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1000-31.-12-6
BOARD MEMBERS ~F SO Southo d Town Hall Leslie Kanes Weisman, Chairperson y~~ 6p 53095 Main Road • P.O. Box 1179 Eric Dantes Southold, NY 11971-0959 Office Location: Gerard P. Goehringer w ~c Town Annex /First Floor, Capital One Bank George Horning 54375 Main Road (at Youngs Avenue) Ken Schneider 1~C00 Southold, NY 11/9971 http://southoldtown.northfork.net ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809 • Fax 631) 765-9064 04 ober V ~I 4A y ~V-1% Mark Terry, Principal Planner LWRP Coordinator Planning Board Office Town of Southold Town Hall Annex Southold, NY 11971 Re: ZBA File Ref. No. #6681 (Swanson`) Dear Mr. Terry: We have received an application for construction of additions and alterations to an existing single family dwelling in East Marion. 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 268-513 is requested within ASAP of receipt of this letter. Thank you. Very truly yours, Leslie K. Weisman Chairperson By. Y~ Encls. FORM NO. 3 TOWN OF SOUTHOLD ~g BUILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL DATE: May 17, 2013 AMENDED: June 24, 2013 TO: Steven and Beare Swanson 185 E 85`h Street 6 New York, NY 10028 Please take notice that your application dated May 6, 2013 and revised on June 24, 2013 / For permit to construct additions and alterations to an existing single family dwelling at Location of property: 1120 Truman's Path, East Marion, NY County Tax Map No. 1000 -Section 31 Block 12 Lot 6 / r v Is returned herewith and disapproved on the following grounds: / The proposed construction on this non-conforming 11,672 square foot lot in the Residential R-40 District, is not permitted pursuant to Article XXIII, Section 280-124, which states that, on lots measuring less than 20,000 square feet in total size, the minimum single side yard setback is 10 feet and the minimum combined side yard setback is 25 feet. Following the ro sed construction the dwelling will have a single side and setback 5.3 feet a total side yard setback of 15.3 feet. This Notice o Disapproval was amended on June 28, 2013 to %ftL han es made to the application by the applicant's architect Author' ed S' nature Cc: File, ZBA FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL DATE: May 17, 2013 TO: Steven and Beate Swanson 185 E 85`s Street New York, NY 10028 Please take notice that your application dated May 6, 2013 ollNd !GN SeD!' ~NhQ 242 3 For permit to construct additions and alterations to an existing single family dwelling at Location of property: 1120 Truman's Path, East Marion, NY County Tax Map No. 1000 - Section 31 Block 12 Lot 6 Is returned herewith and disapproved on the following grounds: The proposed construction on this non-conforming 11,672 square foot lot in the Residential R-40 District, is not permitted pursuant to Article =II, Section 280-124, which states that, on lots measuring less than 20,000 square feet in total size, the minimum single side Yard setback is 10 feet and the minimum combined side yard setback is 25 feet. 6.3 Following the proposed construction, the dwelling will have a single side yard setback of Weet and a total side yard setback of AS feet. ! 5.3 l A thorized Signature Cc: File, ZBA TOWN OF SOUTHOLD V E BUILDINGPERMIT APPLICATION CHECKLIST BUILDING DEPARTMEN Do you have or ae~4lie foltowhrg, bu bre applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 2013 4sch; df`Bdlldiog Plans TEL: (631) 765-1802 Plain ng Board wmva FAX: (631) 765-9502 EP0 to Survey SoutholdTown.NorthFork.det Check Septic Form N.Y.S.D.E.C. Trustees Flood Bert a a. Examined 20 - Saran-WaW`Ase t(p T orm`---^; _ Contact Approved 20 Disapproved a/c 6111113 01SAPPRO Phone:'_ 102 Expiration , 20 Building Inspector APPLICATION FOR-BUILDING'PERN11T Date tiiAr/ S 20 r3 INSTRUCTIONS a This application MUST be completely. filled. in. by typewriter or in ink and submitted totha Buikiinglnspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule, b. Plot plan showing location of lot and of buildings on premises; relationship to adjoining promises orpublio,sucers of areas, and waterways. c. The work covered ,by this application qW not beoogmnmucadbdote: issuance of avilding?E unit. . 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 ageileble futjrtsP.eyonthroughouttbe,work.. e. No building shall be cecupted or uked I'M' 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 tle date of issuance or. has, not been completed within I8 months from such date. If no zoning amendments or other to rdafionsffectiug the property-have been. enacted in the interim,-the.Building Inspectormsy authorize, in writing, theaxhnsiw ofdie permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS. HEREBY MADE-to the BuildingDepartment for the issuance of a'Buildmg Permitpursnartt to the Building Zone Ordinance of the Town of Southold, Suffolk County, New Ybrk, and other applicable la so* • idinanees or Regulations, for the construction of buildings, additions, or alterations or for:removahordemolitiimes fherem described: The applicant agrees to comply with all applicable laws, ordinances, building code; housing code, andrregrd8fiens, and to itlmit authorized inspectors on premises and in building for necessary inspections. . (Sign?tars.o£apglicaotaaam4ifaeoryoreuom). ^1Madmga~¢a'afaPllticm5)'. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .ziPLi-f ~z~G~ Name of owner ofP"I pses _L?~ V J , 1~ SC e)~? U SON (As on the tax roll onlatest'.deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No, Electricians License No. Other Trade's License No. 1. Location of land on which proposed work wyll be done: /19 77~~~i/->,sl S PA7-" ~_=fiS7_ l-rA~IUN House Number Street - Hamlet County Tax Map No. 1000 Section Block 12 Lot 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 P4~-~;z od:~rtT lAL 3. Nature of work (check which applicable): New Building X- ii on v Alteration Repair Removal Demolition Other: Work 4. Estimated Cost Fee ~ c70 (Description) (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 5. If business, commercial or mixed occupancy, specify and extent-of each type of use- 1, r / 7. Dimensions of existing structures, if any: Front Rear 2 Depth 1~ `J Height Number of Stories / Dimensions of same 7tructure with aerations or additions: Front ~i¢(O( Rear Depth , 52,5 Height 22.~? Number of Stories 9. Dimensions of entire new constriction Tront Rear Depth Height Number of Stories 9. Size of lot: Front 6107 ~ Rear .SOf Depth 234.47 10. Date of Purchase (J 28 12 Name of Former Owner 11. Zone or use district in which premises are situated -~O 12. Does proposed constriction violate any zzmaing'law, ordinance or regulation? YES VINO- 13. Will lot be re-graded? YES_ NO /Will excess fill be removed from premises? YES V NO_ 14. Names of Owner of ==Ses 44)('L[SOa Address /.8UYC5~ :6~ tJ Phone No. 92tJ-4.~6 ~O&6~ Name of Architect ,i`-: U~11~:lJDFlffl _ Address h?& 31.~ :6'rf.`/Phone No G 3l - LZ7 -9/~2¢- Name of Contractor Address s phone No. t 5 a. Is this property within. 100 feet of a tidal wetland or. a.fireshwater wetland? *YES - V NO -IF YES, SOUTHOLD.TOWN TRUSTEES &D.E.C_ PERM[TS~I AYBE'REQUIRED. It. Is thisproperty within 300 fedtof a tidal ;wetland? * YES NO_ * IF YES, D.E.C. PERMUS 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 V * IF YES, PROVIDE A'COPY STATE OF NEW YORK) Ss :OIINTY OF~ being duly sworn, deposes. and says that (s)he is theapplicant (Name of individual signing contract) above named, CONNIE D. BUNCH Notary Public, State of New York S)He is the No. OtBU8185050 (Contractor, Agent, Corporate Officer, etc.) Commission Expires April 14.2 if said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; hat all statements contained in this application are true to the best of his knowledge and belief, and that the work will be lerfovned in the manner set forth in the application filed therewith. Morn to before me this (dry day of Af4cf- 201~_;_ ?f l i lrv A„ Cim,on,,.. of A nnlirnnr Fee: S Filed By: Assignment No. APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS AREA VARIANCE House No. /t'2-0 Street UMIaIUS 2Qj 0amlet C,q ST X ~ z~ (2 l Q!V SCTM 1000 Section-3 1 Block /2 Lot(s)___& Lot Size 1 Zone ,0-40 I (WE) APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED C-;-1'7-13 BASED ON SURVEY/SITE PLAN DATED l~il~rieLcCl.Ld ~-2~ -/3 Applicant(s)/Owner(s): / = A < `yT~?E l~l 6CA69 k) SU/-21 e Mailing Address: `J^ ~6? lc Jew yDeL'. ArJ ti ~L702~3 (~}pf.2Sa> ~y q'a& ? Telephone: /~Y' Fax: Email: t/QQl~C6wgvtSavl ~~~n x~; 1. c vvvl 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: ~l A-,7 C l,/ E~IIRF((Sor (%ner ( )Other: Address: h-3 CALL AI(E, FbO 36t DD2~ ytt l1 ~/4sf Telephone:,Oi -!M46AFax: Email: / IC~~ DT ~ZJU~(ClQ G(et Please check to speeuy who you wis rrespondence to be mailed to, from the above names: ( ) Applicant/Owner(s), Authorized Representative, ( ) Other Name/ Address below: WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN DATED and DENIED AN APPLICATION DATED S-S-/"3 FOR: ( Building Permit ( ) Certificate of Occupancy Pre-Certificate of Occupancy ( ) Change 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: k X/11 Section: 200 Subsection: ~2¢ Type of Appeal. An Appeal is made for: (%4'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, t4 has not been made at any time with respect to this oronerty, UNDER Appeal No(s). Year(s). (Please be sure to research before completing this question or call our office for assistance) Name of Owner: ZBA Files! 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: 15 1a7T~?CHE0 2. The benefit sought by the applicant CANNOT be achieved by some method feasible for the applicant to pursue, other than an area variance, because: SL=R A i % ~ G1-t ED 3. The amount of relief requested is not substantial because: ~ r ASE-QED 4. The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: 5. Has the alleged difficulty been self created? { } Yes, or { } No Why: 6&Le 11)"4f(4- ED Are there any Covenants or Restrictions concerning this land? XNo { } Yes (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 welf a community. Si of App ican or Authorized Agent (Agent submit written Authorization from Owner) Sworn to befon; me this r4 day of 20 Notary Public Notary f'ubVc TU of New York No. 01 1 0696 r~ty Comm ssil on Expires~July 28 Z ~1 Frank Wolfgang Uellendahl Architect 123 Central Ave POB 316 Greenport, NY 11944 t: 631.477.8624 e: frank@frankuellendahl.com August 22, 2013 Owners: Beate and Steven Swanson 1120 Truman's Path East Marion, NY SCTM: 1000-31-12-06 Request for Variance: Proposed screened porch and deck located in side yard RE: APPLICATION TO THE SOUTHOLD TOWN BOARD Of APPEALS PART A: AREA VARIANCE REASONS (1) An undesirable change will not be produced in the CHARACTER of the neighborhood or a detriment to nearby properties, lf granted, because: most waterfront homes along Truman's Path are located similarly close to the bluff line on narrow lots. Like the applicants' home they were built in the 1960s and 1970s as summer cottages at a time when setback regulations allowed these cottages to be built much closer to the bluff line. Many owners have since converted their cottages into larger, more comfortable year round residences which is what the applicants are currently in the process of doing. A permit was issued on 02/06/2013 to construct interior alterations and a dormer addition. In the next building phase the owners would like to apply for a setback variance to construct a screened porch and deck off the kitchen and LR on the south side of the building. There is no room facing Lake Marion to create a screened porch due to the closeness of the top of the bank. The proposed spaces will provide the owners with much desired easy access to the outdoors without changing the character of the neighborhood and allowing for more privacy for themselves as also for their neighbors. (2) The benefti sought by the applicant CANNOT be achieved by some method feasible for the applicant to pursue, other than an area variance, because: due to the location of home on the lot there is no other way to gain a usable porch and deck with a view of the lake. The 50 ft wide lot does not allow the proposed construction on the landward side of the existing dwelling where access to the basement and the septic system is located. The applicants are aware of the fragile situation along the waterfront and opted out to seek a variance on the lake side of the dwelling. (S) The amount of relief requested Is not substantial because: There are no other options to enjoy outdoor living on a deck or in a screened porch - protected from mosquitoes - while enjoying dinner at sunset. (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 deck and porch are light structures attached to the existing dwelling, they do not present a negative impact on the physical or environmental conditions in the neighborhood since they are modest in scale. All roof run-off will be contained on the site as shown on the site plan to prevent erosion. (5) Has the alleged difficulty been self-created? Yes, or ( X ) N . Does this variance Involve as-buiti construction or activity? (X) Yes, or No - Ext'g cottage will e converted to workshop with'12 bath APPLICANT'S PROJECT DESCRIPTION APPLICANT: S(/?A~U S DATE PREPARED: 9-2-2--(B 1. For Demolition of Existing Building Areas i Please describe areas being removed: op ~'G ,L&_k~;' 7V4eD IL New Construction Areas (New Dwelling or New Additions/Extensions): ' H ' C3 Ci DEGJC.' GGf 210 x ,3L s Dimensions of first floor extension: P0126 as 26, Dimensions of new second floor: ,200~= 7~ C Dimensions of floor above second level: N , It~ Height (from finished ground to top of ridge):2-- Q ' Is basement or lowest floor area being constructed? If yes, please provide height (above ground) measured from A natural existing grade to first floor: Z(/ 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: 01-e) /ZY c`.y G l-Ah/LY 2-3ET~lZaoAt /4 SSE WIT140VZ_ 24erGl:::~ 64.20 v Pa2ci E Number of Floors and Changes WITH Alterations: / 11;7 - 5TV2 Y S! A-)Zim, LE f) 1-4~LY Z f~D20LttC >z1U115~ Lf.7177-f ~J~~IG~ SGL~-~ >~7~ X0,2 f~ IV. Calculations of building areas and lot coverage (from surveyor): Existing square footage of buildings on your property: A /a 4c, S Proposed increase of building coverage: -4-9!5 footage of your lot: l ~oi12 5(- Percentage of coverage of your lot by building area: V. Purpose of New Construction: -72~) 4 rAj ",QA_)e_4S7 )t-f}2)0-)o lQK (/!EW 5 N7_dM j-fj~- Pl~cPriS~D~X ~~P ~cL~ 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): T%Ae' AIJD I5 A1&;7V14-4-' Z- 12VD6:Z2 A &)Q S10PES L?z~rb07 77lE j ?7-r-~ Lv~s~ P2 L=2ZY L14A-= 77-t4i5 &712 taRU LAA_JD !6 F-2-P- " del 27-0 l78fX?1A_? f 121_VACv i/A~ cR ) 041LY 557 Z-06.RT~D -i4M ~ e~F 60 k';6' 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 QUESTIONNAIRE FOR FILING WITH YOUR ZBA APPLICATION A. Is the subject premi listed on the real estate market for sale? Yes No B. Are ere any proposals to change or alter land contours? No Yes please explain on attached sheet. C. 1.) Are there areas that contain sand or wetland grasses? YES 2.) Are those areas shown on the survey submitted with this application? ES 3.) Is the property bulk headed between the wetlands area and the upland building area? 111/0 4) If your property contains wetlands or pond areas, have you contacted the Office of the Town trustees for its determination of jurisdiction?Please confirm status of your inquiry or application with the Trustees: F=Z/L1.10&T2,9 V PE2M07- Q~cQ 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? /,(/O E. Are there any patios, concrete barriers, bulkheads or fences that exist that are not shown on the survey that you are submitting?C lease 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 this time concerning your premises? YE5 If yes, please submit a copy of your building permit and survey as approved by the Building Department and please describe: Lb.eMt=(Z ~ypfJ /-77 PlAl; A-lZz,) 457A)RQ5 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?~ If yes, please label the proximity of your lands on your survey. 1. Please list present use or operations conducted at this parcel 6E,c/6T/.VG L ).,LE 34" /-te 44) G T.g d..~ and the proposed use SA.~/E 6?/ CoTT.9 L~ UE~T£b 7 (7(O . (ex: existing single family, proposed: same with pool or other) ~3-22-J3 Author) signature and Date TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE ,A Fc . ga SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit 37791 Date: 2/612013 Permission is hereby granted to: Swanson, Steven & Swanson, Beats 185 E 85th St New York, NY 10028 To: construct interior alterations including a dormer addition to an existing single family dwelling as applied for At premises located at: 1120 Trumans Path, East Marion SCTM # 473889 Sec/Block/Lot # 31.-12-6 Pursuant to application dated 21412013 and approved by the Building Inspector. To expire on 8/8/2014. Fees: SINGLE FAMILY DWELLING - ADDITION OR ALTERATION ` $501.20 CO - ADDITION TO DWELLING $50.00 Total: $551.20 5 Ltg- Building Inspector AREA SUMMARY AZ ADDORMER D ION LOT AREA = ca. 11,672 SF = 100.90% Z EXISYG BLDG. COVERAGE = ca. 1,646 SF = 14.10% VVVV~~~~i ADDED BLDG. COVERAGE = ca. 0 SF TOTAL BLDG. COVERAGE = ca. 1,646 SF = 14.10% MAX. BLDG. COVERAGE = ca. 2,334 SF = 20.00% EXISTING STRUCTURES PROPOSED 2ND FLOOR DORMER ADDOION RESIDENCE 5 BY YOUNG k YOUNG DATED: NOVEMf#R 26, 2012 EAST MARION, NY 1120 TRUMAN'S PATH ARCCHR .GT ~ rnwAC wlnnwl Poem 716 e rnmlwn 47 11944 236.97 m 631-477 e624 o 8 ERS sR6xsx a srm ° 1120 's PAR EAST WOO 119M TI! w -09M I 35' ~c P DORMER ADDITION FRONT YARD WETLAND FLAG \ W~ 227.34' h ~ F SME 1/16 • l'-o PROPOSED SITE PU1N SITE FLAN SCTII+ = 1000-31-12-06 aW TOWN OF SOUTHOLD aAC. wy SUFFOLK COUNTY, NEW YORK A-2 DK NO FORM NO. TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.a5983....... Date J'11:4 1 19. THIS CERTIFIES that the building located at . Trw an . Patch . (M . UP)... Street Map No.?W.......... Block No.39C ........Lot NoX=. -Uilt.Harlan . . . N.oY• conforms substantially to the Application for Building Permit heretofore filed in this office dated llar..25... , 19. 74, pursuant to which Building Permit No..7155Z . dated ...........April 4 . , 19. , was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is PrIVOU .9m. g& .3.y. dwiliss~ . The certificate is issued to 40.•.rt 00 6s . Y 3..... O.Vaer (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .?>L1,$ ..1...1974 b7! g rg111l?.... . UNDERWRITERS CERTIFICATE No. N. 14§$x.3 Jt40 ...13.. . 19?4 HOUSE NUMBER ...1120 Street TrOMPA . P*34 NOT E, G(0. ,s ~oq~,. to nakiai. asiatinff haus~, into access or7 bul;". on3.y Building Inspector I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, K Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N° 7155 Z Date AlrU....... Y 1~4..... Permission is hereby granted to: Hobert Ketcham Jr to B.............................................. id neonfmiy...dwe 1in& at premises located at 'h:&..9 :r.UM.AFl.TAV,..OZAY.. *XA...Fark R.4)..........D Li4 R.. ...............................t.. Marion....... N .*.l pursuant to application dated $;r..........25............... 1974..., and approved by the Building Inspector. Nont ZXjptiingg elvallin to b ROAM blAg with ~q no kitet>atn or 00 king ">fiaa°i~itief Fee ?9: 1 Building Inspector FORK NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE t~ SOUTHOLD, N. Y. q Examined n-- 19.~.J.., Application No, ..1..4_~ n Approved ...........................y.......... 19..... Pemit No. SS Disopproved a/c 0>^ ry.......!!.... t....) .......or (Building Inspec APPLICATION FOR BUILDING PERMIT / Date A~...°. f 19.7T... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on diagram which is part of this application. 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 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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 buildings for necessary inspections. (Sere of applicant, Arnam! d e wrporation) Address of applicant) State whether ap tics is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . v!. L. . Name 4C.0r of premises ..Q..Q.E/.......S..I..E~l................................................................ If applrte, gna of duly authorizz ff iicer. .`....'fl...'.. (Name end bile of co rate officer) 1. Location of land on whit roposed work will be done. Ma No.:....r. Lot No............................................... Street and Number .............`::..1•• Municipality 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 r41ve..A . J[;, /V. 3, Nature of work (check which applicable]: New Building Y~ Addition Alteration............... Repair Removal Demolition Other Work (Description) 4. Estimated Cost Fee fili............................................... Ito be paid paid on n filing g this application) / k r C r// B. 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 a S!' 6 ' rn.....~ 7. Dimensions of existing structures, if ap Front Rear Depth i1 Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories . B. Dimensions of ire new construction: Front Rear ~4/ Depth / C'AOE G ~ Height Number of Stories So Jr-a ' ~~3 r£.r'/X E 9. Size of lot: Front Rear Depth Height Number of Stories ...................D..................................................... 10. Date of Purchase Name of Forme wner S 1.0eni'rAL 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: ........n . 13. Will lot be regraded _ c........... Will ex I fill be removed fr sm premi/seJs.~:/[~ ] Yes [VfNO i3E r £ r 14. Name of Owner of premises (~d dress) (Phone No.l Name of Am hiteci ..e%6.EeT ~t ee /°3o LOnC C-Eer Y4-~e 3bt';V -'.V {A !Address) (Phone 0 Name of Contractor ......_~.'r..........................„..:................................ 1.................................... (Address) (Phone No.l PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate wheth- er interior or corner lot. N n' N} sC A r„ r 2 "0' STATE OF NEW V-/- - 06 I SS COUNTY OF being duly sworn, deposes and says that he is the applicant above named. (Name of individual signing... .YY.""........`....'..~.................................. He is the (Contractor, agent, corporate officer, ere.) 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. I....... .2.&....day of 2..('t..~...`.-............ 19 G ~ Notary Public County .....tip (Signature of oppiicnnt) Lan of c• Cf V.9; i-jam 26`' e 4 ~C 45 a N•s4'0.fAa',"E. i40'r ?d o1' e P e_ 4'~ f s y. y ~C ~ e z o. l~ - ~>b~y o a y 4- I µ fr. hogs= _ L•.. ~ o q p1 ~ t ~Puol + ti .'o A---- IL wAtj -I' h R " ' D s n LiHd a f rJi//io~nJ ~ ~ Tee-t Mole (voc OHf) /II1N / j - ; MAP OF FQOGEIZTY ''V. 5URVEYEO Foil ` I ROBERT KE'7 G/4AM AT p I..O.1il= 5r MAJZ/ON, N.Y. F IED AL.l.~our. G.SVAGS^'.eeci {a 44c CMIAaJO tomss 11 . lw. rce or fNE Nfw r...TAR YiriC 1"'Wiva.ce CrGS«6aany~} fWUNON Uw. do tke CJOVi"P:d 5covi.+96 BGwk c...... rim smm n.r Nor eunw az swYoLped. May Z6 , Y97A. I.. LANG 5 jf / 1 I SCC/Q : 40 ° WeossSO se _r.. _ soceeo lG'OderlLC ?OH n(~fl, P. C. oerAV OW.v1MifF3 I 1 :-Un SNAII fUN IG . V M- ~+-yrYai -L KI rl N ,W ^O" V well 1 e°. . . ' L%cLHS<d Lane JY/'v6yOr3 C ulNe IWNnr~oN neo :efoN. .o ® ~ CsSS~ioO/ ro,xfAStNes Iron.. \ 6rl.H~/f~~ Y. fY110:. 4 A HO , AIISFfeAW ,O /.pYN10NM N51 UfION3 OS SU°[OUN( i I I- I III ~ 10 r~ n `1 1 `,l I' A R~ r A I I / /C L arFUOVEO as! 01E0 d .'DATE: ' FEE: ~ IV BY 765-26BURDINL DEPP0.TMENi f _.I b 1 ]6iib60 PNA TO FPM f`it R ODI ai ED INSPECTIONS - - - 1. BEFORE BACNfIEEING FOUNDI TIDN OB SIA0.l FRAMING i / y. BEFORE CUVE0.1NG PIPELINE ' ' I T. fMAI WHEN lOB cGbs~EFT~F ~ Iq1 R610lANME Ha - I AVFIp"IEFYME I c~ W w'. y'~ Yf ~i r e ~ sx•, "log Ii Ilsi a~ i ! °°°LLL[[["' $$$777 7~1 ~ ' Ail/ ti 1 f i-... n J ~ k,~ ~v Kiel 4 .a w ` ~ f t iTt P40 f ti ~ of a*a9 ' of ' ~ T h L p I jig a t~ o a fell, n f 4 -1~ ~sej' Mryp,. Ilk 4 A r6~.lL•i' f 0t N OVOJv ` .D1YAL and .C ~ a J~F~ffJJ VVV ~I/gym •h' ~ 1, ~ ~ P?s Vol ~ m n: SuFFab& 66wT* } kun DEPART=% JUL 1 1974 DATE ~1. D. REP.: rr? The seaara di qgL an4 watOr, =PPIV ti es. tr. r. ^SS locaaun have boeera w! lit:'-..•':, 0. 1s, .~5 r 56it and fOuAd Lc, ijT ru Chief> o::;i.ra1 £agineerlag' 4'~: "'9Ces THE NEW YORK BOARD OF FIRE UNDERWRITERS ak BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK. NEW YORK 10098 mot. June 13s 1974 Application No.onfile 726089 N 164863 THIS CERTIFIES THAT only the ehwtricd equipment ae de.edbed below and intenduced by the.ppi"nt named an the aloew,spL~.c~an nunLler in the miss. of Robert Ketcham, Jr., Bay Lake Park Rd., w/aide, a/o Main Ad., 1 0 ft. Fast Marion,, L.I. W i.t FT. Q and Fl. outside Section Block Lot in thefullowins location; 9 'G Basement rn r.a. examiwdon June 10, 1974 andfound to be in compliance with the requirements of this Board. LTRIORE RXTURES -RANM COOIRNG DKX5 OVENS DISH WASHERS EXHAUST PANS OUTLETS ECEITACIES SWITCHES INCMOESCtNT rwOWSOSI T MIT. K. W. AMi. LW . WE K.W. "T. K. W. AMT. IS P. 13 16 13 13 1 B DRYERS MENACE MOTORS FuTwR APNIANOT 1®RRS EPROAL RRCFT IUAE QOUS RW UNOINAIM AWL11401IILQ DUMMRRS AMT. K. W. OIL N. P. WS N. P. Mr. NO. A W.O. .MT. Mr. AMT. AMPd TRANS. AMT. N. P. ,p O, ~T Ma• w.i15 1 30 SERV= DISCONNECT NO. OF S E R V I C E AMT. A1M. rnE latxp. I x tw T x tw t x Sw t x .w No, 11 xcC I cc No. a n uo ok Lw. NO. a Neunna OF 1 150 CB x 1 2/0 1 2/0 OMM ARARATO& Water heaters 1-4.5kw F.lec.room heaterss 3-2.Okw, 21-1.25kw, 1-.T5kw, 2-.5kw Motor/s: 1-1hp Ronald B. Busch, 925 Long Creek Drive, o~+EeAt Southold, L.I. 11971 11 Per COPT! FOR WILDING DINTARlTMENT. THIS COPY O CERTIFI N ALTERED IN ANY MANNER. SUFFOLK COUNTY DEPARTMENT OF HEALTH Health DepartmentD Reference Number f APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY 1. Applicant iPhone Subdiv. Address 6. Section 2. Property Location 7. Lot Number /i , Alr 7 c, B. Private WeTI 111 ]age - - TownsFip 11(y , i 9. Public Water 3. Public Water Company Name Distance to main 4. Lot size: Width " feet Length feet 10. Sewage Disposal System: (For Health Dept. Use) A. 900-gallon septic tank: Precast ~4uivalent Block rn - B. 'Daching pools: J 99bmber of pools_ O Preffst --Block Special ca H 11. If ivate well, fill in the / foling blanks: A.a'nk capacity / ~ gallons B. Pump G.P.M. C. Total well depth , D. Depth to ground water E. Amount of water in well The undersigned CERTIFIES: "Construction of authorized installations will be in accordance with the Suffolk County Department of Health's current standards thereto. This application will be valid for one year from the date of approval indicated below and may be renewed if a current local Building Department Permit is in effect. Date Signed - FOR HEALTH DEPARTMENT USE ONLY. Based on the information presented herewith, it is the opinion of the Health Department that an adequate and satisfactory Sewage Disposal System and Water Supply can be installed on this plot. APPROVAL DATE :Z6- > 3 SIGNED S-15 Rev. 4/7/73 AGRICULTURAL DATA STATEMENT ZONING BOARD OF APPEALS TOWN OF SOUMOLD WHEN TO USE THIS FORM: This form must be 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 500 feet of a farm operation located in an agricultural district AU applications requiring an agricultural data statement must be referred to the Suffolk County Department of Planning in accordance with Section 239m and 239n of the General Municipal Law. 1. Name of Applicant: z!5LUA i-S.S D tJ 2. Address of Applicant: % A?L5- 4~ g~z _L3 -r/+ 67, ,(UE[.tJ `f' & e% K2Y DD28 0645 3. Name of Land Owner (if other than Applicant): 4. Address of Land Owner:-.-., 5. Description of Proposed Project: SGP Jty PDL>C44 9 UD Dl?Cle_ AV P M, 0A-)S 6. Location of Property: (road and Tax map number) - / - 2 - 120 7P_0" ASS P 'ref 1A5T Helm 7. Is the parcel within 500 feet of a farm operation? { } Yes No 8. Is this parcel actively farmed? { j Yes { j No 9. Name and addresses of any owner(s) of land within the agricultural district containing active farm operations. Suffolk County Tax Lot numbers will be provided to you by the Zoning Board Staf£ it is your responsibility to obtain the 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 1. 2. 3. 4. 5. 6. (Please use the back of this page if there are additional property owners) 4Signof Applicant Date Note: 1. The local Board will solicit comments from the 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 consideration as pan as the overall review of this application. 3. Copies of the completed Agricultural 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. 617.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I - PROJECT INFORMATION To be completed b Applicant or Project Sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME 0&"CiI ' 5'-~VEnj SuIAtJSI.~'~ 5Lt/~rtJ5I1CJlruGE~ 3. PROJECT LOCATION: Municipality 'ILK County V(J Q/~r[C 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc., or provide map) 1120 77zvX41,9k `s P 100 Pt- s a~ /~'~e s~TiarU ~/A/.V ~a~r~ L Qovz~ 2S) 1~t~ ~i~~~v ~AeFe~ PPO 5. PROPOSED ACTION IS: O New Epansion ModficatloNafle anon 6. DESCRIBE PROJECT BRIEFLY: P.~bPOSED SGIZ~~i11~D i`~OQCH .~.c~ 7. AMOUNT OF LAND AFFECTED: Initially acres Ultimately ~85 S.~acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? ? Yes No If No, describe briefly AQi5,Q VZ~&)Rk)tf- 2~LF.vllzE~ 19 PB44~7 ~o7lJ5TlZV~(/v~ 1~ LOC~1t~ 1/u S~DY~,~D 9. WHAT I$ PRESENT LAND USE IN VICINITY OF PROJECT? ~7Residential ~ Industrial ? Commercial E] Agriculture 11 Park/Forest/Open Space Other Des be: 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FFEEyDERAL, STATE OR LOCAL)? N Yes E] No If Yes, list agency(s) name and pennit/approvals: 11. DOES ANY ASPE T OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? Yes No It Yes, list agency(s) name and permit/approvals: 12. AS A RESUL OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? Yes No T AT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDG/E~ Applicant/spons/j4jTIFY ,0Date: b -ZZ' /3 Signature: If le action 1 in the Coastal Area, and you area state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER PART 11- IMPACT ASSESSMENT To be completed b Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL EAF. ? Yes 11 No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative declaration may be superseded by another involved agency. 0 Yes 13 No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) Ct. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattem, solid waste production 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 threatened or endangered species? Explain briefly: C4. A communitys existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly. C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: C6. Long term, short term, cumulative, or other effects not identified in C1-C5? 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)? Yes F~ No It Yes, explain briefly: E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ? Yes E] 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 assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question D of Part II was checked yes, the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. F1 Cherie this box if you have identified one or more potentially large orsignificant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. Check this box if you have determined, based on the information and analysis above and anysupporting documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting this determination Name o Lead Agency Date Print or Type Name o Responsible Officer in Lead Agency Title of Responsible Officer Signature o Responsible Officer in Lead Agency Signature of eparer (1 different from responsible officer) Board of Zoning Appeals Application AUTHORIZATION (Where the Applicant is not the Owner) 1>'gCr~bC $ c n Su a mcf) residing at IRS F ESA'`' SSI- W ZU (Print property owner's name) (Mailing Address) QeW fry , iJ~( l 00Z do hereby authorize Tf Gn k jCXI C(Ctk ) (Agent) Nz (~1 Ave 62(2 to apply for variance(s) on my behalf from the Southold Zoning Board of Appeals. (Owner's Signature) (Print Owner's Name) 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. YOUR NAME • SIaC V)nM '&f_C s1 - 5 . )LMI) (Last mine, fast came, middle initial, unless you arc applying in the name of someone else or other entity, such as a company. V so, 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 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 appficant/agenttrepresentative) 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 the shares of the corporate stock of the applicant (when the applicant is a corporation) B) the legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation) C) an officer, director, partner, or employee of the applicant; or D) the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this day of 0 S'gnstore Print Name i4as3e tlx.n aw ri n&(,. AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees. The ourpose of this form is to provide information which can alert the town of nossible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOURNAME: }ltJ~ LE~111}Opal-~ (Last name, first name, middle initial, unless you arc applying in the name of someone else or other entity, such as a company. If a), 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 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 applicaot/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 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 a non-corporate entity (when the applicant is not a corporation) C) an officer, director, partner, or employee of the applicant; or D) the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this 'e'2 "20j& Signature Print Name + J 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# ioao _ 12 - (o The Application has been submitted to (check appropriate response): Town Board Rr Planning Dept. © Building Dept. 0 Board of Trustees 28.E 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: Location of action: //Zl 7'~CiYr'AV5 Str'IA,QiD r()Y Site acreage: ~~,1072 s Present land use: 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: //?EA J +~E/y S1 t/,T~ c ~~I (b) Mailing address: %~S E ~'~zYr •5T • AP % 28 (c) Telephone number: Area Code( O04i-'¢ (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 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. ? Yes ? No Q Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See Pages 3 through 6 for evaluation criteria LWRP Section III - ZApplicable Yes 0 No Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Poli ' Pages 6 through 7 for evaluation criteria Q Yes Q No Not Applicable 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 - Policies Pages 8 through 16 for evaluation criteria Yes 7 No IE Not Applicable .gz-l- IZVoF (2i>.U-0FP- `I'CJ T3~GOU r7~• (2) D ~YI~Uz=[ L.S 7'D 23~ I C~TAL~ ~D ~t5 P StT~ y~l~ 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 throw 1 for evaluation criteria © Yes D No Not Applicable 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 'terla. Yes No Not Applicable 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 fore ation criteria. ? Yes E] No Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes' LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. ? Yes ? No Not Applicable 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. X, ? Ye9nn -I No R Not Applicable 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. R Yes ? No © Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town wate . See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ? Yes ? No Not Applicable 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 eval ion criteria. ? Yes ? No ICU Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III -Policies; P es 65 through 68 for evaluation criteria. ? Yes ? No Not Applicable Created on 512510511:20 AM Frank Uellendahl From: Frank Uellendahl [frank@frankuellendahl.com] Sent: Friday, August 23, 2013 10:15 AM To: Frank Subject: SWANSON RESIDENCE .4 d t i~ r° Y ~ry s G s j 2 3 ySWANSON RESIDENCE 1120 TRUMAN'S PATH, EAST MARION PHOTO#1 07/02/2013 EAST VIEW 1 Frank Uellendahl From: Frank Uellendahl [frank@frankuellendahl.com] Sent: Friday, August 23, 2013 10:21 AM To: Frank Subject: SWANSON RESIDENCE t T ~ i Y y J ~ i I SWANSON RESIDENCE 1120 TRUMAN'S PATH, EAST MARION PHOTO#2 07/09/2013 WEST VIEW AREA $UWARY ~ AZ DORMER ADDITION LOT AREA = ca. 11,672 SF = t S LOT AREA TO WETLANDS = ca. 11,122 SF = 100.00% EXIST'G BLDG. COVERAGE = co. 1,646 SF = 14.80% ADDED BLDG. COVERAGE = ca. 485 SF = 4.36% TOTAL BLDG. COVERAGE = ca. 2,131 SF = 19.16% WX. BLDG. COVERAGE = ca. 2,224 SF = 20.00% RUN-OFF CALCULATION "f RUN-OFF CALCt8A1KNV FOR 2' OF RNN TO BE CONTAWED ON SITE EXISTING STRUCTURES FOOTPRINT 1,438 SF; IIXI% run-off coefficient = 240 Cu.Ft. PROPOSED SCREENED-IN PORCH AND DECK RESIDENCE PROPOSED 6'DIA. X 4' DEEP DRYWELL 89 Cu.Ft. PROPOSED 8'DIk X 4' DEEP DRYWELL - 168 Cult. DATED NOVEMBER 26 YOUNG 0112 lE 20TTRUWNN'S PATH WRH GUTTER LEADERS FOR ROOF RUN-Off (lYP/) WTIH GUTTER LEADERS FOR ROOF RUN-OFF (TYP/) ARCHITECT FW -ROM - P1B1C 316 lAfEwlRf, K! 1190 916 236.97' la 631-477 9916 n o _°o ENS o o STU & solmN 1120 S PATH FIST wm, 11979 TEL. 347 -0916 1-12 STORY FRAME HOUSE COTTAGE 448SF 35' x,198 SF TO BE CONVERTED TO FRONT YARD FLAG A' WORKSHOP WITH Hof WETLAND 89TH \ IST FLOOR DECK ~j4yjj RM IERRACE~~ _ WWg \ N~5 X245 SF~ \ 240 SF~, ors g 51.7' Tree U~ ~ ~ ~ 227.34' \ ,~~AED q,9L, ~ s UEL4 ~f ~QQ~'k y~vy ~0 . n g sz ~A - OB/Z 17 l sc 1/16'• - • I V' 9C4E -0' PROPOSED SITE PLAN 9 SITE PLAN jF SCTM+ = IOOD-31-12-06 sR OF TOWN OF SOUTHOLD °A6 w` SUFFOLK COUNTY, NEW YORK A-1 DORMER Z ADDITION RESIDENCE EAST MOON, NY 1120 TRUWS PATH ARCHITECT ltax U LOW P.Oms 316 B OREOW. W 11944 To 631-m 8626 o ROOF DECK STUO: OWNERS i 1120 MAM'S PAIN O EAS1 M o. w 11939 I6L 311-203-0931 N SCREENED-IN PORCH n DECK I I I I I I ~ I I I I i II II I) r1t-, 9.5 ~I of Screened Porch n m~17 9.5, 6.01 WEST PROPOSED of 1st A. Deck g WEST ELEVATION A_2 SCALE: 1/4 - = 1'-0' " osc 80 g z DORMER x ADDITION i e RESIDENCE EAST MARION, NY 1120 TRUWrS PART ARCHITECT FRW uawm P.OB3S 316 NY 11911 'YS 7& 631-177 W4 OWNERS 91 931A, 9u Wm 1120 TRW's NTH w WARN, xf 11979 T E: 317-P09-0971 a i ROOFJ DECK ' ' PORCH ; :021 0 26' 251 WE 08121013 SUP 1/1• 1'-0• PROPOSED SOUTH ELEVATION SOUTH ELEVATION D`` A_3 SCALE: 1/4 • = V-O' W, NO Z DORMER ADDITION e CLOSET AM 61Op,~# TO mm OPEN b - UR BELOW _ _ _ - - - - - - -,ASga Bu RESIDENCE >~c EAST MARION, NY 4 T 020 TRUMANS PATH 9 ARCHITECT ~ • ° P.O.S)N 316 MBR SUITE amwzt NY 1160 m' 671-m W4 ? OWNERS sNat6 srtPNEe t eu s 2ND FE PLAN 2 siM YJ6E 7/16' = I'-O' m: 317-206-0971 py 15J' al'-6~ fi UP 0 71110 D BATH LAUNDRY RM. FOYER wq g 3 ,e UANG ROOM GTItDIpt CMK KITCHEN BEDROOM 1 O11E 06/m/2717 SU L 7116' = 1'-0' 95gg PROPOSED 00 Oa 1ST FLOOR PLAN ND FLOOR PLAN ac Nu1E 1ST FL PLAN A_4 S71E 7/16'=1-0 ®OYG NO TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET t y p VILLAGE DIST SUB. LOT jo, 2- 114, IFORtgER O R N E j 7 ACR. 0 F- Ke fz ? kw tflf S, I- W TYPE OF BUILDING ZES. aW SEAS. VL. FARM ICOMM CB MISC. Mkt. Value r' LAND IMP. TOTAL DATE REMARKS v r i~ 3 zG a Toe s~ 2L6 a $1 1S- ~v,~v~ o 0 o t f~ 3; 7Z 1Z7o7 If .S S ; 7o--6 4-6 AGE BUILDING CONDITION VEW NORMAL BELOW ABOVE Acre Value Per Value Acre illable 1 Ilable 2 Ilable 3 - oc land -ampland FRONTAGE ON WATER i J I3 ad ishland FRON*r-AGE ON ROAD use Plot DEPTH BULKHEAD . a[ DOCK ' i COLOR L TRIM v I ~ i I Bldg. ' -p Foundation L+ ~ Bath ~ Dinette aension sement L L Floors 5? Jp K. aension Ext. Walls UJp: o D sIV,Al interior Finish uJf? L L LR. dension I Fire Place /F Heat ES , DR. Type Roof Rooms 1st Floor BR. )rch Recreation Roo Rooms 2nd Floo FIN. B. rrch Dormer reezeway Driveway a rage olio ~ B. E oral 9 a V - i ~a>alsa . . m b3 MATCH LINE \6,1 MATCH _LINE SEESEC NO W MATCN_ LINE fl 11 FOR ML NO. 135 1b~ SEE SEC. NO m W2T ten 10 ' Ior'ExS E M 1~]A c~ 13 O r1.A~ ° ^Y1(c) ? 10A an L' cewn b SIFFax ~ w O 0 TI 0^ .I, raw or sart'aw y1P .v 4 m 1°on ~ ~ 16 ~ 1>Alclw b w 1rA~ e` , a 5 a w e T5 _ r' a ° 16aN'~ c 16~ zA ! TA ~ QQ , E, Ta ] ° .~(t ~W"~e9t II wm 6 31 Y5A 1: Alc { IM(G T a A 5 ^M1 J ANAL T _ ]a. 16k-) 'a t ° a ~ MAIN a 18.6 I O Ifi t9 lx_. WaMI 1 ` ! a •1 1A 1 T a 0 yM 0 12 to 5.1 W~ ^p r a I tt ].1 ` TSA b Q O 3 13I. ® a 1 p 14 3.BN~ 10.1 O a.p u " y.o zm SAUC, AZ b A tl~h 9 'Ya.~ Tan AA e 11' Q" b > p 1~ M1 11.5 y v , A b b , rpµcl ~ AS J(( • bM1 I e ^O > y 10A/f3 O b p p _ M1 , @]L ^ l FMFIEM b iµ a o A ^ ,M .p~d TOwN OFSaTXOID 6 ,p o A < MARION LAKE v3 b 6 1 40 r.w o Aa M s ~ ,p^ AfARK)N LAKE 3/ /d m. ~ s+Ata . s e ia^ TOMNaIF BOIfIHOID e Iw1 M ~ 1. w J M1i i t ^ Qk A P ^ ' , _ 1w°M°11.Aau..~iLa1AC1 NOTICE COUNTY OF SUFFOLK © E aN a toAxaF aaurno: Real Property Tau Service Agency Ys . cMANTOM+':e.MeMr.s~nan a_ an Y 15 Jc'WU n Y`.- ~~Y1 r ~17