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HomeMy WebLinkAboutTR-9083A Michael J. Domino,President O��QF S0(/l�ol Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold, New York 11971 A. Nicholas Krupski �O Telephone(631) 765-1892 Greg Williams �Iycou Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1482C Date: June 27, 2018 THIS CERTIFIES that the alteration of existing 1-%z story dwelling to a two-story dwelling; add a dormer over existing two-story garage,• and adding a 8.4'x4.5' covered porch over the existing brick and concrete platform; At 5705 Stillwater Avenue, Cutchogue Suffolk County Tax Map #1000-137-4-4 Conforms to the application for a Trustees Permit heretofore filed in this office Dated April 11, 2017 pursuant to which Trustees Administrative Permit#9083A Dated September 20, 2017,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the alteration of existing 1-1/2 story dwelling to a two-story dwelling, add a dormer over existing two-story garage• and adding a 8.4'x4.5' covered porch over the existing brick and concrete platform. The certificate is issued to Landers Family Trust c/o Despina Gianopulos Landers/Jay Landers owners of the aforesaid property. Authorized Signature Michael J.Domino, President ��OF SO(/T�o Town Hall Annex John M.Bredemeyer III,Vice-President �� l0 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G _-INC O Telephone (631) 765-1892 Greg Williams O Fax(631) 765-6641 COU BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: ig V Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction '/ constructed inspection. compliance ins Project complete, p p i INSPECTED BY: ���o�►�, COMMENTS: CERTIFICATE OF COMPLIANCE: f �pF SO(/r Michael J. Domino,President �0� ®�® Town Hall Annex John M. Bredemeyer III,Vice-President v 54375 Route 25 P.O.Box 1179 Charles J.Sanders l� Southold,New York 11971 Glenn Goldsmith �. ® COQ Telephone(631) 765-1892 A.Nicholas Krupski �lif'`+oUff N Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1 st day of construction '/ constructed Project complete, compliance inspection rg `�®(/P Michael J. Domino,President �� y Town Hall Annex John M. Bredemeyer III,Vice-President '`O l® 54375 Route 25 P.O. Box 1179 Charles J. Sanders Southold, New York 11971 CAI Glenn Goldsmith Telephone (631) 765-1892 A. Nicholas Krupski Ol a Fax(631) 765-6641 1003% BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 9083A Date of Receipt of Application: April 11, 2017 Applicant: Landers FamilyTrust c/o Despina Gianopulos Landers/Jay Landers SCTM#: 1000-137-4-4 Project Location: 5705 Stillwater Avenue, Cutchogue Date of Resolution/Issuance: September 20, 2017 Date of Expiration: September 20, 2019 Reviewed by: Board of Trustees Project Description: To alter existing 1-Y2 story dwelling to a two-story dwelling; add a dormer over existing two-story garage; and adding a 8.4'x4.5' covered porch over the existing brick and concrete platform. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the site plan prepared by Nigel Robert Williamson, Architect, dated March 26, 2017, and stamped approved on September 20, 2017. Special Conditions: That all construction meets Building Department requirements regarding flood zone regulations. Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Michael J. Domino, President Board of Trustees APPROVED BY BOARD OF ) r USTEES TOWN OF SOUTNOLD = _O [ RC�1Jr Y&2.0 -- SETBAGIG SET64GIL -- DATE S- J AT- 001 ZA /\ (PPITCH TO� - --- - --- --- - -- GrAl2AC.E - N _ - f40RTH1,c)fibT ELEV4'T'IOrt ----- --- -SOUTH WF-6-'--ELEVATIOM--_--_ --------- ---- --- - ouTHEasr ELtrvaraau, -- --- -- �,ctsr_r�iG-. �'==►D'�"-_-: _-:_.:..: - 3s O -REAM YA�¢a =3s=n•": ou _. aRv.- — SErJSAcic I SU0ROOM -: . To House ITr" / \ \ _-DlN1NCr ROOMMsrR.I BEDROOM -OPEW TO Bli-M) _ \ D 1,41 O Du 0oP-THEAST E-LSVATIOIJ L1VI1Jrw :9ooM up D�. M5TR"i -- r. _ BATH _ o 0 ci _ _ i II ❑ Q��`NIr~EL RC>BERT WILU MSON =pZ UD )C10 T 4 BRiCk CC,p�yMM- pc oRr► '� CbvE,�En _ProsF-v ALT>:Iriow -- - - i TA.I:t-opo LA , F - i uG3LAND:RS _ , _ AY_ .AERS ( TQS^RS �9 Box 158 so-ur APR -� } 217 M: 1000:137-04=00.4- ' . - - caLE _ _1=0' par>: : 26'�r+a�u 2017 ��.`$33F7 : -L = -- flN.Y. i ia7i Michael J. Domino,Presi O\QSUFFQ��COG i s Town Hall Annex John M. Bredemeyer III,Vice-President 54375 Route 25 Charles J. Sanders ti P.O.Box 1179 Glenn Goldsmith 0 &Z, Southold,NY 11971 A.Nicholas Krupski Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES - TOWN OF SOUTHOLD ��II Date/Time: 00 Completed in field by: Nigel Williamson on behalf of LANDERS FAMILY TRUST, c/o DESPINA GIANOPULOS LANDERS & JAY LANDERS request an Administrative Permit to alter existing' 1-Y2 story dwelling to a two-story dwelling; add a dormer over existing two-story garage; and adding a 8.4'x4.5' covered porch over the existing brick and concrete platform. Located: 5705 Stillwater Avenue, Cutchogue. SCTM# 1000- 137-4-4 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=� Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet _ Public Notice Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders Other Page 1 of 2 Michael J. Domino, Presi; O�0$lfFat Ir Town Hall Annex John M. Bredemeyer 111,Vice-President 54375 Route 25 Charles J. Sanders w = P.O.Box 1179 Glenn Goldsmith 0 Southold,NY 11971 A.Nicholas Krupskiy ® p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Nigel Williamson on behalf of LANDERS FAMILY TRUST, c/o DESPINA GIANOPULOS LANDERS & JAY LANDERS request an Administrative Permit to alter existing 1-Y2 story dwelling to a two-story dwelling; add a dormer over existing two-story garage; and adding a 8.4'x4.5' covered porch over the existing brick and concrete platform. Located: 5705 Stillwater Avenue, Cutchogue. SCTM# 1000- 137-4-4 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D. :525% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 1.Copyright 2016,Alphonse Pesce Jr.,Co.,Inc.Land Surveying,All Rights Reserved. 2.Unauthorized alteration or addition to a survey map bearing a licensed land surveyor's seal is a violation of section 7209,sub-division 2,of the New York State Education Law. 3.Only boundary survey maps with the surveyor's embossed seal are genuine true and correct copies of the surveyor's original work and opinion. 4.Certifications on this boundary survey map signify that the map was prepared in accordance with the current existing Code of Practice for Land Surveys adopted by the New York State Association of Professional Land Surveyors,Inc.The certification is limited to persons for whom the boundary survey map is prepared,to the title company,to the governmental agency,and to the lending Institution listed on this boundary survey map. 5.The certifications herein are not transferable. 6.The location of underground improvements or encroachments are not always known and often must be estimated.If any underground improvements or encroachments exist or are shown,the improvements or encroachments are not covered by this certificate. 7.The offsets or dimensions shown from the foundation to the property lines are for specific purpose and use and therefore are not intended to guide the erection offences,retaining walls,pools,planting areas, addition to structures and any other construction. S34045 ' 00 "E _ 84.55 ' ' I 1.7N 8'-.,WIDE PAVER- WALL 1.7N 4*42 I 11.9' 2.85 ins' 4' HIGH ACLU 111—FE.qbo- Co "2.2 � DECK 18.2' s.a' W/ 24.9' I • Q X0 IN GROUN Z i ® w . LOT o M POOL `= O 17 27.8 L) � 0 723.8 1, � 0W WO D 1 ' ' DE K DOCK ' FLOATING DOCK COVER PROPOSED PROPOSED 2, 1 16.6 22.6' PORCH STORY FRAME 1 DWELLING BRICK& II o CONCRETE PLATFORMRY 9.8' 6 5.8' �8 F AM NIn SUN Eo 11 I - - 4.5'. L I ROOM 22.5 .2 _ 3. 9.8' 161 COBBLESTONE CURB -89I I UJI I� -UJI PEBBLE DRIVEWAY a - - - - -r---- fM- I 'PROPOSED ~ 1_1_1_1 I_I E I DORMER OVER o I COBBLESTONE CURB Uj 22.3' EXTG.2ND.FL. p IW GARAGE BEDROOM 3:: Q W Z J ' I IW 0 LOT 06 o w C6 oco w I LO 16 N o N .� LO LL LO ' PIPE M FOUND 4.8 I - I I _ - I N34)45 ' 00 "W 77 . 05 ' 1 I o � NOTES: Non-visible easements,recorded or E E m IEII V E unrecorded are not shown. -Underground foundations or substructures not visible are not shown. LOT AREA=8079.98 SQ.FT.OR 0.19- APR 1 1 2011 ACREs , LOT COVERAGE: P E Q �J A S H AVET T� T E DECK AND POOL 1087'SQ.FT. Soo thold iown 1� I� HOUSE 1078 SQ.FT. Board of Twtees LANDING AND STEP 46 SQ.FT SUN ROOM 137 SQ.FT TOTAL LOT COVERAGE 2403 SQ.FT. (29.7%) SURVEY OF DESCRIPTIVE PROPERTY ®F NEVV 5705 STILLWATER AVENUE, CUTCHOGUE �v �® TOWN OF SOUTHOLD '�1p"}q�o n$� p r$te' `1�' COUNTY OF SUFFOLK, STATE OF NEW YORK Pr ssiunal TianD 3urvegar cc LOT 16&17 ON"MAP OF PROPERTY OF NOVA REALTY - CORP." Filed:-JULY 1, 1938 Map Number: 1263`� N.Y.S. Lie.No.048365 DIST.: 1000 SEC.: 137 BLOCK: 04 LOT: 004 �A�� 5 CIRCLEDALE LANE SURVEY DATE: DECEMBER 23,2016 JOB: 16-541 &17-117 HOLBROOK, NEW YORK 11741 SURVEY UPDATED:3-30-2017 = 15' 718-486-5408 631-585-5317 James F.King,President ��0�SaUjo Town Hall Annex Bob Ghosio,Jr.,Vice-President ,�O yl� 54375 Main Road P.O.Box 1179 Dave Bergen Southold,New York 11971-0959 John Bredemeyer G Nc Michael J.Domino %� �Q Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0725C Date February 13,2012 THIS CERTIFIES that the existing dwelling,deck in-ground swimming pool,replacement of fence around swimming pool and installation of drywells At 5705 Stillwater Ave., Cutchoaue Suffolk County Tax Map#137-4-4 Conforms to the application for Trustees Permit heretofore filed in this office Dated 3/1/11 pursuant to which Trustees Wetland Permit#7509dated 3/23/11 was issued and conforms to all of the requirements and Conditions of the applicable provisions of law. The project for which this certificate is being issued is for The existing dwelling,deck, in-ground swimming p000lLeplacement of fence around swimming pool and installation of drywells. The certificate is issued to DOUG GEROWSKI owner of the Aforesaid property. Authorized Signature 04 P.03 `A.4-yam qi ) s��. .t ✓ _ .r•• � 'y_�Xt^' u�.�Lio',�1 Yui• _.'" :,'r�rM�j� '�}. `:'::_ '- •' In'a�vrpp;'hiwjvjf :+grrtly ttfei'any DIeL n! tiiw 1,.,�■ !ry#Cribwe;p/gaarty ! e ewe ne eerree; ropr+MPldtJor, of o recent 9�+►!"klal� <'ira■t !„y dfr6etten Ft aaaon,ateeStrls�, awhtlrlQ'Cello b/ tl= for end'Mwwa nr■ey ttw he- ykam.slots t �•iAiCs!cJo Lo:af:5.r.i;ice• ' sr•�'esrNT!'e.All"s w'fi 'rv,A".61ty I& h* por ft.16-" m surrey the 1. pssyor+s!ana o4r.th.b dJw qa nam yt W-rn..nt.a+ -o'•noy was;,Rd".enr irag Ilpte4 A•r�en: t. io.rff P.Ne•i t. erHy ►et Me,eerie eeaeried != k r Rco�td,,nr Utt/, :unlnq or Ir■nfe.M rfanr n +nw+:..R O�rftReet! [grab" to ad IAn.d tn.ti;vllon. Syy .+, aF®R t•Irene 'f�i'.7•i'Z• .'µms_. � . ,•• ... �� IT LOT a AO I JDT. U) LCT t7 ' '•�. rte c• CD A — a :%mer ftm 1 ra.e fair o"WAM t STORY• o � WSL,! NO. r a7o� a+m � 1i G� 1 z } e S �s�'.2'20" • . 00- g' .rr,r3Oe► .Ae..n /i e..n IA.• olrvelwen I• IH■S• .M v: t::ate ?•• '�•• ,o!}on o► laneer, moi mtq ploDerl� ■e�3ot�v o eptolltc rpep. Ord vaa. end th. (o.e:mn not Jii;sndtQ �? ►'� A 6elt►hnpr9lt -or.o!4jft , Jk-js tip a ndLlp. toy otA.r.ene.Lr. S•+aa.trMa 6a•+t►rM•. Rte>•t+-el—woy tt R•enraL 1!eeyY •ptrDer r mcmer . eRtr ' m!nM_•ere a o pci r..Lmry il Rarret#, Bona cci �(. e; P.C. �� 9 C1VILEMINE1#10LA710H*OF 32=0m Mtoo or !7&l\Cmstma;eDrArq �7Bgy NEW MHK VATLr lDtlC0aw J.,tty ; 1338 tvo. 2 CO SCJ ' :"• - 1HOGUE,_ T01NN tit= 50 1 comes or 14eG•3vaver riir"a-' TrrLc >4o.: — :u: 8EAR1Nt rIE LaN0 ;vaLEtrOR'� LYi�11`+� i 1, EFIDQFSCD L AND SIGMAYt7l�tt CrC 3i7A21.HOT ae COHSc9S9 7C 00 TITLE INSURANCE t? er .� ritu� AHa v�tsO cont; q,:. JP VORCAN CHA9f;.8A .toE Ptoa A0404" j 'a IRA NaGEL•�, o- ; ROSE F0CHE7TA•4 ';ri� _� Or1TE: ftFTftlr; 8, -2004-- is 1 All IN,III BOARD OF SOUTHOLD TOWN TRUSTEES _ SOUTHOLD,NEW YORK PERMIT NO.7509 DATE: MARCH 23 2011 ISSUED TO: DOUGLAS GEROWSKI PROPERTY ADDRESS: 5705 STILLWATER AVE., CUTCHOGUE SCTM#12744 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 111 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on March 23,2011 in consideration of application fee in the sum of$250.00 paid by Douglas Gerowsld and subject the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and perm the following: y Wetland Permit for the existing dwelling, deck(without shed), in-ground swimming pool and fence, and to replace the deck and fence around the swimming pool, with the condition drywells are installed to contain roof run-off in accordance with Chapter 236-Stormwater Management of the Town Code, and as depicted on the survey stamped approved on March 23,2011. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, 'L and these presents to be subscribed by a majority of the said Board as of this date. W Ian S iIf all Alo r - • • . • � • r • r • R 1 �'� a tr,g �' 'Or' � � �• NC'm 81 3 20 a ��r`vtiv o• e\ --1 Zl\\ -` 10 19j 0. 83 y. f 0A(C) \ © \ a 1 9A(C) N 9 OWN OFSONTHIW TW.el OF 900RiD r9 9 _ `32 n oll 0 579 20 I � s e, .�` 21� 23 zc zg 27 hM® RD u SO a 3 y n� $ \,S9 N y 'L el A O N 208 BWs N-Z. L ��� � _�_ � (27) _----- NOTICE ,SDIDUryy COUNTY OF SUFFOLK © K iowN of SOUTHOlD SECTION NO G 2 NdHOE A ER DN s�EDH Real Property Tax Service Agency Y E M. O 1d1O"m --w-- °'°'tl1i•--16T-- aeDnoNOF-YPoanoxoFmE ^' "—E OF N va,zwa. �®' m --- t{meYrdY� --`-- C®.eun.--,.-- oENcouN,Yia[NiwisFNOHiai[O ® CounryCenlerRlveTead,NY11901 , 137 FFT 1. D ....,a n rttNalvutA �• —__— ..o•,nu. --a-- m,uwc�-- ,-- """ REuv ov Rnraz sENrancen ENcv �' EnF P asraer No 1889 PROPERTY MAP ,+a M-111 F.b 10 Mll OFFICE LOCATION: ��OF SO(/T�® MAILING ADDRESS: Town Hall Annex �® �® P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) �+ Southold, NY 11971 Telephone: 631 765-1938 COU ,� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: September 18, 2017 Re: LWRP Coastal Consistency Review for LANDERS FAMILY TRUST, c/o DESPINA GIANOPULOS LANDERS & JAY LANDERS SCTM# 1000-137-4-4 The Zoning Board of Appeals issued a variance for the action on April 17, 2017 with conditions. 1. The alterations and additions to the dwelling roof must include the proper leaders and gutters and drains. 2. A dewatering drywell for the "as-built" pool shall be submitted and approved. 3. The applicant must comply with requirements of Chapter 236 of the Town's Storm Water Management Code 4. The applicant must comply with the Board of Trustee regulations and recommendations set forth in Trustee permit conditions Nigel Williamson on behalf of LANDERS FAMILY TRUST, c/o DESPINA GIANOPULOS LANDERS&JAY LANDERS request an Administrative Permit to alter existing 1-'/z story dwelling to a two-story dwelling; add a dormer over existing two-story garage; and adding a 8.4'x4.5' covered porch over the existing brick and concrete platform. Located: 5705 Stillwater Avenue, Cutchogue. SCTM# 1000-137-4-4 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the action INCONSISTENT with Policies 4 and 6 of LWRP and therefore INCONSISTENT with the LWRP. The structures are located within a FEMA flood zone AE base flood elevation 6'. It is unknown if the first floor elevation of the dwelling complies with FEMA standards. If the dwelling does not comply with the standards the threat of property loss from flooding is high due to the close proximity to the waterbody. There is no ability to relocate the structure out of the AE flood zone. The as built, large, deck, pool and other structures did not benefit from Board of Trustees review or a Wetlands Permit. The deck is setback 6.6' from the bulkhead and all structures are extremely close to the wetlands/waterbody. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. BOARD MEMBERS OF SOOT Southold Town Hall Leslie Kanes Weisman,Chairperson �� y� 53095 Main Road•P.Q.Box 1179 h0 l0 Southold,NY 11971-0959 Patricia Acamporatt Office Location: Eric Dantes en ,c Town Annex/First Floor,Capital One Bank Gerard P.Goehringer yQ 54375 Main Road(at Youngs Avenue) Nicholas Planamento '�COUNTYSouthold,NY 11971 http://southoldtownny.gov fjD E � E � V, E ZONING BOARD OF APPEALS TOWN OF SOUTHOLD SEP — 6 2017 Tel.(631)765-1809•Fax(631)765-9064 RECEIVED 9,g5nrn- Southold Town +FINGS,DELIBERATIONS AND DETERMINATION AfG 2 1��17,� MEETING OF AUGUST 17,2017 �thold SownClerk ZBA FILE: 7072 NAME OF APPLICANT: Despina Gianopulos Landers/Landers Family Trust PROPERTY LOCATION: 5705 Stillwater Avenue,Cutchogue,NY SCTM#1000-137-4-4 SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions,without further steps under SEQRA. SUFFOLK COUNTY ADMINISTRATIVE CODE: This application was referred as required under the Suffolk County Administrative Code Sections A 14-14 to 23, and the Suffolk County Department of Planning issued its reply dated May 2, 2017 stating that this application is considered a matter for local determination as there appears to be no significant county-wide or inter-community impact. LWRP DETERMINATION: This application was referred for review under Chapter 268, Waterfront Consistency review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards, The LWRP Coordinator issued his recommendation dated July 19, 2017, Based upon the information provided on the LWRP Consistency Assessment Form submitted, as well as the records available, it is the coordinator's recommendation that the proposed action is INCONSISTENT with the following LWRP policy standards and therefore is INCONSISTENT with the LWRP: Policy 1 —The front yard, rear yard and lot coverage does not enhance community character and does not 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. Policy 4.IA—Minimize potential loss and damage by locating development and structures away from flooding and erosion hazards. The coordinator warns the possibility of property loss because structures are located within a FEMA Flood Zone AE base flood elevation six(6)feet. Policy 6.3 — Protect and restore tidal and freshwater wetlands. The coordinator cautions that structures are extremely close to the wetlands/waterbody and indicates that a dewatering drywell for the as-built pool is not shown in the plans. Furthermore,the top elevation of the bulkhead is unknown and the threat from the flooding of the property exists. i Page 2,August 17,2017 #7072,Landers Family Trust SCTM No. 1000-137-4-4 However, the dwelling has the benefit of certificate of occupancy z 3228 dated August 28, 1968, and z 11366 and z 11367 dated December 16, 1982. The swimming pool has the benefit of area variance 3283 dated November 1, 1984 allowing the swimming pool in a side yard location and certificate of occupancy z 15424 dated November 25, 1986. The applicant further has the benefit of a trustees wetland permit number 7509 dated March 23, 2011 granting an existing dwelling, deck (without shed), in ground swimming pool with the condition drywells are installed to contain roof run-off in accordance with Chapter 236-Stormwater Management of the Town Code, and as depicted on the survey stamped approved on March 23, 2011. The existing permitted structures and the trustees wetland permit therefore bring the project into consistency with the LWRP and make the project consistent with the LWRP. PROPERTY FACTS/DESCRIPTION: The subject property is a non-conforming 8,080 square foot parcel in the Residential R-40 Zoning District. The parcel measures 100.00 feet along the northerly property line fronting Stillwater Avenue, measures 84.55 feet along the easterly property line, measures 100.28 feet along the southerly property line adjacent to Eugene's Creek, and measures 77.05 feet along the westerly property line. The existing single family home consists of a one and one-half story frame dwelling with an attached garage and attached side yard deck with an in ground swimming pool with fencing and large green hedges blocking sight to the pool and decking from neighbors on the northerly and easterly portions of the property (front and side) on the survey prepared by Alphonse Pesce,Jr.,L.S.updated on March 30,2017. BASIS OF APPLICATION: Request for Use Variances under Article XXII, Section 280-116B and Article XXIII, Section 280-124 and the Building Inspector's April 10, 2017, Amended June 9, 2017 Notice of Disapproval based on the application for a permit to construct additions and alterations and to legalize an"as built"deck addition to an existing single family dwelling, at: 1) located less than the code required minimum front yard setback of 35 feet,2) located less than the code required minimum rear setback of 35 feet, 3) Iocated less than the code required minimum side yard setback of 10 feet, 4) more than the code permitted maximum lot coverage of 20% at 5705 Stillwater Avenue,(Adjacent to Eugene's Creek), Cutchogue,N.Y. SCTM#1000-137-4-4. RELIEF REQUESTED: The applicant requests area variances to alter the one and one-half story frame dwelling to a two story frame dwelling by adding a dormer over the 2nd floor garage and adding a covered porch over an existing brick and concrete platform, and to legalize an existing "as built" deck which surrounds an existing in ground swimming pool as shown on the updated survey dated March 30, 2017 prepared by Alphonse Pesce, Jr., L.S. The requested additions and alterations will result in a front yard setback of 18.2 feet, a rear yard setback of 16.8 feet,a side yard setback of 6.8 feet and lot coverage of 29.7%. ADDITIONAL INFORMATION: Notices to owners of adjacent parcels were mailed as required and no comments were received. A prior decision by this Board,Appeal No. 3283, dated November 1, 1984 granted an area variance to place an in-ground swimming pool in the front yard. According to the current owners,the decking from the residence side yard that surrounds the pool already existed when they purchased the property. FINDINGS OF FACT/REASONS FOR BOARD ACTION: The Zoning Board of Appeals held a public hearing on this application on August,3,2017 at which time written and oral evidence were presented. Based upon all testimony, documentation, personal inspection of the property and surrounding neighborhood, and other evidence,the Zoning Board finds the following facts to be true and relevant and makes the following findings: aTown DSEP Southol Page 3,August 17,2017 #7072,Landers Family Trust SCTM No. 1000-137-4-4 1. Town Law§267-b(3)(b)(1). Grant of the variances will not produce and undesirable change in the character of the neighborhood or a detriment to nearby properties. The neighborhood consists of a mixture of single and two story year round and seasonal houses. The front and side yard where the- pool and deck are located are surrounded by mature plantings and a fence, and are not able to be seen from the front and side of the property. The addition over the garage will enable the continuation and redesign of the existing roof to accommodate the interior design of the second floor. 2, Town Law 4267-b(3)(b)(2). The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to pursue, other than the area variance. The "as built" deck already existed. The addition and alterations will afford the owners the space they request in order for their family to enjoy their residence. As previously mentioned the Board approved the in-ground swimming pool in the front yard in a November 1, 1984 decision. The applicant will seek additional approval by the Town's Board of Trustees for distance of the "as- built"structures to the bulkhead. 3. Town Law 4267-b(3)(b)(3). The variances granted herein are mathematical substantial,representing 484 relief from the code for front yard setback, 52% for rear yard setback, 32% for side yard setback and 48.5% from the code for lot coverage. 4. Town Law 4267-b(3)(b)(4). No evidence has been submitted to suggest that a variance in this residential community will have an adverse impact on the physical or environmental conditions of the neighborhood as long as the applicant complies with requirements of Chapter 236 of the Town's Storm Water Management Code and the Board of Trustee regulations and recommendations set forth in Trustee permit conditions. 5. Town Law 067-b(3)(b)(5) The difficulty has been self-created. The applicant purchased the parcel after the Zoning Code was in effect and it is presumed that the applicant had actual or constructive knowledge;of the limitations on the use of the parcel under the zoning code in effect prior to or at the time of the purchase. 6. Town Law 276-b Grant of the requested relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of the alterations and additions to the residence and the legalization of the "as built" deck while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 267-B, motion was offered by Member Acampora, seconded by Member Planamento, and duly carried, to GRANT the area variances as applied for, and shown on the survey prepared by Alphonse Pesce, Jr. L.S., last updated March 30,2017. SUBJECT TO THE FOLLOWING CONDITIONS: 1. The alterations and additions to the dwelling roof must include the proper leaders and gutters and drains. 2. A dewatering drywell for the"as-built" pool shall be submitted and approved. 3. The applicant must comply with requirements of Chapter 236 of the Town's Storm Water Management Code 4. The applicant must comply with the Board of Trustee regulations and recommendations set forth in Trustee permit conditions. ® EEI V E S F p - 6 2017 Al outhold Tovun Boad of TrurAeea i Page 4,August 17,2017 #7072,Landers Family Trust SCTM No. 1000-137-4-4 That the above conditions be written into the Building Inspector's Certificate of Occupancy, when issued. Any deviation from the survey, site plan and/or architectural drawings cited in this decision will result in delays and/or a possible denial by the Building Department of a building permit, and may require a new application and public hearing before the Zoning Board of Appeals. Any deviation from the variance(s)granted herein as shown on the architectural drawings, site plan and/or survey cited above, such as alterations, extensions, or demolitions, are not authorized under this application when involving nonconformities under the zoning code. This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code„ other than such uses, setbacks and other features as are expressly addressed in this action. The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does not increase the degree of nonconformity. Pursuant to Chapter 280-146(B) of the Code of the Town of Southold any variance granted by the Board of Appeals shall become null and void where a Certificate of Occupancy has not been procured, and/or a subdivision map has not been filed with the Suffolk County Clerk,within three (3) years from the date such variance was granted. The Board of Appeals may, upon written request prior to the date of expiration, grant an extension not to i exceed three (3) consecutive one (1)year terms. i Vote of the.Board: Ayes:Members Dantes (Vice Chair), Planamento,Acampora and Goehringer (Chairperson Weisman Absent), This Resolution was duly adopted(4-0). i Eric L Dantes,Vice Chair Approved for filing / 1 /2017 DR SEP - 6 2017 M -M S 1 Copynght 2016,Alphonse Pesce Jr,Cc,IncF oil Surveying.All Rights Reserved (, 2 Unauthorised alteration or addition to a survey map bearing a licensed land surveyor's seal is a violation of section 7209,sub-dwisfon 2,of the New York State Education Law 3 Only boundary survey maps with the surveyor's embossed seal are genuine true and correct copies of the surveyor's original work and opinion 4 Cert ficabons on this boundary survey map signify that the map was prepared in accordance vnth the current existing Code of Practice for Land Surveys adopted by the New York State Association of Professional Land Surveyors,Inc The cemfication Is limited to persons for whom the boundary survey map Is prepared,to the blle company,to the governmental agency,and to the lending Institution listed cn this boundary survey map 5 The cedificabons herein are not transferable 6 The locabon of underground Improvements or encroachments are not always known and often must be estimated If any underground improvements or encroachments exist orare shown,the improvements or encroachments ate not covered by this certificate. 7 The offsets or dimensions shown from the foundation to the property lines are for specific purpose and use and therefore are not intended to guide the erection of fences,retaining walls,pools,planting areas, addition to structures and any other construction RECEIVED xi MaY ®32097 S34°45'00"E 84. 8' WIDE PAVER WALL 17' ZONING BOARD OF APPEALS J.7N r 19, 28S �.t ins 4'HIGH ALU FE.�'i.,122' ^ 4f 2 C' DECK JB2' i 0� O 66' w 2450 cy) .9' ; > O OO m IN GROUN O W '—i LOT M I POOL 17 27.a' !' t� in4 23.8' y WO D LU r DOCo FLOATING t PROPOSED W D K K DOCK > 22.6 COVER 0 PROPOSED2 - PORCHSTORY FRAME 1•' DWELLING r BRICK 8 CONCRETE PLATFORM SST RY 6 FlI 9.8' 6 ,o n, 18_ A SUN 45' L I ROOM (a 22.5' 2 3 9.8' i� ON COBBLESTONE CURB I 16.8' L W W j 3 C � •� F= -u,' I—W�_ � I r:JI I .. PEBBLE DRIVEWAY a i—� - i o i m PROPOSED i wIZ rn m1 �DORMER v c/D I� ^ COBBLESTONE CURB _223' FXTG.2ND.FL 0 i ^/ —� OY I IJ GARAGE BEDROOM 3 O rWLU yy,ryry Z `J lYl ¢ Y I LO m IED o LOT C6 C6 CO W UO 16 N 0 I� N LO LL Ln �i PIPE FOUND 98 i r r N34045 00"W 77.05' FINAL MAP REVIEWED BY ZBA \ SEE DECISION#: NOTES -Non-visible easements,recorded or _ e� un recorded are notshown. DATED '3 !—a/� :Underground foundations orsubstructures not ois ble arenotshovm. LOT AREA=8079 98 SQ FT.OR 019 ACRES LOT COVERAGE DECK 1PEQUA tHi AVENUE HOUSE1D8SQ.FTPOOL 87SQFT TL.J7}fit JJLL AVENUE EU HOUSE 1078 SQ.FT. LANDING AND STEP 46 SQ FT SUN ROOM 137 SO FT TOTAL LOT COVERAGE 2403 SQ.FT (29.7%) SURVEY OF DESCRIPTIVE PROPERTY 5705 STILLWATER AVENUE,CUTCHOGUE r TOWN OFSOUTHOLD Alp4Dr18r grsrr, Jr. COUNTY OF SUFFOLK,STATE OF NEW YORK Orufrssional + L SnrurUDr P<<t.®� 1r'D a LOT 16&17 ON"MAP OF PROPERTY OF NOVA REALTY y �® ,CORP" Filed JULY 1,1938 Map Number.1263 ' NY S Lic No Dassss DIST 1000 SEC•137 BLOCK 04 LOT-OW 0 5 CIRCLEDALE LANE ®4®s® SURVEY DATE DECEMBER 23,2016 JOB-16-541&17-117 HOLBROOK,NEW YORK 11741 b 6 ��®QAN SURVEY UPDATED 3.30-2017 =15' 718-486-5408 631-585-5317 Nigel Robert Williamson Architect P.O. Box 1758 Southold,NY 11971 631.834.9740 August 28,2017 Mr. Michael J. Domino,President Board of Town Trustees Town Hall Annex 54375 Route 25 Southold,NY 11971 Re: Landers Family Trust, 5705 Stillwater Avenue, Cutchogue,N.Y. 11935 Dear Mr. M. Domino: The property consists of an existing 24.9' x 31.1' 1 %2 story frame dwelling with an attached 13.9' x 22.3' garage and habitable space over, a 13.8' x 9.8' sunroom, a 8.4' x 4.5' brick and concrete platform, a 13.8' x 27.8' in ground pool, a 703 sq. ft. deck and a dock with a wood ramp and floating dock. The project consists of altering the existing 1 1/2 story frame dwelling to a 2 story frame dwelling, adding a rear dormer over the existing 2nd floor garage and adding a covered porch over the existing brick and concrete platform. There will be no increase in the existing footprint. I trust that everything is in order. If you have any questions please do not hesitate to contact me. Your faithfully, E EIVE Ni 1 Robert Williamson R.A. AUG 2 8 207 Southold Town oar 54:375 MaLn Ro3d L Michael J Domino- vice-Presider P O Box L179 James f ECing.Trustee l "7� s thold_New York 1.[971-0959 Dave Bergen. Trustee � 133, �O Telephone (631) 765-L892 Charles J- Sanders,TrusteeEFae(631) 765-6641 IyC�UM,(,� BOA-RD OF TOWN TRUSTEES TOWN OF SOUTHOLD ® To: Southold.Tow6 Building Department v U Re_ Verification of Building Department Permit Requirements APR 17 2017 3-�_ ,¢_ BULDING DEFT. SCTM#: �OVM OF S`^'*'THOLD Property Owner[Mame: I � �'��4 TI�V�I Date Sent to Bldg- Dept-: L The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department's permitting requirements stated below: YE NO Will the proposed project require a Building Permit? I the proposed project require a variance determination from he Zoning Board of Appeals? Will any-part of this application be considered as Demolition as described under Town Code? COMMENTS: S- of R -ewer 'Date °F sO�jiY Michael J.Domino,Pres�ua�`:t �o� ®l0 Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J.Sanders Southold,New York 11971 Glenn Goldsmith ® �0 Telephone(631) 765-1892 A.Nicholas Krupski lif'cOU Fax(631) 765-6641 IV1`, BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application Wetland Permit Application Administrative Permit V E LU V Amendmentaransfer/Extenson�/ Received Application: ►«•�ReceivedFee: $ �o,()� AS- VILT 1 Completed Application: APR 2017 s Incomplete: SEQRA Classification: Type I_ Type II Unlisted Southold bwn Lead Agency Determination: B-p_ard _ rlj Coordination:(date sent): ;;7,'—LVW Consistency Assessment Form Sent: V CAC Referral Sent: 6ate of Inspection: S ,1 Receipt of CAC Report: Technical Review: _ Public Hearing Held: -L l E Resolution: Legal Name of Property Owner(s): DespiJ;4 aig&Dpui os WZpa l 1 Daf r PEAS FY+'d1!.j Tewj Mailing Address: 1721 MgJM CB Ear Gr BEL)YeLj HIL" CA q-O2 Lo Phone Number: b 3I. F 3-4.q 74 Suffolk County Tax Map Number: 1000- 137 — 04 o o4 Property Location: J7'0 &F_�OE ` Cj•tV4,5qu& AJ.j j 7IL 3s (If necessary, provide LILCO Pole#,distance to cross streets, and location) AGENT(If applicable): I&EL &PW O IL.L.I#mOA Mailing Address: P•a ln,c I`ISS Spu14,ow IJ Lt 11571 Phone Number: 01. 934. 9'14,o GENERAL DATA Land Area(in square feet): $ O'79, 98 ,zz. Area Zoning: R-40 Previous use of property: 51 04 LE Intended use of property: Sid<U ,RM 1!:!J 60 O.L 1,4 Covenants and Restrictions on property? Yes No If"Yes",please provide a copy. / Will this project require a Building Permit as per Town Code? y/ Yes No If"Yes",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? V Yes No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes No Does the structure-(s) on property have a valid Certificate of Occupancy? Yes No DEGk DOES "l AWE A- VAL-)r) CEQ�J AICA=- or Go��t✓�.�� Prior permits/approvals for site improvements: Agency Date 3s-A Ulf top 1584 7—kiJitgrS PALt4-1 23� 2011 /-u vi M8 , 2.0'� Mov MOVEM113M 29 1�8 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency.? No Yes If yes,provide explanation:, Project Description (use attachments&necessary): 4,5'v, 8. 4' Goyeto Pwzq OVM Exa svJ,, DQIGk- Co&QC9�a-fro2M • &Lf� I ' -S9o" A9E �tJELi-DJC 1U Srot M6 bIBJFLLA a Az-4 -NoF-Ma OUE2 2." F&.R- G 6 LE44o g A-c- uu#L,,r Eck u I UfLt` l+� b6P"T N0J'f fir- `� i WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: �yMD & K Our-Lv-1snJ 864-k- !C fro" ijeL 7 -Ill' 2 .)T091 ,A VZi 'bop-mi- 'ice 2'� 6z. � �C . Area of wetlands on lot: square feet Percent coverage of lot: 10 % Closest distance between nearest existing structure and upland edge of wetlands: 6. feet Closest distance between Barest proposed structure and upland edge of wetlands: (. feet Does the project involve excavation or filling? No Yes If yes,how much material will be excavated? cubic yards How much material will be filled? z cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: 16- Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): N0� � _ I 1 61Z20 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 1-Project and Sponsor Information Name of Action or Project: Lrivroys Emi T-&sr- �crr iia- C-,,,4jofoLAox / DUS 6-OLS Project Location(describe,and attach a location map): _Po f STI LL W ATe-t 1 J64 vl G)7tJ4o S u6 lU 1.I 3 f Brief Description of Proposed Action: A-LTIEL 11/2— Ito&, E ZW cLL;,J4 -97 2 Jrop..7F&wme bs. cLj-►JS . "b bDs;mix ®ll Q 2"' I2 E 17ti) 60 Il E�-CU p9ge'4 oil t✓P. Ezx,.M � PLArFVP_A Name of Applicant or Sponsor: Telephone:d 31,$34, q7-4 o tJ ,1.6L P#Ear E-Mail:n,9e1„atm-, C9 1,, Address: F V - P• � aC �75g City/PO: State: Zip Code: 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that ❑ may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: N s. Z�.Ec 3.a.Total acreage of the site of the proposed action? O. Q acres b.Total acreage to be physically disturbed? acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0. l f acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial residential(suburban) ❑Forest ❑Agriculture ❑Aquatic El Other(specify): ❑Parkland Pagel of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? 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 1f Yes,identify: �< 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? 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: ix 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? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 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 I� Wetland ❑Urban R Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? 16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a.Will storm water discharges flow to adjacent properties? gNO❑YES 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 INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor na fJ 14 ks IJ iLL 1 M Ko 4 Date: 10 L 2-0/7 Signature: ff —� 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 _ _F. _ _ _-=4__ - _ •_ =�::-=, r.;r<F 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? J 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? C/ 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? t/ 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 - � 1 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 1:1problems? 11. Will the proposed action create a hazard to environmental resources or human health? Eff F1 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. ElCheck 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. EICheck this box if you have determined,based on the information and analysis above,and y supporting documentation, that the proposed action will not result in any significant adverse environmental imp cts. Town of Southold-Board of Trustees 1 ( Na e of Lead Age n Date k 6LI J ., ®k,,,i A President Print or T pe Name Resp si le f cer in Lead Agency Title of Responsible Officer Signature of Responsibl fficer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of Board of Zoning Appeals Application AUTHORIZATION (Where the Applicant is not the Owner) T, residing at - (Pnnt property owner's name) (Mailing Address) Tey �pPd�a— do hereby authorize J lgev� GUiA1;4tAxq y ( gent) to apply for variances)on my behalf from the Southold Zoning Board of Appeals/ Ms-,'Ms (Owner's signature) (Print Owner's Name) V AFFIDAVIT DESPI A, - --1 aJ veros WZ0 a BEING DULY SWORN DEPOSES- AND AFFIRMS THAAr HEOSHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE-TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO 'INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURIN HE TERM OF THE PERMIT. Si of Property O er SWORN TO BEFORE ME THIS l DAY OF 20_a WILL J SMITH —50 Commission#f 2030850 ior i + Notary Public-California z Notary Public z Los Angeles county n MY Comm.Expires Jun 25,2017 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT 0"FY NATIONAL BANK The way up: A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of SS. l County of eec, o On before me, Will J DATE 1 Name,Title of officer(e g,"Jane Doe,Notary Pu 2 personally appeared NAME(S)of'SIGNER(S) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) 0/ is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the P/ same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. 2 o WITNESS my hand and official seal.' WILL J.SMITK' 110 Commission#2030850 Z -Notary Public-California 2Z Z 6, Los kgelei;County 0/ My Comm.'Expires Jun a7 25,20 - - - - - - Signature Of Notary Public Place Notary Seal Above OPTIONAL Though the data is not required by law, it may prove valuable to persons relying on the document and could prevent OR 01 fraudulent removal and reattachment of this form to another document. DESCRIPTION OF ATTACHED POCUMENT oTitle or Type of Document: Document Date- Number of Pages- Signer(s) Other Than Named Above- CAPACITY(IES) CLAIMED BY SIGNER T THUMPRIN 6 Signer's Name- RIGHTOF SIGNER Top of thumb here F­I Individual 7 Corporate Officer-Title(s): El Partnership - El Limited F­1 General R Attorney in Fact o ❑ Trustee F1 Guardian or Conservator F-1 Other: Signer Is Representing- (098P) ID 03148E(Rev 12/2014) (047) CITY NATIONAL BANK CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT The way up: A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. vn State of La, it Nt o SS. oCounty of 0 12) On before me, DATE ame,Title of officer(e g,"Jane 6oe,Notary Public") personally appeared NAME(S)OF SIGNER(I 00, who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument e/ the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. o WITNESS my hand and official seal. WILL J.SMITH Commission#2030850 A zNotaryPublic-California Z V/ Z Los Angeles County 2 my Comm.Expires Jun 25,2017 t P Signature Of Notary Public Place Notary Seal Above 02 OPTIONAL Though the data is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. o DESCRIPTION OF ATTACHED DOCUMENT Title or Type of Document: A 7-9 VLf Tre _4.L)n4,o Lb Document Date: Number of Pages- Signer(s) Other Than Named Above: R; CAPACITY(IES) CLAIMED BY SIGNER RIGHTTHUMPRINT 00 Signer's Name- OF SIGNER Top of thumb here F-1 Individual /0 0 Corporate Officer-Title(s): OR ❑ Partnership - El Limited F-1 General ❑ Attorney in Fact �j F-1 Trustee /0 ❑ Guardian or Conservator ❑ r* o?/1 iO 1 Signer Is Representing (098P) ID 03148E(Rev 12/2014) (047) APP1ICANT1OWNER TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and emalovees.The purpose of this form is to provide information which can alert the town of gossible conflicts of interest and allow it to take whatever l action is necessary to avoid same. Lanclerr famil� � YOUR NAME• ✓QS 1! IOII'40 u�.f -P.J� / 1 �-, (Last name,first name,middle initiat 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/ageut/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 2 O day of M n1K 2011— Signature Print Name �i'a�,ytQ C7'/�lfZp/J ,O-� � -hCv�jy .? 510 APPLICANT/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. I 1 1 YOUR NAME: �I��L IC08 f (.9dL�uPrryS�r� ( Sze" r fes) (Last name,first name,qiiddle initial,unless yo'07we applying in the name bf / someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) 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 V 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 than 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 1 day of �Q i V 2(417 Signature I Print Nameh6 0 =L 4 J Form TS l f 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# i 3 7 - 04 - 004 The Application has been submitted to(check appropriate response): NZ Town Board 0 Planning Dept. 0 Building Dept. ^ Board of Trustees 1. 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: ALT-El? 0/7- IiAmO LOELL/L4 -"b 2 .Slyf2l le ZV1`Lt.1-=4 Am [,ova—eb Ova- _pcls -,. S 92ack GOiicgag ooPan Location of action: 5705 ST i LLW/A�Tre1L AV 644 t G)r!gkxtg• al. Mm- Le Site acreage:_ 0, 1q IUAi es l 8 e 79.CIS So- Present land use: S i IJ 4; Lir ►&ad 2)aJ E t L 4J 4- 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: ICEL61 °.� t��- wl�►� (b) Mailing address: P o. 17S-19 {c) Telephone number:Area Code( ) 63i. 834-C/7-40 (d) Application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes X No❑ If yes,which state or federal agency? JJ.l S. �`G-pf. qj� ",l,2,o of m DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space,snakes 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. FlYes 0 No IrC'V�'L(Not Applicable-please explain) ell or La iJ ik�J Go s L wJ 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 0 'Yes [d No X (Not Applicable—please explain) RoT loTnE cia-am EgoS't.oa� 04�,ou l�i� Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III-Policies Pages 6 through 7 for evaluation criteria Yes No VSj (Not Applicable-please explain) T loCg-TVb 1i'1741&3 7K€ Co4-cm- F2s't o4 8&2&2z "EA 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 0 Yes 0 No IRSL(Not Applicable-please explain) W'1- L044-MZ 10 l T-W33, 'tel€ 6041TW-- G7201'r s j g4-D. o Aga 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 E Yes M No MIN (Not Applicable-please explain) 1pfi LOCA--Tm 1.1`TNI G0A--(rqt MrwJ 1 g2ftn A&-4 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 M No (Not Applicable-please explain) 0�0-r" L,oCA-MD b• oWt3 V46 GoASMtr t2oftaa+ k4?0AD #ez9- 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 0 No X (Not Applicable—please explain) IJe� Loc.�r� i.Jt��J ru� �s� Ea.�stQ� J-la- A2� 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. 0 Yes ❑ No D<(Not Applicable—please explain) Lac r�u O o,-ynw� r7ye CoA-f-mL Fx,-< ,j N ' g& AE-6", 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. ❑ Yeo No (Not Applicable—please explain) 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 D< (Not Applicable—please explain) ,, -r locA neo Q. j—413 I-RE &Al7y_)u 67120sL=,� Ra?ng-C, AeCA 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 ie�Z_N[Not Applicable—please explain ns�a r tcc r� r�a-r>� nc l�xis inns�o "Ea 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�NotApplicable—please explain _t,'AT IOC19-rEn lj)r-k1.N -rye Co�1rne. Efd�scaJ �racel+ Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies;Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No " Not Applicable—please explain ab-r LOZ4K-tiID IJ I TV1J T)4€ JUJ€4 13 7Cr �rL �.- W4"4 -CO �'l�T l� �kj L ?-0, 7