HomeMy WebLinkAbout1000-144.-5-26 OFFICE LOCATION:
Town Hall Annex
54375 State Route 25
(cor. Main Rd. & Youngs Ave.)
Southold, NY 11971
MAILING ADDRESS:
P.O. Box 1179
Southold, NY 11971
Telephone: 631 765-1938
Fax: 631 765-3136
LOCAL WATERFRONT REVITALIZATION PROGRAM
TOWN OF SOUTHOLD
MEMORANDUM
To:
From:
Leslie Weisman, Chair
Members of the Zoning Board of Appe/~
Date: August 1, 2011
Re:
Coastal Consistency Review for ZBA File Ref. DEBORAH PENNEY #6484
SCTM#1000-144-5-26
Request for Variance from Code Article XXII Section 280-116 and 280-124 and the Building Inspector's
June 3, 2011 Notice of Disapproval based on an application for building permit for demo and new
construction of a single family dwelling at: 1 ) less than the code required setback of 75 feet from a
bulkhead, 2) less than the code required front yard setback of 35 feet, located at: 160 Sailors Needle
Road, (adj. to Jones Creek) Mattituck, NY. SCTM#1000-144-5-26
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 and therefore is CONSISTENT with the LWRP provided the
following best management practice are considered to further the below listed policies:
Policy 6; Protect and Restore the Quality and Function of the Town of Southold Ecosystem
Provide adequate buffers between wetlands and adjacent or nearby uses and activities in order
to ensure protection of the wetland's character, quality, values, and functions. The adequacy of
the buffer depends on the following factors:
Potential for adverse effects associated with the use. Uses such as those
involving hazardous materials, on-site sewage disposal, or mineral extraction
have high potential for adverse effects and may require substantial buffer.
The nature and importance of the wet/and and its benefits. Substantial buffers
may be necessary to avoid adverse effects from adjacent or nearby uses based
on the nature of the land use and the characteristics of the affected wetland.
Direction and flow of surface water between a use and adjacent or nearby
wetland. Buffer widths may be reduced in areas where drainage patterns
normally do not lead directly to the wetland and where adverse affects on the
wetland, other than those due to runoff, are not likely.
=
Buffer width necessary to achieve a high particulate filtration efficiency of surface
runoff as determined by vegetative cover type, soil characteristics, and slope of
land.
Other management measures or design alternatives to protect wetlands from
adverse effects where site constraints do not allow sufficient buffer width.
If the action is approved, it is recommended that a 20 wide landscaped buffer be required landward of
the bulkhead to further the above policies. An example definition of a landscape buffer is included for
your use:-
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 pedod 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]
In addition to further Policy 5: Protect and Improve Water Quality in the Town of Southold, it is
recommended that the 10' diameter leaching pools be relocated to landward of the new residential
structure to maximize the distance of the basins to surface waters and minimize the potential for storm
water to negatively influence surface water quality via subsurface flow.
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
BOARD MEMBERS
Leslie Kanes Weisman, Chairperson
James Dinizio, Jr.
Gerard P. Goehringer
George Homing
Ken Schneider
53095 Main Road · P.O. Box 1179
Southold, NY 11971-0959
Office Location:
Town Annex/First Floor, Capital One Bank
54375 Main Road (at Youngs Avenue)
Southold, NY 11971
http://sout holdtown.north fork.net
ZONING BOARD OF APPEALS
TOWN OF SOUTHOLD
Tel. (631) 765-1809 · Fax (631) 765-9064
June 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.//6484 (Penney)
Dear Mr. Terry:
We have received an application for a demo and construction of a single family dwelling
in Mattituck. A copy of the Building Inspector's Notice of Disapproval under Chapter
280 (Zoning Code), and survey map, project description form, are attached for your
reference.
Your written evaluation with recommendations for this proposal, as required under the
Code procedures of LWRP Section 268-5D is requested within 30 days of receipt of this
letter.
Thank you.
Very truly yours,
Leslie K. Weisman
Chairperson
//
Encls.
FORM NO. 3
NOTICE OF DISAPPROVAL
DATE: June 3, 2011
TO: Richard Boyd for
Deborah Penney
206 N Richmond Ave.
Massapequa, NY 11758-3332
Please take notice that your application dated May 19, 2011
For demo & construction ora single family dwelling at
Location of property 160 Sailors Needle Rd., Mattituck, NY
County Tax Map No. 1000 Section 144 Block 5 Lot 26
ls returned herewith and disapproved on the following grounds:
The proposed construction of a dwelling is not permittexJ 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 thc bulkhead." z/~,,~,-~/~ ~'
The site plan indicates construction at adpprox. ~' from the bulkhead.
Also, the new dwelling on a non-conforming 12,902 sq. It. parcel is not permitted
pursuant to Article XXIII Section 280-124 which states:
"This section is intended to provide minimum standards for granting of a building permit
for the principal buildings of lots which are recognized by the town under 280-9, are
nonconforming and have not merged pursuant to 280-10."
Lots measuring less than 20,000 shall have a minimum front yard setback of 35 feet.
The survey indicates a proposed front yard setback of 29.15'.
Authorized S gnature
I Fee:$ FiledBy: Assignment No. /~'~ ' I
APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS
House No. 160 Street Sailor's Needle Rd. Hamlet Mattituck
SCTM 1000 Section 144 Block 5 Lot(s) 26 Lot Size 12,902.54 sf Zone
I (WE) APPEAL THE WRITTEN DETERMINATION OF THE BUILDING I~SPEC.T, OR
DATED (. I "- / t .ASED ON SU.VEY,SITE DATED
Applicant(s)/Owner(s):. Deborah Penney
Mailing Address: 160 Sailor's Needle Road, Mattituck, NY 11952
Telephone: (631) 298-3296 Fax:
Email: dpenney@optonline.net
NOTE: In addition to the above, please complete below if application is signed by applicant's attorney, agent,
architect, builder, contract vendee, etc. and name of person who agent represents:
Name of Representative: Richard Boyd ~'or~Owne~Other:
206 N. Richmond Avenue, N. Massapequa, NY 11758
Address:
Telephone: (516) 797-5080 Fax: (516) 797-5081 Email: rboyd@optonline.net
Please check to specify who yotc~ correspondence to be mailed to, frql~e above names:
r-]Applicant/Owner(s), [~Authorized Representative, U Other Name/address below:
WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN
DATED %/t~r( and DENIED AN APPLICATION DATED 5-/lq[f( FOR:
~ Building Permit ' '
~Certificate of Occupancy ( ) Pre-Certificate of Occupancy
~ Change of Use
~ P~ermit for As-Built Construction
I I Other:
Provision of the Zoning Ordinance Appealed. (Indicate Article, Section, Subsection of Zoning
Ordinance by numbers. Do not quote the code.)
t
Article: ~(gt! /f}<~fl~ Section: 'Z~(D / ~ SUbsection:
f
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
E~Reversal or Other
A prior appeal [~has, .[-'~. has not been made at any time with respect to this property,
UNDER Appeal No(s). Year(s). _. (P/ease be sure to
research before completing this question or call our off'ce for assistance)
Name of Owner: ZBA File #
REASON S FO R A P P E A L {additional sheet.~ m a t' he ttsed with preparer's s(~nattn'e):
.,IRE.~l I ~ IRL, INCE RE.,ISONS:
(1) An undesirable chauge ~xill not be produced in the CHARACTER of the neighborhood or a
detriment to nearby properties if granted, becanse:
The new home will be built in the same location as the existing home.
(2) The benefit sought by the applicant CANNOT be achieved by some method feasible for the
applicant to pnrsne, other than an area variance, beeanse:
Rear yard setback requirements make the lot unimprovable.
(3) The amount of relief requested is not substantial because:
The proposed rear yard setback is greater than the rear yard setback of the existing
house.
(4) The variance will NOT have an adverse effect or impact on thc physical or environmental conditions
in the neighborhood or district because:
The proposed setbacks basically match the setbacks of the existing home and that of
the neighboring homes.
(5) tlas lite alleged tliffieulty beeu self-created? r-lYes, or [~No.
Are there Covenants and Restrictions concerning this land: [~No. J'~JYes (please [i.-.ish cop)').
This is the MINIMUM that is necessary and adequate, anti at the same time preserve and protect the
c mr teler of {he neighborhood and lhe health, salary,
Check' thLs box ~ IF ,4 USE U. IRLI¥('E IS BI;l~
.-I I'I~4 CtlED USE I~4RI,4AT'I~ SHEEI: (Ph'asc be .~ttre
S~xm'n to beflore me lhis
{la'~ of t~ c , 20~.
Notar5 Public
No. 01TO61~UbUu
Qualifie~ n Suffolk ~un~ · ,')-'
C~mmiss on ExNres u v 28 2g /
Sign:
~k~ ella ~he communi~.
lure of Appellant or Anthorized Agent
CO,~IPLETE 771E
Applicant:
h For Demolition of Existing Building Areas
Please describe areas being [emoved: ~20'?¢~,
(For ZBA Reference)
II. New Construction Areas (New Dwelling or New Additions/Extensions):
Dimensions of first floor extension: ~'~-t~
Dimensions of new second floor: .~t4*4~o
Dimensions of floor above second level:
Height (from finished ground to top of ridge):
Is basement or lowest floor area being constructed? If yes, ~lease 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: __ ~l~/~r
Number of Floors and Changes WITH Alterations:
IV. Calculations of building areas and lot coverage (from surveyor):
Existing square footage of buildings on your pr.operty: _
Proposed increase of building coverage:
Square footage of your lot: ~-~ Oq..,
Percentage of coverage of your lot by building area:
VI. Please describe the land contours (flat, slope %, beavilY 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 sho~v different angles of yard areas after staking corners
for new construction), and photos of buildiug area to be altered witb yard view.
7/2002; 2/2005; 1/2007
QUESTIONNAIRE
FOR FILING WITH YOUR ZBA APPLICATION
ls the subject premi?sles listed on the real estate market for sale?
Yes ¥ No
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?
2.) Are those areas shown on the survey submitted with this application? I'4/fix
3.) ls the property bulk headed 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 confirm status
of your inquiry or application with the Trustees:
and if issued, please attach copies of permit with conditions and approved survey.
D. Is there a depression or sloping elevation ne~ ~he area of proposed construction at or
below five feet above mean sea level? INc:~
Are there any patios; concrete barriers, bulkhead.~ or fences that exist that are not
shown on the survey that you are submitting? [qO Please show area of the
structures on a diagram if any exist. Or state none on the above line.
F. Do you have, ~ny construction taking place at this time concerning your
premises? ~t~0 If yes, please submit a copy of your building permit and survey as
approved by the Building Department and please describe:
Please attach all pre-certificates of occupancy and certificates of occupancy for the
subject premises, lfany are lacking, please apply to the Building Department to either
obtain them or to obtain an Amended Notice of Disapproval.
G. Do you or any co-owner also own other land adjoining or close to this parcel? ~,~
lfyes, please label the proximity of your lands on your survey.
operations ~o
H. Please list present use or
.~_tOo4xUt'X,a/L' and the proposed use ~-~gO'~ ~r-
· (ex: existing single family, proposed: same with
Authlr~e and Dare
AGRICULTURAL DATA STATEMENT
ZONING BOARD OF APPEALS
TOWN OF SOUTHOLD
WHEN TO USE THIS FORM: The form must be completed by the applicant for any special use permit, site
plan approval, use variance, or subdivision approval on property within an agricultural district OR within
500feet of a farm operaiion located in agricultural district. All applications requiring an agricultural data
statement must be referred to the Suffolk County Department of Plannlng in accordance with Sections 239- '
m and 239-n of the General Municipal Law.
1) Name of Applicant:
2) Address of Applicant: q.-o ~, [..1. ~ 6£4 r-.~o~ e>
3) Name of Land Owner (if other than applicant): ~
4) Address of Land Owner: ~ ~ 5~ ~~-
5) Description of Proposed Project: ~ 5J~W~ ~~
6) Location of Propeay (road an~ t~x map number): t~ ,~'~
7) Is the parcel within an agricultural district? ~No ~ Yes If yes, A~icultural District Number
8) ts t~is pmcel actively fam~ed~ ~No ~Yes
~) Name and address of any owner(s) of land within the agricultural district containing active fa~
operation(s) located 500 feet of the boundaw of the pro~sed project. (h~fo~ation may be available through
the Town Assessors Office, Town Hall location (7654937) or from any public computer at the Town Hall
locations by viewing the parcel numbers on the Town of Southold Real Prope~y Tax System.
Name and Address
(Please use back side of page if more than six property owners are identified.)
The lot ¢~nbers ma~l'b~ obtained, in advance, when requested from either the Office of the Planning Board at
765-193 [g ~r the Zot~in~ Board of Appeals at 765 - 1809.
(,,
ISignature (~f Applicant Date
I. The local board will solicit comments from the owners of land identified above in order to consider the effect of the proposed actioh
on their farm operation. Solicitation will be made by supplying a copy of this statement.
2. Comments returned to the local board will be taken into consideration as part of the overall review of this application
3. Copies of the completed Agricultural Data Slatement shall be sent by applicant and/or the clerk of the board to the property owners
identified above The cost for mailing shall be paid by the applicpnt at the thne the application is submmed for review Failule to pay al
such thne means the applicath)n is nol conlplete and cannot be acted upon by the br)ard
PROJECT ID NUMBER
PART 1 - PROJECT INFORMATION
617.20 SEQR
APPENDIX C
STATE ENVIRONMENTAL QUALITY REVIEW
SHORT ENVIRONMENTAL ASSESSMENT FORM
for UNLISTED ACTIONS Onl~
( To be completed by Applicant or Project Sponsor)
APPLICANT / SPONSOR
I2. PROJECT NAME ~_~
3.PROJECT LOCATION:
6. DESCRIBE PROJECT BRIEFLY:
7. AMOUNT OF ND AFFECTED:
8 WILL PROPOSED ACTION COMPLY VV]TH EXISTING ZONING OR OTHER RESTR CTIONS?
[] Yes ~No If no, describe briefly:
9. HAT IS PRESENT LAND USE IN VICINI~ OF PROJECT? (Ch~se as many as appiy.)
10 DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER
I AGE~y (Federal, State or LOCal)
GOVERNMENTAL
11 DOES ~
ANY PECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
Applicant/
¥
If the action is a Costal Area, and you are a stale agency,
complete the Coastal Assessment Form before proceeding with lhls assessment
PART II - IMPACT ASSESSMENT (To be completed by Lead Agency)
A. DOES ACTION ED AN~' TYPE ~ THRESHOLD IN 6 NYCRR, PART 617.47 If yes. coordinate the review process and use the FULL EAF.
S. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS N 6 NYCRR. PART 61767 It NO, a negat;ve
deClaration m ba,~ b.~perseded by another involved agency.
[] yes
C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED VVITH THE FOLLOWING: (Answers may be handwritten, if legible)
C1. Extsti~g air quali[7, surface or groundwater qualtty or quantity, noise levels, exislJng trafrx; patlem, solid waste productio~ or disposal,
potenCaJ for erosion, draioage o~ O~3dlng I:yro~blems? Exp~ai~ briefly:
C2. Ae$lhstj¢, agricullural, arc~aeoi~g~al;'h~sto~c, or efll~ ;~iu~ar or cuituml re¢'~t~ m~ ;i ~)r ~3mrnunlty or nel~hgerh~;f ch;;-ac~r? ~xpla~n bdef~j:
ca vegetation Or fauna, fish, Shellfish Or w;~ll~e species, $1gr~a~t h~a~itatsj or'~e~'r~jered ;pe~e;?- ~xpiein
1
C4. A commur, i!y's existing plans or goals as olficJally adopted, or a chan~e in use or Inter~s. lty 0! use of
!~fi 5equen~ ~2ve~pment or re~ted ac~vifies hke~y t~ he ~nduced by th; ~r~p~sed act~n? F~xpIa~n bdefi~ J
c5. , i i .... ::' : .... : : . ' :
C7 Other impacts (including chan~es in use sf either quantity- or t~'p~ of er~er~'~ ~.~plain bdell¥:
ENVI RONMENT,~ AREA (CEA)? (l~ yes, explain tidefl~:
PART III - DETERMINATION OF SIGNIFICANCE (To I~e qompiet~l by Agency)
INSTRUCTIONS: F~re~chadversee~ectidentifiedab~ve~determinewhetherit~ssubstantia~~~arge~imp~rtant~r~therwisesignitican~ Each
effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibi~ily; (e)
geographic soope; and (f) magnitude. If necessap/, add attachments or ~eference supporting materials. Ensure that explanations contain
sufficient detail to show that all relevant adverse impacts have been identi~ed and adequataly addressed ff question d of par t ii was checked
yes, the determination of significaece must evatuate the polential impact of the p~oposed aclion on the environmental chard cterislice of the CEA.
Name of Lead Agency
Pdnl or Type Name of Responsible Officer in Lead Agency
Board of ~ Application
AUTHORIZATION
(where the applicant is not the owner)
(print owner of property)
residing at_ [ ~'~ ~ ! tog]
(mailing address)
do hereby authorize
(Agent)
to apply for permit(s) from the
Southold Board ofTvwn Traztcos on my behalf.
(Owner's s~gnature) ~
APPLICANT/AGENT/REPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officem and employees. The purpose of
this form is to provide information which can alert thc town of nossible conflicts of interest and allow it to t'ake ~vhatever action is
necessary to avoid same.
(Last name, nrst name, middle initial, unless you arffapplying in the name of
someone else or other entily, 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
(If"Other", name the activity.)
Do you personally (or through your company, spoase, 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 thc 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% oftbe shares.
YES' NO ~
If you answered "YES", complete the balance of this form and date and sign where indicated.
Name of person employed by the Town of Southold
Title or position of that person
Describe the relationship between yourself (the applicanffagent/reprcsentativc) 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, s bl ng~ parcm, or ch d is (check all that apply):
A) the owner of greater than 5% of the shares of the corporate stock of the applicm~t
(when the applicant is a corporation);
FI) the legal or beneficial owner o£any interest in a non-corporate entity (when the
applicant is not a corporation);
. __C) an officer, director, partner, or employee oftbe applicant; or
__D) thc actual applicanl.
DESCRIIrI-ION OF RELATIONSItlP
Form TS I
Submitted this (-~*~'day of 3 o,~ 200 t3
Signature ~
APPLICANT/AGENT/REPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees. The pu~ose of
this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action
necessary to avoid same.
(Last name, first name, middle initial, unless you are applying in the name of
someone else or other entity, such as a company. I f so, indicate the other
person's or company's name.)
NAME OF APPLICATION: (Check all that apply.)
lax grievance Building ~r
Variance __ ~-- Trustee ~k~
Change of Zone Coastal Erosion
Approval of plat Mooring
Exemption from plat or official map Planning
Other
(If"Other", name the activity.)
Do you personally (or through your company, spouse, sibling, parent, or cbild) have a relationship with any officer or employee
o£ the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business,
including a partnership, in which th~ town officer or employee has even a partial ownership of(or employment by) a corporation
in which thc town officer or employee owns more than 5% of thc shares.
YES NO ~'7
If you answered "YES", complete thc balance of this form and date and sign where iadicated.
Name of person employed by the Town of Southold
Title or posilion of that person
Describe the relationship between yourself (the appficant/agent/represenlative) and the town officer or employee. Either check
the appropriate line A) through D) and/or describe in the space pro~ided.
The town officer or employee or his or her spouse, sibling, perenl, o'r child is (check all that apply):
A) the owner of greater than 5% of the shares of the corporate stock of the applicant
(when the applicant is a corporation);
B) the legal or beneficial owner of any interest in a non-corporate entity (when the
applicant is not a corporation);
___C) an officer, director, partner, or employee of the applicant; or
____D) the actual applicant.
DESCRIPTION OF RELATIONSHIP
Form TS I
S u bmitted t hi~/~__~y of k~I~' ~ ~ 20~[I
Signature~
Print Name
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).
lfany question in Section C on this form is answered "yes", then the proposed action may affect the
achievement of the LWRP policy standards and conditions contained in the consistency review law.
Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a
determination that it is consistent to the maximum extent practicable with the LWRP policy
standards and conditions. If an action cannot be certified as consistent with the LWRP policy
standards and conditions, it shall not be undertaken.
A copy of the LWRP is available in the following places: online at the Town of Southold's
website (southoldtown.northfork.net), the Board of Trustees Office, the Plaxming Department. all
local libraries and the Town Clerk's office.
B. DESCRIPTION OF SITE AND PROPOSED ACTION
The Application has been submitted to (check appropriate response):
Town.oard [] e,ann,ng De,.,. [] .uildin D..,. oar, o, Trus,ees
Category of Town of Southold agency action (check appropriate response):
(a) Action undertaken directly by Tov, n agency (e.g. capital
conslruction, planning activity, agency regulation, land transaction)
(b) Financial assistance (e.g. grant, loan. subsidy)
(c) Permit, approval, license, certification:
Nature and cxlcnt of action:
Location of action:
Site acreage:
Present land use: ~--~'--~ 1 0 0'-~4 TI ~ct_
Present zoning classification:
If an application for the proposed action has been filed with the Town of Southold agency, the following
information shall be provided:
(a) Name of applicant: ~P~
(b) Mailing address: [ ~ ~
(c) Telephone nmnber: Area Code~[~! 2-~ ~3 '-' '3 '2;eIr/~,o
(d) Application number, if any: ~x4.~ Iq. t~'
Will the action be directly t *dertaken. require fund ng or approval by a state or federal agency?
Yes ~] No ~ Il'yes, which state or federal agency?
DEVELOPED COAST POLICY
Policy 1. Foster a pattern ofdcvelopmeut in the Town of Southohl that enhances community character,
preserves open space, makes efficieut use of infrastructure, makes beneficial use of a coastal location, and
minimizes adverse effects of development. See LWRP Section lll- Policies; Page 2 for evahtation
criteria.
Attach additional sheets il' necessary
Policy 2. Protect and preserve historic and archaeological resources of the Town of Sonthold. See
LWRP Section I11 - Policies Pages 3 through 6 for evaluation criteria
Yes No ~V'[ (Nol Applicable - please explain)
Attach additional sheets il' necessary
Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See
LWRP Section Ill - Policies Pages 6 lhrough ? for evaluation criteria
[] Yes [~ No ~'Z(Not Applicable - please explain)
Atlach additional sheets if necessa~
NATURAL COAST POLICIES
Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP
Section II1 -Policies Pages 8 through 16 for evaluation criteria
Yes [] No [~ (Not Applicable- please explain)
Allach additional sheets if necessary
Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section Ill
- Policies Pages 16 through 21 for evaluation criteria
Yes [] No [~ (Not Applicable- please explain)
Attach additional sheets if necessary
Policy 6. Protect and restore the quality and fl]nction Of the Town of Southold ecosystems including
Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section Iil Policies; Pages 22
through 32 lbr evaluation crileria.
I[~ Yes [ ~ No[X~ (Nol Applicable- please explain)
Atlach additional sheets if necessary
Policy 7. Protect and improve air quality in the Town of Southoid. See LWRP Section III - Policies
Pages 32 through 34 for evaluation criteria. See Section III - Policies Pages; 34 through 38 for evaluation
criteria.
[] Yes [] NolO(Not Applicable- please explain)
Attach additional sheets if necessary
Policy 8. Mini~nize environmental degradation in Town of Southold from solid waste and hazardous
substances and ~vastes. See LWRP Section III - Policies;' Pages 34 through 38 for ewduation 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 LYVRP Section 111 - Policies; Pages 38 through 46 for evaluation
criteria.
Ye~J~J No ot Applicable- please explain)
Attach additional sheets if necessa~
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 II1 - Policies; Pages 47 through 56 for evahmtion criteria.
[] Yes ~j No [~(Not Applicable - pleasexexplain)
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 IlI- Policies; Pages 57 through 62 for evaluation criteria.
[] Yes [] No ~'Not A~pplicable- please exnlain
Attach additional sheets if necessary
P~licy 12. Protect agricnltural lands in the Town of Southold. See LWRP Section Ill Policies; Pages
62 throagh 65 for evaluation criteria.
[] Yes ~ ~o [] Not Applicable- please explain
Attach additional sheets if necessary
Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP
Section Ill Policies; Pages 65 through 68 for evaluation criteria.
[] Yes [] No [] Not Applicable- please explain
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 24853 Z Date APRIL 30~ 1998
Permission is hereby granted to:
DEBORAH PENNEY
PO BOX 470
MATTITUCK~NY 11952
for :
ENCLOSING AN EXISTING ROOFED AREA FOR STORAGE AS APPLIED FOR.
at premises located at
County Tax Map No. 473889 Section 144
pursuant to application dated APRIL
Building Inspector.
160 SAILORS NEEDLE RD
MATTITUCK
Block 0005 Lot No. 026
7 1998 and approved by the
Fee $ 75.00
ORIGINAL
Rev. 2/19/98
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
CERTIFICATE OF OCCUPANCY
No: Z 27981
Date: 0__9/28/01
The certificate is issued to DEBORA~ PS~NEY
of Ehe aforesaid building.
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
.... .......
THIS. CERTIFIES that the building ................................................
Location of Property ..
House No. Street Hamlet
County Tax Map No. 1000 Section . 1104 . .Block O~ .Lot 02(}
Subdivision ............................... Filed Map No ......... Lot No ..............
l'®qui~ementw fol' a one famil~ dwelling built p~iol' to
conforms substantially to the ~
..................... 47 Certifioate of Occupancy 7. lng, an
Apl'il 23 i 19 .'<. '. pursuant to which ~No ...... '~'. T.~.~Y. .........
dated ..... .0.~ .~?.b.?zT. 3~ ........... 19 .~.0. ,was issued, and conforms to all of the requirements
of the applicable provisions of the law.:she occupancy for which this certificate is issued is .........
PRIVATE ONE FAMILY D~ELLINO
The certificate is issued to . .W~.33~..am. ~.'..Pe~ .*. ~b?r~. Y,.~. ................ (owneC les~e or te~nt)
Of the aforesaid building.
Suffolk County Depa~ment of Health Approval ............. ~ .........................
U~ERWRITERS CERTIFICATE NO ..................... ~.~ .........................
Building Inspector
Rev 4~79
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec-
tor with the following; for new buildings or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual
natural or topographic features.
2. Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5.' Submit Planning Board approval of completed site plan requ irements where applicable.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of peoperty showing all property iines; streets; buildings and unusual natural or
topographic featu res.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use $5.00
3. Copy of certificate of occupancy $1.00
Oate. :./?. :. .........
New Building ............. Old or Pre-existing Building C'/ r Vacant Land
House No. Street
Owner or Owners of Property.~."~ ' :."77
County Tax Map No. 1000 Section m /~.~ ..... a ~ock ............... ~ · , _o... ~ 2 ~ · ~
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No ........... Date of Permit .......... Applicant ..................................
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ . .~. ~. T-~2~ .....................
Construction on above described building and permit meets all,~p*jblicable codes and regulations.
Applicant ~ ~'/ ~'~
-~ "s~tLOR'S
NEEDLE
Lot .~
Y~CHT B~SIN · to J~MES ORE/
~OF SOUTHOLD
lNG DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork, net/Southold/
Examined _, 20__
Approved ,20__
Disapproved a/cfC ~/f(
Expiration 20__
PERMIT NO.
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
Building Inspector
LICATION FOR BUILDING PERMIT
Date
INSTRUCTIONS
,, 20
This appncat~on MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
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
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Department for the issuance ora Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The
applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necassary inspections.
(Signature of applicant or name, ifa corporation)
(Mailing address of applican0
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises 'l~"~o ~-~'~4 ?~ M ~¥
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which proposed work will be done:
House Number Street
H -rnn ruc
Hamlet
County Tax Map No. 1000 Section
Subdivision
(Name)
Block ~'
Filed Map No.
Lot
Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Exisfing use and occupancy ~qa.~ ~t~--~
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost ~t'""~'lOi 00~3 Fee
Addition Alteration
Other Work
5. If dwelling, number of dwelling units
If garage, number of cars
(Description)
(To be paid on filing this. application)
Number of dwelling units on each floor [',l~
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front
Height Number of Stories
Rear ~Depth
Dimensions of same structure with alterations or additions: Front
Depth Height Number of Stories
Rear
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear Depth
9. Size of lot: Front · Rear .Depth
10. Date of Purchase
Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES ~/NO__
13. Will lot be re-graded? YES__ NO__ Will excess fill be removed from premises? YES__ NO__
14. Names of Owner of premises l:Lq~of-nW t>oa, ce-( Address
Name of Architect ~c~ ~4> ~ ~-:'t> Address
Name of Contractor Address
[5 a. Is 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 t~dal wetland. * YES NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
6. Provide survey, to scale, with accurate foundation plan and distances to propen'y lines.
7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
;TATE OF NEW YORK)
SS:
~'OLTNTY OF )
being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(Contractor, Agent, Corporate Officer, etc.)
CONNI'E,D. BUNCH
Notary Public, State of New York
Qualified in Suffolk County
Comml~lon Explre~ Apfl114,
fsaid owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
mt all statements contained in this application are true to the best of his knowledge a ].fl~elief; and that the work will be
erformed in the manner set forth in the application filed therewith.
worn to;before me this ~ . / / /
Notary Public Signature of Applicant
OWNER
FORMER OWNER
TOWN OF $OUTHOLD PROPERTY RECORD CARD
STRE
N
VILLAGE
W
DIST. SUB. LOT
Y~//~ ~.
TYPE OF BUILDING
RES.
LAND
I~eo
SEAS.
IMP,
VL.
0"~'~ 0TOTAL jFARDMATE
COMM. CB. MISC. Mkt. Value
REMARKS
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value
Acre
Woodland . I
Swampland
I FRONTAGE ON ROAD
Brushland j
House Plot
I BULKHEAD
Total [ DOCK
COLOR
TRI,M
~. Bldg.
Extension
~xtension
Extension
~orcho P ~,¢
~orch
Breezeway
Garage
Patio
Foundation
Fire Place
Total
Basement
Ext. Walls ~/t~,
~e Roof
:reation Room
Dormer
Driveway
Bath
Finish
~eat
Rooms 1st Floor
Rooms 2nd Floor
Dinette
LR.
DR.
BR.
FIN. B.
~ I0-f0f59
5AILOP,'5
35.00' ~- /
ME.
H~. I '-9"J
f
24L I I
Z 79 °05'00"
fNCLOSrD WOOD
22'-e .-''- .o~x
MAP Ot= PP-,.O?EP-.TY
MA TTITUCK
TOWN Off 50UTHOLD
5U??OLI( COUNTY, N. Y.
5UAVEY~D: 5EPT£M~ER 20, 2010
GUARANTEED TO :-
LOT
LOT No.
"MAP' Off 5ALT LAI~ VILLAGE"
ISLAND WIDE LAND SURVEYORS
BLIIL~DIN~ ~3){{F)A~'K{v{~'NT I~4C)~
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I
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'
L
NY'la NOI£¥dlN~I04
~1¥99~0 ,
OFFICE
[LIVII~ ~ ]
I~ITCHEN
FOYER
G 12
FIRST FLOOR PLAN
SECOND PLO0~,, PLAN
PE~NN~'T"
NEI4 HOME GON~T~.UGTION
~IC, HARD' tDOYD - Archft.¢ct:
Ft~ONT ELEVATION - ~c~'m ~_~'^'r~c~
REAR ELEVATION - ~,.,'~'. ~L~,^TI~
Imr=NNt=y'
N~I HOM~= ~.ON~Tt~.U~TION
I~IGHARD BO'FiD - Archif.~c~
~.I®HT 51DE ELEVATION - EClaT ELEVATION
LEFT SIDE ELL~/ATION- ~..~"r ~v*r,o~
i~ENN~=.,r''
NE~I HOME ~ON~Tt~,UCTION
RICHARD BOYD - Archif,~c[