HomeMy WebLinkAbout1000-31.-16-2.2 OFFICE LOCATION:
Town Hall Annex
54375 State Route 25
(cor. Main Rd. & Youngs Ave.)
Southold, NY 11971
MAILING ADDRESS:
P.O. Box 1179
Southold, NY 11971
Telephone: 631 765-1938
Fax: 631 765-3136
LOCAL WATERFRONT REVITALIZATION PROGRAM
TOWN OF SOUTHOLD
MEMORANDUM
To: Gerard Goehringer, Chair
Town of Southold Zoning Board of ~A/~eals
From: MarkTerry, Principal Planner ~'g~'-
LWRP Coordinator--
Date: August 17, 2009
Re:
ZBA file Ref. No. # 6304. NORMAN and APRIL WENK
Location: 415 South Lane (a/k/a Huckleberry Hill Road), East Marion
SCTM 31-16-2.2
Request for a Variance from Zoning Code Section 280-116, based on the Building Inspector's
April 22, 2009 Notice of Disapproval concerning proposed additions to the existing dwelling at
less than the code-required minimum of 75 feet from the bulkhead adjacent to Gardiners Bay.
Location of Property: 415 South Lane (a/k/a Huckleberry Hill Road), East Marion.
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 CONSISTENT with the denoted following Policy Standards and
therefore is CONSISTENT with the LWRP.
Pursuant to Chapter 268, the Southold Town Zoning Board of Appeals shall consider this
recommendation in preparing its writte,; determination regarding the consistency of the
proposed action.
Cc: Jennifer Andaloro, Assistant Town Attorney
2?
MAIN
t~A~ION LAKE
MARION LAKE
Reel Property Tdx Service Agency
Office Location:
Town Annex/Fi~t Floor, Capital One Bank
54375 Main Road (at Youngs Avenue)
Southold, NY 11971
Mailing Address:
53095 Main Road
P.O. Box 1179
Southold, NY 11971-0959
http://southoldtown.northfork.net
BOARD OF APPEALS
TOWN OF SOUTHOLD
Tel. (631) 765-1809 Fax (631) 765-9064
May 7, 2009 '
Mark Terry, Senior Environmental Planner
LWRP Coordinator
Planning Board Office
Town of Southold
Town Hall Annex
Southold, NY 11971
Re: ZBA File Ref. No.//6304 (Wenk, Norman & April)
Dear Mark:
We have received an application for additions and alterations to existing structure. A
copy of the Building Inspector's Notice of Disapproval under Chapter 280 (Zoning
Code), and survey map, project description form, are attached for your reference.
Your written evaluation with recommendations for this proposal, as required under the
Code procedures of LWRP Section 268-5D is requested within 30 days of this letter.
Thank you.
Very truly yours,
Encls.
Gerard P. Goehringer
Office Location:
Town Annex/First Floor, Capital One Bank
54375 Main Road (at Youngs Avenue)
Southold, NY 11971
Mailing Address:
53095 Main Road
P.O. Box 1179
Southold, NY 11971-0959
http://southoldtown.northfork.net
BOARD OF APPEALS
TOWN OF SOUTHOLD
Tel. (631) 765-1809 Fax (631) 765-9064
April 30, 2009
Mark Terry, Senior Environmental Planner
LWRP Coordinator
Planning Board Office
Town of Southold
Town Hall Annex
Southold, NY 11971
Re: ZBA File Ref. No. #6304(Wenk N & A)
Dear Mark:
We have received an application for additions and alterations to existing structure. A
copy of the Building nspector s Notice of Disapproval under Chapter 280 (Zoning
Code), and survey map, project description form, are attached for your reference.
May we ask for your written evaluation with recommendations for this proposal, as
required under the Code procedures of LWRP Section 268-5D.
Thank you.
Very truly yours,
Encls.
Gerard P. Goehringer
Chai~
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD, NY.
NOTICE OF DISAPPROVAL
DATE: April 22, 2009
TO:
Mark Schwartz for
N & A Wenk
P O Box 933,
Cutchogu¢, NY I 1935
Please take n'otice flnat your application dated April 21, 2009
For p,,rmlt ~or additions to an existing dwelling
Location ofpropa'ty: 415 South La., aka Hucklcben'y Hill Rd,, E. Marion
County Tax Map No. 1000 - Soc~ton .31 Block 16 Lot 2.2
Is returned h~n.e~vith and disapproved on the following grounds:
The construction, on this 39,071 sq. ~. lot in the R40 District, is not permitted pursuant to
Article XXIII, Section 280-116 which states:
"All buildings or structures located on lots upon whiCh a bulkhead .... exists & which are
adjacant to tidal water bodies other than sounds shall be set back not less than 75' from the
bulkhead.'
The proposed additions are setback approximately.60' from ti~e bulkhead.
APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS
Offict Not~s:
__ Filed By:
For Office Use Only
Date Assigned/Assignment No.
HouseNo. 415 Street South Lane Hamlet East Marion
SCTM 1000Section 31 Block 16 Lot(s) 2.2 Lot Size 39,071 Zone R40
! (%NE) APPEAL THE WRITTEN DETERMINATION OF THE BUILD1NG INSPECTOR
DATED BASED ON MAP DATED
Applicant(s)/Owner(s):. Norman and April Wenk
MailingAddress: 62 Wellington Road Garden City, New York 11530
Telephone: 477-0315 Fax#: Email: nwenk@americancasting.com
NOTE: in addition to tbe ahg¥~ pl~l~ complete below if application is signed by applicant's aflorney, again, architect, builder, cont rac~
vendee, etc. and name of person who agent t~pres~a~s:
Name of Representative: Mark $¢hwart=, Arehitect for (×) Owner, or ( ) Other:
Agent's Address: PO Box 933 Cutchogue 11935
Telephone 734-4185 Fax#: 734-2110 Emaihmksarchit ect@opt online, net
Please check box to specify who you wish correspondence to be mailed to, from the above names:
~ Applicant/Owner(s), or ~ Authorized Representative, or [] Other Name/Address below:
WHEREBY THE BUILDING INSPECTOR REVIEWED MAP DATED 11 / 19 / 08 and DENIED
AN APPLICATION DATED 04/21/09 FOR:
~ Building Permit
[] Certificate of Occupancy O Pre-Certificate of Occupancy
D Change of Use
[] Permit for As-Built Construction
OOther:
Provision of the Zoning Ordinance Appealed. (Indicate Article, Section, Subsection of Zoning
Ordinance by numbers. Do not quote the code.)
Article XXI I I Section 280- 116 Subsection
Type of Appeal. An Appeal is made for:
g] A Variance to the Zoning Code or Zoning Map.
~3 A Variance due to lack of access required by New York Town Law-Section 280-A.
[] Interpretation of the Town Code, Article Section
[] Reversal or Other
A prior appeal ~3 has, tXhas not been made at an)' time with resoect to this nroperty~ UNDER Appeal
No. __ Year__. (Please be sure to research before completing this question or call our office for
assistance.)
Name of Owner: ZBA File #
REASONS FOR APPEAL (additional sheets may be used with vret~arer's sienature):
AREA VARIANCE REASONS:
(1) An undesirable change will not be produced in the CHA.RACTER of the neighborhood or a.
detriment to nearby properties if granted, I~. ~u~el~et hc%a~rraa~ttelrn% ~ ft ~eh%er~hbsOt.;hd.qOr~ l~eecfau s e
will not creane any change 1
the size and scale of this house is consistent with the neighboring houses.
The existinq house is a two story structure and the proposed project will
expand the ~ootprint by only 393 sf and height of the new second floor
roofline will match the roofline of the existing structure.
(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: although the project proposes
additions and alterations to towards the landward side of the existing
structure, the work is still in a location within 75' of the bulkhead.
(3) Theamountofreliefrequestedisnotsubstantialbecause:the height of the proposed
additions matches the existing roof height and the addional lot
coverage is only 1%.
(4) The variance will NOT have an adverse effect or impact on the physical or environmental conditions
in the nei hborho0d or district because:the project will implement a drainage system
of dr~ells to capture and recharge roof runoff from the entire renovated
structure and the project will create a non-turf buffer. Consequently, the
fertilizers and other chemicals into or~ent MarDor.
(5) Has the alleged difficulty been self-created? ( )Yes, or (X)No.
Are there Covenants and Restrictions concerning this land: {~ No. [3 Yes ~
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 _ ,cx ~BEING REQUESTED, AND PLEASE COMPLETE THE
ATTACHED USE VARIANCE SHEET: (Please be
(Agent must submit written aer)
Sworn to b~fore me this~'¢O
day o~qatt-c ~, , 20 ~__~.
Notary Publh:
No. 01T06190696
Qualified in Suffolk Count~ , ~
~mrnission Expires July 28, 20 / ~
APPLICANT'S PROJECT DESCRIPTION
(For ZBA Reference)
Mark Schwartz for
Applicant: Norman and April Wenk Date Prepared: 03 / 10 / 07
I. For Demolition of Existing Building Areas
Please describe areas being removed: no areas will be removed
II. New Construction Areas (New Dwelling or New Additions/Extensions):
Dimensions of first floor extension: approx 2 0 ' x 18 '
Dimensions of new second floor: approx 14 ' x 2 4 '
Dimensions of floor above second level: none
Height(from finishedgroundtotopofridge): 26 ' existing and 26 ' proposed
Is basemem or lowest floor area being constructed? If yes, please provide height (above ground)
measured from natural existing grade to first floor: no
III. Proposed Construction Description (Alterations or Structural Changes)
(attach ex'~a sheet if necessary) - Please describe building areas:
Number of Floors and General Characteristics BEFORE Alterations: 2 story' house with Kitchen,
Dininq Rm. Livinq Rm. Den. 4 Bedrooms and 1 1/2 bathrooms
Number ofFloorsandChangesWITHAlterations: 2 story house with expanded Kitchen,
Dinin_~ Rm. Livinq Rm. expanded Den. 5 Bedrooms and 3 full bathrooms
IV. Calenlations of building ar~as and lot coverage (from surveyor):
Existing square footage of buildings on your property: 1816 s f
Proposed increase of building coverage: 1%
Squarofuntageofyourlot: 37441 sf {excludes area from high water to bulkhead)
Percentage of coverage of your lot by building area: 5.9%
V. Pu?p~e_~ _ofNewConstruction: to 9~pand the Kitchen and Den areas,- c_re_ate-
3 full bathrooms, a Master Bedroom cloSet and One additional bed~oo
VI. Pl~sed~cribethelandcontours(fla~slo~ %,heavi~ wooded, marshar~,e~.)onyourland
andhowit~latestethedifficul~ln m~tingthecoderequiramen~s):
about 90% of the property is relatively flat with a steep sloped
embankment on the south side.
Please submit seven (7) photos, labeled to show different angles of yard areas after staking corners
for new construction), and photos of building area to be altered with yard view.
7/2002; 2/2005; 1/2007
WENK PROPERTY
QUESTIONNAIRE
FOR FILING WITH YOUR Z.B.A. APPLICATION
A. Is the subject premises listed on the real estate market for sale?
[] Yes ~ No
B. Are there any proposals to change or alter land contours?
~ No [] Yes, please explain on attached sheet.
1) Are there areas that contain sand or wetland grasses? Yes
2) Are these areas shown on the map submitted with this application? Yes
3) ls the property bulkheaded between the wetlands area and the upland building area? Yes
4) If your property contains wetlands or pond areas, have you contacted the office of the
Town Trustees for its determination of jurisdiction? Yes Please confirm status of your
inquiu or application with the Trustees: application submitted
and if issued, please attach copies of permit with conditions and approved map.
D. ls there a depression or sloping elevation near the area of proposed construction at or below five
feet above mean sca level? no
Are there any patios, concrete barriem, bulkheads or fences that exist and are not shown
on the survey map that you are submitting? no (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? no
If yas, please submit a copy of your building permit and map as approved by the Building
Department and describe:
Do you or any co-owner also own other land close to this parcel? no If yes, please label
the proximity of your lands on your map with this application.
H. Please list present use or operations conducted at this parcel single family residential
/Oz~araple~'n~ s~e.famand proposed use single family residential (expanded)
ily; proposed: same wi~ ~ ~.) -- --
^utl~orized Sign~ture~d Date / / 2/05; 1/07
Mr. and Mrs. Norman Wenk
62 Wellington Road
Garden City, NY 11530
April 22, 2009
To Whom It May Concern:
I, Norman Wenk, authorize Mark Schwartz, AIA - Architect, to act as agent for
permit applications to the Southold Zoning Board of Appeals, Southold Town
Board of Trustees, New York State Department of Environmental Conservation,
Suffolk County Department of Health and the Southold Building Department.
The proposed residential additions/alterations construction project is located
at 4 15 South Lane, East Marion, New York.
Sincerely,//~/:~
Norman Wenk
Date:
AGRICULTURAL DATA STATEMENT
ZONING BOARD OF APPEALS
· TOWN OF SOUTHOLD
Ft'ItEN TO USE THIS FORM: The form must be completed by the applicant for any special use permit, site
plan approval, use variance, or subdivision approval on property within an agricultural district OR within
500 feet of a farm operation located in agricultural distric& All applications requiring an agricultural data
statement mUst be referred to the Suffolk CounOi Department of Pinnning in accordance with sections 239-
m and 239-n of the General Municipal Law.
1 ) AN~u~ of Applicant: .~. ~ ]t~
2). dressofApplicant: ~ ~OX ~flfl .
3) Name of Land Owner (if other than applicant):
4)Address°fLandOWner: ~ ~ 6(dFt_c /,~ ~ "~.~
5) Description of Proposed Project: ,,~/~Z::'/77p~o'
/
6) Location of Property (road and tax map number):
7) ls the parcel within an agricultural district~No I-lYes ffyes, Agricultural District Number
8) Is this parcel actively fanned? ~No [] Yes
9) Name and address 'o~f any owner(s) of land within the agricultural district containing active farm
operation(s) located 500 feet of the boundary of the proposed project. (/nformation may be available through
the Town Assessors Office, Town Hall location (765-1937) or from any public computer at the Town Hall
locations by viewing the parcel numbers on the Town of Southold Real Property Tax System.
Name and Address
(Please use back side of page if more than s~x property owners are identified.)
The lot numbers may be obt~ed, in advance, when requested from
1938 o~e_~n'm~/o~ o~ 765-1809. the Office of the Planning Boarcl at 765-
Signatu~_~ant ~- '
Note:
1. The local board will solicit comments from the owners of land identified above in order to consider the effect of the proposed action
on their farm operation. Solicitation will be made by supplying a copy of this statement.
2. Comments returned to the local board will be taken into consideration as part 6fthe overall review of this application.
3. The clerk to the local board is responsible for sending copies of the completed Agficoltural Data Statement to the propotty owners
identified above. The cost for mailing shall be paid by the applicant at the time the appbe~on is submitted for review. Failure to pay at
such time means the application is not complete and cannot be acted upon by the board.
1-14-09
WENK PROPERTY
Town of Southold
LWRP CONSISTENCY ASSESSMENT 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 information used by a Town of Southold agency in
making a determination of consistency. *Except minor exempt actions including Building Permits
and other ministerial permits not located within the Coastal Erosion Hazard Area.
Before answering the questions in Section C, the preparer of this form should review the exempt
minor action list, policies and explanations of each policy contained in the Town of Southold Local
Waterfront Revitalization Program. A proposed action will be evaluated as to its significant
beneficial and adverse effects upon the coastal area (which includes all of Southold Town).
If any question in Section C on this form is answered "yes", then the proposed action may affect the
achievement of the LWRP policy standards and conditions contained in the consistency review law.
Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a
determination that it is consistent to the maximum extent practicable with the LWRP policy
standards and conditions. If an action cannot be certified as consistent with the LWItP policy
standards and conditions, it shall not be undertaken.
A copy of the LWRP is available in the following places: online at the Town of Southold's
website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all
local libraries and the Town Clerk's office.
B. DESCRIPTION OF SITE AND PROPOSED ACTION
SC~ 31 16 2.2
The Application has been submitted to (check appropriate response):
TownBoard [] PlanningOept. ~-~ BuildingOept. [] BoardofTrustees []
I. Category of Town of Southold agency action (check appropriate response):
(a) Action undertaken directly by Town agency (e.g. capital []
construction, planning activity, agency regulation, land transaction) []
Co) Financial assistance (e.g. grant, loan, subsidy)
(c) Permit, approval, license, certification:
Nature andextentofaction:
Proposed first floor addition of 393 sf with a second floor
addition of 300 sf to expand Living areas, add bathrooms and
one bedroom
Locationofaction: 415 South Lane
Site acreage:. .897 acres
East Marion
Pmsent land use: sinqle family residential
Present zoning classification: R40
If an application for the proposed action has been filed with the Town of Southold agency, the following
information shall be provided:
(a) Nameofapplicant: Norman and ADr±i Wenk
(b) Mailingeddress: 62 Wellington Road Garden City, NY 11530
(c) Telephone number: Area Code (). 477-0315
(d) Application number, if any:
Will the action be directly undertaken, require funding, or approval by a state or federal agency?
Yes [] No ~ If yes, which state or federal agency?
DEVELOPED COAST POLICY
Policy 1. Foster a pattern of development in the Town of Southold that enhances community character,
preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and
minimizes adverse effects of development. See LWRP Section IH - Policies; Page 2 for evaluation
criteria.
[-'] Yes [--] No [] (Not Applicable- please explain)
This project entails additions and alterations to a sinqle family dwellinq
on a previously developed site in a heavily developed neiqhborhood.
Policy 1 is not applicable to this project.
Attach additional sheets if necessary
Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See
LWRP Section III - Policies Pages 3 through 6 for evaluation criteria
Yes [] No ~] (Not Applicable - please explain)
This project does not contain nor does the project affect historic or
archeoloqical resources; nor is the project located in a historic
maritime area. Policy 2 is not applicable to the project.
A~ach additional sheets if necessary
Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See
LWRP Section III - Policies Pages 6 through 7 for evaluation criteria
[] Yes ~ No [] (Not Applicable- please explain)
To the extent that this policy is applicable to the proposed project,
visual quality and scenic resources will be protected at the site throuqh
the protection and maintenance of the well-veqetated embankment bufferinq
the developed portion of the site from Orient Harbor.
Attach additional sheets if necessary
NATURAL COAST POLICIES
Policy 4. MinimiTe loss of life, structures, and natural resources from flooding and erosion. See LWRP
Section III - Policies Pages 8 through 16 for evaluation criteria
~-~ Yes [] No [] (Not Applicable - please explain)
This proiect does not address nor affect erosion control struc~ure~ ~r
other erosion/floodinq control intitiatives. Policy 4 is not anDlicable
to the project.
Attach additional sheets if necessary
fancy ~~uunprove Wa~r q~ a~i:s~lppty~m~og~ou , ·
- Po.cies Pages 16 through 21 ~r evaluation cri~ria
[] yes [] No [] (Not Applicable- pleu expluin)
The proposed project is consistent with Poicy 5 via 3 major componentm~
1. installation of drywells to control and recharqe stormwater runoff,
2. upgrade the existinq sanitary system to ensure effective treatment of
sanitary waste, 3. retention of the existing vegetation on the embankment
buffering the project from tidal wetlands, which is to be ~reserved
permanentely and also protected from site disturbance durinq construction
by a nroject-limitinq fence and staked haybales.
At~teh addition~sh~tsifnecessary
Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including
Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section IH - Policies; Pages 22
through 32 for evaluation criteria.
[] Yes [] No [] (Not Applicable - please explain)
This project will be consistent with Policy 6 for the same reasons as Policy 5.
Attach additional sheets if necessary
Policy 7. Protect and improve air quality in the Town of Southold. Sec LWRP Section HI - Policies
Pages 32 through 34 for evaluation criteria. Sec Section III - Policies Pages; 34 through 38 for evaluation
criteria.
[] Yes [] No [] (Not Applicable - please explain)
The project will neither affect nor have an impact on air quality in the
Town of Southold. Policy 7 is not applicable to this project.
Attach additional sheets if necessary
Policy 8. 1Vliniml,e environmental degradation in Town of Southold from solid waste and hazardous
substances and wastes. Sec LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria.
[] Yes ~ No [] (Not Applicable - please explain)
The project will neither create nor require the handlinq of solid waste or
hazardous substances. Policy 8 is not applicable to the project.
PUBLIC COAST POLICIES
Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public
resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation
criteria.
~ Ye~ No ~-~ (Not Applicable - please explain)
As the project is limited to the upland portion of the property, landward
of an embankment, public access and recreational use of the adjacent
coastal waters and public lands and resources will not be affected by the
DroSect. Policy 9 is not aDDlicable to the proiect.
Attach additional sheets if necessary
WORKING COAST POLICIES
Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in
suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria.
[] Yes [--] No [] (Not Applicable - please explain)
The pro~ect neither proposes nor affects the water-dependent uses.
Policy 10 is not applicable to the project.
Attach additional sheets if necessary
Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic
Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria.
[] Yes ~ No [] Not Applicable - please explain
The project neither proposes nor affects commercial or recreational fisheries
or other uses associated with the livinq marine resources of Long Island Sound.
Policy 11 is not applicable to the project.
Attach additional sheets if necessary
Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages
62 through 65 for evaluation criteria.
[] Yes ['-q No [] Not Applicable - please explain
The project is neither situated on nor adjacent to agricultural lands.
Policy 12 is not applicable to the project.
Attach additional sheets if necessary
Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP
Section III - Policies; Pages 65 through 68 for evaluation criteria.
[] Yes ['~ No [] Not Applicable- please explain
The project affects neither the use nor the development of energy and
mineral resources. Policy 13 is not applicable to the project
PREPARED BY ~~ date
APPLICANT
TRANSACTIONAL DISCLOSURE FORM
(FOR SUBMISSION BY OWNER and OWNER'S AGENT)
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.
YOURNAME: Schwartz, Mark K.
(Last name, first name, middle initial, unless you are applying in the name
&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 X
Special Exception
If "Other",
name the activity:
Change of Zone
Approval of Plat
Exemption from Plat
or Official Map
Other
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 X
Complete the balance of this form and date and sign below where indicated.
Name of person employed by the Town of Southold:
Title or position of that pe~on:
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 of the applicant; or
D) the actual applicant.
DESCRIPTION OF RELATIONSHIP
Signature:
Print Name: Mark Sclzfa~tz
OWNE~
Fo.rLM ER OW.!~.E R
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IMP. TOTAL
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DATE REMARKS,
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TOTAL
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o
APPLICANT
TRANSACTIONAL DISCLOSURE FORM
(FOR SUBMISSION BY OWNER and OWNER'S AGENT)
The Town of $outhold'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.
(Last nan', first name, middle initial, unless you are applying in lhe 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 X
Special Exception
If "Other",
name the activity:
Ch ange of Zone
Approval of Plat
Exemption from Plat
or Official Map
Other
Do you personally, (or through your company, spouse, sibling, parent, or child) have a relationsbip
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 exnployee 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 X
Complete the balance of this form and date and sign below 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 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 of the applicant; or
D) the actual applicant.
DESCRIPTION OF RELATIONSHIP
Submitted this
Signature:
Print Name:
617.21
Appendix C
State Environmental Quality Review
SHORT ENVIR O NMENTAI~ /tSS ESSMEIVT FORM
For UNI. ISTED ~ICTiON$ Only
PART I - Project Iaformatioa (To be complete by Applicaat or Project sponsor)
1. Applicanl / Sponsor 2. Project Name
SEQR
3. Project )oca~fon: Municlpalily Couniy
4. Precise location (Slreet address and road inleCsec'lJons, prominent landmarks, etc. 0¢ provide r~ap)
5. Is proposed action:
ii )NEW (~)E×PANSION (~) MODIFICATION / ALTERATION I
6. Describe project bdefly: _
?. ~ount of land affe~ed:
Initially: acres; Ultimately: acres
8. Will proposed action comply with existing or other existing land use reethcUons:(~YES
) NO If No. descdbe bdetiy:
9. W.~l. ls present land use in vicinity of project: (describe):
l(t,,,"'~Residential ( ) Industrial ( ) Commercial ( ) Agricultural ) PaddForest/Open Space ( ) O~er
10. Does action involve a permit approval or funding, now or ultimately from any ether GoVernmental agency,(Federal, Slate or Local) ?
~ '~)~) YES ( ) NO if Yes, list agency(s) and permit/approvals:
12. As a result of proposed acllon, will existing pen"nit/approval require modification?
YES ( ) NO If Yes. Iisi agency(s) and permi~/approvals:
I ced/fy that the information provided above is true to the best of my kn, owledge
J..~., --.... ~ ..-I .,e -- __-.,,
/,,
IApplicent/Sponsor Name: ,J ~/.~T~,,~ ~.'r~ ~ ~ .
If the action is in the Coastal Are~ou are a
state agency, complete the Coastal Assessment Form before proceedint/ with this assessment
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.NorthFork.net
Examined ,20__
Approved ,20
Disapproved a/c J~C ~///~/e
Expiration ,20__
PERMIT NO.
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
' ~, ,: '- , 4 setsofBuilding Plans
Planning Board approval
, , Survey.
Check
Septic Form
N.Y.S.D.E.C.
Trustees
_ ~ Flood Permit
-- ' [ Phone'
6tOG. DEFt. · ~, '
Building Inspector
APPLICATION FOR BUILDING PERMIT
a. This apphcation MUST be completely filled m by typewriter',Or in ink'and s~bmi~ted t(~ the'B~ilding 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
~eas, and waterways.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building ~specror 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 buildiag 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 buildi~permit shall expire if the work authorized has not commea~ed within 12 months after the date of
issuance or has not .been completed within 18 months fi.om such date. If no zoning an~endments or other regulations affecting the
p oper~f have been. a~aacted in the interim, the Building Inspector may authorize; ' ' ....
· ' - m wrifmg 'the extension of the permit for an
ad. dit/.on ~ix mClgths'.. Thereafter, a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Department for ~e Issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Senthold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the constmcti6i~ 0fbuildiag~, additions, or alterations or for removal or demolition as herein described. The
applicant agrees to comply with all applicable !aws, ordinances, building code, housing code, and regulation, and to admit
~uth°rized inspect°rs °n premises and in building f°r necessary inspecti°ns' r/~
(Signature of applic}a~, name, if a corporation)
(Mailing address of applieafit)
;tate whether applicant IS owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
4ame o f owner of premises
f applicant is a corporatio'n; signature of duly authorized officer
(Name and title of corporate officer)
:uilders License No.
lumbers License No.
~lectricians License No.
)ther Trade's License No.
(As on the tax roll or late~t deed)
· Location of land on whieh proposed work will be done:
4.45 S c .cf- ,'
House ~umber Street ' ' Hamlet
County Tax Map No. I000 SectiOn" ~/' Block,
Subdivision Filed Map NO.
Lot Z. f
Lot
State existing use and occupancy of prer~'ses and intended use and occupancy of proposed construction:
a. Existing use and occupancy .,%/~'(.~ ~;,~,,f, Ct't;?
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building.
Repair Removal Demolition
Addition ~' Alteration
Other Work
(Description)
4. Estimated Cost
.! . (To be paid on filing this application)
Number of dwelling units on each floor
of each type of use.
Depth
5. If dwelling number olt~welling units
f, garage, munber bY c~ s ! '"."
6. If businems,.corr_m~_ &~ial~.or mix_ed occ~[pan~r'spee!fy-ua ~tr_e ~.and ~xteni
?. D~io~ ofexisQn~ s~c~es, iffy: ~ront
Height Number of Stories
Dimensions of same structure with alterations or additions: Front
Depth Height Number of Stories
8. Dimensions of__~e n~c2~hsl~ucfion: Front Rear
Height Number of Stories
9. Size oflot: Front ~-~-~--~b/~ROtfa~ ( S'/7-~ ~:~C'~t"~'2
.Depth
Depth
Rear
10. Date of Purchase 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 y NO
13. Will lot be re-graded? YES NO ~X~ Will excess fill be removed from premises? YES ~ NO
14. NamesofOwnerofpr_.emises ~ff~/LJ~' Address PhoneNo. t~'77"
Name of Architect ~' C/"/~' ~'I1~ 7'-Z.- Address Phone No 77 .dS- .~/o0,5'"'
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~ '.~300. feet o~'a t{dal wetland? * YES ~/ NO__
* IF YES, D.E.C. PER.h;'IITSiMAYBE REQUIRED.
16. Provide survey, tox~.c~c, 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.
18. Are there any covenants and restrictions with respect to this property?. * YES NO ~
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK) .
.
COUNTY/~//~OF
,' t,' ~¢~/~ /~/~'*'/~,~ ~' ~ berg duly sworn, d~oses ~d says ~at (s)ha is ~e applic~t
~me of ~d~ sing con~ct) above ~ed,
(~o~ctor, ~g~t, Co,orate Office, 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 fozth in the application filed therewith.
Sworn.to before me this ..
Nota/y Public ,_~__.~h~ .~9~6~unt~ , .~ ' I,~i~naf~e -o~/Applicant
EXiliNG SOUTH R~aVATZON
~ ~%TING FOUNDAI~ON I~
~I~ NORTH ~IEVATION
(~ ~G ~ND FLOOR PLAN
A-2
POUNDATION ~
(~ ~R~ a, K1TCMEN ~OR I]Lt~rATION
A-3
ZZZZZZZZZZZZZZ_qZJ ~£z£~
NOl~I I~;~v'ATION
(~) 80IJTH ~ ]r~ATION
(~E~ RLRVATION
A-$
TH
NOTES:
SURVEY OF PROPERTY
SITUA T.E
EAST MARION
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-51-I6-2.2
SCALE 1"=20'
NOVEMBER 21, 2008
AREA = 59,071 sq. ff.
(TO TIE LINE) 0,897 ac,
CERTIFIED TO:
NORMAN WENK,
APRIL WENK
1. ELEVATIONS ARE REFERENCED TO N.G,V,D. 1929 DATUM
EXISTING ELEVATIONS ARE SHOWN THUS:~,~
EXISTING CONTOUR LINES ARE SHOWN THUS: ......... ~ .........
2, FLOOD ZONE INFORMATION TAKEN FROM:
¢, FLOOD INSURANCE RATE MAP No, 56105C0177 G
'~¢J .,' ZONE AE' BASE FLOOD EI.EVATIONS DETERMINED
ZONE X: AREAS DETERMINED TO BE OUTSIDE 500-YEAR FLOODPLAIN,
%?:- ,¢
¸LO
S 8'2'46 5,0
56.82
THE EXISTENCE OF EIGHT OF WAY~
N,Y,S. LIc. No. 50&07
Nathan Taft (
Land Surve
PHONE (631)727-2090 Fax (631)727
HAPLEGEND
AREA CALCULATIONS
BXS'INd HQ.15;: ¢50.78 5Q,
SCTM# 1000-31-16-2.2
G SITE Pr,AN %~
I"=20'-~
EXIS'r~NG
FRAME HOUSE
W/INTERZOR
ALTERA'rZONS
PROPOSED
N
PHOTO
PHOTO "B"
PHOl13
STORHWATER MANAGEMENT REOUIREMENTS
STRAW BALE DIKE DETAZLS
REVISIONS
~OOF ¢~, Ffd,
B) IF THE EXCAVATION IS DEEPER THAN 7 FEET, THE SLOES MUl~f BE SLOPED
OUTWARDS AT A 45 DEGREE ANGLE ABOVE 4 FEET OR INSTALL SHORING.
HILLSIDE EXCAVAT/ONr EXCAVATE THE H~LL ~ACK TO AN ANGLE OF REPOSE . THE
SILT FENCE DETAILS
0
Z
DRAWN:
SCALE: 1/4":l'-0"
NOVEMBER 19, 2008
SHEET NUMBEIlz
A-1