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Home My WebLink About1000-37.-5-4 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 To; MEMORANDUM Leslie Weisman, Chair Members of the Zoning Board of Appeals From: Mark Terry, Principal Planner LWRP Coordinator Date: September 26, 2011 Re: Coastal Consistency Review for ZBA File Ref. JOHN J. & JOY E. GALLAGHER//6505 SCTM#1000-37-5-4 JOHN J. & JOY E. GALLAGHER #6505 - Request for Variance from Article III Code Section 280-13 based on an application for building permit to build an accessory building on a vacant lot, and the Building Inspector's July 20, 2011 Notice of Disapproval stating that an accessory building is not permitted on a vacant lot (without a principal dwelling), located at: 700 Bayview Ddve (adj. to Spring Pond) East Marion, NY. SCTM#1000-37-5-4. 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 proposed action is CONSISTENT with the policy standards of the LWRP and therefore CONSISTENT with the LWRP review provided the following best management practices are required: Figure 1. Subject parcel. In the event that the action is approved, to further Policy 5: Protect and Improve Water Quality in the Town of Southold and Policy 6; Protect and Restore the Quality and Function of the Town of Southold Ecosystem it is recommended that a landscaped buffer (minimum 10' in width) be required landward of the wetland to protect the function and values of the wetland system. A sample definition is included below. LANDSCAPED BUFFER -- A land area of a certain length and width which is planted with indigenous, drought-tolerant vegetation similar to that found within the immediate proximity of the parcel. Vegetation shall be installed in sufficient densities to achieve 95% ground cover within two years of installation. Survival of planted vegetation shall be 90% for a period of three years. Maintenance activities within the buffer are limited to removing vegetation which is hazardous to life and property, trimming tree limbs up to a height of 15 feet to maintain viewsheds, replanting of vegetation and establishing a four-foot-wide access path constructed of pervious material for access to the water body. [Added 12-15-2009 by L.L. No. 15-2009] Jn addition, require the installation of gutters, leaders and dry-wells. Pursuant to Chapter 268, the Board shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney BOARD MEMBERS Leslie Kanes Weisman, Chairperson James Dinizio, Jn Gerard 1~ Goehringer George Homing Ken Schneider http://southoldtown.north fork.net ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809 · Fax (631) 765-9064 July 29, 2011 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. #6505 (Gallagher) Dear Mr. Terry: We have received an application for construction of a new accessory building on a vacant parcel in E. Marion. 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 reconunendations 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. FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT NOTICE OF DISAPPROVAL DATE: July 20 To: Environment East for J & J Gallagher P O Box 197 Peconic, NY 11958 Please take notice that your application dated July 7, 2011 For construction of an accessory building at Location of property: 700 Bayview Dr., E. Marion, NY County Tax Map No. 1000 - Section 37 Block 5 Lot 4 Is returned herewith and disapproved on the following grounds: The proposed construction is not permitted pursuant to Article III Sect. 280-13 which states: "In AC, R... Districts, no building or premises shall be used and no building or part of a building shall be erected or altered which is arranged, intended or designed to be used, in whole or in part, for any uses except the following:" On this vacant parcel, the proposed accessory building is not accessory to any structure. Authorized Signature ORIENT HARBOR NOTICE COUNTY OF SUFFOLK ~ Real Property Tax Service Agency TO~..VN C~F S OUTt:iOL~) BUILDING DEPARTMENT TOVFN HALL SOUTt~OLD, NY llPT~ TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/S outhold7 Examined ,20__ Approved ,20.__ Expiration · ,20 dUL 7 2011 BLDG. DEPI, IOWN OF SOUIHOLD NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have c~r need the following, before applying? Board of Health 4 sets of Building Pla.ns Planning Board approval Survey. Check ~ ) Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: Building Inspector LICATION FOR BUILDING PERMIT INSTRUCTIONS ,20 { 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 locat/on of lot and of buildings on premises rclationsl'fip to adjoining premise~or publi%streets or areas, and waterways. '... ~ o, The work covered by thi~ application may not be commanced before issuance of Building Permit. d. Upon approval of th.is application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. ¢. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building pqrmit 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 amcndmenis or other regulations affecting the property have been enacted in the interim, ihs Building Inspector may ~.Uthorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Dep~rtmcnt for the i,~anance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, SuffOlk County, New York, and other applicable Laws, Ordinances or Regular:ohS, for the constmctmn of braidings, additions, or alterations br for removal or demolition as herein described. The applicant agrees to. comply with ail applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for neces~a[y inspections (Signature of applicant or name, ifa corporation) (Mailing address of applicant) State whether applicant is owner, lessee agent, architect, engineer, general contraci~rlelectrician,.'~'"a ' '~umber' or builder' > =eo ownero premises ',5Om' 4 '30'4 (As on the tax roll o~ latest deed) If applicant is a corporation, si&nature of duly authorized officer (Name and title o£corporate officer) Builders License No. Plumbers License No. Electricians Moense No. Other Trade's License No. 1. Location oftand on which proposed work will be done: House NUmber Street County Tax Map No. I000 Section Subdivision ~>Pcf,..Oi ~ ~ (Nme) Hamlet gq Block off ~', Filed Map No. State~k{stlng usc and occupancy of pi'emises and i~tended usc and occupancy of pr. oposed.constructlon: a. Existing use and occupancy ~.fyx.~ L.oT' b. Intended use and occupancy Nature of work (check which applicable): New Building v/ Repair Removal Demolition Estimated Cost Addition Other Work Fee ·Alteration (Description) If dwelling, number of dwelling units f,J If'garage, number of Cars If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front b3 fir , Rear Height Number of Stories Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories Dimensions of entire new construction: Front Height [~ - I q~ It~A'J~a) Number of Stories Size of lot: Front I. Jr, 3' Rean -'/4. t'l (To be paid on filing this application) Number of dwelling units on each floor '}'--~/k , .Depth Rear. ). Date of Purchase Name of Former Owner I. Zone or use district in which premises are situated 2. Does proposed construction violate any zoning law, ordinance or regulatipn? YES NO 3. WilI lot be re-graded? YES__ NO / Will excess fill be removed from premises? YES__ :[. Names of Owner of premises ~tk't'~t{'F-'~.-,, · Address "J~o ~/e~'O~__.j.d ~¢ . Phone No. Name of Architect Address Phone No Name of Contractor ~xlQ, ~ i t,,rc-.- Address pO t~o~; [9~. .Phone No. 5 a. Is this property with/n 100 feet cfa tidal wetland ora freshwater wetland? *YES ,/ NO · IF YES, SOUTHOLD TOWN TRUSTEES & .D~E.C: PERMITS MA'/' BE REQUIRED,.. b. Is this property within 300 feet cfa tidal wetland? *.YES v/ NO.. · IF YES, D.E.C. PERMITS MAY BE REQUIRED NO v/ 5. Provide survey, to scale, with accurate foundation plan and distances to property lines. ?. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. TATE OF NEW YOI:LK) SS: :OUNTY OF ) being duly sworn, deposes and says that (s)he is th~ applicant (Name of individual signing contract) above named, ;)He is the [ said owner or owners, and is duly. authorized to peribrm or have perfmzncd the said work and to make and file this application; tat all statements contained in this application are true to the best ofhi~ knowledge and belief; and thai the work will be ~,rformed in the manner set forth in the application filed therewith. ~a~e of Applicant LAUREN M. STANDISH Notary Public, State of New York No. 01ST6164008 . Qual fled in Suffolk CounW ~' Commission Exp res Apdl 9, 20J.~_ ;7 54 36.18' / / S 65'29'17" 2.05 55'48'47" 7.08' 23'44'25" W 20.99 APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS Fee: $ Office Notes: -- Filed By: For Office Use Only Date Assigned/Assignment No. Parcel House No. qO0 Street ~:~/~x(XJlE:x~ ~)(~x. Hamlet S~M1000 Section ~Block0~Lot(s) O~ notSize¢~'~q~ ~ne. I ~) APPEAL T~ ~EN DETE~INATION OF T~ BUILDING ~SPECTOR DATED: d U~q ~ ~t ~ Appncan Owner(s): doa Marling Telephone: 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: Authorized Representative: '~ ~ ~'"~¢-3'~:t~fl-(V~Owner, or ( ) Other: Telephone: Please check box to specify who you wish correspondence to be mailed to, from the above names: [] Applicant/Owner(s) .~Authorized Representative [] Other Name/Address: WHEREBY THE BUILDING INSPECTOR DENIED AN APPLICATION DATED FOR: ~Building Permit [] Certificate of Occupancy [] Pre-Certificate of Occupancy [] Change of Use [] Permit for As-Built Construction DOther: Provision of the Zoning Ordinance Appealed. Indicate Article, Section, Subsection of Zoning Ordinance b,~,umbers. Do not quote the code. Article .I.l-l- Section 280- I '3 Subsection Type of Appeal. An Appeal is made for: ][~A Variance to the Zoning Code or Zoning Map. [] A Variance due to lack of access required by New York Town Law-Section 280-A. [] Interpretation of the Town Code, Article Section [~ Reversal or Other A prior appeal [] hasXhas not been made with respect to this property UNDER Appeal No. __Year__. (Please be sure to research before completing this question or call our office to assist you.). ' Name of Applicant: ~ CTM # ~000- '~ -5 - ~ ZBA File # REASONS FOR APPEAL {additional sheets may 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 det, rim.en_t to.n. ear_by, prope?.ti_es if granted, because: 'T-Pc~ WIA. AOP-CVT' C)~c- ~ t-~fitx~.~ (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: I F ~. SAe~ ~ A~ ~ ~r~l~~T ~~ IT ~Ou~ Vto~ (3) T~e amoun~ r~uested is not substantial because: (4) The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: ~ ~OCAc. T.iOk3 t~ ~)~ O1~::~ ~ (5) Has the alleged difficulty been self-created? ( )Yes, or (~No. Are there Covenants and Restrictions concerning this land: D No. ~Yes O~lease furnish This is the MINIMUM that is necessary and adequate, and at the same time preserve and protect the character of the neighborhood and the health, safety, and welfare of the community. Check this box ( ) IF A USE VARIANCE IS BEING REQUESTED, AND PLEASE COMPLETE THE ATTACHED USE VARL4NCE SHEET: (Please be s~~ S~Cur~-~llan~'~r Authorized Agent (Agent must submit wrlUen Authorization from Owner) Sworn to before me this ~0 ) /~ayof_.~5::~,20 t / . Notary Public' ~/ --J JOANNE M. DOUGHERTY Notary Public, State o1 New York No. 01DO6204526 Qualified in Suffolk County Commission Expires April 20, 2013 APPLICANT'S PROJECT DESCRIPTION (For ZBA Reference) Applicant: ~>~'~ ~Cb~r'UI~61P_~ ~::D(~ Date Prepared: I. For Demolition of Existing Building Areas Please describe areas being removed: II. New Construction Areas ew D-..~r. or New · . (Iq g , Additions/Extensions): /~~ ~1..~, D~mens~ons of first floor ~*~ne~,. ! ~,'~0 ' >~ ~2~4t- O Dimensions ofnew~d-fi~n? [{a~C%' )c 9_.Oc"-O Dimensions of floor above second level: b,~ o~ ~ Height (from finished ground to top of ridge): lq'--Ot~ ~ Is basement or lowest floor area being constructed? If yes, please provide he!ght (above ground) measured fi.om 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: ~OT' 1~ -- ~0o A IO'-o"~ ZACo~ t~¢&e.- ~ ~1 Nun~ber ° f Fl°°rs and Ch~[es WH'H Alterations: I ~0~ I IV. Calculations of building areas and lot coverage (from surveyor): Existing square footage of buildings on your property: Proposed increase of building coverage: ~{~e Square footage ofyo~ lot: ~l ~' ~ ~ Percen~ge of coverage of your lot by building area: V. Purpose ofNew Construction: ~O ~~ VI. Please describe the land contours (fiat, slope %, heavily wooded, marsh area, etc.) on your land and how it relates to the difficulty in meeting the code requirement(s): Please submit seven (7) photos, labeled to show different angles of yard areas after staking corners for new construction), and photos of building area to be altered with yard view. 7/2002; 2/2005; 1/2007 QUESTIONNAIRE FOR FII JNG WITH YOUR Z.B.A. APPLICATION Is the subject premises listed on the real estate market for sale? 13 Yes Are there any proposals to change or alter land contours? ~No [] Yes, please explain on attached sheet. 1) Are there areas that contain sand or wetland grasses? x{l~ ~ , 2) Are these areas shown on the map submitted with this application? "'{ ~' ' 3) Is the property bulkhead.ed._between the wetlands area and the upland building area? 4) If your property contains wetlands or pond areas, have you contacted the office of the Town Trustees for its determination of jurisdiction? '~['~ '~ Please confmn status of your inquiry or application with the Trustees: l>~q D{I4 ~" and if issued, please attach copies of permit with conditions and approved map. D. Is there a depression or sloping elevation near the area of proposed construction at or below five feet above mean sea level? ~ O Are there any patios, concrete barriers, bulkheads or fences that exist and are not shown on the survey map that you are submitting? ~1010~' (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? Iq 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? N{~.$ . If yes, please label the proximity of your lands on your map with this application. H. Please list present use or operations conducted at this parcel ~PT"~ ~ ~E:~/~c_~:::~3't- 'rD' ~ and proposed use (_.4--P~%&-C_~ slc t~ I> ~ O · ~~~mily; pro po se&same with garage or po ol, or other description.) Au~gn~-ture and Date 2/05; 1/07 Town ,of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and Explanations of each policy 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). Ir'any question in Section C on this form is answered "yes", then the nrooosed action ,-~,, ~rc,~,, ,h,~ achievement of the LWRP pohcy standards and conditions contained'in ~he conslsten~;~r~e~"];v~~. 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 L~LP is available in the following places: online at the Towno f Southold's webs:te' (southoldtown.northfork.net), the Board of Trustees Office, the Plamfing Department, all local libraries and the Town Clerk's office. B. DES CRIPTION OF SITE AND PROPOSED ACTION SCTM# oov3-/ - 04. The Application has been submitted to (check appropriate response): Town Board [-~ Planning BoardF-~ Building Dept. ~'] Board of Trustees [] 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) ~Z)-~Permit, approval, c~, ce~ili~.~io~i .................... ~ NaCre ~d extent of action: Location of action: ~ (90 [5~"~9 da~J Site acreage: ~' i~ fi~e__~ X Present land use: 2i~(Y~{>T"!'~ I..O ~- Present zo~g cl~sification: ~ -- ~ If m application for the proposed action has been filed with the Town of Southold agency, the following i~o~ation shall be provided: (a) Nmeofapplic~t: ~ ~~ ~ qO~ ~~ ~) Mailing address: ?O ~ [~ ~C~t~ ~ XINU' (c) Telephone number: Area Code (~)~ (d) Application number, if any: Will the action be directly undertaken, r~s-gu~ti~g, ~y a state or federal agency? Yes _~. No D If yes, wtfich state or federal agency?_ ~ DEVELOPED COAST POLICY ~~ Policy.1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use Of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. ~'~¥es ~ 1No ~ Not Applicable Attach additional sheets if necessat~ Policies Pages 3 through 6 for evaluation criteria [---] Yes [~ No ~ Not Applicable Attach~ additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town Of South01d. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria ~] Yes ~] No ~ Not Applicable 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/II - Policies Pages 8 through 16 for evaluation criteria 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 Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies[_P_ages 22 through 32 for evaluation criteria. b A~ch 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 Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. ~-] Y. es ~-] No [q~ Not Applicable PUBLIC COAST POLICIES Policy 9. Previde 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 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. -~Y6~ [~-No "~q'q b f XD-pli~'aqSi e 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 additional 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 energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. ~'~ Yes F-] No ~ Not Applisable Created on 5/25/05 11.'20 AM 617.21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL/~SESSMENT FORM For UNLISTED ACTIONS Only PART I - Project Information (To be complete by Applicaut or Project sponsor) 1. Applicant / Sponsor 2. Project Name SEQR 3. Project location: Municipality County 4. Precise location (Street address and road intersections, prominent landmarks, etc. or provide map) 5. Is pmpos~ action: I~NEW ( )EXPANSION ( )MODIFICATION/ALTE~TION 6, Oescdbe project bde~y: A t~"¢~&'~'~ o~ ~ ~ ~/ A 7. Amounl of land affected: Initiafly: acres; Uttimatety: acres O. 135- t: __x6s O,t 5'. ¢tce r, 8. Will proposed action comply with existing or other existing land use reslxictions:'(~ YES ( ) HO It' No, descdbe briefly: 9. What is present land use in vicinity of project: (describe): ~'-Residential] ( )Industrial ( ) Commercial ( )Agricultural ( ) PaddForesl/Open Space ( ) Other 10. Does action involve a permit approval or hJnding, now or ultimately from any other Governmental agency,(Federal. State or Local) ? ~ YES ( ) NO ~J ~ D~C~ i If Yes. tist agency(s) and pelmit/approvals: 0 (~"~ ¢ 1 1. Does any aspect of the action have a currently valid permit or approval? ( ) YES ~ NO If Yes, list agency(s) and permit/approvals: 12. As a result of proposed action, will existing permit/approval require modification? I( ) YES ("~NO If Yes, list agency(s) and permit/approvals: ! I certify that the information provided above is true to the best of my kn. owledge Il, PA~'[' .1! -. !MPACT ASSESSMENT (To be completed by Lead Agency} A. DOES ACTION EXCEED AN? ~YPE I THRESHOLD IN 6 NYCRR. PART 617.4? If yes. co~-d inate the review process ar~l use the FULL EAF. E. WILLACTIONRECEIVECOORDINATED REVIEWASPROVIDEDFORUNLISTEDACTIONSINSNYCRR. PART617.67 if No, anega~e ' declaratk3n may be superseded by another involved agency, r--lYes ~No C~ COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: {Answers may be ha~dwfif~en, if legible) C1, Existll!g ai~ quality, surface or gr~endwater quaay or quantity, noise isvels, exisl~ng t~afllc pattern, so~d waste droduc~ or disposal, polenl~ E~' er~,ic~, drayage or Ilooding p~0/~ems? Explain CZ AeS~etf~. agrk~ifural, arC~le~loglcal, historic, or oin~ natural er cuifuml ms~Jrces; ~- c~mmunity er ne~ character? Explain b~. C3. , ~ hilo~ er fauna, fi.~h..~he~ fish o~,wlldllfe s~s. s~gni~an[ habitats, er intes~l ~r e~am:j~e~l species? E~,lain brfeif~. C5. Growth. subsequent development, o~ rela~ed acifv~e~ likely lo be k3dl~ed ti). the"J)mpos~d action? Explain briefly: D. V~LL E VE N IMPACT ON THE E CHARaCTERISTiCS THAT CAUSED THE ESTABLISHMEi'~T OF EI~/I RONMENT~L AREA (CEA)? (if yes. explain bliefl7: FART III - ~Jl~] IcRMINATION OF SIGNIFICANCE (To be (?3~eted by,~gency) INSTRUCTIONS: F~each~dvemee~ectidenti~ed~b~v6~determ~ne~vhetheHtissub~tant~eL~arge~imp~tan~or~thenvisesigni~cant~ Each effect ShOuld be assessed in commction with its (a) salting (Lo, ud3an m' rarer); (b) p~babillty o~ OCCUrring; (c} duration: (d) irreversibitRy: geographic scope; and (1) magnitude. If neeessa~y, add attachments er ret'erasco sappatting materials. Ensure thai explanations ~ontain sufficient detail to show that all f ele~arff adverse impacls have been identified and adequately addressed. If questicn d of part ii Was checked yes. the d eterminalion of signif~ance must evaluate Ihe i~ol-entJal impact ortho P~0pOSed action on{he envEonmental chera cte~sl]cs o~ Ih e CEA. Name o~ Lead Agency .~¢y ~ STgh'~ure of Responsible Offi~r in Load Agen~ Dale s ~t.'U'~SACTIONAL DISCLOSURE FORM APPLICABLE TO OWNER, CONTRACT VENDEE AND AGENT: The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of Town officers and employees. The purpose of this form is to provide information, which can alert the Town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. (Last name, first name, middle initial, unless you are applying in the nam~of~omeone else or other entity, such as a company. If so, indicate the other person or company name.) NATURE OF APPLICATION: (Check all that apply.) Variance Special Exception -- *Other Approval or Exemption from plat or official map Change of Zone Tax Grievance ~- -- *If "Other" name the activity: Do you personally (or through your company, spouse, sibling, parent, or child) have relationship with any officer or employee of the Town of Southold? ..... a · Relationship Includes bl°°~or business interest. "Business interest" - ' ' ~ -- -- ~, ~_x~_nas even a a~l ownersh~ip__9~d~ partnership, m which the Town officer or em-lo.,~-~.' means a business includm~g_~ employment bv)~tion in which the Town officer or em 1o ee owns more than 5% oft. he_ 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 positian of that person: Describe that relationship between yourself (the applicant, agent or contract vendee) and the Town officer or employee. Either check the appropriate line A through D (below) and/or describe the relationship in the space provided. The Town officer or employee or his or her~ spouse, sibling, parent, or child is (check all that apply): A) the owner of greater than 5% ~c,~ , ~ _ o ~,t me snares o! the corporate stock of the applicant (when the applicant is a corporati6n); _ __ 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 RELATIONSH~ Submitted this e,)_ 7 day of {~ r.~ A.. c,~,o t l Print Name:~o APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the t~art of town officers and em~)lovees. The oumose of this form is to orovide information which can alert the town of oossible conflicts of interest and allow it to take whatever action is necessary to avoid same. (Last name, first name, ~iddle initial, unless you are applying in the name 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 ~ Trustee ~"~' Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (lf"Other-, name the activity.) Do you personally (or through your 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 coq)oration 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 persoa employed by the Town of Southold Title or position o£that person Describe the relationship between yourselt' (the applicant/ngeaffrepresentative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or ~hild is (check all that apply): __.A) the owner of greater than 5% of the shares of the corporate stock of the applic0nt (when the applicant is a corporation); B) the legal or beneficial owner of any interest ia 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 I Submitted this~ ~.~r a~y of,n ~ 20~ Signature Print Name --10 PIPE / / SURVEY OF LOTS 112 & 113 MAP OF GARDINER'S BAY ESTATES SECTION TWO FILE No. 275 FILED SEPTEMBER 23, 1927 SITUA TED A T EAST MARION TOWN OF $OUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-57-05-04 S.C. TAX No. 1000-$7-05-05 SCALE 1"=20' MAY 51, 2002 SEPTEMBER 18, 2008 UPDATE HIGH WATER MARK JULY 19, 2011 ADDED PROPOSED GARAGE AREA DA TA S.C. TAX No. 5,870 sq. ff. 1000-37-05-04 0.135 ac. S.C. TAX No. 8,592 sq. fl. 1000-37-05-05 0.197 ac. TOTAL (TO TIE LINE) 14,462 sq. ff. 0.332 ac. LOT COVERAGE OVER S.C. TAX No. 1000-$7 05 04 (TO HIGH WATER MARK) DESCRIPTION AREA % LOT COVERAGE PROPOSED GARAGE 384 sq. ft. 6.5% PROPOSED DECK 144 sq. fi, 2.5% TOTAL 528 sq. ft. 9.0% NO TLS: 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM EXISTINO ELEVATIONS ARE SHOWN THUS:~, EXISTINO CONTOUR LINES ARE SHOWN THUS: F, FL, - FIRST FLOOR T,W, TOP OF WALL B,W, BOTTOM OF WALL 65°29'17" W 2.03' ,5"48'47" W 7.08' /23" W 99' PREPARED IN ACCORDANCE WiTH THE MINIMUM STANDARDS FOR TITLE SURVEYS AS ESTABLISHED FORBY THEsucHLI.A.L.S ~"TDHAPPRusE~ D 0 P TAENDD TITLE ASSOCIA . UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW, COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY, CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTf- TUTION, CERTIFICATIONS ARE NOT TRANSFERABLE. THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED, Nathan Taft Corwin Land Surveyor Successor To: Stanley J. Isaksen, Jr, L.S. Joseph A. Ingegno L.S. Title Surveys -- Subdivisions - Site Plsns -- Construction L PHONE (631)727-2090 Fox (651)727-1 OFFICES LOCATED AT MAILING ADDRE~ 1586 Main Road P.O. Box 16 Jnmeso~rt New Ynrk 11947 ,Jnm~nc~rf N~w Y~rk Environment East, Inc. 2885 Indian Neck Lane P.O. Box 197 Peconic, New York 11958-0197 631-734-7474 Fax: 631-734-5812 To Whom it May Concern: Environment East Inc. to act as my agent in applying for permits to construct on my propert~t at: /.~r'[-/? .'~ ~. t % ~.0' ~ ~ ~ ~ fj ~ ~ ~ I/ ~. ~ ~ ~o- ~ -o~ US Army Corps of Engineers GARDINERS BAY ESTATES HOME OWNER ASSOCIATION, INC. P.O. Box 4, East Marion, New York 11939-0004 Mr. & Mrs. John Gallagher 12 Winding Hills Wallldll, NY 12589 June 21, 2011 Re: Garage Proposal Dear Mr. & Mrs. Gallagher: This is to inform you that the Board of Directors recently voted to approve your proposal for erecting a free-standing garage on your property adjoining the GBEHOA Right-of-Way to Fox Island. Of course, you are still subject to the codes and restrictions of Southold Town. If you have any questions, please don't hesitate to call me. OWNER TOWN OF $OUTHOLD PROPERTY RECORD CARD N $ VILLA, GE i-w DIST.l , SUB. L C~Ty/x,.~ ' TY~E OF BUILDING RES. LAND AGE SEAS. IMP. v~. az~W TOTAL FARM DATE BUILDING CONDITION BELOW ABOVE Value Per Value Acre NEVI NORMAL FAR,~A Acre Tillable FRONTAGE ON WATER Wo~land FRONTAGE ON ROAD Meodowland DEPTH House Plot' BULKHEAD DOCK Total UTILITY FOUND O' 87'54'48%. W 36.18~' / / / / S 2~ J ~.5'-8' ........ 5 i I_ ~_., ~ '-----.'- 4 X 4 ACQ POST O{~1 ~ 16`X 16' MASONRY FTG. ,~'~ 6` MASONRY FOUNDATION WN..L ON 16' POURED CONCRt= I ~ FTG. REINFORCED CONCRI=ii= ~ GALLAGHER GARAGE FOUNDATION PLAN ENVIRONMENT EAST INC. 1/4' = 1'-0' 7.8.tl PECK I REINFORCED CONCR~t= SLAB ~g-1/2" 60 .S~RIE$ ~ EEAM ~ 16'OC ~ GALLAGHER GARAGE ENVIRONMENT EAST INC. 114'= 1'-0' 7.8.11 12'?' OVERHEAD GARAGE DOOR 2-11-1/2" X 1...3/4' LVt. HEADER -- _ _ -j_~_,_-~ [- ....... ~,~ ....... ~ LINE OF ROOF OVER DOOR ~ O ~RIDGE VENT , ASHPHALT/FIBERGLASS SHINGLES .~'~2'~2-11-1/2' X 1-3/4 LVL RIDGE ROOf:lNG FELT .~' ~ ~ RAP ! t=R TIES TO CODE · IURRICANE TIES ',o , ~-- AS PER CODE 3/4" PLYWO. FLOORING.~ 9-1/2" 60 SERIES GPI BEAM ~ 16`OC ' 18" RED CE D,/N~.. SHINGLES TYVEK 1/2" Pt.YW;D. SHEATHING 2 X 6 {~ 16` OC STUDS I SILL 3/8" ANCHOR BOLTS MASONRY FOUNDATION __ CONCRE I t: FTG. TO 3'-0" BELOW GRADE MIN. GALLAGHER GARAGF SECTION ENVIRONMENT EAST INC. 1/4"= 1'-0" 7.8.11 SOFFIT VENTS ~RAGE r Oz GALLAGHER GARAGE EAST (SIDE) ELEVATION ENVIRONMENT EAST INC. 1/4'= 1'-0" 7.8.11 GALLAGHER GARAGE NORTH (FRONT) ELEVATION ENVIRONMENT EAST INC. 1/4'= 1'-.0' 7.8.11 GALLAGHER GARAGE SOUTH (BACK) ELEVATION ENVIRONMENT ~T INC. 1/4' = 1'-0' 7.8.11 Illllll II {Ill IIlil Ili}l Illll I{ITI III| [jill l1 Il GALLAGHER GARAGE WEST (SIDE) ELEVATION ENVIRONMENT EAST INC. 1/4" = 1'-0' ?.8.11