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Home My WebLink About1000-99.-1-10.1 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cot. Main Rd. & Youngs Ave.) Southold, NY 11971 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Leslie Weisman, Chair Members of the Zoning Board of Appeals From: Mark Terry, Principal Planner LWRP Coordinator Date: March 28, 2012 Re: Coastal Consistency Review for ZBA File Ref. #6554 THOMAS and IRENE KALOGERAS - SCTM#1000-99-1-10.1 THOMAS and IRENE KALOGERAS - ~6554 - Request for Variance from Article XXlII Section 280- 124 and the Building Inspector's February t 5, 2012 Notice of Disapproval based on an application for building permit to construct alterations and "as built" deck addition to existing single family dwelling: 1) less than the code required minimum side yard setback of 15 feet; located at: 700 Sound Beach Drive (on Long Island Sound) Mattituck, NY. SCTM#1000-99-1-10.1 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my determination that the proposed action is EXEMPT from LWRP review pursuant to.§ 268-3. Definitions. Item F. F. Granting of individual setback, lot line and lot area variances, except in relation to a regulated natural feature or a bulkhead or other shoreline defense structure or any activity within the CEHA; The action is not located within the Coastal Erosion Hazard Area or within a regulated natural feature. 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 Office Location: Town Annex/First Floor, Capiud One Bank 54375 Main Road (at Youngs Avenue) $outhold, NY 11971 Mailing Address:~'~ t ~ ~ 53095 Main Road P.O. Box 1179 Southold, NY 11971-0959 http://southoldtown.northfork.net BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 76S-1809 Fax (631) 76S-9064 February 23, 2012 Mark Terry, Principal Planner LWRP Coordinator Planning Board Office Town of Southold Town Hall Annex Southold, NY 11971 qq't' [0,1 Re: ZBA File Ref. No. # 6554 KALOGERAS, T. & I. 1000-99.-1-10.1 Dear Mark: We have received an application for construction and alterations to an existing single family dwelling and "as built" deck addition. 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 I~r~Weisman Chai~rs~Tl~ By: I ~ ~ FORM NO. 3 NOTICE OF DISAPPROVAL TO: Christine Rivera for: Thomas & Irene Kalogeras 250 Sound Beach Dr. Mattimck, NY 11952 DATE: February 15, 2012 For pemit to construct alterations to ~ existing single fmily dwelling ~d "~ built" deck addition at: Location of property: 700 Sound Beach Dr., Ma~ituck Co~ty T~ Map No. 1000 - Section 9~ Block ! Lot 10.1 Is retmed hereMth ~d disapproved on the folloMng gro~ds: The proposed alteration ~d "as built" deck addition to this existing single frei!? dwelling, on a non-confo~ing 28,242 squ~e foot lot in the not pe~i~ed p~su~t to ~icle XXIII Section 280-124, n~o~o~inv 20,000 to 39,999 squ~e feet,in, total~size, require a mlni~~bac~of~ -'~ The proposed alteration ~d as built' deck addition i~ ~uthofized Signa~e Note to Applicant: Any ch~ge or deviation to the above referenced application may require fu~her review by the Southold Town Building Depa~ment. CC: file, Z.B.A. Fee: $ Filed By: APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS H°useNo-'~c~ Street --~a~,z,o /~,~=~'c,+ /3.,- Hamlet //'/'//~ /-r //-oc l¢ /~'~ SCTM1000Secfioa ~Block O /Lot(s) /u LotSize ~ J~ ~ne ~y~ I ~) APPE~ THE ~ITTEN DETESTATION OF THE B~DING ~SPECTOR DATED BASED ON S~VEY/SITE PL~ DATED Telephone: ~/- ~ f~ ~ ~/~ Fax: Emaii: 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: NameofRepreseatative: ~,~ ~ for( )Owner( )Other: ~f~/- Address: ~:~ ~,~ //q: P~ea~e c~eck ~ ~pec~f2 wh~ ~ wlM~ c~rre~panSence ~ be mailed ia, frmn t~e abo~e names~ ( ) ApplicanVOwner(s), (~thorized ~eprcscntative, ( ) O~hcr N~mel Ad~ress below: WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN DATED .,2- /3 - / ~- and DENIED AN APPLICATION DATED /, ~ .i"- / ~- FOR: ( -9'B'~ilding Permit ' ( ) Certificate of Occupancy ( ) 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: 2i ¥ ~ Section: ,9. Type of Ap~, cal. An Appeal is made for: (/j 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 ( ) has, (,-Y'has not been made at any time with respect to this property, UNDER Appeal No(s). Year(s). · (Please be sure to research before comp/eting thts qttestion or call ottr of~ce /hr asaistance) REASONS FOR APPEAL (additional sheets may be used with preparer's signatore): AREA VARIANCE REASONS: (1) An undesirable change will not be produced in the CHARACTER of the neighborhood or a detriment to nearby properties if granted, because: (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:jr_2~ ~f~e~ -~e/ ,~cP~ ~ ~ b ~-- ! A (3) The amount of relief requested is not substantial because: (4) The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood· or district because: N/~-~,, ~q, · ~ J.~ ~,~ ~-/r,~ ~ ./ /~,~ (5) Has the alleged difficulty been self-created? -(~es, or ( )No. Are there Covenants and Restrictions concerning this laud: E]'"I~-~. [] Yes (please farttish copy). 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 con~lt yoar attorney.) Signature of Appellant or Authorized Agent (Ageut must submit written Authorization from Owner) Sworn to before me this day ofAi~Z~/-~20 I~ Notary Public CONNIE D. BUNCH /~u{sry Public, State d New Yo~ No. 01BU6185050 C Qualified In Suffolk Courtly omm{~aion Ex~ire~ April 14, 2 ~..~..~ Applicant: APPLICANT'S PROJECT DESCRIPTION (For ZBA Reference) /~ ~e~.-2~ Date Prepared: oeq- ~" / ~-- I. For Demolition of Existing Building Areas Please describe areas being removed: p4v re~ d --., ~' II. New Construction Areas (New Dwelling or New Additions/Extensions): Dimensions of first floor extension: Dimensions of new second floor: ~ ' ~" Dimensions of floor above second level: Height (from finished ground to top of ridge):. /d ' is basement or lowest floor area being constructed? If yes, please provide height (above ground) measured from natural existing grade to first floor: III. Proposed Construction Description (Alterations or Structural Changes) (attach extra sheet i£necessary) - Please describe building areas: Number °f Fl°°rS and General Characteristics BEFORE Alterations: 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: - eO - Square footage of your lot: . Percentage of coverage of your lot by building area: V. Purpose of New Construction: VI. Please describe the land contours (fiat, slope %, heavily wooded, marsh area, etc.) on your land and how it relates to the difficulty in meeting the code requirement(s): Please submit seven (7) photos, labeled to show different angles of yard areas after staking corners for new construction), and photos of building area to be altered with yard view. 7/2002; 2/2005; 1/2007 QUESTIONNAIRE FOR FILING WITH YOUR ZBA APPLICATION Is the subject premises listed on the real estate market for sale? Yes /No Are there any proposals to change or alter land contours? /lq:o __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? 3.) Is 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. Is there a depression or sloping elevation near the area of proposed construction at or below five feet above mean sea level? Are there any patios, concrete barriers, bulkheads, pr fences that exist that are not shown on the survey that you are submitting?. /v ,, Please show area of the structures on a diagram if any exist or state none on the above line. Do you have any construction taking place at this time concerning your premises?/./c2 yes, please submit a copy of your building permit and survey as approved by the Building Department and please describe: If 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. Do you or any co-owner also own other land adjoining or close to this parcel? If yes, please label the proximity of your lands on your survey. Please list present use or operations conducted at this parcel z6~ ~th~-~4.(.~. and the proposed use ~' -~S,,-~ · garage, pool or other) . (ex: exist~g single family, proposed: same with Authorized signature a'nd Date ,Albert J. Krupeki, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda BOARD OF TOWN TRUSTk. I~.$ TOWN OF SOUTHOLD Town Hall 53095 l~ute 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 July 20~ 2000 Ms. Chris Rlvera 250 Sound Beach Dr. Matt/tuck, NY 11952 RE: THON~ FJ%L~GBRAS SCTN999-1-10 Dear Ms. R~vera= The Southold Town Board of Trustees reviewed the survey last revised May 30, 2000 and determined that the construction of a garage on pilings to be out of the Wetland Jurisdiction, under Chapter 97 of the Town Wetland Code. However, any activity within 75' of the Wetland line would require permits from this office. This dete~lnation ms not a dete~mlnation from any other agency. ~f you have any further questions, please do not hesitate to call. Sincerely, Albert j. Krupski, Jr. President, Board of Trustees AJK/lms FORM NO. 4 TOW~ OF SOU~"~OLD BUILDING DEPART~L~NT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPA~CY No: Z-28502 Date: 96/11/02 ~T, ~IFIES ~-~ the buildi~3 ADDiTiONS a Ab~rB~TION ~ation of ~y: 700 SO~ B~CH DR ~TTI~CK (HOUSE NO. ) (STREET) Cowry T~ ~D ~- 473889 Section 99 Bl~k I ~t 10 confo~s s~stantially to the Application for Building Pe~it heretofore ~il~ in t~s office ~t~ NO~ 2, 2000 p~s~,~nt Build~ Pe~t ~. 26908-~ ~t~ NO~ER 9, 2000 was issued, and confo~s =o all of the re~ire~nts of the applicabl~ provisions of the law. ~ occupancy for which this certificate is issued is ALTE~TION ~ ONE C~ G~GE ~DITION WI~ BR~FZFWAY TO ~ EXISTING ONE FAMILY DWELLI£~G AS APPLIED FOR. Re certificate is iseu~ to THOMAS FJtLOGEP~ of the aforesaid building. SumFOLK CO[~TY DEPARTMenT OF ~J%LTH APPROVAL ELECTRICAL CE~TIFICAT~ NO. PL~ C~TIFICATION DA~) Rev. 1/81 33~i1 0§/~i/02 os/o3/o2 ~o~ E ~O~BEET TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN H. iLL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORI~ING PREMISES THIS IS TO CERTIFY that the Land P~ C.O. #- ZI5O~1 Building(s) Use(s) Date- OctoOer Z?, 1986 located at 700 Sound Beach Drive Street Mattituck, New York Hamlet shown on County tax map as District I000, Section 099 , Block 01 Lot , does~not~con/orm to the nr~.~.nt R,,il~_in.g 7o.= '~odc of *~he Town of Southold for the following reasons: insufficient total area On the basts of information presented to the Building Inspector,s Office. it has been determined that the above nonconformir~ /~_/Land /_--/Building(s) /--/Useis) existed on the effective date the present Building Zone Code of the Town of Southold, and may be continued pursuant to and subject to the appli- cable provisions of said Code. IT IS FURTHER CERTIFr~D that, based upon information presented to the Building Inspector's'Off(ne, the occupancy and use for which this Certifi- cate is issued is as follows: Property contains one story, one family wood C.0. Z1538 situated in 'A' Residential agricultural zone With accnss Suffolk County Department of Health Approval N/A UAqDERV~RITERS CERTIFICATE NO. N/A NOTICE IS HEREBY GIVEN that the owner of the above premiaes HiS NOT CONSENTED TO AN ]I~SPECTION of the premises by the Buildlng inspec- has been conducted. This Certificate. therefore, does not. and is not intended Etuiidin$ inspector AFFIDAVIT STATE OF NEW YORK ) SS: COUNTY OF SUFFOLK ) Henry M. White being duly sworn, deposes and states as follows: ,,,~ I am the owner* oF cerL~in premises iocated on Sound Beach Drive, Mattttuck, New York, designated on the Suffolk County Tax Map as District I000 Section 99 Block I Lot ]0. That the original house and one story extension as shown on a survey prepared by A. Prescot Halsey dated April 25, 1958 were constructed prior to April 1957. I hereby submit this affidavit in support of my application for a pre-existing Certificate of Occupancy for the originaJ one story frame dwelling and one story extension to the westerly side thereof. That in approximately 1963 a living room extension was added to the easterly side of the premises by my builder, William Riley Sworn to/6~re me this 3 day~ ~e~p/ember, 1986. FORM NO, 6 TOWN OF BOUTHOLO Building Department Town Hell ,~outhold, N.Y. 11871 APPLICATION FOR CERTIFICATE OF ODCU~ANDY A. This eppligat}on mu~t be filled In typewriter OR Ink, and ~Jbmltted in duplicate to the BulldinB Inq=ec- tar with ~he following: for ~ ~l~lngs or n~ u~: 1. Final ~wey of prope~y with ~rate I~atlon of all ~ildlngs, pmDe~ lines, s~eets. ~ unu~al na~l or topog~ph~ 2.Final eppr~al of Health D~L of water wpply a~ ~r~e dl~sal-{S-9 form or equal). 3.Appr~al of el~trical In~eBatl~ from Board of Fire Un~rite~ 4. Comme~(el ~lldln~. In~lal ~ildin~. Multiple Re~de~ee e~ slmUar ~iidin~ a~ instalf~ Sion% e certificate of C~e compilers from ~e Archit~t or Engin~r re~nslble for ~e ~lldln~ B.Su~it Pl~nlng B~ appr~al of ~leted site plan requirmnents where a~licable. O. For existing buiidin~ (prior to ~rll 1957), Non~onforming u~s, or ~ildlnge and "p~exl~ing" 1. Acetate ~ey of ~ope~y ~ing ell property lines, ~, buJldln~ end u~mal 3. Oats of any housing c~e or ~fe~ in~t~n of ~lidings or premiMg, or other pe~lnent Inform~ 1. Ce~lflcate of o~pa~ ~.~ 2. Certificate of o~upan~ on preexisting dwelling / ~3. Copy of ce~tlficate of ~pa~ $1.~ landuw--~re-Bx~ng C.O. ~15.00 Yacafl~ land C.O. ~ 5.00 Date 9-9-86 ~ Building .... ~ .... Old or Pr~existl~ Buildi~ ............ VKent La~ ............. Lo~tlon of Property ..(~.~.). Sound 8each Ot~ve. ~a~tuck. New ~nerorOwnersofPrope~ .~e~ H ~J:e C~nty Tax Map No. 10~ Section . ~. ........... Block ...] ............ Lot .1~ ............. Su~ivision ................................. Fil~ Map No ........... Lot No .............. Pe~it No ........... Date of Pe~lt .......... Appl~ent ......................... . ........ Health O~t. ~proval ........................ Lab~ Dept. A~mvel ........................ U~e~rlters Appr~al ..............., ~ ........ Planning Board ~pmvel ...................... Request for Temporary Certifiers ..................... Final Certiflcaw ....................... Fee Submitted $... ) ~, ~ ..................... Const~ction on above de~ribed building e~ permit mee~plic~ codes and r~latlons. Applicant. A~.10.10.78 P.O. BOX 706 c o ~ 15o~1 I NO. & TOWN OF SOUTHOLD BUILDING DIEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. :~:/,~'3& ................ Oote ............. 9emembe~.....'X5. ............. , 19.62_ THIS CERTIFIES that the building located at ...~.l~'.il~.Ol~t~.~.e.g~..~[~kV.l~ ................ Street M~.ain ~idd E , -. · ...................... §~ ....................... Lot No. conforms substantially to the Application for I~uilding Permit heretofore filed in this office dated ......................................... SeP~ar~be~.19 'J9..(3~.. pursuant to which Building Permit No...~,~.. dated ............................ k~$10:~,~1~/~,..~,~ 19...6~, was issued, and conforms to ail of the requ irements of the applicable provisions of the low. The occupancy for which this certificate is issued is ........ ........... J~.~-v.a.t,e..,ozte .. £.amJ. 3~... al.weLl ~Ln& ................................................................................... The certificate is issued to ........ ~lP-z~...J~..}~//z~.~;l~.~r...WJ~. ...... J~[/t~r~R3:.~ ...... (owner, lessee or tenant) of the aforesaid building. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 1886. z Date ......................... S~9te~be~....~. 19.62 Permission is hereby granted to: to to build an &dditi.o..~ .9.~...a~..~lS~l~ ~lll,t~ ............................................ ot premises located ~t '~'"~.-~.~..t..5~-....~.~..~d..~BXt~. ........... ............... ~.9~..... ~...~.1~,, .......... ~~ ............................................ pursuont to application dated .................... ~.~.~ ........ ~ ..........19~..., and approved by the Buildino {nspector Build ng Inspector TOWN MI SOUTHOLD BUll. DINe I~PARTMINT TOWN CLERK'S O~FlCl Examined ...... ./,. ~ ~/~ Approved £1 19...~...Permit No ............................ ....................................... , APPLICATION. FOR BUILDING PERMIT Date September 1~ 1962 INSTRUCTIONS a. This application must be corn~lete/y filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of bud nge on p rem see, relationship to adjoining premises or pub lc streets or ~j~r~a.s, and giving a detailed description of layout of property must be drawn on the diagram which Is part of th s applica- 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 appllr, a~t. Such permit shall be kept on the promises available for inspection throughout the progress of the work. sh~'l ha~v~b~i~e~dir~ar~nh~°~:~ecl' °'r used in whole or in part for any purpase whatever until a Certificate of Occupancy g Dy ~u.aing Inspector. ~uLT~.°~s~.,f~or__t?_e_. ~c~_s_t~ct..on o.~fLb~u..ld.ng?: ~,-~ci,t.ioas, .l~rations, or for removal or demolition, as here, de~crlbed. (Signature of applicant, or name, if o corporation) .......... ............................................... (Add~e~ of applicant) State whether applicant [s owner, lessee, agent, architect, engineer,, general contractor, electrician, plumber or builder. .................................... ................................................................................................................................... Nome of owner of premiees .....~...t4....h~L~e..~...~. ................................................................................................... If applicant is o corporate, signature of duly authorized officer. (Name and title of coq~orate officer) 1. Location of land on which prapa~d work will be done. Map No.: ...C~..~.. 1~.~.~..... Lot No.: .~.~)~2 Strum o~ Nu~r .L~..~e~..~.~.....~.~U~.......~ ............... ~ ...................................... ~un c pa ~ 2. State existing u~ and ~cupa~ of pre~s and intended u~ and ~pan~ of p~ c~ti~. a. ~i~i~ u~ a~ ~cu~ ...... ~ ....................................................................................................... b. Inten~ u~ and ~c~a~ ............. ~ .............. .~..~ .................................................................................. 3. Nature of work (check which applicable): New Building .................... Addition ....... ~r~r~r Alteration Repair .................. Removal ...... · ................. .................. Demolition Other Work (Describe) 4.. ~.~ated co~t ...~3..~.. ~ ...... ~ ....... ~ ' · ................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ....,.~1 ........... Number of dwelling units on each floor ......... If garage, number of cars ..... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use 7. Dimensions Of existing structures, if any: Front ...... ~. ................ Rear .... ~J~. .................. Depth ..........~.:~ ............... Height ............................ Number of Stories .,....Ot'll~l ................................................................................................... Dimensions of same structure with alterations or additions; Front ................................ Rear Depth ... · ........ Height ................................ Number of Star es . ' ............................... 8, Dimensions of entire new coostruction: Front ...3,~ ....................... Rear ~ '1~ ..... Depth .......... ~.b/: ............... Height .............................. Number of Stories ....... QZ).el ................ " 9, Size of lot: Front ...... ].OQ .. Rear 10. Date of Purchase .................................... Depth ..............~8~) ........ .......................................................... Nome of Former ! I. Zone or use district Jn which premises are situated ....... r.~..A,.~.. ....... . ........................................................... 12. Does proposed construction violate any zoning ia~, ordinance or regulation? ........ 13. Name after of promise~ ...TT~Z,~. ~]1~.t;e. Address .................................................. Name of Arch tact ............................................................ Phone No . ..... ................................................... Address .................................Phone No , Nome of Contractor ..JL....T~e413~..~c..~, ............... Address ...............]~Ii~.t.j.:Lo~cle ........... Phone No .................. PLOT DIAG p,,edVl Locate clearly and distinctly ail buildings, whether existing or proposed, ood indicate all set-back dimensloos from preperty lines, Give street and block numbers or ~escriptiot~eacording [o dead, and show street, names and indicate whether interiOr or corner lot. ' STATE OF NE~ YORK. ) ~O v k/~ COUN~ o~ .F.~. ~J3[ ......... ) s.s. ............................... ~L....][e~.Z.T~. ...... being (Nome of nd v dua signing oppli~a~'i~i ........... duly Sworn, deposes and says that he is the applicant ~o~e nome~..,,H~ i? the ............... of said owne~ (["' 6wners, and s duly authoriz .... (C, ontroctor; agent, corporate office~ '~i .............................. application~..~.fl~r all statements con+~--~ ?u [,o perform or nave performed the said work __:5 ._ ) .... that the wa~l'l~ill be nerforme.~ ~- ~-- ---~- tn mrs. apphcatton are true to the best of ~.~- ~,:~..~u_~maKe ,o,na..t.e this Sworn to I~Jl~e me ~h~s ....... monner set torth in the application filed therewith~' ..... ~,~ge aaa ne,el; and ................. ....... '. Noto~ P-~l~c "~"~~co..--.' ........... ~..~..U.~ ............. (/ atomy ~umlc, State ~ .N?--ya~k '"~:-7. ~/'~'~'~,~ (Signature c~(Jpplic~t) .................... 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, sffe plan approval, use variance, or subdivision approval on property within an agricultural district OR within 500 feet of a farm operation located in agricultural district. ~Ill applications requiring an agricultural data statement must be referred to the S'uffolk County Department of Planning in accordance with Sections 239- ' m and 239-n of the GenerM Municipal Law. l) NameofApplicant: "7'~m ; ~ 2) Address of Applicant: 7o0 ~d 4) Ad&ess of L~d Owner: ~ 5) Description of Proposed Project: ~ - ~ 6) Location of Property (road and tax map number): ~ q - t -' ~ o 7 * ~ ,~',,-' ~ ff~*-.~ 1 ~ 7) Is the parcel within an agricultural district? ~o [-]Yes If yes, Agricultural District Number 8) Is tl~is parcel actively farmed? ~No I-lYes 9) Name and address of any owner(s)'of land within the agricultural district containing active farm operauon(s) located 500 feet of the boundary of the proposed project. (Information may be available through the rown Assessors Office, Town Hall location (765-1937) or from any public computer at the Town Hall locations by viewing the parcel numoers on the Town of Southold Real Property Tax System. Name and Address 1. 2. (Please use back side of page if more than six property owners are identified.) The lot numbers may be obtained., in advance, when requested from either the Office of the Planning Board at 765-193~.~or t.~_~Zonlng Board of Appeals at 765-1809. ~ . Signature of~pplicant 0 Date Note: I. Thc local board will solicit comments from the owners of land identified above in order to consider the effect of the proposed actidh on their farm op~'ation. Solicitation will be made by supplying a copy of this statement. 2. Comments ~turned to the local board will be taken into consideration as pan of thc overall review &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 be a~ted upon by the board. 1-14-09 617.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I - PROJECT INFORMATION To be corn leted b A Iicant or Project $1~onsor 1. APPLICANT/SPONSOR . ~ 4~ON (S~=et address arid road ir~ersec~ n"rnm 5. PROPOSED ACTION IS: ~ New [] Expansion 6. DESCRIBE PROJECT BRIEFLY: J~Jod~calion/alteratlon 7. AMOUNT OF LAND AFFECTED: Ultimately 8. WILL Pt~ROPOSED ACTIO~..~._N COMPLY WITH EXlSTiN~TiNG LAND USE RE ..... I I Yes J,-"r No ....... ~/HI~TIONS? WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? [~esidentia, [] Industrial [] CommerciaJ [] Agl~u~tum [] Park/Forest/Open Space [] Other Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELy FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR.,L"OCAL)? [] Yes [] No If Yes, IISI agency(s) name and permit/approvals: 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLy VALID PERMrF OR APPROVAL? J~Yes J~o If Yes, Fist agency(s) name and permit/approvals: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? [] No I CERT FY TH T THE INFOR~ON PRO EDABO App,caill/spon$or name: ~ 4~.~/(~ ~ /.~ ~/~E ~..~.,7~,VE IS TRUE TO THE BEST OF MY KNOWLEDGE Signature: ~ Date: OVER 1 ~MPACTASSESSMENT To be corn leted b Lead A eec DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR PART 617 49 If yes, coordinate the revfew process and use the FULL EAF. j'--IYes .~ No ' ' · WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR PART 617 69 . . If No, a negative declaration may be superseded by another invotved ager~cy. C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answem may be handwdtien, if legibla) C1. Existing air quality, sun'ace or groundwater quafity or quantity, noise levels, existing traffic pattsm, solid waste production o~' disposal, potential for erosion, drainage or flooding problems? Explain brie~. C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain bhefiy: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habfiats, or threatened or endangered species? Explain briefly: .... ,,~ ,, ~u, ~1 pans ar gcels as officially adopted, o~ a change in use or ~ntenNly of use of land or other natural resources? Explain bdefly: C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: C6. Long term, sho~t term, cumulative, or other effects not identified in Cl-C57 Explain briefly: C7. Other impacts (including changes in use of either quantity or type of energy)? Explain bhefiy: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)? [] Yes [] NO If Yes, explain briefly; I$ THERE, OR IS THERE LIKELY TO BE CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS~ E. [] Yes [] No If Yes, explain ~3riefiy: PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) I~S__T.R .UCT. I.O. NS= For ea.c~, adverse .effect identified above determ ne whether it is substantial, la eim ' errec[ snoula be assessed m connecben with ~ (al selfina Ii ~ -,~ ........... icj , ~::~ortant or otherwise significant. Each .... · ...... a, ur rum~/, (o) probability of occumng; (c) duration; (d) irreversibilily; (e) geographic scope; and (0 magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adveme impacts have been identified and adequately addressed. If question D of Part II was checlred yes, the determination of significance must evaluate the POtential impact of the proposed action on the envfmnmental characteristics of the CEa Check this box if you have identified one or mom I)otendally large or $~gmficant adverse impacts which MAY occur. Then proceed dimctiy~ EAF and/or prepare a positive declaration. [] Cbeck this I!°x if Y°~ h~ve determined, based on the informaUon and analysis abeve anri a . . NOTresuitlnanys~gniflosntedverseenvimnmentalimoa sAl~Dnrn,.dd~,- - - nysupportJngdocumentaUon, thattheproposedactionWI - ct -, .... un a~acnments as necessery, the masons suppertrng th~s determmatjloLn1 Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency Date '~fle of Re~,~ibie Officer Signature of Preparer (If different from responsible officer) Board of Zoning Appeals Application AUTHORIZATION (Where the Applicant is not the Owner) I, '~o,~tt.~ /~'[a~-~-~ residingat 700 (~t prope~ owner's ~me) (M~lhg Address) ~*~ 'r ~ do hereby authorize ~X,~ (Agent) to apply for variance(s) on my behalf from the Southold Zoning Board of Appeals. (C~wner s ~'gnature) (Print Owner's Name) APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM TheTownof outhold'sC ofEthic~ mhibi~conflic ofinte~est on the art oftown officers and em Io cas. Thc of th~s form s my]de mforma~on whJch can alert the town of tble confl~ctz ofmterast and allow it to take whatever action is n avoid amc. (Last name, first name, middle initial, unless you are applying in the name of aomeone else or other entity, such as a comp, any. 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 persenaHy (or through your Company, spouse, sibling, parent, or chitd) have a relationship with any officer or employee of the Town ofSouthotd? "Retat onsh p" includes by b{ood, marriage, or business interest. "Business interest" means a business, !ncluding 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 If you answered "YES", complcte 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 applicant/agent/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 (cheek all that app}y): A) the oWner of greater than 5% of the shares of the corporate stock of the appbcant (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 200 1/, 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 Water.front 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 Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# q'¢ /_ The Application has been submitted to (check appropriate response): TownBoara [] PlannlngDept. 54 Buildi.gDept. Boar ofTrust s [] Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: ~ ~' ~.A ~ ~ ' .~ lt'~ ~.( Location of action: Site acreage: .~.. ~. Present land use: ~ a ,~ ,~ 1~. 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: (b) Mailing addre~q: (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 ~ lfyes, 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 ora 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 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 ~ Yes [] No ~-~(Not Applicable - please explain) Aaach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria Yes [] No ~/(Not Applicable - please explain) At~ach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section Ili -Policies Pages 16 through 21 for evaluation criteria [] Yes [] No ~(Not Applicable- please explain) A~ach 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~RP Section III - Policies; Pages 22 through 32 for evaluation criteria. [] Yes [] No [~'"~ot Applicable - please explain) 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 [] No [--'~Not Applicable - please explain) Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. Yes [] No L~(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. [] Ye[] No[~(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 Ill - Policies; Pages 47 through 56 for evaluation criteria. [] Yes [~ No ~ot Applicable- please explain) Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary anted Town~wa~, See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. i r~ Yes ~] No ~'Not applicable - please explain At, ach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southoid. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. [~ Yes [] No [~Not Applicable - please explain Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. [] Yes ~] No [~ot Applicable - please explain OWNER FORMER OWNER STREET ~oon~ VI LLAGE ii, DIS'FRICT SUB. LOT ~-,,~.~ ~.,.~ ~: N S E w ACREAGE TYPE OF BUILDING SEAS. 3faa VL. NEW TOTAL BELOW Tillable l Tillable 2 Tillable. 3 Woodland Swampland Brushtand~'~ 5"/o o ~3oo ,, 99-1-10 02/02 ~,E~ensi°n Extension Extension Fire Place Patio Woodstove Porch ~ ~X~; ~ ~ ~ Dormer ~P' ,~ ~ , Fin. ~c~ ~ ~X~O= ~ .C~ [G Attic Breezeway Rooms 1st Floor r~, ~ ~q~ / iZ~0 G~rage ~~ Rooms 2nd Floo~ ~' ~, ~ = ~ ~ Driveway Pool 6 SURVEY OF PROPERTY A T MA TTITUCK INLET TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. 1000- 99 - 01- 10 SCAL~: 1" = $0' AU~. ~8, 2000 ., i0 CONTOUR LINES AND ELEVATIONS ARE REFERENCED TO N.G. V.D. NO TE" LOT NUMBERS REFER TO BLOCK 2 · MAP OF CAPTAIN KIDD ESTATES" FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON JAN. 19,1949 AS FILE NO. 167~ CERTIFIED TO' THOMAS KALOGERAS MA~PETH FEDERAL SA VINGS STEWART TITLE IN~UFL4NCE CO. FIRST ATLANTIC TITLE INSURANCE CORP. AA0.' REGEIVED BOARD OF APPEALS COASTAL EROSION HAZARD LINE FROM COASTAL EROSION MAP PHOTO 59 - 533 - 83 FLOOD ZONE FROM FIRM 36103C0139 6 AREA = 28~g42 aq~ ft. ADDITIONALLY TO C~ Y IIIITH ~ LA~/ TNE T~RM ·AL TE__~_. BY' 'BRGU6HT ' TO - DATE~ ARE NOT IN COMPLIANCE ~IITH THE LA , (631) §020 FAX (631) 765 - 1797 P. O. BOX 909 Ig30 TRAVELER STREET SOUTHOLD, N.Y. 11971 S.L.~:IHS 8 ~0 J~gHS O~&ON SV :~qVOS 8b'gL'L0 :~/VO ~ :AB N~VMQ )> Z Z Frq <~o ~ m NMOHS ±ON 9NIQ'IIFI8 9NINIOPQV IDNII~IVEI=1400Id/NVqd woog=I ONOOSIS ,,O-iL = ,it'/1 3 I~B9 N~d WOOl={ 93Aa9 ONOOBS NOI..LVAB-IB/NO~::I NOIIVONRO-J 0 0 0 , I 0 0 0 rd > 0 ~> SECTION ELEVATION HOLD DOWN + SHEAR CONNECTION CRITICAL PATH ~- PROV[DE 8d COMMON NAILS ~1 4" D.C. GABLE ROOFS AT HIGH PRESSURE ZEN E - 6" D.C. AT ALL OTHER pORTIONS OF ROOF I - ' i : , NOTE:a=4FT INALLCASES I' , , ' ~i , , I ~'1 ' " , COMPONENT AND CLADDING PRESSURE ZONES RESIDENTIAL NAILING SCHEDULE FRAMING NOTES GENERAL NOTES DESIGN CRITERIA WINDOWS - GLAZED OPENINGS LU ID DRAWN BY: KM DATE: 01.16.12 SCALE: AS NOTE1 SHEET OF 2 SHEET~