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HomeMy WebLinkAbout1000-40.-1-14OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 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 23, 2015 Re: Coastal Consistency Review for ZBA File Ref. TIMOTHY and GEORGIA QUINN SCTM# 1000-40.-1.-1.4 . TIMOTHY and GEORGIA QUINN # - Request for Variances from Article III Code Section 280-15 and Article XXII Code Section 280-116 and the Building Inspector's November 12, 2014 Notice of Disapproval based on an application for building permit for accessory in -ground swimming pool, at; 1) location other than the code required rear yard, 2) less than the code required 100 foot setback from top of bluff, located at: 63165 County Route 48 (aka North Road) (adj. to Long Island Sound) Greenport, NY. SCTM#1000-40-1-14 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 recommendation that the actions are INCONSISTENT with the below denoted Policy Standards and therefore are INCONSISTENT with the LWRP. Figure 1. Subject parcel 4.1 Minimize losses of human life and structures from flooding and erosion hazards. 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. Locate new development which is not water -dependent as far away from coastal hazard areas as practical. b. 'Avoid hazards by siting structures to maximize the distance from Coastal Erosion Hazard Areas: The Zoning Board of Appeals granted a variance (Appeal No 3502) in 2005 that conditioned all construction "shall be permitted not closer than 64' from the top of bluff'. The proposed action does not comply with the decision. The "as built" deck shows a setback to the top of bluff as 61' on the survey prepared by Nathaniel Corwin last revised, October 21, 2104. Aerial analysis shows that the bluff surface is heavily vegetated and relatively stable at this time, however, considerations should be given to the recent intensity of storm events that have caused the Town's shoreline to experience severe erosion (even when hardened) and that the threat of accelerated erosion of the bluff is moderate to high. Setbacks to top -of -bluff lines mitigate future impacts to structures providing -area buffers between the hazards and structures. It is recommended that the proposed construction be modified and/or re -located to comply with ZBA decision conditions and maximize the distance from the Coastal Erosion Hazard Area. 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 FORM NO. 3 NOTICE OF DISAPPROVAL TO: Jane Stageberg (Quinn) 10 Jay Street, #207 Brooklyn, NY 11201 Please take notice that your application dated September 10, 2014 For permit to construct an accessory in -ground swimming pool at Location of property: 63165 CR 48, Greenport, NY County Tax Map No. 1000 - Section 40 Block 1 DATE: November 12, 2014 tee` Lot 14 pa� X Is returned herewith and disapproved on the following grounds: 280-15 of the Agricultural Conservation District," which states; "In the Agricultural -Conservation District and Low -Density Residential R-80, R-120, R-200 and R-400 Districts, accessory buildings and structures or other accessory uses shall be located in the required rear yard." ' +- A, -+;-I- YYTT Q--+;-- 1)4/1 1 1A ..,h; .l. M -„tom• Note to Applicant: Any change or deviation to the above referenced application, may require further review by the Southold Town Building Department. CC: file, Z.B.A. 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 31, 2014 Mark Terry, Principal Planner LWRP Coordinator Planning Board Office Town of Southold Town Hall Annex Southold, NY 11971 Re: ZBA File Ref. No. #6833 - Quinn Dear Mr. Terry: D�CEE VE DEC 312014 Southold Town Planning Board We have received an application for construction of an accessory in -ground swimming pool in Greenport. 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, Leslie K. Weisman Chairperson C N �'! /5i l ,� Encls. FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD,NY NOTICE OF DISAPROVAL November 5, 2004 To: Mark Gordon 4745 So. Harbor Road Southold NY 11971 Please take notice that your application dated November 1, 2004 For permit to construct a deck, pool & upper level porch at Location of property 63165 Route 48, Greenport, NY -C-ount T-ax-N4ap-No. -1000--Section-40 ; -Block-1--L-ot -1-4- - __ _. --- - --- - Is returned herewith and disapproved on the following grounds: Proposed construction is not permitted pursuant to Article XXII Section 100-239.4A.1 which states: Lots adjacent to Long Island Sound, Fishers Island Sound & Block Island Sound. (1) All building 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 top of such bluff or bank. The. proposed structure as indicated on a site plan is located within +/-31' of the top of the bluff. - The lot coverage is less than the required 20%. Authorized Signature Fee: $ Filed By: Assignment No. APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS AREA VARIANCE House No. 63165 Street Route 48 Hamlet Greenport SCTM 1000 Section 40 Block 01 Lot(s)14 Lot Size 2.649 Zone R-80 I (WE) APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED November 12, 2014 BASED ON SURVEY/SITE PLAN DATED September 4, 2014, Applicant(s)/Owner(s): Timothy Quinn and Georqia Quinn Mailing Address: 241 Central Park West, Apt 9D, New York, NY 10024 Telephone: 717.575.8118 Fax: Email: tcquinn (cDgrglancaster. com NOTE: In addition to the above, please complete below if application is signed by applicant's attorney, agent, architect, builder, contract vendee, etc. and name of person who agent represents: Name of Representative: Jane Staqeberq for ()() Owner ( )Other: Address: 10 Jay Street, Suite 207, Brooklyn, NY 11201 Telephone: 718.858.4409 Fax: Email: laneCa).bscarchitecture.com Please check to specify who you wish correspondence to be mailed to, from the above names: ( ) Applicant/Owner(s), QQ Authorized Representative, ( ) Other Name/ Address below: WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN DATED Sept. 4, 2014 and DENIED AN APPLICATION DATED Sept. 10, 2014 FOR: ()o Building Permit () Certificate of Occupancy () Pre -Certificate of Occupancy O Change of Use () Permit for As -Built Construction () Other: Provision of the Zoning Ordinance Appealed. (Indicate Article, Section, Subsection of Zoning Ordinance by numbers. Do not quote the code.) Article: XXII Section:- 100 Subsection: 239.4A.1 Type of Appeal. An Appeal is made for: ()Q A Variance to the Zoning Code or Zoning Map. A Variance due to lack of access required by New York Town Law- Section 280-A. ( ) Interpretation of the Town Code, Article Section ( ) Reversal or Other A prior appeal OQ has, ( ) has not been made at any time with respect to this property, UNDER Appeal No(s). 5644 Year(s). 20042005 . (Please be sure to research before completing this question or call our office for assistance) Name of Owner: ZBA File# Mark and Ellie Gordon 5644 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: The new pool will be discretely integrated into the existing wood deck on the property with minor extensions to the west and south. New landscaping to the west will screen the view of the pool from the neighbors and retain the character of both properties. 2. The benefit sought by the applicant CANNOT be achieved by some method feasible for the applicant to pursue, other than an area variance, because: The zoning ordinance does not allow the pool in the rear yard because of its proximity to the bluff. A pool in'the front yard would disrupt existing mature landscaping and would be difficult to position given the steep drop-off of the existing grading. 3. The amount of relief requested is not substantial because: The new pool will be not be located any closer to the bluff than the existing house and deck on the site. It will not be visible from the road, and will be well buffered from the neighbor's property through extensive landscaping. 4. The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: The pool will be screened from view by landscaping from the only adjacent neighbor, and will not be visible from the road or any other property. The pool will require minimal excavation, and it is anticipated that the excavated soil will be used as fill to support the above -ground portion of the pool, hence eliminating the need for any soil removal from the site. 5. Has the alleged difficulty been self created? { } Yes, or V No Why: The house was located within 100 feet of the bluff before the zoning ordinance was adopted, preventing locating the pool in the backyard. Are there any Covenants or Restrictions concerning this land? No { } 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. ku t1,0,,1)WVr1 Signature of Applicant # Xulhorizedgent (Agent must submit written Authorization frorA Owner) Sworn to before me this 2-- day of DeC-4Z."'� , 20 \ kA Notary Public =01WA6256084 ARD ate of Newyork 62S6064eens Countys February 21, 2016 APPLICANT'S PROJECT DESCRIPTION APPLICANT: Timothy Quinn and Georgia Quinn DATE PREPARED: December 9, 2014 1. For Demolition of Existing Building Areas Please describe areas being removed: N/A II. New Construction Areas (New Dwelling or New Additions/Extensions): Dimensions of first floor extension: 27'-3"x 60'-0" deck w/integrated pool replaces existing 20-0"x 32'-8" deck. Dimensions of new second floor: N/A Dimensions of floor above second level: N/A Height (from finished ground to top of ridge): Height will match height of existing wood deck. Is basement or lowest floor area being constructed? If yes, please provide height (above ground) measured from natural existing grade to first floor: No III. Proposed Construction Description (Alterations or Structural Changes) (Attach extra sheet if necessary). Please describe building areas: Number of Floors and General Characteristics BEFORE Alterations: Proposal is for an extension of an existing wood deck to allow the integration of a 16'x40' partially above -ground pool. Number of Floors and Changes WITH Alterations: All proposed construction is at or near grade as per the existing wood deck. IV. Calculations of building areas and lot coverage (from surveyor): Existing square footage of buildings on your property: 1,686 sq. ft. house, 1,473 sq. ft. deck Proposed increase of building coverage: 249 sq. ft. additional deck, 714 sq. ft. pool area Square footage of your lot: 115,389 sq. ft. Percentage of coverage of your lot by building area: 2.74% existing, 3.57% proposed (including add'I deck) V. Purpose of New Construction: The new construction will add a swimming pool to the property while respecting the landscape and minimizing further development of the site. The new pool is sited to maintain the existing distance of the existing deck from the bluff. Its location takes advantage of the site's topography to minimize the amount of excavation required and disturbance to existing site grading and landscaping. 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): The site for the pool has an average slope of 10%. The areas adjacent to the pool will have new plantings including densely placed trees. The site topography to the south of the proposed pool location drops off to an extent that it would be difficult to locate a pool there without extensive fill to support the pool -and high steps to reach a level deck. 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 x Yes please explain on attached sheet. The contours to the west of the pool will be modified slightly to allow for a more level surface for landscaping. C. 1.) Are there areas that contain sand or wetland grasses? No 2.) Are those areas shown on the survey submitted with this application? 3.) Is the property bulk headed between the wetlands area and the upland building area? N/A 4.) If your property contains wetlands or pond areas, have you contacted the Office of the Town trustees for its determination of jurisdiction? Please confirm status of your inquiry or application with the Trustees: and if issued, please attach copies of permit with conditions and approved survey. D. Is there a depression or sloping elevation near the area of proposed construction at or below five feet above mean sea level? No E. Are there any patios, concrete barriers, bulkheads or fences that exist that are not shown on the survey that you are submitting? No Please show area of the structures on a diagram if any exist or state none on the above line. F. Do you have any construction taking place at this time concerning your premises? No If yes, please submit a copy of your building permit and survey as approved by the Building Department and please describe: G. Please attach all pre -certificates of occupancy and certificates of occupancy for the subject premises. If any are lacking, please apply to the Building Department to either obtain them or to obtain an Amended Notice of Disapproval. H. Do you or any co-owner also own other land adjoining or close to this parcel? No If yes, please label the proximity of your lands on your survey. I. Please list present use or operations conducted at this parcel Existing Single Family and the proposed use same with pool (ex: existing single family, proposed: same with garage, pool or other) Liff I d� �-q I + Authorized signature ari ate 0 APPEALS BOARD MEMBERS Ruth D. Oliva, Chairwoman �`— Gerard P. Goehringer Vincent Orlando James Dinizio, Jr. Michael A. Simon http://southoldtown.northfork.net BOARD OF APPEALS TnwN nF Cnl iTHM .n C Southold.Town Hall 53095 Main Road • P.O. Box 1179 Southold, NY 11971-0959 Office Location: Town Annex /First Floor, North Fork Bank 54375 Main Road (at Youngs Avenue) Southold. NY 11971 RECEIVED _3 ;115- F E i3 1 0r,2����u. /JA Tel. (631) 765-1809 • Fax (631) 765-9064 FINDINGS, DELIBERATIONS AND DETERMINATION, .�uQ'�t. MEETING OF FEBRUARY 3, 2005 Ac -&4-14 Town Clerk ZB Ref. 5644 - MARK and ELLIE GORDON Property Location: 63165 C.R. 48 a/k/a North Road (or Middle Road), Greenport; CTM 40-1-14. SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type 11 category of the State's List of Actions, without an adverse effect on the environment if the project is implemented as planned. PROPERTY FACTS/DESCRIPTION: The applicants' 115,389.41 sq. ft. parcel has 167.13 feet along the North Road (C. R. 48), lot depth of 680.71 feet along the west side line, and 112.69 feet along the Long island Sound. The property is improved with a single-family dwelling and accessory storage - --s-hed as shown on -the May,17 22004 sZrrvey-prepared-by Joseph A-Angegno, L.S.,-amended-October- - 3, 2004. BASIS OF APPLICATION: Building Department's November 5, 2004 Notice of Disapproval, citing Section 100-239.4A.1 in its denial of a building permit to construct a proposed swimming pool with decks and upper level porch, with setbacks at less than 100 feet from top of LI Sound bluff. FINDINGS OF FACT The Zoning Board of Appeals held a public hearing on this application on January 20, 2004 at which time written and oral evidence were presented. Based upon all testimony, documentation, personal inspection of the property, and other evidence, the Zoning Board finds the following facts to be true and relevant: ORIGINAL REQUEST FOR RELIEF: The applicant's original application described proposed new construction (swimming pool and decks) at 36'8" from the top of the bluff at its closest point, as shown on the 9/22/04 plan, revised 1016/04, by Bade Stageberg Cox Architects. ADDITIONAL INFORMATION:AMENDED RELIEF: The applicant was requested, during technical reviews prior to the hearing, to submit alternatives to increase the setbacks for a possible alternative plan that would be more conforming to the code's requirement of 100 feet from the top of the bluff. During the January 20, 2005 public hearing, the applicant submitted an altemative plan dated 1/27/05 prepared by Bade Stageberg Cox, Architects, for a proposed wood deck at a minimum of 64 feet from the top of the bluff, removing the proposal for a swimming pool from the plan, and for an extension at the second floor of the existing balcony. Aook Page 2 — February 3,-2006 ZB Ref. 5644 — M. and E. Gordon CTM ID: 40-1-14 REASONS FOR BOARD ACTION: On the basis of testimony presented, materials submitted and personal inspections, the Board makes the following findings: 1. Grant of alternative variance relief will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The applicant increased =the setback with an alternative plan, reducing the size of the deck and removing the swimming pool from the proposal. The new alternative deck measuring 20 ft. by 31.7 feet, plus 7'6"deep deck, and 2'6" stairs, by 56+ - lin. ft., resulting in a set back not closer than 64 feet to the top of the bluff, as noted on the 1-27-05 site plan prepared by Bade Stageberg Cox, Architects: - The structure is designed as a deck, open to the sky. 2. The benefit sought by the applicant cannot be achieved by some method, feasible for applicant to pursue, other than an area variance. The home was built prior to the enactment of the 100 ft. minimum bluff setback, and exists at 71 feet from the top of the bluff. Any expansion would increase the degree of nonconformance and would require variance relief. 3. The requested area variance is substantial and represents a 36% reduction from the current code requirement for a minimum of 100 feet, allowing a setback at not less than 64 feet. 4. The difficulty was self-created when the applicant planned construction with a design that, in part, does not conform to Code Section 100-239.4A. 5. No evidence has been submitted to suggest that the alternative relief will have an adverse impact on the physical or environmental condition in the neighborhood. RESOLUTION/ACTION: In considering all of the above factors and applying the balancing test under New York Town .Law 267-B, motion was offered by Member Orlando, seconded by Member Simon, to DENY the original variance as requested, and to GRANT ALTERNATIVE RELIEF as shown on the alternative plan dated 1/27/05 prepared by Bade Stageberg Cox, Architects, SUBJECT TO THE CONDITION that the deck shall be open to the sky. This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. Vote of the Board: Ayes: Members Oliva (Chairwoman), Orlando, Dinizio, and Simon. Absent was Member Goehringer. This Resolution w s dul ad ted - ad I Ruth D. Oliva, Chairwoman 2/'� /05 Approved for Filing TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 �- www. northfork-net/Southold/ PERMIT NO. Examined .20— Approved— 20Approved 20 Disapproved a/c Expiration —20 BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Building Inspector Survey Septic F( N.Y.S.D Trustees Contact: Mail to: Phone: APPLICATION FOR BUILDING PERMIT Date J ,a ` 2005 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the pen -nit for an _ addition six months. Thereafter, a new permit_shil 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—cgde, and i egulat a admit authorized inspectors on premises and in building for necessary ins _ (Signature o app "ant or name, if a corporeito (Mailing address of applicant)_ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises Mai' L Gt l d E— J ei 6o rd o lel (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. Plumbers License No. _ Electricians License No. Other Trade's License N of land on which proposed work will be House Number Street Hamlet County Tax Map No. 1000 Section +Q Block Q Lot 14 Subdivision N. A - Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy �� (�� r�� j P�dl CP✓ b. Intended use and occupancy <} n� I 3. Nature of work (check which applicable): New Building Addition Alteration_k-tbL' 4 d r Repair Removal Demolition Other Work 4. Estimated Cost `+ � 5 Fee (Description) (To be paid on filing this application) 5. If dwelling, number of dwelling unitsNumber of dwelling units on each floor If garage, number of cars 2- 6. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height 7,?� 3 �� Number of Stories Z A l ti bG1 �P,tryLv.;n }- Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front �07 • �Jl Rear --U+-3 Depth -727. '5 10. Date of Purchase_ U �9 , ZbD� Name of Former Owner W I l l J, a vin R-Fe-ff pf e&r 11. Zone or use district in which premises are situated �-O-mI I fru0 12. Does proposed construction violate any* zoning law, ordinance or regulation? YES_ NO V/ / 13. Will lot be re -graded? YES_ NO /Will excess fill be removed from premises? YES_ NO 14. Names of Owner of premises MOW V OV f � 6o(`d or Address 47+5 S . HQ.rbOr NPhone No. (�1 31. '7 (g 5.3 5S 2- Namev�Architect j�S - {�(�i�ti�Pi>'� -Address Vii`. --Phone No -2-f2 Name of Contractor Address Phone No. 'G NOT PT 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 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. STATE OF NEW YORK) SS: COUNTY OFA MO)k Go to d O V� being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (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 meth' _day ofr V 20 a Notary Public Signature cant JESSE GORDON Notary Public - State of NewYork No. 02GO6092877 Qualified in New York County P4y Commission Expires May 27, 2007 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 : Stageberg, Jane (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 X Change of Zone Approval of Plat Other (activity) Building Permit X 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 the shares. YES NO X If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself (the applicant/agent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply) : A) the owner of greater that 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation) B) the legal or beneficial owner of any interest in a non -corporate entity (when the applicant is not a corporation) C) an officer, director, partner, or employee of the applicant; or D) the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this Z. day of b�G • , 20� Signature Print Name Jane Stageberg FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32190 Date: 02/07/07 THIS CERTIFIES that the building ALTERATIONS Location of Property:63165 CR 48 GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 40 Block 1 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 1, 2005 pursuant to which Building Permit No. 30983-Z dated FEBRUARY 28, 2005 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 INTERIOR ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to NO -FO PROPERTIES GPT.LLC (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 101518C 07/13/06 08/28/06 CHARLES T. LITWIN L '1' Q - � - - / / Au hor' ed Signature FOM .NO . 4 TOWN OF.SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICA'T'E OF OCCUPANCY No:" Z--30143 Date: 04/19/04 TRIS• CERTIFIES that the building ACCESSORY Location 'of Propezty: 63165 CR 48 GREENPORT (HOUSE NO.jNO.j (STREET) (HAML2v* County. Tax; Nfap No, 473889 Section 40 Block 1 Lot 14 Subdivision Filed Flap No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 2, 2004 pursuant to which Building Permit No. 30211-Z dated APRIL 2, 2004 was issued:, and conforms to all of the requirements of the applicable .provisionsj-of the law. The occupancy for which this certificate is issued is ACCESSjORY SHED AS APPLIED FOR. The certi*cate is issued to MARTIN C PFEFFER (OWNER) of the aforesaid building. SUFFOLK PLMMRRS i Rev. 3/811 NTY DEPAR2MMU OF HEALTH APPROVAL N/A CERTIFICATE NO. N/A DATED 0 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25284 Date SEPTEMBER 30, 1997 THIS CERTIFIES that the building DWELLING Location of Property 63165 COUNTY ROAD #48 GREENPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 40 Block 1 Lot 14 Subdivision Filed Flap No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 23, 1973 pursuant to which Building Permit No. 6819-Z dated AUGUST 23, 1973 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 GARAGE UNDER AS APPLIED FOR. The certificate is issued to MARTIN C. & DORIS PFEFFER (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL -3 -SO -120 - AUG. 27, 1979 UNDERWRITERS CERTIFICATE NO. H-053490 - JANUARY 13, 1997 PLUMBERS CERTIFICATION DATED N/A Rev. 1/S1 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: Timothy Quinn and Georgia Quinn 2. Address of Applicant: 63165 Route 48, Greenport, NY 11944 3. Name of Land Owner (if other than Applicant): 4. Address of Land Owner: 5. Description of Proposed Project: Addition of swimming pool 6. Location of Property: (road and Tax map number) 63165 Route 48, Greenport, NY 11944, SCTM 1000 Section 40 Block 01 Lot 14 7. Is the parcel within 500 feet of a farm operation? { } Yes VNo 8. Is this parcel actively farmed? { } Yes {VNo 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 1. 2. 3. 4. 5. 6. (Please use the back of this page if there are additional property owners) _(���;7 P, Sig greeo -ant Date Note: 1. The local Board will solicit comments from the owners of land identified above in order to consider the effect orthe 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. 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. Name of Applicant: Timothy Quinn and Georgia Quinn Address of Applicant: 63165 Route 48, Greenport, NY 11944 Name of Land Owner (if other than Applicant): Address of Land Owner: Description of Proposed Project: Addition of swimming pool Location of Property: (road and Tax map number) 63165 Route 48, Greenport, NY 11944, SCTM 1000 Section 40 Block 01 Lot 14 Is the parcel within 500 feet of a farm operation? { } Yes VNo Is this parcel actively farmed? { ) Yes VNo 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 1. 2. 3. 4. 5. 6. (Please use the back of this page if there are additional property owners) i2, / 1+ Signature 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. 61 Z20 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: Swimming Pool Addition Project Location (describe, and attach a location map): 63165 Route 48, Greenport, NY 11944 Brief Description of Proposed Action: Addition of enlarged wood deck and swimming pool to the property of a single family residence: Name of Applicant or Sponsor: Telephone: 717.575.8118 Timothy Quinn and Georgia Quinn E -Mail: tcquinn@grglancaster.com Address: 241 Central Park West, Apt 9D City/PO: State: Zip Code: New York NY 10024 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 require a permit, approval or funding from any other governmental Agency? NO YES If Yes, list agency(s) name and permit or approval: Town of Southold Building Department - Building Permit, Zoning Board of Appeals approval s v 3.a. Total acreage of the site of the,proposed action? 2.649 acres b. Total acreage to be physically disturbed? 0.202 0.037 acres c. Total acreage (project site and any contiguous properties) owned or controlled by the applicant or project sponsor? 2.649 acres 4. Check all land uses that occur on, adjoining and near the proposed action. ❑ Urban ❑ Rural (non -agriculture) ❑ Industrial ❑ Commercial Residential (suburban) ❑ Forest . ❑ Agriculture ❑ Aquatic ❑ Other (specify): ❑ 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 X 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? NO YES X 7. Is the site of the proposed action located in, or does it adjoin, a state listed Critical Environmental Area? If Yes, identify: NO YES X 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 X X 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 X 10. Will the proposed action connect to an existing public/private water supply? If No, describe method for providing potable water: NO YES X 11. Will the proposed action connect to existing wastewater utilities? If No, describe method for providing wastewater treatment: NO YES X 12. a. Does the site contaun_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 X X 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 X X 14. Identify the typical habitat types that occur on, or are likely to be found on the project site. Check all that apply: 46 Shoreline Forest ❑ Agricultural/grasslands ❑ Early mid -successional ❑ Wetland ❑ Urban VrSuburban 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 X 16. Is the project site located in the 100 year flood plain? NO YES X 17. Will the proposed action create storm water discharge, either from point or non -point sources? If Yes, a. Will storm water discharges flow to adjacent properties? VNO ❑ YES b. Will storm water discharges be directed to established conveyance systems (run ff and storm drains)? If Yes, briefly describe: VNO ❑ YES 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 X 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 X 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 X 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/sponsor name: 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 mayor 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 Date Print or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency Title of Responsible Officer 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 mayor 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 Date Print or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency Title of Responsible Officer 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, Timothy Quinn residing at 241 Central Park West, Apt 9D (Print property owner's name) (Mailing Address) New York, NY 10024 do hereby authorize Jane Stageberg, AIA (Agent) to apply for variance(s) on my behalf from the Southold Zoning Board of Appeals. ( ner's Signature) v �UAO rL (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: Timothy Quinn (Last name, first name, middle initial, unless you area pplying 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 x Change of Zone Approval of Plat Other (activity) Building Permit x 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 the shares. YES NO x If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself (the applicant/agent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply) A) the owner of greater that 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation) B) the legal or beneficial owner of any interest in a non -corporate entity (when the applicant is not a corporation) C) an officer, director, partner, or employee of the applicant; or D) the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this I day of 20 l `( Signature Print Name Receipt No. g 5 g g g Received of V For , TOWN of SOUTHOLD OFFICE OF BUILDING INSPECTOR Town Hall Annex Southold, New York 11911 Date Fee for Fee for Fee for ❑ Sign ❑ Flood Development Pmt. ❑ Building Permit El Cash LK Check a �� Fee for Certificate ❑ of Occupancy Building Department 1 OODollars Fee for Electrical ❑ Inspection TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, before applying? TOWN HALL Board ofHealii SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application n Flood Permit Examined 20 �� Single & Separate .J � E--- Storm -Water Assessment Form IContact: Approved 20 SEP 10 2014 Mail to: Disapproved a/c Phone: BI.DG. DEFT. Expiration 20 TOVIN OF SOiITHOI.D Building Inspector APPLICATION FOR BUILDING PERMIT DateQ(��1_ , 20_Vk_ INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building 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 data 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. �AAL gaa," (Signature of applicant or e, if a corp ation) ft! t LHO Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises flyirAq (pt a(Aw J — (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. Plumbers License No. Electricians License No. Other Trade's License No 1. Location of land on which proposed work will be done: 611M LS QD AT6 G® Po e --r N'1 1194 House Number Street Hamlet County Tax Map No. 1000 Section �i o Block n i, Lot L� SubdivisionIA- 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 a-A"tjf uy1TQ slgn1 Cg b.Int ended use and occupancy 51W f�r 'eIL4 kewq'�KE 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Workffiol _ (Description) 4. 5. Estimated Cost �b(7. (7Db Fee (To be paid on filing this application) If dwelling, number of dwelling units_j._Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front ' (,If Rear bS f 611 Depth 12" Height 9r• ';" Number of Stories Pugs 13 »r Dimensions of same structure with. alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front J .131 Rear I7� .5`3 I Depth I . S 17 10. Date of Purchase SWA & 20l �; Name of Former Owner HAPIL AW 1C d,1f 11. Zone or use district in which premises are situated (LfaS"Aa !00 4- FQOM i3UA(rF) 12. Does proposed construction violate any zoning law, ordinance or regulation? YES -' NO Niutrtkv 13. Will lot be re -graded? YES ✓ NO Will excess fill be removed from premises? YES_ NO 1q& s1MAt A46) Afr 7A n 14. Names of Owner of remises � Mof114 Qu,oO Address 0 l0 Phone No. �11 516 $IIT Name of Architect 'lSG A eemisaS Address i QRInt Phone No �t1 g R1�_L�601 Name of Contractor Address Phone No. 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. PERAMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to thisrNotary * NO—,---"- IF O ✓ * IF YES, PROVIDE A COPY. y — DINE G CHARLES blic - State of New York STATE OF NEW YORK) .01CH6285671 SS: ed in Kings County COUNTY OF,,I sion Expires Jul 8, 2017 lactam rc S -7-A C -t C,r being duly sworn, deposes and says tha (s a is the app (Name of individual signing contract) above named, (S)He is the l -C-e C`C (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 t before me this ' n� da of S' �� it 20 Lq__ Notary Public Signature of Applica t Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of 'Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes", then the proposed action may `affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website _(southotdtown.northfork.net),_the_ Board_ of Tru_ stees Office,_the Planning Department, all local libraries and the Town Clerk's office. _ B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 100001 _14 The Application has been submitted to (check appropriate response): Town Board 0 Planning Dept. 0 Building Dept. ® Board of Trustees 0 Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital 0 construction, planning activity, agency regulation, land transaction) 0 (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: Addition of enlarged wood deck and swimming pool to the property of a single family residence. Location of action: 63165 Route 48, Greenport, NY 11944 Site acreage: 2.649 Present land use: Single family residence Present zoning classification: R-80 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: Timothy Quinn and Georgia Quinn (b) Mailing address: 241 Central Park West, Apt 9D, New York, NY 10024 (c) Telephone number: Area Code gly.575.81.18 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ❑ Now 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. ❑ Not Applicable Yes F-1 No 0 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 'X Not Applicable 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 0 Yes 0 No ® Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III — Policies Pages 8 through 16 for evaluation criteria Yes E No ® Not Applicable 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 0 Yes 0 No ® Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III — Policies; Pages 22 through 32 for evaluation criteria. F Yes 0 No* Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. 0 Yes []No* Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III — Policies; Pages 34 through 38 for evaluation criteria. 0 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. Yes[:] No 0 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 © Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III — Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No © Not Applicable Attach additional sheets if necessary Policy 13V. Promote appropriate use and development of energy and mineral resources. See LWRP Section III — Policies; Pages 65 through 68 for evaluation criteria. Yes ❑ No ® Not Applicable Created on 512510511:20 AM S - EXISTING EDGE EXISTING WOO1L= 2 OF DECK DE�k-& SEEPS EXISTING HOUSE ` Sq ----- 52-. 50 --- 1 LOOKING NORTH 2 LOOKING SOUTH TIMOTHY AND GEORGIA QUINN PHOTOS TAKEN DECEMBER 8, 2014 EXISTING EDGE EXISTING Woad 2 /�OF DECK DE�lf-&STEPS EXISTING HOUSE `- 52- - 50 3 LOOKING WEST 4 LOOKING NORTH TIMOTHY AND GEORGIA QUINN PHOTOS TAKEN DECEMBER 8, 2014 J. 061 -36 ' + r 44 f di act r I +r s 1� '1 pile 1 '� f r, ..N ,� � � �.4t 'Q '� � �. ' ��� !7r' •i LI � _ :ill�rt�`i- *��'`+ ti ' y•--' . IWIXA AN <' IBM- Y.� b, Ow -00 CA t, .� i.• :,. ;�: , � �� r . � � � . �� � •.. e SEE SCE. NO. 130 SEE SEC NATCH i- - - - _ I�...- --•-- -Z R: Inlet Pond ) / 0 4847. 3�- 8 / 43 .5A .5 A(c) / COUNTY OF SUFFOLK - / (INLET POINT PARK) 4 6.3A COUNTY OF SUFFOLK O J p\O 9 g V ,v+ titi �cl 23.1 9.0A(C) VILLAGE OF / GREENPORT m S $ 21 2.6A(c) O � � 20.2 9 01 2.7A c 20.1 ( ) 16 s,41 1 OA(c) 14 d 15 1.3A(c) j13 12 ° 11.11AA(C cl Al gyea 2.3A(c) e 2 O 7.3A O) S33'54'5PE O 5 23.6A(c) r/"I 1.1A(C 6.26' 2I'N323.569 39• J� E2,445.2_7 96 4b 617 1A(C) N32357460 ,as N321,58160 & 1.2A(C) °o E2.445,254 Jfi N9993V0'E1 UA45,496.51 5 _1.1 N323.47675 2N + N62.59'00'E P 11A(c) o E2 m4.359 O o ^' 9198 y' o o�. 4y 2 ° O Q N323.27366 1.1A(o) 1,�, tia 0 3 � _" e TOWN OF S a. Q q Y � EZ.4g5,55944 •'�• 1 r ° pJ Q0 �2 m m ti \4j 3.1A(c) 6 p((5 .P Q� Q Cn NJ23,3JB.07 oc (7 O w N87'4]'20 -E N 323.200 �4 m E2.445,i0T 60 z-- a 14 o .323.26206 VILLAGE OF g MATCH LIN p� 'A� °'15.P (2 N323.142.44 I ✓ °d "c MATCH LINE SEE SEC. NO. Oa5 �+ S E2,-.1.439 2 Nbd +9yd SEE SEC. NO, 045 u, f \ L a:4r4,Rw1Na swm.�,u r,o v>, am-a,.w ----- s�om,n1,,,.--scH-- .g4.amoema,�T --"-- ,»4ess oaaw.omERxese.n,. vrsoaEnnE E o�.u.. Asa w--ZZ(21) O 4Aewl,.nv l.e roucw.rx osTwels r G E • vnrn oumetma --w-- ei0neu the -,¢r-- aE 31 N p puce w. 23 -1- 121 A(d)o, 12.IA un< --- van awn tmc --v-- v�.,,c, a>mv,1.e--vw-- wMeulAnCE glia 121 A(4)--5- 10.3 1.6P 249.4 2.OA(c) OG+ N a • 10 4 �Q- 1.1A(C 7 3.2 N O 1.7A(c) 3.4 s $' 1.4A •a 3.5 + 3.6 1.2A 1.3A 2 O 7.3A O) S33'54'5PE O 5 23.6A(c) r/"I 1.1A(C 6.26' 2I'N323.569 39• J� E2,445.2_7 96 4b 617 1A(C) N32357460 ,as N321,58160 & 1.2A(C) °o E2.445,254 Jfi N9993V0'E1 UA45,496.51 5 _1.1 N323.47675 2N + N62.59'00'E P 11A(c) o E2 m4.359 O o ^' 9198 y' o o�. 4y 2 ° O Q N323.27366 1.1A(o) 1,�, tia 0 3 � _" e TOWN OF S a. Q q Y � EZ.4g5,55944 •'�• 1 r ° pJ Q0 �2 m m ti \4j 3.1A(c) 6 p((5 .P Q� Q Cn NJ23,3JB.07 oc (7 O w N87'4]'20 -E N 323.200 �4 m E2.445,i0T 60 z-- a 14 o .323.26206 VILLAGE OF g MATCH LIN p� 'A� °'15.P (2 N323.142.44 I ✓ °d "c MATCH LINE SEE SEC. NO. Oa5 �+ S E2,-.1.439 2 Nbd +9yd SEE SEC. NO, 045 u, f \ L a:4r4,Rw1Na swm.�,u r,o v>, am-a,.w ----- s�om,n1,,,.--scH-- .g4.amoema,�T --"-- ,»4ess oaaw.omERxese.n,. vrsoaEnnE E o�.u.. Asa w--ZZ(21) O 4Aewl,.nv l.e roucw.rx osTwels r G E • vnrn oumetma --w-- ei0neu the -,¢r-- aE 31 N p puce w. 23 -1- 121 A(d)o, 12.IA un< --- van awn tmc --v-- v�.,,c, a>mv,1.e--vw-- wMeulAnCE glia 121 A(4)--5- ---�— — — — — — — — ------------------ 3234--__I_-------a---------- — — -------------- —------------- --- '—___''—'_ —44 ---- '_� _ -- _--�1, —46 _—_ 40 50 46 48 — 52 — II'— ----- 52 _ — !-- — 54---I------- ---- ---- ��— — \ -- _ L-54 TOP OF BLUFF---__ 58-- - --f COASTAL EROSION IS Arm I ,56 HAZARD LINE4r I � 56 54---- i EXISTING EDGE 25,_0. EXISTING WOOD--'' SIDEYARD SETBACK 2 OF DECK DECK -&-STEPS r ^ _.._. �\ 64' FROM TOP OF BLUFF— / \ °-02 MATURE PLANTINGS AT A� ase til LANDSCAPED BUFFER—, -,— A6 EXISTING HOUSE 100' FROM TOP OF BLUFFJ. 1 POOL EQUIPMENT IN SOUND DEADENING ENCLOSURE BELOW, DECK DN \ `\``----- 52 —Y I----50 \ \\ 50 — 1---- -- I — — -- 48 DEMOLISH ACCESSORY SHED & CONCRETE FOUNDATION—.5 50 ! \\\ —------- APPROXIMATE LOCATION OF BOULDER (TBD)-------. / I *�o a. / • I l I I j / / I No� 50 DRIVEWAY 48 �\ill / / � .� i � ,„�'1,�,�'`e•"""""'`^,,,,i Y} iii /' / C°= �r Q.�, _ t.,;. • `' >a.. /' ! a c � / ( / / I •�M r Ora I / 1 , ONG CONTENTS: GREENPORT POOL & TENNIS COURT 63165 ROUTE 48 GREENPORT, NY 11944 ARCHITECT: BADE STAGEBERG COX 10 JAY STREET, SUITE 207 BROOKLYN, NEW YORK 11201 T: (718) '858 4409 NOIDATEIISSUE NOT FOR CONSTRUCTION PROPOSED SITE PLAN DATE: DECEMBER 18.2014 SCALE: 1/32' - 1'-0' DRAWING BY: RB PROJECT NO.: 609 DWGNO.: A-100.00 T.O.WALL 0 ao q +57.8 I + d B.O.WALL a +52.5- + -- \\�'��, + 64' FROM TOP OF. BLUFF - T.O.WALL 16 -0" +59,8 _.._ ._.._.._........ ' B.O.WALL— •DN PLANTER 4' POOL EL+57.8 ENCLOSURE DEEP END NEW WINDOWS + \ i - GUNNITE POOL — n \ \ WITH PLASTER FINISH WOOD DECK \ \"' TO MATCH EXISTING + \ 4' POOL i DN ENCLOSURE MATURE PLANTINGS DN AT LANDSCArED + OAALL 00 POOL EQUIP. BUFFER— \ B +57.8 SPA N SOUND DEADENING +18.5 ENCLOSURE ---BELOW DECK--- t54 ---------------------- `. 6'-6" +� ------------------- - II------------ 3' HIGH RAI ROAD ` CANVAS TIE WALL SUNSHADE SQ \ EL+57.8 ABOVE ` m GUARDRAIL t52 EL+60.8 I fp WOOD GUARDRAILDECKING EL+60.8 \ �\ GRADE KLOW +47.8' DN \+ I � ROCK RETINING �� Q WALL 'I .It` F. DWG CONTENTS: PROPOSED GREENPORT POOL ARCHITECT: NOT FOR POOL PLAN & TENNIS COURT BADE STAGEBERG COX DATE: DECEMBER 18, 2014 63165 ROUTE 48 10 JAY STREET, SUITE 207 CONSTRUCTION DRAWING BY: RB —10 BROOKLYN, NEW YORK 11201 GREENPORT, NY 11944 T: (718) 858 4409 PROJWGNO.: ^_200.00ECT NO.: 609 D NO. DATE ISSUE !"1 L C, \' U:) V m co w .. 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SL2 ?o xA" ju xau \:: IN \aa tp SURVEY OF PROPERTY SITUATED AT GREENPORT TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-40-01 —14 SCALE 1 "=40' MAY 17, 2004 SEPTEMBER 17, 2004 ADDED SPOT ELEVATION OCTOBER 3, 2004 ADDED EXISTING LANDING OCTOBER 21, 2014 UPDATE SURVEY AREA = 115,389 sq. ft. (TO TIE LINE) 2.649 ac. NOTES: 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM EXISTING ELEVATIONS ARE SHOWN THUS:m EXISTING CONTOUR LINES ARE SHOWN THUS: F.FL - FIRST FLOOR G.FL - GARAGE FLOOR T.P. - TOP OF BULKHEAD D.B. - BOTTOM OF BULKHEAD T. IN. - TOP OF WALL D.W. - BOTTOM OF WALL 0 � k 11.1 Q, x -44A 'hh I xlu ,u t J� $k'b g .i2! g ;•�' �t 0� kb �° ��F 41,I 0 `�soy� ° JAG°d• y 4Z x.12.3 S�'y ti x l rid X4.0 FOJ�° i x M2 xR° Gni 61� PREPARED IN ACCORDANCE WITH THE MINIMUM k1 1R�1� J�0 ' °J��•A 1 . 'x STANDARDS FOR. TITLE SURVEYS AS ESTABLIS DY THELI•A.LS. AND APPROVVEED�AND ADOPTED !,0 X' FOR SUCH USE BY THE NEW YORK STATE LAND TITLE ASSOCIATION.` i G p�5 0� �9�° x �'0 A � '2• eon°� � �• �•� O LlJy N.Y.S. Lic. No. 50467 a t h a n Taft Corwin I I I SES ION UNA09 UTHORIZED S AF THE NEW O VIOLATION OF 71ON OR ON TE E° . • , — .,I C` • • — . . . . EDUCATION LAW. G°a°• YY 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. D 10 FQQ�