HomeMy WebLinkAbout1000-118.-6-1.1OFFICE 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: March 25, 2015
Re: Coastal Consistency Review for ZBA File Ref F1 MOSS, LLC #6846
SCTM#1000-118-6-1.1
Request for Variances from Article III Section 280-15 and Article IV Section 280-18 and the Building
Inspector's December 22, 2014 Notice of Disapproval based on an application for building permit for
construction of an accessory garage and a deck addition to an existing single family dwelling, at; 1)
accessory garage proposed at more than the code required maximum size of 750 square feet, 2) deck
addition at less than the code required minimum front yard setback of 50 feet, located at: 805 Aborn
Road (adj. to a pond) Cutchogue, NY. SCTM#1000-118-6-1.1 .
The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of
Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards.
Based upon the information provided on the LWRP Consistency Assessment Form submitted to this
department, as well as the records available to me, it is my recommendation that the proposed actions
are CONSISTENT with the LWRP policies and therefore CONSISTENT with the LWRP.
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
Office Location:
Town Annex /First Floor, Capital One Bank
54375 Main Road (at Youngs Avenue)
Southold, NY 11971
February 4, 2015
http://southoldtown.northfork.net
BOARD OF APPEALS
TOWN OF SOUTHOLD
Tel. (631) 765-1809 Fax (631) 765-9064
Mark Terry, Principal Planner
LWRP Coordinator
Planning Board Office
Town of Southold
Town Hall Annex
Southold, NY 11971
Re: ZBA File Ref. No. #6846 F1 Moss, LLC / O'Leary, Dennis
Dear Mark:
Mailing Address:
53095 Main Road
P.O. Box 1179
Southold, NY 11971-0959
FEB 0 4 2015
We have received an application to construct an accessory garage and a deck addition to
an existing single family dwelling. 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,
Board
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
DATE: December 22, 2014
TO: William Kelly (O'Leary).
PO Box 1680
Southold, NY 11952
Please take notice that your application dated December 12, 2014
For permit to construct an accessory garage and a deck addition to an existing single family dwelling at
Location of property 805 Aborn Road, Cutcho u
County Tax Map No. 1000 — Section 118 Block 6 Lot 1_1
Is returned herewith and disapproved on the following grounds:
The proposed accessory building, on this conforming parcel in the R-40 District, is not permitted pursuant to
Article IV, 280-15 C., which states that "Such buildings... shall not exceed 750 square feet on lots 20,000 to
60,000 square feet..."
Following the proposed construction, the accessory garage will measure 2016 square feet in total size.
Also, the proposed accessory building is not permitted pursuant to Article III Section 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
aY rd."
Furthermore, the proposed deck addition is not permitted pursuant to Article IV, Section 280-18 which states
"No building or premises shall be used and no building or part thereof shall be erected or altered in the
Low -Density Residential R-40 District unless the same conforms to the requirements of the Bulk
Schedule and of the Parking Schedule, with the same force and effect as if such regulations were set
forth herein in full."
Note to Applicant: Any change or deviation to the above referenced application may require further
review by the Southold Town Building Department.
Cc: File, ZBA
Fee: S Filed By: Assignment No.
APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS
AREA VARIANCE
House No.Street Aj-:7 ; L _AA'' Hamlet CuTcA t )L
SCTM 1000 Section 1 jS Block 4. ,- Lot(s) i . 1 Lot Size j, Zgj1'5Zone F—'
I (WE) APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR
DATED BASED ON SURVEY/SITE PLAN DATED
Applicants)/Owner(s):
pe", 6'
Mailing Address:_ _ j `� t 1!e>PAL_ F
Telephone: C? i 7_0ZK:_fZE&ax: Email:
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: 11�U4_CA" *A for( ) Owner Other: kid,`r
Address:.
Telephoner ' ?ax: 6�j(- %1 •164- 1 Email: I11CYr1
6» Ark i nc f t3 x°1'1
Please check to specify who you wish correspondence to be mailed to, from fire above nalnes.
( ) Applicant/Owner(s), ("Authorized Representative, ( ) Other Name/ Address below:
WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN
DATED ' , C& "'Z O)i` and DENIED AN APPLICATION DATED,_K ZZ � 4FOR:
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 tine code.)
Article: t Section: Zebe _ Subsection: iS-G l
Type of Appeal. An Appeal is made for:
A Variance to the Zoning Code or Zoning Map.
( ) A Variance due to lack of access required by New York Town Law- Section 280-A.
( ) Interpretation of the Town Code, Article Section
( ) Reversal or Other
A prior appeal ( ) has, V has not been made at any time with respect to this property,
UNDER Appeal No(s)'. Year(s).
research before completing this question or call our office for assistance)
Name of Owner:
ZBA File#
(Please be sure to
APPLICANT'S PROJECT DESCRIPTION
APPLICANT: DATE PREPARED: L z
1. For Demolition of Existing Building Areas
Please describe areas being removed:—A'k-
II. New Construction Areas (New Dwelling or New Additions/Extensions): gAte-ACk-
Dimensions of first floor extension: °Y4- X 6' 47p) i(4> go=ug - { Z'
Dimensions of new second floor: Ka -9-
Dimensions of floor above second level: �Qqi'L
Height (from finished ground to top of ridge): ' �.' C'� 1 I• tvJ`�n�
Is basement or lowest floor area being constructed? If yes, please provide height (above ground) measured from
natural existing grade to first floor: &"i R-
111. Proposed Construction Description (Alterations or Structural Changes)
(Attach extra sheet if necessary). Please describe building areas -
Number of Floors and General Characteristics BEFORE Alterations:
Number of Floors and Changes WITH Alterations:
IV. Calculations of building areas and lot coverage (from surveyor):
Existing square footage of buildings on your propety: � (.® Z �-- i-7 C, i . j'
r - zszj::� .
Proposed increase of building coverage: ZC D if; --5q, + ?JL4 mAce-- -4-
Square footage of your lot: `j�(, tz
.��.Qa �c¢,
Percentage of coverage of your lot by building area:
V._Purpose of New Construction:
Vii'..,- AT I�>�Z-s?
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):
COU -50Lfl'ld Edo &C ?✓
IAO - R� 1 "EO --7->
L-LTT-L- Ca to &w-LD.4 k- P3eAiZ
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
REASONS FOR APPEAL (Please be specific, additional sheets nray be used with preparers
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:
� = V. -NL
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:
71 1
Irtfv u 1 b�f,. J i'�-,I�� wt 2 f'�1�d �► a iA4j --TO
b PL4Z44Gj `-rP V4 - P �%Uz (-Z'Tl1-1aE j A -TL) '-E Gar 'T{4�AZ04
3. The amount
n/of'relief requested is not substantial because:
zo
4. The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the
neighborhood or district because:
5. Has the alleged difficulty been self created? Yes, or { } No Why: LAOS, (b
Are there any Covenants or Restrictions concerning this land? •4 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.
S to before me this da
of 0.
Notry P he
BONNIE J. DOROSKI
Pdotanr Puhlic, State Of New York
(!o. 01D06095328, Suffolk>unty
Term Expires July 7, 20 1�__...
QUESTIONNAIRE
FOR FILING WITH YOUR ZBA APPLICATION
A. Is the subject premi es listed on the real estate market for sale?
Yes No
B. e there any proposals to change or alter land contours?
No Yes please explain on attached sheet.
C. 1.) Are there areas that contain sand or wetland grasses?
2.) Are those areas shown on the survey submitted with this application? iq o
3.) Is the property bulk headed between the wetlands area and the upland building
area? 0
4.) If your property contains wetlands or pond areas, have you contacted the Office of
the Town trustees for its determination of jurisdiction? t -(t Please confirm status
of your inquiry or application with the Trustees: jam,
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? W)
E. Are there any patios, concrete barriers, bulkheads or fences that exist that are not
shown on the survey that you are submitting?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? 140 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? _E'�
If yes, please label the proximity of your lands on your survey.
I. Please list present use or operations conducted at this p,reel �' E
and the proposed use
(ex: existing single family, proposed: same with
garage, pool or other)
t orL ed,A
dhat'rj and Pate
{
AGE\ T/REPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
The'fown of SoutholtPs Code of Ethics prohibits conflicts of interest on the P u t of town ofiicet•s and etimi •ces 'file mu -nose
of this form is to provide information which caul aleft the town of Possible conflicts of interest •uid allow it to take whatever
action is necessary to avoid sante.
YOUR NA\•IE :
(Last name, first name, middle initial, unless you arc app h:ng, in the name of someone else or other entity, such as a
company. If so, indicate the other person's or company's n:uue.)
TYPE OF APPLICATION: (CIieck all that apply)
Tax grievance _ Building Permit
Variance_ Trustee Permit _ )
Change of Gone Coastal Erosion
Approval of Plat Mooring
Other (activity) Planning
Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer
or employee of the Town of Southold? `Relationship" includes by blood, marriage, or business interest. "Business
interest" means a business, including a partnership, in which the town officer or employee has even a partial
ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% of the
shares.
YES NO
If you answered "YES", complete the balance of this form and date and sign where indicated.
Name of pe son employed by the Town of Southold
Title or position of'tll' t person �'
Describe the relatiottslup bettv\n yourself (the applicant/agent/representative) and t��wn officer or employee.
Either check the appropriate line A -)'through D) and/or describe in the space, rovided.
The town officer or employee or itis or her sl'oll ibliog, parent, or cllilc!js eliecic all that apply
A) the owner of greater that 5% of the shares
corporation)
B) the legal or beneficial owner of am, interest
C) an officer, director, imi-wer, or eniployeewi
D) the actual applicant z
DESCRIPTION OF RELA
corporatp,stock of the applicant (when the applicant is a
u-coi'oorate entity (when the applicant is not a corporation)
the applicant; o
Submitted this clay or, 20 b
/ /
Signattuel"f�C
X-, Al
Pt•int Name _ 011'a --MM K-�� L,,� ,I-'
APPLICANT/OWNER
TRANSACTIONAL DISCLOSURE FORNI
The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and entnlovees. The nurnose
action is necessary to avoid sane.
YOUR NAME:
I , . 1- ,. / 0— t A I r. .
--r— _
Last name, first name, middle initial, unless you are pplying in the name of saneone cisc or other entity, such as a
company. If so, indicate the other person's or company's name.)
TYPE Or APPLICATION: (Check all that apply)
Tax grievance
Variance
Change of Zone '
Approval of Plat
Other (activity)
Building Permit
Trustee Permit dl
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 S% of the
shares.
YES
NO
If you answered "YES", complete the balance of this form and date and sign where indicated.
Name of person employed by the Town of Southold
Title or posifibilof that person
Describe the relationslj�p 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.
'fie town officer or employee or his oto er spouse, sibling, parent, or child is (check all
tthaatap y) :
A) the owner of greater that 51/o of the shares of the corporate stock t the ap` piicant (when the applicant is a
corporation)
B) the legal or beneficial owner of any interest in �a,n6n-`cor orate entity (when the applicant is not a corporation)
C) an officer, director, partner, or emp1ot%c of tits applicant; or
D) the actual applicant
DESCRIPTION Or RELATIONSHIP
Subinitted this 2 �— day - f �!^e , 204
Signature
printNarnCIV�ilge 'ta y
r,`.
1�..
Board of Zoning Appeals Application
AUTHORIZATION
(where the Applicant is not the Owner)
residing at MbF-4--i5 }&-rk-
(Print property owner's name) (Mailing Address)
do hereby authorize j ..L�, T '
(Agent)
to apply for variance(s) on my behalf from the
Southold Zoning Board of Appeals.
(Owner's Sig
l�
(Print Owner's Name)
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 usepermit,
site plan approval, rise 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 239nn and 239n of the General Municipal Law.
1. Name of Applicant:
2. Address of Applicant:
3. Nar of Land Owner (if other than Applicant):
4. Addre s of Land Owner:
5. Descrip 'on of Proposed
Project:
6. Location of P?Verty: (road and Tax map
7. Is the parcel within5 0 feet of a farm operation? { } Yes
8. Is this parcel actively ed. { }Yes { } No
9. Name and addresses of an wner(s) of land within the a,
operations. Suffolk County Lot numbers will be
your responsibility to obtain the rrent names anKocated lii
(765-1937) or from the Real Prope Tax Offic
NAME and ADDRESS
1.
2.
3.
4.
{}N
pKeultural district containing active farm
vided to you by the Zoning Board Staff, it is
ig addresses from the Town Assessor's Office
in Riverhead.
5.
6.
(Please use a back of this page if there are additional property owners)
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.
S undW-
o
OWNER
Ji rl�
STREET
Vi LEAGE* -
DISTRICT
SUB.
LOT
74'
>
Y.
!:,',-X,i`-.EFO
--v;', WN ER Olt/N
E
ACREAGE
n
SW
TYPE OF BUILDING
RES._; SEAS. s.
VL. I FARMOMM.
C.
IND. CB. I misc.
LAN D
I "'A P.
TOTAL
DATE
REMARKS
V—XP-1-2 A
-d X,1-7�-)
C, Ir -f r,
5g�, J<n
Hf)l A -14-o i NILL-
77 c
fugiy
,L - ho— L I Z ,
-7� Y�
e' z 4��
EW-
BELOW ABOVE
ABOVE
Farm
Acre
Value Per Acre Value
Tillable I
Tillable 2
-f-illoble, 3
Wcodland
swampland
-----------
Brushland
House Plot
I col
72 1—
■■■■■■■■■■■■■■■■■■■■
MIMMEMMEMMEMMOMMM
`''`� �d
MIN
Foundation
/E'%E',
Bath
■■■■■■■O®®■M■
®MIMMMMMMM-Moffiffiffiffiffi91INN
�U
■■■■■MMI■■■E■■■
■
:nsion
1
■■■■■MI '�fic'�!i■NMMNIIFM�I
�`a j,�_
Basement
n .
f ��.
Floors
■■■■■MIS ■■N■�PI■■.I
C/ '" * tri e ✓•' �� Q�
✓ u —
■■■■EMOM
�-®®..
T ■
101
■■■
:nsion
`� �'" - ' ✓1
Ext. Walls
Interior Finish
r~
■■■■■ME5MM®■■■E■■■■_
Bld
`''`� �d
Foundation
/E'%E',
Bath
:nsion
'' �' �. ;
�`a j,�_
Basement
n .
f ��.
Floors
f ~r. .
C/ '" * tri e ✓•' �� Q�
✓ u —
:7
:nsion
`� �'" - ' ✓1
Ext. Walls
Interior Finish
r~
:nsion
Fire Place
Heoit
O r'
Porch
Attic
Porch
Rooms 1st Floor
.zeway
Patio
Rooms 2nd Floor
age
�� 1
6
-
Driveway
Y
Town of Southold
LWRP CONSISTENCY ASSESSMENT FORiVI
A. INSTRUCTIONS
All applicants for permits'` including Town of Southold agencies; shall complete this CCAF for
proposed actions that are subiect 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. *E,YCe1Jt ininor exelllp!- aC6017S inchtdhl Bllildil7c' Perinits
011d other 117i77iste7.iG1pe771111S 1101 10CClted ii4thin the Coastal Erosion I-Ia. nrd 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).
If any question in Section C on this form is answered "yes", then the proposed action may affect the
achievement of the LWRP policy standards and conditions contained in the consistency review law.
Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a
determination that it is consistent to the maximum extent practicable with the LWRP policy
standards and conditions. If an action cannot be certified as consistent with the LWRP policy
standards and conditions, it shall not be undertaken.
A copy of the LWRP is available in the following places: online at the Town of Southold's
website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all
local libraries and the Town Clerk's office.
B. DESCRIPTION OF SITE AND PROPOSED ACTION
The Application has been submitted to (check appropriate response):
Town Board � Planning Dept. I Building Dept. Board of TrusteesVS
Category of Town of Southold agency action (check appropriate response):
(a) Action undertaken directly by Town agency (e.g. capital
construction, planning activity, agency regulation, land transaction)
(b) Financial assistance (e.g. grant, loan, subsidy)
(c) Permit, approval, license, certification:
Nature and extent of action:
ct
Location of action:
Site acreage:
Present land use: -T tt : -rte- �i ��✓�t.t' �_'��%1� - t�. r
Present zoning class ificatlon:__4
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:'�G:
(b) Mailing address:_/4/)
(c) Telephone number: Area Code - t, ;�-• 1,-d-i.�-t
(d) Application number, if any:
Will the action be directly undertaken, require funding, or approval by a state or federal agency?
Yes ❑ No N If yes, which state or federal agency?
DEVELOPED COAST POLICY
Policy 1. Foster a pattern of development in the Town of Southold that enhances community character,
preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and
minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation
criteria.
❑ Yes ❑ No Not Applicable
r
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 NLNot Applicable
Attach additional sheets ifnecessary
Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See
LWRP Section III — Policies Pages 6 through 7 for evaluation criteria
Yes E 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
i
Yes 0 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
N
ot
0 Yes 0 No L4NI-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.
FP,Yes Not Applicable
Attach additional sheets if necessary
Policy %. Protect and improve air quality in the Town of Southold. Sce LWRP Section III — Policies
Pages 32 tltrough 34 for evahtation criteria.
l
❑ 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.
❑ Yes ❑ No N 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.
❑' Yell No ' NNot 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 tlirougli 56 for evaluation criteria.
❑ Yes ❑ No ;,I, Not Applicable
Attach additional sheets if necessar%
Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconzc
Estuary and Town, waters. See LWRP Section III — Policies; Pages 57 tlzz•ough 62 for evaluation criteria.
Yes ❑ No LN Not Applicable
r
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 N� Not Applicable
Attach additional sheets if necessary
Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP
Section III — Policies; Pages 65 through 68 for evaluation criteria.
❑ Yes ❑ No P. Not Applicable
f
Created on. 5125105 11:20 AM
617.20
Appendix B
Short Environnientrrl Assessment Form
Illstructiolls for CoIllpleting
Part 1 - Project Information. The applicant or project sponsor is responsible for the completion of fart 1. Responses
become part of the application, for approval or funding, are subject to public review, and n:ay be subject to further verification.
Complete Part I based on information currently available. If aciditionai research or investigation would be needed to fully
respond to any item, please answeras 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,
d fir, p
Name of Action or Project:
Project Location (describe, and attach a location map):
Brief Description of Proposed Action:
Name of Applicant or Sponsor:
Telephone:r�j� 8
E -Mail:
~•J�
Address:
City/PO
State:
Zip9p C��o/'de:
j g�s� qq jj
Q(
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 finding from any other governmental Agency?
NO
YES
If Yes, list agency(s) name and permit or M)roval:
i
3.a. Total acreage of the site of the proposed action? acres
b. Total acreage to be physically disturbed? 9 i acres
c. Total acreage (project site and any contiguous properties) owned-
wned
or
or controlled by the applicant or project sponsor? 3"j acres
4. Check all land uses that occur on, adjoining and hear the proposed action. z
❑ Urban ❑ Rural (non-a"'ricultu e) Ei Industrial n Commercial 'V -Residential (suburban)
El Forest u Agriculture ❑ Aquatic ❑ Other (specify):
Parkland
i
Page I of 4
Is the proposed action, NO
a. A permitted use under the zoning regulations" i
i
b. Consistent with the adopted comprehensive plan?
YES
�
6. Is the proposed action consistent with the predominant character of the existing built or natural
lardsca;�e? y
N0
YES
t f
7. Is the site of the proposed action located in, or does it adjoin, a state listed Critical Environmental Area?
If Yes, identif}':
NO
I'ES
i
S. a. Will the proposed action result it: a substantial increase in traffic above present levels?
b. Are public transportation service(s) available at or near the site ofthe proposed action?
c. Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action?
NO
YES
L
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
Y,
10. Will the proposed action connect to an existing public/private water supply?
If No, describe method for providing potable water:
NO
YES
j
11. Will the proposed action connect to existing wastewater utilities?
If No, describe method for providing wastewater treatment:
NO
YES
12. a. Does the site contain a stricture that is listed on either the State or National Register of Historic
Places?
b. Is the proposed action located in an archeological sensitive area?
NO
YES
13. a. Does any portion of the site of the proposed action, or lands adjoining the proposed action, contain
wetlands or other waterbodies regulated by a federal, state or local agency?
b. Would the proposed action physically alter, or encroach into, any existing wetland or waterbody?
If Yes, identify the wetland or waterbody and extent of alterations in square feet or acres:
NO
YES
14. Identify the typical habitat types that occur on, or are likely to be found on the project site. Check all that apply:
❑ Shoreline ❑ Forest ❑ Agri cultilral/grasslands ❑ Early mid-successional
❑ Wetland ❑ Urban TrI Suburban
9
15. Does the site of the proposed action contain any species of animal, or associated habitats, listed
by the State or Federal government as threatened or endangered?
NO
YES
16. Is the project site located in the 100 year flood plain?
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? 9 NO ❑YES,
b. Will storm water discharges be directed to established conveyance systems (runoff and storm drains)?
If Yes, briefly describe: ❑ NO YES
NO
YES
NO
YES
Pagc 2 of 4
IS. Does the proposed action include construction or other activities that result in the inbpouncinhert of
water or other liquids (e.g. retention pond, waste lagoon, daub)?
i If Yes, explain purpose and size:
( NO
-v
i YIiS
small
to large
I
impact
19. F-Ias the site of the proposed aC[t011 Or an acijoinhhg property been the location of an active or closed
solid waste management facility?
If Yes, describe:
i \O
; 1, ES j
j
--
occur
1. Will the proposed action create a material conflict with an adopted land use plan or zoning
regulations?
2. Will tlbe proposed action result in a change in the use or intensity of use of land?
20. Has the site of the proposed action or an aciiouung property been the subject of remediation (ongoing or
completed) for hazardous waste.)
If Yes, describe:
NO
}
YES
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
I AFFIRM THAT THE INFOR`'IATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY
I{hvOWLEDGE
Applicant/sponsorif4r: ); XJ 'J V'Le JU Date: -7
Signature: �, t %°moi/ , J
/ d 't -
Part 2 -ZIPZ�S�C2ment. Th cad /Aency 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 tlbe 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?
S. 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, an' gUahty, 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 inay occur". or if there is a need to explain wily a particular
element of the proposed action may or will not result in a significant adverse environmental impact; please complete Part 3.
Part 3 should, in sufficient detail, identify the impact, including any measures or design elements that have been included by
the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact
may or will not be significant. Each potential impact should be assessed considering its setting, probability of occurring;
duration, irreversibility, geographic scope and magnitude. Also consider the potential for short-term, longi term and y
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.
El Check this box if you have determined, based on the information and analysis above, and any supporting documentation,
that the proposed action will not result in any significant adverse environmental impacts.
Name of Lead Agency Date
Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer
Signature of Responsible Officer in Lead Agency Signature of Preparer (if different from Responsible Officer)
Page 4 of 4
No, or
i Moderate
shall
to large
impact
impact
may
may
occlll,
I occur
10. Will the proposed action result III all increase in the Uotelltic^.1 f01' c'1'Os1011, tlo0dlllg Or drainageproblems?
1 1. NVill the proposed action create a hazard to envi-onn rental 1'esolll'ces of hllliial. hC<.ltll?
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 inay occur". or if there is a need to explain wily a particular
element of the proposed action may or will not result in a significant adverse environmental impact; please complete Part 3.
Part 3 should, in sufficient detail, identify the impact, including any measures or design elements that have been included by
the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact
may or will not be significant. Each potential impact should be assessed considering its setting, probability of occurring;
duration, irreversibility, geographic scope and magnitude. Also consider the potential for short-term, longi term and y
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.
El Check this box if you have determined, based on the information and analysis above, and any supporting documentation,
that the proposed action will not result in any significant adverse environmental impacts.
Name of Lead Agency Date
Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer
Signature of Responsible Officer in Lead Agency Signature of Preparer (if different from Responsible Officer)
Page 4 of 4
NORTHEAST ELEVATION
4 4 9 q
O EN04 N O 1
{4
NORTHWEST ELEVATION
VERIFY ALL DOOR, WINDOW, SKYLIGHT AND SIDELIGHT LOCATIONS WITH THE
OWNER.
r¢—
R 4 4 R R 0
'p _N N b N M 1
CV
SOUTHEAST ELEVATION
Oco
O o
m
1
00
SOUTHWEST ELEVATION
SHINGLE OVER VENT -A -RIDGE (Dw
SHINGLES
5" O.G. GUTTERS
CEDAR SHINGLE SIDING
T#150 DRIP EDGE
CEDAR SHINGLE SIDING
DRAWN BY.• 'MB
DA TE: • 11 /3/2014
CHECKED BY.' SAM C
DATE. 11/17/2014
REVISED DATE: —
REVISED DATE.• —
REVISED DATE.' —
EVISED DA TE: I —
F:
yP •'�O SUrT• * g
6' d
44.5n�9Z a�F
IIe
��hnc.•w �Pa��
SCALE: AS NOTED
2' B'
SCALE: _ SHEET NO.
1 4' 16' S4 OF S7
OffICE.•
DESIGN AND EXPLANATORY ''NOTES
CurcrlocuE, NY
JOB NO.
1.) EXTERIOR DOOR AND WINDOW LOCATIONS ARE TAKEN FROM THE EXTERIOR FACE
128-045059
OF THE NAILERS AND ARE TO THE CENTER OF THE DOOR AND WINDOW UNITS.
VERIFY ALL DOOR, WINDOW, SKYLIGHT AND SIDELIGHT LOCATIONS WITH THE
OWNER.
r¢—
R 4 4 R R 0
'p _N N b N M 1
CV
SOUTHEAST ELEVATION
Oco
O o
m
1
00
SOUTHWEST ELEVATION
SHINGLE OVER VENT -A -RIDGE (Dw
SHINGLES
5" O.G. GUTTERS
CEDAR SHINGLE SIDING
T#150 DRIP EDGE
CEDAR SHINGLE SIDING
DRAWN BY.• 'MB
DA TE: • 11 /3/2014
CHECKED BY.' SAM C
DATE. 11/17/2014
REVISED DATE: —
REVISED DATE.• —
REVISED DATE.' —
EVISED DA TE: I —
F:
yP •'�O SUrT• * g
6' d
44.5n�9Z a�F
IIe
��hnc.•w �Pa��
SCALE: AS NOTED
2' B'
SCALE: _ SHEET NO.
1 4' 16' S4 OF S7
a
No: 36300
Town of Southold Annex
54375 Main Road
Southold, New York 11971
6/17/2013
FRE EXISTING
CERTIFICATE OF OCCUPANCY
Date: 6/17/2013
THIS CERTIFIES that the structure(s) located at:
SCTM #: 473889 Sec/Block/Lot:
805 Aborn Ln, Cutchogue
118.-6-1.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the requirements for a built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-
36300
dated 6/17/2013 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
wood frame one family dwelling with screened, porch and brick patio.*
The certificate is issued to Hohn, Janet
of the aforesaid building.
(OWNER)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
Authori . Sign tune
s
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 805 Aborn Ln, Cutchogue
SUFF. CO. TAX MAP NO.: 118.-6-1.1 SUBDIVISION:
NAME OF OWNER(S): Hohn, Janet
OCCUPANCY:
ADMITTED BY: Erick Heins
SOURCE OF REQUEST: Hohn, Janet
DWELLING:
# STORIES: 1 # EXITS: - 3
FOUNDATION: cement block
BATHROOM(S): 2 TOILET ROOM(S):
PORCH TYPE: screened porch DECK TYPE:
BREEZEWAY: FIREPLACE:
DOMESTIC HOTWATER: yes TYPE HEATER:
TYPE HEAT: oil WARM AIR: x
# BEDROOMS: 4 # KITCHENS: 1
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST:
SWIMMING POOL:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: RYF
DATE: 6/17/2013
CELLAR: 1/4 CRAWL SPACE: 3/4
1 UTILITY ROOM(S):
PATIO TYPE: brick
1 GARAGE:
propane AIR CONDITIONING: yes
HOT WATER:
BASEMENT TYPE: unfinished
STORAGE, TYPE OF CONST:
GUEST, TYPE OF CONST:
DATE OF INSPECTION: 5/1/2013
TIME START: 09:30 AM END: 10:30 AM
, is •i7- S � f` n¢K*. jr. h_ .,};,:'-�i. �i'�`h: �..5 Z� t^r4'ad.7r.`'�'����A^.�.'�4+ � • �'-'Pnca-A1E' E �
Fl moss
10C)0 ll
R �
SEE SEG. 111 11
— LINE m `
3.6 a
I � 11 _- pot rc* _
neweta a _.. 19.8A(c) _ p,zE - _ o OV a
'end '1 - 15.1 OFA a _
TOWN OF a.q � 1.Sq -' - v - �- te'10 •� -' (�
9 SOUTHOLD
•�
a 3 a? 18.3 'g 2 t' g �`
• o gs� ` 1.TA(c) = , ' zea •+O aos Y s f� •O
O $
- 0 `� 4 ��.,; � - m 5 .b• D 5
u n'm S•• � `' � � •ns � 51
a cw
3 mn �w 8
16.1 % ,� ` J' •Yw P�+ p -•I
ZOA(c) "�i ^ `s w ^w�Pl 'R'pP�, p .s•
42
�b 6.OA(c) a 11.4 10' am "- •asf I -�� '� 13p1c1 ^� �' ;`
-�� 11.2A(c) v"
n—u m'
Lagoon
z 46,
01
14
10
i
�0
9 W
v
7
\� O
[T,.4[�TQuw�'yw • jiy�'f,. .• ,�,h-.9✓ !r°r- i 1 �...
—Ess wnw+o,Eemmg.aurortRUEs
NOTICEcs�l„
OCK.c�
COUNTY OF SUFFOLK C O
K
111
—
—
ARE w,kNN+za salaemo tazmxls-
E a.N
wvmC��j
MAIMENANOE ALTERATION SALE OR
a Service
5i1 a Property a
E
Y
.
,e
—
-•„•M,e —
s nn
�
ONO OR NE
E
Couu,ty Center RT r e 119901
M
KN
o
[T,.4[�TQuw�'yw • jiy�'f,. .• ,�,h-.9✓ !r°r- i 1 �...
N
I lohm-
Iv
X66
N
I lohm-
Iv
is � ,yy•yy
VrEw FIZ4>A
Vt-EV4 Fak-,M NVJ CPOJCe-C'r`
.1
s
4
�".�"9
wnz�zwwl
.p 0, LEAF-" f j
0
V
' � r,
LOT NUMBERS REFER TO MINOR SUBDIVISION MAP OF:a,>
HARRY G. do JANET HOHN"FILED IN THE SUFFOLK COUNTY_
CLERK'S OFFICE ON NOVEMBER 25, 1991 AS FILE NO. 9172.
RAIN RUNOFF CONTAINMENT: ANY AL7ERA77ON OR ADD1770M TO THIS SURVEY IS A VOLA77ON
OF SEC77ON 72090E THE NEW YORK STATE EDUCA77ON LAW.
GARAGEG: 2,016 Sq. Ft. EXCEPT AS PER SEC77ON 7209—SUBDIVISION 2. ALL CER77nCA710NS
2,016 x 0.17 x 1 = 342.7 Cu.Ft. HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF
Provide 2 DWs. 8'0 x 5' Deep SAID MAP OR COPIES BEAR 7HE IMPRESSED SEAL OF THE SURVEYOR
Connected by Gutters & Leaders •=REBAR SET WHOSE SIGNATURE APPEARS HEREON.
i
i
(tJV:,Y.S. LIC. NO. 49618
GQN�"S� ORS, P. C.
( 31/)`~7 5- 026 FAX (631) 765-1797
P.O. BOX 909
12JO TRA
SOUTHOLD, N. VELER 1 971 SMEET 13-,279