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1000-53.-6-23
L OFFICE LOCATION: 'XOF SO(/TyO MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 .1f, Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) CAT Southold, NY 11971 Q Telephone: 631 765-1938 o�yCOU�� Fax: 631765-3136 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: April 28, 2012 Re: Coastal Consistency Review for ZBA File Ref. RICHARD MEYERHOLZ #6556 RICHARD MEYERHOLZ #6556 - Request for Variances from Article XXIII Code Section 280-124, based on an application for building permit and the Building InspectoPs January 12, 2012 Notice of Disapproval concerning proposed demolition and reconstruction of a single family dwelling, at; 1) less than the code required front yard setback of 35 feet, 2) less than the code required minimum side yard setback of 10 feet , 3) less than the code required total combined side yards of 25 feet, 4) more than the code permitted lot coverage of 20% maximum, at: 4245 Bay Shore Road (adj. to Pipes Cove (Shelter Island Sound)) Greenport, NY. SCTM#1000-53-6-23. NOTE: the Site Plan, dated as last revised February 21, 2012, does not reference the demolition of the structure. It is recommended that the Board clarify if the structure is to be demolished. The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my determination that the proposed action is INCONSISTENT with the below listed LWRP polices and therefore INCONSISTENT with the LWRP: 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." Policy 4.1 "Minimize losses of human life and structures from flooding and erosion hazards." The following management measures to minimize losses of human life and structures from flooding and erosion hazards are recommended: specifically A. Minimize potential loss and damage by locating development and structures away from Flooding and erosion hazards. 3. Move existing development and structures as far away from flooding and erosion hazards as practical. Maintaining existing development and structures in hazard areas may be warranted for: a. structures which functionally require a location on the coast or in coastal waters. d. sites where relocation of an existing structure is not practical Based upon the newly published FEMA maps (published September 25, 2009) the parcel is at risk of flooding and storm surge. More specifically the parcel is located in a Moderate Wave Action Area (the approximate landward limit of the 1.5 foot breaking wave) and AE EL 6 Flood Zone. The expansion of an existing structure 28.9%; 8.9% over the permitted 20% lot coverage by code is inconsistent with the above policy—the area is subject to potential storm surge and/or flooding. Further, the residential structure does not functionally require a location on the coast and is not water dependent. Although due to lot size, configuration and area of unbuildable lands located on the lot the relocation of the existing structure is not feasible. 5. Manage development in floodplains outside of coastal hazard areas so as to reduce adverse environmental effects, minimize the need for future structural flood protection measures, or expansion of existing protection measures and to meet federal flood insurance program standards. The expansion of an existing structure 28.9°/x; 8.9% over the permitted 20% lot coverage by code is inconsistent with the above policy - the area is subject to potential stone surge and/or flooding. In the event that the action is approved it is recommended that the Board: 1. Require the installation of landscape wells around existing trees within the area to be filled with 18" of beach material. Pursuant to Chapter 268, the Board shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Jennifer Andaloro, Assistant Town Attorney Mailing ddress: Office Location: OF $Q�Tyolo Town Annex/First Floor,Capital One Bank 53095 Main Road 54375 Main Road(at Youngs Avenue) # # P.O. Box 1179 Southold, NY 11971 e • Southold, NY 11971-0959 i �y00U0,N http://southoldtown.northfork.net BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809 Fax (631) 765-9064 February 27, 2012 Mark Terry, Principal Planner LWRP Coordinator Planning Board Office Town of Southold Town Hall Annex F 2 Southold, NY 11971 Re: ZBA File Ref. No. # 6556 MEYERHOLZ, Richard 1000-53-6-23 Dear Mark: We have received an application for demolition and reconstruction of a single family dwelling. 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 Chai r By: Encls. FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT NOTICE OF DISAPPROVAL DATE: January 12, 2012 TO: Richard Meyerholz 692 Donna Drive Oyster Bay, NY 11771-4509 Please take notice that your application dated January 12, 2012 For a permit for demolition &reconstruction of a single family dwelling at Location of property: 4245 Bay Shore Rd., Greenport, NY County Tax Map No. 1000 - Section 53 Block 6 Lot 23 Is returned herewith and disapproved on the following grounds: The construction on this non-conforming 7,526 sq ft 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 and minimum side yards of 10' &25' combined.. +-/_ -t-1— The site plan indicates a proposed front yard setback of 31.6' and side yards of 3.4' & 9.9' combined. Also, the required lot coverage is 20%. The proposed lot coverage is indicated as 28.9% Authorized Signature ^--T-AWA OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Examined 20 Single&Separate Storm-Water Assessment Form Contact: Approved 20 Disapproved a/c 7i Expiration ,20_ JAN 3 2012 Building Inspector BLDG.DEPT. TOWN OF SOUTHOLD APPLICATION FOR BUILDING PERMIT Date lbk4tr., �. '�9_, 20_ INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans,accurate plat plan.to scale_Teeaccording 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 lipplicant. 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 sh211 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 ttd `3o am1LuF S 14 oygnd IC.ttloN Nnr 33NIdX3 NOISSIWW00 AWLd a r o need ANVION 11O1S WON OZ / 30:LPWr ,yl ow ato3aq of womS y1lMaaatll Palll 1.10I1LoiIddu ay1 ut glto3 las aauutw aq1 ui paw.to3.rad aq OIM >Ltom ag11L41 PUL `dagaq puu 32polmoul Snldo lsaq ayl of anti we uolleolldde siyl ul pauitluoo sluawaluls lle 1Ly1 tuoiluogddu slyl aly put 01M 01 PUL NaoM piLS atµ Patwodtad anty 10 waoj.rad o1 paz110yl1L /CInp srpuL `s.raumo to aaumo pies jo (•olo `laoy3O alt.todaoD `1uoSV `aolot.tluoD) n ayl si oH(S) `PDurtu anoqu (loealuoo lulu is ILnp!Aiipu13o Quirw luLollddL ayl sl ay(s)1Ly1 sCLs put, sasodap `woms Clnp 8ulaq (2N i / -3 V3 �� A Subdivision Filed Map Nq,._ Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy (-,p s; k', jD b. Intended use and occupancy rte; 3. Nature of work (check which applicable): New Building Addition ✓ Alteration�� Repair Removal Demolition Other Work (Description) i 4. Estimated Cost x'30 0. o o n Fee /��f„ 49 : ��pa + dal (To be paid on filing this application) 5. If dwelling, number of dwelling units j Number of dwelling units on each floor j If garage, number of cars c 4 c: 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front 3 S Rear S Depth 37 Height cLigg). I c Number of Stories j Dimensions of same structure with alterations or additions: Front 3S Rear 35 I Depth SU Height Q oo OT A0 , Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear .4 Depth ) 10. Date of Purchase �).Oo -7 Name of Former Owner 1)g-Y (\u,. 11. Zone or use district in which premises are situated 06 g j a _\y 0 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 re/moved from premises? YES_NO ( 14. Names of Owner of premises�M-sNg Address ©�sV, rS, Ny It 7 hone No. S) (o - R ZZ -yy DQ Name of Architect' Address? 3c 1.I r"Nv' Phone No 77 -cP 2- Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES 3�0 * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES ✓ NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. <- 16. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO ✓ * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: f"-5 o LOT COVERAGE: W Kr KY), 7520 'q _K I Co� I C&P 21 wAi PPY ',,G 01 7 7 A 53 LJN Q 20At zc mOl W: 134357, c 5" OF UFAQ 05CK: 334 5f. 0 GARAW: 34G 2 F, FROW 00THANT 53 E 5f 4_0 m Cc I 21 W wr� vat WK91 Ul 0 DRAINAGE CALCULATION _cr p �r Itis `55 C 0 LI 0 it WOW All) SOU XIA. x 3 G S1. BOARD OF ARMS DAMM WRW OF POWN'M r" A K A MO tV 0,0 1101oovl� 01F ISS D V! A'� Y, Ni 05MAT! 9, PC !G fj IL BaA- A F A - 72 C Q,F TO ��ff UNF SITE P L A N PKOF05CD 5CAl 591-0" EXISTING MEYERHOLZ RE51DENCE 5CAL11- 5-0" APPROX.OX. REV. /311 I 'Mr 1 70, RKET 292, 1 2 WN N"f J 1 Y Robert 1 . brown Architect, F. C . ul farvanather Dewe Inc. 205 SAY AV[ - r"Al XG��ffr,]FCKT. N.Y. 1 1344 'G3 1 7% a 7-E)2 (=a x) e3 -4l 7-09_/3 CK055 5�Cl 10N. not tc, 1,�,L A'� N7EST HOLE DATA SURVEY OF PROPERTY BY MODON�o EosaENc£ AT ARSHAMOMOQUE .L te• 1. _ DARK BROW LOAM CL TOWN OF SOUTHOLD 2. --- &WW «AWYSAW SC SUFFOLK COUNTY, N. Y. BROW 1000-53-06-23 SAY aAY a SCALE'.' 1'-20' ' - FEBRUARY 9, 2010 s0• -- BROW Cf_AWY SAW WTH sox(RMa SC MARCH 3, 2010 (REVISION) B. _,_i WA MR AV BROW CLA)I Y SAND WTH 20[QWn SC WATER A4 PALE BRONN FRVE To COARSE SAND ,r WTH zaor cRMv. sw �pWE76 f wNG) \ i }+Y y RECEIVED 147-81' N C�j31 WALL w OYS 0 1 I 1 rilyy UOARD OF APPEA S 14 }r}5• I +4.5 FE N78roG0E L I ,m 0.3.0 W 0.2 �r ilcg gfowER o o.z v LOT 77 =1m }4.5 9 mo AS \ }5.0'CO ,{0 S7'�Y ,A 1l Z +,11 \ ONE NOOSE m o cT FRpcloAra'>T.5' ZONES E o Q > �� iHEs �. \ � CURB Sp' F.F. 1Z 3' (EL ) b 4Y ASPHALT +4.9 \Z CRETE CU B'� — 'e 26.SdE K }54 CON u TAN w µgOO BULKHEAD WATER Eo146.21' pN{/MEN7 WALL CONCRETE WALL NOTE. ALL SURROUNDING DWELLINGS 7HIN m ,� � ++4,2'49.W+4,2'49.WW) 150' HAVE PUBLIC WATER O x S83-11'08"W 3 6 \ 78 I am familiar with the STANDARDS FOR APPROVAL }+. \ (DWELLING U/C) AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and will abide by the conditions set forth therein and on the a FLOOD ZONE FROM FLOOD INSURANCE RATE MAP permit to construct. ? MAP NUMBER 3610JC0159H SEPTEMBER 25, 2009 The location of wells and cesspools shown hereon are LOT NUMBERS REFER TO 'REVISED M from field observations and or from data obtained from others. BAY ESTATES" FILED IN THE SUFFO _ 7 Elevations referenced to NAVD '88. OFFICE ON JULY 30, 1928 AS FILEI'N ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION LSZAM ( € ::, ;>„_ } OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. ' A '�,., ' -_z P EXCEPT AS PER SECTIQN 7209-SUBDIVISION Z ALL CER77RCA77ONS � �rG � I �� O. 149618 HEREON ARE VAUD FOR THIS MAP AND COPIES THEREOF ONLY IF ANY ALTERATION OR ADDIT70N TO THIS SURVEY IS A VIOLA77ON CONIC _ - - SAO MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR NOSE SIGNATURE APPEARS HEREON. OF SECTION 72090E THE NEW YORK STATE' EDUCATION LAW. (631) 765-50 �' ,., 1797 EXCEPT AS PER SECTION 7209—SUBDIVISION 2. ALL CER77RCAVONS u� gv HEREON ARE VAUD FOR THIS MAP AND COPIES THEREOF ONLY IF P.O. BOX 909 A AREA=7,526 80. Fr. TO TIE LINE SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET WHOSE SIGNATURE APPEARS HEREON. SOUTHOLD, N. Y. 11971 10-107 COUlf,YOFUFFOLK I . G STEVE LEVY SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF HEALTH SERVICES HUMAYUN J.CHAuOHRY,D.0.,M.S. COMMISSIONER PERMIT The attached plan, when duly signed by a representative of the Department, constitutes a permit to construct a water supply and/or collection system for the property as depicted. The applicant should take note of any conditions of approval, which may be indicated on the plan or enclosed herein. Construction must conform with applicable standards including "Standards for Approval of Plans and Construction for Sewage Disposal Systems for Single Family Residences" and "Standards and Procedures for Private Water Systems." Omissions, errors or lack of details on the plan does not release the applicant from the responsibility of having the construction done in conformance with applicable standards. The permit (plan) expires three (3) years after the approval date. Any modifications which may affect the proposed sewage disposal or water supply systems requires submission of a revised plan and additional fees(if applicable) for reapproval prior to construction. No inspections will be performed by the Department on expired permits. Permits may be renewed, extended, transferred or revised in accordance with the procedures described in "Submission Requirements for Approval of Sewage Disposal and Water Supply Facilities for Single Family Dwellings"(Form WWM-041). It is the applicant's responsibility to call the department at 852-5754, in advance, to arrange inspections of the sewage disposal and/or water supply facilities prior to backfilling. These include inspections of the sewage collection and disposal systems, water supply system components and piping, and final grading as shown on the approved plans. In certain cases, inspections of the soil excavation may be required to determine the acceptability of the soils for sewage disposal systems. The Department must be notified at least 24 hours in advance to schedule an inspection and excavation inspections must be confirmed by calling 852-5700 prior to 9.30 A.M., the morning of the inspection. Article VII of the Suffolk County Code, "Septic Industry Businesses," requires that all installers of septic systems within Suffolk County shall possess a valid license from the Suffolk County Office of Consumer Affairs. This office can refuse to perform inspections or grant final approval for the construction of projects that are installed by an unlicensed individual. It is, therefore, in your best interest to utilize a cesspool contractor with a valid license to avoid substantial delays in your project. FINAL APPROVAL ISSUED BY THE DEPARTMENT IS NECESSARY PRIOR TO THE OCCUPANCY OF NEW BUILDINGS, ADDITIONS TO EXISTING BUILDINGS, OR FOR THE USE OF SEWAGE DISPOSAL OR WATER SUPPLY SYSTEMS. WWM-058 (REV. 3/07) PAGE 1 OF 2 •DIVISION OF ENVIRONMENTAL OUALITY*OFFICE OF WASTEWATER MANAGEMENT*360 YAPHANK AVENUE,SUITE 2C+YAPHANK NY 11980* PHONE: (631)8523700 FAX:(631)852-5755 INSTRUCTIONS FOR FINAL APPR9VAU OF CONSTRUCTED SYSTEMS It is the applicant's responsibility to call the Department to arrange inspections of the sewage disposal system and water supply facilities prior to backfilling. These include inspections of the soil excavation for the sewage disposal systdan, when required, and inspections of the water supply well,well lateral,public water supply line, disposal system, piping and final grading. Other inspections may be required. Following satisfactory construction and inspections: 1. The applicant must submit 4 prints of an as-built plan (up to and including 11"x17"), by a licensed design professional,of the subject property showing the following: a. the lot location and metes/bounds description; b. the lot number(s)and the name of the subdivision,if applicable; c. permanent structures (i.e.,buildings,driveways, walkways, swimming pools, decks, retaining walls,etc.) d. the exact location of the private well and lateral, if applicable (give at least 2 dimensions measured from the comers of the building to the well); e. the exact location of the public water line,if applicable; f. the exact location of the septic tank and leaching pool(s), if applicable (give at least 2 dimensions measured from the corners of the building to the covers of the septic tank and each leaching pool); g. the exact location of the sewer line from the dwelling to the street; if applicable; and h. have a clear area at least 3" x 5" for the Department's approval stamp. 2. If any new subsurface sewage disposal system components have been installed, the applicant must submit a certificate(Form W WM-078 or equivalent) from the licensed sewage disposal installer,attesting that the system has been constructed according to the criteria of the Department. If a certificate from the installer cannot be obtained, form W WM-073 completed by a licensed architect or engineer may be submitted. 3. If a well has been installed as the potable water supply, then the applicant must submit a well water analysis completed within one(1) year by a certified lab, and a well driller's certificate completed by a licensed well driller. If the well or water quality does not conform to standards, corrective measures will be required as described in the Department's "Private Water System Standards." Please note:water treatment units may not be installed without prior approval of the Department. 4. If any pre-existing subsurface sewage disposal system components have been abandoned or removed, the applicant must submit a Certificate of Abandonment (Form W WM-080) from a licensed contractor attesting that the previous system has been abandoned according to the criteria of the Department. If a certificate from the contractor cannot be obtained, form W WM-073 completed by a licensed architect or engineer may be submitted. 5. If public sewers are utilized for the dwelling,the applicant must also submit one(1) copy of the sewer line inspection approval from the sewer district. In districts operated by Suffolk County,one(1)original of Form S-9,duly executed by the Suffolk County Department of Public Works, and one (1) copy of a Suffolk County Department of Public Works field sketch are required. 6. If public water is utilized, a tap letter from the appropriate water district indicating that service has been completed to the dwelling will be required. 7. In certain cases, the applicant will be required to submit a certification from a licensed design professional, attesting that all components of the sewage disposal system, retaining wall or sewage collection system have been properly inspected and constructed according to the approved plans and permit conditions. Refer to "Certification of Constructed Works"(Form W WM-073). Other documents may be required as indicated on the permit to construct. HEALTH DEPARTMENT REFERENCE NUMBER MUST BE ON ALL CORRESPONDENCE OR DOCUMENTS SUBMITTED. SUBMIT ALL NECESSARY FINAL PAPERS AT THE SAME TIME. PHOTOCOPIES OF DOCUMENTS WILL NOT BE ACCEPTED. WWM-058 (Rev. 3/07) PAGE 2 OF 2 LOT><76 EXISTING CESSPOOL TO BE PUMPED DRY AND ABANDONED IN ACCORDANCE WITH ss w THE SCHDS STANDARDS PROPOSED ADDITION PROPOSED WATER SERVICE PROPOSED 6.1 ELL 5 MTO EXISTINGR \ 6 LOT s 77 `„ CONTINUOUS NO.5 REBAR 12"OC (SLEEVE 1-SERVICE IN A 2-PIPE BOY 6.1 \ NOTES: \ ZONE AE f j 5'YIN.FROM ORYWELL) e°ar s� , �. c, '� �Z / THE CONTRACTOR IS TO VERIFY IN ALL MEASUREMENTS IN THE y PROPOSED CONCRETE PROPOSED 1 STORY FIELD AND ANY DISCREPANCIES -� _ _ / ARE TO BE BROUGHT TO THEm RETAINING WALL(SEE DETAILS) \ '�, — �'%\ \ FRAME PROPOSEDE HOT-TUB % ATTENTION OF THE ENGINEER A o PROPOSED DRIVEWAY N \ 2ND FLOOR) PRIOR TO CONSTRUCTION. TIN" O\ \ F.F.BA m CONCRETE RETAINING WALLS Si WALL CORNER REINFORCEMENT DETAIL $ o BW 4.9 a \ B \ e.o 1a9 o NTS ALL 2.8'9 X r DEEP 50% (i 1 -'W tP - 28DAYSSNCRETM4,ODOPSIAFTER PROJECT N EXPANSION LEACHING POOLS 7 \ ` P LP .Q fT. 'o I4Gpi FINAL GRADE LOCATION w \ 5%MAX. 6' 'ALL REBAR ASTM A-615 GRADE F \ PROPOSED „ 60. ISLAM Lg1.1E z 5-8'9 X r DEEP O \ 3`I I'O!j"J✓ ae PROPOSED EXTENSION TO 'FOOTINGS ARE TO BE 6.02 LOT x 7B EXISTING DECK INSTALLED ON UNDISTURBED LEACHING POOLS O \ \e sMN BW 6.02 (DV.4LUNG UUP BALCONY OVER - VIRGIN SOIL EXISTING DECK THE BOTTOMS OF ALL FOOTINGS TW 6.0 PROPOSED 1,600 ARE TO BE INSTALLED A MINIMUM BW 41 GALLON SEPTIC TANK OF T BELOW GRADE UNLESS Water Proof Coating INDICATED OTHERWISE. LOCATION MAP 3F\\ ISLAND VIEW LANE Nota 1 'SOIL SIDE OF WALLS ANDFOO NGS ARE TO BE COATED WITH TIBITUMINOUS FOUNDATION TEST HOLE SITE PLAN COATING. SITE PLAN PREPARED FROM SURVEY BY: Na4 Rebar @ 24.00 POURED �Ll EL.4.9t PECONIC SURVEYORS DATED MARCH 3,2010 CONTINUOUS POUR WITH NO E RECEIVED DARK BROWN LOAM OL S.C.T.M.DIST.1000 SEC.53 BLK.06 LOT 23 CONTROL JOINTS. 1' SCALE:1'=30' 2, BROWM CLAYEY SAND SO - BROWN SANDY CLAY CL BOARD OF APPEALS - 1 r 10' �� 4' EAbadc?-,rncnt of cXisting s.3r,3tary System must beTn (3)No.5 Rebar BROWN CLAYEY SAND W/20%GRAVEL SC5' rrnance v,rhh de}.rrtm�. re uirement SubmitRetaining Wall Section6 EL-1 1' WATER IN ROWN CLAYEY SAND W/20%GRAVEL SC leted form W WM- CI' 8S proof Not to Scale > U r _yea v > WATER IN PALE BROWN EX{:AVATK31d want/, OF NF ; ,7 CJ FINE TO COARSE SAND F SANITARY SYSTEf11t WITH 20%GRAVEL SW 0 HEALTH PART&WT oiP�o�N 3.cNOo`09 _ 2 13 Water Lines _ 1 * i TEST HOLE PERFORMED FEBRUARY 2,2010 Be Inspected By The C7 ..� GROUNDWATER ENCOUNTERED 6'BELOW GRADE Suffolk County Dept. Of Health Services, �i,, Call 882-5700, 48 Hours In Advance, Fo TO Schedule Inspection(s).' SANITARY NOTES: FE$$IGNP r MORTAR FROST PROOFING 1. 3 BEDROOMS ARE PROPOSED FOR THE RESIDENCE. a r, 0 TRAFFIC BEARING SLAB 2. THERE ARE NO WELLS WITHIN 150'OF THE JS -r ALL LEACHING POOLS SMALL BE PLACED IN ACCEPTABLE LEACHING WATERTIGHT FRAME 8 COVER W/ PROPOSED AND EXISTING SEPTIC SYSTEM. fY� SOILS AS APPROVED BY THE SCq,S.IN THE EVENT POOR 4'SDR 35 PJC WASTE LIVE APPROVED LOCKING DEVICE Q LSP LEACHING MATERIAL IS ENCOUNTERED,EXCAVATION IS TO BE PITCH-X INCH PER FOOT CONTINUED TO SUITABLE MATERIAL AND BACKRILLFDAS DETAILED. IMAX 4,soRMPvc 3. TOTAL LOT AREA AREA=7,526 S.F.(0.173 ACRES) 1'MN. x Cy TRAFFIC BEARING SLAB 2 MAX RETE COVER yp ��LIVE ITCH- FF.8.0 4. THE PROPERTY IS IN AN AE-6 FLOOD ZONE y TOP OF LEACHING POOL=6.31 S MN. IRIML 7.3 Y.MCT,PER Fool ACCORDING TO FEMA36103CO159H DATED s MIN. cV SEPTEMBER 25,2009. > FLOW BAFFLE `� 6'O CROSS-0VER PIPE INVERT=4.77 t" sr 8- e'DIA m 1 \;.":. C SAN. INNERS=55BOTTOM OF IFACHING POOL=3.1 i NVERT=4.88 BNERT=5.38 A 4' 4' Health Department Approval Stamp GROUNDWATER ELEVATION EL.1.1 es ' 8'9X4'DEEP LEACHING POOLS(iYP.OF 3) 1OQ&LLON SEPTIC TANK MEYERHOLZ RESIDENCE Plete6ala PleDHeaMCaxlon Engineering.P.C. Nisariobtion ortleew NYak Sbb Eaumkonas l ,Arkae 145, scALe Aa sllowN Condon Engineering, P.C. seckm 7209.Toralry PerXm uYea,:a6g ucaw to eaa,orakrmwPmtessaal From ,,AmhiwtmLad ;„ BAY$HORE ROAD akP 1 Sm¢w.ba&wan,'ibneinawmytartembeaiegtessaloracErgkea,AMhbwLataedSagab Ran W= Ma ;, GREENPORT,NY 1 Fox SANITARY SEPTIC SYSTE�I�PROFfCE WWW,eaMUM Ep,,AmhlbetatardSane,asha8alinebtodwnhMww31anathenotakm•ANaretl 952 NOT TO SCALE b,�b%w8dby NSAevsmata so the 0abutsuch aNa km hm,am aayeafeaesapartealblakm. Dse W,Mo (63 w29&1g06(037veemg�i ms„a ccmm. SANITARY PLAN Town of Southold 5 � LWRP CONSISTENCY ASSESSMENT FORM A. IN STRUCTIONS I. 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. 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,�CTION SCTM# 0Q - a V The Application has been submitted to(check appropriate response): Town Board Planning Dept. Building Dept. Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital construction,planning activity,agency regulation, land transaction) (b) Financial assistance(e.g.grant, loan, subsidy) (c) Permit,approval, license,certification: Nature and extentf actio ^� qq �G�,C 1-�.,_ ��'�—� IQ � � ,e�-),� 4-r) -� 1 ywl r i ` l Location of action: Site acreage: 9 Present land use: V-9's Present zoning classification: S) 2. 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: , / fel (b) Mailing address: 9 Z h p2 n 'ter � < AA RU I ) (c) Telephone number: Area Code (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? 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. Yes ❑ No ❑ (Not Applicable- please explain) Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria Yes ❑ No ❑ (Not Applicable—please explain) Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria WYes 0 No 0 (Not Applicable—please explain) Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See L"P ection III—Policies Pages 8 through 16 for evaluation criteria Yes No (Not Applicable— please explain) r o.0 Attach additional sheeV if nec sary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LW"Section III —Policies Pages 16 through 21 for evaluation criteria Yes No 0 (Not Applicable— please explain) 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 LW" Section III —Policies; Pages 22 through 32 for evaluation criteria. Yes [A No D (Not Applicable— please explain) i Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. See Section III—Policies Pages; 34 through 38 for evaluation criteria. Yes 0 No (Not Applicable—please explain) io 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. Yes No 0 (Not Applicable—please explain) PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. Y No 0 (Not Applicable— please explain) Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. Yes ❑ No ❑ (Not Applicable—please explain) L(n ,( u Vip, c� ) , ° Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. Yes ❑ No ❑ Not Applicable—please explain Attach additional sheets 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—please explain �e) Q[ a-\, � y��yn Attach additional sheets if necessary I Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. k-Yes ❑ No ❑ Not Applicable— please explain TOWN OF SOUTHOLD EBTY WCOM CAM OWNER STREET /-1 % qF VILLAGE DISTRICT SUB. LOT l41 soy, Met/f,rA ol Z I ') 1' a fa �-EORME OW ER N E I ACREAGE J cc) 1 1�e a✓�In� jVt6T a 1 Gf l v1 p S W TYPE OF BUILDING ��.�,--e „i _ tel , RL SEAS_ ,a/ VL. FARM COMM. IND. CB. MISC. LAND IMP. TOTAL DATE REMARKS _,t( 1?L � r n / ADD s (tel G� �• . '� .� . ' u .� clT (Qi?11�C1 '�G IZU VAI OSS IOYLGI� 4 Y41_t'. .S�000, 3 ZLL J=zW7Soa �✓ aAGE� 80No LC NG COK; / � �-�- L r1537vti1R a�{ na -r`D1�el�ai l�o,`fn•_f l Jct' Z G7� L BELOW ro it 3 A�V i/ -7 �go�- ✓�! 7r'/.f)- 16 Ak c Farm "Acre Value Per Acre Value _ _4 Tillable 1 Tillable 2 Tillable 3 Woodland Swampland j _� — Brushland House Plot Tata I s ' , ■■■■■■■■■■U■■E©■ONNE ■■■■■ ■■■■■■■■■■■MI■■ ., � ■■ ■ ■■■■■i�����■iii ■■ ■■ ■■■SOME■■■■ ■ _ 'J ■ ■■■■■■■■■■■■ ... ..: SSSS ■■■■■■■■■■■■■■ Interior Finish Heat Attic • . •. pom No.4 TOWN OF SOUTHOLD v �� BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. ......7 1.440........ Date .....................a'FUne-5..................... 19....$2 THIS CERTIFIES that the building located at ..u1ll2l`fR.�Ad..r...GXO JS OftStreet Pi3Conlo Bay E6t. MapNo. Block No. .....t........... Lot No. ....7.7............................................................ conforms substantially to the Application for Building Permit heretofore filed in this office dated ppjA6ltRbE7C,. t,,,,,..., 19_ X. pursuant to which Building Permit No. 2..1595. dated ...................Oe obOX-45.........., 61•. q 19.. was issued, and conforms to all of the requirements of the applicable provisions of the low. The occupancy for which this certificate is issued is .......... suaas qtv�.,F? t�[te .W."I 4............................................................ This certificate is issued to ...Y!...Y'.. 119.t...t?Wflqv.............................. . . .......:........................... (owner, lessee or tenant) of the aforesaid building. ....... ......... .. .." '.... ............ Building Inspecto................ F TOWN OF iDUTHOLD, NEW YORK ACTION'OF THE ZONING BOARD OF APPEALS DATE..¢etober 14. 1961 Appeal No.414 Dated September 26, 1861 ACTION OF THE ZONING BOARD OF APPEALS OF TOWN OF SOUTHOLD William WatmOre. :a/c V. Y.._Yiptang To ,gay More $Odd Appellant Oreenp=t, MW York at a..meeting of..the Zoning Baard of;Appeals oA USM.r eatober''12, 1961 the appeal was considered and the action indicated below was taken on your i ( ) Request for variance due .to lack of access to property ( ) Request for a special exception under the Zoning Ordinance . . if ( X Request for a variance to the Zoning Ordinance ' ( ) 1. SPECIAL EXCEPTION. By.resolution of the Board it was determined that a special exception ( ) be granted ( ) be denied pursuant to Article................ Section ................ Subsection................. paragraph ................ of the Zoning Ordinance, and the decision of the Building Inspector ( )' be reversed, (, ) be confirmed because * r 7045 y,M; (IMM4.10, upon application of William Wetmore. a/c Y. Y. Ewan4 bay.shore Road. Arshamomaquar New Yorke .for A v611anc0 in accordance with the McoUg orau ees Article SIT, Section 807, for permie4ion to reaaoe aide yard setbaGt.. Location of propesty9. east 6140 gay Shore ktoad. Arehamomaque, as"Opottr taw York, Lot NO. 77 on .ceded 14ap A of pi?conic Day Estates. 2. VARIANCE. By resolution of the Board it was determined that (a) Strict application of the Ordinance (would) (would not) produce practical difficulties or un- necessary hardship because SEB. REV8888 . (b) The hardship created (is) (is not) unique and (would) (would not) be shared by all properties alike in the immediate vicinity of this property and in the same use district because SEE RENBRBB (c) The variance (does) (does not) observe the spirit of the Ordinance and (would) (would not) change the.character of the district because - SM RRVER5f3' and therefore, it was further determined that the requested variance ( ) be granted ( ) be denied and that the previous decisions of the Building Inspector (. ) be confirmed ( ) be reversed. xroxa: zas ZONING BOARD OF APPEALS �J ;: 9Uaiti T.-Doken seezetatry (Continued from reverse) After fnyestig%uIoq•:an4 inspeOU00. the. 9carB. rods. that :thiq ie a Unique situation. This•residence wam .bulat on an angle on a lot arxginally 49 ft, by .178 ft. Due to erosion Much of the bay'' end-of- the lot:.had:.didaippca a"n&AtShe.4&cbcmt .time the-residence U 89trounded by water at entre= Z}igh.Eides. IhG present offer would like to attempt rehabilitation of thio property provided-4 sm411 bedro6�a canoe s$ded. . 8e .foEeads "building a sea Vall..ap8..raising the house two SeeCaind. filling the land.' Sever.'a! a41gc0nt properties have been. able to protect their hca¢ea by moans of pea walls. ti the wall to biiuC and the-lanai raised thio 6+so�rtY wlllConform with the two residences to the -07, ouh:- __._. The Vai'1ariC0.i4. nought to enable 8 Xedd6tift G$ the, aide:' rd at;..on®-point, . .So other past o8 the lot can � used for .this purpose without camPlete remodeling. A aesapool and drainage field precludes the nse of the lot on the north side. This xesideutlal ajeea cousfsts in the ivain,ot summer.cattegea MAY arra undersized Iota with ineu$R9.osent oide and front yard areae. The Ward feels that in this partseula r cissa EL aolild 'be both a practical dxi'£iaan3Ey and Uunoaessasy hardship to deny thie• vauriatibn. The neighboring properties and general ndighboftbod _would not be Ud"Itsely alfeate& The rehabilitation of this _- Propegty caould enhance the appearance.o£ the vicinity VhG plot map and building addition plan o made past of thte finding. Therefore it was MOOLVED thowilliam Wetmore, a/c Y. Y: Hwang be granted permisalon._to. reduce southerly aide yard setback on propexty of Y. Y. 8oaang, eaet side Say shore road: A94 i4momaque. Greenport, NOW Yarrkr Lot So. 17 on Amended 900 A of Peconfc Bay ss � ,cis Y •.Ih'a,�.E /�D, _ 4s ,SOT 077 PEco"v C DAY rS MrArT Ah FI FIiOEq FH/ /� ' gf o/eox. Y. Y, yklgIVCr GwNF� !& 1 y 6R',CrTily 6. �Yo✓u- �. J-74 t9a, f8 0 0 Q � �9 ! t � pgoPnseo �l2 v PORI N 1 Q V PAt/O 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 $00 feet of a farm operation 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: t I 1 Q 1.{ �Z 2)Address of Applicant:_ (n9 2 3)Name of Land Owner(if other than applicant) 4)Address of Land Owner: ' •5c� , A c, c,60' — 5)Description of Proposed Project: 6)Location of Property(road and tax map number): 4 N Y 7)Is the parcel within an agricultural district?XNo El Yes If yes, Agricultural District Number 1 8)Is this parcel actively farmed�o ❑Y//ees ��\��\ 9) Name and. address of any owner(s) of land within the agricultural district containing 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. Name and Address I. 2. 3 4. 5_ 6. (Please uge back side of page if more than six p rCy owners are identified.) The lot numbers may be obtained, in advance,when requested from either the Office of the Planning Board at 765-1938 or the Zoning Board of Appeals at 765-1809. ` r�/ V' Signature of Vpp scant Date Note: - 1.The local board will solicit comments fromthe 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 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 Statement 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 applicant at the time.the application is submitted for review.Failure to pay at such time means the application is not complete and cannot beactedupon by the board.- _ 617.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I -PROJECT INFORMATION To be completed by A plicant or Pro ect Sponsor) 1. APPLICANT/SPONSOR qq 2. PROJECT NAME 'b S USC, rnf A� rn C n 3. PROJECT County C 'YT LLOCATION: 2.V j- ,fJ j kl � � P h� ality 4. PRECISE LOCATION(Street address and road Intersections,prominent landmarks,etc.,or provide map) 5. PROPOSED ACTION IS: I] New [-] Expansion odificatforValteration 6. DESCRIBE PROJECT BRIEFLY: 7. AMOUNTOF LAND AEF,ECam Initiallyo adres Ultimately acres 8. WILL PROPOSED ACT'1Eh� COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? Yes No If No,describe briefly V 1`- I c�� 'I Ir—r—j- rn U4,-t r �� �, r"^1 9. WH TIS PRESENT LAND USE IN VICINITY OF PROJECT? Residential [] Industrial Commercial Agriculture ❑ Park/Forestiopen Space E] Omer Descri 10. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING,NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY ( EDERAL,STATE OR LOCAL)? p D t; C — CL Yes No If Yes,list agency(s)name and permit/approvals: f(X,,) 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? k3Yes No If Yes,list agency(s)name and pemitlapprovals: 12. ASA RESULT OF PROPOSED ACTION WILL EXISTING PERMITIAPPROVAL REQUIRE MODIFICATION? Yes No I CERTIFY T THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE " l Applicant/sponsor n Date: Signature: ^ If the action is in the C stat Area, and you are a state agency, complete the Coastal Assessm t Form before proceeding with this assessment OVER 1 f ? PART II- IMPACT ASSESSMENT To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617.4? If yes,coordinate the review process and use the FULL EAR ❑Yes ❑ No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative declaration may be superseded by another involved agency. Yes ❑ No C. COULDACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers maybe handwntten,if legible) C1. Existing air quality,surface or groundwater quality or quantity,noise levels,existing traffic pattern,solid waste production or disposal, potential for erosion,drainage or flooding problems? Explain briefly: C2. Aesthetic,agricultural,archaeological,historic or other natural or cultural resources;or community or neighborhood character?Explain briefly: C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly: C4. A community's existing plans or goals as officially adopted,or a change in use or intensity of use of land or other natural resources?Explain briefly: C5. Growth,subsequent development,or related activities likely to be induced by the proposed action?Explain briefly: C6. Long term,short term,cumulative,or other effects not identified in C1-05? Explain briefly: C7. Other impacts(including changes in use of either quantity or type of energy)? Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA(CEA)? E] Yes ❑ No If Yes,explain briefly: E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? Yes ❑ No If Yes,explain briefly: PART III-DETERMINATION OF SIGNIFICANCE(To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,important or otherwise significant. Each effect should be assessed in connection with its(a)setting(i.e.urban or rural);(b)probability of occurring;(c)duration;(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 adequately addressed. If question D of Part II was checked yes,the determination of significance mustevaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FUL IAF and/or prepare a positive declaration. Check this box if you have determined,based on the information and analysis above and any supporting documentation,thatthe proposed action WIL NOT result in any significant adverse environmental impacts AND provide,on attachments as necessary,the reasons supporting this determination Name of Lead Agency Date Print or Type Name of Responsible Officar in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(If different from responsible officer) APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Somhold's Code of Ethics uliNts conflicts of interest an the art of town officers and em to ees.The - se of this form is to rovide information which can alertthe town of ssible conflicts of interest and allow it to take whatever action is necessary to avoid same- YOUR NAME: Mel/fn (Last name,fisname,middle initial,unless you arep—plkiy=e 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 Change � - hnVariance 1 Trustee hange of Zone Coastal Erosion - Approval of plat Mooring Exemption from plat or official map Other planning - (If"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 corporation in which the town officer or employee owns more than 5%of the shares. YES NO Ifyou 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 applicantlagent/representative)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 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 my 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 01LSiSubmitted thi day of J `b 201.2— Signature gnature Form TS 1 Print Name - Y���Z FORM NO.4 TOWN OF SOUTHOLD I BUILDING DEPARTMENT lQ Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy 212097 No. . . . . . . . . . . . . . . . . . Date . . . . . . . . . . .NOV. . . .EMBER. . . . . . 130 19 83 THIS CERTIFIES that the building ALTERATION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . Location of Property , , 4245 BAYSHORE RD. GREENPORT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House No. Street - Hamlet County Tax Map No. 1000 Section056. . . . . . . . . . . .Block , , . 06 Lot 023 . _. PECONIC BAY ESTATES 1124A 77 Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated Dec embex 16 82 120792 . . . . . . . . . , 19 . . .pursuant to which Building Permit No. . . . . . . . . . . . . . . . . . . . . . dated , December 16 1982. ,was issued, and conforms to all of the requirements of the applicable provisions of the law.The occupancy for which this certificate is issued is . . . . . . . . . For enclosing porch to an existing one family dwelling . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to .MARY . .DE MARTINO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (owner,lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . . . WA. , . . , UNDERWRITERS CERTIFICATE NO. . . .N607114 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector Rev.1/81 656 QUESTIONNAIRE FOR FILING WITH YOUR ZBA APPLICATION A. Is the subject premises listed on the real estate market for sale? _Yes "'�o B. Are there any proposals to change or alter land contours? rl o _Yes please explain on attached sheet. C. 1.)Are there areas that contain sand or wetland grasses? 7�6-% 2.)Are those areas shown on the survey submitted with this application? 3.)Is the property bulk headed between the wetlands area and the uplandbuil area? PC, 4.)If your property contains wetlands or pond areas, have you contacted the Office of the Town trustees for its determination of jurisdiction? V o 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 near the area of proposed construction at or below five feet above mean sea level?y LS E. Are there any patios,concrete barriers,bulkheads or fences that exist that are not shown on the survey that you are submitting?Alc) Please show area of the structures on a diagram if any exist or state none on the above line. F. Do you have any construction taking place at this time concerning your premises?__M)GIf yes,please submit a copy of your building permit and survey as approved by the Building Department and please describe: G. Please attach all pre-certificates of occupancy and certificates of occupancy for the subject premises. If any are lacking, please apply to the Building Department to either obtain them or to obtain an Amended Notice of Disapproval. H. Do you or any co-owner also own other land adjoining or close to this parcel? NO If yes,please label the proximity of your lands on your survey. I. Please list present use or operations conducted at this parcel 9_7 h-N rw t and the proposed use . (ex:existing single family,proposed:same with garage,pool or other) "I J Authorized signature anDa e FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z12019.6 . . . . . . . . . Date . . . . . . . . . . . .NOVEMBER,30. , . , , , , 19 83, THIS CERTIFIES that the building . . . M)ATTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property . . .4245. . .BAYSHQUE. RI). . . . . . . . . . . . .GRA9VV RT House No. Street Hamlet County Tax Map No. 1000 Section .056.1 x. . . . .Block . . . OR . . . . . . . . .Lot . . . 023, . . . , .., Subdivision .DECONIC. BAY.ESTATES . . .. . . :Filed Map No. .1124A,Lot No. . . . .??. . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . .Decembex. . .10. . . , 1982.pursuant to which Building Permit No. . .1.2287.Z , , , , , , . , _ , , . dated . . Decemhex. 1& . . . . . . . . . . . . 19$2. ,was issued,and conforms to all of the requirements of the applicable provisions of the law.The occupancy for which this certificate is issued is . . . . . . . . . . . . .FOR .A-DE.CP.-ADD ITSON .TCL -AN. D.X I STS.NG.ON.E .F.AKILY. . P.WEUI,M.. . . . . . . . . The certificate is issued to . . M-ARY- - DE-MA:RTINO . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . (owner,lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . . . .NI-A. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . ... UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . .N/A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector Rev.1/81 { Q {CDS j FIm€I. COT, IT axt" , Ga N. 79-04--40 E. a -, r;a • rW t.,. ,,,, f E1lCL�560 � � S� Cam MAT Cara L; t � n 97' jib' Q `° F `„ s- N AFM _ 1 sem \ Q � co r ���� �f�{�' r1-r ..: �`^tiG ^��F�E"1 �-' iE .fir!-l:_C•�i.`7._=�� �► = 5-rAIGE t iii � ht FY VV 5caIt ' sot* }n ' H = i14'A!lIEI�kT i - TO THIS SURVEY A II04ATIOY�: ��� �.t SKTION 72M 0 THE NEW YOM ST.tlF /�'�} (Y�E EDUCATION U' �R' ft VEY MAF�T U4,1 Ila px s per. y .,�y�p,� u 8 THE LA xh FSu YOrS ENM SFAL aOR-' } .y S . E♦� 1 Vif/l iL 3'CYI-1E1R4 >,�l:E#� ENJOSiED S^ !SXALL NOT BE{ONSIDedl)p p {},"+�}{"�[t }}, .NOTE . iO EEAV ;9:'R_R:OPY. '`�' 3 M �' �}F, GCA2A81"o'.p�:"D!EGEON ENAtI RUN Vf 1+ Wri LOT .M hex n e (.�ttE �y �p�.E� +�,� yE'`'! �qy �Ex� [E OY6' ^-O ;;_l:i^....'OR WHOM THE SVRV9 LOT Nai AOflkB $}�Fbwo r ix z t-SA V�OW &.9 h. • IS'A??t:D, klcti tt15 KdAlF TO WE ' Pf.COltlC SAY f€7RTE9'" F1lEti IH 7#� Sefi$bil4 L�l1t19T1 r_,ySfY iCNaS*tDNHEPFOANO CL€NK' S OPF1C.E AS MiP 141 H14 M. rC;':`ASStGrv'FES OF LFNDING It6TF r :J6.yTt't tHy.,tl,y .�,M, . T !'QN.GUAR.MIEES ARE NOT TMANSF G'C C7 r Y TiE s T."H -- Filed By: Assignment No. APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS House No. ' q- -$treet 4u-S�Hamlet SCTM 1000 Section-3Block _LLot(s) ot Size Zone I(WE) APE THE WRITTEN DETERMINATION OF THE BUILDININSPECTOR DATED i?_1 I L BASED lON SURVEY/SITE PLAN DATED C Applicant(s)/Owner(s): p Mailing Address: (O Z l,ar c,� ��; �c I�V to l JV D( In A103 Telephone:5)6- 9?-Z- lya(,Fax: 4 8<S - 4 3 43 Email: (`i e1.c.1 aco IYN 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: for( ) Owner( )Other: Address: Telephone: Fax: Email: Please heck to specify who you wish correspondence to be[nailed to,from the above names: Applicant/Owner(s), ( )Authorized Representative, ( ) Other Name/Address below: WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN DATED 1 11 and DENIED AN APPLICATION DATED�_� ��J FOR: pudding Permit 1 t ( ) Certificate of Occupancy O Pre-Certificate of Occupancy ( ) Change of Use ( ) Permit for As-Built Construction ( ) Other: Provision of the Zoning Ordinance Appealed. (indicate Article,Section,Subsection of zoning Ordinance by numbers.Do not quote the code.) Article: �&.I l 1 Section: &RO Subsection: a o r 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 X has, ( ) has not been made at any time with respect to this property, UNDER Appeal No(s). Al 1 y Year(s). Cl t`a I (Please be sure to research before completing this question or call our ofce for assists ")- L O X � 2- ( Z a 9 (P Co Z.I2097 co 1 ?)Lgl ' A)ne of Owner: ZBA File# REASONS FOR APPEAL(additional sheets mar be used with Preparer's signature): I AREA VARIANCE REASONS. (1) An undesirable change wit] not be produced in the CHARACTER of the neighborhood or a '\l` detriment to nearby properties if granted,because: 1 1 I ccx�S�r�vl i m Ccx� o�5 o ni hfn �v 1 tl iY�� D n (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 5tze (3) The amount of relief requested is notsubstantialbecause: 1 t)<t S+ I � S� (�R �(� td W ' 1hUtT t�A1 � Qx cmRn�II c d (4) The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: 51 m i I w\ $1 I ` ! 3 (5) Has the alleged difficulty been self-created? ( )Yes,or (XINo. Are there Covenants and Restrictions concerning this land: �'r�`\ o. El (please furnish conv). 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 VARIANCE SHEET: (Please be sure to consult your attorney.) gnature ofAppellan r Agent (Agent must submit written Aulhon ti om Owner) Sworn to before me this day of M t,20 1 Z N ry Publie LISA A. FIDELISUS 11f0TARY PV3 WC( MMMEORES 91,1019 APPLICANT'S PROJECT DESCRIPTION j �n (For ZBA Reference) l�J Applicant: /►/f 1/4 Date Prepared: Z I. For Demolition of TExisting Building Areas Please describe areas being removed: II. New Construction Areas(New Dwelling or New Additions/Extensions): Dimensions of first floor extension: , )/� 12 er rL Gr y ck , Dimensions of new second floor. -50 q ,+ a 3 ,, —� Dimensions of floor above second level: 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: Jt?p 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: x �� Number of Floors and Changes WITH Alterations: IV. Calculations of building areas and lot coverage(from surveyor): Existing square footage of buildings on your property: Proposed increase of building coverage: s" 19 i r) con Square footage of your lot: —5 R Percentage of coverage of your lot by building ea: V. Purpose of New Construction: r P.4 a r o'c r P 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): � o i I 0 Please submit seven (7) photos,labeled to show different angles of yard areas after stalling corners for new construction), and photos of building area to be altered with yard view. 7/2002; 2/2005; 1/2007 Meyerholz Property 4245 Bay Shore Road Greenport, New York 11944 General Description of work: Addition and alterations to an existing 3 bedroom, 1.5 baths home. We will be adding a dining room, expanding the kitchen and living room, on the first floor; building a second floor for an expanded master bedroom with full bath, laundry room and another guest room with full bath. The addition of a one car garage is also planned. How will the work be done? Foundation — The existing foundation will be heightened to conform to the DEC flood elevation code. I expect to add about 18 inches or two cinder blocks on top of the existing cinder block foundation. Under the expanded rear portion of the house, the new foundation will be constructed using poured concrete foundation walls to the new elevation required by the DEC. The crawl space under the house will be graded to the same elevation as the land to the NE side (water side) of the foundation wall. The graded crawl space will have a concrete skim coat to inhibit moisture and proper flood baffles will be added as required. Structure — The existing one story house is built with 2x4 frame construction at a ceiling height of approximately 7'10". The new plan calls for 2x6 frame construction with a ceiling height at 8'6" to 9' throughout the first floor and 8' on the second floor of the house. To account for the new base elevation of the foundation and the new ceiling height on the first floor living space the existing perimeter walls of the house will be raised off the existing foundation then reset to a top elevation required to accommodate the new ceiling height on the first floor. The new 2x6 framing will be constructed .75" offset to the existing 2x4 framed construction to insure the structural integrity of the building. If needed, existing floor joists will be reinforced with new joists as specified by the architect. Attached Garage - The existing structure does not have a garage. A new garage will be constructed using 2x6 framing. The foundation of the garage will be constructed to support the living space above the garage. The floor of the garage will be a poured concrete slab set approximately 16 - 24 inches below the elevation of the first floor. Existing Deck—The foundation will be replaced by 8'diameter concrete piers. This will eliminate CCA wood from coming in contact with the beach. The existing deck will be reinforced to enhance structural integrity and where necessary decking planks will be replaced and/or reinforced. The steps and railing will be replaced. The deck will be raised to accommodate the new elevation of the house based on DEC specifications. Additional Deck and New Hot Tub —A small addition to the existing deck will be added to incorporate the new hot tub. The deck and hot tub foundation will be constructed using concrete piers and a concrete pad to avoid CCA lumber from coming in contract with the beach or soil. The new deck will attach to the existing deck at the new elevation set by the DEC. Beach replenishing - During the early stages of the construction process, the new beach material will be brought to the site by truck then delivered onto the beach via backhoe or wheel barrel. The material will be hand raked to the proper elevation approved by the DEC. Septic System —The septic system will be installed in accordance with the Suffolk County Health Department permit issued for this project. ji i SEE SEC.NO.M ONE FOR PCL NO. SEE SEG NO. • OO �EyLrf7jL�, 12f POR° 3 o 16a _ 53- 6 -a3 SEE SEC.NO. L f i' C21) maf`li�ys fv as and TOVM OF q.lt IS SOI.ITHOW 52 53 _ 4p 19 T aon(d rso� r y O a N T Z O 'U Sj 'WTHOLD r �a� < y& 4 4 Y h ...y w a 4• yD• 4,b eB�j� N, i ° R�7 01.10 o rP�ir �• �S� �.s all L HID T.64 A .ry �, ' r •8.9 w .p 19�' o' •. � 9 3�9 �y'a 3t, e $ LINE MRTCH —� —� DNE ` •, •P:O w _ 6 SEE SEC.NO OS] SEE SEC.NO.O9] 'S . SECTION NO MM N °^ io,M�6 E4lIlNOID OT COVEKAGE: L l,7 L_- 2,12; r) I A C,f N1 I AR r] 4,C iF. __tItl'i C, F _13 0, 70tJF AP M,41. RIA- - - PROP 0 5 1::D 5 TK,LJI C Tlk I'l E !M11T OF J�F �v- 1343 Sf. ,..:::•`1 0 -o 5 A�Cll If 1)E C 33A SF PRO"051'D I -!0-, U ��- I OTAL 05_ -5 6 �ov 2023 IF L-A A G, 0 DRAINAGE CALCULATION k ! TN 0 61T PR� _01__F:_� D7 LOht x tf, )Fll ON r) F6t ly 0.1 0"t:K. RECEIVED AT AR5�1'1,40MOQJf OF �IjLjT' VC)i 51 LAINTF -�Ufff I C)L), - . ji-i\ - � "1-1 -: 2 C.' 5 3 0 2 3 BOARD OF APPEALS _KDARY Ill IN,-11ARCH OZ,, 20' (D (REV:5;_,D) NYSDEC V�OLAMON',OF THE -ZF,t\ -7 APPROWWASPMTERM X 1 �52/1' 5Q,�7 Ot�AMYPERS04, AWCQMMOMOF ACTiNG UNDER THE SITE PLAN PERWNat-e �*_6 bD OF A LICENSED Za �-HITECT,TO ALTER ANY FROP05-FID EM ON THIS DRAWING IN HN'X%`AY�ANY A._ TFRATIONMIUSTBE N�OTEO,SEALED,AND ts,EDWACCORDANCE HE LAW. 59'O' fX15TING MEYEKHOLZ RE51DENCE SCALE: ) "=201-O' 1210212010 15' NOTT05CALE 777 -4 Robert I . Brown Architect. F.C,vv/ Fairweather Design A5500ate5, Inc. RAIACX,� 2205 BAY AVENUE J _ GKff",!1`C)'1KT; N.Y. 11944 -73 G 3 ;1 1 1 1 �- I � , 01--,055 SECTION. not o 51,I-a p il�-"��)X 2� -477-9752 ,'Fax) G , 1 -477-01