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HomeMy WebLinkAbout1000-70.-13-20.10 pG SO//T MAILtN~c nnnxESS: OFFICE LOCATION: yQ," Town Hall Annex ~ P.O. Box 1179 54375 State Route 25 # Southold, NY 11971 (cor. Main Rd. & Youngs Ave.) va Q Telephone: 631 766-1938 Southold, NY 11971 ~t ~ ~'O Fax; 631 766-3136 Q~'TOOUNf'1,~ LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OFSOUTHOLD MEMORANDUM To: Leslie Weisman, Chair Members of the Zoning Board of Appeals From: Mark Terry, Principal Planner LWRP Coordinator Date: May 23, 2013 Re: Coastal Consistency Review for ZBA File LESLIE WINDISCH #6654 SCTM#1000-70-13-20.10 A site inspection was conducted on May 23, 2013. Request for Variances Article XXII Section 280-116 (B) and Article III, Section 280-15F the Building Inspector's April 2, 2013 Notice of Disapproval based on an application for building permit for in-ground swimming pool and "as built" shed at; 1) proposed in-ground swimming pool at less than the code ~ required bulkhead setback of 75 feet, 2) "as built" shed at less than the code required bulkhead setback of 75 feet, 3) "as built" shed" at less than the code required front yard setback of 50 feet on waterfront property, located at: 1440 Kimberly Lane (adj. to Southold Bay) (North Bayview Road) Southold, NY. SCTM#1000-70-13-20.10 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 4.1. "Minimize losses of human life and structures from flooding and erosion hazards." The following management measures to minimize losses of human life and structures from flooding and erosion hazards are recommended: specifically A. Minimize potential loss and damage by locating development and structures away from flooding and erosion hazards. I The pool is entirely located within FEMA Flood Zone X (shaded) or 0.2-percent-annual-chance (500-vear) flood. There is no ability to relocate the pool outside of the flood zone on the ro e I R Fi ure 1. Sub'ect roe g I p p dY and flood zones. Policy 6.3 Protect and restore tidal and freshwater wetlands. f 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 In the event that the action is approved, it is recommended that a 70' wide landscaped buffer (includins~ the existing large tree) be established landward of the too of bulkhead to further this op IICV. Chapter 268 of the Southold Town Code defines a landcaped buffer as - "A land area of a certain length and width which is planted with indigenous, drought-tolerant vegetation similar fo that found within the immediate proximity of the parcel. Vegetation shall be installed in sufficient densities to achieve 95% ground cover within two years of installation. Survival of planted vegetation shall be 90% for a period of three years. Maintenance activities within the buffer are limited to removing vegetation which is hazardous to life and property, trimming free limbs up to a height of 75 feet to maintain viewsheds, replanting of vegetation and establishing afour- foot-wide access path constructed of pervious material for access to the water body. " 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 ~I ~I I ~T~ G 2 Office Location: ti~~~OF SO(/j~olo Mailine Address: Town Annex /First Floor, Capital One Bank * # 53095 Main Road 54375 Main Road (at Youngs Avenue) ~ P.O. Box 1179 Southold, NY 11971 ~ • ~O Southold, NY 1 1 97 1-0959 ~~y00UNT'1 http://southoldtown. northfork. net BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809 Fax (631) 765-9064 April 4, 2013 _ Mark Terry, Principal P anner ' ~ LWRP Coordinator ~ Planning Board Office ,1 _ ; 2 Town of Southold ~ APB 9 Town Hall Annex ~ Southold, NY 11971 i_..2~. u ~ Re: ZBA File Re . No. #6654 WINDISCH, Leslie 1000-70-13-20.10 Dear Mark: We have received an application for in-ground swimming pool an "as built" deck, bulkhead setback. A copy of the Building Inspector's Notice of Di r 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 LWR~ Section 268-SD is requested within 30 days of receipt of this letter. v Thank you. ~`t~ .r ~ ~ Very truly yours, ~ ~ ~ - Leslie Wei an Chai e on ; By. ?=~,c~s -•-y-, asra~ctw WYO Pp~pEa{y Mpp 1 1 f 7 ~ e 'r -..E .t _ SEE SEC.NO.YGi IXiE ITCH __..__zz____..__- d a Creew town v ~ Il ' ~ ~e _ ~F 3 Galt ~ ti. ;r-' ~ ~ ~ ~ r i T~ ~ ~ -~i © ~ p may" i ~ v p 1s ~ 4 ~'+n p1 m Y ~ loss t 5 , ew+'~ V p \ - A n91 'p i~ + +1 ; 5I6 s a 9 ~ 5e +9? y pas ^ SOUTHOLO 9 19 A fl ~ % ~ w p+°n ~ 15 ~ A 59 4•' ~ +a BAY 15? S Q ~ 2 + ~ ~ ~ +T 9 4 p ~ n d 'A ~T 'Ay, 1 lT (Y 'y 44 1 ~ M y 1 w ^ A 91 1+ 5 ~ p5g a a + a ~ ~ e ~.cHS 5o an p S, s Ys ~9~F O cfl+•~~ ay" fi ~ FT 5 1 ae g y~ p? $ T `A 1a5s 79M y ~ l + cw It ~ a w T w ..Y.~: 61 w M » a p1. y 5a M -A1n f ..U. a s. 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NOTICE OF DISAPPROVAL DATE: April 1, 2013 AMENDED: Apri12, 2013 TO: North Fork Pool Care, Inc. 9700 Main Road Mattituck, NY 11952 Please take notice that your application dated Mazch 21, 2013 For permit for an in-ground swimming pool and an "as buik" shed at Location of property: 1440 Kimberly Lane, Southold. NY County Tax Map No. 1000 -Section 70 Block 13 Lot 20.10 Is returned herewith and disapproved on the following grounds: The proposed in-around swimming pool and the existing "as built" shed are not permitted pursuant to Article XXII, Section 280-116 B., which states: "All buildings or structures located on lots upon which a bulkhead concrete wall riprap or similar structure exists and which are adjacent to tidal water bodies other than sounds shall be set back not less than 75 feet from the bulkhead." The swimmine pool is being proposed at 30 feet from the existing bulkhead The °`as buik" shed is noted as beine approximately 64 feet from the bulkhead. Furthermore. the "as built" shed is not cermitted pursuant to Article III Section 280-15 F which states• "In the case of a waterfront parcel accessory buildings and structures may be krcated in the front yard, provided that such buildings and structures meet the front-yard principal setback requirements as set forth by this Code, and the side yard setback requirements for accessory buildings in Subsection B above." In the R-40 District the required front-yard principal setb ck is 50 fee The existing "as buik" shed notes a 13.3 foot front yard setback. This Notice o Disa royal was amended on A ril 2 2013 to inclu ' t shed shown on the surve . Au oriz d S afore Cc: File, ZBA FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT % ~S_ J SOUTHOLD, N.Y. I~,J, l.f/ NOTICE OF DISAPPROVAL DATE: April 1, 2013 TO: North Fork Pool Caze, Inc. 9700 Main Road Mattituck, NY 11952 Please take notice that your application dated Mazch 21.2013 For permit for an in-ground swimmingpool at Location of property: 1440 Kimberlv Lane, Southold, NY County Tax Map No. 1000 -Section 70 Block 13 Lot 20.10 Is returned herewith and disapproved on the following grounds: The provosed in-ground swimming pool is not permitted pursuant to Article XXII Section 280-116 B which states: "All buildings or structures located on lotsgs or structures located on lots urn which a bulkhead concrete wall riprap orwhich a bulkhead concrete wall riprap or similar structure exists and whit ate to ti water bodies other than sounds shall be set back not less than 75 feet om th ulk gad." The swimmin ool is bein ro ed at 30 feet from the exis ' bul Authorized Sig Cc: File, ZBA Fee $ Filed ny: Assignment No.. APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS AREA VARIANCE House No.~yylJStreet /~./jJ~jP_/l~ L.f~~ Hamlet ~pctT/~°G~~~// SCTM 1000 Section~Block~Lot(s) a2~ Lot maize .S ~SDS54/'Zone I (WE) APPE THE WRITTEN DETERMINATION OF THE BUILDING IN PECTOR DATED / / /BASED ON SURVEY/SITE PLAN DATED_~7 ~/3 Applicant(s)/Owner(s):/ LG 5~7~ ~/t~~~s~ Mailing Address: ~7 ~y 1-(,, ~/~Pt~L}/ GI~ 3!J Telephone: 3 7l~ ~/f~a Fax:Gy3~7~S-~//(o Email:/.~~/1):~:~jP//C~ J////~G('p,,i NOTE: In addition to the above. please complete below if application is signed by applicant's attorney, agent, architect, builder, contract vende!!e~~, etc. and name of person who agent represents: Name of Repre~se/ntative: />t// g<<~,. vl//y~Ppp( (~/L for (t~ Owner ( )Other: Address:_13AYJ ~~t/( /~/?-~T % t rt-tC~~ /'13.~ / /r/ SoZ Telephone ~ -/~D/ Fax:~la3/~e?/~8 50/S EmaiL•~,i/~' .~~~f~F=~s'/~~oa(Csq?L ,(vy~ Please check !o specify who you wish~ rrespondence to be marled to, from the above names: ( 1 ApplicantlOwner(s), (y'Authorized Representative, OOther Name/ Address below: WHEREBY T~jE BUILDING INSPECTOR REVIEWED SURVEY/SITE~L~N DATED 3 ~ / 13 and DENIED AN APPLICATION DATED 3 3/ / 3 FOR: ( wilding Permit ( )Certificate of Occupancy ()Pre-Certificate of Occupancy ( )Change of Use (,.yF'ermit 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: hX/~ Section:ab'D (/GB ~O-/SF Subsection• 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 OReversal or Other A prior appeal ( )has, " \ has not been made at anv time with respect to this oroaerty UNDER Appeal No(s). - \ Year(s). . (Please be sure to research before completing this question or call our office for assistance) Nome of Owner Z6A Pile# REASONS FOR APPEAL (P/ease be specrfic, additiana( 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~ifr granted, because: 5 ;,t DAL ~ ~ v~~ -,J ~ f}?~ .Tu,ST L~%Le. 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: 7ppL (.W No't~ f' iT ,.J i4 o Y//~ Lcx~T,~ ,g/-~~ but?~. 5/f~ ~fctw~ \.c~o~ .ESe ~~~~QQ\c ~ ,~~,,,~or/r~~ _ L ocgr~ ~ O % seA" %/acKS, /S/~ ~ S GOC~4TUJ ' `v "-"Y ~[I~C~ Tr~rt-'f /S /tJO'To~jt`/uS~~~, 3. The amount of relief requested is not substantial because: ~po/L ~ ~ CL LOCH Te~j 3 Pc~s (=eel` /=~o~i ~I,e,C/ffle.4~ '4~`-'~ /ACC /r~S ~Su~'-~ ~~iyr,"T~- Lrtn+~ST,.-r'o-i~ ~ocC. 5//e~ ,S S~Sy oJa/ /oo Sq Fr, ~4w~S.ygtL 5- z~, 4. The variance will NOT have an adve~r/se effect or impact on the physical or environmental conditions in the neighborhood or district because: ~ Ne ~qDG .~.5 (~cv~7~ i nJ /.Y{C~ j/µt/~ /~.7,'T/-/ ~ o T/ee S o.~ f,Qi: Tia TIuJ TC7(~/i .6 fie-..yca."~i~ . (J ~e 5. Has [he alleged difficulty been self created? { }Yes, or { No Why: ~ yQ~ ~IQ.S ~L~(~Q~ pn0 ~~(r S r:~c o~ p?o~iT~'• Gam,'// .tx7~ T i o eaJC" ~wyrv/!ve ~ Aso/v7y, Are there any Covenants or Restrictions concerning this land? { }Yes (please furnish a copy) This is the MINIMUM [hat is necessary and adequate, and at the same time preserve and protect [he character of the neighborhood and the health, safety and welfare of the community. Signature of Applicant or Authorized Agent (Agent mug submit written Authorization from Owner) Sw to before me this ~ day of rl( .20 Notary Public fbfary VI TOTH ~ 1~ Commtssron E pins July 28, ZDL~ APPLICANT'S PROJECT DESCRIPTION APPLICANT: !!~~%I ~J,j~iyi,~ /jt»//I/~w/~~p~ (,~~jATE PREPARED: ~ ,3 _ 1. For Demolition of Existing Building Areas Please describe areas being removed: II. New Construction Areas (New Dwelling or New Additions/Extensions): Dimensions of first floor extension: Dimensions of new second floor: Dimensions of floor above second level: Height (from finished ground to top of ridge): Is basement or lowest floor area being constructed? If yes, please provide height (above ground) measured from natural existing grade to first floor: III. Proposed Construction Description (Alterations or Structural Changes) (Attach extra sheet if necessary). Please describe building areas: Number of Floors and General Characteristics BEFORE Alterations: l~ Gr~`"`'~ .Sto1%usv`y ~ c;,r„rs~~vel~ ~ Rio ~~Y S r~ P Number of Floors and Changes WITH Alterations: IV. Calculations of building areas and lot coverage (from survff or): Existing square footage of buildings on your~roperty: ~3 (p ~f~ SQ, `T Proposed increase of building coverage: .5 70 SQ {=Y Square footage of your lot: s8 8 Percentage of coverage of your lot by building area: V. Purpose of New Construction: ~ ~ ~-/o~-a~Jr Scc].%r+ L <,Hle~ 9 5C l.3 ~ ory C'P~T Q1oc!<S - .PPr~to~ P.4~S VI. Please describe the land contours (flat, slope heavily wooded, marsh ar c.) on your land and how it relates to the difficulty in meeting the code requirement (s):// CAT i .K ~ v ~Lc,C~ o f 1 , ` e~ 17 ~Jrt¢•~ ro ei „~eC( cc.c~ o 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 AGRICULTURAL llATA STATEMENT ZONING BOARD OF APPEALS TOWN OF SOUTHOLD WHEN TO USE THIS FORM: This form must 6e completed by the applicant for any special use permit, site plan approval, use variance, area variance or subdivision approval on property within an agricultural district OR within S00 feet oja farm operation located in an agricultural district. AI! applications requiring an agricultural data statement must be referred to the Suffolk County Department oJPlanning in accordance with Sectionp239m and 239n ojthe Cenera! Municipal Law. 1. Name of Applicant: i3t(~ iUoy%/*~~~ /~i~ Cwt?C. 2. Address of Applicant tb0 /hq~~ rr?I7ri' u~ S 3. Name of Land Owner (if other~~ Applicant : G~ i.U , Se 4. Address of Land Owner: ySl'~ {t;+~f~~L iu T/ C rj). - / 5. Description of Pro~.~osed Project:__,~15(, Zll] G'rb~--~~ ~oOL. LL ~/~-3.~ 6. Location of Property: (road and Tax map number) ~t^~Qc:?L)/ L44,~~ ~/D- ~3_a~~(~ 7. Is [he parcel within 500 feet of a farm operation? { }Yes {.j~No 8. Is this parcel actively farmed? { }Yes o '-4. ~TJame and addresses of any owner(s) of a d within the agricultural district containing active farm operations. Suffolk County Tax Lot numbers will be provided to you by [he Zoning Board Staff, i[ is your responsibility to obtain [he current names and mailing addresses from the Town Assessor's Office (765-1937) or from the Real Property Tax Office located in Riverhead. NAME and ADDRESS 2. 3. 4. 5. 6. (Please use [he back of [his page if there are additional property owners) l ~t~~ ~ o.~ , ~~3 Signature of Applicant Date Note: 1. The local Board will solicit comments from [he owners of land identified above in order to consider the effect of the proposed action on their farm operation. Solicitations will be made by supplying a copy of this statement. 2. Comments returned to the local Board will be taken into eonsideration as part as the overall review of this application. 3. Copies of the completed Agrialtural Data Statement shall be sent by applicant 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. QUESTIONNAIRE FOR FILING WITH YOUR ZBA APPLICATION A. Is the subject premises listed on the real estate market for sale? Yes J~No B. Are [here any proposals to change or alter land contours? _~No Yes please explain on attached sheet. C. l.) Are there areas that contain sand or wetland grasses? /l~ l7 2.) Are [hose azeas shown on the survey submitted with this application? V25 3.) Is the property bulk headed between the wetlands area and the upland building area? ye$ 4.) If your property contains wetlands or pond areas, have you contacted the Office of the Town trustees for its determination of jurisdiction? No 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 near the area of proposed construction at or below five feet above mean sea level? /V F•,. Are there any patios, concrete barriers, bulkheads or fences that exist that are not shown on the survey that you are submitting? No Please show area 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 [his time concerning your premises? /y~ If yes, please submit a copy of your building permit and survey as approved by the Building Department and please describe: ,J~?{ G. Please attach all pre-certificates of occupancy and certificates of occupancy for the subject premises. If any are lacking, please apply [o the Building Department to either obtain [hem or to obtain an Amended Notice of Disapproval. H. Do you or any co-owner also own other land adjoining or close to [his parcel? /UO If yes, please label the proximity of your lands on your survey. I. Please list present use or operations conducted at this parcel ~ le- Fi~F.r+~Ly and the proposed use $.q.~rE LJi i ~oo~ . . (ex: existng single Camily, proposed: same with garage, pool or other) Authorized signature and Date 677.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART 1 -PROJECT INFORMATION To be com leted b A licant or Pro ect S onsor 7. APPLICANT/SPONSOR 2. PROJECT NAME 3. PROJECT LOCATION: \ Municipality Q L S0~%/?UCJ County SLL 4. PRcE,lC/I IS/E LOCATION (Street address aM~IroSad intersections, prominent landmarks, etc., or provid-e/map) 5. PROPOS D ACTION IS: 7~NFew ~ 6cpansbn ~ ModiRCatlonlakeratlon 6. DESCRIBE PROJECT BRIEFLY: Sj(~ ~/'ALO~7 op X 7. AMOUNT OFI,pND AFFECTED: Initialy S/°SL2YT• acres Ultimately acres 8- WILL PRO OSED ACTION COMPLY WITH F~(ISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? Yes ~ No I(No, Describe bdefly 9. WHAT IS ESENT LAND USE IN VICINITY OF PROJECT? Residential ~ Indusidal ~ Commercial ~ Agdculture ~ Park/ForesVOpen Space ~ Other Describe: ~ y~~~f /_~r.,.t,C~ i V 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDE L, STATE OR LOCAL)? 7 Yes ~No 14Yes,lista en ~ ~ Qb9 O g q(s) name and penniVapprovals: / C. M~'T ~ i r~ i 7. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMR OR APPROVAL? Yes ~ No If Yes, list agency(s) name and pennWapprova _ ~C - SA~rE FfS ~b~G. 12. AS A RESULT OF PROPO ED ACTION WILL FJ(ISTING PERMITIAPPROVAL REQUIRE MODIFICATION? ? Yes to I CERTIFY AT THE I ORMA710N PRO DED ABO TRUE TO THE ~ST OF MY KNOWLEDGE AppllcanVSponsor/na~m~e: ~ rOi/ ~ C ~ ate: Signature: !/Lc - ~f If the action is in the Coastal Area, and you are a state aggency, complete the Coastal Assessment Form before roceeding with this assessment OVER 7 PART II - IMPACT ASSESSMENT To be com leted b Lead A enc A. DOES ACTION EX ED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL EAF. Yes No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 677.6? If No, a negative deUaralion may be uperseded by another involved agency. vas ~o C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, rf legible) Ct. Existing air quality, surface or groundwater quality or quanitty, noise levels, existing traffic pattern, solid waste produdion or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeobgical, historic, or Omer natural or cultural resources; or community or neighborhood charader? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wiltllife spades, significant habitats, or threatened a entlangeretl spades? Explain briefly: ~ O C4. A communitys existing plans or goals as o(fidally adopted, or a change in use or intensity d use of land or other naNrel resources? Explain briefly: C5. Growm, subsequent development, or related activities likely to be induced by me proposed adion? Explain briefly: ~ O C6. long term, short term, cumulative, or other efieds not idemifed in C7-C6? Explain briefly: ~ Q C7. Other impads (induding changes in use of either quantity or type of energy)? Explain briefly: Y`-~l.J D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTA REA (CEA)? Yes No If Yes, explain briefly: E. IS THERE, OR IS ERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? Yes r No Ii Yes, explain briefly: PART Ill -DETERMINATION OF SIGNIFICANCE (TO be completed by Agency) INSTRUCTIONS: Foreach adverse effect identified above, determine whemer it is substantial, large, important or omerwise significant. Each effect should be assessed in connection cairn its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope: and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show mat all relevant adverse impads have been itlentiffed and adequately addressed. If question D of Part II was checked yes, the determination of significance mustevaluale the potential impad of the proposed adion on the environmental charaderisgce of me CFA Check this box Hyou have Idenafled one or more potentialry large or significant adverse Impede whidr MAY occur. Then proceed dfredry to ttre FUL and/or prepare a positive dedaration. Check this box dyou have determined, based on me information and analysis above and any supporting doamemation, that the proposed adion WIL NOT result in any significant adverse environmental impads AND provide, on attachment as necessary, me reasons supporting mis determination Name o ea Agency Date Pr f w erns o esponat a Car n Lea gang o e cer~'1_ead gam-- lure o parer rent responsi o APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees. The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOURNAME:~i~ ~IGU~fSQ~ (Last name, first name, middle initial, unless you art applying in the name of someone else or other entity, such as a company. if sa, indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance 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 town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. YES NO If you answered "YES", complete the balance of [his 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 appiicanUagent/representative) and the town officer or employee. F.i[her check [he 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 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 officer, director, partner, or employee of the applicant; or D) the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this ~ t 20 ~3 Signature PrintNaole,~~~ ~ ~ (t(~ ~ ~ S ~ ~ ACENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics Drohibits conflicts of interest on the Dart of town officers and emolovees. The ouroose of this form is to rovide information which can alert the town of ossible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME : ~i/~ ~j il4t~~i P~ (Last name, first name, middle initial, unless you are applying in tht name of someone else or other entity, such as a company.lf so, indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit 1~ Variance ~ Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other (activity) Planning r 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 whic [he town officer or employee owns more than 5°/a of [he shares. YES NO If you answered "YES", complete the balance of this form and date and sign where indicated. Name o(person employed by the Town of Southold 'Title or position of that person .Describe the relationship between yourself (the applicant/agent/representative) and the [own 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 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 officer, director, partner, or employee of the applicant; or D) [he actual applicant DESCRIPTION OF RELATIONSHIP Submitted this ~ ay o[ ~ 20~ Signature ~ o Print Name Board of Zoning Appeals Application AUTHORIZATION (Where the Applicant is not the Owner) r, Lest/P f~i~/'~)~J/~ residing at /5~~~ 1G~~°~Ly LA~v~ (Print property owner's name) (Mailing Address) ~~(lfpu ~ ,y ? / do hereby authorize ~ (Agent) ~w~lv,'~f ~i~J~~L`J to apply For variance(s) on my behalf from the Southold 7,oning Board of Appeals. i ;y~Z~% (Owner's tgnature) ~CS~~ ; r~{NDis~~ (Print Owner's Name) '['own of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 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, i[ 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 Plaiming Department, all local libraries and the Town Clerk's office. B. DESCR1PT10N OF SITE AND PROPOSED ACTION The Application has been submitted to (check appropriate response): Town Board ~ Planning Dept Building Dept. ~ Board of Trustees I . 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: location ofaction:~~~ ~~~'r/~,~~~~~9/t~G ~Ti~~C/~ ~y 11-r 7/ Site acreage:-, Q~__~Q. _ Present land use: ~j,'nh,/F' }~/-//~t~? Present zoning classification: 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: ~j~i~i~ /U'/t' ~ffX~~ ~ !~/?L (b) Mailing address:_f~(~'j /~i~~T 7'~~ (c) Telephone number: Area Code (a3.f (d) Application number, if any:__ Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ? No ~ 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 -please explain) ,nJ ~S'~. c.~srN r~~cc i~ ig~C ~ C Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III -Policies Pages 3 through 6 for evaluation criteria Yes ~ No'~ (Not Applicable -please explain) - - - Vtach additional sheds if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III -Policies Pages 6 through 7 for evaluation criteria Yes ~ No ~ (Not Applicable- please explain) 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 UI -Policies Pages 8 thrnugh 16 for evaluation criteria Yes ~ No ~ (Not Applicable -please explain) ~u-~ - - _ ,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 ~ (NotApplieable-please explain) tQ (f S e C ~ C'sy. ~Ti4'4-1 e v~~ ~io.~~~ 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. ~r Yes ~ No~ (Not Applicable -please explain). Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III -Policies Pages 32 through 34 for evaluation criteria. See Section III -Policies Pages; 34 through 38 for evaluation criteria. Yes ? No ~i (Not Applicable -please explain) Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III -Policies; Pages 34 through 38 for evaluation criteria. Yes ? No ? (Not Applicable -please explain) i4S t< t ~ DCQe c.,~ t •`7iifh ~ Al_L cu,J 77~ - ~T ~ ~ i ~ met 1 . _ 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 Ill -Policies; Pages 38 through 46 for evaluation criteria. ? Ye~ No ~ (Not Applicable -please explain) Attach additional sheets if necessary - WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section 111 -Policies; Pages 47 through 56 for evaluation criteria. Yes ? No ~ (Not Applicable-please explain) Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III -Policies; Pages 57 through 62 for evaluation criteria. ? Yes ? No ~ Not Applicable -please explain Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III -Policies; Pages 62 through 65 for evaluation criteria. Yes ? No ~ Not Applicable -please explain Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III -Policies; Pages 65 through 68 for evaluation criteria. ? Yes ? No ~ Not Applicable -please explain Merlin Induatriee,Ina VINE ~~n CUSTOMER COPY `"°'°`1-1.~ Hemllton, NJ 08819 ll~ it e~~' Jetline-Islnndie +~atm u ° °RD°` r` 482118 Rector le 18 -8 3 4" X 32'-0 1 2" 3'-8 8'-0' uere ios N~.North Fork Bumee 2 Yerlin 1 d 12 19 2011 9°eA1' 375541 ! ~ 1'~' 4'-0" i I i e'-~" 14'-P,~" 11'-il~" 18'-E'~' 4 -0' 8'-0" 12'-0~" 10'-0" ' 8'-g• y ~ \ M 4'-0" i 1,_2. i 96'-0~" 9'-8" f i "V ~~z'' , a~ u~a(L ~ Cex~~~-r~ ~tCS ~ ~'=coca "aT j t> w'c C~ ulru! 3~ , ~ SK~~nMerS a ~2rw?~v S. 1 c~~r ~'f TOWN OF SOUTHOLD. PROPERTY RECORD CARD ~/I-/7~ %D-,~:.~-76./0 OWNER STREET ~~J ~ VILLAGE DIST. SUB. LOT ;i~ FORMER OWNER t~," N E ACR. ~ ( G1b~S U(f ~2~ F , o.? MO ~ S~ S W TYPE OF BUILDING ~ . l 1"' E3S.~ SEAS. VLr FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS .c . z .7 2 o a u ~ o U ~ I I I 7 7~ d` s F, Rio 1'.1' , ,t' ~ t~s T, ,~iYA~- ?o - ,l~- c Leo E 50 0 F S 91 i - 7 - ~ ~ - ~i vz: l~ 080 l 8/ ~0 3 a l I - ~o 2- o o ~ ~ On SLc~ GIt,S u~ rJVlAtut 8a~ oa-L /Z2d 939- ?Proo fo Vll~n~llscti ~BS~ddr~ illabie FRONTAGE ON WATER 7 / ~ ~ n /oodland FRONTAGE ON ROAD ~~~i 7(0 _ ~ 6g~ leodowland DEPTH ouse Plot BULKHEAD So ~ Z ~tal FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29033 Date: 10 29 02 THIS CSRTIFIHS that the building NEW DWELLING Location of Property: 2035 NORTH BAYVIHW RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Nap No. 473889 Section 70 Hlock 13 Lot 20.10 Subdivision Piled Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 23, 2002 pursuant to which Building Permit No. 28776-Z dated SEPTEMBER 23, 2002 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH COVERED FRONT PORCH AND ATTACHED THREE CAR GARAGE AS APPLIED FOR. The certificate is issued to OVERLOOK COURT DEV. CORP. (OWNER) of the aforesaid building. SDPPOLK COUNTY DEPARTMHNT OP HEALTH APPROVAL R10-98-0159 10/25 02 SLHCTRZCAL CSRTIPICATH NO. N 557917 05/09/01 PLUMBHRS CSRTIPICATION DATHD 09 30/02 BERTSAND PLUMBING & HEAT Authorized nature Rev. 1/81 ~ 'NEW YORK STATE DEPARTMENT OF ENVIItONMENTAL CONSERVATION ~ ' Facility DEC ID 1-4738-00068 PERMIT Under the Environmental Conservation Law CL Permittee and Facility Information Permit Issued To: Facility: LESLIE WINDISCH WINDISCH PROPERTY 1440 KIIvIBERLY LN 1440 KIIvlBERLY LN ~SCTM#1000-70-13-20.10 SOUTHOLD, NY 11971 SOUTHOLD, NY 11971 (631)765-8116 Facility Application Contact: NORTH FORK POOL CARE INC PO BOX 471 IvfATTiTUCK, NY 11952-0471 (631)298-4014 Facility Location: in SOUTHOLD in SUFFOLK COUNTY Village: Southold Facility Principal Reference. Point: NYTM-E: 717.17 NYTM-N: 4547.72 Lafttude: 41°03'06.3" Longitude: 72°24'57.1" Project Location: 1440 Kimberly Lane -Watercourse -Southold Bay . Authorized Activity: Construct new accessory structures for existing single family dwellings in the Tidal Wetland Adjacent Area. The.new accessory struchueJs (examples include: enclosed additions, garages, tennis courts, swimming pools, spas, decks, terraces, patios, carports) must be located a minimum of.75 feet landward of the wetland boundary. In addition, install a drywell for the pool. All work shall be in strict conformance with the attached survey stamped "NYSDEC Approved" on 3/15/13. (MAlvi) SAP # 1-09-013 • Pernut Authorizations Tidal Wetland's -Under Article 25 Permit ID 1-4738-00068/000.03 New Permit• Effective Date: 3/15/2013 Expiration Date:3/14/2018 Page 1 of 7 TOWN OF&7UTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.riet PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined , 20_ Storm-Water Assessment Form Contact: Approved , 20_ Mail to: Disapproved a/c Phone: Expiration M ~ ~ ~ Buildin In pector l~U MAN 2 ~ 2013 APPLICATION FOR BUILD G PERMIT i L--a~oo. DEPT. Date , 20~ L ~ow,~. or soetr+oEO INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accwate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall~be kept on the premises available for inspection throughout the work. ~ e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ~ (Signatwe of applicant or name, if a corporation) ~ 700 ~~-:y R~~ r>,~~,v~c 1Y (Mailing address of applicant) //lrSal State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder ~F oo bQ~esp Name of owner of premises ~n~e, l t~Jr!~J (.l~i~~i~f/ (As on the tax roll or latest deed) If applicant is a orpp ton, stgn re f duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. - C /~py~Z~'Qr'Creae.,~ 1. Loc ti n of land on ~lttch proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section 7o Block ~ 3 Lot ao.,, ,Q, 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 b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work ; ~ ~ St.,J~'MSr.'~, Imo L, (Desc ption) 4. Estimated Cost 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 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 Stones ' t ~ ?Aa{ ~ ~ 8. Dimensions of entire new construction: Front /Cad 3~ Depth Tb 8 Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 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_Will excess fill be removed from premises? YES_// N`O_ 14. Names of Owner of premises ~L.1~~J~~Cf~Address /s/y~,r,~Gy U• ~ Phone No.I~~J 7laS 8//G Name of Architect Address Phone No_ Name of Contractor .t~f. /~L C Address 97aoeyN~'~ ~ Phone No. ,to 3/ a/`~-/o/f~ ,chrvrH MA i4w.C 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES ~NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS1v1AY 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) SS: COUNTY OF_ ~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, CONNIE D. BUNCH Notary Publk:, State of New York (S)He is the No. 01BU5185050 (Contractor, Agent, Corporate Officer, etc.) Commisslon Expires April 14, 2 U~ 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. 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