HomeMy WebLinkAbout1000-15.-3-16 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 App~
From: Mark Terry, Principal Planner ~,~ -
LWRP Coordinator
Da~: Apd19,2009
Re:
ZBA file Ref. No. 6256 & No 6276 (Shembri)
Location: 1425 Sound View Rd, Orient
SCTM 1000-15-3-16
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.
Policy 6..Protect and restore the quality and function of the Town of Southold ecosystem.
6.3 Protect and restore tidal and freshwater wetlands.
The distance from the proposed deck to the top-of-bluff is 80 feet and to the proposed addition is 85
feet; a minimum setback distance of 100 feet from the top of bluff is required pursuant to:
Chapter § 280-116. Building setback requirements adjacent to water bodies and wetlands which
states:
A. Lots adjacent to Long Island Sound, Fishers Island Sound and Block Island Sound.
(l)
All buildings or structures located on lots adjacent to sounds and upon which there exists a bluff
or bank landward of the shore or beach shall be set back not fewer than 100 feet from the top of
such bluff or bank.
To further Policy 4.2 Protect and restore natural protective features, Which states: Natural protective
geologic featu~'es provide valuable protection and should be protected, restored and enhanced.
Destruction or degradation of these features should be discouraged or prohibited.
Maximize the protective capab#ities of natural protective features by:
2. enhancing existing natural protective features
using practical vegetative approaches to stabilize natural shoreline features
managing activities to limit damage to, or reverse damage which has diminished,
the protective capacities of the natural shoreline
It is recommended that the following best management practice (BMP) be required:
Require a minimum 20' non-turf, landscaped buffer vegetated with native, drought
tolerant plant species. The buffer is proposed to be located landward from the top-of-bluff
line.
Figure 1. Subject parcel (outlined in red) showing approximate limits of proposed 20' non-turf,
landscaped buffer (outlined in black).
It is recommended that the Board require the applicant to amend the action to meet or further the above
polices 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 Andaloro, Assistant Town Attorney
Office Location:
Town Annex/First Floor, North Fork 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
Mark Terry, Senior Environmental Planner
LWRP Coordinator
Planning Board Office
Town of Southold
Town Hall Annex
Southold, NY 11971
Re: ZBA File Ref. No. #6276 (Schembri, P.)
Dear Mark:
We have received an amended application for additions to an existing single family
dwelling, 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,
Gerard P. Goehringer
Chairman
By:
Encls.
TOWN O~ SOL[~THOLD
NOTICE OF DISAPPROVAL
DATE: November 24, 2008
Amended: January 20, 2009
To:
Peter Schembri
78 Overlook Dr.
Wading River, NY 11792
Please take notice that your application dated November21, 2008i amended'J, anuary 21, 2009
For permit for construction ora rear deck addition & 1st story addition at
Location of property 1425 Sound View Rd., Orient Pt., NY
County Tax Map No. 1000 - Section 15 Block 3 Lot 16
Is retumed herewith and disapproved on the following grounds:
The proposed deck addition on this 24,053 sq. i~. lot in the R40 Zone is not permitted pursuant to
Article XXII Section 280-116A(1), which states:
"All buildings or structures located on lots adiacent to sounds and upon which there exists a bluff or
bank landward of the shore or beach shall be set back not fewer than 100' from the top of such bluffor
The proposed deck addition is noted as being approx. 80' from the top of the bluff.
The proposed 1st story addition is noted as being 85' from the top of the bluff.
In addition~ the proposed 1st story addition is not permitted pursuant to Article XXIII Section
280-124 which states:
"This section is intended to provide minimum standards for granting ofa buildine oermit for
the principal buildings of lots which are recognized by the town under 280-9~ are nonconforming
and have not merged pursuant to 280-10."
On lots between 20~000 & 39,999 sq. ft.~ the required minimum side yard setback is 15'.
The survey indicates the proposed addition at a minimum setback of 12'.
This disapproval is based upon an amended survey fi'om N .T. Corwin III dated January 19, 2009.
Authorized Signature
TOWN OF SC~THOLD
NOTICE OF DISAPPROVAL
DATE: November 24, 2008
To:
Peter Schembri
78 Overlook Dr.
Wading River, NY 11792
Please take notice that your application dated November21, 2008
For permit for construction of a rear deck addition at
Location of property 1425 Sound View Rd., Orient Pt., N..
CountyTax Map No. 1000- Section 15 Block 3 Lot 16
Is returned herewith and disapproved on the following grounds:
The proposed deck addition on this 24,053 sq. ii. lot in the R40 Zone is not permitted pursuant
Article XXII Section 280-116A(1), which states:
"All buildings or structures located on lots adjacent to sounds and upon which there exists a bluffo~
bank landward o f the shore or beach shall be set~bback not f~wei Yh-aan 100' ~om t-~h'L'e'to~o f such bluff o,
The proposed deck addition ~s note4~ being approx. 80 fi.om the top of the blu~-'-"
This disapproval is based upon a~__~y fi'om N .T. Corwin III dated Aum~~/08.
Authorized Signature
NOV-2G-2808 10: ~SA FROM: NATHAN CORWIN ~317271727 TO: ?GSg064 P. 8
SURVEY OF
P/O LOTS 18 & 19
M~4*o OF
ORIENT BY THE SEA
ORIF~NT POINT
TOWN OF' SOUTHOLD
SUFFOLK COUNTY, NL'W YORK
Zo~v~
NOV 2 6/~0.08
~.A,r~D _OF ApP~AL.S
I
rr
Nathan Taft Oorwln I
Land Surveyor
SCN. O, 2
F.D. 25
NOTICE ~ COUNTY OF SUFFOLK
,~,,~s.E ~ ~ Red Pro. fy Tax Service Age~y
SOUTHOLD
~CTION NO
015
24"
EXI~TIN~
~ECK POST CONNECTION _
TOWN OF SOE
BUILDING DEl ~[ENT ..... lliii~
SOU~HOLD, N ~71
TEL. (631) 765-: ]02L ~CoGDEPT. '
FAX: (~31) 755.~ ~0~0 .
SoutholdTo~.No~For~net PE~ NO.
Examined __.__, 20
Approved ,20
Disapproved a~c q M ? ~
Expiration 20 __
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, beforeapplying?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Pem~.
Storm-Watar'Aasesam~nt Form
Contact:
Mail to:
Phone:
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date
INSTRUCTIONS
,20 oJ
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and waterways.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or 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 p,mdt for an
addition six months. Thereafter, a new permit shall he required.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance oftbe Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The
aauPtPhlioCrizan~;.gmrm:;;~t°o~ olrflpYre~.sthesal2~g.~;aubill~;~rOnrdecinesans~, i~l~ectd~igonCsC.de, ~tions, and to admit
(Mailing address of app~'fl%ant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on w_hich pr~pos,ed wo~,,will be ~one: .~
House Number Street Hamlet
County Tax Man No. 1000 Section /~'"'"
Subdivision
Block
Filed Map No. ~ 7 ~7 '7.
Lot
Lot l~l +-ff]
2~' Statea. existingEmstmg. . USeuseandandOccupanCYoccupancyOf premises ~ar~ int end.est, usg ·and ~eU~i "" ~-i "~flp~pposed__t'c~' ' traction:i,,; '~
b. Intended use and occupancy :'" ": ,~ ;,,' w
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost ~ta/oOo ~ ro Fee
Addition Alteration
Other Work f )~/4 .
(Description)
(To be paid on filing this application)
' 5. If dwelling, number of dwelling units O Number of dwelling units on each floor o
If garage, number of cars c>
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front
Height. Number of Stories
Rear .Depth
Dimensions of same structure with alterations or additions: Front
Depth. Height Number of Stories
Rear
8. Dimensions of antire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front [o/ Rear ~//o/ Depth
10. DateofPurchase / ~ Name ofFonner Owner ~k~
11. Zone or use district in which premises are situated ~ ~9 ',
12. Does proposed construction violate any zoning law, ordinance or regulatiofi? YES
13. Will lot be re- raded? YES__ NO1 excess be r noved from r ses? YES__
14. Names of Owner of premises Address i Phone No.
Name of Architect Address t 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 * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MA.~L-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.
18. Are there any covenants and restrictions with respect to this property? * YES__
· IF YES, PROVIDE A COPY.
NO
STATE OF NEW YORK)
SS:
COUNTY OF ) ~
r'/' being duly sworn, deposes a~d says that (s)he is the applicant
(Name of individu~J signing contract) above named, ~
(S)He is the ~ ,
(Cqntractor, Agent, Corporate Officer, etc.)
of sa ow~r 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 applicaQon are true to the best of his knowledge and belief; and that thc work will be
performed in the mann~l' s~t forth in the application filed therewith.
Sworn to before me this
day of 20
Notary Public
Signature of Applicant
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDII~G PEP, MIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PEP~IT NO. 34341 Z Date DECEMBER 11, 2008
Permission is hereby granted to:
for :
PETE & GAIL SCHEMBRI
1425 SOUNDVIEW RD
ORIENT,NY 11957
"AS BUILT" ALT. TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED
FOR
at premises located at 1425
County Tax Map No. 473889 Section 015
purs,,mnt to application dated NOVEMBER
]~uilding Inspector to expire On JUNE
SOUNDVIEWRD ORIENT
Block 0003 Lot No. 016
13, 2008 and approved by the
11, 2010.
'Fee $ 400.00
~ize~~ture
COPY
Rev. 5/8/02
APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS
For Office Use Only f
Date Assigned.~Assignment No. ~ ~ ~'7
Fee: $ Filed By:
Office Notes:
Parcel House No/f~5 Street Hamlet
SCTM1000 Section /~'-BlockLg~Lot(s) /~, Lot Size ~;~Oy--~ Zone
I (WE) APPEA~,-)TI~ V~RITTEN DETERMINATION OF THE BUILDING INSPECTOR
DATED: ~ _~ C,,.~'~' ~ ~ ~' ~
Applican~Owner(s): ~ ~ ~ ~ 5~~/
NOTE: In addition to the above please complete below if application is signed by applicant's attorney, agent, arcMtect, builder, contract
vendee, etc. and name of person who agent represents:
Authorized Representative: for ( ) Owner, or ( ) Other:
Address:
Telephone:
Please c~p~k box to specify who you wis.h correspondence to be mailed to, from the above names:
I~[pplicant/Ownerts) [] Authorized Representative [] Other Name/Address:
WHEREBY THE BUILDING INSPECTOR DENIED AN APPLICATION DATED
FOR:
Zl,B~ing Permit
[] Certificate of Occupancy [] Pre-Certificate of Occupancy
U Change of Use
[] Permit for As-Built Construction
[]Other:
Provision o,f the Zoning Ordinance Appealed. Indicate Article, Section, Subsection of Zoning
Ordinance by numbers. Do not quote the code.
Article X}t~ I ( Section 280- [ ( {t ~ ~ { 7 Subsection
Type of Appe~k-An Appeal is made for:
~ Variance to the Zoning Code or Zoning Map.
[] A Variande 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, pppeal [] has ~as not been made with respect to this property UNDER Appeal
No. /,/ Year . (Please be sure to research before completing this question or call our office to
assist you.).
REASONS FOR APPEAL (additional sheets tn ay be used with preparer's signature):
ARE~4 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) The variance will NOT have an adverse effect or impact on the physical or environmental conditions
in the neighborhood or district because:
(5) Has the alleged difficulty been self-created? ( )Yes, or (0.~.~~.
Are there Covenants and Restrictions concerning this land: ~ Yes (t~lease furnish
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 REQU~ESTED, AND PLE~4SE COMPLETE THE
.4 TTACHED USE V/IRIANCE SHEET: (Please be sure to con~td~Yf T a~rney/
Signature of APpellant or Authorized Agent
Sworn to.~_efore me this '"" I (Agent must submit written Authorization from Owner)
ANNIE E. ESGRO
Notary Public, State of New York
No, 01 ES5078083
Qualifll~cl In ~luffelk County
C~omm~lon Explr~ May 1ll, 1011
APPLICANT'S PROJECT DESCRIPTION
(For ZBA Reference)
Applicant:
I. For Demolition of Existing Building Areas
Please describe areas being removed:
Date Prepared:
II. New Construction Areas (New Dwelling or New Additio~as/E~ensions.): ·
Dimensions of first floor extension: /~ ;K'/~ ~
Dimensions of new second floor:
Dimensions of floor above second level:
Height (from finished ground to top of ridge):
Is basement or lowest floor area being constructed? If yes, please provide height (above ground)
measured from natural existing grade to first floor:
III. Proposed Construction Description (Alterations or Structural Changes)
(attach extra sheet if necessary) - Please describe building areas:
Number of Floors and General Characteristics BEFORE Alterations:
Number ofFloors and Changes WITH Alterations: ~ ~/f~,~ ~.~/'6, ~'t~trf-
IV. Calculations of building areas and lot coverage (from surveyor):
Existing square footage of buildings on your property: /~6' 'Tt~ ~ .'~
Proposed increase of building coverage: ~,,L~ ~ ~'"~
Square footage of your lot: t~ 05'">
Percentage of coverage of your lot by building area: /(,,. ! ~/~
V. PurposeofNewConstruction: / ~ /.,~ ~
VI. Please describe the land contours (fiat, slope ~/o, heavily wooded, marsh area, etc.) on your land
and how~to the difficulty in meeting the code requirement(s):
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
QUESTIONNAIRE
FOR FII,ING WITH YOUR Z.B.A. APPLICATION
A. Is the subject pj~nises listed on the real estate market for sale?
[] Yes 194qo
Are t~any proposals to change or alter land contours?
[11~o [] Yes, please explain onattached sheet.
1) Are there areas that contain sand or wetland grasses?
2) Are these areas shown on the map submitted with this application? /t~ ------
3) Is the property bulkheaded between th,~wetlands area and the upland building area?
4) If your property contains wetlands or pond areas, have y,o~ 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.
D. Is there a depression or sloping elj~tion near the area of proposed construction at or below five
feet above mean sea level?
E. Are there any patios, concrete barriers, bulkheads or fen, cff~ that exist and are not shown
on the survey map that you are submitting? /'/~,-~-~ (Please show area of these
structures on a diagram if any exist. Or state "none" on the above line, if applicable.) ,~
F. Do you have any construction taking place at this time concerning your premises? ~~fl'
If yes, please submit a copy of~our buildi, n~ permit and map as appr. qved by the Buil~g . ~
Department and describe: 57.~t,/t~/,~/a.,.,,:~ '~/-3¢gCt,Z ~~
- t- t' ' ;
G. Do you or any co-owner also own other land close to this parcel? ~'~1~ 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 and proposed use
(e~pl~s: ~stin.g: single-family; proposed: same with garage or pool, or other description.)
Aut~o-ri'ze3 Signature a~(d Ddte
2/05;I/07
To~vy4 ~f South old
LWRP CONSISTEN~2Y ASSESSMENT FORM
A. ~INSTRUCTIONS
All applicants for permits* including Town of Southold agencies, shall complete this ~CAF 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 ~ 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.
2. Before answering the questions in Section C, the preparer of this form should review the exempt
minor action list, policies and ~xplanations 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).
3. If any question in Secfion'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 tl~e 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 LWRP is available in the following places: online at the Town of Southold's website
(southoldtown.northfork.net), the Board of Trustees Office, the Plamfing Department, all local
libraries and the Town Clerk's office.
B. DES CRIPTION OF SITE AND PROPOSED ACTION
SCTM# I/O"- O'l~, _
The Application has been submitted to (check appropriate response):
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)
(b) Finhncial assistance (e.g. grant, loan, subsidy)
(~) Permit, approval, license, certi~h~ib~i ....................... ~
Nature and extent °f acti°&)-.4~ ~ ~ .~_ [[ ~,r[~ ~ /~cg~,,-,-
Site acreage: ~,~_f D ~'-~
~resent land use:. ~
Present zoning classification: ~ ~2-~1-~O
If an application for the proposed action has been filed with the Town of Sou~old agency, the following
i~omation shall be provided:
(a) Nmeofapplic~t: ~h ~ ~F~
(c) Telephone number: Area Code ( ). (..,.% t q,,L~ . 0%" ~7~'
(d) Application namber if any:.
Will the action be directly undertaken, require funding, or approval by a state or federal agency?
Yes ['~ No [~[f yes, which state or federal agency?.
C, 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 III - Policies; Page 2 for evaluation
criteria.
Attach additional sheets if necessary
..... ?oiicy T..?gotee~-and~i~E~'~-rVe-h-i-ST6H¢-a~d~-rZli~i~logie~l resources o~h-C oT6Wn o-~Fg~uthold. See LWRP
Section III - Policies Pages 3 through 6 for evaluation criteria
.... i: ....... ; ..........
Attack h~ditional sheets if necessary
]Policy 3. -~;nhauee visual quality and protect scenic resources throughout the Town Of Southdd. See
LWRP Seetiou !II - Policies Pages 6 through 7 fol' evaluation criteria
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
0 vv
Attach additional sheets if necessary
Policy 5. Protect and i~nprove water quality and supply in the Town of Southold. See LWRP Section III
- Policies Pages 16 through 21 for evaluation criteria
Aitach 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_.- Polic_i~;..P_ages 22
t~ ~ h~'h- J~-"i~i~-~' ~ ~'-aq ~i-aqi'~-n- crit~ia~ ....................................................
.Attach additional sheets if necessary
Policy 7. Protect and improve air quality in the Town of Southoid. See LWRP Section III Policies
Pages 3[2 through 34 for evaloation criteria.
[] Yes [] No [-~ot Applicable
Attach 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.
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 S0hthold. 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 '
~_~ee.,~S uses in
suitable locations ection III - Policies; Pages 47 through 56 for evaluation criteria.
Attach additional sheets if necessary
Policy 1'1. 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
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.
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 ~pplicable
Created on 5/25/05 11.'20 AM
417.21 .
Appendix C
State Environmental Quality Revie~
SHORT ENVIR O NMENTAZ ASSESSMENT FORM
For UNLISTED ACTiON~I Only
PART I - Project Irfformatioa (T6 be complete by Applicant or Project sponsor)
1. Applica~lt / Sponsor 2. Project Name
3. Project location: MunicipaN[y Counb/
4.~P!ecJse location (SJreet address and road intersections, prominent landmarks, etc. or provide map)
5. Is proposed action:
)NEW (b,'~XPANSION ( [~ODIFICATION / ALTERATION
6. Describe project briefly:
7. Amount of land affected:
Initially: acres; Ultimately: acres
Will proposed action comply with ex)sUng or other e~sting la~ use res~ctions:(~E~ ( ) NO If No, describe bdefly:
9. What is present land use n v c nity of project' (describe)'
( I,,,)~esidentlal , ( ) Industrial ( ) Commercial ' ( ) Agricultural
( ) PaddForest/Open Space ( ) Other
10. Does action th,,~9,[ve a permit approval or funding, now or ultimately from any other Governmental agency,(Federal, Slate or Local)
( ) YES ([.~NO Ii Yea, list agency(s) and permit/approvals:
11. Does any aspect of the action have a currently valid permit or approval?
( L,)'~ ( ) NO If Yes~, list agency(s) and permit/approvals:
12. As a result of proposed action, will exJstthg pen'nit/approval require modification?
YES (~
If Yes, II~t agency(s) and permit/approvals:
I ce.~ that/the i~formation provided above ts true to the best of,my kn, ow/edge
Applicant / Sponsor Name:
Sigr~ature: Date: ~
If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment
~ tcad'~ACTIONAL 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 nam~', h~fiddle initial, unless you are applying in the name of someone else or
other entity, such as a company· If so, indicate the other person or Company name·)
NATURE OF APPLICATION: (Check all that apply.) ,
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, spouse, sibling, parent, or child) have a
relationship with any officer or employee of the Town of Southold? "~cludes_~.y_b
blood~,__~m~rria eg~_or business .interest. Business interest'_', means a business includin a
.~, in which the. To_v~. o_fficer or e__mpl~ even a atrial ownershi of or
employment by) a corporation in wh_ich the Town officer or em lo ee owns more Ihan 5% ofofthe
YES NO t,~
If you answered "YES", complete the balance of this form and date and sign where indicated
Name of person employed by the Town of Southold: ~
Title or position of that person:
Describe that relat onshlp between yourself (the applicant, agent or contract
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) tl2,owner.?fgr..e.ate, r th~,5~o~the shares of the corporate stock
~, y t,ae a,ppncant [wnen the~hcant is a corporati6n .
_' ~ r~) me ~ega~ or beneficial OW~ofany interest in a non!;omora ·
(when the applicant isj~t a C~mo~atio,,~. _ te entity
~ C) an officer, director, partner, or ~n~;"~ "~' ~. · '
r~ .~ . , mptuyee oi tile applicant; or
~ ~,) me actua app lcant.
DESCRIPTION OF RELATIONSHIP
Submitted this ,~q / day,
FORMER OWNER
i[lable: 3
NORMAL
IIII1~
I I Ill I~
I I~1~11 I I I I I J J l
1:17~1~1 ±~ I I I I
(tension ~xt. Wa[is ~J~l(~ ~ Interior Finish
~ten$1~n Fire Pl~ce J He~
~,o9' /~ ~ ~ ~ -- d~ / A~ ~0 Driveway
'.B. ~ c),,3f~ F~I/~~
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
Mailing Address:
53095 Main Road
RO. Box 1179
Southold, NY 11971-0959
December 1, 2008
Mark Terry, Senior Environmental Planner
LWRP Coordinator
Planning Board Office
Town of Southold
Town Hall Annex
Southold, NY 11971
Re: ZBA File Ref. No. 6256 (SCHEMBRI)
Dear Mark:
We have received an application for additions to an existing single-family dwelling, 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,
Gerard P. Goehringer
Chairman
By:- ,J~, ~t.
Encls.
iSL.AND
SCH.D, 2
TOWN OFSOUTHOLD
NOTICE OF DISAPPROVAL
DATE: November 24, 2008
To:
Peter Schembri
78 Overlook Dr.
Wading River, NY 11792
Please take notice that your application dated November21, 2008
For permit for construction ora rear deck addition at
Location of property 1425 Sound View Rd., Orient Pt., N..
County Tax Map No. 1000 - Section 15 Block 3 Lot 16
Is returned herewith and disapproved on the following grounds:
The proposed deck addition on this 24,053 sq. fi. lot in the R40 Zone is not permitted pursuant to
Article XXII Section 280-116A(I ), which states:
"All buildings or structures located on lots adjacent to sounds and upon which there exists a bluffor
bank landward o f the shore or beach shall be set back not fewer than 100' fi.om the top of such bluff or
The proposed deck addition is noted as being approx.8'0 fi.om the top of the bluff
This disapproval is based upon a survey fi.om N .T. Corwin III dated August 25, 2008.
Authorized Signature
NATHAN TAlrF CORWIN 11I LAND SURVEYOR PC
Successor to Joseph A. lngegno
322 Rom~oke Avenue
P.O. Box 1931
Riverhead, New York I 1901
Phone: 631-727-2090 Fax: 631-727-1727
E-Maih NCorwin3~aol.¢om
November 26, 2008
NOV 2 6 2008
OARD OF APPEALS
Town of Southold
Zoning D~partment
Att: Lin& Kowalski
Re: S.C. Tax No. I000-15-03-16, 1425 Sound View Road, Orient Point, New York
Dear Lincla:
The percent of lot coverage over the portion of the lot landward of the top of the bluff (lot
area= 18,350 sq. fi) for Peter Schembri's property at 1425 Sound View Road, Orient Point
(1000-15-03-16) is as follows:
Existing house:
Proposed deck:
9.10 % (1,670 sq. fi.)
5.18 % ( 950 sq. fi.)
Total: 14.28% (2,620 sq. Ft.)
Should you have any questions regarding this information, please do not hesitate to
contact me at anytime at the above number.
Na~T/Co~n'n ~I LanT/urv~ylr
dj¢
NOV-26-2008 10:,~0A FROM:NATHAN CORWIN 6317271727 T0:7659864 P.2
SURVEY OF
P/O LOTS 18 & 19
ORIENT BY THE SEA
ORIENT POINT
TOWN OF SOU?HOLD
I
Nathan Taft ¢orwin I
~ Surveyor
APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS
Fee: $~ Filed By: Date Assigned/Assigament No.
Office Notes:
~.~I (WE) APPE.S;L T ~lfl?/~ EN DETERMINATION OF THE BUILDING INSPECTOR
Applicant/Owner(s): ~ % oP~ ~~Vl
Ma~g
Addr~s:
Telephone:
(,31 -
NOTE: In addition to the above please complete below if application Is signed by applicant's attorney, agent, architect, builder, contract
vendee, etc. and name of person who agent represents:
Authorized Representative: for ( ) Owner, or (,.) Other:
Address:
Telephone:
Ple~ase~.. k box to specify who you wish correspondenc.e to be mailed to, from the above names:
~pplicantJOwner(s) [] Authorized Representative [] Other Name/Address:
WHEREBY THE BUILD_D~ING INSPECTOR DENIED
FOR: ~.... .AN APPLICATION DATED
II,Building Permit
[3 Certificate of Occupancy O Pre-Certificate of Occupancy
[] Change of Use
[] Permit for As-Built Construction
[]Other:
Provision of the Zoning Ordinance Appealed. Indicate Article, Section, Subsection of Zoning
Ordinance.by numbers. Do not ~q.uote the codE.
Article ~.x~ !{ Section 280- [ ~ ~ ~ (. ~ ~ Subsection
Type of..Ap~a.. I.. An Appeal is made for:
I~ V.arlance to the Zoning 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~a.s not been made with respect to this property UNDER Appeal
No. Year . (Please be sure to research before completing this question or call our office to
assist you.).
' Name of Al~plicant: CTM #/o~o ~- O~ - ZBA File #
REASONS FOR APPEAL {additional sheets may be used with preparer's signature):.
.4RE~4 VARIANCE REASONS:
(I~) An undesirable change will not be produced in the CHARACTER of the neighborhood or ~
detrimenttonearbypropertiesifgranted, because: ~ O~ ~ ~' ' -~ ~
(2) The benefit sought by the applicant CANNOT be achieved by some method feasible for the
applicant to pursue, other than an are~ variance, because:
(3) The amount of relief re~ues, ted is not su,bstantial because: L~,.},~ ~
(4) The variance will NOT have an adverse effect or impact on the physical or environmental conditions
in the neighborhood or district because:
(5) Has the alleged difficulty been self-created? ( )Yesl or ~o.
Are there Covenants and Restrictions concerning this land: [] No. ~es(please furnish copl,).
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
a rr c ev vse s eer: (Plebe be
Sig~a~re of ~pp&l~n~ or Author~ed Agent
~orn to before me this
day of~ 2~ ~. (Agent mu~ submit wri~en Autho~tlon f~m Owner)
NO~ Public
CONNIE D. BUNCH
Notary Public, State of New York
No, 01BU6185050
C Qualified in Suffolk County ,
ommission Expires April ]4,
Applicant:
APPLICANT'S PROJECT DESCRIPTION
(For ZBA Reference)
I. For Demolition of Existing Building Areas
Please describe areas being removed:
II. New Construction Areas (New Dwelling or New Additions/Extensions):
Dimensions of first floor extension:
Dimensions of new second floor:
Dimensions of floor above second level:
Height (from finished ground to top of ridge):
Is basement or lowest floor area being constructed? If yes, please provide height (above ground)
measured from natural existing grade to first floor:
III. Proposed Construction Description (Alterations or Structural Changes)
(attach extra sheet if necessary) - Please describe building areas:
Number of Floors and General Characteristics BEFORE Alterations: ~
Number of Floors and Changes WITH Alterations:
IV. Calculations of building areas and lot coverage (from surveyor):
Existing square footage of buildings on your propcr~
Proposed increase of building coverage: (]}JZc. JL
Square footage of your lot: ,~/t95~_ -
Percentage of coverage of your lot by building area:
V. Purpose of New Construction: ~ .OJ~t
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).
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
QUESTIONNAIRE
FOR FILING WITH YOUR Z.B.A. APPLICATION
A. Is the subj~ctj~rnises listed on the real estate market for sale?
[] Yes [Mqo
Please list pr~sen, t use or operations conducted at this parcel
~ and proposed use
(ex~yl~7 ~st7 ~?le-family; ff)opoT: same withgarageorpool, or other deseription.)
Authorized Signaiure and Date /
B. ~Are,~t~_e any proposals to change or alter land contours?
tYlqo ~ Yes, please explain on attached sheet.
C. 1) Are there areas that contain sand or wetland grasses?
2) Are these areas shown on the map submitted with ~'is application?
3) Is the property.bulkheaded between the wetlands area and the upland build, ca?
4) If your property contains wetlands or pond areas, have yc~a contacted the office of the
Town Trustees for its detenmnat~on of unsdlet~on9
· ' ' J ' ' ' · ~ . PAeaseconfn-mstamsofyour
inquiry or application with the Trustees: ~g~ ~ ~ [ 0
and if issued, please attach copies of permit ~vith c~n~titions and approved map.
D. Is there a depression or sloping e~vation near the area of proposed construction at or below five
feet above mean sea level? ~t KO
E. Are there any pahos, concrete barriers, bulkheads or fences that exist and are not shown
on the survey map that you are submitting? ~/[~ta..~ (Please show area of these
structures on a diagram if any exist. Or state "none" on the above line, if applicable.)
F. ~o you have any c~nstruction taking place at this time concerning your premises? (~G/~ 4~ ~
a~yes, 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? /~ If yes, please label
the proximity of your lands on your map with this application.
2/05; 1/07
Town of So~th old
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 Cor~stency 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.
2. Before answering the questions in Section C, the preparer of this form should r~view the exempt
minor action list, policies and e~planations 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 (whicb includes all of Southold Town). '
3. 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 LWRP policy
standards and conditions, it shall not be undertaken.
~s co.,py,o.f the LWl~- is. available in the following places:
outnoldtown.northlbrl~.net), ~e Bo~d of Trustees Office, the. Plmufin~
tibr~ ~d the To~ Clerk's office ~
B./~ESC~TION OF SITE ~ PROPOSED ACTION
The Application has been subdued to (check appropriate response):
Town Board ~ rlann~gBoard~ Build~gDept.
1. Catego~ of To~ of Sou~old agency action (check appropriate response):
(a) Action ~de~ ~tly by To~ agency (e.g. capital
cons~ction, pl~ng activity, agency re,la, on, l~d ~saction)
(b) Financial assistance (e.g. grant, loan, subsidy)
Permit, approval, license, certi~h~i~i ...................................
Nature and extent of action:
Location of action:
Site acreage:
Present land use:
Present zoning classification:
If an application for the proposed action has been filed with the Town of Southold agency, the following
information shall be provided:
(b) Mailing address: 7~ t~) t, fpr/o o ~" ~
(c) Telephone nmnber: Area Code (). F_e ? t 9~[~2. O~ ~' F
(d) Application number, if any:.
Will the action be directly undertaken, require funding, or approval by a state or ,federal agency?
Yes ~ No [~Ifyes, which state or federal agency? '
C. 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 f infrastructure, makes beneficial use Of a coastal location, and
0 '
minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation
criteria.
Attach additional sheets if necessary
?oiic. y Z:.~'r~l~ye!. anrl~r-~g~-r'9-e-lii'Slbrie-'h~d~-r~li~e61ogic~l resources ~1't7a-6- oT0~SSht-Kold. See LW
_S eet_ion _I.[!_ _- ~1! c_i ~. ~.r ~ u ~h ~ f? r..~ ~ !~ a._t.! o? __c. r_i_t.e 5! .a- RP
[--] Y esl[~ No l ~No~t Applicab~ · /'7 '
Attach additional sheets if ne. cessary
Policy 3, Enhance visual quality and protect scenic resources throughout the Town Of Sonth01d. See
LWRP Section III - Pol~ies Pages 6 through 7 for evaluation criteria
[~] .Yes [] No~l_~ Not Applicable//~..g6~ ..fl~ ~ ~ O~~~/
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 Pa!~es~8~through 16 for evaluation criteri, a
Attach additional sheets if necessary
Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section HI
- Policies Pages 16 thJ21 for evaluation criteria
~ Yes [--] No l [~qNot Applicable ~.ff~
Attach additional sheets if necessary
Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including
· _Sig?_i_fi_c.~a_u_t_._C_o_~??al _Fish__a_nd ~_W?dlife__H__a_b_!?__t_s__a_n_d_ _.W._~l~.~:_~py_ ~.S~_ectio_n II!_ - Poh'c_ie_s;..~P_ages 22.
through 32 for evaluati~,n~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 ~ot Applicable
Attach additional sheets if necessary
Policy 8. Minimize env~onmental degradation in. Town of Southold from solid wast.e, and .h. azardous
substances and w~ee LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria.
[-q Yes [--q No I_~ Not Applicable 9.~ (~
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 S'outhold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation
criteria. ~NotA
[] Yes~ 1No pplicable
Attach additional sheets if necessary
WORKING COAST POLICIES
Pohcy 10. Protect South:old s water-dependent uses and promote siting of new water-dependent uses in
suitable locations~ee7 ~ection 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 T0wn waters~.~?~ ~ection III - Policies; Pages 57 through 62 for evaluation criteria'.
~ Yes [-] N° ' ~'4tN°t Apphcable ~)..~.~ ~
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 evaluatio~riteria.
Attach additional sheets if necessary
Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP
Section III - Policies; Pag~65 through 68 for evaluation criteria.
Created on 5/25/05 11.'20 AM
617.21
Appendtx C
State Environmental QuaEty
For UNZlSTED ACTiON$ Only
PART I - Project Int'ormation (To be complete by Applicant or Project spomor)
1. Applicant / Sponsor 2. Pmiect Name
County
4. Precise location (Street address and road intersections, prominent landmarks, etc. or provide ~nap)
5. Is proposed action:
I' )NEW i )EXPANSION (t.,,~ODIFICATION/ALTERATION
6. Describe project briefly:
7. Amount of land affected:
li'nlllally: acres;
/~, X(~ ~ Ultimately: acres
8 Wlti proposed action com I w~th e /
· p y ' x~sting or other exJstin9 land use restdclions:(,l~'"~ES
( ) NO It No, describe bdetiy:
9. Wha,,~l~esent land use in vicini~y of prolect: (describe):
I( ~,}4~esidential ( ) Industrial ( ) Commercial (
) Agdcul ura ( ) Park/Forest/Open Space ) Other
10. Does action 7olve a permit approval or funding, now or ultimately from any other Governmental agency,(Federal, State or Local) ?
( ) YES (V) NO If Yes, list agency(s) and permiffapprovals: ~
11. Does any aspect of the action have a cun'ently valid permit or approval?
) YES ( v)"NO,
If Yes, list agency(s) and permit/approvals:
12. As a result o!y,~osed action, will existing permit/approval require modification?
I( ) YES ( t.,,)"NO If Ye?., list agency(s) and permit/approva s
I c~ct/fy]hat/the information provided above is true to the best of my kn, owledge
$1gr~ature:
If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment
l ~o-d'~ACTIONAL DISCLOSURE FORM
APPLICABLE TO OWNER, CONTRACT VENDEE AND AGENT:
Thc 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.
t na"rh¢, fi , middle initial, unless you are applying in the name of-someone else or
other entity, such as a company. If so, indicate the other person or company name.)
NATURE OF APPLICATION: (cheC~ 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, spouse, sibling, parent, or eh/Id) have a
relationship with any officer or employee of the Town of Southold? "Relat'onshjp" includes by
blood, marria eg~,~x_.business .interest. "Business interest" me -
a~P-~.~x~hm. ~n which the wn ,ffi,-;.- ,.
,~--, .... -... To ..... ,~r or emmovee ~ ,~,,,.. ~ -. ~ ~ ..
~,plo~t_~_¢nt Dy.LO comorafion in ..a.-,-~. ~ - ~,, a~partla! ownershin of
shara~ . --~. ~ wnlCn tne_l own offiC~ee 0 ...... ~ ~.~ 7__. ~.._r
YES NO
If y~u answered "FEte,,, complete the ~alance of this form and da~e/a~sign ,vhere indicated,
Name of person employed by the Town of Southold:
Title or position of that person:
Describe that relatim~ship 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
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.~f,,greater tha. n/f~ of the shares of the corporate stock
et the applica~xt (when/ttle applicant is a corporatidn);
L_ _ B) the legal or ben~7{ci)ff'Owne; of any interest in a non-corp,orate entity
- (when the applie.~.,is not a corporation); '
_ _ C) an officer, dir~or, p'h~er, or employee of the applicant: or
DESCRIPTION Ofq~LATIONSHIP
Submitted thi/~ xtayof~
Print Name:~
VILLAGE
LAND MP.
VL.
COMM. I IND.
TOTAL
FARM
DATE
xtension
xtension
xtension
Basement /~ ~I~ Floors
Fire Place
' Porch
Porch
Driveway
Attic
Rooms Ist Fl~or
Rooms 2nd Floor
BUILDING DEl ~]~MENT I
SOUTHOLD, N ~'14)71
TEL: (631) 765-: ]02L ~,~.OG~)EPT. ' '
F~: (631) 7654
Sou~oldTo~.No~Fork.net PE~ NO.
Examined .~, 20
Approved ,20__
Disapproved a/c
Expiration 20__
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, befor~applying?
Board of Health
4 sets of Building Plans
plan.l.g Board approval
Survey.
Check
Septic Form
N.Y.S.D.EC.
Trustees
Flood Pem~,
Storm-Water'A~sessmem Form
Contact:
Mail to:
Phone:
Building Inspector
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS ! /
,20 oJ
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and waterways.
e. The work Covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this applieatiun, 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 a~er thc date of
issuance or has not been completed within 18 months fi.om 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 Depa.,maent for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The
applicant agrees to comply with all applicuble laws, ordinances, building code, honsingj~ile, and regulations, and to admit
authorized inspectors on premises and in building for necessarY inspections.
(Mailing address of app~cant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Tmde's License No.
Location of land on w~lfieh p~pos.ed wol;k,,will be ~one:
House Number Street Hamlet
County Tax Ma.t~ No. 1000t Sectiop J~' Block 0_3
Subdivision f_.)/~- ~ ~ _~_p~. Filed Map No. ,2 7 '7 '7
O
Lot
2~ ' ' d fp ' ~ iht de/1 .e : :' ~r~tmctio
State ex~stln.g use an occupancy o rem~ses en us and 0~mii~an¢!~t~f~posed c n:
a. Existing use and occupancy
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost ~t~/oo~ ~ ~o
' 5. If dwelling, number of dwelling units If garage, number of cars
Addition
Other Work
Fee
Alteration
(Description)
(To be paid on filing this application
Number of dwelling units on each floor o
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front
Height. Number of Stories
Rear Depth _
Dimensions of same structure with alterations or additions: Front
Depthl Height Number of Stories
Rear
9. Size of lot: Front
10. Date of Purchase
Dimensions of entire new construction: Front
Height Number of Stories
Rear Depth
/o/ ear Depth
! / r
11. Zone or use district in which premises are situated ~/~ ~
12. Does proposed construction violate/my zoning law, ordinance or regulation* YES ~
13. Will lot be re-graded? YES __ NO ~ excess fill be removed from premises? YES __
14. Names of Owner of premises Address Phone No.
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15 a. Is this Property within I00 feet of a tidal wetland or a freshwater wetland? *YES--/~NO'' * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITSMAjIL-BEMA REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES [.,~O
* 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 there any covenants and restrictions with respect to this property?. * YES__
· IF YES, PROVIDE A COPY.
NO
STATE OF NEW YORK)
SS:
COUNTY OF )
be g duly swam, dsays t (s eis the a lic t
(Name of ~d~ si~ing con~ct) above nmed,
(Con~or, Agent, Co~mte O~cer, ~c,)
of sa~r o~s, ~d is duly auto.ed to p~o~ or have peffo~ed ~e said work ~d to m~e ~d file ~s application;
· at ~1 state.ts con~ ~ ~s application ~ ~e to ~e best of his ~owledge ~d belief; ~d ~t ~e work will be
peffomed ~ ~e m~ s~ fo~ in ~e application filed ~wi~.
Sworn to before mc this
day of_ 20__
Notary Public
Signature of Applicant
SURVEY OF
P/O LOTS 18 a 19
MAP OF
ORIENT BY THE SEA
SECTION No.
FILE No. 2777 FILED NOVEMBER 21, 1957
SITUATE
ORIENT POINT
TOWN OF- $OUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No, 1000-15-03-16
SCALE 1"=20'
AUGUST 25, 2008
NOVEMBER 25, 2008 ADDED PROPOSED DECK
AREA = 24,053 sq.
(TO TIE LINE) 0.552 OC.
CERTIFIED TO:
PETER SCHEMBRI
GAlL SCHEMBRI
FIRST AMERICAN
TITLE INSURANCE COMPANY OF NEW YORK
S
OzV ,
Z'S'4 -4 .A/D
~ S 81o07,$5,, £
?9'
N.Y.S. Uc, No. 50467
Nathan Taft Corwln III
Land Surveyor
PHONE (651)727-2090 Fox (631)727-1727
1,384..42,
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b
UNIT
FOUND
PIPE
SURVEY OF
p/o OTS
MAP OF
ORIENT BY THE
SEA
SECTION No.
FILE No. 2777 FILED NOVEMBER 21, 1957
SITUATE
ORIENT POINT
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-15-03-16
SCALE 1"=20'
AUGUST 25, 2008
NOVEMBER 25, 2008 ADDED PROPOSED DECK
JANUARY 19, 2009 ADDED PROPOSED GARAGE ADDITION
AREA = 24,053 sq. ff.
(TO TIE LINE) 0.552 aC.
_CERTIFIED TO:
PETER SCHEMBRI
GAll SCHEMBRI
FIRST AMERICAN TITLE INSURANCE
COMPANY OF NEW
YORK
LO/vQ
LOT COVERAGE DATA
LOT AREA LANDWARD OF TOP OF BLUFF = 18,550 sq. ff.
DESCRIPTION AREA % LOT COVERAGE
EXISTING HOUSE 1,670 sq. ft. 9.1%
PROPOSED DECK 965 sq. ff. 5.2%
PROPOSED ADDITION 524 sq. fi. 1.8%
TOTAL 2,959 sq. ft, 16.1%
1,384.42,
No, 50467
Nathan Taft Corw~n III
Land Surveyor
PHONE (631)727-2090 Fax (631)727-1727
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l& 1-1/2 STORY
FRAME HOUSE
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/3. O0 "
~85'57'4
25.00'
souza .. . ..
ROAD
W£LL