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HomeMy WebLinkAbout1000-88.-6-13.46OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 OF SOUr,�o� 0 • �Q �COUNV MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Leslie Weisman, Chair Members of the Zoning Board of Appeals From: Mark Terry, Principal Planner LWRP Coordinator Date October 22, 2014 Re: Coastal Consistency Review for ZBA File Ref. JSF PARTNERSHIP #6806 SCTM# 1000-88-6-13.46 JSF PARTNERSHIP #6806 - Request for Variances from Article III Section 280-15 and the Building Inspector's October 3, 2014 Notice of Disapproval based on an application for building permit for accessory garage, at; 1) proposed location at less than the code required front yard setback of 55 feet, 2) less than the code required minimum side setback of 20 feet, located at: 1430 Esplanade (adj. to Hog Neck Bay) Southold, NY. SCTM#1000-88-6-13.46 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my determination that the proposed second story addition is EXEMPT from LWRP review pursuant to: § 268-3. Definitions. MINOR ACTIONS item "F" which states: F. Granting of individual setback, lot line and lot area variances, except in relation to a regulated natural feature or a bulkhead or other shoreline defense structure or any activity within the CEHA; The parcel is not located within the Coastal Erosion Hazard Area. Cc: Stephen Kiely, Assistant Town Attorney Office Location: Town Annex /First Floor, Capital One Bank 54375 Main Road (at Youngs Avenue) Southold, NY 11971 October 6, 2014 pF SOUjyO� �coum,� http://southoldtown.northfork.net BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809 Fax (631) 765-9064 Mark Terry, Principal Planner LWRP Coordinator Planning Board Office Town of Southold Town Hall Annex Southold, NY 11971 Re: ZBA File Ref. No. #6806 JSF Partnership Dear Mark: KA- 4 Mailing Address: 53095 Main Road P.O. Box 1179 Southold, NY 11971-0959 1000-88-6-13.46 We have received an application for construction of an accessory garage. 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 268-51) is requested within 30 days of receipt of this letter. Thank you. Very truly yours, FORM NO. 3 NOTICE OF DISAPPROVAL DATE: October 3, 2014 TO: Fred Weber for JSF Partnership 41 E. Maple Rd. Greenlawn, NY 11740 Please take notice that your application dated September 26, 2014 For permit for an accessory garage at Location of property 1430 Esplanade, Southold, NY County Tax Map No. 1000 - Section 88 Block 6 Lot 13.46 Is returned herewith and disapproved on the following grounds: The proposed construction of an accessory garage on a 78,811 sq. ft. lot is not permitted pursuant to Art. III Sec. 280-15 which states: "In the case of a waterfront parcel, accessory buildings & structures may be located in the front yard, provided that such buildings... meet the front yard principal setback... and the side yard setback requirements for accessory buildings in Section B. In the AC zone, the required front yard setback is 55'. The site plan indicates a front yard setback of 20'. The required side yard setback for lots between 60,000 & 79,999 is 20'. The site plan indicates a side yard setback of 9'. Patricia Conklin TOWN OF SOUTHOLD BUILDING DEPARTMENT, TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined 20 Approved , 20. Disapproved a/c Expiration 120 BUILDING PERMIT APPLICATION CHECKLIST PERMIT NO. Building Inspector Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Single & Separate Storm -Water Assessment Form Contact: Mail to: Nom? Phone: tof) -16*-5555 APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date `•5u�. t -c. , 20 1`f' 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. (L 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. £ Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. Pkqtll L ignature of applicant or name, if a corporation) L—q- �e��l�� (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder AzahTle� Name of owner of premisest" �f`�T t�� fiathi si t Y7k�LD1�;1 (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Pk `p C-ef-�4-Ti&+4 Plumbers License No. woo t -WA Electricians License No. ptA1 ri Cs( Other Trade's License No. 1. Location of land on which proposed work will be done: I A5. -,-t« �3 House Number Street Hamlet County Tax Map No. 1000 Section ge Block ' 6 Lot 0771,+(e-- Subdivision KbC/K�t& 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 61"LX-- ?AYn1L-, t l L !o PGYV_i S�kt b. Intended use and occupancy. f0G±> -1 3. Nature of work (check which applicable): New Building___,j G, Addition Repair Removal Demolition Other Work 4. Estimated Cost 4 55, O.0. Fee Alteration (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 �_ C:l�� 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front 12 Rear s Depth 51a Height tlq Number of Stories — Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front 24 Rear 1W Depth -t Height IV Number of Stories 9. Size of lot: Front �+ b1 Rear L-?�' b Depth 40'Z' C l 10. Date of Purchase t l/ii 1 m Name of Former Owner lVikoPoRra, � /qvbf LA LMU.N� 11. Zone or use district in which premises are situated /4cf--1 12. Does proposed construction violate any zoning law, ordinance or regulation? YES >�- NO 13. Will lot be re -graded? YES_ NO Will excess fill be removed from premises? YES NO .K 14. Names of Owner ofnremicecV)F PAtt OR4iMP Addrecc HY. Phone Na G 1 IL96-89(vo Name of Architect Name of Contractor, Phone No 631 - F,o. t Phone No. &N) CATaWSAP-) tv:i, t1935 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES_ >�_NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. 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? * YES NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF�� being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the i `7 CARL* %re;��_ (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief, and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this day of 20 Notary Public Signature of Applicant I Fee: $ Filed By: Assignment No. V-) aU" APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS AREA VARIANCE House No. nD Streeti_."�.JciHamlet -]� SCTM 1000 Section S 6 Block & Lot(s) *14ki-0 Lot Size 110110011 , Zone I (WE) APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED OC r. q,�� _ BASED ON SURVEY/SITE PLAN DATED - 2 "I Applicant(s)/Owner(s): T > N 1 Mailing Address: 1�0►�Jl/tsii j�}� t-1� Telephone c �.�i �':a Fax: Email: `Iao Iaci ykn i 1, (,Om In addition to the above, please complete below if application is signed by applicant's attorney, agent, architect, udder, contract vendee, etc. and name of person who agent represents: Name of Representative: T , Wr,&U for><Owner ( )Other: —r Address: �. N1/s Cllr P -PA -.0 1 M*<:o Telephone:(03t 15 A VEaax: Email: fwe�fr gp3AA tco"WIN Please check to specify who you wish correspondence to be mailed to, from the above names: ( ) Applicant/Owner(s), KAuthorized Representative, ( ) Other Name/ Address below: WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN DATE and DENIED AN APPLICATION DATEDAt 20 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: 1 l Section: ©72 V5 Subsection: Type of Appeal. An Appeal is made for: YA Variance to the Zoning Code or Zoning Map. ( ) A Variance due to lack of access required by New York Town Law- Section 280-A. ( ) Interpretation of the Town Code, Article Section ( ) Reversal or Other A prior appeal ( ) has, has not been made at any time with respect to this property, UNDER Appeal No(s). Year(s). . (Please be sure to research before completing this question or call our officefor assistance) Name of Owner: ZBA File# REASONS FOR APPEAL (Please be specific, additional sheets may be used with preparer's signature notarized): 1. An undesirable change will not be produced in the CHARACTER of the neighbor or a detriment to nearby properties if granted, because: Itifi— Sa66�s�1- Fg-2plop'Ty l S L.4CAST S)C> A'T T41ris D Li= A h40t (v AcCvSS Dtz.►v� ( FL,44 L'o 1 ) AsCNc;, A13'. -T5 W O!A0'--lp OP Gw -s fAsrC.F- Tr VE V�mxv, * W�sT. ThOZL F- fi� flao�m �rA�� C, L-- WT v►sI To y NAw,hf-a-' , To -tK "MI + WC -SA , Tt t5 MStb>sQ-> TO A C!'�rt1o►�L t�10fL�}k FcP� P�fsaR,.V\ �' `�`�a•1 Com. Cti'�C' W ►r.- iii L� Tet �. U �i�r OT � / S'Pt�e:' l ft's fRoFePQK :� f i^ ,V\ `1 i-l'G C l . 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: -tijs Na i E rr' 5ou(�T i- tZ-% ij A VS-VW)?0 IM CWD'i>ta l 15 -R% W S t 1 UZ La-,K� .Souj, i OV t1r-- IADU`;� LL%du,1.o Aa, y 1, C7XCAtiItSTpfQ 1 tv [Nri. W- 71 i 11�1eA V;Ok4 LX-"� ►wvwrt S X&) r' A ku— ilii ADV- Uie —\W 0 -lz-- lus t-10uR'. Tt'l�G ti��R[}j1i: T' C.RN�t2 �htj �7f7��' T1' \�T� 0Nl j VV tWQ�L.- i 6L;N IOV4 V, -V �' •�� �G:t�b�Q�� ��/�R�Z1�N Fi�.s��(Yl'tj''1CsS2ses,t� �ct5-t'L�►'n�yt5wiktr.��I2raTk')(v �i`2s'V►n 3. The amount of relief requested is not substantial because: -� lAoLt,%., �S p -nom Vj ti5F tNCa. V(LWGA;A' Tl rwi, j i5 uw►&Ae t i� A Nu mt^-,� Lim AU, ►rte ,r*NXT------- A .41 li ` *t A*40 ii' �tibz.�5 i4ip -To t1lpVN ►" t�tit�, kt 1'0=�1. G1v 0,4 `Nr"S'�- , -i'j'sF ��iG� t�t�t' cQuw �� c�r�sl� st�tilFtC 7�iT, i 4. The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: _ rz::J - S�� ��%��� �T�� �= �r>;s �►cnG� G� -�, spa-n��-� 5. Has the alleged difficulty been self created? { } Yes, or No Why: � ►11,�t: 1� �t�►1n.�.-- t�j' i � i../is�f2(� C. ; , '�� � V` I t2�i� Ivy Jt:"�^y�sC.�Lj 1�-r�; � Thi A� 1--/�2,(G'i✓ (�' j �."'1��- (�,� �v'j`t rl C.�"L`]C> �� ��d►�1'� �F `Cb�C �fi�--�l,�xl.�t`2..�.� �t1 "t'4� S�T�� Are there any Covenants or Restrictions concerning this land? { } NoA�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 welfare of the community. .1 — r� '� U L—�— - Si' Pature of Xpplicant or Authoriz Agent (Agent must submit written Authorization from Owner) Sworn to before me this day of .20— Notary 20 Notary Public APPLICANT'S PROJECT DESCRIPTION APPLICANT: ISIF f'�5OWK S1h� �JiS11�tf PATE PREPARED: 6r—T, , 1. For Demolition of Existing Building Areas Please describe areas being removed: �1�� II. New Construction Areas (New Dwelling or New Additions/Extensions): Dimensions of first floor extension: 2q'x'-Y, Dimensions of new second floor: Wt4 e Dimensions of floor above second level: Wr4'l:. Height (from finished ground to top of ridge): U12 Is basemeRt or lowest floor area being constructed? If yes, please provide height (above ground) measured from natural exgrade to first floor: M. Proposed Construction Description (Alterations or Structural Changes) (Attach extra sheet if necessary). Please describe building areas: Number of Floors and General Characteristics BEFORE Alterations: Number of Floors and Changes WITH Alterations: IV. Calculations of building areas and lot coverage (from surveyor Existing square footage of buildings on your property: 4(4 4006 i u Proposed increase of building coverage: Square footage of your lot:1 Percentage of coverage of your lot by building area: c . o V. Purpose of New Construction: �vt��-hr's,►-�' `� � 1�Y��w� Lam" s di���T7L����l�� 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): 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? No K Yes please explain on attached sheet. vim+'_— �O/1 1 1w 1 uott� C. 1.) Are there areas that contain sand or wetland grasses? 2.) Are those areas shown on the survey submitted with this application? 11 477 3.) Is the property bulk headed between the wetlands area and the upland building area? NO 4.) If your property contains wetlands or pond areas, have you contacted the Office of the Town trustees for its determination of jurisdiction? rQN wDW.Tlease confirm status _ of your inquiry or application with the Trustees: and if issued, please attach copies of permit with conditions and approved survey. ��, ►ti.t�'�� D. Is there a depression or sloping elevation near the area of proposed construction at oto ft below five feet above mean sea level? t-�0 E. Are there any patios, concrete barriers, bulkheads or fences that exist that are not shown on the survey that you are submitting?�G _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? "«'� If yes, please label the proximity of your lands on your survey. Letel 43 JArl1 'k Ls-6\4:.ve%) I. Please list present use or operations conducted at this parcel �iiCt�'1�Iv% 51t3fd �� "VVI tA\' �1� and the proposed use d, �j (ex: existing single family, proposed: same with garage, pool oro er) _\DM1JL 4.). Autho zed signature and Date Town of Southold Annex 10/11/2011 y FFQ(,� ; 54375 Main Road `` Southold, New Fork 11971 4�qol* No: 35225 Date: THIS CERTIIF'lES that the building SINGLE FAMILY DWELLING Location of Property: 1430 ESPLANADE SOUTHOLD, 10/11/2011 SCTM #: 473889 _ Sec/Block/Lot: 88.-6-13.46 Subdivision: ;Filed Map No. Loi: No. conforms substantially to the Application for Building Permit heretofore filed in this of`i�iced dated 12/2/2008 pursuant to which Building Permit No. 34389 dated 1/15/2009 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: one family dwelling with covered porches, screened porch, patio and second -floor balcony as applied for. The certificate is issued to JSF Partnership (OWNER) of the aforesaid building. SU FTOLK COUNTY DEPARTMENT OF HEALTH APPROVAL., ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIMCATION DATED 9/29/11 RIO -08-0027 8/17/11 34389 6/17/11 Peconi ,Plumbing & Heating Autho�dd Sioature OCA- tior-f L40, Loorte- sQ 6 W VV ( brow N " F'LO4`4it FA_L, oN �,�Ipt 1C,C, `SD IK l�h. Lam , O� LoOK.k.1Ce wa,-T�4 La,OK-VW CQ VJC- 4Pr No: 35226 Town of Southold Annex 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building FN GROUND POOL Location of Property: 1430 ESPLANADE SOUTHOLD, Bate: 10/11/2011 10/11/2011 SCTM #: 473889 Sec/Block/Lot: 88.-6-13.46 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 10/20/2009 pursuant to which Building Permit No. 35096 dated 10/23/2009 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: in ground swimming pool with fence to code as golied for. The certificate is issued to 7SF Partnership (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 35096 6/17/11 .f Auth S* ature AGRICULTURAL DATA STATEMENT ZONING BOARD OF APPEALS TOWN OF SOUTHOLD 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 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: V('-bA3P-V -- wtftp, 2. Address of Applicant: AA Ut,. � t!tD (� •. 1'1 3. Name of Land Owner (if other than Applicant):.I'S ' S%6,kN 4. Address of Land Owner: Ilk So jVtC,, pW;�3hri� 1 t-dp ;'�• 1 Z� 5. Description of Proposed Project: d"-r-MUGTkg-t,j OF �2� l- 'Z 1pt-nksGN1> (a61R�e 6. Location of Property (road and Tax map &TVV% number), 1AS6 �[' M 1P 1000- OO S— G ` 11-71410 7. Is the parcel within 500 feet of a farm operation? { } Y ,No 8. Is this parcel actively farmed? { } Yes 100 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 2. 3. 4. 5. 6. (Please use the back of this page if there are additional property owners) kli,- At 1 Signa of 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 part 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. _1 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing 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 1 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 1 - Project and Sponsor Information Name of Action or Project: STA G1 t_1 _1' lt-., Project Location (describe, and attach a location map): 'd Brief Description of Proposed Action: Name of Applicant or Sponsor: Telephone: K%Wu-A � 1lu j"�'1� ��1. E -Mail: T1y, 60 -el OAIIioct by_-. coiK Address: "Lial R4A.,D City/PO: State: Zip Code: 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 may be affected in the municipality and proceed to Part 2. If no, continue to question 2. 2. Does the proposed action requireemit, approval or ding from any other governmental Agency? NO YES If Yes, list agency(s) name and permit or app T__44W 3.a. Total acreage of the site of the proposed action? acres b. Total acreage to be physically disturbed? c. Total acreage (project site and any contiguous properties) owned or controlled by the applicant or project sponsor? acres 4. Check all land uses that occur on, adjoining and near the proposed action. ❑ Urban ❑ Rural (non -agriculture) ❑ Industrial ❑ Commercial ,)Oesidential (suburban) ❑ Forest ❑ Agriculture ZCAquatic )Qtther (specify): Q fi*3 Sr'/� ❑ Parkland Page 1 of 4 5. Is the proposed action, a. A permitted use under the zoning regulations? b. Consistent with the adopted comprehensive plan? NO YES N/A X 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? NO YES 7_ Is the site of the proposed action located in, or does it adjoin, a state listed Critical Environmental Area? If Yes, identify: r to Yy1jA k yww�GZ NO YES 8. a. Will the proposed action result in a substantial increase in traffic above present levels? b. Are public transportation service(s) available at or near the site of the proposed action? c. Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? NO YES x 9. Does the proposed action meet or exceed the state energy code requirements? If the proposed action wi 1 exceed requirements, describe design features and technologies: NO YES 10. Will the proposed action connect to an existing public/private water supply? If No, describe method for providing potable water: U KWAsR' NO YES 11. Will the proposed action connect to existing wastewater utilities? If No, describe method for providing wastewater treatment: NG Sir t177Y4A MALA teS NO YES 12. a. Does the site contain a structure that is listed on either the State or National Register of Historic Places? b. Is the proposed action located in an archeological sensitive area? NO YES 13. a. Does any portion of the site of the proposed action, or lands adjoining the proposed action, contain wetlands or other waterbodies regulated by a federal, state or local agency? 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: NO YES �/ �'\ 14. Identify the typical habitat types that occur on, or are likely to be found on the project site. Check all that apply: ✓;,Shoreline )2rF t iNrlp0Vp ❑ Agricultural/grasslands ❑ Early mid-successional ,.Wetland ❑ Urban Z_Suburban 15. Does the site of the proposed action contain any species of animal, or associated habitats, listed by the State or Federal government as threatened or endangered? NO YES 16. Is the project site located in the 100 year flood plain? NO YES 17. Will the proposed action create storm water discharge, either from point or non-point sources? If Yes, a. Will storm water discharges flow to adjacent properties? 45r 1O ❑ YES b. Will storm water discharges be directed to established conveyance systems (runoff and storm drains)? If Yes, briefly describe: , ❑ NOXYES NO YES X Page 2 of 4 18. Does the proposed action include construction or other activities that result in the impoundment of water or other liquids (e.g. retention pond, waste lagoon, dam)? If Yes, explain purpose and size: NO YES small to large impact impact may 19. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste management facility? If Yes, describe: NO YES 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? 20. Has the site of the proposed action or an adjoining property been the subject of remediation (ongoing or completed) for hazardous waste? If Yes, describe: NO YES establishment of a Critical Environmental Area (CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/spons n ea(X� '?� �`��[ Date:'�� Signature: 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 be guided by the concept "Have my responses been reasonable considering the scale and context of the proposed action?" Page 3 of 4 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 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, long-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 Print or Type Name of Responsible Officer in Lead Agency Date Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (if different from Responsible Officer) Page 4 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, long-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 Print or Type Name of Responsible Officer in Lead Agency Date 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 Zoning Appeals Application AUTHORIZATION (Where the Applicant is not the Owner) I, 5U V -.,I residing at FiA 6oyc„ CAS (Print property owner's name) (Mailing Address) �V !?q do hereby authorize N�QMOf_, W l (Agent) AZC#!%Mo apply for variance(s) on my behalf from the Southold Zoning Board of Appeals. LU'Lan'a LUOK- (Owner's Si afore) (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: (Last name, first name,Wddle initial, unless you are applying in company. If so, indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Variance Change of Zone Approval of Plat Other (activity) name of someone else or other entity, such as a Building Permit Trustee Permit Coastal Erosion Mooring Planning X 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 applicantlagent/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 ft5 day of Vim. ,2f 1 Signature Print Name 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 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 : (Last name, first name, middle initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit X Variance >< Trustee Permit Change of Zone Coastal Erosion Approval of Plat Other (activity) Mooring 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 _><1 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 k-10t-� 1�. Submitted thisWef 0 Signature Print Name 91. Wep,-� 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 The Application has been submitted to (check appropriate response): Town Board © Planning Dept. 0 Building Dept. © Board of Trustees 0 IZIg All b4, 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: ` jj Site acreage:(i$yell s�F\ Present land use: 5"AN&Lk-- Ebmlu� 190L0U (� Present zoning classification: Ace 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: U -10f 's 'Su5AN FxVillo Ni (b) Mailing address: l� 1-��+CTbIF�-: N• 1���� (c) Telephone number: Area Code �> — -<0>9 G<-' (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ❑ NOX 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. es ❑ No ❑ Not Applicable E iP1WPO9T-i 1S tSPi> (1-C) Asti Q}C-AeC il�p C19 L0 ft'\ Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III — Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No Xi Applicable A Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III — Policies Pages 6 through 7 for evaluation criteria Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III — Policies Pages 8 through 16 for evaluation criteria Yes E No 0 Not Applicable 4-u.. Av—t- Il'j Ft ' 2g.1� ic.0►2 >C . Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III — Policies Pages 16 through 21 for evaluation criteria Yes 0 No E 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 criteria. 9 Yes © No D 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 for evaluation criteria. ❑ Yes ©NoYN Not Applicable /� 11ZNTltci�(1� �p�N jsc�(2E1�1 S 1rJty p1F Vv-,, Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III — Policies; Pages 34 through 38 for evaluation criteria. FZ Y"`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. YeD No ❑ 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. ❑ Yes ❑ No RNot Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III — Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes 1:1 NoNot 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 evaluation criteria. © Yes ❑ N.54 Not Applicable 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 9 Not Applicable Created on 512510511:20 AM ."i.. .01ij. TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST.1 -- SUB. LOT 44 ockt- p y A-,f,)ae Ft , I e 4t-- q -7 ZQ V'S I Z.21 Z ACR. REMARKS 13jZ3;)q5- TYPE OF BLD. 4 (p i Jj 06 o PROP. CLASS otw dWfjfhle� LAND IMP. TOTAL DATE 101213 $sb, ODD I no -2 bom�v -Z 12 t ?26 ti el- 50, 606 I -3/1 FRONTAGE ON WATER 472. TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT TOTAL ■%�%����G�����''r i�����%t�►moi/%����■ ■mm%%%mmmmmmmrmm%mm%om%m%mmmm■ ■oommmmoommmmmmmmmommMMMMMEME■ ■mmmmmmmmmmmmmmmmmmmmmmmmmmmm■ ■mmmmmmmmmmmmmmmmommoMMMEEMME■ ommmommommmmmmmmmmmmmmmmmmmo DIS -1 - Ott) IS -r - Ott) {iLv�IL Uh,DO L �Yj S pt3,L`Ui DECLARATION OF COVENANTS AND RESTRICTIONS FOR THEODORE LAOUDIS AND ANGELA.LAOUDIS This declaration made the day of 1995, by Theodore Laoudis and Angela Laoudis residing at 23 Van Buren Court, Cresskill, New Jersey (hereinafter referred to as "Declarant") WITNESSETH WHEREAS, Declarant is the owner in fee simple of certain premises situate at Southold, town of Southold, Suffolk County, New York described on the Suffolk County Tax Map as District 1000, Section 088.00 Block 06.00 Lots 013.001; 004.000 ; and 005.000 as more fully described in the attached "Schedule All and, WHEREAS, the Southold Planning Board, by resolution made on a q I %,R R y granted final subdivision plat approval of the property described in Schedule A, as shown on the map of Henderson & Bodwell, dated ti� c .�'i 2-% %9 `1 `i , ao !net wevi.,ed. H31i-, WHEREAS, the final subdivision approval was conditioned upon the filing of certain covenants and restrictions, NOW, THEREFORE, in compliance with the resolution of said Southold Town Planning Board, Declarant herein declares that the lands described in Schedule A is held and shall be conveyed subject to the following covenants and restrictions which shall run with the land: 1. No lot shall be subdivided or its lot lines changed in any manner at any future date unless authorized by the Town of Southold •� f DIS -1 - Ott) IS -r - Ott) {iLv�IL Uh,DO L �Yj S pt3,L`Ui DECLARATION OF COVENANTS AND RESTRICTIONS FOR THEODORE LAOUDIS AND ANGELA.LAOUDIS This declaration made the day of 1995, by Theodore Laoudis and Angela Laoudis residing at 23 Van Buren Court, Cresskill, New Jersey (hereinafter referred to as "Declarant") WITNESSETH WHEREAS, Declarant is the owner in fee simple of certain premises situate at Southold, town of Southold, Suffolk County, New York described on the Suffolk County Tax Map as District 1000, Section 088.00 Block 06.00 Lots 013.001; 004.000 ; and 005.000 as more fully described in the attached "Schedule All and, WHEREAS, the Southold Planning Board, by resolution made on a q I %,R R y granted final subdivision plat approval of the property described in Schedule A, as shown on the map of Henderson & Bodwell, dated ti� c .�'i 2-% %9 `1 `i , ao !net wevi.,ed. H31i-, WHEREAS, the final subdivision approval was conditioned upon the filing of certain covenants and restrictions, NOW, THEREFORE, in compliance with the resolution of said Southold Town Planning Board, Declarant herein declares that the lands described in Schedule A is held and shall be conveyed subject to the following covenants and restrictions which shall run with the land: 1. No lot shall be subdivided or its lot lines changed in any manner at any future date unless authorized by the Town of Southold Planning Board. 2. Clearing on privately owned lots within the subdivision shall be limited as follows: LOT SIZE MAXIMUM CLEARED 20,000 square feet (1/2 acre) 60 percent 30,000 square feet (2/3 acre) 58 percent 40,000 square feet (1 acre) 57 percent 60,000 square feet (1 1/2 acre) 46 percent 3. No more than 15 percent of each lot shall be placed in fertilized vegetation. 4. No open space or privately owned .lot within the subdivision shall be further subdivided in the future. 5. No docks or other structures to Peconic Bay shall be allowed or constructed from Lot numbers 42, 43 or 44. However, a pedestrian walkway of up to 15 feet in width to Peconic Bay shall be allowed for each lot. These walkways shall be subject to appropriate permits, if required, from the Southold Town Trustees and the New York State Department of Environmental Conservation. 6. All stormwater runoff resulting from development and improvement of this subdivision or any of its lots shall be retained on site by adequate drainage structures so that it will not flow into Peconic Bay, the tidal and freshwater wetlands and the ponds that exist on the site. 7. Erosion and sediment control measures shall be required during and immediately after construction on each lot to insure that stormwater runoff will not carry eroded and other deleterious materials into and the tidal wetlands bordering the Peconic Bay or the wetlands on the site. 8. Access to Lots 42, 43, and 44 shall be via a common driveway. 9. Access to Lots 24 and 25 shall be from Water Terrace only. These lots shall not have access on the thirty-three (33) foot right-of-way. 10. All grass established on site shall be of a type which requires no irrigation. This restriction shall apply to all lots in the subdivision. 11. On-site wells for any purpose shall not be permitted on any lot in the Angel Shores subdivision. 12. The following terms shall apply to all common areas and all conservation easements located within the subdivision: a) No clearing of trees, disturbance of natural soils, or any other activity is permitted to occur, with the exception of the creation of foot trails for passive recreational activities, approved recharge basin construction and supplemental planting of appropriate native or near native vegetation. Pedestrian foot trails located within the conservation easements on Lots 42, 43 and 44 shall be limited to one walkway (10 - 15 feet in width) for each lot. (These walkways shall be subject to appropriate permits from the Town Trustees and the Department of Environmental Conservation) b) area. C) No bulkheading shall be permitted on any shorefront No structural improvements shall be permitted in any 1 area with the exception of the Park site. Structures proposed to be located within the Park site must be approved by the Planning Board, Southold Town Trustees and any other agency having jurisdiction in that area. 13. All applications for building permits shall be reviewed by the Planning Baord prior to issuance of the building permit in order for the Planning Board to ensure that the plans are in accordance with the Findings Statement adopted in accordance with the State Environmental Quality Review Act. All building permit plans shall indenti£y the extent of clearing and proposed grading in order to ensure that compliance is achieved. 14. These covenants and restrictions can be,modified only at the request of the then owner of the premises with the approval of a majority plus one of the Planning Board of the Town of Southold after a public hearing. Adjoining property owners shall be entitled to notice of such public hearing but their consent to such modification shall not be required. 15. The Declarant grants the continuing right in perpetuity to the Town of Southold or any of its designated representatives to inspect any areas designated as open space, common areas or any similar nomenclature so as to insure continued compliance with the covenants, terms and provisions designated herein in regard to same and to insure that such covenants, terms and provisions have not been violated. 16. The Declarant grants the continuing right in perpetuity to the Town of Southold or any of its designated representatives to enforce the conditions and restrictions of the covenants as they relate to the open space, common area or nomenclature and to take any legal action it deems necessary to enforce the conditions and restrictions of the covenants. These rights of inspection and enforcement shall be binding upon declarant, their heirs, executors, legal representatives, distributees, successors, assigns and transferees. ���i1n1� i�LZC.I�G•a� Theodore Laoudis Angela P.Ilaoudis State of New Jersey County of /1,7rj1'{ 88.: On the V/ day of 1r&, zaly 1994f, before me personally came Theodore Laoudis, to me known to be the individual described in and who executed the foregoing instrument and acknowledged that he executed same. CALLIOPI MAKRIS NOTARY PUBLIC OF MEW JERSEY MY COMMISSION EXPIRES SM 14, 1997 Notary Public, my commission expires: State of New Jersey County of 1 � Flo ss. : On the a/ day of 1WV'I�c1.' 1999', before me personally came Angela P. Laoudis, to n% known to be the individual describedinandwho executed the foregoing instrument and ack owle►ged,Wt he executed same. IMAI 140TARY PUBUG OF NEW JERSEY MY CoWASSIOW EXPIRES SEPT. 14. 199' n lgAt i Notary Public, my commission expires: I It BOXES 5 TIIJRU 9 MUST BE TYPED . PRINTED IN --+�--��,..��.� a ..�..�.�..r 1 SUFFOLK COUINTY CLERK 2 • �P� 4. 1717 PC 13i Serial 8 Certificate M Dad / Mortgage Instru nl Deed / Mortgage Tax Stamp . _,sOR TO RECORDING OR PILING. 3 r• i 1n 1 �? j Mortgage Amt. Handling S 1. Basic Tax TP -584 L SONYMA Notation Cn EA -5217 (County) Sub Total �Lr.1, n f,i y SPecJAdd. EA -5217 (Slate) TOT. MTG. TAX .� R.P.T.S.A. 3� .._. Dual Town Dual County _ Held for Apportionment - cn i. ca Recording / Filing Stamps /DVV 088 oe l3, DOI 3 � , ' ���'' /ss� 48A p6 00I . C� FEE PAID BY: Cash Check ✓ Charge Payer same as R & R ✓ OR: Company Name W M'OOtt r -t C S4 VO 16OW 2- 3 tA4—jTt-1tilc1c , vy tdgts— RECORD & RETURN TO g � Suffolk County Recording & Endorsement Page This page forms part of the attached _ C 0,Jhu A kr-f # RE�srl do - r -Ir malls by: (Deed, Mortgage, etc.) /1CUlJu2� La�u� pi j The premises herein is situated in 11n''G C'[ rl L wL'tJ f,YS SUFFOLK COUNTY, NEW YORK. TO _ In the TOWN of In file VILLAGE or HAMLET or Z�D 07�io 1:•0104..1/e3 Page / Filing Fee 1 Mortgage Amt. Handling S 1. Basic Tax TP -584 L SONYMA Notation Sub Total EA -5217 (County) Sub Total �Lr.1, n f,i y SPecJAdd. EA -5217 (Slate) TOT. MTG. TAX .� R.P.T.S.A. 3� .._. Dual Town Dual County _ Held for Apportionment Comm. of Ed. S, 00 • • Transfer Tax AMdavii Mauston Tax Certified Copy _ The properly covered by this mortgage Is or will be Improved by a one or two Reg. Copy Sub Total �, family dwelling only. l Other Y� I - r - GRANA TOTAL_ YES or NO _ If NO, see appropriate tax clause on page k of this huh ndment. - •• I Real Property Tax Service Agency Verification Title Company bformalion /DVV 088 oe l3, DOI 3 � , ' ���'' /ss� 48A p6 00I . C� FEE PAID BY: Cash Check ✓ Charge Payer same as R & R ✓ OR: Company Name W M'OOtt r -t C S4 VO 16OW 2- 3 tA4—jTt-1tilc1c , vy tdgts— RECORD & RETURN TO g � Suffolk County Recording & Endorsement Page This page forms part of the attached _ C 0,Jhu A kr-f # RE�srl do - r -Ir malls by: (Deed, Mortgage, etc.) /1CUlJu2� La�u� pi j The premises herein is situated in 11n''G C'[ rl L wL'tJ f,YS SUFFOLK COUNTY, NEW YORK. TO _ In the TOWN of In file VILLAGE or HAMLET or Z�D 07�io 1:•0104..1/e3 James F. King, President ��f sorry Town Hall Jill M. Doherty, Vice -President ��� Ol0 53095 Route 25 Peggy A. Dickerson 4 4 P.O. Box 117 Southold, New York 11971-0959 Dave Bergen Bob Ghosio, Jr. G Q �O �� l�COU,� Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 12, 2008 Mr. Frederick R. Weber, R.A. P.O. Box 1374 Water Mill, NY 11976 RE: JOHN & SUSAN FALLON ESPLANADE (AVENUE OF TREES), SOUTHOLD SCTM# 88-6-13.46 Dear Mr. Weber: The Southold Town Board of Trustees reviewed the survey prepared by Frederick R. Weber, last dated January 23, 2008 and received on January 25, 2008, and determined the proposed work of constructing a new dwelling, porches, patios, detached garage, driveway, swimming pool, sanitary system, and fill to be out of the Wetland jurisdiction under Chapter 275 of the Town Wetland Code and Chapter 111 of the Town Code. Therefore, in accordance with the current Wetlands Code (Chapter 275) and the Coastal Erosion Hazard Area (Chapter 111) no permit is required. Please be advised, - --- however; thatna-constract« edimmstatioTi;`or-itatur�ancLs-ofi an"!n-din�ta-Ke pTac7a seaward of the tidal and/or freshwater wetlands jurisdictional boundary or seaward of the coastal erosion hazard area as indicated above, or within 100' landward from the top of the bluff, without further authorization from the Southold Town Board of Trustees pursuant to Chapter 275 and/or Chapter 111 of the Town Code. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction and Coastal Erosion Hazard Area, which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and the coastal erosion hazard area and your project or erecting a temporary fence, barrier, or hay bale berm. This determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call. Sincerely, James F. King, President Board of Trustees JFK:eac 4 1.3A NECK BAY LINE PCL. NO. SEC. NO. .07_055 13.14 m 13.15 rue -- aeNaow.n U. — —sw— — ws.Nosne lN. — — H — — uMeu mawoTHeRwTOE..0 PIWPERTLS .rewn.Nnsraicwwomm�z. NOTICE til•. , ,•�;fs COUNTY OF SUFFOLK _ _ _ _ -- �10°l 5 EENER MAINTENANCE. ALTERATION. SALE OR �' � Real Property Tax Service Agency TTewowe lis --fY-- H.ra array --NST-- NTORuIi OISTR18pTNN1 Or ANY PORTION Of THE y� SIIP DMCOI TYTMMAPISPROHISITEO County Amor Ri"dmd. N Y 11901 waw — P — — arvw— —wN— — IN.tTlINi MATNOUT—TTEN PERMISSION Of THE '1S0 0 SWE W ff 1pp pp , — REAL PROPERh TAS SERNCE AGENCY �� I /Q2Cftq=XT— rs ro Is mz;Z 0;-n_0 m C, r— U) 11 /V 6 8 ZONE X* ZONE --- AE (EL. 8) 4)7o fiOUND CONC. MON 8 Or» / / / / ROOF O S� �R Og' "" £ ✓USTO(/NOgRFNT y, �O OF ✓.,y ops E cy �� �R �� �� FN�R N TO �Rk ON (/ C' 8 MFNN4 hiGy COST F�. 8 CO�ySz ��R M� 24 Ops % 0Q`--� G S£R�CFS DE �RM�NF O o� �wAY SHELL DRIVEWAY L _ n - ci ft 0) , o CO 6eLC�� ❑ cli% N e�oc O �pRON k oQ; 2 Srov? Xisr/N FRq'y£ yOusE 0O CONSERVq JION EASEMENT SER °�F rF pORch' Lal ZONE X ZONE X* PARCEL OPEN cpA CC ZONE X* ZONE X PROPERTY OWNER: JSF PARTNERSHIP (JOHN t SUSAN FALLON) SITUATE: BAYVIEW (SOUTHOLD) TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK SURVEY INFORMATION: JOSEPH A. INGEGNO, LAND SURVEYOR RIVERHEAD, N.Y. SURVEYED: JULY 2005 __ FINAL__SU_RVFy: JUNE 30 - 2011 e _ +O.O' = ELEVATIONS REFERENCED TO N.G.V.D. of 1929 LOT NUMBERS SHOWN ARE FROM MAP ENTITILED MAP OF ANGEL SHORES FILED IN THE SUFFOLK COUNTY CLERKS OFFICE ON AUGUST 23, 1995 AS MAP No. 9129. 5CTM# 1000-88-4-13.44 LOT AREA: 18,811.41 S.F. (TOTAL) ZONING: AC (AGRICULTURE/CONSERVATION) LOT AREA (Min.): 80,000 S.F. LOT WIDTH (Min.): 115' LOT DEPTH (Min.): 250' HEIGHT (MAX.): 35', (2 1/2 STORIES) LOT COVERAGE (MAX.): 2075 NON -CONFORMING LOT (40,000- 19,999 SF): YARDS: (PRINCIPAL) FRONT 55' SIDE (ONE): 20' SIDE (BOTH): 45' REAR: 15' ACCESSORY STRUCTURE (LOT 51ZE: 40,000- 19.999 5F): LOCATE IN REAR YARD OR ON WATERFRONT LOT IN FRONT. YARD SETBACKS: SIDE AND, REAR 20', FRONT SW HEIGHT (MAX.- ,Average Existing Grade to Ridge): 22' 51ZE (MAX.): 18,811 SF x .03 = 2344 5F DORMERS IMAX.); 40% OF ROOF SITE PLAN w/ NORTH DETACHED GARAGE I" = 20'-0" (1 LOT COVERAGE: HOUSE AND PORCHES: 4480 5F UPPER TERRACE: 840 SF SWIMMING POOL: 940 SF SPA: 48 5F PROPOSED GARAGE: 148 5F TOTAL ROOFED/ 1314 5F (9.375) STRUCTURES FLOOD ZONE: AE (EL 8), X* AND X ALL CONSTRUCTION !N ZONE X* OR ZONE X. FREDERICK ROBERT WEBER ARCHITECT w U 0 �.L DRAWING TITLE: SITE PLAN JOB: GARAGE JOHN ! SUSAN FALLON AVENUE OF TREES SOUTHOLD. NEW YORK TOWN OF SOUTHOLD SCTMs 1000-66-6-13.46 ARCHITECT: FREDERICK R. WESER 41 EAST MAPLE ROAD GREI=NLAWN. NY 0140 62 NOYAC PATH WATER MILL. NY 11116 TEL 6311514-96516 PAX 631 261-1064 SE GK R a � E� X3569 G` REV.: OCT S. 2014 DATE: SEPT 23. 2014 SCALE . AS NOTED JOS NO: m201401 DRAWING NO. G1 OF G2 , ((y�.am� (b 9" . t'�ra'lei to PrOPertQ ` v Line -:::.::-:::::::::.......:...... pc .. Afeuj ....................... OR.. / / / / ROOF O S� �R Og' "" £ ✓USTO(/NOgRFNT y, �O OF ✓.,y ops E cy �� �R �� �� FN�R N TO �Rk ON (/ C' 8 MFNN4 hiGy COST F�. 8 CO�ySz ��R M� 24 Ops % 0Q`--� G S£R�CFS DE �RM�NF O o� �wAY SHELL DRIVEWAY L _ n - ci ft 0) , o CO 6eLC�� ❑ cli% N e�oc O �pRON k oQ; 2 Srov? Xisr/N FRq'y£ yOusE 0O CONSERVq JION EASEMENT SER °�F rF pORch' Lal ZONE X ZONE X* PARCEL OPEN cpA CC ZONE X* ZONE X PROPERTY OWNER: JSF PARTNERSHIP (JOHN t SUSAN FALLON) SITUATE: BAYVIEW (SOUTHOLD) TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK SURVEY INFORMATION: JOSEPH A. INGEGNO, LAND SURVEYOR RIVERHEAD, N.Y. SURVEYED: JULY 2005 __ FINAL__SU_RVFy: JUNE 30 - 2011 e _ +O.O' = ELEVATIONS REFERENCED TO N.G.V.D. of 1929 LOT NUMBERS SHOWN ARE FROM MAP ENTITILED MAP OF ANGEL SHORES FILED IN THE SUFFOLK COUNTY CLERKS OFFICE ON AUGUST 23, 1995 AS MAP No. 9129. 5CTM# 1000-88-4-13.44 LOT AREA: 18,811.41 S.F. (TOTAL) ZONING: AC (AGRICULTURE/CONSERVATION) LOT AREA (Min.): 80,000 S.F. LOT WIDTH (Min.): 115' LOT DEPTH (Min.): 250' HEIGHT (MAX.): 35', (2 1/2 STORIES) LOT COVERAGE (MAX.): 2075 NON -CONFORMING LOT (40,000- 19,999 SF): YARDS: (PRINCIPAL) FRONT 55' SIDE (ONE): 20' SIDE (BOTH): 45' REAR: 15' ACCESSORY STRUCTURE (LOT 51ZE: 40,000- 19.999 5F): LOCATE IN REAR YARD OR ON WATERFRONT LOT IN FRONT. YARD SETBACKS: SIDE AND, REAR 20', FRONT SW HEIGHT (MAX.- ,Average Existing Grade to Ridge): 22' 51ZE (MAX.): 18,811 SF x .03 = 2344 5F DORMERS IMAX.); 40% OF ROOF SITE PLAN w/ NORTH DETACHED GARAGE I" = 20'-0" (1 LOT COVERAGE: HOUSE AND PORCHES: 4480 5F UPPER TERRACE: 840 SF SWIMMING POOL: 940 SF SPA: 48 5F PROPOSED GARAGE: 148 5F TOTAL ROOFED/ 1314 5F (9.375) STRUCTURES FLOOD ZONE: AE (EL 8), X* AND X ALL CONSTRUCTION !N ZONE X* OR ZONE X. FREDERICK ROBERT WEBER ARCHITECT w U 0 �.L DRAWING TITLE: SITE PLAN JOB: GARAGE JOHN ! SUSAN FALLON AVENUE OF TREES SOUTHOLD. NEW YORK TOWN OF SOUTHOLD SCTMs 1000-66-6-13.46 ARCHITECT: FREDERICK R. WESER 41 EAST MAPLE ROAD GREI=NLAWN. NY 0140 62 NOYAC PATH WATER MILL. NY 11116 TEL 6311514-96516 PAX 631 261-1064 SE GK R a � E� X3569 G` REV.: OCT S. 2014 DATE: SEPT 23. 2014 SCALE . AS NOTED JOS NO: m201401 DRAWING NO. G1 OF G2 PORCH HOUSE CORNER aA CORNER BQ SEPTIC TANK 12' 18' COVER 1 TIDAL WETLANDS .III. SEPTIC TANK 20, 21, COVER 2 OIG LEACHING POOL 3 5' 19' COVER 1 32' 31' III, I, II, .1I1. py FLAG A FLAG G TIDAL WETLANDS VIII, FLAG oy �4y� ail. Ili FLAG 2 - FLAG 5 FLAG FLAG 3 FUG 4 ♦o• o� 111, y~ FLAG 1 D Ilii o �. v g 11 p CO C- S 78. 4310, 0)0 1 Ory• 11 • !'Tf RAT f • UT FLAG 12 If ��G GJ�♦ ' BOX �1�1. 1� i 1, 1 • • .. • f eCC��N • , • CRUSHED SHELL DRIVEWAY'. py o 1 • .. ..,. . . OCK CUR e l FLAG 131 • ..• • • ' '!T' , 1 ? • • • � tt 1 ^ �Cf'�CH� • �fCC ' . •. • . S � .: at • � GJR`� '' c,r" eF�pG� � �1• 0Sfi�Tl 1•' r • ry FLAG 14 2C,�\ 100i "IVC TWr C >'yyrfA` k CONO 6 16 • 4 0 ROOFUH/TS ry• �wg S� R � � vo 'P 153, OPeR o S -2 SAO,?),F ,111, y 4 44 kC i` •1 iVf x ■i -tar OU n y s f ��G� 4 O a. DIVA h y �? 2v� ;�O• j O \?\ FLAG 15 �\ � T r• •�' H \ �c"�A _UwTS/R J3 S44Tf TATE -"A,-10 �Q•0•�rf CONO. \3 W�c`CT t�S s� e OOv- \J, o S GTf RCy \s :n O� _SEA=S=ENT v N'Inc�N no+c f 6(9-4, k 0 or c w� avG 8 w4 OR �MQ fQU�C TeR k1R j� ML.iR0,� f4V CWC kO� U t;jk 5 c T Sf � Ocrc,yfO FLAG i 0 ENS ,4CE SURVEY OF LOT 44 MAP OF ANGEL SHORES RC1 d FILE No. 9729 FILED AUGUST 23,1995 SI T UA TE �p BAYVIEW TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-88-06-13.46 SCALE 1 "=30' AUGUST 24, 2005 SEPTEMBER 14, 2005 ADDED WETLANDS JULY 19, 2006 ADDED TEST HOLE DECEMBER 17, 2008 LATH PROPOSED HOUSE FOR SITE INSPECTION JANUARY 5, 2009 ADDED PROPOSED CLEARING LIMITS JUNE 29, 2009 FOUNDATION LOCATION SEPTEMBER 16, 2010 LOCATE POOL & STAKE EASEMENTS DECEMBER 9, 2010 STAKE EAST PROPERTY LINE JUNE 30, 2011 FINAL SURVEY AREA = 78,811 sq. ft. " (TO TIE LINE) 1.809 OC. Y V T �.�`,- • VV A-_ • . OT S w ' • < C. T TE... 7p N'4 ::::... W • w :. .. unu 0iy lYlD�. w • • eX TPA Afa! E,.1 SE,uE .. .:....::.... -- CRU=kE`S Ell pR ... , •• • O+ -UTILITY NT - �� TRANSFOCTRIC t - `, . • • ' ! '• ENCS 1 • ' 0.7'S. EOCE OF WOODS RMER BOX PHONE �` ,' �A W. `-WATER _ _ 1. _ IV ` LI SPLIT _ RAIL FENCE 663-59' 6 7 n ROW OF TREES W •- ._• .. • • ' . W .. • - �� 0.7' FENCE . OX PH ....... .: : : ONE .:::.::::.:. `-• w . K' • . • • �_ : Le" ONE O.t'E. 5� _ .. R FO e0 HONE �' • _ _'. ........... ' �_I % ••`.ms`s.:' • 04 _. T _ .......... !Dr -CRATE ........... . 4z 4TEh, KAIN..�AS:.:•.•:.::,.. (3) WATER �'.YENp VALVES • .11 FOUND •' DRDK \ CONC. MONK i �'� • . . f O Z LOTIF rn A r SEPTIC SYSTEM TIE MEASUREMENTS R=25 p0 _4 3.49 try �h. ♦ 0� r IV J0v RZZS {LOCK 'V L�-1_g,,j 4 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES ! A�PROVA!_ OF CONSTRUCTED WORKS FOR A SINGLE FAMILY RESIDENCE H.S. Ref. No. .-,Waage disposal and water supply fac:litie:i ct have bm m :;`:rcted and/or certified by this Department or ottt r .Gencies and found to I to satisfactory FOR A MAXIMUM F, �BEpROOtitS. ,:�, J Wafter J. Hilbert, FE—, MW Office of Wastewater Management i NOTES: 1. LOTS 42, 43 do 44 SHALL HAVE A COMMON DRIVEWAY. CERTIFIED T0: JOHN FALLON SUSAN FALLON PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEY^$ AS ESTAB FORTHE L.I. USE AND E NEW YOIED AND 67 EW y FOR SUCH USE BY THE NEW YORK TITLE ASSOCIATION. .�p►FT O * z 1 z � r046"I / LAND N.Y.S. Lic. No. 50467 ■ UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI- TUTION CERTIFICATIONS ARE NOT TRANSFERABLE THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. ■ 1 n PORCH HOUSE CORNER aA CORNER BQ SEPTIC TANK 12' 18' COVER 1 SEPTIC TANK 20, 21, COVER 2 LEACHING POOL 3 5' 19' COVER 1 LEACHING POOL COVER 32' 31' 2 i NOTES: 1. LOTS 42, 43 do 44 SHALL HAVE A COMMON DRIVEWAY. CERTIFIED T0: JOHN FALLON SUSAN FALLON PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEY^$ AS ESTAB FORTHE L.I. USE AND E NEW YOIED AND 67 EW y FOR SUCH USE BY THE NEW YORK TITLE ASSOCIATION. .�p►FT O * z 1 z � r046"I / LAND N.Y.S. Lic. No. 50467 ■ UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI- TUTION CERTIFICATIONS ARE NOT TRANSFERABLE THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. ■ 1 n