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HomeMy WebLinkAbout1000-110.-7-18.2 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: Leslie Weisman, Chair Members of the Zoning Board of Appeals From: Mark Terry, Principal Planner LWRP Coordinator Date: May 31,2011 Re: Coastal Consistency Review for ZBA File Ref. GEORGE D. and MARIA KOFINAS #6473 SCTM#1000-110-7-18.2 Note that the Board of Trustees DENIED a Wetlands Permit for the action on January 20, 2010. GEORGE D. and MARIA KOFINAS #6473 - Request for Variance under Section 280-116, based on the Building Inspector's February 17, 2011 Notice of Disapproval concerning an application to rebuild a preexisting accessory bath house with deck, which proposed construction will be: 1 ) less than the code required setback of 75 feet from the bulkhead; location: 552 East Road (adj. to Cutchogue Harbor (Groat Peconic Bay)) Cutchogue, NY SCTM#1000-110-7-18.2 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 EXEMPT from LWRP review pursuant to code section: 268-3. Definitions. MINOR ACTIONS item "B" which states: B. Replacement, rehabilitation or reconstruction of a structure or facility, in kind, on the same site, including upgrading buildings to meet building or fire codes, except for structures in areas designated by the Coastal Erosion Hazard Area (CEHA) law where structures may not be replaced, rehabilitated or reconstructed without a permit; The action is not located within the Coastal Erosion Hazard Area (CEHA). Cc: Jennifer Andaloro, Assistant Town Attorney BOARD MEMBERS Leslie Kanes Weisman, Chairperson James Dinizio, Jr. Gerard P. Goehringer George Homing Ken Schneider Southold Town H)all 53095 Main Road · P.O. Box I 179 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 April 15,2011 Mark Terry, Principal Planner LWRP Coordinator Planning Board Office Town of Southold Town Hall Annex Southold, NY 11971 Re: ZBA File Ref. No. #6473 (Kofinas) Dear Mr. Terry: We have received an application to rebuild a pre-existing bath house with deck in Cutchogue. 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, Encls. Leslie K. Weisman Chairperson FORM NO. 3 NOTICE OF DISAPPROVAL DATE: February 17, 2011 TO: Abigail Wickham for G & M Kofinas P O Box 14224. Mattituck, NY 11952 Please take notice that your application dated February 16, 2011 For a permit to rebuild a preexisting accessory bath house with deck at Location of property 552 East Road, Cutchogue, NY County Tax Map No. 1000 - Section 110 Block 7 Lot 18.2 Is returned herewith and disapproved on the following grounds: The proposed accessory bath house & "as built" deck is not permitted pursuant to Article XXII Section 280-116 which states: "All buildings or structures located on lots upon which a bulkhead, ... and which are adjacent to tidal water bodies other than sounds shall be set back not less than 75 feet from the bulkhead." The accessory deck is indicated at 0' from the bulkhead. Authorized Signature ,~."~,,I NoT,cE I~--~ COUNTY OF SUFFOLK (~) ~ ......... ~ SOUTHOLD -- J , ., , I~'~t-~"~ Reol Property lex Service Agency SECTION NO 1~_0 512 V WOOD/ ~ , , ~ /-> , '~' ' k 7.0 ~ DEC( DEcK FRAME BEACH HOUSE EXISTINO FOOTPRINT BEACH HOUSE FRONT ELEVATION BEACH HOUSE RIGHT ELEVATION %z~REVISION 10-10-08 WOOD DECK TO BE REMOVED BEACH HOBSE REAR ELEVATION BEACH HOUSE LEFf ELEVATION GEORGE KOFINAS RESIDENCE BATH HOUSE SITE PLAN AND ELEVATIONS STORAGE CLOSET CHANGING ROOM APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS Fee: $ Office Notes: __ Filled By: For Ofl~ce Use Only Date Assigned/Assignment No. Parcel House No. 552 Street East Road Hamlet Cutchogue SCTM 1000 Section I10 Block 7 Lot(s) 18.2 Lot Size 1.017 acres Zone R-40 I (WE) APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED: July 20, 2010 BASED ON MAP DATED May 13, 2010 ApplicantJOwner(s): George D. Kofinas and Maria Kofinas Mailing Address: 552 East Road, Cutchogue, New York 11935 Telephone: (718) 780-5065 Fax#: Email: 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 agents represents: Name of Representative: Abigail A. Wickham for ( X ) Owner, or ( ) Other: Agent's Address: Wickham, Bressler, Gordon & Geasa, P.C., P.O. Box 1424, Mattituck, New York 11952 Telephone: (631) 298-8353 Fax #: (631) 298-8565 Email: wwblaw(~_~aol.com Please check box to specify whom you wish correspondence to be mailed to, from the above names: [] ApplicanffOwner(s) X Authorized Representative []Other Name/Address WHEREBY THE BUILDING INSPECTOR REVIEWED MAP DATED May 13, 2010 DENIED AN APPLICATION DATED February 17, 2011 FOR: X Building Permit [] Certificate of Occupancy Pre-Certificate Occupancy [] Change of Use rn Permit for As-Built Construction and Provision of the Zoning Ordinance Appealed. Indicate Article, Section, Subsection of Zoning Ordinance by numbers. Do not quote the code. Article XXI1 Section 280-116 Type of Appeal. An Appeal is made for: X 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 X Reversal or Other a) 280-122 permits reconstruction in place. b) deck is from original structure - not "as built". A prior appeal X has or [] has not been made at any time with respect to this property, UNDER. Appeal No. 4198 Year 1993 and No. 5693 Year 2005 -[,o'~k (Please be sure to research before completing this question or call our office to assist you.) Name of Owner: George D. Kofinas and Maria Kofinas ZBA File # REASONS FOR APPEAL (additional sheets may be used with preparer's signature) (1) An undesirable change will not be produced in the CHARACTER of the neighborhood or a detriment to nearby properties if granted, because: The bath house and deck are merely replacing the former bath house that was burnt by arson fire. Granting the variance would restore the property to its original condition, and will have no undesirable change or detriment to the neighborhood. The bath house and deck existed for decades on this property, well prior to zoning. Bath houses of this type are also located on approximately four (4) nearby properties, as well as in front of many other properties on Peconic Bay. The use is accessory to the residence and in compliance with zoning. Section 280-122A allows replacement. Since the deck existed before 1957, it is not "as built". (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: There is no other location for the structure. Further, due to the abrupt rise of the bluff and its height, a beach house at the top of the bluff will not afford the owner the ability to use it without great inconvenience. The bath house will be used for changing clothes/beach wear, strong beach gear (life jackets, beach chairs, etc.), and kayaks and similar small water craft, which cannot be easily transported up and down the bluff and steps. (3) The amount of relief requested is not substantial because: It is replacing the original structure which existed for many years. The proposed structure will be slightly smaller than the original pre- existing structure and otherwise wilt look exactly the same and be used in the same manner. (4) The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: It is replacing the original structure. It would be grossly unfair to deny the applicant the right to restore a valuable and useful structure which was destroyed by a malicious and criminal act. (5) Has the alleged difficulty been self-created? ( ) Yes, or (X) No. Further, Section 180-122A states that "nothing in this article" prevents the reconstruction. Are there Covenants and Restrictions concerning this land: ( ) Yes, or (X) No. This is the MINIMUM that is necessary and adequate, and at the same time preserve and protect the character of the neighborhood and the health, safety, and welfare of the community. Check this box (X) IFA USE VARIANCE IS BEING REQUESTED, AND PLEASE COMPELTE THE ATTACHED USE VARIANCE SHEET: (Please be sure to consult your attorney) Sworn to before me this dayof~ ~/~ ~./.4_ ~4~.,~ .~ ..... DONNA McGAHAN r, ~ ,-v~/,.-~.,, v ~ - - - .'N:tcry Public, State of NewYork Notary Public''-~ No. 01 MC4851459 Qualified in Suffolk County Commission Expires Aug. 18, ATTACHMENT to Application to the Southold Town Board of Appeals Applicant/Owner: George D. Kofinas and Maria Kofinas SCTM# 1000-110-7-18.2 The project has a DEC permit~ ~. The Trustees denied the application without prejudice, not for environmental reasons, but because they felt the Town Code would not allow the structure without a variance from the ZBA. Applicant needed to clear the construction with the Town Building and Zoning Code provisions prior to their review. The applicant also appeals the decision of the Building Inspector to the extent that it refers to the decks as "as built". The applicant maintains that the decks are pre-existing and has submitted an affidavit from Gertrude Ali; copy attached, stating that the decks have existed at the site prior to zoning based on her personal knowledge. ' ~/~i'ga~,~. Wickham, Authorized Agent zboJkofinas/attachment STATE OF NEW YORK COUNTY OF SUFOLK SS IN THE MATTER OF THE APPLICATION OF George D. Kofinas and Maria Kofinas For a Variance to the Zoning Ordinance Re: 552 East Road, Cutchogue, New York 11935 SCTM# 1000-110-7-18.2 AFFIDAVIT Gertrude M. Ali, being duly sWorn, deposes and says: 1. I reside at 500 East Road, Cutchogue, NY and am the neighbor of the Kofinas', owning property to the East of them. I have been familiar with their property for over 60 years and.have personal knowledge of the facts set forth in this affidavit. I make this affidavit to confirm that the bath house and the deck it have been in existence since prior to April, 1957, the inception of the Southold Town Zoning Ordinance.. 2. The property now owned by Kofinas was originally owned by my grandfather, K. Mobius, and he built the bathhouse and deck well prior to 1957. There was always a deck attached to the east side of the bathhouse, and a walkway in front. The batt~ouse consisted of a shower room and two other compartments. 3. My mother, Agnes Mothersele, later owned the property and years ago fixed up the structure, but did not change the bathhouse or deck configuration, except perhaps to add the decking on the west side. 4. In recent years, there were problems with young people using the bathhouse illegally and it was as a result of that problem that the structure burned down. Gertrude Ali Sworn to before me February /~,, 2011 N og{~y Public~ ABi'GAIL A. WICKHAM Notary Public State of New York No, 52-4642871 Qualified in Suffolk Oounty Commission Expires Sept. 30, 8109.. Laserfiche WebLink Page 1 of 1 $outhold Webllnk Browse Search Jump to thumbnail ] Go 3 4 Help Logout I My WebLink Town_of Southold · Zoning Board of Appea~$ (ZBA) > Board Actions > 1993 · 4198 Powered by Lasedlche WebL[nk vernon 7 0 5 /aserfiche is a regislered trademark ol Compulit~k Manag emer~t Center. Inc This copy is r~istered ~o: Town of Soulhold http//24 38 28 228 2040/weblink7/DocView.aspx?id=87752 3/24/2011 Laserfiche WebLink Page 1 of 1 $outhold Weblink Browse Search Help Logout My WebLink of~8~ Town_of_Southold · Zomng Board of Appeals (ZBA) · 8oard Actions > 1993 · 4198 http://24.38.28.228:2040/weblink7/DocView.aspx?id=87752 3/24/2011 Laserfiche WebLink Page 1 of 1 Southold Weblink Browse Search Town of Southold>ZonmgBoardofAppeas ZB,~ > Board Actions >1993 > 4198 Xk http://24.38.28.228:2040/weblink7/DocView.aspx?id=87752 3/24/2011 $outhold Weblink Browse Search I, Template: Board Actions Application# 5693 Tax_Map_Number 1000-110-7-18,2 Additional TM # (surround with Owners Last Name Kofinas Address 552 East Rd Hamlet Cutchogue Help } Logout I MyWebLink http ://24.38.28.228:2040/weblink7~DocView.aspx?id=220596 3/24/2011 Laserfiche WebLink Page 1 of 1 $outhold Weblink Browse Search Template: Board Actions Application# 5693 Tax_Map_Number Additional TM # (surround with Owners_Last_Name Kofinas Address 552 East Rd Hamlet Cutchogue Jurisdiction General Yard Variance Jurisdiction II Date 5/12/2005 Help j Legout MyWebL[t3k Powered by Lasediche WebLink ve*s~3n 7.05 Lasediche is e r eg~terod trademark el Compulink Management Center, Inc This c~py is registered [o: Town of South~ld http://24.38.28.228:2040/weblink7/DocView.aspx?id=220596 3/24/2011 NEW YORK STA~DEPARTMENT OF ENVIRONMENtaL CONSERVATION DEC PERMIT NUMBER 1-4758-03553/00002 FACILITY/PROGRAM NUMBER(S) r PERMIT Under the Environmental Conservation Law EFFECTIVE DATE November 5, 2008 EXPIRATION DATE(S) November 4, 2013 TYPE OF PERMIT · New [] Re~lewal D Modification [] Permit 1o Construct Q Permit to Operate [] Article 15, Title 5; Protection of Wa* tars Article 15, Title 15: Water Supply [] Adlcle 15, Title 15: Water Transport [] Article 15, Title 15: Long Island Wells [] Article 15, Title 27: Wild, Scenic and Recreational Rivers [] 6NYCRR 608: Water Quality Certification [3 Article 17, Titles 7, 8: SPDES [] Article 19: Air Pollution Control [] Article 23, Title 27: Mined Land Reclamation [] Article24: Freshwater Wetlands · Article 25: Tidal Wetlands [] Article 27, Title 7; 6NYCRR 360: Solid Waste Mana~emen [] Article 27, 'Rtle 9; §NYCRR 373: Hazardous Waste Management Article 34: Coastal Erosion Management [] Article 36: Floodplain Management [] Artictes 1, 3, 17, 19, 27, 37; 6NYCRR 380: Radiation CarCzol PERMIT ISSUED TO George Kofinas ADDRESS OF PERMITTEE TELEPHONE NUMBER (201) 780-5070 100 Winston Drive-Apt. PHH, Cliffside Park NJ 07010 CONTACT PERSON FOR PERMI~ED WORK Catherine Mesiano, Inc., 12 Mill Pond Lane, East Moriches NY 11940 NAME AND ADDRESS OF PROJECT/FACILITY ITELEPHONE NUMBER (631)878-8951 Kofinas PropertT, 552 East Road, Cutcho~ue LOCATION OF PROJECT/FACILiTY SCTM # 1000-110-7-18.2 COUNTY Suffolk TOWN Southold DescdpUon of Authorized Activity WATERCOURSE Great Peconic INYTM COORDINATES E:713.3 N:4542.6 Reconstruct in-kind / in-place the bath house and deck immediately adjacent to the bath house that were destroyed by fire (see approved plans for dimensions). Remove the existing decking on the east side near the stairway and install 2 inch by 12 inch by 12 foot planks (cap) on top of 100 linear feet of the existing bulkhead. All work shall be performed in accordance with the conditions of this permit and the plans prepared by East End Design Associates. LLC last revised on 10/10/08 (sheets 1 and 2 of 3), and 5/29/08 (sheet 3 of 3), all stamped NYSDEC approved on 11/5/08. By acceptar~e af lhls permit, the pemfitf&e agrees t~at the permit Is contingent upon strict comptlance with the ECL, all applicable re~lulatlons, the Generalff~ndltlons spe~tle~ (see pa~s 2 ~ 4} and any Special Conditions included as part of this parmil. · / .. SUNY~Stony Brook; 50 Circle Road; Stony Brook NY 11790-3409 Jo~"~,. Wieland (mm) / ; ORK STATE DEPARTMENT OF ENVIRONMEN~TAL CON ATJON SPECIAL CONDITIONS 1. The storage of construction equipment and materials shall be confined to the portion of the property landward of the top of the bluff. 2. Necessary erosion control measures e.g., staked haybales, silt fencing, etc. are to be placed on the downslope edge of any disturbed areas. This sediment barrier is to be put in place before any disturbance of the ground occurs and is to be maintained in good and functional condition until thick vegetative cover is established. 3. During construction1 concrete or leachate shall not escape or be discharged, nor shall washings from transit mix trucks, mixers, or other devices enter tidal wetlands and/or protected buffer areas. 4. All areas of soil disturbance resulting from the approved project shall be stabilized with appropriate vegetation (grasses, etc.) immediately following project completion or prior to permit expiration, whichever comes first. If the project site remains inactive for more than 48 hours or planting is impractical due to the season, then the area shall be stabilized with straw or hay mulch or jute matting until weather conditions favor germination. 5. The use of wood treated with pentachlorophenol or other wood treatment not specifically approved by the Department for use in wetlands and/or marine waters, is strictly prohibited in the construction of structures that will be in contact with tidal waters. 6. There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activities. 7. Any debris or excess material from construction of this project shall be completely removed from the adjacent area and removed to an approved upland area for disposal. No debds is permitted in tidal wetlands or protected buffer areas. 8. At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of, and understand the terms and conditions of, this permit. Within 30 days of the completion of the project, the bottom portion of the form must also be signed and retumed, along with photographs of the completed work. ~PPLICAfWT'S PROJECT DESCRIPTION (For ZBA Reference) Applicant: George D. Korinas & Maria Kofinas Date Prepared: September 15, 2010 I. For Demolition of Existing Building Areas Please descrlbeareasbeingremoved: Wood Deck (easterly portion destroyed by arson fire) II. New Construction Areas (New Dwelling or New Additions/Extensions): Dimensions of first floor extension: New "In-kind in-place" replacement of an 8' x 32' bath house Dimensions ofnew second floor: n/a ana-repalr/r[placement as required of "as builff' wood deck. Dimensions of floor above second level: n/a Height (from finished ground to top of ridge): Is basement or lowest floor area being constructed? If yes, please provide height (above ground) measured from natural existing grade to first floor: III. Proposed Construction Description (Alterations or Structural Changes) (attach extra sheet if necessary) - Please describe building areas: Number of Floors and General Characteristics BEFORE Alterations: Number of Floors and Changes WITH Alterations: IV. Calculations of building areas and tot coverage (from surveyor): Existing square footage of buildings on your property: 6,376 sq. ft. Proposed increase of building coverage: -0- Square footage ofyour lot: 44,300. sq. fl:. Percentage of coverage of your lot by building area: 16.18% V. Purpose ofNew Construction: To replace the existing bath house that was destroyed by arson, and repair/replace as required of "as built" wood deck. VI. Please describe the land contours (flat, slope %, heavily wooded, marsh area, etc.) on your land and how it relates to the difficulty in meeting the code requirement(s): Please submit seven (7) photos, labeled to show different angles of yard areas after staking corners for new construction), and photos of building area to be altered with yard view. 7/2002; 2/2005; 1/2007 ERICJ. BRESSLER ABIGAIL A. WICKHAM LYNNE M. GORDON JANET GEASA LAW OFFICES WICKHAM, BRESSLER, GORDON & GEASA, P.C. 13015 MAIN ROAD. P.O. BOX 1424 MATTITUCK, LONG ISLAND NEW YORK 11952 631-298-8353 TELEFAX NO. 631-298-8565 wwblaw~aol.com April 11, 2011 WILLIAM WICKHAM (06-02) 275 BROAD HOLLOW ROAD SUITE 111 MELVILLE, NEW YORK 11747 631-249-9480 TELEFAX NO. 631-249-9484 Town of Southold Zoning Board of Appeals 53095 Main Road, Post Office Box 1179 Southold, New York 11971 Re: Property owned by George D. Kofinas and Maria Kofinas Premises: 552 East Rd., Cutchogue, N.Y. 11935-SCTM# 1000-110-7-18.2 Ladies and Gentlemen: The Building Inspector has issued a Notice of Disapproval stating that the proposed accessory bath house and "as built" deck does not meet the Town's requirements pursuant to Article XXII Section 280- 116 regarding bulkhead setback. We request: a) a variance to that setback requirement; or b) in the alternative, a determination that the structure may be rebuilt as a pre-existing non~conforming structure under Section 280-122. Accordingly, we enclose the following papers, in eight sets, in connection with the Notice of Disapproval dated February 17, 2011: 1. Copy of Notice of Disapproval updated February 17, 2011; 2. Application to Southold Town Zoning Board of Appeals; 3. Short Environmental Assessment Form; 4. Questionnaire for Filing ZBA Application; 5. Transactional Disclosure Forms for owners and agent; 6. LWRP Consistency Assessment Form; 7. Consent of Owners; 8. Applicant's Project Description with photos; 9. Map of project area prepared by Nathan Taft Corwin III, Land Surveyor; 10. Building Diagram of bath house and "as built" deck; 11. Appeal fee of $500.; 12. Copy of the tax map and Assessors Card; 13. Copy of Pre-Existing Use Certificate of Occupancy dated May 11, 1983; 14. Copy of Deed to the premises; 15. Agricultural Data Statement; 16. Receipt from Building Department (original set only). The small deck to the east will be renovated as shown on the map, and not replaced. The structure will have electric to power a security system. It will not have plumbing or heating. Please schedule this matter at your next available hearing. V effy/trg, ly yours, /MW/dm/Z/K/coverltr Abigail A. Wickham 617.20 Appendix C Stats Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only .PART t--PROJECT INFORMATION (TO Oe completed by Applicant or Project sponsor) ' I 1. APPLICANT/SPONSOR I 2. FROJECTNAME George D. Kofinas & ~a__ria Kofinas Variance Application , 3. P'ROJECT LOCATION: Municipality Town of Southold Coun,y Suffolk 552 East Road, Cutchogue, NY 11935 - SCTM#I000-110-7-18.2, which is 578.88 feet emst frqm the corner formed by the intersection of the southerly side of East Road a~d the easterly side of Pequash Avenue (a/k/a Fleet's Neck). [] New ~ E.xDatlslor~ [] ~odlflcatlonlalteraeon "In-kind in-place" replacement of an 8' x 32' bath house and repair/replacement as required of "as built" wood deck. Initially 1 · 01 7 ,eyes Ultlrnalely I. 01 7 acre= SEQR WILL PROPOeED ACTION COMPLY WITH EXISTING ZONING OR OTHER EX~STING LAND USE RESTRICTIONS? [] Yes [] No Il No, de$cdb$ briefly WHAT IS PRF. SEHT LAND USE IN VlClNl'rt' OF PROJECT? Describe: -'~ DOES ACT[ON INVOLVE A PERMIT APPROVAL OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? [] Yes [] NO It yes, list agency(s) and permlUap~rovals Town of Southold Board of Trustees - Trustees Permit Town of Southold Building Dept. - Building Permit and C.O. ~1~. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERM~ OR APPROVAL? [] Yes [] NO Il yes, Iisi agent7 name and pem~R/a~prov&l NYS DEC - DEC Permit -~, AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? []y., I CERTIFY T~)T ~'~E INFORMATION .PROVIDED ,~OVE IS ~UE TO THE ~ OF MY ~OWL~GE Ab~l A. ~ickham, Agent ' I the action Is in the Coastal Area, and you am a state agency, complete the I Coastal Assessment Form before proceeding with this assessment OVER ,~PART II--ENVIRONMENTAL ASSESSMENT (To be completed by Agency) C COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(A~we~S may De hanc~wr~Hen il legiolel C), WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTA{~LISHMENT OF A CEA? [] Yes [] No E. IS THERE, OR tS THERE MKELY TO e~, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? I~ Yes [] NO if Yea, explain briefly PART Ill--DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect Iclanttfied above, determine whether it ia substantial, large, important or otherwise significant. Each effect shoulO be assessed in connection with its (a) setting (i.e. urban or rura0; (bi probability of occurring; (cl duralJon; (d) irreversibility; (e) geographic scope; and {f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and aclecluately addressee. If question D of Part II was checked yes, the determination and significance must evaluate the potential impact of the proposed aclion on the environmental characteristics of the CEA. [] Check this box if you have identified one or more potentially large or significant adverse im~?cts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive deciaratiom [] 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 environmental impacts AND provide on attachments as necessary, tt3e reasons supporting this determination: QUESTIONNAIRE FOR FILING WITH YOUR Z.B.A. APPLICATION Is the su, bi~t premises listed on the real estate market for sale? Vkes Are there any proposals to change or alter land contours? ~]No ~-lfes, please explain on attached sheet. 1) Are there areas that contain sand or wetland grasses? Yes 2) Are these areas shown on the map submitted with this application? Yes 3) Is the property bulkheaded between the wetlands area and the upland building area? 4) If your property contains wetlands or pond areas, hav~ervou contacted the office of the Town Trustees for its determination of jurisd,iction? 7e~, Please~ confirm status of ypur ~ ~.~ inquiry or application with the Trustees: and if issued, please attach copies of permit with conditions~nd approved mal~. D. Is there a depression or sloping elevation near the area of proposed construction at or below five feet above mean sea level? /'Jo Are there any patios, concrete barriers, bulkheads or fences that exist and are not shown on the survey map that you are submitting? None (Please show area of these structures on a diagram if any exist. Or state "none" on the above line, if applicable.) Do you have any construction taking place at this time concerning your premises? No If yes, please submit a copy of your building permit and map as approved by the Building Department and describe: G. Do you or any co-owner also own other land close to this parcel? No the proximity of your lands on your map with this application. If yes, please label H. Please list present use or operations conducted at this parcel Single Family Residence and proposed use Single Family Residence (examples: existing: single-family; proposed: same with garage or pool, or other description.) A)/(horized Signature and Date 2/05; 1/07 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 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 allow it to take whatever action is necessary to avoid same. YOURNAME: ABIGAIL A. I4ICKtlAi4 . a,,~,Z~/'- /f',:r~' /~/~oo~ (Last name, first name, middle i~niti~, 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 of Zone [ I Approval of Plat [__ Exemption from Plat or Official Map [ J Other L 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 [ Complete the balance of this fO,Tn and date and sign below where indicated. Name of person employed by the Town of Southold: Title or position of that person: Either check the appropriate line A through D (below) and/or describe the relationship in the space provided. The Town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): [ I 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); I C) an officer, director, panner, or employee of the applicant; or ] D) the actual applicant. DESCRIPTION OF RELATIONSHIP Submitt ed t his/~.~_/;t~ 9f, e S f~p/f..~ 2010 Signature: /-~'/,~TJ/d~ ~f~,ff . PrintNarr~e:A~?~.gaJ. 1 A. I,J~.ekham APH~ICANT TRANSACTIONAL DISC~ ,0SURE F?~M StmM~SSXO)4 ~y oWN~ ~n~ OWNER The Town of Sontheld's Code of EthiCS urnh~h~t.~ co~]tct.e of.m~.~_cst 0~ thc pa~ of Town of~ce~ a~d~m~.[0y~s. ~e.p~ose o[t~ ~0~e~info~ation, which can al~ ~ To~ ~ossfble ~onflicts of interest and a/low ~it tO take~ha~e~ ~et[q~ue~ ~0 avPi~ ~ame. ¥OURNAkIE: D, (Las~ name" fk~t n~el n~iddie {ngikt unl~.fis:you are applying in the of sorncono else or other entity, s~h as a ~:°~pany. If so indicat~ the other person or company nares.) NA2qJRE OF APPLICA~TIO~q: (Ch~k' all ~hat ap~ly.) Tm,~ Grievance Varla~cc X Spe~i~ Exception D~mc thc aCtJ~J~: ...... Chan~ of~n~ l, [ ApprbvM of Pht{ Exe~pfion from Yiat' ' or ~cial Map m ' 'l Otbtt Do you personally, (or through your company, spouae~ ~bling, parent, or child) have a rolationship wid~'.auy officer or employee of thd Tow~ of Sm~,th~old? "Relationship" includc~ by blood, marengo, or business imerest. "Bu~ir~$ inte~st" m~ps a business, including m par~ershJp, in which the Town officsr or e~nplny~ l~s ~v~n a p~.r~a] ownership of (or cmpl0y~eat by) a corppradon in which the Town offic~ pr en~plo~e owns more than 5% of the sha~s Coml~,lei~ the halenco of th s form and dat{ ahd sign b¢lo~v-.b)~-e Indicated Nam~ of person ~np!oyod by the TownofSou!liold: ~ Title or position or,hat p(.~on:.. . = . . :. Des~ibo ~at re!a6oaship between y~,ur~eJf ([I~ ap~i~ant) and the Town officer or employs. Either check the appropriate line A through D 0~¢iow)i and/or desorlb~ ~ reiationsh p in the apace provided. The ~To,,vu of~cer or employee or bis o~her ~Use; dibl~g p~l or c~ild is (~hcck all that aPP.): ' ; ~A) &e ~ng of g~t~ ~ 5% ~ft~ ah~t0f ~e co.orate stock of thc a~lioa~t (wh~ ~c ~plica~t is a ~oration); (~en ~e applic~t is ~ot a co~o~on)~ ' ~ C) an o~c~, d~r~ter, p~ 0r c~0y~ ortho applicant; or ~ D) the actual applicant. DESCRIPTION OF RELATIONSHIP (FOR SUBMISSION BY O~ ~d o~t S ~e ~ow~o_[Sou~dld's Code of E~i~s ~obib[ts con~ of int~mtog thc 9a~ o~ TowB and dm~lov~s; The ~un3e}~f ~is ~om is t~{ ~0~ad infon~ation which camal.~ tho Town of mss[bio coafliCm oCinter~t and all0w'~t to take~what~ eolian js~e~ ~o avoid sam~, YOURNAME: MkRIA KOFINAS .... } . (]La~ name, first name middle inR{al unlka.4 you are applying in the name of sera,ne else or olhe~ entity, ~eh as a~c4mpany. If so, {nd{c~* the o~er person or company fim~.) If"Other". name tl~e activity: NATURE OF APPLICATION: (CheCl~ all that c:hmze of Zone . I I, Apparel ofJPlat { ' I .....] P. xemption from 3?let ' i ~)r Official Map I Other I i D~ you ~aol~lly, (or t~ough your ¢orapr+'ny~ 0pc~.~¢~ 4ibling, pn~t, or ~hild) hay* .a rolationahip will= ar~y offi~,~ oT employee of .th~ Tom ~f $~]~tho]d? "3g. eladona]Hp"'{nclude{ by blood, murflagc, or b~slness let"rest. "Bu$[ll~ intcr~t" rdeai~ a buaincss, including a ~ai~lcrship, in which the Tom Officer or employ~ h~a *y~n a gartaal ownership of (or emp!oyment by) a corpbration in which the Town office: or ~tuplgyce o',~S more thrum 5% of thc ~hare*. Complete the balan,e'ofthis form and ~atb and sign below ~,v~re indicated. Nanie of petsop ~Tnployed by th~ Towu of $oqrllold: Titl0 or position of ~lmt pcmom i . ':~. DesCribe thai relationskip bctwet~ y~n~f (the :aP!~tfoant) and the Town offi~' or employee. EithcT checi thc appropriate iLne A through D Oelow) ~nd/or describe the relafiotas~p i~ the apace provided. Th,.?l'own officer Or employee or h{{ o~' hc~ ~pous~, sibling, perenL or child la (aheck all that ~ A). thc. ownes of greater thah 5% ofd~e. ~h +a~. of the corporate stock ,f the applicant (whm ~o al~lic~, t h a e~rp0ratioa); ~ B) tho lqgal or beneficial oTvn~ of a,y ~&e.~t in a non-corporate entity (~vhea the applicant is apt a'corl~dration); ~ C) dn officer, director, par~er 'or employ~ of the applicant; or ~ D) he adtual applicant DESCRIPTION OFI RELATION$14~ George Kofinas 552 East Road, Cutchogue SCTM # 1000-110-7-18.2 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants £or 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 Permit and other ministerial permits not, located within the Coastal Erosion Hazard Area 2. 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). 3. If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown. northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office· B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# The Application has been submitted to (check appropriate response): TownBoard Planning Dept. Building Dept. Board of Trustees ZBA x 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) Permit~ approval~ license~ certification: Nature and extent of action: "In-~ in-place" replacement of 8' x 32~ hath house and repair/replacement as required of "as bu'ilt't wood deck des~:~oyed by arson fire. George Kofinas 552 East Road, Cutchogue SCTM # 1000-110-7-18.2 Location of action: 552 EAST ROAD, CUTCHOGUE Site acreage: 1.017 acres Present land use: single family dwelling Present zoning classification: R-40 2. If an application for the proposed action has been filed with the Town of Southold agency, the following informationff_hall be provided: (a) Name of applicant: GEORGE~OFINAS tm) yautx~ KOFXiO. S (b) Mailing address: 100 WINSTON DRIVE APT. PHH CLIFFSIDE PARK~ NJ 07010 (c) Telephone number: Area Code 718-780-5070 (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? NYSDEC {approved 11/0512008), 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 location, and minimizes adverse effects of development. See LWRP Section HI - Policies; Page 2 for evaluation criteria. Yes No Not Applicable The proposed activity has no impact on the "pattern of development in the town". Numerous sites, both on the bay and sound, as well as creeks have cabanas an/or boathouses on the beach, landward of the tidal wetlands limits. Policy 2. Protect and preserve historic and archaeological resources of the Town of Southoid. See LWRP Section IH - Policies Pages 3 through 6 for evaluation criteria Yes No Not Applicable The proposed proiect is not located near any historic sites or districts Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section HI - Policies Pages 6 through 7 for evaluation criteria Yes No Not Applicable Desi.qn and construction is intended to replicate the structure that previously existed. George Kofinas 552 East Road, Cutchogue SCTM # 1000-110-7-18,2 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 Historically, this site has proven to be quite stable, and not prone to tidal flooding. Earlier reve.qetation of the bluff to restore the areas damaged by the arson fire has been successful in protecting the bluff. Construction of the in-kind in-place replacement of the cabana destroyed by the arson fire will be undertaken with the greatest environmental consideration. There will be no plumbinq installed and electric installed only to the extent necessary for installation of a security and fire alarm system to prevent future vandalism and arson events Policy 5. Protect and improve water quality and supply in the Town of Southold. Sec LWRP Section III - Policies Pages 16 through 21 for evaluation criteria Yes No Not Applicable The subject site is developed with a single family dwelling. Reconstruction of the cabana will cause no impact on water quality since no plumbinq will be installed, therefore there will be no sanitary waste generated. There will be no fertilizer dependent veqetation and no stormwater runoff will be directed into the wetlands Policy 6. Protect and restore the quality and function of the Town of Southoid 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 The proposed replacement of the cabana will pose no risk to the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands 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 Since there will be no conditioning of the proposed cabana, there will be no emissions generated 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 It does not appear that Policy 8 is relevant. George Kofinas 552 East Road, Cutchogue SCTM # 1000-110-7-18.2 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. Yes No Not Applicable Reconstruction of the cabana will have no impact on public access to, and recreational use of, coastal waters, etc 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 It does not appear that Policy 10 is relevant. 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 It does not appear that Policy 11 is relevant 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 It does not appear that Policy 12 is relevant. 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 Not Applicable It does not appear that Policy 13 is relevant. CONSENT Re: Premises: 552 East Road, iCutchogue, New York 11935 SCTM#: 1000-110-7-18.2 Dated: September [ ~ , 2010 GEORGE D. KOFINAS and MARIA KOF[NAS, the owne~ offll~ sbove referenced pr0p~ty (the '~Premises"), consent to their attqr~eys, Wickham, Bressler~ Gordon & Ge. asa, P.C.; and their englnee~, surveyors, agents, or off, er contractors retained by any of the above and any of their rcpresentaiives a~ad/or agents, to make a variance application to ~e Tow~ of Soutllold 7~n~g Bbard of Appeals for bulkhead setback rd~ef, to m~ke applications for Notice of Disapproval and or Building Permits or C~tificates of Occupancy to the Town o~' Soufl~old Building Department, aud to deal with and make applications if reXlpired t.O the ~uffolk Couuty Dopartmeut of Health Services, Suffer County Water Authority, go~thold To*va Board of Trustees and NYS Department of Environmental Conservation, ahd to any oth~ authorities or agencies having jurisdiction over said Premises and for!my other matters required to obtain such approvals or obtain information from m,~h Ag~eies. This authorization shall include all ~ttters in connection with those applications/m~t matters. ZBA/koflnoa/eonsent TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY No. Zl1664 5/]1/83 THIS IS TO CERTIFY that the /Z/ Land / /' Euilding(s) /x_-/ Use(s) located ~t 500 East Road : Cutchogue Street Hamlet shown on County tax map as Disirint 1000, Section 110 , Block 07 Lot 018 , does ~e~cg~form to the present Building Zone Code of fine To~vn of Southold for the following reasons: a one-family dwelling constructed before April, 1957 On the basis of information presented %o the Building Inspector's Office, it has been determkned that the above ~94%conforming /_--/Land /_--/Building(s) /--_X/Use(s) existed on the e~ffective date %he present Building Zone Code of %he Town of Southold, and may be coniinued pursuant to an~ subject to the appli- cable provisions of said Code. IT IS FUi%THE~{ CERTIFIED that, based upon information presented to the Building Inspector's Office, fine occupancy a~d use for which this Certifi- cate is issued is as follows: a one-family dwelling with bath house. The Certificate is issued to MOEBIUS ASSOCIATES of ihe aforesaid building. ' Suffolk County Department of Health Approval N/A UNDEKWRITERS CERTIFICATE NO. N/A Minor Subdivision: Flanning Board, November 29, ]982, Moebius Assoc., Map No. 301, Lot 3 (owner, Building Inspe6for BUILDING DEP.~TI,IE?iT TOt'S! OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 500 East Road [numoer & streeT) Subdivision Moebius Assoc. Map No. Cutchosue (~.iunicipa±l~y) 301 Lot(s) 3 Name of 0¥mer(s) Moebius Associates Occupancy R-] unoccupied (~ype) ( ov~er - t enact) A~L~it~ed by~r~ Gertrude Mal.i : Accompanied by: same Key available ~ Suf£olk Co. Tax No. 110-7-~8 Source of request Richard F. La~k, Esq. Date 4/4/83 DWELLIng: Type of construction terra cotta #sTories 3 Foundation poured cement Cellar partial Crawl space rest Total rooms~, 1st. F1 4 2nd. F1 4 .Std. F1 2 Bathroom(s) 3 Toilet room(s) Porch, ~ype ~oof over Deck, type Patio, type Type Heat gas .Fireplace(s) Domestic hotwater Other Garage. Utility room Warm Air x Hotwater · No. ~¢its 3 Airconditioning yes ~rpe heater gas ACCESSORY STRUCTURES: Garage, ~/pe const. Swimming pool Other bath house Storage, type const. Guest, t]rpe const. Art. I Sec. VIOLATIONS: Housing Code, Chapter 52 Location I Descrintion outside needs paint t iii 152_31_B I II '~2-27-B' ins~ae no rail cellar steps 3rd floor no rail--third floor steps inside I heater cannot possibly maintain a temp- erature of not less than 70° Fahrenheit V 52-53~ Time start 11:30 end 12:1~ GEORGE D. KOPINAS and MARIA KOP!NAS, nls wife, 30-82: 36th Street, Astoria, Mew York 11103 See Schedule A attached hereto OCT 9 NXCHOLAS N£U~AUER GEORGE D. KOFXNAS and ;9 EAST 10,h STREET NEW YORX. f'Y. (212) 4R0'5200 Suffolk JAMES R B~ETT, ESQ. Selden, S%empel~ Bee~ett & D'Agoe~ino I1 East 36th Street New Zork, New York 2~p ~ 1001'6 ?l~lc No. 1~f~7306 bounded and described aa [ollOvs~ cy o~ Suffolk end Sta~e o~. wcribed hczcin, vhich sd~oinw ~&-~ ~ ...... .t~,e pr~m~eoc ~ein do- sou~erl~ wide o~ %alt n~d and ~e ~-:~*~ ~_t~e %nc~o~ion et ~e omcondm lest along ~ of Robinson, lo5,0 ~m.~ to ~m or~Xna~ hi~ vat~ ~k or Groat Pe~onXc (2) .o=~ 32 ~emo 06 mXnu~ew so seconds ~em~, 60.0 fee~ to . -.--~..n. ~e ~oxnt or pXa~- of B~X~ .... er..y ~ZMG TR~CE from laid point c,g bevi~ning through o~ lard r~v or (3) NO~I~ 2] degree os minutes $0 IGco. n~l M'II~'.. 30~.OI {eOt ' ~ '~nor Stlvls/on ada fo~' ' t~.~.;2,~12' ~_~P~[~ ~ ~ ~o. 3 on' ~ of ~lt Road and ~a easterly aide el Flsot;a ~i~ i~d; . 1y olde .: '.-- micO~ ~m~ X95.0 ~met ~o ~l ord~ high water Bay; : : . and diel~ifice: ' . ~CE ~o~ 71 d~teo 47 minutes JO so~ East, ao.o.,~o ~e AGRICULTURAL DATA STATEMENT ZONING BOARD OF APPEALS TOWN OF SOUTHOLD t~VI-IEN TO USE THIS FORM: The form must be completed by the applicant for any special use perndt, site plan approval, use variance, or subdivision approval on property within an agricultural district OR within ~OO-feet of a farm operaiion located in agricultural district. All 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. 1)Name of Applicant: George D. Kofinas and Maria Kofi~as 2) Address of Applicant: 552 East Road, Cutchogue, New York 11935 3) Nme of Land Owner (if other than applicant): same as applicant 4) Address ofLand Owner: '552 East Road, Cutchogue, New York 11935 5) Description ofProposedPr0ject: "In-kind in-place" replacement of an 8' x 32' bath house and repair/replacement as required of "as built" wood deck. 6) Location ofProperty (road and~ax map number): 552 East Road, Cutchogue, New York 1193', SCTM#: 1000-110-7-18.2 7) Is the parcel Within an agricultural districi?~No [3Yes If yes, Agricultural District Number 8) Is this parcel actively farmed? o l~Yes 9) Name and address of any ox0ner(~)'of land within the agricultural district comaming active farm operation(s) located 500 feet of the boundary of the proposed project. (Information may 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 Nme and Address 6. (Please t~s~ bac_k.side of page if more than slx property owners are identified.) The lot numbers may be obtained, in advance, when requested from. either the Office of the Planning .Board at .765-193~J~or the Zoning Board offi~ppeals at 765-1809. 1. The local board will solicit comments from the owners of land identified above in order to consider the effect of the proposed action on their farm operation. Solicitation will.be made by supplying a copy of this statement. 2. ~omments reiumed to the local beard will be taken into consideration as part oftbe overall review of this application. 3. Copies of the completed Agricultural Data Statement shal be sent by applicant and/o~ the clerk of the board th the property owners identified above. The cost for mailing sha be paid bY the aplSlic9nt at the time tbe appliCati°n is submitted £°r review' Failure t° pay at such time means the application is not complete and cannot be acted upon by the board. 1-14-09 OF $OUTHOLD ~P~OPERTy RECORD CARD OWN S · VILLAGE ~ LOT DISTRICT SUB. TYPE OF BUILDING LC,. 3 RES SEAS. IVL. FARM I M P. TOTAL DATE c~C20Farm 0Acre Tillable 1 Tillable 2 Tillable, 3 Woodland Swampland Brushland House Plot Total ABOVE ,Value COMM. IND. CB. J MISC. REMARKS os i~,3;z~3 - 110.-7-18.2 11/07 110.-7-18.2 Pool House 11/07 COLOR TRIM 1 st 2nd Foundation__~ Fin. B. Bath ~ ~ Dinette Basement C~AW~ ....... Floors ~ .... Kit' Interior Finish ....... .~t. w.,~ _ Woods~ove ~__ Dormer Baths N CONCRETE FOUNDATION 2 STORY FRAME & STUCCO HOUSE WELL /¢ \ / / /// / / / / CCT c Op c NOTES; 1. SURVEY OF PROPERTY SITUATE CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. ~ 000-110-07-18,2 SCALE 1"=20' OCTOBER 25, 2004 NOVEMBER 9, 2004 ADDED BUILDING ENVELOPE FEBRUARY 16, 2005 ADDED PROPOSED ADDITIONS DECEMBER 12, 2005 ADDED SEPTIC SYSTEM APRIL 17, 2006 REVISED PROPOSED SEPTIC SYSTEM JUNE 14, 2006 FOUNDATION LOCATION AUGUST 22, 2006 LOCATED BURNED AREA NOVEMBER 20, 2006 ADDED KEYSPAN EASEMENT JANUARY 16, 2007 LOCATE DRIVEWAY & SEPTIC SYSTEM MAY 27, 2008 LOCATE FLAGGED WETLANDS MAY 15, 2010 ADDED LOT COVERAGE AREA = 44,300 sq, ff. (TO TIE LINE) 1,017 ac. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM EXISTING ELEVATIONS ARE SHOWN THUS:-m~o EXISTING CONTOUR LINES ARE SHOWN THUS:- LOT COVERAGE DATA OVER UPLAND AREA (LOT AREA L4NDWARD OF TIDAL [FETL4ND LINE) (UPLAND AREA = 3,9,40o sq, ft. ) DESCRIPTION AREA % LOT COVERAGE HOUSE INCLUDING CONC. FOUNDATION, PORCH 4,555 sq. ff. 11.05% AND STEPS INOROUND POOL 800 sq. ff. 2.05% POOL HOUSE INCLUDING ROOF OVER CONC, 598 sq. ff. 1.01% BATH HOUSE AND DECK 555 sq. ff. 1 TO BE REBUILT WOOD STEPS & LANDINGS 270 sq. fl. 0.69% TOTAL 6,574 sq. ff. 16.18% THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD, ANY, NOT SHOWN ARE NOT GUARANTEED, PREPARED IN ACCORDANCE BY THE N Y.S, Lic, No, 50467 Nathan Taft Corw n III Land Surveyor PHONE (631)727-2090 Fax (631)727-1727 24-364]