The URL can be used to link to this page

Home My WebLink About1000-137.-1-8.1 O~-~ICE 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 From: Leslie Weisman, Chair Members of the Zoning Board of Appe~ Mark Terry, Principal Planner ~ LWRP Coordinator Date: September 15, 2010 Re: Coastal Consistency Review for ZBA File Ref. ROY WARD #6404 SCTM# 1000-137-1~8.1. ROY WARD #6404 - Request for Variance from Code Sections 280-124 and 280-116, based on an application for building permit and the Building Inspector's March 8, 2010, amended June 3, 2010 Notice of Disapproval concerning additions and alterations to an existing dwelling, at 1 ) less than the code required side yard setback of 15 feet, 2) less than the code required combined side yard setback of 35 feet, 3) less than the code required setback to a bulkhead of 75 feet; at: 4075 Stillwater Ave., (East Creek (Eugene's Creek) Cutchogue, NY, SCTM#1000-137-1-8.1. 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 determination that the proposed second story addition is EXEMPT from LWRP review pursuant to: § 268-3. Definitions. MINOR ACTIONS item "11" which states: II. Additions to an existing building or rebuilt residential structure which results in no net increase in ground area coverage, except where the parcel is located in a coastal erosion hazard area; The parcel is not located within the Coastal Erosion Hazard Area. The proposed porch (roofed over) is recommended as CONSISTENT with the LWRP policies. 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 RO. Box 1179 http://southoldtown.northfork.net BOARD OF APPEALS TOWN OF SOUTItOLD Tel. (631) Fax (631) June 4, 2010 Mark Terry, Principal Planner LWRP Coordinator Planning Board Office Town of Southold Town Hall Annex Southold, NY 11971 Re: ZBA File Ref. No. #6404 (Ward) Dear Mr. Terry: We have received an application for a second story addition and porch addition to an existing dwelling in Cmchogue. 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. Encls. Very truly yours, Leslie K. Weisman Chairperson TO: Denise Heyse for Roy Ward P O Box 877 Jamesport, NY 11947 FORM NO. 3 NOTICE OF DISAPPROVAL RECEIVED ~1 BOARD OF APPEALS DATE: March 8, 2010 Amended: June 3, 2010 Please take notice that your application dated February 24, 2010 For a two story addition & porch addition to an existing single family dwelling at Location of property 4075 Stillwater Ave., Cutchogue, NY County Tax Map No. 1000- Section 137 Block 1 Lot 8.1 Is returned herewith and disapproved on the following grounds: The proposed addition on this non-conforming 31,334 sq. fi. lot, is not permitted pursuant to Article XXiII Section 280-124 which states; "This section is intended to provide minimum standards for granting of a building permit for the principal buildings of lots which are recognized by the town under 280-9, are nonconforming & have not merged pursuant to 280-10." For lots between 20,000-39,999 sq. fl. the required minimum side yard setbacks are 15'& 35' combined. The proposed addition indicates side yard setbacks of 5.7' & 31.2' combined.. Also, the proposed additions are not permitted pursuant to Article XXII Section 280-116 which states.'. "All buildings or structures located on lots upon which a bulkhead, ... and which are adjacent to tidal water bodies other than sounds shall be set back not less than 75 feet from the bulkhead." The proposed additions indicate a setback of+-43.5' from the bulkhead. Authorized Signature *Amended based upon site plan update submitted 6/3/10. FORM NO. 3 NOTICE OF DISAPPROVAL DATE: March 8, 2010 TO: Denise Heyse for Roy Ward P O Box 877 Jamesport, NY 11947 Please take notice that your application dated February 24, 2010 For a two story addition & porch addition to an existing single family dwelling at Location of property 4075 Stillwater Ave., Cutchogue, NY County Tax Map No. 1000 - Section 137 Block 1 Lot 8.1 Is returned herewith and disapproved on the following grounds: The proposed addition on this non-conforming 31,334 sq. ft. lot, is not permitted pursuant to Article XXIII Section 280-124 which states; "This section is intended to provide minimum standards for granting of a building permit for the principal buildings of lots which are recognized by the town under 280-9, are nonconforming & have not merged pursuant to 280-10." For lots between 20,000-39,999 sq. ft. the required minimum side yard setback is 15'. The proposed addition indicates a side yard setback of 5.7'. Also, the proposed additions are not permitted pursuant to Article XXII Section 280-116 which states: "All buildings or structures located on lots upon which a bulkhead, ... and which are adjacent to tidal water bodies other than sounds shall be set back not less than 75 feet from the bulkhead." The proposed additions indicate a setback of+-44' from the bulkhead. Authorized Signature TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALl: SOUT~OLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 76529502 S outholdTown.NorthFork.net Examined _,20 Approved 20__ Disapproved a/c Expiralion ,20 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: Phone: Building Inspector ~~/~[~LICATION FOR BUILDING PERMIT / ~1 ~[B 24 2010 /~7/ Date '7_./,~. c./ ,20/ a. Fhis appli~ly filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of pla: tz,-a.~lan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize~ in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building ~ode, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections, r~, (Signature of applicant or name, ifa corporation) (Mailing address of applicantf State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ¥ ~ O ,~1 ~/'/U) ['X,]/~ ~ t (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. ElectficiansLicenseNo. Other Trade's License No. 1. Location of land on which proposed work will be done: 5' 0'7 House Number Street County Tax Map No. 1000 Section Subdivision Block Filed MapNO. Hamlet / Lot ~ Lot State existing use and occupancy of premises and intended use and occupancy ofpropose~ consh-uction: a. E~isting use and occupancy ff'~,'~t.~-~/.'~,t. ( i ~'"'"t~{~'- ~'r~v'~t" iy b.' Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Repair Removal Demolition Other Work Estimated Cost / (52 O ~ Fee Alteration (Description) (To be paid on filing this application) Number of dwelling units on each floor If dwelling, number of dwelling units If garage, number of cars / 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. ~//"~- 7. Dimensions of existing structures, if any: Front q <~' (~ '~ Rear V Height '"'2 '4' Number of Stories ~ Dimensions of same structure with alterations or additions: Front Depth -'~ ~' ' ~" Height ~ ~/ ~ Number 8. Dimensions of entire new construction: Front Height Number of Stories 9. Size of lot: Front /~Z. 7 Rear 7 10. Date of Purchase Name of Former 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 ~'~I1 excess fill be removed from premises? YES__ NO__ 14. NamesofOwnerofpremise,~.O~D W~,¢_~ Address NameofArchitect ~'~AI~E¢5 F-~-I-.n,~l.~.~' Address Name of Contractor Address Phone No. 15 a. Is this proper~y within 100 feet of a tidal wetland or a freshwater wetland? *YES ~'NO __ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMI, TS~MAY BE REQUIRED. b. Is this property within 300 feet cfa tidal wetland. YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or bellow, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property?. * YES__ NO '~ · IF YES, PROVIDE A COPY. C~)NJ'IIE D. BUN~ STATE OF NEW YORK) Notartt.~b_llth~t~f~ew ¥or~ .~ ,. SS: ~70tBI1~115050 COUNTY O]~,h~'~- -) Co~I~ Expires ^~14,-'20___ ~a m e~ij i~du~a_a~s ' ~ ~-- C'/~'~'~ being duly sworn, deposes and says that (s)he is the applicant ( .... tgning c'~ntract) ~bove named, COHNIE D. BUNCH (S)He is the No. 01BU6185050 . ...._ au~iii';~l ;,, 3.,,"olll Co~a~01 ~.,' lJ (Contractor, Agent, Corporate Officer, etc.) Commission Expires ^p~114, 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 true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith, %% dayor 20 10 --' Notary Public I Fee: $ Filed By:. Assignment No. APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS [IouseNo.L~o~]5 StreetS~i[l~t~]at~;- A~/~e~.Hamlet C~'~c ~1o~.~ (~ SCTM 1000SectionI 3 7 Block { Lot(s) % ~ Lot S~e.St 5'3 ~l ~,nc ~ I (WE) APPEAL THE WmTT~,~ DETE~INATION OF THE BUILDING INSPECTOR ~aTeO '5 / ~ / i 0 aAS~O ON SURVEY/SITE PLAN DATED S D ~ 1~ Applicant(s)/Owner(s): I~ 0 f 'r ~ ~ lq ~ ~ ~ NOTE: In addition ~o the above~ please complete below ifappficafion is si~ed by app~cant's altorney, agent, Pleave check Co speci~ who you wg~ot re~pondence to be .~i~d to, front the above names: ( ) Applicant/Owner(;), (~ Author~ed Representative, ( ) Other Namd Address below: C o ;" C,t'i o6o c WIIEREBY T~E BUILDING INSPECTOR REVIEWED SURVEY/.~,I~T~PLA~} 55, BATED ~ / ~ c ~ O and OENIED AN APPLICATION DATED -Z- ~iT~ J~ L7 FOR: ! ( ¢f~Bu ilding Permit / / ( ) Certificate of Occupancy ( ) Pre-Certificate of Occulnmcy ( ) Change of Use ( ) Permit for As-Built Construction ( ) Other: Prnvision nf the 7~}ning Ordimmce Al}pealed. (Indicate Article, Section, Subsection of ~mhlg Ordinance by numbers. Do not quote the code.) Article: X X I I ~ S~tion: i ~ Snbscction: TypeoIA~)eal. An Appealis madefor: ~ ~ ~ t I ~ ~0 - I 6 ~ A Variance to the ~ning Code or ~ning Map. ( ) A Variance due to lack of access requi~d by New York Town Law- Section 280-A. ( ) Interpretation of the Town Code, Amicle Section ( ) Reve~al or Other A prior al)l)eal ( ) has, ~as not been made at any time with respect to this prol)e~y, U N D E R Ap peal No(s). Yea~s). . (Ple,tse &, ~.~e to rose, Itch beJot'e completing t/us question or call oar o~ce for assistance) Name of Owner: ZBA File # REASONS FOR APPEAL (add/t/ona/sheets mai, be used ~th preparer's signature): AREA VARIANCE REASONS: (1) An undesirable change will not be produced ~p the CHARACTEP)..of the neighborhood or a detrimenttonearbypropertiesifgranted, becanse: /~ ~0,~ Ct*k~'~t~t~,4 ~'~ ~.(. (2) The benefit sought by the applicant CANNOT be achieved' by some method feasible for the applicant to pug~ue, other than an area variance, because: D k (3) The amount of relief requested is not substantial because: (4) The vat.ce .ill NOT have ~ adve.e effect or ~pac, o~ the p~ysic~o'r envi~nmental ~thenei~bo~oodordistfietb~use: ~,' ff~ ~hf~ Pf~ I _ A~ the~ Coven~ts ~d Restrictions ~n~kg ~is l~d: ~No. ~ Yes (~e f~h co~J. This is the ~ that is n~essa~ ~d adequate, ~d at ~e s~e ~e p~e ~d pmt~t the cha~cter of~e nei~bo~ood ~d the h~th, ~fe~, ~d welfare of~e comm~i~. Che~ th~ box ( ) IF A USE FA~NCE I~NG ~QUESTED, ~ f~SE COMPLETE THE ~rrACn~O vs~ V~NC~ SU~r: (~ ~ co~ ~ ~o,.~ [ ~i~m of Appe~ or Aff~o~e~gent Swo~ to ~ t~ (Agent muat submit wrl~n Au~or~at[on from Owner) V1Cm TOTH Notany..Public, State of New York No. 0~TO6190696 ~ QuaW~ed n Suffolk County uommission Expires .luly 28, 2~) QUESTIONNAIRE FOR FILING WITH YOUR Z.B.A. APPLICATION B. C. Is Ihe subjec,bgrenrises listed on tile real estate market for sale? I I Yes IYNo Are there any proposals to clk'mge or alter land conlours? So Ll Yes, please explain on attached sheet. ,/ I) Arc there areas that contain !;and or wetlaod grosses? 2) Are Ihese areas showu on the lnap snbmitted with this application? h/ ~ ~ 3) Is the properly bulkheaded between the wetlands area and the upland build ng rex ? 4) If your properly contains wetlands or pond areas, have y.o/u contacled Ibc office of the Town Trustees for ils detemfiaatioo of j~diction? x~ Please coofirn/ slalns ti' yotlr luqtory or apphcat~ou w~th tbe trustees: ~,)e. l ([, and hr issued, please attach copies of permit with conditions and approved map. D. ls Ihere a depressiou or sloping ehevalion near the area of proposed coustruction at or below five fee ~ hove mean sea level? __ tt~! 0 E Are Ihcre any patios, concrete bamers, bulkheads or fences that exist and are no[ showu on tile survey map that you are snbmitting? /k/O (Please show area of these stmclnres on a diagram if any exist. Or stale "none" on the above line, if applicable.) F. Do you have any construction laking place at this time cooceming your premises? /4/6) _ If ycs, please sob~nil a copy of your building permit and map as approved by the Bnilding Dcparmrent and describe: G. Do you or any co-owner ,'fist own oilier land close to tiffs parcel'? _ /~/ the proximity of your lands on your map with tiffs application. I1. Please and proposed use //J0 (%/qg'~-vl ,4 e /~? (exmnples~ existing: single-l~mily; proposed: ~At~iorized Signature andDate ~ 7' ~r. I ~} 2/05; 1/07 ~) If yes, please label APPLICANT'S PROJECT DESCRIPTION -i~'i'iO>-ft;i,5 ]~ £4. Date Prepared: Ii'or Dcmolitinn of Existing Building Areas Plei!se des.cribe areas being removed: ~ ~ / I1 Ne~v Constrnction Areas (Ne~v Dwelling or~New,,~ Additions(E~xtensions);/~ ,, es o or ri , oor ex e sio _ O Dhnensions of new second floor: {//'~5 '~' }e- I)ilneosions of floor above secona level: 'At///]` t lcight (fi'om finished gronnd Io lop of ridge): ~/."~ ' Is basement or lowest floor ama being coastmcted? If yes, please provide beigl~t (above gronnd) measured from natnml existing grad(: to first floor: II1. Proposed Construction Description (Alterations or Structural Changes) (allach ~xha shc¢l il'necessary) - Please describe buildillg areas: Number of Floors and General Cham~stics BEFO~ Altemtiol~ Umnber of Florin and Cb~ges W~TH Alteration: 4 a 4 IV. Ca[ctdafions of building areas and lot coverage (from su~eyor): Exisling sqnare footage of btfildings ony,aor prope~ Proposed increase of building coverage: '~ j. D 5'J . Square foolage of your lot: -~) I ~'~ ~ ff 4x } ercenlage of cov4rage of yo~,r 1o~ by builaing hrea: / 0 ~ O V. Pnrl}nse of New Construction: VI Please descrihe the land contours (flat, slope %, heavily wooded, marsh area, etc.) on your hind ami how il relates to thc difficulty in meeting the c~e requirementS): -~ J f'~ C F~ c ~' ~ ~Z~ ~ ~ ~/,> ~ w ~ '~ .51 ~ ,~.' ~-, :, (~n,.: ,~ ~e ~-, ~,; , d / Please submit seven (7) photos, labeled to show difl'erent angles of yard areas after staking corners fin' ucxv construction), and photos of building area to be altered ~vith yard vienv. 7/2002: 2/2005; 1/2007 To,Mi of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for pcmfits* including Tovm of Southold agencies, shall complete this CCAF proposed actions that arc sul~ject to the Town of Southold Waterfront Consistcncy Review Law. This assessment is intended to supplement other information used by a Town ot' Southold ageuc malting a detcm~ination of consistency. *Except minor exempt clctJonx inch~dmg Building ?crmiL~' and other mmLWericd permits' uot located w~thm the Com'tcd Eros/on Hazard Area. Before answering the questions in Section C, the preparer of this fonn should review thc cxcnlpt minor action list, policies anti explanations of each policy commncd in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon thc coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes", then the proposed action may affect tile achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in mom detail and, if necessary, modified prior to making a dctcnnination that it is consistent to the maximum extent practicable with thc LWRP policy stm~dards and conditions. If an action cam~ot be certified as consistent with thc LWRP polic5 stm~d~ds m~d conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: (>aline at the Town of Soudmld's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Deparmlent, all h)cal libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION The Application has been submitted to (check appropriate re~ Town Board [] Planning Dept. ~, Building Dept. ~ Board of Trustees Category of Town of Soutbold agency action (cbeck appropriate response): (a) (b) (c) Action undertaken directly by Town agency (c.g. capital [] construction, planning activity, agency regulalion, land transaction) ~ Financial assistance (e.g. grant, loan, subsidy) Porn/it, approval, license, certification: [~ Site acreage: Present zoning cl~sification: ~ I1' an application for tim proposed action has been filed wifl~ fl~e Town of Soufl~old agency, the Collox~ mg mt:ormation shall be provided: (d) Application number, ifa~y:. Will Ibc action be directly tmdertakcn, require fi~nding, or approval by a state or fedel,'al agency'? Yes ~] No ~/ If yes, which state or feder,~ agency? I)I~;VELOPED COAST POLICY Policy I. Ii'oster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructm-e, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section Ill - Policies; Page 2 for ewflnation c:'i~c:'ia. .es ~] No [] (Not Applicable- please explain) Policy 2. Protect and preserve historic and archaeological resources of the Town of Soutbold. See I,WRP Section Ill - Poli~,~ Pages 3 through 6 for evaluation criteria Ifil Yes [~] No [] (Not Applicable- please explain) l'nlicy 3. Euhance visual quality and protect scenic resources throughout the Town of Soutbold. See LW RP Section I II '-~ Pages 6 through 7 for evaluation criteria [ii~ Yes [] No IX~ (Not Applicable- please explain) '\t r:~ch additional sheets i f necess~uy 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 ~ . (Not Applicable- please expla,n) ~), i{ ~' C' d ~ ~ \'--t, , , .~ ,~. Aliach addilimtal sheets il'necessat-/ Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section Ill Policies Pages 16 througb 21 for evaluation criteria i~'-~ Yes [] No [~ (Not Applicable - please explain) Ails:ch mldilional sheets il'necessary Policy 6. Protect and restore the quality and function of the Town of Soutbold ecosystems including Significnnt Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section Ill - Policies; Pages 22 ~hrough 32 for evaluation criteria. ~ Yes ~ No [~{Not Applicable- please explain) l'olicy 7. Protect and improve air quality in the Town of Southold. See LWRP Section II1 - I'olicics ~'a~cs 32 tln'ough 34 for evalnation criteria. See Section III - Policies Pages; 34 tbcongb 38 for evalualim~ critcl'ia. [[,~ Yes J~ No [~(Not Applicable - please explain) /\ t tac h ;Itld/lional slmcts il' neccssaiy Policy 8.. Minimize env.i~onmental degradation in Town of Southold from solid waste and hazardous subslaaccs and wast~s~,/O~ee LWRP Section II1- Policies; Pages 34 through 38 fol' evah,ation criteria. [ ~ Yes [] No [~]~(Not Applicable- please explain) PUBI,IC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, aad public resources o1' the Town of Sonthold. See LWRP Section III - Policies; Pages 38 through 46 fol' evalnalion criteria. (~Not Iii] Yt.~]~ No[~ Applicable-pJeaseexplain) additional sheets il'nccesstu'y YVORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependeut uses in · suila¢le locations. See LWRP Section 11I - Policies; Pages 47 through 56 for evaluation critecia. I ~/Yes [] No [] (Not Applicable- please explain) All;~ch additional sheets il' necessary Policy 11. Promote snstainable use uf living marine resources in Long Island Sound, the l'ecanic Estuary and Town wat~r~. See LWRP Section 111 - Policies, Pages 57 th~ ough 62 for ewduation crileria. [-.] Yes [] No [] Not applicable-please explain Atlach addilional sheets il' necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section Ill - Policies; PaI,~es 62 throngh 65 for evaluation criteria. [~ Yes [~ No ~Not Applicable- please explain Palicy 13. Promote appr/opriate nse :and development of energy and mineral resources. See I,WI{I:' Sertioa I11 - Policies; Pa~s 65 throngh 68 for evaluation criteria. Yes [] Nor~l,/~ Not Applicable- please explain Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT fNFORMATION (To be completed by Applicant or Project sponsor) SEOR 5. PROPOSED ACTION; ~ 5 "' '"'~ ~' 8. WILL PROPOSED A ION C.~MPLY WITH Eg(ISTING ZONING OR OTHER EXISTI. NG/LAN? USE RF-~TRIg';TIONS?~ WHAT,IS PRESENT LAND USE IN VICINITY OF pI~OJECT? ~J~e~ldenllal [] Industrial [] Conlmerclal J~ Agriculture [] ParldFore~l/Opan space 10. OOES ACTION INVOLVE A PERMIT APPROVAl., OR FUNOING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAl- AGENCY (FEDERAL, STATE OR LOCAL)? ~..s A RESULT OF ..p4POS~ AC~,O. WlU. ~.m.~ FERMrr/AFF.CVAL R~.~ MO~FI~*=OH~ CERTIFY THAT THE tHFORMATION PROVIDED ABOVE IS TRUE TO THE E~EST OF MY KNOWLEDGE . ,. . - .s : OVER I ti tho action is in the Coastal Area, and you am a state agency, complete the J Coastal Assessment Form before proceeding with this assessment I RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? PART III--DE--i'ERMINATION OF SIGNIFICANCE ('FO be completed by Agency) INSTRUCTIONS: For each adverse altec! identified above, determine whether it is substantial, large, importanl or otherwise ~ignilicant Each effect should be assessed in connection with its (a) settJng (i.e. urban or rural); (bi probability of occurring; (c) durahon; (d) ~rrever~ibility; (¢) geograp~3ic scope; and (Q m~[gnitude. If necessary, ad~ attachments or reference supporting materials. Ensure (hat Check this box if you have identified one or more potentlY, fly large or significant adverse im'~iacts which MAY occur. Then proceed directly lo the FULL FAF and/or prepare a positive declaration. Check this box it you have determined, based on the intormation and analysis above and any supportin9 documentation, thai the proposed action WILL NOT result in any significant adverse environmentaJ *mpacts AND provide on attact~ments as necessary, the reasons supporting this dete~minstion: New York Sta Division of Envfi Building 40 - SUNY, Phone: (631) 444-0.' Website: www.dec.s Roy Ward 4075 Stillwater Av Cutchogue, NY 11 Re: Application Ward Propc Dear Mr. Ward: Based on the inforr The property landw C. Ehlers last revis( Therefore, in accor permil is required. disturbance of any as indicated above, taken to prevent an vegetation within Ti, precautions may in¢ jurisdictional bounda temporary fence, ba~ Please be further ad' any necessary permi cc: Land Use Eco BMHP file Department of Environmental Conservation 3nmental Permits, Region One ;tony Brook, New York 11790-2356 ~te.ny.us LETTER OF NON JURISDICTION-TIDAL WETLAND:: Erin M Crotty Commissioner nee 935 March 25, 2002 ~ 1 '4738-02952/00001 rty, 4075 Stillwater Avenue, Cutchogue, NY lation you have submitted, this Department has determined that: ~rd of the 10' elevation contour as shown on the survey prepared by 'John ,d on 12-11-01, is beyond the jurisdiction of Article 25 (Tidal Wetlands Act). 'ance with the current Tidal Wetlands Regulations (6NYCRR Part 66 I) no )lease be advised, however, that no construction, sedimentation, or ind may take place seaward of the tidal wetlands jurisdictional boundary, ~vithout a permit. It is your responsibility to ensure that all precautions are sedimentation or other alleralion or disturbance Io the ground surface or al Wetlands jurisdk;tion which may result from your project. Such ude maintaining adequate work area between the tidal wetland ry and your project (i.e. a 15' fo 20' wide construction area) or erecting a der, or hale bay berm. ;ised that lhis letter does not relieve you ol the responsibility of obtaining :s or approvals from other agencies. g/cai Services, Inc. Very truly yours, Mark C. Carrara Permit Administrator April 15, 2010 Town of Southold Zoning Board of Appeals 4075 Stillwater Avenue Cutchogue, New York To Whom It May Concern: Please find this letter as authorization for Chuck Thomas Architect, and his employee (Denise Heyse) to apply for permits, and to represent our application on the above referenced property. Should you have any questions or require additional information, please contact Dawn at (631) 804-2741. Very truly yours, Roy R. and Dawn APPLICANT TRANSACTIONAL DISCLOSURE FORM (FOR SUBMISSION BY OWNER andOWNER'S AGENT) The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of Town ofricers 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, fir'st nam~'~iddlc initial, unless you am applying in the name of someone else or other entity, such as a company. If so, indicate the other person or company name.) NATURE OF APPLICATION: (Check all that apply.) 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 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 thehs2-> ~ day of~ ~ _ Signature: <J"'"l Print Name ~eX~ -- // OJ~ SOU'J'HOLD PJ~OPERTY RECORD i:::~a**~I~D 't, OWNER STREET ~:: ~';_.~ ~ VILLAGE LOT .,~/,.~.... ~ I..~ FORMER 'OWNER' N W DISTRICT SUB. ACREAGE ~,.~6q~..~ TYPE Of BUILDING RES. ~ ~] 0 SEAS. VL. FARM COMM. IND, CB. MISC. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS / AGE Form Tillable 2 Tillable 3 Woodland Swampland Brushland House Plat Total FRONTAGE ON WATER FRO NTAG E ON ROAD--JTC~"z~/t qO'' BULKHEAD DOCK OWNER STREET VILLAGE DISTRICT SUB. LOT ~/,.~ FO~RM ER OWNI~R RES. SEAS. W ACREAGE'.. , ~:~? TYPEOF BUILDING VL. FARM / COMM. IND. CB. MISC. . Est. Mkt. Value LAND II~0 AGE NEW Farm Tillable 1 Tillable 2 Tillable 3 Wood[and Swampland Brushland IMP. TOTAL BUILDING CONDITION NOP~MAL BELOW ABOVE FRONTAGE ON WATER ~'~1 ~'~f/ ~ ZZ '--* -- // ~ D Acre Value Per Acre Value FRONTAGE ON ROAD BULKHEAD DOCK House Plot Total 137-1-8.1 2/01 E~ten~n Extension B r~.zcway I Porch Porch Both Interior Finish J, eot Roof Type Rooms 1st Floor Rooms 2nd Floor Dormer 137.-3-8.1 3/05 M. Bldg. ~.~ = ~ Foundation pc ~. ~-2~ cs ~(..~ Bath ~ Dinette t~ ~ = ~ ~ Ext. Walls ~ Interior Finish L.R. Extension Fire Place ~ Heat ~ , D'R' Porch ~ ~ ~ ~ ~ ~ Dormer Fin B. Breezeway ~t~ ~ X~ ~(m~ , ~ ~ Rooms 1st Floor ~¢ Garage/ ~ , - __ ~ Driveway Rooms 2nd Floor ' ~RMtE'f' OF LOTS 12 ~ I~ MAP OF PROPERT'r' OF 1,d.~. HAN~ FILED .%EPT. 16, Iq:~O FILE No. ~ 51'T1JATE-. GUTCHOCNJE TOi,~I: 5OUTHOLD 5Ur--FOLK C.,C¢~TY, NY ,~U~VEEY'EI~ 04-Oq-OI TOPO A~[2ED: 12-11-OI FOUNPATION LOC,. 0~-14-02 UP~ATE 5ur~.VE"¢' 02-20-0~ UPDATE O5-OI-2OO~ .%~FFOLK Cx:~NT'r' TAX HAP # IOOO-I~-/-I-~,1 C. EP-TIFIED TO~ ROT' I~ INAR.P, II CITIBANK, N,A, IT'5 E:~UC,C...E'E~..~OP-.~ AND OP--. A~.~I~N~, FOR THI~ ~N~.AC, TION ONL"t". FtRST AMEbIC, AN TI'FEE INE:4./t~NGE COMPANY' OF NEH YOP.~ 6 EAST MAIN STREErl N.Y.S. LIC. NO. 50202 RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF.-C:kDocu~nems and Senings\OwnerkMy Documents\My Dropbox\Ol\01\01-140 update 052109.pro T.O. 6'-8"_WIN,/BOOR T,O, SECOND FLR, T.O, 7'-O"_WIN./BOOR T,O, FIRST FLR, GRADE CEDAR SIDING PROPOSED NEW 24'-0" PROPOSED PORCH ON EXISTING HOUSE FRONT SCALE: 1/4" = 1'-0" ELEVATION RIDGE VENT ASPHALT SHINGLE ROOFING 5 CEDAR SIDING LLI SHEET REAR ELEVATION 1 SCALE: 1/4" = 1'-0" THESE DRAWINGS AND ACCOMPANYING SPECIFICATIONS, AS INSTRUblENTS OF SERVICE, ARE THE EXCLUSIVE PROPERTY OF THE ARCHITECf AND THEIR USE AND PUBLICATION SHALL BE RESTRICTED TO THE: ORIGINAL SITE FOR WHICH D~EY WERE PREPARED, REUSE, REPRODUCTION OR PUBLICA~ON BY ANY METHOD, IN WHOLE OR IN PART, IS PROHIBlllZD EXCEPT BY WRITTEN PERMISSION FROM THE ARCHITEGT, llTLE TO THESE PLANS SHALL REBIAJN Wl~q THE ARCHI~CT,VISUAL CONTACT WITH THEM SHALL CONSHTUTE PRIMA FACIE EVIDENCE OF ACCEPTANCE OF THESE RESTRJCllONS, NO. DLCK BEDROOM MAS f~ f~ ~ --~ EX'ST, -- ~ ~ N~OE ! ENTR~ _ BELOW ~'-o" sx~ ~, STUDY/GUEST ~ - ' I W 2 ~ SECOND FLOOR PLAN ~'-~' '~'-~' I m II CEDAR SIDING CEDAR SIDING Ill _1 O ~LEFT SIDE ELEVATION SCALE'. 1/4" = 1'-0" SHEET 3 PROPOSED ADDISON CEDAR SIDING CEDAR SIDING ~RIGH7 SIDE ELEVATION ~) ~1"~'" SURVEY OF PROPERTY S£TUA TE CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NFW YORK S.C. TAX No. 1000-137-1-8.1 SCALE 1"=20' AREA = 31,334 sq. ff. 12.5" ?,4 PROJECT DESCRIPTION NO DISTURBANCE SEAWARD OF EXTG. HOUSE REMOVE EXISTrNG (2) BEDROOM ONE STORY NON- CONFORMING FRAME HOUSE EXISTINO NORTH SIDE YARD 2.8 PROVIDE 2 STORY ADDITION TO REAR OF HOUSE PROPOSED NEW NORTH SIDE YARD 57' ALL PROPOSED CONSTRUCTION IS LANDWARD EXPANSION INTO REAR AND SIDE YARD OF EXISTING 2 STORY RESIDENC~ ~ SITE PLAN ~ SCALE: 1 : 20 SIDE YARD TABLE EXISTrNG NORTH SIDE YARD 2.8 PROPOSED NORTH SIDE YARD 5.7' EXISTING SOUTH SIDE YARD 52.7' PROPOSED SOUTH SIDE YARD 26.0' EXISTING COMBINED SIDE YARD 35.5' PROPOSED COMBINED SIDE YARD 51,7' MIN REQUIRED COMBINED SIDE YARD 35.0' LU