~PE OF BLD.
PROP.
LAND IMP. TOTAL DATE
FRONTAGE ON WATER TILLABLE
FRONTAGE ON ROAD WOODLAND
DEPTH MEADOWLAND
BULKHEAD HOUSE/LOT
TOTAL
PC
M. Bldg. Foundation ce Fin. B. Bath Dinette
Extension Basement CRAWL P,~m'u~. Floors Kit.
Extension Ext. Walls Interior Finish L.R.
Extension Fire Place Heat D.R.
Patio Woodstove BR.
Porch Dormer Baths
D~al~k Dock Fam. Rm.
Garage
QB
Pool
LINE
UAT~4
BR.
FIN. B
PROPERTY ~E'C:ORD CARD'
~D IMP. ~OTAL DATE R~RKS
~ill~le , FR~TAGE ON WATER
~ PI~ BULKH~D
15 8 0
SURVEY OF
DESCRIBED PROPERTY
SlTUATE A T
MA TTITUCK
TOWN OF SOUTHOLD
SUFFOI_~ COUNTY, NEW YORK
S.C.T.M. DIST. IO00 SEC. 122 BLK. 02LOT9
15 30 45 60 75 90 105 120
SCALE: 1' = 30' DATE: JANUARY 29, 2004
ALL PROPERTIES IMPROVED
SERVICED BY PUBLIC WA TER
ACROSS STREET WITHIN 150' OF PROPERTY
SOUND A VENUE
(OLD SOUND A VENUE- NORTH ROAD)
,50:00'
135
493.64'
CERTIFIED TO: JAMES FALBO
JOB NO. 2004-105
MAP NO.
FILED:
REVISIONS:
REV. PER S.C.D.H.S. COMMENTS
/
LICENSiE I~
TEST HOLE DATA
HANDS ON SURVEYING
46 NORTH ROAD
HAMPTON BAYS, NEW YORK
11946
TEL: (631)-723-1954 - FAX:(631)-723-1329
MARTIN D. HAND L.S
MIXED SAND AND LOAM
'2'
PALE BROWN FINE SAND
-16.2'
WATER IN PALE BROWN
FINE SAND
SP
-17'
LOT AREA: 15, 756 SO. FT. = 0.362 ACRE
ELEVATIONS REFER TO APPROX. MSL DA TUM
AND ARE THE RESULT OF ACTUAL FIELD MEASUREMENTS
NO SURFACE WA TER EVIDENT WITHIN 300'
EXISTING SANITARY SYSTEM LOCATION AS SHOWN
(TO BE ABANDONED -PUMPED CLEAN & BACKFILLED
WITH CLEAN SAND
OFFSETS SHOWN THUS ( 9.1') ARE TO PROPOSED STRUCTURE
PROJECT DESCRIPTION
(Please include with Z.B.A. Application)
If building is existin~ and alterations/additions/renovations are proposed.'
Please give the dimens!ons and overall s,cluare footage of extensions beyond existing building: .
Dimensions/size:
Square footage:
B. Please give the dimensions and square footage of new proposed foundation areas which do not
extend beyond the existing building:
Dimensions/size:
Square footage:_
II. If landis vacant:
Please give dimensions and overall square footage of new construction:
Dimension/size:
Square footage:
Height:.
III. Purpose and use of now construction requested in this application:
IV. Additional information about the surrounding contours or nearby buildings that relate to the difficulty
in meeting the code requirement(s):
V. Please submit seven (7) photos/sets after staking comers of the proposed new construction.
7/02
Please note: Further changes, after submitting the above information, must be placed in writing and may
require a new Notice of Disapproval to showy changes to the initial plans. If additional time is needed,
please contact our office, or please check with Building Department (765-1802)'*or Appeals Department
(765-]809) if you are not sure. Thank you,
QUESTIONNAIRE
FOR FILING WITH YOUR Z.B.A. APPLICATION
Is tho subj~'t~premises listed on the real estate market for sale?
13 Yes [i~No
Are there any/proposals to change or alter land contours?
[3 Yes [WNo
1 ) Are there any areas that contain wetland grasses? .A/O
2) Are the wetland areas shown on the map submitted with this application ? .,~ O
3) Is the property bulk headed between the wetlands area and the upland building area?
4) If your property contains wetlands or pond areas, have you contacted the office of the
Town Trustees for its detellnination of jurisdiction?
Is there a depression or sloping elevation near the area of proposexl construction at or below five
feet above mean sea level? r//~. (If not applicable, state "fda".)
Are thoro any patios, concrete barriers, bulkheads or fences that exist and are not shown
on the survey map that you are submitting? Ado/t/~' (If none exist, please st~to_.
Do you have any construction taking place at this time concerning your premises? ,,~
If y~s, please submit a copy of your building permit and map as approved by the Building
Department. If none, please state.
G. Do you or any co-owner also own other land close to this parcel? ,/ti 0 If yes, pleas~ explain
where or submit copies of deeds.
H. Please list present use or operatio~ conducted at this parcel t/~dt ~ ~////' ~ ,
andproposeduse // eo~, c~'~,[e -Va..,~,'/?
Au~jtfized ~na~ure and-Date
617.21
Appendix C
State Environmental Quality Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
PART I - Project Information (To be complete by Applicant or Project sponsor)
1. Applicant / Sponsor 2. Project Name
3. Project location: Municipality
4. Precise location (Slreet address and mad Interse~ons, prominent landmarks, etc. or provide map)
5. is proposed action:
( ~yNE-~V ( ) EXPANSION ( ) MODIFICATION 1 ALTERATION
6. Descdbe project briefly:
Amount of land affected: ~,/o
Initially:. acres
Ultimalely: acres
Will proposed action comply wllh exisUng or cther existing land use restrictions:(~,0'YES
r
( ) NO If No, describe bdefiy:
9. What is present land use In vicinily of project: (describe):
( t/~"Resldenlial, ( ) Indusbtal ( ) Commercial ( ) Agricultural ( ) PaddForest/Open Space ( ) Other
10. Does action Involve a permit approval or funding, now or ultimately from any other Governmental agency,(Federal, State or Local) ?
( ) YES ('1~O If Yes, list agency(s) and permll/approvals:
11. Does any aspect of the action have a currently valid permit or approval?
( I,~)'~fE8 { ~ NO if Yes, list agency(s) and permti/appmval's:
12. As a result of proposed action, v~ll existing permit/approval require modification?
Ii' ) YES (l/~O If Yes, list agency(s) and
permilJapprovals:
I
I certify that fha Information provided above is true to the best of my kn, owledge
[Applicant/Sponsor Name: /~----~ ~"~"'~"~'l,'-- Date:
Signature:
If the action is in the Coastal Area, and. you are a state agency, complete the Coastal Assessment Form before proceeding with this assessmet
TRANSACTIONAL DISCLOSURE FORM
The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of Town officers
and employees. The purpose of this form is to provide information, which can alert the Town of
possible conflicts of interest and allow it to take whatever action is necessary to avoid same.
VOURNAME:
(Last name, first name, middle initial, unless you are applying in the name
of someone else or other entity, such as a cmnpany. If so, indicate the
other person or company name.)
NATURE OF APPLICATION: (Check all that apply.)
Tax Grievance
Variance ~'~
Change of Zone
Approval of Plat
Exemption fi.om Plat
or Official Map
Other
If "Other",
name the activity:
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 that relationship between yourself (the applicant) and the Town officer or employee.
Either cheek the appropriate line A through D (below) and/or describe the relationship 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 than 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
Signature: ~;,~
Print Name: ~/, :,, ~
DEPAR'rMENT OF HEALTH SERVICES
OFFICE OF WASTEWA~ER MANAGEMENT
COUNTY OF SUFFOLK
ROBERT ,J. GAFFNEY
SUFFOLK COUNTY EXECUT]VE
CLA~E B. BRADLEY, M.D,, H,P,H.
PERMIT
The attached plan, when duly signed by a representative of the Department, constitutes a permit to construct a water
supply and/or collection system for the property as depicted. The applicant should take note of any conditions of'
app?oval, which may be indicated on the plan or enclosed herein. Construction mustconform with applicable
standards including "Standards for Approval of Plans and Construction for Sewage Disposal SYstems fei·
Single Family ReSidences" and "Standards and Procedures for Private Water Systems." OmisSions errors
or lack of details on the plan does not release the applicant from the responsibility of having the Constmctio'n done
in conformance with fipplicable standards.
The permit (plan) expu-es three (3) years after the approval date. Any modifications which may affect tho proposed
sewage disposal or water supply systems requires submission of a revised plan and additional fees (if applicable)
for reapproval prior to construction. No inspections wffi be performed by the Department on expir~!
permits.
Permits may be renewed, extended, transferred or revised in accordance with the procedures described in
"Submission Requirements for Approval of Sewage Disposal and Water Supply Facilities for Single Family
Dwellings" (Form WWM-041).
It is the applicant's responsibility to call the department at 852-2097, in advance, to arrange inspections of the
sewage disposal 'and/or water supply facilities prior to backfilling. These include inspections of the sewage
collection and disposal systems, water supply system components and piping, and final grading as shown on the.
approved plans. In certain cases, inspections of the soil excavation may be required to determine the acceptability
of the soils for sewage disposal systems. The Department must be notified at least 24 hours in advance to
schedule an inspection and excavation inspections must be confirmed by calling 852-2100 prior to 9:30 A.M., the
morning of the inspection.
FINAL APPROVAL ISSUED BY Tile DEPARTMENT IS NECESSARY PRIOR TO THE
OCCUPANCY OF NEW BUILDINGS, ADDITIONS TO EXISTING BUILDINGS, OR FOR
THE USE OF SEWAGE DISPOSAL OR WATER SUPPLY SYSTEMS.
WWM.058 (Rev. 7/02) PAGE 1 OF 2
TOWN OF SOUTHOLD
BUILDING DEPARTMEW~
[TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 76S{l_80Z~___~
FAX.' (631) 765-9502
www. northfork.net/Southold/ PERMIT NO.
Examined ,20___
Approved :o ISAPPROVAL
Disapproved a/ct~_. /,
Expiration ,20
BUILDINORMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planrdng Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
ehone: 70 o?
Building Inspector
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Date ~,~ ,200 cF'
a. This apphcation MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and waterways.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval &this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit
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 what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or l~s not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The
applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
applicant or name, ifa corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises ~,'~--~ ~" ,'~-, ~fdo
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and rifle of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
/,.zo To ..,o/
House Number Street
Hamlet
County Tax Map No. 1000 Section
Subdivision
(Nme)
Block ~ ~ Lot
Filed Map No. Lot
· tJ~'y~~ ~/-~..¢///. r -- ~ ovv-edkon~tmcbon:
f' ' ' b. Intended use and occupancy / ~.~,/.~.. ~ j/ ~
3.
Natu? of work (check which applicable): New Building ~ Addition_____~Alteration
Repmr ~Removal__________Demolmon ~ Other Work --------___
4. Estimated Cost /'~c> ~'~
' Fee (Description)
5. If dwelling, number of dwelling units -_._______Numb ~-aapp~
If garage, number of cars -
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front ~_
Height ~,~ ~ -----
- Number of St~ _Rear ~ ~' _Depth ~'O '
8. Dimensions of entire new construction: Front ~ Rear
Height Number o~Stode~ -
9. Size of lot: Front ~-~ r Rear ~o c
· _Depth.
10. Date of Purchase
Dimensions of same structure with alterations or additions: Front
Depth. _Height. Numb-er of Stories
Rear
_Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO
13. Will lot be re-graded? YES ~" NO Will excess fill be removed from premises? YES_ v'/'NO
[4. Names ofOwnerofpremises O7..., /-~/~/o -
Name of Architect Address/oc~ o~/-j-o~,.~/',,~oe Phone No.
Address phone No_ ·
Name of Contractor__. ~;...._ ~/(o Address _ __Phone No.
5 a. Is this property within 100 feet ufa tidal wetland or a freshwater wetla,, ' , VES NO ,--
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUI~-ED.
b. Is this property within 300 feet ufa tidal wetland? * YES NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED. ~
5. Provide survey, to scale, with accurate foundation plan and distances to property lines
z. If elevation at any point on property is at I 0 feet or below, must provide t, 4raphical data on survey.
?ATE OF N~W YORK)
)UNTY/~
- .... F, ~ neing duly sworn
(Na~me of mdlwdual signing contract) above named, , de'- d says that (s)he is mc applicant
He is the
(Contractor, Agent, Corporate Officer, etc.) --
;aid owner or owners, and is duly authorized to perform or have performed the s,m~ work and to make and file this application;
i all statements contained in this application are true to the best of his knowled~:, , .,I belief; and that the work will be
Formed in the manner set forth in the application filed therewith. '
~ C0RwIr~
I'lofa~l~l~ Stat~ of N~ York
No. 01C05017852
O~alif~l in S~01k Coun;;
Cammis$ion Expires Sept. l:~, ~.~ ~ ,,J'"
~ ~rna - of'Applicant
~)00~l~- ~-q I .ow. of sou..o.~, ,.o;,£..~,.Eco.~, c^.o t m-~ I
WNER STREET,~[~) I G~_~<~) VILLAGE DIST. SUB. LOT
ACR. REMARKS
TYPE OF BLD.
PROP. CLASS ~, ~ ' t
LAND IMP. TOTAL DATE
FRONTAGE ON WATER TILLABLE
FRONTAGE ON ROAD WOODLAND
DEPTH MEADOWLAND
BULKHEAD HOUSE/LOT
TOTAL
M. Bldg. Foundation Bath
Extension Basement Floors
Extension
Extension
Patio
Porch
Garage
Pool'
Ext. Walls
Fire Place
Dormer
Dock
PC
cs Fin, B.
Interior Finish
Heat
Woodstove
Dinette
Kit,
ER.
BR.
Baths
Fam. Rm.
1st
2nd
PROCERTY ~E'C:ORD CARD
R~.~ 7~ S~. ~. FA~ CO~. CB. MICS. Mkt. Value
~ND IMP. ~OTAL DATE R~S
'ill~t~ , FR~TAGE ON WA~R
~ P~ BULKH~D
M. Bldg.
Re~ns ISt Floor
BR.
IFIN. B I
9
FORM NO. 3
NOTICE OF DISAPPROVAL
DATE: June 30, 2004
TO:
Jimmy Falbo
10120 Old Sound Ave
Mattituck, NY 11952
Please take notice that your application dated June 24, 2004
For permit to demolish and construct a single family dwelling at
Location of property: 10120 Old Sound Ave. Mattituck, NY
County Tax Map No. 1000 - Section 122 Block 2 Lot 9
Is returned herewith and disapproved on the following grounds:
AUG 1 8 ~004
The proposed construction ora single family dwelling, located in the R-40 District, is not
permitted pursuant to Article XXIV Section 100-244B. The non-conforming side yard
setbacks for a lot measuring less than 20,000 sq. ft. are 10' minimum & 25' combined.
The proposed survey of this 15,756 sq.ft, lot, indicates a minimum setback of 5.1' and
combined setback of 14.2'.
The lot coverage as proposed is less than 20%.
/ Authorized Signature
FALBO, JIMMY 122-2-9 R40 5592 VO
DEMO OLD & BLD NEW HOME- SY SB'S
10120 SO UND AVE MATTITUCK
NOTE: Any change or deviation to the above referenced application, following any
ZBA decision may require further review by the Southold Town Building
Department.
SU; c Y OF TO:JAMESFA "O
DESCRIBED PROPERTY [ I
$1TUA TEA T
MA TTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C.T.M. DIST. 1000 SEC. 122 BLK. 02 LOT 9
15 8 0 15 30 45 60 75 90 105 120 135
SCALE: 1' = 30' DA TE: JANUARY 29, 2004
ALL PROPERTIES IMPROVED
SERVICED BY PUBLIC WA TER
ACROSS STREET WITHIN 156' OF PROPERTY
SOUND A VENUE
(OLD SOUND A VENUE- NORTH ROAD)
COMZ
JOB NO. 2004-105
MAP NO.
FILED:
REVISIONS:
REV. PER S.C.D.H.S. COMMENTS
6/2./04
HANDS ON SURVEYING
46 NORTH ROAD
HAMPTON BAYS, NEW YORK
11946 "~
TEL: (631)-723-1954 - FAX:(631)-723-1329
MARTIN D. HAND L.S
493.64'
TEST HOLE DATA
M.~X, ED SAND AND LOAM
PALE BROWN FINE SAND
-16.2'
WATER IN PALE BROWN
0
S.C.D.H.S. ENDORSEMENTS
LOT AREA: 15,756 SO. FT. = O. 362 ACRE
ELEVATIONS REFER TO APPROX. MSL DATUM
AND ARE THE RESULT OF ACTUAL FIELD MEASUREMENTS
NO SURFACE WATER EVIDENT WITHIN 300'
EXISTING SANITARY SYSTEM LOCATION AS SHOWN
(TO BE ABANDONED - PUMPED CLEAN 8, BACKFILLED
WITH CLEAN SAND
OFFSETS SHOWN THUS ( 9. I') ARE TO PROPOSED STRUCTURE
APPLICATION TO THE
OUTHOLD TOWN
Fee: Filed ~ . Date Assigned/Assignment No. ~ / ~ ~ _
DEMOFAL10120 BO.soUND OLD J I M &MYBLD AVE 122-2 NEW MATTITUCK -9 R40 HOME 5592 _ SY VO SB'S k]5.',[ I,i, ~_ :, :,; ~]~ ['. ~ ~.:S',,S~ ]': ~'~ S
SCTM 1000 Section ~ BlockO& Lot(s) ~ Lot Size ~O Zone District
I (~) APPEAL THE ~EN DETE~INATION OF THE BUILDING INSPECTOR
DATED:
Ap. plicant/Owner(s): ~7//r~/,~fl/
Mailing
Authorized Representative:
Address:
Telephone: ~ ~c-g~;
Please specify who you wish correspondence tO be mailed to, from the above listed n am.es:
~'~pplicantdOwner(s) [] Authorized Representative [30ther~
WHEREBY THE BUILDING INSPECTOR DENIED AN APPLICATION DATED
FOR:
~Buiiding Permit.
H Certificate of Occupancy {3 Pre-Certificate of Occupancy
[] Change of Use
[] Permit for As-Built Construction
Other:
Provision of the Zoning Ordinance Appealed. Indicate Article, Section, Subsection and paragraph
of Zoning Ordinance by numbers. Do not quote the code.
Article Section 100- Subsection
Type of Appeal. An Appeal is made for: ~ A Variance to the Zoning Code or Zoning Map.
13 A Variance due to lack of access required by New York Town Law-Section 280-A.
[] Interpretation of the Town Code, Article Section
13 Reversal or Other
A prior appeal D has}i~has not been made with respect to this property UNDER Appeal
No. Year
Page 2 of 3 - Appeal Application
Part A: AREA VARIANCE REASONS (attach extra sheet as needed):
(1) An undesirable change will not be produced In the CHARACTER of'fha neighborhood or a
detriment fo nearby properties, If aranfed, because: __
applicator to p~ursue, other than an area variance, because:
(3) The amou,nt of relief requested Is n, ot substantial be~:au~e.
[B me w~nce~ NO~ h~ve en eever~e e~ O~mp~c~ ~e Ehysl~l or envlronmen~l
condi~99~ in t~q nel~rh?od or dlsME~ be%aus9. ~0 v/
(5) Hm fhe v~nce been seti-cre~fed? (~ Yes, o~ ( ) No. If
e~sflng, os bull~ ( ) Yes, or ( ) No.
(6) AddItional Information about the surrounding topography and building areas that relate to
the di~cult~ in/m. eeti~g the code requirements: (gftach extra sheet as needed)
This is the MINIMUM that is necessary and adequate, and at the same time preserves and
protects the character of the neighborhood and the health, safety, and welfare of fha
community.
( ) Check this box and complete PART B, Questions on next page to apply~
ST D~. (Please consult your attorney.) Otherwise, olease proceed fo fha si.clnafure anti
notary area be[ow.
Signafuffe of A~pellant or Authorized Agent
(Agent must submit A~thorization from Owner)
PROJECT DESCRIPTION
(Please include with Z.B.A. Application)
If boilding is existing and alterations/additions/renovations are proposed.'
A. Please give the dimensions and overall s,quare footage of extensions beyond existing building:
Dimensions/size;
Square footage: -
Please give the dimensions and square footage of new proposed foundation areas which do not
extend beyond the existing building:
Dimensions/size:
Square footage:.
II. If land is vacant:
Please give dimensions and overall square footage of new construction:
Dimension/size:
Square footage:.
Height:
III. Purpose and use ofnfw construction, requested in, this application:
IV. Additional information about the surrounding contours or nearby buildings that relate to the difficulty
in meeting the code requirement(s):
V. Please submit seven (7) photos/sets after staking comers of the proposed new construction.
7/02
Please note: Further changes, after submitting the above information, must be placed in writing and may
require a new Notice of Disapproval to show changes to the initial plans. If additional time is needed,
please contact our office, or please check with BuiMing Department (765-1802) or Appeals Department
(765-1809) if you are not sure. Thank you.
QUESTIONNAIRE
FOR HLING WITH YOUR Z.B.A. APPLICATION
Is the subject~premises listed on the real estate market for sale?
[] Yes
Are there any/proposals to change or alter land contours?
[J Yes [i~'No
i) Are there any areas that contain wetland grasses?
2) Are the w~land areas shown on the map submitted with this application? fl/O
3) Is the property bulk headed between the wetlands area and the upland building area?
4) If your property contains wetlands or pond areas, have yon contacted the office of the
Town Trustees for its detexmination of jurisdiction? ,,~t,,¢
Is there a dapression or sloping elevation near the area of proposed co~c~?n at or below five
fe~t above mean sea level? H/dc (if not applicable, state 'n/a' .)
Are there any patios, concrete bamers, bulkheads or feaces that exist and are not shown
on the survey map that you are submitting? /tYO~'~' (If none ~xist, please state
"none".)
Do you have any construction talfing place at this time concerning your premises? ~
If yes, plea.se submit a copy of your building permit and map as approved by the Building
Department. If none, please state.
O. Do you or any co-owner also own other land close to this parcel? ~ 0 If yes, pleas* explain
where or submit copies of dexxts.
H. Please list present use or operations c. onduCgd at this parcel ¢//~/~ ~
Au~rized ~na'tur¢ a~d~Date
61Z21
Appendix C
Stats Envtronmsntal Quality R~view
SHORT ENVIRONMENTA~ ~SSESSMENT FORM
For 079ZISTED ACTIONS Only
PART I - Project ~nformation (To be complete by Applicant or Project spon.~or)
1. Applicant / Sponsor 2. Pmjest Name
3, Project Iocfifion: Municipalily County
4. Precise location (Street address and mad Intersections. prominent landmarks, etc. or provide map)
5, Is proposed action:
[(,~I:--'W ( )EXPANSION ( )MODIFICATION/ALTERATION
7. Amount of land affected: /'~o
initially: acres;
Ultimately: acres
8. Will proposed action comply with e)dsting or other existing laed use restrictions:(¥"')"YES ( ) NO If No, describe briefly:.
) Industflal ( ) Commercial ( ) Agricultural ( ) Park/Forest/Open Space ( ) Other
9. What Is present land use in vicinity of project: (describe):
I( i/)'~Residential , (
10. Does action Involve a permit approval or ~unding, now or ultimately from any other Govemmestal agency,(Federal, State or Local) ?
( ) YES ( ~0 If Yes, list agency(s) and pemlit/approvals:
11. Does any aspect of the acUoo have a currently valid permit or approval?
I( I~(ES ~ J NO If Yes, list agency(s) and permit/approvals:
12. As a result of proposed action, will existing permitJapproval require modiflcaUon?
) YES (i/)'NO If Yes, list agency(s) and permit/approvals:
IAppllcant / Sponsor Name:
Signature:
I certify that the Information provided above Is ~ue to the best of my kn, owledge
If the action is In the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessm~
-) APPLICANT ·
TRANSACTIONAL DISCLOSURE FORM
The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of Town officers
and emuloyees. Thc numose of this form is to provide information, which can alert the Town of
possible conflicts of interest and allow it to take whatever action is necessary to avoid same.
Fo-/t°
(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 or company name.)
NATURE OF APPLICATION: (Check all that apply.)
Tax Grievance
Variance ~
Change of Zone
Approval of Plat
Exemption from Plat
or Official Map
Other
If "Other",
name the activity:
Do you personally, (or through your company, spouse, sibling, parent, or child) have a
relafonship 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 1~
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 pemon:
Describe that relationship between yourself (the applicant) and the Town officer or employee.
Either check the appropriate line A through D (below) and/or describe the relationship 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 than 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 oftbe applicant; or
D) the actual applicant.
DESCRIPTION OF RELATIONSHIP
Submitted this ~ day ~ .
Print Name:
DEPARTMENT OF HEALTH SERVICES
OFFICE OF WASTEWA~ER MANAGEMENT
COUNTY OF SUFFOLK
ROBERT J. GAFF'NEY
SUFFOLK COUNTY EXECUllVE
~ ;2/0-0¥- oo~-
CLARE 8. BRADLEY, M.D., M.P.H.
COMMISSIONER
PERMIT
The attached plan. when duly signed by a representative of the Department, constitutes a permit to construct a water
supply and/or collection system for the property as depicted. The applicant should take note of any conditions of
approval, which may be indicated on the plan or enclosed herein. Construction must conform with applicable
standards including "Standards for Approval of Plans and Construction for Sewage Disposal Systems for
Single Family Residences" and "Standards and Procedures for Private Water Systems." Omissions, errors
or lack of details on the plan does not release the applicant from the responsibility of having the construction done
in conformance with applicable standards.
The permit (plan) expires three (3) years after the approval date. Any modifications which may affect the proposed
sewage disposal or water supply systems requires submission of a revised plan and additional fees (if applicable)
for reapproval prior to construction. No inspections will be performed by the Department on expired
permits.
Permits may be renewed, extended, transferred, or revised in accordance with the procedures described in
"Submission Requirements for Approval of Sewage Disposal and Water Supply Facilities for Single Family
Dwellings" (Form WWM-041).
It is the applicant's responsibility to call the department at 852-2097, in advance, to arrange inspections of the
sewage disposal and/or water supply facilities prior to backfilling. These include inspections of the sewage
collection and disposal systems, water supply system components and piping, and final grading as shown on the-
approved plans. In certain cases, inspections of the soil excavation may be required to determine the acceptability
of the soils for sewage disposal systems. The Department must be notified at least 24 hours in advance to
schedule an inspection and excavation inspections must be confirmed by calling 852-2100 prior to 9:30 A.M., thc
morning of the inspection.
FINAL APPROVAL ISSUED BY THE DEPARTMENT IS NECESSARY PRIOR TO THE
OCCUPANCY OF NEW BUILDINGS, ADDITIONS To EXISTING BUILDINGS, OR FOR
THE USE OF SEWAGE DISPOSAL OR WATER SUPPLY SYSTEMS.
WWM.058 (Rev. 7/02) PAGE 1 OF 2
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.northfork.net
TO:
FROM:
DATED:
RE:
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Southold Town Zoning Board of Appeals
Elizabeth A. Neville
August 26, 2004
Zoning Appeal No. 5592
Transmitted herewith is Zoning Appeals No. 5592- Jimmy Falbo - Zoning Board of Appeals
application for variance. Also included is Notice of disapproval dated June 30, 2004; application
to the Zoning Board of Appeals; Area variance reasons; project description; ZBA questionnaire;
Short environmental assessment form; applicant transactional disclosure form; building permit
application dated June 24, 2004; copy property survey and 11 color photos.
l~sTOWn Of Southold
P.O Box 1179
outhold, NY 11971
* * * RECEIPT * * *
Date: 08~20~04
Transaction(s):
Application Fees
Receipt#:
1930
Subtotal
$600.00
Check#:1930
Total Paid: $600.00
Name:
Falbo, Jimmy
10120 Old Sound Ave
Mattituck, NY 11952
Clerk ID: BONNIED Internal ID: 99740
FORM NO. 3
NOTICE OF DISAPPROVAL
DATE: June 30, 2004
TO:
Jimmy Falbo
10120 Old Sound Ave
Mattituck, NY 11952
Please take notice that your application dated June 24, 2004
For permit to demolish and construct a single family dwelling at
Location of property: 10120 Old Sound Ave. Mattituck, NY
County Tax Map No. 1000 - Section 122 Block 2 Lot 9
Is returned herewith and disapproved on the following grounds:
The proposed construction of a single family dwelling, located in the R-40 District, is not
permitted pursuant to Article XXIV Section 100-244B. The non-conforming side yard
setbacks for a lot measuring less than 20,000 sq. fi. are 10' minimum & 25' combined.
The proposed survey of this 15,756 sq.fi, lot, indicates a minimum setback of 5.1' and
combined setback of 14.2'.
The lot coverage as proposed is less than 20%.
Authorized Signature
NOTE: Any change or deviation to the above referenced application, following any
ZBA decision may require further review by the Southold Town Building
Department.
SITUATE A T , JoB NO. 20~
,, MA TTITUCK I MAP NO.
TOI4/N OF SOUTHOLD ~ FILED:
! REVISIONS:
A~ PRO~R~ES IMPROVED ~ LICENSt
SERVI~D BY PUBUC, WATER ~ --,- --, - ,
I HANDs ON SURVEYING
SOUND A VENUE ~ ~o.~.o~
I HAMPtoN BAYS, NEW YORK
(0~ SOUND A VENUE - NORTH ROAD) I TEL: (631)-72~ 19~ - F~:(631)-72~ 1329
· ~ ~ P~ ~ MARTIN D. HAND
495.64'
TEST HOLE DATA
.M2,/,/~ED SAND AND LOAM
wA TER IN PALE BROWN
1FTtNE SAND
0
-%
LO T AREA: 15, 756 SQ. FT, = O. 362 ACRE
~-~'~ '" ~'"' ELEVATIONS REFER TO APPROX. MSL DA TUM
~ AND ARE THE RESULT OF ACTUAL FIELD MEASUREMENTS
NO SURFACE WA TER EVIDENT I/VlTHIN 300'
~ EXISTING SANITARY SYSTEM LOCATION AS SHOWN
~ (TO BE ABANDONED - PUMPED CLEAN 8, BACKFILLED
c~,~.~.'~-~_ WITH CLEAN SAND
~ '..='o'-.~ - - OFFSETS SHOWN '
THUS ( 9.1 ) ARE TO PROPOSED STRUCTURE
O~
., . _.,o~ o~?~.w
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765' 180~ '
FAX: (631) 765-9502
www. northfork, net/Southold/ PERMIT NO.
Examined ,20
Approved
Disapproved
Expkafion ,20
BUILDING PE~IT APPLICATION CHECKLIST
Do you h~ve or need the following, before applying?
Board of Health
4 sets of Building Plans
PlannJag Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
.hone: 70 O?
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date
INSTRUCTIONS
200 ct/
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and waterways.
c. The work covered by this application may not be commenced befoi'e issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit
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 what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or Ires not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The
applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
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)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which proposed work will be done:
/ ocor
House Number Street
Hamlet
County Tax Map No. 1000
Subdivision
(Name)
Section
Block ~ 3-
Filed Map No.
Lot
Lot
State existing use and occupa~of premises and intended use'and oc~ancy'of/)roposed k, onstmcfion:
a. Existing use and occupancy
b. Intended use and occupancy /
Demolition
3. Nature of work (check which applicable): New Building
Repair Removal
4. Estimated Cost /c~O/~
5. If dwelling, number of dwelling units
If garage, number of cars
Addition Alteration
Other Work
(Description)
Fee
l A ~ ~'~ ~ ~(~t~ on tiling this application)
Numb"alSTl~lll~ u~[~)~ach floor
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
Dimensions of existing structures, if any: Front ~ ?-- Rear
Height. ¢. r- Number of Stories I
Dimensions of same structure with alterations or additions: Front
9.
10. Date of Purchase
Depth. Height.
Dimensions of entire new construction: Front
Height Number of Stories
Size of lot: Front .5-(P Rear
Rear
Number of Stodes
Rear 2" J:~' t .Depth
c
Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ~
13. Will lot be re-graded? YES ''/ NO__Will excess fill be removed fi.om premises? YES /'NO
14. NamesofOwnerofpremises ;37o-, ---~/fo Address/or~o o(,~-fo~,.~,,~e PhoneNo. ,,2F~- 2oo~'
Name of Architect Address Phone No ·
Name of Contractor j;.,... ~,. r(o Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a fi'eshwater wetland? *YES
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
NO
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NF~W YORK)
'~.~,,~ ~, //Zr~._/' ~ U ~ '[o berg d~y swom, d~ses ~d says t~t (s)he is the applic~t
~me of indihd~ si~ng comract) above reed,
(S)He is the
(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 tree to the best of his knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
/ / /-/( ,.,/
/~atm:e of Applicant
Ndaq I~bl~, Sate of Nea Y0A
No, 01C05017852
Omlif~ in Suit0 k C0~n,b
Commission Expires Sept 13, :__~
BOARD OF APPEALS
suant to Section 267 of the '
and Chapter 100
Town of Southold. public
the
gv APPEAL$-~ the ToWn
Hall, 53095 Main Road, I~O. Box 1179,
Southold, New Yo0? I1971:0959, on
the thn~betow (or as~oon-m~,~ .
r as poss~):
LEGALS...
~,,-F, rom page 45A
10:10 a.m. MARION GOTBET.
TER and CARMEN RAMIS, Request
for Variances under Secfons 100-242A
and 100-244, based on the Building
Inspector's August 12, 2004 Notice of
Disapproval, amended August 30, 2004
and September 3, 2004, concerning a
second-story and gaxage addition to the
existing single-family dwelling, with an
increase in the degree of nonconforming
with a front yard setback at less than 40
feet, at 425 Diamond Lane and Private
Road, Pe¢onic; CTM 68-2-13.1.
10:15 a.m. JAMESAND MAURA
O'MALLE¥ #5596. Request Under
Section 100-26 for a Lot Waiver to
unmerge a land &yea of 16,198 sq. ft.,
which, based on the Building
Inspector's August 12, 2004 Notice of
Disapproval, amended August 23, 2004,
states that the properly is me]gee with
an adjacent lot which has been in com-
mon ownership at any time afte~ July 1,
1983. The Applicant proposes to
unme~ge 16,198 sq. ft., identifiee as
2545 Mill Road at the comer of Miami
Avenue (a private mad), CTM 67-6-
lot coverage in excess of the COde limi-
tetion of 20% of the lot area ( 10,066 sq.
ft.) Also proposed is an accesso~ shed
Inspector's August 6, 2004 Notice of
Disapproval concerning additions with
alterations to the existing dwelling, with
an increase in the degree of nonconfor.
mance at less than 15 feet on a single
side yard and less than 35 feet total side
yards, at 645 Fisherman's Beach Road,
Cutchogue; CTM 11i-I-33.
10:45 a.m. WILLIAM and DON.
NA GOGGINS #5601. Request for
Variances under Sections 100-30A.3,
Bulk Schedule, and Section 100-~2A,
based on the Building Inspector's
August 30, 2004 Notice of Disapproval
concerning "as built" additions with
alterations ~o applicant's dwell/n# with
an increase tn the degree of non-confor-
mance, at less than 50 feet tom the
front lot line and above the code's 2-1/2
story height limitation, at 8755 New
Suffolk Road, New Suffolk; CIIV[ 117-
10-14.1.
11:00 a.m. MrULLEN REAL~.rir,
L.P. and RWM ENTERPRISES,
INC. g5598 and #5599. Location of
Properties: Main Road, Locust Lane and
Cottage Place, Soulhold; CTM 62-3-19,
20, 22.1, 24.1.
Appeal No. 5598: Request for
Va. dances, relative t9 proposed Parcel I,
under Sections 100-102 (Bulk
I:00 p.m. LINDSEY & SHELLEY
SCOGGIN #5622. Request for a
Variance under Seetions 100-242A and
100-244. based on the Building
Inspector's September 14, 2004 Notice
of Disapproval COncerning a proposed
dormer above the fLrst floor, disap-
proved for the reason that the addition
will be an increase in the degree of non-
conformance with a front yard setback
of less than 35 feet. 2220 Pine Tree
Road and Bittersweet Lane, Cutehogue;
CTM 104-2-8.
1:05 p.m. AT&T WIRELESS, OM.
NIPO/IWF FACILITIES NETWORK
2, LLC, AFFORDABLE HOUSING
ASSOCIATES, INC. D/B/A REA.
CON WIRELESS MANAGEMENT,
ORIENT FIRE DISTRICT
Location of lh'oper~y: Orient Firehouse
10:40 a.m. JANE GOELLER
Parcel, 23300 Main Road, Orient; CTM
~5597. Request for a Variance under 18-5~13.8; Zone District: R-80.
Variances under Sections 100-
162A(3) and 100-165B, based on the
Building Inspector's April 23, 2004
Notice of Disapproval, amended May 2,
2004 and JUne 3, 2004, concerning a
proposee telecommunications tower at
125. ft. height with antenna, and related
equipment. The reasons stated for disap-
proval are that the telecommanicationa
tower: (1) does not meet the code
requirements with a proposed height at
125 feet, (2) is not permitted to be locat-
ee within 300 feet of Insmric properties,
CTM 18-5-15.1, 18-5-11.1, and (3) is
'~o~ pennittee on a nonconforming lot
s~ze, or lot containing less than a mini-
mum lot ama in a residen0al dis~ict of
five (5) acr~.
Special Exception under Section
100-16ZA(3) to construct tol*conununi-
The Board of AIr. als wilt heat all
persons, or their ~ves, desir-
ing to be board at each hearing, and/or
desiring to submit writ~n statom~nts
before the conclusion of each hearing.
Each hearing will not start earlier than
designated above. Fries are available for
review durlag regular business hours. If
you have questions, please do not h~si-
tare to call (631) 765-1809.
Dated: October 4, 2004.
BOARD OF APPEALS
RUTH D. OLIVA, CHAIRWOMAN
By Linda Kowalski
#7133
STATE OF NEW YORK)
)SS:
COUNTY OF SUFFOLK)
Joan Ann Weber of Mattituck, in said county, being duly
sworn, says that he/she is Principal clerk of THE SUFFOLK TIMES, a weekly
newspaper, published at Mattituck, in the Town of Southold, County of Suffolk
and State of New York, and that the Notice of which the annexed is a printed
copy, has been regularly published in said Newspaper once each week for
1 weeks, commencing on the 7th day of
October ,2004.
Principal Clerk
Sworn to before me this
2004
CHRISTINA VOLINSKI
NOIARY pUBt. IC-STATE OF NEV,/YORK
No. 01.V0610~80
Cemmlillon Explrea February 28, 2008
ZONING BOARD OF APPEALS ·
TOWN OF SOUTHOLD:NEW YORK
In the Matter of the Application of
(Name of Applicants)
CTM Parcel #1000-/Z Z - 0,.~_. _ ~)
AFFIDAVIT
OF
MAILINGS
COUNTY OF SUFFOLK)
STATE OF NEW YORK)
I, ~.~4..,-~,~- ,'~,~-/~¢ residingat /o/~0 o~D ~
~vE; ~ ~/~c~, New York, being duly sworn, depose and say ~at:'
~ On the ~3 ~day of ~ ., 200~1 personally mailed at the
United States Post Offi~ in ~C . . , New York, by CERTIFIED'
MAIL,, RETURN RECEIPT REQUESTED, a tree copy of the affa~ed L~al
Noti~ in prepaid envelopes addmss~ to cu~ent owners sho~ on ~e ~nt
assessment tell verified from the official re~rds on.file with ~e (~ Asse~sors,'or
( ) County Real Prope~y ~ce '~o~F~o[~ ~.~ , for eve~
.properly ~ich abuts and is a~oss a public or pdvate street, or vehi~lar right.f-.
way of record, surrounding the applicant's properly.
' ~Signature) .'
this
· 200
PATR~CiA A. WAL~H
~IOTARY PUBUO, Stale si New York
No, O1 WA5069067
~lil ~d in Suffolk County
:iE~ Retum Reciept Fee
i (EndorSement Required)
IiiI i~ Tot~ Postage & Fees
back of this Affidavit or on a sheet of paper, the lot numbers
ames and addresses for'which ~otices were mailed. Thank
MAILING ADDRESS: 5~,J095 Main Road, P.O. Box 1179 Southold, NY 11971-0959
(631) 765-1809
Fax 765-9064
LOCATION OF PUBLIC HEARINGS: SOUTHOLD TOWN HALL
LOCATION OF MAIN OFFICE: North Fork Bank Building, First Floor, Corner of Main Road
and Youngs Avenue
September 20, 2004
Re: Chapter 58 - Public Notice for Thursday, October 21, 2004 Hearing
Dear Sir or Madam:
Please find enclosed a copy of the Legal Notice describing your recent application. The Notice
will be published in the next issue of the Long Island Traveler-Watchman newspaper.
1) Before OCT. 2nd:
Please send the enclosed Legal Notice, with both a Cover Letter including a contact person
and telephone number, and a copy of your Survey or Site Plan filed with this application which
shows the new construction area, CERTIFIED MAIL, RETURN RECEIPT REQUESTED, to aI. JI
owners of property (tax map with property numbers enclosed), vacant or improved, which abuts
and any property which is across from any public or private street.
Use the current addresses shown on the assessment rolls maintained by the Town Assessors'
Office located at Southold Town Hall (631 765-1937) and the County Real Property Office at the
County Center, Riverhead. If you know of another address for a neighbor, you may want to
send the notice to that address as well. if any letter is returned to you undeliverable, you are
requested to make other attempts to obtain a mailing address or to deliver the letter to the
current owner, to the best of your ability and to confirm this in either a written statement, or at
the hearing, with the returned letter.
AND by OCT. 5: please either mail or deliver to our office your Affidavit of Mailing (form
enclosed) with parcel numbers, names and addresses noted, and return it with the white
receipts postmarked by the Post Office. When the green signature cards are returned to you by
the Post Office, please mail or deliver them to us before the scheduled hearing. If any
signature card is not returned, please advise the Board at the headng and retum it when
available. These will be kept in the permanent record as proof of all Notices.
2) By OCT. 13th: please make arrangements to place the enclosed poster on a signboard
such as plywood or similar material, posting it at your property for at least seven (7) days.
Securely place the sign on your property facing the street, no more than 10 feet from the front
property line bordering the street. If you border more than one street or roadway, an extra sign
is available for the additional front yard.
Please also deliver your Affidavit of Postinq before the day of the hearing.
If you are not able to meet the deadlines stated in this letter, please contact us promptly.
Thank you for your cooperation.
Very truly yours,
Zoning Appeals Board and Staff
Ends.
NOTI OF HEARING
A public hearing will be held by the Southold Town Appeals Board at
Town Hall, 53095 Main Road, Southold, concerning this property:
NAME: JIMMY FALBO 5592
MAP #:
122-2-9
APPEAL: SETBACKS
PROJECT: DEMO OLD & BLD NEW HOME
DATE: THURS OCT 21 2004 10:05 AM
If you are interested in this project, you may review the file(s) prior to the
hearing during normal business days between the hours of 8am and 3pm.
ZONING BOARD- TOWN OF SOUTHOLD- 765-1809
OFFICIAL USE ONLY
FALBO, JIMMY 122-2-9 R40 5592 VO
LABEL (4) DEMO OLD & BLD NEW HOME - SY SB'S
. 10120 SOUND AVE MATTITUCK
CTY TAX MAP (8) NEIGHBORS CIRCLED (RED) AND TAX #'S WRITTEN
ASSESSORS CARD (7) PULL NOD FROM BD - 1 ON FLDR RT SIDE
(~ RESEARCH PRIORS (6)
[// INDEX CARD - MAKE NEW OR ATTACH / ADD ON TO OLD IF PRIOR
~ ~ ~ SOIL & WATER LTR: PARCELS ON LI SOUND - Mail ASAP
PB MEMO: GET COMMENTS FROM CHAIRPERSON (COMMERCIAL /
SUBDIVISION / LOT LINE / SCENIC BYWAY)
INSPECTION PACKET
SIGN (S)
MAILINGS: CVR LTR, SIGN, AFFS SIGN PSTG & MLG, LN
COUNTY PLANNING LTR
UPDATED: NEW INFORMATION:
ZONING BOARD OF APPEALS
· TOWN OF SOUTHOLD:NEW YORK
In the Matter of the Application of
(Name of Applicant)
Regarding Posting of Sign upon
Applicant's Land Identified as
t0O0- /Z?- - o2- - ?
-X
COUNTY OF SUFFOLK)
STATE OF NEW YORK)
AFFIDAVIT
: OF SIGN
'~.. ......... POSTING
residingat /o/ zo old'
New York, being duly sworn, depose and say that:
Onthe /2 dayof Oc/. ,200~lpersonallyplaced the
· Town'S official Poster with the date o[ hearing and nature of my application
· .noted thereon, seCurely upon my property, located ten'(10) feet or closer frOm
the street or right-of-way (driveway entrance) - facing the street or facing each
street or right-of-way entrance;* and that
I hereby confirm that the Poster has remained in place for seven days
prior to the date of the subject hearing date, whi~,~ heafing.~e, te weC'.s~own to be
(~gn~ture)
SwOrn to before me this
~-o~','~lay of 4:~c~ '200~. '
(Notary Public)
*near the entrance or driveway entrance of my properly, as the area most visible
to passersby.
· Complete items 1,2, and 3. Aisc complete
item 4 if Restricted Delivery is desired.
· Pdnt your name and address on the reverse
so that we can return the card to you.
· Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
D. Is delivery address diffeeent from iten~ 1 ?
If YES, enter delivery address below: [] No
3. Service Type
[~ertified Mail [] Express Mail
[] Insured Mail [] C.O.D.
PS Form 3811, February 2004
Domestic Return Receipt
102595-02-M- 1540
· Complete items t, 2, and 3. Aisc complete
item 4 if Restricted Delivery is desired.
· Print your name and address on the reverse
so that we can return the card to you.
· Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
A. Signature
[] Agent
[] Addressee
B. Received b
D. Is delivery address different from item 1 ? [] Yes
If YES, enter delivery address below: [] No
3. Service Type
'l~"Certified Mall [] Express Mail
[] Registered [] Raturn Receipt for Merchandise
[] Insured Mall [] C.O.D.
4. Restricted Delivery? (Ex~ Fee) [] Yes
2. Article Number
rr,~o~.,~ ~Z:~ z~' /_Td-O oo o l ?,~--~o o~P/'~'
· Complete items 1, 2, and 3. Aisc complete
item 4 if Restricted Delivery is dssired.
· Print your name and address on the reverse
so that we can ~=,,turn the card to you.
· Attach this card to the back of the maiipiece,
or on the front if space permits.
1. Article Addressed to:
,,c 0 SO ~C'~','~cI ,,~.'~'-
2. Article Number
A. Signat
X ~ [] Addressee
B. Receivedby(PJ~nte~e~ C. Dste of Delivery
D. Isd~iv~add ~m 17 ~ Yes
If YES, enter ~ below: ~ No
3, Se~iceT~~' '
~ifi~ Mail D ~ Mail
PS Form 3811, February 2004
Domestic Return Receipt
102595-02-M-1540
· Complete items 1,2, and 3. Aisc complete
item 4 if Restricted Delivery is desired.
· Print your name and address on the reverse
so that we can return the card to you.
· Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
X [] Agent
[] Addressee
Date of Delivery
D. Is daiiver from item 17 [] Yes
If YES, ester delivery address below: [] No
3. Service Type
[:~'lSertifled Mail [] Express Mail
[] Registered [] Return Receipt for Merchandise
[] insured Mail [] C.O.D.
2. A,'ticle Number
PS Form 3811, February 2004 Demestk: Return Receipt 102595-02-M-1540