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HomeMy WebLinkAbout1000-126.-11-11 OFFICE LOCATION: ��OF SO(/jyO ��NG ADDRESS: Town Hall Annex '`� l� P.O. Box 1179 54375 State Route 25 . �G �L . Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) cia � Southold, NY 11971 � � �p@ Telephone: 631 765-1938 � ��y�OUNTV,�� , LOCAL WATERFRONT REVITALIZATION PROGIi,AM , ' • TOWN OF SOUTHOLD � • ' MEMORANDUM To: Leslie Weisman, Chair � � . Members of the Zoning Board of Appeals From: � Mark Terry, Principal Planner LWRP Coordinator Date November 30, 2015 Re: Coastal Consistency Review for ZBA File Ref. BRUCE ROTHSTEIN #6901 SCTM# 1000-126-11-11 � ' ' BRUCE ROTHSTEIN #6901 - Request for Variance from Article XXIII Section 280-124 and the Building Inspector's October 21, 2015 Notice of Disapproval based on an application for buildirrg permit to - construct a second story addition to existing single family dwelling, at; 1) less than the minimum code required side yard setback of 15 feet, located at: 7390 Great Peconic Bay Boulevard (adj. to Great Peconic Bay) Laurel, NY. SCTM#1000-126-11-11 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of , Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my determination that the proposed action 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; � 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 - _ BOARD MEMBERS- . � ° � � � Southold Town Hall �o� Soury 53095 Main Road•P.O.Box 1179 Leslie Kanes Weisman,Chairperson - - � O . ,`O !o _ Southold,NY 11971-0959 - Eric Dantes � �t � Office Location: Gerard P.Goehringer � G• Q � Town Annex/First Floor,Capital One Bank George Horning . �'0 � �� 54375 Main Road(at Youngs Avenue) � . Kenneth Schneider ` IyCOUNT�,��, � , Southold,NY 11971 , http://southoldtown.northfork.net �� � ZONING BOARD OF APPEALS D � � � � �I � � TOWN OF SOUTHOLD Tel.(631)765-1809•Fax(631) 765-9064 � NOV � � �.015 - November 10, 2015 southb�d�'own Planning Board Mark Terry, Principal Planner . � LWRP Coordinator � Planning Board Office ' Town of Southold Town Hall Annex � � Southold,NY 11971 Re: ZBA File Ref. No. #6901 - Rothstein Dear Mr. Terry: We have received an application for construction of a second story addition to an existing dwelling in Laurel. 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 evaluatiori with recommendations for this proposal, as required under the Code procedures of LWRP Section 268-SD is xequested within 30 days of receipt of this letter. � Thank you. Very truly yours, � - � Leslie K. Weisman � � Chairperson . _ " -BY� L�G�-P.��P.,�/�,� Encls. -- ' f � �.�=� - FORM NO. 3 �/� � � L.� TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL DATE: October 21, 2015 TO: Amy Martin (Rothstein) 205 Bay Avenue Greenport, NY 11944 Please take notice that your application dated October 7, 2015: For permit to construct a second-story addition to existing sin�le-family dwelling Location of property: 7390 Great Peconic Bay Boulevard, Laurel, NY County Tax Map No. 1000 — Section 126 Block 11 Lot 11 Is returned herewith and disapproved on the following grounds: The proposed second-storv addition is not permitted pursuant to Article XXIII Section 280-124 lots measurin�20 000 to 39 999 square feet in total size require a minimum side yard setback of 15 feet. Site plan shows a side vard setback of l lf feet. Authori d S' ature � Note to Applicant: Any change or deviation to the above referenced application, may require further review by the Southold Town Building Department. CC.file, Z.B.A. Fee•$ Filed By Assignment No. APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEAL� AR�A�ARIANCE House No.7390 Street_��Z.oM� �^i �1�v1� Hamlet 1,,A�2EL. SCTM 1000 Section �2� Block 1� Lot(s) �1\ Lot Size Zone �-4� I (WE)APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED BASED ON SURVEY/SITE PLAN DATED Applicant(s)/Owner(s): g(L�C.� �-oTl-�s-I-�1�/ Mailing Address: �c� QN� SQ4 [J►�1.I� , MA NNASS�Y N Y I► p3 0 Telephone: 51 b— �(�- �9 Z4 Fax: Email:�r�tf�SK�s!���ry�C►'/1��iIP� , �'�' 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: �y�yt,T � d,2�wu R2cHi1�r for�Owner( )Other: A�lO/vn. A��rS Address: 2�5 �hv Av� GR��T��2T 114 44 Telephone:631- ��7-`1152 Fax:'.tij/-y`]7•[�J�j Email: f►7-�0 �I'� 6�own u rc.h,+ec,t.c,Gm P[ease check to specify who you wish correspondence to be mailed to,from the above names: ( )Applicant/Owner(s), (�Authorized Representative, ( )Other Name/Address below: WHEREBY E BUILDING INSPECTOR REVIEWED SURVEY/SITE P ELN DATED Z3 and DENIED AN APPLICATION DATED /d ,� S �'OR: $uilding Permit ( ) Certificate of Occupancy ( )Pre-Certificate of Occupancy ( ) Change of Use ( )Permit for As-Built Construction ( )Other: . � Provision of the Z�ning Ordinance Appealed. (Indicate Article,Section,Subsection of Zoning �-�"'" ' Ordinance by numbers.Do not quote the code.) ���C�, Article: � Section: C� � ) Subsection: 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,Q� has not been made at anv time with resnect to this propertv, UNDER Appeal No(s). Year(s).� .(Please be sure to research before complenng thts ques[�on or call our o�ce 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: 1 fiLs /�0'JT�oN �1 4.,'T}i11J Tli'�. 4•�!�-OyiJGS LS�a7�NG— Fari�G�lzr� RN4 �,1�u.. )se-s {�� ,NGR�WS�i.s�- ll-�E �.XibT1ivGr �����q�N�� H��GI+T 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: � S��yP��-t� s�-r'��C+.�5. 3.The amount of relief requested is not substantial because: ����ornc�iJ ts �rr-+-{�n� -T�1� �i pi2.c�u i 6F l.-"7C rsT wC7 . �t.L.l L�11�,�li�T f�s �+i...�-� U;1T�-t oL� T-� S c f.�—�� (���t�11�D s�QS, 4.The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or distnct because: �E f�00►TIoN W��-l. NL'r �� lNc,rt�/�S�uCs TN� Fa�T'PR�NT oF � �X�STIN� ��si��lNfr oT� �E S�TE� '�-� �'�[.aA�1N.E�-(�.`,�11��-��/1/�-� f�A} �ii�Kt'� S'11�'I s I Nl.i'�"a�Z� A�7�9'U �l,�.¢�A�;vc.'E ►�G�T�7 �':Y� I�: 5. Has the alleged difficulty been self created? �}Yes,or{ } No Why: ����ti �j'S' SE'T��,�A�,6 d��(� `'--�-L�D �'si o1�-�/ ��O fTiC�N �b� ,�- i�AK.t Q�Nt'�� rT 15 rN�r��;a� ��C is' ��t�y�n ���+,:�.0 5�� , Are there any Covenants or Restrictions concerning this land? �} No { } Yes(please furnish a copy) This is the MINIMUM that is necessary and adequate,and at the same time preserve and protect the character of the neighborhood and the health,safety and welfare of the community. l ' ature Ap c r ut onzed Agent �L�'L� a ,/� (Agent must submit n onzahon from Owner) �J �/'� Swom to before me this da ofQ �p �Di ,20� � n Nota Pub ic CYPdT�{!A Pll.CLISATI ;:'a',3.�P iF`,r 'r,.�= ��;' ;�t:':;ri� ," ��l.' '�Jua:�I ��,_�:��E.0���:.�I.,n- CUu;�+� Cor�rnissEcn cxpir�s�Oct 20 APPLICANT'S PROJECT DESCRIPTION APPLICANT: �ol3�rr � �,� P�lLGN I'f�.Tz�T P,C DATE PREPARED: �� C7G�l�� 20�5 /►MO �TS /fG�.T►TS 1.For Demolition of Existing Building Areas Please describe areas being removed: � �XiS'S'It�(� S�Aw�o F�+c.�n��. ���.K � �E (�C-rYr►0�.`0 F�A- LA R-6�`R- 0�. II.New Construction Areas (New Dwelling or New Additions/Extensions): Dimensions of first floor extension: N'�� Dimensions of new second floor: 33 � Dimensions of floor above second level: N A Height(from finished ground to top of ridge): 22' '' E As �.x�sti ' Is basement or lowest floor area being constructed?If yes,please provide height(above ground)measured from natural existing grade to first floor: JV�A 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: Z- �Cty �R.�c�n1,2E � �ul.r�Z.'iZ.."fl �b 2-- S"i�lLM �ML�6� aArn /L IV,N G PJ4C.� (1�y 1 - S"f�tZ.y ��IGWS� S'IYLvc.'1VYLE Number of Floors and Changes WITH Alterations: ,A-p0 � '2n�-S`�1X�ti �o0rr.�,.� -re �-�E �Lx�S,�N� �- s�a2,� S�YLuc�vn.� �33� 5a�nn.� F-��r �raz��,l C;ora��rL.,c,-n�v � N��I �GIL P�Q-C.N � Z$L Sa.1ltlLt3 FLLT 'lbiA�Ll IN DIJIGL Ol� OL,(� - IV. Calculations of building areas and lot coverage(from surveyor): Existing square footage of buildings on your property: ��'*5� 53�� F��r Proposed increase of building coverage: 33� (ppp;�,oF,� + -Zg� (fl�z.��� Square footage of your lot: �2.9 677 5�1�MtE f=�-r Percentage of coverage of your 1 byo building area: �1, E3°/r, V. Purpose of New Construction: �GC.�-��� 7j�' ��x3� �6P1���DrnbN is 'T�) �"b1� �- ri�l T� �- �`�►'�77 r�Z.Ct��2 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): J��. G�siJ71���.p€�7� ,���TT�-�'�� ��,f 19'3 Please submit 8 sets of photos,labeled to show different angles of yard areas after staking corners for new construction,and photos of building area to be altered with yard view. 4/2012 QUESTIONNAIRE FOR FILING WITH YOUR ZBA APPLICATION A. ls 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. I.)Are there areas that contain sand or wetland grasses? ���5 2.)Are those areas shown on the survey submitted with this application? `IES 3.)Is the property bulk headed between the wetlands area and the upland building area? ��5 4.)If your property contains wetlands or pond azeas,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? IJ D E. Are there any patios,concrete barriers,bulkheads or fences that exist that are not shown on the survey that you are submitting? �a 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? �0 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 �X�ST)u G S�N�i,E �Am��-� Q�S�D�t,� and the proposed use 5arn� /�5 ROrwE . (ex ex�st�ng stngle family,proposed same w�th garage,pool or other) � / 1� ��� oriz at re and Date ����� AGRICULTURAL DATA STATEMENT ZONING BOARD OF APPEALS TOWN OF SOUTHOLD WHEN TO USE THIS FORIVY: This form must be completed by the applicant for any specia!use permit, site plan approval, use variance, area variance or subdivision approval on property within an agricultural district OR within 500 feet oJa farm operation located in an agricultural distric� 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 Genera!Municipal Law 1. Name of Applicant: !,(�N s 2. Address of Applicant: 3. Name of Land Owner(if other than Applican): � 4 Address of Land Owner:� �k'� ��.�� . M��� j' ������Zsl 5. Descnption of Proposed ���� Project: �rr�""C�Ja �}'�uGTLI�C.b ���-�� 'l��T-P��$lAl -+- ,�-� ���sz�� 6. Location of Properiy: (road and Tax map number) /Q,'b – f Z(p — � � � � � 7. Is the parcel within 500 feet of a farm operation? { } Yes �No 8. Is this parcel actively farmed? { } Yes � No 9. Name and addresses of any owner(s)of land withm the agricultural distnct 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 R�verhead. . NAME and ADDRESS 1. 2. 3. 4. 5. 6. (Please use the back of this page if there are additional property owners) ' • �� l�l fS�- ' atur Appl' an Date Note: 1.The local Board will solicit comments from the owners of land identtfied above in order to consider the effect of the proposed action on thetr farm operation. Sol�citations 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 th�s application. 3.Copies of the completed Agncultural Data Statement shall be sent by applicant to the property owners identified above. The cost for mailmg shall be paid by the App(icant at the hme the application is submitted for review. Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS l. 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 signiftcant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 12 6 - I I - D I I The Application has been submitted to(check appropriate response): Town Board � Planning Dept. 0 Building Dept. � Board of Trustees � 1. Catego,ry 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: � Nature and extent of action: A O��r.�� � S�c.o,.�o S�vll-� 5'�Y�»r�(ti� ;v �ws-r�Nc� 1-5'1�2y Si'Ra�t�U�.� 'T�T A(.1 N(T �j"3`�1 S�J AIL� f'��'i' . �A G1� Oo RCIt �v I�j� ��vL� F�n►0 (�4�t�D 'w�sN U(r-�� D�c.�c.. �-v►a�iN� '�-�6 S��M� F�T Location of action: '-]39 D Q��,,�� aqti b�v� , L,q,jn� , 11 9+� 8 , Site acreage: � 68 I Present land use: ��S,p�,,�-,A� Present zoning classification: f�-y o 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: g2uLE �oTHsi'�►�/ (b) Mailing address: �'O E� SEI�� I.,pt�E MAn�H1b-SSE-rT N`� I� 03 0 (c) Telephone number: Area Code ( ) (S�6� - y� - '19 2 y (d) Application number, if any: Will the action be directly undertaken, require funding,or approval by a state or federal agency? Yes ❑ No� If yes,which state or federal agency? DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances cornnmunity 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 Attach additional sheets if necessary Policy 2. Protect and preserve histoa-ic and archaeological resources of the Town of Southold. See LWRP Section III-Policies Pages 3 through 6 for evaluation criteria 0 Yes 0 No � Not Applicable � Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See I.WRP Section III—Policies Pages 6 through 7 for evaluation criteria � Yes � No�Not Applicable Attach additional sheets if necessary NATURt�L 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 � No�Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria 0 Yes � No �Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore tlae quality and function of the Town of Southold ecosystems including Significant Coastal Fish and �Vildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. � Yes � No�Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 4'or evaluation criteria. � 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 foa-evaluation criteria. 0 Yes ❑ No�1Vot 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 3� through 46 for evaluation criteria. 0 �'�d I No '�Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. 0 Yes ❑ No � Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. � Yes ❑ No�Not Applieable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. � Yes ❑ No�Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. 0 Yes ❑ No� Not Applicable Created on 5/25/OS 11:20 AM 617.20 Appendix B Short Environmental Assessment Form Instructions for Completin� Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or fundmg,are sub�ect to publ�c review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current mformation. Complete all items m Part 1. You may also prov�de 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 01 57�Iv � e � Name of Action or Project: �o�S�N �s�p c,� �0 mQ N Project Location(describe,and attach a location map): �7J9 0 �,�,�►c. �J1+�r ��—v . I.A-�R� N`I 19 4 8 Brief Description of Proposed Action: A�o�►.��- A s��..so s,u�v s�„c�w�a -t� Ewsr�r�c, �- s-�y ST2u�vnE /� � T� f�6 (�-cs.YKo�O .1�►J'0 LAnnJy/Y 'fbiA�—►N� �34 SQ`�A�-�= F�T. e�AU�- �L,� Sil ��.�i�lc.t..s0 G+�Ttit (iKLCi�(t ��.7i4L �i f3iit�N G 'Z�G Sc�,�,f�(l.�. f�t.�-r Name of Applicant or Sponsor: Telephone 63 , �17�7— SZ.. ✓�0��'Y�T -� �i2.ob..N �tLGN17�Z°r �(. ,�16�WT5 E-Mail: Ih��Q Gw GfY. "�'�c."`"_ oM Address: Z�S �Ay v City/PO: State: Zip Code: C�►2e�Po�.-r NY � ► 9 44 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO �'ES 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 mumcipality 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: �l2�.�S��S ����;n�� �J�D�. x 3.a.Total acreage o the site of the proposed action? " .(�9 i acres b.Total acreage to be physically disturbed? /� acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? . (�9) acres 4. Check all land uses that occur on,ad�oinmg and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑ Industrial ❑ Commercial 1slResidential(suburban) ❑Forest ❑Agriculture ❑ Aquatic ❑ Other(specify): - ❑Parkland Page 1 of 4 5 Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations� �/ /` � b Cons�stent w�th the adopted comprehens�ve plan? 6 Is the proposed action consistent with the predommant character of the existing bu�lt or natural NO YES landscape? 7. Is the site of the proposed action located m,or does it ad�oin,a state listed Critical Environmental Area? NO YES If Yes,identify: 8. a Will the proposed action result�n a substantial increase�n traffic above present levels? NO YES b.Are public transportation serv�ce(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? 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: � 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,descnbe method for providmg potable water: � 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,descnbe method for providmg wastewater treatment: X 12. a.Does the site contain a structure that is listed on e�ther the State or National Register of Historic NO YES Places? • x b. Is the proposed acrion located m an archeological sensitive area? 13. a.Does any port�on of the site of the proposed action,or lands adjoining the proposed action,contain I�10 YES wetlands or other waterbodies regulated by a federal,state or local agency? � ��LoN1L 9 Ay b.Would the proposed achon 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. l4 Identify the typical habitat types that occur on,or are likely to be found on the pro�ect site. Check all that apply: �) Shorelme ❑Forest ❑AgriculturaUgrasslands ❑Early mid-successional ❑ Wetland ❑ Urban ❑ Suburban 15. Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? � � 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? NO YES If Yes, a.Will storm water discharges flow to adjacent properties? �10 ❑YES X b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: �NO ❑YES Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: ]9.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE �i� I P—�Ll��) EC�-P� Applicandsponsor na ���� Date: Signature: — Part 2-Impact.�4ssessment. 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?" � • � No,or Moderate small to large � y - ' � 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 No,or Moderate small to large impact impact may may occur occur 10. W�ll 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-Determinarion 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 pro�ect 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 cons�dering its setting,probability of occurring, duration,�rreversib�lity,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 mformation 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 mformation and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse env�ronmental impacts. Name of Lead Agency Date Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer S�gnature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) Page 4 of 4 Board of Zonln�Auueals AooEication AUTIiORIZATIOIY (Where the Applicant is not the Owner) I, ��GE_ QoTu��11A!! residing at_ c7 .E'(,�) S�,a u1NE (Print property owner's name) (Maifing Address) MA N_�+�ss_�,.zr-_N_y__� �t u3 r,__ do hereby authorize ��.f�'P_ ,�y�{�.�r��; P t c��rnil JwD/�7�' rr��/���5 ._ . __ _______ to apply for variance(s)on my behalf from the Southold Zoair►g Bosrd of Appeals. �_- -- �'_ G��..� . - ----------- (Owner's Signature) $C�c� }Z bT►{S i E.+,✓ (Print Owner's Name) APPLICANT/OWNER TRANSACTIONAL DISCLOSURF.FORM 1 hr Tu«•n uC�nuthnld'.('nde nf F:�hicti nruhihils conllictti uf inte�rN on 1he us�iy o(�unn ulticcrti:�nd emnluvi�r�.1'he nurpotic uf thiti furm i.in uro�iJe infarmnllnn nhich can:dcrt Ihc to�rn��f n�•siblc►nn0irts of intrrcu and a0n�a it to h�6c��Inrtrr•cr . n,tion ia necessarv to avuid same. L� � YOURNAMF.: —L�,�'�a-•.�-t-_---�f=..���1��.L_—__.--_------_.------------ - - (1,�+t name,first namc,middle inrt9Rl,unless you are appl�ing in thc name of somcone cise or otficr enHty,sneh at s compnny.lf so,Indicwte Ihe other person's or compsnv's nsme.) TYPE OF APPLICATION:(CI►eck all that apply) Taa grlevance _-- - - _ -_-- liuildfn�Pcrmi� _-- ----�--. ,_ Var(nncc —_-_�_-- 'll•usfrr Pcrmit /� ---_..__ Changc of 7.onc---___�____ Co:�at:il P:ru.iou _.__�_�.--- Approval ol Pfat- _--�----� �inorin�; ----�_� �_ OtLcr(activity) �`_ 1'I:►nnin�; ---------- Do you personaliy(or through yaur company�spouse,st�ling,purent,or child)have a relationship wittt any otficer or employee of the Town of Southold7�Rclallonship"Includcs by blood,msrrlage,ar business interest,"Business intcrest"mcans s�bustness,lncluding a partnershlp,in which the town otfjccr or employec has even a partlal ownershtp of(or emplayment by)a corporation tn which the town offlcer or employee owns more than 5°/n of the shares. YES NO � _ If you ans�vercd"YES",coroplete the balance of this�torm and date and sign where indicated. Name of person employed by�the Town of Southold _______ _______ . Title or posttian oF thst person __„�__� _____`_,�__ _______— Describe the relationship benvicen youraeli(the applicant/agent/representatf�e)and thc town ofticcr or employec. Eithcr check the Appropriate tinc A)through D)and/or descrlbe in thc space providcd. The totivn o(ficer or employce or his or her spouse,sibUng,parent,ur child is(check all that apply): A)the awner of greater that 5%of thc aliares of tLc corporate stock of the applieent(when the applicant is s co►•poratlon) D)the Iegal or bcneftciai owner of aay interest in a non-corporate entlty(when the appllcant is uot a corporetion) C)au officer.director,pariner,or employee of the applicant;or D)the actual applicant - DESCRIPTION OF RELATIONSHIP Submitted this day oi____ .20___ Siguaturc�___��Z-y�/v v � . Print Namc 13 R��6 1Z' �THSi L�/,✓ AGENT/REPRESENTATI V E TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics arohibits conflicts of interest on the aart of town officers and emalovees The ourpose of this form is to provide information which can alert the town of aossible conflicts of interest and allow it to take whatever action is necessarv to avoid same. YOUR NAME : F—!/�`�� ���ZG�/V � (Last name,first name,middle ipiNal,unless you are applying in the name of someone else or other entity,such as a company.IC 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 ofticer 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 offcer 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 � �f/-� Title or position of that person �-- Describe the relationship between yourself(the applicanbagent/representative)and the town offcer 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 � � /cs � � Submitted th' day of ,20� Signature Print Name AGENT/REPRESENTATI VE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics orohibits conflicts of interest on the aart of town officers and emolovees.The ouraose of this form is to arovide information which can alert the town of aossible conflicts of interest and allow it to take whatever action is necessar to avoid sa� e. YOUR NAME: �Z{9,ZC7��/�"— (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit 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 ofticer or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business interest"means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5% of the shares. YES NO � If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold �� Title or position of that person � Describe the relationship between yourself(the applicantlagent/representative)and the town ofticer or employee. Either check the appropriate line A)through D)and/or describe in the space provided. The town ofticer 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 /V /�— i � Submitted this�da o ,20� Signatur %"� Print Name R�'�-,'� `�������_T�/ .�J�� � . �' . �.. ::4 . _ ._._y. . _ � � �a �o- , _ , _ � TOWN OF SOUTHO,L�D PRO,PERT�( RECORD CARD n��°� OWNER STREET VILLAGE DIST. SUB. LOT �/ G� �' a- ' _ �+�or�� �c� ��..�'.� I � Acsc. FORM R OWNER N E � ACR� ' � ` • r n Vy � •� � i nD�( � w 2.�1N S , W � TYPE F BUILDING � f�l �L,'�� ll�i�d , � �"�j'�"i.L i ES�J� SEAS. VL. FARM C4MM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS - • - � � ,;- , �% ;� G �f �G D �� '� n , Za 83 SuL I S� � S f o I.�JE ���S�j t�-- 2'� �. � � d Y � �3 z i� � ' �L�.,�+-� -��ix-� r % a �� �� � � v a � � 3 �- L r - #,�,� -�-� Ma+�. .4550 . - �cn �� 3 3 �--�'� ��'� � G �-v � S � !� �3�SZS � hu'It� l�dt�mt,tio�nS - �� 3 � t 3 rood �b 9 00 2 �z 4- _ ac�. = . �p �/�� ���'1 �w�- - oSo i:- AGE BUILDING CONDITION � . ' �IEW NORMAL BELOW ABOVE =ARM Acre Value Per Value Acre iflable 1 , , illable 2 ' Ilable 3 i � 'LCG! - � 'oodland �J 6t�4,Fi y � -✓ �►/ 3 � y ; vampland FRONTAGE ON WATER � � / 0 , 3 @ z.� 3 33�8 •ushland FRONTAGE ON ROAD � / �Jd �use Plot ,� r-+ DEPTH � t' � " � BULKHEAD �ta� DOCK -- -�— .�. .... - _;,, . . ' 3 r�. ..'J� � ! � �,.. � `` '+ �.si��t� R��� : i,, '' . ,.`�' �' .,� �', `�w1 � � . t''��� � /, `♦i%�L�� ~`` Z �r" . . . r'.'i.K' �' �.:e1 , ti �� f��1� - ----- • � ' � � - - -� _ ._.__.._. . x �• ����������������������������� � .,�� . . . ' . _�:� � � � � _ ii��i■ - :, . . ::. �_� . :: n���,�������■�■��������■ . . - - h ,.. . .�,:� . ��.... ..�.���������������� , �. � � _ �� , -� _. . . ;� ������� ���■��������������� �. . : ; .� . r:c�u����� ■�������■�■■������� . . �-: H -_ � ..�=�.. SY�rll i ■��■��������������■ � , ��. . a,:� , � � � . . 4* .. �■��r_�e ����e��������■����� � � r . .. ��-, :_ � -_. � ■�r��r��: ■������������■■��■■ .� �.>: ._ - �.+ . ���r:��=�4 ��. t Rt � ' °��.,x �:- . . � : .,�: � .. .� ::_ � -;�.�`..� ���li��� ������������■������ :��,.�:,. ;, : _ . , ::. ' _ .- _ : ■�i�:til�� .��������■���■������ - - ..� . : � T � _ _-. . ��iiii����r����■■■��������■�■ , ., . . _ ��___!��������■������������ ir ■■�■��■ ■.■■■■■■■■■■■■■■■■■ 1 I ' ■■■■�..�■■.■■■■■■■■■■■■■�■� � , � , �� C •• • � ' • � / • � • ' � . i• ' • •• • .• � r � •r. '' � �� •• `� � i - • . i • �� • - • � / �■ � ' ...► � � i • • ,• ■� _ • - � ' � � � •- '�• '�• •• :' �� •U� �� ��- •� �' '• • ��• ��• • •• � � � rr i �. / • , � • �• - ,•. ■� � .. . � __ � - • �.� • •�- __ �.. ►. • __ ��� ��. �' So.�•_.=.� 9:W.• • •• � � ������� _ ., . . � - ,.► .�� _ FORM NO. 4 � .� TOWN OF SaUTHOLD BUILDING DEPARTI'�N'P � Office of the Building Inspector - Town Hall Southold� N.Y. CERTIFICATE �F OCCUPANCY No Z-17251 Date AUGUST 31, 1988 THIS CERTIFIES that the building ONE �'AFiILY DWLLLING / Locatian of Prvperty 7390 PECONIC BAY HLVD. IAUREL, NEW YORK House No, Street Hamlet County Tax Map No. 1000 Section 126 Block 11 Lot O11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 25, 1985 pursuant to which Building Permit No. 13983-Z dated MAY 29, 1985 was issued, and conforms to all of the requirements of the applicable pravisions of the law. The occupancy for whi.ch this certificate is issued is ONE FAMILY DT�ELLING WITH TWO CAR GARAGE AS AF'PLTEA FOR The certificate is issued ta WILLIAI� & MARTE BOWE (owner, } af the aforesaid building. SUFFOLK CQtINTY �EFARTMEtt'i' OF IiEALTH APpItdVPiI,_14-SO-218-JULY 20. 1987 UNDERWRI�'ERS CERTIFICATE NO. N-748618- MAY S, 19$6 PLUMSERS CERTIFICATION DATED_Ji7LY 28, 1986-NARV-RO� PLUMBERS � uil ' g Inspector Rev. 1/81 • • �. � �_ , FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMfiNT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31233 Dat�: 10 24 05 TSIS C�TIFI$S that the building ALTERATIONS Ioocation of Property: 7390 GREAT PECONIC BAY BLVD LAUREL (HOUSE AIO.) (STI2EET) (HAMLET} County Tax Map �o. 473889 Section 126 Block 11 I,ot 11 Subdivision Filed Imlap No. 7aot 2do. conforms substantially to the Application for Building Permit heretofore filed in this o�fice dated OCTOBSR 11, 2005 pursiaant to which Bu:i.lding Permit No. 31525-Z d.ated OCTOBER 13, 2005 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is "AS BUILT" ALTFsRATIONS TO AN }3XISTING SINGLE FAMILY DWELLTNG AS APPLIED FOR. The certificate is issued to MATTITUCK ASSOCIATES, LLC (OWNER) of the aforesaid building. SIIFFOLK CODNT7C bBEARZ1�iT OF �LTS l�iPPROVAT, N/A $LSCPRICAL CSRTIFICATS DIO. 2074356 10 06 05 PLDIYIDSRS (�tTIFIC°ATIQN I]AT� N/A • Authorized Signature Rev. 1/81 7;�)O I'cconic [3av E31��d - G�>o�;lc MaF�s f'a�c: I ��I� I Ma�S 7390 Peconic Bay Blvd . '' � " *�r `�; ; �° � t'�5�a�A ` .;�+� # �vy`F�'-"7� a'" s ..�x_�c�' i,,,s�-�.c��?�^��a� ��= 7�, ,$� ��'ia .�`"� a�'iti J` .- t ' f 2� ���3 �'�° k' uf '' �' +��.�,�'�.+�� .. ,�. . �+'y �- '�+� -"4,P��' -+s�,� �°' �vwr,c� .,, +� �s� �'i':�'� !�� �tt-��"�,,,�j, ., ' '..'����t �,�, l � � z: e �.a4 '� �E . y�'^r x +"4 ��� � -.c-� . ,. . `� a � �_� � .,` s"r q }�� '' �, o e�+'�$ .� ,�. -y ° � c,,.n'� � s"�°'� '�' ., �' d�r�txrt�a� �r- "� .�'?M�;�w'S � ; k � ,�r....�� -' . F . � . ✓,r y" � ,` �� �i �t�iyx ". �"5 k+a�`` .g`� '�$' `,{�` ' ,� ��y:� l�,a�� _ ' �R] � ,�',b�n .. �.���� � 1���,���'�",�y � r�� rr�� 1 s� � � � rJ'w"w"�'�-'"�' ..•�',��� •'_ r .�. ,'-. r � i �'��s��.,��� �y4 t,,�^�, �.,vytj!..'Vt� ���y� � y��"�. �. 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