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HomeMy WebLinkAbout1000-111.-9-4.2 OFFICE LOCATION: O��OF SUUTyOIo MAILING ADDRESS: Town Hall Annex P.O.Box 1179 54375 State Route 25 Southold, NY 11971 - (cor. Main Rd. &Youngs Ave.) cn =� G @ Telephone: 631765-1938 Southold,NY 11971 • �O P p Fax: 631 765-3136 OOUNT LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Leslie Weisman, Chair Members of the Zoning Board of Appeals From: Mark Terry, LWRP Coordinator Date December 21, 2017 Re: LWRP Coastal Consistency Review for ZBA File Ref DAVID HERMER AND SILVIA CAMPO #7117 SCTM# 1000-111-9-4.2. DAVID HERMER AND SILVIA CAMPO #7117 — Request for a Variance from Article XXII Section 280- 116 and the Building Inspector's August 7, 2017 Notice of Disapproval based on an application for building permit to construct additions and alterations to an existing single family dwelling, at: 1) located less than the code required 100 feet from the top of the bluff, located at: 3675 Nassau Point Road (Adj. to Little Peconic Bay), Cutchogue, NY. SCTM#1 000-111-9-4.2. 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, the proposed action: 1) Accessory outdoor kitchen located less than the code required minimum front yard setback of 40 feet, is recommended as EXEMPT from LWRP review pursuant to: § 268-3. Definitions. MINOR ACTIONS item "II" which states: Additions to an existing building or rebuilt residential structure which results in no net increase in ground area coverage, except where the parcel is located in a coastal erosion hazard area; The action is not located within a coastal erosion hazard area. 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: William Duffy, Town Attorney BOARD MEMBERS ®F so Southold Town Hall Leslie Kanes Weisman,Chairperson �� y® r 53095 Main Road•P.O.Box 1179 Southold,NY 11971-0959 Patricia Acampora Office Location: Eric Dantes G @ Town Annex/First Floor,Capital One Bank Gerard P.Goehringer �® ® a®- 54375 Main Road(at Youngs Avenue) Nicholas Planamento co Southold,NY 11971 http://southoldtownny.gov ZONING BOARD OF APPEALS D E C E � VI E TOWN OF SOUTHOLD -" Tel.(631)765-1809•Fax(631)765-9064 S E P 0 6 201-1 September 6, 2017 Southold Town Planning Board Mark Terry, Principal Planner LWRP Coordinator Planning Board Office Town of Southold Town Hall Annex Southold,NY 11971 Re:, ZBA File Ref. No. #7117—Hermer, David and Campo, Silvia Dear Mr. Terry: We have received an application for additions and alterations in Cutchogue. 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. I Very truly yours, Leslie K. Weisman Chairperson By: Encls. FORM NO. 3 TOWN OF SOUTHOLD ( BUILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL DATE: August 7, 2017 TO: David Hermer 3675 Nassau Point Road Cutchogue, NY 11935 Please take notice that your application dated August 1, 2017 For a permit to construct additions and alterations to an existing single family dwelling at Location of property 3675 Nassau Point Road, Cutcho ug_e, NY County Tax Map No. 1000 - Section 111 Block 9 Lot 4_2 Is returned herewith and disapproved on the following grounds: The proposed construction is not permitted pursuant to Article XXII Section 280-116 which states "All buildings located on lots adjacent to sounds and upon which there exists a bluff or bank landward of the shore or beach shall be set back not fewer than one hundred (100) feet from the top of such bluff or bank." The proposed construction notes a setback of 67 feet from the top of bluff, at its closest point ed SignAture Note to Applicant: Any change(or a referenced application may require further review by the Southold Town Building Department. CC: file, Z.B.A. Fee:$ Filed By. Assignment No. APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS �,/^r AREA VARIANCE r House No. �eL'7 Street w%w Hamlet SCTM 1000 Section �S Blockot(s) 1-fill' Lot Size p% Zone I(WE)APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED BASED ON SURVEY/SITE PLAN DATED Owner(s): .. L V( O Mailing Address:_6 G®� .P�,. 4D J 0 UQ/ Telephone: Fax: Entail: 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: ��V P,(.g for(°Owner( )Other: Address:Ai'C to F/�DW4A fyJ (I- V �— Telephone:IIS Fax: Email: GO 19,UYI -WAA6 Please check to specify who you wish correspondence to be mailed to,from the above names: ( )Applicant/Owner(s), ()f-Authorized Representative, ( )Other Name/Address below: WHEREBY UILDING INSPECTOR REVIEWED SURVEY/SITVjWN DATED and DENIED AN APPLICATION DATED �� FOR: ( uilding Permit ( )Certificate of Occupancy ( )Pre-Certificate of Occupancy O 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: kt � Section: Subsection: a Type of Appeal. An Appeal is made for: ()�LA Variance to the Zoning Code or Zoning Map. ( )A Variance due to lack of access required by New York Town Law-Section 280-A. ( )Interpretation of the Town Code,Article Section ( )Reversal or Other A prior appeal( ) has, 04as not been made at any time with respect to this property,UNDER Appeal No(s). Year(s). . (Please be sure to research before con:plehng this question or call our off ce for assistance) Name of Owner: ZBA File# REASONS FOR APPEAL(Please be specific, additional sheets may be used with preparer's signature notarized): 1.An undesirable change will not be produced in the CHARACTER of the neighbor or a detriment to nearby properties if granted,because:if/wp 1Dog. hmluoOVOZ n 6Tw- �(W 2.The befit sought by the applicant CANNOT be achieved by some method feasible for the applicant to pursue, other than an area variance,because: iT 15 per P�` � 4 ►C� �tlua, It's 1 � VqAj 3.The amount of relief requested is not substantial because: (;0 -h t O- eiA 0A� v s&vim rjgjrj-'0* 4.The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the ( neighborhood/ KNI or district becausenn��,`T !®�n���ry ®n� C ►5a ".� t� f i" Y v D I UJ ' 5.Has the alleged difficulty been self-created? { }Yes,or f&No Why: s o��� �U 9�` V g� y DIRW14T 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 theommunity. Signature oirApplicant or Authorized Agent � n (Agent must submit written Authorization from Owner) Sw m to before me this ' ' Clay of Ll 20�� Notary Public CONNIE D.BUNCH Notary Public,State of New York No.01 BU6105060 Qualified In Suffolk County Commission Expires April 14,2�-l� APPLICANT'S PROJECT DESCRIPTION APPLICANT: Nit,,zidz DATE PREPARED: 1.For Demolition of Existing Building Areas Please describe areas being removed: 1 � II.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 es,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 CharactTs ' s BEFORE Alterations: .G Number of Floors and Chan es WITII Alterations: 1 IV.Calculations of building areas and lot coverage(from surveyo��: Existing square footage of buildings on your property: 11 LJJ Proposed increase of building coverage: Square footage of your lot: Percentage of coverage of your lot by buiilldiing area: 76 V.Purpose of New Construction: 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 cod_a requirement(s): �fiwm 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? No 2.)Are those areas shown on the survey submitted with this application? --• 3.)Is the proerty bulk headed between the wetlands area and the upland building area? qe5 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? E. Are there any patios, concrete barriers,bulkheads or fences that exist that are not shown on the survey that you are submitting? W) _ 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? alb 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? ND If yes, please label the proximity of your lands on your survey. / I. Please list present use or operations conducted at this parcel tea d Sd and the proposed use (ex: existing single family,proposed: same with garage,pool or other) Author zed si ture and Date ! FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. - Certificate Of Occupancy No. , , .14 7 21. . . . . . . . . . Date . . . . . .1. . . 2 9.'. . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . .119 .8 6 . . THIS CERTIFIES that the building . �ne family dwelling 3675 Nassau Point Rd. , Cutchogue , New York Location of Property Ho. . use IVa. 8rreet .Hamlet County Tax Map No. 1000 Section . . . . . . .Block . . . .9 . . . . . . . . . .Lot . . 4 . . . . . . . . . . . . . Subdivision Club, P P t hled Map No. 15.6 . . . . .Lot No. . . . .1.9 , , , , , , conforms substantially to the Application for Building Permit heretofore Bled in this office dated July 3 , . , , , , , , , 19 8 pursuant to which Building Permit No. , , . 1419 7 z dated August 12 , 85 . . . 19 . . . ,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 . . . . . . . . . One family dwelling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to William J. & Lucille V. Schneider (owner,l axayknox . of the aforesaid building. Suffolk County Department of Health Approval . . . . , . . . . . . 85-50-.1.09 UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . N756985. . . Plumbers Certification dated July 28, 1986 . . . `^.-. . . . . . . . . . . . . . Building Inspector Rev.1/81 �o�S�FFO Town of Southold 4/11/2016 P.O. Box 1179 r 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38219 Date: 4/11/2016 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 3675 Nassau Point Rd,Cutchogue SCTM#: 473889 Sec/Block/Lot: 111.-9-4.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/25/2015 pursuant to which Building Permit No. 40112 dated 9/23/2015 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: INTERIOR ALTERATIONS TO AN EXISTING ONETAMILY DWELLING AS APPLIED FOR The-certificate is issued to Hermer,David&Campo,Silvia of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 04-06-2016 David Wermer A t oriz�d Sign ture �R AGRICULTURAL DATA STATEMENT ZONING BOARD OF APPEALS TOWN OF SOUTHOLD WHEN TO USE THIS FORM: This form must be completed by the applicant for any special use permit, site plan approval, use variance, area variance or subdivision approval on property within an agricultural district OR within 500 feet of a farm operation located in an agricultural district. All applications requiring an agricultural data statement must be referred to the Suffolk County Department of Planning in accordance with Section 239m and 239n of the General Municipal Law. 1. Name of Applicant: Pju 2. Address of Applicant: , 1I,w tQZ1 3. Name of Land Owner(if other than Applicant): ALL-L4ALLIL4 111 Q 4. Address of Land Owner: �,�j' 3t 5. Description of Proposed Project: "►tea%p ��- 7j ' ! i�t,(�VN 6. Location of Property: (roadd Tax map number) �,�1 b� 4 7. Is the parcel within 500 feet of a farm operation? { } Yes {a)�No 8. Is this parcel actively farmed? { } Yes {()4.Dio 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. 4 3. . a 4. 5. 6. t (Please use the back of this page if there are additional property owners) w4&-- U 1 1 l �— Sign ture of A licant Date Note• I 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. a 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part I -Project and Sponsor Information Name of Action or Project: CAM / o AAee' � � ®��� ,W D I Project Location(describe,and attach a location map): � J� U15 e^ P®I �� Brief Description of Proposed Action: Name of Applicant or Sponsor: (gyp Telephone: E-Mail: �4irawl Af�OAI �- rA, LA016 Address: IN� �5 kIUU� ;-r, �82 � A City/Po: 6 Ly State: Zip -W I 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: 3.a.Total acreage of the site of the proposed action? —: —acres b.Total acreage to be physically disturbed? O acres c.Total acreage(project site and any contiguous properties)owned r� or controlled by the applicant or project sponsor? Al 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 ❑ Other(specify): ❑Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? b.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? 0 X 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: 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? X c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? X 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: yy /o 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: 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? J 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: V Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ❑ Wetland ❑ Urban ❑Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? 16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a.Will storm water discharges flow to adjacent properties? ANO ❑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)? J 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 'Q Applicantlsponsor ' Date: 'A NI�! 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?" :f ='`•';'r= No,or Moderate small to large impact impact ;A'?_,�, 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 y 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, >11 architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, water'bodies,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-term and cumulative impacts. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. 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 AGENT/ PRESENTATIVE TRA SACTI AL 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: N12 �,,� (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance ✓ Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business interest" means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO Y If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee. Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation) B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation) C)an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this {• y of ,20� Signature n(� �✓ Print Name 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# L l i - I -k,1 The Application has been submitted to(check appropriate response): Town Board 0 Planning Dept. E Building Dept. 0 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: f aIJ i Ott OV (� o� " V,1TWL�J Location of action: N"NJ PO I O PO C Site acreage: l7 Lp Present land use: Present zoning classification: C7 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: (b) Mailing address: (c) Telephone number:Area Code( ) (d) Application number, if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ No❑ If yes,which state or federal agency? DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space,makes efficient use of infrastructure,makes beneficial use of a coastal location, and minimizes adverse effects of development. See LVWRP Section III—Policies;Page 2 for evaluation criteria. ❑Yes ❑ No 'Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LVWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No VS Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. riz❑ Yes ❑ No L4J-Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No® Not Applicable Attach additional sheets if necessary Policy 13. , Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑Yes ❑ No ' Not Applicable Created on 512510511:20 AM 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 0 No ' Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria Yes 11 No Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria 0 Yes 0 No 19 Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. Yes [E No F"-X Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ No F Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑Yes ❑ No N Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ YesEl No lik Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies;Pages 47 through 56 for evaluation criteria. 0 Yes ❑ No Not Applicable I! t , r r t v 1 / 1 re f PAUL RICE HERMER CAMPO RESIDENCE DRAWING NO: ARCHITECTURE 3675 Nassau Point Road,Cutchogue,NY 45 Mam Stzeet Studio 1210 Proposed Site Plan Bmoklyo,NY 11201 Date:24JUL17 SK-01 718 254 9477 Fax 718 254 9772 Scale.1"=40' L. `0 "4-3'-` r. -v >i S. .t: 1r' ht _* l4 ��5 r r''iY � .I -�,V�* {✓sof 'Yffij�.• /� '�...i.'^ :� v!^.iJ C'ri f �a< �- �.;...r�— C %.`�—.,r•'-,C'`F A:r !-!/' P `...i / STATEMENTOF INI f! THE WATER SUPPLY AND SEIA i It SYSTEMS FOR THIS RES ` t CONFORM TO THE STAND, SUFFOLK CO. DEFT. ® H �S) APP CAPlT a., G SUFFOLK COUNTY DEPT. tI,-<i'Y POLE - .. .. '�'-Lm L;TY P.-.Z - ' , SERVICES -- FOR APE CONSTRUCTION ONLY DATE: H. S. REF, NO. �}Lj APPROVED: SUFFOLK CO.TAX MAP DE DIST. SECT. 8LO 0 f ._l � . �"� =fi y^ OWNERS ADDRESS: • -v.--'`i.....,r rh`� �. � ' i �J 'j... tel:`�'i �1;.'.; :C.i L v t e<r56, "','+e�� -.�"�"_- ----- ---'�-- _ - ----- mss-•- - ---•�---�-�------- _ r;��'�_' ,1 '•` , x.' DEED: L_ P- ��p 'GEST !-SOLEE 7 S�' 'nau.h4c'tZ9'�9' ti-Is sur+-vvq�rE A zY Fitter'Jt13 �. ion 720°a 4 Sr'4),C7Y GCi 'Cft'�r summ }�0 A Menbc'•s.ed 5e 7, tv be s valid tt r au ' onEy W tha pr t y � cr M !}r— _. S-` f !. r• 1. _ ' ».� `i i' �`� i { 2'ti?CC£•.1�.E.'l�f. _ ti:ek�a 5A AA )2.-Y'iF7�Q lR�Ilfl — - r ate!A�Y 4i vEG:17^0 3SSif�R toccr�,4r S.A R 2: 4 It_ tC c IA :'•v tic .e'� a� t s ��� r� � ♦ -tea[ —__. ."a �r. ' f m '1t _ r Im w yI. � •'F 7E4r: rl i 4 ` * r i S r - - t �J f T r . i � _ Y L Z I y �r / A lT � ti C.. v ,. ♦ st�,'�;� � ��a �'ir� �`,� .• 1 ., a �j • � t ���` .� j'. -� \ _ �„�', Board of Zoning Anneals Application AUTHORIZATION (Where the Applicant is not the Owner) I, 11)11ej ' � 14 C—YZ'— residing at ' -s✓ p�c-,� "T- (Print property owner's name) (Mailing Address) V\J do hereby authorize LM L (Agent) to apply for variance(s) on my behalf from the Southold Zoning Board of Appeals. (Owner's Signature) (kv i Q H erC,c- (Print Owner's Name) APPLICAN /OWNS ) TRANSACTIONAL D E 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:_ k C -�L"�( 1) AV`� I �► (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business interest" means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation) B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation) C)an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this— 2 day of l�1^,20_L7_ Signature 2 1_�. Print Name A/L d� M C MINN= MEN NONE No 0 t ■®�� No No0 ON No __ ■■■■■■■■■■■■■■■®NI■ ■■■ ■IMIMEM MEN Emomm ^'_"�-�.'-tic..,;.-��. �. ■�■■■■■■■ , ■■■ ■ ■ ■■■ �yi ■MM ■■ ■ ■ ■C■C■. ■.■■mE."Nu6i�iVM ■EN11 ■■■EEE . N ■MEMO■ M ■mmm soonon. MEMO �+ww ..: •.. , , - - Mi■■■■■■■■ a �■■ a■ ■®�■MMM■■M■■M ■■■■■■■MM■■■■■■f■■■■■■ME■■■■■I :.. MEN■M■MEM■■■■iM "MMM■■■■■■■EM • ■■■■■■■■■■■■■■■■■�■■■M■MMI■■I ■ ■■■■■■■■■■■■■■■"1�®■■■ NONE■ ■M■■M■■■■■■MM■ ■ ■ ■M■■■ ■■■ ME■■M■■■E■■■■■■ ■■■■■ ■ Interior Finish Fire Place M�7 -T Recreation Room 1 Rooms 2nd F loor Dormer Dr vew(3y s TOWN OF -SOUTHOLD -PROPERTY, KAEC,,, . p, ,jtD, -CARD, OWNER STREET VILLAGE DIST. SUB. LOT )0v/0 FORMER OWN AR.1IN E ACR/ - c 41 0vy flc 11hS W TYPE OF BUILDING & .111)l ZES. SEAS. VL. FARM COMM. CB, MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS p L elo-Z 3 2_-7 Oc-) 4L-o S 8//Z43S � ` I ,,Lu, DuLziu-i a_ 2�s-o, oo,), 0 Loa Tillable FRONTAGE ON WAY& 300 Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD eJ Toto I �d3 —.3-82 Q10 P, 32 1.5A(c) 3 On 1.6-A(c) t % -01 to, 'ON Qm Ibwe' .1b 's 19 2� TQ 219, 112 OLD MENHADEN 01 17 'i NO 5 21 con 161 Y 2 '7ron ," 162 3wn 17 0 — A j6 Pm bA. j6 %AI`- 6 15 7 to, A3 On- IAA(c) 7 Isn 10 A(c)� 01 t .7-- (11) •\ /q A2 Agto 9 911 1-6A(c) 71 Vol ja Sua CA RD 28 0 27 VIP '16 16 %e s Ns to 1 DI J 7j 4 2.9A(c), kh -A 1.7A 29 ,s 9 ---- 30 Wc V5 Ag _A 26 1 `1 .5 .C% 0 20 k., 3.1A(c)1 501 -. - -1 % ZI A do 1.6A(c) 6 2A 2.25 'A 2 22- 1.3Afc t, s 0 11 ; *1) 5.�-- 810 '00 On 22.1 23 24 gPe) On 51 ,y nfi 7-1 I 1.1A(c) GO 24 0.-� _sa- I..A 4 sem' A it jC) -1 ON.) 11 1.OA(d ­j Q%n 7-2 I 1A(c;)- Peo, 2 8A(c) 5-2 27.1 33,1r 1 7A(c) e,,iOA A(c) ik Zb 0%. 1 /Z '36.6 -- V to" 6 --6 3- 29 7 1.3A(C) w 1.3A(c) eP) SA- 82 IAA(c) 31 Qal iP 1-4 AA X%SWETA m, 1 m o 2-6A(c) 1 2 014 FOR PCL NO SEE SEC NO. ko" 118-OM 1 2-4A al s MATCH LINE 1.5 'b A.6 N306582 13A(C) Gro —----------- NOTICE COUNTY OF SUFFOLK K 3 104 1 TOw OF SOUTHOLD SECTION NO MAINTENANCE ALTERATION SALEOR E 1 DISTRIB�ION OF ANY PORTION OF THE Real Property Tax Service Agency Y SUFFOt COUNTY TAX MAP Is PROHIBITED County Center Riverh..d.N Y 11201 m 134111 LIAGE Or AAA WTI1OuT WRITTEN PERMISSION OF THE Z00OSCALEWFEETM REPROPERTY TAX SERVICE AGENCY A P DISTRICT NO 1000 118 PROPERTY MAP CONVERSION mm Wrp9 2016 �i i, O N a\ U Z 4 o W to U N ai 00 :z p V al ,,/ U f W � 000 d U G) CN U N h•-� N 00 W V) U Ln ep4-4 i - �, 'o ct ct i v Un ct -- i INC U ! -- �f . - ► °Poi • 101. - P t d otli rq P45LL A44D Ljolv 6 2) rz_ voj- 15t:�, - NO. DATE REVISION ip l.tj 20 - c.. �► #f. �� k. E L D E C i S I O NO. DATE ISSUED TO 1.e DATtD0 AR � .� 01S594-1 �O OF Wr TA 11 9 i I DATE DRAWN BY SCALE REVIEWED BY C� PROJECT NO.&TITLE 0 cZ�cErvj_�, DRAWING TITLE -J - - . _� _ SITE PLAN V - _ `'�` `- - DEMOLITION PLAN fZ)] U- L _.___. .. .- _- ?ON.IivG BOARD O A� DRAWING NO. FL 11 lit_ �o' _ A - 01 Paul Rice Architecture i i' W �n CIA ° 00 O [— U O U � w � i 00 . i 0 O i U 00 N � 00 , Q, d- i U � - - �' -- - 0 a� p/ �'r'ENl/l � y ptsO r R � , _ O ad�Ikl:v oll ` w� 13 i' Ic�rp i NO. DATE REVISION i NO. DATE ISSUED TO 16V FINAL! MAP VIEWED BY ZBA WINDOW SCHEDULE - �E E D E C i S I O N ## l l CODE MANUFAC TYPE STYLE SIZE W x H SIZE-R.O. REI LARKS LOCATION A Panoramic Outswing Folding 8'-6" x T-0 Exterior Fold Out Dk Bronze Master Bath , i B Andersen Fixed Picture 6'-11 1/2" x 5'-5 1/2" 7'-0" x 5'-6" Dk Bronze Master Bath C Andersen Fixed Picture 4'-7 1/2" x 1'-5 1/2" 4'-8" x 1'-6" Dk Bronze Shower W Wall DATE DRAWN BY � � ! D Andersen Casement RH Hinge 2'-7 1/2n x 2'-11 15/16n 2'-8" x 3-01/2n Dk Bronze Vanity Wall ! E Andersen Casement RH Hinge 2'-7 1/2" x 2'-11 15/16" 2'-8" x Y-0 1/2" Dk Bronze Toilet Room SCALE REVIEWED BY i PROJECT NO.&TITLE NOTE:ALL WINDOWS TO MATCH EXISTING WINDOWS IN EXTERIOR AND INTERIOR FINISH. MATCH ! HARDWARE AND INSTALLATION HEIGHTS OF EXISTING WINDOWS. DRAWING TITLE �� CONSTRUCTION PLAN WINDOW SCHEDULE ' i SES �'� DRAWING NO. ZONTPIG BOARD OFAPPEALF, Q O� i Paul Rice Architecture r i Y Iii J Ip 0, O W U Z rn W � o fI rL 001-4 kn U d' ?A VIA144 00 III� I o i 0 m �u r � � C I 1 P© Pi-r,-4+ l I i NO. DATE REVISION - — O DATE ISSUED TO , � I I FINAL MAP REVIEWED BY ZBA DATE DRAWN BY SEE DECISION # -]II-7 SCALE REVIEWED BY I i PROJECT NO.&TITLE i . i DRAWING TITLE WEST ELEVATION NORTH ELEVATION - {EECEIVEL DRAWING NO. SEP ZONING BOAPD OF APPEALS A 03 Paul Rice Architecture ' I i t r �9 U Z W to o - - _ 00 - - -- - - - — ~ o t1- U o 4-4 EU fJ W UDat,� - - U J w p i 4 1 - 4-4 00 U \ �ti '2U( 0 w 4-4 -14 0 i - - - - ILx It249 Ib''061 c�O 6AITI". U6 1 NO. DATE REVISION s � i i NO. DATE ISSUED TO I wtaifv Lx tot Gtt & - <<rr 2-K 4O C 16 ©C- FINAL IAP REVIEWED BY ZDA Sw, IEE DECISION # -1 11-7 DATE DRAWN BY - - - - )A-TEDD l� l SCALE REVIEWED BY PROJECT NO.&TITLE - - -I J_ I - - - -- .. ---- --- - - -. : DRAWING TITLE EAST ELEVATION SECTION nECEIVEG DRAWING NO. zpmiNe bea'co A .04 - Paul Rice Architecture