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Home My WebLink About1000-98.-4-23 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To~ From: Date Re: Leslie Weisman, Chair Members of the Zoning Board of Appeals Mark Terry, Principal Planner ,,~ LWRP Coordinator Janua~ 5,2011 Coastal Consistency Review for ZBA File Reft DAVID S. and ELIZABETH BRANCH #6439 SCTM# 1000--98-4-23 Request for Variance from Code Section 280-18 and the Building Inspector's October 13, 2010 Notice of Disapproval based on an application for building permit to construct an addition at; 1) less than the code required minimum side yard setback of 15 feet, 2) less than the code required combined side yards of 35 feet, at: 5160 Indian Neck La., (adj. to Hog Neck Bay) Peconic, NY. SCTM#1000-98-4-23 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" which states: 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. Cc: Jennifer Andaloro, Assistant Town Attorney BOARD MEMBERS Leslie Kanes Weisman, Chairperson James Dinizio Gerard P. Goehringer George Homing Ken Schneider http://southoldtown.northfork.net ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809 · Fax (631) 765-9064 November 17, 2010 Southold Town Hall 53095 Main Road · EO. Box 1179 Southold, NY 11971-0959 Office Location: Town Annex/First Floor, Capital One Bank 54375 Main Road (at Youngs Avenue) Southold, NY 11971 Mark Terry, Principal Planner LWRP Coordinator Planning Board Office Town of Southold Town Hall Annex Southold, NY 11971 Re: ZBA File Ref. No. #6439 (Branch) Dear Mr. Terry: We have received an application for construction of an addition to existing single family dwelling in Peconic. 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. To: Deborah Doty for D & E Branch P O Box 1181 Cutchogue, NY 11935 FORM NO. 3 NOTICE OF DISAPPROVAL DATE: October 13. 2010 Please take notice that your application dated October 5, 2010 For construction of an addition to an existing dwelling at Location of property 5160 Indian Neck La., Peconic, NY County Tax Map No, !000 Section 98 Block 4 Lot 23 Is returned herewith and disapproved on the following grounds: The addition on this conforming 4.278 acre lot, is not permitted pursuant to Article XXIII Section 280-18which statest "No building or premises shall be used & no building or part thereof shall be erected or akered in the Low Density R District unless the stone conforms to the requirements of the Bulk Schedule ...with the same force & effect as if such regulations were set forth herein in full". The side yard setbacks for a conforming lot in the R40 district are i5' & 35' combined. The site plan indicates side yard setbacks of 10.9' & 26.8' combined. 'Authorized Signature TOWN OF SOUTHOLD BUILDING DEPAItTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 ~vvvw. northfork, neqSouthold/ pERMIT NO~ __ BUILDING pERMIT APPLICATION CHECKLIST Deborah Doty, gsq PO Box 1181 Cut?ho ue NY 11935 631-734-6648 Building haspector APPLICATION FOR BUILDING PERMIT Date_ i0/05/2010 __, 26__ INSTRUCTIONS a This apphcaBon MUST be completely fi ed in by typewdte~ ot in mk m~d submitted to rite Build~g h~spector with 3 c TBe work covered by fills application may not be colnnlenced before issuance of Building PennB d Upon approval of this applicatio~k tile Bttildiltg Illspector will issue a Binlding Pemlit to Ihe applicant Such a permll shall be kept on the premises avadab]e for inspection througho~ tim work e. No bnilding shall be occupied or used in whole or h~ par~ for m~y pttrpose wBat so ever until the Binldmg h~spec/or f Every building permit shall expire Lfflm work authorized has not cmmnenced witlin~ 12 monfl~s after the date o£ proper~ have been enacted in the interim, file Binlding h~speetor may authmSze, ill wrim~g, fl~e exlenmon of the permit for an adddmn six months. TBere~ffter, a new penrfit shall be required. AYPLICATION IS HEREBY MADE to the BOding Depm-tmet~t for the issumme of a Budding permit pursuant to the Building Zone Ordinance o£ the Tom of Souflmld. Suffolk County, New York, and other applicable Laws, Ordbmnces or Regtflatinns, for fl~e construction of buildings, adthtions, or alterations or for removaI or demolition as berein described The ~ , ~,o~at~o~/~ see above /Mailing address of applicant) State whether applicant is owner, lessee, agent, arclutect, engineer, general contractor, electrician, plumber or builder attorney qameofm~merofprenuses David S. Branch & Elizabeth Branch (As on the mx roll or latest deed) f applinm~t is a corporation, signature of duly authorized officer (Name and title of corporate officer) 3uilders License No qumbers License No ilectncian$ L~cense No )ther Trade% License No 5160 Indian Neck Lane, Peconic, NY House Number Stroet Cotutty T~x Map No 1000 Section Subdivision CNmne) 98 Block 4 Lot 23 Filed Map No Lol 2 Stale ex,sting use and occupancy of prermses aed intended use mxd occupmacy of proposed eonst~chon ~ [~ifl[in~ U~ ~]d 0CCUp~ilcy residentia~ residential b h~lended use and occupancy_ 3 Natu~e of work (check whicb applicable) New Braiding_ Rernoval~eInoliti°n- Repmr ~ Fee 4 Estimated Cost_ Number of dwellitrtg units on each floor_ 5 If dwelling, number of dwelling anits_ If garage, number of cars ~ 6 I~ bus mss, corranerctal o~ lxmxed occapm~cy, specify nature mid extent of each type o£ use. 7 D~mens~ons of ex, sting structures, if any: Front__ Rear __Depth_ Number of Stories__ -- Height~ Rear Dimensions of same structure with alterations or additions: Front_ Height~-- Number of Stories_ Depth__ __R~ar~Depth _ Number of Stories__ ~ Height _ ~Rear_ __Depth _ -- 9 Size oflol: Front~_ 10 Date of Purchase 1972 Name °f F°rmar Owner ~Br±nk t / Zone o~ use chstnct in which premises are situated __r40 12 Does proposed construction violate any zomng law, ordinance or regulation? y~NO__ l 3 Will tot be re-graded? YES__ NO__Will excess fill be removed from pren]i}eS? Y~S NO Phone No _ 14 Nmnes of O~mr ofprermses~ Address_ Address_ Phone No_ Name of Architect __ Address __ phone No _ __ Nm~qe of Contractor_ 15 a Is this p~operty vatlun t00 feat of atidal wetland or a freshwater wetlmnd? *YES. NO -- * IF YES, SOUTHOLD TOWN TRUSTEES & D E C pERMITS MAY BE pdBQUIRED b. Is tlus properly within 300 feel of a tidal wetland? * YES_ NO "IF YES, D E.C PERMITS MAY BE REQUIRED [~> Prowde sup/e),, to scale, w~th accurate retardation plan and distances to properly lines 17 It' etevabon at any point on properb' ~s al 10 feet or below, must provide topographical data on survey STATE OF NEW yORK) SS cOUNTY O1~ Deborah Dory being duly sworn, deposes aad says dm£ (s)be is dm applicam (Nmne of individual signing contract) above nmned. Olh~r~X~qork_rebuild deck prev~_ousiy demo (Descripd on) (To be paid on filing this application) 4.3 acres COMMI~IOH EXPIRE8 ~L,~ FEE $ FILED BY: ASSIGNMENT NO. APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS1 House No. 5160 Street Indian Neck Lane Halnlet Peconic SCTM 1000Section 98 Block 4 Lot(s) 23 Lot Size 186,356+ sf Zone R-40 I (WE) APPEAL THE WRITTEN DETERMINATION OF THE BUILDING iNSPECTOR DATED 10/13/2010 BASED ON SURVEY/SITE PLAN DATED 10/10/2010. Applicant(s)/Owner(s): David S. Branch & Elizabeth Branch Mailing Address: 681 Weed Street, New Canaan, CT 06840 Telephone No.: 203-996-9782 FAX/E-mail NOTE: 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: Name of Representative: Deborah Doty, Esq., as attorney for Owner Address: 670 West Creek Avenue, PO Box 1181, Cutchogue, NY 11935 Telephone No.: 631-734-6648 FAX/E-mail: 631-734-7702 Please check to specify who you wish correspondence to be mailed to, from the above names: [] Applicam/Owner, · Authorized Representative, [] Other Name/Address below: WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN DATED and DENIED AN APPLICATION DATED 10/5/2010 FOR: · [] [] [] Building Permit Certificate of Occupancy [] Change of Use Permit for As-Built Construction Other Pre-Certificate of Occupancy Provision of the Zoning Ordinance Appealed. (Indicate Article, Section, Subsection of Zoning Ordinance by numbers. Do not quote the Code.) Article: XXIII Section: 280-18 Subsection: none Type of Appeal. An Appeal is made for: · A Variance to the ZoDAng Code or Zoning Map [] A Variance due to lack of access required by New York Town Law Section 280-A. C~ Interpretation of Town Code, Article __ Section [] Reversal or Other A prior appeal ( ) has, ( X ) has not been made at any time with respect to this property, UNDER Appeal No(s). __ Year(s). (Please be sure to research before completing thi3 question or call our office for assistance) ~DDITIONS TO ZBA FORM APPEAR IN BOLD TYPE; DELETIONS ARE 1 N DICATED BY ~TRI Name of Owner: David S. Branch & Elizabeth Branch - Page 2 ZBA File #: BACKGROUND: This 4.2+ acre property is located on Indian Neck Lane in Pecouic. The applicants purchased the property in 1972. The subject waterfront house was built in its present location in 1904+. No zoning setbacks existed at the time of construction. There was a porch the full length of the waterside of the house. That porch extended to the southwestern corner of the house permitting exit from and entrance to the family room. The southwest corner of the original porch was approximately 10.9' from the westerly property line. See 1972 Pre- C/O attached & photographs attached. Many years ago, the roof over the waterside porch became dilapidated. Because they were then not ready to renovate the house, the applicants removed the roof for safety reasons. The applicants now are renovating the house. Among other things, an expansion to the east side of the house accommodates a first floor master bedroom suite so that the applicants may use the house in their retirement. That expansion to the east meets the Town siugle yard setback requirement and construction is proceeding. Se~e 9/3/2010 Building Permit attached. The applicants also seek to reconstruct the 100 sf section of the porch (which existed for more than 100 years) and roof on the southwest corner of the house. The porch will provide access to and from the new dining room. The 100 sf section of the porch creates side yard setback issues: (1) the proposed westerly single side yard is 10.9' rather than Code required 15' and (2) the proposed combined side yard is 26.8' rather than the Code required 35L REASONS FOR APPEAL (additional sheets mag be used with preparer's signature): AREA VARIANCE REASONS: (1) An undesirable change will not be produced in the CHARACTER of the neighborhood or a detriment to nearby properties, if granted, because: (a) Applicants seek to restore and upgrade the appearance and configuration of the southwestern side of the 106-year-old structure while expanding to the east in order to provide a first floor master suite for use during applicants' retirement. (b) The premises is a long narrow wooded parcel. It is exceedingly private. (c) To the east of the premises is the subdivision known as "Map of Peconic Bay Oaks" on Robinson Lane with an average lot size of 20,000_+ sf. Two of the three waterfront lots at the waterside of Robinson Lane exceed 1 acre. All of the waterfront parcels are developed. (d) Immediately adjacent to the west are a .918 acre interior parcel (//22.2) and a 2.67 acre waterfront parcel (//22.1). The interior parcel was split off from the larger parcel in 1974 as a result of the issuance of a variance permitting the lot to contain insufficient area; and there is a house on that lot. The house on waterfront lot Name of Owner: David S. Branch & Elizabeth Branch - Page 3 ZBA File #: ,722.1 is of the same vintage as the Branch home. The house is located close to its western property line and at some distance from the common boundary with the Branch property. (e) No change in the character of the "neighborhood" will be produced by reconstruction of a 100 sf section of the porch which existed for more than 100 years. (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: (a) The subject parcel is long and narrow. The length exceeds 1,900 feet. The width at the road is 73+ feet and at the water 99+ feet. (b) The house was sited in its current location in 1904_+. Zoning was overlaid on the premises more than 50 years later. (3) The amount of relief requested is not substantial because: (a) The requested variances will permit the restoration of the pre-existing porch, roof, and waterside design of the southwestern elevation of the home. (b) The applicants removed the pre-existing roof because it had become unsafe. The porch was removed in 2010. The owners now seek to restore the porch and roof to the southwestern elevation of the house. (c) Given the 186,356.04 sf size of the property, the shape of the parcel, the pre- existing location of the house and porch, the requested 10.9' single side yard setback and 26.8' combined side yard setback variances are not substantial. (d) A minimal increase in lot coverage will result from the 100 sf addition. To wit - from 2.17% to 2.22% lot coverage in a zone where up to 20% lot coverage is permitted. (4) The variance will NOT have an adverse effect or impact on the physical or enviro~Lmental conditions in the neighborhood or district because (a) The house is more than 100 years old and has remained on the property without having an adverse effect on physical or environmental conditions. (b) The reconstruction a 100 sf porch and roof that existed for decades will not result in any adverse impact on the physical or environmental conditions in the neighborhood. (c) The Southold Trustees and the NYS DEC have approved the construction of both the easterly expansion and the replication of the southwesterly porch. (5) Has the alleged difficulty been self-created? ( ) Yes. ( X ) No. Are there Covenants and Restrictions concerning this land? ( ) Yes. ( X ) No Name of Owner: David S. Branch & Elizabeth Branch - Page 4 ZBA File #: This is the MINIMUM that is necessary and adequate, and at the same time preserves and protects 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 sure to consult your attorney.) e of Appellant 23i Aut~d Agent (Agent must submit Authorization from Owner) Sworn to before me this ~ I r~- day of November, 2010 No'fy Pul~lic IU'DY L. OKEEFE Notary Public, State of New York No. 01OK4900952 - Nassau County Commission Expires July 13, 20 ~_~... DAVID S. BRANCH & ELIZABETH BRANCH 681 Weed Street, New Canaan, CT 06840 October, 2010 Deborah Doty, Esq. 670 West Creek Avenue P.O. Box 1181 Cutchogue, NY 11935 RE: 5160 Indian Neck Lane, Peconic, NY (SCTM # 1000-98-4-23) Dear Deborah: We,the owners of the above-referenced premises, hereby authorize you to act as agent, secure information, sign all applications to the Town of Southold and/or other governmental authorities in connection with building permits, certificates of occupancy and/or variances with respect to our property. Very truly yo~urs, IYAVID S. BRANCH ELIZf~ETH BRA~ICH .... ~~, . ~ ~ ~ ~ ~'~ ~ ,~ X' / CONOREIE PAD AND CONCR~E WAL AY ~ FRAME HOUSE ~/~L~.13: r57~ ,' ~ [ ~-, + ~ ~ ~ 9n' n" sIDE y~O ~ : ~ ~ EX ~ . PORCH.* . +' .~ /--PROPOSED ~ ~ ~ ~: < ~ PORC~ + -ADD , ~ ,, ~ ~ DRYWELL ~ ~o g ~ ~ ~ - ,,- ~ ~'~ b~~ ~ D~NCH )/ CONC. STEPS/ ~. / ' '1 ~ AIR CONDITIONER~ ~ WALL , / ' t ' ~ / ¢ STII Branch Residence 15GO In&an Neck Lane Pecomc, New York i 1955 Porch A~d~t;ion Foundation Plan Tour de Force Designs,~c 40 l~urel Hi]] Road (203) 775-2538 Fax (~03) 775-2~39 ,' 2'- J /4- Branch Residence I 5GO f~d~a~ Neck ~ne Porch Addition Dough Elevation m0*) ~7¢-253g Fa[ (207) 77S-ZS39 19:50 2B37752539 PAGE BY -. ~ , , ,, ~,, ,~ ;,,. I I O I~ < (Porch ~oof) > ¢". -- -4_ ~ Branch Residence ~ 5~0 ~ndlan Neck ~ne I ; Pecomc, New York lj$55 ~ ~ Porch Add,t,on ~ - Wes~ / ~lde Elevabon (203) 77~-~38F~¢03)775-~39 -APPLICANT'S PROJECT DESCRIPTION (For ZBA Reference) Applicant: David S. Branch & Elizabeth Branch Date Prepared: 11/12/2010 I. For Demolition of Existing Building Areas Please describe areas being removed: None (roof previously demolished for safety reasons, porch removed in connection with current construction on rest of dwelling) ri. New Construction Areas (New Dwelling or New Additions/Extensions): Dimensions of first floor extension: 100 sf porch w/ roof Dimensions of new second floor: n/a Dimensions of floor above second level:, n/a Height (from finished ground to top of ridge): 13 ' 0"_+ porch roof Is basement or lowest floor area being constructed? If yes, please provide height (above ground) measured from natural existing grade to first floor: n/a III. Proposed Construction Description (Alterations or Structural Changes) (attach extra sheet if necessary) - Please describe building areas: Number of Floors and General Characteristics BEFOILE Alterations: 2 ½ story Dutch colonial with porch along waterside of dwelling; with 'detached garage and accessory building (dwelling) Number of Floors and Changes WITH Alterations: no change e~c~nt r~placem~nt of s~ctSon porch recont, ly removed and roof previously removed for safety reasons IV. Calculations of building areas and lot coverage (from surveyor): Existing square footage of buildings on your property: 4,037.05 Proposed increase of building coverage: 100.00 sf Square footage of your lot: 186,356.04 Percentage of coverage of your lot by building area: existing = 2.17%; proposed = 2.22% V. Purpose of New Construction: Restore original SW elevation with reconstruction of porch and roof VI. Please describetheland contours(flat, slope%,heavily wooded, marsh area, etc.)on yourland and how itrelatestothedifficnltvin meetin~thecodereauiremeut(s]: waterfront gently sloping lo% with dwelling, detached garage and accessory building (dwelling) ail at elevation oZ 11+ teet 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 David S. Branch & Elizabeth Branch 5160 Indian Neck Lane, Peconic SCTM # 1000-98-4-23 PHOTOS OF SW CORNER OF DWELLING B QUEST10NN AIRE FOR FILING X~ITH 5OUR ZB, APPLICATION Is the subjec~ premises listed on the real estate marker for sale? Yes × No Are there any proposals to change or alter land contours? - x No Yes, please explain on attached sheet F 1 .) Are there areas that contain sand or wetland grasses? yes 2.) Are those areas shown on the survey submitted with this application?~es __ 3.) ls the property bulk headed between the wetlands area and the upland building area? no 4.) I£ your property contains wetlands or pond areas, have you contacted the Office of the Town trustees for its determination of jurisdiction? Please confunn status of your inquiry or application with the Trastees: and if issued, please attach copies of permit with conditions and approved survey. Trustees' permit attached to application Is there a depression or sloping elevation near the area of proposed constmcnon ak or below five feet above mean sea level? see survey Are there any pat~os, concrete barriers, bulkheads or fences that exist that are not shown on the survey that you are submitting? no 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? ¥e$ If yes, please submit a copy of your building permit and survey as approved ~y 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 Disapprovah Do you or any co-owner also own other land adjoining or close to this parcel? no If yes, please label the proximity of your lands on your survey. Please list present use or operations conducted at this parcel _wsfd w/ det. ached ~rage & accessory bldg ( dwellin~rkt the proposed use same . (ex existing single l~mily, p~oposed same wi~h garage, pool or other) Authorized signature and Date .APPLICANT TRANSACTIONAL DISCLOSLFRE FORM (FOR SUBMISSION BY OWNER and OWNER'S AGENT) The Town of Southold's Code of Ethics prohibits conflicts of interest on the pan 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 ailow it to take whatever action is necessary to avoid same. YOLtRNAME: Dav±d S. Branch & El±zabeth Branch (Last name, first name, middle mit±al, 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: (Check all that apply.) Tax Grievance Variance x Special Exception Other Activity: Change of Zone Approval of Plat Exemption from Plat or Official Map 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 parmership, 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 Tovm 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 KELATIONSHlY Print Name:~vid S. Branch & El±zabeth Branch 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 nf 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. YOURNAME. Deborah Dory, attorney for DavJ_d S. Branch & El±zabeth Branch (Last name, first name, middle initial, unless you are applying in the nm'ne of someone else or other entity, such as a company. If so, indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance x Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other I f"Other '. name the act'v'ty.) Do you personally (or through your company, spouse, s b rig, parent, or child) have a relationship with any officer or employee of the Town ofSouthold9 ' ' ' · · · Relat~onship ~ncludes by blood, mamage, or business interest "Business interest" means a business. including a partnership, in which the town officer or employee has even a partial oxvaership of (or emplovmem by) a corporat on in which the town officer or employee owns more than 5% of the shares. YES NO If you answered "YES", complete 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 applicant/agent/representative) and the town officer or employee Either check tile appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (cheek 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 Form TS 1 Signed f, ItJ~ this_t2~a- da), of November 1~ 2010 S ign~("~,./.a,.._ Print Name_Deborah Dory, Esq, TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER VL. STREET FORMER OWNER LAND ...... "i/v~P. S 'TOTAL ,¸2 FA ~ DATE AGE BUILDING CONDITION NORMAL NEW Farm Acre BELOW Value Per Acre Tillable 1 Tillable 2 Tillable 3 Woodland ABOVE Value VI LLAGE DISTRICT SUB. ? ACREAGE TYPE OF BUlL. DING LOT Swampland Brushland House Plot Totol Extensior Extension Extension GQrage '? X :Lo ~' / O/ Foundation Basement Fire Place Bath Floors Interior Finish Healt Attic Rooms 1st Floor Rooms 2nd Floor Town of Southold LVqRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for perm/ts* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject :o the Town of Sou~old Waterfront Consistency Review Law'. T'ms assessruent is intended to supplement other information used by a Town of Southold agency m making a dete~xnmation of consistency. *Except minor exemp~ actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answerhtg the questions in Section C, the preparer of fffis form should review the exempt m/nor action list, policies and explanations of each po[icy 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 (wh/ch includes all of Southold Town). If any question in Section C on this form is answered "yes", then the proposed action may affect the ackieveruent of the LWRP policy standards and conditions contaiaed in the consistency review law-. Thus, the action should be analyzed m ruore detail and, if necessary, modified pr/or to ma!ring a deterrnination that it is consistent to the maximuru 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 Platming Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 1000 98 _ 4 -23 The Application has been submitted to (check appropriate response): Town Board [-~ Planning Board ~ Building Dept. [~ Board of Trustees [] 1. Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital [] construction, planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan, subsidy) (c) Perm/t, approval, license, certification: Nature and extent of action: Extension of porch and roof at southwest corner of waterside of house 2 Location of actlon: 5160 Indian Neck Lane, Peconic, NY Site acreage 4.2+ Present land use: Residential Present zoning classification: R-40 If aa~ application for the proposed action has been flied with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: David S. Branch & Elizabeth Branch (b) Mailing address: 681 Weed Street, New Canaan, CT 06840 (c) Telephone number: Area Code ( )_ 203-996-9782 (d) Application number, if any:. Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes [] No [-~ If yes, which state or federal agency? C. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal ioeation, and minimizes adverse effects of development. See LWRP Section HI - Policies; Page 2 for evaluation criteria. [-~Yes ~-1 No ~ NotApplieable Proposed porch and roof extens±on is locted above 10' elevation. It w±ll be no closer to wetlands than privious and currently permitted porch and roof on rest of waterside of house. Extension also replicates porch and roof originally built in l~O4m A~achaddifionalsheetsifnecessary 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 Attach acidmonal sheets if necessar) Policy 3. Enhance visual quali%, and protect scenic resources throughout the Town of Southold. See LWRP Section II1 - Policies Pages 6 through 7 for evaluation criteria ~-~ Yes ~ No Not Applicable Small extens±on w511 not have any impact: on scendc vdsta 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[~NotA lica Gutters and drywells ~?]11 ~cbolnetain roof runoff Attach addinonal sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section [II - Policies Pages 16 through 21 for evaluation criteria ~'~ Ye~ [~ No [~Not Applicable Attach additional sheet; 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 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. Yes [-~ No [] Not Applicable Extension will have no impact on air quality AUach 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 No emissions PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lauds, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. [] Yes [] No [~] Not Applicable Project is an extension to a private residence 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 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 Attach addifionai sheets if necessary Policy 12. Protect agricultural lands in the Town' of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. [-~ Yes ~-~ No ~'~ Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of ener~ and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. Created on 5/25/05 i I '20 AM I J?; l*l~m,q 1~ tm~' ll411l~)O to ll41l~)ll FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No..Z~9.~ ..... Date ............ THIS CERTIFIES that the building located at . ~t~. I~ldia~ .Neck; .~ Street Map No. ~ ..... Block No..~ ....... Lot No.. ~... ~O~O~e~. N.,~, ........ conforms substantially to the F~O~~ ~mil ~ell~ & ~ c~e . C~r.t~ic~e .ofoccupan~ dated .... A.~g.. ~ ...... , 19~ ~, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate issued is .. ~i~te. one. family. The certificate is issued to D~i5 ~: .~5or. i&. I r.i~ ...... ~.~s (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval 'pr~oxi~ing .......... UNDH~WRIT~S CH~TIFICA;H No .... prO~ .exis.~g ....................... HOUSF NUMB~;~ .~.~ ....... S~cet...Indi~ ~eck L~e.. ~ec~c ......... ~zoep~ions to housin~ e~e, sea reverae side. Exception to housing Codel 1, Laundry room & exitwayl restricted clearance by wa~herodryer 2. Xitchen~ no shutoff at gas stove 3. Living rooms no switch at point of entry froe exterior space heater in L.R.floor insufficient for winter occupancy 1~. upstairs ~ Bathroom floor not moistureproof ~. Bedrooml S/~. light fixture out of order $. General~ 21 ~29b 303d ~2' Porch E/8 bottom step loose pitches 602o~l~UJla=~: " a/~. ~o steps rotten & loose 602o House on posts . n9 foundation or skirt 302a a6C~+b no li~t or awi~ " cellar enter~ce door rotted off 30 Detached garage~ broken w~dow glass 603b Accesso~ build~g.(Dwell~g ~it) . Gas Itove, no ~e shutoff valve 508b Liv~g room- loose light f~ture 52~ b. Bathrocm loose wire~g exposed - no f~re 52~ Bedroom~ ~secured fixture d~g~ling from else co~ 52~ HOUSING CODE INSPECTION August 30, 1972 5160 Indian Neck Lane Peconic, New York Tax Roil: David U. Brink and wife Occupancy: summer tenant Upon request of the Southold Town Building Department I~made inspection of this one and one half story framed dwelling and found the following violations of Local Law #1, Housing Code, Town of Southold. I was accompanied by Mr. James Knowles of the Abatelli Real Estate Agency, Cutchogue, N.Y. and we were admitted to the front entrance on the north east end of building this enters into a small room being used as a laundry room. Inspection started here at approximately 9:30 A.M. Laundry Room - Contains washer and dryer (space- mate type) stacked forming tall unit on outside wall, an upright freezer on opposite wall; the corners of these two units form an opening from kitchen of 20 inches restricting exit Section 217a. Kitchen - Gas range, no shut off valve at unit Section 508b. Living Room - No light switch at point of outside entry for controlling light in roon - Section 529b. Space heater in living room floor insufficient and cannot furnish heat to each room in present form and house is not insulated, summer occupancy only - Section 512 , 513a. UPSTAIRS Bathroom - Flooring not moisture resistant 303d, 214d. Section Bedroom southeast - Light fixture not in working order - Section 529a, 601. Porch - east side - bottom step loose and pitches back excessively - Section 602c. Porch southwest corner - two steps rotted and loose Section 602c. Page House - sets on posts, not skirted - Section 302a, '604b. Cellar - for utility purposes - no light switch at entrance for safe entrance - Section 215c. Cellar door hinge rotted off Section 301a. Detached Garage - Broken panes of glass Section 603b. Three room bungalow type unit with bath east of garage: Kitchen - Gas range, no shut off valve at unit - Section 508b. Living Room - Ceiling fixture not securely fastened - Section 528a, b. Bathroom - B.X. cable hanging through ceiling, taped ends, no fixture - Section 528a. Bedroom - Ceiling fixture on lamp cord - Section 528a. completed inspection at approximately 10:20 A.M. ~pect fu~ ~bmit~ed, Inspector EH:tle FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35824 Z Date SEPTEMBER 3, 2010 Permission is hereby granted to: DAVID & ELIZABETH BR3uNCH 166 NEW NORWALK RD NEW CANAAN, CT 06840 for : ALTEP~ATIONS ~2~rD ADDITIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR & PER TRUSTEES PERMIT. at premises located at County Tax Map No. 473889 Section 098 pursuant to application dated AUGUST Building Inspector to expire on MARCH 5160 INDI~dN NECK LA PECONIC Block 0004 Lot No. 023 13, 2010 and approved by the 3, 2012. Fee $ 610.00 u tho ORIGINAL Rev. 5/8/02 David S. Branch & Elizabeth Branch 5160 Indian Neck Lane, Peconic SCTM # 1000-98-4-23 Photo above taken in 1972_+ Photos at upper left and left pre-date 1957 ~NOTES: 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM EXISTING ELEVATIONS ARE SHOWN THUS:~ EXISTING CONTOUR LINES ARE SHOWN THUS: ........... ~ .......... F~ - FIRST FLOOR ~rg - 9A~aGE FLOOR 2. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE TANK; 8' LONG, 4'-3" WIDE, 6'-7" DEEP 3. MINIMUM LEACHING SYSTEM FOR A 1 2 POOLS; 6' DEEP, 8' di<n. PROPOSED EXPANSION POOL PROPOSED LEACHING POOL PROPOSED SEPTIC TANK 4. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. 5. EXISTING SEPTIC SYSTEM STRUCTURES SHALL BE PUMPED CLEAN AND REMOVED IN ACCORDANCE WITH S.C.D.H.S. STANDARDS. 6. ANY WETLAND BOUNDARIES SHOWN ARE SUBJECT TO VERIFICATION BY NEW YORK STATE AND/OR OTHER REGULATORY AGENCIES. 4. FLOOD ZONE INFORMATION TAKEN FROM: FLOOD INSURANCE RATE MAP No. 36105C0164 G ZONE AE: BASE FLOOD ELEVATIONS DETERMINED ZONE X: AREAS DETERMINED TO BE OUTSIDE 500-YEAR FLOODPLAIN. IS 1,000 GALLONS. TO 4 BEDROOM HOUSE IS 300 sq ff SIDEWALL AREA. FIELO TEST HOLE DATA SURVEY OF PROPERTY SITUA TED A T PECONIC TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-98-04-23 SCALE 1"=60' FEBRUARY 15, 2006 MARCH 20, 2006 ADDED WELL & CESSPOOL LOCATIONS SEPTEMBER 18, 2007 ADDED PROPOSED ADDITIONS MARCH 18, 2008 REVISED PROPOSED ADDITIONS APRIL 15, 2008 REVISED PROPOSED ADDITIONS MAY 3, 2010 REVISED PROPOSED ADDITIONS JUNE 2, 2010 REVISED SITE PLAN JULY 20, 2010 REVISED PROPOSED SEPTIC SYSTEM AREA = 186,356,04 sq. ff. (TO TIE IJNE) 4,278 <nC. PROPOSED SEPTIC SYSTEM DETAIL (NOT TO SCALE) S~PTIC TANK (1] LEACHING POOLS (2~ DETAIL SCALE 1"=20' N.Y.S, Lic. No. 50467 Nathan Taft Corw n ill Land Sur¥o¥or PHONE (651)727-2090 F~x (651)727-~727 THE EXISTENCE OF RIGHT 07 WAYS AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. ¢ SEE SCALE 1 "=20' mm 26-022(