HomeMy WebLinkAbout1000-117.-9-25 OFFICE LOCATION:
Town Hall Annex
54375 State Route 25
(cor. Main Rd. & Youngs Ave.)
Southald, 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
Members of the Zoning Board of Appeals
From: Mark Terry,
Principal Planner
LWRP Coordinator
Date April 26, 2011
Re:
Coastal Consistency Review for ZBA File Ref. BARRY and CAROL SWEENEY #6462
SCTM# 1000-117-9-25.
BARRY and CAROL SWEENEY #6462 - Request for Variance from Article XXIII Code Section 280-124
and the Building Inspector's February 22, 2011 Notice of Disapproval based on an application for a
building permit to construct additions and alterations, including raising the dwelling for FEMA
compliance, to a single family dwelling at 1) rear yard setback of less than the code required 35 feet,
2395 Jackson Street and Second Street New Suffolk, NY. SCTM#1000-117-9-25.
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 action is
EXEMPT from LWRP review pursuant to:
§ 268-3. Definitions. MINOR ACTIONS item "F" and "11" which state:
F. Granting of individual setback, lot line and lot area variances, except in relation to a
regulated natural feature or a bulkhead or other shoreline defense structure or any activity within
the CEHA;
The variance requested will not affect a regulated natural feature and the parcel is not located within
the Coastal Erosion Hazard Area.
The requested lot coverage variance of 6% over the required 20% is CONSISTENT in this instance. It
is my assessment that that the action would not be discordant with existing natural scenic components
and character.
Cc: Jennifer Andaloro, Assistant Town Attorney
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SouthoidTown. NorthFork. net
Examined
Approved
Disapproved a/c
,2O
Expiration ~ 20
PERMIT NO.
BUILDING PERMIT APPLICATION CHECKLIST
Do you haveo[need the following, I~efore applying?
Board of Hca!th
4 sets of Bgilding Plans
Pig ,.nning Board approval
Survey_
Cheek
S~ptic Form
N.Y.S~D.E.C.
Tmstees
Flood Permit
Storm-Water Assessment Form
Contact:
Mail to:
Phone:
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date ~-¢~ cz~ ZT_ ,20
INSTRUCTIONS
a. This application MUST be completely 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 Buitding 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 emension 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, andto admit
authorized inspectors on premises and in building for necessary inspections. , .
(~S~g~ tare of applicant or name, ifa ¢grporation)
~ (Mailing address of aPplicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Nameofownerofpremises ~/q/~zf' ¢/
(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.
Electricians License No.
Other Trade's License No.
//
1. Location of land on which proposed work will be done:
House Number Street
Hamlet
//7
County Tax Map No. 1000 Section Block ~ ~ Lot
Subdivision Filed Map No. Lot
2. State exi'sting use and.6ccupancy of premises and intended use and occupancy of proposed construction:
a. ExistinguseandoccUpancy _5'/,o ( L ~ /~ ~ ~. , ,_ ,~'
b. Intended use and occupancy ~'~,q ~-
3. Nature of work (check which applicab/le): New Building
Repair Removal ~' Demolition '
4. Estimated Cost '~'4~ ~ ~
5. If dwelling, number of dwelling units
If garage, number of cars ·
Addition
Other Work
Fee
Alteration
(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%fexistingstmetures, ifany:Front ~c ff 3-~ Rear Sd ~' 5-~' Depth
Height 30 re ~,~ ¢~: Number of Stories
Dimensions of same structure with alterations or additions: Front 3--4- d C d Rear
Depth ~' Height, 3 ~ 7,, ff',=¢ ~'~ Number of Stories
8. Dimensions of entire new construction: Front
Height Number of Stories
9. Size of lot: Front . [~g Rear ~oz
10. Date of Purchase 7~ c_~ ~
Name of Former Owner
Rear Depth
.Depth
11. Zone or use district in which premises are situated }Z - ~O T~ ~/~'*'r-//c
12. Does proposed construction violate any zoning law, ordinance or regulation? YES V/ NO__
13. Will lot be re-graded? YES v'/NO ' Will excess fill be removed from premises? YES v/ NO__
14. Names of Owner of premises ,~'~ ~ ~,~,r .? Address 5; .:~, t O~ ~' F.
Name of Architect ~'T~,~ ~ 5' Address ,~c-~ V6[~c?
Name of Contractor, Address
15 a. Is this properly within 100 feet of a tidal wetland or a freshwater wetland? *YES NO
* IF YES, SOUTHOLD'TOWN TRUSTEES & D,E.C. PERMITS MAY BE, JkEQUI]*,ED----7 --
b. Is this property within 300 feet of a tidal wetland? * YES NO v'
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
Phone No.?/~- 765 -~,z vs~
Phone No ~ St- ?~3-- 5-,f-,;-~-~
Phone No.
surVe , tO s~ale; With ac'curate foundation plan and distances to property lines.
16. PrOvide y
17. If elevation at any point on property is at 10 feet or below, must provide topographical dat~ ~,~urvey.
18. Are there any covenants and reslfietions with respect to this property? * YES NO v-
· IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
cOUNTY OF )
~--~ ,~ ,va ,'* ?7~/4. ~'~7','~ o * ~ being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the A 4 *;/v r- - /~,~' ~ //';~ c: ~
(Contractor, Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
that all statements contained in this application are 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.
Signature of Applicant
BOARD MEMBERS
Leslie Kanes Weisman, Chairperson
James Dinizio
Gerard E Goehringer
George Homing
Ken Schneider
Southold Town Hall I-~r~
53095 Main Road · 1~O. Box 1179
Southold, NY 11971-0959
Office Location:
Town Annex/First Floor, Capital One Bank
54375 Main Road (at Youngs Avenue)
Southold. NY 11971
http://southoldtown.northfork.net
ZONING BOARD OF APPEALS
TOWN OF SOUTHOLD
Tel. (631) 765-1809 · Fax (631) 765-9064
March 4, 2011
Mark Terry, Principal Planner
LWRP Coordinator
Planning Board Office
Town of Southold
Town Hall Annex
Southold, NY 11971
Re: ZBA File Ref. No. #6462 (Sweeney)
Dear Mr. Terry:
We have received an application for additions and alterations to existing single family
dwelling as well as, raising the dwelling for FEMA compliance in New Suffolk. 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,
Leslie K. Weisman
Chairperson
Encls.
N
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#1
SWEENEY RESIDENCE
2395 JACKSON STREET
NEW SUFFOK, NY
SCTM #1000-117-09-25
2/23/11 10:00 AM
PHOTO TAKEN LOOKING
NORTH
#2
SWEENEY RESIDENCE
2395 JACKSON STREET
NEW SUFFOK, NY
SCTM #1000-! 17-09-25
2/23/11 10:00 AM
PHOTO TAKEN LOOKING SW
MAR 0 ~, 2011
#3
SWEENEY RESIDENCE
2395 JACKSON STREET
NEW SUFFOK, NY
SCTM #1000-117-09-25
2/23/11 10:00 AM
PHOTO TAKEN LOOKING
WEST
#4
SWEENEY RESIDENCE
2395 JACKSON STREET
NEW SUFFOK, NY
SCTM #1000-117-09-25
2/23/11 10:00 AM
PHOTO TAKEN LOOKING
EAST
MAR 0 4 201l
BOARD OF APPEALS
#5
SWEENEY RESIDENCE
2395 JACKSON STREET
NEW SUFFOK, NY
SCTM #1000-117-09-25
2/23/11 10:00 AM
PHOTO TAKEN LOOKING
SOUTH
~..CEZYED
BOARD OF APPEALS
#6
SWEENEY RESIDENCE
2395 JACKSON STREET
NEW SUFFOK, NY
SCTM #1000-117-09-25
2/24/11 08:00 AM
PHOTO TAKEN LOOKING
WEST
~30ARD OF AppEALS
#7
SWEENEY RESIDENCE
2395 JACKSON STREET
NEW SUFFOK, NY
SCTM #1000-117-09-25
2/24/11 08:00 AM
PHOTO TAKEN LOOKING NW
N
SURVEY OF PROPERTY
AT NEff SUFFOLK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
I000-11 ?-09-BO
SCALE' l'--BO'
SEPTEMBER ~ 2010
sroc~oe
N84'20'20"W
0
ELEVATIONS REFERENCED TO N.A. V.D. '88
FLOOD ZONE FROM FIRM 36105C0501 H
SEPTEMBER 25, 2009
· =MONUMENT
AREA=lO,340 SQ.FT.
ANY ALTERATION OR ADDITION TO THIS SUR~EY IS A I40LATION
OF SECTION 720901= THE NEW YORK STATE EDUCATION LAW.
EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS
HEREON ARE VAUD FOR THIS MAP AND COPIES THEREOF-ONL~f IF
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR
WHOSE SIGNATURE APPEARS HEREON,
~ECEIVED
MAR 0 4 2011
BOARD OF APPEAl ~
49618
(631) 765-5020 31) 765-1797
P.O. BOX 909
12470 TRAVELER STREETI
SOUTHOLO, N.Y. 11971
FORM NO. 3
NOTICE OF DISAPPROVAL
DATE: February 25, 2011
TO: Garrett Strang for
B & C Sweeney
P O Box 1412
Southold, NY 11971
Please take notice that your application dated February 22, 2011
For additions & alterations, including raising the dwelling for FEMA compliance at
Location of property 2395 Jackson Street, New Suffolk, NY
County Tax Map No. 1000 Sectionll7Block9Lot 25
ls returned herewith and disapproved on the following grounds:
The proposed additions & alterations on this non-conforming 10,340 sq. Ft. lot, is not
permitted pursuant to Article XXII1 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 less than 20,000 sq. Ft., the required rear yard setback is 35'. The proposed site
plan indicates a rear yard setback of 24'.
Also, the required lot coverage is 20%. The proposed construction indicates a lot
coverage of 26.%.
This Notice of Disapproval was written based on the site plan of Garrett Strang
dated 02-22-11.
Authorized Signature
CUTCHOC-UE
HARBOR
pEcONIC
NOTICE .a~Lm~m~'~w, COUNTY OF SUFFOLK (~) K
~?,E~"~,~,E,*,~E ,. I~%~ ReN Property fox S~vice Ag~cy ~
,. .o '~'" ~ SOUTHOLD
SECTIOt
11:
PROPER1
APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS
House NO. 2395 Street Jackson St
SCTM 1000 Section 117 Block 09 Lot(s)
Hamlet New Suffolk
25 Lot Size 10,340 sf Zone R-40
I (WE) APPE~I~ THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR
DATED ,;'¢ 2'~ i :t BASED ON SURVEY/SITE PLAN DATED 2/22/11
Applicant(s)/Owner(s): Barry and Carol Sweeney
POB 814, Cross River, NY 10518
Mailing Address:
Telephone: 914-763-0205 Fax: 914-763-9589 Email:
NOlqE: In addition to the above~ please complete below if application is signed by applicant's attorney, agent,
architect, builder, contract vendee, etc. and name of person who agent represents:
Garrett A. String, Architect for[~Owne~Other:
Name
of Representative:
POB 1412, Southold, NY 11971
Address:
Telephone:
765-5455
Fax: 765-5490
Email: architect@quixnet, net
Please check to specify who you wish correspondence to be mailed to, from~e above names:
[~ApplicantJOwner(s), [~authorized Representative, I I Other Name/Address below:
WHEREBY THE BUILDlNG INSPECTOR REVIEWED SURVEY/SITE PLAN
DATED 2122111 and DENIED AN APPLICATION DATED 2/2~11
Building Permit
CertificateofOccupancy ( ) Pre-CertificateofOccupancy
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: xxm Section: 2~0 Subsection: 124
FOR:
Type of Appeal. Au Appeal is made for:
rT]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, [] has not been made at any time with respect to this property,
UNDER Appeal No(s). Year(s). . (Please be sure Io
research before completing this questum or call our ~fice /or asxixtance)
i
REASONS FOR APPEAL (additional sheets mtO' be used with preparer's s(gnantre):
..'IR/:' I I ~,IRI. 1NCE
(1) An umlesirable change will not be prndnced in the CtIARACTER of the neighborhood or a
detriment to nearby properties if granted, because:
The existing detached garage is proposed to be removed, which will increase the size of
the open rearyard area.
(2) The benefit sought by the applicanl CANNOT be achieved by some method feasible for the
applicant to pursue, other than an area variance, because:
The existing residence dictates the logical placement of the proposed addition.
(3) The amonnt of relief reqnested is not suhstantial becanse:
Many properties in the immediate neighborhood have similar non conforming
conditions.
(4) The variance will NOT have an adverse effect or impact on the physical or environmental conditions
in the neighborhood or dislrict because:
The existing detached garage is proposed to be removed, which will increase the size of
the open rearyard area.
(5) Has the alleged difficnlty been self-created? [~]Yes. or [~)No.
Are there Covenants add Restrictions concerning this land: [-~']No. [--~Yes (please fi,'nish copv).
This is the MINIMUM that is necessa~' ami adeqnate, and at the same time preserve and protect
characler of thc ncighbm'hood aud the health safetv, aod welfare of lhe communi~.
Check this box ~ IF ,-I I'SE IglRI. LVf'E IS BEI.VG Rk(~I'ESTED...L~D PLE.-IS~ ('031PLh-I'E TIlE
.~ T~4 CHED USE }51RIANCE SIIEET: (PIt'tIM. be sure to cott.~ltlt 'olir attorney.)
. ~ Signatnre of Appellant or Anthorized Agent
LETTER OF AUTHORIZATION
RE: Premises, 2395 Jackson Street, New Suffolk, NY
SCTM#1000-117-09-25
WE, BARRY AND CAROL SWEENEY,
HEREBY AUTHORIZE GARRETT A. STRANG, ARCHITECT TO ACT ON OUR BEHALF
WHEN MAKING APPLICATION TO THE UNITED STATES OF AMERICA, STATE OF
NEW YORK, COUNTY OF SUFFOLK, TOWN OF SOUTHOLD OR ANY OTHER
GOVERNMENTAL AGENCY IN CONNECTION WITH THE ABOVE REFERENCED
PROJECT.
Sworn to before me this
~/er'Moyof ~h~.f. ,2011
' '~y P-ublic
State of New York
CO~!STAi'JCE PAG;'NELLI
Notary Pcb;ic. State of ,'~sw York
~4o. 60-f, 255940
Oua ~iec in ~i~cctcr Co~
Commission Expires Jm~uary 31,-~/~
APPLICANT'S PROJECT DESCRIPTION
(For ZBA Reference)
Applicant: Barry and Carol Sweeney Date Prepared: February 22, 2011
1. For Demolition of Existing Building Areas
Please describe areas being removed: Detached garage on north side of existing residence.
11. New Construction Areas (New Dwelling or New Additions/Extensions):
Dimensions of first floor extension: 55 x 55 (irreou~ar)
Dimensions of new second floor: 40 x 40 (irregular)
Dimensions of floor above second level: None
Height (from finished ground to top ofridgc)~35'
ls basement or lowest floor area being constructed? lfyes~ please provide height (above ground)
measured from natural existing grade to first floor: Existing basement to be filled in as per FEMA regs.
Ill. Proposed Construction Description (Alterations or Structural Changes)
(attach extra sheet ifn¢cessmy) - Please describe building areas:
Number of Floors and General Characteristics BEFORE Alterations: Two floors with partial basement
Number of Floom and Changes WITH Alterations: Two ~oors with crawlspaco. Basement to be filled in as per FEMA regs.
IV. Calculations of building areas and lot coverage (from surveyor):
Existing square footage of buildings on your property: t,736.4 s~t.
Proposed increase of building coverage: 1.444 s.[
Square £00tage of your lot: 10,340 s.f.
Percentage of coverage of your lot by building area: 26% proposed
V. Purpose of New Construction: Additions and alterations to existing single family residence to accommodate needs of family
Also, to comply with FEMA regs.
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):
Property slopes gently approximately 3' from the highest to the lowest point.
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 xZ No
Are there any proposals to change or alter land contours?
No ], Yes, please explain on attached sheet. ~7:~ ~c ~ ~-'- ~
1 .) Are there areas that contain sand or wetland grasses? .m~c,
2.) Are those areas shown on the survey submitted with this application? -'-9/'~
3.) Is the property bulk headed between the wetlands area and the upland building
4.) If your property contains wetlands or pond areas, have you contacted the Office of
the Town trustees for its determination of jurisdiction? "-~/,t 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?
Are there any patios, concrete barriers, bulkheads or fences that exisl that are not
shown on the survey that you are submitting? /jo Please show ama 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? /'- ~ 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?
If yes, please label the proximity of your lands on your survey.
Please, list pre.sent use or operations conducted at this parcel
garage, ~l or olher)
Authorized signature and Date
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 necessary to avoid same.
YOUR NAME: 5tnd ~.~.~lg_.?-! ) I~>A-Rd~ Y ,
(Last name, first name, middle initial, (mless you are applying in the name
of someone else or other entity, such as a company. If so, indicate the
other person or company name.)
Tax Grievance
Variance
Special Exception
If "Other",
name the activity:
NATURE OF APPLICATION: (Check all that apply.)
Change of Zone [ ]
Approval of Plat L-
Exemption fi'om Plat
or Official Map [ I
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.
t
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 orbis or her spouse, sibling, parent, or child is (check all that
apply):
[
I
[
[
] 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 l' Pt' ~ day of/'~ ~ ~-'- ~W ~9 >./
Signamre:__~,.vv-..,4' ~ ~
PrintName: ~'A~.~-~ aft. "tt
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 necessary to avoid same.
YOUR NAME: Garrett A. Strang
(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 person or company name.)
NATURE OF APPLICATION:
Tax Grievance
Variance
Special Exception
If "Other",
name the activity:
(Check all that apply·)
Change orZone I ]
Approval of Plat I
Exempt on 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 l ,/ ]
Complete the balance of this form and date and sign below where indicated.
Name of person employed by the Town of Southold: No One
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 lown officer or employee or his or her spouse, sibling, parent, or child is (check all that
apply):
l
[
[
] 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 22B~--~ day of February
Signature:~
Print Name: GarrettA. StranQ
OWNER
FORMER OWNER
TOWN OF SOUTHOLD PKOPERTY RECORD CARD
STREET
N
VI LLAGE LOT
W
DISTRICT SUB.
ACREAGE ,..~..~
TYPE OF BUILDING
RES.
LAND
AGE'
NEW
Farm
Tillable 1
Tillable 2
Tillable 3
Woodland
Swampland
Brushland,~,-.~
House
TotoI
SEAS.
IMP.
/
NORMAL
Acre
VL
TOTAL
FARM
DATE
COMM. IND. CB. MISC. I Est. Mkt. Value
REMARKS/4/~'/(( G/J ~2~r~
BUILDING CONDITION
BELOW
Value Per Acre
ABOVE
Value
FRONTAGE ON WATER
FRONTAGE ON ROADydd¢~,
BULKHEAD
DOCK
Exte_ns~n -
Extension
l~reezeway
Get. ge
Foundation
Basement
-1.7-& X~'Ext' Walls
[Fire Place
Patio
Driveway
Porch
Porch
Bath
Floors
tnterior Finish
Heat
Roof Type
;Rooms 1st Floor
Rooms 2nd Floor
Dormer
AGRICULTURAL DATA STATEMENT
ZONING BOARD OF APPEALS
TOWN OF SOUTHOLD
MAR, 0 4 2011
WHEN TO USE THIS FORM: The form mast be completed by the applicant for any special use permit, site
plan approval, use variance, or subdivision approval on property within an agricultural district OR within
500 feet of a farm operation located in agricultural district. Ali applications requiring an agricultural data
statement must be referred to the Suffolk County Department of Planning in accordance with Sections 239- '
m and 239-n of the General Municipal Law.
t) Name ofApplicant: ~se/~ / , ('~ f~,~. ~ ..... c /
2) AddressofApplicant: g~q,; '7/~c'~,-~- -£'z'¢~/ .,L'~.,~ ~'
3) Name of Land Owner (if other than applicant):
4) Address of Land Owner:
5)DescriptionofProposedProject:X~¥~c~: -' z>.-..'.~eo ~L.-~..,~ /~'~:-o~.+ ~/~:~
6) Location of Property (road and tax map number): /oe- ~ -~ · / 7- ~, ? - ~-?
7) Is the parcel within an agricultural district? [~(No [~]Yes lfyes, Agricultural District Number
8) Is tiffs parcel actively farmed? ~No ~Yes
9) Name and address of any owner(s) of land within the agricultural district containing active farm
operation(s) located 500 feet of the boundary of the proposed project. (Information lnay be available through
the Town Assessors Office, Town Hall location (765-1937) or from any public computer at the Town Hall
locations by viewing the parcel numbers on the Town of Southold Real Property Tax System.
Name and Address
(Please U.se back side of page if more than six property owners are identified.)
The lot numbers may be obtained, in advance, when requcsted from either the Office of the Planning Board at
765-I 938 or the ~Oaing Board of Appeals at 765-1809.
'"'- /Si~'~atul~e of Applicant Date
Note: -
1. The local board will solicit comments from the owners of land identified above in order to consider the effect of the proposed actien
on their farm operation. Solicitation will be made by supplying a copy of this statement.
2. C~)mments returned to the local board will be taken into consideration as part of the overall review of this application.
3. Copi~ of the completed Agricultural Data Statement shall be sent by applicant and/or the clerk of the board to the property owners
identified above. The cost for mailing shall be paid by the applicfmt at the time the application is submitted for review. Failure to pay at
such lime means the application is not complete and cannol be acted upon by the board.
I 14-09
PROJECT LD. NUMBER 617.20
Appendix C
State Environmental Quality Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
.PART I--PROJECT INFORMATION (To be completed by Applicant or Project sponaor)
PROPOSED ACTION:
[~ New ~Exoanslon ~] MOdtflcaBon/alterallon
6. DESCRIBEPROJ~ r~ ~ BRIEFLY:~T~, ~P/&'~ ~r_~.
~UI~ pj~ ~rr~eo ~/-~'~ ~- ~., r~ L,~I~
SEQR
7. AMOUNT OF LAND AFFECTEd.
8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [] No II NO. des~rtbe briefly
9. WN~T ,s RR~SENY ~*ND use ,. ~=.n~ OF PRo~ECT?
10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL,
[] Ye~ [~ No If yes, list Ige~/t~me and p~rmB/appeOvll
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
If the action is in the Coastal Area, and you am a state agency, complete the
Coastal Assessment Form before proceeding with this assessment
OVER
Town of Southold
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 Coaxtal Erosion Hazard ,4rea.
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 will be evaluated as to its significant
beneficial and adverse effects upon the coastal area (which includes all of Southold Town).
lfany 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
SCTM# /[/ Gq
The Application has been submitted to (check appropriate response):
Town Board [~ Planning Dept. [] Building Dept. [~ Board of Trustees []
Category ofTo;vn of Southold agency action (check appropriate response):
(a) Action undertaken directly by Town agency (e.g. capita}
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:
(b) Mailing address:
(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, wh ch state or federal agency?
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 ora coastal location, and
minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation
~] 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 -~ Pages 3 through 6 for evaluation criteria
[] Yes [] No~3 (Not Applicable please explain)
Anach 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 [] (Not Applicable- please explain)
Atlach 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 [] (Not Applicable- please explain)
Ailach additional sheets if necessary
Policy 5. Protect and improve water qnality 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)
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 ~(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 III - Policies; Pages 38 through 46 for evaluation
criteria. (~No~ 'A
[] Yes~ No pplicable- 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~WRP Section Ill - Policies; Pages 47 through 56 for evaluation criteria.
~ Yes [] No~1~ (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 wa~rs. See LWRP Section III - Policies; Pages 57 throngh 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 Ill - 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 Policies; Pages 65 through 68 for evaluation criteria.
~No [] Not Applicable- please explain
~ Yes
NOTE.:
~ ~ Pl..Mt WA~ I'RiB"MMID WITH INFOrmATION TAKEN FRO~
DATED: ~EPTEMBER 7, ~10
ALL wm m/AT'ION AND COUNTOUR LINEB ARE REFERENCED TO N.G.V.D.
FLOOD ZQNll FRO~ FIRI 3~1~C0~01 H
'GARRETT A. STRANG
architect
1230 Trlv~lr ~ PO.Box 1412
Bout~lM, New York 11S71
ph. 631 - 7S5 - 5455, fx. 931 - 765 - 5490
O'REAT PECO#IC OAX
SITE DATA
SITE AREA
0.24 ACRES - 10,340 SQ. FT.
1000 - 117 - 09 - 25
ZONING
FLOOD ZONE
WATER SUPPLY
USE
EXISTING
PROPOSED
R - 4~RESIDENllAL
"X" · AEel, 6
SUFFOLK COUNTY WATER AUTHORITY
SINGLE FAMILY Dt~LLiNG
WITH ACCE~ORY ~ARAGE
~ FA~K.Y DWELLING
OWNER
BARRY AND CAROL $WEENEY
P.OJox 8t4
Cm~ River, NY 10618
EXISTING BUILDING AREA
HOUSE
PORCH
GARAGE
PROPOSED BUILDING AREA
EXISTING HOUSE
ADDITIONS TO HOUSE
EXISTING PORCH
ADDITIONS TO PORCH
LOT COVERAGE
EXISTING
PROPOSED
1,005.78 SQ. FT.
240.00 SQ. FT.
490.62 SQ. FT.
1,736.40 SQ. FT.
1 005.78 SQ. FT.
1,tso.0o s~Q. ~ ....
240.00 SQ. FT.
2,689.78 SQ. FT.
16.8%
L
GARRETT A. STRANG ~-~-~ ~~-~-
architect LocA~o. '=~9~ .'~=~ ~=~
1230 Traveler ~t~et, P,O. Box 1412 SCALEA~ ~ ~ REUSED O~NG NO.
Southold, New York 11971DATE =-=z-,, ~ I~,' I ~
ph. 631 - 765 - 5455, ~. 631 - 765 - 5490 ~w, n~ ~ ~ ~
archite~quixnet.net ~;o~;c~,o. I=~ S =~ ~