HomeMy WebLinkAbout1000-10.-4-12.3 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: Leslie Weisman, Chair
Town of Southold Zoning Board of Appeals J
From: Mark Terry, Principal Planner ~
LWRP Coordinator ~
Date: July 26, 2010
Re: HARRIET McNAMARA (McNamara Family Trust) #6393
SCTM#1000-10-4-12.3.
HARRIET McNAMARA (McNamara Family Trust) #6393 - Request for Variance from Code Sections
280-122A and 280-124, based on an application for building permit and the Building Inspector's Mamh
18, 2010 Notice of Disapproval, concerning additions to one of two existing seasonal dwellings, 1 )
proposed addition is not permitted, it shall create new nonconformance or increase the degree of
nonconformance, 2) lot coverage at more than the code required maximum of 20%, at: Peninsula Rd.,
(adj. to Darbies Cove) Fishers Island. SCTM#1000-10-4-12.3.
The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of
Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards.
Based upon the information provided on the LWRP Consistency Assessment Form submitted to this
department, as well as the records available to me, it is my recommendation that the proposed action is
CONSISTENT with the denoted following Policy Standards and therefore is CONSISTENT with the
LWRP provided that the following best management practice is implemented.
In the event that the action is approved; to further Policy 5. Protect and Improve Water Quality in the
Town of Southold and Policy 6. Protect and Restore the Quality and Function of the Town of Southold
Ecosystem it is recommended that the following be required.
1. The installation of gutters, leaders and drywells for storm water collection.
Pursuant to Chapter 266, 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, Capital One Bank
54375 Main Road (at Youngs Avenue)
Southold, NY 11971
Mailing Address:
53095 Main Road
P.O. Box 1179
Southold, NY 11971-0959
http://southoldtown.northfork.net
BOARD OF APPEALS
TOWN OF SOUTHOLD
Tel. (631) 765-1809 Fax (631) 765-9064
April 23, 2010
Mark Terry, Principal Planner
LWRP Coordinator
Planning Board Office
Town of Southold
Town Hall Annex
Southold, NY 11971
Re: ZBA File Ref. No. #6393 (McNamara)
Dear Mr. Terry:
We have received an application for additions to existing dwelling on Fishers Island. 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 receipt of this
letter.
Thank you.
Very truly yours,
Encls.
Leslie K. Weisman
Chairperson
//
TOWN OF SOUTHOLD
FORM NO. 3
NOTICE OF DISAPPROVAL
DATE: March 18, 2010
TO: Harriet McNamara
20 Kalmia St.
E. Northport, NY 11731
Please take notice that your application dated February 16, 2010
For permit for additions to an existing dwelling at
Location of property: Peninsula Rd, Fishers Island, NY
County Tax Map No. 1000 - Section 1~0 Block 4 Lot 12.3
Is returned herewith and disapproved on the following grounds:
The proposed new construction to one of two existing seasonal dwelling on this 11,278 sq. ft. lot is not
permitted pursuant to Article XXIII Section 280-122A which states:
"Nothing in this article shall be deemed to prevent the remodeling, reconstruction or enlargement of a
nonconforming building containing a conforming use, provided that such action does not create an,/
new nonconformance or increase the degree of nonconformance with regard to the regulations
pertaining to such buildings."
Also, per Section 280-124~ the required lot coverage is 20%. The proposed lot coverage will be
21.6%.
/ Authorized Signature
Cc file, ZBA
OF SUFFOLK
Red Prope*ty
APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS
Office Notes:
Filed By:.
For Office Use Only
Date Assigned/Assignment No.
HouseNo. Street 9~xb,-~-~ ~ Hamlet V~$~..~
SCTM1000 Section ]0Block~ Lot(s) 12,~ LotS~~r Zone
I ~E) ~PE~ T~ ~TTEN DETE~A~ON OF ~ B~D~G ~SPECTOR
DASD ~- ~ -~o)~ BASED ON ~ DATED ~-
Applicant(s)/~ner(s): ~A~t~.
Ma~in~ddress: ~0 ~ ~X~
Telephone: ~ ' ~ - ~ ~ 0 ~ Fax ~:
NOTE: In addition to the abov~ pl~e comple~ below if application is sl~ by appli~ut's a~o~ey, agen~ arcbit~ builder, con~ct
vendee, etc. and name of pe~on who agent reprints:
Name of Representative: for ( ) ~ner, or ( ) Other:
Agent's Address:
Telephone Fax #: Email:
Ple~ec~J~%~c~J~who you wish correspondence to be mailed to, from the above names:
<--~~t/Ow~e~)or Authorized Repreaentative, or-- Other Name/Address below:
WHEREBY THE BUILDING INSPECTOR REVIEWED MAP DATED ~ - Z-~0 ~ and DENIED
ANAPPLICATI~ED !.~ ~ - ~o~0 FOR:
c..~g~lding Per__~i~
Certificate of Occupancy Pre-Certificate of Occupancy
Change of Use
Permit for As-Built Construction
Other:
Provision of the Zoning Ordinance Appealed. (Indicate Article, Section, Subsection of Zoning
Ordinance by numbers. Do not quote the code.)
Article X~ I~l Section 280- ~'L'z-A Subsection
Type o.f~ppeal. An Appeal is made for:
V A Variance to the Zoning Code or Zoning Map.
A Variance due to lack of access required by New York Town Law-Section 280-A.
Interpretation of the Town Code, Article Section
Reversal or Other
A prior appeal has, ~en made at any time with res.pect to this nronertv. UNDER Appeal
No. Year . (Pl~e be sure to research before completing this question or call our office for
assistance.)
Name of Owner: H n f'~'~ ~' ~q~ z'~r-A ^'~A/NO.J~ ZBA File #
REASONS FOR APPEAL (additional sheets may be used with preparer'$ signature):
AREA I/~JRIANCE REASONS:
(1) An undesirable change will not be produced in the CHARACTER of the neighborhood or a
detriment to nearby properties ifgranted, because: ~3,,~e..~.o,,n.~ ua~x~ ~'~ t, 1~,,'~,,,3~
(2) The benefit sou~t by the applicant C~OT be achiev~ by some meth~ feasible for the
applicant to pu~ue, 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 (~No.
Are there Covenant~ and Restrictions concerning thi~ land: ~,
Thb ~ the MINIMUM that i~ oeee~sary and adeqnate, 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 V/IPJANCE IS BEING REQUESTED, AND PLEASE COMPLETE THE
ATTACHED USE VARL4NCE SHEET: (Please be surelto cousult your attorney.)
Signature of Appellant or Authorized Agent
Sworn to before me this ~.~ v~ ~
oRAH d sANCHEZ
_D..EB~,,oHo ~tate Ot New~0rk
(Agent must submit written Authorization from Owner)
APPLICANT'S PROJECT DESCRIPTION
(For ZBA Reference)
Applicant:
Date Prepared:
I. ]For Demolition of Existing Building Areas
Please describe areas being removed:
II. New Construction Areas (New Dwelling or New Additions/Extensions):
Dimensions of fn-st floor extension: ~4-.~'~ ~', 3 2x3.5' g ~'
Dimensions of new second floor: ~4. ~' x ~
Dimensions of floor above second level:
Height (from finished ground to top of ridge): 7~3'
Is basement or lowest floor area being constructed? If yes, please provide height (above ground)
measured from natural existing grade to first floor:
m. Proposed Construction Description (Alterations or Structural Changes)
(attach extra sheet if necessary)- Please describe building areas:
Number of Floors and General Charactqrisfics BEFORE Alterations: T~o g
Number of Floors and Changes WITH Alterations:
IV. Calculations of building areas and Itt coverage (from surveyor):
Existing square footage of buildings on your property:
Proposed increase of building coverage: ?--~;(3
Square footage of your lot: ~ ~ ~ '-1 <3~
Percentage of coverage of your lot by building area: Z
V. Purpose of New Construction: y.~ e.~$ ~0 ~_~ ~3G- ^C~K
VI. Please describe the land contours (flag 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 subject~emises listed on the real estate market for sale?
Yes ~
B. A~'~ll,ere any proposals to change or alter land contours?
~ Yes, please explain on attached sheet.
C. 1) Are there areas that contain sand or wetland grasses? q ~
2) Are these areas shown on the map submitted with this application? '~ e~
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
inqui[y 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 elevation near the area of proposed construction at or below five
feet above mean sea level? ~4~
Are there any patios, concrete barriers, bulkheads or fences that exist and are not shown
on the survey map that you am submitting? r~e~ (Please show area of these
structures on a diagram if any exist. Or state "none" on the above line, if applicable.)
Do you have any construction taking place at this time concerning your premises? ~J h
If 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?
the proximity of your lands on your map with this application.
If yes, please label
Please list present use or operations conducted at this parcel -~xx~x~6q._ ,. ~3
and proposed use ~ta ~,~
(examples: existing: single-family; proposed: same with garage or pool, or other description.)
Authorized Signature and Date
2/05; 1/07
APPLICANT
TRANSACTIONAL DISCLOSURE FORM
(FOR SUBMISSION BY OWNER and OWNER'S AGENT)
The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of Town officers
and employees. The purpose of this form is to provide information, which can alert the Town of
possible conflicts of interest and allow it to take whatever action is necessar~ to avoid same.
YOUR NAME:
(Last name, flint name, middle initial, unless you are applying in the name
of someone else or other entity, such as a company. If so, indicate the
other pemon or company name.)
NATURE OF APPLICATION: (Check all that apply.)
Tax Grievance
Variance ~.
Special Exception
If "Other",
name the activity:
Change of Zone
Approval of Plat
Exemption from Plat
or Official Map
Other
Do you personally, (or through your company, spouse, sibling, parent, or child) have a relationship
with any officer or employee of the Town of Southold? "Relationship" includes by blood,
marriage, or business interest. "Business interest" means a business, including a partnership, in
which the Town officer or employee has even a partial ownership of (or employment by) a
corporation in which the Town officer or employee owns more than 5% of the shares.
YES NO V/
Complete the balance of this form and date and sign below where indicated.
Name of person employed by the Town of Southold:
Title or position of that person:
Describe that relationship between yourself (the applicant) and the Town officer or employee.
Either check the appropriate line A through D (below) and/or describe the relationship in the space
provided.
The Town officer or employee or his or her spouse, sibling, parent, or child is (check all that
apply):
A) the owner of greater than 5% of the shares of the corporate stock
of the applicant (when the applicant is a corporation);
B) the legal or beneficial owner of any interest in a non-corporate entity
(when the applicant is not a corporation);
C) an officer, director, partner, or employee of the applicant; or
D) the actual applicant.
DESCRIPTION OF RELATIONSHIP
Submitted this
Signature:
Print Name:
LWRP CONSISTENCY ASSESSMENT FORM
A. INSTRUCTIONS
All applicants for permits* including Town of Southold agencies, shall complete this CCAF for
proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This
assessment is intended to supplement other information used by a Town of Southold agency in
making a determination of consistency. *Except minor exempt actions including Building Permits
and other ministerial permits not located within the Coastal Erosion Hazard Area.
Before answering the questions in Section C, the preparer of this form should review the exempt
minor action list, policies and explanations of each policy contained in the Town of Southold Local
Waterfront Revitalization Program. A proposed action wilt be evaluated as to its significant
beneficial and adverse effects upon the coastal area (which includes all of Southold Town).
o
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~
A copy of the LWRP is available in the following places: online at the Town of Southold's
website (southoldtown.norttffork. 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
The Application has been submitted to (check appropriate response):
Town Board ~ Planning Dept. ~ Building Dept. [~/ Board of Trustees
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) Financial assistance (e.g. grant, loan, subsidy)
(c) Permit, approval, license, certification:
Nature and extent of action:
Location of action:
Site acreage:
Present land use: %~ ~ (r~
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:
(a) Name of applicant:
(b) Mailing address:
(c) Telephone number: Area Code ( ) (._(_~1) "-/5'3 qlO~
(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? I~) ~3~.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.
~Yes F~ No F~ (Not Applicable - please explain)
Attach additional sheets if necessary
Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See
LWRP Section III - Policies Pages 3 through 6 for evaluation criteria
~-~ Yes ~-~ No ~ (Not Applicable - please explain)
Attach additional sheets if necessary
Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See
LWRP Section III - Policies Pages 6 through 7 for evaluation criteria
[] Yes [-~ No [X~ (Not Applicable - please explain)
Attach additional sheets if necessmry
NATURAL COAST POLICIES
Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP
Section Ill - Policies Pages 8 through 16 for evaluation criteria
[] Yes ~ No ~ (Not Applicable - please explain)
Attach additional sheets if necessary
Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III
- Policies Pages 16 through 21 for evaluation criteria
~'~ Yes [] No ~ (Not Applicable - please explain)
Attach additional sheets if necessary
Policy 6. Protect and restore the quality and function of the Town of Southoid ecosystems including
Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22
through 32 for evaluation criteria.
~-~ Yes ~ No [] (Not Applicable - please explain)
Attach additional sheets if necessary
Policy 7. Protect and improve air quality in the Town of Southald. See LWRP Section III - Policies
Pages 32 through 34 for evaluation criteria. See Section III - Policies Pages; 34 through 38 for evaluation
criteria.
[] Yes ~ No~ (Not Applicable - please explain)
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.
Yes ~-] No ~ (Not Applicable - please explain)
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 IH - Policies; Pages 38 through 46 for evaluation
criteria.
[] Yes~ NO~ (Not Applicable - please explain)
Attach additional sheets if necessary
WORKING COAST POLICIES
Policy 10. Protect Southold*s water-dependent uses and promote siting of new water-dependent uses in
suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria.
~ Yes ~-] No ~ (Not Applicable - please explain)
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 HI - Policies; Pages 57 through 62 for evaluation criteria.
Yes ['-] No ,~ Not Applicable - please explain
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 - please explain
Attach additional sheets if necessary
Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP
Section IH - Policies; Pages 65 through 68 for evaluation criteria.
~ Yes [--] No ~ Not Applicable - please explain
PART II--ENVIRONMENTAL ASSESSMENT (To be completed 0y Agency)
WILL ACT[OH RECEIVE COOROINATED ~EVIEW AS PROVlOEO FOR UNLISTED ACTIONS iN 6 NYCRR. PART 617.67 if NC. a hegel=ye cec~ara[~o~
~.-- Yes F'm~ No
C5. Gtowlh. suDseuuent development, or related activities likely to be inCuce¢l by the brol~3sed action? Ex,)lain briefly.
ce. Long term. short term. cumulative, or other effects not identified in C1-C57 Explain briefly.
C7. Other impacts (including changes in use of either quantity or type of energy)? Explain Dtlelly.
D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CEA?
[] Y,, [] .o
E, Is THERE, OR IS THERE LIKELY TO SE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? "~ Yes ~] NO if Yes, explain PrJefly
PART Ill--DETERMINATION OF SIGNIFICANCE (To be completed by Agency)
INSTRUCTIONS; For each adverse eflect identified above, determine whether i{..is substantial, large, important or otherwise significant.
Each effect should be assessed in connection with its (a) setting (i.e. u~ban or rural); (bi i~mbabiiity of occurring; (c) duration; (d)
irrevereibility; (e) geographic scope; and (1) magnitude. If necessa~, add attacl~ments or reference supporting materials. Ensure that
explanations contain sulficient detail to show that all relevant adverse iml3acts have been identified and adequately addressed, ti-
question D of Part ii was checked yes, the determination and significance must evaluate the potential, impact of the proi=osed action
on the environmental characteristics of the CEA.
[] Check this box if you have identified one or more potentially large or significant adverse irrr{5?cts which MAY
occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration.
[] Check this box if you have determined, based on the information and analysis above and any supporting
documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts
AND provide on attachments as necessary, the reasons supporting this def~ermination:
Terrence and Harriet McNamara
20 Kalmia Street
East Northport, NY 11731
Town of Southold Building Department
Town Hall Annex
54375 Main Road
PO Box 1179
Southold, NY 11971-0959
February i0,2010
RE: Fishers Island Property, SCTbl #1000-10-4-12.3
FEB 1 6 2010
Dear Sirs; BLDG. DEPT.
TOWN OF SOUI'HOLD
Thank you for the recently returned request for a building permit with a list of deficiencies
and observations. We realized that the proposed addition and porch would require a
variance due to the road setback requirement and the lot coverage regulations. It was our
intention to receive a letter of disapproval for these problems so that we could seek a
variance before having the complete set of plans drawn up.
We plan to remove a second story balcony and would like to replace part of the present
deck with an enclosed porch. The proposed porch and addition are the minimum area that
would provide added living space needed due to an aging family member coming to stay
with us. The porch would provide an enclosed sitting area with a water view. The addition
will provide an area for viewing a television and additional floor space upstairs to make the
smaller bedroom usable by an older person.
Des not
appear to be a viable alternative to the sites selected.
Currently, the house at its closest, sits 56.7 feet from the tidal wetlands. The proposed
porch would be 48.6 feet from the wetland; the addition on the side of the house would be
56.7 feet from the wetlands. The existin~verage is 20.5 % of the total lot area and the
proposed additions would bring that tolCME Associates Engineering, Land
Surveying and Architecture provided all these figures. As a consequence, we have applied
to the Board of Trustees and have received tentative approval pending an inspection.
An application for a NYDEC permit has been submitted and a variance is being requested
from lot coverage and wetland setback regulations.
The elevations have been added to the construction drawings. The flood zones are listed as
NOTE 10 on the survey. If anything further is needed please let use know and we will
contact CME with the request.
T. McNamara
TOWN OF SOUTHOLD
B ,U~I~G DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoatholdTown. NorthFork. net
Examined ~ 20
Approved ,20
Disapproved a/q~ [/]t'A~rO
Expiration ~ 20
PERMIT NO.
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
PlanMng Board approval
Check ·
N.Y.S.D.E.C. ~;
Flood Permit
Phone:
{ Date '"~/~ ~ ,2010
INSTRUCTIONS
ompletaly fi0ed in by typewriter or in ink and submitted to the Buildin~ Inspector with 4
de. Fee according to schedule.
incas, and waten~ays, ofint and of buildings on prem/ses, relationship to adjoinin~ premises or public s~rects or
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 9n the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any propose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Eve~ building permit shall expire if the work authorized has not commenced within 12 months aRer the date of
~ssuanee or has not been completed wathin 18 months from such date. If no zoning anaendments or other regulations affee~ng the
property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of thc permit for an
addition six months. Thereat~er, a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Deparmaent for the issuance of a Building Permit pursuant to the
Budding Zone Ordinance of the Town of Southuld, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulat~uns, for the constroctlon of buildings, adthtlons, or alterataons or for removal or demolition as herein described. The
applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit
authorized inspectors on premises and in building for neeessa~ inspections.
(S'gnature of applicaet or name, ifa corporation)
(Mailing addrc~ of applicant) 3
tate whether applicant is owner, lessee, agent, architect, engIneer, general con(racter, elee~'icinn, plumber or builder
Name of owner of premises I-I Aft~4~'T k~ ~&~'~A~
(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.
Elec~cians License No.
Other Tmde's License No.
l. Location of land on which proposed work will be done:
House Number Street
County Tax Map No. 1000 Section 20-¥
Subdivision
Hamlet
Block ~ Lot
Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and oecupaney 5A~
3. Nature of work (check which applicable): New Building_ Addition ~I. Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost ~'~ I I~O~ Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units } Number of dwelling units on each floor
If garage, number of cars
6. If bushiess, commercial or mixed occupancy, spocify unture and extent of each type of use.
7. Dimensions of existing structures, if any: Front g4'~ ~ Rear 4-[**
Height "/~'~' Number of Stories 'b-
Dimensions of same structure with alterations or additions: Front ~o 4-'
Depth ?.,$ ,Height. ~ Number of Stories
8. Dimensions of entire new construction: Front [~,S , '9...O, ,~ Rear
Height 7...O.~ I O Number of Stories '2- j t
_Depth ~'l t
Rear
9. Size oflgt: Front I O0 Rear I OO .Depth
10. Date of Purchase I ~1'~{~ Name of Former Owner
11. Zone or nse 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 ~ Will excess fill be removed from premises? YES
14. NamesofOwnerofpremises 14, ~CM.~O..g Address~honeNo.
Name of Architect ~.~ 'l>~lq~l~ Address $og ~H-~ ~$~'l~tq~hone No
Name of ConWaator Address I l'l*l Phone No.
15a. Is this property withln l00 feet ofa tidal wetland or a freshwater wetland? *YES ~ NO__
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet ora tidal wetland? * YES )~ NO__
* IF YES, D.E.C. PERIvlITS 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 5(
STATE OF NEW YORK)
SS:
COUNTY OF )
14 ^ gA~t~ M ~M ~A &l~ being duly sworn, deposes and says that (s)he is the applicant
~e of ~vid~ sing ~n~aco above n~e~
(Con.actor, Agen~ Co.orate Offi~L etc.)
of s~d o~er or o~e~, ~d is d~y ~omd to perfom or have peffomed ~e s~d work ~d to m~ ~d ~e ~ applimtion; ,
· at ~ s~emen~ ~n~ed in ~s appli~fion ~e ~e to ~e best offs ~owledge ~d beliefi md ~at ~e work ~11 be
peffo~ed ~ ~e m~er set fo~ ~ ~e ~plication filed the~with.
Sworn t~fore me ~s
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob Ghosio, Jr.
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
To:
Please be advised that your application dated/~,~dec,~[c~e.~/~, ~ has
been reviewed by this Board at the regular meeting of ~G~/~..~?
and your application has been approved pending the completion of the
following items checked off below.
__ Revised Plans for proposed project
__ Pre-Construction Hay Bale Line Inspection Fee ($50.00)
~ Ist Day of Construction ($50.00)
~ ~ Constructed ($50.00)
~Final Inspection Fee ($50.00)
Dock Fees ($3.00 per sq. ~.)
Permit fees are now due. Please make check or money order payable to Town
of Southold. The fee is computed below according to the schedule of rates as
set fo~h in Chapter 275 of the Southold Town Code.
The following fee must be paid within 90 days or re-application fees will be
necessa~. You will receive your permit upon completion of the above.
COMPUTATION OF PERMIT FEES:
TOTAL FEES DUE:
BY: James F. King, President
Board of Trustees
' '"~'~ OF PROPERTY RECORD
· ii~R. OWNERH'~T. ~t.C/~Ot~lO.r~ (f~' S.~~ ~/ " " - '
S~S. VL FARM CO~. CB. MICS. M~t. Val~
~ND IMP. TOTAL DATE ' REW~S
~ - ~ · ~ ~/~/7~~
I~ '~ · ' ~ ·
~ a~ ~,~ ~ ~.[~ /~ ~ '~' ~--'~:~' .
Till.hie ~n~ 8~. ~- ~ /'~./ZT~,FRONTAGE ON WAT~ ~ ~~~:~,.
Plot . BULKH~D LO Gmppo ,~ ,~. --.~
~J,,ai-T. KIT KI:I,,;UKLll 'I,,,P. KU
VILLAGE SUB, LOT
S
TYPE OF BUILDING
CB. MISC. Mkt. Vdlue
iMP. TOTAL DATE REMARKS
~0
AGE BUILDING CONDITION
NEW ~R.,ALBELOWABOVE
FARM
VaJue Per.
Acre
Value
Tillable . l
Tilh:~i~. '2 "
Tillable 3
Woodland
Swamp[and
Brushland
House Plot
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
BULKHEAD
DOCK
COLOR
TRIM
Ba~
Floors
[nterier Finish
Fire Piece Heat
Room
Rooms 1st Floor
IRo~mS 2nd Floor
DriVeWay
/' Roof
Dinette
K. , .~.~
DR.
i I
RAY DONER, ARCmTECT
95 ~chmond Avenue
Drawing No.: }
BEN~H~ARK-I.ROD ALL
~ X ~//%~O~% ~ ~ k % X / ~' ' ~ ~OT ~ N-- / ~ % ~ / ~ l r) THIS SURV~ WAS PREPARED FOR THE PARTfES AND PURPOSE /NDICATED Z
HEREON, ANY EXTENSION OF THE USE BEYOND THE PURPOSED AGREED TO -
% ~ f~ BCTWEEN THE CLIENT AND THE SURVEYOR EXCEEDS TNE SCOPE DF THE
2) ~T IS A VIO~TION OF THE STATE EDUCATION ~W FOR ANY PERSON, UNLESS
~. % % ~ S,ONATURE AND AN OmOINAL EMBOSSED OR P~K SEAL ARE THE PRODUCT OF
4) COORDINATE DISTANCES A~E MEASURED FROM U,S, COAST AND GEODETIC
5) SrTE IS IN THE TOWN OF SOUTHOLD, COUNTY OF SUFFOLK TAX MAP 1000,
SECTION 0~, BLOCK 4, LOT 15. ~ ~ 0 ~ 0
E 6,} TOTAL AR~ = 0.27~ ACRES (11,783~ SF)
AREA OF UP~NOS = 026~ ACRES (11,278~ SF)
7,) SITE IS LOCATED IN R-40 ZONE,
8) BASF FOR LEVELS; NGVD 1929.
9) ALLOWABLE LOT COVERAGE = 20%
EXISTING LOT COVERAGE = 20,5% (TOTAL LOT AREA} 0
PROPOSED LOT COVERAGE = 21.6% (TOTAL LOT AR~)
~0.) PORTIONS OF THE SITE LIE WITHIN FLOOD ZONES AE ELgV,=12,
AE-ELEV.=11, AND ZONE X AS SHOWN ON FIRM-FLOOD INSURANCE RATE MAP
SJFFOLK COUNt, NEW YORK PANEL ~9 OF 1026 COMMUNI~-TOWN OF ~ I
S2UTFIOLD, NUMBER-5608~3, PANEL-O019, SUFFIX-O, MAP NUMBER
o
~ / x ~ ~ ; '~ FAMILY RES DENCE
~}X 1i' kk N/, Now oR ,O,MERLY DATE: MAY 2, 2009
SF SQUARE FE~ SCALE: 1" 10'
QUAU~ CONTROL CERTIFICATION
GROUP R~FEWED DAT6 ~ ~ BUILDING SETBACB LiNE
P~OJECT MANAGER ?~ ~,~' ~' ~ RETAINING WALL
su~v~ 1~ ~¢ ~ TREELINE SHEET
~N~I"OHME"T*L ]0 S O ~0 1 OF 1