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HomeMy WebLinkAbout1000-86.-6-21 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY l P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM COORDINATOR TOWN OF SOUTHOLD MEMORANDUM To: From: James Dinizio, Jr., Chair Town of Southold Zoning Board of Appeals Mark Terry, Principal Planner LWRP Coordinator Date: November 1, 2007 Re: ZBA File Ref. No. 6086 (Argent) The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is exempt from review pursuant to Chapter 268-3, B. Exempt Minor Actions, item B which states: B. Replacement, rehabilitation or reconstruction of a structure or facility, in kind, on the same site, including upgrading buildings to meet building or fire codes, except for structures in areas designated by the Coastal Erosion Hazard Area (CEHA) law where structures may not be replaced, rehabilitated or reconstructed without a permit; Please note: A portion of the property is located in FLOOD ZONE AE 8 (an area of special flood hazard with water surface elevations'}. It is recommended that the residential structure be located outside of the flood zone to the greatest extent practical. Additionally, to further Policy 5 "Protect and improve water quality and supply in the Town of Southold" it is recommended that the Board require the following best management practices: 1. Require the installation of drywells at the terminus of the gutters and leaders. 2. Require hay bales during construction. 3. Require that a non turf, native vegetation buffer be established landward of the bulkhead to protect the creek. Office Location: Town Annex/First Floor, North Fork Bank 54375 Main Road (at Youngs Avenue) Southold, NY 11971 http://southoldtown.northfork.net BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809 Fax (631) 765-9064 USPS Ma~: 53095 Main Road RO. Box 1179 Southold, NY 11971-0959 October 18, 2007 Mark Terry, Senior Environmemal Planner LWRP Coordinator Planning Board Office Town of Southold Town Hall Annex Southold, NY 11971 Re: ZBA File Ref. No. 6086 (Argent) Dear Mark: We have received an application for additions and alterations at premises on Richmonds Creek in Peconic, and shown on the enclosed site map. Copies of the LWRP form and area map are also attached for your use and reference. May we ask for your assistance in an evaluation and recommendations for this proposal. Thank you. Very truly yours, JAMES DINIZIO, JR. tv $ ON PROP. UNE BULKHFAD ] 63'- CONC SURVEY OF DESCRIBED PROPERTY SITUATE PECONIC, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR: ROY W. ARGENT LINDA ARGENT TM# SEE MAP COVERED ENTRY RA/UNG TAX MAP NUMBER 1000-086-06-025 AREA = 6,615 S.F OR 0.152 ACRES COMO % % GUARANTEED TO: /V ROY W. ARGENT 3 ?jo76~592,,~ 7,9.,.0~, 91 0 TAX MAP NUMBER 1000-086-06-021 AREA = 11,214 S.F OR 0.257 ACRES CONC MON S 86 1'24"E 50.00' SCALE 1" =JO' CONCRETE PIPE FOUND PROPOSED COMERED EN~R~ WITH RA;LING CONC NON 340.25' CONCNON g,o P FLOOD ZONE DATS SHOWN HEREON ARE FROM THE FOLLOWING PANELS: MAP NUMBER 56103C0162 G $6103C0164 G MAPS ARE DATED MAY 4, ?998. NOTE: ELEVATIONS SHOWN HEREON ARE IN 1929 NGVD. SURVEYED: 12 JUNE 2006 SCALE 1"= 50' AREA = SEE LOTS 1, 04 SEP 07 SURVEYED BY STANLEY d. ISAKSEN, JR. P.O, BO,~I 294 . NEW SUFFOLK. N,Y. 11956 ..,.~¥s L;o.'~ 4d~z¢~ 06RiSOa ADDCONTOURS, FLOOD ZONE DATA, BLDG ELEVATIONS, PROP. ADDITION. APPEALS BOARD MEMBERS Gerard E Goehringer, Chairman James Dinizio, Jr. Lydia A. Tortora Lora S. Collins George Homing BOARD OF APPEALS TOWN OF SOUTHOLD October 10, 2001 Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 ZBA Fax (631) 765-9064 Telephone (631) 765-1809 Mr. EIIsworth Baylis, .Ir. 6429 Indian Neck Lane Peconic, NY 11958 Re: Appl. No. 4987 - Variance for Garage Dear Mr. Baylis: Enclosed please find a copy of the determination with conditions rendered by the Board of Appeals at our October 4, 2001 Board Meeting. Please be sure to review the Conditions in the determination and furnish our office with a copy of the Covenants and Restrictions alter it has been prepared and filed by your attorney. Af~er the Declaration of Covenants has been filed with the County Clerk, a building permit may be issued from the Building Department (765-1802). No construction activity may begin until all agency approvals have been obtained. A copy of this determination was furnished today to the Building Department for the pending building permit application update and record. Enclosure Copy of Decision to: Building Department Very truly yours, GERARD P. GOEHRIN(~Fdi~./' CHAIRMAN Mr. William S. Kelly (Contractor/Agent) o APPF..ALS BOARD MEMBERS Gerard P. Goehringer, Chairman James Dinizio, Jr. Lydia A. Tortora Lora S. Collins George Homing Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 ZBA Fax (631) 765-9064 Telephone (631) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF APRIL 19, 2001 Appl. No. 4987 - ELLSWORTH BAYLIS, JR. Location of Property: 6425 Indian Neck Lane, Peconic Date of Public Hearing: September 20, 2001 1000-86-6-21 FINDINGS OF FACT .PROPERTY FACTS: The subject property (hereinafter called Lot 21) is an unimproved lot in Peconic, 50 feet wide and with average depth of 224 feet, for a total area of 11,214.24 sq. ft. There are two metal sheds and a frame shed at the north end of the lot. A dirt lane crossesLot 21 giving access to two interior lots: SCTM 1000-86-6-22, immediately to the north (Lot 22) and SCTM 1000-85-6-23, further north (Lot 23). BASIS OF APPEAL: Building Department Notice of Disapproval, dated October 31, 2000, denying a permit to build a garage/storage building on Lot 21 because such a structure is not a permitted primary use under Code section 100-31A. RELIEF REC~UESTED: Applicant requests Board action regarding a new garage/storage building on Lot 21 accessory and incidental to the applicant's residence on Lot 23, Block 6. REASONS FOR BOARD ACTION, DESCRIBED BELOW: On the basis of testimony presented, materials submitted and personal inspection, the Board makes the following findings: 1. Applicant also owns Lot 23, which is separated from his Lot 21, by Lot 22. His house is on Lot 23, but applicant states that there is insufficient room there for a needed garage/storage building. Therefore, he wishes to erect the building on Lot 21. 2. If applicant were to build a dwelling on Lot 21, the garage/storage building would be a permitted accessory use. However, applicant has no need for such a dwelling and no desire to build one. Applicant wants to treat Lot 21 effectively as part of Lot 23 and build on it a structure accessory to his dwelling on Lot 23. 3. A dirt lane from Indian Neck Lane runs across Lot 21 to give access to Lots 22 and 23. Although this lane connects Lots 21 and 23, they are not contiguous. 4. Applicant's situation is very unusual. Without relief, he will have a vacant parcel (Lot 21) serving no purpose, and he will remain without a garage. The Board desires to enable him to construct the garage/storage building as, in effect, an accessory to his dwelling on Lot 23. Such construction on Lot 21, subJect to the conditions set forth below, will not produce an undesirable change in the character of the neighborhood or detriment to nearby properties RESOLUTION/ACTION: On motion by Member Collins, seconded by Member Dinizio, it was Page 2 - October 4, 2001 Appl. No. 4987 - E. Baylis 86-6-21 Southold Town Board of Appeals RESOLVED, that this Board approves the application as applied for, for a garage/storage building on Lot 21, subject to the following CONDITIONS: 1. The garage/storage building shall be a one-story structure, measuring no more than 22 x 38 feet, supplied with electricity but no other utility, and set back at least 50 feet from Indian Neck Lane and at least 5 feet from the eastedy lot line. Drywells shall be adequate to contain runoff from the building. 2. Prior to the issuance of a building permit for the proposed structure, applicant shall submit to this Board for its review, a copy of covenants to the deeds to Lots 21 and 23, duly executed and filed with the Suffolk County Clerk, imposing the following constraints on Lot 21 and Lot 23 and providing that such covenants are enforceable by the Town of Southold: A. No structure may be erected at any time on Lot 21 other than this one-story garage/storage building no greater than 22 x 38 feet in size. B. Lot 21 may be transferred only in a transaction in which Lot 23 is transferred, and only to the transferees of Lot 23 in such transaction. C. Lot 23 may be transferred only in a transaction in which Lot 21 is transferred, and only to the transferees of Lot 21 in such transaction. The intent of this Condition 2 is to prohibit construction of a dwelling on Lot 21, to allow the construction on it of a building that will effectively be an accessory to the residential use on Lot 23, and to permanently link Lots 21 and 23 (which are not contiguous). 3. Ti3at when ~ Certificate ol= Occupancy ;~ ;ssued for this uarage buildinQ, ti~at the Building Department include in writing all of the above conditions. This action does not authorize or condone any current or future use, setback or other feature of the subject property that violates the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. Vote of the Board: Ayes: Members Goehringer (Chairman), Dinizio, Tortora, and Collins. (Member Homing of Fishers Island was absent.~as~/ Gerard P. Goehring'er~r,, Cha~lrma~n-~~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined 20__ Approved /n, 20. ¥[7 ,20___ PERMIT NO. BUILDING PERMIT APPLICATION CHE, CKLI'~T Do you have or need the following, before applying? B'0ard of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Tmstees Contact: Mail to: Expiration ~cto APPLICATION FOR BUILDING PERMIT ~ Date a. This applicat~on~6-fi"I~O~e 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 Perm/t. 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 has 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 Southoid, 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 promises and in building for necessary inspections. (Signature of applicant or name, ifa corporation) /(Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises [~o y ~/, /t~ Fc/ ea ¢ ~ ,',~ a/a_ <-/ (As oh the tax roll 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 whichfiroposed work will be done: filch_lc House Number Street Hamlet County Tax Map No. 1000 Section Subdivision (Name) Block t~ Filed Map No. State existing use and occupancy of premises and intended use and occapancy of proposed construction: a. Existinguseandoccupancy "/'~orV .~ }na]~_ J~annl [ o ]~m~ b. Intendeduse andoccupancy /' ff ½a r I/ ' 3. Nature of work (check which applicable): New Building_ Repair ~emoval Demolition 4. Estimated Cost Fee 5. If dwelling, number ofdwelling units If garage, number of cars I Addition Alteration Other Work ~/a_m /~o~, (Description) (To be paid on filing this application) Number of dwelling units on each floor / 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions or existing structures, ir any: Front .~g2 Height ]t¢ ¢ 6" Number of Stories Dimensions of same structure with alterations or additions: Front ..3,2 '.2, '* Depth ¢/~ [/' Height ~ q ' Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories Size of lot: Front ,fro ' Rear ,.GO ' Depth 10. Date of Purchase /~//ff/~/' Name of Former Owner 11. Zone or use district in which premises are situated r[,'s/'ft'c_7t' /o OD Rear 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO V/ 13. Will lot be re-graded? YES__ NO V/ Will excess fill be removed fi.om premises? YES __ NO b// 14. Names of Owner of premises~ddress .{¢2 ? J~ d;, n ~¢ #.LPhone No. Gt,/- 95'/ oc>,2 o fir' Name of Architect , c,, Address ' Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES ~'/ NO * 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. 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 NEW YORK) SS: COUNTY OF /~-~ent o.~d 1~o,~ [O. ~m~ being duly sworn, deposes and says that (s)he is the applic~t ~ebf individual si~ng contract) above nmed, (S)He is the /~) t~ ~61"" (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. Sworn to before me this ~ day of ~ (~ Nota~blic 20 O~qc - (~7' SiglTature of A~Iicant ~' FORM NO. 3 NOTICE OF DISAPPROVAL DATE: August 16, 2007 AMENDED: September 10, 2007 TO: Roy A. Argent 6429 Indian Neck Lane Peconic, NY 11958 Please take notice that your application dated August 2, 2007 For permit to demolish an existing single family dwelling and construct a new dwelling at Location of property: 6429 Indian Neck Lane, Pcconic, NY County Tax Map No. 1000 - Section 86 Block 6 Lot 23 Is returned herewith and disapproved on the following grounds: The proposed additions and alterations to this existing single family dwelling, on a non-conforming 6615 square foot lot in the Residential R-40 District is not permitted pursuant to Article XXIII Section 200-124, which states that non-conforming lots, measuring less than 20,000 square feet in total size, require a minimum rear yard setback 0£35 feet, a single side yard setback of 10 feet and a total side yard setback of 25 feet. The new single family dwelling notes a rear yard setback of 30.6 feet, a single side yard setback of 5.6 feet and a total side yard setback of 12 feet. In addition, the proposed construction is not permitted pursuant to Article XXII Section 280-116 B, which states; "All buildings located on lots upon which a bulkhead, concrete wall~ riprap or similar structure exists and which are adjacent to tidal water bodies other than sounds shall be set back not less than seventy-five (75) feet from the bulkhead." The proposed construction notes a proposed setback of 30.6 feet ~rom thc bulkhead at its closest point. This Notice o£Disapproval was amended on September 10, 2007, to address chan~es in the scope of i applicant. Note to Applicant: Any change or deviation to the above referenced application, may require further review by the Southold Town Building Department. CC: file, Z.B.A. APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS Fee: $ Office Notes: __ Filed By:. For Office Use Only Date Assigned/Assignment No. House No. ~ qStreet ]ffOi~31 /V~C¢lC ]. t~ Hamlet SCTM 1000 Section tT~/t;Block 0 .~ Lot(s) O bl, 3 Lot Size ~.Ai~' ~'- F' Zone 1 (WE) APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED ~/.~6:g,t t~/~ &oo'7 BASED ON MAP DATED MailingAddress: ~, ~O~ /6~ ~COtdt'C IO~ I1~-~ Telephone: 56] -q~/- ~ ag hx ~: Email: NOTE: In addition to the above, please complete belo,v if application is signed by applicant's attorney, agent, architect, builder, contract vendee, etc. and name of person w o agent represents: Name of Representative: for( )Owner, or ( )Other: Agent's Address: Telephone Fax #: Email: Please check box to speci. O, who you wish correspondence to be mailed to, from the above names: [] Applicant/Owner(s), or [] Authorized RepresentaIive, or [3 Other Name/Address below: XVltEREBY THE BUILDING INSPECTOR REVIEWED MAP DATED ~-'~t/'~.E-J~L ta6and DENIED AN APPLICATION DATED 10~ (~¢~$~'/~. ,7~t,?FOR: ~Building Permit [] Certificate of Occupancy [] Pre-Certificate of Occupancy [] Change of Use [] Permit for As-Built Construction OOlher: Provision of the Zoning Ordinance Appealed. (Indicate Article, Section, Subsection of Zoning Ordinance bv numbers. Do not quote the code.) Article )tX"l [ t Section 280- f~ i ~L.:Z b ~o. I,~ t~ Subsection Type of Appeal. An Appeal is made for: ~f~A Variance to the Zoning Code or Zoning Map. [] A Variance due to lack of access required by New York lown Law-Section 280-A. [] Interpretation of the Town Code, Article Section [] Reversal or Other A prior appeal [] has, iff~as not been made at any time with respect lo this property, UNDER Appeal No. Year __. (Please be sure to research before completing this question or call our of rice for assistance.) NameofOwner:~Oy~ff~4/~ ,~/~x/~)~ ~e~/~'~/W~ ZBAFile# REASONS FOR APPEAL {additional sheets maF be used with preparer's signature): AREA VARIANCE RE,4SONS: (1) An undesirable change will not be produced in the CHARACTER of the neighborhood or a detriment to nearby properties if granted, because: (2) The benefit sought by the applicant CANNOT be achieved by some method feasible for the applicant to pursue, other than an area variance, because: (3) The amount of relief requested is not substantial because: (4) T~e variance will ~OT hive an ~dverse effect or impact on t~e ~bysi~ll or environmental conditions in the neighborhood or district because: (5) Has the alleged difficulty been self-created? ( )Yes, or (x~o. Are there Covenants and Restrictions concerning this land: ~No. uI Yes (please furnish coov). This is the MINIMUM that is necessary and adequate, and at the same time preserve and protect the character of the neighborhood and the health, safety, and welfare of the community. Check this box ( ) IF A USE VARIANCE IS BEING REQUESTED, AND PLEASE COMPLETE THE ATTACHED USE VARIANCE SHEET: (Please be sure to consult your attorney.) Sworn to before me this day of ~_~g~, 20 ~ N°t~X~Puhlic e of ~pellant or .~uthorized Ag~ (Agent must submit written Authorization from Owner) John M. Judge NOTARY PUBLIC State of New York No. 01JU605940(~ Qualified In Suffolk County ~, I Commission Expires May 29, 20 ~ APPLICANT'S PROJECT DESCRIPTION (For ZBA Reference) I. For Demolition of Existing Building Areas Pleasedescribeareasbeingre~oved: ~gc~r~L. n~' rflo,~n~c~/ton ~ Po t2. ode~ II. New Construction Areas (New Dwelling or Ne~v Additions/Extensions): Dimensions of first floor extension: Dimensions of new second floor: Dimensions of floor above second level: lteight (from finished ground to top of ridge): ~ ~//:2 ; /t, Is basement or lowest floor area being constructed? If yes, please provide height (above ground) measured from natural existing grade to first floor: /~ t. III. Proposed Construction Description (Alterations or Structural Changes) (anach extra sheet if necessary) - Please describe building areas: ~mber. o[ Floors and General Charactehstics BEFORE Alterations: / ~ ~/ f Number of Floors and Changes WITH Alterations: / / IV. Calculations of building areas and lot coverage (from Existing square footage of buildings on your property: ! / Proposed increase of building coverage: .~o~ r~/, - Square footage ofyour lot: ~ ~i~ ~ Percentage of coverage of your l o~ by guildifig area: V. eurposeofNewConstrnction: Tr. CrA;Se- t%',~,~ arid t'¢-~9/,aCe_, {'~']/E_rt ~ VI. Please describe the land conlours (flat, slope %, heavily wooded, marsh area, etc.) on your land how it relate~ to the difficulty in meeting code requirement(s): Please submit seven (7) photos, labeled to show different augles of yard areas after staking corners for new construction), and photos of bnildJng area to be altered with yard view. 7/2002; 2/2005; 1/2007 QUESTIONNA]RE FOR FI1 ,lNG WI'iH YOUR Z.B.A. APPLICATION Is the subject premises listed on the real estate market for sale7 D Yes ..1~ N o Are there any proposals to change or alter land contours? ~tNo [D Yes, please explain on attached sheet. 1) Are there areas that contain sand or wetland grasses? /V ~q 2) Are these areas shown on the map submitted with this application? 3) ls the property bulkheaded 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 determination of jurisdiction? Please confirm status of your inquiry or application with the Trustees: and if issued, please attach copies of permit with conditions and approved map. Is there a depression or sloping elevation near the area of proposed construction at or below five feet above mean sea level? /~0 Are there any patios, concrete barriers, bulkheads or fences thal exist and are not shown on the survey map that you are submitting'? /~/O (Please show area of these structures on a diagram if any exist. Or state "none" on the above line, if applicable.) Do you have any construction taking place at this time concerning your premises? If yes, please submit a copy of your building permit and map as approved by the Building Department and describe: G. Do you or any co-owner also oxvn other land close to this parcel? the proximity of your lands on your map with this application. H. Please list present use or operations conducted at this parcel $' //V'S2 ].. ~.: and proposed use (examples: existing: single-family; proposed: same with garage or pool, oT other description.) Autho~d ~ignWa~ure and Dale If yes, please label 2/05; 1/07 TRANSACTIONAL DISCLOSURE FORM APPLICABLE TO OWNER, CONTRACT VENDEE AND AGENT: The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of To~m officers and employees. The purpose of this form is to provide information, which can alert the Town of possible conflicts of interest and allow if to take whatever action is necessary to avoid same. (Last na~e, }irst name, m~dlc ~inilial, 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 Ilia! apply) Variance Special Exception *Other Approval or Exemption from plat or official map Change of Zone Tax Grievance *If "Other" name the activity: Do you personally (or through your company, sponse, sibling, parent, or child) have a relationship with any officer or employee of the To~aq of Soutbold? ,, · RelaBons~OAphi" includes by blood m~ama~;e~_ or business interest. ' ' , -- ____ Bt s~ness interest ~neans a business including: a ~'ship~iin which the Town _officer or emplo~vee ]las even a pmlial m~mershi.l~of (or ~nt b~ co~9~pration in which the Town officer or em~. owns more than 5% shares ............................. YES NO lf you answered "}'JSS'; complete the balattce of thisJbrm and date and sign where indicatea[ Name of person employed by the Tm~m of Southold: Title or position of that person: Describe that relationship between )'ourself (tile applicant, agent or contract vendee) and the Town officer or employee. Either check the appropriate line A throngh D (below) and/or describe the relationship in the space proxdded. 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 ox~mer of any interest in a nomcorporate entity (when the applicant is not a corporation); C) an officer, director, partner, or employee of the applicant; or ~__ D) the actual applicant. DI~SCR1PTION OF RELATIONSH][p ~gna ture: ~:f~ Print Name~~ Town of Southold LWRP CONSISTENCY ASSESSIVIENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other infom~ation used by a Town of'Southold a~ency in making a detem~ination of consistency. *Exce]~t minor exempt act/ou,~, including Buildin/ Permits and other ministerial permits not located within the Coastal Erosion H(zzarct ~Jrea. Before answering the questions in Section C, the preparer of this form should review tile exempt minor action list, policies and explanatious of each policy contained in the Town of Southold Local Waterfi-ont Revitalization Program. A proposed action will be evaluated as to its sigqtificant beneficial and adverse effects upon the coastal area (which includes all of Senthold Town). If'any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thns, the action should be analyzed in more detail and, if necessary, modified prior to making a detemfination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWILP is available iii the following places: online at tile Town of Southold's xvcbsite (sontholdtown.northfork.net), the Board of Trustees Office. thc Pla ~ a ng Department, all loc libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION /coo SCT ,I# Ob - The Application has been submitted to (check appropriate response): 1. Category. of Town of Southold agency action (check appropriate response): (a) (b) Action tmdertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, ]and transaction) Financial assistance (e.g. g~ant, loan, subsidy) ~(a) .... P erniit ~ 5~rov aI~qYc &i§~, certifi~hiioni Nature and extent of action: Locationofaction: ~ ~/~ '~ Site acreage: ~ /.5~ ~.,12. Present land use: Present zoning classification: If an application for the proposed action has been filed with the Toxvn of Southold aeency, the f011oxving information shall be provided: ~ (a) Name of applicant:~ge, ff (b) Mailing address: (c) Telephone number: Area Code ( )_~3'~, ! ~'_~! ~,.-2 Off (d) Application number, if any: Will the action be directly m~dertaken, reqoire fimding, or approval by a stale or federal agency? Yes ~] No [~ If yes, which state or federal agency? C. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Soulhold that enhances community character, preserves open space, makes efficient nse of infrastructure, makes beneficial use of a coastar location, and minimizes adverse effects of development. See L~,VRP Section 111 - Policies; Page 2 for evalnation criteria. [-]Yes [-] No [~ Not Applicable Attach additional sheets if necessary ' Pcl~T.-P~6tecf-a~d-pr6~;¥rv~ hisl6rik' a~hd fii'clj,'i¥olo~gfcal-i:6~ourEes 6fllie Toii:h bt'-Smffh~)ld[~ee LS.VRP S_e_ctlo~n_lll ~- Polic_ies Pages 3 throagh 6 fo,' evaluation criteria [] - cs [q [2 App,icab,e Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources thrOughout the Town Of South01d. See LWRP Section Ill - Policies Pages 6 through 7 for evaluation criteria [~] Yes ~] No [~ Not Applicable Allach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, strnctures, and natural resources from flooding and erosion. See LWRP Section II1 - Policies Pages 8 throngh 16 for evaluation criteria ~] Yes [~ No N Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III -Policies Pages 16 through 21 for evaluation criteria 7] ~es [] No 7ANo, ^pp,icab,e Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Signilican! Coastal Fish and Wildlife Ilabitats and vcetlands. See I,~VRP Section I11 - Polleio~. Paooe 99 through 32 for evalnat~on crHena. Yes No [] Noi Appl[~bie Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Soulhold. See LWRP Section 1II - Policies Pages 32 through 34 for evalaatioo criteria. Yes [~ No [~ Not Applicable Atlach additional sheets if necessm-y Policy 8. 1Vlinimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section 111 - Policies; Pages 34 through 38 for evaluation criteria. {~ Yes {~ No [] Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See L~VRP Section 111 - Policies; Pages 38 through 46 for evaluation criteria. ~] Yes[~ No[~ Not Applicable AOach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section Ill - Policies; Pages 47 through 56 for evaluation criteria. Attach additional sheets if necessary Policy 131. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III -Policies; Pages 57 through 62 for evalnation criteria. [~ Yes [~ [No ~ Not Applicable D£ At~ach additional sheets if necessary Policy 12. Protect agricultural lands in the Town' of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. [] Yes [] No ~ Not Applic.able Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LXVRP Section Ill - Policies; Pages 65 through 68 for evaluation criteria. ~]~Yes [] ;o [] Not Applicable Created on 5,~5,/05 l l.'20 AM 617.21 Appendix C State Environmental Quality Review SHORT ENFIRONMENTAL A~$ESSMENT FORM For UNI. ISTED ACTIONS Only PART 1 - Project Information (To be complete by Applicant or Project spomor) 1, Applicant / Sponsor 2. Project Name SEQR 3 Project location: Municipality County [ 4. Precise location (Street address and road intersections, prominent landmarks, etc. or provide map) 5. Is proposed action: ( ) NEW ( ) EXPANSION ( ) MODIFICATION / ALTERATION 6. Descdbe project bdefly: 7. Amount of land affected: Initially: acres; Ultimalely: acres 8 Will proposed action comply with existing or other existing land use restrictions:( ) YES ( ) 110 If No, descdbe bdefly: 9, Whal is present land use in vicinity of prelect: (describe): I ( )Residential ( ) Industrial ( ) Commercial ( ) Agncullural ( ) Park/Forest/Open Space ( ) Other 10. Does action involve a permit approval or funding, now or ultimately from any other Governmental agency,(Federal, State or Local) ? I} YES ( ) NO If Yes, list agency(s} and para, it/approvals: 1 t Does any aspect of the ac§on have a currently valid permil or approval? ( ) YES ( ) NO If Yes, fist agency(s) and permit/approvals: 12. As 8 result of proposed aclion, will existing permiVapproval require modification? ~ ! YES f ~ NO If Yes, list agency(s) and permit/approvals: I certify that the information provided above is true to the best of my knowledge Applicant / Sponsor Name: Dale: Signature: If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment A/ $ SURV6Y OF · DESCRIBED PROPERTY SITUATE PECONIC, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR: ROY W. ARGENT LINDA ARGENT TM# SEE MAP C ~-) TAX MAP NUMBER '~ ~ lOOO-OSS-o6-o2J ~ AREA = 6,615 S.F ~ OR C:) 0.152 ACRES CONC ~ON GUARANTEED TO: ROY W. ARGENT LINDA ARGENT CONC TAX MAP NUMBER '1000-086-06-02 1 AREA = 11,214 S.F OR 0.257 ACRES SURVEYED: 72 JUNE 2006 SCALE 1"= 50' AREA = SEE LOTS SURVEYED ElY STANLEY U. ISAKSEN, JR. P.O. 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