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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