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HomeMy WebLinkAbout1000-70.-4-11 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 lVIAILING 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 26, 2013 Re: Coastal Consistency Review for ZBA File Ref. 6637 Einczig SCTM#1000-70-4-11 The proposed action is located within FEMA Flood Zone X. 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 below listed LWRP polices and therefore CONSISTENT with the LWRP provided the Board requires the following best management practices to further the below listed policies. Policy 6.3 Protect and restore tidal and freshwater wet/ands. Provide adequate buffers between wetlands and adjacent or nearby uses and activities in order to ensure protection of the wetland's character, quality, values, and functions. The adequacy of the buffer depends on the following factors: Direction and flow of surface water between a use and adjacent or nearby wetland. Buffer widths may be reduced in areas where drainage patterns normally do not lead directly to the wetland and where adverse affects on the wetland, other than those due to runoff, are not likely. The property is sloped towards the tidal water body. In the event that the action is approved, it is recommended that a 15' wide landscaped buffer (including existing larqe trees) established landward of the bulkhead to further this policy. Pursuant to Chapter 268, the Southold Town Zoning Board of Appeals shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: JenniferAndaloro, Assistant Town Attorney BOARD MEMBERS Leslie Kanes Weisman, Chairperson Gerard P. Goehringer George Homing Ken Schneider Southold Town Hall 53095 Main Road · P.O. Box 1179 Southold, NY 11971-0959 Town Annex/First Floor, Capital One Bank 54375 Main Road (at Youngs Avenue) Southold, NY 11971 http://southoldtown.northfork.net ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809 ° Fax (631) 765-9064 March 5, 2013 Mark Terry, Principal Planner LWRP Coordinator Planning Board Office Town of Southold Town Hall Annex Southold, NY 11971 Re: ZBA File Ref. No. #6637 (Einczig) Dear Mr. Terry: MAR Southold Town Planning Board We have received an application for demolition and reconstruction of an existing single family dwelling in Southold. 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. To~ Patricia Moore for S & Y Einczig 51020 Main Road Southold, NY 11971 DATE: January 9,~ Please take notice that your application dated January 8, 2012 For demolition & reconstruction of an existing single family dwelling at Location of property 3055 Wells Ave., Southold, NY County Tax Map No. 1000 - Section 70 Block 4 Lot 11 Is returned herewith and disapproved on the following grounds: 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 survey indicates a setback fi'om the bulkhead of 39.1 '. ~uthorized Signature SURVEY OF LOt 11 OWI~D ~Y A T SOUTHOLD TOWN OF SO~THOLD ~. SUFFOLK COUNTY,, N. Y. 1000-70-04- 11 ' ~ Scale: 1" = 30' 49618 AREA = .~722 sq. ft ~ ~ rms RA~ RUNOFF CONTAINMENT AOWN OF SOU'l:I:lOLl~ UILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Examined ,20 Approved ,20 Disapproved a/c Expiration .20 PERMIT NO. BUILDING PERMIT APPLICATION CHECKLI~ Do you have or need the following, before applyin Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form Trustees C.O. Application Flood Permit Single & Separate Storm-Water Assessment Form Contact: Mail to: ~'-~q~qOg], HC4/)~ Phone: -qBSO ~:-z:-'[t~ ~~/~'-~t'~--]'t Bui ding Inspector I D ~'~ I / INSTRUCTIONS -- ~ appfieat~on MOS] be completely filled in by typewriter or in ink and submi~d t0 the Building Inspector with 4 sets of plans, accurate plot plan to scale. F~ according to schedu[¢. b. Plot plan showing location of lot and of buildings on premises, relatiouship to adjoining premises or publi~ s~eets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building P~it. d. Upon approval of this application, the Building Inspector will issue a Building Pe~it to the applicant. Such a pe~it shall be kept on the premises available for inspection throughout the work. e. ~o building shall be occupied or used in whole or in pas for any pu~ose what so ever until the Building Inspector issues a Ceaificate of Occupancy. L Ev¢~ building pe~it shall expire if the work authorized bas not commenced within 12 months a~er the date of issuance or has not bred completed within 18 months kuru such date. If no zoning amondmems or other ~latlons affecting th prope~ have been enacted in the interim, the Building Inspector may authorize, in writing, th~ extension of the ~it for an addition sM months. Therea~er, a new pe~it shall be requital. APPLICATION IS HEREBY MADE to the Building Depaament for the issuance of a Building Pe~it pu~uam to the Building Zone Ordinance of the Town of Southold, Suffolk CounW, New York, and oth~r applicable Laws, OMin~¢es or Regulations, for the cons~uction of buildings, additions, or alte~tions or for removal or demolition as h~in d~seribed. The applicant agr~s to ~omply with all applicable laws, oMinances, building code, housing code, ~d ~lations, ~d to admit authorized inspectors on p~mises and in building for necessa~ inspections. (Mailing addre~ of appli~t) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameorownerofpremises c~T~'6N ~' ~/~TT~ 61^1~-.1~;c~ ' (As on the tax'roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location o f land on which proposed~wo~rk~ ~ce~l~--~a~-. House Number Street County Tax Map No. 1000 Section /~/-~ Block Hamlet Lot [i Subdivision Filed Map No. .Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~1~1 4. 5. 6. 7. b. Intended use and occupancy Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost ~ ~./)_.P ! If dwelling, number of dwelling units If garage, number of cars 9. 10. Date of Purchase Fee Addition Other Work Alteration (Description) (To be paid on filing this a, pplication) __Number of dwelling units on each floor / If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of exlsttng structures, ~f any: Front~Rear 4~'" ~;~ t' Depth ~0/I Height ! ~t Number of Stories Dimensions of same structure with alterations or additions: Front ~'gt_ ~, It Rear rD '-'O Depth (p,~,- ~" Height 2 ~' ' Number of Stories Dimensions ofentire new constmction: Front ~, "¢J~' L¢" Rear ~O'-~" .~J~.hi~,b~5)~ Height '"~,.~ ' Number of Stories r~ I Size of ot ~Front /"~ '~,, ~, 'E3 ' Rear ]600, q/'~ Depth Nume of o ner Owner xJ 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO__ 13. Will lot be re-graded? YES NO V 14. Names of Owner of premises ~'1 Name of Architect' ~1 ~,~N. d/Jgfl/TO~q Address/~?~Jt> ~ ~hone No~~ Name of Conmctor Address ~[~, Phone No. 15 a. Is ~is pro~y within 100 feet of a tidal wetland or a freshwmer wetl~d? *YES NO * IF YES, SOUTHOLD TO~ TRUSTEES & D.E.C. PE~ITS MAY BE ~QUI~D. b. Is ~is prope~y ~n 300 feet ora tidal wetland? * YES __ NO * IF YES, D.E.C. PE~ITS MAY BE ~QUI~D. 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 ) (S)He is the ~ c.~.,v,~ ,'- ~ ~'~-c> ~x 4 '-"x (Contractor,'Agent, Corporate Dfficer, etc.) of said owner or ownerh and is duly authorized to perform or have performed the said work and to make and file ~is appfi~tion; that all statements ~nmined in this application ~ true to the ~st of his knowledge ~d belief; and ~at the work will be perforated in the manner set fo~h in the application filed th~ Sworn to befo~ me this ~ ~ r)i Ill /~ ~/ dayof ~k~/~20/'~ ~~-'/ ~w _~/~'4~ ~:~ ~~tu~-~tu~ of ~of pli~ No~ ~blic "~- ' lee: $ Filed By:. Assignment No. APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS House No. 3055 Street_Wells Avenue Hamlet Southold SCTM 1000 Section_70 Block ~4 Lot(s) 11 Lot Size 22,722 sq.ft. Zone_R-40 I (WE) APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED January 9, 2013_ BASED ON MAP dated May 20, 1994 and last dated January 3, 2013 Applicant(s)/Owner(s): Steven & Yvette Einczig Mailing Address: P.O.Box 2462, Malibu CA 90265 Telephone: c/o Pat Moore 765-4330 Fax #: 765-4663 Email: pcmoore(~mooreattys.com 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: Patricia C. Moore Esq. for (X) Owner, or ( ) Other: _ Agents Address: 51020 Main Road, Southold NY 11971 Telephone. 765-4330 Fax #: 765-4643 Email:_pcmoore(&~mooreattys.com Please check to specify who you wish correspondence to be mailed to, from the above names: [] Applicant/Owner(s), or :~ Authorized Representative, or [] Other Name/Address below: WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN DATED May 20, 1994 updated January 3, 2013_and DENIED AN APPLICATION DATED January 8, 2012 FOR: ~, Building Permit [] Certificate of Occupancy [3 Pre-Certificate of Occupancy [] Change of Use [3 Permit for As-Built Construction []Other: Provision of the Zoning Ordinance Appealed. (Indicate Article, Section, Subsection of Zoning Or~dinance by numbers. Do not quote the code.) 1. Article XXH Section 280-116 (B) setback from bulkhead Type of Appeal. An Appeal is made for: ~ A Variance to the Zoning Code or Zoning Map. [] A Variance due to lack of access required by New York Town Law-Section 280-A. [] Interpretation of the Town Code, Article Section [] Reversal or Other A prior appeal, X has NOT been made at any time with respect to this property, except UNDER_(Please be sure to research before completing this question or call our oJ~ice for assistanca) Name of Owner: Steven & Yvette Einczig ZBA File # REASONS FOR APPEAL (additional sheets maF be used with preparer's signature): AREA VARIANCE REASONS: (1) Au undesirable change will not be produced in the CHARACTER of the neighborhood or a detriment to nearby properties if granted, because: This is lot number 11 in the subdivision known as George H. Wells filed Nov. 28, 1927 as file number 859. This and surrounding homes pre-date zoning. Wells Avenue is a well established community of many year round homes which have been recently renovated. The property was previously owned by Yvette Lang Einczig's parents and then purchased from her three siblings. The house needs to be renovated and a plan prepared by Eileen Santora, Architect was prepared to renovate the first floor, add a second floor, all in keeping with the character of the neighborhood. (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: The applicants wish to retain as much of the house as is possible. The improvements to the house will maintain the existing setbacks of the foundation from the bulkhead and the garage will be extended towards the road. A deck is proposed to the rear of the house rather than the existing slate patio. (3) The amount of relief requested is not substantial because: The property is sloped and overlooks Jockey Creek. Some homes on Wells Avenue have bulkheads and others do not, yet the homes are developed with similar setbacks to the Creek. The homes, to the extent possible, are set back off the road. (4) The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: The property was previously developed, public water is in the street The property is protected from flooding or erosion by the bulkhead and the elevation. (5) Has the alleged difficulty been self-created? ( )Yes, or ( X)No The existing home is pre-existing nonconforming as to set backs. The surrounding homes were developed with closer setbacks to the bulkhead. Are there Covenants and Restrictions concerning this land: X None applicable. Yes ~lease furnish 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 ( ) IFA USE VARIANCE lS BEING REQUEST~.~II,.,4~;D PL~4SE COMPLETE THE ATTACHED USE VARIANCE SHEET: (Please be suretoconsultyo~ttf~~ Sig~a~"e'oY~Appellant or Anthorized Age~nt (Agent must submit wriUen Authorization from Owner} Sworn to~.~ore me this ~' ~' day of/~'~ , 20 L~ . Notmy Public, State of New Ymk No. 01 PE6130638 Qualified in Suffolk County .~ Commission Expires July 18. APPLICANT'S PROJECT DESCRIPTION (For ZBA Reference) Applicant: Steven & Yvette Einczig_ Date Prepared:February 8, 2013 I. For Demolition of Existing Building Areas Please describe areas being removed: roof- second floor added over existing footprint with small addition to front of existing garage (slab) in order to use some of existing carafe space for Kitchen pantry. II. New Construction Areas (New Dwelling or New Additions/Extensions): Dimensions of first floor extension-new front porch (4' x 15) and new deck variable measurements see plans page 11 of 11 Dimensions of new second floor- Dimensions of floor above second level: 27' x 45 plus 16'x 13' over oart of gara~,e. Height (from finished ground to top of ridge): 28' Is basement or lowest floor area being constructed-existing basement retained- slab added for If yes, please provide height (above ground) ~ 3' measured from natural existing grade to first floor: III. Proposed Construction Description (Alterations or Structural Changes ) See Drawings by Eileen Santora, designer and Fisehetti, P.E.: second floor addition and renovation of first floor. Bedrooms on first floor to be relocated to second floor (attach extra sheet if necessary) - Number of Floors and General Characteristics BEFORE Alterations: very flat ranch Number of Floors and Changes WITH Alterations: two story dwelling IV. Calculations of building areas and lot coverage (from surveyor): Lot Coverage from survey Existing house, garage, porch & stoops 2044 sq.ft. (9%) Prooosed house, garage, oorch & deck 2866 sa.ft. Proposed increase of building coverage:_822 sq.ft. Square footage of your lot: 22,722 SF Percentage of coverage of your lot by building area: 12.6% V. Purpose of New Construction Requested: renovate and expand existing home VI. Please describe the land contours (flat, slope %, etc.) as exist and how it relates to the difficulty in meeting the code requirement(s): bulkhead along Jockey Creek with natural slopes to Creek Please submit seven (7) photos, labeled to show all yard areas of proposed construction after staking comers for new construction), or photos of existing building area to be altered with yard view. 7/2002; 2/2005; 1/2007 QUESTIONNAIRE FOR FILING WITH YOUR Z.B.A. APPLICATION OWNER: Steven & Yvette Lnng Einczig SCTM: 1000-70-04-11 A. Is the subject premises listed on the real estate market for sale? [] Yes E No Are there any proposals to change or alter land contours? E No [3 Yes, please explain on attached sheet. 1) Are there areas that contain sand or wetland grasses?__yes. 2) Are these areas shown on the map submitted with this application?~ yes 3) ls the property bulkheaded between the wetlands area and the upland building area? _ yes. 4) If yoar property contains wetlands or pond areas, have you contacted the office of the Town Trustees for its determination of jurisdiction? Yes Please confirm status of your inquiry or application with the Trustees: once ZBA variance is issued and if issued, please attach copies of permit with conditions and approved map. D. Is there a depression or sloping elevation near the area of proposed construction at or below five feet above mean sea level? no E. Are there any patios, concrete barriers, bulkheads or fences that exist and are not shown on the survey map that you are submitting? no (Please show area of these structures on a diagram if any exist. Or state "none" on the above line, if applicable.) F. Do you have any construction taking place at this time concerning your premises? _ please submit a copy of your building permit and map as approved by the Building Department and describe: nq If yes, G. Do you or any co-owner also own other land close to this parcel? no the proximity of your lands on your map with this application. lfyes, please label H. Please list present use or operations conducted at this parcel pre-existing nonconforming single family dwelling and proposed use renovated & 2''~ floor expanded single family dwelling : ' _ ilY; uff. q.tho6'~d Signature and Date 1/07 proposed: same with garage or pool, or other description.) 2/05; FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at....~..~.....~..e.~.]-.~...J,...l~... ...................................... Street Mop Nog.,~,Y/.e1-~- ....... Block No ........ ~ ........ Lot No..[ia ........ ~)~9~.~1,~....~I.~[~. ...................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ......................... ~%~p.~.e~l~e~......~c). ..... 19~§...., pursuant to which Building Permit No...~..~.~. ................ dated .......................... · .~ ~P~ ~.q~ .e.~:. · ~,c~..., 19,~.8....., was issued, and conforms to oil of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is .............. ............................... ~L~.t,e..~ne..~m~JL~r...~.w.e,~tng ........................................................................... This certificate is issued to .....~,[.]~.,~,~L.~.~.~..~.~,~ ,..~,9~. ..................................................................... (owner, lessee or tenant) of the oforesoid building. ......... :..~ ......... :'..::...~....~ .......... Building Inspector 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.° 453 Z Date ........... I~llpt, ell~e~.... ,1,9. ............... 19.~8... Permission is hereby granted to: Wilti~t -tl'~'"Iue~ ................................................... ..... .'... 3~f ..w..~et~...~.~ ....................................... ................. · #e~..¥~l~k y ...R, .~., .............................. to ........................ t~iit'- ~l®w"d~!'tin~ ........................................................................................ at premises located at .,~.,ljL..l.~....~i~.~Id~'l,}.~..II~,.l~.~) ..................................................... .......................................... Idellls.. JL~e., ........ 8outhol/[ ................................................................... pursuant to application dated ....................... ~,~j~l~b~,L~.....t~ ......... 19.~.., and approved by the Building Inspector Fee $ ~O. eO0 ........... FORM TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLV, N. Y. Examined ...........~..!..?. ........ 19...~.~..~. roved 19 t~ Permt No. (Building Inspector) Application No...~'~.~? ........... APPLICATION FOR BUILDING PERMIT Date ............... .~,.~,~ ~.~.~ .~..~..~1~.x...... !..~/..... 19 .:..~: ..... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this location. c. The work co~ered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue o Building Permit to the applicant: Such permit shall be kept on the premises available for inspection throughout the progress of the work. e. No building shah be occupied or used in whole or in part for any purpose whatever until a Certificat~ of Occupgncy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Deportment for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of SouthoJd, Suffolk County, New York, and other applicable Lows, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, os herein described. The applicant agrees to comply with oil applicable laws, ordinances and regulations. " ?' ' / A 'b' ('~ · .......... ......... :. (Signature of applicant, or name, if a corporation) ..~:r..2 ........ .9./. ........... '::...L..::Z; ........... .~.:..::~.: .................. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ixlame or owner aT premises ........................... , · ...................................................... j~ ..................... If applicant is a corporate, signature of du~ authorized officer. ................... '(Niobe a~ title of corporate officer) · . . tO~ "~? t o. // 1. Location of land on wh~c~ proposed work wdl be done. Map ~.....~.~.-~. ........ :...'~.--,:: .......... Lo N ..................... Municipoli~ 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 ~cupancy ............................. ~x..~ ..................... e ..................................................................... 3. Nature of work (check which applicable): New Build'rig .................... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ......................... ~ ................................. Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units .......... .O~it~.~.....Number of dwelling units on each floor ............................ If garage, number of cars ................... ~)~,-,:.. ................................................................................................................ 6. If business, commercial or mixed occupancy, speci~ nature and extent of each type of use .............................. 7. Dimensions of existing structures, if any: Front ............................ Rear ............................ Depth Height ............................ Number of Stories ............................................................................................................. Dimensions of same structure with alte~fions or additions: Front ................................ Rear ................................ Dept~ .............................. Helgh~ .............................. Numar of Stories ................................ 8. Dimensions of entire new construction: Front.....~. .............. Rear ............................ Depth ...~.~......~ .......... Height ....... (..Z..'...~ ...... Numar of Stories .....~ ....... 9. Size of lot: Front ....,Z~:...~. .......... Rear ...... ~..~..~.....~,,~.. Depth ....~..::.~.Z/.~..~'4 ~ ~>~'~ /7'~ ~ ~ ~ ~."~ JO. Dote of Pumhase ........................................................ Name of Form ~ er ...~.....~ .......... ~. ....... zo.. or i. wh. h .,.m,.e, ............... ................................... 12. Does pr~ed c~struction violate any~ing law, ordinate or ~gulation? ......... {~..~ ................................. 13, Nome of ~ner of premises..,...;2 ......... ~..~;..;,..~......Address ............................................ Phone NO ..................... · ,$~ f4, G-. .... Name of Archltectl.;... ................ I.~.-~ ....... ~' ................. Address ............................................ Phone NO ..................... N~me of Contractor..,~;..~.....~.:~;;..~ ................... Address ............................................ Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly ~11 buildings, whether existing or proposed, and indicate ~11 set-b~ck dimensions from property lines. Give street and block numbers or description according to deed, and show ~treet names and indicate whether interior or corner lot. STATE OF NEW(~ORK~,~ D~. S S .~" % ~] 6-.-,;.-..,,,,,~ .......... being duly sworn, deposes and soys that he is the applicant '"(Name of individual signing epplicatio~ above named. He is the ......................................~.~ ....................................................................................... (Contractor, ogent~ corporate officer, etc.) of said owner or owners, and is duly authorized to ~rform or have performed the said work and to make and file this opp cation that ~1~ statements contained in thi~gpp~att~ are true to the ~st of his ~nowledge and belief; and that t~ ~rk will be performed in the ~nner se~fo~ ~he applic~ion filed therewith. ~ Sworn to ~fore me this ~ .. "'~.~ ~', ~ }~/ /~ ' // ~ / I dnv of ~=~1~:~.~ 9 ~ ,~, '(?~/~ ~ p~ (Signoture of app cant) -/ ................. ~.....~; · ~ .... ~. - ..,~h; ~ -,~ / TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUT,OLD, .. ~. Examined.... ~:..,.-/.. ?. ............ 19..~*..? Approved ................ :.:. .................... 19.ff..,,.Permit No...-~,.,.,..~,/..~'.~.~. .......... (Building Inspector) Application No.....~7~.~..~?.. ............. APPLICATION FOR BUILDING PERMIT Oafe ............... ~~..-......!..L..~9..r..£ .... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is port of this location. c. The work co,~ered 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 permit shall be I~ept on the premises available for inspection throughout the progress of the work. e, No building shall be occupied or used in whole or in port for any purpose whatever until c Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION 1S 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 lows, ordinances and regulations, ..... ......... .................................. (Signature of applicant, or name, if a corporation) ....... ......... ................. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. If applicant is a corporate, signature of duly authorized officer. ........... '~Name and title of corporate ~ffice~) I. Location of land on whic~ proposed work will be done. Map No: ....~.~..~.......~....~...~./gLot No: ..../...~ ............. ............. ................. Street and Number ..~.~. ............. ~r~i~.ibality 2. State existing use and occuponcy of premises and inteflded use and occupancy of proposed construction: o. [xisting u~e end occuponc~ ..................................................................................................................................... b. Intended use and occupancy ............................. ~.~..~ ..................................................................... 3. Nature of work (check wh?ch applicable): New Building ....... .~_,., .....Addition .................... Aiteration .................... Repair .................... Removal ....................Demolition .................... Other Work (Describe) .................... 4. Es. a,ed ........................ Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units ......... i~.,....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 ............................ Depth ............................ Height ............................ Number of Stories ............................................................................................................. Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ 8. Dimensions of entire new construction: Front.....-.~'..l~. ............... Rear ............................ Depth ...~.~ .................. Height ...... .J..].7...i..,~.-7. ...... Number of Stories ....~ ........ 9. Size of lot: Front ,...'.7..~..:....(¢ ........... Rear .....~/.,.-~.,~,.'...~..'~,. Depth ....~Q,.~.~'.l,.....'~'¥' ]0. Date of Purchase ......... ../...?.. ,~...~,. ............................. Name of Former Owner ..r~JlJ~-JJm~.,......~......0~.....'~...~. ........ '1. Zone or use district in which premises are situated .............. ./...~...,.~..-~.~..~::..%~,. .................................... 12. Does proposed construction violate any~ing Io% ordinance or regulation? .,,,~...~.O.. ................................. 1:3. ' ~ Name of Owner of premlses,.:,~... .......... .¥.....~...~....'{.....,Address ............................................ Phone NO ..................... Name of Contractor...~......~.-..°T~...c~,~ .................. Address ............................................ Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly oil buildings, whether existing or proposed, and indicate all set-back dimensions fram property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEV~Y.OR~ D~. ? S S cou. v OF ................................. ~..: ............................. ~ ............ ~e ng duly sworn, deposes and says that ~ is the appBcont {Name of individual signing opplic~ti~) above named. He is the ....................................~.~ ......................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to ~rform or hove performed the said work and to make and file this applicaton; that a I statements contained i~js~licotion ore true to the ~st of his knowledge and belief; and that the work will be performed In the ~nn~}~9t~;~t ~he application filed therewith. NotaW Public, ~....~.~....~,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; site plan apprOvdl, use variance, or subdivision approval on property within an agricultural district OR within 500 feet of a farm aperation locat~d in agricultural districL .4ll applications requiring an agricultural data statement must be referred to the Suffolk Coun(F Department of Planning in accordance With Sections 239- m and 239-n of the GenePai Municipal Zaw. l)NameofApplicanti.~?f3cy'~_J.Li/X, ~ ~'-'[O.~6'~-~ 2) Address 0f Applicant: ~ ~. '.~'r., 'Mf4 ~ ~' 3) Name of Land Owner (if othex than applicant) 4) Addi'ess of Land Owner' 5) Description of Proposed Project: ~{2r'~c~ ~, r e_ ( o'~-kq~c_~'~x~ ~) 45 ~4~ ~"~,x~ ~-~"',x~ \ 6) I.;ecation of P"roperty (road and tax map numbe0: 7) Is the parcel within an agricultural distfict?,~No [~]Yes If yes, Agricultural District Number 8) Is this parcel actively farmed? [~No I-lyes 9) blame and address of any Owner(s) of land within the agricuRural district containing active farm operation(s) lochted 500 feet of the boundary of the proposed project. (Information may be available through the Towh Assessors Office, Town Halt location (765~1937) or from any publi~ computer at the Town Hall locations by viewing the pamel numbers on the Town of Southold Real Property Tax System. Name and Address (Please use back side of page if more than six property owners are identified.) The lot nl~i~ may be obtained, in advance, when requested from 765.1~9~3~ 0ry/Zoning?f of Appeals at 765~ 1809. either the Office 0f the Plannlng B°ard at, / Signature of )~op fl~ant ~ P Note: 1. The local board will solicit comments from the owners oC land.identified above in order to conaider the effect nf the proposed action on their farm operation. Solicitation will be made by Supplying a copy of this statement. 2. Commeata returned to the local board will bo taken into consideration ps part of the overall review of this application. 3. Copiea bf the completed Agricultural Data Statement shall be sent by applicant end/or the clerk bf 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 roview. Failure to pay at such time menns the application is not complete and cannot be acted upon by the board. 1-14-09 PROJECT ID NUMBER SEQR PART 1- PROJECT INFORMATION I[-~PPLICANT / SPONSOR 3,PROJECT LOCATtON: 4. PRECISE LOCATION: Street Addess end Roaa Interseclion~ 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicanl or Project Sponsor) 2. PROJECT NAME Prominent landmarks etc-or a~vide maa 6. DESCRIBE PROJECT BRIEFLY: 7. AMOU OF LAND AFF CT D: 8. WILL PROPOSED~ACTION COMPLY WITH EXIS'rING ZONINg' OR OTHER RESTRICTIONS? 9. WHAT iS PRESENT LAND USE IN VICINITY OF PROJECT? (Chooseas many as apply.) ~Reslden§al [] Indusbta, [] Commercia, r'"]Ag,icult~re [] 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 Local) ----]Yes ~ yes, agency name pemlil approval: list 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ['~Yes [--"~o If yes, list agency name and permit / approval; u.-.-.-.-.-.-.-.-.~ t . AS A PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION?  MY KNOWI. E GE Signature / If the action Is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT ~'1'o be completed by Lead Agency) A DOES ACTION EXCEED ANY TYPE I THRESHOLD ~N 6 NYCRR, PARq' 617,47 If yea. ccerdieate the review process and use Ihe FULL FAF, B WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617,67 If No, a negaUve declarabon may be supemoded by another involved agency. C. COULD ACTION RESULT iN ANY ADVERS~ EFFECTS ASSOCIATED WiTH THE FOLLOWING: (Answers may be handwritten, if legibte) C1. Exieifng air quality, aur[ece or groundwater qual~/or quantity, noise levels, exieEng Irafifc pattum, solid waste production or disposal, p~al for erosion, drainage a- Boodlng pmbJems? Explain briefly: C2 Ae~theti~agricultura~archaeel~gk~el~h~sh3~r~th~natumi~c~tum~ms~urces;orc~mmunity~rnelghb~rh~dchamcter?Expia brisfly: C3 vegeteifon~fa~n~, fish: shelltiSh or wildlife BPeeles, BlgnJl~ant habitats, cr thrastened or endangered species? Explain briefly: I ................ I C5. Gro'.v~, ~uhaequast developmenl, or related acth, ffiea likely to be induced by the proposed aclJon? F. xpie~n briefly: I C7. O~ler Impacts (Inclodin~ Chan~lea In uae of either q.~-~';i;'~ Explain brlefi},i ENVIRONMENTAL AREA ICEAI? {11 year explain bdeif~'; E. IS THERE, OR IS THERE LIKELY TO BE1 CONTROVERSY RELATED T~O POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ff yes ex{~lain: []Y" E:]N° I PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effec~ identified above, dete~mlne whether it is subetanital, large, important or othe~wiae significant. Each effect should be assessed in co~ne~on with rte (a) setting (i.e. urban of rural); (b) probability of occurring; (c) duration: (d) irreversieility: (e) geographic aoope; and (t) magnitude. If necessary, add attachments or reference suppofflng materials. Ensure that explanations contain sufficient detail Io show that all raievanl adverse impacts have been identified and adequately addressed, if question d of part ii was checked yes, the ~tetermination of significance must evaluate the potsntialimpact of the Ixoposad action on the environmental charactadsUcs of the CEA. Name of Lead A~ency Data TiUe of Reaponslble Officer Pdnt o~ Type Name of Responsible O/ricer In Lead Agency Signet ure of Responsible Officer In Lead Agency Signature of Preparer (if different from responsible afl. er) $teven Eioczig Yvelte Lang.-Einczig December 10. 2012 Paldcia C. Moore. F..~t. 020 Main Road Southold~ NY i 1971 D~r Ms. Moore: We, $teven ELnczlg and Yvet~ l.,ang Einczig, as owners of propcrly kno,~n as 3055 Wells Road. Southold New York (~lm: ! {R~0-70-4--1 l) hereby, aulhori2'£ 3'00 to act as our agent regarding any and all applications ~ith the Town of Southold Buildin~ Dep-amnent. Zoninv. I.Ioanl ut Appeals, and an.,,' other agencies including but not limited to obtaining copies plans~'surveys in our files. Very Iruly yours, / 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: Steven & Yvette Lang Einczig and PatriciaC. Moore Esq._ (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.) Tax Grievance Variance X Special Exception If "Other", name the activity: Change of Zone Approval of Plat 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 X 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. 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 (cheek all that apply): A) the owner of greater than 5% of the shams 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. Either cheek the DESCRIPTION OF RELATIONSHIP Submitted this Signature: ~ ~F~am?~_ Steven &~v/.e Lang~n~ ~ ' ~tricia C. Moore LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). 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# 1000~70-04-11 OWNER: Steven & Yvette Einczig AGENT: Patricia C. Moore Esq. 51020 Main Road, Southold NY 11971 The Application has been submitted to (check appropriate response): Town Board Planning Dept. Building Dept. Board of Trustees Zoning Board of Appeals_~_X 1. Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) __ (b) Financial assistance (e.g. grant, loan, subsidy) __ (c) Permit, approval, license, certification: X Variance Nature and extent of action: renovation and second floor expansion to single family dwelling Location of action: 3055 Wells Avenue, Southold Site acreage: 22,722 sq.ft. Present land use: single family dwelling Present zoning classification: r-40 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: Steven & Yvette Einczig (b) Mailing Address: P.O.Box 2462 Malibu, CA 90265 (c) Telephone number: Area Code (631) 765-4330 (Pat Moore) (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes X No If yes, which state or federal agency: DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Sonthold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. X Yes No Not Applicable the house and property is preexisting nonconforming. The setback from the bulkhead was established by the existing house. 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 X Not Applicable land is not identified as area of Areheological Sensitivity or on the National Register on Map produced by NYS Dept. Of State, Division of Coastal Resources Policy 3. Enhance visual quality and protect scenic resoumes throughout the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria X Yes No Not Applicable The proposed house Will be in keenin~ with the surrounding homes. Drainage will be provided which prevents non-point source pollution, prevents flooding and erosion. 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 X Yes No Not Applicable No effect on flooding or erosion. Bulkhead protects upland property from flooding and erosion 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 X Not Applicable all construction will conform to regulatory standards, there is public water 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. X Yes No Not Applicable renovaed house will not adversely impact ecosystem. 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 X Not Applicable Air quality will not'be affected by residential use. Standard building codes compliance urohibit degradation of air quality or emissions. 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. X Yes No Not Applicable Solid waste is controlled through town-wide recycling, no hazardous substances proposed at site. 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 XNo Not Applicable The parcel is private ownership 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 X Not Applicable Residential use of property in establish property and neighborhood will not adversely impact coastline. Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section HI - Policies; Pages 57 through 62 for evaluation criteria. Yes No X Not Applicable, property is protected from encroachment into wetlands by existing bulkhead Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. Yes No X Not Applicable Area has not developed for agrieultore. 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 X Not Applicable Single family residential home is deemed by the Town of Southold as an appropriate permitted use with no significant drain on existing energy and mineral resources *copy of Town form created on 5/25/05 1 I [E~L 0 ,t '040 ~l~¢b ¢c./~.// _ . -ff ri I :I 'l TOWN OF SOUTHOLD' PROPERTY OWNER FO, ,RIY~ER O~/NER ~ .- ' r/r ~ RES.~/a ~ S~S. W. LAND IMP. TOTAL NORMAL Aare FARM DATE AGE BUILDING CONDITION NEW BELOW ABOVE FARM Value Per Value Acre RECORD CARD VILLAGE W COM~vL CB. MICS. REMARKS Tillable FRONTAGE ON WATER /~. Woodland FRONTAGE ON ROAD Meadowland DEPTH Hou.~e P.~lot Total BULKHEAD DOCK TYPE OF BUILDING Mkt. Value LOT z//~ M. Bide. COLOR ~ ~r~ ~/; TRIM Extension Extension Ex'tens!on ~- z~ . Bmh Porch /~-~' £ L Floors Porch Breezeway Garage Patio Total Foundation Basement Ext. Walls Fire Place ~ ~ f , Type Roof ~,' Recreation Room Dormer Interior Finish Heat Dinette Rooms 1st Floor BR. Rooms 2nd Floor ~FIN. B Driveway LOT COVERAGE EXISTING - HOUSE~ GARAGE~ PORCH & STOOPS 204~ sq. ft. 2044/22722 = 9% PROPOSED HOUSE~ GARAGE~ PORCH & DECK 2866 sq. fh 2866/227~2 = 12.6% SURVEY OF LOT 11 PLAN OF LOTS OIIIIII~D BY A T SOUTHOLD TOWN OF SOl.HOLD SUFFOLK COUNTY, N.Y. ~ 1000 - 70 - 04 - 11 ~ Scale: 1" = 30' It/lay 20,1994 ~ Uan.-3~ 2013 (prop hoc~e ~l~S) r~ dan. 30~ 2013 ~ad#tio~) P. O. BOX. 909 .~$0 ~R;4'VELER STREET SOUTHOLD; N.Y. 11971 Prepared in a.c. cordance w/th the minimum standnrds for fi'tie surveys as es/ob#shed by the L,I.A.L.S. and approved and adopted for.. such use. .by The New York Stale Lend Title AsCOclolion. RAIN RUNOFF CONTAINMENT DWELLING AFTER CONSTRUCTION - 2024 sq. lt. ~024 ~ I ~ 0.17 = 3,t4 cu. ft. 344/42.2 = 8.1 VF PROVIDE 2 DWs, 8'f~ ~ 4' deep OR EQUAL CERTIFIED TO~ ELLEN V. LANG AREA = 22,722 sq. ft to tie J'nes FL O00 ZONEs FROM FIRM 36103C0166H 94- 196 ($ol COUNTYOF.~iiFFnlk- ~ I,,,I