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HomeMy WebLinkAbout#8084-Romano ZBA application TOWN OF SOUTHOLD BUILDING DEPARTMENT Receivond SOUTHOLD,N.Y. NOV 2 = 2025 NOTICE OF DISAPPROVAL Zoning Board of Appeals DATE: August 12, 2025 RENEWED: November 6,2025 TO: Richard Mato (Romano) PO Box 2284 Aquebogue,NY 11931 Please take notice that your application dated July 15, 2025: For permit: to construct an accessory Sara e at: Location of property: 70 Arsharnoma ue Southold NY County Tax Map No. 1000 - Section 56 Block 2 Lot 19 Is returned herewith and disapproved on the following grounds: The pro osed accessory structure on this nonconformina 15 569.54 so, ft. lot in the 1 -40 District is not permitted pursuant to Article III S ctio a 280�15 which states accessor buildings and structures shall be located in the recluired rear yard. The accessory structure is Dartially located in the front yard. Authorized ittttr.r : Note to Applicant: Any change or deviation to the above referenced application may require further review by the Southold Town Building Department. CC: file,Z.B.A. d NC]l 2 1 2025 APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS AREA VARIANCE Zoning L3oard of Appeals House No. 70 Street sO v1 Hamlet �`�UTtfUL,D SCTM 1000 Section: 54 Block: 2 Lot(s) 19 tit Size: 151 61"l—'Zone R —4 0 I(WE)APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED_A.VG 12 2025 BASED ON SURVEY/SITE PLAN DATED A PR 1 t- t 2023, Owner(s): J-OSE'P& (EOM AN O c,� Mailing Address: 2 KG N i A A V e • t-�tk� Rome UN y 0 NJ t let-1 / Telephone:57Ao-$52 7*hax: lJk Email: µf l" t1lt" y1 ? ;M0.11 • COi'vl. NOTE:In gddition to t'he_abovr,,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: OAM C ee R,3 for(% Owner O Other: Address: TO &K AC( s 0 U"CROL,O N 1 l a-7 1 Telephone:[31-2114-42A1 Fax: "A Email• V1C�ar �i. 0 + ,.y tt t. Corn . Please check to specify who you wish correspondence to be mailed to,from the above names: XApplicant/Owner(s), ( )Authorized Representative, ( ) Other Name/Address below: WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN DAD i #1,:L 20 nd DENIED AN APPLICATION DATED JyuJ ls`�o2sFOR: Building Permit ( ) Certificate of Occupancy ( )Pre-Certificate of Occupancy ( ) Change of Use ( )Permit for As-Built Construction O Other: Provision of the Zoning Ordinance Appealed. (Indicate Article,Section,Subsection of Zoning Ordinance by numbers.Do not quote the code.) Article: Section: IS 'IT Subsection Type of Appeal. An Appeal is made for: i A Variance to the Zoning Code or Zoning Map. ( )A Variance due to lack of access required by New York Town Law-Section 280-A. ( )Interpretation of the Town Code,Article Section ( )Request for Reversal or Overturn the Zoning Officer's Denial Other A prior appeal()j has, ( )has not been made at any time with respect to this I!E22erjj, UNDER Appeal No(s). rj(p 4 Year(s). 3—UT. l s 4 (Please be sure to research before completing this question or call our office for assistance) Page 2,Area Variance Application SEE A- TIKH rAIE fjT I Revised 6/2023 REASONS FOR APPEAL (Please be specific,additional sheets may be used with preparer's signature notarized): NOV 2 d 21725 1.An undesirable change will not be produced in the CHARACTER of the neighbor or a detriment to nearby properties if granted,because: "�"°�Aa�g Board W App@ala 2. The benefit sought by the applicant CANNOT be achieved by some method feasible for the applicant to pursue,other than an area variance,because: 3. The amount of relief requested is not substantial because: 4. The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: 5.Has the alleged difficulty been self created? { } Yes,or{ }No Why: • Are there any Covenants or Restrictions concerning this land? { }No { }Yes(please furnish a copy) • This is the MINIMUM that is necessary and adequate,and at the same time preserve and protect the character of the neighborhood and the health,safety and welfare of the community. By signing this document,the PROPERTY OWNER understands that 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 may,upon written request prior to the date of expiration,grant an extension not to exceed three(3)consecutive one(1)year terms. IT IS THE PROPERTY OWNER'S RESPONSIBILITY TO ENSURE COMPLIANCE WITH THE CODE REQUIRED TIME FRAME DESCRIBED HEREIN. Si 5 pplicant or Authorized Agent ( 11 c ust submit written Authorization from Owner) Sworn to before me this � day GRACE L C�kBI�IRA NOTARY PUBLIC, STATE OF NEW YORK o NO. 01 CA6212407 QUALIFIED IN SUFFOLK COUNTY N rY Pu YCOMIlr1 lSSION EXPIRES APR 5, 2026 i Concerning Romano Application NOV 2 i 2025 70 Arshamomaque Ave. Southold NY 11971 Zoning Board or Appeals 1. An undesirable change will not be produced in the character of the neighborhood-or a detriment to nearby properties if granted, because: The subject property has two front yards, one facing the Main Rd. and the other facing Arshamomaque Ave. During the recent Building Permit review the yard that fronts on Arshamomaque was determined to be the Secondary Front yard which means that it can have a minimum width equal to the minimum side yard setback requirements of the zoning district in which it is located. The new residence, as shown on the survey is therefore setback 20'-0"from the property line along Arshamomaque Ave. The residence is placed in the southern half of the property which creates a visual "rear yard"along the southern border of the property. Placing the garage to the west of the residence is not feasible due to the location of the swimming pool and patio and placing it to the north of the residence places it in the primary front yard where is may alter the character of the neighborhood where most accessory structures are placed behind or beside the residence. 2. The benefit sought by the applicant cannot be achieved by some other method feasible for the applicant to pursue, other than the area variance because: The non conforming (15, 569.54 sq. ft.) lot does not allow for a code compliant rear yard due to its narrow width (76.0) and the placement of other structures on the southern half of the lot. 3. The amount of relief requested is not substantial because: The proposed garage lies beyond the existing house by 4.3 feet. 4. The variance will not have an adverse effect of impact on the physical or environmental conditions in the neighborhood or district because: The garage will meet all other code requirements. 5. Has alleged difficulty been self created? Yes. Zoning Board of Appeals APPLICANT'S PROJECT DESCRIPTION O'V 2 g �0�� J C�A� C t+Ameers Fox APPLICANT: EZo 1�fD SCTM No. IOo�&R�f�r 1{ 1 ,�t.. . ..., .u.;. 1.For Demolition of Existing Building Areas Please describe areas being removed: NO flEM'O F KO f OS U.New Construction Areas(New Dwelling or New Additions/Extensions): Dimensions of first floorvxterr9t0n- Q k1 y 2 " "+'01 N S'M" G-A-l s Dimensions of new second floor: Dimensions of floor above second level: N A Height(from existing natural grade): O►_4 Is basement or lowest floor area being constructed?If yes,please provide height(above ground)measured from natural existing grade to first floor: SL-A III.Proposed Construction Description(Alterations or Structural Changes) (Attach extra sheet if necessary).Please describe building areas: Number of Floors and General Characteristics BEFORE Alterations: k§ 15 A N VJ EEU CTU V Number of Floors and Changes WITH Alterations: N� IV.Calculations of building areas and lot coverage,sky plan(From Surveyor,Design Professional): Existing square footage of buildings on your property: Proposed increase of building coverage: Square footage of your lot: . • Percentage of coverage of your lot by building area(lot coverage) i,�5 Gross Floor Area C FA of single family dwelling including the attached garage and/or habitable detached accessory structure: (Please refer to Chapter 28 ,Section 280-207 of the Town Code): For Residential hots,is project within the allowable 5ky Plane?'(Please refer to Chapter 280, Section 280-208 of the Town Code): — W V.Purpose of New Construction: dp.-�k&ejA &r&oe VI.Please describe the land contours (flat,slope %,heavily wooded,marsh area,etc.)on your land and how it relates to the difficulty in meeting the code requirement(s): Describe on separate page if needed: L, 'r Please submit S 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. Revised 6/2023 QUESTIONNAIRE FOR FILING WITH YOUR ZBA APPLICATION NOV 2 1202h A. Is the subject premises currently listed on the real estate market for sale? Yes _No Zoning Board of ,appeals B. Are there any proposals to change or alter land contours? _2!C No Yes,please explain on separate sheet. C. 1.)Are there areas that contain sand or wetland grasses? NQ 2.)Are those areas shown on the survey submitted with this application? IJ•ps► 3.)Is the property bulk headed between the wetlands area and the upland building area? 0. 4, 4.)If your property contains wetlands or pond areas,have you contacted the Office of the BOARD OF TRUSTEES for its determination of jurisdiction? N10 Please confirm status of your inquiry or application with the Board of Trustees: NO rn A— 6 — NO ?i .OA t (T We=CLAW0_'. If issued,please attach copies of your permit listing conditions of approval with"a copy of the 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? p E. Are there any patios,concrete barriers,bulkheads or fences that exist that are not shown on the survey that you are submitting? N O If any of the aforementioned items exist on your property,please show them on a site plan. F. Are there any construction projects currently in process on your property? AS. If yes,please submit a copy of your building permit and survey as approved by the Building Department and please describe scope of work: 7190VOSE2 I N - R W t M.fYt, mG ?66!L G„ Please attach all pre-certificates of occupancy and certificates of occupancy for the subject premises. If none exist,please apply to the Building Department to 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? N O If yes,please label the proximity of your lands on your survey and identify the Suffolk County Tax Map No. I. Please list present use or operations conducted at your property,and/or the proposed use 51NG f-AMt K I,C J. (examples:existing single family,proposed:same with garage,pool or other) 10 .3 ZS Authorized sign tle Date w M'araytr� Town of Southold P.O. Box 1179 53095 Main Rd Southold, New York 11971 NOV 6 - 2 � 2025 CER"I'' FICA°I""E OF OCCUPANCY Zoning Board of Appeals No: 46586 Date: 10/16/2025 THIS CERTIFIES that the building SINGLE FAMILY DWELLING Location of Property: 70 Arshamoma ue, Ave Southold. NY 119 '1 Sec/Block/Lot: 56.-2-19 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 04/25/2024 Pursuant to wnictl muiming Permit CFO. HH6H� ana ctatea: u(anfdtAH!d'4 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: Single-family modular home with an unfinished basement as applied for. The certificate is issued to: Joseph Romano, Ashley Romano Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: R-23-1184 8/26/2025 ELECTRICAL CERTIFICATE: 50805 9/25/2025 PLUMBERS CERTIFICATION: AnthonyVenezia 9/10/2025 A thor° Si iature ' TOWN OF SOUTHOLD r BUILDING DEPARTMENT TOWN CLERK'S OFFICE . SOUTHOLD, NY BUILDING PERMIT Zoning Board of Appeals (THIS PERMIT MUST BE KEPT ON THE PREMISES TH ONE SET OF APPROVED PLANS 6ND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 60805 Date: 6/10/2024 Permission is hereby granted to: Nickles Kathleen PO BOX 56 Southold NY 11971 To: Construct a new single-family modular home with a HVAC system as applied for per SCHD approval. Additional information may be required. At premises located at: 70 Arshamoma ue Ave Southold SCTM#473889 Sec/Block/Lot#56.-2-19 Pursuant to application dated 4/25/2024 and approved by the Building Inspector. To expire on 12/1012026. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $2,365.00 CO-NEW DWELLING $100.00 Total: $2,465.00 Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE zoning Board of Appeals SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES NTH,,,,ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 51856 Date:04/21/2025 Permission is hereby granted to: Joseph J Romano Jr 22 Virginia Ave Lake Ronkonkoma, NY 11979 To: construct accessory in-ground swimming pool as applied for. Premises Located at: 70 Arshamomaque Ave,Southold, NY 11971 SCTM#56.-2-19 Pursuant to application dated 03/14/2025 and approved by the Building Inspector. To expire on 04/21/2027. Contractors: Required Inspections: Fees: SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00 CO Swimming Pool $100.00 Total 5400.00 Building Inspector S.C.T.M.NO. DISTRICT. 1000 SECTION:66 BLOCK:1 LOT(S):19 �'R-23-1184 Zoning Board of Appear UA rIs •d0. r. r e I 0 IDf 4 � o � to M> I MAX GROW FLOMAREA memem mw.�v..■—mu rrcpi�rm4wr ff r:dm r c "� � 9 ."MMVAMmow LOT 3 � I LAUD I SKYF44NE DETALL <s. — -- �& 9 w o �w �A' I 1L1� c S 3*201'1 W LOT 6 LAW WF OF DRAMLEWIs ,�u VACANTIW dp'q l , FOUNDATION LOCATED 02-27-25 7NE W47ER SUM Y DRYBEIIS'AND CESSPOOL 1OCA7MS SNDMW'A'RE FRC R F7E1D VA11GkVS AND LW DATA.OBTIdNED fRW Dom ,. AREA:15.569.54 SOFT. or 0.36 ACRES QEVARDN DA7UAL NAVDB6 LPNALA71 2121 AL7192A71OAr L&R AOpd7741 TD 7NrS SYl17VEY rS A VT0L6770�1 OF SEC71flN 14 OF 7NE MEW YmR STA W 0UrA710N 1.AW. COM OF SMWY kIAP,NOT 7NE LAND 51 1+E"7 "S SEAL SHALL NDT BE C ,'STD m D 7C7 BE A VALID ME COPY-" GUARANW 00r.4 D HEREON SHALL AN ONdY 7C1 771E FOTr H M1f 77rE SU7 VEY 1S F�mE7A RED AND CN N1S RENA1x 7C1 7NE T17LE CCNT'ANY.409EWMENTAL AGENCY ANr1 1NS771UMN 1 tST i GW,AND I41 A k7NWr$S dM E rNSR7U + d1GARANIEES A NOT TRANSMA61E: D7ARA! O%NS F14 E177Y L1NES 7D 71dE S1Rd�C71rILES ARE FOR A V00C PLOkW AND O 7NEWE�E 71iE1 ARE NOT E4 7Y1 Af T 7NE LINES Dk'7D �CTBWAY FENCETn W ANAL SfiR7.1CTURa OP` DT R�rMfF'RDVEMIEN7w EASEMMIS AN N S1JfdSrJRFACE S7P7liB�S 0R UARECDA°DE21 ARE NDY OIYARAAr1EE11 C7ILESS FF7YSrC4LCY EVlDE+VT ON 7NE PRENW AT THE 77ME OF"WY suRVEr aF:LOT 4 OF CERTIFIED TO:JOSEPH RWNMMO-ASHLEY ROMANO. MAP ORBEO(EDON ESTATES 1h IrCry007y-,1;4 OLD Tm'E INSURANCE'CO: FILED:MARCH 16. 1946 No.1472 '., "••"" """"'�� � ' Vt 97UATED AT-SOUMOLD pz TOW SUFFD COUNTY. NEW YORK 1* Peado 9 eboWr�R Bred D P.O. Aqu Que, N—York 11931 ,FILE#223-22 SCALE:1"-30' DATE:APRIL 27.2023 N.Y.S PRONG(631)29E-1566 BAY(631) M-1686 TOWN OF SOUTHOL Rental Permit CD 1386 Owner: Joseph Romano , Ashley Romano Occupied as: Single Family Dwelling Located at: 70 Arshamomaque Ave Southold 56.-2-19 Maximum Permitted Occupancy: 8 Is in compliance with all of the provisions of the code of the Town of Southold,the laws and sanitary and housing regulations of the County of Suffolk and by the laws adopted by the New York State Fire Prevention and Building Code Council. Expiration is two (2) years from date of issue. The operator is responsible for arranging for the bi-annual inspection. Issued: 10/21/2025 Expiration: 10/21/2027 c dee r r Official This Notice must be posted by the main entrant at 11 times o TOWN OF SOUTHOLD, NEW YORE ACTION OF THR ZONING BOARD OF APPEALS DATR.Sept.22,1966 Appeal No. 964 Dated July 25, 1966 ACTION OF THE ZONING 130AR,D OF APPEALS OF THE TOWN OF SOMHOLD To Joseph Krukowski Appellant Main Road Southold, New York at a meeting of the Zoning Board of Appeals anThursday, September 22, 1966`ice" F:the appw was considered and the action indicated below was taken on your t ( ) Request for variance due to lack of access to property NOV � (X) Request for a special exception under the Zoning-Ordinance NOV Y L ( ) Request for a variance to the Zonire'Ordinance Zoning ��� O _ Board of Apt 1. SPECIAL EXCWrION. By'resolution of,the Board it was determined that a special emception ( ) be granted ( ) be denied pursuant to Article ................section ................ Subsection ................. paragraph .........1. of the Zoning Ordinance. and the decision of. the Building.Inspector [ ) be:reursed ( ) be confirmed-because 8:45 P.M. (E.D.S.T.), Upon -application of Joseph Krukowski, Main Raad, Southold, New York, for a special exception in accord- ance•wlth the Zoning Ordinance, Article III, Section- 300, Sub- section 10, for permission to retain•a wallLLsi,gn. Location of property: south side Main Road, Southold, Sew -York, bounded north by Main Road,- east-by Beixedon Estates= Subdivision, south by Beixedon Estates Subdivision, west by J.T. Overton. 2. VARIANCE. By resolution of the Board it was determined that (ar Strict application of the Ordinance (Would) (would not) produce practical difficulties or unnecessary hardship because SEES REVERSE (b) The hardship created (is) (is not) unique and (would) (would not) be shared by- all properties &Me in the immediate vicinity of this property and in the same use district because SEE- REVERSE r (c) The variance (does) (does not) observe the aplrit of the Ordinance and(would) (would not)change the character of the district because SEE REVERSE and therefore, it was further determined that the requested variance ( ) be granted ( ) be denied and that the previous decisions of the Building Inspector ( ) be confirmed ( ) be reversed. to j]XG BOARD OP APB , �M ZBa � w...'„ . rbaa . Dittann, Secretary 6 � NO'v 'Z 1 202 Zoning Board of Appeals After investigation and inspection the Board finds that the a3pellant request permission to retain a sign on the wall of his barn. This sign is presently used by Silver Sands Motel for a directional sign. The sign has been in existance for many years, however, there have been different uses for the sign. In order for this sign to continue the sign must be used only for directional purposes for those types of business that are in the interest of the travelling public. The Board finds that the public convenience and welfare and justice will be served and the legally established or pemmitted use of neighborhood property and adjoining use districts will not be permanently or substantially injured, and the spirit of the, Ordinance wild be, obseX,4ed.,, TkIerefore, At was RS COLS that; Joseph. Krukowski,_ Main Road# Southold,. ew York, be granted permission to; retain .a wall sign ,on, pro erty.located ,on -the south sideof the Main _. Road; Southold,. ew York, subject to. the following conditions: 1. This sign shall be granted for one (1) year only, renewable annually upon written application to the Board of Appeals. 2. This sign shall be subject to all subsequent changes in the Southold Town $uilding Zone Ordinance as it applies to higns. 3. This sign shall be no larger than four (4) feet by six SW feet, or 24 square feet. 4. This sign shall be used only for directional purposes for those types of business that are in the interest of the travelling public. 5. It will be necessary when the advertiser is changed to make a new application to the Board of Appeals for the location fa the new sign. 6. In the event the sign is oversize, it must comply with provision number 3 above by November 22, 1966. 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 S00 feel of a farm operation located in an agricultuml district. All applications requiring an agricultural data statement must he referred to the Stool 6,linty Department of Planning in accordance with Section 239m and 239n of the General Municipal Law. ) 2 12025 1. Name of Applicant: J0AtJ Cii-AMOE&S Zoning Board of Appeals 2. Address of Applicant: C7 g( �t (1T�C N 4 ' 3„ Name of Land Owner(if other than Applicant): J Ar(A ft o 4, Address of Land Owner: 22 l/t R G(N I Ak AVE., mA; I (61c?- 5, Description of Proposed Project: 2 C k2 GkRhGE — GJ�'r�CttEa 6. Location of Property: (Road and Tax map Number) 7 AA-R� k 1 DMA E �W . 7. Is the parcel within 500 feet of a farm operation? 0 Yes { }No 8. Is this parcel actively farmed? { } Yes -( ) No 9. Name and addresses of any owner(s)of land within the agricultural district containing active farm operations. Suffolk County Tax Lot numbers will be provided to you by the Zoning Board Staff,it is your responsibility to obtain the current names and mailing addresses from the Town Assessor's Office (765-1937) or from the Real Property Tax Office located in Riverhead. NAME and ADDRESS C . 2. 3. 4. 5. 6. (Please use the back of this page if there are additional property owners) /oi 3 i 20 2S Signature of Applicant Date Note: 1. The local Board will solicit comments from the owners of land identified above in order to consider the effect of the proposed action on their farm operation. Solicitations will be made by supplying a copy of this statement. 2. Comments returned to the local Board will be taken into consideration as part as the overall review of this application. 3. Copies of the completed Agricultural Data Statement shall be sent by applicant to the property owners identified above. The cost for mailing shall be paid by the Applicant at the time the application is submitted for review. Agricul!tyural Romano Residence 70 Arshamoma sae,Ave.. 56-2-20 Lewis Grace R Nickles John J PO Box 877 Southold, NY 11971 .a nr,y�i ��ti ,r °h;'�+ rah I �, 56-2-21 Lewis Grace R PO Box 877 Southold, NY 11971 56-5-1.3 DEKKA LLC PO Box 726 Southold, NY 11971 66-2-3 Kongoletos Nancy A Karsten Russell 36 Anna Ct Wading River, NY 11792 66-2-4 Kongoletos Nancy A Kongoletos Diamond 57958 Main Rd Southold, NY 11971 66-2-5 Lewis Grace R PO Box 877 Southold, NY 11971 66-2-48 Nickles Kathleen M 2555 Youngs Ave Unit 2C Southold, NY 11971 66-2-49 Lewis Grace R PO Box 877 Southold, NY 11971 66-2-50 Forbes Kevin Forbes Maryann 75 Poplar St 143 01 Garden City, NY 11530 I�0•J � •� 20'Z5 66-2-51 Lewis Grace R 7onlncg Board of Appeals PO Box 877 Southold, NY 11971 66-2-52 Moskowitz Brett S Dorset Perri H 121 Reade St Apt 9F New York, NY 10013 66-2-53 Lewis Grace R PO Box 877 Southold, NY 11971 66-2-54 Lewis Grace R PO Box 877 Southold, NY 11971 66-2-55 Nickles Kathleen M � LJ55 f VUnCJ,J Ave i�Ciit'If' Southold, NY 11971 66-2-56 Lewis Grace R PO Box 877 Southold, NY 11971 66-2-59 Lewis Grace R PO Box 877 Southold, NY 11971 66-2-60 Lewis Grace R PO Box 877 Southold, NY 11971 66-2-61 Jones Meaghan 425 E 58th St#21 B New York, NY 10022 66-3-15 Zoning Board of Appeals Frost Road Assoc LP PO Box 877 Southold, NY 11971 617.20 Appendix B Short Environmental Assessment Form Instructions for Corn1gletin 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 nee ed bx useful to the lead agency;attach additional pages as necessary to supplement any item. (05 Part 1-Project and Sponsor Information Toning Could Could of "'PPe s 12,QM AN-D ?,-E55 l eNCE Name of Action or Project: D Pr9 Pt Ma m uE Ave, S bu-Ct ML- Project Location(describe,and attach a location map): C�K nth 6 F 2S t AMOM k Ue A ry l A-(nl e-.o Brief Description of Proposed Action: TO (3 u iL,0 DMA-CN D AMe-&r0" rs -F iL4.o' Name of Applicant or Sponsor: Telephone• 31 _2:! _4?.,,(, OALJ C "AcMB6tRs E-Mail: prttrVIa (0 @ I ma L re Address: Fo fox 49 City/PO: State: Zip Code: S D Ul-rtt)1Xj N -( t l R.-7 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that x may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: X St)uNttLo -MVJAJ ZON t NG (30"9 �k 6 U tempt n1Cr o� 3.a.Total acreage of the site of the proposed action? 66 a So - L='T- b.Total acreage to be physically disturbed? 5*76 - c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? • 3b acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban )Oural(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? p 7. is the site of the rop osed action located in or does it adjoin,a state fisted Caittc A,l,f nvlronmeataltArea NO YES If Yes,identify: —''I' 7,41 8. a.Will the proposed action result in a substantial increase in traffic above present leMsh ` rNO YES o{ ;",,pculsb.Are public transportation service(s)available at or near the site of the prc.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? 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: T 11.Will the proposed action connect to existing wastewater utilities? R NO YES If No,describe method for providing wastewater treatment: N 0 kTd-�- X] 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? X 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? X b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑ Shoreline ❑Forest ,Agricultural/grasslands ❑Early mid-successional ❑ Wetland ❑Urban JKuburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? X 16.is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a.Will storm water discharges flow to adjacent properties? )KNO❑YES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO❑YES rage L 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: m L a,i 20.Has the site of the proposed action or an adjoining roe been the subject of remediati P P J � g property rtY J tra"t(ongoing or 1vA ...YES completed)for hazardous waste? rcI of If Yes,describe: I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE . ` Applicant/sponsor name: &l v Date: y 2- Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may I 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'comOf*Part 3. Part 3 should,insufficient detail,identify the impact,including any measures or design r lement tliitt`lra c bien included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined' at th pact may or will not be significant.Each potential impact should be assessed considering its setting,prob 'alit oci g,, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. Zoning Voard of p'PPcals <�M ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Name of Lead Agency Date Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) Page 4 of 4 Board of Zon Un A111jeals Application OWNER'S AUTHORIZATION (Where the Applicant is not the Owner) I, aSe�h 6i d residing at '11- V k R G%rJ1 A V • (Print property owner's name) (Mailing Address) /_ 4ZE� �Ql i�17g :JOG.'.Q of /ep�n LA(.0 C e-00 4-O►JV-,dW.A do hereby authorize—,Took" CttftM 2S (Agent) to apply for variance(s)on my behalf from the Southold Zoning Board of Appeals. By signing this document,the Property Owner understands that 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 exceed three(3)consecutive one (1)year terms. IT IS THE PROPERTY OWNER'S RESPONSIBILITY TO ENSURE COMPLIANCE WITH THE CODE REQUIRED TIME FRAME DESCRIBED HEREIN. rer's Signature) (Print Owner's Name) AGENT/REPRESENTATIVE TRANSACTIONAL,DISCLOSURE FORM I t • f h 1 o rovide l fo e t i allow it Dimsaty to axpj _same. Lo YOUR NAME:(Last name,lira name,middle initi unless applying In sricT as a y name of someone else or'gther entity, company.If so,indicate the other persons or company's name.) Wqq TYPE OF APPLICATION: (Check all that apply) 2, 1 Z0 Z5 g g Permit Variance a Permit Tax rievance Bufl n �� Trustee Change of Zone Coastal.Erosion Zoning �oara of /\ppeGls 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"'meant a business,including a partnership,In which the town officer or employee has even a partial ownership of(or employment by)a corporation in h the town officer or employee owns more than 5%of the shares. lS 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 applicandagent/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 RELATIONSH P f m.�J��tl Submitted this L 1day 20 0f Signature. Print Name l APPLICANVOWNER TRANSACTIONAL DISCLOSURE FORM Th T wn gf SoUftid's Codggf ELhiSl Rrghlblts ,r n thIgart of.19NU offigMm to a The f this form of rmati n which can alert g2pilible conflictst and all w it to ULM millaggVer action Is necessa to avoid sa YOUR NAME: JO se 1- o M of t'v O (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 Variance grievance Building te Permit `e Permit r, Trustee t Z�2 1\ ` Change of Zone Coastal Erosion rr�Gl Approval of Plat Mooring �c ou a oT Other(activity) Planning `C' 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 w ich 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 applicantlagent/representative)and the town officer or employee. Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation) B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation) Q an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP T Cl Submitted this da ovembcr 20 ag- Signature Print Name cco w AGENT/R.EP"RE5ENTAT TRANSACTIONAL DISCLOSURE FORM The IM 9fSootbjjld!j!Cojcf l tbio probibits 0_nfljStfi 2f interyst gn the yaLt,mf jqLyn officers and KnI12101991Jhe this forth Is tg RMyjdeation which ggn siett tjjS to&gf pgssthle conflism 9f inkKest and allow 11 to jahe whatever action i necessary to aWd some. YOUR NAME: (A)ATJ (Last name,first name,middle initial,unless you are applying in the name of someone else or oth&entity,such as a company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) g �� Trustee Permit Variance ,•., Tax grievance Building 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 Ro Submitted this 3 day of 0 - 20 his Signature Print Name C r Town of Southold LWRP CONSISTENCY ASSESSMENT ORCMy-111 , A. INSTRUCTIONS 1. All applicants for pen-nits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfr fitConsistency 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). 1 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 LVW is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 1000 - 56 - 2 c Cl . The Application has been submitted to(check appropriate response): Town Board 0 Planning Dept. © Building Dept. [VKN;21 Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital El construction,planning activity,agency regulation,land transaction) El (b) Financial assistance(e.g. grant,loan, subsidy) (c) Permit,approval,license,certification: KX Nature and extent of action: PL I CAm or Mi L,0 t L�6 •b F-0 0-`- su i L'O i fti G re Z rAkT FOIL 29-.0 ?mot �. o . ► Location of action: 0 A � a�'h t.l 'VI . !q L.P. Site acreage: � Present land use: a M GL,'E F l 1, I EN(Z AFL, ' ti' Idt Present zoning classification: 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: C (k*fttee'gs " R—0 rnAN b (b) Mailing address: . a . U N I t q_-7 (c) Telephone number:Area Code 2 C.4 ` 4- 241 (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 LWRP Section III—Policies; Page 2 for evaluation criteria. El Yes ❑ No �]G Not Applicable L0C on1 Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes � No� Not Applicable ETf ON IS 1�O r a + a r� W Triwyy� g �' wT �y yn 15rM 6F 6AW.A;0£ SoVt" sty O F Gl��l-0OI4N� y r� l y, 40 a`L'C� oft, C A;Q,kG-E l.OdA<1N&- Noitt" SWIM POO(. UJ6 zzii TOWN OF SOUTHOLD PROPERTY RECORD CARD r f VILIJIGE LOT 3 a e� E ACRr 5 W ° TYPE OF BUILDING RIM SEoks. VL FARM COMA. Co. MILS, Mkt. Value LAND [NIP. TOTAL DATE REMARKS F jV P� E —z v. F FRONTAGE WATERWoodtwvd .. FRONTAGE ON ROAD - - e DEPTH H Pkd - BULICHEAD T" E SCT # TOWN OF SOU HOLD PROPER RECORD CARD OWNER STREET VILLAS 01ST i sue LOT . o — ACR. REMARKS d� — TYPE 8f BLD_ J PROP.CLASS — LAND imp TOTAL DATE 1 3 a i ffi 3 F FRONTAGE ON WATER HOUSE/LOT BULKHEAD TOTAL