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Home My WebLink About1000-126.-11-9.1 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 MAILING ADDRESS: P.O. Box 1179 Southold, NY11971 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: June 29, 2011 Re: Coastal Consistency Review for ZBA File Ref. EDWIN J. PISANI #6482 SCTM#1000-126-11-9.1 Note that the Board of Trustees granted a Wetlands Permit (7569) for the action on June 22,2011. EDWIN J. PISANI #6482 - Request for Variance from Code Article XXII Section 280-116B and the Building Inspector's May 31,2011 Notice of Disapproval based on an application for building permit for additions and alterations to an existing dwelling at: 1 ) less than the code required setback of 75 feet from a bulkhead, located at: 7180 Peconic Bay Blvd.,(adj. to Great Peconic Bay) Laurel, NY. SCTM#1000-126-11-9.1 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the action is CONSISTENT with the LWRP policy standards and therefore CONSISTENT with the LWRP. Pursuant to Chapter 268, the Southold Town Zoning Board of Appeals shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Jennifer Andaloro, Assistant Town Attorney EL EL. EL 10.0' 6.4' 16.3' GREAT PECONIC BAY N 21° 15' 40" ~ EL 6.0' CAMERA VIE~/ N/O/F JOAN SHANNON D~UELLING [PUBLIC kK/ATER] EL EL. S 20° 44' E EL. DISAPPROVAL PLAN L033" = 1' 20 4' EL. ~ N/O/F JOHN HINSCH D'CUELLING [PUBLIC XX/ATER] RIGHT OF ~UAY \ 345.76' EL '\ 20.7' I SCTM//1000-126-11-9.1 LOCATION: AREA: LOT COVERAGE: REMARKS: PROPERTY: 37,612 SQ. FT. 0.863 ACRES AREA TO BULKHEAD X/ST/Nd HOUSE: I730.0 $C~. ~ EX. HOUSE va/ADDITIONS: 2028.0 SQ. FT. 5.4% Z98 SQ. FT. ADDITION~ EXIJTIN6 FRONT PORCH: 77.0 $(:~. ~ EX. PORCH, EXPANDED: 224.0 SQ. FT, 0,6% [147 SQ. FT. ADDITION[ EXISTING REAR DECK: 390 SQ. FT. 1.1% EXI~I'ING GARAGE: 448.4 SQ. FT. 1.2% TOTAL: 3090.4 SQ. FT. 8.3% REVIiIONS:! $-1 REVISIONS: RECEIVED JOAN SHANNON ./ EL EL. EL [PUBLIC WATER] , 18ELo' '_ ~c~f ~ARD OF APPEA~ .. ...... / ~.__ -x ~ ~- ~ Cge x / r , I I ~7~'~-.--/~ ~ ~ _-~:~o,, x~::::::~ ........ ::~" ' X ..... ' ¢~~~__::w ........ ~.............. x ................................................. It. 5 20° 44' 00" E 345.76 ~L 6.0' ~L 17.2' 20. T lo.o, N/O/F JOHN HINSCH SITE P~N[PUBLIC S~LE: 0.033" = 1' SCTM ~ 1000-126-11-9.1 CAME~ Vl~ EXI:IN6 HOUSE. 17~0.0 SO. ~ S-1 1.6 NORTH ELEVATION SCALE: 1/8" = 1' EXISTING NORTH ELEVATION SCALE: I/8"= 1' REVISIONS: i A-I WEST ELEVATION SCALE: 1/8" = 1' EXISTING WEST__ELEVATION SCALE: 1/8" = 1' REVI[IONS: SOUTH ELEVATION SCALE: 1/8" = 1' EXISTING SOUTH ELEVATION SCALE: 1/8" = 1' REVISIONS: A-3 EAST ELEVATION SCALE: 1/8" = 11 REVISIONS: EXISTING EAST ELEVA~TION SCALE: 1/8" = 1' ~×,~,No L,v,~ ,.^c~: ,7o~.o ~Q. ~. O PROJECT NORTH 1ST. FLOOR PLAIN SCALE: 1/8" = 1' REVISIONS: A-5 EX[STiNG 2ND. FLOOR PLAN DECK OPROJECT NORTH 2ND. FLOOR PLAN SCALE: 1/8" = 1' REVISIONS: I A-6 VIEW -A- VIBX/-D- VIEVd -E- VIBX/-C- VI~ -F- , O~ ~PP~ TotM - LLAGE SUB. LOT TYPE OF BUiLDiNG ....... Value AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable Tillable 2 Tillable 3 Woodland Swampland Brushland House Plot BULKHEAD COLOR TRIM ,(tensior ,rch reezeway Foundation Basement FCt, Walls Fire Place Type Roof Recre,,tion Driveway Bath Floors Interior Finish Heat Rooms 1st Floor Rooms 2nd Floor Dinette K. LR. FIN. COLOR !xtension ~xtension :xtension ,I C '~ Breezeway Garage P~tio /6 -/ / (. .10 '~ ~,~,,- Foundation ' ,Basement Ext. Wails Fire Place Type Roof Recreation Roorr Dormer Driveway Bath Floors Interior Finish Heat Dinette LR. Rooms ]st Floor BR. Rooms 2nd Floor FIN. B. I /~,o -/a ~-//- e. ( TOWN Or-S~UTHOLD PROPERTY "RECOi~D*''cARD OWNER STRE~r 7/~OV,L~GE D~ST.SUB. FORMER OWNER E S ~ W TYPE OF BUILDING ~S. ~ / ~ S~S, / VL. FA~ COMM. CB. MISC. Mkt, Volue N~ NO~AL BELOW ABOVE FA~ Acre V~lu~ Per V~lue A~ re womplond FRONTAGE ON WATER rushlond t FRONTAGE ON ROAD ~.~ {DUSe Plot DEPTH ~ DOCK Office Location: Town Annex/First Floor. North Fork Bank 54375 Main Road (at Youngs Avenue) Southo}d. NY I 1971 http://southoldtown.north fork.net BOARD OF APPEALS TOWN OF SOUTItOLD Tel. (631) 765-1809 Fax (631) 765-9064 USPS Mailing Address: 53095 Main Road P.O. Box 1179 Southold. NY 11971-0959 June 6,2011 Mark Terry, Principal Planner LWRP Coordinator Planning Board Office Town of Southold Town Hall Annex Southold, NY 11971 Re: ZBA File Ref. No. # 6482 PISANI, E &M 1000-126.-11-9.1 Dear Mark: We have received an application for additions & alteration to a single family dwelling with a bulkhead setback of 58.3'. A copy of the Building Inspector's Notice of Disapproval under Chapter 280 (Zoning Code), and survey map, project description form, are attached for your reference. Your written evaluation with recommendations for this proposal, as required under the Code procedures of LWRP Section 268-5D is requested within 30 days of receipt of this letter. Thank you. Encls. Very truly yours, Lesli~K. Wei~man~' Chafrpef'~'on j[ BY:~_~ FORM NO. 3 NOTICE OF DISAPPROVAL DATE: May 31, 2011 TO: Mark Schwartz tbr E & M Pisani PO Box 933. Cutchogue, NY 11935 Please take notice that your application dated Mayl 8, 2011 For permit tbr additions & alterations to an existing dwelling at Location of property: 7180 Peconic Bay Blvd_., Laurel, NY CountyTax MapNo. 1000- Section 126 Block 1~1 ls returned herewith and disapproved on the following grounds: Lot 9.1 The additions & alterations Io a dwelling are not permitted pursuant to Article XXII Section 280- I_[6B, which states: "All buildiugs or structures on lots u2oon which a bulkhead ._. exists and which are adiacent to tidal water bodies other than sounds shall be set back not less than 75' l¥om the bulkhead." The site plan indicates a setback from the bulkhead of 58.3'. / /, /- Authorized Siguature Nole to Applicant: Any change or deviation to the above refcrcnccd application, may require further review by thc Soulhold Town Building Department. CC: file, Z.B.A APPLICATION TO THE SOUTHOLI) TOWN BOARD OF APPEALS House No. 7180 Street Peconic Bay Blvd SCTM 1000 Section 126 mock 11 Lot(s).9.1 Hamlet Laurel Lot Size 37,612.00 Zone R40 1 (WE) APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED May 31, 2011 BASE D ON SURVEY/SITE PLAN DAT ED May17, 2011 Edwin J. Pisani Applicant(s)/Owner(s): 195 Colabaugh Pond Rd. Croton on Hudson, NY 10520 Mailing Address: Telephone: Fax: Email: NOTE: In addition to the above~ please complete below if application is signed b) applicant's attorney, agent, architecl, builder, contract vendee, etc. and name of person ~sho agent represents: Name of Representative: Mark Schwartz ror[~t)wne4~)ther: P.O. Box 033 Gutcho§ue, NY 11935 Address: Telephnne: 734-4185 Fax: 734-2110 Emaih mksarchitect@optonline.net Please chec'k to speciJj' who ),o~h correspondence to be mailed to, frodlld~e above name,~ : ~Applicant/Owner(s), ~]Aulhorized Representative, b__J Other Name/Address below: WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SI TE PLAN DATED ~aylT, 201a and DENIED AN APPLICATION DATED Maybe, 2011 0Building Permit Certificate of Occupancy ( ) Pre-Certificate of Occupancy Change of Use P ermi! for As-Built Construction Other: FOR: Provision of the Zoning Ordinance Appealed. (Indicate Xrticlc, Section, Subsecti.n of Zoning Ordinance by numbers. Do not quote thc cude.) Article: xx, Section: 280 Subsection: ~16e Type of Appeal. An Appeal is made for: [~A Variance to the Znning Code or Zoning Map. A Variance due to lack of access required by New York Toxsn Law- Section 280-A. Interpretation of the Tnx~n Code, Article Section [~Reversal or Other A priur appeal[]has,[] has not been made at any time with respect to this property, UNI)EII Appeal No(s). 4840 Year(s). 2000 . (l'l¢.~e t,,, ..-c ~, I~ E.'kS( ) N S 1:() R \ P P l',,k 1, (addilional dleets mu r I)(, tt,sed with pr 'parer's M,&,n,ittile): tRt! I I IRLIX,('I; (I) \n undesirable change ~ilt not be produced in tile CIIkRAC'II R of ll~e neighborhood or a The proposed additions are landward of the existing deck which received variance approval for 57 feet from the furthest bulkhead. The proposed setback is in keeping with surrounding setbacks of the neighborhood. (2) The benefil soughl by tl~¢ applicant CANNOT bt' achic;cd by some method feasiblc for the The location of the house is such that any additions to the waterside of the home will require variances. The addition is proposed over the existing first floor footprint and is an expansion of the existing second floor. The additions/renovations will not be any closer to the bulkhead that what currently exists. The house has existed in its current location since prior to zoning without any negative impacts. (5) Il:ts the alleged difficully ~ccn self-crcaled? [Z]Yc~,, or Are Ihcre (:oxeJla~ls arid Restrictions concerning this land: ~No, ~Yes (~tse/inmt'~h ~op)'). ' otary Public.State of Ne~ ~ No. oYr06] 90696 · ~ua!ifiedin Suffolk County Com,,lissi0~, F~pire~ Juk, 28 20 APPLICANT'S PROJECT DESCRIPTION (For ZBA Reference) Applicant:DisaBi C/O Mark Schwartz Date Prepared: 6/2/2011 1. For Demolition of Existing Building Areas Please describe areas being removed: first floor enlar§ement of master bedroom and den second floor expansion of sittin§ area an0 a0dition of walk out decks in existing bedrooms and a0Oition of another bedroom I1. New Construction Areas (New Dwelling or New Additions/Extensions): Dimensions of first floor extension: 3~2. sq. ft. addition & t48. sq ft porch addition Dimensions of new second floor: 310. sq ft. living space and 233. sq. fk of new decks Dimensions of floor above second level: none Height (from finished ground to top of ridge): 27' 4" Is basement or lowest floor area being constructed'? If yes, please provide height (above ground) measured from natural existing grade to first floor: ltl. Proposed Construction Description (Alterations or Structural Changes) (aaadl extra sheet ifnecessaw) - Please describe building areas: Number of Floors and General Characteristics BEFORE Alterations: two story single family dwellin~ Nmnber of Floors add Changes W1TI 1Aherations: same two story single family dwelling IV. Calculations of building areas and lot coverage (from surveyor): Existing square footage of buildings on your property: 2~45.4 Proposed increase of building coverage: 3090.~ Sqeare fbotage of your lot: 37, 612 sq. fl. Percentage of coverage of your Io! by building area: 8.3% proposed V. Purpose of New Construction: additional bedroom, expansion of dining room and re-configuration of existing space VI. Please describe the land contours (flat, slope %, heavily sw>oded, marsh area, etc.) on your land and how it relates to the difficuID' in meeting the code requirement(s): flat, location of the house is such that a variance would be required for any additions on the waterside. Please snbmit seven (7) photos, labeled to show different angles of yard areas after staking corners for ne~ construction), and photos of buihling area to be altered with yard view. 7/2002: 2/2005; 1/2007 QUESTIONNAIRE FOR FILING WITH YOUR ZBA APPLICATION ls the snbjecl premises listed on the real estate market for sale'? Yes ~(7 No Are there an), proposals to change or alter land contours? X No Yes please explain on attached sheet. 1.) Are there areas that contain sand or wetland grasses? ~e, 5 2.) Are those areas shown on the survey submitted with this application7 ._'?J'~..5 3.) Is the property bulk headed between the wetlands area and the npland building area? 3. 4.) If your property conta ns wet ands or pond areas hav.e you contacted the Office of the Town trustees for its determination ofjurisdiction? ~P- 5 Please confima status of your inquiry or application with the Trustees: (klT)Ol~ and if issued, please attach copies of permit with cohd'itions ap~l abprove~d survey. Is there a depression or sloping elevation near the area of proposed construclion at or below five feet above mean sea level? ~) Are there any patios, concrete barriers, bulkheads or fences that exist that arc not shox~n on tile survey that you are submitting?~O Please show area of the strnclures on a diagram if any exisl. Or state none on the above line. Do you have any construction taking place at this time concerning your premises?~AO If3es, please submit a cop3' of your building permit and surve.~ as approx ed by the Building Department and please describe: Please attach all pre-certificates of occupancy and certificates of occupancy for the sub}ecl premises. If any are lacking, please apply to the Building Deparlment 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 lo this parcel? lfy es, plcase label lhe proximity of your lands on your survey. Please list presen! use or operations condncted at this parcel .'~ and the proposed rise gel.l,'~ ~.~0~t7410~i50i~'d-~'~/(,~_~isling single famib, proposed garage poo/orolhc0 Anthorizcd s ignattn~dhNl ~d~?J~APPEALS BOARD MEMBERS ( ' Gerard P. Ooehrirlger, Chairman James Dlnizio, Jr. Lydia A. Tortota Lora S. Collins George Hornir~g BOARD OF APPEALS TOWN OF SOUTHOLD Southold Town Hall 53095 Main Road EO. Box 1179 Southold, New York 11971 ZBA Fax (631) 765 9064 Telephone (631) 765- J 809 FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF AUGUST 10, 2000 AppL No. 4840 - EDWIN AND MARGARET PISANI STREET & LOCA'DON: 7'180 Peconio Bay Boulevard, Laurel DATE OF PUBLIC HEARING: August 10, 2000 CTM #1000~126-11-9.1 FINDINGS OF FACT PROPERTY FACTS: Applicants' property is a parcel of 37,576 sq. ft. lying bet,~en the south side of Pecenic Bay Boulevard and Pesenic Bay in Laurel. A survey by Rodedck Van Tuyl, Bated April 11, 1995, shows a bulkhead along Peconio Bay and two inner bulkheads, and a house tocated at an angle of about 45 degrees to the bulkheads. At the closest point (the southeast corner) the house appears to be about 57 feet from the outer bulkhead. BASIS FOR APPEAL: Building thspectoSs Notice of Disapproval, dated May 31, 2000, ~ler~ying a p~rmit {o build a dec~, 40 feet wide and 12 feet deep along the south side of !he house facing the water, because it would be within 75 feet of the bulkhead in 9iolation of Code section 100-23.9.4. RELIEF REQUESTED: AppIicants request authorization of the location of a 40 x 12 ft. deck requested in the building permit application. REASONS FOR BOARD ACTION, DESCRIBED BELOW: On the basis of testimony presented, matbdals submitted and personal inspection, the Board makes the following findings: (1) The location of the existing house is such that nothing can be added on the south side, facit~g the water, without a vadance authorizing a structure within 75 feet of the bulkhead on the Bay. (2) Applicants have no deck of any sod on the waterfront side of the house. The proposed deck is modest in scale and will not inten~ere with any neighbor's enjoyment of the view Grant of the requested variance will not produce an undesirable change in the character of the neighborhood or detriment to nearby properties. (3) There is no evidence that grant of the requested vadance will have an adverse effect or impact on physical or environmental conditions. (4) The action set forth below is the minimum necessary apd adequate to enable applicant to build a deck [acing the water while preserving and Protecting the character of the neighborhood and the health, safety and welfare of the community. RESOLUTION/AC"[ION: On motion by Member Collins, seconded by Chairman Geehdnger, it was RESOLVED, to GRANT a variance authorizing construction of a deck 40 feet wide, attached to the south side of applicant's house and extending no more than 12 feet from the wall of the house, subject to the following CONDITIONS: (1) Any steps from the deck to the ground shall be within the 12-foot limit set forth above. (2) The deck shall be at all times open to the sky. (3) As a condition for issuance of a Cer[ificate of Occupancy for the completed deck, applicent shalt furnish to the Board, in wdting, a survey map or surveyor's measurement of the distance between the deck and the o~er bulkhead at the closest point, measured along a line drawn perpendicular to the bulkhead. Such measurement shall be made a permanent part of the record of this variance. VOTE OF THE BOARD: AYES: Goehdnger, Toftore, Homing, Collins. (Member Dinizio was absent due to illness.) This Resolution was duly ADOPTED (4-0). FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUII~)ING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34337 Z Date DECEMBER 9, 2008 Permission is hereby granted to: EDWIN J & MARGARET C PISANI 195 COLABAUGH POND ROAD CROTON ON HUDSON,NY 10520 for : CONSTRUCTION OF A DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS PER ZBA CONDITIONS ~4850. THIS PERMIT REPLACES BP 32102. at premises located at 7180 GREAT County Tax Map No. 473889 Section 126 pursuant to application dated DECEMBER Building Inspector to exq~ire on JUNE PECONIC BAY BLVD LAUREL Block 0011 Lot No. 009.001 9, 2008 and approved by the 9, 2010. Fee $ 75.00 Authorized Signature ORIGINAL Rev. 5/8/02 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL COMPLETION OF THE WORK AUTHORIZED) FULL PEIAMIT NO. 32104 Z Date JO-NE 13, 2006 Permission is hereby granted to: EDWIN J PISA/WI 195 COLABAUGH POND ROAD CROTON ON HUDSON,NY 10520 for : CONSTRUCT ALTERATION AND ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP 27761. at premises located at 7180 GREAT Colknty Tax Map No. 473889 Section 126 pursuant to application dated JUNE PECONIC BAY BLVD LAUREL Block 0011 Lot No. 009.001 13, 2006 and approved by the Building Inspector to expire on DECEMBER Fee $ 150.00 13, 2007. ORIGINAL Rev. 5/8/02 AGRICULTURAL DATA STATEMENT ZONING BOARD OF APPEALS TOWN OF SOUTHOLD WHEN TO USE THIS FORM: TheJbrm must be completed by the applicant for an), sl~ecial use permit, site plan approval, use variance, or subdivision approval on property within an agricuHural district OR within 500 feet of a farm operatio, located in agricultural district. A II applications requiring an agricultural data statement must be referred to the Suffolk CounO' Department of Planning in accordance with Sectio.s 239- m and 239-. ~the Ge.eral Mu.icipal Law. 1) Name ofApplicant:~~ ~C~tA~/ . P~ 2) Address of Applicai~ ~~- ~~~ ~ 3) Name of Land Owner (if~b~tban ~p]icanl): ~1 ~ ~* ~ ] , ~ 4) AddressofLandOwner:-l/~ ~e~/~ t~ ~l~!~ [~W~ ~Y 5) Description of Proposed Pr~ct: 6) Location of Property (road and tax map number): ,O~0 - /~ -- [[~ ~5 / 7) Is the parcel within an agricultural district'? NNo ~Yes fi>es, Agricalmral District Number 8) Is Ibis parcel actively lhrmed? ~No ~Yes 9) Name and address of any owner(s) of land wilhin the agricultural district containing active lhrm operation(s) localed 500 feet of the boundary of tbe proposed pr~iecl. (h~lbrmation may be available lhrough lhe Town Assessors Office. Town Hall location (765-1937) or fi'om ally poblic compuler at tbe Town llall locations by viewing the parcel numbers on the fown of Southold Real Property Tax Syslem. Name and Address 1. 2. 3. (Please use back side of page if more than six propen} ox~ners are identified.) Fhe lot numbers inay be oblained, in advance, when requested from citber lhe Office of the Planning Board at 765-! 938 or !be Zonln~ P~mr0N~Aonea!s a! 765- 1809 PROJECT I.D. 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 Projec! sponsor) SEQR 1 APPLICANT /SPONSOR I 2. PROJECT NAME PR~[GT 4. PRECISE LOCATION (Street address and road lntersectrons, promlnen~ landmarks, etc., or p~ovlde map) 5. IS PROPOBED ACTION: 6. DESCRIBE PROJECT BRIEFLY: 8. W~ye;OPOS E~_~AN¢;ION ifCONoM,PdLeYscrW~IbTeH b dE)?~l NG ZONING OR OTH ER EXISTING LAND USE RESTRICTIONS? 9. WHAT PRESENT LAND USE tN VICINITY OF PROJECT? ~Restdenlt&l [] industrial [] Commercial [] Agriculture Describe: ~ res, d nhal 'r, om6 [--~Par~JForesUOpen space []Other 10. DOES ACTION INVOLVE A PERMIT APPROVAL OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY {FEDERAL STATE O LOCAL~? ~Yes [] NO If yes, list agency(s) and 11. DOES ANY ASPE~ OF THE A~ION BVE A CURRENTLY V~D PERM~ 12. AS A RESULT OF PROPOSED ACTION WILL ~ISTING PERM[T/APPROVAL REQUIRE MODIFICATION? I CERTIF~ THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BPST OF MY KNOWLEDGE If the action is in the Coastal Area, and you am a state agency, complete the Coastal Assessment Form belore proceeding with this assessment OVER PART II--ENVIRONMENTAL ASSESSMENT (To be completed by Agency) E 15 THERE. OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ~ Yes L.~ NO If Yes, explain briefly PART Ill--DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect snoulo De assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occuJfillg; (gl duration; (d) Check this box if you have identified one or more potentially large or significant adverse im'¢acts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed action WiLL,NOT result in any significant adverse environmentaJ ~mpacts AND provide on attachments as necessary, the reasons supporting this determination: APPLICANT TRANSACTIONAL DISCLOSURE FORM ([:OR SUBIV SS ON :CF OWN~.R o dOWNER'S AGENT} The Town of Southold's (()de of Ethics prubibits conflicts of interest on thc part of Toxin officers _and e~oxccs. The purpnse of this lbrln is to proxide information. ;dlicb can alert the ]'ox~n of possible conflic~s of interest aim allow it to take whatever action is ncccssarx to avoid same. YOUR NAME: Schwartz, Mark (Last name, first name. middle initial, tn ess you are app ~ g in tile name of someone else or other entity, such as a company. If so. indicate thc other person or company name.) NATURE OF APPLICATION: (Check Tax Grievance Variance Special Exception If "Other", name the activin: all that apply.) Change of Zone Approval of Plat I Exemption from Plat or Official Map Other Do you personally. (or through your company, spouse, sibling, parent, or child) ]lave a relations]lip with any officer or emp}oyee of the Town of Southold? "Relationship" includes b.s blood. marriage, or business interest. "Business interest" means a business, including a partnership, iu which the Town officer or employee has even a partial, ov,'nership of (or employment by t a corporation in v, hicb the Town officer or employee owns more than 5% of the shares. YES[ } ,/ I Complete the balance of this form and date and sign below where indicated. Name of person employ'ed by thc Town of Southold: Title or position of that person: Describe that relationship belv, een yonrself (the applicanl) and the Town officer or employee. Either check the appropriate lioe A through D (below) and/or describe the relationship in the space provided. The Town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): I ] A) tile owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); [ I B) the legal or beneficial owner ofauy interest in a non-corpotale emit) (when tile applicanl is not a corporation): [ ] C) au officer, director, partner, or employee oftbe applicant: or [ ] D) the actual applicant. DESCRIPTION OF RELAIEONS[IIP APPLICANT TRANSACTIONAL DISCLOSURE FORM (FOR SUBMISSION BY OWNER andO\¥"NER'S AGENT) lhe Town of SoutholWs Code of Ethics prohibits conflicts of interest on the part of Town officers and employees. The pnrpose of this form is to provide inlbrmatiom which can alert the To,an of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: Pisani, Edwin (East name first name midd e nitial, unless you are appbing in the name of someone else or other entity, such as a co~npany. If so, indicate thc other person or company name.) Tax Grievance Variance Spccia} Exception If "Other", name the activity: NATURE OF APPLICATION: (Check all that apply.) Change of Zone [ ] Approval of Plat L J Exemption from Plal or Official Map [ ] Othe, [ ] Do you personally. (or through your company spouse sibling, parent, or child) haxe a relationship with any officer or employee of the 'lown of Sonthold? "Relationship" includes b> blood. marriage, or business interest. "Business interest" means a business, including a partnership, in which the To~n officer or employee has even a partial ownership of (or etnplo)ment by) a corporation in which the lown oflScer or employee owns more than 5% of the shares. \'~S k J NO [ " J Complete the balance of thls 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 relalionship betv,'een yourself (the applicant) and the Tov, n officer or employee. Either check the appropriate line A lhrongh D (below) and/or describe the relationship in the space provided. The Town officer or employee or his or her spouse, sibling, parent, or child is (check all lhal apply): { ] A) the (tuner of grcaler than 5% of the shares of the corporate stock of the applicant (wheu the applicant is a corporation); ~ B) thc legal or beneficial owner ofauy interest in a non-corporate entity (x~hcn the applicant is not a corporation): [ ] C) an officer, director, partner, or employee of the applicant: or [ ] D) the actual applicant. I)ESCRIPTION OF REEATIONSIIIP *own LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that arc subject to the Town of Southold Waterfront Consistenc,~ Review [,aw. This assessment is intended to sopplement other information used by a Town of Southold agency in making a determination of consistency. *Ercept minor exempt actions including Building Permits and other ministerial permits not located within the Coaxtal Erosion Hazard Area. Before ansx~ering 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 significnnt beneficial and adverse effects upon the coastal area (which includes all of Southold Town). lfany qnestion in Section C on this form is answered "yes", then thc proposed action may affect the achievement of the LWRP policy standards and conditions cofitaincd in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a detemrination 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 ol the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Off'ice, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# !~{~ /! C/, [ The Application has been snbmitted to (check appropriate response): TownBoard ~ PlanningDepL [] Building Dept. [~ BoardofTrustees Category ofTowu of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construclion, planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan. subsid.x) (c) Permit. approval license, certification: Location of action: Site acreage: Present land use: Present zoning classification:~ If an application lbr the proposed action has been filed with the Toxvn of Southold agency, the lbllowing inlbrmation shall be provided: (a) Nameofapplicant: /)')h~15 (b) MaJlingaddress: 00 ~3OX (c) Telephone number: AreaCode ( ) ~ ~3 ( ?'3c/,- c/_t (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or f~deral agency? Yes ~ No ~ If3es. which state or l~deral agency? DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preset'ecs open space~ makes efficient use of infrastructure, makes beneficial use ora coastal Iocation~ and minimizes adverse effects of development. See LWRP Section lll- Policies; Page 2 for evaluation criteria. []Yes [] No [] (Not Applicable- please explain) Attach addilional shcc~s it necessary Policy 2. Protect aud preserve historic and archaeological resources of the Town of Southold. See LWRP Section Ill - Policies Pages 3 through 6 for evalnation criteria [7~ Yes ~ No ~] (Not Applicable please explain) Attach additional sheets if neccssar? Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evalnation criteria [~ Yes [] No [] (Not Applicable- please explain) Attach additional sheets if necessary NATURAL COAST POLIC1ES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section lit - Policies Pages 8 through 16 for evaluation criteria F7~ Yes [] No [] (Not Applicable- please explain) Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria [~ Yes [] No [] (Not Applicable- please explain) Attach additional sheets ifneccssau Policy 6. Protect and restore the quality and function of tile Town of Southold ecosystems including Significant Coastal Fish aud Wildlife Habitats and wetlands. See LWRP Section I11 - Policies; Pages 22 through 32 tbr evaluation criteria. 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 throngh 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 Ill - 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 111 - Policies; Pages 38 through 46 for evaluation criteria. [] Yes~ No [] (Not Applicable- please explain) _pr,vcct'e- prnpe£h-l 5 nc¢_ p ' or chon c A~tach additional sheets ifnecessaD 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 Ill Policies; Pages 47 through 56 for evaluation criteria. ~ Yes [] No [~ (Not Applicable - please explain) Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. [] Yes [] No [~ Not Applicable- please explain ,Attach additional sheets ifnecessaw Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section 111 - Policies; Pages 62 through 65 for evaluation criteria. [] Yes [] No [~ Not Applicable- please explain Attach additional sheets if necessaD, 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 [] Nol Applicable- please explain Margaret Pismfi 7180 Peconic Bay Boulevm'd Laurel, New York 631-298-4345 June 03, 2011 To VVhotn It May Concern: 1, Margaret Pisani, authorize Mark ~hwartz, AIA - Architect, to act as agent for permit applications to the Southold Zoning Bom'd of Appeals, Southold Town Board of Trustees, New York State Dep~ulment of En~4ronmental Conservation, Suflblk County Depamnent of Health and the Southold Tovm Building Depmtment. I also consent to inspeclion of this propmly by the aforementioned authorities. The proposed residential construction t)roject is located at 7180 Peconic Bay Boulevard, Laurel, New York (SCq~M# 1000- 126-11-9.1). Sincerely, Margaret Pisani date: ~//~/~ff ~owner-teuant) ADMITTED BY: MICHAEL BRADy KEy AVAII~BL-fi ACCOMPANIED BY: SAME S~.CO. TAX HAp NO. ]000-{26-][-9.1 __ ART. SEC. DATE OF INSPECTION 2/7/95 TIME START 10:00~ _ END 10:30 AM TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. NO Z--235B6 Date ~RIL 4, 1995 of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net PERMIT NO. Examined ,20__ ,Approved ,20__ Disapproved a/c Expiration ,20.__ BUILDING PERMIT APPLICATION CHECKLIS' Do you have or need the following, before applying' Board of Health ~ L{ Qo~..- 4 sets of Building Plans Plamdng Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Phone: BLDG DEPT. TO~A~N OF SOLJTI-IOLD Building inspector [CATION FOR BUILDING PERMIT Date 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 Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit sball be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used m whole or in part for any purpose what so ever until the Building Inspector ~ssues a Certificate of Occupancy. f. Eveu 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 atTecting thc property have been enacted in the interim, the Building inspector may authorize, in writing, the extension of the pemtit tbr 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, Suflblk County, New Y'ork, 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 aRtborized inspectors on premises and in building Ibr necessary inspections. (Signature of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agen gineer, general contractor, electrician, plumber or builder Name of owner of premises ~,~ I,~,/,...) ~// ~4/'~c C/~/~ .f~,7' (As on the tax roll or latest deed) if applicant is a co~oration, 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. Locati?7~.~nd on ~which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section t ~ ~ Block// Subdivision Filed Map No. Lot Y, J Lot 2. State existing use and occupancy of premises a?,d intended use and occupancy of proposed construction: a. Existing use and occupancy ,~/.4_J~ C~- /~,,4.,'w/. )~/~ ~'~., b. Intended use and occupancy 3. Nature of work (check which applicable): New Building_ Repair Removal Demolition 4. Estimated Cost Fee 5. If dwelling, number ofdwelling units If garage, number of cars Addition Other Work Alteration ~'/ (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If busines,5~s commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, ifany: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Depth_ Height Number of Stories Rear 8. Dimensions of entire new construction: Front Height ~__.~£~ jU/6~c/Ft~/mber., of Stories 9. Size of lot: Front Rear Rear .Depth .Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated ~ 4 12. Does proposed construction violate any zoning law, ordinance or regulation? YES 13. Will lot be re-graded? YES _ NO /~ Will excess fill be removed from premises? YES NO 14. NamesofOwnerofpremises ]:;'].~',~_/ Address PhoneNo. Name of Architect .CC /4~.,~ ,4~7 U_ Address PhoneNo Name of Contractor Address Phone No. 15 a. [s 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 of a tidal welland? * YES y NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. l 7. If elevation at any point on property is at 10 re, et or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with :respect to this property? * YES NO ~" · IF YES, PROVIDE A COPY. STATE OF N~W YORK) SS: co 'pY OF CONNIE D. BUNCH Notary P~/Ollc State of New York No. 01BU6185050 Qualified in Suffolk County ~ Commlsstlon Expires April 14, ~4:~_ ~/c~ //~{/¢~/~ d~ ~/~7~ ~'~ ~-~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ~~ (Contractor, Agent, (~orate~fficer, etc.) of said owner or owners, and is duly authorized to perfo~ or have performed the said work and to make and file this application; that all statements contained in this application are tree to the best of his ~owledge and belief', and that the work will be performed in the ma~er set fo~h in the application filed therewith. Notary Public gnat~t~,e~ ?~f ~plic ant