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HomeMy WebLinkAbout1000-70.-4-15.1 of soar OFFICE LOCATION: H~ MAILING ADDRESS: Town Hall Annex ~O l~ P.O. Box 1179 54375 State Route 25 y i Southold, NY 11971 (cor. Main Rd. & Youngs Ave.) T T Southold, NY 11971 G ~ Telephone: 631 765-1938 '.2 ~ Fax: 631 ?65-3136 o~yCOU~,~~ 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: June 4, 2013 Re: Coastal Consistency Review for ZBA File RAYMOND and JOYCE VASTOLA #6655 SCTM#1000-70-4-15.1 The proposed actions are located within FEMA Flood Zone X. RAYMOND and JOYCE VASTOLA #6655 -Request for Variance Article XXII Section 280-116 (B) and the Building Inspector's April 8, 2013 Notice of Disapproval based on an application for building permit to construct an accessory in-ground swimming pool, additions and alterations to an existing single family dwelling at; 1) less than the code required bulkhead setback of 75 feet, located at: 2795 Welis Avenue (adj. to Jockey Creek) Southold, NY. SCTM#1000-70-4-15.1 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 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 wetlands. D. 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 gropertv is slowed towards the tidal water bodv In the event that the actions are approved it is recommended that a 15' wide landscaped non-fertilization buffer be established landward of the bulkhead to further this policy. Further it is recommended that the Board require a pool de-watering drvwell and storm water controls compliant with Chanter 236 Stormwater Manaaement 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: Jennifer Andaloro, Assistant Town Attorney _ _ _ N~~1 BOARD MEMBERS Southold Town Hall Leslie Kanes Weisman, Chairperson ~~OF SO(/j~o 53095 Main Road • P.O. Box 1179 ~O Southold, NY 11971-0959 Office Location: Gerard P. Goehringer y ~ Town Annex /First Floor, Capital One Bank George Horning ~ ~ ~p 54375 Main Road (at Youngs Avenue) Ken Schneider OlyC~rJ~ Southold, NY 11971 http://southoldrown.northfork. net ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809 • Fax (631) 765-9064 ~ ~ ~ / April 25, 2013 Mark Terry, Principal Planner LWRP Coordinator Planning Board Office Town of Southold _ Town Hall Annex ~ ~ - Southold,NY 11971 `~t~ ~ ~ j°`~ APR 252013 i`~'~' Re: ZBA File Ref. No. #6655 (Vastola) _ ~ Dear Mr. Terry: We have received an application for an accessory in-ground pool and additions and alterations 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-SD is requested within 30 days of receipt of this letter. Thank you. Very truly yours, Leslie K. Weisman Chairperson ~i ~ /J Encls. FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL DATE: Apri18, 2013 TO: Nancy Steelman (Vastola) 25235 Main Road Cutchogue, NY 11935 Pease take notice that your application dated March 28 2013 For permit to construct an accessory in-ground swimming_nool additions and alterations to an existing single family dwelling_at Location of property: 2795 Wells Avenue. Southold. NY County Tax Map No. 1000 -Section 70 Block 4 Lot 15.1 Is returned herewith and disapproved on the following grounds: The proposed construction is not permitted pursuant to Article XXII Section 280-116B which states' "All buildings located on lots upon which a bulkhead concrete wall ri~rap or similar structure exists and which are adjacent to tidal water bodies other than sounds shall be set back not less than seventy-five (751 feet from the bulkhead." The ro sed construction notes asetback of+/- 36 feet to the existin bulk C e Authorized Signature Cc: File, ZBA S A M U E L S& S T E E L M A N April 17, 2013 Zoning Board of Appeals Town of Southold Town Hall Annex Building 54375 Main Road Southold, NY 11971 Re: Vastola Residence 2795 Wells Ave. Southold, NY 11971 SCTM# 1000-70-4-15.1 Dear Board Members, As per the Notice of Disapproval from the Town of Southold Building Department, dated April 8, 2013, we are submitting nine (9) sets of the following documents for an Area Variance: 1. Notice of Disapproval from the Town of Southold Building Department 2. Building Permit Application 3. Check for $500 4. Application To ZBA 5. Project Description 6. Questionnaire Form 7. Certificate of Occupancies 8. Ag Data Form 9. Short Form Environmental 10. Owner's Consent 11. Transactional Disclosure Forms -Owner and Agent 12. LWRP 13. Photos 14. Survey/Site Plan 15. Building Plans 16. Town Property Card ARCHITEC I S 25235 MAIN ROAD CUTCFIOGUE, NEW YORK 11935 (6 3'I 1 7 a4-640 FAX (63~) ~3A-0,407 If we can provide any additional information or answer any questions, please do not hesitate to call. Sincerely, Sam sand Steelman Architects a cy S man, R.A. D~~pN~nu~ TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 a sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined . 20 Storm-Water Assessment Form ContaM: Approved D , 20 Mail to: Disapproved a/c ~O ~o Phone: - 7~ Expiration , 20_ Building Inspector - - D APPLICATION FOR BUILDING PERMTT , PJ,P.R ~ 9 2013 Date rc~ Z8 , 20_~ INSTRUCTIONS a '~'ktis ,apgtt¢a~,aut MUST completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets vf~plmtsl~cura p of 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 azeas, 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 hvspector 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 Certificate of Occupancy. £ 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 affectingthe property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit foran addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Pemut 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. (Si o applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, azchitect, engineer, genera] contractor, electrician, plumber or builder ~L;t-I~fJ- 1 Name of owner of premises ~ ~/Q I ~ "p~.. (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. Plmnbers License No. Electricians License No. Other Trade's License No. I. Location of land on which proposed work will be done: ~1 , ZT95 ~Il~~y~ t~Y House Number Street Hamlet County Tax Map No. 1000 Section TD Block_~i~- Lot /5, ~ Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and oc upancy of proposed construction: a. Existing use and occupancy ~ r ~'rrn b. Intended use and occupancy h'k~ 3. Nature of work (check which applicable): New Building Addition X Alteration Repair Removal Demolition Other Work }~~yl ~TcJ'Y~ (Description) 4. Estimated Cost c~ /CYO A~~ Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units ~ Number of dwelling units on each floor If garage, number of cars 7 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. - 7. Dimensions of existing structures, if any: Front (q'_ 5" Rear Depth _ Height 23'- I o " Number of Stories 2 Dimensions of same structure with alterations or additions: Front ~0`1'~5" Rear _ - G9'-5" Depth ~ ~ ti Height ~R"_Jp" Number of Stories 2 , 8. Dimensions of entire new construction: Front - Reaz - Depth - Height r- Number of Stories 9. Size of lot: Front ~'OD ~ Rear /hbt Depth 7~si' ~ ZSg 10. Date of Purchase 2~ /O Name of Former Owner X11 ~ ~ 11. Zone or use district in which premises aze situated a-~O 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_,~ NO_ 13. Will lot be re-graded? YES_ NO C Will excess fill be removed from premises? YES~_ NO_ 14. Names of Owner of premises$g ~}~ddress Phone No. Name of Architect -+rr~rwl~~~.~_n.~r, Address~235 inP~l.~14~5PhoneNo G31-73~d--(e~{o~ 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 8c D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES_~~ NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. 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) ',/S`S: COUNTY OF~~L , pG(,l r~yt being duly sworn, deposes and says that (s)he is the applicant (Name of in vrdual siigning contract) above named, (S)He is the ~1~1~~G~ (Contractor, Agent, Corporate Officer, 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 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. Sworn to before me this ~ _ day of ~ 20~ of t f-New Yor.: N ~ tore of Applicant Qu, . . utfolk County +,epn Expires Msy 99,'J002- Fee: $ Filed By: Assignment No. APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS AREA VARIANCE House No. 2795 Street Wells Rd Hamlet Southold SCTM 1000 Section 70 Block 4 Lat(s) 15.1 Lot Size . 73Ac Zone R-40 I (WE) APPEAL HE WRITTEN DETERMINATION OF THE BUILDING INSPE TOR DATED-~~ BASED ON SURVEY/SITE PLAN DATED Applicant(s)/Owner(s): Raymond & Joyce Vastola Mailing Address: 80 Hampton Rd. Scarsdale, NY 10583 Telephone: 914 - 4 7 2- 7 5 5¢ ax: Email: 4B 9 6 7 6 @ao l. c om 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: Nancy Steelman for (Owner ( )Other: Address: Main d ~ hogue NY 11935 Telephone: 734-6405 Fax: 734-6407 Email: nancy@samuelsandsteelman.com Please check to specify who you wish correspondence to be mailed to, from the above names: ( ) ApplicauUOwner(s), Authorized Representative, OOther Name/ Address below: WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN DATED 3 / 2 8 / 13 and DENIED AN APPLICATION DATED 3 / 2 8 / 13 FOR: Building Permit ( )Certificate of Occupancy OPre-Certificate of Occupancy OChange of Use ( )Permit for As-Built Construction ( )Other: Provision of the Zoning Ordinance Appealed. (Indicate Article, Section, Subsection of zoning Ordinance by numbers. Do not quote the code.) Article: XXII Section: 280 Subsection: 16B Type of Appeal. An Appeal is made for: ( a} A Variance to the Zoning Code or Zoning Map. ( ) A Variance due to lack of access required by New York Town Law- Section 280-A. ( )Interpretation of the Town Code, Article Section ( )Reversal or Other A prior appeal ( )has, has not been made at any time with respect to this property, UNDER Appeel No(s). Year(s). . (Please be sure to research before completing this question or call our office for assistance) Name of Owner ZBA File# REASONS FOR APPEAL (Please be specific, additional sheets may be used with preparer's signature notarized): 1. An undesirable change will not be produced in the CHARACTER of the neighbor or a detriment to nearby properties if granted, because: SEE ATTACHED 2. The benefit sought by the applicant CANNOT be achieved by some method feasible for the applicant to pursue, other than an azea variance, because: SEE ATTACHED 3. The amount of relief requested is not substantial because: SEE ATTACHED 4. The variance will NOT have an adverse effector impact on the physical or environmental conditions in the neighborhood or district because: SEE ATTACHED 5. Has the alleged difficulty been self created? { Yes, or No Why: Are there any Covenants or Restrictions concerning this land? No { es (please furnish a 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. v Si ature of A scant or Authorized Agent ( gent must sub t written Authorisation from Owner) Sworn to bef re me this ~ day of ft ,20~7~ otary Pu61ic r iYotary Public, Stats of Naw Yora a' No.01R18042467 Qualified in Suffolk County Commission Exptns-kf.y 30, ao6!- REASONS FOR APPEAL 1. An undesirable change will not be produced in the CHARACTER of the neighbor or a detriment to nearby properties if granted, because the proposed screen porch and in ground swimming pool are characteristic of residential properties and are both located in the rear yard and will not be seen from the street. 2. The benefit sought by the applicant CANNOT be achieved by some method feasible for the applicant to pursue, other than the area variance, because the entire rear yard of the property is within the 75' setback line due to the side returns of the bulkheads. The proposed construction would be required to be located in the front yard to meet the setback requirements. This would create an undesirable change in character of the neighborhood. The screen porch is being constructed over an existing deck which is within the 75' setback. There will not be any additional encroachment due to the construction of the screen porch than already exists with the deck. 3. The amount of relief requested is not substantial because the proposed screen porch is being built over an existing deck which is in anon-conforming location. The screen porch is an open structure and will not be enclosed or heated. It is a seasonal use. The pool and terrace design utilizes the existing slope of the property to create multiple terrace levels. This allows the pool to be located as far from the bulkhead as possible by splitting the two terraces. It also allows the height of the pool waH to be Tess than if the lower terrace didn't exist. 4. The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because the proposed construction will retain all water on site via new drywells and the swimming pool will have a separate drywell for backwash discharge. All pool equipment will be located beyond the 75' setback and be state of the art environmentally responsible and energy efficient. 5. The alleged difficulty has NOT been self created because it is the result of a pre- existing situation where the bulkhead returns have substantially diminished the use of the rear yard. Prepared b Date QUESTIONNAIRE FOR FILING WITH YOUR ZBA APPLICATION A. Is the subject premises listed on the real estate mazket for sale? Yes X No B. Are there any proposals to change or alter land contours? No Yes please explain on attached sheet. C. 1.) Are there azeas that contain sand or wetland grasses? NO 2.) Are those azeas shown on the survey submitted with this application? NA 3 J Is the property bulk headed between the wetlands azea and the upland building area? YES 4.) If your property contains wetlands or pond azeas, have you contacted the Office of the Town trustees for its determination ofjurisdiction? Please confirm status of your inquiry or application with the Trustees: and if issued, please attach copies of permit with conditions and approved survey. D. Is there a depression or sloping elevation neaz the azea 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 that aze not shown on the survey that you are submitting? YES Please show azea of the structures on a diagram if any exist or state none on the above line. F. Do you have any construction taking place at this time concerning your premises? NO If yes, please submit a copy of your building permit and survey as approved by the Building Department and please describe: G. Please attach all pre-certificates of occupancy and certificates of occupancy for the subject premises. If any are lacking, please apply to the Building Department to either obtain them or to obtain an Amended Notice of Disapproval. H. Do you or any co-owner also own other land adjoining or close to this parcel? NO If yes, please label the proximity of your lands on your survey. I. Please list present use or operations conducted at this pazcel single family residence andtheproposeduse same with pool and terraces and screen pOTCh .(ez existing single family, proposed. same with garage, pool or other) A orized si re and Date APPLICANT'S PROJECT DESCRIPTION APPLICANT: Raymond and Joyce Vastola DATE PREPARED: 4/16/13 1. For Demolition of Existing Building Areas Please describe azeas being removed: II. New Construction Areas (New Dwelling or New Additions/Extensions): Dimensions offirstfloorextension: screen porch at exist in deck 14'6"x 20'-6"~ Dimensions of new second floor: NA Dimensions of floor above second level: NA Height (from finished ground to top of ridge): NA Is basement or lowest floor area being constructed? If yes, please provide height (above ground) measured from natural existing grade to first floor: no IIL Proposed Construcfion Descripfion (Alterations or Structural Changes) (Attach extra sheet if necessary). Please describe building areas: Number of Floors and General Characteristics BEFORE Alterations: Two story residence with existing decks and attached ara e Number of Floors and Changes WITHAIterations: Two story rest ence wit existing _existinq second floor to be reconstructed New screen porch at existinq new and new swimming pool and terraces. IV. Calculations of building areas and lot coverage (from surveyor): Existing square footage of buildings on your property: 2 8 8 3 S . F . Proposed increase of building coverage: 3 2 04 S . F . Square footage of your lot: 3 2 , 10 8 Percentage of coverage of your lot by building area: 18.9 5 V. Purpose of New Construction: New swimming pool and terraces . New screen porch at existing deck. VI. Please describe the land contours (flat, slope heavily wooded, marsh area, etc.) on your land and how it relates to the difficulty in meeting the code requirement (s): The land in the rear yard slopes approx. (J3 from the edge of the deck down to the bulkhead. The design of the pool and terraces re- flect this change in elevation by minimizing the required heights of the required retaining walls (see section) Please submit 8 sets of 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. 4/2012 ~r> ~ ~`t a r1W1VY~u~' fit ti ' ~r, ` I = ~ ~ , . d T ? _ ~ 1 ~ ~ ~ ~ 3 ~n,1 Y '~3j~}'~ y 4 9. 1 r~'~~" ~ F / 77 l 3 i~ ~ ,.tom e 4_l~ f 4 R,~ 1 ~ iM I ~ ~ . ~ d~ ro i~ _ h.~1,/t#s~>`+9.~v+ipy,~.'yyt c~Yt'~~~~ ~5t 4~.. y a', s l.r k 1 a q, wb, a r y i ~ ~r ,ate h~uK^~ ~a r~ i ~ :tip d! ~i ,+L ~ 'rx~'.~ `~4 ~v4t ~-ir`~ ~ y~,..;.1y~ J d ~ i ~ r ~ ~:g~"'LLL' a.rR t,~"^ ~ ...s '"~o '.yvt ~,s~' h. ~.utR ~ i 1 "T q ~ q,~~q~-. y,~~,{~~, ~ µ ;r yam. ;~,s~ *~,z' ~YJF7 ~ _ ~"d' y;'t ~Z^-' ~k,~' ~i rz '+dy"`"~t~ _ g ~ 5,,~.. ~ i ! t I iii xre,r~'{". .'y~ ~ . _.'ai~`~^J ;r '~'•s;_ w ~a'?~o.~W~`r r ~ +:~',y: - i ~ r{ •.i y ~ .4vq a r 4~" b..,. Raymond & Joyce Vastola, 4118/13, 4:50 pm, #3 View East ~~t f ~ 1- :r - ~1 ( _ ln~ . l~ ` b _ v r.~ ~ i,~ ~ i-- ~'w. :4y' - - i' i `~i;_ r ~ ~~~',n' r r t= ` ' p ~ ~m x Y ` y ~eS" ~'t ~ ~ 4 F . ~t 1r, w eau ~ f r .re t. gyp' r`~'>~r~3k.:~A .tt',t„ :~~e I ~ ,a r ~ ~ a i A Raymond & Joyce Vastola, 4118/13, 4:50 pm, #4 View North r I f i 'x `5. r KK h 5 ! t ~ tY ' ~ 1 11 I 'p .ygqg~yyq~ 7AJ ,~5 I .a<w, i I ~~~y~. ~ G .w, ..p N4 ~lb'k fit. q:l:W P S.y~~.~~~P k W .'~d~~Vd ~ Nay „7R~` 4wn .~gr~ t ~ ~ ' w .'~T' a~k*` ~ r Raymond & Joyce Vastola, 4118113, 4:50 pm, #1 View South b~ ~ ~ ~ i 1 5 t k TyttR~ ~ 5. a1 ~ Re ~ Aar ~I~~ t ~'~p{ t ~ t f~ ~ _ .ice"~iiUi/~r .J~"~ +4 ~~'N' ~ 'rM ~~M W~>£,~ ~h Raymond & Joyce Vastola, 4118113, 4:50 pm, #2 View West Board of Zonine Appeals Applicatiop AUTHORIZATION (Where the Applicant is not the Owner) 1,uav_, ~ iny~P vaGtr~la residing at Rn u~m„+.,,, n.~ (Print property owner's name) (Mailing Address) Scarsdale, NY do hereby authorize Nancy Steelman (Agent) Samue i & mar, A rrh i tar apply for variance(s) on my behalf from the Southold Zoning Board of Appeals. F (Owner's S'gnature) Ram and Joyc~a Vact.nla (Print Owner's Name) AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conFlicts of interest on the Dart of town officers and emolovees The purpose of this form is to provide information which can alert the town of possible con0icts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME : ~ y'r' ~ynat-t (Last name, rst name, middle initial, unless you are applying in the name of someone else or other entity, such as a company. 1(so, indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance X Trustee Permit Change of Zone ~ Coastal Erosion Approval of Plat Mooring Other (activity) Planning 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 [own officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. YES NO If you answered "YES", 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 applicant/agenUrepresentative) 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 that 5% of [he shares of the corporate stock of the applicant (when [he applicant is a corporation) B) the legal or beneFlcial owner of any interest in anon-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 Submitted this day of 20~ Signatur Print Name o m APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics orohibits conflicts of interest on the Dart of town officers and emolovees. The ouroose of [his form is to orovide information which can alert the town of oossible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: Rdy VdStOld (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's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance x Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other (activity) Planning Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of [he 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 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 applicant/agent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all [ha[ apply) A) the owner of greater that 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 anon-corporate entity (when the applicant is not a corporation) _ C) an officeq director, partner, or employee of the applicant; or D) [he actual applicant DESCRIPTION OF RELATIONSHIP Submitted this fd day of , 201 Signature Print Name APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM '1'he'l'own of Southuld's Code of Ethics prohibits conflicts oCinterest on the Dart of town officers and empluves~ 'the purpose of this form is to provide information which can alert the town of passible wn0icts of interest and allow it to take whatever action is necessary to avoid same. YOURNAME: JO~CO VdStOli3 (Last name, first name, middle initial, upless you are applying in the creme of someone else or other enfity, such as a company. If w, indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance X Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other (activity) Planning Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the'fown 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 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 applicant/agent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. '1'hc fawn officer or employee or his or her spouse, sibling, parent, or child is (check all that apply) A) the owner of greater that 5% of the shares ot'the corporate stock of the applicant (when the applicant is a corporation) B) the legal or bemficial owner of any interest in anon-corporate entity (when the applicant is not a corporation) _ C) an officer, director, partner, or employee of the applicant; or _ ll) the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this day o , 20L3 Signature 12_ 4` Print Name Tnvro Va ctnl~A AGRICULTURAL DATA STATEMENT ZONING BOARD OF APPEALS TOWN OF SOUTHOLD WHEN TO USE THIS FORM: The form must be completed by the applicant for any special use permit, site plan approval, use variance, or subdivision approval on property within an agricultural district OR within 500 feet of a farm operation located in agricultural district. All applications requiring an agricultural data statement must be referred to the Suffolk County Department of Planning in accordance with Sections 239- m and 239-n of the Genera[ Municipal Law. 1)NameofApplicant: Raymond and Joyce Vastola 2)AddressofApplicant: 80 Hampton Rd. Scarsdale, NY 10583 3) Name of Land Owner (if other than applicant) 4)AddressofLandOwner: 2795 Wells Rd. Southold, PtP 11971 5)DescriptionofProposedProject: Construction of new pool, terraces and screen porch 6) Location of Property (road and tax map number): ~ 7~5 e~ -l i S ~3out~-ioSc~7 0 = 4 = i3 . 1 7) Is the pazcel within an agricultural district? ®No ? Yes If yes, Agricultural District Number 8) Is this parcel actively farmed? C~No ?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. Name and Address 1. 2. 3. 4. 5. 6. (Please use back side of page if more than six property owners are identified.) The lot numbers may be obtained, in advance, when requested from either the Office of the Planning Boazd at 765-1 or the Z~'ng B azd of Appeals at 765-1809. e /8 / /3 i re of Applicant Date Nate: 1. The local board will solicit comments from the owners of ]and identified above in order to consider the effect of the proposed action 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 boazd to the property owners identified above. The cost for mailing shall be paid by the applicant at the time the application is submitted for review. Failure to pay at such time means the application is w[ complete and cannot be acted upon by the boazd. 1-14-09 617.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I -PROJECT INFORMATION To be com leted b A licant or Pro'ect S onsor 1. APPLICANT/SPONSOR 2. PROJECT NAME RAY & JOYCE VASTOLA VASTOLA RESIDENCE 3. PROJECT LOCATION: Municipality SOUTHOLD County SUFFOLK 4. PRECISE LOCATION (Street atltlress and road intersections, prominent lantlmarks, etc., or provitle map) 2795 WELLS AVE, SOUTHOLD NY 11971 1020 FEET SOUTHEAST OF JERNICK LANE 5. PROPOSED ACTION IS: New ~ Expansion ~ Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: Renovation and addition to an exist residence, w/ second floor reconstruction & a new screened in porch over an exist deck. New swimming pool and hot tub w/ stone terraces, retaining walls & steps. Regrading as shown on Site Plan. Abandonment of an exist sanitary system with a cons[. of a new sanitary system. Addition of drywells for rainwater runoff from the existing building structure. 7. AMOUNT OF LAND AFFECTED: Initially 0.449 acres Ultimately 0328 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? Yes ~ No If No, describe briefly New construction located within zoning setbacks from property lines 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? Resitlential ~ Intlustrial ~ Commercial ~ Agriculture ~ Park/FOresVOpen 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 ~ No If Yes, list agency(s) name and penniVapprovals: Town of Southold Zoning Board Variance, Town of Southold Trustees Permit, Town of Southold Building Permit, Suffolk County Department of Health Services waste Water Management Sewage Disposal Permit 1 t. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? Yes ~ No If Yes, list agency(s) name antl permiUapprovals: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? Yes ~ No I RTIFY THAT THE INFQfZMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE ApplicanVsponsor me: RAY & YC£ VASTOLA Date: Signature: If the action is in the Coastal Area, and you are a state aggency, complete the Coastal Assessment Form before proceeding with tFtis assessment OVER 1 R®set PART II - IMPACT ASSESSMENT To be com leted b Lead A enc A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NVCRR, PART 617.4? If yes, coordinate the review process antl use the FULL EAF. Yes ~ No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? It No, a negative deGaration may be supersetletl by another involvetl agency. Yes ~ No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surface or groundwater quality or quantky, noise levels, existing Vaffic pattern, solid waste protlucfion or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly. C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatenetl or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of lantl or other natural resources? Explain briefly C5. Growth, subsequent tlevelopment, or related activities likely to be intlucetl by the proposed action? Explain bdefly: C6. Long teen, short term, cumulative, or other effects not identified in C1-CS? Explain briefly: C7. Other impacts (including changes in use of either quantity or type of energy)? Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)? Ves ~ No If Yes, explain briefly: E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? Yes ~ No If Yes, explain briefly: PART III -DETERMINATION OF SIGNIFICANCE (TO be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect should be assessetl in connection with its (a) setting (i.e. urban or rurel); (b) probability of occurring; (c) duration; (tl) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting matedals. 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 signifcance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check [his box if you have itlentifietl one or more potentially large or significant atlverse impacts which MAY occur. Then proceed direGly to the FUL EAF antl/or prepare a positive tleGaration. Check this box if you have tletermined, basetl onthe information and analysis above and any supporting tlocumentation, thatthe proposed action WlL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting this determination Name of Lead Agency Date Print or Type Name of Responsible icer in Leatl Agency Title of esponsible cer Signature of Responsible ificer in Leatl Agency Signature of Preparer (I different from responsible officer) Rest Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 70 - 4 - 15.1 The Application has been submitted to (check appropriate response): Zoning Board of Appeals Town Board ~ Planning Dept. ~ Building Dept. 0 Board of Trustees 1. Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: Construction of new swimmina Dool, retaining walls tPrrare~, and new screen porch over ex;st;ng deck. Location of action: 2795 Wells Ave. Southold NY Site acreage: . 73Ac Present land use: Residential Present zoning classification: R- 4 0 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: Raymond and Joyce Vastola (b) Mailing address: 80 Hampton Rd. Scarsdale, NY 10583 (c) Telephonentunber:AreaCode( ) 914-472-7554 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ? No x? If yes, which state or federal agency? DEVELOPED COAST POLICY Policy I. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III -Policies; Page 2 for evaluation criteria. Yes ? No ? Not Applicable Adding to an existing residence preserves open space around the existing residence and makes efficient use of the existing structure and property. Also the addition to the property is less than the 20g lot coverage allowed by zoning. 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 0 Not Applicable There are no historic or archeological structures on property. Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III -Policies Pages 6 through 7 for evaluation criteria ® Yes ~ No ~ Not Applicable The addition to the existing residence is in keeping in style and scale of neighboring structures 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 ® Yes ~ No ~ Not Applicable All rainwater runoff is and will be retained on site with the use of underground drywells. Attach additional sheets if necessary 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 Ap licable All rainwater runoff i~ and will be retained wit the use of underground drywells. The sanitary system for the residence meets current Suffolk County Dept. of Health Services standards for sanitary waste water. The property is aP vrA +'th z hl tP frnm Rn FFnik fnnnty 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 No development will take place in the "protected" or "natural indigenous environment". Attach additional sheets ifnecessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III -Policies Pages 32 through 34 for evaluation criteria. © Yes ? No ? Not Applicable The development will not add pollutants into the air. All construction vehicles meet the Federal standards for air pollution discharge. The mechanical systems of the residence meet the federal standards for air pollution discharge. Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III -Policies; Pages 34 through 38 for evaluation criteria. © Yes ? No ? Not Applicable The construction and use of the residence will make use of the town's disposal and recycling center. PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III -Policies; Pages 38 through 46 for evaluation criteria. © Ye~ No ? Not Applicable No public land involved. Littoral access unimpeded. 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 There are no public or commercial activities or uses on site. Historically this property and neighboring properties are residential in use and will rr>main raci rlanYi al Attach additional sheets if necessary Policy il. 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 This project will protect and preserve the living marine resources by maintaining all rainwater discharge and sanitary flow from the residence _ _on site by approved SCDHS sanitary system and drywells for rainwater runoff. 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 There are no agricultural lands on site. 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 The construction will be using equipment approved by the Federal government for energy usage. The residence will meet Federal standards for conserving energy "energy Star Program" and will use "NY State Energy Conservation and Cnnstrnnti nn C`nde° fnr nnncYrnnYi nn of tfie reciAcnn< PREPARED B~/ TITLE DATE ~S tJ' Created on 5/25/05 II:20 AM TOWN OF SOUTHOLD PR~P~R~'Y RECORD CARD Z ~ WNER STREET VILLAGE DIST. SUB. LOT r LG/-I/1.dliJrtd~LS? („i(~.C -v. r...~, ~t+-.-+-+`' ° ^'C.. "^f DRMER OWNER N e` E ACR/~Q (~C~-r~• a: L'i`z. a ~ /~,G ...c.z~-~y S ~ ~,y TYPE OF BUILDING SEAS. VL. ~ FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS 300 3c~ - ~ ~fz~ 5r6 ~ ~y~, AGE BUILDING CONDITION IEW NORMAL BELOW ABOVE ARM Acre Value Per Value Acre Ilable 1 Ilable 2 _ table 3 - ~odland amplond FRONTAGE ON WATER i ~ S ashland FRONTAGE ON ROAD y' S f' ruse Plot DEPTH BULKHEAD to I DOCK - _ ~ n _ o _ ~ TOWN OF SOUTHOLD PROPERTY RECORD CARD v~ ~A z 0 N STREET ~``f~:-:;~:--; VILLAGE DIST. SUB. LOT '),~i~SE"% pl ~ , lC Qf r (.U! ~ r' ~ , / ~r Gc1-~2 ~,kiJ . FORMER OWNERCha~lrs~ V?iss~ma E ACR. a a; ; ,coYCC- m""J" S W ~ TYPE OF BUILDING ~5.~' ~ SEAS. VL. FARM COMM. CB. M1SC. Mkt. Value / LAND IMP, TOTAL DATE REMARKS D ~Q O o o _ fp ~ _ ~ s~ 1 I 4 z _ 4 Q. '~L'59~~Zp57. Doug~'e o +~ssE n ~ . -v..,.uG+~ tt,rt ot~<..L... C i'. - v :il I w,h z ~'"t:?t~ 6 17? ~ .~~i~'~ -/'~7• ;~0%4 Cn~,.i'hir'cc4 .Z_ ~a,etcT(. cs,.<e..j;. ~ y r ~ `,,c~u ~~'~O /G~"D 3 .i ~ -L I D 2 - .9./ ~s~,rL y1/r~55Pvnann~a + hn NfC S~dn~v FARM Acre Value Per Vo ue > ' Acre l ~9/-L /I370P ~`f 7 all ~nl,'ssr~,ann ~`f~a Magee ~~~So~ tillable 1 ,~r,` 'illoble z 1` ~ao955-ion f ~l {traf~~ns ri`declt /~~cP~~~an FCC'/1f,'e 'illoble s ~ /3~9a- a~"~a2 ob'/~'- C' ,nS~ y~(~ ,~,~,~0~+ ` ~--C'~ _t Voodlond 7a3 93 -B~ ~ I S °~'on5~ ;~O~rhey~v ~jri:~ !~c?N/~.» wompland FRONTAGE ON WATERTl.~_ ~ /p~ Ay -2-t~b~ twshland FRONTAGE ON ROAD ~b ~ ihusePlot DEPTH z d3- 3( - ~ j :f~<<) - _ BULKH D otal DOCK SCTM # ~ ~ ~ ~ OOGS - "70- ~ - ~ S • I TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET Z S VILLAGE DIST. SUB. LOT ;a Wlovt ~ 0 4S~Iq We I is JZd Sv u~ o I d~/~ AcR. ,,IS Rqr~~ IO-LIZ1O3~ (~V~- Ivl~~ `~~QS`~"blGi I I-IS OG TYPE OF BLD. ~G C~ I`~ I Il S 1~ ICY I'1 PROP. ~I d LAND IMP. TOTAL DATE Z,SO v Z100 3 FRONTAGE ON WATER HOUSE/LOT BULKHEAD TOTAL 1VM1 nV. U I'/ TOWN of sounloLn BUILDING DElARTMENT TOWN CLERK'S OFRCE SOIlTlIOLD, N. 7r. CERTIFtCA7E OF OCCUPANCY No..~t...~.$~-.......,... Data ..................:..........s1~IR....,~tt......., )9~11L.. THIS CERTIFIES that the building located at ~.....IIt1i11B..tle~......« Streot Map No. Gt~~1it17;t~ Block No....,..+.......... Lot No..~~ ..............t~a~.'QR..N.Yt................ conforms substantially ro the Application for Building Permit heretofore filed in this office dated .............................................RC<t.,2ED.~.. pursuant to which Building Permit No..,.~9i'~ dosed .......................~11IOf~'.....~1...., 19631°., was issued, and cantwms to all of the requirements of the applicable proria(wts of the law. Tha occupancy fat which this certificate is issued is ~......~.~71A1.iR.. t~IAG..z1AYl~Y:..i~1CR~~ The certificate is issued to t~7.'e...~~KNOS!'~vkt..~' (owner, lessee or tenanH of the ofonesa(d (wilding. B.D.Approva7. +y'Dtt~s 7.if 3964 by A. V,t~.ls Building lrupectar FORM NO. 4 TONN OF SOD°1'fiCLD _ BU17b7QIG DBPARTMBNT office of the Building Inspector Town Nall 8authold, N.Y. CERTIFICATE OF OCCUPAMC4 Bo Z-20744 Data NAY Z0, 1992 TRIB CBjtTIBIEB that the building ADDITIONf Q Aid'BRAYSDIY Location of Property 2795 MII,LB ROAD SOD'i'BOLD, B.Y. Rouse No. 8traet Realist County Tax Map No. 1000 Section 70 Block 4 Lot 25.1 subd1V161on Filed Msp No. Lot No. conforms aubstantlally to the Application Por Building Permit heretofore filed in this office dated PRBRDARY 24. 1992 pursuant to which Building Permit No. 20655-Z dated PEBADAASf 29, 1992 was issued, and conforms to all of the requirements of the applicable provisions of the Lsst. The occupancy for which this certificate is issued is a*rwmam~ L D8C1C ADDITION TD B823TIkMa O1~ P3~'ILY UIET,I.TP6 _AS APPLIED B'OR. The certificate is issued to BICBAHD MAGEE • (owner) of Lh6 aforesaid building. BUFFDLIC CODNTY DEPARTIOitI'1' OF RBALTH APPaOVAL N/A DNDBRNRITER6 CRRTIFICATB.MO. l7-235}50 -NAY 13, 1992 PLOIDSSE9 CBR'PIlPICATZON DATBD_ N/A Siding Inspector Rev. 1/81 . Q FORM PO. 4 ROIRi OF HOD'17SOLD SIIILDIMO DBPABTMSLPP O££ics of the Hcildinq Inspector Town Hall Southold, M.Y. CBRTIIrIrJ1i'E OF OOCOPAMCY Mo Z-22579 Data SEPTEI~SR 10. ]993 THIS GSBTIFISS that the buiidln~ ADDITION Location of Property 2795 ARIaJ ROiiD 800TH, liii YOBK House No. Street Bealat County Tau Map Dto. 1000 Section 70 Bloch Q Let 15.1 Subdivisi~ Filed Map Mb. Iot Mo. conforms substantially to the Applicatimt Par Aiilding Permit heretofore Cited i.n this office dated JULY 8, 1993 vureuant to whicR Building Permit Mo. 21556-Z -dated JULY 23. 1993 was issued, and conforms to all of the requirements of the applicable provisions of the law. Tho xcupancy fez which this certificate is issued is DOStyBA ADDIYZIXi GM E878TIRG Ci01 TAMII,Y DNSLLIMi AS APPL.ISp PDH The cartifioate is issued tO RIt7IARD Mi1LRB (owner) , of the aforaeaid building. SUFFOLK COUNTY DHPARR4BEM'P OF HSALlB APPBOPAi. M/A UMDlRMRITSRS LIGTB MO. M-288368 - 86PT 1 1993 PLUMSSBB (SftTIFICATIQi Dasm M/A ~asnq Iaspector . Rev. 1/B1 a U HUILDINO nxPnar>omrr Offiae of the Building Iaapector Town Ball Southold. N.Y. C~TIFICATE QF OOLUPAHICY No Z--20952 04te AUOUST 19, 1992 9~NIS C&&TIFIES 'that the t+uildin4 ]?pDITIQW Location of Property 2795 Ii8L1'6 A(1BD 80U7730TA 8~1 YOBK Houss Ro. street Hamlet Cauaty TeX Nap No. 1000 Section 70 82ocB 4 Ipt Z5.1 aubdiviaion Filed Map Ho. Lot No. c:onnforms aubstantialiy to the Application for Bui.l.ding perait heretofore filed in this office dated JULY 6 1992 pursuant to whiob Huilding Permit No. 20818-Z dated JOLY 13 1997 wes issued, end conforms to all of the requiramaata of the appllca6la proviaiana of the law. the occupancy fax which thie certificate ie issued is D6f2C ADOYTItlf TO AN BYIBTING OR6 FAMILY 01 A8 APPLIBD POls The certificate is issued to IIICBASD NAGIIY (owaar) of the aforesaid building. , HUFFOLA COUNTY OHPARTlQiNT OF HHAIlPH XFPHDVAL R/A aNasIIwHlTxxs c>stcTIFI~;~ N/n PLSHSSB@3 CERTIFICATION DATBD~ N/A lding InrPeotar ? Rev. 1/81 1E91 PROPERTY MM v on mwanEware r+~a>a~ - ~ SEE 3EG NO.OW ~ N ~ '3f~ i no. hq r~ 9~ ti.. 3r 't' town fiEek ~ _ 1~1n(cl ~ 4 WEST HxI 110. W1 j 38 9B II 13 N 7,5 ~ ~ ~ 1~S ; '4 y ,t `r toWNw soU*HUA d ~ V aS $ 3~ _ w w Y b 48.1 M 11 w ^~d Jr pp. . 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NO. / Q 31 d0w 9F18E0 NO N R @5 91? _ _ - ~ MME p 21 381 1E! tpl~(<I a ]a.t 182 w~ ~ ~wi yq{OH W i pn 63 r im ~,~Sd w s ~q P' B Yw SECTfON NO x a ew twwloF SOIITHOIA , NoncE COUNTY OF SUFFOLK C E 7U ' Real Property Tax Service Agenq Y ,n ~1 a oA w, wN,,.FtPNCEN.lamtw+a++lm f:wwll eewww„ww.a,xxn9o+ M 4.w wrwunoxawnwanoNa nc v+Ewruc - asrwm wo 1004 w w/sM CMNn*u wwmna.wirEO . o mo P ee wnairtxwmrneeawssn~al~w m° -..-P w SUR1/EY OE PROPERTY SITUATE: SOUTHOLD N TOWN: SOUTHOLD SUFFOLK GOUNTY, NY W E SURVEYED AUG. 26, 2010 REVISED SEPT. 9, 2010 S SUFFOLK GOUNTY TAX # 1000-70-4- 15.1 CffitTIFffiD T0: ~oyoe~Vae01a~ ~AND~A~HEy~I OR~~Y OF~ ~ M«gaa Cnaa~ >s~, Na. ~a ~ ' 1' ''9 STEPS TO ~s~ 1, 2ND STORY ~ ~ \ m~ al <t 20.5' b 3.Q' ~ Q ~ Q ~ 10.1' p 3.7' Q QQ-~ N O W N ~ ~ 14.2' Y U~~~ .l CV Y ~ ~ e 31.3' a - ~ ~ A ~ F - E r1 Ni POLE m _ , N'89°4H'00"W ZGS.iS' gpp,T 1d005F F ~F idEY~ ~¢i f`L/ EG N ~ ~ ~ ~ X'' NOTES: ~ i - ~ MONUMENT FOUND ~ ~ \ ~ Area = 32,108 5. F. ~ JOHN C. EHLERS LAND SURVEYOR Area = 0.731 Acres 6RAPHI G SGALE I 30' LOT NUMBERS REFER TO MAP OF PROPERTY OF 6 EAST MAIN STREET N.Y.S. LIC. N0.50202 GEORGE H. WELLS FILED NOV. 28, 192"1 AS FILE No. 859 RIVERHF,Ap, N.Y. 11901 369-8288 Fax 369-8287 REF.C:\UsersUohn\Dropbox\10\10-166.pro 10' . , N ~~~~,ti~~ ~ SUR AT SOUTHOLD RTY ~ '~.e, ~ ~ ~ TOWN OF SO UTHOLD EL 9.2' ~ SUFFOLK COUNTY, N. Y. ~ ~ ~ IQOIi-~'0-13-20.10 3CA.L1 X40' R: 80 oD' v az' roearrw~I 12 1.- 35.37' r`r, $s~a~a(r~wpayv-onoo~ln fY 9~ OIL. MAM~T. a3 p'~YJkknc)n EL. 9.6' \ . tP~ ~ \ L \ ~O• \ ~ LOT 9 ~F°F7~f ° dd9 my P~„ r add a0 ~S ~ ~ 9~c~ \ {1 TOP BLKD. aG `~tl3 f \ ~ DRIVEWAY 20 N I EL. 8.4' I h ~ \ ~ ' E - 10 \ Pm Ng}'22 ~ c 1,~7'~°~+ c+ BB CURB 1• - _ ti + 'Y El. 10 3~ O n' O ~ ~ ~ ~9'+ ~`J \ ~ O~ ST . ~d ~4. PAVERS N S ZI I - ~ \ ` OZE o T1 ~9. 1. N _ W000 O W J I C) m ~ ~ LOT COVERAGE 9'~ ~ ~ ° ~x~ Z ~ RAMP Z a F I Q EXISTING o\ LP ~ ~ c> m Si HOUSE - 3540 sq.fl. a` LP ~ _ p+y m ~ o -J SHED - 102 sq.f1. 5 r jt~a, 7`J ~ ~n Q 3642 'ro r^ r tr1 = ~ I ~ 3642/58505 = 6.2% o \ ~ O X _ ~ ~ PROP. POOL - 570 sq.fi. \ 0.2' _ ~ ~ rD a ~ TOTAL 4212 sqq.ft. \ N 4212/58505 7,2% ~ u a.~ ~ ~ i~ ; z FLOOD LONES X 8 VE Eel 81 '~r: FIRM 36103C0166H \ m ~ I r DOE NEi'V y ~ PAVERS o ~ z ~ fi~~~ yt. P.?ET2,~ ~~F LOT NUMBERS REFER TO 'MAP OF PARADISE BY THE BAY" \~{EO wO y~h~fir~ a~~S' FILED NOV. 4, 1976, FlLE NO. 6463 AT THE OFFICE OF THE ~ ~ ~ ~ SUUFOLK COUNTY CLERKS. ~ ~ ~ ~L EL. 6.6' ~ ~ TOP BLKD. ~ ~ AREA= 58,505 SQ. FT. To Tie Line - EL. 6.4• ~ =.~x= _ N7935'20'W `"~'F rsb.4~~0 ~C~ ELEVATIONS ARE REFERENCED TO N.G.V.D. N79'35'20°W 78.85' k~•`11~ 167'70 `r`SFpi~~c~1}~C-'' ANY ALTERA770N q4 ADDIIIAV TO 7H1S SURVEY IS A NOLATION 5'I~k•~ l N.Y.S. UC. NO. 49618 OF SECI70W 72090E THE NEW YORK STATE EDUCATION LAW. CpJiC Su S, P. C. EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS NORTH BA YVIEW ROAD P60.1)BOX59~20 FAX (831) 785-1797 HEREON ARE VALID FA4 7NlS MAP AND CA°/ES THEREOr- ONLY lF SAID MAP 014 COPIES BEAR TH£ IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET 88-675 WHOSE SIGNATURE APPEARS HEREAN. SOUTHOLD, N. Y. 11971 LOC ATION MAP SITE. DATA PROPERTY: 2795 WELLS AVE. ADDRESS SOUTHOLD, NY 11971 i=×iSTiN~ OWNER: RAY & JOYCE VASTOLA 80 HAMPTON ROAD ~EC, K SCARSDALE, NY 10583 "-- --'~1~.NE~ POOL 'ERRAC, ~ ~ LOT EXISTING: 2,883SF "II ~.~ ~ ~ E×ISTIN~ COVERAGE: ALLOWABL.E: (20%).: 6,421 SF EXI~TIN~ II ~ ....~_LL ~F~.AI::)E EXISTIN~ ' PROPOSED. (18.95 ¥o) 6,087 SF ~ ~ SURYE¥OR: JOH~ C. EHLERS SITE SECTION "A" 0RASTMA,.STREET SCALE: t"= 10'-0" -- -- LICENSE# 50202 DATED: SEPT. 9, 2010 jlZj EXIST. ~ATI=~ : LAND NOW OR FORMERLY OF: . ,- ,,,,,,, MATTHEW STANTON ~ "- ~ / JOCKEY . "' ' OP. NAMENTAL \ ': I=XISTIN~ 5I=C, ONt2 ~AILINe '' / ~ FLOOR TO BI= INFINIT'¢ % TREE~ TO / / EXISTIN~ / / NS D~IV~AY TO / / / ~XI~TIN~ / ~ASEMENTN . HALLS (POOL N( . ~ ~ / SITE PLAN SITE RLAN ZBA NOTI CE OF DISAPPROVAL I, flAL.K-IN MAOtE~ MA~TE~ BATH 51TTIN~ Roo~ © © LIN. LIN. DTAI~ HALL B~DI~OON1 BATH SECOND FLOOR PLAN SCALE: 114" = t' .0" BEDROOM 20'-5" DN 000 000 ~ININ~ At~EA IlVIN~ AI~EA BEDROOM BATH HEI~ 5TAIRTO BASEMENT DN FIRST FLOOR PLAN SCALE: 114" = 1' -0" NOTICE OF DISAPPROVAL RO~JE' t213 DRAWN BY: NS CHECKED BY: NS DATE: ~ MARCH 28, 2013 I SCALE: 1/4" = 1' - 0" SHEET TITLE: SCHEMATIC DESIGN FLOOR PLANS SHEET NO: 1 EAST ELEVATION SCALE: '114" [] 1' -0" WEST ELEVATiOIN SCALE: '1/4" = 1' -0" NOTICE OF DISAPPROVALI DRAWN BY: NS CHECKED BY: NS DATE: MARCH 28, 2013 SCALE: 1/4" = t' - 0" SHEET TITLE: SCHEMATIC DESIGN BUILDING ELEVATIONS SHEET NO: SOUTH ELEVATION SCALE: tl4" = t' 4)" NORTH ELEVATION SCALE: 114" = t' 4)" NOTICE OF DISAPPROVAL r NO: DRAWN BY: 12~ CHECKED BY: NS DATE: MARCH 28, 20t3 SCALE: 114" ~ 1' - 0" SHEET TITLE: SCHEMATIC DESIGN BUILDING ELEVATIONS SHEET NO: 3