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1000-52.-2-28.1
OFFICE 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 July 28; 2014 Re: Coastal Consistency Review for ZBA File Ref. ANDREW KEATING and COLLEEN SHARP #6777 SCTM# 1000-52-2-28.1 ANDREW KEATING and COLLEEN SHARP #6777 - Request for Variance from Article..Itl Code Section 280-15F and the Building Inspector's June 3, 2014 Notice of Disapproval based on an application for building permit to construct accessory garage, at: 1) less than the code required front yard setback (for waterfront property) of 35 feet, located at: 700 Ruch Lane (adj. to Arshamomoque Pond) Southold, NY. SCTM#1000-52-2-28.1 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.determinatioh that the proposed second story addition is EXEMPT from LWRP review pursuant to: § 268-3. Definitions. MINOR ACTIONS item "F" which states: F. Granting of individual setback, lot line and lot area variances, except in relation to a regulated natural feature or a bulkhead or other shoreline defense structure or any activity within the CEHA; The parcel is not located within the Coastal Erosion Hazard Area., Cc: Stephen Kiely, Assistant Town Attorney BOARD MEMBERS Leslie Kanes Weisman, Chairperson Eric Dantes Gerard P. Goehringer George Horning Kenneth Schneider http://southoldtown.northfork.net �F 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 July 11, 2014 Mark Terry, Principal Planner LWRP Coordinator Planning Board Office Town of Southold Town Hall Annex Southold, NY 11971 Re: ZBA File Ref. No. #6777 — Keating, Andrew & Sharp, Colleen Dear Mr. Terry: JUL 1 1 2014 0out4oM Town Plaanirq `t'oara We have received an application for construction of an accessory garage in Southold. 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.14 \ Encls. Very truly yours, Leslie K. Weisman Chairperson 10088 -16WA9 0-1 M -i r i FORM NO. 3 NOTICE OF DISAPPROVAL DATE: Jun=e, 014 TO: Fokine Construction (Keating/Sharp) PO Box 477 Shelter Island, NY 11964 Please take notice that your application dated May 23, 2014 For permit to construct an accessory garage at Location of property: 700 Rusch Lane, Southold County Tax Map No. 1000 - Section 52 Block 2 Lot 28.1 Is returned herewith and disapproved on the following grounds: The proposed construction on this +/- 15,600 square foot lot in the R-40 District is not permitted pursuant to Section 280-15F which states; "In the case of a waterfront parcel accessory buildings and structures may be located in the front yard provided that such buildings and structures meet the front -yard setback rgquirements set forth by this code." Pursuant to Article XXIII Section 280-124 lots measuring less than 20,000 square feet in total size require a minimum front yard setback of 35 feet Followir,,�the-t�oposedsnns�on, the ac�P�so garage will have a front yard setback of 5 feet Authorized Signature Note to Applicant: Any change or devia enced application, may require further review by the Southold -Town Building Department. CC. -file, Z.B.A. SURVEY OF PROPERTY SITUATE: 5OUTHOLD TOWN: 5OUTHOLD SUFFOLK COUNTY, NY SURVEYED 05-30-2013 UPDATE 08-10-2013 PROPOSED GARAGE 04-24-2014 SUFFOLK COUNTY TAX # 1000-52-2-28.1 CERTIFIED T0: ANDREW KEATING COLLEEN SHARP 0/6 WETLAND FLAGS SHOWN THUS SET BY SURVEYOR ON 15ACCHARIS BUSHES AT EDGE OF VEGETATED SALTWATER WETLANDS ON 5-30-13 NOTES: ® MONUMENT FOUND C.E. CELLAR ENTRY D E C E � V E JUL 11 2014 Southold Town Planning Board JOHN Ca EHLER5 LAND 5URVEYOR NI E S Unauthorized alteration or addition la a survey mop bearing o licensed land surveyor s seal is a violation of section 7209, sub—dlvlsion 2, of the New York Stale Education Low." 'Only copies from the originol of this survey marked with an original of the land surveyor's stomped seal shall be considered to be valid true Area = G5G9 Sc�. Ft. "certifications indicated hereon signify that this Area = 0.1508 Acres G EAST MAIN STREET N.Y.S. LIC. NO. 50202 �'r9y woe prepared in or Land Su with the ted Istln Code of Practice for LandSurve adopted by the New York Stale Association of Prof eseTara] GRAPHIC SCALE 11 — I I — RIVERHEAD, N.Y. Land Surveyors Sold certifications shall run only person for wham the survey is prepared, longialandlandsurveyor.com and an his behalf to the title compony. govemmen— tat agency and lending institution listed hereon, and to the assignees of the lending instilulton. Cerlifico- 1 3-143 lions ore not transferable to additional institutlons TOWN OF SOUTHOLD P,90PERTY RECORD CARD ' Wn N J ►!'/ S STREET Wa - TOWN OF SOUTHOLD P,90PERTY RECORD CARD ' Wn N ►!'/ S STREET Wa - VILLAGE, _DlS"I'R1C1 SUB, LpT . lid J61.11� F Rnnr=a yvMFR r. V W E- ACREAGE 4 W TlTE Of:0UIi.Dltr' -- RES. ! S�,AS., � ; VI .. FAR'M' CQMhA IND. CB.' !RISC✓ , ' ,. LAND 1MP : i TAE. DATE r .. RENAR1CS' CoA��'' ?�uf��'�'S►�°*�' o!T`: o 6e 0 0 , r G t. Ov .I . Y - 5 r ¢' C l I lr^ ALI s J( � 9� . � n r ^ . a 41'+t 9 1 - "1—�. AGE, . io NEW. 14ORMAL BELOW ABOVE60 Acrt� Vdlua t�ar.Acr� .+aloe �... {, Tillable., .3,. - ..Til able,-- 3:. .. y ' _ icodland. a DAL La . House Plot �LLU14 'Planning Tota l _ . Southold Town Board M.Idg.?r(S,oriernent ndatfon hath F11"V, l �� , '7 z: 3 _ Ext. wallsW S Mors Int rior t Inns ,� tr rs txtension ExtensionFire Place t ! 1 - fad 3 +� s Porch =.. M.Idg.?r(S,oriernent ndatfon hath F11"V, l �� , '7 z: 3 _ Ext. wallsW � St �;tii r Mors Int rior t Inns ,� tr rs txtension ExtensionFire Place t ! 1 - fad 3 +� s Porch MIL Porch Roorns` 1st -Floor fi & F 'rS 6 � potio Rooms 2nd Floor t_ '. h w, i s `�� a° ov ova s�l 4 4 x,tC� 1O tmal.0 ������ ammlGiuutlru--so.-- xrm�aus,mu. --x-- tvaEse wuw vxtgY¢(.t61•tttXElItIZB E x..°sm,,.,a, o,�. urEtnnet ltF wuavrc dstArts: G —�— S�Vam 1Co4W1p.w (21) �.�lweeow tN. --"-- tato4 tos mnEx uuvo AIAINTFh E 2e.31 rrtmum wsTF= iobJ Uhwmoe a �y1w IY 1T 4].48 TNLR 60 N � 1W 1wuw --�-- ammmtr�au4--4-- 611FF1Hl D Pandxo. 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"5 w ci 1.2 \''•\ to g1 r.okc) {p \ \ .b I1.1 tax .. et,B\\��'• •\ 1.3 z� 0 Z w1.3 m ? 26A 1 A o1 ,yd 20A 1.1 ® 1 32.A m s. • N 2 . 8 m s �'•!P' �� w °j 1.5 1.3A ® » v Fon PCL NO. ppRp�Np sEEsE4 NO. FOR PCL NO. i\t`X/A,J�sEESEC No. 05=011.3 SEE SEG. NO. aF FOR Pa -Na �� y' , oP OP• 1�5A ice–tolt.0 $ 056-01-011.14 _ F1 _« ---- �o� — — — — — — — — — — — -- —___—_-- MATCH— 1O tmal.0 ������ ammlGiuutlru--so.-- xrm�aus,mu. --x-- tvaEse wuw vxtgY¢(.t61•tttXElItIZB E x..°sm,,.,a, o,�. urEtnnet ltF wuavrc dstArts: G —�— S�Vam 1Co4W1p.w (21) �.�lweeow tN. --"-- tato4 tos mnEx uuvo AIAINTFh E 2e.31 rrtmum wsTF= iobJ Uhwmoe a �y1w IY 1T 4].48 TNLR 60 N � 1W 1wuw --�-- ammmtr�au4--4-- 611FF1Hl D Pandxo. D OW Av 121A(U4r121A WTNOw GrYf1ulJlls w.m..�v6WYa u.- -.YV/- - YWIE IEA 121 A(U wgeuv ----- REALPR L ate. r .. ..i,..'s ,"• �. .'�'1.�..�� .�.m.'w'�; e��"� � �S'k"�"�as'S�t+igv+x�3+,^,•v: t-�^�����.�'-� f l-1�� y'u"���*q''a,�r'yvt�y."T`et;�h"S�6!Y1�F"� �s�••e•�', .-�",':s.�•r:•^t1.z¢.r�+^s_a ``'i 700 Ruch Ln, Southold, NY 11971 ! Street View f. T* p I F r irk` x � fit ,t $k i A c r c s o- O .A s, ? ��k s �:tt nset a �a ➢� ,- �` �' �ChlfsitleResort 'w -'s ID, t< < a, Corxlom7rnums , Baa {9ouru Viewlnn.i � �yPA r �x�'ssix��, -reef �w � Uvp°' MatP pc, 3` S .:.3ournlvlewtnl a m a `£ • 35 w � r , �a 4Y 1 I 700 Ruch Ln qq r Bay i. y1, Cr s w • 'r''— � � sx<o �9c Blvd tor,aanQ B!11!iC ve�Marin e 35 pi r JUL 1 1 2014 SouC o'd Town F ening Board a $OUIiIOld Beach pc Narlh Pork Beach �. Condamiruums R Sourtdmr, Ave rreF � +y P c cps ro o - A c r c s o- O .A s, ? ��k s �:tt nset a �a ➢� ,- �` �' �ChlfsitleResort 'w -'s ID, t< < a, Corxlom7rnums , Baa {9ouru Viewlnn.i � �yPA r �x�'ssix��, -reef �w � Uvp°' MatP pc, 3` S .:.3ournlvlewtnl a m a `£ • 35 w � r , �a 4Y 1 I 700 Ruch Ln qq r Bay i. y1, Cr s w • 'r''— � � sx<o �9c Blvd tor,aanQ B!11!iC ve�Marin e 35 pi r JUL 1 1 2014 SouC o'd Town F ening Board Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). 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 SCTM# <2-- - Z - The Application has been submitted to (check appropriate response): D ECE�VE F L 11 2014 Southold Town Planning Ba Town Board 0 Planning Dept. IDKI Building Dept. Board of Trustees iK 1. 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) (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: 0 Nature and extent of action: lM Location of action: Site acreage: 15 , 5 6 D Sq - . +. Present land use: Present zoning classification: - p 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: p e 0.0 VL 41rUc;-k-b ►,� (b) Mailing address: 'P.. C) , &22k � R (c) Telephone number: Area Code ( ) 6S 1- -74 1 - 2/,S 0 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ❑ No f ix l 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 LVVRP Section III - Policies; Page 2 for evaluation criteria. ❑ Yes ❑ No RLNot Applicable 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 -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 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 0 No RNot 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 1:1 No Tot 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. Yes D No MNot Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ No [K 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 1:1 No �ot 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 kNot 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 VNot 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 DA�,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 14 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 KNot Applicable Created on 512510511:20 AM Board of Zoe Aumds Application AUTHORIZATION (Whem&a AppBmat is rot ffica) i, A ndrew 0i7nqe� residing at y 6ire4f it -ones (hint pmpuly awmEes ) (MaffingAddnass) 1?1� 1 f' 0P �yc� Ley -'C do hereby authorize E(- K,1, ( NC (Agent) 3h&ffa -t-,s I6 Southold Zoning Board of Appeals. (Owner's Signature A--rli d reW K-eq�4k (Print Oviner's Name) to Wly for variance(s) on my behalf from the ICy JUL 1 1 201a TOWI 6oaro 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 : � ..iPl_�CCNKI (Last name, first name, middle ini ' nless 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 t, Change of Zone Approval of Plat Other (activity) Building Permit Trustee Permit Coastal Erosion Mooring Planning Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. `Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. YES NO If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself (the applicant/agent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply) : A) the owner of greater that 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation) B) the legal or beneficial owner of any interest in a non -corporate entity (when the applicant is not a corporation) C) an officer, director, partner, or employee of the applicant; or D) the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this day of�, 20 A— Signature Cr / Print Name Aa&__,,t4 yxnj-�_,q JUL 11 201 'So ut6_TIdTO—WF1 Planning Board 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: fotc4 A e . C. - T k N,,r- C o Kstrt dk o n- 5er✓tce (Last name, middle initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other (activity) Planning Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. YES NO If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself (the applicant/agent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply) A) the owner of greater that 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation) B) the legal or beneficial owner of any interest in a non -corporate entity (when the applicant is not a corporation) Q an officer, director, partner, or employee of the applicant; or D) the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this y of 20/ z If A Signature _ o _ AN— Print Name 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1 - Project Information. The applicant or project sponsor is responsible for the become part of the application for approval or funding, are subject to public review, and m Complete Part 1 based on information currently available. If additional research or investi 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: Q 0'�aqe- ('Joe-Jcn- Project Locatio describe, . d at a to ion map): II 700 F",;- L -"e- s"4,0�d Brief Description of Proposed Action: v4, 4 re.lvcat-e- ek �{ f -c0" �-,,�,, -�be �r�e -T 16eo-bow . T �a re cec-L. s Name of Applicant or Sponsor: Telephone: < 1�V�1 St1' G(nt l t�i5 vt &e5 E -Mail: Address: �5-P>. City/PO: c �e �- r l 5 �o-�c.� State: Zip Code: 4 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: 3.a. Total acreage of the site of the proposed action? 6-16O acres 5 b. Total to be disturbed? 'tq<, z acres acreage physically S�- c. Total acreage (project site and any contiguous properties) owned j or controlled by the applicant or project sponsor? K1, 66 D acres Y 4. Check all land uses that occur on, adjoining and near the proposed action. ❑ Urban ❑ Rural (non -agriculture) ❑ Industrial ❑ Commercial "esidential (suburban) ❑ Forest ❑ Agriculture ❑ Aquatic ❑ Other (specify): ❑ Parkland Page 1 of 4 )P" 5. Is the proposed action, a. A permitted use under the zoning regulations? b. Consistent with the adopted comprehensive plan? NO YES N/A �( 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? NO YES K 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 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 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: _gam x- NO YES 10. Will the proposed action connect to an existing public/private water supply? If No, describe method for providing potable water: NO YES 11. Will the proposed action connect to existing wastewater utilities? If No, describe method for providing wastewater treatment: K k — q o r �'J L NO YES V9 12. a. Does the site contain a structure that is listed on either the State or National Register of Historic Places? b. Is the proposed action located in an archeological sensitive area? NO YES 13. a. Does any portion of the site of the proposed action, or lands adjoining the proposed action, contain wetlands or other waterbodies regulated by a federal, state or local agency? b. Would the proposed action physically alter, or encroach into, any existing wetland or waterbody? If Yes, identify the wetland or waterbody and extent of alterations in square feet or acres: NO YES 14. Identify the typical habitat types that occur on, or are likely to be found on the project site. Check all that apply: ❑ Shoreline ❑ Forest ❑ Agricultural/grasslands ❑ Early mid-successional 9—Wetland ❑ Urban V]-Suburban 15. Does the site of the proposed action contain any species of animal, or associated habitats, listed by the State or Federal government as threatened or endangered? NO YES 16. Is the project site located in the 100 year flood plain? NO YES 17. Will the proposed action create storm water discharge, either from point or non-point sources? If Yes, a. Will storm water discharges flow to adjacent properties? KNO ❑ YES b. Will storm water discharges be directed to established conveyance systems (runoff and storm drains)? If Yes, briefly describe: ❑ NO BYES S NO YES Page 2 of 4 18. Does the proposed action include construction or other activities that result in the impoundment of water or other liquids (e.g. retention pond, waste lagoon, dam)? If Yes, explain purpose and size: NO YES ` small to large impact impact may 19. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste management facility? If Yes, describe: NO YES occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning Jj[' v\ regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? 20. Has the site of the proposed action or an adjoining property been the subject of remediation (ongoing or completed) for hazardous waste? If Yes, describe: NO YES establishment of a Critical Environmental Area (CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: S ka, Date: 9 Signature: Part 2 - Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept "Have my responses been reasonable considering the scale and context of the proposed action?" Page 3 of 4 No, or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area (CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit, biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a. public / private water supplies? b. public / private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic, archaeological, architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources (e.g., wetlands, waterbodies, groundwater, air quality, flora and fauna)? Page 3 of 4 Part 3 - Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered "moderate to large impact may occur", or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact, please complete Part 3. Part 3 should, in sufficient detail, identify the impact, including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant. Each potential impact should be assessed considering its setting, probability of occurring, duration, irreversibility, geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. ❑ Check this box if you have determined, based on the information and analysis above, and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. ❑ Check this box if you have determined, based on the information and analysis above, and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Name of Lead Agency 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 Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion, flooding or drainage problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3 - Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered "moderate to large impact may occur", or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact, please complete Part 3. Part 3 should, in sufficient detail, identify the impact, including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant. Each potential impact should be assessed considering its setting, probability of occurring, duration, irreversibility, geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. ❑ Check this box if you have determined, based on the information and analysis above, and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. ❑ Check this box if you have determined, based on the information and analysis above, and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Name of Lead Agency 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 AGRICULTURAL DATA STATEMENT ZONING BOARD OF APPEALS- TOWN PPEAL$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 Olt 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: vt Vl r(ve. v-, 2. Address of Applicant: 3. Name of Land Owner (if other than Applicant): ei 4. Address of Land Owner: vt. 5. Description of Pro osed I ` Project: by of P SS �,c�tzW Z r�,r d f e— W U Mei J Aa 1a cls. 6. Locatidn of Property: (road and Tax map I J number) '+p ZXck Z'ZS 1 7. Is the parcel within 500 feet of a farm operation? { } Yes Pq No 8. Is this parcel actively farmed? { } Yes K No 9. Name and addresses of any owner(s) of land within the agricultural district containing active farm operations. Suffolk County Tax Lot numbers will be provided to you by the Zoning Board Staff, it is your responsibility to obtain the current names and mailing addresses from the Town Assessor's Office (765-1937) or from the Real Property Tax Office located in Riverhead. NAME and ADDRESS 1. 2. 3. 4. 5. 6. (Please use the back o is VMe if theme are additional property owners) of Applicant ;/ 7 / /� 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. QUESTIONNAIRE FOR FILING WITH YOUR ZBA APPLICATION A. Is the subject premises listed on the real estate market for sale? Yes No B. Are 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? -e S 2.) Are those areas shown on the survey submitted with this pplication? NW 3.) Is the property bulk headed between the wetlands area and the upland b '1ding area? 4.) If yoir 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? 1A p 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. ,, II F. Do you have any construction taking place at this time concerning your premises? qo 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? N_ If yes, please label the proximity of your lands on your survey. I. Please list present use or operations conducted at this parcel - r a� and the proposed use q_wt e; -e_ (ex: existing single family, p posed: same with gage, po signature and Date E C E _ IJ JUL 112014 Town Board FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25671 Date: 04/24/98 THIS CERTIFIES that the building ADDITION Location of Property: 700 RUCH LA GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 52 Block 2 Lot 28.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit hei-etofore filed in this office dated JULY 28, 1998 pursuant to which Building Permit No. 24716-Z dated FEBRUARY 24, 1998 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 FRONT & REAR DECK ADDITIONS TO EXISTING ONE FAMILY DWELLING "AS BUILT" AS APPLIED FOR. The certificate is issued to STEPHEN EICH (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO: N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 Buildin Inspecto No Z-25687 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED PRE EXISTING CERTIFICATE OF OCCUPANCY Date APRIL 29, 1998 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 700 RUCH LANE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 52 Block 2 • Lot 28.1 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-25687 dated APRIL 29, 1998 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 ACCESSORY STRUCTURE The certificate is issued to STEPHEN EICH (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *THIS UPDATES PRE CO Z-9213 (SEE ATTACHED HOUSING CODE Rev. 1/81 Housing Code Inspection September 15, 1978 700 Ruch Lane R-1 Southold, N.Y. Tax Roll: Audrey B. Schilke unoccupied Upon receipt of an application for a Pre -Existing Certifiate of Occupancy I made an inspection of the buildingsat the above captioned premises. I was admitted to building by Mrs. Schilke and began this inspection at approximately 10:55 A.M. This dwelling is a one story wood frame structure constructed on locust posts, shell only. The ground floor contains a front porch entry, two full bathrooms, kitchen, living room with fireplace, three bedrooms and a glass enclosed porch that runs the entire width of the building, on the west side. The living room has cathedral ceilings and a ladder type stairs that leads to a balcony located in this room. The balcony then leads to an attic space used for storage. Domestic water is supplied to all plumbing fixtures within the dwelling from an electric water pump located in a pit accessible from the exterior of dwelling. Hotwater is furnished to all plumbing fixtures from a gas fired hotwater heater located in the kitchen. Heat is supplied to dwelling from a gas fired space heater locatedGin the southerly end of lilring room, this is an exterior wall. This unit is properly vented to the exterior. An accessory structure, a two car wood framed garage is located in the front yard area. This unit is constructed on locust posts, there is no concrete floor within the building. The following violation of the Housing Code, Chapter 52, Code of the Town of Southold, N.Y. was found: Gas cooking range - no shut off valve at unit. Article V, 9_ecT1n-.52 B.2.** Inspection completed at approximately 11:15 A.M. Res tfuly r WARD I /Ilubmitted, ,TR A %V%, Building Inspector ** VIOLATION REMOVED - INSPECTED ON APRIL 28, 1998. �� TOWN OF SOUTHOLD BUR DING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. .. 29213.... Date .......I 19..7 THIS CERTIFIES that the building located at ....700 . Ruch . Lane ......... Street Map No ............. Block No..... ..... Lot No................................. . FO S FOR ONE FAMILY DWFai.LINQ BUILT PRIOR TO conforms substantially to tho ;��F' ' dated .... April- ......23 ... , 19 57 . pursuant to whichC�IC 'E FNOCNZAINTY dated .. September .... IS...., 19..7$ was issued, and conforms to all of the requhv- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ............Private. one. The certificate is issued to ......... Audrey. B.. Schilke ........................... ( owner, of the aforesaid building. Suffolk County Department of Health Approval ...... pPP-Existing............... UNDERWRITERS CERTIFICATE No. ...... Pre,-a.isting ....................... HOUSE NUMBER ..... .... ...... Lane/.. . 00 . Street .,1.. ,�.Auch .Lan.e . ...................................... ..... t - Southvld.�..N Y............... . . 1 c Building Inspector . Town of Southold Annex 12/23/2013 P.O. Box 1179 54375 Main Road '$ � Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 36673 Date: 12/23/2013 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 700 Ruch Ln, Greenport, SCTM #: 473889 Sec/Block/Lot: 52.-2-28.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 4/17/2013 pursuant to which Building Permit No. 37972 dated 4/25/2013 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 Sharp, Colleen & Keating, Andrew (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 8/29/13 37972 10/22/13 Joe T ranova A ignat e Co�l�- �.� Av,�wJUL 1 1 2014 Southold Town i Planning Board �-- Som easy 2 D— V f4G� Oc.J+��`S �raper�-y Fee: $ Filed By: Assignment No. \, , f * APPLICATION TO THE SOUTHOLD TOWN BOARD OF APP ,A I� AREA VARIANCE Hoose No. �-O�Street K acl LczLt P , Hamlet c)n L t- Ln Ict SCTM 1000 Section—:6 2 Block Z Lot(s)Lot Size S sai Zone I (WE) APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED - -( BASED ON SURVEY/SITE PLAN DATED Y-24-14 Applicant(s)/Owr Mailing Address: Telephone:.3q-232'SB/6 Fax: Email: o_ C_ _e_andffy�(�.He 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: /; �1,CU, �nK ie_ for Qq Owner ( )Other: Address: '� �� lIAL MiAw au Zd . ?-O- So� L1 Telephone:Fax: 63 / - 3S J • j17 3 Email: (.Cop., Please check to specify ivho you wish correspondence to be mailed to, from the above names: ( ) Applicant/Owner(s), (Authorized Representative, ( ) Other Name/ Address below: WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN DATED_ and DENIED AN APPLICATION DATED ;S -2Z / q FOR: (p� Building Permit () Certificate of Occupancy () Pre -Certificate of Occupancy () Change of Use ( ) Permit for As -Built Construction () Other: Provision of the Zoning Ordinance Appealed. (Indicate Article, Section, Subsection of Zoning Ordinance by numbers. Do not quote the code.) Article: Section: 2,30'1,2� Z7,E2- 15F Subsection: Type of Appeal. An Appeal is made for: V4 -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, VQ has not been made at any time with respect to this property, UNDER Appeal No(s). Year(s). . (Please be sure to research before completing this question or call our office for assistance) Name of Owner: ZBA File# REASONS FOR APPEAL (Please be specific, additional sheets may be used with preparer's signature notarized): 1. An undesirable change will not be produced in the CHARACTER of the neighbor or a detriment to nearby properties if granted, because: fke ex( s-�;j g a .QA i s a.�Pro Xtiga�e4 . ( (o,+e-) �oo f froom 7�� P/-0 1:,Ae- 0,- i Loo 5�d� . We jareJ cpJroposwt Y -fo re6ui I'd I+- a roXrkKCLIe` p ro�.t -{ �n ofi�- io r l�v�esl i�tiSt�A�' o tri i iv��i� 2. The benefit sought by the applicant CANNOT be achieved by some methodfeasible for the ap licant to/ pursue, other than an area variance, because: 4Le jot j5 A.+ I'VO-4- Pito L' (-o re �"; ar w C. s�raa�.s wif�Ow%.e�croae�.��q o� fle. housa., i�� QX�s�' ar is so e.lose_ -►� f l.� o 'ace�� Prof - u'ogd +� f (- eYK s� CL caK�l� iw -Floe I ' Yre- . Sr,ncc e� is 3. The amount of relief requested is not substantial because: We- all- r M4�1 r'oyi ntia4'e. q (�"-) ro,.,- -f-itic i rte d E++ti +tja 6t/a,; - o ti�) .t//om 4. The variance will NOT -have an adverse effect or impact on the physical or environmental conditions in the neighborhood ordis"titrictbecause: j - iS p, fe(p dv� i''1 ��o51.�rbXicn�t- -Fa +'e-'cj Ye IecJio^ c.nd w.i (I. si;:Il be- 1�8 �F• -Fri +��- Y2`jc��a��pd-,c��-Q We{ 5. Has the alleged difficulty been self created? { } Yes, or ANo Why: r is lle-�iS�` , P yl Are there any Covenants or Restrictions concerning this land? J*No { } Yes (please furnish a copy) This is the MINIMUM that is necessary and adequate, and at the same me pres a and protect the character of the neighborhood and the health, safety and welfare oft C0*r0 - r Sworn to b fore me this �S day of YU, iG1. 2�ti11 o ry Public Donna W. Win Tary Oublic Stat® of New York Qualified in Suffolk County corhmla8lon-Expires - Signature of Appffant or Authorized Agent (Agent must submit written Authorization from Owner) APPLICANT'S PROJECT DESCRIPTION APPLICANT: h'— Ki avt:5& CA- ' Q "- - DATE PREPARED: 1. For Demolition of Existing Building Areas Please describe areas being removed: o� 110 i4 X 7-D I --,q 1t II. New Construction Areas (New Dwelling or New Additions/Extensions): Dimensions of first floor extension: naj-".e_ (ko I' e-,, Dimensions of new second floor: Kw" Dimensions of floor above second level:k- Height (from finished ground to top of ridge): 161 -k Is basement or lowest floor area being constructed? If yes natural existing grade to first floor: 8'� aoJ�e— !g�,6 S i.lIt il,,t /114 please provide height (above ground) measured from 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: Number of Floors and Changes WITH Alterations: IV. Calculations of building areas and lot coverage (from surveyor): Existing square footage of buildings on your property: :2 2-'e Proposed increase of building coverage: Square footage of your lot:- lo�� a b q,0.- 2 Percentage of coverage of your lot by buil ' g area: V. Purpose of New Construction: VI. Please describe the land contours (flat, slope %, heavily wooded, marsh area, etc.) on your land and how it relates to the difficulty in meeting.the code requirement,(s): Please submit 8 sets of photos, labeled to show different angles of yard areas after staldng corners for new construction, and photos of building area to be altered with yard view. 4/2012 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631),765-1802 FAX: (631) 765-9502 S outholdTown.NorthForLnet PERMIT NO. Examined , 20 D E C E Approved , 20 MAY Disapproved a/c BLDG. DEPT. Expiration , 20 TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm -Water Assessment Form Contact: C 6-i5{3l� _F0�11 �F0�1vIL C0A4ruX_-k;Cs— Mail to: P.O , f2p$ J -41 - Phone: -4 - Phone: APPLICATION FOR BUILDING`ZaMTT .�a Date Maki'Z , 20 �C =I0'NS 3Sr 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 date. If'no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall,be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk.County, New'York, and other applicable Laws,. Ordinances or. Regulations, for the construction of buildings, additions, or alterations or for removal or dolitio . as herein described. The applicant agrees to comply with all applicable laws,, ordinances, building code,.housin . - e, d regulati s, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, if a corporation) -o, Bad - (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder K: Name of owner of premises s -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. PTI; Other Trade's License No. 1. Location of land on which proposed work will be done: House2Number Street Hamlet County Tax Map No. 1000 Section Block Z Lot, f Subdivision Filed Map No. Lot JUL 11 20V Planning Board I 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 00 CA6V— b. Intended use and occupancy 3. Nature of work (check which applicable): New Building `% Addition Alteration Repair Removal Demolition Other Work 4. Estimated Cost � 000, "" Fee (Description) (To be paid on filing this application) If dwelling, number of dwelling units 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 - I& 1—q !1 Rear Depth 2()'-D " Height /.;'-!o'` Number of Stories' (5� Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: FrontL �- �' Rear 1 LD �' �Depth ZD r-0 Height _Number of Stories ! .SfyLid 9. Size of lot: Front D . na ' Rear IDD . D�Depth 10. Date of Purchase_( Name of Former Owner L J1 P_j�' 11. Zone or use district in which premises.are situated LD 12. Does proposed construction violate any zoning law, ordinance or regulation? YES '�, NO 13. Will lot be re -graded? YES NO Will excess fill be removed from premises? YES V NO 14. Names of Owner of -premises - Address `{.3('�12dj,,zesS[±,5-Phone No. Name of Architect Address Phone No Name of Contractor OL4'11rn t rW41P- Address Phone No. !� ;1 -Jq2- zl "�o Sk'el4'rj- Is 16-9 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 properly lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO D� * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: CO 7 L���%��/ being duly sworn, deposes and says that (s)he'is the applicant ame of individual signing contract) above named, (S)He is the ti-%rClr' -A-) e' --- (Contractor, Agent; Corporate Officer,, etc.) of said owner or owners, and is duly authorized to perform or have performed the said.work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me thus day of � 20 l � SHARON O. JACOBS ublic tate of New Yorl� Notary No. 01 JA5081168 Qualified in Suffolk County Commission Expires June 30,1 Applicant X Z1 L )A t 't C DOOR,— G;A40 i LL CWST- -'d g�ZA— /ate! ro ,V -/s-, 120 r7P _ �UG?��.-✓ �,�'�6_.'�/fir = ,��i�?.1. /'�s�S r rr Z- �r,1E� �lr-rY�7s jAWINIP "IR C- C 7PI4 �C) O 00 /27/ Z�.Z4�-YA i/o 1 J4avoA�� 7s A� - Z5- M/ LR5 i k- C 4 ' O O _L� 01V / EZ-EV67-1061 � W) ✓) d-/ 3(cE v JUL 1 1 2014 Southo!d Town Planning Board t�D6 D � 012 Al-j7l4o4sY FL �9i z D,c�i�Ja�syz.4 - - 2AS Of COLD r2 7/,Es 0 y' 0, o' c, _ 1110 . . 1. zr 119 F .�1U/s �� - ac,— a f� — WD 5 j 1 ce 8 - poop,EI9 601y,C, _-3DDO s / Zz 'Ilvm ��p) _ O" CROS ,?5zg gT1 x'71_'0 c V JUL 1 1 2014 ' I I Southold Town Planning Board 4�01 - PAt 6YF-p H r-/-1 D EC l r L /I/" HAtvG/r✓G S 0z sW1 is H ,__P- if TOLERANCES (EXCEPT AS NOTED) REVIS1ONS % - 7 00 rub/� NO DATE BY/TN DECIMAL // . J 0�61A-- 0+ -- - FRACTIONAL _ DRAWN BY- -- SCALE- 4 11 CHK'D DATE "ANGULAR 5 TRACED APP' D SURVEY OF PROPERTY 51TUATE: 50UTHOLD TOWN: 50UTHOLD SUFFOLK COUNTY, NY SURVEYED 05-30-2013 UPDATE 08-10-2013 PROPOSED GARAGE OG -25-2014 SUFFOLK COUNTY TAX # 1000-52-2-28.1 CERTIFIED T0: ANDREW KEATING COLLEEN SHARP N WE S O O\ 4,4�/ O s EXISTING DECKS 5.4% OR G3 15Q. FT. JUL 1 1 2014 Southold Town Planning Board ZONING: R-40 LOT COVERAGE CALCULATIONS PROPERTY TO A.H.W.M.= 15,5GO5Q. FT. BUILDABLE AREA TO TOP OF BANK= 1 1,762 5Q. FT. MAX. ALLOWABLE LOT COVERAGE 20% OR 2,356 5Q. FT. EXISTING HOUSE 1 1.2% OR 1,327 5Q. FT. WETLAND FLAGS SHOWN THUS SET BY SURVEYOR EXISTING DECKS 5.4% OR G3 15Q. FT. ON BACCHARIS BUSHES AT EDGE OF VEGETATED PROPOSED GARAGE 2.8% OR 32G 5Q. IT. SALTWATER WETLANDS ON 5-30-13 TOTAL COVERAGE 19.4% OR 2,284 5Q. FT. NOTES: Unauthorized alteration or addition to a survey map bearing o licensed land surveyors Beal is violation of section 7209, sub—divislon 2, of the Newvara stale Ia,aatlan Lay.• ® MONUMENT FOUND C.E. CELLAR ENTRY JOHN C . E H LE R5 LAND 5 U RVEYO only copies from the oft the landlhsurveyor'9 marked with wl stomped seal shall be cansldered to be valid true Area = 1 5,5GO Sq. Ft. 'Certification indicated hereon signify that this Area Area = 0.3572 Acres G EAST MAIN STREET N.Y.S. LIC. NO. 50202 Barrer was prepared in or Land Su with the ex— Code of Practice for Land Surveys dotted GWHIC SCALE I "= 20' RIVERHEAD, N.Y. 1 1901 369-8288 Fax 369-8287 longi5landland5urveyor.com by the New York Stale Assoclation of Professional Land Surveyors. Sold certifications shall run only to the person for whom the survey Is prepared, old on his behalf to the title company, governmen— tat agency and lending Institution listed hereon, and 1 3— 1 43 to the assignees of the lending instituUon. Certlflco- lions are not transferable to additional institutions