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Home My WebLink About1000-31.-18-20.1 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cot. Main Rd. & Youngs Ave.) Southold, NY 11971 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 i LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Gerard Goehringer, Chair Town of Southold Zoning Board of Appeals From: Mark Terry, Principal Planner LWRP Coordinator Date: July 17, 2009 Re: ZBA# 6302 (JOSEPH and JOANNA CHERNUSHKA) Location: 640 Rabbit Lane, East Madon SCTM# 1000-31 .-18-20.1 Note this proposed action is before the Board of Trustees. JOSEPH and JOANNA CHERNUSHKA # 6302. Location of Property: 640 Rabbit Lane, East Madon; CTM 31-18-20.1 (adjacent to Gardiners Bay). Requests for Variances under Sections 280-116B and 280-124, based on an application for a building permit for additions and alterations to the existing dwelling, and the Building Inspector's March 13, 2009 Notice of Disapproval. 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 INCONSISTENT with the denoted following Policy Standards and therefore is INCONSISTENT with the LWRP. A portion of the existinq residential structure is located seaward of the Coastal Erosion Hazard Line. 4.'/ Minimize losses of human life and structures from flooding and erosion hazards. The following management measures to minimize losses of human life and structures from flooding and erosion hazards are suggested: A. Minimize potential loss and damage by locating development and structures away from flooding and erosion hazards. Avoid development other than water-dependent uses in coastal hazard areas. Locate new development which is not water-dependent as far away from coastal hazard areas as practica/. Avoid hazards by siting structures to maximize the distance from Coastal Erosion Hazard Areas. Move existing development and structures as far away from flooding and erosion hazards as practical. Maintaining existing development and structures in hazard areas may be wsrranted for: c. sites where relocation of an existing structure is not practical. The rear yard setback on the parcel is 35 feet from Rabbit Lane. From the rear yard setback t~ the existin.q structure is a total distance of 22 feet. It is recommended that the Board assess th~ feasibility of relocatinq the structure closer to Rabbit Lane within the building envelope and requiring a landscaped buffer landward of the existing bulkhead. A recommended definition fo~ a landscaped buffer is: LANDSCAPED BUFFER -- a land area of a certain len.qth and width which is planted with indigenous, drouqht tolerant, veqetation similar to that found within the immediate proximity of the parcel. Veqetatio,, shall be installed in sufficient densities to achieve ninety-five (95) percent qround cover within two yea,~, of installation. Survival of planted veqetation shall be (ninety) 90 percent for a period of three yea, ~. Maintenance activities within the buffer are limited to removinq veqetation which are hazardous to life and property, tdmmin.q tree limbs up to a height of fifteen feet (15') to maintain v~ewsheds, replantinq o~' ve.qetation and establishin,q a four foot (4') wide access path constructed of pervious material for access; to the water-body. 5.1 Prohibit direct or indirect discharges that would cause or contribute to contravention of water quality standards. C. Ensure effective treatment of sanitary sewage and industrial discharges by: 8, providing and managing on-site disposal systems: bo protect surface and groundwater against contamination from pathogens and excessive nutdent loading by keeping septic effluent separated from groundwater and by providing adequate treatment of septic effluent. It is recommended that the Board require that the applicant upqrade the on-site-septic system t~ protect from potential contamination to qround and surface waters. Po/icy 6. Protect and restore the f/uality and function of the Town of Southold ecosystem 6.3 Protect and restore tidal and freshwater wet/ands. The distance from the bulkhead to the structure is 19 feet; a m~nimum separation distance of 75 feet is required pursuant to Article XXII Section § 280-116. which states: B. All buildings or structures located on lots upon which a bulkhead, concrete wall, t~prap or similar structure exists and which are adjacent to tidal water bodies other than sounds shall be set back not less than 75 feet from the bulkhead. The following exceptions will apply: It is recommended that the Board amend the application to meet and/or further the above policies to the greatest extent practicable. Pursuant to Chapter 268, the Southold Town Zoning Board of Appeals shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Jennifer Andalom, Assistant Town Attorney 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 SOUTItOLD Tel. (631) 765-1809 Fax (631) 765-9064 July 6, 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 # 6302 (Chemushka, JosePh & Joanna) Dear Mark, Please find additional enclosed amended site map and building department disapproval to our referral letter dated May 7, 2009, ZBA File # 6302 for Chemushka. If any other information is needed, please do not hesitate to call us. Thank you. ~'~*: Very truly your, - Gerar~kP. Goehringer FAIRWEATHER-BROWN DESIGN ASSOCIATES, INC. 205 Bay Ave Greenport, N.Y. 11944 631-477-9752 (fax) 631-477-0973 6/30/09 To: Southold Town Zoning Board of Appeals From: Amy Martin Re: Chernushka Residence 640 Rabbit Lane 1000-30-18-20.1 Attached, please find 8 copies of the revised site plan, dated June 30, 2009, showing the lot coverage calculations as determined by our office and signed by Architect Robert Brown. This plan was used/referenced by the Building Dept in its' amended disapproval to differentiate "buildable" and "nonbuildable" lots and the existing & proposed lot coverage, now stated as 30.9% where 20% is permitted. All other aspects of this project remain the same and the address is corrected to be 640 Rabbit Lane, not the historic address previously referred to. Due to confusion on the address we will be before the Trustees on July 22ad, which still pre-dates our hearing with you on the 30th. I await answers from the building dept on the Flood zone interpretation, in an effort to keep the proposed lifting to a 9' first floor level rather than 11'... as the "buildable" area of the property is entirely in AE 9 .... The owners will return the non-conforming use of the garage, which pre-existed their purchase, back to a storage space with half bath as was originally applied for, again prior to their purchase. Thank you for your consideration of this application. Respectfully submitted, FORM NO. 3 NOTICE OF DISAPPROVAL DATE: March 13, 2009 Revised: June 30, 2009 TO: Joseph & Joanna Chemushka C/o Amy Martin, agent 205 Bay Ave. Greenport, NY 11944 Please take notice that your application dated March 6, 2009: For permit for additions and alterations at: Location of property: 640 Rabbit Lane East Marion, NY County Tax Map No. 1000 - Section 31 Block 1~8 Lot 20.1 Is returned herewith and disapproved on the following grounds: The proposed additions and alterations, on this non-conforming 4,813 sq. ft. lot in the R- 40 District, is not allowed pursuant to Article XXII, section 280-116 (B), which states "All building or structures located on lots upon which a bulkhead ...exists... shall be set back not less than 75 feet from the bulkhead." The survey shows a setback of 19+/- feet from the bulkhead. Further pursuant to Article XXIII, Section 280-124, non-conforming lotslJ~4xhan feet shall maintain lot coverage of 20%, the survey show~/3~?:9°/o¥/- of the 20,O00 square buildable area, and a side yard of 10 feet, survey shows 4.6 feet and botl~s~ae_3~ards shall have a total of 25 feet, the survey shows 20.3 feet, and a rear yard of 35 feet, the survey shows 26 +/- feet to the rear property line. Authorized Signature Note to Applicant: Any change or deviation to the above referenced application may require further review by the Southold Town Building Department. CC: file, Z.B.A. COUNTY O~ SUFFOLK Stare. X*-~ PAGE DZST~ICT~M~R ($31)727-2315 X3 82/86 June 8, 2009 Chairman Gerard Goehringer Board of Appeals, Town of Southold 53095 Main Rd, P.O. Box 1179 Southold, New York ! 1971-0959 JUN RE: ZBA File REF. No 6302 (Chcmushka, ]o~ph & Joanna) Dear Chairman Goehfingcr: As requested, a site review was conducted at 640 Rabbit Lane in East Marion. The site was evaluated for potential natural resource concerns regarding the alteration of raising the dwelling and adding a second story to thc residence. ' At the time of this site visit, June 9, 2009, no natural resources cone. ems were observed. The proporty is situated on the Oardiners Bay and is somewhat protected by a small bulldaead. The bulkhead and beach axe ettrrently in good condition. Raising the house 6' seems appropriate for this residence due to the close proximity of the shoreline. It is mcommcnded that rc-vegctation of disturbed areas is completed as soon as possiblc after construction with native plants and grasses. Additionally, the installation of gutters, downspouts, and underground drywells will addreas stormwater runoff. No natural resource concerns were observed with regard to the raising thc dwelling and adding a second story to this residence. If you require further assistance in this matter please don't hesitate to contact me. District Technician 423 GRIFFING AVENGE SUITE 110 EIVERHEAD, NY 11901 Office Location: Town Annex/First Floor, Capital One Bank 54375 Main Road (at Youngs Avenue) Southold, NY 11971 Mailing Address: 53095 Main Road RO. Box 1179 Southold, NY 11971-0959 http://southoldtown.northfork.net BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809 Fax (631) 765-9064 Mark Terry, Senior Environmental Planner LWRP Coordinator Planning Board Office Town of Southold Town Hall Annex Southold, NY 11971 Re: ZBA File Ref. No. #6302 (Chemushka, Joseph & Joanna) May 7, 2009 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, Gerard P. Goehringer Chai~. By: (~,.J~ ~~''~ Encls. Office Location: Town Annex/First Floor, Capital One Bank 54375 Main Road (at Youngs Avenue) Southold, NY t 1971 Marline 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 24, 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. #6302 (Chemushka, Joseph & Joanna) Dear Mark: We have received an application for additions and alterations as detailed on the enclosed map. 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. 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 Chairm~ By: [_/ ~1~ FORM NO. 3 NOTICE OF DISAPPROVAL TO: Joseph & Joanna Chemushka C/o Amy Martin, agent 205 Bay Ave. Greenport, NY 11944 Please take notice that your application dated March 6, 2009: For permit for additions and alterations at: DATE: March 13, 2009 Location of property: 640 Rabbit Lane East Marion, NY County Tax Map No. 1000 - Section 31 Block 18 Lot 20.1 Is returned herewith and disapproved on the following grounds: The proposed additions and alterations, on this non-conforming 4,813 sq. fi. lot in the R- 40 District, is not allowed pursuant to Article XXII, section 280-116 (B), which states "Ail building or structures located on lots upon which a bulkhead ...exists... shall be set back not less than 75 feet from the bulkhead." The survey shows a setback of 19+/- feet from the bulkhead. Further pursuant to Article XXIII, Section 280~ 124, non-conforming lots, less than 20,000 square feet shall maintain lot coverage of 20%, the survey shows 22.2%+/-, and a side yard of 10 feet, survey shows 4.6 feet and both side yards shall have a total of 25 feet, the survey shows 20.3 feet, and a rear yard of 35 feet, the survey shows 26 +/- feet to the rear property line. Authorized Signature Note to Applicant: Any change or deviation to the above referenced application may require further review by the Sonthold Town Building Department. CC: file, Z.B.A. APPLICATION TO TIZE SOUTFIOLD TOWN BOARD OF APPEALS Fee: $ Office Notes: __ Filed By: For Office Use Only Date Assigned/Assign ment No. HouseNo. 6~) Street ~O~)i ~- J~;Et3E. Hamlet SCTM 1000 Section ,~/ Block/~ Lot(s) I ~) ~PE~ ~ ~N DE~ATION OF T~ B~LD~G ~SPECTOR DATED AppHcant(s)/Owner(s): Telephone: 477- ~ j F~ ~: Emaih NOTE: In addition to the above, please eoraplete below If application Is signed by applicant's attorney, agent, architect, builder, contract vendee, etc. and name of permn who agent represents: Name of Representative: '/0fn~/ /~9-~'r/~ ' for (dOwner, or ( )Other: Plebe check box to s~ec~ who you ~ correspondence to be mailed to, from the abope names: O AppHcan~Owner(s)~ or ~Author~ed Representafive~ or ~ Other Nam~Address below: WHEREBY THE BUILDING INSPECTOR REVIEWED MAP DATED AN APPLICATIO~ DATED ,.~]'~/o ~ FOR: -?7- ~Building Permi~ ! E] Certificate of Occupancy [] Pre-Certificate of Occupancy [] Change of Use [] Permit for As-Built Construction []Other: and DENIED Provision of the Zoning Ordinance Appealed. (Indicate Article, Section, Subsection of Zoning Ordinance by numbers. Do not quote the. code.) Article, )(X I I Section 280- Il ~ CO) Subsection Type of~A)Epeal. An Appeal is re. adc for: E~A Variance to the Zomng Code or Zoning Map. [] 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 [] has, ~has not been made at any time with respect to this property~ UNDER Appeal No. Year . (Please be sure to research before cot~ting this question or call our office for assistance.) Name of Owner: Chemushka ZBA File# REASONS FOR APPEAL: (additional sheet) AREA VARL4NCE REASONS: (1) An undesirable change will not be produced in the CHARACTER of the neighborhood or a detriment to nearby properties if granted, because: The requested work, requiring our appeal is to remain within the existing footprint. The row of homes and cottages in this waterfront community have similar non-conformances and some have recently been made larger & taller at a similar distance from the bulkhead to what we are requesting. (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: The owner wishes to convert the existing dormered second floor bedroom area into a tree second floor code-conforming space. In order to do so the stairs will also need to be brought up to meet code and the home will need to be lifted to meet Flood Plain regulations. There are no changes sought to increase the footprint of the home. Existing State and local laws preclude completing the second story work being feasible by other means. We are not proposing changes to the pre- existing, non-conforming setbacks. (3) The amount of relief requested is not substantial because: The non-conformance issues are pre-existing, the added non-conformance would be an approximate increase in the sidewall of the home an additional 3 ½ feet. (if we were not required to lift the home 4' to required Flood Plain height) The proximity to the bulkhead pre-exists and shall not be changed. (4) The variance will not have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: There is to be no difference between the existing lot coverage or setbacks due to requested construction of the second floor. The requested changes' impact would be minimal if not for requirements of State code & Flood Plain laws. Some of the homes in the immediate vicinity have had fairly recent additions in height and size and are larger than what we propose and in the same proximity to the bulkhead. The environmental conditions will improve as the new construction will require directional containment of all roof nm-off where there currently is none. (5) Has the alleged difficulty been self-created? ( ) Yes, or ( x ) No. the difficulty pre-existed the zoning code. The oottages in this area were constructed in the 1920's & 30's as was the bulk head. Are there Covenants and Restrictions concerning this land: ( x ) No. ( ) Yes none known This is the MINIMUM that is necessary and adequate, and at the same time preserves and protects the character of the neighborhood and the health, safety and welfare of the community. Check this box ( ) IFA USE VARIANCE IS BEING REQUESTED, AND PLEASE COMPLETE THE ATTACHED USE VARIANCE SHEET: Sworn to before me this !~"~ day o f ~q~7/~,2009 Notary Public, State ~ New York No. O1CU61,00507 ~ualified in Suffolk C~unt~ Commission Exp res Oct 20 I APPLICANT'S PROJECT DESCRIPTION (For ZBA Reference) Applicant: ~I),~tt',.~,rOS~/(t.L. Date Prepared: ~'~0~ I. For DemoHtian of Existing Building Areas Please d~s~be areas beigg remove4:' ~[ ~g~w~ ~ff ~l~ ~.~ die g~ ~. New Construction Areas (New Dwe~ng or New Ad~fions~e~ions): Dimensions of first floor extension: ~ff~ Dimmsions of new second floor: Dimensions of floor above second level: ff/~ Height (~om finished ~ound to top of ridge): ~ ~ tq tt ~ basement or lowest floor area berg cons~cted? If yes, please proh& height (above ~o~d) meas~ed~omnamralexisfing~adetofirstfloor: ~15~ oF, ~o G~ ffI. Proposed Construction Description (~terafions or Structnr~ Changes) (amch ex~a sh~t ifne~sswy) - Ple~e describe bulling ~e~: Number of Floors ~d General Ch~actmsfics BEFO~ ~t~afio~: ~/g ~r~ ~ ~l-~t~ NumberofFloorsandChangesWlTHAlterations: ~;~ ,,5' ~,~) e $ -?~r ~'e ~ ~L IV. Calculations of building areas and lot coverage (from surveyor): Existing square footage of buildings on your property: Proposed increase of building cove/'age: O Square footage of your lot: '~/'. Percentage of coverage of your lot Sy 1guilding area: V. Purpose of New Construction: '~:~e~ ~ VI. Please describe the land contours (flat, slope %, heavily wooded, marsh area, etc.) on your land and how it relates to the difficulty in meeting the code requirement(s): , b tl/.- Please submit seven (7) photos, labeled to show different angles of yard areas after staking corners for new construction), and photos of buflding area to be altered with yard view. 7/2002; 2/2005; 1/2007 TOWN OE. SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUI'HOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.Nor thFork.net Examined ,2O Approved 20__ Disapproved a/c Ex:pimtion ,20 PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of H~lth 4 se~ of Buildin8 Plans Planning Board approval Survey. Check Sqnic Form N.Y.$~D.E.C. Trustees Flood Penait Storm-Water A~sessment Form Con~a¢~. ~ . Building Inspector a. This ~~,.~eqy ~!ed in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot p,ms ~ ac. mc. ~cotmng to schcdulc. b. Plot plan showing location of lot and of buildings c~ premises, reladonnhlp to adjoining premis~ or public streets or areas, and waterways. c. The work covered by this application may not be commenced before isstumce of Building Permit. cl. Upon approval of this application, the Building Inspector will issue a Building P~mit to the applicant Such a p~u~uit shall bc kept on the premises available for inspection threughout thc work. e. No building nhall be occupied or used in wholc or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building pen~it *ha!l expire ff the work authorized has not commcaced withi~ 12 months after the date of issuance or has not bean completed within 18 months from such date. fine ZOnln~o amendments or other regulations affecting the prup~'y have bean ..... · enacted m the interim, the Building Inspector may authorize, in writing, the ~;ension of the permit for an addition six months. Th~, a new p~,,,~t nh~!! be required. APPLIOATION IS I-II~EBy MADE to the Building Department for the issuance of a Building P~'mit pursuant to the Building Zone Ordinance of the Town of Sonthold, Suffolk County, New York, and other epplicablo Laws, Ordinances or Regulations, for the consmaction of buildiags, additions, or alterations or for removal or demolition as h~ein described. The applicant agrees to comply with all applicable laws, ordlnnnc~s, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. State whether app~cant is owner, lesse~chitect' engineer, general contractor, electrician, plumber or builder (As/on the tax'ell or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which prop_osed,wprJ~:~ be d~ House ~lur~ber Street Hamlet County Tax Map No. 1000 Section Subdivision BlOCk / o°. ~ Lot c~-,O, / Filed Map No. Lot 2. State existiug nse and occupancy of Pr~_i~es a~.d intended use ~nd occupancypfproposed construction: 3. Nature of work(check which applicable): New Building Rep~dr. V' Removal Demolition 4. Es6m~ted Cost / 7~'/ode 5. If dwelling, number of dwelling units If garage, number of c~rs F~ Addition ~/ Alteration Othar Work (To be paid on filino~ this application) Numbar of dwelling units on each floor 9. 10. Date of Purehese 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimeasionsofexistingstructures, ifany:pront /~ l dIt'''/- Rear //~ l ~'~' l~F2~i' '-'~:~f I ~ '~ ~.-~ Dimensions.or, same sk--cture with altemtioqs or additions-Fro! Dimensions of entire new conslruction: Front Rear ~ ~D~ Height Number of Stories $izeoflot:Front ,a~- -,,, -~f~'LCRear ~/~.,~0e D~ah Name of Formar Owner 11. Zone or use dktr/ct in which promises are situated, ,~ ~0 12. Does proposed construction viohte any zoning law, ordinance or reg~flation? YES_/NO 13. Will lot be re-graded? YES NO, V/Will excess l]ll be removed from premises? YES NO 14. Names ofOwnar ofpremises t~j-~/o$~ Address ~/o'-Z~,~r ~',/g] PhoneNo Name of Architect ~o~ ~ar.t~ ~,-~va r~ Address~ne No' '" '~'7 ? Name of Contractor.. Addre~ ' ~' Phone No/ ' 15 a. Is fl~i~ prope/x'y wJthln 100 feet of a tidal wetland or a freshwatar wetland? *YES 'NO * IF YES., SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS,2(fAY BE REQUIRED. b. Is this property w/thin 300 feet of a tidal wetland? * YES I/' 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. 18. Are thare any covenants and restrictions with respect to this property? * YES NO / ~ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) COUNTY OF ~ - ' ' ' ' ' ct) abow nam ins duly sworn, deposes and says that (s)he is the applicant of said owner or own~s, ' · that all statements and m duly anthonzed to perform or have pesfonned the said work and to make aud file tiffs appl/cafion; contmned in this applicatmn ~re 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/herewith. - Si~~ of Applicant 'TOWN OF SOUTHOLD PROPERTY RECORD CARD _,, OWNER S'KREgF ~'~0 VILLAGE DI~r SUB, ~ND IMP. TOTAL DATE REMARKS FA~ Acre Value Per I Valu~ / / - Tillable 2 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot DEPTH / ~ D~ / . ~ BULKH~D Totol . AA. Bldg. Extension EXtension EXtension Porch Porch Breezeway Patio O.B. Total Foundation Baseme,n.t Ext. Walls Fire Place Type Roof Recreation Driveway Floors Interior Finish Js~ Floor Rooms 2nd DR. TOWN OF SOUTHOLD PROPERTY RECORD CARD ~? ' ~E ",~ c.l-~_. ,:~,~,~,~r~ STREET DIST SUB. LOT FORMER~OWNER N E · ' ~ . ACR. J S W , TYPE OF BUILDING RES. SEAS. VL. 3/~) FARM COMM. CB, MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKs " j~.~'~.~mj~ ~:~t/~ W,a~r '~ Tillable FRONTAGE ON WATER J C) ' ~ 3 ~ L~D W~land FRONTAGE ON ROAD Meod~l~d DEPTH House Plat BULKH~D Total QUESTIONNAIRE FOR FII,ING WITH YOUR Z.B.A. APPLICATION A. Is the subjec½ premises listed on the real estate market for sale? U Yes ~No B. Arf_ 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? ~ ~ 2) Are these areas shown on the map submitted with this application? 3) Is the property bulkheaded between the wetlands area and the upland b~ilding area?' 4) If your proper~ contains wetlands or pond areas, have you contacted the office of the Town Trustees for its determination of jutisdic~i;on? ye.5 Please cqnfirm 9.tatus of your inquiry or application with the Trustees: .&,p.p~.~.~ &et~w~ and if issued, Please attach copies of permit ~ith 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 level7 -7.~0 ~- ,~- ~ Are there any patios, concrete barriers, bulkheads or fences that exist and are not shown on the survey map that you am submitting? ~to,Oe.~ (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 cons/ruction taking place at this time concerning your premises? ~t~ 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 own other land close to this parcel? ~t~O If yes, please label the proximity of your lands on your map with this application. H. Please list present use or 0perations conducted at this parcel ,,j'~rr~.'.~ ~2/'//~t~<-.2 __ and pmposed use ,¢~-~'/-~ -'/~' ~'?-t/ 5,~O.~_,~_...1~ ~ .z (examplesL_existing: s/ngle-family; proposed: same with garage or pool, or ot~er de~ript/on.) Authorized ~gnature and Date , / r 2/05; 1/07 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* intluding 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 permit~ not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of Sis 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 sign/ficant beneficial and adverse effects upon the coastal area (wh/ch includes all of Southold Town). 3. If any question in.Section C on this form isanswered "yes, then the proposed actmn may affect the" ' achievement of the LWRP policy standards and conditions contained in the consistency review taw. Thus, the action shohld be analyzed in more detail and, if necessary, modified prior to malting 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 LTM policy standards and conditions, i_[shall not be undertaken. A copy of the LWRP is available in the following places: online at the ToTM ofSouthold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM#./O00 ,~.! - /~' - c:~O, i The Application has been submitted to (check appropriate response): 1. Category of T0wn of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) [-~ (b) Financial assistance (e.g. grant, loan, subsidy) (c) perrmt, approval, license, certiflcati~i Nature and extent of action: Locatioa of action: Site acreage: Present land use: Present zoning classification: /. 4° If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name ofapplicatV: C~...~o,~:/~/{5,~ ) Mailing address :' °°~ )Da~t~ .~e''' / Co) , ,/ (d) Application number, if any:. Will the action be.directly undertakei~, require funding, or approval by a state or federal agency? Yes [~ No [~ If yes, which state or federal agency?. ,~,~--.- DEVELOPED COAST pOLICY x-Tg~,o/qf~/,..xd/cT/~.-~ Policy-l. 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 6f a coastal location, and minimizes adverse effects of development. See LWRP Section II/-Policies; Page 2 for evaluation criteria. Attach additional sheets if necessary .... PoJ~rotect-and~eser~-g-ffi~toric-a~-/t archaeological resources -o~I the Town oCSouthold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria ~ Yes [-~ No [~/Not Applicable ' - ....... Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. see LWRP Section !II - Policies Pages 6 through 7 for evaluation criteria ~ Yes [~ No ~ Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structUres, and natural resources from flooding and erosion. See LWRP Section III- Policies Pages 8 through 16 for evaluation criteria /' / / J Attach additional sheets if necessary P01icy. 5. Protect.and i~nprove water quality and supply in the Town of Southold. See LWRP Section ILl -PoliCies Pages 16 through 21 fo~ evaluation criteria ~ Yes ~ No ~L~-JNotApplicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. [~ Yes [--'] No [~Not Applicable At~ach additional sheets if necessary Policy 8. Minimize environmental degradation in TOwn of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. [] Y. es ~'] No ~Not Applicable PUBLIC COAST POLICIES Policy '9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. · ~] Yes ~'~ No ~Not APplicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. Se~ LWRP Section III-Policies; Pages 47 through 56 for evaluation criteria. 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 Ag: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 eykon criteria. · ~] Yes ~-] Bio I "I Not Apphcable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of ei~ergy and mineral resources. See LWRP Section III - Policies; ,Pages 65 t. hrough 68 for evaluation criteria. Created on 5/25/05 11:20 AM PROJECT iD NUMBER 617.20 / SEQR 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) 1. APPECANT/SPONSOR , 2. PROJECT NAME ' 3. PROJECT L'OCATION: 4. PRECISE LOCATION: (Street D New 6. DESCRIBE PROJE~ BRIERY: 7. AMOUNT OF LAND A~F~ i ~: Inltla,';y , ~ I 0 a~ U~mt~y ~ ~ / 0 acm 8. WILL PROPOSE ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [] Yes ~)No If no, de~cdbe briefly . 9. ~H~/t~ IS PRESENT LAND USE IN VICINIT~ OF PROJECT? 10, DOES ACTION INVOLVE A ~'~M,'T APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal. State or s 0 No If yes, list agency(s) and permitJa~prov~ 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? Yes O No I CERTIFY THAT THE rNFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE 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 OVER 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 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 name, first name~-m/ddle ~aitial, unless you are a~plying in the name of someone else or other entity, such as a company. If so, indicate the other person or company name.) NATURE OF APPLICATION: (Check all that apply.) Variance [~ Special Exception *Other Approval or Exemption from plat or official map Change of Zone Tax Grie~vance *If"O ....... met name the act~mty: Do you personally (or through your company, spouse, sibling, parent, or child) i~ave a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest "Business interest" means ¥'business includin a artnersht ~n which the Town officer or em Io ee has even a artial ownershi of or em 1o ent b a co oration in which the Town officer or em lo ee owns more than 5~ YES · NO If you answered "!YES'; complete the balance of this form and date and sign where indicated. Name of person employed by the Town of $outhold: Title or position of that person: Describe that relationship between yOurself (the applicant, agent or contract vendee) and the Town officer or employee. Either check the appropriate line A through D (below) and/or descr/be 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 corpomfi6n); 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 RELATIONSHI!V Submitted this __ day of Signature: Print Name: AUTHORIZATION (where applicant is not the owner) residing at g address) do hereby authorize Amy K. Martin, or other of Fairweather-Brown Design Associates, Inc. to act as my agent to apply for all permits necessary for the proposed work to be '- (DwneiC~qsignature) BTATE EN~RONMENTAL QUAUTY REVtE'W SHORT ENVIRONMENTAL ASSESSMENT FORM for UNUSTED ACTIONS Only PART I~PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) I1. A, PPUCANT/SPONSOR , 12. PROJECT NAME . r-i New Bi' Expansion DESCRIBE PROJECT BRIEFLY:. 7. AMOUNT OF LAND Initially al lO .cms Ultlmatsty ,/10 acm~ 8. V~qLL P~Ot'uSE ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or LO~yel)? s O No ff yes, list agency(s) and perm~app~ovall ~ 0 ~Fm/'~OL'b '1'--0 ~ lO ~U~ Lb y '4J t."' 11. DOES ANY ASPECT OF ~'fE ACT1ON HAVE A CURRENTly VAUD Pr"P~k~;T OR APPROVAL? [] Yes I~' No If yes, list agency name and permlt/~ppmval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? I (,tH I IPY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE 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 OVER COUNTY OF SUFFOLK ~-,ee c;OUTHOLD I~ Property Tax Service AgencYlm~'~ I ( V~ION LAKE NOTICE --I COUNTY OF SUFF.OLK SECTION NO 031 NATt,'R.~ OF AI'PLICATI(3~: .(Cb~ ad dsm aW4y.) F. Mm~ (:{m~.d~ the ~ litw A Mrmssh D (bdm~) and((r dmm'JM b N, Jl~ &,..tM4pmm SURVEY OF PROPERTY SITUATED AT EAST MARION TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-31-18-20.1 SCALE APRIL 5, 2000 Nothon Toff Corwin III Lond Surveyor ,APR 2 4 200g DCALE: I "=20'-0~ FAI RWEATH ER-DROWN DESIGN A,.~..5OCIATE&,INC. GPd~ENI:'OP, T, N.Y. 11944 G3 1-477-9752 (Fax) G3 1-477-0973 0G/80/2009 JOSE?H CHERNUSHKA CJOANNA CHERNUSHKA I FLOOD ZONE INFOR.MATION TAREN FP-.OM / r'~-(0'''~ -' ~vl~Tl~lr' ~r~H~ T~ R~ p^l~ FLOOD INSU~NCE ~TE MAP NO. 3G 103C0177 G ~X X .. ~ / ZONE VE (EL. I I): COSTAL FLOOD WITH VELOCI~ H~A~ ~ ,~ ~ /~:' EXISTING HOUSE TO BE ~ISED ,/~ ~ , ~ EXISTING D~CK TO REMAIN, o~'v .~' ~~x ~0~ F~EESTANDING // ~6~~' ~ x EXISTING SEPTIC DRAINAGE CALCULATION / G~ S.F.x . I 7xl -- I I & ~.f.REQUIRED~ ~IST[NG ~ PROVIDE (2) DRYWELLS~3'G"x4'~D (Gl~.f.) .~ MASONRY ~ (I) DP-.YWELL@3'G"xG'ID (76.2 ~.f.) TO [~_~ ~'~"~ TOTAL CAPACITY PROVIDED 139 ~.f.'~/~ ~ P-.EMOk)~D r~e,o BASED ON SURVEY OF PROPERTY SITUATED AT EAST MARION TOWN Off 50UTHOLD 5UffffOLl<, COUNt, N.Y. 5.C. TAX NO. 1000~3 I -I ~-20. APRIL 5, 2QQQ MARCH 19, 2008 UPDATED HIGH WATER MARK AREA = 4,G9 I SQ.FT. (TO TIE LINE) O. I0~ ACRES S U RVEY BY: NATHAN TAFT CORWIN III FOR: JOSEPH CHERNUSHKA AND JOANNA CI:IERNUSHKA PLAN SCALE: I" = IQ' -O" SITE LOT COVERAGE AS PER DISAPPROVAL REVISED JUNE 30,2009 30.9% JUN & ,, 2O09