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Home My WebLink About#8106-Hug ZBA application Received FORM NO.3 TOWN OF SOUTHOLD FM 19 2026 BUILDING DEPARTMENT SOUTHOLD,N.Y. Zoning Board of Appeals NOTICE OF DISAPPROVAL DATE:November 13,2025 REVISED &RENEWED: February 13, 2026 TO: Brooke Epperson, AMP (Hug) PO Box 152 Mattituck,NY 11952 Please take notice that your application received November 6, 2025: For permit to: Construct an accessoKy a artment within a single family dwelling at: Location of property: 2100 Pike Street. Mattituck County Tax Map No. 1000—Section 140 Block 3 Lot 22 Is returned herewith and disapproved on the following grounds: The proposed apartment within the dwelling located on this nonconforming 22,389.84 sq. ft. parcel in the Residential R-40 District, is not permitted pursuant to Article III Section 280-13A(6)[D] which states: The accessory apartment shall not exceed 25%of the habitable space of the entire residence based upon properly certified structures at the time of the effective date of this code. The floor plans show the apartment to have 523 sq.ft. which constitutes 35%of the existing residence. This notice has been revised to show a change in apartment size, based on an updated plan provided to the Building Department. Authorized Signature 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. *Suffolk County Health Department approval is additionally required for this application.. v eceiv APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS AREA VARIANCE FEB, 1 9 20Z6 House No. 2100 Street Pike,Street Hamlet Mattituck ft"ing 60&4_W_4Pealfi SCTM 1000 Section: 140 Block: 3 Lot(s) 22 Lot Size: .5 Acres Zone R-40 I(WE)APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED 02/13/2026 BASED ON SURVEY/SITE PLAN DATED 11/06/25 Owner(s): Loui&ug Irrevocable Trust;Thomas Hug Mailing Address: 305 Hill Street Mattituck NY 11952 Telephone: 917-697-8843 Fax: Email:t.hug212@gmail.com jldivello@yahoo.com NOTE:In addition to the abort,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: Anthony Portillo,AMP Architecture for( )Owner 04 Other: Architect Address: PO Box 152, Mattituck, N.Y. 11952 Telephone: 631-603-9092 Fax: Email:bepperson t@amparchitect,com Please check to specify who you wish correspondence to be mailed to,from the above names: N Applicant/Owner(s), ( )Authorized Representative, ( )Other Name/Address below: WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN DATED 02/13/2026 and DENIED AN APPLICATION DATED-1 1/06/25 FOR: Building Permit ( ) Certificate of Occupancy ( )Pre-Certificate of Occupancy ( ) Change of Use ( )Permit for As-Built Construction ( )Other: Provision of the Zoning Ordinance Appealed. (Indicate Article,Section,Subsection of Zoning Ordinance by numbers.Do not quote the code.) Article:III Section:280-13A Subsection: 6(d) Type of Appeal. An Appeal is made for: A Variance to the Zoning Code or Zoning Map. ( )A Variance due to lack of access required by New York Town Law- Section 280-A. ( )Interpretation of the Town Code,Article Section ( )Request for Reversal or Overturn the Zoning Officer's Denial Other A prior appeal( ) has, N has not been made at any time with respect to this progertl, UNDER Appeal No(s). Year(s). (Please be sure to research before completing this question or call our off ce for assistance) Page 2, Area Variance Application Revised 6/2023 peceived REASONS FOR APPEAL 1 2026 (Please be spec c,additional sheets may be used with preparer's signature notarizeif F—B 1.An undesirable change will not be produced in the CHARACTER of the neighbor8F,&#trjtn@P{6316 nearby properties if granted,because. Zonlri The proposed changes for the apartment remain within the existing footprint of the dwelling with minor window and door changes. There are no proposed exterior wall or roof changes. 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: The current size of the dwelling dictates what is allowed for the size for the attached apartment. Focusing on trying to maintain as little work as possible utilizing the existing spaces, it is most feasible to propose the apartment at the right side of the dwelling in this split level dwelling. 3.The amount of relief requested is not substantial because: All work for the apartment is within the existing dwelling. The proposed apartment is for the owner's elderly mother who is in need of health care within her home. The dwelling will utlized by her son. 4.The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: The proposed changes keep the aesthetics of the dwelling as it currently stands. There is minimal exterior work proposed and the new septic system will be able to handle both the dwelling and the apartment. 5. Has the alleged difficulty been self created? { } Yes,or W No Why: The proposed apartment square footage is due to the existing dwelling spaces. • Are there any Covenants or Restrictions concerning this land? t4 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. Signature o uthorized,Agent (Agent must submit written Authorization from Owner) Sworn to before me this day Registration f',ia 01 AUOG 19644 Now.Pub]i Qua4ifiar; in Sufiolk Ccunty . Commission Expires J�-,nuar�o 9, 2028 Zoning Board of Appeals c Ive (e,,(D� APPLICANT'S PROJECT DESCRIPTION FEB 19 2026 APPLICANT: AMP Architecture SCTM No. 1000-140-3-22 1. For Demolition of Existing Building Areas Please describe areas being removed: Existing septic system;few existing windows and doors II.New Construction Areas(New Dwelling or New Additions/Extensions): Dimensions of first floor extension: N/A Dimensions of new second floor: N/A Dimensions of floor above second level: N/A Height(from existing natural grade): 19'-2" Is basement or lowest floor area being constructed?If yes,please provide height(above ground)measured from natural existing grade to first floor: N/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: 2-story wood frame dwelling Number of Floors and Changes WITH Alterations: Renovated 2-story wood frame dwelling w/accesso apartment IV. Calculations of building areas and lot coverage,sky plane(From Surveyor,Design Professional): Existing square footage of buildings on your property: 1,544 S.F. Proposed increase of building coverage: N/A Square footage of your lot: 22,390 S.F. Percentage of coverage of your lot by building area(lot coverage) 6.9% Gross Floor Area( 1 )of single family dwelling including the attached garage and/or habitable detached accessory structure: (Please refer to Chapter 280, Section 280-207 of the Town Code): 1,606 S.F. For Residential lots,is project within the allowable S Plane?(Please refer to Chapter 280,Section 280-208 of the Town Code Yes V.Purpose of New Construction: Renovation of Exisitng Dwelling to include Accessory Apartment 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: Flat land little to no slope due to this and no exterior renovations there is no diffiggity related to this. 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. Revise l&202 QUESTIONNAIRE R c( S((* FOR FILING WITH YOUR ZBA APPLICATION FEB 1 9'2026 A. Is the subject premises currently listed on the real estate market for sale? Yes X No Zoning Boar"a Qr APPGaIS B. Are there any proposals to change or alter land contours? X No Yes,please explain on separate 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? N/A 3.)Is the property bulk headed between the wetlands area and the upland building area? N/A 4.)If your property contains wetlands or pond areas,have you contacted the Office of the BOARD OF TRUSTEES for its determination of jurisdiction? N/A Please confirm status of your inquiry or application with the Board of Trustees: 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? No E. Are there any patios,concrete barriers,bulkheads or fences that exist that are not shown on the survey that you are submitting? No 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? No If yes,please submit a copy of your building permit and survey as approved by the Building Department and please describe scope of work: & 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. K Do you or any co-owner also own other land adjoining or close to this parcel? No If yes,please label the proximity of your lands on your survey and identify the Suffolk County Tax Map No. I. Please list present use or operations conducted at your property,and/or the proposed use existing single family,proposed:same with accessory apartment J. (examples:existing single family,proposed:same with garage,pool or other) Authorized si nature Date FORM NO. 4 Cj - TOWN OF SOUTHOLD BUILDING DEPARTMENT FEB 1.9`2026 Office of the Building Inspector Town HallSouthold, N.Y. Zoning Board of �ppeai`= CERTIFICATE OF OCCUPANCY No Z-24707 Date OCTOBER 29 1996 THIS CERTIFIES that the building ALTERATION Location of Property 2100 PINE STREET HATTITUCK N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 140 Block 3 Lot 22 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 3,, 1996 uxsuant to which Building Permit No. 237360-Z dated OCTOBER 21 1996 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 ALTER EXISTING GARAGE TO HABITABLE SPACE & DECK ADDITION "AS BUILT" TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to RICHARD & THERESA ENDRIS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-051870 - SEPTUMBER 17 1996 PLUMBERS CERTIFICATION DATED N/A B ildinq Inspector Rev. 1/81 09/04f 96 09:49 516 594 0966 WILLIAM 4.:S1JLAHIA1q ES0 ' PAGE 01 u7.,03 F4-1 708 970 170t) KiLLI-NCKRODT i'ETERI ;�RI oo 101 Jed FEB j a Zn robin Het, s TOWN, OF SOUT"HOL f81AILDINQ t'1PART'MENT" 't"OWN Gli.li'RK'S ffffC SttitA1"'f+ OLO, No Y,, CERTIFICATE OF dCCUPANCY No. ...«....' TI�fIS pole ............ ....... ,....... .�. CERTIFIES that the building19..t7 faate�f vt$1, • MOP No, .,,... Pik* * ............. Sireel, ........ Ellock No. ...... ** .... .. Lot No. * *,t aunfgrrns 6Ubstgntlolly to the q ....................................... • Rpf►catian for Building per i .. m t s thi heretofore filed in s off .. ,,,...+........................may '2 .. . G..1 ice dtrte� ......I 15�,•.... PUrsUant to which Building Nfmft N4. . 2..141) d4te� .....,.,,...., 1�► 23 f;l . . f 9 ... ., wos issued, and conforms to all of the requirements of the appllaabte provisions of the low, The ��Ul�ncr for Whleh this c�rtif;�Qte i.......................... s issued is ....,.. ......... ....JP1LMTE4-'C)=.,FAMILX,rAft Thlm-eertificot 7''I'IE�G...... ..............,. --- .... .... ,.......... e is issued to .........Leoh Milowek of the ofor4 I .......................................sad building, C+�wne* r, lessee or tenant? . . approval Dee.6 7 1.96� by F. Na Jkowskl .... Buff' in9�fnsector,.... ..,, ..,. FORM N0.4 oI TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. . zoning Board of �pPeals . Certificate Of Occupancy No. . . . 150.6.Q . . . . . . . Date . . . . October _29.. . . . . . .. . . . . . . .. 196 . THIS CERTIFIES that the building ., , „ d e ck, a d d i t i an. . . . . . . . . . . . . . . . . . . . .. .. 2000 Pike Street Mattituck , N. Y. Location of Property , . . . . . . . . . . . . . . . ... . . . .. . . . . House No. w 140 3 greet 2 2 »,�W"amleat County Tax Map No. 1000 Section . .. . . . . ... . .Block . . . . . . . . . . . .....Lot . .. .. .. ..... . . .. . Subdivision . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . .. .. . . . ... . conforms substantially to the Application for Building Permit heretofore filed in this office dated 0 C t o b e r. 23. . ... . . . . . . . . . 19 $q pursuant to which Building Permit No. , , 5423 .Z. « wryµ . µ dated . ,0 c tIo b e r 23 3 . . .. _ , . . . . 19 $6. ,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 .. . . . . . . .. Deck addition to existing one family dwelling The certificate is issued to , . , , . . Richard . &. Theresa Endris . . . . . . . . . . . . . . . µ . . (owner,! txx of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . . . N/A. . . . . . . . . . . . .. * . . . .. . . UNDERWRITERS CERTIFICATE NO. . . .. . . . .. . . . . .. . . ». Pending . . . . . * .. . . . . . . . . . .. . l . . . . . » Building»Inspector Rev.1/81 FO1t.bT NO.4 ' TOWN OF SOUTHOLD , BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLd, N. Y. Fteceive FEB 1 2026 CERTIFICATE OF OCCUPANCY zoning Board of xppeei� 'No. .......2.13.62...... Date ...........De4embar--7......... ......... .. 19..6,. THIS CERTIFIES that the building located •...........• Street Map No. .........tt*...... Block No. .. ....... t.... Lot No. ...........*ally'llr.. ......... ......... ......... - ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated ..............................................Xay..2.3...... 19.....4.1pursuant to which Building Permit No. ..Z..1413 dated .............«.................... :.��.I... 19....X, 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 PR-1-VATS............................... ..On... IM-Y..IMMING...................................................... This certificate is issued to ........;�►t�O�'4.. �S�1d0� iip...El►�7.e ..........T.................,....,,.........,,..»».»...... .»»« (owner, lessee or tenant of the .aforesaid building. H.D. approval Dsa o 6, 1962 by P. 14a jkoW 7' 6tw ....................... ...... ....... ....«w„......... Building#Inspector FORM NO.3 1 TOWN OF SOUTHOLD Eu1LDWO DEPARTMENT TOWN HALL SOUTHOLD,N.Y. BUILDING PERMIT Boaso of HPP®air Zoning (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date.....JAWARY........1.5........................... 24603 7. Permission Is hereby granted to- ........ HWAS...G...4... .................... .......ZA...CHURCH..LONI~...»......................................... »,. .......MxAAJ E...1.5L AEI.QaNY...114.53...........................» to.....INSTAI-I....A...NF-W... ..BAI......Q.I.I.-.P.QW!*RIwA...HEIT...WAIF-8...HEA.T.E^R..AS...i9ff.'L IF-D, FOR . , .,.,,.».,»... .... ........ .......» . ,,, .....,. . ......,.........»....... . »»..., .,.,.,...,.,. ,,.......,,..».,... ..»......... ,,.,,.,..»... at premises located at................2.10.0.....P.I.KE..ST..........,..............,........,,,,>.........MAT.T.ITUCK......... County Tax Map No. ....4.7Z884...... Section ...1AA............. Block ....j0QQ3......... Lot No. 022............... pursuant to application dated.... ECEMBER.....12.......................». 19......97...... and approved by the Bullding Inspector. Fee$........7.5.OQ..... w i 5 Iding Inspect Rev. 6/30/80 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT ` Town Clerk's Office Southold, N. Y. FEB 2Q26 Certificate Of Occupancy No. .Z7510 , . . , . Date . . . . . . . . . . Fab. . .. . . . . . . 1 _7 THIS CERTIFIES that the building located at . . .KkA .Street. . . . . . . . . . . . Street Map No. .XX . . . . . . . . Block No.xx. :,. . . . . .Lot No. xx . . . Mattituck. . X.Y... . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . .July. .25. . ., 19.�4. pursuant to which Building Permit No. . .?439T+ dated . . . . . . . . . . .July. . . . 2.5 ,, 19. '4., was issued, and conforms to all,of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . . Private .swimming .paol .with. ,Aae saarys. . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to 11+eoA .Klawskti. . . .Vwner. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .N.Ft.. . . . . . . . . . . . . . . .. . . . . . . . . . . . , . . . UNDERWRITERS CERTIFICATE No. .410939 5. . . . . .Au$ . .10 . .1974 . . . . . . . . . . . . HOUSE NUMBER . . . .2100. . . . . Street . . P.*Q M . . . . MUMUCk. . . . . . . . . . . . . . . . Building Inspector FORM NO.4 TOWN OF SOUTHOLD Seceived VV� BUILDING DEPARTMENT Office of the Building Inspector FEB 9' 2026 Town Hall Southold, N.Y. Zoning Board °¢ }appeals Certificate Of Occupancy No. . . .Zi1,�04.1. . . . . . . . Date . . .October. 27I . . . . . . . . . . . . . . . .. 19 8.6 THIS CERTIFIES that the building . . . . . . . s h e d x m * . . , .. .. . . „ * . . . .. * „ 2000 Pike Street Mattituck, New York Location of Property . . . . . . . . .. . . . . . .. . . . . . . . , . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . House o, StreetHamlet County Tax Map No. 1000 Section ... . .0. . . _ _ . .Block . . .3 . . . . . . . . . ,. .Lot . . . . .2 . . . . . . . . . . Subdivision . . . . . .. . . . . . . . .. . . . . . . . . . .. . . . . .Filed Map No. . . . . . . . .Lot No. .. . . . , . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated September 17y, 81 11377 Z . . . ... . .. . . . . . . . . . . . . , 19 . . .pursuant to which Building Permit No. . . . . . . I . . .. . . . . . . . . . .. dated . .S eI.em pw . er .17�>, µ ,, 1981, ,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 . . . . . . . . . . . . . . . . . . . . . . . Ap.ggSporx.'511A1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . . . . . Richard. &. .Theresa Endris ( wner,IHivti o , �ra ¢X . . . . . . . ••` , ' . " " . " . of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . .N/A. . . . , . , . , , , , „ , , , , , , , ,, . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . .. . .VA. . . . . . * Buildin, Inspector Rev.1/81 AGRICULTURAL DATA STATEMENT Rec6ved qp� ZONING BOARD OF APPEALS TOWN OF SOUTHOLD FEB 1 2026 WHEN TO USE THIS FORM: This form must be completed by the applicant r ►y °ir f eai- permit,site plan approval,use variance,area variance or subdivision appro 4W$ropi"rit 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. I. Name of Applicant:AMP Architecture,Anthony Portillo 2. Address of Applicant:10200 Main Rd Unit 3A, Mattituck, NY 11952 3. Name of Land Owner(if other than Applicant):Thomas Hug 4. Address of Land Owner:305 Hill Street Mattituck NY 11952 5. Description of Proposed Project: Renovation of Exisitng Dwelling to include Accessory Apartment 6. Location of Property: (Road and Tax map Number} 2100 Pike Street Mattituck NY 11952 1000-140-3-22 7. Is the parcel within 500 feet of a farm operation? { } Yes 00 No 8. Is this parcel actively farmed? { } Yes JX No 9. Name and addresses of any owner(s)of land within the agricultural district containing active farm operations. Suffolk County Tax Lot numbers will be provided to you by the Zoning Board Staff,it is your responsibility to obtain the current names and mailing addresses from the Town Assessor's Office(765-1937)or from the Real Property Tax Office located in Riverhead. NAME and ADDRESS 1,. 2. 3. 4. 5. 6. (Please use the back of this page if there are ad ' nal property owners) 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. 617.20 Appendix B ReceW ed 9 Short Environmental Assessment Form FEB 1,g 2026 instructions for Completingappoa�� ir►9 Bard °� Part I-Project Information. The applicant or project sponsor is responsible for the co&etion 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: Thomas Hug Project Location(describe,and attach a location map): 2100 Pike Street Mattituck NY 11952 Brief Description of Proposed Action: Renovation of Exisitng Dwelling to include Accessory Apartment Name of Applicant or Sponsor: Telephone: 631-603-9092 AMP Architecture E-Mail: bepperson@amparchitect.com Address: PO Box 152 City/PO: State: Zip Code: Mattituck NY 111952 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 3.a.Total acreage of the site of the proposed action? .514 acres b.Total acreage to be physically disturbed? N/A acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? .514 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial X Residential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 5. Is the proposed action, 0e 01 NO YES N/A a.A permitted use under the zoning regulations? ? c V b.Consistent with the adopted comprehensive plan? 6. Is the proposed action consistent with the predominant character of the existing built or natural A• P�a1 NO YES 8o landscape? and of 7. Is the site of the proposed action located in,or does it adjoin,a state listed Crideal 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? 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: _ / 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: Septic System 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 ❑ 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? YNO❑YES V b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO ErYES Gutters at Roof will be connected to Drywells Page 2 of 4 18.Does the proposed action include construction or other activities that result in the � ' ent of water or other liquids(e.g.retention pond,waste lagoon,dam)? 9 20 If Yes,explain purpose and size: of AP 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 Anthonyr�allo A P h Iw Applicant/sponsor name: P Architecture) Date: Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy o rtunities? 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 r occur 10. Will the proposed action result in an increase in the potential for erosion,flooding o rdinage problems? r-r6 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 coolftfignf4f amtl 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 Board of Zonigg Appeals Application OWNER'S AUTHORIZATION Received (Where the Applicant is not the Owner) FEB Zonincd goatd of ApP�al residing at , t (Print property owner's name (Mailing Address) do hereby authorize A Q &Clc ( �—L�j fQ (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. (Own s ignture) (Print Owner's Name) APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts ttf interest on the part of town office"anti em lovees.The purpose of this, form is to rovirlc inf rmati n wlti h can alert the town of possit.1ge c n ip ,11 of interest and allow it to take whatever action is necessary to avoid same, YOUR NAME : fJIX �/C7�IL� �`^'f� 0CA iLp_1_TV_S1 (Last name,first name,middle in ial,unless you are applying in the name of someone else or company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION:(Check all that apply) �Eg 19 2oZ� Tax grievance Building Permit Variance Trustee Permit , goafa Change of Zone Coastal Erosion 70ni 1g 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 20 Signature Print Name Louise Hug Irrevocable Trus e ' gju-� Article One vea Establishing My Trust 7Onin9 608S6 of Appeals The date of this Irrevocable Trust Aft is April 15, 2021. The patties to the agreement are Louise Hug(the"Oranta n and Thomas Hug(my"Trustee"). By this agreernent,I intend to create a valid trust under the laws of Her"York and under the laws of any state in which any trust meated corder this agreement is section 1.01 Idendfying My Tmst My trust is called die "Louise Hug Inrmable T usL" However,the following format should be used for Wdag title to assets. Hug. Trustee of the Louise Haug Irwv6cable Trust dated Apol 15,2021" AGENPREPLRE ENTATJVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Cqde 2f Ethics..grobi bits conflicts of interest on the part of town officers and em to ces. e j1ur225.e of this form is(2 provide information which can alert the town of Msible y nfligts of intery.1t and alto action i necessary 12 avoidwm_c. YOURNAME . AMP Architecture, Anthony Portillo (L.-;t name,first name,middle initial,unless you are applying in the name of someone else or ollkflenlity,such as a company.If so,indicate the other person's or company's name.) 701n.ling 130 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 X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee. Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation) B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation) Q an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this I--1 day of 20 Signature. ........ Print Name Anthony Portillo Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS FED 19'Z I All applicants for permits* including Town of Southold agencies, shall ' compleir AbiMCCAF for propDeed actions that are sub ject to the Town of Southold Waterfront CF - 0 e W Aq- eview Law. This assessment is intended to supplement other information used by a l own 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_11ndertaken. 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# 140 - 3 - 22 The Application has been submitted to(check appropriate response): Town Board 11 Planning Dept. E Building Dept. M Board of Trustees I Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital construction,planning activity, agency regulation, land transaction) (b) Financial assistance(e.g.grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: Renovation of Exisitna Dwelling to include-AqqggapU_Apa;1mgnt- Location of action: 2100 Pike Street Mattituck NY 11952 Site acreage: .514 9 2026 Present land use: Medium Denisit Residential 1. Present zoning classification: R-4030 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: Thomas Hug (b) Mailing address: 305 Hill Street Mattituck NY 11952 (c) Telephone number:Area Code(1 ) 917-697-8843 (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. O Yes No ❑ Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria Yes [a No 0 Not Applicable Hug Residence - 2100 Pike Street, Mattituck NY 11952 A M P Arch i to ct u re Owner: Thomas Hug Design + Build Applicant: AMP Architecture, Anthony Porti«O All Photos Taken : 02/28/25 Office: 631-603-9092 e�� J ('60 www.amparchitect.com p , eN 10200 Main Rd Unit 3A Mattituck NY 11952 1 �t' o'� 1�tjoeT' oar° , P �R V � Y I I ffiffi I II { 9, North East side looking West South side looking North West side looking South East C I I II il' �Illuuuu IIII ° I IICi I� IIIII11}``E\1 { II � II 41 III'11I rlllil i1 'i;, M 11 � a. A u North West side looking South East North side looking South North East side looking North West TOWN N UT OLD PROPERTY RECORD 31I5J as OWNER STREET VILLAGE DISTRIG', FORMER OWNE`R-' N E ACREAGE a� 5 wF S V1/ TYPE OF BUILDING RES. _ �d I SEAS. VL. FARM COMM. IND. CB. MISC. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS f .v t � a , r S' (if7 g 101, 1300 �/O J "7 1.3 77 G�>7JS�/• Gt�C eS5 h,. F e SgOca� �OLf?p �2 7 � . a T ---NEW - --}�If � � C 5�� ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD Tillable 1 BULKHEADrod Tillable 2 DOCK Tillable 3 I1 o`tCe9l0- I I �1�7��3.501- n��'�g +e�F �� c _ 4 Woodland ) t 1519t�-3P ��C�O ---T stall � . Nr29-I� � Swampland i dal-L i�►�s 1cI� I B rushland r House Plot Toto I !O 40 c r P i _ I f M. Bldg. _ c Foundation` Bath 1 3 Floors Extension Basement Extension - -__ - Ext. V��alls interior Finish : - _ Extension �5 ' _ Fire Place Heat F _ —- — - - - - t Porch Roo If Type 1 6 — h o Porc Roams 1st Floor Breezeway 1 Pa-io ' Rooms 2nd Floor - — il Garage = Driveway � � � Dormer z t O. B. - s J o r-- �, s