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HomeMy WebLinkAboutMacSweeney & Gonzalez MAILING SS: PLANNING ti O � `' P.O. Box 1179 F so Southold, NY 11971 DONALD J.WILCENSKI Chair OFFICE LOCATION: WILLIAM J.CREMERS Nal Town Hall Annex PIERCE RAFFERTY 1 54375 State Route 25 JAMES H. RICH III (cor. Main Rd. &Youngs Ave.) f MARTIN H.SIDOR �'oUN� � Southold, NY Telephone: 631 765-1938 .so of . ov PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Leslie Weisman, ZBA Chairperson Members of the Zoning Board of Appeals From: Donald J. Wilcenski, Chairman � - Members of the Planning Board Date: June 27, 2017 Re: Request for Comments for MacSweeney and Gonzalez SCTM# 1000-27-1-9 ZBA# 7063 The Planning Board has reviewed the project and does not support the Variance as requested based upon the following: 1. The Planning Board has an inactive Standard Application for the subject parcel (figure 1). On October 7, 2015 the Planning Board accepted a Yield Plan (last revised September 4, 2015) recognizing 2 lots where lot 1 was proposed at 90,341 square feet and lot 2 at 88,227 square feet (excluding flag). The Yield Plan met the dimensional lot requirements of the Residential 80 Zoning District (figure 2) 2. The Yield Plan was submitted in response to a Planning Board denial on August 7, 2015 on a Yield Plan showing insufficient lot widths that did not meet the Town Code §240-10 B. 3. The impact on groundwater and the sole source aquifer under the Orient peninsula from residential density is a large concern due to sanitary systems, irrigation and property maintenance. Although the residential density in the area is equal to or greater than 1 acre, the cumulative build out in this sensitive area could lead to greater impacts on ground and surface waters. Public water is not available in this area and the preservation of potable water quality from nitrogen impacts, saltwater intrusion, pathogens, pharmaceuticals, personal care products and volatile organic compounds is a priority. It is these threats that have prompted the Suffolk County Department of Health to develop the regulatory opportunities for the MacSweeney and Gonzalez Page 1 2 June 27, 2017 installation of Innovative and Alternative Onsite Wastewater Treatment Systems capable of treating total nitrogen effluent to below 19 mg/L and reducing potential impacts. y4 j, r i i tla9rre y�,y ,,g«'�,y��paa+l;1'NMrd awfMw"aP 9� wMtly'�4tltlNno-�'V`�^v��gr r ,+.. M i i II ' � 4M �< I w w e Figure 1. Subject parcel. White rectangle. MacSweeney and Gonzalez Page 3 June 27, 2017 MD PLAN ... . + SURVEY OF PROPERTY AT OWENT TOWN OF SOUTHOLD SUFFOLK COUNTY, NY1000-27-01-9 m "SCALL'1140- 9e,a8 NfIO%6N 44N9,6,;pts 1 xPor M i a a � � a jLOT P dl0'A'A amp r� i I � M ."- -- MOM f ry, ....�.F3 -- 'aigNM pNd WY d f wNauYWNg x{pR pari®.�nnx pitrp�r a@ xmcW � � rra wew rbn�,� yyu�p� -0WWm'"row1W OWk.n M4Wi,R�,.,...� .ymxu iv niw xmuw tam 0154 � -.f.'uk vl �'ma w.oa nn s uroro ma . ruwr as n w:nww. C � • r'":' Y"'4r �,W�,_ TOTAL AfEA-42M ACRE8 AREA LOT I-00,30180FTor 2.074 ACFH3 rrwn .mss Wwrl µs„n nW nw ua wro ' , . q,n� 1-rre.J +rrr W u W'"n AREA LOT 2-9060380..FT.-2.216 ACRM(TOTAL) w7 Figure 2. Town Code §240-10 B Conforming Yield Plan. Thank you for this opportunity to provide comments, and please feel free to call this office with any questions. SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES DATE HAUPPAUGE, N.Y. TEST HOLE DATA MCWYALD GE°SC°"CE SUBDIVISION ,4 z,,1 \ THIS IS TO CERTIFY THAT THE PROPOSED REALTY SUBDIVISION OR ___ _.__. FOR DEVELOPMENT FOR IN THE EL 1•T8' DARK BROWN LOAM OL ���� A GONZALEZ WITH A TOTAL OF LOTS WAS APPROVED ---- a5' ON THE ABOVE DATE. WATER SUPPLIES AND SEWAGE DISPOSAL -- 25' BROWN SILT ML AT ORIENT FACILITIES MUST CONFORM TO CONSTRUCTION STANDARDS IN EFFECT AT THE TIME OF CONSTRUCTION AND ARE SUBJECT TO SEPARATE TOWN OF SOUTHOLD PERMITS PURSUANT TO THOSE STANDARDS. THIS APPROVAL SHALL BE BROWN FlNE TO COARSE SAND W11H 10X GRAVEL SWSITE s VAUD ONLY IF THE REALTY SUBDIVISION/DEVELOPMENT MAP IS SUFFOLK COUNTY N.Y. DULY FILED WITH THE COUNTY CLERK WITHIN ONE YEAR OF THIS DATE. CONSENT IS HEREBY GIVEN FOR THE FILING OF THIS MAP ON WHICH 1000 - 27 - 01 - 09 KEY MAP THIS ENDORSEMENT APPEARS IN THE OFFICE OF THE COUNTY CLERK IN ---- 7' 0 10 J5 50 100 SCALE' I*w 600' ACCORDANCE WITH PROVISIONS OF THE PUBLIC HEALTH LAW AND THE SUFFOLK COUNTY SANITARY CODE. PALE BROWN FINE TO COARSE SAND SW EL. 1.6' __-- 122' STS"m, SCALE= I " = 60' 4. DIRECTOR, DIVISION OF ENMROMENT QUALITYAPRIL 29 2015 47 WATER WA M? IN PALE BROWN FINE TO COARSE SAND SW Aug. 26, 2815 (revision) +fir THIS IS TO CERTIFY THAT THE SUBDIVISION PLAT HAS BEEN APPROVED 17' BY THE PLANNING BOARD OF THE TOWN OF SOUTHOLD ON BY CHAIRMAN PLANNING BOARD SOF4 I HEREBY C t HISS 3e DIVISION PLAT WAS MADE FROM R ACTUAL SV rtiL YT AND THEIR POSITIONS ARE CORRECTLY THAT ALL MONUMENTS -• O�4 SHOWN T LL�IIhENSIONAL r�$l�D QODETIC DETAILS ARE CORRECT, �t� SHOWN A D;A IC NO. 49618 I HEREBY CERTIFY- A WATER SUPPLY(S) AND/OR SEWAGE DISPOSAL SYSTEM(S) FOR THIS PROJECT or WELL WERE DESIGNED BY ME OR UNDER MY DIRECT70N. BASED UPON A CAREFUL AND THOROUGH STUDY OF Cr THE SOIL, SITE AND GROUNDWATER CONDITIONS, ALL LOTS, AS PROPOSED, CONFORM TO THE SUFFOLK COUNTY 0 DEPARTMENT OF HEALTH SERVICES CONSTRUCTION STANDARDS IN EFFECT AS OF THIS DATE. DATE N/O/F JANE LLEWELLYN . -- -- - _. MWELLNG) THOMAS C. WOL.PERT, P.E. NYS P.E. LIC. NO. 61483 637.79' ' N 51'53'10" E (DEED) ; a , N 51'55'00" E. (ACTUAL) EL 1<4 iso ' - PROPERTY LINE EL IL?— EDGE OF FIELD C L4 o r -( W W 0 z � � z HOUSE M �: i LOT I ` �� _ TEST ELTI BLE •I 4 D vi '° o s• z� y u MIN m 2 \ ©5 MIN C7 FALLOW D ROADS 52.52.26" W 642.8x' ` © � OWNER/APPLICANT r- VERONICA GONZALEZ TYPICAL PLOT PLAN N 52'52'26' E 642.8x' \ 411 WEST END AVE. NEIN YORK, N.Y. 1002 ALL WATER LINES TO BE A MINIMUM OF FIELD 10' FROM SEPTIC SYSTEMS AND DRAINAGE n \ STUCTURES u CESSPOOLS TO BE 150' MINIMUM FROM ALLr �y o LOT 2 �' 99 0 POTABLE WELLS r) w� u 0 O M ------ OF F1ELc IP ZONING -DISTRICT= R 80 oD SCHOOL DISTRICT - ORIENT TLo FIRE DISTRICT - ORIENT �- �'��=��'�+ 142 S 53.5936" W. 198.94 .G4CTVAU S 54016'00' W 349.30'tACTUAU � S 51'53'10' W S 53.47'00" W 199.52 (DEED) I 348.66 (DEED) `,� ) 100.00' N/O/F ROBERT R. BERKS I ! MANN ARBFRIEDMAN ,' r C) =PROPOSED STREET TREE (TOWN APPROVED) 40' O.C. N/O/F CAROL HUANG I (DWELLNG) 8 JOSHUA NEFSKY L a cr ELEVATIONS 3 CONTOUR LINE ARE REFERENCED TO (DWELLNG) I WELL LOCATION NA VD. UWNOWN ® MONUMENT �.y OF Cr I20•. ® = PIPE ,7 Cr The location of public water, wells and cesspools shown hereon are ' from field observations and or from data obtained from others. a WML - - _ - - ---- PECONIC SURVEYORS, P. C. ANY ALTERATION OR ADD/710N TO THIS SURVEY ISA VIOLATION TOTAL AREA=4.2916 ACRES (631) 765-5020 FAX (631) 765-1797 OF SEC 77ON THE NEW77ON LAW EXCEPT AS PERO SECTION 7209-SUBDIVISIONORK S TA 7EECA 2.UALL CERTIFICATIONSP. 0. BOX 909 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF AREA LOT 1' 92,619 SO. FT. OC 2„1262 ACRES SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR AREA LOT 2= 94 324 SQ 1230 TRAVELER STREET ry WHOSE SIGNATURE-APPEARS HEREON. . FT. OC 2.1654 ACRES SOU THOLD, N. Y. 11971 �O_25' BOARD MEMBERS Qtl/ Southold Town Hall Leslie Kanes Weisman,Chairperson 53095 Main Road•P.O.Box 1179 Southold,NY 11971-0959 Eric Dantes Office Location: Gerard P.Goehringer Town Annex/First Floor,Capital One Bank George Homing �� 54375 Main Road(at Youngs Avenue) Kenneth Schneider �L'Q�fN�{ Southold,NY 11971 http://southoldtown.northfork.net ZONING BOARD OF APPEALS FLMARt 2017 TOWN OFSOUTHOLD d Town Tel.(631)765-1809•Fax(631)765-9064 g Board MEMO TO: Planning Board FROM: Leslie K. Weisman, ZBA Chairperson DATE: March 21, 2017 SUBJECT: Request for Comments ZBA#7063 — MacSweeney, Eve and Gonzalez, Veronica A. The ZBA is reviewing the following application, and enclosed copies of, ZBA application, and latest map. The Planning Board may be involved under the site plan review steps under Chapter 280 (Zoning), and your review and comments are requested at this time. The file is available for review of additional documentation at your convenience for reference if needed. NAME TAX#/ 1 ZBA HEARING VARIANCE PLANS PREPARER ZONE DATE DATE STAMPED MacSweeney, 27.-1-9 #7063 7/3/17 1 Art. III Sec 3/20/17 John Eve and R80 Zone 280-14 Bulk Metzger Gonzalez, Schedule Veronica A. Your comments are appreciated by one week prior to above hearing date. Thank you. Encls. Fee:$ Filed By: Assignment No. APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS AREA VARIANCE House No. 2050 Street Platt Road Hamlet Orient SCTM 1000 Section 27 Block 1 Lot(s) 9 Lot Size 4.29 ac.Zone R-80 I(WE)APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED 1/17/17 BASED ON SURVEY/SITE PLAN DATED 4/29/15 Owner(s): Veronica A. Gonzalez and Eve Mac Sweeney Mailing Address: 12 West 10th Street#3, New York, NY 10011 Telephone: (929)275-4498Fax: Email: veronica2gon@gmail.com NOTE:In addition to the above,please complete below if application is signed by applicant's attorney,agent,architect, builder,contract vendee,etc.and name of person who agent represents: Name of Representative: Charles R. Cuddy for"Owner( )Other: Address:_ PO Box 1547, Riverhead. NY 11901 Telephone: 631-369-8200 Fax: 631-369-9080 Email: chars ,ddy@optonlint--net Please 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 THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN DATED 4/29/15 and DENIED AN APPLICATION DATED 8/24/15 FOR: ( )Building Permit ( )Certificate of Occupancy ( )Pre-Certificate of Occupancy ( )Change of Use ( )Permit for As-Built Construction (X)Other: subdivision —2—lots Provision of the Zoning Ordinance Appealed. (Indicate Article,Section,Subsection of Zoning Ordinance by numbers.Do not quote the code.) Article: TTT Section: 280 Subseciioa: 14 Type of Appeal. An Appeal is made for: (I 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, ())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) Narne of Owner: ZBA File# REASONS FOR APPEAL (Please be speck, 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: There will be two (2) houses, each on a 2 ac. lot in a residential community in accordance with the Town Code. 2.The benefit sought by the applicant CANNOT be achieved by some method feasible for the applicant to pursue, other than an area variance,because: The only other configuration would create a flag lot, not favored by the Planning Department. 3.The amount of relief requested is not substantial because: The variance is 25 ft. on an existing frontage of 150 ft.—less than 20% variance 4.The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: Other homes in the neighborhood are on similar, and in .-fact, on smaller lots. 5.Has the alleged difficulty been self-created? { }Yes,or X}No Why: This is a preexisting parcel. Are there any Covenants or Restrictions concerning this land? fc}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. Signature of Applicant or Authorize Agent (Agent must submit written Authorization from Owner) Sworn to before me this da o PLnf Mary Public CV, BRIANNATOSCANO 'KELVoN A nEVEM'O-LE Notary Public,State of New York Notary PubUr-State a� Mr,wa York + No.01T0633146 { �q�,, � ��� �a�� Qualified in qu!folkCounty in u f Commission Expires October 13,20—. My C®yrrniS's30P Pa so A l ug.31,2019 TOWN OF SOUTHOLD FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL DATE: August 31, 2015 RENEWED: January 17, 2017 TO: Charles Cuddy, Esq. (MacSweeney) PO Box 1547 Riverhead,NY 11901 Please take notice that your application dated August 24, 2015: For subdivision at Location of property: 2050 Platt Road, Orient County Tax Map No. 1000 - Section 27 Block 1 Lot.9 Is returned herewith and disapproved on the following grounds: The proposed subdivision of this vacant parcel in the R-80 Zone is not permitted pursuant to Article III. Section 280-14. the Bulk Schedule: Parcel 1 is required to have 175 feet in lot width, however the survey indicates a lot width of 150 feet. Parcel 2 is required to have 175 feet in lot width, however the survey indicates a lot width of 150 feet. Also, as per Chapter 240 of the Town Code, Planning Board approval is required. You may now apply to these agencies directly. I 1 ed S Ilr&ure CC: file, ZBA, Planning Note to Applicant: Any change or deviation to the above referenced application, may require further review by the Southold Town Building Department. 1 V WfN ur bV u llivib" BUILDING PF—R,NET APPLICATION CHECKLIST BUILDING DEPARTMENT Do yot .ve or need the following,before applying? TOWN HALL Board of Health SOUT.HOLD,NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Srlrvev SoutholdTown.NorthFork.net PERMIT NO. Check Septic Frim -N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined 20 Single& Separate Storm-Water Assessment Form Contact: Approved .20 Mailto: 'Charles R. Cuddy, Esq Disapproved a/c PO Box 1547, Riy rhParl, Ny Phone-ahq.—R 2 11901 Expiration 20 Building Inspector APPLICATION FOR BUILDING PERMIT Date August 21, . 2015 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale.Fee according to schedule. b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas, and waterways. c.The work covered by this application may not be commenced before_issuance of Building Permit. d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout.the work. e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f.Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the property have been enacted in the interum,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months.Thereafter,a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County,New York, and other applicable Laws, Ordinances or Regulations,for the construction of buildings, additions,or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances,building code,housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. 6"46—1015�, (Signature of applicant or name,if aid oras. P0. Box 154.7. Riverhead, NY 11901 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or,builder Agent Name of owner of premises Eve MacSweeney and Veronica Gonzalez (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer N/A (Name and title of corporate officer) Builders License No. N/A Plumbers License No. N/A Electricians License No. N/A Other Trade's License No. 1. Location of land on which proposed work-will be done:: 2050 Platt Road orient House Number Street Hamlet County Tax Map No 1000 Section- 27 Block 1 9 APPLICANT'S PROJECT DESCRIPTION APPLICANT: Ma r SwP Pn Pv'and Gon z a 1 P z DATE PREPARED: 3/2/17 L For Demolition of Existing Building Areas Please describe areas being removed: N/A II.New Construction Areas(New Dwelling or New Additions/Extensions): Dimensions of first floor extension: N/ Dimensions of new second floor: Dimensions of floor above second level: Height(from finished ground to top of ridge): Is basement or lowest floor area being constructed?If yes,please provide height(above ground) measured from natural existing grade to first floor: III.Proposed Construction Description(Alterations or Structural Changes) (Attach extra sheet if necessary).Please describe building areas: Number of Floors and General Characteristics BEFORE Alterations: N/A 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: N/A Proposed increase of building coverage: N/A Square footage of your lot: 2.1262 ac. and 2.1654 ac. Percentage of coverage of your lot by building area: N/A V.Purpose of New Construction: This is a proposed 2—lot subdivision on 4.29 acres 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): Flat Please submit 8 sets of photos, labeled to show different angles of yard areas after staking corners for new construction,and photos of building area to be altered with yard view. 4/2012 QUESTIONNAIRE FOR FILING WITH YOUR ZBA APPLICATION A. Is the subject premises listed on the real estate market for sale? Yes X No B. Are there any proposals to change or alter land contours? No X Yes please explain on attached sheet. Proposed 2—lot subdivision C. 1.)Are there areas that contain sand or wetland grasses? No 2.)Are those areas shown on the survey submitted with this application? N A 3.)Is the property bulk headed between the wetlands area and the upland building area? N/A 4.)If your property contains wetlands or pond areas,have you contacted the Office of the Town trustees for its determination of jurisdiction? N/A Please confirm status of your inquiry or application with the Trustees: and if issued, please attach copies of permit with conditions and approved survey. D. Is there a depression or sloping elevation near the area of proposed construction at or below five feet above mean sea level? No E. Are there any patios, concrete barriers,bulkheads or fences that exist that are not shown on the survey that you are submitting? No Please show area of the structures on a diagram if any exist or state none on the above line. F. Do you have any construction taking place at this time concerning your premises? No If yes,please submit a copy of your building permit and survey as approved by the Building Department and please describe: G. Please attach all pre-certificates of occupancy and certificates of occupancy for the subject premises. If any are lacking, please apply to the Building Department to either obtain them or to obtain an Amended Notice of Disapproval. H. Do you or any co-owner also own other land adjoining or close to this parcel? No If yes,please label the proximity of your lands on your survey. 1. Please list present use or operations conducted at this parcel vacant land and the proposed use 2 residential al 1 o subdivision . (ex: existing single family, proposed: same with garage, pool or other) Authorized signature and Date APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics rirobibits conflicts of interest on the part of town officers and employees.The u ose 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. YOURNAME: MacSweert2y Eve (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 X 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 X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the appReant/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 i J_f Submitted this dAff of 20 t Signature PrintName Eve MacSweenev APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM The Town ofSouthold's Code of Ethics prohibits conflicts of interest on the art of Lown officers and em lovees.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• Gonzalez Veronica (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 officer or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business interest"means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee. Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation) B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation) Q an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this2 day of Signature Print Name Veronica( Gonzalez AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the cart of toren officers and emplovees.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 i$ necessary to avoid same. YOURNAME: Cuddy Charles R. (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 Y Trustee Permit Change of Zone Coastal Erosion Approval of flat 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 X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee. Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation) B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation) C)an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this day of March ,20 17 Signature Print Name Charles R. Cuddy AUTHORIZATION Eve MacSweeney Veronica A. Gonzalez 12 W 10th Street#3 New York,NY 10011 We, Eve MacSweeney and Veronica A. Gonzalez, hereby authorize Charles R. Cuddy, Esq. to act as our agent on the property of SCTM#1000-27-01-09 in Orient,NY, and to apply for variance on our behalf from the Southold Zoning Board of Appeals. '� k/M A - - Eve MacSweeney Veronica Gonzalez i I s, Y i ,•fie,,r, ',I��# �Y� I _ - � -- •, oY �'�:J r� ♦„1�y�1 d 17�r� �����a � ��I ��� i� .t . Y tl I f _L �Ij� .,� � .• r �'.tl• F�''��'��+1��'r tl p�Ll3 � 1 • �q , ,� I tl . L�a�.. � ' �.a . , _ w* ee -� •.fit,�• ,l���I t ra. •,f!, \ `, 1,tl , „�� �3,�, �!� •�`Jf�„! is ��`` L•. ilk .e r -� •� f} "se '. { � d f tl -. �`�w.4 • y�, .;r� �tl.. ��d.giy�..y'. �y��A� - ,.• • ;l °r „tl.}�� IV OW, ,L ,•r i t �wtlf+ p �. �T_L dh� �tl1 it 'F�1`, SSS'y+! .1 ` f r ° e► ir,3{ }. Via. �'����� �`.C i'�,� ��} ��}''�'��:�� ��,S",�'�'�` �.t��• .., [ L.! '3-� , '�. n �� � ' .. AGRICULTURAL DATA STATEMENT ZONING BOARD OF APPEALS TOWN OF SOUTHOLD WHEN TO USE THIS FORM: This form must be completed by the applicant for any special use permit, site plan approval, use variance, area variance or subdivision approval on property within an agricultural district OR within 500 feet of a farm operation located in an agricultural district. All applications requiring an agricultural data statement must be referred to the Suffolk County Department of Planning in accordance with Section 239m and 239n of the General Municipal Law. 1. Name of Applicant: Veronica A. Gonzalez and Eve MacSweene 2. Address of Applicant: 12 West 10th St.#3, New York., NY 10011 3. Name of Land Owner(if other than Applicant): same as applicant 4. Address of Land Owner: same as applicant 5. Description of Proposed Project: 6. Location of Property: (road and Tax map number) 2050 Platt Road, Orient; SCTM#1000-27-1-9 7. Is the parcel within 500 feet of a farm operation? {X} Yes { } No 8. Is this parcel actively farmed? { } Yes {X} 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 SCTM#1000-18-6-4. 1 James Latham, PO Box 455, Orient, NY 11957 2. SCTM#1000-27-1-3 East End Holding LLC c/o UBT Group TTC, PO Box 3 6 3• Mt, Sinai, NY 11766 4. 5. 6. (Please use the back of this page if there are additional property owners) Signature of Applicant Date Note: 1. The local Board will solicit comments from the owners of land identified above in order to consider the effect of the proposed action on their farm operation. Solicitations will be made by supplying a copy of this statement. 2. Comments returned to the local Board will be taken into consideration as part as the overall review of this application. 3. Copies of the completed Agricultural Data Statement shall be sent by applicant to the property owners identified above. The cost for mailing shall be paid by the Applicant at the time the application is submitted for review. YI l a TOWN OF SOUTHOLD PROPERTY RECORD CARD .�-- OWNER STREET o2VILLAGE DIST. SUB. LOT G CDw e ORMER OWNER N E ACR. � tG foS �IrtG S r W TYPE OF BUILDING ------ g .. /. I 1 . ��^ /f �r pt'j-1 -&-V'fs , RES. SEAS. VL. I FARM COMM. CB. MICS. Mkt. V/6lue LAND IMP. TOTAL DATE REMARKS D -31/134 �� 1/ I %1 S 0 JQ 000 F. AfNLf4/SCD 7 d' ilr e41ti`r`' �o p �'/`n rs Brom � IT I Aj e ., AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Ac re Tillable 3,2c�� � (p1� FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD DOCK Total 1 a� 7'own 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). 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# 1000 _ 27 _ 01-9 The Application has been submitted to(check appropriate response): Town Board Planning Dept. E Building Dept. ® Board of Trustees 0 !. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital 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: Minor subdivision-2-lots Location of action: 2050 Platt Road, Orient, NY Site acreage: Present land use: vacant land Present zoning classification: R-80 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: Veronica Gonzalez and Eve MacSweenev (b) Mailing address: 12 West 10th St. #3 New York, NY 10011 (c) Telephone number:Area Code( ) (929)275-4498 (d) Application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ No❑X If yes,which state or federal agency? DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space,makes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III-Policies; Page 2 for evaluation criteria. ❑Yes ❑ No ' Not Applicable This 2 lot subdivision will not chane the character of the community a s nQt__ near coastline. 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 It is doubtful this inland parcel has any archaeological significance 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 D NoE] 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 No u 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 EE Yes 11 No D Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. 7 Yes F� No Fr� Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ No❑ Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. Yes ❑ No ❑ Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. YeF-1 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. ❑ Yes ❑ No ❑ Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No ❑ Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluation criteria. El Yes El 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. ❑ Yes ❑ No ❑ Not Applicable Created on 5125105 11:20 AM 617.20 Appendix B Short Environmental Assessment Form Instructions for Comnletin� Part 1-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete:Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1-Project and Sponsor Information Name of Action or Project: Subdivision for Veronica Gonzalez Project Location(describe,and attach a location map): 2050 Platt Rd. , Orient; SCTM#1000-27-01-9 Brief Description of Proposed Action: Proposed 2—lot subdivision Name of Applicant or Sponsor: Telephone: (929)275-4498 Veronica Gonzalez and Eve MacSweeney E-Mail: veronica2gon@5zmail.com Address: 12 West 10th Street #3 Eve_-macsweeney@condeneast.c City/PO: State Zip C10011 New York 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 X 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: Southold Town Planning Board —subdivision approval X SC Department of Health Services—subdivision approval 3.a.Total acreage of the site of the proposed action? 4.2916 acres b.Total acreage to be physically disturbed? 4.2916 acres c.Total acreage(project site and any contiguous properties)owned 4.2916 or controlled by the applicant or project sponsor? acres 4. Checl,all land uses that occur on, adjoining and near the proposed action. ❑ Urban ❑ Rural(non-agriculture) ❑Industrial ❑ Commercial *1 Residential(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? X b.Consistent with the adopted comprehensive plan? X 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? X 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: X 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES X b.Are public transportation service(s)available at or near the site of the proposed action? X c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? 9.Does the proposed actio meet r exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: X 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: private well X 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: private septic system X 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? b.Is the proposed action located in an archeological sensitive area? X X 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? X 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: X 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 M 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? X 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? ❑NO ❑YES X b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO ❑ YES 4 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: X 19.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: X 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: X I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: 5�ADate: Signature: �rf 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?" 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 No,or LModeratesmall impactmay 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. Pati 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. 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