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HomeMy WebLinkAbout1000-115.-11-4.1 OFFICE LOCATION: r3F SO UjyO MAILING ADDRESS: Town Hall Annex ~0 lQ P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 ~ Q Telephone: 631 765-1938 Fax: 631765-3136 rOUNTI,~ LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Leslie Weisman, Chair Members of the Zoning Board of Appeals From: Mark Terry, Principal Planner \60~ LWRP Coordinator Date: December 23, 2013 Re: Coastal Consistency Review for ZBA File Ref. CAROLYN R. AMEEN #6711 SCTM#1000-115-11-4.1. CAROLYN R. AMEEN #6711 - Request for Variance from Article XXII Section 280-116B and the Building Inspector's October 10, 2013 Notice of Disapproval based on an application for building permit for additions and alterations to existing single family dwelling, at; 1) less than the code required bulkhead setback of 75 feet, located at: 755 Lupton Point Road (adj. to Deep Hole Creek) Mattituck, NY. SCTM#1000-115-11-4.1. The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, the proposed actions are INCONSISTENT with the below listed policy standards and therefore are INCONSISTENT with the LWRP. Policy 5.1. Prohibit direct or indirect discharges that would cause or contribute to contravention of water quality standards C. Ensure effective treatment of sanitary sewage and industrial discharges by: 8. providing and managing on-site disposal systems: b. protect surface and groundwater against contamination from pathogens and excessive nutrient loading by keeping septic effluent separated from groundwater and by providing adequate treatment of septic effluent, The location of the on-site sanitary system has not been identified and the function of the system is unknown. The parcel is located within the Deep Hole Creek watershed. It is recommended that the Board verify the location and function of the on-site sanitary system to further this policy. Policy 6.3 Protect and restore tidal and freshwater wetlands. D. Provide adequate buffers between wetlands and adjacent or nearby uses and activities in order to ensure protection of the wetland's character, quality, values, and functions. The rear of the property slopes towards the water body. If the event that the action is approved, it is recommended that a perpetual 20' wide landscaped buffer be required landward from the marine wetlands to further this policy. Pursuant to Chapter 268, the Southold Town Zoning Board of Appeals shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Jennifer Andaloro, Assistant Town Attorney Mr/12_ J BOARD MEMBERS q so Southold Town Hall Leslie Kanes Weisman, Chairperson 53095 Main Road • P.O. Box 1179 l4 Southold, NY 11971-0959 Eric Dantes ~t Office Location: Gerard P. Goehringer G Q Town Annex /First Floor, Capital One Bank George Horning 54375 Main Road (at Youngs Avenue) Ken Schneider ~YMUM Southold, NY 11971 http://southoldtown.northfork.net ZONING BOARD OF APPEALS I t i TOWN OF SOUTHOLD 15 - I Tel. (631) 765-1809 • Fax (631) 765-9064 November 27, 2013 Mark Terry, Principal Planner ~~N qq LWRP Coordinator Planning Board Office Town of Southold NOV 2 16 Town Hall Annex Southold, NY 11971 N Re: ZBA File Ref. No. 46711 - Ameen Dear Mr. Terry: We have received an application for additions and alterations in Mattituck. A copy of the Building Inspector's Notice of Disapproval under Chapter 280 (Zoning Code), and survey map, project description form, are attached for your reference. Your written evaluation with recommendations for this proposal, as required under the Code procedures of LWRP Section 268-5D is requested within 30 days of receipt of this letter. Thank you. Very truly yours, Leslie K. Weisman Chairperson Byc ~ Encls. FORM NO. 3 AbI TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL DATE: October 10, 2013 TO: Glenn Just (Ameen) PO Box 447 Quogue, NY 11959 Please take notice that your application dated September 27, 2013 For permit to construct additions and alterations to an existing single fami!yAwellin at Location of property: 755 Lupton Point Road Mattituck NY County Tax Map No. 1000 - Section 115 Block 11 Lot 4.1 Is returned herewith and disapproved on the following grounds: The proposed construction is not permitted pursuant to Article XXII Section 280-116B, which states "All buildings located on lots upon which a bulkhead concrete wall riprap or similar structure exists and which are adjacent to tidal water bodies other than sounds shall be set back not less than seventy-five (75) feet from the bulkhead." The proposed construction notes a setback of 63.4 feet to the existing bulkhead i Authorized Signature Cc: File, ZBA RLL\si_ J.lvq.K3^.~ _ - ICMLw ~ 171 J FRONT El E V A TI 0 O Z LEFT 510E E L E V TION Z W O_ Q F \O Q W W ~ O Z O W L pW a C C Q BE JG _ Charles M. Thomas e l e h 1 1 gc1 ' ~ i NOAP 119P{,1NY IW T.N FED a ~ a OEVAAONS IM mna RIGHT SIDE ELEVATION r1 REAR ELEVATION r r~ C _ q @a nra 01 - - - 1 I ft' i..o r i I I I 9i~ 11 1 ~r W Iy yy _ U A I qy~' 4 Y j' LJ.11dB O' 4mu ml O Z 00 f I I I I r. I r g 1 I I a 1= cj) § a o 1 ~y y }I I~ Q W 1 r l r m./ O~ 1 I O LIB I i aroru ~-I I i t 1 1 W - $W `,yI~ p _ I c a[a 1 } 1 I /1 IS, I, iw~nerm s •wu ru _I I 1 I- " ras mna IXOF 5I0IE PA¶O k h1E0 e -F ,7o U N O R T 1 O_N P L A N Charles M. Thomas [ELL.LR ~ 0 r C b 1 1 9 E 1 _ _ wlvm !lout uw lay IsaP SIXIRY F T ENTRY MTA FQNN4MIN WAN FF : o W z w I € a QW(y~ OLL I .t n,ma\\ I W $W - - i p C II k _-•0.050- Y 4•• 1 i; Y '}'a 4 su CONP FIOOR PLAN Chades M. Thomas e r c n i, e E nonaoa, nnu Pq nt~ y~ 9ECR0 ilOOR PLr1,1 Q rara~.~m r.c.a r. nssra ms m.ssx.n.+. nmr.... rr., n.....•oa. •+..cue .wvu n tiv avrcm r r-- L ~ 4 o i 4 6.1_I L`\ 11.. U 1111A p O w ry CR OSSu S E C T 10N 1 p Q F - aw oz ow r-,--- 1 - w BALCONY C Mlcrm MTNL I - ' ! # 1~ w iY va¢ e~v~ L~J I U v i V ~TT7 - - - i Charles h1. Thomas ! i T _ I ~ ~/~I-I 14~: i I}.V~~• I pam aoatOV Nia~ IIL~ 1 Ji._ 1' _ I A It 1` _I _-_rtJ!-__ SECroN. OErAR t p I 1 " II-I PIAN I L- _ 1 - JI I v •111 ROOF ELAN 3 • K• - TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUH-MNCr DEPARTMENT TOWN HALL Do you have or need the following, before applyiogp SOUTHOLD, -1 11971 Board of Health (cl l TEL: (631) 765802 a sets of Building Pl-~j_~--- FAX: (631) 765-9502 Planning Board approval SoutholdTown.NorthFork.net PERMIT NO. Survey.- Septic Form TI Examined- - 20_ I Flood Permit ~ Storm-Water Assessment Fom Approved SEP 2 7 2013 Contact: - Disapproved a/cMail to: Glenn E. Just -IT E-IT flnnanc nr Expiration` 20 Phone: 653-0607 ng in pect L APPLICATION FOR BUILD - INSTRUCTIONS Date La(p 1.3 20 a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit- d- Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant, Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy, f. Every building m$ pector issuance or has not been completed within 18 months from such date. If no zoning commencedamendments12or other re after the date of Property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of peg t affecting the addition six months. Thereafter, a new permit shall be required, g, xtension of the permit for an 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, authorized inspectors on premises and in building for necessary inspections. 8 re gui its, and to admit Signs f appl' t or namt if a corporation) (Mai ing ad of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Agent Name of owner of premises Carolyn R. Ameen If applicant is a (As on the tax roll or latest deed) corporation, signature of duly authorized officer (Name and title of corporate of&cer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 755 Lupton Point Road House Number Matti tuck Street Hamlet County Tax Map No, 1000 Section 1 t Subdivision ~-----Block 11 Lot 4.1 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 Single family residence b. Intended use and occupancy Same 3. Nature of work (check which applicable): New Building Addition x Alteration x pan' Removal Demolition Other Work Garage & Pool 4. Estimated Cost Fee (Description) 5. If dwelling, number of dwelling units (To be paid on filing this application) If garage, number of cars g Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. n /a 7. Dimensions of existing structures, if any: Front 3 8.3 ' Rear 38.3' 26.3' Height 23' Number of Stories--I~ Dept Dimensions of same structure with alterations or additions: Front 54 54 Rear Depth 32 Height 27' Number of Stories 8. Dimensions of entire new construction: Front Height Rear-Depth Number of Stories 9. Size of lot: Front 100' Rear 44.78' Depth 208.48' 10. Date of Purchase NameofFormer Owner Michael & Peter Drobet 11. Zone or use district in which premises are situated R 12. Does proposed construction violate any zoning law, ordinance or regulation? YES--,_ NO 13. Will lot be re-graded? YES_ NO x Will excess fill be removed from premises? YES NO x 14. Names of Owner ofpremisesr Address 7 s s r vm tP&one NoR~9 ~ y Name of Architect Chuck Thomas Address Rox 871 James ft Name of Contractor TBD PPliii~ne No 73 T= 3"__ Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES x NO * IF YES, SOUT14OLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES__X__ 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? * YE$ NO x * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF Su o g Glenn E. Just being duly swom, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, q!5~ s the Agent `~~J~° (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be formed in the manner set forth in the application filed therewith. Sworn to before me this 2 4± day of 6,,- 20 13 I-A~- Notary Public Signature of Ii GINA A-LOCKE NO- K0tMYPLW9E11s ovo,k QMMW in so* My COmmlaslai avcamty omo=15 t . Fee: $ Filed By: Assignment No. APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS AREA VARIANCE House No. 755 StreetLUpton Point Rd Hamlet Mattituck SCTM 1000 Section 115 Block 11 Lot(s)_A . 1 LotSize_D_.5jB_aC Zone R- I (WE) APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED 10-1 1-13 BASED ON SURVEY/SITE PLAN DATED 8-28-13 Applicant(s)/Owner(s): Carolyn R. Ameen Mailing Address: 755 Lupton Point Road, Mattituck, NY 11952 Telephone: 839-8099 Fax: Email: NOTE: In addition to the above. please complete below if application is signed by appneant's attorney, agent, architect, builder, contract vendee, etc, and name of person who agent represents: Name of Representative: Glenn F. Just for (c) Owner( )Other: Address:P.O. Box 447, Quogue, NY 11959-0447 Telephone: 653-0607 Fax: Email: Glustl02150aol.com Please check to specify who you wish correspondence to be mailed to, from the above names- ( ) Applicant/Owner(s), tx) Authorized Representative, ( ) Other Name/ Address below: WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN DATED 8-28-13 and DENIED AN APPLICATION DATED 9-26-13 FOR: (30 Building Permit ( ) Certificate of Occupancy O 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: XXII Section: 280-116R Subsection: Type of Appeal. An Appeal is made for: (y) A Variance to the Zoning Code or Zoning Map. ( ) A Variance due to lack of access required by New York Town Law- Section 280-A. ( ) Interpretation of the Town Code, Article Section Reversal or Other A prior appeal (x) has, ( ) has not been made at any time with respect to this property, UNDER Appeal No(s). 140 Year(s). 19 5 9 (Please be sure to research before completing this question or ca!! our ofce for assistance) Name of Owner: ZBA File# Blanche L.H. Weese REASONS FOR APPEAL (Please be specific, additional sheets maybe 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: _ Existing and proposed dwelling is similar in size and design of nei§hboring properties 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: Existing conditions. The existing dwelling is currently located within 75' of 4a_~x-isting bulkhead 3. The amount of relief requested is not substantial because: We will be maintaining the existing setback from the existing bulkhead 4. The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: We will be maintaining the existing setback from the existing bullhead 5. Has the alleged difficulty been self created? { } Yes, or No Why: Existing conditions. The existing dwelling is currently located within 75' of an existing bulkhead Are there any Covenants or Restrictions concerning this land? to No { } Yes (please famish 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 weo unity. Signar A uthorized Agent (Agent must submit written Authorization from Owner) Swrom to before n e this '6 day .f 2~O Notary Public PATRICIA M. MC CHESNEY Notary Public. Sate of New York No. 01 MC4667610 Qualified in Suffolk County Commission Expires Sep. 30, -QPJ APPLICANT'S PROJECT DESCRIPTION APPLICANT: Carolyn R. Ameen DATEPREPARED: 10/20/13 1. For Demolition of Existing Building Areas Please describe areas being removed: N/A H. New Construction Areas (New Dwelling or New Additions/Extensions): Dimensions of first floor extension: 10'x12', 6'x32' & 6'x38' Dimensions of new second floor: 4 4 ' x3 2 ' Dimensions of floor above second level: 44'x32' Height (from finished ground to top of ridge): 321 Is basement or lowest floor area being constructed? If yes, please provide height (above ground) measured from natural existing grade to first floor: No 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: Existing (2) story frame residence (38.8'x26.3') with full cellar Number of Floors and Changes WITH Alterations: Preposed (-2) story frame residence (44'x32') with 10'x12' one story additinn Additions to be on a crawl apace IV. Calculations of building areas and lot coverage (from surveyor): Existing square footage of buildings on your property: 1 , 8 6 6 s f Proposed increase of building coverage: 3,646 s f Square footage of your lot: 22 , 570 Percentage of coverage of your lot by building area: V. Purpose of New Construction: Expand an existing one family residence 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): 758 flat 258 slope Improved lot that has a non conforming -satb>et the 6 llchead whieh we-pregese to mairtt eon 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 premises listed on the real estate market for sale? Yes X No B. Are there any proposals to change or alter land contours? X 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? Yes 3.) Is the property bulk headed between the wetlands area and the upland building area? Yes 4.) If your property contains wetlands or pond areas, have you contacted the Office of the Town trustees for its determination ofjurisdiction? Yes Please confirm status of your inquiry or application with the Trustees: On holdfawaiting ZBA 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? No E. 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 this time concerning your premises? no if yes, please submit a copy of your building permit and survey as approved by the Building Department and please describe: G. Please attach all pre-certificates of occupancy and certificates of occupancy for the subject premises. If any are lacking, please apply to the Building Department to either obtain them or to obtain an Amended Notice of Disapproval. H. Do you or any co-owner also own other land adjoining or close to this parcel? No If yes, please label the proximity of your lands on your survey. 1. Please list present use or operations conducted at this parcel Single Family nwp t t i nn and the proposed use ~amo . (ex: existing single family, proposed: same with garage, pool or other) i A#1 lea 11L.- Authoriz t aturc an /13 AGRICULTURAL DATA STATEMENT ZONING BOARD OF APPEALS TOWN OF SOUTHOLD WHEN TO USE THIS FORM: This form must be completed by the applicant jar 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. All 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: 6]enn g dtilrt 2. Address of Applicant: Trw-NII i!1999 0447 Name of [and Owner (if other than Applicant): ('w r0 R Ameen 4. Address of Land Owner: 755 Lupton Point Road, Mattit ck, NY „oee 5. Description of Proposed Project: Proposed two story Additions, second satory Deck, wooI and Garage 6. Location of Property: (road and Tax map number) 1000-115-11-4.1 7. Is the parcel within 500 feet of a farm operation? {)J Yes { } No 8. Is this parcel actively farmed? f}j Yes { } 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 Staff, 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 L Koehler Fam y L.td Partnarahi p, 1f)8 Allen Rl. dy F . ngdale r 2. 3. 4. 5. 6. (Please use the back of this page if there are additional property owners) _ 10 l f Sig o A ca Date Note: 1. The I and 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. Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS I. 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 signiggent beneficial and adverse effects upon the coastal area (which includes all of Southold Town) i. 3: If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus each answer must be explained in detaL listing both sunnortht¢ and non- aupportlne facts. 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# 115 11 _ 4.1 PROJECT NAME -Proposed additions to a single family dwelling pool and garage j The Application has been submitted to (check appropriate response): Town Board ? Planning Board ? Building Dept. ? Board of Trustees R 1. Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital ? wnstruction, Planning actmty; agency regulation, land transaction) ? (b) Financial assistance (e.g. grant, loan, subsidy) j (c) Permit, approval, license, certification: Nature and extent of action: i Please see attached i Location of action: 755 Lupton Point Road, Mattituck Site acreage: 22,570 s q. ft. r Present land use: Single family dwelling Present zoning classification: 2. If an application. for the proposed action has been filed with the Town of Southold agency, the following j information shall be provided: i (a) Name of applicant: Carolyn R. Ameen j (b) Mailing address: 755 Lupton Point Road i Mattituck, NY 11952 I (c) Telephone number: Area Code ( ) 6 31 - 8 9 0 - 8 0 9 9 Unknown (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes FE No ? If yes, which state or federal agency? N . Y . S . D . R . C . C. Evaluate the project to the following policies by analyzing how the project will further support or f not support the policies. Provide all proposed Best Management Practices that will farther each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLI i.. Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of b &astmcture, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LVVRP Section III- Policies; Page 2 for evaluation criteria E-Yes EJ No Fj Not Applicable The proposed additions, pool and garage should not negatively im e,Y the character_of_the community. r is felt ha this proiect is consistent with this policy 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 i Yes El No ? Not Applicable I i I The proposed project should no have anyimmpacts upon any his oria i or archaeological resources of the Town It is felt that this project is consistent with this policy Attach additional sheets if necessary I Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria Yes ? No ? Not Applicable The proiect will have no impacts uponthe visual auality or scenic resources of the Town. It is felt that this project is consistent, with this policy I Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP i Section III - Policies Pages 8 through 16 for evaluation criteria a Yes ? No Not Applicable Tha nrnnncari rnj t will not raica the r c' n f1onAinq of natural resources o to c T i ell- that, i-h's project i is consistent with this policy is Attach additional sheets if necessary l: Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section IQ j - Polities Pages 16 through 21 for evaluation criteria Yes El No ? Not Applicable The proiect will have no impact upon h quality or guanti.ty of Potable water ;n the Town T is fait that this npnjsni- IS' consistent.with this policy I t. Attach additional sheets if necessary i 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. f F ? ? i Yes No, Not Applicable The project will not negatively impactthe ouality or function of any of the Town's ecosystems, wetlands or areas of Significant Coastal Fish and Wildlife Habitats. It is felt that this project is consistent with this policy Attach additional sheets if necessary i Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. i [4-Yes n No[:] Not Applicable i t i The rnjent- will have no negAl-ivP imnari-s upon air quality- Tt is felt that this project is consistent with this policy i 4 I Attach additional sheds 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. es ? No E] Not Applicable i The project does not involve the use of or the disposal of solid waste or hazardous substances and wastes. It is felt that this project is consistent with this policy I I PUBLIC COAST POLICIES I 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. 91" Yeso NO E] Not Applicable The project will not deny access to or the public use of, or the recreational use of, coastal waters, public lands and public resources of the Town It is felt that this project i is consistent with this policy Attach additional sheets if necessary t i I 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. [9Yes ? No ? Not Applicable The project will have no impacts upon Southold 's water-dependent uses or the siting of new water-de endent uses. It is felt that this project is consistent with this policy Attach addonal 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 Tho nr 3- 77 haves n 'mn--i „nnn +h cnh } L, r E living Brine resources in Dee Hole Creek Town waters or the Peconic Estuary. It is felt that this project is consi t n with this nolicv 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 S "Not Applicable The project does not involve agricultural lands, it is e t j' that this olic is not applicable to this project i.. i I 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 [R" Not Applicable _ The project does involve the development of energy or mineral r co, es. Ti- is felt that this policy is not j` aDOlicable to +his apAlicatmon 1 PREPARED $Y Glenn E. just TITLE Agent DATE 2j 4I- Project description for Carolyn R. Ameen 755 Lupton Point Road, Mattituck S.C.T.M.No. 1000-115-11-4.1 Applicant proposes to construct an 8'x38'-econd sntv dee above an existing first floor deck, a 10'x12' firstfloor _addition, 5'x7' steps, a 6'.,two story addition, a 6'x32' two story addition, a 18'x35' pool, pool equipment, a 25'x28' garage and dry wells 617.20 Appendix B Short Environmental Assessment Form Instructions for Comnietint? Part 1 - Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding, are subject to public review, and may be subject to further verification. Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item, please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency; attach additional pages as necessary to supplement any item. Part I - Project and Sponsor Information Name of Action or Project: proposed additions to a single family residence, proposed pool and garage Project Location (describe, and attach a location map): 755 Lupton Point Road, Mattituck Brief Description of Proposed Action: Applicant proposes to construct an 8'x33.3' second story deck abode existing first floor deck, 6'x32' two story addition, 6'x38.3' twc) story addition, 10'x12' two story addition, 18'x35' pool and a 25'x28' garage Name of Applicant or Sponsor: Telephone: 631-839-8099 Carolyn R. Ameen E-Mail: Address: 755 Lupton Point Road City/PO: State: Zip Code: Mattituck NY 11952 1. Does the proposed action only involve the legislative adoption of a plan, local law, ordinance, NO YES administrative rule, or regulation? If Yes, attach a narrative description of the intent of the proposed action and the environmental resources that x may be affected in the municipality and proceed to Part 2. If no, continue to question 2. 2. Does the proposed action require a permit, approval or funding from any other governmental Agency? NO YES If Yes, list agency(s) name and permit or approval: N.Y.S.D.E.C., Southold Town Trustees and Southold Town Z8A 3.a. Total acreage of the site of the proposed action? 0 518 acres b. Total acreage to be physically disturbed? 0 042 acres c. Total acreage (project site and any contiguous properties) owned 0.518 or controlled by the applicant or project sponsor? acres 4. Check all land uses that occur on, adjoining and near the proposed action. 13 Urban ? Rural (non-agriculture) ? Industrial El Commercial CK Residential (suburban) ? Forest MAgriculture ? Aquatic ? Other (specify): ? Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? X b. Consistent with the adopted comprehensive plan? X 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? X 7. Is the site of the proposed action located in, or does it adjoin, a state listed Critical Environmental Area? NO YES If Yes, identify: Per,=Ji Ra)r X 8. a. Will the proposed action result in a substantial increase in traffic above present levels? NO YES X b. Are public transportation service(s) available at or near the site of the proposed action? X c. Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? X 9. Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements, describe design features and technologies: X 10. Will the proposed action connect to an existing public/private water supply? NO YES [If Yes, does the existing system have capacity to provide service? ? NO EkYES] If No, describe method for providing potable water: X 11. Will the proposed action connect to existing wastewater utilities? NO YES [If Yes, does the existing system have capacity to provide service? ? NO ? YES] If No, describe method for providing wastewater treatment: X 12. a. Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? b. Is the proposed action located in an archeological sensitive area? 13. a. Does any portion of the site of the proposed action, or lands adjoining the proposed action, contain NO YES wetlands or other waterbodies regulated by a federal, state or local agency? X b. Would the proposed action physically alter, or encroach into, any existing wetland or waterbody? If Yes, identify the wetland or waterbody and extent of alterations in square feet or acres: X 14. Identify the typical habitat types that occur on, or are likely to be found on the project site. Check all that apply: 91 Shoreline ? Forest ? Agricultural/grasslands ? Early mid-successional &l Wetland ? Urban 13: Suburban 15. Does the site of the proposed action contain any species of animal, or associated habitats, listed NO YES by the State or Federal government as threatened or endangered? X 16. Is the project site located in the 100 year flood plain? NO YES X 17. Will the proposed action create storm water discharge, either from point or non-point sources? NO YES If Yes, a. Will storm water discharges flow to adjacent properties? ? NO ? YES X b. Will storm water discharges be directed to established conveyance systems (runoff and storm drains)? If Yes, briefly describe: ? NO ?cYES Proposed dry wells Page 2 of 4 18. Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids (e.g. retention pond, waste lagoon, dam)? If Yes, explain purpose and size: X 19. Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes, describe: X 20. Has the site of the proposed action or an adjoining property been the subject of remediation (ongoing or NO YES completed) for hazardous waste? If Yes, describe: X I AFFIRM THAT THE INFORMATION PROVIDED ABOVE ?S TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: G A ag agent Date: Signature: t Part 2 - Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should he guided by the concept "Have my responses been reasonable considering the scale and context of the proposed action?" No, or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area (CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit, biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a. public / private water supplies? b. public / private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic, archaeological, architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources (e.g., wetlands, waterbodies, groundwater, air quality, flora and fauna)? Page 3 of 4 No, or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion, flooding or drainage problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3 - Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered "moderate to large impact may occur", or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact, please complete Part 3. Part 3 should, in sufficient detail, identify the impact, including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant. Each potential impact should be assessed considering its setting, probability of occurring, duration, irreversibility, geographic scope and magnitude. Also consider the potential for short-term, tong-term and cumulative impacts. ? Check this box if you have determined, based on the information and analysis above, and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. ? Check this box if you have determined, based on the information and analysis above, and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Name of Lead Agency Date Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (if different from Responsible Officer) Page 4 of 4 Board of Zonine Appeals Application AUTHORIZATION (Where the Applicant is not the Owner) l Carolyn R. Ameen residingat755 Lupton Point Road (Print property owner's name) (Mailing Address) Mattituck, NY Glenn E. Just do hereby authorize (Agent) JMO Environmental Consulting to apply for variance(s) on my behalf from the Southold Zoning Board of Appeals. ( wner's Signature) Carolyn R. Ameen (Print Owner's Name) AGENTIREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics orohibits conflicts of interest on the part of town officers and emolavessTheo e of this form is to nrovide information which can alert the town of possible conflicts of interest and allow it to take whatever action Is necessary to avoid same. YOURNAME: Just, Glelf),1,\ E. (Lost name, first name, middle initial, unless you are applying in the name of someone elm or other entity, such as a company. If so, indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance x Trustee Permit x 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 applicant/agent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all 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 thZnE y of 2013 Signature Print Name ust APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the )art of town officers and em)lov of this form is to Provide information which can alert the town of possible conflicts of interest and allow it to to whatever e action is necessary to avoid same YOURNAME: Ameen, Carolyn, R (Last name, first name, middle Initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the oihcr pn sun's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance X Trustee Permit X 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 X If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself (the applicant/agent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all 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~~ 2013 Signature Print Name -Carolyn R Am n FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34386 Date: 06/04/10 THIS CERTIFIES that the building DECK Location of Property: 755 LUPTON PT RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No- 473889 Section 115 Block 11 Lot 4.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 3, 2010 pursuant to which Building Permit No. 35523-Z dated MAY 3, 2010 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 REPLACEMENT OF AN EXISTING DECK ON AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR, The certificate is issued to MICHAEL 6 PETER DROBET (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATR NO_ N/A PLUMBERS CERTIFICATION DATED _ N/A Aut riled Signature Rev. 1/81 F6[ Town of Southold Annex 40. 2/25/2013 .z 54375 Main Road i Southold, New York 11971 41 1 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 36140 Date: 2/12/2013 THIS CERTIFIES that the structure(s) located at: 755 Lupton Pt Rd, Mattituck SCTM 473889 Sec/Block/Lot: 115.41-4.1 Subdivision: _ Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 36140 dated 2/12/2013 was issued and conforms to all the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame one family dwelline with two finished rooms in basement and concrete patio * Nom: BP 35523 deck replacement COZ34386BP 35523 deck replacement COZ34386 The certificate is issued to Drobet, Michael & Drobet, Peter (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED "PLEASE SEE ATTACHED INSPECTION REPORT. - A oy ec /ggnnatufe BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 755 Lupton Pt Rd, Mattituck SUFF. CO. TAX MAP NO.: 115.-114.1 SUBDIVISION: NAME OF OWNER(S): Drobet, - Michael & Drobet, Peter OCCUPANCY: ADMITTED BY. John DeRceder - SOURCE OF REQUEST: Drobet, Michael & Drobet, Peter DATE: 2/12/2013 DWELLING: # STORIES: 1.5 # EXITS: 4 FOUNDATION: cement block CELLAR: full CRAWL SPACE: BATHROOM(S): 2 _ TOILET ROOM(S):_____ UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: small cement BREEZEWAY: FIREPLACE: I GARAGE: DOMESTIC HOTWATER yes TYPE HEATER: oil AIR CONDITIONING: TYPE HEAT: oil WARM AIR: X HOT WATER: # BEDROOMS: - # KITCHENS: I -BASEMENT TYPE: 2 rms finished OTHER: - ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST: STORAGE, TYPE OF CONST: small shed SWBbiMIlVG POOL: GUEST, TYPE OF CONST: - OTHER: VIOLATIONS: REMARKS: INSPECTED BY: GARYF DATE OF LVSPECTION: 2/6/2013 TIME START: 930am _ END: 10:30AM J FORM NO. 4 1 ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-34386 Date: 06/04/10 THIS CERTIFIES that the building DECK Location of Property: 755 LUPTON PT RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County TaX Map NO. 473889 Section 115 Block 11 LOt 4.1 Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 3, 2010 pursuant to which Building Permit No_ 35523-Z dated MAY 3, 2010 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 REPLACEMENT OF AN EXISTING DECK ON AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MICHAEL 6 PETER DROBET (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATR NO. N/A PLUMBERS CERTIFICATION DATED N/A Aut rized Signature Rev. 1/81 g11W F6t f Tawn of Southold Annex 2/25/2013 54375 Main Road Southold, New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 36140 Date: 2/1212013 THIS CERTIFIES that the structure(s) located at: 755 Lupton Pt Rd, Mattituck SCTM 473889 Sec/Block/Lot: 115.-11-4.1 Subdivision: _ Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE. OF OCCUPANCY NUMBER Z- 36140 dated 2/12/2013 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame one family dwelling with two finished rooms in basement and concrete patio * Note: BP 35523 deck replacement COZ34386 The certificate is issued to Drobet, Michael & Drobet. Peter (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED "PLEASE SEE ATTACHED INSPECTION REPORT. A o ea /ggonatu ` BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 755 Lupton Pt Rd, Mattituck SUFF. CO. TAX MAP NO.: 115: 1i_4.1 SUBDIVISION: NAME OF OWNER(S): Dro-R Michael & Drobet, Peter - OCCUPANCY: ADMITTED BY: John DeReeder SOURCE OF REQUEST: Drobet, Michael & Drobet, Peter DATE: 2/124013 DWELLING: # STORIES: 1.5 # EXITS: 4 FOUNDATION: cement block CELLAR: full CRAWL SPACE: BATHROOM(S): 2 TOILET ROOM(S):______ UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: small cement BREEZEWAY: FIREPLACE: I GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: oil AIR CONDITIONING: TYPE HEAT: oil WARM AIR: X _HOT WATER: # BEDROOMS: # KITCHENS: 1 BASEMENT TYPE: 2 rms finished OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST: STORAGE, TYPE OF CONST: small shed SWIMMING POOL: GUEST, TYPE OF CONST: - OTHER: - - VIOLATIONS: REMARKS: INSPECTED BY: GARYF DATE OF INSPECTION: 2/6/2013 v TIME START: 9:30am END: 10:30AM FORM NO. 4 r TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-34386 Date: 06/04/10 THIS CERTIFIES that the building DECK Location of Property: 755 LUPTON PT RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No_ 473889 Section 115 Block 11 Lot 4.1 Subdivision Filed Map NO. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 3, 2010 pursuant to which Building Permit No_ 35523-Z dated MAY 3, 2010 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 REPLACEMENT OF AN EXISTING DECK ON AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MICHAEL & PETER DROBET (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL. N/A ELECTRICAL CERTIFICATE NO_ N/A PI.DIIDSRS CERTIFICATION DATED N/A Aut rized Signature Rev. 1/81 ~~'t j ¢ z Town of Southold Annex - F~9 - 2/25/2013 54375 Main Road ~e Southold, New York 11971 a®"L aPRE EXISTING CERTIFICATE OF OCCUPANCY No: 36140 Date: 2/12/2013 THIS CERTIFIES that the structure(s) located at: 755 Lupton Pt Rd, Mattituck SCTM 473889 Sec/Block/Lot: 115.41-4.1 Subdivision: Filed Ma No. P Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z 36140 dated 2/12/2013 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame one family dwelling with two finished rooms in basement and concrete patio' Note: BP 35523 deck replacement COZ34386 The certificate is issued to Drobet, Michael & Drobet. Peter (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. A o ed /gnnatu e - • BUILDING DEPARTMENT • TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 755 Lupton Pt Rd, Mattituck SUFF. CO. TAX MAP NO.: 115.-11-4.1 SUBDIVISION: NAME OF OWNER(S): Drobet, Michael & Drobet, Peter OCCUPANCY: ADMITTED BY: John DeReedcr SOURCE OF REQUEST: Drobet, Michael & Drobet, Peter DATE: 2/12/2013 DWELLING: # STORIES: 1.5 # EXITS: 4 FOUNDATION: cement block CELLAR: full CRAWL SPACE! BATHROOM(S): 2 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: small cement BREEZEWAY: FIREPLACE: I GARAGE: DOMESTIC WT-WATER:- yes TYPE HEATER: oil AIR CONDITIONING: TYPE HEAT: oil WARM AIR: X HOT WATER: # BEDROOMS: # KITCHENS: 1 BASEMENT TYPE: 2 rms finished OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST: STORAGE, TYPE OF CONST: small shed SWIMMING POOL: GUEST, TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: GARYF DATE OF INSPECTION: 2/6/2013 TIME START: 9:30am _ END: 10:30AM s [4..1.4A1L ~ _ l <S.R_4eL ..~vn L_-0 O 0® L~ FRONT ELEVATION O Z LEFT 510E ELEVATION 2 W y .u. p. - cr O_ Q h Q Q wM Q LL W OZ w ow z a W Q 8. - - FED - Charles M. Thomas i .I a r o h i l e e t man mat I t e c t FID ...n..L FIEVAIIgIR RI OHTS 10E ELEVATION I y r r©~R-EAR a L E V A T I O N <~~{F~aF<<~~~ 6` a xn. NYYYOXIpd ,nlao AtllN3 1NOi1f AtlNOSY11 a s 2 0Oi 1WV bYY NY,d Noilruxno~gl 41'W~IAf0 L Ih.-i ~!ii II rY _ _ a, " I I 1 1- ~ nm..o.em, avam jai s 41 ' , 4 , mn~ '1 p L J I I~ - ZOO i .a•e-_--_--- ---Ni------, Iii uv rq 1 W qr., I----- ~C( ( n~rn ! w ' ' I VI 9 ! 1 I 1 6s I ~ I I • xaao, IL ' ;E GG I m 3°i,i =8 II I ,I iit I m °Yea° tea. a 66 ,..o a... ti 4A` 9 i ro pu,l .y I •v.p 4 I I~ RIvlxc F 0 Y 00 I' C a ? a W I-W Charles M. Thomas e r e n I t a e t iIftSTr FLOOR PLAp popl ppR npF lpl m-NI •rx rp--'_p - E p~ f RRSf ROOI R.Y! 4 Q ~n Ice~axrmL 1 - 1 .I ° s 1 I+ 1 i I U m--_ 0Z L_ o 00 3 j I h 1., p_ O MJ 1 O I 1 ...wM:.T _ _ I O W } T II LL SECONO FLOOR P L A o w ..:a Charles M. Thomas - e. c N l l p e t ptl W YVq wM prip.w P 5 9ELp0 iLOOi P{AN ° r avr°.° ~Mmw •vmr .oue11111 1.. = v..a e.,w 7C) LLllp L CR 0SS S ECTI ON I _ o (n O W W ifi". OZ R W r O 'rl r- -i- -.--r-- -r- -I - r -77-,-T- i Q W _ r_i lTm_¢ vlr ma _ L1 BALCONY CONTRUCTION DETAi 1 :cu.v•a 1 V I 1 { \ I i j\ I 3 ~i j\\~ III i Charles nA momas 1p M~ I r c N I I e c t LI V I j'~1 I~',_I. ! V T! I\t1 1 i s.l_ _.1 - ' 117 L______________ _ __..1 i~ LZ ROOi PLAN 1 r- . - TOWN Or SO MOLD, NEW YORK ACTION OF THE ZONING BOARD OF APPEALS DATEAM .191 1959 Appeal No. 140 Dated February 26t 1959 ACTION OF THE ZONING BOARD OF APPEALS OF TOWN SOUTHOLD To Harold Re Reeve & Sons a/c Blanche L. H. Weese Appellant Mattitutsk, New York at a meeting of the Zoning Board of Appeals an March l3, 1959 the appeal was considered and the action indicated below was taken on your M Request for variance due to lack of access to property ( ) Request for a special permit under the Zoning Ordinance (X) Request for a variance to the Zoning Ordinance 1. SPECIAL PERMIT. By resolution of the Board it was determined that a special permit ( ) be granted ( ) be denied pursuant to Article ......................Section Subsection.................... paragraph of the Zoning Ordinance, and the decision of the Building Inspector ( ) be reversed ( ) be confirmed because 2. VARIANCE. By resolution of the Board it was determined that (a) Strict application of the Ordinance (would) ,?duce undue hardship beoows the lot is larger than neejded. for one res~dence wid Just 11indersize in area to make two lots. (b) The hardship created (is) XKIMtk unique and MUM (would not) be shared by all properties alike in the immediate vicinity of this property and in the some use district because of the Shape and contour of the lot. (c) The variance (does) (11IMMM) observe the spirit of the Ordinance and 011111111111C(would not) change the character of the district because other lots in the area are ebnsiderably smaller. and therefore, it was further determined that the requested variance CX ) be granted ( ) be denied and that the previous decisions of the Building Inspector ( ) be confirmed (Z) be reversed, The Board unanimously grants application as applied for with 15 ft, right-of-way on the east property line for access to the rear lot. Location of property: North side Lupton Point Road, Lupton Points Mattituck, New York. (Private road) ZONING BOARD OF APPEALS SURVEY OF PROPERTY N AT MATTITUCK TOWN OF SOUTHOLD 544 Led:. SUFFOLK COUNTY, N. Y. algj rGo`^plo- 1000=115-11-4.1 a lwv 13 SCALE: 1'=30' MARCH 12, 2013 AUK 140 2013 (PROPOSED ADDTNS) AUG. 29, O(J (ADDITIONS), (j E C E 0 SOUthDid IM Boadof T OF s FFOLJ( .f' COUNTY X10.79 ~'IO E OT OF WAY N G t R a F 15 ~y Q ` ~h N O B~~C~4 w r M Ch. OAt 2SiY. PROP. 2n . Z ore BECK (89 PROP. R EXiSTN ~ry~ j a CA ODDITH 2STY - 15.2 JJ a Ameen- 755 Lupton Point Road-Mattituck-1210HRS-08NOV' 13 III1iI'I+IIIfil~ll II _ I t f v, 41 ~;lr`u 7 4 e ~711r 4 r+ ~ ~ irr n ~ ~ 15 ~ i+t R 4 wX s a ~A t+x.4` Aid i 4 fir u ~ ; ^ : ; .s + i e,~ ~ ~ x .b i '+Y A 1a ~3F~ '~rZ F~ ~ Z~h~ V.~,?~X.fM~_:Y~ 3 rSsa } Sak,, ' yl A h.rF, rd 'Y+of~ c, . ~ s r. t Y 2 Lr ~,4~' a rg,ip,.r~ ~ ~ ay'~?,o { _ l w 4~'d~r"~ r7F OW I Ir~ ~ w a hl t a rr a . 9'r7}ti4F tJ~" .!pC ' c- - 17- .+~1,js~s.~.,~ SSW t~. 'a~. M e.r~ Pfti v~ t_e f }}~~yy if, IN. 3 t ell kta 15, t` ' Iy r e i~lr_ C' ' _ to, Ameen- 755 Lupton Point Road-Mattituck-1210HRS-08NOV' l 3 '14 + r ~ I s vt A { (9Y r r ~Y'~ w. .(Y .~,r 9 A 1/! 491, n' MiA, 'plot ~t"ry If '3~4 1~ d Y AUI~. `y ~t~.y'. F - - `cR yR -a..y,:'•a=, ' ..4r? adi"""~ '"'1Q: `.,.•w~" .~d,t~• .fie y. A _s z Oft Ameen- 755 Lupton Point Road-Mattituck-1210HRS-08NOV'13 B, irL . ~ IPA 00 ~IL. " Av # 19 W, s AN. .[yam/ ~ ~ ll.. ~A RPM fp Y. ~ 1 y.. Y J S. of y , ~ iN Qj a r 5 -77 SURVEY OF PROPERTY H AT MA TTITUCKs TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000=115-11-4.1 $ (UJ~` 13 SCALE.• 1'=30' MARCH 12, 2013 AUa 141 J013 PROPOSED ADDTNS) AUG. 28, 01 (ADDI IONS), E Q E I V I; SEP - 6 2013 I~- Southend Town SUFFOLK COUNN OF 110.79 `rxm WAY N 4r10"E bi- 15' RIGHT OF raNg u N. ; 25\Y. ~ . PROP. ECK nw Z (W) fie` wc~y ~4b ~4ty~oAs EXISTN 3 ) t . ~ A* ~ 26.3'i2 2ST( - i 15. 2'r1 r Ameen- 755 Lupton Point Road-Mattituck-1210HRS-08NOV' 13 5 ~ c i ~I) I `II u a l f K t lam. ..M- in r t ~ - ~ ~ ?Yi~'i.4 ~ r '~>•;",~Y N ,5'l . !r' . w--.~ a r, 'Al ~ f 4 C~, a~ I - at r~ G x .i''!'^~r p->t.`6 +p •"'.jJ 7- µ i`~~•n 'Yj 1 / 1~ rJ p, ~~.y SO 1~°` 'F,+ ~..f ~ i Wk, ,/-.cP P ri- ! ~~"'t 15 ''tl p31• `,Ljf`-0.ir•>S J}.,~ F--' 1 / r 4 .'j 1. :d' f i 4~ fix. Jy Y~ + 1 •r ~ °rsi r w. a ~r~t•Jv~?may . ~ r- - ~j-~,' ~ .v';~rf7w't"R'A• ~ .Ji'~w. ` ~1 'fi y.~A ~~Y,-tr. Ameen- 755 Lupton Point Road-Mattituck-1210HRS-08NOV' 13 'R^ _ 5 E s, PIt - ~aM, 'ti'+1J] qky'.ir ~S^:aF+ ~.r. y t r i • 3rd ~ - _ 1- ..A.s ~ ~ i ,.X 4_1fh ~~~'l.'•'?'y~' FfT .,y. jJt ~T'2 ~-f. i n 'ply tip. ^ ~ w ~ ~ ~ Y ~ ~ . ,r44 • ~ ~ , ~ w 41 10 , thalp Ameen- 7 5 5 Lupton Point Road-Mattituck-1210HRS-08NOV' 13 j ' r- Ij rr .~rK-r w Ty'A rs t( .~7~ ;i.!\ii ~ y •~I ~fi r't y I 1'? ~'rT, M ~y +In~ AAA f~ rr'' y„ y t~= y j~..• 75, K7r aej ` .K 4 _'~r~xw• fi~tt'/` ~P •e " ` /y'~ ~j~,J[["p * 1 r•~y~t~`Pr, •r~~J`~ti ~ ~y~{~~.~~. 4F.~n ~ .t':~,.,~^rt{-` •r ~jrl~yr' v"r y.. ~~fJrl SG.'J iwW r.r• + a-. ~ ry: '1 y raw ..r ~ r. ~1. F ~ti~'~ ' Tyre T .rF,i( t ~ ^ 1. 44 .ylp, ~M". ~ Y f Oak- Ameen- 755 Lupton Point Road-Mattituck-1210HRS-08NOV'13 -oils •F L' jZA ~ N My, r , f ;,ate - W`~ 11 ' a• ~ ~3 ~~i VkVlF4 `L1 t ;it" } r w T ~fi.t h.~-JE~M ~n J 4 ..1M i . - . . 74 ®R%, SCTM # ICbo' IIS-ii- I TOWN OF SOUTHOLD PROPERTY RECORD CARD o OWNER STREET 7Sr~ VILLAGE DIST. SUB. LOT LuL- tan Pt, Rd ti lr- q ACR. REMARKS 52- TYPE OF BLD. BP#aaa&a • 11114101 Nt33512> U laces PROP. CLASS lO W I l '.1 Sete: I~robet l a8 oG- (A (ro f OUCA~Vd 3 a fr- c p # 35523 - ces B # 523 LAND IMP. TOTAL DATE 3j1h QUO s~lot~ 3 . ~qs y - L 7,-7z% 1)72 - r fa e~h &ga 0 FRONTAGE ON WATER HOUSE/LOT BULKHEAD TOTAL _ TOWN OF SOUT'HOL® P10 ERTY RECORD CARD STREET VILLAGE DISTRICT E 2 ti' 'SUB- LOT "OWNER N E. ACREAGE ~ CLh.o • ~ ~ S - t tSt WTYPE OF BUILDING ES. I D V\I SEAS. VL. FARM CDAAM. I IND. I CB. I ~(41 LAND IMP. TOTAL DATE REMARKS MISC. ' `1xOO 3~ao goo oo y~ o~ s q, ; 1 7 A~ ' ) S Ln %rvllf "c, . N - rn'D c~ ,l 17~1o-f ,~O / AGE r ` ° ° 7 2 p BUILDING CONDITION NEW NORMAL BELOW ABOVE Form Acre Value Per Acre Value Tillable I - - - Tillable 2 -9~ /jl Tillable. 3 - Z ~p a ' n - 1{ ct - Wcodland ~3 -e Swampland Brushland House Plot fj I Total 9 It - - - YY 115. 11-4.1 1/08 - I - - % w M. Bldg. x 'Z~ F ndation C /Z Bath Extension Basement / Floors Ext. Walls CU~ Interior Finish Extension Fire Place C Heat t L) ~.p,~•~ t 2 rl -~'J- - -PG Jorch 7 d Attic - - Porch Rooms Ist Floor _ `T Breezeway Patio Rooms 2nd Floor Garage Driveway 0. B. h tti~v ~ Ft 5 9 Sf 9S -7------ - ' WMH w.,a 7 UM 314~Nq te rr a G ENPORT a 6 101 fn's[. 1)051q M Mc) 9 1.9A(4 w „•1, 1 9 11 12 no.nor a00niwn m 2M t 12 U unerawrt .nr„rx, .m 1ucv( ~c 21 r O 0 ° nOA(q !r°.e'ora0urna0 t 2 T P . 10 w 0e,raor.lear , ° 1w.wiw°1 y. ta.t _ w awe, ° w 2 2 t5 I - w w rn zPNq RD. z a~ wtmP!` 1e P 9 a , gy a, ~ [ a e.T p wc6^ P TWO 12 1(YI ~ 19 n ~ 7t V P ° C y w e ~c ° t T N 1 w1 n b c• ~3 w w w 1 t 21 z n c w Jt L, 23 .1" [ O N A M1 m .a 13Mq` oa --'2, .r 1 J 12 25 M A r ~ - 5 ~ I/13Mq - y N S e ~ •cwwePnta. ,a 31.1 a 15 m ze e l~r ~l-077 9'~n Si ,6 w to 3bVq pV 29 rw IL4 -IT t.Wc) E w 11 19 N %D 29 5~.uq A5 ° ..1 2 1 N 15 1 a ~ S~ ~ ^ mt w a 5 2 "pa 9 2 N "i4o 1 c 21 atn O 2144 _.A 31 &O•(c) IS a Mq 4 , T r.T', _7120 5~ P~~ Q ` 2 I ° 6 \lw' 19 a SYr to t a I 1 w It T M to T tz e ° 13 ° Iw IT ° ` .w O 1.041a ° M FORIMRCFI NO. 1 .5A( t ° ,a 16 11EEIslic W, w Y 112))1 .n b 2 6 12aO1C@S 1 •'1 11 10 M 61 b - 12 16 P• 15 11 Zr A ~ j° 15 I• 13 l 16 112 'mow 26 10 tagq • p FOR MM1Ca.NO 11 56 ,w$1'w n 6EE BLC. NO. °.s ,e°o.w ' 12601AOi.1 'B w IT N fOR PCL NO. ~ 23Mq SEE°EC.N0. % ,~,d 50 z? ------z - - - - -s?' ,zamme rPn v' ORE B 1MTON ORE . M1 `eu I wu .v .ePriwrr NOTICE COUNTYC T- .ei. •.wxrrxw " ; o;,s eal Property ~P'TWr.+l:1n11I1m °.waY C•wvR SF£sECmmo, ( HO. FOR POL NO. LOT COVERAGE EIQSTMG SURVEY OF PROPERTY MOUE - 1007 salt. N 'MDECK Ft. G( - AT MATTITUCK - 360 sq.4t. SHED - 113 ,8940. .1 TOWN OF SOUTHOLD 1884122370 - M3%~f PROPOSED SUFFOLK COUNTY, MY HOUSE - 1570 sq.lt. DEG( - 31" n 1000-115-11-4.1 Poo = 366 sq.fl' SCALE.• 1'=30' GARAGE - 700 Wt. MARCH 12, 2013 3646 M ft. 3646/22370 - 16.1% AUG 14, 2013 (PROPOSED ADD7IVS.) AUG. 2$ 2013 (ADDTNS) d OCTOBER _ T CO &Zogmphy) ` 6 NOV. 21, 2q3 3 OT CO SUFFOLK COUNTY OF ~ 110 s9, 7~ ,10.E S WAY W707 - Dom, 15, RIGHT OF j wo' I , T 'Zn~ P -ell Ock `S w s PROP. 2nd. ? wtq~ `t\ . FUR DECK (8') 6S; ow 2STf. OVER EXIS7~~9 8~[nyF ~4k' W ` PROP P: ADDI110N\~s`, .,u• ''=-$4`'F°~~ry ~°'a "~li'Ft' Z O K'sr ~Ttr s ?T 26.3' m 2STY. A 9 15.2' ! 01y, R1 S! .D 76,. C PROP. ~ Z 0 1 STY., Q °A ADDITION ° ~'tn RAIN RUNOFF CONTAINMENT: CO 9% ~ CL ow O g z 1 r DWELLING: 1,528 Sq. Ft. Rl \ 7~ .11 1,528 x 0.17 x 1= 260 Cu. Ft. D No Provide 2 DWs. 6' Zx 6' Deep Z 8 a O 7 Connected by Gutters & Leaders C R1 -4 O N a. xL 20' 25.0 _ umsT'f ~ m o N PROP °°UE o GARAGE 90 1b cS~i \ GAVEL oMYEIYAY r p C O 0.4!E o 9 ~ o .~O >Y0' - 9.45 gOAD. EDGE OF PAVEMENT pol~ ZyyIDE RIGHT OF WAY N,4 ss~~w 'j'UFT( CERTIFIED TO: CAROLYN R. AMEEN FIRST AMERICAN TITLE INSURANCE COMPANY ELEVATIONS AND CONTOUR LINES ARE REFERENCED TITLE # SP 29126-S TO N.G.V.D. DA O NElV FLOOD ZON MAP MAP NUMBER 36103CO482H AREA=22,570 SO. FT. SEPTEMBE° * A TO TIE LINE, 100% OF LOT CLEARED N. Y. S. LIC. NO. 49618 ANY AL7ERA77ON OR ADDIT70N TO THIS SURVEY IS A V70LA7101V YYl n`'o 496 $ OF SECTION 7209OF THE NEW YORK STATE EDUCAT70N LAW. CONIC YOBS, P. C. EXCEPT AS PER SEC77ON 7209-SUBDIVISION 2. ALL CER77FICA77ONS ~ND (631) 765-5020 FAX (631) 765-1797 HEREON ARE VALID FOR THIS MAP.AND COPIES THEREOF ONLY IF P. 0. BOX 909 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET WHOSE SIGNATURE APPEARS HEREON. SOUTHOLD, N. Y. 11971 13-129 SURVEY OF PROPERTY N AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000_115-11-4.1 SCALE.• 1'=30' MARCH 12, 2013 AUG. 14j 2013 (PROPOSED AWNS) AUG. 28, 013 (AODf ,ONS) E Q E I V E-0 4~ SEP - 6 2013 Southold )own . o~ Board of True OF SUFFOLK .eta COUNTY 110.79 S T OF WAY N7 "4710'E 15' R1GH uo~µ 'a 2qN F ~css.~. A ~ N T J `C \ F A pp N Z FLR,4ECK k87 ?p~f ~~`qq+k PROP. c R EktSiif 0~ ~'kY~4v~pJ~ragq tcY W ADOIT 641% d .{q ~~i 2°~t f Z 26.3' rQY 25TY. J 5 ` a taw m r RAW RUNOFF CONTAINMENT Sk' v O vA n DWELLING ADDITD" N 1528. 1528 sq,It, / o 0.17. X I = 260 Ce.it. C r PROVIDE 2 DWs. 6'0 X 6' deep O ? CONNECTED BY GUTTERS 8 U p N Z LEADERS a 0 o 20' 25.0 unij 9 cn j *T o RA Pow n GAM w c6 C5 c W2Atq pM%CWAY O I~1 9 E 0 C 9 $ U) IVY iZ Iz° LAOS EDGE DF PAVINENT `eL 2pTODE RIOT OF WAY / vo CERTIFIED 0; CAROLYN gMEEN FIRST AMERICAN TITLE INSURANCE COMPANY TITLE # SP 29126-S ~~OFNEK,IO y~P `a'S META, ~r- AREA=229570 SQ. FT. FLDOD ZONE FROM FIRM RATE MAP A cam 3C 482H TO TIE LINE SEPTEMBER 25, 2009 1007o OF LOT CLEARED ANY Al IERA77O/y $ OF SECTION JZOg~ A00I770N TO 7H1S SURVEY IS A VIOLATION O. 49618 EXCEPT AS pER SEC ON 7209YSUB0/V15YOy ALL 0GTRAFICA770NS P CONIC HEREON ARE yqL/D FOR SAND MAP OR 1}//S MAP AND COP/ES ~ L cLq L Y IF ( 31) 765-5020 FAX (631) 765-1797 WHOSE COPIES BEAR THE /MPRESSEO SEAL OF IF/£ SURVEYOR P.O. BOX 909 SIGNATURE APPEARS Fl£REDN. 1230 TRAVELER STREET SOUTHOLD, N. Y. 11971 F13-129