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Home My WebLink About1000-104.-3-18.1 OFFICE LOCATION: Town Hall A~nex 54375 State Route 25 (cot. M~in 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 January 30, 2011 Re; Coastal Consistency Review for ZBA File Ref. 9105 Skunk Lane, LLC #6538 SCTM# 1000-104-3-18.1 9105 Skunk Lane, LLC #6538 - Request for Variances from Article III Code Section 280-13(C)4(b), Section 280-15(F) and Article XXII 280-105A, and the Building Inspector's December 20, 2011, amended January 19, 2012 Notice of Disapproval based on an application for building permit to build a tennis court with fence surround on a vacant lot, at: 1 ) use of a tennis court is not permitted on a vacant lot (without a principal dwelling), 2) accessory structures at less than the code required principal setback of 50 feet, 3) tennis court fence at more than the code required maximum height of 4 feet in a front yard, located at: 9105 Skunk Lane (adj. to Little Creek, dredged canal) Cutchogue, NY. SCTM#1000-104-3-18.1 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 CONSISTENT with the LWRP review provided that the following best management practice is required to further Policy 6. Policy 6. Protect and restore the quality and function of the Town of Southold ecosystem 6.3 Protect and restore tidal and freshwater wetlands. Maintain bufferS to ensure that adverse effects of adjacent or nearby development are avoided: Maintain buffers to achieve a high filtration efficiency of surface runoff. Avoid permanent or unnecessary disturbance within buffer areas. Maintain existing indigenous vegetation within buffer areas. If the action is approved, it is recommended that a perpetual NATURAL VEGETATED BUFFER be established to include all remaining vegetation from the wetland line landward. An example definition is provided for your use: NATURAL VEGETATED BUFFER - A land area of a certain length and width where existing vegetation occurs prior to the commencement of any grading or clearing activity. Vegetation shall be maintained to achieve a minimum percentage of ground cover of 95%. To achieve the percentage of ground cover, indigenous, drought-tolerant vegetation shall be planted. Survival of planted vegetation shall be 90% for a period of three years. Maintenance activities within the buffer are limited to removing vegetation which is hazardous to life and property, trimming tree limbs up to a height of 15 feet to maintain viewsheds, replanting of vegetation and establishing a four-foot-wide access path constructed ~)f pervious material for access to the water-body. [Added 12-15-2009 by L.L. No. 15-2009] 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 Mark Terry, Principal Planner LWRP Coordinator Planning Board Office Town of Southold Town Hall Annex Southold, NY 11971 http://southoldtown.northfork.net BOARD OF APPEALS TOWN OF SOUTItOLD Tel. (631) 765-1809 Fax (631) 765-9064 January 5,201~> Re: ZBA File Ref. No. # 6538 9105 SKUNK LANE, LLC Mailing Address: 53095 Main Road P.O. Box 1179 Southold, NY 11971-0959 1000-104.-3-18.1 Dear Mark: We have received an application to construct a tennis court with fence surround on a vacant lot. 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. Encls. Very truly yours, Leslie/K./"~Veisman -.\ BROADWATER$ COVE TOWN OF SOUTHOLD NO~CE COUNTY OF SUFFOLK Tax Service Agency mOLD 104 TO: FORM NO. 3 NOTICE OF DISAPPROVAL Mark Schwartz for 9105 Skunk Lane, LLC P.O. Box 933 Cutchogue, NY 11935 DATE: December 20, 2011 Please take notice that your application dated December 6, 2011, For permit to construct a tennis court with fence surround at: Location of property: 9105 Skunk Lane Cutchogue, NY County Tax Map No. 1000 - Section 104 Block 3_ Lot 18.1 Is returned herewith and disapproved on the following grounds: The proposed tennis court is not permitted pursuant to Article III section 280-13(C)4(b) __ which states: "Individual outdoor tennis courts related to residential use on a lot containing a single-family detached dwelling .... ;" The proposed tennis court is not a permitted use on this vacant lot. The proposed 6.5 foot fence is not permitted pursuant to Article XXII section 280-105A which states: "When located in the front yard of residential zones, the same shall not exceed four feet in height." 'Authorized Signature Note to Applicant: Any change or deviation to the above referenced application may require further review by the Southold Town Building Department. CC: file, Z.B.A. BROADWATERS COVE TOWN OF SOUTHOLD /o'-/- -3-/5' lo'fi- 3-/~ 2 SECTION NO NOTICE COUNTY OF SUFFOLK (~) s~u'mou~ ,: ~ ~,,~..~ .,..~,~ .,~ o. Realc~,~ c~.- .~..,.,~.. ,,...~Pr°per[y Tax Service Agency 104 APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS House No. 9105 Street Skunk Lane SCTM 1000 Section 104 Block 3 Lot(s) Hamlet Cutchogue 18.1 LotSize 1.4 acre Zone R40 I (WE) APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED ~ ~20/~ ~ BASED ON SURVEY/SITE PLAN DAT ED ~ ~ Applicant(s)/Owner(s):. 9105 Skurlk Lane, LLC (Anthony Lomangino) 11743 Bolla Donna Ct Palm Beach Gardens, FL Mailing Address: Telephone: Fax: Email: 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: Mark Schwartz .for~Owne~l~)ther: P.O. Box 933 Cutchogue, NY 11935 Address: 734-4185 734-2110 Telephone: Fax: Email: Please check to specie, who you_~ib correspondence to be mailed to, f rObLee above names: [--]applicant/Owner(s), ~_]nuthorized Representative, U Other Name/Address below: WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN DATED ~6/~ and DENIED AN APPLICATION DATED Building Permit Certificate of Occupancy ( ) Pre-Certificate of Occupancy Change of Use Permit for As-Built Construction Other: FOR: Provision of the Zoning Ordinance Appealed. (Indicate Article, Section, Subsection of Zoning Ordinance by numbers. Do not quote the code.) Article: m Section: 2~0 Subsection: Type of A~peal. 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. late rpretation of the Town Code, Article Section ['~Reversal or Other A prior appeal [--]has, [] has not been made at any time with respect to this property, UNDER Appeal No(s). Year(s). . (P/ease be sure to research before completing this question or call our off~ce for assistance) Name of Owner: ZBA File # REASONS FOR APPEAL (a&litional sheets ma}, be used }pith preparer's signature}: ARE~'I k~4RIANCE REASONS: (1) Au uodesirable change will not be produced itt the CIIARACTER of tile neighborhood or a detriment to nearby properties if granted, because: The property is vacant and has many trees so the tennis court will not be visible from the road. None of the neighboring properties will be impacted by the tennis court the distance between property lines insures that. (2) The benefit sought by the applicant CANNOT be achieved by some method feasible for the applicant to pursue, other than all area variance, because: The applicant owns the developed property to the south and there is not enough space for the tennis court without placing it close to the water side of the property which would have a negative impact on the shoreline. Additionally due to estate planning the applicant would like to retain the vacant lot and be able to use it for recreational purposes. The applicant is willing to place covenant & resthctions on the property and tennis court as noted in ZBA decision #6359, Mandelbaum. (3) The amount of relief requested is not substantial because: The relief requested is substantial however the applicant is wiling to place covenants and restrictions on the tennis court as the Board sees appropriate to mitigate and neighbor concerns or future possible conflicts. (4) The variance will NOT have an adverse effect or impact on the physical or environmental conditions in tile neighbochood or district because: The proposed tennis court is shown at 195 feet from the wetlands and 70 feet off the road, It will be well screened and the fence will be black chain link no higher than 6.5 feet, No lighting is proposed and the tennis court will be used seasonally and only during day light hours. (5) llas the alleged difficulty been self-created? r~lYes, or [~No. Are there Covenants and Restrictions concerning this land: [~No. [--]Yes lalease £urnt'Mt coptg. This is the MINIMUM that is necessary ami adeqnate, and at the same time preserve and protect the character of the neighbm'hood and the health, safety, and well3re of the community. Checl~ this bo.v ~ IF ~ USF. I(4RI.4NCE IS BEING REQUESTED, A~pI~ASE COMPLETE THE 4 T7¥t £11t D USE I IRI t ~CI Mit I "1 (Plea~ be su~otfl'.j~orn~g,d~ . ' ' rz' ~ 7 /' i' '~7'': .' , .... Signature of Appellant ~)r Authorized Agent ~qCKI TOTH Notary Public, State of New York ~?o. 0HO6190696, O~,~,ifiod in Suffolk C0m~ APPLICANT'S PROJECT DESCRIPTION (For ZBA Reference) Applicant:Mark Schwartz for 9105 Skunk Lane, LLC Date Prepared: 12/28/1 I. For Demolition of Existing Building Areas Please describe areas being removed: N/A II. New Construction Areas (New Dwelling or New Additions/Extensions): Dimensions of first floor extension: n/a Dimensions of new second floor: n/a Dimensions of floor above second level: Height (from finished ground to top of ridge): n/e Is basement or lowest floor area being constructed? If yes, please provide height (above ground) measured from natural existing grade to first floor: n/a III. Proposed Construction Description (Alterations or Structural Changes) (attach cxtm sheet if necessary) - Please describe building areas: Number of Floors and General Characteristics BEFORE Alterations: residential vacant land Number of Floors and Changes WITH Alterations: accessop/tennis with 6.5 foot fenca around IV. Calculations of building areas and lot coverage (from surveyor): Existing square footage of'buildings on your property: n/a Proposed increase of building coverage: t7.8% Square footage of your lot: 78,729 sq. fi, wetlands area 38, 287 sq. fl. buildable area 40, 442 sq. fl. Percentage of coverage of your lot by building area: 17.8% V. Purpose of New Construction: accessory tennis court for recreational purpose. it would be a private use during daylight hours. 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): land is vacant, fiat with wetlands in the rear area of the property. A tennis court is not permitted on vacant land without a principal dwelling, but due to the location of the dwelling on the adjoining property a tennis court would have a negative impact on the water side and this is the only area large enough to accommodate a tennis court. 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 prem.ise~isted on the real estate market for sale? Yes I/ No Are th2e~re any proposals to change or alter land contours? V No Yes please explain on attached sheet. 1.) Are there areas that contain sand or wetland grasses? YE~ S 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, haveyou contacted the Office of the Town trustees for its determination of jurisdiction? /~//r') 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 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?/,-) CD 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, lfany 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 and the proposed use T~P~//~ l ~ ~ [~ ~ ~' {~_~ i -~ ~Igt~.~ . (ex: existing single family, proposed: same with garage, pool or other) Authorized signature and I~ / ' / TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631.) 765-9502 South oldTown.N6r}ttF6rk.~t Examined ,20__ Approved ,20__ Disapproved a/c Expiration ,20 PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E:C. Trustees C.O. Application Flood Permit Single & Separate Storm-Water Assessment Form Contact: DEC -6 2011 BLDG. DEPT. Building Inspector PPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS ? Z/oc /t't ,20 ........ m, ...... ,,,, ,,,,~o, ut ,,~ pletely filf6~ in by typewrit'er 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 buildings on premises, relationship to adjoining premises, or public streets or areas, and waterways. ,, c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a CertificateofOc~upancy. :~' "~ - v.,.:;.. ~'. ', · f. Every buil4ing pei'mit-'shall ,*kgire if ~e Wo[k'~utl~rized has 9qt c0mmene~d ~Vithin 12 months after the date of iss:~,a'ffce"or has noi'6~en completed withi~"l g m'6nthg h:om such date. If no:kofiifig~ithendments or other regulations affecting the properly have been':enacted in the interim, the Building Inspector may authorize, in writiug, the e)ct~nsion 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 &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, lesse,~gen~ engineer, general contractor, electrician, plumber Or builder Nameofownerofpremises ~ f:::O/~ T"J"P~ I-..Ou[~'~ ~.[:- .[=,,~ A41C. ¥ . l-- I..2 (As on the tax roll or la,te~t dee~.~ ,!.~ · ),~ . If applicant is a corporation, signature of duly authorized officer (Naragiand title of corporate officer)'. Builders-Li~enge NO.": : Plumbers Licehse N0. Electricians License No. Other Trade's License No. Location of land on which proposed work will be done: House Number ,,,, Stree,! " County Tax Map No. 1000 Section f t~'' 4- Block Hamlet Subdivision 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New I~. t~ Addition Alteration Repair Removal Demolition Other Work Estimated Cost Fee If dwelling, number of dwelling units If garage, number 0f cars (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. DimenSiohs ~'f eXisting structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Depth, Height Number of Stories Rear 8. Dimensions of entire new construction: Front Rear .Depth_ Height ,., . , Number of Stories ~ 9. Size oflot: Front ~'~K'Rear CtT-~.~ /O(..fi/Depths/ ,,F~ 10. Date of Purchase Name of Foriner Owner 11. Zone or use district in which premises are situated ~ 4- O 12. Does proposed construction violate any zoning law, ordinance or regulation? YES I~ NO__ 13. Will lot be re-gr~ded? YES ~NO Willexcess flllberemovedfromp,r3r~ise~YES,~~ NO 14. Names of Owner of prem~ses~Addre~ ~,t...t,t~/~,8 ~on~ No. $'(~ / Name of Architect /'44/~1C. ..C'r: ./~v~t~ 2-g- Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? * YES / NO __ · IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet cfa tidal wetland? * YES ~ 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, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ~q~ ) ~.~ ,.~.~ .~. ~/'~ being duly sworn, deposes and says that (s)he is the applicant (Name of indix;idual signing conttract) above named, CONNIE D. BUNCH (S)He is the ,,Z~f,~,.F' /.~ ,T.~==,C....j~./ .t~. ~,..~)r, Notary Public, 8tate~NewYOtkNo. 0lBUfllRAtw~ (CohtracGr~ Agentt, Corp~ra(e Officer, dt~.) ' ~ Ctua#~d In 8tt~o~unly ~ommlsslon Exp#~ A~I 14, ~ 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 true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. S[ff..grq~to before me flt~s 1, °f'vh day o f '~--.~---C-Q~e.~ 0 "Notary Public . Signature j~,~P(pplicant Lomangino House 9205 BAY AVENUE CUTCHOGUE, NY PROPOSED HOUSE SITE PLAN, KEY MAP, SEPTIC DESIGN, SITE DATA, TEST HOLE 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 1. APPLICANT/SPONSOR 3. PROJECT LOCATION- Municipality d~ "~ )plicant or Project Sponsor) 2. PROJECT NAME 4. PRECISE LOCATION (Sheet address and road intersections, prominent landmarks, etc., or provide map) 6. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT__OF LANDAFFECTED: Initially ~F~)~'~ -~=,.~' O .... Ultimately '~'~ ~-~- 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [] Yes [] No If No, describe bdefly 9. WHAT IS P.~ESENT LAND USE IN VICINITY OF PROJECT? [~e$iden§al [] Industrial [] Commo~'cial [] Aol~ulture [] Parl~Fore$~/Open Spac~ [] Other Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? [] Yes E~ If Yes, list agency(s) name and permitJapprevals: 11. DOES ANY ASPECT OF THE~TION HAVE A CURRENTLY VALID PERMiT OR APPROVAL? [] Yes ~ If Yes, list agency(s) name and permfl/approvals: 12. AS A RESULT OF PROPOSF=J~.AC-T4ON WILL EXISTING PERMrrlAPPROVAL REQUIRE MODiFiCATiON? I CERTIFY THAT THE/NFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsorname: ~~f~C~/--~y~/~. ~-? Date' /?/~/(/f \ ? 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 A~lenc¥) 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. B. ~LLACTION RECEIVECOORDINATEDREVIEVVASPROVIDEDFORUNLISTEDACTiONSiN6NYCRR. PART617.67 IfNo. a negative declaration may be superseded by another involved agency. [~Yes [~]No COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED W1TH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surface or groundwater quality o~ 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 reso~Jmes; or community or neighborhood character? Explain bdefly: C3. Vegetation or fauna, fish, shefiflsh or wilaiife species, significant habitats, or threatened or endangered species? Explain briefly: C5. Growfl3, subsequent development, or related ac~ities likely to be induced by the proposed action? Explain bdefly: C6~ Long term, short term, cumulative, or other effects not identified th C1-C57 Explain bdelty: C7. Other impacts (including changes in use of either quantity or type of energy)? Explain b~efly: 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: 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: F~reachadverseeffectidenti~edab~ve~determinewhetheritissubstantia~Iarge~imp~rtant orother~isesignificanL Each effect should be assessed in connection with its (a) saffing (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 suppo~ng materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identirmd and adequately addressed. If question D of Part II was checked yes, the determination of significance must evaluate the potential impoct of the proposed action on the environmental characteristics of the CEA. ] ~C .he~c~ this box if you have !.d. en fifled one or more potentiallylarge or significant adverse impacts which MAY occur. Then proceed directiy to the FULl ~ and/or prepare a positive declaration. [] Check this box if you have determined, based on the information and aria~ysis above and any supporting documentation, that the propesed action W1 L! NOT result th any significant adverse environmental impects AND provide, on attachments as ~ecesse~-/. the reasons supporting this determination Name of Lead Agency Pdnt 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) AGRICULTURAL DATA STATEMENT ZONING BOARD OF APPEALS TOWN OF SOUTHOLD WHEN TO USE THIS FOR34: 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 500 feet of a farm operaiion located in agricultural district. All applications requiring an agricultural data statement must be referred to the Suffolk CounO~ Department of Planning in accordance with Sections 239- ' m and 239-n of the General Municipal Law. 1) Name of Applicant: ~-~ 0[r~ ~ ~.'~'-~-- ' 3) Name of Land Owner (if other than applicant): c-/'/g:~ ~ ~-..UAJ_I~ L-~t Z~L-C2, ~ · 4) Address of Land Owner://74 g ff4,~LL~4 '~oNAe/~ C.'7-- ' ~'a/~L,kq ff-~/.//~44-) ~ '~'[ 6) o ation of Property (road and map number): - / 7) Is the p~cel within ~ agricultural district7 ~o ~Yes If yes, ~cult~ Dist~ct Number 8) Is tfiis parcel actively f~ed? ~Yes 9) Name and address of any owner(s) of land within the ag~c~tuml dist~ct containing active fa~ ope~tion(s) located 500 feet of the bound~ of the proposed project. (Info~ation may be available t~ough 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 (Please u~e 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-~/~the Zo72g~a~f~ppeals at 765-1809. 1_5 Signature o f40fp, ghcant Date 1. The local board will solicit comments from the owners of land identified above in order to consider the effect of the proposed actifh on their farm operation. Solicitation will be made by supplying a copy of this statement. 2. Comments returned to the local board will be taken into consideration as part of the overall review of this application. 3. Copies of the completed Agricultural Data Statement shall be sent by applicant and/or the clerk of the board to the propecty owners identified above. The cost for mailing shall be paid by the aplJilc~nt at the time the application is submitted for review. Failure to pay at such time means the application is not complete and cannot be acted upon by the board. 1-14-09 T~wn 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 &each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). lfany question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION The Application has been submitted to (check appropriate response): TownBoard [] Planning Dept. [~BuildingDept. [] BoardofTrustees [] 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 land use: 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: .//,//.,~/~ k( ~/'~/A/7~('~-~--~ (b) Mailing address: (c) Telephone number: Area Code ( ) 7,~ tnt ~/~--') (d) Application number, if any: Will the action be directly undertaken, require fimding, or approval by a state or t~deral 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 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 [~ Yes [] No [~ (Not Applicable- please explain) A~lach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWqRP 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 III - Policies Pages 8 through 16 for evaluation criteria ~L~ Yes [] No [] (Not Applicable- please explain) Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply iu the Town of Southold. See LWRP Section III -Policies Pages 16 through 21 for evaluation criteria --[J~ Yes [] No [] (Not Applicable- please explain) Attach additional sheets ifnecessa~ 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 lll- Policies; Pages 22 through 32 for evaluation crileria. ~Yes [] No ~(Not 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. --I.~. Yes [~ No [] (Not Applicable- please explain) ,I 0 ,cX- F IC 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 II1 - 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 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) 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 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 [~) Not Applicable - please explain APPLICANT TRANSACTIONAL DISCLOSURE FORM (FOR SUBMISSION BY OWNER and OWNER'S AGENT) The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of Town officers and employees. The purpose of this form is to provide information, which can alert the Town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: Schwartz, Mark (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: Tax Grievance Variance Special Exception If"Other", name the activity: (Check all that apply.) Change of Zone Approval of Plat L_ Exemption from Plat or Official Map Other 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 t ¢' ] 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): t [ ] 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 ID) the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this Signature: Print Name: APPLICANT/AGENT/REPRESENTATiVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicls of interest on the part of town officers and employees. The our~ose of this form is to provide information which can alert the town of possible conflicts oflnterest and allow it to take whatever action is ;first name,~nid~le initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other 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"Othet", 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 6filter or employee has even a partial ownership of (or employment by) a oo~oration YES NO lfyouans ered YES , complete the balance ofthis form and date and sign where indicated. Name o£person employed by the Town of Southold Title or position of that person Describe the relationship between yourself (the applican~agenl/representative) and the town officer or employee. Either check the appropriate tine A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, o'r child is (check all that apply): A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); __B) the legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); __C) an officer, director, partner, or employee of the applicant; or D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I Su bmiued t~is'j~a~o£ ~ 2001~ Signamre~ ~ ~ Anthony Lomangino 9205 Skunk Lane Cutchogue, New York 11935 561-262-1418 November 10, 2011 To Whom It May Concern: I, Anfliony Lomangmo, authorize Mm'k Schwartz, AIA - Architect, to act as agent for permit applications to the, New York State Deparnnent of Enviromnental Conservation, Southold Zoning Board of Appeals and the Soufl~old Building Department. I also consent to inspection of this property by the ',dbremenfioned authorities. The proposed construction project is located at 9103 Skunk Lane, Cutchogme, New York (SCTM#1000-104-03-18.1). Sincerely, Anthony I~mangino date: TOWN OF SOUTHOLD PROPERTY RECORD CARD -/~',i 'OWNER STREET q/C/~ ~.~ VILLAGE DIST.' SUB. LOT . ACR./,% ~& n 4 ~1 ~ k ~ T~~ W ~PEOF BUILDING r RES. ~W Wi S~S. VL. ~ [FARM CO~. CB. MICS. Mkt. Value ~N~ ,M.. TOTAb ~ATE .~S ~~//X F A, ~a~ ~ ,~ ~.. / ~ ~ ~F. ~,,~_ , . Tillable , FRONTAGE ON WATER W~la~ FRONTAGE ON ROAD H~ P!~ BULKH~D To~ol LITTLE CREEK (DREDGED CANAL) ,7.33' 202.00' SITE PLAN SCALE: 1" = 30'-0' CAMERA SHOT LOCATION: AREA: LOT COVERAGE: TOTAL PROPERTY: 78,729 SQ, FT. 1.81 ACRES ~UETLANDS: 38,287 SQ. FT. 0.88 ACRES BUILDABLE PROPERTY: 40,442 SQ, FT. 0.93 ACRES TENNIS COURT: 7,200 SQ. FT. 17.8% RECEIVED JAN 1 9 2012 BOARD OF APPEALS LITTLE CREEK (DREDGED CANAL) N 11°24'30" E "~"~' $1'TE PLAN SCALE: 1" = 30'-0' LOCATION: AREA: LOT COVERAGE: TOTAL PROPERTY: 78,729 SQ, FT. 1,81 ACRES VUETLANDS: 38,287 SQ, FT. 0.88 ACRES BUILDABLE PROPERTY: 40,442 SQ, FT. 0,93 ACRES TENNIS COURT: 7,200 SQ. FT. 17.8% RECEIVED JAN .5 2012 BOARD OF APPEALS