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Home My WebLink About1000-115.-12-16 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 MAILING ADDRESS: P.O. Box 1179 Southold, NYl1971 Telephone:631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD TO: MEMORANDUM Leslie Weisman, Chair Members of the Zoning Board of Appeals From: Mark Terry, Principal Planner LWRP Coordinator Date: February 27, 2012 Re: Coastal Consistency Review for ZBA File Ref. PATRICIA MELE and CHERYL CHRISTIANO #6542 SCTM#1000-115-12~16 Request for Variances from Article XXIII Section 280-124 and Article XXII Section 280-116 and the Building Inspector's January 6, 2012 Notice of Disapproval based on an application for building permit for demolition and reconstruction, including first floor additions and new second story at: 1 ) less than the code required minimum side yard setback of 10 feet; 2) less than the code required combined side yard setbacks of 25 feet; 3) less than the code required minimum bulkhead setback of 75 feet, located at: 1200 (aka 1140) Deep Hole Drive (adj. to Deep Hole Creek) Mattituck, NY. SCTM#1000-115-12-16 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 actions is CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP. 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, Capital One Bank 54375 Main Road (at Youngs Avenue) Southold, NY 11971 Mailing Address: 53095 Main Road P.O. Box 1179 Southold, NY 11971-0959 http://southoldtown.northfork.net BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809 ]Fax (631) 765-9064 January 23, 2012 Mark Terry, Principal Planner LWRP Coordinator Planning Board Office Town of Southold Town Hall Annex Southold, NY 11971 Re: ZBA File Ref. No. # 6542 Mele/Christiano dAN 2 3 2012 1000-115-12-16 Dear Mark: We have received an application for demolition and reconstruction, including 1st floor additions and new 2nd story. 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 ~eisman Chai~n/~, i~ By: (~ t/qk_J~ FORM NO. 3 NOTICE OF DISAPPROVAL DATE: January 6, 2011 TO: Mele/Christiano 1140 Deep Hole Drive Mattituck, NY 11952 Please take notice that your application dated December 2 l, 2011 For demolition & reconstruction, including 1 st floor additions & new 2"a story at Location ofpropeay 1140 Deep Hole Drive, Mattituck, NY County Tax Map No. 1000- Section 115 Block 12 Lot 16 Is retumed herewith and disapproved on the following grounds: The proposed construction on this non-conforming 12,375 sq. fi. lot, 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 & have not merged pursuant to 280-10." For lots less than 20,000 sq. ft., the required side yard setbacks are 10'min. & 25'combined. The proposed construction indicates a minimum side yard setback of 9.7' and approx. 19.5'combined. In addition, the proposed construction is not permitted pursuant to Article XXII Section 280-116 which states: "All buildings or structures located on lots upon which a bulkhead .... and which are adjacent to tidal water bodies other than sounds shall be set back not less than 75 feet fi.om the bulkhead." The proposed Ist & 2"d story decking is indicated at 68.7' from the bulkhead. UNE NOTICE .~.~,,~ COUNTY OF SUFFOLK (~) I~R~l P~D~T~ ~ I~ lO 115 TOWN OF SOUTItOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork. net Examined .20 Approved .20 Disapproved a/c~,~:x~~ Expiration ,20 PERMIT NO. BUILDING PERMIT APPLICATION CIIECKLIST Do you have or need the following, before applying? DEC 2 1 2011 BLDG. DEPI. TOWN OF SOUTHOLO Board of llealth 4 sets of Building Plans Planning Board approval Survey. Check Septic Form .YSDEC. ood Permit :ail to: Building Inspector APPLICATION FOR BUILDING PERMIT ,NSTRUCT,ONS Date a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buddings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in pan for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, ifa corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ow e_ ) (A~' on the tax roll ~r latest d~cd) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. '4~'~q" [4 Plumbers License No. Electricians License No. Other Tradc's License No. 1. Loc~io.n of land og~,.,Fhich pr~2posqd work .uj. il l be done: ~/~, ~. J~fk/ U.q-o t.J n ola, t O'fl'tl'UC, f,, Itouse Number ~Ireet H~mlet ' County Tax Map No. 1000 Section /'[~' Block /2. Lot /{i:;~ Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occup, ancy o f proposed constructi°n: a Existing use and occunancy'- ' - '''''''~ / A ]/'-''~ ~- ~t~1~ I [~'~ b. lntendeduseandoccupancy mo-o le 3. Nature of work (check which applicable): New Building Addition V~' Alteration Repair _ Removal Demolition t.~ Other Work (Description) 4. Estimated Cost / 7,...~./~ ~ (To be paid on filing this a[~plication) 5. I f dwelling, number of dwelling units Number of dwelling units on each floor_ If garage, number of cars ~ 6. [ f business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions Pf existing stractures, if any: Fr°nt~-t~-~Rear .Depth Height~Number of Stories Dimensions~of s~me structure with alterat~ns or a~dditions: Front ~J~), l I Rear Depth ~'~:~ Height 2~o'~ Number of Stor[~s,_ 8. Dimensions of entire new.construction: Front 2-,0 · ~ I Height '~.~ '1 t Number of Stories ~ 0. Si eoflot:F ont Rear Depth 2-q t"2.a'3 trrec. t 10. DateofPurchase [te"'9/~0]~t~2'Og~ame°fF°rmerOwner .~{~/I/V' ~,: t~r~t~ I I. Zone or use district in which premises are situated ~ ~ 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO f 13. Will lot be re-graded? YES NO ¢~Will excess fill be removed from premises? YES NO ~'~'~ 14 Names of Owner of pfelni~.e.s~~/~'~ress/'['~ '{~lel~[~ Phone No. ~-~1-- · Name of Architect '~t',/V~tl~Xl~ddress~Ph°ne Name ofContractor~~' - Address ~..~,l~Phon¢ No. 15 a. Is this property within 100 feet off tidal wetland or a freshwater wetland? *YES JNO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS.~,MAY BE REQUIRED. b. Is this property within 300 feet off tidal wetland? * YES r~' NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 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, PROV1DE A COPY. STATE OF NEW YORK) . {~}1 ~_,_ ~.,}{ ~0~ (", ~.'~ ~ t~.O /,~ ~ t ~ being duly sworn, de~ses ~d says that (s)he is the applic~t ~e ofindividu~ signing contract) above n~ed, (S)He is the ~ (Cona'actor, Agent, Corporate Otticcr, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are trae to the best of his knowledge and belief; a~al the work will be performed in the manner set forth in thc application filed therewith .,. ,NNE G LLIAN / No ary Pubic gtgnatureE~\pOhcant_ New York State Department of Environmental Conservation Division of Environmental Permits, Region 1 SUNY @ Stony Brook 50 Circle Road, Stony Brook, NY 11790-3409 Phone: (631) 444-0365 · Fax: (631) 444-0360 Website: www.dec.state.ny.us LETTER OF NO-JURISDICTION TIDAL WETLANDS ACT Joe Martens Commissioner December 23, 2011 Ms. Patricia Mele 1 Cedar Lane East Setauket, N.Y. 11733 Re: Application #!-4738-03689/00002 Facility: 1140 Deep Hole Drive, Mattituck, N.Y. SCTM# 1000-115-12-16 Dear Ms. Mele: Based on the information you have submitted, the Department of Environmental Conservation has determined that the property landward of the 10 foot elevation contour on a gradual, natural slope as shown on the site plan prepared by Nathalie Niemann dated 12/12/11 last revised 12/21/11 is beyond Tidal Wetlands Act (Article 25) jurisdiction. Therefore, in accordance with the current Tidal Wedands Land Use Regulations (6NYCRR Part 661) no permit is required. Be advised, no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Article 25 jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hale bay berm. Please note that th~does-~ot relieve you of the responsibility of obtaining any necessary per~r~ or ap,~s from other ~gencies or local municipalities. tS~i'i'i~ ely, /~ / ,'I ,., II/'"-- '. // L .-~f .... ~ ................. ? h n---'wihr~n d,~---% PATRICIA C ~ELE 50-75,8/2214 2 Deputy ,Permit ACm~ ] c~t~.~ t.~xE cc: Robert E. Fox, Habitat Enc. Voided Check ~ 214; APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS Ho.se No.//4-0 Street ./~,2'q']q~lcL ._~/"~ Hamlet SCTM 1000 Section //5 Block tZ Lot(s) /~ Lot Size I (WE) APPF~AL TJtE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED it/& /C~O/C~ BASED ON SURVEY/SlTEyLAN DATED [~- L4 -~O[ I. Telephone: 2 ~" 7/~ax: NOTE: In addition to the above, please complete belo~ if application is signed b) applicant's attorney, agent, architect, builder, contract vendee, etc. and name of person who agent represents: NameofRepresentative:~O~- ~"-~X for[--'~wne~}Other:. Address: 5 W/~~ ~ Telephon~-/900 r.x: ¢ Email: eck w s~eciZv w~o yo~rrespandence to ~e moiled to, fr~e licant/Owner(s), ~Authorized Representative,~ Other Name/Address below: WHEREBYTHE,BU1LDING INSPECTOR REVIEWED SURVEY/SITE PLAN DATED //(~,/~ IZ_ and DENIED AN APPLICATION DATED /~.[2d/l! ' ~ Building Permit J,.~CertificateofOccupancy ( )Pre-CertificateofOccupancy ~ Change of Use I IPermit for As-Built Construction 1~ Other: FOR: Provision of the Zoning Ordinance Appealed. (Indicate .Article, Section, Subsection of Zoning Ordinance by numbers. Do not quote the eode.)__~ Article: ~.Xtl /+')d~/~gection: c-~7~ Subsection: le,~/'' Type of A,_~,peal. An Appeal is made for: ~==JA Variance to the Zoning Code or Zoning Map. [IA Variance due to lack of access required by New York Town Law- Section 280-A. L_}lnterpretation of the Town Code, Article Section r-lReversal or Other A prior appeal[~]has, [~has not been made at any time with respect to this property, UNDER Appeal No(s).. Year(s). . (Please be sure to research before completing thi~ question or call ottr oJ~ce fl~r assistancei (I) ,MI undcsirablc change ~ill nol ])c produced ill thc ('II/M{A(']I']{ of file ncighborh,md or a dctrilncn( In nearby properties if granled, because: ~ ~ ~ ~t$i9 ~- /)~ /~ {2} The benefit sought by the applicant CANNOT be achieved b} some methud feasible fin' ~pplic~nt to pursue, olber Ihan all area V~l'iauce, because: The amuuni of rcliefreqnested is nol sub~lantial because: a (4) The variance will NOT have an adverse effecl or impa¢l on the physical or environmenlal eondilions in the neighborhood or district because: (5) llas file alleged difficulty been sell'created? ~es, or ~)No. ' '- Are lhere Covenanls and Reslriclions concerning this land: ~o.~Yes (ptcase [itrniM~ This is the MINIMUM thai is necessary and adequale, and al lbe same time preserve ami prolecl ibc dlaracler nf Ibc neighborhood ami the heallh, sal~qy, and ~elhlre of Ihe cnmmunily. thi.~ box ~ II: A I~E I51RI,4N('I~NG RI;QI,I;STED. ,4A:D~I.I:,,I,~I:' ('OMPI. I;TI; Till:' . I I'I~ I ('IIED ~,'3Z' I :4RIANCIf SHEET: (Ple~v be sur~ con.wdt yaur att~rne)/ Si?ature of A~el a~ ol~u] mrize~ .gen / ,IODI~ [{EACX!~I ROT/,~'I PUBLIC, STATE OF APPLICANT'S PROJECT DESCRIPTION (}:or ZBA Reference) Applicant: /~(¢$t/(.~FISTIt'I/~G Date Prepared: /* ~' 20/2 1. For Demolition of Existing Building Areas Please desc[it?e areas being removed: ,r'~.~f- 11. New Construction Areas (New Dwelling or New Additions/Extensions): Dimensions of first floor extension: ,qppce~ t~. 2.o.~- + ~.z~"~X Dimensionsofnewsecondfloor: fl~Zg~' X 2&"2~ Dimensionsoffloorabovesecondlevel: OM!~Ml~/~i~ i,~t,TY/c- ficr, e~-ta,,p?F~ Height (from finished ground to top of ridge): ~ t~3 ~[2./~ Is basement or lowest floor area being constructed? lfyes~ please provide height (above ground) measured from natural existing grade to first floor: t~_y, 151] Ne- L%~6a t~aoT' Ill. Proposed Construction Description (Alterations or Structural Changes) (attach extra sheet ifneeessaD') - Please describe building areas: Number of Floors and General Characteristics BEFORE Alterations: .~?/4d4e Number of Floors and Changes WITH Alterations: IV. Calculations of building areas and lot coverage (from survevor3: f'~ Ex, stings uare foota eofbuddln son our ro err ' q g g Y P °P~ Y' Proposed increase of building coverage: "t' ~ Square footage of your lot: ~/~., ~75 ~,.~ .. Percentage of coverage of your lot by~oufidmg area: V. Purpose ofNew Construction: tD6~'~ j'~-id% Io35's,, ff VI. Please describe the land contours (flat, slope %, heavily wooded, marsh area, etc.) on your land and how it relates to/he difficulty in meeting the.code requirement(s):, Igarr,- /or/ ar, e, mrs, 2x /a-eo 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 premis)~ listed on the real estate market for sale? Yes ~/ No A~Nre any proposals to change or alter land contours? o Yes please explain on attached sheet. 1.) Are there areas that contain sand or wetland, grasses? ]~/0 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? ~, /)tt~L. 50t ~ 'Pf,~,c~:'f~ ~ 4.) If your property contains wetlands or pond ~eas, have y.o;u contacted the Office of the Town trustees for its determination of jurisdiction? ~____~Z~Please confirm status of your inquiry or application with the Trustees: ~, O~ off ~ c~: 10~ 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? NO Are there any patios, concrete barriers, bulkheads or fences that exist that are not shown on the survey that you are submitting? ~O 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? ~10 If yes, please submit a copy of your building permit and survey as approved by the Building Department and please describe: G. Please attach Ifor the subject premises. If any are lacking, Ihem 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? ~ 0 If yes, please label the proximity of your lands on your survey. Please list present use or operations conducted at this parcel I. ~5 ~;~.~._ an~the proposed use ,~A~ ~,oc-r ~.~.~/l~.~~'~.-- fig- 2~~Olrf-~ ~.. . (ex: existing single faraity, proposed: same with ~~,., ~.~garage, pool or other) , - Author/zed signature and D~,t~ [ QUESTIONNAIRE FOR FILING WITH YOUR ZBA APPLICATION ls the subject premise~sted on the real estate market for sale? Yes ~/ No Are t.J:~e any proposals to change or alter land contours? ~/ No Yes please explain on attached sheet. 1 .) Are there areas that contain sand or wetland grasses? 2.) Are those areas shown on the survey submitted with this application? 3.) Is th,e property bulk headed between the wetlands area and the upland building area? ¥e_5, At - 4.) If your property contains wetlands br pbnd areas, hax;e ygu contacted the Office of the Tom trustees for ils determination, of jurisdiction? I~/] _~_ Please confirm status of your inquiry or application with the Trustees: ...qe_~_ and if issued, please attach copies of permit with conditions and' dpproved survey. Is there a depression or sloping elevation near the area of proposed construction at or below five feet above mean sea level? Ix3~::~ ~ -q-t~__-~ ~ ~ ~.5C~g~t ~ ~ed/~-g~l'~ Are there any patios, concrete harriers, bulkheads or fences that exist that are not shown on the survey that you are submitting? ~ 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? I[I~ .Ifyas, please submit a copy of your building permit and survey as approved by the Building Department and please describe: Please attach all pm-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?~s[_O If yes, please label the proximity of your lands on your survey. ~/~ nth~garage, pool or other~ × uthorized 4'i~,nh~-ure Please list ,m;esent use o.r operations conducted at this parcel -~C4e J~.~ka l~'O;510e'~d the proposed use '~ct~,~~ ~~ t~%x/I ~(~- ~ ~ 2.~ ~ (~1~-(*~ (ex: existing single family, proposed: same with FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 31707 Date: 07/27/06 THIS CERTIFIES that th~ build/ng DWELLING ~ocatlon of Property 1200 DEEP HOLE DR MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 115 Block 0012 Lot 016 Sub~fvieion Piled Map No. Lot No. __ co,fox,as substaa~tially to the Requ~re~-nte for a ONE FAMILY DWELLING built prior to APRIL 9f 1957 ~ux~,=-t tO W~iChC~RTIFICAT~OF OC~FANCY~E~ Z- 31707 ~ate~ JULY 27~ 2006 was issued, and conforms to ail of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING * The certificate is issued to KEVIN & CYNTHIA LYNCH (OWNER) of the aforesaid building. SUFFOLK ~O~TY DEPAR~Ff OF HEALT~ APPROVAL E~-rKIC~ U~KTIFICATH NO. *PLEASE SEE ATTACHED INSPECTION REPORT. N/A Authorized Signature Rev. 1/81 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 operaiion located in agricultural districL ~411 applications requiring an agricultural data statement must be referred ~o the Suffolk County Department of Planning in accordance with Sections 239~ m and 239-n of the General Municipal Law. 3) Name 'of Land Owner (ii'other than applicant) .: 4) Address of Land Owner: 5) Description ofProposed Project: :~INO~[~-- ~,xa~W V-e~Cg~b,.W.-~--~ L.~'h4 6) Location0fPr'operty(roadandtaxmapnumber): I - 7) Is the parcel within an agricultural distr/ct? [~No I~lYes If yes, Agricultural District Nmnber~ / 8) Is this parcel actively fanned? [~o F]Yes 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. lq~me and Address (Please U~e backside of page if more than s~x property owners are identified.) r~.t38 onUmbers may be obtained, in advance, when requested from either the Office of the Planning Board al r the Zoning Board of Appeals at 765-1809. ~ot¢~ I. The local board will solicit comments from the owners of land identified above in order to consider the effect of the proposed action on t~eir farm operation. Solicitation wiN. bo mede by supplying a copy of this statement. 2. Comments returned to the local board will be taken into consideration as part of the overall review of this application. 3. Copies of the completed Agricultural Data Statement shall be sent by applicant and/or the clerk of the board to the propen~ owners identified above. The cost for mailing shall be paid by the aplSlicg, nt at the time the application is submitted for review. Failure to pay at SUch time means the application is not completeand cannot be acted upon by the board. 1-14-09 617.20 Appendix C SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I - PROJECT INFORMATION (To be completed by Applicant or Project'Sponsor) 1. APPLICANT/SPONSOR ~ 2. PROJECT NAME 3. PROJECT LOCATION: 4. P.R.ECISE LOCATION (Street address and road intersecJions, prominent landmarks, etc., or pm~le map) ! 14-o 5. PROPOS~ACTION IS: [~New [] Expansion [] Modirmatice/alteration 6. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND ,~EFECTED: Initially tZ/~---~)d' ~ Ultimately ~..J~[ :~-~-_ ac_-cc, 8. WILL PROPOSED ACTION COMPLy WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ~esldeflfial [] Industrial [] Commercial Desc~be: [] Agriculture [] ParldForest/Open Space [] Other 10. OI1' DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR L. pCAJ.)? [] Yes ~"'No If Yes, list agency(s) name and permit/approvals: DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Yes ~ No If Yes, list agency(s) name and permit/approvais: d~.ll~ ~T THE INF~R~(~4 PROVIDED A~OVE IS TRUE TO THE BEST OF MY KNOWLEDGE I If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment I OVER PART II * IMPACT ASSESSMENT (To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 if yes, coordinate the review process and use the FULL EAF. [--J Yes [:]No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROV DED FOR UNL STED ACT ONS IN 6 NYCRR, PART 617 6'~ If No, a negative declaration may be superseded by another involwd agency. r--lYes ~]No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritlen, if legible) C1. Existing air quality, surface or groundwater quality or quanbty, noise }evels, existing traff~c pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeological1 historic, or other natural or cuJturel resources; or commun~ or neighborhood character? Explain bdefly: 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 guels as officially adoptecl, or a change in use or intensity of use of ~and or other natural resources? Explain bdefly: C5. Growth, subsequent development, or related activities likeh/to be induced by the proposed action? Explain bdefly: C6. Long term, shod term, c~Jmulative, or other effects not identified in C1-C57 Explain bdefiy: C7. Other impacts (including changes in usa of either quantity or type of energy)? Explain briefly: D. WILL THE PROJECT NAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENV RONMENTAL AREA (CEA)? [] Yes [] No ~f Yes, explain briefly: E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? [] Yes [] NO If Yes, explain bdefiy: 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 othenvise significant. Each effect should bo assessed in connecfien 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 must evaluate the potantial 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 lo the FUU EAF and/or prepare a positive declaration. [] Check this box if you have determined, based on the information and analysis above and any supporitng documentation, that the proposad action Wi Li NOT result in any significant adverse environmental Impacts AND prov~le, on attachments as necessary, the masons supporting this determination Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency Date Title of Responsible Officer Signature of Preparer (if different from responsible officer) Town of Southold Zoning Board of Appeals PO Box 1179 54375 Main Road Southold NY 11971-0959 January l7,2012 To whom it may concern, In an effort to obtain building permits from the Town of Southold, I (we) hereby authorize Robert E Fox to act as an authorized agent on my behalf Thank You -,~__~Cheryl Christiano -- "Town of Soutbold LWRP CONSISTENCY ASSESSMENT FORM A. LNSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that am 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 actior~* including Building Permits' and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM The Application has been submitted to (check appropriate response): Town Board [] Planning Dept. [~Building Dept. ~ Board of Trustees [~ Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital [] construction, planning activity, agency regulation, land transaction) [] (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: Site acreage: 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 ofapplicant: ~(ll~'~lO,'~ (b) Mailing address: /] ~ ~?~3~1~ (c) Telephone number: Area CoSe ( ) (d) Application number, if any: '~C~t~ Will th~ action be dimcfl~ und~ak~n, r~quir~ fimdia~, or approval by a stat~ o~ fc&ral a~nc~? Y~s ~' -Mo ~f~s, which slat~ or DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Soutbold 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 lll- Policies; Page 2 for evaluation [] No [] (Not Applicable- please explain) Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southoid. See LWRP_Section III - Policies Pages 3 through 6 for evaluation criteria [~Yes [] No [] (Not Applicable- please explain) AUach additional sheets if necessa~. Policy 3. Enhauce visual quality and protect sceuic resources throughout the Towu of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria [~/Yes [] No [] (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 LWRP Section/Ill - Policies Pages 8 through 16 for evaluation criteria ~ Yes [~ No [r~ (Not Applicable- please explain) Atiach additional sheets if necessmy Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria ~Yes [] No [] (Not Applicable- 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 LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. [~Yes [] No [] (Not Applicable- please explain) Attach additional sheets if necessary Policy 7. Protect and improve air quality in tbe Town of Southold. Sec LWRP Section II1 - Policies Pages 32 through 34 for evaluation criteria. See Section !11 - Policies Pages; 34 through 38 for evaluation criteria. Yes V~ No [~ot Applicable - please explain) Attach additional sheets if necessary Policy 8. Minimize environmental degradatiou in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Sectitm Ill - Policies; Pages 34 through 38 for evaluation criteria. [~ Yes [] No [~(Not Applicable- please explain) PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. [] Yes~] No ~(Not Applicable- please explain) Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and prontote siting of new water-dependent uses in suila~'~locations. See LWRP Section Iii - Policies; Pages 47 through 56 fnr evaluation criteria. ?/~]-/~'~'~Yes [~ No [] (Not Applicable please explain) Attach additional sheets if necessary Policy 1~1. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Yes and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. [] No [~ Not Applicable- please explain Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section II! - Policies; Pages 62 through 65 for evaluati~pa~criteria. [~ Yes [~ No~t22 Not Applicable - please explain' Attach additional sheets if necessary Policy ltl. Promote appropriate use and development of energy and mineral resources. See LWRP Secti~g~llI~ - Policies; Pages 65 through 68 for evaluation criteria. [] Yes [] No [] Not Applicable- please explain S.C.T.M. NO. DISTRICT: 1000 SEC'~ON: 115 BLOCK: 12 LOT(B): NEE SUFFOLK AVENUE . _ '. S87°19'~.0" o.9'~, F~~CE O~.e'~ 245.00' EL 7.0 j ~L 8.7 ~ 10.9 ~ IL1 38. I' BLUE STONE DRIVEWA~ N87°! 9',?.0 LAND OF CHRISTIAN$ON & BOUTWELL ~50.00' o.~'s .rRoN PiN mE ,~A reR SUPPL ~. We. LS. OR~.~LLS A~D CESS~O0~ LOCATIONS ~0~ ARE FR~ F/ELD ~SERVAn~S FIRM ZONE PANEL 482 ANO ~ DATA ~rAINeO FROM ~REA: 12,375.15 SQ. FT. or 0.28 ACRES ~w~o~ sum~Y or: DESCRIBED $~TUATED AT: MATTI~ UCK TOWN or: SOUTHQLD SUFFOLK COUNTY, NEW YORK F~LE // I I-- 110 SC^L~ , =20 DATE:NOV. 20, 2011 CERTIFIED TO: T. MELE; C. CHRISTIANO; KENNETH M. WOYCHUK L.S. l,.and Suryeyinf and Delifn BO]( 3 MA'I-I'I'fUC[ N.Y. 11952 PHO~rS (~t) ~e-t~se P,6[ (a3t) ~e-tsss REVISED 12-04- I I ADD CONTOURS/CHANGE FOOTPRINT NEW LO~:T SPACE PROPOSED SECOND FLOOR PLAN LOW ROOF BELOW NE~W ~,U. WAY . 4® LOW ROOF BELOW [ RECE/VED JAN 2 3 Z012 BOAR~ OF APPEALS Natalie Nlemann, R,A. Kirk Niemann, l~signer 1631) 748-4048 Proposed Renovation for Mele/Christiano Residence 1140 D~ephole Drive Mattituck, NY 11952 PROPOSED FIRST AND SECOND FLOOR PLANS DWG. NO. A1 EXISTING PLOT PLAN Scale: l" = 20'-0" TEST PIT PERFORMED ON 12/5/11 BY McDONALD GEOSCIENCE SOUTHOLD, NY TEST HOLE DATA COMMENTS: WATER ENCOUN'fERED 6.6' BELOW SURFACE NEW SUFFOLK AVENUE 245.00' KENNETH M. WOYCHUK Land Surveyor Surveyed: November 20, 201 l Date House Built: 1949 LAND GRADING PROPOSED PLOT PLAN Scale: I" = 20'-0" LEACHING BASIN NEW* SUFFOLK AVENUE 245,00' 250.00' ZONING INFORMATION TAX MAP NO: DISTPdCT:I000, SECTION: 115, BLOCK: 12, LOT: 16 LOCATED IN A "NONCONFORMING LOTS" ZONE PROPOSED BUILDING: ADDITION TO EXISTING RESIDENCE USE REQUIRED EXISTING PROPOSED · VAPdANCE REQUI~.ED (631) 922-4041 (631) 748-4048 REVISIONS ~CEIVED BOARD OF nppt~nL Proposed Renovation for Mele/Christiano Residence 1140 Deephole Drive Maaituck, NY 11952 PROJECT NO. t001 EXISTING & PROPOSED PLOT PLANS, SITE DETAILS S1 (~) PROPOSED EAST ELEVATION Sca}c: 1/4''= 1'-0" DETAIL ~ NEW FLARED SKIRT ~ Scale: 1" = l'.-O" ri i Natalie Niemann, R.A. Kirk Niemanu, Designer (631) 9224041 (C~l) REVISIONS Proposed Renovation for Mele/Christiano Residence 1140 D¢¢phole Drive MaUituck, NY 11952 PROPOSED NORTH AND EAST ELEVATIONS A3 ,N I, ,I II iiI ,I Ir-----~L___~ ~ J ~ ~ L ~ __ G_-_-_-_-_-_-_-_-JJTY}}_---2 22222222222~ (~) PROPOSED WEST ELEVATION Scale: 1/4" = 1'-0" (~ PROPOS,ED ENLARGED ELEVATION Scale: 3/4" = 1-0" ~ LIVING/DINING ROOM BOX-OUT/WDW SEATS sconce, T'm W/~U~ .~C-C~. V F PROPOSED SOUTH ELEVATION ~le: 1/4" = I'&' Natalie Niemann, R.A. Kirk Niemann, Designer (631) 922-4041 (631) 748-4048 REVISIONS Proposed Renovation for Mele/Christiano Residence 1140 Deepholc Drive Matlituck, NY 11952 PROPOSED SOUTH AND WEST ELEVATIONS DWG. NO. A4 APPLICANT TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of Town officers and employees. The purpose of this form is to provide information, which can alert the Town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. (Last name, first name, middle initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other person or company name.) NATURE OF APPLICATION: (Check all that apply.) Variance Special Exception If"Other", name the activity: Change of Zone I I Approval of Plat I I Exemption fi.om Plat or Official Map I ] 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 e~,gloyee owns more than 5% of the shares. YES{ { NO I '/ I Complete the balance of this form and date and sign below where indicated. Name of person employed by the Town of Southold: Title or position of that person: Describe that relationship between yourself (the applicant) and the Town officer or employee. Either check the appropriate line A through D (below) and/or describe the relationship in the space provided. The Town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): ~ A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); [ [ B) the legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); [ ] C) an officer, director, partner, or employee of the applicant; or [ ] D) the actual applicant. DESCRIPTION OF RELATIONSHIP The Town of Southold's Code of FAh~c~ vrohiblls confllcis of interest on the oari of ~own officers and emolovcez. The ouroose of th/s form ~s to m'made mfe~aalion which can alert lhe town of ooss~bl~ coofl~cts oflnterest and allow it to take whatever actmn ~ necessary to avoid same. (Laat name, first name, middle ifitial, unless you are applying in thc name of someone else or other entity, such as a comic, any. If so, imlicate the other person's or company's name.) NAIVI~ 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 Othe~ (If "Olhcr", name the activity.) Do you personally (or lhrough your company~ spouse, sibling, parent, or child) have a relationship with any officer or employee of thc Tow~ ofSouthold? "Relalionship' includes by blood, marriage, or hcsinc~s interest. "Business interest~' means a business, including a pmlnc~aip, in which the town 6ffleer or employee has even a partial ownership of(or employment by) a corporation in which lhe town Offi~r or employee ovms more than 5% of thc share& YES NO i~ Ifyou answered "yES", complete the balance of this form and date and sign where indicated Name o f person employed bY the Town of Southo d Title or position of that person Describe the relationship between yourself(the applicant/agenl/repr esen tative) and the town officer or employee. Either check thc appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parenL or child is (check all thai apply): ___A) the owner of grealvr than 5% of thc shares of thc corporate stock of the applicant (when the applicant is a oorporafion); __.B) the lega~ of beneficial owr~r of any interest in a non-coq)orate entity (when the applicant is not a coqx~ation); C) an ot~]eet, d/tee/of, parmer, or employee of the applicant; or __D) lhe actual applicanL DESCRIPTION OF RELATIONSHIP Form TS 1 The Town of Southold's Code of Ethics prohibits conflicts of interest on the pan of town officers and emolovees. The purpose of this form is to vrovide information which can alert the town of possible conflicts of interest and allow it to take whatever action ;:, (L~t name, first name, middle initial, unless you are applying in the nme of ~omeone else or other entity, such as a company. If so, indicate [he other person's or company's name.) NAME OF ^PPLIC^TION: (Check all that apply.) Tax grievance .~ Building Variance ~/ Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other", name the activity.) Do you personally (or through your company, 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 co~poration in which the town officer or employee owns mote than 5% oft~ shares. YES NO ~ If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicanffagenlirepresentative) 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 isa eorperafion); __B) the legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); __C) an ofiic~r, dirv.~or, partner, or employee of the applicant; or __D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I OWNER ~-OI~MEI~ OWNE~ IgkND ~/~ 0 ~'o o OF SOUTHOLD STREET AGE NEW FARM Til[oble 1 Tilic~ble 2 Tillable 3 Woodion4 Swamp[and B rush'ia ncJ House Plot Total I PROPERTY RECORD CARD SEAS. VL IMP. TOTAL VI LLAGE FAPJ~ COMM. CB. MISC. DATE REMARKS 1 / ;' BUILDING CONDITION BELOW ABOVE Value DIST. ~ LOT ACR. J ,=q~' i "'/~ Mkt. FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD DOCK NORMAL Acre VoJue Per Acre TYPE OF BUILDING ,t~' -.~.'-~)~ 'f+L~ M. Bldg. Extension Extension Po~ch Porch Patio Totol Place JjType Roof ~ jRecreotion Roan J Driveway nterior Finish Heat ~ ~ / ~.ooms 1st Floor Rooms 2nd Ftool i ~inette t LR. I I