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HomeMy WebLinkAbout1000-21.-2-16OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 pE SOUTH, 4 olyCOU,� 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 January .29, 2015 Re: Coastal. Consistency Review for ZBA File Ref. LEWIS TEPERMAN #6826 SCTM# 1000-21-2-16 LEWIS TEPERMAN #6826 - Request for Variance from Article XXII Section 280-116 and the Building Inspector's September 29, 2014, renewed December 9, 2014 Notice of Disapproval based on an application for building permit to reconstruct a deck, at; 1) less than the code required bluff setback of 100 feet,- located at: 1225 Aquaview Avenue (adj. to Long Island Sound) East Marion, NY..- SCTM#1000-21-2-16 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 determihation that the proposed action is INCONSISTENT with the following Policy Standards and therefore is'INCONSISTENT with the LWRP. 4.1 Minimize losses of human life and structures from flooding and erosion hazards. Portions of the deck are located seaward of the Coastal Erosion Hazard Area (CEHA). The reconstruction of portions of the un -permitted structure within the CEHA is not permitted. The Board of Trustees issued a Wetland Permit and Coastal Erosion Hazard Permit (6483) on December 21 2005 however, the permit did not include the subiect deck structure. A. Minimize potential loss and damage by locating development and structures away from flooding and erosion hazards. 1. Avoid development other than water -dependent uses in coastal hazard areas. b. Avoid hazards by siting structures to maximize the distance from Coastal Erosion Hazard Areas. 3. Move existing development and structures as far away from flooding and erosion hazards as practical. Maintaining existing development and structures in hazard areas may be warranted for.- a. ora a. structures which functionally require a location on the coast or in coastal waters. b. water -dependent uses which cannot avoid exposure to hazards. C. sites in areas with extensive public investment, public infrastructure, or major public facilities. The deck does not require a location on the coast, is not water dependent or a public facility. It is recommended that the deck area be modified to exclude portions that are located within the CEHA. Figure 1. Subject parcel and adjacent properties. It is important to note that no permits were found for the deck within the CEHA on the property located to the east of the subject parcel (circle). Similarly, a Coastal Erosion Hazard permit was issued for SCTM# 1000-22-2-13 by. the Board of Trustees in 1992 (rectangle). The deck on the parcel does not comply with permit conditions and should not be considered in decision making. 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: Stephen Kiely, Assistant Town Attorney LONG ISLAND SOUND tfj TEPERMAN PROPERTY 1225 AQUAVIEW AVENUE, EAST MARION SCTM: 1000-21-02-16 SITE PLAN BASED ON SURVEY OF PROPERTY BY; STANLEY J. ISAKSEN JR. -AST REVISED 05-16-05 SITE PLAN SCALE 20:1 �wuAV jEw AVE. r ►-\Hlvl l IN v r' LAIN A SCALE 4" X 4" POST W/ 2" X i" ACQ LEDGER BOLTED ---� WIRE & CAP RAIL TO HOUSE FRAME WITH 5" LEDGERLOK" SCREWS • 11" O.C.; HANG A SONJ L FROM CONN� CONNECTOR 1" X 10" RIM BOARD �" X •" DECK BOARDS CONTINUOUSLY AROUND 2" % 12" ACQ D.J. 16" O.C. 2— 2" X 10" ACQ GIRDER PROV. H4 LATTICE CONNECTOR— 2" X 10" ACQ GIRDER no�nr SIMPSON ABU44 CONNECTOR (1YP) 4" X 4" ACQ POSTS ON—/ EXISTING CONCRETE FOOTING (TYPICAL ALL FOOTINGS) SECTION AA SCALE NTS EXISTING HOUSE STRUCTURE TO REMAIN FLOOR HEIGHT APP RX. — •-•-•_•- • ", —M Inv MAW W UMJ11J 0 A WAA11U1 LF SM. 7201 OF IW ILY4 BOARD MEMBERS Leslie Kanes Weisman, Chairperson Eric Dantes Gerard P. Goehringer George Horning Kenneth Schneider http://southoldtown.northfork.net Southold Town Hall 53095 Main Road • P.O. Box 1179 Southold,.NY 11971-0959 Office Location: Town Annex /First Floor, Capital One Bank 54375 Main Road (at -Youngs Avenue) Southold, NY 11971 ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809 • Fax (631) 765-9064 December 16, 2014 Mark Terry, Principal Planner LWRP Coordinator Planning Board Office Town of Southold Town Hall Annex Southold, NY 11971 Re: ZBA File Ref. No. #6826 - Teperman Dear Mr. Terry: 0 U F DEC 1,7 2014 Board We have received an application for re -construction of a deck in E. Marion. A copy of the Building Inspector's Notice of Disapproval under Chapter 280 (Zoning Code), and survey map, project description form, are attached for your reference. Your written evaluation with recommendations for this proposal, as required under the Code procedures of LWRP Section 268-51) is requested within 30 days of receipt of this letter. Thank you. Encls. Very truly yours, Leslie K. Weisman Chairperson FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL TO: Olinkiewicz Contracting Inc. (Teperman) 1225 Aquaview Avenue East Marion, NY 11939 Please take notice that your application dated September 12, 2014 For a permit to reconstruct a deck at Location of property 1225 Aquaview Avenue, East Marion, NY County Tax Map No. 1000 - Section 21 Block 2 Lot 1_6 Is returned herewith and disapproved on the following grounds: DATE: September 29, 2014 RENEWED: December 9, 2014 The proposed construction is not permitted pursuant to Article XXII Section 280-116 which states, "All buildings located on lots adjacent to sounds and upon which there exists a bluff or bank landward of the shore or beach shall be set back not fewer than one hundred (100) feet from the Note to Applicant: An* ckange or deviation to the above referenced application may require further review by the Son' d Town Building Department. CC: file, Z.B.A. Fee: $ Filed )3y: _Assignment APPLICATION TO THE SOU'I'IiOTA) TOMIN BOARD OF /VPFALS AREA V.- RTANCE House No. 1225 Street Aquaview Ave .H:unlet East Marion SCTM 1000 Section 021 ]Block 02 Lot(s) 016 _Lot Size. 1/4 Acre 'Lorre 1 (WF) APPEAL THE WRIYrEN i)FTERMIN4'I'It:)N OF THE RUILDINc:.INSPECTOR DATED 9/30/14 BASED -ON SIrf VEY/S:ITE PLAIN DATED 9/12/14 Applicant(s)/Owner(s): Lewis Teperman Mailing Address: 1225 Aquaview Ave East Marion NY 11939 Telephone: 917-453-2578 Fax: Email: NQTr.: In addition to the above, please complete bclo%v it'application is signed by applicant's.altorney, agent. architect, builder, contract vendee. etc.. and name of person who agent represents: Name of Representative:_ James Olinkiewicz for• vowner ( )Other: Address: PO Box 591 Shelter Island Heights NY 11965 Telephone: 445-7324 pa, 749-3217 _ Email: jimolink@aol.com Please check to specifj, whn you wish corresfanndence to'be mailed ln, from the abort uumes: ( ) ApplicantfOwncr(s), VAtitliorized.Representative, Other Name/ Address below: 1,111TREBY THE BUILDING INSPECTOR REVIEWED SURVI� WSIT.E PLAN DATED 9/12/14 and I)F.NIED AN APPLICATION DATED 9/30/14 FOR: I3uiltlin� hCr'7lalt ( ) Certificate of Occupancy (> I're-Certificate of Occupancy ( ) Change of Usc { ) Pertnit for As -Built Construction ( )Otho:__-___..- - Provision ofthe Zoning Ordinance Appealed. (Indicate Article, Section, Subsection of 7onine Ordinance by numbers. Do not quote ttte code.) ,Article: 5(X11 Section: 280-116 Subsection: 'I•ype of .-k )peal. An Appeal is inade for: •A Variance to the Zonin f, Code or zonint; Niap. { ) A Variance: due to lack of :access required by New York Town 1,aw- Section 280-A. ( ) Interpretation of the 'l'oa'n Code, Article Section ( } Revemil or Other _ A prior appeal ( ) has, 4/) has not lwen made at any time with respect to this property, UNDER Appeal No(s). Yeat•(s)• _ (Please besure:(-, IVS,:W'-h ar!<>r�' cu+;r.:e1;�; • ;h(�.l:rrerrr,>,: u,• coil wer ra,r4 crcisxueanr;�) ZBA Filer" Name of O,':Dcr: RF.AS.(ONS FOR APPE''Ata (Please be.cpeciJic, additional slici!ts ntcU, he used with E,reuarer's ri�;tznturc� nomt•fsed): 1. An Undesirable change. ti+'i11 not be produced in tite CHARACTER of tltc• nei^hbor or a detriment to nearby properties if Lr<tnlcd, because: Replacing Deck -in place in kind 2. The benefit sought by the applicant C:AN:`1OT be achieved by some method feasible for the applicant to pursue, ot.hcr Qum W area variancc, because: Deck replacement needs to be done 3. The, antouiat of relief requested is not substantial because: Pre -Existing 4. The variance. will NOT have an adverse effect or impact on .the physical or environmental conditions in the neighborhood or district bccauSc: Pre -Existing ff 5. Has the allc,,cd difficulty been self created•? { } Yes, or Ne.) WIN: Pre -Existing Deck Arc there any Cc3vc1lants or Restrictions concernin_ flits ]anti? to { } }'e5 (please fitrnisll a copy'? Phis is the \ilNfN1CM that is.nccissaty and ade��uare. and at the same tune preserve and'protect the ell,i :acter of the neighborhood and the health, safety and wr]fara�the conimunity- ure of Applic.uit or Authorized must submit written AuJt0riZ'.Vi0n truth V S}Vc ,1 brf<+Lr m;. this_ n __V6.t do WiV PUt+tIC VICKI TOTH Notary PublicStat¢¢ of New York No. O1`T06190696 Qualified in Suffolk County I Commission Expires July 28, 20____ PEOONIC SURVEYORS? P.O. P.O. Box 909 1230 TRAvELER STREET SOUTHOLD, N.Y.11971 631-765-5020- FAx 631-765-1797 John T. Metzger, L.S. December 10, 2014 James Olinkiewicz Olinkiewicz Contracting RE: SCTM # 1000-21-02-16 1225 Aquaview Lane, East Marion NY 11939 To Whom It May Concern: Please be advised that the surveyor from our firm, Peconic Surveyors PC, visited the property above and obtained this field measurement: East side of existing deck to top of bluff approx. 24.8 feet. If there are any questions please do not hesitate to ask. Sincerely, r APPLIC,AJ T'S PROJECT DESCRIPTION APPLICANT: Lewis Teperman DATE PREPARED: 1. For Demolition of Existing Building Areas Please describe areas being removed: Existing Rear Deck II. New Construction Areas (New Dwelling or New Additions/Extensions): 12/4/14 Dimensions of first floor extension: Dimensions of new second floor: Dimensions of floor above second level: Height (from finished ground to top of ridge): Is basement or lowest floor area bein- constructed? If yes, please provide height (above ground) measured from natural existing grade to first floor: III. Proposed Construction Description (Alterations or Structural Changes) (Attach extra sheet if necessary). Please describe building areas: Number of Floors and General Characteristics BEFORE Alterations: Replace existing Deck Number of Floors and Changes AVIV Alterations: IV. Calculations of building areas and lot coverage (frown surveyor): Existing square footage of buildings on your property: 1600 Proposed increase of building coverage: None Square footage of your lot: .27 Acres Percentage of coverage of your lot by building area: 25% V. Purpose of New Construction: Replacing existing deck in place in kind _ V1. Please describe the Iand contours (flat, slope %, heavily wooded, marsh area, etc.) on your flared and lioiv it relates to the difficulty in meeting the code requirement (s): Flat to heavy slope bluff 25% property Please submit S sets of photos, labeled to show different angles of yard areas after stalling corners for new construction, and photos of building area to be altered with yard view. 4/2012 FORFIL1,NG'%-V1 a1 it" APPLICATION or sale? A. Is the subject prenlyi es listed c, , the real estate market f Yes No B. Arethere any proposals to change or alter land contours? No Yes pl,,tse cs})lain on attached sheet. _ C. 1.) Are there areas that cont.', 111 sand or wed, grasses? Yes 2.) Are those areas shwn oof tlle survey scil,Initted with this application? Yes__ be-' between the wetlands area and the,upland building 3.) Is t.ite property bulk h area? No Of 4.) If your property contains :,,: t'[t nds or pond u'eas,;have You co please onfirml status the Townta'ustees for its deU:! afJc'''s(lIction?__ of your inquiry or application .viih the Tru ;yes: and if issued, please attach co;r,es o'. permit with conditions and approved survey. D. Is the e a depression or slo; ii ; elcvi't'on n :u tiieoarea of proposed construction at or below live feet :+bove mean g. Are (';ere any patios, col Please : ' ' , i`-'rs, bill',:'1cads or fences that exist that are not sltow n on the survey that ; ,1 ;`l'nit�j:� '' 1J' on the above line. area of the structures on a diagram i' st, F. Do YOU have any coustructW11 raking ?,lace at this time concerning your approved bytheBuildingpremises?! If yes, i:!case submit <( cop;' 01 ,ur buifdin� r.,,it and survey Depc,tnient an6 please cies_' G Plea,�c attacli ,til pre-cettili: '` ('' 'ccu,p; anci certificates of occupancy for the subject Cpl.; the: Building (Department to either obtain them prcr, ses. If a.n}: are laclii.- - or to obtain an H. Do vols or any co-owner :! :-n )N\.I) other k-w,l adjoining or close to this parcel? No �:.Tease label thepro:;r:�it�"�! �oui �, ;)dsonyour survey,. If ; I i(,;,_; cond;; _ c(i at this parcel Existing Single Family Please list present use or of the p: sc(l use Single Family __--- — -- — . (ex: existing single,family, proposed: same with garagr. po(..)t or oa cr) — — 4horizcd: ?n1tL11'C att(1 �� i 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 239.n of the General ]Municipal Law. 1. Name of Applicant: James OlinkiewicZ 2. Address of Applicant: OX a ter s an elg s 3. Name of Land Owner (if other than Applicant): �•••�� TPnPrman 4. Address of Land Owner: 1225 A uaview Avenue East Marion NY 11939 5. Description of Proposed Project: Replace existing rear deck in place in kind 6. Location of Property: (road and Tax map number) 1225 A uaview Ave 1000-021-02-016 7. Is the parcel within 500 feet of a farm operation? { } Yes {,J} No 8. Is this parcel actively farmed? { } Yes W 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 2. (Please use the back of this page if there are additional property owners) Si a e 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 actioi5 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 applicantto the property owners identified above. The cost for mailing shall be paid by the Applicant at the time the application is submitted for review. FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Sou::hold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33192 THIS CERTIFIES that the building AS -BUILT ALTERATION Date: 08/05/08 Location of Property: 1225 AQUAVIEW AVE EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 21 Block 2 Lot 16 Subdivision Filed Nap No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed'in this office dated Building Permit No. 32906-Z APRIL 14, 2007 pursuant to which dated APRIL 16, 2007 was issued, and conforms to all of the requirements of the applicable 1T , provisions of the law. The occupanc}' for which this certificate is issued r is AS BUILT ALTERATIONS INCLUDING FRONT ENTRY TO AN EXISTING SINGLE FAMILY DWELLING AS A?PLIED FOR. The certificaLe is issued to LEWIS cR HELAINE TEPERMAN (OWNER) of the aforesaid building. SUFFOLK COUNT'—' DEPAi:T.- -T OF IEEALTH .'JIPROVAL N/A ICLBCTRTCAL C1s.1-''1FICAz.- 00. 2042478 05/26/05 PLUMBERS CER'' .C: ICAT]rO f DATED Rev. 1/81 c"/23/06 MATTITUCK PLUMBING "'/L �- zt� /Ytho)Azed 4ignature FOAM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z- 6793 Date: 05/03/04 THIS CERTIFIES that the building DWELLING Location of Property: 1225 AQUAVIEW AVE EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 21 Block 2 Lot 16 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 7, 1975 pursuant to which Building Permit No_ 7685-Z dated JANUARY 9, 1975 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 *NOTE: THIS IS A DUPLICATE ORIGINAL OF CERTIFICATE OF OCCUPANCY ISSUED ON NOVEMBER 28, 1975. The certificate is issued to FRANK J. & MYRA K. SALAMONE (OWNER) of the aforesaid building. SUFFOLK COUWrf DEPARTM&W OF HEALTH APPROVAL 5 -SO -3 11/26/75 ELECTRICAL CERTIFICATE No. N-251162 10/20/75 PLUMBERS CERTIFICATION DATED N/A V/ ' orized Vfgnature Rev. 1/81 617.20 Appeirdir B Shoe Environmental Assessment ,Foran itistrttetiops for Complietina Part 1 - Project Information. The applicantor project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or finding, are subject to public review, and may be subject to further verification. ('omplcte P-nrt 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.pbssiblc 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 atgcncy; attach additional pages as necessary to supplement any item. Part I - Project and Sponsor Information Nance of Action or Project: Teperman Project location (describe, and attach a location map): Brief Description of Proposed. Action: Remove existing deck and replace in place in kind Name of"Applicant or Sponsor: Telephone: 631-445-7324 E -Mail: jimolink@aol.com James Olinkiewicz Address: PO Box 591 CityiPo: State: NY Zip Code: 11965 Shelter Island Heights 1. Does lite proposed action only involve the legislative adoption of a plan, local law, ordinance, NO YPS 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 require a permit, approval or i tnding from any'other governmental Agency? NO YES If Yes. list agency (s) name and permit or approval: e 3.a. Total acreage of the site of the proposed action'! acres b. Total acreage to be physically disturbed'? ,01_ acres c. Total acreage (project site and any contiguous properties) owned 27 or controlled by the applic alt or project sponsoC? acres 4. Check all land uses that occur on, adjoining and near the proposed action. VResidcritial (suburban) ❑ Urban I", Rural (non -agriculture) ❑ Industrial 11 C_onrrnercial D Forest 11 Agriculture ❑ Aquatic o Other (specilj•): u Parkland Ptt,c I .of'4 5. Is the proposed action, a. A pennilted use under the zoning regulations? YES - N/A b. Consistent with the adopted comprehensive plan? 6. is the proposed action consistent will) (tic predominant character of the existing built or natural NO F17ES, landscape? 7. Is the site of the proposed action located in, or does it adjoin, a state listed Critical l'n%�lronmental Area? If Yes, identify, \O YES YES 8. it. Will the proposed action result in.a substantial increa a in traffic above present levels? NO b. Arc public transportation scrvice(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 tite proposed action? 9. Does the proposed action meet or exceed the state energy code requirements? if the proposed action will exceed requirements, describe design features and technologies: NO YES 10. Will the proposed action connect to an existing publiclprivate water supply? NU YES If Nlo, describe method (or providing potable water: _ 11. ill the proposed action connect to existing wastewater utilities? titi� Pio YES I f No, describe method for providing wastewater treatment: 12. a. Docs the site contain a structure that is listed on either the State or National Register of Historic NO 'Yf'S Places? b. Is the proposed action located in an archeological sensitive arca? ' 13. a. Docs any portion of the site of the proposed action, or lands adjoining the proposed action, contain wetlands or other waterbodics regulated by a fcdcral. state or local mg-ency? 'NO YES b. Would the proposed action physically alter, or encroach into, any existing wetland or waterbody? if Yeq, idcntifv the wetland or waterbody and extent of altcrntions in square feet or acres: 14. ld • tifv the typical habitat types that occur on, -or arc likely to be found on the project site. Check all that apply: Shoreline O Forest 0 Agricultural <,rasslands ❑Early mid -successional O Wetland ❑ Urban 0 Suburban 15. Does the site of tite proposed action contain any species of animal, or associated habitats, listed NQ Y'1;S by the State or Federal government as threatened or endangered? 16. Is the project site Iocaled in the 100 year flood plain'? NO Yds 17. Will the proposed action create storm mater dischargge, either from point or non -point sources? I f Yes; a. Will storm water discharges flow to adjacent properties? 'Ev-' NO 0 YES NO YES b. Will sturnt water discharges be directed to established conveyance systems (nun ff and storm drains)? 0 YES-� if Yes, briefly describe: NQ Page 2 of'4 I 8. 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 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 !nay occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 20. Has the site of the proposed action or all adjoining property been the subject ol'remediation (ongoing or completed) for hazardous waste? If Yes, describe: NO YES 3. Will the proposed auction impair the character or quality of the existing community? 1 AFFIRM THAT THIS. INFORMATiON PROVIDED ABOVis IS TRUE AND ACCURA`l'I's'i'OTHE BEST OF MY KNOWLEDGE Applicant/sponsor name: � A.4 � �i � k r c .L Date: /L y Sinnttature: M l'arl 2 - Impact Assessment. The Lead Agency is responsible fur the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part t and other materials submitted by the project sponsor or othetvvise available to the reviewer. Wlrcn 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 !nay occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 2 Will (he proposed fiction result in a change in the use or intensity of use of land? 3. Will the proposed auction impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental chartctcristics.that caused the establishment'ofa Critical Environmental Area (CEA)" S. Will the proposed action result in an advem change in the existing level of traffic or alkct existing infrastructure for mass transit, biking or walkway? G. Will the proposed action cause an increase in the use of enemy and it faits to incorporate reasonably available energy conservation or renewable energy+ opportunities? 7. Will the proposed action intpact existing: a. Public.., private water supplies? b. public/ private wastewater treatment utilities? S. Will the proposed action impair the character or quality of important historic, ;archaeological, are 1 tectural or aesthetic resources? ' �y 9. Will (tic proposed action result in an adverse change to natural resources (e.g., wetlands, waterbodics, groundwater, air quality, flora and fauna)? Page, 3 of 4 Part. 3 - Determination ofsignificance. The Lead Agency is responsible for the completion of Part 3. For every question in Part•21hat teas answered "moderate to larges 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 reduec 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, longi tenn and cumulative impacts. o Check this box ifyou have determined. based on the inibnnation and analysis above, and any supporting documentation, that Ilic proposed action may result in one or more potentially large or significant adverse impacts and an environmental hnpact statement is required. o 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. i`lame of lead Agency _ _dale _-- Print or Typc Natne of Responsible Officer in Lead Agency Title of Responsible Officer _ Sianature of Responsible Off icer in Lead .agency Signature of Prepares (if different from Responsible Officer) Nage 4 of 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 ofsignificance. The Lead Agency is responsible for the completion of Part 3. For every question in Part•21hat teas answered "moderate to larges 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 reduec 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, longi tenn and cumulative impacts. o Check this box ifyou have determined. based on the inibnnation and analysis above, and any supporting documentation, that Ilic proposed action may result in one or more potentially large or significant adverse impacts and an environmental hnpact statement is required. o 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. i`lame of lead Agency _ _dale _-- Print or Typc Natne of Responsible Officer in Lead Agency Title of Responsible Officer _ Sianature of Responsible Off icer in Lead .agency Signature of Prepares (if different from Responsible Officer) Nage 4 of Board of Zoning Appeals Application AUTHORIZATION (Where the Applicant is not the Owner) I Lewis Teperman (Print property owner's name) NY 11939 residing at _1225 Aquaview Lane, East Marion (Mailing Address) do hereby authorize James Olinkiewicz (Agent) to apply for variance(s) on my behalf from the Southold Zoning Board of Appeals. (Otn er's Signature) Lewis Teperman (Print OWner's Name) APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORMI 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: Lewis Teperman (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 Variance Change of gone Approval of Plat Other (activity) Building Permit Y, Trustee Permit K Coastal Erosion 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 X If No, sign and date below. If 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) 13) the legal or beneficial owner of any interest in a non -corporate entity (when the applicant isnot a corporation) C) an officer, director, partner, or employee of the applicant; or D) the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this 41da.uDf, 20 Signature- Print Name %ewis Teperman A L; X N'17KEFKZNh-;> i A I 1 V t 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 : James Olinkiewicz (Last name, first name, middle initial, unless you arc 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 Variance Change of Zone Approval of Plat Other (activity) Building Permit Trustee Permit Coastal Erosion 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'tthe shares. X YES NO If No, sign and date below. If 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/a(Xent/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 2—' day of 20_ Signatu Print Nre e James Olinkiewicz `C(OW11 of Southold L'rVRP CO.\SIS"I ENC:'Y ASSESSMENT FORNM A. INSTRUCTIONS I_ ;ill applicants for pernf ts* including, Town of Southold agencies, shall.:completc ;dais CCAS` lbr prcposted actions that are subject to the Town of Southold Waterfront Consistenc}r .Review Law. This assessment is. intended to supplement .other rlforErasition icscd by a Tovnn' of -.Southold .a"(Y4ncV iia maakln- a determination of cnii istw icy. "Excem r1 'i1Q1' exempi 6rCE1lJr3S including BTiihiing Permits [17'ld i117`'ii,'!' ); rUE.'Ct ecl-74,1Ehim.the Ei-osNIf? H£)zarel Area. 2. Befixc .aanswc;ring-the questions in. Section C, the -preparcr .of this fomi should re.=i6w the es.earapt Minor act -1011 List, p()licies and explanations of each policy, contained In the 'Town of Southold Local Waterliont, Revitalization Prour"ana.. A proposod action will lie evaluatcd as to its significant Beneficial and adverse c1Tcc:ts upon the coastal ireaa (ti;'hick includes all of Southold Town). 3, If any,qp stion in Souion C,on this l'o_ni is answered "cis", then the.proposed nc icirrmtay aafft:-ct the. achievement oftiv 1MRF policy siandaards and cottditions.coi tained in the consistency rcvlcw law, '1`Ilus,'Elie 6etion should, be analyzed in more detail and, if neceslsar}-, moditicd prior to making at cetera-Malivri that it is consistent to the in. axinium extent practicable with the LWRP policy standards .and conditions. tr an cortafied as consistens y.`ith the LWRP policy standards and conditions. it shall n« t tie undertaken. A copy of (lie L.•'VY'12I' is avatitable izr the #ollowin places,: cmlinti titlhc Tm n. of Studiold's website tsa itllc�liltUr� rt_ncarthls�a'I _rret}, Ore Board of Trustees U#3tcc ; the Phaining Departanent, all local libraries iarld- die `I mvn Clerk's ofd ce. B: 1YF.SCRIPTION OF SU'C r],ND PItOI'OSED ACTION SCTM41. 021 - 02 •- 016 The Application has beela SIII?IiI]t. &I tO (01CCk al)f.rc7lrr'ia(c rrspcla S(i): `1'OW11 13oard 3'I:IT)nllilu, 1}c13t. C r� 13aaildinc. i)cliq. ZZ Bi7aard of Ti ustees 11/ 1 I . Caitcgory of 176Wn Of'Soudiold; i -enc ' aiction (Check appropriate response). - (a) Action undertaikeii directly b � 1'(Avii aagrencv capital eoosiructio+n, planning c` dlvIty+ poency, regulation- land transaction) (b) Financial assrstanc:e (.:.;g. grant, loam. Subsid} ) fc! Pcrriliz, appr�av;al, license:, ccrtifi4::tiorr: r �I Mature and extent o1'.act ion _ Remove and replace deck in place in kind Location trf action: 1225 Aquaview Avenue East Marion SiLe acre"Iec: .27 Present land use: Residential Pt)..,•ent zojillig classificaitiow- 2. [f-adl application for the prdposed ietion' ks b:_u.:n Bleed �vitli iheL TO-vn of Souihold a°=genetile; followim", itiforniation 'sli,iii- ».lirovicled: ` (a) Name ofipplicant:__ (1)) mailing ad(llre ss: (c) Telephone number. Arca.Ccid ( (0) Application nuntlaer, il'€iny: Will the action Ix -directly tmtfertakitn, fggwre,fundi[IC7 or approve l ky,a smic or fied ral, agenwy? Yes Q NoV Ir-lycs. which, state or feral ageitcy7 DEVELOPED COAT POLICY Policy 1. Foster a pattern of cit:velopme'nt in they "Fawn of Southold3 that enhances cominuJlit;� clttrructcr, preserves ope�u sl ace, ma i ITkiel t use of infrastructure:, makes, beneficial use afa. coastal li�e:t.tion, aaitd n2In11I4t1e$ .LCI4'L':l$£ effects of.ilevelopment_ 5ec7 vVRI' Section III —Policies;..Page I for evaluation e i'i teria. 'es n ..No JC (Not Ali. plicable- please. explain) Aliach additiomit shecas N necessary Polirl- 2. Protect azid preserve historic and archaeological resources- of the Tou-n of Southold- .See 1LWIdl' :Section Ill — volici s Pares :3 through 6 for evaiuntion criteria Ed I Yc,,; E'' 1S_u kl(meet .- pplic.lble — plea:�e etplaiii) Existing House An -M-11 additimal shcvls i! ncressanr -- _.__ Policy 3. Enhance visual quality ;in(] protect scenic resaurces throughout the Town of Southold. See LWRP S& ioti III — Policies Pages 6 through 7 for evaluation criteria tal Yes E No V (Not.Applicable — please explain) Pre-existing r lluch a€9ditis mol sheets ifjieccessary NL A:I'I.J'R:�,L COAST.POLYCIi?S Policy _4. iWinitnize loss of life, structures, and natural resources brow flooding and erosion. See LW -RI-' Sections III Policies. Pages fi through.Ib' for e- aliaation criteriaa R fi'es No V (_Not Applicable — please_ explain) Pre-exis-t g ` attach zidditiottals.heed.e il,31"CSS-m-y -- jDolicy 5. Prot.ect.and i►npro-vc water quality and supply in the Totvu of Southold. See LU"111' Section III — Policie4'l'age., 16 through 2l for evaluation'erileri.i H Yes El No W (NOApplicable — please espl:dill) Pie -existing — --- - - ;'Ntf.tcJt iddj14,mi1 shecEs if nccess.uy Policy 6. Protect and restore the clu,nlity and function or the .Town of Southold ccos}°:Stems including Significant Coastal Fish a>tad'.Wildlife Habitats and wetlands. See LWRI' Section 111 —.Policies: Palzcs 22 through ;12 for evaluation criteria, Yes Ld No (Not Applicable — please'explain) pre-existing rltt7ciS udiiifiock�! sliix:ls ifrecessar:�� Folie 7_ Protect and improve air duality .in the Town of Soni hold. See )C.'4'1xltl' Section IIl. -Policies Pages 32 through 34 for evilluation criteria. Sec Section III - Policies Pages: 34:thi-ough 38 for evaluation criteria. 0 Yes Fri NO'Lq (Not Applicable -please explain) Pre-existing Mach addiliunul sheers if necessary. Policy S. I��iuiniize environnientai Vegradation ail To14h of $outfiold From solid waste and hazardous sulxstartc.e5 aid wastes. Ser LAV1 P Section Ill Policies; Pages 3=fthroul h 38 far evalu ttinn criterin_. N'o` W (mart Applienble w. please,explairt) Pre-existing PUBLIC COAST I'OLICIRS Policy 9. Provide fear 'Public.:.access to, and reri•eat.iofiai use of, coastal nvaters, public lands, and public resources of the Town of Sotiihold. See. 6,WRP, Sc etion 111- Policies; Pages 38 thronah 4C for evaluation t'ai#ci•i�_ i- nn NoW (Noi Aplilicable - please exp inin) Pre-existing :lttac3r: lddicwnal -dwets if necessary I-VE]►lWNG,COjk' ,'T* POLICIES 1'olicy. 10. Protect Southold's Ivater-dependent uses alld prolil,ote siting of new water -de endent uses in suitable 10e:itioins. _see L VRI':Section II.I – Pc)licies- Pages 47 thr-ougli -5G for evaltiation criteria. �� ves F] No Vj–! (Not Apphcal)le– pllease explain) Pre-existing Aftach additicrar►i sheds if.a-xiimry m. Policy I l - Promote sustainable. rise of living rltterine resources in I:ong Island Sound, the Peconic Estuary auirl Tntisn watc'r;. St:c IAVRP Section III –Policies; Y.taes 57 through 62 for evitlu*tion Criteria_ Yes F— No NIV11 Not Applicable – Blease explain. Pre-existing Attach addi'Ei al s sects intoc€isar, Policy 12. Protect agl-ifctlltural lands in the Town of Southold- See ]LWRP Scc.tioli 1 olicies; 1':LgeS 62 Ihrotigh 65 liar evaluation t:riterin_ dr Y" [j 4o Not Applicable –.please explain Pre-existing +�I[acla'atliliii.mal,Slt�:eFs ifnecess�r,• Policy 13. Promote appropriate use and developnieni. of etiej�} 111tH. miner i' resources- See L `'12f' Sectic)n Iff – 1"Olicies; i a- s-.6 'tlirough 6K fore al'Hation.criteria. 4Yvs 0 No:' i.i INTot Applicable – plense.expIain Pre exisfing �.. `.. lo 1 40 F" :,N 4d Att4J rf a W tr pr lie t a r 13 6k 0 rim d aw qftp old '� f __ f ... ,.: .�- '` ... _ . �E h E 7777777�' 4& 49L 4& 46, 46 46 40 41# 4# A�l AL .00, TOWN OF SOUTHO,LD PROPERTY RECORD CARD VILLAGE DIST., SUB. LOT OWNER.i -i[ST'REET I .2 ACR , �J' qjc�—1 FORMER OWNEI? Pf N E S r.W TYPE 0F'BUIL - IN es SP r '14 /v SEAS. S. VL.. FARM COMM. CB. MICS.''. Mkt. Value RES. 6 S_ VLTOT�'\L" LAND' IMP, DATE REMARKS ' el ve v V r r:) S A L fl'ivlb 4 6' V, 7YIi..ck:"� - IeD 1 -7 1 --?6 — L 111 Y P L4'e (m 0,' H �/ :2- _7 -21(9_d� 4 3 w - o c) (0 7-2 2, Z 0� ;/as AGE BUILDING CONDITION '0-1"' # ��09_70 62S I+ NEW rNORMAL I BELOW ABOVE ^«JaiBp# E'2_966. cpcL �,. L L, W,>D-7 FARM Acre ----------- Per Nv/olue Value lie P acre 4 ( 1 --,7 h cre PO Tillable t j FRONTAGE ON WATER V) � Woodland FRONTAGE ON ROAD 01 DEPTH 7- .fond Meadowc House Rlot BULKHEAD JDOCK Total I al SEE SEC. NO. 030 50 000 -7 W,) -a4fi