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1000-86.-5-9.1
OFFICE LOCATION: �O��of SO(/TyolO MAILING ADDRESS: Town Hall Annex ox 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) ® �O� Telephone: 631 765-1938 Southold, NY 11971 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Leslie Weisman, Chair Members of the Zoning Board of Appeals From: Mark Terry, Principal Planner LWRP,Coordinator Date: January 14, 2016 Re: Coastal Consistency Review for ZBA File Ref DONNA WEXLER and RODNEY T. QUARTY #6920 DONNA WEXLER and RODNEY T. QUARTY#6920 - Request for Variance from Article III Section 280-13 and the Building Inspector's November 23, 2015 Notice of Disapproval based on an application for building permit for conversion of an attic to "as built" habitable space to an existing dwelling, at: 1) more than the code maximum number of stories of two and a half, located at: 1775 Indian Neck Lane (adj. to Richmond Creek) Peconic, NY. SCTM#1000-86-5-9.1 The proposed action is INCONSISTENT with the below listed LWRP polices'and therefore INCONSISTENT with the LWRP: 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." The as built third story was constructed without the benefit of a Zoning Board of Appeals and/or Board of-Trustees review or determination. Pursuant to chapter 268, the Southold Town Zoning Board of Appeals shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Stephen Kiely, Assistant Town Attorney Office Location: ®F $Q(�r�®l Mailing Address: Town Annex/First Floor,Capital One Bank O 53095 Main Road 54375 Main Road(at Youngs Avenue) P.O.Box 1179 Southold,NY 11971 Southold,NY 11971-0959 lycOUNT`I,��� http://southoldtown.northfork.net D E C E �p BOARD OF APPEALS 1 DEC 18 2015 TOWN OF SOUTHOLD Tel. (631) 765-1809 Fax(631) 765-9064 Southold Town Planning Board December 17, 2015 Mark Terry, Principal Planner LWRP Coordinator Planning Board Office Town of Southold Town Hall Annex Southold,NY 11971 Re: ZBA File Ref. No. # 6920 WEXLER, Donna Dear Mark: We have received an application for a request to legalize "as built" attic alterations to an existing single family dwelling which results in a third story. A copy of the Building Inspector's Notice of Disapproval under Chapter 280 (Zoning Code), and survey map, project description form, are attached for your reference. Your written evaluation with recommendations for this proposal, as required under the Code procedures of LWRP Section 268-51) is requested within 30 days of receipt of this letter. Thank you. Very truly yours, Leslie K. Weisman Chairpe son By: `4e- FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL DATE: November 23, 2015 TO: Donna Wexler 1775 Indian Neck Lane Peconic,NY 11958 Please take notice that your application dated November 19, 2015 For permit to legalize"as built"attic alterations to an existing single family dwelling at Location of property: 1775 indian Neck Lane, Peconic, NY County Tax Map No. 1000 -Section 86 Block 5 Lot 9_1 Is returned herewith and disapproved on the following grounds: The"as built"construction in the Residential R-40 District, is not permitted pursuant to Article III, Section 280- 13, which limits a single family dwelling to 2 1/z stories. The"as built"construction results in a third story. zed S' ature Cc: File, ZBA Rev,slons� _ -_ 06-11-96 06-09,57 o SEE SEC_ SEE SEC. 66� SEE SEC NO 075 040}98 NO 075 MATCH NO 074 LINE 4 11-23-98 N 32 eezw MATCH _ —_� LINE� '0 ---�-- ------ – — 06-17-99 T'b 1 n PECONIC LAND TRU 08-06-99oF.oO� 'L a 91 12-0699 ,n �� )+ 4 OA 10.12 m 03-27-01 o J oy 29 OA 05.1601 O Fys< (' BP N Y 1.4 07-1001 Z I� '�,, 1 6R• '� (TOWN So OLD 22A(c) t 11-19-01 W IJ_ ."ryT� 1 $ I UNREDSTATES I 03-04-03 N °� 1P 0 DEVELOPMENT RIGHTS) 08.1604 y I til Gj 04- 10-12-05 410-12-05 060407 04-30-09 1ti0 P 3 08-1610 ES it-15-0 5A 05.13-11 427 �lh 06-2411 9A 1\ .8AA 03-09-15 �c1Q" �' g � •\3 m �yEv" ah;p � ., 1 - •1 10.10 , pe p m = 21A(C) m a� � '•L+ m 93 168 37 3A $ 20A(c) (TOWN OF SOUTHOLD �q9 a O DEVELOAOENTRIGHTS) _AP\ PUI 106 CHAR$a ; q 1,0 5' 25M, RASI q2 s9 y ,A y` �6 i ��' A20• �,'s 4�1 NW '$ W)4.25 ,a " ISI y� Y e F�1 8A A 12 m •o .t1 ,d• 2 Fo 19 L§ 7�f. 2A Tp I'Slq _ m A mIU 96 g A13 g 24A PECONICIANDTRUST $ P,uOc 428 0 w U" A. `q'1q 28A 95 ya vh• +p 1'O •C1c 26A 1 d 5 21 A16 ...IEO^' PECONIC LANDTRUS7 11 z„ Ps7 1pE - � slod) 2 8 PCI Y, at 94 z, 2.9A _ ' 2I 1' •� `O A $ PECONIC LAND TRUST H1 R 127 ;E'. I >>O •' $ •o' A '" rP c 6�cl go k'N Op 9 1.1A(c) 12.6 13 •}r i 3�lcl � 2,rb :� �Pl � SHO<D m g2 �. m • 61 y'A �a R/CH MO L� m A0P 3 � 64 5P1c1 ND 9Aplcl m 1 6A(c) FOR PCL NO. "y 12Z 'Iq SEE SEC.NO 63' 9 p�cl 1 c1 _ 085-03-011 2 $ 9 PI E 8; I am x 1q5 Y 1.1A(c) I a 65P _ ,.. 64 11.4 1.1A(c) 9 Ts A 115 ¢ j 14. cl s. m ,e FOR PARCELNO /�VV�'�. •�„i 4 / -2 lA oa ESEC NO 144 3 101MOF g 098Ut-0014$C ,n --- _ � L L � "� FOR PCL NO.I LINE q �� ,( �j/,�� t' 14.2 SEE SEC NO !^1Y T • "a f �,' �]` `O_ 22A 098-01-001.3 U �__— s j 4 / , I MATCH —� �r f1� I f � Saati Pauw ——�—� ,h4mm Gude We ——N—— 4RE YNT,U TME FPLLOWNG PS,Ar h PpMLM R�— �co Y �.�1/V-\ BVI Ll�/ Nhrcr Oa�M Leo li¢md Onuc,lmo ——MST— FlRE k u9b Pm,nw ammm�PNR,w-- vnRrc p,a7 ].e,L,rc ger PLn¢W —NSY— OMBUUWCE e- 4^M1jj` tJdu(¢LFe f; Fee.$ Filed By: Assignment No. APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS AREA VARIANCE � r House No. Street � oHamlet Qc?err,e SCTM 1000 SectionBlock_a_ ,Lot(s) Lot Size Zone I(WE) APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED BASED ON SURVEY/SITE PLAN DATED Owner(s): Mailing Address: /77(-" Telephone:/7/-,C3-dlltllJFax:� / ;74< 92 0 Email: NOTE:In addition to the above,please complete below if application is signed by applicant's attorney,agent, architect,builder,contract vendee,etc.and name of person who agent represents: Name of Representative: for()}Owner( )Other: Address:l7 _. � � Telephone:, 47s /7TFax:4 71 Gd Email � - Please check to specify who you wish correspondence to be mailed to,from the above names: ( )Applicant/Owner(s), (Authorized Representative, ( ) Other Name/Address below: WHEREBY,THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN DATED �' �G and DENIED AN APPLICATION DATED FOR: Building Permit ( ) Certificate of Occupancy ( )Pre-Certificate of Occupancy ( ) Change of Use ( )Permit for As-Built Construction ( ) Other: Provision of the Zoning Ordinance Appealed. (Indicate Article,Section,Subsection of Zoning Ordinance by numbers.Do not quote the code.) Article: `//` Section: Subsection: /3 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 ( )Rever al or Other A prior appeal ( has, ( ) has not been made at any time with respect to this property, UNDER Appeal No(s). S b'�5 Year(s). ;;L00 . (Please be sure to research before completing this question or call our office for assistance) Name of Owner ZBA File# Name of Owner: ZBA File# REASONS FOR APPEAL (Please be speck, additional sheets may be used with preparer's signature notarized): 1.An undesirable change will not be produced in the CHARACTER of the neighbor or a detriment to nearby properties if granted,because: Uji S°2_.,t 2.The benefit sought by the applicant CANNOT be achieved by some method feasible for the applicant to pursue,other than an area variance,because: Si'-,�6 r 3.The amount of relief requested is not substantial because: 4.The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: 5.Has the alleged difficulty been self created? { } Yes, or{ No Why: J'wr'jt'; / Are there any Covenants or Restrictions concerning this land? " No { } Yes(please furnish a copy) This is the MINIMUM that is necessary and adequate, and at the same time preserve and protect the character of the neighborhood and the health,safety and welfare of the community. i Signature of Applicant or Au orized Agent (Agent must submit written Authorization from Owner) Sworn to before me this 615 day of NC>\XM1nQf- 20 15 n NotaWPu Eve L. ATZ-SCHWAMBORN NOTARY PUBLIC,STATE OF NEW YORK Registration No.OIGA6274028 Qualified in Suffolk County016 Commission Expires Dec.24, APPLICANT'S PROJECT DESCRIPTION APPLICANT: DATE PREPARED: 1.For Demolition of Existing Building Areas Please describe areas being removed: IkA U.New Construction Areas (New Dwelling or New Additions/Extensions): Dimensions of first floor extension: Dimensions of new second floor: Dimensions of floor above second level: Height(from finished ground to top of ridge): Is basement or lowest floor area being constructed?If yes,please provide height(above ground)measured from natural existing grade to first floor: III.Proposed Construction Description (Alterations or Structural Changes) (Attach extra sheet if necessary).Please describe building areas: Number of Floors and General Characteristics BEFORE Alterations: Number`of Floors and Changes WITH Alterations: IV. Calculations of building areas and lot coverage(from surveyor):' Existing square footage of buildings on your property: Proposed increase of building coverage: Square footage of your lot: Percentage of coverage of your lot by building area: V.Purpose of New Construction: 1((tf ,4Le12 VI.Please describe the land contours (flat,slope %, heavily wooded, marsh area,etc.) on your land and how it-relates to the difficulty in meeting the code requirement(s): Please submit 8 sets of photos,labeled to show different angles of yard areas after staking corners for new construction, and photos of building area to be altered with yard view. 4/2012 QUESTIONNAIRE FOR FILING WITH YOUR ZBA APPLICATION A. Is the subject premises listed on the real estate market for sale? Yes _ No B. Are there any proposals to change or alter land contours? _ No Yes please explain on attached sheet. C. 1.)Are there areas that contain sand or wetland grasses? D 2.)Are those areas shown on the survey submitted with this application? &A 3.)Is the property bulk headed between the wetlands area and the upland building area? " 4.)If your property contains wetlands or pond areas,have you contacted the Office of the Town trustees for its determination of jurisdiction? Please confirm status of your inquiry or application with the Trustees: and if issued, please attach copies of permit with conditions and approved survey. D. Is there a depression or sloping elevation near the area of proposed construction at or below five feet above mean sea level?,fin E. Are there any patios, concrete barriers,bulkheads or fences that exist that are not shown on the survey that you are submitting? WO 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?_&,�) _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?_& If yes,please label the proximity of your lands on your survey. I. Please list present use or operations conducted at this parcel�_�cl�, ,` and the proposed use (ex existing smgle family,proposed same with garage,pool or other) Alt�n- Authoriz signature and Date APPEALS BOARD MEMBERS AFF©L /'C� Southold Town Hall Gerard P. Goehringer,Chairman ��� Gy 53095 Main Road IM P.O.Box 1179 James Dinizio,Jr. o Lydia A•.Tortora * , Southold,New York 11971-0959 Lora S. CollinsO y� ZBA Fax(631)765-9064 George Horning 4,- �.bTelephone(631)765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF DECEMBER 13, 2001 Appl. No. 5035—R. and K. GRANT 1000-86-5-9.1 STREET& LOCATION: 1775 Indian Neck Lane, Peconic DATE OF PUBLIC HEARING: December 13, 2001 PROPERTY FACTS/DESCRIPTION: Applicants'property is located on the easterly side of Indian Neck Lane in Peconic.The property is a 2.6 acre parcel improved with,a single-family dwelling. BASIS OF APPLICATION: Building Department's September 27, 2001 Notice of Disapproval for the reason that the proposed cabana will be located with a setback at less than twenty(20)feet from the side property line,at its closest point. - AREA VARIANCE RELIEF REQUESTED: On September 27, 2001,the Applicants'request for a building permit application to locate an accessory building (cabana) was denied by the Building Department. The reason stated in the Notice of Disapproval is,that the cabana will be ten 10) feet from the side yard line instead of 20 feet, as required by Cade Section 100-33. FINDINGS OF-FACT: The Zoning Board of Appeals held public hearings on this application on December 13, 2001. at which time written and oral evidence were presented. Based upon all testimony,documentation, personal observations by members of the board, and other evidence, the Zoning Board finds the following facts to be true and relevant: 1. Applicants wish to construct a 12 ft. x 42 ft. accessory pool side cabana and pergola on the southeast waterfront corner of the property. According to the site plan prepared by Gary Duff Designs and survey prepared by John Metzger dated March 16, 1995, and last revised July 24, 2001, the accessory structure would be located at an angle to the side yard property line. Part of the southeast corner of the entire structure would be nonconforming at 10 feet rather,than the code required setback of 20 feet. 2. Applicants testified that it would be difficult to locate the pool further to the center, or north, in order to increase-the side yard setback of the accessory cabana because of an existing propane tank. Locating the structure on the north side of the property would also be difficult because of environmental constraints set forth by the NYS Department of Environmental Conservation and Southold Board of Town Trustees, as well as the natural terrain of the property, which slopes to the water. 3. The adjoining property owner to the south, Virginia Sica-Peters (CTM 9.3), expressed concern that if the variance were granted at ten (10)feet, it would limit her choices for building in the future. IN ACCORDANCE WITH THE REVIEW STANDARDS SET FORTH IN TOWN LAW 2678-3 "AREA VARIANCES," THE BOARD HAS CONSIDERED THE BENEFIT TO THE APPLICANT IF THE VARIANCE IS GRANTED, AS WEIGHED AGAINST THE DETRIMENT TO THE HEALTH, SAFETY AND WELFARE OF THE NEIGHBORHOOD AND COMMUNITY BY SUCH GRANT, and DETERMINES THAT: Page 2—December 13,2001 ZBAAppl. No.5035—R. and K Grant 1000-86-5-9.1 at Pecornc v 1. The accessory cabana could be located closer to the pool to provide for a greater side yard setback than 10 feet. An increased setback to 15 feet would also mean that most of the structure would be within the Code's 20-ft. minimum side yard setback, and only a small corner would be nonconforming. Grant of a five- foot area variance will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. 2. The benefit sought by the applicant cannot be achieved by-some method, feasible for the applicant to pursue, other than an area variance. Because of the natural slope of the property, location of the existing propane tank, as well as environmental regulations which limit construction sites, there are no other alternatives that would not require a variance. 3. The variance granted herein is not substantial and represents a five-foot reduction in the code's 20 ft. minimum setback., 4. The variance granted will not have an adverse effect or impact on the physical or environmental conditions in the neighborhood. Both the NYS Department of Environmental Conservation and the Southold Town Board of Trustees have reviewed the survey and plans referenced above and determined that the accessory cabana is not within their jurisdiction., No evidence was submitted to suggest that the accessory cabana would have a negative impact on environmental conditions. RESOLUTION/ACTION OF THE 80ARD: In considering all of the above factors, and applying the balancing test under New York Town Law, motion was offered by Member Collins, seconded by Member Horning,and duly carried,to DENY the requested variance, and ALTERNATIVELY to GRANT a setback variance authorizing placement of the accessory cabana in accordance-with the site plan submitted, except that the setback shall be 15 feet at its closest point from the side(southeast) property line. This action does not authorize or condone any current or future use, setback or other feature of the subject property that violates the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. Vote of the Board: Ayes: Members Goehringer (Chairman), Dinizi ortora,".ran orning. This Resolution was duly adopted (5-0). erard P. Goehringer, Chairman 1,713 2-1 c) L 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, siteplan 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: aizda, �✓2 ��✓ ¢ a �/ i s r !�t' 2. Address of Applicant: /-y ,ole,,6t 3. Name of Land Owner(if other than Applicant): 4. Address of Land Owner: �i 5. Description of Proposed Project: 6. Location of Property: (road and Tax map number) /°ddrO G />'s qs 7. Is the parcel within 500 feet of a farm operation? { } Yes II No 8. Is this parcel actively farmed? { ) Yes 0 No 9. Name and addresses of any owner(s)of land within the agricultural district containing active farm operations. Suffolk County Tax Lot numbers will be provided to you by the Zoning Board Staff,it is your responsibility to obtain the current names and mailing addresses from the Town Assessor's Office (765-1937)or from the Real Property Tax Office located in Riverhead. NAME and ADDRESS 1. 2. 3. 4. 5. 6. (Please use the back of this page if there are additional property owners) ignature Appli t Date Note- 1.The local Board will solicit comments from the owners of land identified above in order to consider the effect of the proposed action on their farm operation Solicitations will be made by supplying a copy of this statement. 2.Comments returned to the local Board will be taken into consideration as part as the overall review of this application 3.Copies of the completed Agricultural Data Statement shall be sent by applicant to the property owners identified above. The cost for mailing shall be paid by the Applicant at the time the application is submitted for review 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part l -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part I -Project and Sponsor Information Name of Action or Project: r � a Project Location(describe,and attach a location map): 3 a t .t' ' .� _ = r Brief Description of Proposed Action: Name of Applicant or Sponsor: Telephone: E-Mail: Address: Aar,;?��,s:z✓`.n /'moo/ s�sn city/PO: State: Zip Code: 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordina ce, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: 3.a.Total acreage of the site of the proposed action? 2 acres b.Total acreage to be physically disturbed? AC4 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑ Rural(non-agriculture) ❑Industrial ❑Commercial IgResidential(suburban) ❑Forest ❑ Agriculture ❑Aquatic ❑ Other(specify): ❑Parkland Pagel of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ,e b.Consistent with the adopted comprehensive plan? 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: 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES 1-4 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? 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: Jos,% 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: 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? 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? �Q If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 11 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 ❑Suburban 0 6/ 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 710 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a.Will storm water discharges flow to adjacent properties? ❑NO❑YES lam' b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO❑YES Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: 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: I AFFIRM THAT THE INFO ATION PROVI D ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/spon ame: Date: Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed-action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-tern and cumulative impacts. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Name of Lead Agency Date Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) Page 4 of 4 Board of Zoning Appeals Application AUTHORIZATION (Where the Applicant is not the Owner) residing at 1.2 &-eek 4a (Print properly owner's name) (Mailing Address) do hereby authorize u (Ag ) A�.-,e to apply for variance(s) on my behalf from the Southold Zoning Board of Appeals. (Owner's Signature) \ U3 (Print Owner's Name) 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 : c (Last name rst name,mi dle tial less you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business interest" means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5% of the shares. YES NO If No,sign and date below.If YES,complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicantlagent/representative)and the town 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 U, e- - Submitted this day of ,20 Signature Print Name Zc 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 : (Last name,first name,middle i ilial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business interest"means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5% of the shares. YES NO If No,sign and date below.If 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 S'-- day of A _,20 Signature Print Name _C�[�ca \Aj Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits` including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# Aw a The Application has been submitted to(check appropriate response): Town Board 0 Planning Dept. 0 Building Dept. li� Board of Trustees 1. Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital 0 construction, planning activity, agency regulation, land transaction) (b) Financial assistance(e.g.grant, loan,subsidy) (c) Permit, approval, license,certification: Nature and extent of action: Location of action: � �� � �r /feel-1- Site acreage: ® Present land use: Present zoning classification: 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: ���:�,��v (b) Mailing address: 122, �� �� Mee e d4zac 'J a c— C fl3�..SS (c) Telephone number: Area Code IAW (d) Application number, if any: �9%� ZZ2q Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ❑ No If yes,which state or federal agency? DEVELOPED COAST-POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space,makes efficient use of infrastructure, makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. Yes ❑ No ❑ (Not Applicable- please explain) Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria Yes ❑ No ❑ (Not Applicable—please explain) 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 0 Yes E No (Not Applicable—please explain) Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria Yes 0 No 0 (Not Applicable—please explain) 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 0 No E (Not Applicable—please explain) fi/-k- Attach additional sheets if necessary Policy 6.. Protect and restore the quality and function of the Town of Southold ecosystems including Significant.Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. Yes 0 No (Not Applicable—please explain) 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. See Section III—Policies Pages; 34 through 38 for evaluation criteria. ❑ Yes ❑ No❑ (Not Applicable—please explain) Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No ❑ (Not Applicable—please explain) 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. ❑ YesO No❑ (Not Applicable—please explain) A 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—please explain) 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. 0 Yes ❑ No 0 Not Applicable—please explain Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluation criteria. El Yes ❑ No 0 Not Applicable—please explain 7F A- 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—please explain `.._ ._• �'—' -.i .- .i�tti: 7 'S Y}� 4'�+T1•-- �,;.'i,t•,i ;1-•u_�..: .y,�,��j�-:Up��r„'lv�T-T y,_T�- _ ci, _ - i , ...'{. 'i (�,41T��.jy � �h-y.•c'4��{� n�;_r�-•liF••�,. 9 ,i•.�.t:.;';',(+ x'�Il'%'r.+:�-=1•'ret�}•Ir2`x�'. �. ti t•, - r �= TO,W N OF SOUTH Lpf',N ROkP'E "RE DR! sD :t C#' ,°i'RD 3 9. �,. OWNER STREET -7 VILLAGE DIST. SUB. LOT Y\n a Mr`( , �1'� ��SI I(� E� e7U f� 1, f e S FORMER OWNER"- � II N �� l y / (/�� ACR. � R •��"� 1,f�i `'�t1�•�� J ,{� ,N1�7;,�Gf��•7 C�,pr.,e.)�no;'rt'� '•r,-+�.C:� ..a F.i�li�� I' u}' - , t'_C_ca► t[c �G�Y �Ct i�cLQ,�s I tic_ S WTYPE OF BUILDING f LQ,>/ .ti S .1f%k Y(` ��.[ �62_ E•�Lw RES. v j SEAS. VL. FARM COMM. CB. MISC. Mkt. Value. LAND IMP. TOTAL DATE REMARKS Ivt-P - �e;,r �v COM�niNl.•� PI$+7Caf +t%f1 . 0 0 -9 �l�sl� X5.5 son. ' f� s'��/ed - l�c�.rrc c�%sia ��a`taev�, Ae& Iz C .on L J /�L45" Ot�tll�• .1„ 1�'�$ � / &,c5 erle- e!�^•as 6T,y«�e18 �a 5,6 P, lfi� 1 , •f•. .j, xOV3 ;�--/ Z �' z �°�,� 9 /1�1t�r,� u�O/ rt/S' I"Pco.✓l� d �r��,e ..u� 1J).�Ji6�4ajrs/ a`r'c 7 qS- 112 33S- e C5 n tl) . rs 5oG`,1. ll ��' �lrD Jul �'7 r °�a fa�V,3A2 31, ,•y,��•:C� '�"':O�F'� :.�:�J�v �I�% �A �'����t'.��', `ti`"r ;'� �10 roy� tr "''! ,r��.^ ,f.ti • ir, �..lJ-'L'_ FARM Acre Value Per eel 1 L •---� ccc� '' ;� 0611 i s -F728. r QGCe>ssoyV c6L6 o nA ! _ � , `f H#c,bC..._"`i=, 'r'� "`�'.t•• -.��"� OJ,r��4�� 1.1 � U l '� �T -7�/��0'S� � �lit-''`°';��;�� ��.�I - w Tillable 2yyf 7— r `tr o�- L > . -� 1 _P,�6�?r-t , ��od,mob, Tillable 3 � _ r � 3?.b I � Yla� oultey,,'.I'lons _. Woodland 5 a",A I D 0_0 -fps`' A5 Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD a.- `'�, (o/� 13 �� �-�l ._ !�l��� + House Plot DEPTH �l G — t/, ��4 �'ILI ° o,t.v�, r n�;l :©,? 4, � BULKHEAD )I,S� ?J L, Z J�' �V�s.°x1Prr_l cc let- k� Total DOCK ��� ;l'•Cl rr:•,'r;i;:.e•_•:S•11•':���.;�t.i�' ' �s e+ - - _r 7 f COLOR _ ;'+� �� -,�;_=`� �/_ /, cif` ,��f;�:s•t;'�:c:���' s .��-}:'�,}j:'�"; - FEXJS%�Y.;i.:�7_d.:1 v + TRIM I ? - ,_ • �,�.�f„r. +-_ .� J;,r,..• nyy r^.Tt�1't' `'ti;- , .4 =� - G3, � >- Foundation Bath Dinette M. Bldg. g ��••t, L' •2, s �� c�d'Yr� , n �ti , Basement Floors '50 Bment i Extenson 1 Y. ! �r 3, �` �-- _ N; / x �(a Ol3� 3 �� 7 Ext. WallsInterior Finish LR. ' Extension r-3,, � Extension Fire Place \ Heat DR. Type Roof Rooms 1st Floor BR. Porch Recreation Roo Rooms 2nd Floor i Porch r'r6AN, /G 'r' l7 - I C� l �, t , '2-L�Q Dormer Brel-, n1_ �� 4 4 �{ Driveway ezy1� � — f _Gara�e-f 2: ;< 2E :.��, r•. IRatio -_2 Total --� --�:J ltSUIZ 17�a! <:_�.�. gin- �- _`� N�rG• • ; ^C�io�rci icy` ..;ray._. ` - .. •• --- .. ,�,5,����,��,.,.. +. J };; rr„•°w•:}';19,�, �:t, •t, t,- '�' �� �i r >✓7"1 i ��.w'• Jr1•`"�,+ �dt �i+ ''� -0i•_, e rr{•�!: o. 't `tl:^7-�,'`r,.a.sti��'es.. .t�i+t i<��__. .��;a�^.:i.�t,.i..4t<'+.L K%.�'' ,.?..;'• _.,. FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24948 Date MARCH 20, 1997 THIS CERTIFIES that the building NM DWELLING _ Location of Property 1775 INDIAN NECK LANE PECONIC, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 86 Block 5 Lot 9.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 5, 1996 pursuant to which Building Permit No. 23224-8 dated JANUARY 23, 1996 was issued, and conforms to all of the requirements of the applicable L provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE & WOOD DECK AS APPLIED FOR. The certificate is issued to ROI,AND & KAREN GRANT (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL FEB. 21, 1997-RID-95-0068 UNDERWRITERS CERTIFICATE NO. PENDING - DEC. 17, 1996 PLUMBERS CERTIFICATION DATED MARCH 7, 1997-NASSAU SUFFOLK MECH. CORP. //uiAing Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29774 Date: 10/17/03 THIS CERTIFIES that the building ADDITION Location of Property: 1775 INDIAN NECK LA PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 86 Block 5 Lot 9.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 8, 2001 pursuant to which Building Permit No. 27805-Z dated OCTOBER 18, 2001 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 SUNROOM ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROLAND M & KAREN L GRANT (OUTER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ 1153070 09/02/03 PLUMBERS CERTIFICATION DATED N/A t ri ed Si nature Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29833 Date: 11/13/03 THIS CERTIFIES that the building ACCESSORY Location of Property: 1775 INDIAN NECK LA PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 86 Block 5 Lot 9.1 Subdivision Filed Map No. Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 8, 2001 pursuant to which Building Permit No. 27806-Z dated OCTOBER 18, 2001 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 ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to ROLAND M & KAREN L GRANT (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1153076 09/02/03 PLUMBERS CERTIFICATION DATED N/A c th ize Signature Rev. 1/B1 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29775 Date: 10/20/03 THIS CERTIFIES that the building ACCESSORY Location of Property: 1775 INDIAN NECK LA PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 86 Block 5 Lot 9.1 Subdivision Filed Map No_ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 8, 2001 pursuant to which Building Permit No. 27984-Z dated JANUARY 2, 2002 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 ACCESSORY CABANA WITH ENCLOSED SCREENED PATIO AS APPLIED FOR PER ZBA #5035 DATED 12/13/01. The certificate is issued to ROLAND M & KAREN L GRANT (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ 1153076 09/02/03 PLUMBERS CERTIFICATION DATED 10/30/03 CUTCHOGUE EAST PLUMBING A hori d Signature Rev. 1/81 I8/i 'nag axngeu6 pa ,0 n OnIHIrngd JINOOHd 80/60/90 U:ILVC[ K0ILV;)IaIXIm SN$Eaia'Id LO/LO/ZT D8066TT -ON SSKJIaIlaaa 'IKJIRIDE $ V/N 91VMHdCTV H.Iri m 210 lmmauvda(i AJMOO rioaaaS buTpTTnq pTesaaoge aqq Io (aaNMO) ONV 72 HarjXHM S''ISE'IJI HJUVW VXROQ Og panssT sr agEoT_TTgzao aqy H02iOd NI QHN9aHDS MHN'gOOd HAIl0agdEU MEN 'Sx5aa uooga QNOOES QNv SST MEN ' gVISNI 'gal LOH MHN grlVISNI'SNOIIVaRs'TK QNV SNOIXICICIV -60INSINI sT pansST ST age3T;T4a@0 STgg goTgR a03 douedn000 ag,L •Mut agg To suoTsTAoad aTgeoTTdde agg go sguawaaTnbai agg ;o TTe og Swao;uoo pue 'panssT sem L O O Z '9Z XVW Pa:Ie'P Z-8 L 0££ 'QN gTauad buTptTng TPzgw og guensind LOOZ 'ST XVW PaJVP aoT33O srgg uT POITI a.zo;ogazag gTuilad buTpTTng ao; uoTIeoTTddv agg oa ATTeTguegsgns Suuo;uoo -oH gOz 'OH deFi PaZTrI uozsieiperns 1,6 qo'I S 3poZg 98 UOTg09S 6 8 8 E L t "OR dent xey Aqunoa (,LH'IKVH) (laaaLS) ('ON H9nOH) DINOOHd B'I 209N NKIQNI SLLT :Agaadozd go uoTgEool SNOI,Ivaa.Lriv buTPtTt►q aqg g8gg SgIrIYsim SIfLL 801601LO =agnQ VVIEE-Z :ON XONvdn000 a0 HSvoIdiluSo .X.N 'PTO'ggno3 TZeH umoy Iogoadsul buTpTTng aqg Jo a0T;3o imuLuvaaa )NIQ'IIf1S Q'IOHZnOS aO NMOZ 19 'ON WHOA FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29848 Date: 11/18/03 THIS CERTIFIES that the building ACCESSORY Location of Property: 1775 INDIAN NECK LA PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No_ 473889 Section 86 Block 5 Lot 9.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 8, 2001 pursuant to which Building Permit No. 27868-Z dated NOVEMBER 5, 2001 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 NON-HABITABLE ACCESSORY TWO CAR GARAGE WITH STORAGE ABOVE AS APPLIED FOR. The certificate is issued to ROLAND M & KAREN L GRANT (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1162541 09/04/03 PLUMBERS CERTIFICATION DATED 10/30/02 CUTCHOGUE EAST PLUMBING t riz Si ature Rev. 1/81 ® : SOUNDINGS FEET BELOW ALW. 1775 INDIAN NECK LANE DATUM ALW.- 0.0' ® SURVEY OF PROPERTY NEW PILES 6 f!!BY 20' CCA, c�� ° NEW "FIR �" LUMBER ACQ OR EQUAL AT PECONIC NEW DECK ® �`oe 4 TOWN OF SOUTHOLD COUNTY, N. Y. � ®SUFFOLK 1000-86-05-9.1 SCALE: 1'= 60' �......�. KEY MAP �� PC'C SCALE. 1•- 1000' SEPTEMBER 21, 2011 O,o O <v sr9 Fkis 1L e �� 1 IC •IKON SCALE: 1"= 40' �c '' y hly ID S7g• DAVID CORWIN PE. G 6,4',\ 28,57E S77' 18'22" �-��' y��b e' 91 79, E r-A 101- sr 11.2'S SHED 7.qp ' 666 ft HPC N x 39.0 �L, 22.3' ZONE X// I \t\\ 1' I' 0) PATIO �� t ' `` o.D' PODL TUB `�� 12 0.1 ( 4' P ZONE X O �` 12' ' 6 1022.4' FE 1.2' N TOWN OF SOUTHOLD PERMIT NO. 5046 1 .2k�� I ase 1"0. '� NYSDEC PERMIT NO. 1-47313-0111710..3 �, N69 ..•, �g 0� � N x �' 1g' cy�g� CONCRETE CROSSVIEW P�`"'� \ FE 0.5' N SCALE: l'- 20• CONCRETE �• DRIVEWAY �� •,,.�•' PROPOSED EXISTING CATWALK EXTENSION 60' r 15'—�{ ?.NEpS 4. b 4' ELL r� OO O 0 rW. W.CpN�� > .�. OpW 569.21}0 —v SWIM LADDER OF NE6",d X 20' PILE RELOCATED STAIRS DAVID �t 8' PENETRATION R- 1�, �O ��203 A = WEILAND FLAG. DELINEATED BY DAVID COR r ` •�Od ■ = MONUMENT `�;� •.a 'Y .} AREA = 2.556 ACRES TO TIE LINES LOT NO.s REFER TO MINOR SUBDIVISION FOR N. Y.S. LIC. N0. 49618 PECONIC BAY GARDENS, INC." FILED IN THEICA C� ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OFFICE OF THE SOU7HOLD TOWN CLERK. pVq 4`6M' CONIC VEYORS, P.C.---- --' OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. s` Lq �� (631) 765-5020 FAX (631) 765-1797 vz EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS FLOOD ZONE LINES FROM J610JC0162H P.0, BOX 909 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF AND ACTUAL FIELD INFORMA77ON SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET Q WHOSE SIGNATURE APPEARS HEREON. ELEVATIONS ARE REFERENCED TO NVGD. SOUTHOLD, N. Y. 11971 95-133 ' / -`!fes ..� ....._. .F _ �Wn WHmn .+�w Musr�.k 4 j j I S:'-- 4 1 i f �..w ��`� ' �� V d "M w�„� v.w.. _ �...+ �`' �.�' �''"��'""� ^`mow b, ���� ,..} .mil,p�T'uT.'»^ '"'r rv� ''!!�� t '....: "'�s: '�*� "�'w `ti.` `h`. �: y,.4"„ �'^�rar. '�.,, ,�.ui�NL'i�_fk'+,�w.r"'-n.,�y"'��.^`.rt..ti�a,�'�e^. 1-�n�"'yaw.�x.e+.�..^ �"lw.d."�.�,+. �`�ar 's�'�y '^rte M1.T^ _ -" '�'a. y-y°na �r;..y �,.:: "` u i� rr �y iM , ., � - �. ... _. _ - ,� :. �r .� 7 �, � - ,. w � _ � � tic - .� �,. §-� .. � �Y I ' � � �; _. f x � u �i � � � ���- _ `" �. ti i _ :,� � � ,, � ,_ -��'�: _:.: ' ,"-. r, .. we ' t�J }x�}�I t�W �� !�F � �t � �`ri•'4tr�x�Y�a��,�w�•yg1 rr'�y,Cn a � y 5 ate--z a �•.� �� � ', ��RB-__ s� .9'� ...yam .,. i 1� l� M C H Design Services www.mchdesignservices.com phone: (631)298-2250 email: michael@mchdesignservices.co FINISHED ATTIC 12'-2" H DN MECHANICALS W � zP4 O � > z cc Z V Z O t� V Ln W a ATTIC FLAN SCALE: 1/4" = 1'-0" DRAWN BY: MH 12/9/2015 SCALE: SEE PLAN r °F "E DEfR�. SHEET NO: � �� �s 5•: . w C7 W ti0 SECTION A�°��SS SCALE: 1/4" = 1'-0"