HomeMy WebLinkAbout1000-115.-11-8 OFFICE I~CATION:
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:
Date
Re:
Leslie Weisman, Chair
Members of the Zoning Board of Appeals
Mark Terry, Principal Planner ~'1~
LWRP Coordinator
October 13, 2010
Coastal Consistency Review for ZBA File Ref. ANTHONY GOLFO for CARRIE TINTLE #6428
SCTM# 1000-115-11-8
The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of
Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards.
Based upon the information provided on the LWRP Consistency Assessment Form submitted to this
department, as well as the records available to me, it is my determination that the proposed second
story addition is EXEMPT from LWRP review pursuant to:
§ 268-3. Definitions. MINOR ACTIONS item "Ir' 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.
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 SOUTItOLD
Tel. (631) 765-1809 Fax,
September 27, 2010
Mark Terry, Principal Planner
LWRP Coordinator
Planning Board Office
Town of Southold
Town Hall Annex
Southold, NY 11971
Re: ZBA File Ref. No. # 6428 Anthony
Dear Mark:
We have received an
Building Inspector's Notice of
survey map, project
Your written evaluation
Code procedures
letter.
Thank you.
Encls.
2 8 2010
for Carrie Tintle 1000-115.- 11-8
your
A copy of the
28 Code), and
as required under the
proposal, days of receipt of this
uested within 30
Very truly yours,
Leslie Jgf'_'_~eisman
Chair~//s~n ./)
By: I,~ Z'~
FORM NO. 3
NOTICE OF DISAPPROVAL
DATE: September 23,2010
TO: Anthony Golfo tbr
Carrie Tintle
P O 578
Calverton, NY 11933
Please take notice that your application dated September 23, 2010
For a 2nd story addition to an existing single family dwelling at
Location of property 1235 Lupton Point Rd., Mattituck, NY
CountyTax Map No. 1000- Section 115 Block I I Lot 8
Is returned herewith and disapproved on the tbllowing grounds:
The proposed addition is not permitted pursuant to Article XXII Section 280-116 which
states:
"All buildiugs 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
fi-om the bulkhead."
The proposed 2''d story addition is indicated at 57' from the bulkhead.
Authorized Signature
11~-//- ¥
i/~-- //_ ~/
/IF'- ii- I,:2,,
Fee: $ Filed By: ................ Assignment No.
APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS
HouseNo. Street ~-~q:,'/t-~,~z ~/V I~CI Hamlet /1.~4-~W-tT~cc~ /~
SCTM 1000 Section ! I..~- Block I i Lot(s).~_~_.____Lot Size I~(r-~l~71 Zone__
I (WE) APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR
DATED BASED ON SURVEY/SITE PLAN DATED
Applieant(s)/Owner(s): /) ,~l-~St_- ,-,-{ ~d~'e.~/'k~D
Mailing Address:
Telephone: (~-,'3i'
NOTE: In addition to the above~ please complete below il' application is signed by applicant's attorney, agent,
architect, builder, contract vendee, etc. and name of person who agent represents:
Name of Representative:
Address:
Telephone: '7 7_-? - z ~c ic} Fax:
for (*Q Owner ( )Other:
Please check to specify who you wish correspondence to be mailed to, front the above nantes:
~.~Applicant/Owner(s), ( ) Attthorized Representative, ( ) Other Name/Address below:
WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN
DATED and DENIED AN APPLICATION DATED
{/.l_Building Permit
( ) Certificate of Occupancy ( ) Pre-Certificate of Occupancy
( ) Change of Use
( ) Permit for As-Built Construction
( ) Other:
FOR:
Provision of the Zoning Ordinance Appealed. (Indicate Article, Section, Subsection of Zoning
Ordinance b_y,numbers. Do not quote the code.J. ~ _ __
Article: ~b,N~ I1 Section: ~ ~0~]/b Subsection:
Type of Appel; 5~n Appeal is made for: '
)~A Variance to the Zoning Code or Zoning Map.
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, ~) has not been made at any time with respect to this property,
UNDER Appeal No(s). Year(s). .. (Please be sttre to
Name of Owner: /.f~ -~-~J.~-~ .
~ASONS FOR ~PEAL (additional sheets ma~ be used with preparer's signature):
A~A VARIANCE ~ASONS:
(1) An undesirable change will not be produced ~ the CHA~CTER of the neighborhood or a
de~ent to nearby properties if granted, becau~:
(2) The benefit sought by the applicant CANNOT be achieved by some method feasible for the
applicant to pursue, other than an area variance, because:
(3) The amount of relief requested is not substantial because:
(4) The variance will NOT have an adverse effect or impact on the physical or environmental conditions
in the neighborhood or district because:
(5) Has the alleged difficulty been self-created? ( )Yes, or (,~No.
Are there Covenants and Restrictions concerning this land: ~.No. ID Yes (please furnish co.v).
This is the MINIMUM that is necessary and adequate, and at the Same time preserve and protect the
character of the neighborhood and the health, safety, and welfare of the community.
Check this box ( ) IF A USE VARIANCE IS BEING REQUESTED, AND PLEASE COMPLETE THE
ATTACHED USE VARIANCE SHEET: (Please be su~ey.)
Sworn to before me this
day of...~'~lff'~/. K0 I 0
Notary Public
Sig~ture of Appellal~r Authorized Agent
(Agent must submit written Authorization from Owner)
CONNIE D. BUNCH
Notmy Publio, 81ate of New York
No. 01BU6185050
Oomml~lon Explre~ Apd114, 2~/
APPLICANT'S PROJECT DESCRIPTION
(For ZBA Reference)
Applicant:
I. For Demolition of Existing Building Areas
Please describe areas being removed:
Date Prepared:
II. New Construction Areas (New Dwelling or New Additions/Extensions):
Dimensions of first floor extension:
Dimensions of new second floor: /6> x / ,.~ ,4 b,~c,~_ fi?-, ~ r. ~,~ t ~ r F~lc,,,<~_
Dimensions of floor above second level: '
Height (from finished ground to top of ridge): ~ '
Is basement or lowest floor area being constructed? If yes, please provide height (above ground)
measured from natural existing grade to first floor:
iii. Proposed Construction Description (Alterations or Structural Changes)
(attach extra sheet if necessary) - Please describe building areas:
Number of Floors and General Characteristics BEFOP,~E Alterations:
2. ~'lcc~,,_ ~:::~c:: ~7~%~,t-.t 't>~cg.& ~ __
Number of Floors and Changes W1TH Alterations:
IV. Calculatious of building areas and lot coverage (from surveyor):
Existing square footage of buildings on your property: [ x x l:t~,~.c -
Proposed increase of building coverage: /,.~ ~ ~.
Square footage of your Itt: I 2- ~/cl
Percentage of coverage of your lot by building area:
V. Purpose of New Construction:
VI. Please describe the land contours (flat, slope %, heavily wooded, marsh area, etc.) on your land
and how it relates to the difficulty in meeting the code requirement(s):
~-~/~:~
Please submit seven (7) photos, labeled to show different angles of yard areas after staking corners
for new construction), and photos of building area to be altered with yard view.
7/2002; 2/2005; 1/2007
QUESTIONNAIRE
FOR FILING WITH YOUR ZBA APPLICATION
Is the subject premises listed on the real estate market for sale?
Yes ¥C No
Are there any proposals to change or alter land contours?
'y--- No Yes, please explain on attached sheet.
1 .) Are there areas that contain sand or wetland grasses? "'
2.) Are those areas shown on the survey submitted with this application?
3.) Is the property bulk headed between the wetlands area and the upland building
area? }tx:>
4.) if your property contains wetlands or pond areas, have you contacted the Office of
the Town trustees for its determination of jurisdiction? ~,/,,'c Please confirm status
of your inquiry or application with the Trustees:
and if issued, please attach copies of permit with conditions and approved survey.
is there a depression or sloping elevation near the area of proposed construction at or
below five feet above mean sea level? /~ c
Are there any patios, concrete barriers, bulkheads or fences that exist that are not
shown on the survey that you are submitting? /c ~. Please show area of the
structures on a diagram if any exist. Or state none on the above line.
Do you have any construction taking place at this time concerning your
premises? h-"c If yes, please submit a copy of your building permit and survey as
approved by the Building Department and please describe:
Please attach all pre-certificates of occupancy and certificates of occupancy for the
subject premises. If any are lacking, please apply to the Building Department to either
obtain them or to obtain an Amended Notice of Disapproval.
Do you or any co-owner also own other land adjoining or close to this parcel? /ff')
if yes, please label the proximity of your lands on your survey.
Please list present use or operations conducted at this parcel q',.-i & ~",qv~,,/".r '~>'>'
~,: ('tt~c ~e~-~._k.4 (/~{0vvh~ and the proposed use ~'-~ ~r~t~ F~2~ .~4~4
· (ex: existing single family, proposed: same with
garage, pool or other)
Authoriz(a signature and l~-t~
APPLICANT/AGENT/REPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees. The purpose of
this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is
necessary to avoid same.
(Last name, first name, middle initial, uiless you are applying in the name~f
someone else or other entity, such as a compahy. If so, indicate the other
person's or company's name.)
NAME OF APPLICATION: (Check all that apply.)
Tax grievance Building
Variance Trustee
Change of Zone Coastal Erosion
Approval of plat Mooring
Exemption from plat or official map Planning
Other
(lf"Other", name the activity.)
Do you personally (or through your compaJ~y, 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
th which the town officer or employee owns more than 5% of the shares
YES NO ~-~
If you answered "YES", coinplete the balance of this form and date and sign where indicated.
Name of person employed by the Town of Southold
Title or position of that person
Describe the relationship between yourself(the applicantJagengrepresentative) and the town officer or employee. Either check
the appropriate line A) through D) and/or describe in the space provided.
The town officer or employee or his or her spouse, sibling, parent, o'r 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, panner, or employee of the applicant; or
___D) the actual applicant.
DESCRIPTION OF RELATIONSHIP
Form TS 1
Submitted this Z ~> day of
Signature cr~L~----~,, .~ --
Print Name ~.q'~-.
!
APPLICANT/AGENTfREPRESENTAT1VE
TRANSACTIONAL DISCLOSURE FORM
The Town ofSouthold's Code ofEthies rohibitscenfliclsofintem, stonthe artoftownofficersandem lo'ecs. The u seof
this form is to rovide information which can alert the to'wa of .~ible conflicts oflnterest and allow it to take whatever action is
nec~saa - to avoid ame.
YOUR NAME: _ TI MT t 1~'
(Last nme, first name, middle initial, unless you are applying in the name of
someone else or other entity, such as a comp~any. If so, indicate the other
person's or company's name.)
NAME OF APPLICATION: {Check all that apply.)
Tax grievance Building
Variance 'A Trustee -
Change of Z0ne Coastal Erosion
Approval of plat Mooring
Exemption from plat or official map Planning
Other '
( f Other', name the act~vt y.)
Do you personally (or through your company, spouse, sibling, parent, or chiid) have a relationship with any officer or employee
of the Town r>fSouthold? "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
If you answered "YES", complete file balance of this form and date and sign where indicated.
Name of pemon employed by the Town of Southold
Title or position of that peraon
Describe the relationship between yourself {the applicant/agenl/representative) and the town officer or mnployee. Either check
the appro0riata line A) through D) and/or describe in the space provided
The town officer or employee or his or her spouse, sibling, parent, o~' child is Icbeck all that apply):
__Al the owner of greater than 5% of the sbe~es of ibc corporate stock of the applicant
(when the applicant is a corporation);
B) the legal or beneficial owner of any interest in a non-corporate cot y (when the
applicant is not a corporation);
C) an officer, director, partner, or employee ofthe applicant; or
___D) the actual applicant.
DESCRIPTION OF RELATIONSItlP
Form TS I
S.ubmitled this~.Z,q .day of ~O~T' 200 lO
PROJECT ID NUMBER
PART1-PROJECTINFORMATION
J 617.20
APPENDIX C
STATE ENVIRONMENTAL QUALITY REVIEW
SHORT ENVIRONMENTAL ASSESSMENT FORM
for UNLISTED ACTIONS Only
( To be completed by A[ ,licanl or Project Sponsor)
SEQR
APPLICANT / SPONSOR
2. PROJECT NAME
PRECISE LOCATION: Street Addess and Road IntarsecUons. Prominent landmarks otc -or provide map
5. DESCRIBE PROJECT BRIEFLY:
7. AMOUNT OF LAND ~FFECTED:
Initially acres UItimataly acres
6. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS?
[] Yes [~ No If no, describe bria/~:
9. WHAT IS PRESENT LAND USE IN VICINI~ OF PROJECT? (Ch~seas many as apply.)
~Resi~en[ial ~ln~s~al ~C~erciai ~Agriculture ~Park/Fores,/Ope~Spa~ ~O~er(des~i~)
10 DOES ACTION INVOLVE a PERMIT APPROVAL, OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL
AGENCY (Federal, $1ale or LOCal)
[~es [~NO If yes, list agency name and permil I approval:
11.DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLy VALID PERMIT OR APPROVAL?
[~Yes E~No It yes. list agency name and permit / approval:
12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION?
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Applicant / Sponsor Nam ' Date:
Signature_
If the action is a Costal Area, and you are a state ageRcy,
complete the Coastal Assessment Form before proceeding with this assessment
PART II - IMPACT ASSESSMENT (To be completed by Lead A~lency)
A DOES ACTION EXCEED AN~' TYPE
[---IYes ~ I THRESHOLD IN 6 NYCRR, PART gl 7.4? If yes. coordinate. [he review process and use the FULL EAF.
No
B. W LL ACTIOi~'P~:CEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.fi? If No. a negafive
deClaration may be superseded by another InvoJved agency,
C- COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH 3'HE FOLLOWING: (Answers may be handwritten, if legible)
C3 on or fauna, fish. shellfish or wildlife s ciao, s : : .....
: ' "'"' ' ~ ' ' ,ga s a~, officlagy adopted, or a change in use o* IntensJ y o use of land o~ Olhef natural resources? Explain briefly:
C4. ~ty s existing plans or g ............................... · ......
c .r- ' . , :
': . : i " ' . - =
D. WILL THE PROJECT H~VE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTAELI~HMENT OF A CRITICAL
ENVIRONMENTAL AREA CEA~?
E. I$ THERE, OR IS THERE LIKELY TO BE1 CONTROVERSY RELATED TO PO,T~NTIAL ADVERSE ENVIRON, M,~NTAL IMPACTS?
[] Yes ~] No , , . If yes explain:
PART III - ~ji-i I=I,[MtNATION OF SIGNIFICANCE (To he qompleted by Agency)
INSTRUCTIONS: For each adverse effect identified above, determine whether it Is substantial, large, important or othei'wies significant Each
effect should be assessed in connection with its ia) setting ii.e, urban or mr'al); (b) probability of occurring; (c) duration; id) ilTeversibili~y; (e)
geographic sc~3pe; end il) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain
suh'icient delaiJ to show that all relevant adverse impacts have been identified and adequately addressed, Ii'question d of pert ii was checked
yes. the determination of significance must evaluate the potsntiatimpact of the proposed action on the environmental characteristics of th e CEA.
Check this box if you have identified one or more por. enUaily large or significant adverse Impacts Which MAY oCCUr Then proceed dimclly to [he FULL
EAF and/or prepare a posith~ declarabo~.
Check this box It you have delermined, based on the informafien and analysis above and any suop~)rUng documentation. Ihel the proposed acbo~
WILL NOT resufi in any significant adverse e~vironmenta~ impacts AND provide, on attachments as necessary the reasons suppo~ng thi!
determination. '
Name of Lead Agency
Title of Resbonsible Off'mar
Print or Type Name of Responsible Officer in Lead Agency
Signature of Responsible O[ficer in Lead Agency Signature of Prepare¢ (1¢ different from responsible oilier)
Town of Southold
A. INSTRUCTIONS
LWRP CONSISTENCY ASSESSMENT FORM
SE? ? 4 OIO
BOARD OF APPEALS
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 conta'med in the Town of Southold Local
Waterfront Revitalization Program. A proposed action will be evaluated as to its significant
beneficial and adverse effects upon the coastal area (which includes all of Southold Town).
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.northfork.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
scm# II
The Application has been submitted to (check appropriate response):
TownBoard [] Planning Dept. ~- Building Dept. [] BoardofTrustees
Category of Town of Southold agency action (check appropriate response):
(a) Action undertaken directly by ToTM 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:
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: ~S-~ t~
(b) Mailing address: ,~ ~ ~ ~ '-'t ~
(c) Telephone number: Area Code( ) ~:~\- ~-/,.~- ~
(d) Application number, if any:.
Will the action be directly undertaken, require funding, or approval by a state or federal agency?
Yes [] No [~ lfyes, which state or federal agency?.
DEVELOPED COASTPOLICY
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 ~-~ No [] (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)
? 4 010
Attach additional sheets if necessary
....... ~ ~ryEALS
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
~] (Not Applicable - please explain)
Yes
No
1
Attach additional sheets if necessary
NATURAL COAST POLICIES
Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP
Section III -Policies Pages 8 through 16 for evaluation criteria
~~ Yes [~ No L]~ (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 Southold 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)
SEP
Attach additional sheets if necessary
Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies
Pages 32 through 34 for evaluation criteria. 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 L~ (Not Applicable - please explain) I'
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 HI - Policies; Pages 38 through 46 for evaluation
criteria.
[] Ye~ 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) RECEIVED
BOARD OF APPEALS
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 III - Policies; Pages 57 through 62 for evaluation criteria.
Yes [] No [~ Not Applicable - please explain
Anach additional sheets if necessary
Policy 12. Protect agricultural lands in the Town of Southoid. See LWRP Section III - Policies; Pages
62 through 65 for evaluation criteria.
Yes [] No [] Not Applicable - please explain
Anach additional sheets if necessary
Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP
Section III- Policies; Pages 65 through 68 for evaluation criteria.
[] Yes [] No [~J Not Applicable- please explain
TOWN OF SOUTHOLD i~OPERTY RECORJ~ CARD
OWNER
SEAS. VI_. FARM
IMP. TOTAL DATE
FORMER OWNER
~GE
BUll. DING CONDITION
NEW NORMAL BELOW ABOVE
Farm Acre Value Per Acre Value
TilJo~.le I
Tillable 2
Tillable 3
Weodland,
Swampland
Brushl~ ~
HouswPIot
COJV~. ~J 1'ND.
REMARKS
DISTRICT ~
ACREAGE . ii4
TYPE OF BUILDING
LOT
TotalS,,~ ~
Porch . .. A~ic
? ~ ~ ~,~ ( ~ ~ ~ Porch e~ms ]~t Floor
8reez~ Patio Roa~s 2nd Floor
TOWN'OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.NorthFork.net
Examined 20__
Approved 20__
Disapproved a/c
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
Planning Board approval
Survey
Check
Septic Form
N.Y~S.D.E.C.
Trustees
Flood Permit
Storm-Water Assessment Form
Contact:
Mail to:
Phone:
SEP 2 3 2010
BLDG. DEPT.
TOWN OF SOUTHOLD
a. ires appiicadon iviUST
Building Inspector
PLICATION FOR BUILDING PERMIT
Date ,~ ,O~"1- ~ 2- ~ ,20 I C~
INSTRUCTIONS
,letely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, accurate plot plan to scale. Fee according to schedule. ,
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and waterways.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months aRer 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 code, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
~a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
I
Name of owner of premises (?~t ~ --1--~/,-$~ ~
(As on the tax roll or latest deed)
If ap~t is a corporation, signature of duly authorized officer
~ (Name d tit~ff'~f~¢o~p~te officer)
Builders
Plumbers Li~mse No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed w~ork will be done:
House Number Street
Hamlet
County Tax Map No. 1000 Section I (~- Block I ( Lot
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:, ~0'~'~
a. Existing use and occupancy
b. Intended use and occupancy 2.~x~ ~'too~ ?, ~J<tlTI~ ~ [~ U.~C--~ ~ ~o~q-'D4
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost
5. If dwelling, number of dwelling units
If garage, number of cars
Addition ~ Alteration
Other Work
Fee
(Description)
(To be paid on filing this application)
Number of dwelling units on each floor
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front t--~(o, 2--
Height ~ ~ Number of Stories ~--
Rear 414 ~ , Z-
Depth
Dimensions of same structure with alterations or additions: Front
Depth So, "[ Height.
8. Dimensions of entire new construction: Front ~,
Height ~ Number of Stories
9. Size oflot: Front /C~:~ Rear
q/-q~ . /- Rear
Number of Stories 2_.._
Rear ~" ~ _Depth fro. 7
Depth
10, Date of Purchase ~..OI 0
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 ~ Will excess fill be removed from premises? YES __ NO__
14. Names of Owner of premises ~ T~,O~-t_ Address /5~1~i',~-'~
Phone No. ~7,~--qt
Name of Architect ~ L,-~.4,~,~ Address ,~oo-'rt,,t,'~,;-,~:~,~ Phone No
Name of Contractor "'~-~4~ ~--~\~,o Address P__~4~ Phone No. ~?,s'
15 a. Is this property within 100 feet of a 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 ufa tidal wetland? * YES I~ NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES __
· IF YES, PROVIDE A COPY.
NO
STATE OF NEW YORK)
SS:
COUNTY O~~
being duly swum, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
cONNIE D. BUNCH
(S)He is the Nota~ pt/~o,_.~._ .~_~_? york
(Contractor, Agent, Corporate Officer, etc.) NO.
CommleJlon ExplreJ April 14,
of said owner or owners, and is duly authorized to perform or have performed thc saidwork a~d to m~J(c a~d file this application;
that all statements contained in this application arc t~c to thc best o£his lmowlcdgc and belief; and that thc work will bc
performed in thc mam~cr set forth in thc application filed therewith.
Sworn to before me this . J
g~br'-.~ dayof 2010
Notary Public I
RECElrVED
~OP,~D OF APPEALS
k~ECE!I~
BOARD OF APPEALS
~,ECEIVED
80ARD OF APPEALS
~ECE1;VED
8OARD OF APPEALS
BOARD OF APPEALS
>,4 o
~oo
m
0 ~ ~'
1226.34'~ TO
MARRATOOKA AVENUE
0¢...CP
N88'36'58"E
19.76'
VA[J.
GRATE
WALKWAY
FRAME
GARAGE
STONE DRIVEWAY
N88'lS'OO"W
RECEIVED
BOARD OF APPEALS
EDGE OF pAVEMENT
EDGE OF LAWN
4~2'
2 STORY FRAME HOUSE
PROPO~D
2ND STORy
ADDJTION
A/C
UNITS
WALL
PRIVATE ROAD
(LUPTON POINT ROAD)
Survey for:
CARRIE TINTLE
At
Mattihxck
Town of
So~thold
Suffolk County, New York
S,C,T.M,: 1000-115.00- 011,00-008.000
20 0 20
I __ __ I I I
SCALE: 1"=20'
NOTES:
1. AREA = 12,614 S.F.
2, · = MONUMENT FOUND, ~ = STAKE FOUND,
5. REFERENCE DEED L.12519 CP. 453
SEPT. 23, 2010 ,ND PROP. ADDISON
JULY 21, 2010 AOD£D CER~FICA"qONS
DATE: JUNE ..30, 2010
JOB NO: 2010-228
CERTIFIEO TO:
CARRIE TINTLE
FIDELITY NATIONAL TITLE INSURANCE
COMPANY OF NEW YORK
HUDSON CITY SAVINGS BANK
OA~D H. FOX, L.S. P,C. N.~S.L.S. #50234
FOX I.~ND SURFEYINC
64 SUNSET AVENUE
WESTHAMPTON BEACH, N.Y. 11978
(651) 288-0022
OWC: 2010-228
SEp ~ 4 2010
80ARD OFAPp~4~
.... 9:'t 'j~ .io.'-L_2L. 1 .....
S~? .? d 2010
flOA~o OF4pp~4~$
,1: