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1 e' f CHECK BOXES AS COMPLETED ( ) Tape this form to outside of file ( ) Pull ZBA copy of ND cQ o Q O ( ) Check file boxes for priors 0. ( ) Assign next number on list; 3 N outside of file folder o ( ).Date stamp entire original m -n -U Z o <,a Cn file number 3 X o, N= m ( ) Hole punch entire original = w m o n (before sending to T.C.) � `c m � � X ( ) Create new index card � wA Z m ( ) Print contact info &tape ti o v W ( ) Prepare transmittal to ToN 3 � °� C o co ( ) Send original application v m cn n to Town Clerk ( ) Note inside file folder w/K and tape to inside of fold( m ( )'Copy County Tax Map; hid -n neighbors and AG lots o (D ( ) Make 7 copies and put wi 3 ( ) Do mailing label 0 rn cn 4// 41( 7-- Co �/1 r Office Location: *®F SO(/�yolo Mailing Address: Town Annex/First Floor,Capital One Bank g 53095 Main Road 54375 Main Road(at Youngs Avenue) P.O.Box 1179 Southold,NY 11971 ® �O� Southold,NY 11971-0959 http://southoldtown.northfork.ne,t BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631)765-1809 Fax(631)765-9064 COVER SHEET WITH ZBA FILE STATUS OF FILE ZBA# -7065 ' Name : S'6)?—Lt' f' d 3 03 6y__T_ Tax Map#: / 00G— No— Location : 35-7r [ ] Refund issued : CANNOT activate or reactivate file (Applicant has withdrawn application). q)kr jWfv() Lgpy [ ] NO REFUND DUE, based on time spent for Town to process application and hearings. Obsolete & expired; CANNOT reactivate this file: NEW APPLICATION NECESSARY: Extensive time has passed; Zoning Code changes are now in effect and this application expired. NOTE: Applicant may apply for a new application with Building Inspector for a new Notice of Disapproval and submit NEW application with all documents and current maps to ZBA, or modify plan to conform to the current code. This Town file based on applicant's previous year requests has expired. [ ] No forms to be scanned; FILE # VOID: APPLICATION RETURNED. (All forms were returned to applicant early in process, as requested by applicant.) ---------------------------------------------------------------------------------------------------------- f l b' f " c9l h sleFG aeo-//L,i Cl )SC�CJ5D TD A575 r�La) ,ea✓ f���•� i� /D , t BOARD MEMBERS 0f $®�j Southold Town Hall Leslie Kanes Weisman,Chairperson �� �® 53095 Main Road•P.O.Box 1179 Southold,NY 11971-0959 Patricia Acampora l0 Office Location: Eric Dantes CA ac Town Annex/First Floor,Capital One Bank Gerard P.Goehringer 54375 Main Road(at Youngs Avenue) Nicholas Planamento I�CQU Southold,NY 11971 http://southoldtownny.gov ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel.(631) 765-1809•Fax(631)765-9064 MEMO Date: June 5, 2017 To: Elizabeth Neville, Town Clerk From: Leslie Kanes Weisman, Chairperson ZBA Subject: Refund request A refund is requested for the following application: ZBA File No. 7065 — Serling Robert Refund recommended - $500.00 Reason: Variance no longer required pursuant to Section 280-116 (amended May 9, 2017) Please send the check to the Applicant's representative: Samuels & Steelman Architects 25235 Main Road Cutchogue,NY 11935 Thank you. Encls. cc: Acct. Dept. c� * * * RECEIPT * * * Date: 03/27/17 Receipt#: 217397 Quantity Transactions Reference Subtotal 1 ZBA Application Fees 7065 $500.00 Total Paid: $500.00 Notes: Payment Type Amount Paid By CK#17541 $500.00 Samuels &Steelman Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Sterling, Robert 104 Roxen Rd Rockville Ctr, NY 11570 Clerk ID: SABRINA Internal ID:7065 gurr°cr°o�� i RESOLUTION (ID # 13131) DRAFT DOC ID: 13131 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. (ID # 13131) WAS DRAFT AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON JUNE 20, 2017: RESOLVED, that the Town Board of the Town of Southold hereby grants a refund to the following applicant; as the Zoning Board of Appeals has been notified by the Building Department that a variance is no longer required. Samuels & Steelman Architects RE: Serling, Robert $500.00 Appeal No. 7065 25235 Main Road Cutchogue, NY 11935 Elizabeth A. Neville Southold Town Clerk /V41RE FENCE YV WELLS ROAD DRAINAGE CALCULATIONS SITE DATA FILTER CLOTH TEMPORARY ER051 ON ED GE OF P'A VEMEN 7- (PUBLIC WATER IN STREET) SCTM # 1000-86-02-10 CONTROL MEASURES AREA OF RESIDENCE (DW-A) SURFACE PROP05ED SILT FE-NCE PR'r NELL AREA X RAINFALL X RUNOFF FACTOR PROPERTY: 3575 Wells Road FILTER CLOTH MIN. DRAINAGE FLOYi DURIN& CONSTRUCTION (PA-A) 5;545 SF x (2/12 FT) X 1.0 = 5c[l CU. FT. Peconic, NY 11958 6" BELOY4 GRACE SEE DETAIL UTILITY USE: (4) VDIAMETER x 4' HI&H POOL OWNER: Robert Serling POLE (4) VX 4' 5TORM DRAIN RING = 675.6 CU. FT. NM N, PUBL I C, 104 Roxen Road YiATER 6*75-6 CU. FT. > 5cII CU. FT. Rockville Center, NY 11570 METER R=256.60' AREA OF DRIVEWAY (DW-B) SITE: 16,419 SQ. FT. 0.376 AC. TEMPORARY STORM WATER PERMANENT STORM DR'Y' k4ELL AREA x RAINFALL x RUNOFF FACTOR AREA RUNOFF CONTROL MEASURE NATER RUNOFF CONTROL (V;N-5) 1,268 5F X (2/12 FT.) X 0.-1 = 145 CU. FT. ZONING: R-40 110�Nll�SED�IME�NT C�ONT�RO�LDE�TAIL�S MEASURE NEN DRYNELL +a.2 USE: (1) & DIAMETER x 41 HIGH POOL S L=79.54' I'D y W MTL &RATE TYPICAL \\ /" "\ (1) 5' X 4' 5TORM DRAIN RING = 168A CU. FT. ALLOWABLE SEE DETAIL r=xp LP 0 PROVIDED REGUIRED LOT 21\ LF FXF Exp 165A CU, FT. > 145 CU. FT. COVERAGE: 20% OR 3,283 SF 0 ACTUAL NEN UNDER&ROUND LOT '7'a PROPOSED NEYq SEPTIC, SYSTEM LP- COVERAGE: 19% OR 3,122 SF 17 LF ELECTRIC UTILITIES LINE FOR A 5 BEDROOM RESIDENCE Uj - (1) 1200 &AL SEPTIC TANK (ST) FLOOD: X + TEST ZONE z PERMEABLE STONE 6RAVEL 10 FT DIA x 2 FT LD HOLE X 11, 11� - (5) 5DIA x 2' HI(5H a— DRIVENAY - NON RCA SURVEYOR: Peconic Surveyors GRA L-- r-L DN 6RAVEL MATERIAL P.O. Box 909 LEACHINC-7 POOL (LF) A Southold, NY 11971 - FUTURE LOCATION FOR Lic. No. #49618 (5) 5' DIA x 2' HI&H 0 C DATED: February 11, 2014 LEACHINC-7 POOL (EXF) NOTF-5: ................................ .......................................— .................................................... ELEVATION5 t CONTOUP-5 ARE REFERENCED TO NAVV '68 .......... ............ PROPOSED NEN AATER LINE PROM FLOOD ZONE FROM FIPM MAP NUMBER 3610500162H E-%W NETLAND FLA&5 EXISTINS HOUSE DEMOLISHED NA77ER MAIN AT ROAD TO &ARA&E b ............ ........... L 0(CAT 10& M ................. 1-4 ........ ....................................... ................................................................ .. ..... ................................................... .................................................... I ........... w , 1-1-...-.-.-.-.-.-.-.-.-.-.-...-..-..-.-...,-.-..-.-.-.-.--.-.-.-...-...-l.-.-.-.-.-.-..-. EX15TIN& SANITARY SYSTEM FUMPEr.> OUT ............... ............... ...........%............. ......... .......... ............. . .............. .......... ................ ................... .............. ................:................i ;.. .......................................... - - ........ %=� ................. ............... .......................................................................................... .................... ........ .............................................. .....................................................................................I.-,-,--..-.-- - ......................... ....................... ..................... ... ................. ................. .......... ... .......... AND REMOVED p .......... .............. ............ ...... .......... . ............................................................. ..........�...+N . a " A 5 EN ......... ............... ...... ........ ...... .................................. ......... ........... .... ... ...... ..........%.......................%..................... ...................................... A ............ ................................................................. .... ..... .... .. . . .. -. .. ....... ...................... .................................... ........................ ........... ................................................................................................. ...................... ................. 1000-86-02-11 .............. ........................ ........ . ........ . .................. .................................................. 2r LAND N/F OF NEYi BASEMENT ACCESS DOOR ............ ................. .................. ELIZABETH & ROBERT SCHUPLER .......... ......... .............................................................. ....................... ......... ............. ................................................................................................................................................................... ....... ......... ............ ........ ..................................... ............ ................ RESIDENCE WITH -7 ............. ..................... ............ .................................................................................. ............ ........ ............................................. ........................ ............. .... ..................................... .................. ..... ............. . ..... I.......... ............. 10 PUBLIC WATER & SANITARY SYSTEM ................ z .................... .. .... .... ........................... .. . . ............ .... �jj...... .......................................................................................................... ............... . ................... ......................................... . .................... .. 3635 Wells Rd, Peconic, NY 11958 .....................................................;.......................... .... ............................................... ...................—."- ........ .......... .................................................................................... . .. ... ................... ........... ................................ ............... .............. ............................................. ........................................... ................................................ .......................................... ... ............................................ .... ...............................="'�" ............................................................ ............. .......... ................. .............. ........................... ............... S EX15TINC-7 SPLIT RAIL FENCE ITE ....... .......... =%, .............. ......................... ...................... ............... .......... .............. .......... ............ ................ .......... ................ ............... P01- ... .. .. ......... . ..... ........... ..-i-I.....'........................................... ......... ..... ..... ............................ X 1000-86-02-9 W................. ................ .......... it]2 ............ ........... LAND N F OF ............... (7W 10 ................ ,........................... ................. & ALBERT C. SCHUPLER JOSEPH M. ........... ......... TEST HOLE NO SCALE +-7.2 RESIDENCE WITH 15.5' BY McDONALD GEOSCIENCE PUBLIC WATER & SANITARY SYSTEM NE SOUTHOLD, NEW YORK 11971 06 z- 3475 Wells Rd, Peconic, NY 11958 TEMPORARY ER05ION CONTROL U) 'D - -,K I Le) MEASURES PROP05ED SILT FENOE TEST HOLE DATA 10-24-16) ELEV +7.8' (j) <. DURIN6 CONSTRUOTION SEE DETAIL 0 4 jr) DA Pon" rq TE A 3.0 FT. MIXED SAND AND LOAM LLJ -j. z LL We BROWN AND PALE BROWN �Mwi "S" 0 0 W 3: w EXISTINC-7 8.6 FT. FINE TO MEDIUM SAND SPI C4 0 PERMANENT STORM kXATER RUNOFF 0 PECK CONTROL MEASURE NEN DRYNELL X MOVED K) WATER IN PALE BROWN co co- TYPICAL SEE DETAIL 17 FT. FINE TO MEDIUM SAND 01 " 8.6 FT BELOW SURFACE - WATER /N1 z PATI X REMOVE U) ENCOUNTERED, ELEV -.081 RE,67RADIN& tX>� TEMPORARY EROSION CONTROL 70 --j'\ MEA5URE5 PROPOSED SILT FENCE -7 AS 5HOINN .......................................... -a 0 (10 DURINO CONSTRUCTION SEE DETAIL M .......... ....... ------- rn r" 4- ................ .................... ;q ZONE- -X Q)i IM -FLooz> Ar E X 15 T I N C-67 M rn — P �V -71 Z < ONE -CI—Nf EDGE OF rn SILT FENOE rtl M WETLANDS > rrf Z ZONE AE (EL 6) TOP Or- EXISTING 45RADE < 0 M 'J0- - I . EXISTIN& SHED TO rti CAST IRON FRAME AND COVER iiia 0) M TO 65RAVE (A5 REOUIRED) PROJE�,'T NO: BE RENO VATED 1612 TRAFFIC, SLAB (SEE DRAWN BY: PLANS FOR LOCATION5) < ly UT CC, rn CHECKED BY: -t Q NON TURF BUFFER 0 U INS TOP OF BUtKHEAD 3.9' j DATE: (1). Dec. 13, 2016 S27*50'22"W WOOD BULKHEAD 129.04' DE3 CE E?I E� El H H H 45" HIGH x 45" DIA SCALE: Co 'V M PRAINA6E 5ASIN 19 109 C: M (TIE LINE ALONG BULKHEAD) min cE cE 01V BU I LD I N& Y4ALL FF EL 11.0 FT r- ;z "� > MEAN HIGH WATER ALONG BULKHEAD 1B Fq CE �El EE9 F�Q H E�3 E SHEET TITLE: 6RADE LINE ELEVATION 5.0 FT. -T- &RAE?F- LINE ELr-\/ATION 5D FT. 0 53 ER 123 F3 Ei� Eg E�3 ED H 5ACKFILL MIN 2 H CE B F;� H H H H MATERIAL TO 0 CH B DE H E BE CLEAN SAND 2' MAX. 9 RICH-MOIND CREEK EXISTINS DOCK, CE EE AN12 GRAVEL SITE 1/411/r-T. TOP OF POOL RAMP AND PLAN 5EPTIC LEACHIN6 &.4a FT. FLOATIN& DOCK TANK POOL BOT OF POOL IE. +6V 2.45 FT. BOT OF--"O' &ROUND AATER PERMANENT STORM WATER SHEET NO: 5rZF7TC,7— MOOR-" TANK +13' ELE\/ -0.5 FT IFh -tf RUNOFF CONTROL MEASURE WNTNI, FOARD OP APPEALS Nz�h STORM DRAINAGE RING TYPICAL 101 1-45 —4 NO SCALE SCALE: 1 10'-011 SEPTIC TA K NI MONCLITIC 5A5E SEPTIC PROFILE NOTICE OF DISAPPROVAL 00 0 > ILE (N.T.S.) n TRUSTEES DEC SUBMISSION 62'-8" ON O N - H W Z co r i�OWDER BATHMUD ROOM/ ENTRY LAUNDRY 6ARA6E EAM I LY ROOM CLOSE w MEDIA 0 -a LINEN v OL05ET OLOSET m UP D 1 N BEDROOM ----- 42" high wallME ry V .�, j- �� ;�j "�j "� "/� ��/ ,% . R N IV I .�LL j j /i /, r / j /r, /��. oo / ll 10/ I- 1 f 1 D i - ---� ,///p CLOSET O R . � L I V I N6 AREA FIREPLACE D I N I N6 AREA / F F B Tt�ROOM j DHALL j/ OLO5ET jai; 08 Z /. %/a=te�=- / i, / �I • p Y n T-' W w z w a W. v ui BEDROOM w• a Le) U Q �—• U m FORGH cn cn M 'c 41 II I�I_all PROJECT-NO: TE GR 0 ` 1612 DRAWN BY: NS CHECKED BY: DAaC. 13, 2016 SCALE: 1/41V = 1' - 0" SHEET TITLE: FIRST FLOOR PLAN FIRST FLOOR"1/4" V -0" SHEET NO: (IF APPEW' NOTICE OF DISAPPROVAL 23'-6" O 0 I I W I z ::X I I I I I STORr4C�� I BATHROOM ATTIC OPEN TO ENTRY STORAC;E BELOW twin WALK-IN L I NEN WALK-I N CLOSET CLOSET ` MASTER --------------- ---- V - --- -- BATHROOM — wm I DN I o GATAALK MALL ; V W I L W o MASTER BEDROOM I wQ dK ------------ ------------------- - OFFICE I � OPEN TO LIQ/. RM - I i3ELOW r. 08 Z , I I ------------------------------ - r — — -------------------------------- V+ � M I I 11.1 r W J 0: o } • w z I _ � z U. W• U W N Q Co r (7 m LU M W, D t} IJ.1• N x 4 i ----------------------------- i K I I ~ •= Q H• v o I I I I I N• I I � I ROOF DGK lam' f _ 58'-6 PROQEC,-T, NO: 1612 DRAWN BY: NS SECOND"' IFFLOOR" PLAU CHECKED BY: SCALE: 1/4" = l' -O" DATE: DEC. 13, 2016 SCALE: 1/4" = 1' - 0" SHEET TITLE: SECOND FLOOR PLAN 7v�� SHEET NO: NOTICE OF DISAPPROVAL 09:oem O ot OF --orW 0A r 70i I',,,,,-7sz�g f 0 1H T FR AL-11 ,Lj .1 FE-11 I [LE-111 0 Ll --1 LU �10N WEST ELEvA I - SCALE: 1/4" = V -0"' otf z co a• M -j o � Q W --�• Lu Q Z LL 2 W• M j Q H O t0 W• tV 2 M loor V H � I L• U N N• or- 3k Nc 70c: or:RO4 or or 70e: MIN 34 00,111,11 ;, oy, ✓ X d l --- PROJECT NO: - ) -- 1612 DRAWN BY: — - NS CHECKED BY: DAaC. 13, 2016 IL SCALE: n n 1/4 1 0 SHEET TITLE: seoa� -- BUILDING -- -- ELEVATIONS SHEET NO: ELEVATION- SCALE: 1/4" = 1' -0" NOTICE OF DISAPPROVAL COUNTY OF SUFFOLK RECEIVE® APR 14 2017 ZONING BOARD OF APPEALS 1f�S `tlt�l�1 Steven Bellone SUFFOLK COUNTY EXECUTIVE Department of Economic Development and Planning Theresa Ward Division of Planning Commissioner and Environment April 7, 2017 Town of Southold Zoning Board of Appeals 53095 Main Road P.O. Box 1179 Southold, NY 11971-0959 Attn: Leslie Weisman Dear Ms. Weisman: Pursuant to the requirements of Sections A14-14 thru A 14-25 of the Suffolk County Administrative Code, the following application submitted to the Suffolk County Planning Commission is to be a matter for local determination as there appears to be no significant county-wide or inter-community impacts. A decision of local determination should not be construed as either an approval or disapproval. Applicant Municipal File Number Serling, Robert #7065 9300 Main Road LLC (Sports East) #7066 SE Tsatsos, Theodora #7067 Very truly yours, Sarah Lansdale Director of Planning Theodore R. Klein Principal Planner TRK/cd H.LEE DENNISON BLDG ■ 100 VETERANS MEMORIAL HWY,11th FI ■ P.O.BOX 6100■ HAUPPAUGE,NY 11788-0099■ (631)853-5191 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL DATE: March 20, 2017 TO: Nancy Steelman (Serling) 25235 Main Road Cutchogue,NY 11935 ► RECEIVED Please take notice that your application dated March 13, 2017: LIAR 2 3 2017 For permit to construct new single-family dwelling at: ZONING BOARD OF APPEALS Location of property: 3575 Wells Road, Peconic,NY County Tax Map No. 1000—Section 86 Block 2 Lot 10 Is returned herewith and disapproved on the following grounds: The proposed construction on this non-conforming 16,419 square foot lot in the Residential R-40 District is not permitted pursuant to Article XXIII Section 280-116B, which states, "All buildings or structures located on lots upon which a bulkhead, concrete wall, riprap or similar structure exists and which are adjacent to tidal water bodies other than sounds shall be set back not less than 75 feet from the bulkhead." The proposed dwelling has a setback of 68'l 1"to the existing bulkhead. Auth ' - Si 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. RECE[Fee:$ Filed By: Assignment No. VE® MAR 2 3 2097 APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS AREA VARIANCE 20NING BOARD OF APPEALS House No. 3575 Street Wells Road Hamlet Peconic SCTM 1000 Section 86 Block 02 Lot(s)_ 10 Lot Size_ 0.376 ac Zone R-40 I(WE)APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED 3/20/17 BASED ON SURVEY/SITE PLAN DATED 12/13/16 Applicant(s)/Owner(s): Robert Serling Mailing Address: 104 Roxen Road, Rockville Centre, NY 11570 Telephone: 516 766-5660 Fax: none mail: rserls __hotmail.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: Nancy Steelman for kX) Owner( )Other: Address: 25235 Main Road Cutchogue, NY 11935 Telephone: 631 734 6405 Fax:631 734 6407 Email:nancy@samuelsandsteelman.com Please check to specify who you wish correspondence to be mailed to,from the above names: ( )Applicant/Owner(s), QO Authorized Representative, ( ) Other Name/Address below: WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN DATED 12/ 13 /16 and DENIED AN APPLICATION DATED 3/ 13 /17 FOR: ()o 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: XXHI Section: 280 Subsection: 116 B 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(X) has, )has not been made at any time with respect to this property, UNDER Appeal No(s). 2766, 1981 and 6907,2016 year(s). Please be sure to research before completing this question or call our office for assistance) Name of Owner:Rose Dansker ZBA File#2766 Robert Serling #6907(withdrawn) 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: SEE ATTACHED 0 2.The benefit sought by the applicant CANNOT be achieved by some method feasible for the apgil42WWD pursue,other than an area variance,because: MAR 2 3 2017 SEE ATTACHED ,�Z() JNG BOARD OF APPEALS 3.The amount of relief requested is not substantial because: SEE ATTACHED 4.The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: SEE ATTACHED 5.Has the alleged difficulty been self created? { } Yes,or {}f No Why: SEE ATTACHED Are there any Covenants or Restrictions concerning this land? {X 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 welfar of the co unity. J ignature o .Applicant or Authorized Agent /(Agent must/bmrt written Authorization from Owner) Sworn to before me this Z Z day r of_,4AC 20 U7 IUREN M MCKISSICK AMY PMUC-STATE OF YORK Notary Pubhc No.OIMCB342308 I in S�IkCWV My Commission Expires MeYA 2020 MAR 2 3 2017 PART B: REASONS FOR APPEAL ZONING BOARD OF APPEALS 1. An undesirable change will not be produced in the CHARACTER of the neighborhood for a detriment to nearby properties if granted, The proposed two story residence is characteristic of other residential properties in the neighborhood in scale, design and setbacks to the street and bulkhead. 2. The benefit sought by the applicant CANNOT be,achieved by some method feasible for the applicant to pursue,- other than an area variance. The proposed Single Family Residence is a replacement for an existing residence that was totally destroyed by a fire in the Spring of 2016. An addition to the existing residence was currently under construction when the house was hit by lighting. The proposed residence is set back an additional 5'-7" from the existing bulkhead than the original house. All other setback have been maintained. The existing storage shed was damage and will be renovated with new siding, door and windows. 3. The amount of relief requested is not substantial. The proposed Residence is encroaching on the 75' setback by a total of 6'-1" or 6% of the required setback. This is a minimum request for relief. 4. The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district. The Town of Southold Board of Trustees has issued a Tidal Wetlands Permit for this project. At the time of submittal to the Trustees, the project was reviewed by the Town of Southold Building Department and the Trustees were told a variance was not required. Due to an error in the filing for the change of code regarding the setback requirement from Bulkhead, a variance is now being required. The Southold Town Board of Trustees and the NY State Department of Environmental Conservation did not see any adverse effects on the environment when they issued their permits. See attached. The proposed construction will retain all rain water on site via new drywells and comply with all best management practices for storm water run off during construction. A new Sanitary System, approved by the Suffolk County Department of Health Service will be installed and will meet all requirement. 5. The alleged difficulty has not been self-created. The new construction is the -result of a pre-existing situation where the existing house was located within the setback prior to current zoning restrictions There are no Covenants or Restrictions concerning this land. 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. The variance requested is the minimum relief practicable given the personal benefits anticipated by the applicant. The renovation is needed to maintain the investment and the proposed residence is modest in scope and scale. 1 APPLICANT'S PROJECT DESCRY x xON APPLICANT: Robert Serling DATE PREPARED: March 22.2017 1.For Demolition of Existing Building Areas 16)V &DECEIVED Please describe areas being.removed: NA MAR 2 3 2017 iVIVLIVU Be-ARD v H.New Construction Areas(New Dwelling or New Additions/Extensions): Dimensions of first floor extension: (see floor plans) Dimensions of new second floor: • (see floor plans) Dimensions of floor above second level: none Height(from finished ground to top of ridge): 30'=6" Is basement or lowest floor area being constructed?If yes,please provide height(above ground)measured from natural existing grade to first floor: 2'-10" 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: NA Number of Floors and Changes WITH Alterations: NA ` IV. Calculations of building areas and lot coverage(from surveyor): Existing square footage of buildings on your property:_ 106 sf Proposed increase of building coverage: 3.016 sf Square footage of your lot: 16,419 sf Percentage of coverage of your lot by building area: Existing: % Proposed: 19% V.Purpose of New Construction: Construction of a new single family house with attached garage. VI.Please describe the land contours(flat,slope %,heavily wooded,marsh area,etc.) on your land and how it relates to the difficulty in meeting the code requirement(s): The existing site has a very slight slope to the bulkhead and does not relate to the difficulty in meeting the code requirement. 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 RECEIVED A. Is the subject premises listed on the real estate market for sale? Yes _X__No LIAR 2- 3 2017 B. Are there any proposals to change or alter land contours? ZONING BOARD OF APPEALS X No Yes please explain on attached sheet. C. 1.)Are there areas that contain sand or wetland grasses? yes 2.)Are those areas shown on the survey submitted with this application? NA 3.)Is the property bulk headed between the wetlands area and the upland building area? rimes 4.)If your property contains wetlands or pond areas,have you contacted the Office of the Town trustees for its determination of jurisdiction? des Please confirm status of your inquiry or application with the Trustees: Wetlands Permit(issued) and if issued,please attach copies of permit with conditions and approved survey. Will Not accept application for administrative permit until ZBA determination. D. Is there a epression or sloping elevation near the area of proposed cons ruction at or below five feet above mean sea level? no E. Are there any patios, concrete barriers,bulkheads or fences that exist that are not shown on the survey that you are submitting? no Please show area of the structures on a diagram if any exist or state none on the above line. F. Do you have any construction taking place at this time concerning your premises? no If yes,please submit a copy of your building permit and survey as approved by the Building Department and please describe: G. Please attach all pre-certificates of occupancy and certificates of occupancy for the subject premises. If any are lacking, please apply to the Building Department to either obtain them or to obtain an Amended Notice of Disapproval. H. Do you or any co-owner also own other land adjoining or close to this parcel? No If yes, please label the proximity of your lands on your survey. I. Please list present use or operations conducted at this parcel storage shed and the proposed use Single Family Residence and storage shed_ (ex existing single family,proposed same with garage,pool or other) /X� zi hori0,d-signature and Bate 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: Robert Serling 2. Address of Applicant: 104 Roxen Road Rockville Centre NY 11570 3. Name of Land Owner(if other than Applicant): same 4. Address of Land Owner: same 5. Description of Proposed Project: Construct new single family residence. RECEIVED 6. Location of Property:(road and Tax map MAH 2 3 2017 Number)3575 Wells Road,Peconic,NY 1000-86-02-10 7. Is the parcel within 500 feet of a farm operation? {X} Yes { ) No ZONING BOARD OF APPEALS 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. Pellegrini Peconic LLC,23005 Route 25,Cutchogue,NY 11935 2. 3. 4. 5. 6. (Please use the back of this page if there are additional property owners) A ent: Nanc Steelman � / 2) /17— i to Applicant Date Note: h 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. TOWN OF SOUTHOLD, NEW YORK DATE 10/29/81: . ACTION OF THE ZONING BOARD OF APPEALS Appeal No. 2766 by application Dated May 6, 1981 for Rehearing ACTION OF THE ZONING BOARD OF APPEALS OF THE TOWN OF SOUTHOLD To Gary Flanner Olsen, Esq. as attorney for Appellant Mrs. Rose Dansker Main Road, Box 38, Mattituck, NY 11952 at a meeting of the Zoning Board of Appeals on October 28 , 1981 the appeal was considered and the action indicated below was taken on your ( ) Request for variance due to lack of access to property ( ) Request for a special exception under the Zoning Ordinance A Request for a variance to the Zoning Ordinance Art. III, Sec. 100-31 1. SP �irXl�iizL3fCelaxv1 'sxeFr � $ special exception ( ) be granted ( ) be denied pursuant to Article .................... Section .................... Subsection .... paragraph ................ .................... of the Zoning Ordinance and the decision of the Building Inspector ( ) be reversed ( ) br confirmed because Rehearing held 7/9/81: Application of Rose Dansker, 300 East 56th Street, Apt. M. , New York, NY 10022 (by Gary Flanner Olsen, Esq. ) for a Variance to the Zoning Ordinance, Article III, Section 100-31 for approval of insufficient area and width of two proposed parcels located at Wells Road, Peconic , NY; bounded north by Wells Road; west by Groben; south by Richmond Creek; east by Krueger; County Tax Map Item No. 1000-86-2-10 & 11. ('SEE ATTACHED SHEETS) 2. VARIANCE. By resolution of the Board it was determined that (a) Strict application of the Ordinance (would) (would not) produce practical difficulties or unnecessary hardship because RECEIVED (SEE ATTACHED SHEETS) MAR 2 3 2017 ZONING BOARD OF APPEALS (b) The hardship created (is) , (is not) unique and (would) (would not) be shared by all properties alike in the immediate vicinity of this property and in the same use district because (SEE ATTACHED SHEETS) (c) The variance (does) (does not) observe the spirit of the Ordinance and (would) (would not) change the character of the district because (SEE ATTACHED SHEETS) and therefore, it was further determined that the requested variance ( ) be granted ( ) be denied and that the previous decisions of the Building Inspector ( ) be confirmed ( ) be reversed. CG: lk ZONING BOARD OP APPEALS FORM ZB4 Decision Rendered 043'_-,ober 28 , 1981 This is a rehearing of the appeal of Rose Dansker for an area variance. The history of the case is as follows: By application dated December 3, 1980 Appellant applied to this Board for an area variance. By decision of this Board approved on April 28, 1981, the appeal was denied for the reasons stated in the Board' s decision. By letter application dated May 6 , 1981, Appellant' s attorney applied to this Board for a rehearing of this matter. By resolution of this Board adopted on May 22, 1981, such rehearing was unanimously approved. A rehearing was held on July 9, 1981 pursuant to due notice thereof. This Board' s denial of the original appeal was predicated primarily upon the Suffolk County Department of Health Services' position that the westerly parcel (Lot No. 11) "may not meet . . . minimum standards for new construction of a septic system and water supply. " Upon rehearing of this appeal, Appellant presented evidence showing a substantial loss in value of the premises if the variance is not granted. However, the question of whether or not the Suffolk County Department of Health Services will approve of the water supply and septic system on the vacant lot (Lot No. 11) appears to be unresolved at the present time. In its letter to Appellant' s attor- ney dated September 23, 1981, it stated: "As already indicated, the vacant parcel will have problems meeting our requirements for sewage and water supply. The problems will have to be resolved prior to approval to construct. " Since this Board' s original denial was primarily based upon the possibility that the vacant lot may not meet Suffolk County Health Services ' requirements , and since such approval has not as yet been granted, this Board is of the opinion that although the Appellant has presented "dollars and cents" evi- dence to demonstrate practical difficulties , Appellant has not produced evidence that the requirements of the Health Services can be complied with. Lot No. 11 has ,an area of approximately 15,750 square feet with approximately 90 feet road frontage; Lot No. 10 has a preexisting one-family dwelling, an area of approximately 12,500 square feet and approximately 80 +eet of road frontage. The lots to the east of the subject premises are of similar size and shape. On motion by Mr. Goehringer, seconded by Mr. Grigonis , it was RESOLVED, that the matter of Rose Dansker, Appeal No. 2766 , for approval of insufficient area and width of two parcels, be granted, SUBJECT TO THE FOLLOWING CONDITIONS: 1. That the Appellant obtain approval by the Suffolk County Health Services Department of a sewage and water supply system for vacant lot No. 11 prior to any new construction on vacant lot No. 11; 2. That the owner of Lot #10 guarantee rights for a water easement to be located not closer than five feet to the northerly property line on the house lot (Lot 910) for use by the owner of the vacant lot (Lot #11) , and that a copy of same be supplied to our office as early as possible; 3. That the Appellant obtain approval by the Southold Town Planning Board for this subdivision pursuant to its letter dated January 2, 1981; 4. That this matter be referred to the Suffolk County Planning Commission pursuant to Sections 1323, et seq. of the Suffolk County Charter. 5. That the Building Inspector is hereby direct to -af-) a& RECEIVED MAR 2 3 2017 ZONING BOARD OF APPEALS RECEIVED MAR 2 S 2097 ZONING BOARD OF APPEALS RECEIVED AND FILED BY TFi SOUTHOLD TOW-14 C'I.EM DATE /�*/9/ HOURIU,A3 wn Clerk, own -Soo��td 1 A Decision Rendered October 28, 1981 Appeal No. 2766 - Rose Dansker Southold Town Board of Appeals refrain from issuing either a building permit and/or certificate of occupancy until such conditions have been complied with. Location of Property: Wells Road, Peconic , NY; bounded north by Wells Road; west by Groben; south by Richmond Creek; east by Krueger. County Tax Map Parcels No. 1000-86-2-10 & 11. Vote of the Board: Ayes : Messrs. Douglass, Goehringer, Sawicki and Grigonis. (Mr. Doyen, Fishers Island, was absent. ) APPROVED 7= Chairman r8oa1rdof;pea:altj4;; TOWN OF SOUTHOLD, NEW YORK DATE .4.I.. l.8.1. ACTION OF THE ZONING BOARD OF APPEALS Appeal No. 2766 Application Dated December 3 , 1980 ACTION OF THE ZONING BOARD OF,APPEALS OF THE TOWN OF SOUTHOLD To Gary Flanner Olsen, Esq. Appellant Attorney for Mrs. Rose Dansker Main Road, Mattituck, NY 11952 at a meeting of the Zoning Board of Appeals on April 2, 1981 , the appeal was considered and the action indicated below was taken on your ( ) Request for variance due to lack of access to property RECEIVED ( ) Request for a special exception under the Zoning Ordinance MAR 2 3 2017 (X ) Request for a variance to the Zoning Ordinance Art. III, Sec. 100-31 ( ) ZONING BOARD OF APPEALS 1. SPAR X= Ord6eXPfo�hhI�$iaE �X�eYsXxExxle granted ( ) be denied pursuant to Article .................... Section Subsection .................... paragraph .................... of the Zoning Ordinance and the decision of the Building Inspector ( ) be reversed ( ) be confirmed because Public Hearing: April 2, 1981: Application of Rose Dansker, 300 East 56th Street, Apt. M. New York, NY 10022 (by Gary Flanner Olsen, Esq. ) for a Variance to the Zoning Ordinance, Art. III, Sec. 100-31 for approval of insufficient area and width of two pro- posed parcels located at Wells Road, Peconic , NY; bounded north by Wells Road; west by Groben; south by Richmond Creek; east by Krueger. County Tax Map Item No. 1000-86-2-10 and 11. (SEE REVERSE SIDE) 2. VARIANCE. By resolution of the Board it was determined that (a) Strict application of the Ordinance (would) (would not) produce practical difficulties or unnecessary hardship because (SEE REVERSE SIDE) (b) The hardship created (is) (is not) unique and (would) (would not) be shared by all properties alike in the immediate vicinity of this property and in the same use district because (SEE REVERSE SIDE) ' (c) The variance (does) (does not) observe the spirit of the Ordinance and (would) (would not) change the character of the district because (SEE REVERSE SIDE) and therefore, it was further determined that the requested variance ( ) be granted ( ) be denied and that the previous decisions of the Building Inspector { ) be confirmed ( ) be reversed. ZONING BOARD OF APPEALS FORM ZB4 The Board finds and determines as follows : This is an Appeal for a variance pursuant to Article III, Section 100-31 for approval of insufficient area and width of two proposed parcels located at Wells Road, Peconic , New York. Lot 10 designated as such on the Suffolk County Tax Map has erected thereon an one-family private dwelling. Lot 11 is vacant. The property was acquired by Appellant' s husband at two different times. The house was acquired in 1957 and the vacant lot adjacent thereto in 1963. Title to both lots was taken in the name of Appellant' s deceased husband, William Dansker. Lot 10 has an area of 16,000 square feet, and Lot 11 has an area of 17,500 square feet. Appellant' s husband died in 1980 and under his will devised Lot 10 to his surviving spouse, Rose Dansker. The vacant Lot 11 was devised to the children of a former marriage. In 1971 the Zoning Code was amended to require a minimum size lot of 40,000 square feet. Accordingly, both lots were merged into one lot. At the hearing considerable testimony was given by property owners in the vicinity of the premises in question concerning the -severe water problem. There is evidence of salt water intrusion as well as insufficient water supply 'during periods of draught. The Suffolk County Department of Health Services has advised this Board that Lot 11 may not meet the minimum standards for new construction of a septic system and a water supply system, and that the ground water quality in the area is marginal. In view of the foregoing, it is the opinion of this Board that to permit Lots 10 and 11 to be divided would lead to the intensification of the water problem which presently exists in the area. No evidence has been given to this Board of any attempt by the Appellant to either acquire title to Lot 11 or to attempt to have both lots sold to a single owner. It is the further opinion of this Board that the Appel- lant has not shown practical difficulties , and accordingly, on motion by Mr. Sawicki, seconded by Mr. Douglass, the appeal is denied. Location of property: 3575 Wells Road, Peconic, NY; bounded north by Wells Road; west by Groben; south by Richmond Creek; east by Krueger. County Tax Map Item No. 1000-86-2-10 and 11. Vote of the Board: Ayes : Messrs. Douglass, Goehringer and Sawicki. Messrs. Grigonis and Doyen abstained from vote. R APPROVED Chairman Board of 6ffpeals RECEIVED AND FI�,E,D BY TFC, SOU111OLD TQ 1UN CLERK DATE /a2/,;-/ HOUR/a••S�J��' Town Cl irk, Town of :"Z old 6r 'w 617.20 R12CEIVED Appendix B Short Environmental Assessment Form MAR 2 3 2017 Instructions for Completing ZONING BOARD OF APPEALS Part I -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 I 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 I -Project and Sponsor Information Name of Action or Project: SERLING RESIDENCE Project Location(describe,and attach a location map): 3575 Wells Road, Peconic NY 11958 Brief Description of Proposed Action: Construct new residence and sanitary system. Name of Applicant or Sponsor: Telephone: 516 766-5660 Robert Serling E-Mail: rseris@hotmail.com Address: 104 Roxen Road, ,NY 11570 City/PO: State: Zip Code: Rockville Centre NY 11570 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 —1 may be affected in the municipality and proceed to Pail 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: X Southold Town Building Permit,New York State DEC, Suffolk County Dept of Health ❑ ❑ 3.a.Total acreage of the site of the proposed action? 0 37_6 acres b.Total acreage to be physically disturbed? Q.200 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.376 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban EN Rural (non-agriculture) ❑Industrial ❑Commercial ®Residential(suburban) ❑Forest []Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 ReCEIVED 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? MAR 2, 3 2017 ❑ ❑ ❑ b.Consistent with the adopted comprehensive plan? APPEAL ❑ a Li 6. is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ ❑ 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: FTI ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES 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? X❑ ❑ 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: El FX-1 10. Will the proposed action connect to an existing public private water supply? NO YES If No,describe method for providing potable water: ❑ ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: new sanitary system g-1 ❑ 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? 0 ❑ 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? ❑ ❑ b. Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? l� ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: l�I 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 ® Wetland ❑Urban [RSuburban 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 TT X 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? M NO ❑YES ❑ ❑ b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO YES g.utte eSlle acterS_t0-C atClib;;s i n s 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: ❑ 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: 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: F ❑ 1 AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/spon me: N n Steel an Date: 3��► �) 7 Signature: I� 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 pr8IR99\ePbnT' /(,,� I No,or Moderate �U 0 small to large ZONING BOARD OF APPEALS 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? El 3. Will the proposed action impair the character or quality of the existing community? FI El 4. Will the proposed action have an impact on the environmental characteristics that caused the El 1:1establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or El 1:1affect 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, ❑ E]architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, ❑ Elwaterbodies,groundwater,air quality,flora and fauna)`? Page 3 of 4 a 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? El 0 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. RECEIVED MAR 2 3 2017 ZONING BOARD OF APPEALS FJCheck 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. Town of Southold-Board of Trustees Name of Lead Agency Date President 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) PRINT Page 4 of 4 i 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 : Robert Serling �� (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.) RECEIVED TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit LIAR 2 3 2017 Variance X Trustee Permit Change of Zone Coastal Erosion ZONING BOARD OF APPEALS 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) C)an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this I day of fI�2017 Signature Print Name Robert�S k 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 : Nancy Steelman :of 1019b (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.) RECEIVED TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit AR 2 3 2017 Variance X Trustee Permit Change of Zone Coastal Erosion Z BOARD OF APPEALS 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) C)an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this day d--X4,20� Signature 'I P geL Steelman Print Name Nan Town of Southold RECEIVED LWRP CONSISTENCY ASSESSMENT FORM MAR 2 3 201 A. INSTRUCTIONS ;-'ONTNG 90ARD OF APPEALS 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 To))n). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- supporting facts. 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# 86 02 _ 10 PROJECT NAME Robert Serling The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board El Building Dept. ❑ Board of Trustees ❑ I. 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: Construct new residence,sanitary system, and drywells. Location of action: 3575 Wells Road,Peconic NY 11957 RECEIVED Site acreage: 16,419 sf= 0.376 ac WR 9 -2 2017 Present land use: RESIDENTIAL 70NING BOARD OF APPEALS Present zoning classification: R-40 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: Robert Serling (b) Mailing address: 104 Roxen Road, Rockville Centre, NY 11570 (c) Telephone number: Area Code(5)16 766-5660 (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? New York State DEC C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. 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 0 Not 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 0 Not Applicable There are no historic or archeological structures on property. 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 n 0 Yes ❑ No ❑ Not Applicable / Building structure is in keeping in style and scale of neighboring structures. DH n ZolittoG `(S r. nnCG von nC hPPEA1 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 Fxl 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 ❑ Yes El No 0 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. ❑ ❑ ❑X not applicable Yes No Not Applicable No development will take place in the"protected"or"natural indiginous environment". ar-C'.E11lED MAR K' 3 2017 ZONING BOARD OF APPEALS 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. 7 Yes 0 No❑ Not Applicable The development will not add pollutants into the air. 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 0 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. ❑ YeJ:] No El Not Applicable No public land involved. Littoral access unimpeded. 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 "C)L,� There are no public or commercial activities or uses on site. Historically this property and neighboring properties are residential in use and will remain residential. RECEIVED PEALS 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 ` This project will protect and preserve the living marine resources by maintaining all rainwater discharge on site. 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 0 Not Applicable There are no agricultural lands on site. 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 The construction will be using equipment approved by the Federal government for energy usage.The project will meet Federal standards for conserving energy fienergv, Star Program". PREPARED BY Naiicy Steelman TITLE Architect DATE ,5Z l Board of Zoning Appeals Application �ol� RECEIVED AUTHORIZATION MAR 2017 (Where the Applicant is not the Owner) ZONING f3OARD OF APPEALS I,_Robert Serling residing at 104 Roxen Road, (Print property owner's name) (Mailing Address) Rockville Centre, NY do hereby authorize Nancy Steelman (Agent) of Samuels and Steelman Architects to apply for variance(s) on my behalf from the Southold Zoning Board of Appeals. i Owne 's Signature) Robert Serling (Print Owner's Name) EL S A M U E L S & S T E E L M A N March 21, 2017 • Zoning Board of Appeals Town of Southold Town Hall Annex Building 54375 Main Road Southold, NY 11971 ��� Re: Serling Residence RECEIVED 3575 Wells Road MAR 2 3 2017 Peconic, NY 11958 SCTM# 1000-86-02-10 ZONING BOARD OF APPEALS Dear Board Members, As per the Notice of Disapproval from the Town of Southold Building Department, dated March 20, 2017, we are submitting nine (9) sets of the following documents for an Area Variance: 1. Notice of Disapproval from the Town of Southold Building Department 2. Check for $500 3. Application To ZBA 4. Project Description 5. Questionnaire Form 6. Certificate of Occupancies 7. Ag Data Form 8. Short Form Environmental 9. Owner's Authorization 10. Transactional Disclosure Forms - Owners and Agent 11. LWRP 12. Photos 13. Town Property Card 14. Site Plans, Floor Plans, Building Elevations 15. Town of Southold Trustees Tidal Wetlands Permit 16. NY State DEC Wetlands Permit The proposed Single Family Residence is a replacement for an existing residence that was destroyed by a fire in the Spring of 2016. An addition to the existing residence was currently under construction when the house was hit by lighting. As a result, a new house has been designed and all required permits have been received including NY State DEC, Town Trustees and the SCDHS for the new Sanitary System. ARCHITECTS 25235 MAIN ROAD CUTCHOGUE,NEW YORK 11935 (631)734-6405 FAX(631)734-6407 The Southold Town Board of Trustees issued a Tidal Wetlands Permit on January 18, 2017. As part of their process, the Site Plan drawing was submitted to the Town's Building Department to verify if a Zoning Variance was required. The Building Department determined that a variance was not required. This was based on the "change in code" that allowed the Trustees to review all properties that were bulkheaded and that were in their jurisdiction. The Building Department notified our office on March 13, 2017 that there was an issue with the filing of the "change in code" and that we would now be required to seek a variance from the Zoning Board of Appeals due to the proposed structure encroaching on the 75' setback from the existing bulkhead. This was unforeseen set back and has delayed the start of construction for months. We hope that we will be able to proceed with the Variance process in a timely manner so we will be able to start construction soon. If we can provide any additional information or answer any questions, please do not hesitate to call. Sincere fir, SZ;zw od S IAchitects RECEIVED MAR 2 1 201? ZONING BOARD OF APPEALS 1 , 9,6 W, i 6 chi d ocf1-"r-?--� 0?.�/, 6141 2 RECEIVEO MAR 2 297' ZONING BOARD OF APPEALS 8 /OIL FORM NO. 4 - 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall RECEIVED Southold, N.Y. MAR 2 3 2017 CERTIFICATE OF-OCCUPANCY ZONING BOARD OF APPEALS No: Z-33199 Date: 08/07/08 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 3575 WELLS RD PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 86 Block 2 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 18, 2008 pursuant to which Building Permit No. 34081-Z dated JULY 30, 2008 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 GARAGE ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. TRUSTEES CERTIFICATE OF COMPLIANCE NOT REQUIRED FOR THIS PROJECT. The certificate is issued to JOSEPH & SHERRI MELCHIONE (OWNER) of the aforesaid building. SUFFOLK COUNrY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFIC 0E NO. 3060611 05/22/08 PLUMBERS CERTIFICAMON DATED 08/05/08 MELCHIONE 01 f AutlYbrized Signature I Rev. 1/81 C•+dlpoi�'N•i15�J /NO'YWILS�Ilf I-O�OVGV9 �fi^Visv IPUP111PPp 01 vlgO,alStoJi iPu>A WOIi •-• {/�7D0 44L �W -n�11n,P'j vg7m17sA�+1NP1 Pyi iP sGa.614so pEa Rm WP,PV pPlS�I A'1m1iS4 uel p—Fia.PG-loi r• MLAN PWi,aN)Fi'fiupA>O>ffLi P47 q/lai.']AV uP Po oc.udad q fionnv Plrl uww,oi uov>d PVi i '�w uM1. Iws suP•io>alvP>P,oS s,�Pn,s P•» f���__����jj���� � IwOlsa6p,d to ugiq>ossy Pio15 V,oA r.PN Wi fi9 /Y77f7Q.71LO J ,�S P..dopo s5anx5 Dm„ol ehi>i>,d to Ppo7�'iq 007#AVP O O •'��` i1 U I cygipyi lF>c�inu,Py P IPDIWIc LSkO�Sl,#/Slued SCAN XV7 L470L� Pa Pn>pilon PQ of D>Japlsw> pVS IP11.. + � Pad�uPi9 s,,d Pn.nS P'AI PVi to IPI vac yLN 1 pv�Aw fiPn,nc qvi to icw&+o wi wo,l Ido>Flue, �i -qm ubO.-L U I 5 l- - Plp 10�Uq SfNPp�S'ypLL uPU>P9 10 UO-1— /9 iPIaN �I / ..>;A- psi lees q,oFPw,ss P-1 P—w J.E, A> d— % 9Q/ J� fien+rs o of uol�wPo,p uaiP�eua P>:I�winowL COW Y LpIb9MUOwuJ 7 v�jJawvp Uv') y d Uolun lipai'D lojepa=4 a5vd4pag au0149Ie14 ljjat{G ✓�ti� "a �- auOj4-.-)laW 4dawr :01 pal4llia7 sd bg 14..o9b /..a c!; //� w`10 r sem/ 1 �U05DUJ AyO��Y p O _ V �jd 00 d T7 '1 Z m y (D 0� O O O iLfulJ b/ i CA _n N O �0 � v 0 a oD ua�n�j;o WeOa i 1 PI0411)oS aDuad o, VA 0�� Q� 69t �Gosb LOOZ Z Z Nnr Jas6� Jho aueo �V ;,y�l ` 69S pd M 'F4� S� N044( MOU leu°7 aso� ��M UW at =UMOJ_ NJ juo � ° �IS � A A O W s 0I-Z-99-0001 #1;?5 _ LOOZ 'S a w panGAJrG M Aadoid jo AananS 3 1 J �I_. - FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office RECEIVED Southold, N.Y. MAR 2 3 2017 Certificate Of Occupancy ZONING BOARD OF APPEALS No. . �. .I.D.7 j>. . . Date.. . . . . . . . . . . . . . . . . .NO r. . .1�. ., 199. THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . .. ... . .. . . . . . .�.rJ?.�. . r . .JC"��''.A.b. . . . . . . . . . . . .i-'.�.<.QK1.4q. nl?' Location of Property •�r►��E,tl S. • Hamlet House ilio. Street County Tax Map No. 1000 Section . . . .0 .6 . . . .Block . . . . . ,. . . . . . . .Lot .. AQ. .. . . .. .. . . Subdivision . . . . . • . . . . . . . .. . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . .". . . . . . . A QPt t FP N1l L'i 'tX,:ELW4(1- SO L 1 ��'�Q ft, �% Z V N I N r conforms substantially to tri-AU plic tion for »•ldi g$armit hesetofcuP Bled W this—office, dated C_E:r.-n FlrA,L r'r Cr LJPA*,r'y Z (077 0 . . ./V.r;,0-1 .7. . .. . . . . , 195 pursuant to whichTtuititi g Pprm;t-Nn . . . . . . . . . . . .. . . . . . . . . dated . . . . . . . . . . . . . . . . . . 19 8/,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 . . . . . . . . . A ONF -L)Lk ' LL Iii (+- ON /} LD ? ? • TH15 L11T GKAN"rF D wt-FH Irl �trl=lcL. N VnriL'7H HNU �tzEfl -rjjl Zr'NI*I (..- jg('Ai:D OF Al=rl CA is 1�AN�1�� kit L4I-r++ Co alDi"f1.C1NS , OC' Z81 IG91 Ttik 9Lj\, NNIN6 1�5CAON NcY ':;) EiF� � KE.cL.vI=Tj TNltS SL'b-b1 /l5iorA 3r- ,wec4�Ssc0 ��� A SL-t - OFF " Into-+3 r')C, i� The certificate is issued to (owner . . . .�� . . . . . . . . . . . . . . .. . . of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . ' • . Building Inspector t 0 FORM NO.6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink,and submitted in duplicate to the Building Inspec- tor with the following;for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets,and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal—(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use,occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date .. .11��. . \ . . . . . . . . . . . . New Building . . . Old or Pre-existing Building . . . . . . Vacant Land . . . . . . . . . . . . . RLocation of Property . . . . . . ! . . . . . House No. Street Ham/et Owner or Owners of Property . . . ! . .��-..1.?Y:��� ! . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No. 1,000 Section . . .`0-Y. . . . . . . . Block . . . . . . . . . . . . . . . Lot. . ..-P. . . .. . . . . . Subdivision . . . . . .. . . . . .. . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . . . .Lot No. . . . . . . . . . . . . . Permit No. . . . . . . . . . . Date of Permit . . . . . . . . . .Applicant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval . . . . . . . . . . .. . . . . . . . . . . . .Labor Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . . Underwriters Approval . . . . . . . . . . . . . . . . . . . . . . . .Planni Bo d Approval . . . . . . . . . . . . . . . . . . . . . . Request for Temporary Certificate . . . . . . . . . . . . . . . al ertificate . . . . . . . . . . . . . . . . . . Fee Submitted $ . . :?.�L.. . . . . . . . . . . . . . . . Construction on above described building and pe i rfie t I licable codes nd regulations. Applicant . . . . . . . . . . . . . ]. . . . . . . J.. . . . { . . . . . . . . . . . Rev.10-10-7E filar`r/ `/� k Y.. •-a4J 1 - , T- Cr I s COMPLY WITH ALL CODES OF SCOP 0FTJJ11\WOI2JC PQUO TLM NEW YORK STATE&TOWN CODES APP, RpVEO AS NOT® AS REQUIRED AND CONDITIONS OF ALTQ2ATIONb TO TlJC6XIbITIN4 4ARA4�DOOROPCNIN(�UMITUTO DATE r`M"`2"h`(I-`BP`�O L SommTDWNZBA R.GMO✓AL OF�3nN4 DOOR AND INSTALLATON OF NC\VV-0-VADC CNTRY FEE B� S0'Jiw TOkNRM=Bm DOORINPARTOFIrop iggcLARASC.DOOR FRAA{CDOPCNINC4, NOTI BU401NG OEPARTM M AT RGM4INDGR OFTt1GOPGNIN4 CLobCD IN\VITLJ FRAMINr;bI01NG INbULATION 765180E 8 A TO 4 F FOR THE `� SOUTFal)TOWNTRUSTEFS AND INTLRIOR FTNISLILS.NO bTRUCiU2AL aJAAgb MADGTO TLIF-CxIbTIN4 FOLLOWING INSPECTIONS �. ,NYS DEC LICADM 1,FOUNDATION-TWO REQUIRED FOR POURED CONCRETE 2.ROUGH-FRAMING&PLUMBING POVID ATION OF FRAMED NON AnON NC,\VATC 10Nb C.T ANP L A ATVI 3.INSULATION PO�VDDLR ROOM AREA INSTALLAnON OF\VATI;it CL05ETAND LAVATORY 4 FINAL-CONSTRUCTION MUST BE COMPLETE FOR C O UNDIMMI ASCgA1F 11i INSTALLATION OF PMCILNCYLIVAC UUIPMO.NTTO REPLACE ALL CONSTRUCTION SHALL MEET THE SEDURED LxjbnN4 bYSTLM REQUIREMENTS OF THE CODES OF NEW -YORK STATE NOT RESPONSIBLE FOR INSTALLATION OF NEW CCNTRAL PUL11,1IDIFICAT10N bYbTLM. DESIGN OR CONSTRUCTION ERRORS _ IwbTALLAnON of NP\VAboVL GROUND 2754'ALLON INTCWIZ OIL STORACIE ALL CONSTRUCTION SHALL -- TANK MEET THE REQUIREMENTS OF THE u Env SLLATOoNE IN f N.UP4ADD 0-C RGEIRICAL SYSTEM. CODES OF NEW YORK STATE ?EEAalA�ICTF� INTA Ee:U OCCUPANCY ORNar 2 EITFIGIEL2G� . �4 L-Etz NO.STRUCTURAL-ALTLRATIONb OR ADDFfIoNS\V6P.E"mADCTO TLllb USE IS UNLAWFUL RLSID"m DURINSTLJE COUR5EOFT11E\V0RICPLRFORM6D WIT;IOUT CERTIFICATE OF OCCUPANCY Ght�lS:l E 1S'"UTl L1TY " r. •••-•� � I I DL1N A.1.-rElZ.6-F) I v 82\rt2H VPI a� GP.ZA.G)v 1�110.1Z- � bE1ZV1GE. R'EFL"ACED_. E};TR`C PgO iL' 2017 \ / r - z°NTNG BOARo oP mts S`EAEe ANCH¢ - G.5 15.Li IIP-T t T—T! �EG�pE\T A SIq,�C� G A R R E T T A. S T R.e.',N G LEGENDarchEtect - Y�LJ1_..11C�" ti-3�w -Yo�IG� EXISTING WORK ,/---� c.0 Al-Q. TO REMAIN j-�` 1230 Traveler Street Southold N.Y.11971 015244 -7-I�-1 Y NBW WORK TO _ �rgTFaF NtRa1� 631-765-5455 .vxo 4A� - BEINSTALLED o vxv oe_ly 1 of=1 1 Q; (il u SHY I t LV N , 6$ v tj 4j / `J J: 1 N S' d t Atli Rod G• I (6'O barb! � � 0 < R i RECEIVED MAR 2 3 201 ` �of�fNc MAW OF LAND • . BOARD Or�-1P'qqPp� PLRLS Scalc 40'- t" su2veymo Fou. • _ �•t ct V,- W M. CSA,N 5 K E P, } �. Ar PECONtc • • Guci�ra ri t ced to +1•i a Secu�rit }' '_��� suvvaygd IC .I4 , Nov • .• ` ''�"owty o� �ou-rE-Iotru,N Y • Vall 1-a t,d SuY v GYe¢.r+poct New �f4�rtL y Asn T LD w � S Y 1 � � Southold, N.Y. 11971 HENRY E. RAYNOR, Jr.. Chairman TELEPHONE FREDERICK E.GORDON 765-1938 JAMES WALL BENNETT ORLOWSKI, Jr. GEORGE RITCHIE LATHAM. Jr. William F. Mullen, Jr. November 10, 1981 Mr. George Fisher Sr. Building Inspector Southold Town Hall Southold, New York 11971 Dear Mr. Fisher: At a regular meeting of the Southold Town Planning Board, Monday November 9, 1981 the following action was taken: RESOLVED that the subdivision entitled "Rose Dansker", located at Peconic, be processed as a "set-off" 106-13 . Yours very truly, HENRY E. RAYNOR. , CHAIRMAN SOUTHOLD TOWN PLANNING BOARD By Susan E. Long, Secretar cc: Board of Appeals Gary Flanner Olsen, Esq. '�=P.- ^\ �..a� � 0��lP ,� ✓rte'',�; �2 ' - F f „\ yti lh :(.4-^3 l �l`• �'! _ •�`1�. �' �, t f^ ��� �i �W�....-�.a� ���.�i •�SN���1•,'�; �. - �4" �.n"�-°est' if.�nC��+ii7e��°��+. ��lt�!. t •.��t O r �c J BOARD OF SOUTHOLD TOWN TRUSTEES �'- SOUTHOLD,NEW YORK P PERMIT NO. DATE: JANUARY 18,2017 „a x ISSUED TO: .ROBERT SERLING PECEI1/FD C PROPERTY ADDRESS: 3575 WELLS ROAD,PECONI r - MAR SCTM# 1000-86-2-10 '2gNiNq BOAR ' `a�dyla;2 a b OF APPEALSn ^' AUTHORIZATION g Pursuant to the provisions of Chapter 275 of the Town Code-of the Town of Southold and in 1 accordance with the Resolution of the Board of Vugtees adopted,at the'ineeting held on January 18,2017,and in consideration of application fee in the sum of$250:00 paid by Robert Serling and subject to the Terms ands Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the ! following: Wetland Permit to construct a two-story,single-family 2,276sq{.ft(footprint)dwelling with m� attached garage,600sq.ft.of covered and screened-in seaward side,porches; 139sq.ft.covered entry porch; 684sq.ft. seaward side on-grade terrace; 183sq.,ft.'on-grade terrace on side of a, dwelling; renovate the existing 107sq.ft, shed; remove existing and install a new sanitary system : fir 'landward of'dwelli ng;°install gutters'to leaders to drywells,to contain roof runoff, install ,, ae •drywell for pr®posM-diveway;'install underground,electric and-waterlines;install and perpetually&aiAtain'a 10'-wide non-turf buffer,along the landward.edge,,of the,bulkhead; and r: a line of silt fefic' ig is-6-be installed prior to and during•construction; and-as depicted on the ti site plan prepared by Samuels& Steelman Architects,dated December 13,2016,and stamped Cy approved on January 18,2017. ��` ,•r ;K;4� 1�°R� IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, ' and these presents to be subscribed by a majority of the said Board as of this date. ;Charle ;J. Sander G ��� ` .'dao . , , . • •� ����,, v�, MA �d! .�4, i+,1"L a �� 7u�' jdy;. - •.;�� !1 4:>En• , •, P r. _ its 4 ,i r �u k 'aL� Gs''-.'se��, ,a "r.f .,v "• �-"'�` 't. r`U^'' ..�Y e'' `'�' � �R ',s� ,,�"';• TERMS AND CONDITIONS The Permittee Robert Serling,residing at 3575 Wells Road Peconic New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit,and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved,but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if,in the opinion of the Board of Trustees,the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90)calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 11. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights,title, or interest in real or personal property held or vested in a person not a party to the permit. NEW YORK STATE DEPARTMENT-OF ENVIRONMENTAL CONSERVATION Division of Environmental Permits,Region 1 SUNY @ Stony Brook,50 Circle Road,Stony Brook,NY 11790 P:(631)444-03651 F:(631)444-0360 www.dec,ny.gov February 27, 2017 Robert Serling RECEIVED 104 Roxen Road Rockville Centre,NY 11570 1MAR 2 3 2017 RONING ROARD OF APPEALS Re: NYSDEC Permit#: 1-4738-01529/00010 Serling,Property,3575 Wells Rd.,Peconic Construct Single Family Dwelling,Driveway,Septic System Dear Permittee: In conformance with the requirements of the State Uniform Procedures Act(Article 70, ECL) and its implementing regulations (6NYCRR,Part 62 1)we are enclosing your permit modification. Please carefully read all permit conditions and special permit conditions contained in the permit to ensure compliance during the'term of the permit. If you are unable to comply with any conditions,.please contact us at the above address. j Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather. Sincerely, Kevin Kispert Environmental Analyst II Enclosures KAK/file cc: MHP _ - Samuels&'Steelman Architects t1EWY4Rtr Departmentof $vror»nrr' Environmental Conservation NEWYORK STATE DEPARTP:%_..'T OF ENVIRONMENTAL CONSERVAT s,_J �® Facility DEC 1D 1-4738-01529 PERMIT Under,the Environmental Conservation LAw,(�'C9 Permittee and Facility Information Permit Issued To: Facility: / ROBERT SERLING' SERLING PROPERTY 104 ROXEN RD "` 3575 WELLS RDISCTM 1000-86-2-10 ROCKVILLE CENTRE,NY 11570 PECONIC,NY 11958 RECEIVED FacilityApplication-Contact: p�,. M1-IR �t3 2017 SAMUELS tai STEEL-MAN ARCHITECTS, 1. 25235 MAIN RD ZONING BOARD OF,APPEALS CUTCHOGUE,NY 11935 (631)'734-6405 Facility Location: in SOUTHOLD in SUFFOLK'COUNTY Village: PECONIC Facility Principal Reference Point: NYTM-E: 714.575 NYTM-N: 4545.697 s W Latitude: 41'02'03.3" Longitude: 72°26'50.7" Authorized,Activity:, Remoyerfoundation,.regrade, and construct a new single family,dwellingywith associated porches,pervioiis'driveway,utilities,dry ells, and septic system'in location of former storm damaged house,tall as s'h6wwn'on,the-attachd plans prepared by Nancy L. Steeman, dated 12/l3/1-6,--,,"-` r', stamped."NYSDEC Approved" on 2!27/17: _ Permit Authorizations Tidal Wetlands -Under Article 25 Permit ID 1-4738-01529/00010 New Permit Effective Date:2/28/2017 Expiration Date: 2/27/2022 ]NYSDEC Approval By acceptance of this permit,,the permittee agrees that the permit is contingent'upon strict compliance with the ECL, all applicable regulations, and all conditions included as part of this permit. Permit Administrator:ROGER EVANS,Regional Permit Administrator Address: NYSDEC Region 1 Headquarters SUNY @ Stony BrookJ50 CircleRd Stony Bro, : ,NY"1,1100 -3409 Authorized Signature:: Date Page 1 of 6 Aft NEW,YORK STATE DEPARTI __<., T OF ENVIRONMENTAL CONSERVAT _ 'OWI Facility DEC 1D 1-4738-01529 Distribution List SAMUELS & STEELMAN ARCHITECTS Marine Habitat Protection KEVIN A KISPERT Permit Components D(p _J RECEIVED NATURAL RESOURCE PERMIT CONDITIONS GENERAL CONDITIONS,APPLY TO ALL AUTHORIZED PERMITS ZONIN OARD OF APPEALS G•�r NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Permit Attachments `k '7ft k- Siter5'Plan 12/13/20:16 -NATT PERMIT"CONDITIONS-.,�Apply�tm thefl'ollowing�r A 1 Permits: TIDAL WETLANDS , .1. Conformance With Plans All activities"authorized by this permit must be in, trict conformance a - with the approved plans submitted by the applicant-'ortapplicant's agent as•pai-f 6f the permit application. Such approved plans were prepared by Nancy L. Steeman, dated 12/13/16, stamped "NYSDEC Approved" on 2/27/17. 2. Post Permit Sign The permit sign enclosed with this permit shall be posted in a conspicuous location on the worksite and adequately protected from the weather. 3. Notice of Commencement At least 48 hours prior to commencement of.the,•project,the•permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within,30 days of completion of project,-the bottom portion of the form must also be signed and returned, along with photographs of the completed work. 4. Concrete Leachate -During construction, no wet or fresh concrete or leachate shall be allowed to escape into any wetlands or waters of New York State,nor shall washings from ready-mixed concrete trucks, mixers;or other devices be allowed to enter any wetland or waters. Only watertight or waterproof forms shall be used: Wet concrete shall not be poured to displace water within the forms. 5. No Construction Debris in Wetland or Adjacent Area Any debris,or excess material from construction of this project shall be completely removed from the adjacent area (upland) and removed to an approved upland area for disposal. No debris is permitted in wetlands and/or protected buffer areas. Page 2 of 6 NEW YORK STATE DEPARTf`..__�iT OF ENVIRONMENTAL CONSERVAT_ _ � Facility DEC JD 1-4738-01529 6. Storage of Equipment,Materials The storage of construction equipment and materials shall be confined within the project work area and/or upland areas greater than 75 linear feet from the tidal wetland boundary. 7. Seeding Disturbed Areas All areas of soil disturbance resulting from the approved project shall be stabilized with appropriate vegetation (grasses, etc.) immediately following project completion or prior to permit expiration,whichever comes first. If the project site remains inactive for more than 48 hours or planting is impractical due to the season 5ff' i"the-area:shallabe.•stabilized with straw,or hay mulch or jute matting until weather conditions favor germination. w 8. Clean Fill Only All'-till shall consist of clean sand, gravel, or soil (not asphalt;.slag, flyash, broken concrete or demolition debris). 9. Straw Sales or Other at Tidal Wetland A row of staked straw bales or approvable erosion-control devices shall`be placed at the landward edge of the buffer area or 30 linear feet from the tidal�wetland boundary;;or as per the NYSDEC-approved plan,prior to commencement of any regulated'activities and remain 111 place and in good, functional condition until the project is completed and all disturbelareas are stabilized with vegetation. 10. RIunoff Directed to Upland Drywells Roof runoff shall be directed to drywells a minimum,of&50 linear feet.landward of the tidal wetland boundary for immediate on-site recharge. 11. Driveway/Parking-.Area;offerviousiMaterial�Drivewayr and:parking,areas-shall•be4,eanstructed of NYSDEC-approved pervious materials. 12. Sanitary Systems above Groundvvater_;,,Sanitary system(bottom of tank and leaching pools) shall be located a minimum of 2 feet above seasonal high.groundwater. , 13. Contain Exposed, Stockpiled Soils All disturbed areas where soil will be temporarily exposedlebr stockpiled for longer than 48 hours shall be contained by a continuous line of staked haybales,/silt curtains (or other NYSDEC approved devices)placed on the seaward side between the fill and the wetland or protected buffer area. Tarps are authorized to supplement these approved methods. 14. State May Order Removal or Alteration of Work If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazard's caused thereby without, expense to the State, and if, upon the expiration or revocation of this permit,the structure,fill, excavation, or other'modification,ofthe_watercourse hereby authorized shall not be completed,the-_ owners,shall, without expense to the State;and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. 17V1o,'� ?,ECEIVED MAR 2 S 2017 Page 3 of 6 zONING BOARD OF APPEALS AM fakmw NEW YORK STATE DEPART!-___ �T OF ENVIRONMENTAL CONSERVAT Facility DEC ID 14738-01529 ' e 15. State May Require Site Restoration 1f upon the expiration or revocation of this permit, the project hereby authorized has not been completed,the applicant shall,without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may lawfully require, remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. 16. Precautions Against Contasninatiowof Waters -All-necessary„precautions-shall be taken,to,- preclude contamination of,any===wetland or waterway by suspended solids,isediments, fuels, solvents, lubricants,epoxy coatings;paints, concrete, leachate or any other environmentally deleterious materials associated with the project. 17. State Not Li le for Damage The State of New York shall in no case be liable forlany damage or �F” injury to the.structure or work herein authorized which may be caused by or result from future 'e,a operations undertaken by the State for the conservation or improvement,of navigation, or for`bther, purposes,,and no claim or right to compensation shall accrue from any such damage. GENERAL CONDITIONS - Apply to ALL Authorized Permits: g� 2y' Q9 A�I 1. jF'acility Inspecti`on„ly�'I'be°Department' -The'perrriitted•-site`or�facility;iricliidirig�relevant rec'o'rds; is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department)to determine whether the permittee is s complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71- 0301 and SAPA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by•the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. 2. Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede,or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. RECEIVED 1�R 2017 ZONING BOARID OF APPEALS Page,4 of 6 NEW.YORK STATE DEPARTP T OF ENVIRONMENTAL CONSERVAT,,. Facility DEC 1D 1-4738-01529 3. Applications For Permit Renewals,,Modirications or Transfers The permittee must submit a separate written application to the Department for permit renewal,modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. Submission of applications for permit renewal, modification or transfer are to-be submitted to; Regional Permit Administrator - NYSDEC Region 1 Headquarters ;. SUNY @ Stony-BrookJ50 Circle Rd Stony Brook,NY11790 -3409 4. Submission of,l�enewal Application, The permittee must submit a renewal application at least 30* ,days before permit expiration for the following permit authorizations:Tidal Wetlands. 5. Permit Modifications,Suspensions and Revocations by the Department The Department reserves the right to exercise all available authoriy to modify, suspend or revoke this permit. The grounds for modification, suspension or revocation include:, a.g'materially Use or-inaccurate statements in the permit application or supporting papers; failure by the permittee to comply with any terms or conditions of the permit; :r5 5 c:' Mg cope of theprojecfas des�cp.ir..ib9eed 1pn;.i'ta.hepyy.e.P:fm%a.t if'akupj,. cw.ationr�•;,.�..y d. newlydiscovered material information or a material change in environmental conditions, relevant technology or applicable law or regulations since the issuance of.the'existing permit; . e. noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. G. Permit Transfer Permits are transferrable unless specifically prohibited'by statute,regulation or another I permit condition. Applications for permit transfer should be-submiffed prior to actual transfer of ownership. eoffl ?IF_celveD BONING p,OARp OF Appejws Page 5 of 6 Whom --- NEW,YORK STATE DEPAI11W r OF ENVIRONMENTAL CONSERVAT+, Facility DEC ID 14738-01529 NOTIFICATION OF OTHER PERMITTEE OBLIGA'T'IONS Item A: Permittee Accepts Legal Responsibility,and Agrees to Indemnification The permittee, excepting state or federal agencies, expressly agrees to indemnify and hold harmless the Department of"Environmental Conservation of the,,State,ofNew York, its representatives;employees, N,, ° ...,-,�>. and agents ("DEC")for all claims;tisuits 4666ns, and damages,to"thebextent attributable to the permittee's acts or omissions.16 connection with the permittee's undering of activities in connection tak with, or operation and maintenance of, the facility or facilities authorized by the'-permit whether in compliance or not incompliance with the terms and conditions of the permit. This indemnification does not extend to any-,claims,suits,actions,or damages to the extent attributable to DEC's"own negligent or intentional actsor omissions,or to any claims,suits,-or actions naming the DEC and arising under Article 78 of&New York Civil Practice Laws and Rules or any citizen suit or civil rights 'provision sy under federal or state laws. Item Bt'';Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors,employees, agents and assigns of their responsibility to comply with this permit, including all special conditions while,acting as the "fir perrriittee's agent with respect to the permitted activities,-and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee; ?�i;,'i iS�;%�rti.�€�'k' ":.�L-'-4.a.L�=.e"-T+ .:r�'L:ry.a` vw. E^,za's�. >",--ro"is'�'--:ai:-a.+ss.,...�_`:.<"'�c s:_, w...- _ ..3..1. �•,.:+,, Item C: Permittee Responsible.for Obtaining Other Required Permits The permitteegistresponsi m fnl obtaining any'other permits, approvals,lands, easements and�r=igh way that:may be required to carry out the activities that are authorized by this permit. :r x+49,.,. Item D: No Right to Trespass or Interfere with Riparian£Rights'" Thi' ermit does not convey to the permittee any right to trespass upon the lands or interfere with the . riparian 'rights of others in order to perform the permitted work nor does it authorize the impairment,'of any rights,title, or'interest in real'or personal property held or vested in a person nota patty to the permit. 9 ace veD 50PRD OF Z0%TNG Page 6 of 6 Or _ VNI In' ►1y� *.�� 1 ��� 1;�i yrs �. :s ��� �� �d •• • ` ab '�, yr`-' w"++�.jj ,�y _..� � * .'ate +.,�•A.' ' F. to t <� a+ *h e y i . wit i ASSTCNEF add' t � l 4, E, ECEIVEI VIEW LOOKING NORTHEASTALONG BULKHEAD • 1OARD OF APPEALS LOOKING NORTH WESTALONG BULKHEAD SERLING RESIDENCE - 3575 WELLS R' T� y� e i d v z s ROAD, 1 , • 1000-86-2-10 moll ON t ilf ,4' mt, A 4P, 4' K I • 111 1 f Jam'' TOWN OF -SOUTHOLD FROPERTY -RECORD CARD OWNER STREET3575 VILLAGE DISTRICT SUB. LOT r FORMER OWNER t � ' N E ACREAGE OS2�r1 lVr S / W TYPE OF BUILDING ,�-� �� .d-f �� X211 °=��v 1+ • .i�c� �� �Je. /.�.�'�'� - RES. -.g�� =� SEAS. VL. ) FARM COMM. IND. CB. MISC. LAND IMP. TOTAL DATE REMARKS 3oo o 6 g/-;'4,fl J,4 Z4 d e C-le Xf v/A r Fi-7-4-,) j—, C4 s rc, vs 6 ►-r"a-.!fe-mhon 31 / ©y S�/ -' chi -o)56 "1J k h l ,7000 �v a J� "11 �rv �- � AGE BUILDING CONDITION `� f fi r NEW NORMAL BELOW ABOV Farm Acre Value Per Acre Value Tillable 1 Tillable 2 _ Aed e- Tillable, 3 Wood land RECEYVED Swampland 67n ya Brushland MAR House Plot v '-' I 'N(3 BOARD OF APPEALS Tota I m ' `• ` \i �F � . r:moi .. t:\�s/,(j + Ya af � a F ; a ■■■■Fly■■1�■■■■■ItOO■!■ # . r 3 ■■■■C!soma ■■O4�■■■■ MENOMMORM 9y !! ■■■■■O■■N■■■� ■�..1_!■ :arc O MINEEMEM MEMON OMEN _ ■NOON■■f!l MEN ■ali��l�.■ MONO ■■M1■■■NONE 'ILI ►�■ ■ NONE■NE . ONN No ON ■■■■ON■!■■■■■■■■NN■■ ■■!N!Nl����■�®!!NMN! 9. t • iInterior Fire r Place Porch Attic Rooms 1st Floori Rooms 2nd Floor I ar I I I gUFF ELIZABETH A.NEVILLE,MMC ®� ���jy Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 Southold,Nevi York 11971 REGISTRAR OF VITAL STATISTICS Fax(631)765-6145 MARRIAGE OFFICER ®�. Telephone(63,1)765-1800 RECORDS MANAGEMENT OFFICER '�Q� �`� www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Zoning Board of Appeals FROM: Elizabeth A.Neville DATED: March 27, 2017 RE: Zoning Appeal No. 7065 Transmitted herewith is Zoning Appeals No. 7065 for Robert Sterling-The Application to the Southold Town Zoning Board of Appeals. Also enclosed is the Applicant's Project;Description, Questionnaire,Agricultural Data Statement, Short Environmental Assessment Form, Applicant/Owner Transactional Disclosure Form, Agent/Representative Transactional Disclosure Form, LWRP Consistency Assessment Form,Notice of Disapproval, Board of Zoning Appeals Application Authorization,Application Cover Letter from Samuels & Steelman, Certificates of Occupancy, Surveys,Trustees Tidal Wetlands Permit,NY State DEC Wetlands Permit, Photos, Property Record Card,Action of the Zoning Board of Appeals, Site Plan, Floor Plans and Elevation Plans. BOARD MEMBERSASouthold Town Hall Leslie Kanes Weisman,Chairperson ���� $OV jy0 53095 Main Road•P.O.Box 1179 Southold,NY 11971-0959 Eric Dantes Office Location: Gerard P.Goehringer G Town Annex/First Floor,Capital One Bank George Horning `�� 54375 Main Road(at Youngs Avenue) Kenneth Schneider COUNT i Southold,NY 11971 http://southoldtown.northfork.net i ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel.(631)765-1809•Fax(631)765-9064 i March 24, 2017 D E C E MAR A 2011 Mark Terry, Principal Planner LWRP Coordinator slannin d Town Planning Board Office Hanning Hoard Town of Southold Town Hall Annex Southold,NY 11971 Re: ZBA File Ref. No. #7065 —Serling, Robert Dear Mr. Terry: We have received an application for construction of a new single family dwelling in Peconic. 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. i 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. i i Very truly yours, Leslie K. Weisman l Chairperson By.Q(- Encls. i �I I�� BOARD MEMBERS DF S (/r Southold Town Hall Leslie Kanes Weisman,Chairperson �� yQ53095 Main Road•P.O.Box 1179 !p Southold,NY 11971-0959 Eric DantesOffice Location: Gerard P.Goehringer G Town Annex/First Floor,Capital One Bank George Horning �Q �� 54375 Main Road(at Youngs Avenue) Kenneth Schneider CQum�a� Southold,NY 11971 http://southoldtown.northfork.net ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel.(631)765-1809•Fax(631)765-9064 March 24, 2017 Ms. Sarah Lansdale, Director Suffolk County Department of Planning P.O. Box 6100 Hauppauge, NY 11788-0099 Dear Mr. Lansdale: Please find enclosed the following application with related documents for review pursuant to Article XIV of the Suffolk County Administrative Code: ZBA File #7065 Owner/Applicant: Serling, Robert Action Requested: Construct new single family dwelling — bulkhead setback Within 500 feet of: ( ) State or County Road (X) Waterway (Bay, Sound, or Estuary) ( ) Boundary of Existing or Proposed County, State, Federal land. ( ) Boundary of Agricultural District ( ) Boundary of any Village or Town If any other information is needed, please do not hesitate to call us. Thank you. Very truly yours, Leslie K. Weisman ZBA Chairperson Encls. — — ani"'�p--,r---"�"r'r.:;�na.+u+==irir-- _'weuu"x,' .. - ��?�`- • p�iPRoaERryiAxsENVICEAicEkotc.. .. 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