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HomeMy WebLinkAbout1000-64.-3-8 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: From: Leslie Weisman, Chair Town of Southold Zoning Board of A~eals Mark Terry, Principal Planner~.~'"-) LWRP Coordinator'~ v Date: February 8, 2010 Re: ZBA File Reference No. 6362 Goldsmith SCTM# 1000-64-3-8 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is EXEMPT from LWRP coastal consistency review requirements pursuant to § 268-3. Definitions. Minor Action, item F, which states. F. Granting of individual setback, lot line and lot area variances, except in relation to n regulated natural feature or a bulkhead or other shoreline defense structure or any activitv within the CEHA; /Amended 6-6-2006 by L.L. No. 7-2006/ Pursuant to Chapter 268, the Zoning Board of Appeals shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, 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 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 December 7, 2009 Mark Terry, Principal Planner LWRP Coordinator Planning Board Office Town of Southold Town Hall Annex Southold, NY 11971 Re: ZBA File Ref. No. # 6362 Goldsmith, Bruce Dear Mark: We have received an application for proposed on non-conforming waterfront lot. A copy of the Disapproval under Chapter 280 (Zoning Code), are attached for your reference. Your written Code procedCres of LWRP letter. Thank you. Encls. ~ car accessory garage Inspector's Notice of project description form, . for this proposal, as required under the uested within 30 days of receipt of this Very truly yours, Gerard P.Goehringer By: FORM NO. 3 NOTICE OF DISAPPROVAL DATE: Octobcr 8, 2009 TO: Bruce Goldsmith 2420 Hobart Rtl. Soutbold, NY 11971 Please take notice that your application dated October 7, 2009: For permit to construct accessory two cra- garage at: Location of property: 2550 Hobart Rd., Southold, NY County Tax Map No. 1000 - Section 6~4 Block ._3 Lot _8 Is returned herewith and disapproved on tl~e following grounds: ~hc pro_posed construction of a two car accessory uarage on this non-conforming watert¥ont lot consisting of i9,435.57 sq. ft. in thc residential R-40 District is not permitted. Pursuant to Article 111, S~cctior~ 280-15 kB) (F), "accessory buildings: on lots 10.000- ! 9,999 sl~all have a minimum side yard setback of 20 feet and in thc case o£ watcrfront properties, accessory bu. ildi2~gs may be locatcd in tile fi-ont ,/a_rd ira,vialed the;, tile frgnt yard_principal setback..." Surv,4v.E s ~ow5 prt posed mm~gc at 3.1 feet Ii'om thc side x,,. 'c, wbcrc 2(~ IDct is rccloirc'd and 20.8 fcet [~'Olll tile front yam, where 35 feet is rcquired. Authorized Signature Note to Applicant: Any change or deviation to the above referenced application may require further review by thc Southold l'own Building Department. CC: file. Z.B.A. / COUNTY OF SUFFOLK (~) ~ lax Service Agency ~ SOUTHOLD 1000 SECTION NO PROPERTY k~P TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Examined .... 20 .... Approved Disapproved a/c PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to: Expiration ,20 Building Inspector 11.[1 OCT 7 2009 INSTRUCTIONS ' ' a. This applica~T be complet ely filled in by typewriter or in imk and submitted to the B~xilding Nspector with 4~ sets of pb ,~ ,~m,m~p~[cale. ~ee ~ccording to schedule. b. Plot plan showing location of lot m~d of buildings on premises, relationship to adjoining premises or public streets or areas, and wate~ays. c. The work covered by this application may not be commenced before issuance of Building Pemit. d. Upon approval of this application, the Building ~spector will issue a Building Pe~it to the applic~t. Such a pemit snai! be kept on the premises available for inspection throughout the work. e. No building shall be occupied er used in whole or in pa~ for any propose what so ever until the Building Inspector issues a Ce~ificate of Occupancy I. Evew building pe~i; shall expire ~? tt~c wc k authorized has not commenced within 12 months aker the date of issuance or has not been completed within 18 months from such date. if no zoning amendments or other regulations afl~cting the propegy have been enacted in the interim, the Building inspector may authohze, in writing, the extension of the pe~it for an addition six months. Thereafter, a new pemit shall be required. ~PLICATION IS HEREBY M~E to the Building Depa~ment for the issuance of a Building Pe~it pursuant to the Building Zone Ordinance of tNe 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 ail applicable laws, ordinances, building code, housing code, and regulations, and to admit huthorized inspectors on premises and in building Ibr necessa~ inspections. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner ofpremises_ '~[[d(' ~ 6;/Jd-~/,Z;~_Z_~4~ ~,,r_~/'m trw/ (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name m~d title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location ofland on which propose3t work '~y.i41 ,be done: House Number Street County Tax Map No, 1000 Section ~ ¢ Block gnhdivi~inn Hamlet Lot ~ Filed Man No. Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy (~*t~eC~_F b. Intended use and occupancy Nature of work (check which applicable): New Building. Removal D~molition Estimated Cost 7 Fee If dwelling, number ofdwe!ling units If garage, number of cars Addition Alteration Other Work g, ep/,~ (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front /~ Rear Depth _/~.~ Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height. Number of Stories__ 9. Size of lot: Front 10. Date of Purchase Dimensions of entire new construction: Front 2_ z/:_. Rear Height Nurnber of Stories Depth Rear Depth Name et' Fenner Owner 11. Zone or use district in which premises are situated ~ ~ ~ 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO 13. Will lot be re-graded? YES NO t/ Will excess fill be removed from premises? YES NO 14. Names of Owner of premises/~a ~,cw 6_'t_/~/~','rz't' Address gl-~ ,z~/--~r ~// Phone No. ~ Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet ora tidal wetland or a freshwater wetland? *YES * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. I 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. l 8. Are there any covenants and res,fictions with respect to this property? * YES · IF YES, PROVIDE A COPY. NO STATE OF NEW YORK) SS: COUNTY OF ~-.~r ~ .~ ,Or- (- . (.~ o\c~,, ,--~-L~,. _ being duly sworn, deposes and says that (s)he is the applicant (Nam~ of ifidivid~al signing contract) above named, (~'He~ the (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are trae to the best of his knowledge and belief; and that the work will be performed in the maturer set forth in the application filed therewith. Sworn to before n~thi~) /'~ c~ d~'~-,qf'/'~ 20°~ ---' /'/ ~//~ X~-~ -- /, Not~ public 2~--~--~"-~I'$COT]"J~'' / SignatureofApplicant // ~*' "" /'"' Notary Public, State of New York // ~' Qualified in Suffolk County /; No. et sc472_$o~a-~,.~, . APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS Fee: $ Office Notes: __ Filed By: For Office Use Only Date Assigned/assignment No. _ (;.2 ~(~ ~ SCTM1000Section~t Block 3 Lot(s) fi_ LotSize 94""?( Z6'L- Zone DATED /' ~/~/~ ~' BASED ON MAP DATED ~,~G ~.~ ~ ' -- TelephoneLZ~l-- ]~Z ~ Faxg: Email: ~tc,YXm,~ NOTE: In addition to the above, please complete below if applkatioa is signed by applicant's attorney, agent, architect, builder, contract vendee, etc. and name of person who agent represents: Name of Representative: for (.) Owner, or ( ) Other: Agent's Address: Telephone__ Fax #: Email: Please check box to specify who you wish correspondence to be mailed to, from the above names: J~Applicant/Owner(s), or [] Authorized Representative, or [] Other Name/Address below: WHEREBY THE BUILDING INSPECTOR REVIEWED MAP DATED AN APPI.ICATH~ DATED gl)/~ ____ FOR: ~ Bnildiag Permit ~ Certificate of Occupancy H Pre-Certificale ol Occupancy ~ Change of Use ~ Permit for As-Built Construction DOther: and DENIED Provision of the Zoning Ordinance Appealed. (Indicate Article, Section, Subsectiou of Zoning Ordinance by numbers. Do not quote the code.) Article [! ! Section 280- I'Y~ Subsection Type of Appeal. An Appeal is made for: }II A Variance to the Zoning Code or Zoning Map. [] A Variance due to lack of access required by New York Town Law-Section 280-A. 13 Interpretation of the Town Code, Article Section [] Reversal or Other A prior appeal [] has, ~ has not been made at any time wi_~th respect to this property UNDER Appeal No. Year ~. (Please be sure to research be£ore completing this question or call our office for assistance.) ,NameofOwner: ZBA File# ~t ~(~ ~. REASONS FOR APPEAL {additional sheets may be used with preparer's signature): .4REA VARI.4NCE RE,4SONS: (1) An undesirable change will not be produced in the CHARACTER of the neighborhood or a detriment to uearby p~'op, erties if granted, because: ~d_.~:;.~.,~,,~.~ f'~,~_ ~l e._ ~,..,~ 7.i4~c ~ c ~L (2) The benefit sought by the applicant CANNOT be achieved by some method feasible fol' the applicant to pursue, other than an area variance, because: t- ~ (3) The amount of relief/~e_/quested 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,;~lleged difficulty been self-created? (-~es, or ( )No. Are there Covenants anffRestriclions concerning Ibis land: ~ No. ~ Yes ~qj~rnish~z~ This is the MINIMUM that is necessary and adequate, and at tile same lime preserve and protecf the character of the neighborhood and the healtb~ safety, and welfare of fhe community, Check this box ( ) IF A USE ISdRI~NCE IS BEING REQUESTED, AND PLEASE COMPLETE THE' .4TT~4CHED USE V~RI.4NCE SHEET: (Please be sure ~ consult your attortt~.) Si~u~ture ~Appella~t or Authm'ized A~ent Sw~rn ~efor~ me thi~ ~ } ~[ (Agent mu~t ~ubmlt wrltten AathoH~tioa from Owner} ~ot~ Publi( ~ X ~ ~ v Claire L. Glew Notary Public, State of New York No. 01GL4879505 Qualified in Suffolk County Commission Expires De{;. 8, ~[ Applicant: APPLICANT'S PROJECT DESCRIPTION (For ZBA Reference) __~/c/l'gL~( Date Prepared:__~/0~ff//Z./~ ~ _ I. For Demolition of Existing Building Areas Please describe areas being removed: I[. New Construction Areas (New Dwelling or New Additions/Extensions): Dimensions of first floor extension:4_~qZq Dimensions of new second floor:__lf~,/z,,.~ ~,~. /~ A" / '2-- Dimensions of floor above second level: Height (from finished ground to top of ridge): ,.2// ff/~ -r e-, -- 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 foolage of buildings on your property: Proposed increase of building coverage: 2 y'~ ~, ~quare ~%otage of your lot: __ ~ [ 7~ ercent~ge of~overage of your lot by building area: V. Purpose of New Construction: ~ VI. Please describe the land contonrs (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 AGRICULTURAL DATA STATEMENT ZONING BOARD OF APPEALS TOWN OF SOUTHOLD WItEAr TO USE TillS FORM: The form must be completed by the applicant for any special use permit, site platt approval, use variance, or subdivision approval on property within an agricultural district OR within 500feet of alarm opera{ion located in agricultural district. ~Ill applications requiring an agricultural data statement must be referred to the Suffolk County Department of Planning in accordance with Sections 239- m and 239-n of the General Municipal Law. 1) Name of Applicant: /.7~c41Ct~ ~/~,~ , 2) Address of Applicant: ' d~-C' 3) Name of Land Owner (if other than appi~cant): ' ' 4) Address of Land Owner: 5) Description of Proposed Project: 6) Location of Property (road and tax map number): 7) Is the parcel within an agricultural districl? [~Sqo ~]Yes If yes, Agricultural District Number 8) Is this parcel actively ~hnned?.~o [~]Yes 9) Name and address of any owner(s) of land within the agricultural district containing active farm operation(s) located 500 feet of the boundary of the proposed project. (Information may be available through the Town Assessors Office, Town llall location (765-1937) or from any public computer at the Town llall locations by viewing the parcel numbers on the Town of Southold Real Properly Tax System. Name and Address (Please use back side of page if more than six propeay owners are identified.) The lot numbers may be obtained, in advance, when requested from either the Office of the Planning Board at t65-1938 or the Zoning Board/). Appeals at 765-1809. S ~n~re ot'~lic;nt Date Note: I. ~e local board will solicit commenls from the owners of land identified above in order to consider the effect of the proposed actio'n on their fam~ operation. Solicitation will be made by supplying a copy of this statment. 2. Comments returned to the local board will be taken into consideration as pa~ of the overall review of this application. 3. Copies of the completed Agricultural Data Statement shall be sent by applicant and/or the clerk of the board to the prope~y owners identified above. Thc cost fi>r mailing shall be paid by the applicant at the t~mc the application is submitted t~r review. Failure to pay at such time means the application is not complete and cannot be acled upon hy the board, I M09 QUESTIONNAIRE FOR FILING WITH YOUR Z.B.A. APPLICATION Is the subject premises listed on the real estate market for sale? [] Yes t~'No Are there any proposals to change or alter land contours? ,li~'No [] Yes, please explain on attached sheet. 1) Are there areas that contain sand or wetland grasses? t/it 2) Are these areas shoam on the map submitted with this application? 3) Is the property bulkheaded between the wetlands area and the upland building area'? 4) If your property contains wetlands or pond areas, have you contacted the office of the Town Trustees for its determination of jurisdiction? __Please confirm status of your inquiry or application with the Trustees: and if issued, please attach copies of permit with conditions and approved map. Is there a depression or sloping elevation near the area of proposed construction at or belo,a, five feet above mean sea level'? ~" ~ Are there any patios, concrete barriers, bulkheads or fences that exist and are not shown on the survey map that you are submitting? ,l/iteK (Please show area of these structures on a diagrmn if any exist. Or state "none" on the above line, if applicable.) Do you have any construction taking place at this time concerning your premises? g/) If yes, please subnfit a copy of your building permit and map as approved by the Building Deparm~ent and describe: G. Do you or any co-owner also own other land close to this parcel? ~/~g_ the proximity of your lands on your map with this application. If yes, please label H. Please list present use or operations conducted at this parcel and proposed use ~l,~'-~?-~e ...................... . / (examples: exis/ing: single.£amiiy ploposed: same with garage or poo, or other description,) ~~ and Date 2105.1/07 Town ,of Southold A. INSTRUCTIONS LWRP CONSISTENCY ASSESSMENT FORM All applicants for perm/ts* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other infommtiou used by a Town of Southold agency in making a detenrfination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located rvithin the Coastal Eroston Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations o£ each policy contained in the Town of $outhold 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). Ifm~y question in Section C on this tbrm 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 mlalyzed in more detail and, if necessary, modified prior to making a determh~ation that it is consistent to the lnaximum exter~t practicable with the LWRp policy standards and conditions. If an action cannot be ceffified as consistent with the LYVILP policy standards and condition~, i2_s_hall not be undmtaken. A copy of the LWRP is available in the fbllowmg places: online at the Town of Southold's website (southoldtown.norttffork.net), the Board of Trustees Office, the Plamfing Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# The ppheatmn has been submitted to (check appropriate respouse): TownBoard [--] Planning Board ~] Bnildh~gDept. ~_] BoardofTrustees ~ 1. Category of Town of Sou~old agency action (check appropriate response): (a) Action ~de~en directly by Town agency (e.g. capital cons~ction, pla~ng activity, agency re~flation, ltnd transaction) (b) Fin~cial ass/st~ce (e.g. ~m~t, 1o~, subsidy) Nature ~d extent.of action ' Location of action: Site acreage:, Present !m~d use: Present zoning classilication: If an application fi)r thc proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicm~t: ~. /_~ ~ ~,_~ ~ (b) Mailing address: ~ ~ ZC .... ,~0o ~ (c) Telephone nmnber: ~ea Code (~ ~ z 7 6 f-- 2 ~ ~ (d) Application number, if any:. Will the action be dircctly nnde~laken, require funding, or approval by a state or federal agency'? Yes ~ No [~] It' yes, which state or federal agency? C. DEVEI.OPED COAST POLICY Policy 1. Foster a paltern of development in the Town of Southold that enhances community character, preserves open space, makes efficient nse of infrastructure, tnakcs beneficial usc of a coastal location, and minimizes adverse effects of development. See IAVRP Section Ill - Policies; Pagc 2 for evaluation criteria. [--qYes ~} No [_~'_~ Not Applicable Attach add tional steets if necessary Section III - Policies Pages 3 threugh 6 for evaluation c~iteria f~6u~hol~. See LWRP l-z] 'Yes-~ No[~--q Not Applicable Atlach additional sheets ifnecessar? Policy 3. Enhance visual quality and protect scenic resoorces throughont the Town Of Sonth01d. see LWRP Section III - Policies Pages 6 through 7 for- evaluation criteria ~j Yes~ No [~]]] Not Applicable A FURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section [I1 - Policies Pages 8 throogh 16 for evaluation criteria ~ Yes ~] No [~ Not Applicab,e Policy $. Protec¢ and improve water quality aud supply io tire 'l'o~vn of Soutbold. See LWRP Section 1II - Policies Pages 16 through 21 flw evaluation criteria []~ Yes [~ No /~2Not Applicable Aaach additional sheets if necessary Policy 6. Protect and restore tl~e quail .ty and function of the Town of Southold ecosystems .Sig_~iflcant Coastal Fish and Wildlife Habitats and wet ,. . including through 32 for evaloat/on criteria. -.tlgnds--S~ !~V¢~ ~e~ct~on III - Policies. o .... ~ Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section I11 - Policies Pages 32 through 34 fur evaluatiou criteria. [] Yes [] No ~ Not Applicable Ai~ach additional sheets if necessary Policy 8. Minimize environmental degradatiou in Town of Sonthold from solid waste and hazardous substances and wastes. See LWRP Section III -- Policies; Pages 34 through 38 for evaluation criteria. PUBLIC COAST POI_JCIES Policy 9. Provide for pablic access to, and recreational nsc of, coastal Waters, public lands, and public resources of the Town of Soutbohl. See LWRP Section II1- Policies; Pages 38 through 46 for evalaation criteria. Yes [~] No ~_-_] Not Applicable ACach additional sheets if necessary W~RKiNG COAST PoLiCiE~ ....... ' Policy I0. Protect Southold's water-dependent uses and promote siting of new water-dependent uses suitable locations. See LWRP Section III -- Policies; Pages 47 through 56 for evaluation criteria. ~] Y6S [~-No ~_] Ni, i ApPlicable ID Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and To~vn waters. See LWRP Section Ill - Policies; Pages 57 through 62 for evaluation criteria. ~ Yes ~] No [ ] No, 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. · [] Yes ~] No [] Not Applicable ARach additional sheets if' necessary Policy 13. Promote appropriate nsc and developmeut of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. ~-] Yes ~ No ~] Not Applicable Created on 5/25/05 ll:20 AM 617.2l Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I - Project Mformatton (To be complete by Applicant or Project sponsor) 1. Applicant / Sponsor 2. Project Name SEQR 3. Project location Munlc~pahty ('"', , ~..,. Counb/ /~. /'), 4. ~ ~'~~ro~a inTer~ectJons, promineht landmarks, etc. or provide mao) ~s proposed action: NEW ( ) EXPANSION ( ) MODIFICATION / ALTERATION ] 6 Describe project briefly: 7 Amount of land affected: [ i( ) YES (f~ NO If Yes, ist age*cy(s) and permit/aperovals: I ) YES (,)¢) NO If Yes, list agency(s) and permit/approvals: E ) YES (.~X') NO It Yes, list agency(s) and permitJapprovals: If the action is in the Coastal Area, and you are a state agency, complete the Coa,stal Assessment Form before proceeding with this assessment 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, middle initial,~uunless you are applying in the nam~-~-f s~-me~n~-~ else or other entity, soch as a company. If so, indicate the other person or company name.) NATUP, E OF APPLICATION: (Check ail 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) bare a relationship with any officer or employee of the Toum of Southold? "Relations~' mc tides b bloo.d_,~marria~g~or business interest. '_'B~usiness interest' means a bus: .... ; , · PA_r~nersh~.p._ in which the Fown officer or enlploy_ee__l~~.~rtlal o__wne[s_h_ip~oC(~ ~rnm~t b,O~_co~La_ti~o[~ ~n whiclTl the Town offi~o~,2ee owens more than If you answered "I~EN,,, complete the balance of this fi~rm and date ~nd sign where indicated. Name ol~person empioycd hy the To~vn of Southold: Describe that relationship bekwcen yom'self (the appbcant, agent or co;m-act vendee) and thc Town officer or emp oyee. Either check the appropriate line A tlmmgh D (below) ami/or describe the relationship in the space provided. The Town officer cr employee or his or her spouse, sibling, parent, or child is (check all that apply): A) the mvner of g~eater than 5% of the shares of the coqmratc stock of the applicant (when the applicant is a co~orati0n); ~ B) tbe legal or beneficial o~er of any imerest in a non-co¢orate entity (when the applicant is not a co~oration); C) an officer, director, pa~er, or employee cf the applicant; or ....... D) the actual applicant. DESCRIPTION OF REI,ATIONSHIP James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (6311 765-664 l October 19, 2009 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Bruce Goldsmith 2550 Hobart Rd. Southold, NY 11971 RE: 2550 HOBART RD,, SOUTHOLD SCTM#64-3-8 Dear Mr. Goidsmith: The Southold Town Board of Trustees reviewed the survey received on October 16, 2009 and determined the proposed construction of a 24'X 24' garage to be out of the Wetland jurisdiction under Chapter 275 of the Town Wetland Code and Chapter 111 of the Town Code. Therefore, in accordance with the current Wetlands Code (Chapter 275) and the Coastal Erosion Hazard Area (Chapter 111 ) no permit is required. Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal and/or freshwater wetlands jurisdictional boundary or seaward of the coastal erosion hazard ama as indicated above, or within 10ff landward from the top of the bluff and/or wetlands jurisdictional boundary, without further authorization from the Southold Town Board of Trustees pursuant to Chapter 275 and/or Chapter 111 of the Town Code. It is your responsibility to ensure that all necessary best management practices are taken to prevent any sedimentation or other alteration or ciisturbanco to the ground surface or vegetation within Tidal Wetlands jurisdiction and Coastal Erosion Hazard Area, which may result from your project. This determination is not a deterrnination from any other agency. If you have any further questions, please do not hesitate to call JanY~s F. King, President Board of Trustees JFK:lms OWNER FORMER OWI~R RES. LAND AGE NEW Farm Fillable 1 rillable 2 Fillable. 3 Noodland ~wampiand ~rushland ~ouse Plpt 'oral SEAS. IMP, VL TOTAL DATE j REMARKS BUILDING CONDITION NORAAAL BELOW Acre Volue Per Acre ABOVE FRONTAGE ON WATER Value FRONTAGE ON ROAD BULKHEAD DOCK . ~ Ext. Walls I ~ Interior Finish I ~ I Porch Roo~ 1st Floor eezeway ] [ ~ Patio J Rooms 2nd Floor ,rage /~17: ~¢ ,60' ~ Driveway Dormer ............ , ~ ~EC 0 2 2009 RECEIVED DEC 0 2 SOARD OF AppEALS Iii r~ SURVEY OF LOT 124 SUBDIVISION MAP OF FOUNDERS ESTATES FILE NO. 834 DATE: MAY 10, 1927 SITUA TED A T SOUTHOLD TOWN OF $OUTHOLD SUFFOLK COUNTY, N[W YORK S.C. TAX No. 1000-64-03-08 SCALE 1"=20' MAY 6, 1999 SEPTEMBER 20, 2000 ADDED TOPOGRAPHICAL SURVEY OCTOBER 28, 2009 ADDED PROPOSED GARAGE AREA 19,435.57 sq. ff. ( To BULKHEAD ) 0.446 nC. DEC 0 2 2009 \ / %,/ / / / / .% x~ CERTIFIED TO: BRUCE GOLDSMITH --11 NOTES: 1. FLOOD FLOOD ZONE AR' ZONE X*: ZONE INFORMATION TAKEN FROM: INSURANCE RATE MAP No. 36103C0166 G BASE FLOOD ELEVATIONS DE~ERMINED AREAS OF 500-YEAR FLOOD, AREAS OF IO0-YEAR FLOOD WITH AVERAGE DEPTH OF LESS THAN 1 FOOT OR WITH DRAINAGE AREAS LESS THAN ~ SQUARE MILE, AND AREAS PROTECTED BY LEVEES FROM 100 YEAR FLOOD ZONE X: AREAS DETERMINED TO BE OUTSIDE 500 YEAR FLOODPLAIN COASTAL BARRfER: FLOOD iNSURANCE NOT AVAILABLE FOR NEW CONSTRUCTfON OR SUBSTANTIALLY IMPROVED STRUCTURES ON OR AFTER NOVEMBER 16, 1990 IN DESIGNATED COASTAL BARRIERS ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM EXISTING ELEVATIONS ARE SHOWN THUS:~ EXISTING CONTOUR LINES ARE SHOWN THUS: -5-- F FL - FIRST FLOOR UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY I~ A VIOLATION OF SEC~ON 7209 OF THE NEW YORK STATE THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS AS ESTABLISHED BY THE LLA.LS AND APPROVED AND ADOPTED Nathan Taft Corwin III Land Surveyor NYS, Lic No 50467 PHONE (631)727-2090 Fox (631)727-1727 99-316[