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Gerard P. Goehringer, Chairman
Charles Grigonis, Jr.
Serge Doyen, Jr.
James Dinizio, J r.
Robert A. Villa
Telephone (516) 765-1809
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SCOTT L. HARRIS
Supervisor
APPEALS BOARD MEMBERS
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Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
BOARD OF APPEALS
TOWN OF SOUTIIOLD
April 7, 1992
Marie Ongioni, Esq.
218 Front Street
P.O. Box 562
Greenport, NY 11944
/ <10 . 2. .,;n
Re: Appl. No. 4075 - Michael Herbert
Dear Mrs. Ongioni:
Please find attached for your records a copy of the findings and
determination rendered by the Board of Appeals in the above
matter.
Very truly yours,
Linda Kowalski
Enclosure
Copy of Decision to:
Building Department
Planning Board
Suffolk County Department of Planning
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PlAMNIllG BOARO :
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Gerard P. Goehringer, Chairman
Charles Grigonis, Jr.
Serge Doyen, Jr.
James Dinizio, Jr.
Robert A. Villa
Telephone (516) 765-1809
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SCOTT L. HARRIS
Supervisor
APPEALS BOARD MEMBERS
/
Town Hall, 53095 Main Road
P.O, Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
BOARD OF APPEALS
TOWN OF SOUTHOLD
ACTION OF THE BOARD OF APPEALS
Appl. No. 4075:
Upon application of MICHAEL HERBERT for a Variance to the
Zoning Ordinance, Article IX, Sections lOO-91A and Section
100-92, Bulk Area and Parking Schedules, for permission to
establish business sales office in addition to existing uses as
an owner-occupied tWO-family dwelling with manager's quarters.
The lot area applicable to each use in this Hamlet-Business Zone
District is 20,000 per unit/use. The lot as exists is
nonconforming for the existing principal uses having a total lot
area of 20,129+- sq. ft. Location of Property: 795 Pike
Street, Mattituck, Town of Southold; County Tax Map Parcel ID
No. 1000-140-2-23.
WHEREAS, public hearings were held on January 23, 1992 and
on March 5, 1992, at which time all persons who desired to be
heard were heard and their testimony recorded; and
WHEREAS, the Board has carefully considered all testimony
and documentation submitted concerning this application; and
WHEREAS, Board Members have personally viewed and are
familiar with the premises in question, its present zoning, and
the surrounding areas; and
WHEREAS, the Board made the following Findings of Fact:
1. This is an application for a variance requesting the
establishment of a real estate business use in addition to the
existing owner-occupied two-family dwelling use and manager's
quarters (for the owner's occupancy). This area variance
request is for a reduction in the required land area from
20,000 sq. ft. per unit/use for four proposed uses, to wit:
two single-family dwelling units, one owner-occupied manager's
quarters, and the proposed real estate business (office) use,
(all on a 20,129 sq. ft. parcel instead of 80,000 sq. ft. of
land area).
2. The subject premises is located in the Hamlet-Business
Zone District along the north side of pike Street (House No.
795) in the Hamlet of Mattituck, and is improved with an
existing two-story framed principal building and separate
Page 2 - March 5, ~
Appl. No. 4075 - MICHAEL HERBERT
Southold Town Board of Appeals
.
accessory (storage) garage located in the rear yard area, all as
shown on the sketched map submitted for consideration.
3. The grounds of disapproval by the Building Inspector as
issued on October 9, 1991 cites insufficient land area as
outlined in Article IX, Section 100-92, Bulk Area and Parking
Schedules, as well as the issues of site plan and parking
approvals necessary under Section 100-91A (Planning Board), and
exterior sign(s) which apparently were not indicated on the
rejected building permit application.
4. The area of the existing building proposed to be
utilized is "a portion of the first floor apartment for a real
estate business." (ref. appeal application) It is the
intention of the applicant to continue the three established
uses, and not to eliminate one of those uses in exchange for the
proposed new (business) use.
5. For the record, it is also noted that:
(a) prior to January 10, 1989, the subject premises
was located in an "A" Residential and Agricultural Zone District
and was a substand parcel. Two-acre zoning (80,000 sq. ft.)
minimum lot area required from 1983 to 1989. The premises at
this time was a conforming residential use, but nonconforming as
to lot area and width;
(b) on May 28, 1986, a use variance was denied under
Appeal no. 3472 during for a proposed Bed and Breakfast in an
"A" Residential and Agricultural Zone District {which was not
listed as a permitted by Special Exception at this time}
(c) on January 10, 1989, the Southold Town Board
adopted revisions to the Master Plan zoning maps and code, which
also modified the zoning of the subject parcel to Hamlet-
Business (HB). The parcel, having a land area of 20,000 sq. ft.
with one dwelling use, was conforming as to total lot area at
this time.
(d) on March 29, 1990, the conditional grant of an
owner-occupied tWO-family dwelling use with manager's quarters
was effectuated {through ZBA determinations rendered March 29,
1990 under Appl. No. 3924}.
(e) under Appl. No. 3924, any change, modification,
increase or expansion, structurally or otherwise, as well as
change of use to other than tWO-family residential, will require
further approval by the Board of Appeals as well as
consideration by the Planning Board under the site plan
regulations. Accordingly, there shall be no retail sales
permitted at the premises, now or in the future, unless
?age 3 - March 5, 141h
Appl. No. 4075 - MICHAEL HERBERT
Southold Town Board of Appeals
.
appropriate approvals from Building, Zoning and Planning have
been issued. Information obtained from the 1990 application
and file documentation indicate the following proposed livable
floor areas within the existing structure: (1) front unit,
863+- sq. ft., (2) rear unit 477 sq. ft., (3) third unit 639
sq. ft.
If) a Bed and Breakfast Special Exception permit was
officially withdrawn by the property owner/applicant and
resolution of this Board rendered September 26, 1991 under Appl.
No. 3539 as it pertained to a conditional Special Exception
initially granted on September 11, 1986. The withdrawal of the
Bed and Breakfast was a mandatory condition to the 1990
resolution approving the two-family use and manager's quarters
(owner-occupancy).
6. In considering an area variance, the fOllowing
standards must be considered:
(a) whether strict compliance with the requirements
will result in practical difficulties, and whether the
difficulties claimed are sufficient to grant the relief
requested:
(b) whether the difficulties created can be obviated
by some method feasible for appellant to pursue other than a
variance:
Ic) whether a substantial change will be produced in
the character of this property, the neighborhood, or be a
detriment to adjoining properties:
(d) whether the variance, if allowed, will effect
available governmental facilities;
(el whether the variance requested is personal in
nature or the relief requested is uniquely related to the land:
(f) whether or not the dificulties claimed have been
created by the owner or by a predecessor in title;
(g) whether the variance is the minimum necessary to
afford relief.
7. In considering all the above standards, the Board
finds and determines, as follows:
la) that the practical difficulties claimed are not
sufficient to grant the relief requested and are not uniquely
related to the land, and the practical difficulties claimed as a
ground for this variance has been created by the owner in title;
Page 4 - March 5, l~
Appl. No. 4075 - MICHAEL HERBERT
Southold Town Board of Appeals
.
(b) that there is an alternative available for
appellant to pursue, that is, to eliminate one of the existing
dwelling units or the manager's quarters, and substitute in
place thereof the proposed real estate business use (and
applying for site plan approval before the Planning Board and
other agency permit approvals in doing so) -- the land is
presently over-utilized with three units on a substandard parcel
{see record of prior actions by the landowner herein concerning
mUltiple uses};
(c) although there is uniqueness to the noncon-
formities of this parcel as exist, the relief requested is not
uniquely related only to this parcel since the law is applied to
all other properties which would also share the same
circumstances;
(d) that the essential character of the neighborhood
will be changed and substantial detriment to adjoining
properties will be created - the relief requested for a fourth
use is incompatible with the overall plan and pOlicy for
development of the town and would create conditions distinctly
different from those existing in the locality by adding problems
incident to an increase in density as well as unquestionably
altering the essential character of this neighborhood of
substandard parcels.
(e) that the difficulties claimed are self-created
since the landowner is bound by the applicable provisions of the
ordinance and by the facts and circumstances concerning the use
of his property -- although learned by the landowner having
exercised reasonable diligence;
(f) that the amount of relief requested is
substantial in relation to the requirements - the subject lot is
Occupied by three units, to wit: two dwelling units and one
manager's quarters on less than the required 60,000+- sq. ft. of
land area. An additional 20,000 sq. ft. of land area is
required for this proposed fourth use as a real estate
business.
(g) that the landowner is not deprived of a
reasonable return on his land and is not prevented from using
the land;
(h) proof has not been submitted as to actual dollars
and cents proof as necessary under the circumstances to show the
extent of practical difficulties claimed to be suffered by the
landowner;
(i) that in view of the manner in which the
difficulty arose and in consideration of all the above factors,
~age 5 - March 5, ~2
Appl. No. 4075 - MICHAEL HERBERT
Southold Town Board of Appeals
.
the interests of justice will be served by denying the relief
requested.
NOW, THEREFORE, on motion by Mr. Doyen, seconded by
Mr. Goehringer, it was
RESOLVED, that the relief as requested under Appl. No. 4075
in the Matter of the Application for MICHAEL HERBERT, be and
hereby is DENIED.
Vote of the Board: Ayes:
Grigonis, Doyen and Goehringer.
adopted.
Messrs. Villa, Dinizio,
This resolution was dUly
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outhold, New York 11971
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PLANNING BOARD MEMBERS
Bennett Orlowski, Jr., Chairman
George Ritchie Latham, Jr.
Richard G. Ward
Mark S. McDonald
Kenneth L. Edwards
SCOTT L. HARRIS
Supervisor
Telephone (516) 765-1938
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
TO:
Gerard P. Goehringer, Chairman, Board of Appeals
Bennett Orlowski, Jr., Chairman ?JO,q-t/6iS
I
FROM:
DATE:
January 22, 1992
RE:
Request for Coordination - Appeal No. 4075 Michael
Herbert, N/S Pike Street, 200 feet W/of Wickham
Avenue, Mattituck
SCTM# 1000-140-2-23
The following is in response to your request of January 6, 1992,
for comments on appeal No. 4075, Michael Herbert.
The Planning Board is not in favor of the proposed use of a room
to be converted to a business sales ,office in addition to the
existing uses of an owner-occupied two-family dwelling with
manager's quarters.
The Board considers the proposed use an over intensive use
of this 20,129+- square foot parcel.
.
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PLANNING BOARD MEMBERS
Bennett Orlowski, Jr., Chainnan
George Ritchie Latham, 1r.
Richard G. Ward
Mark S. McDonald
Kenneth L. Edwards
SCOTT L. HARRIS
Supervisor
"
'T~:./.'
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
"
Telephone (516) 765.1938
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
Fax (516) 765-1823
'IIO:
Gerard P. Goehringer, Chairman, Board of Appeals
Bennett Orlowski, Jr., Chairman''Bofjt./ J'S
January 21, 1992
FROM:
DATE:
RE:
Request for Coordination - Appeal No. 4075 Michael
Herbert, Nls Pike Street, 200 feet Wlof Wickham
Avenue, Mattituck
SCTM# 1000-140-2-23
The fOllowing is a preliminary response to your request of
January 6, 1992, for comments on appeal No. 4075, Michael
Herbert.
The Planning Board is in favor of the proposed use, as permitted
by the code, of the first floor on the above premises as a real
estate office in this Hamlet Business District (HB). However,
the application does not specify the number of apartments that
will remain in addition to the real estate office. We feel this
information must be obtained and evaluated in determining the
intensity of use and the on-site parking requirements.
We would appreciate the opportunity to comment further when all
details of this proposed change are known.
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Southold Town Board of Appeals
MAIN ROAD - STATE ROAD 25
SOUTHOLD, L.I., N.Y. 11971
TELEPHONE (5161765.1809
APPEALS BOARD
MEMBERS
GERARD P. GDEHRINGER, CHAIRMAN
CHARLES GRIGONIS, JR.
SERGE OOYEN, JR,
James Dinizio, Jr.
Robert A. Vill a
TO:
FROM:
DATE:
Planning Board
Board of Appeals
January 6, 1992
fEnWIIJn)
JAN - 6 1992 IffiJ
~~
SUBJECT: Si~an Coordination - Michael Herbert
Our Flle # 4075
Our office has received the above-noted application which is or will be
pending before the Planning Board.
A request is made at this time under the site plan regulations in order
that you may be provided with notice to respond within the next sixty (60)
days as required by Section 100-254B(3).
Please communicate those areas which you feel may significantly affect
those site plan elements applicable in the new project. Your comments,
of course, may be noted by you as "preliminary" at this early time.
Should additional information be necessary, please feel free to stop by
our office to review the file or make copies as you deem will be necessary
for the preliminary review.
Thank you
Attachment
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RECE;V~ ~/~//lY1/
~Il.h ..,~JJ:.-.:c..~r~7
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DEe 1 'l 1991 '"Sfn').,.,) ~
TOWN OF SOUTH OLD. tlEW 9'6Utkold Town Clerk
APPEAL FROM DECISION 0;: BUILDING INSPECTOR
APPEAL NO. '10') S-
DATE ...!2V.O./.'1..l.
TO THE ZONING BOARD OF ;,PPEALS, TOWN OF SOUTHOLD, N. Y.
1. ~W\,}: .........~~.~.!!~.~J:....!!.~~.B.!.,Wr.................... .of .....I9.;?..P.;i.Kl';...S..tX.fl.<:.t...................................
Name of Appeliont Street and Number
............ ................!'J. ~ J::.~;i; .t.!-! f.!<o............................... ............
Munic10ality
.......l!".!':!I'...X.Q.r.k...HEREBY APPEAL TO
State
THE ZONING BOARD OF APPEALS FROM THE DECISION OF THE BUILDING INSPECTOR ON
APPLICATION FOR PERMIT ~Illi.
DATED .......Q.Ci.~~.~.!:X...~.I...J'!.n...........
WHEREBY THE BUILDING INSPECTOR DENIED TO
........... ):1J.C;:.R!\..~k.R~.R!?~~J..................... ............
Name of Applicant for permit
795 Pike Street, Mattituck, New York
.....St~.~~t..~.~d..N~;.;.;b~~.........................M.:;;,'i.~.i;;~iiiy....................si~t~.......................
PERMIT TO USE
PERMIT FOR OCCUPANCY
PERMIT TO UTILIZE a portion of the first floor apartment for a real
estate business.
1. LOCATION OF THE PROPERTY ....???...R.:!:~.~...~.!:.JO.~!:.~.!....~~.~.~.~.~.!-!!:.~...:-...ff.'".~.~.~E...~.'!.::~.':l e s s
Street /Hamlet / Use District an Zoning Mop
.~.~.:~:..~.:~...~~~~...~~.:.:.~.~.~.~.~.?.~.~.~.:.~..~...~~.:...~.~... Current OWner Mi c hae 1 He r b e r t
Map No. Lot No. Pri or Owner
of
)
)
Xl
2. PROVISION (S) OF THE ZONING ORDINANCE APPEALED <Indicate the Article Section, Sub-
section and Paragraph of the Zoning Ordinance by number. Do not quote the Ordinance.)
Article IX Section 100-92 . 93 & 91A
3. TYPE OF APPEAL Appeal is made herew,th for (p 1 ease check appropr; ate box)
(X) A VARIANCE to the Zoning Ordinance or Zoning Map
( ). A VARIANCE due to lack of access (State of New Yark Town Low Chap. 62 Cons. Lows
Art. 16 Sec. 280A Subsection 3
( )
4. PREVIOUS APPEAL A previous appeal (has) x!=J<1Otl been made with respect to this decision
of the Building Inspector or with respect to this property.
Such appeal was ( X) request for 0 special permit
(. ) request for 0 variance
and was made in Appeal No. ~.??~...~..}2}?...:...Dated .......~~E.7.~...~.?!...J??.~..............................
REASON FOR APPEAL
( ) A Variance to Section 280A Subsection 3
(X) A Variance to the Zoning Ordinance
( )
is requested for the reason that utilization of residence for real estate office
does not meet total area requirements, parking and exterior sign re-
quirements. Additionally prior ZBA decision mandates ZBA approval for
any change in use among other things.
Form ZBt
{Conttnue on other side}
.~
.ce
j
.
REASO~ FOR ,\PPE..\L
CQntlnueo
STRICT ,\PPLlCATION OF THE ORDINANCE wouid producc practical difficultic, or unneces-
sary HARDSHIP because the applicant's three family dwelling is in the
Hamlet Business district where a business or professional office is
a permitted use. Applicant wishes to utilize only a portion of the
first floor apartment for business purposes and retain ability to
reside in said apartment.
2. The hardship erected is UNIQUE and is not s r,lcred by 011 oroperties alike in the immediate
vicinity of this property and in this use district because business or professional offices
are permitted but prior relief by the Zoning Board of Appeals limits the
use to three family residential use.
3. The Variance would obserye the spirit of the Ordinance and WOULD NOT CHANGE THE
CHARACTER OF THE DISTRICT because the district is zoned for business purposes.
Applicant would remain in residence. A sign for the office in a business
district would not alter the character of that district.
STATE OF NEW YORK )
) ss
COUNTY OF SUFFOLK)
....\~.\~\L..~........
MICHAEL HERBERtignature
sw~on t this ...............~...........................
( -
........................... .......
No cry P
MAPIO ONGIONI
NOTARY PU~lIC, State of New York
No. 24.': 05191
QUQ ifi~d in \;'1 C30U~~' 19,D .,
Comminion bpi I l/ -f oL.....
day of...........D..~.".~.'!'.~~.L......................... 1991
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Southold Town Board of Appeals
MAIN ROAD - STATE ROAD 25
SOUTHOLD, L,I., N.Y. 11971
-....--.---.~
,.,-,'---.-
TElEPHONE (516) 765.1809
APPEALS BOARD
MEMBERS
GERARD P. GOEHRINGER, CHAIRMAN
CHARLES GRIGONIS, JR.
SERGE DOYEN, JR.
James Oinizio, Jr.
Robert A. Vill a
TO:
FROM:
Planning Board
Board of Appeals
~ ~ U UW ~im!
" .'"
"f '.
, '-'
DATE: January 6, 1992
SOUTHOLD T0,''II
PLANNING 80ARO
SUBJECT: Site Plan Coordination - Michael Herbert
Our File # 4075
Our office has received the above-noted application which is or will be
pending before the Planning Board.
A request is made at this time under the site plan regulations in order
that you may be provided with notice to respond within the next sixty (60)
days as required by Section 100-254B(3).
Please communicate those areas which you feel may significantly affect
those site plan elements applicable in the new project. Your comments,
of course, may be noted by you as "preliminary" at this early time.
Should additional information be necessary, please feel free to stop by
our office to review the file or make copies as you deem will be necessary
for the preliminary review.
Thank you
Attachment
~
.
R E CE; V..:e~ /~//,,/1/
:;l.: '-/')~ve-~.~/~/7
DEe 1 'I 1991 ~trD.,.j) @
-:-OWI'! OF SQUTHOLD. tlEW 9'cWtl(old Town Clerk
APPEAL 'ROM DECISION Cr BUILDING INSPECTOR
/\PPEAL NO. YO'J S-
DATE ...!..~O./.?.l
TO THE ZONING BOARD OF APPEALS. TOWN OF SOUTHOLD. N. Y.
1, ~W\,+: .........~~.~.~.~.!';~...~.I.'.~J?~B-.T.................... . of ......?9.~...P.;i..K>:...S.,I;.r.r:g.t;...................................
Name ot Appellant Street and Number
MuntCl;JC!lty
.......l:I.~);...X.Q.r.k...HEREBY APPEAL TO
State
Mattituck
.............................................................................................
THE ZONING BOARD OF APPE..\LS FROM THE DECISION OF THE BUILDING INSPECTOR ON
APPLICATION FOR PERMIT ~Ol.
....................................
DATED .......~.".t.~.~.~.r...~.I....~.?~.L.........
WHEREBY THE BUILDING INSPECTOR DENIED TO
Name of Applicant for permit
795 Pike Street, Mattituck, New York
........................................................................................................................
Street and Number Municipality State ..........
PERMIT TO USE
PERMIT FOR OCCUPANCY
PERMIT TO UTILIZE a portion of the first floor apartment for a real
estate business.
1. LOCATION OF THE PROPERTY ....?n..?.~.~.!:...~.~.r;.:'.!;.~.!....~~.~.~.~.~.~~.~..::-...ff.~.!I!.~.!:.~...~.':'.?~.:'es s
Street / Ham 1 e t / Use District on Zoning Map .
District 1000 Sectionl40Block 2 Lot 23 Michael Herbert
...............................................................................,. Curren t Owner
Mop No. Lot No. Pri or Owner
......... }1J,C!j A.E.~...!j~.R~.E.RJ. ............... .................
of
)
)
x)
2. PROVISION (S) OF THE ZONING ORDINANCE APPEALED (Indicate the Article Section, Sub-
section and Paragraph of the Zoning Ordinance by number. Do not quote the Ordinance.!
Article IX Section 100-92 , 93 & 91A
3. TYPE OF APPEAL Appeal is mode herewith far (p 1 ease check appropri ate box)
(X) A VARIANCE to the Zoning Ordinance or Zoning Map
( ). A VARIANCE due to lack of access (State of New York Town Law Chop. 62 Cons. Laws
Art. 16 Sec. 280A Subsection 3
( )
4. PREVIOUS APPEAL A previous appeal (has) x~"""ltJ been made with respect to this decision
of the Building Inspector or with respect to this property.
Such appeal was ( X) request for a special perm't
(. ) request for 0 variance
and was mode in Appeal No. ~.?.?.~...~..}.~}?....~...Dated .......~~E~h...~.?!...J??.Q...............................
REASON FOR APPEAL
( ) A Variance to Section 280A Subsection 3
(X) A Variance to the Zoning Ordinance
( )
utilization of residence for real estate office
Fonn ZDl
(Continue on other side)
,.
,
.
.
REASC~ FCR ,.\PPE..\L
C.;:.ntlnuco
STRICT ,\PPlICA TION OF THE ORDINANC E wouid praducc practical dlfficult,c, ar unneccs-
sarv HARDSHIP because the applicant's three family dwelling is in the
Hamlet Business district where a business or professional office is
a permitted use. Applicant wishes to utilize only a portion of the
first floor apartment for business purposes and retain ability to
reside in said apartment.
2. The hardship erected is UNIQUE and is nct s h1ared by all Dropertles alike in the immediate
vicinity of this property and in this use district b~cp.us,e . business or professional offices
~~f~~'€~r!!"t~~H.,,~.:~rli~;.H~r~~,,~~e Z&fitng Roard Qt A.IH~e;cl~ ':Ftitii-ts the
3. The Variance wauld observe the spint af the Ord,nance and WOULD NOT CHANGE THE
CHARACTER OF THE DISTRICT because the district is zaned for business purposes.
Applicant would remain in residence. A sign for the office in a. business
district would not alter the character of that district.
STATE OF NEW YORK )
) ss
COUNTY OF SUFFOLK)
....l~.\~\t..~........
MICHAEL HERBER1ignature
.............../:?........................... day af..... ..... D..~.\'."!.'!1.b.~............................. 1991
(
................. ....... .......
Na ary P
MAPI" ONGIONI
NOTARY pueuc, StMe of New York
No. 24. 47;;,51'?1
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Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York
11971
SCO'IT L. HARRIS
Supervisor
Fax (516) 765-1823
Telephone (516) 765-1800
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
February 26, 1990
Michael Herbert
Pike Street
Mattituck, New York 11952
RE: Request for Site Plan Waiver for Conversion of Use of Home
from Bed And Breakfast to Three Family Dwelling
N/S Pike Street, 200 feet W/of Wickham Avenue, Mattituck
SCTM# 1000-140-2-23
Dear Mr. Herbert:
In response to your written request of February 9, 1990,
for a waiver of the site plan requirement, the Planning Board
has inspected the premises.
The site has sufficient existing parking for the proposed
use. No alterations to the premises are proposed other than to
close off sections of the building so that three separate
dwelling units will be created and to add two kitchen areas.
Should the Zoning Board of Appeals grant your request for a
Special Exception to change to this use, the Planning Board will
waive the requirement for a site plan.
Very Truly Yours,
~:C-b cf4.Lo-r,v-a.-?~ / fr.. /
Bennett Orlowski, Jr. /~S
Chairman .
cc: Victor Lessard, Principal Building Inspector
Gerard P. Goehringer, Chairman, Zoning Board of Appeals
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APPLICANT'S AFFIDAVIT
STATE OF NEW YORK
COUNTY OF SUFFOLK
1"~-<<~-
and says that he resides at
in the State of New York, and
or that he is the 6~
(Title)
which is
being duly sworn, deposes
<r.c.<<.., ~
the owner of the above propert
of the ~
(Specify whether Partnership
hereby making application; that the
or Corporation)
owner or his heirs, successors or assigns will, at his own expense",
install the required site improvements in accordance with Article XIII
of the Code of the Town of Southold for the area stated herein
and that there are no existing structures or improvements on the land
which are not shown on the Site Plan; that title to the entire parcel,
including all rights-of-way, have been clearly established and are
shown on said Plan; that no part of the Plan infringes upon any duly
filed plan which has not been abandoned both as to lots and as to
roads; that he has examined all rules and regulations adopted by the
Planning Board for the filing of Site Plans and will comply with
same; that the plans submitted, as approved, will not be altered or
changed in any manner without the approval of the Planning Board;
and that the actual physical improvements will be installed in
strict accordance with the plans submitted.
Signod \0.",,,.Q :2 ~""'~ \
(Owner)
Sworn to before me this
J ~ day of !1f-
?/., tJ....u K'. ~ tI K
(Notary Public)
19~
Ha.fIl K. DE WE
IllIIllIl't P\l8UC, Stalt " .... YIll
re::~=~~
Signed
(Partner or Corporate Officer and Title)
14.'16-4 /2/an_ Text 12
PROJECT 1.0. NUMBER
..
c
617.21
Appendix C
State Environmental Quality Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
PART I-PROJECT INFORMATION (To be completed by Applicant or Project sponsor)
SEt
1.
2. PROJECT NAME
3. PROJECT LOCATION:
Municipality \" \.J County ~ 10.....:1
4. PRECISE lOCATION (Street address and road intersections, prominent landmarks, etc., or provide map)
l'l~ ?,'<'"' '::h'~E!'I, AJv."T\ "UU<., Y\'l .
"-- oc....-.~ ~'""'...<<-- ~'L l............... -{ W\"&l..l<",",,-~-......c
5. IS PROPOSED ACTION:
o New 0 Expansion
6. DESCRIBE PROJECT BRIEFLY:
~odlficatlon/aJteratlon
C.lAA~...,- ~
~G 1 "^'^- ----:s~ ~nc-Al~
"S ~~il\ \)WC;;:llto-
~'.
7. AMOUNT OF LAND AFFECTED:
InItially
8. Will P
acres Ultimately acres
POSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS?
o No If No, describe briefly
(
9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT?
o Residential 0 Industrial 0 Commercial
Describe:
o Agriculture
o ParkIForestfOpen space
DOlher
~A-\M.u:\ ~\"JSlV\E"<sS
10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL.
STATE OR LOCALI~
DYes IJd" No If yes, list agency(s) and permit/approvals
11. DOES ANY A~9CT OF THE ACTl(}N HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
DYes GJ'No If y~~. list agency name and permil/approval.
Applicant/sponsor name:
OS ED ACTION WILL EXISTING PERMIT/APPROVAL REOUIRE MODIFICATION?
12.
E INFO~MATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Signature:
Da'eo 2 - 22-90
-
.l
" the action is in the Coastal Area. and you are a state agency, complete the
Coa~tal Assessment Form before proceeding with this assessment
OVER
1
-:~
PART II-ENVIRONMENTAL
A. DOES ACTION ~CE5D ANY TV
DYes l:>I1:Io
B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6?
may be superseded by another involved agency.
DYes 8No
C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOllOWING: (Answers may be handwritten, II legible)
Cl. ExlSUng air quality, Surface or groundwater quality or quanlity, noise levels, existing traftlc patterns, solid waste production or dlSposa
potential for erosion, drainage or floOding prOblems? Explain briefly:
SHOLO IN 6 NYCRR. PART 617.121
ENT (To be Completed by Agency)
It yes, Coordinate Il1e review process and use the FULL EAF.
If No, a negative dec/arallo
C2. Aesthelic. agricullural, arChaeological, historic, or other natural or cullural resources; or community or neighborhood character? Explain brlefl
/[D
C3, Vegetation or tauna, flSh, shellflsh or wildlife species, signiticant habitats, or threaten~~ndangered species? EXPlain briefly:
C4. A community's existing plans or goals as ofticially adopted, or a change in use or inlensity of use of land or o'her natura' resources? explain brlefl-
/LO
CS. Growth, Subsequent development, or related aCtlvilies likely 10 be Induced by the proposed action? Explain brielly.
JLC,J
CG. Long term, short term, cumulalive, or other eftects not Identitied In C'-CS? Explain briefly.
I1...-U
C7. Other impacts (including Changes in use ot either quanlity or type of energy)? Explain briefiy.
~
D. is THERE, OR I~HYAE liKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL iMPACTS?
DYes ONo If Yes. explain b~ef/y .
PART IIJ-DETERMINATION OF SIGNIFICANCE (fo be completed by Agency) .
INSTRUCTIONS: For each adverse effect idenlilied above, determine whether it is substantial, large, impOrtant or otherwise significant.
Each effect should be assessed in connection with its (a) selting (i,e, urban or rural); (b) prObability 01 OCCurring; (c) duralion; (d)
irreversibility; (e) geographic scope; and (f) magnilude, If necessary, add allachments or reference sUpporting malerlals, Ensure that
explanations con lain sufficient delaillo show that all relevant adverse Impacts have been identified and a.dequalely addressed,
o Check this box if you have identified one or more Potentially large or significant adverse impacts which MAY
- ~ur, Then proceed directly to the FULL EAF and/or prepare a Positive declaralion.
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
AND provide on attachmenls as necessary. the reasons sUpporting this determination:
Name 01 It'Jd ^1o:l'llcy
r--
P"nr 01 rype NJme of Responsible Olfrcl'r In lCdd Agt.'nev
S!I;:nalure 0' j.(espons,ble OltlCer In lead A~t'nev
2- 22-7'0
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