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HomeMy WebLinkAbout#8118-Shannon ZBA application TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL R6 °i DATE: March 26,202�R 1026 TO: Samual Fitzgerald(Shannon) Zoning B°arc Jt Appeals 15 East Putnam Avenue,#234 Greenwich, CT 06830 Please take notice that your application dated February 13,2026: For permit: construct additions and alterations to an existing sin le-f it dwellingat: Location of property: 1950 E ugstrian Avenue Fishers Island.,NY County Tax Map No. 1000—Section 9 Block 6 Lot 4 Is returned herewith and disapproved on the following grounds: The pLopgsed construction on this nonconforming 13,504 sg.ft. (8.110 s . ft.buildable land in the l 80 District is not permitted pllrsuant to Article XXXVI Section 280- 207A 1 a which states,• `the gross floor area shall not exceed the permitted square foot, a calculated as follows. Lots containing up to 10,000 square feet of lot,area.:2 100 s uare feet rnaxirnurn." The proposed gross floor area is 2,446 s . f1.. Additionally.the proposed construction is not ermitted pursuant to Article XX11I Section 280-124 which states lots measuring less than 20,000 s uare;feet in total size re wire a ftont yard setback of35 feet and maximum lot coverage of20"/o. The pLop2sed front yard setback is 15.5 feet and the lot coverage is at 29.6/o 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. - 1mm 1 4 1 Fee:$ Filed By: Assignment No. Vol e1ved APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS APR 20?5 AREA VARIANCE House No. '11i050' Street Equstrian Avenue Hamlet Fishers IslariSning '30ard Q1 appeals SCTM 1000 Section 9 Block 6 Lot(s) 4 Lot Size .31 ac. Zone R-80 I(WE)APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED 3/26/26 BASED ON SURVEY/SITE PLAN DATED 3/23/26 Applicant(s)/Owner(s): Andrew Shannon & Katherine O'Brien Mailing Address: 95 Franklin Street, #5A, New York, NY 10013 Telephone:(04 ) 22-4821 Fax: Email: drewkshannon@gmail.com 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: Sam Fitzgerald Architect, PC for( )Owner(X)Other: Agent Address: 15 E. Putnam Avenue, #234, Greenwich, CT 06830 Telephone: (860) 287-380'8 Fax: Email: sam@sfapc.net Please check to specify who you wish correspondence to be mailed to,from the above names: ( )Applicant/Owner(s), (X)Authorized Representative, ( )Other Name/Address below: WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN DATED 3/23/26 and DENIED AN APPLICATION DATED 2/13/26 FOR: (X)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: XXIII Section: 280 Subsection: 124 Type of Appeal. An Appeal is made for: (X)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 ( )Reversal or Other A prior appeal( )has, ()j has not been made at any time with res ect to this groperty, UNDER Appeal No(s). Year(s). , (Please be sure to research before completing this question or call our office for assistance) Name of Owner: ZBA File# -2 - p y7 REASONS FOR APPEAL. i1"lea.ve he sywc•ific, ad ditional sheets mats he i�s d tcaret- si,naltrre nnluri_ecl1: � d0 1. An undesirable change svill not be produced in the CHARACTER of the neighbor or aQc�ykiidegt�o nearby properties if granted, because: 026 hhtt The subject property has significant zoning hardship: 1) the lot is u i110r; f its zone; 2)the existing house was built in 1880, very close to the public right-of-way, c of Appe* non-conforming front yard setback; 3) a pond covers the back half of the property, significantly reducing the buildable land area and making the existing house non-conforming in lot coverage and GFA. The applicant is seeking to: 1) rebuild the existing two-story west wing of the house, with a slight 63 sq. ft. increase to the existing building footprint (of which 38 sq. ft. is within the required front yard). 2) construct a new 236 sq. ft. screened porch, of which 63 sq. ft. is within the required front yard; 3) construct a new open covered porch of 36 sq. ft., within the required front yard. There will be no substantial visual difference from the pubic road between the existing and improved house. The new additions are modest and will be seamlessly integrated into the architecture of the existing house. The height, scale and overall massing of the house will not change. The additions will not be visible from either of the abutting neighbors to the east and west, and otherwise have no detrimental impact on other nearby properties. '.The benefit sought by the applicant CANNOT be achieved by some method feasible for the applicant to pursue,other than an area variance, because: Any work to a portion of an existing structure with existing zoning non-conformity must go through the variance process. 3. The amount of relief requested is not substantial because: There will be no increase in front yard setback nonconformity as a result of this work. The actual increase to the building footprint within the required front yard will be modest (137 sq. ft.). The lot coverage and GFA relief being sought is also modest -- 2% lot coverage increase, and 244 sq. ft. floor area increase. 4. The variance a ill NOT have an ads erne el'I'm or impact on the physical or ens ironmental conditions in the neishborhood or district because: No adverse impact. This application calls for removing an existing screened porch that is close to the pond's edge, which should have a positive environmental impact. No new encroachment toward the pond is proposed. Otherwise, the proposed additions constitute a modest expansion of the building footprint, with no adverse environmental effect. No increase in traffic as a result of this work. I las the alleg-ed ditGculty been sett created` ; yes, or X, No \Vhy-: The current house is existing non-conforming in every respect that would impact building expansion. It is not possible to add any lot coverage or floor area -- however modest --without seeking a zoning variance. Are there any CoNenants or Restrictions concerniii this land'.' X No Yes(ple;jse furnish a copy) This is the MINIM LAI that is ai #4n )6 LIt*,and al Ile sonu: ti t iw ��c;�C C and I' otQct thr character tat the neiahlvorhood ant����u���th re of t t stt t,�ity. K it *^"tibb^tY t,t °RUav Y gfYt^d at a „.,„r "`wVi.aItNt ,af /�)3 .. to t�ant e 1 , thoi iic d Agent trr; ary l Jilin N subuyrt v%11t �n �1u�tl�iz�w xkwm iumi ttr.nri „:r k,r f t tlt w '"R,d+l„ m Y" r- �•'-"�„r ±, ^ v t l t t'tt " w " ° a �""wwTwgMA{'w f w m APPLICANT'S PROJECT DESCRIPTION Samuel W. Fitzgerald, agent, for 4 p APPLICANT: Andrew Shannon & Katherine O'Brien DATE PREPARE ,- 2/16/26 nrr� ouara of 1.For Demolition of Existing Building Areas App Please describe areas being removed: Permanently removed: Existing screened porch (112 sq. ft.); One-story portion of exist'g house (86 sq. ft.) Existing two-story wing to be removed but rebuilt (638 sq. ft.) 11.New Construction Areas(New Dwelling or New Additions/Extensions): New additions outside existing footprint (63 sq. ft.) as follows: V-6" x 28'-6" (43 sq. ft.) Dimensions of first floor extension: 15'-3 1/2" x 1'-3 1/2" (20 sq. ft.) Covered open porch: 6-0" x 6-0" (36 sq. ft.); Screened porch: 12'-0" x 19'-8" (236 sq. ft.) New additions outside existing footprint (19 sq. ft.) as follows: Dimensions of new second floor: l'-6" x 12'-7" (19 sq. ft.) New addition within existing footprint: 12'-0 1/2" x 16-11" (211 sq. ft.); Dimensions of floor above second level: n/a Height(from finished ground to top of ridge): 31' Is basement or lowest floor area being constructed?If yes,please provide height(above ground)measured from natural existing grade to first floor: 4'4 3 4' 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: Two-sto frame residence with basement, with GFA of 2,202 sq. ft. Number of Floors and Changes WITH Alterations: No change in number of floors or building height. Existing house footprint: 1,820 sq. ft. IV. Calculations of building areas and lot coverage(from surveyor): Existing one-story garage: 296 sq. ft. Existing square footage of buildings on your property: Existing TOTAL coverage: 2,116 sq. ft. Proposed increase of building coverage: 63 s . ft. addition + 236 sq. ft. screened po,rch + 36 sq. ft. covered porch --- TOTAL 323 sq. ft. Square footage of your lot: 8,110 +/- sq. ft. (buildable land area) Percentage of coverage of your lot by building area: Existin -- 27.5% Proposed -- 29.6% V.Purpose of New Construction: Single-Family Residence 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): The pro2erty is flat at the front of the house along the public right-of-w2y, and slopes down rou hly 18% to a ponded area at the rear of the property, It is all lawn with some decorative landscaping, One tree. No marsh or swampy areas. There is no difficulty in meeting code requirements. 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- 4/2012 T t QUESTIONNAIRE cc)ivPr! FOR FILING WITH YOUR ZBA APPLICATIONAPR 9 A. Is the subject premises listed on the real estate market for s&hin Yes X No 9 Boaro of AAp6 B. Are there any proposals to change or alter land contours? X 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? n/a 3.)Is the property bulk headed between the wetlands area and the upland building area? n/a 4.)it your property contains wetianas or pona areas, nave you contactea the Utttce of the Town trustees for its determination of jurisdiction? Yes Please confirm status of your inquiry or application with the Trustees: Application is pending 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? 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 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? No 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? No If yes,please label the proximity of your lands on your survey. 1. Please list present use or operations conducted at this parcel single family residence and the proposed use same (ex:existing single family,proposed:same with rage,pool or other) A Authori signature and' to - 5 - f FORM NO. 4 RE'CPAved 1 TOWN OF SOUTHOLD APR o-9 2026 BUILDING DEPARTMENT Office of the Building Inspector Zoning OUa�O Of Town Hall ApA@� Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26126 Date: 11/20/98 THIS CERTIFIES that the building DWELLING Location of Property E UESTRIAN AVE FISHERS ISLAND (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 009 Block 0006 Lot 004 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 26126 dated NOVEMBER 20F 1998 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 WITH ACCESSORY GUEST COTTAGE The certificate is issued to JOHN F KRAMER & ANO. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING - 1�/17/98 PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. i ` H ilding Inspector Rev. 1/81 - 9 - BUILDING DEPARTMENT TOWN OF SOUTHOLD s � HOUSING CODE INSPECTION REPORT p � q� P LOCATION: ZOrling b(!&f0 Of at SUBDIVISION: MAP NO.: LOT (S) Appe NAME OF OWNER (S) : , OCCUPANCY: ADMITTED BY: ACCOMPANIED BY: , KEY AVAILABLE: YES SUFF. CO. TAX MAP NO. : , SOURCE OF REQUEST: STEPH DATE: 11/20/98 DWELLING: TYPE OF CONSTRUCTION: kMD Eo= # STORIES: 2.a # EXITS: 4 FOUNDATION: CELLAR: PART, CRAWL SPACE: PART. TOTAL ROOMS: 1ST FLR.: 2ND FLR.: 3RD FLR.: _Q BATHROOM(S) : 3.0 TOILET ROOM(S) : 1.0 UTILITY ROOM(S) : PORCH TYPE: DECK TYPE: WOOD PATIO TYPE: , BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: TANFiTEgS AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: HOTWATER: XX __ OTHER: ACCESSORY STRUCTURES GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: NQQD OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE a � i pip A � I r d u i � : a 4 a 1 P X A p, fryry A pM NrN A C N REMARKS: r INSPECTED BY: DATE ON INSPECTION: 11/17/98 ER E. WALL TIME START: END: 1 FORM NO. 4 TOWN OF SOUTHOLD APR ® 9 2026 Office ofItheNBuilding Inspector On'ny o8ra of ,ppe ab Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30934 Date: 05 26 05 THIS CERTIFIES that the building ADDITION Location of Property: EQUESTRIAN AVE FISHERS ISLAND, (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 9 Block 6 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 18 2005 pursuant to which Building Permit No. 31143-Z dated MAY 18, 2005 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 SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PHILIPPE KRAKOWSKY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ,,,-L f- /-f� i 7Signature t Rev. 1/81 - 6- Town of Southold Annex 6/27/2011 NO, 54375 Main Road e�@I�/� Southold,New York 11971 APR 0-9 2026 16 11 Zoning 8oara of Ap _. __ CERTIFICATE OF OCCUPANCY No: 35027 Date: 6/27/2011 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: EQUESTRIAN AVE FISHERS ISLAND,N.Y. 06390, SCTM#: 473889 Sec/Block/Lot: 9.-6-4 Subdivision: Filled Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 3/29/2011 pursuant to which Building Permit No. 36272 dated 3/29/2011 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: alterations to are existing one faMk dwelling as aovlied for. The certificate is issued to Guimaraes,George&Guimaraes,Mary (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 36272 6/27/11 PLUMBERS CERTIFICATION DATED Peter Mrowka 6/7/11 hha " Si store - 7- Town of Southold Annex +% ,,I 6/22/2011 54375 Main Road Vec d Southold,New York 11971 APP Zonin 'Q t'oaro of CERTIFICATE OF OCCUPANCY No: 35009 Date: 6/22/2011 THIS CERTIFIES that the building ACCESSORY GARAGE Location of Property: EQUESTRIAN AVE FISHERS ISLAND,N.Y.06390, SCTM#: 473889 Sec/Block/Lot: 9.-6-4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 9/29/2011 pursuant to which Building Permit No. 36274 dated 3/29/2011 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: alteration to an existing accesso ggrage a; applied for. The certificate is issued to Guimaraes,George&Guimaraes,Mary (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED no) �u t S"yu atur+e - 8 - APP y , p 26 a AGRICULTURAL DATA STATEMENT Zor,�n9 'o of Anpeab 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.: Andrew Shannon & Katherine O'Brien 2. Address of Applicant: 95 Franklin Street, #6A, Niw York, 01 3. Name of Land Owner(if other than Applicant) 4. Address of Land Owner: Same 5. Description of Proposed Proyect: l eblaild existin q two-story west wing of house with very sli ht increase in footprint _ Pro osed 26 s , screened orch� ro osed 36 s . ft. open covered ent porch 6. Location of Property:(road and Tax map number) 1950 E uestrian Avenue, Fishers Island, NY SCTM# 1000 ---9 ---6---4 7. Is the parcel within 500 feet of a farm operation? { } Yes ()KNo 8. Is this parcel actively farmed? { ) Yes (X 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 I. 2. 3. 4. 5. 6. (Please use the back of this page if there are additional property owners) i I Sign ofApp tc nt 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. State of New York County of New York MICHAEL ALEXANDER DOCKETT COMMISSIONER OF DEEDS Sv�ortt to before rile CITY OF NEW YORK NO. 4-10420 thiS i.6 day of CERTIFICATE FILE IN NEW YORK n- 201--k COMMISSION EXPIRES 01/01/2028 Appendix B Op � Short Environmental Assessment Form , tt � Instructions for Cow letin 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 1-Project and Sponsor Information Name of Action or Project: Additions to the Andrew Shannon & Katherine O'Brien residence Project Location(describe,and attach a location map): 1950 Equestrian Avenue, Fishers Island, NY SCTM# 1000 --- 9 --- 6 ---4 Brief Description of Proposed Action: Rebuild existing two-story west wing of house, with very slight increase in footprint Proposed 236 sq. ft. screened porch Proposed 36 sq. ft. open covered entry porch Name of Applicant or Sponsor: Telephone: 860-287-3808 Samuel W. Fitzgerald, agent E-Mail: sam@sfapc.net Address: 15 E. Putnam Avenue, #234, Greenwich, CT 06830 City/PO: State: Zip Code: Greenwich CT 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: ZBA, Trustees, DEC and Building Department X 3.a.Total acreage of the site of the proposed action? • _ + - acres b.Total acreage to be physically disturbed? .0033 +/- acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? .31 +/- acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial P(Residential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 - 11 - 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? X b.Consistent with the adopted comprehensive plan? X 6. Is the proposed action consistent with the predominant character of the existing ilt or 6t NO YES landscape? X 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical 7Jn r rea? NO YES If Yes,identify: Fishers Island X nr r 8. a.Will the proposed action result in a substantial increase in traffic above present levels? ENOYES 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: X 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: X 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: Septic on property 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? X 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? X 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 M 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? X 16.Is the project site located in the 100 year flood plain? NO YES X 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, X a.Will storm water discharges flow to adjacent properties? ([NO❑YES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO 09 YES xl atln en new owns outs t� c+ new e s Page 2 of 4 - 12 - 18.Does the proposed action include constru....,in or other activities that result in the impounc ht of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: X 19.Has the site of the proposed action or an adjoining property been the locatronf4afi closed NO YES solid waste management facility? If Yes,describe„ Q P.� l") _ X ortdn . 20.Has the site of the proposed action or an adjoining property been the subject of remediatiat(ora ing or NO YES completed)for hazardous waste? If Yes,describe: X I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor ante: Date: 31 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 o ortunities? 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 - 13 - p . 1 q� ,No},�r Moderate Mall to large impact impact APR Q tnMp occur 10. Will the proposed action result in an increase in the potential for erosion,floo 9ra'42W Dt AppeB Ig 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 - 14 - ReceAv,t�d APR 0-9 2026 ucaro Boards of Zoning Aggaeal Application Zoning of AApealB AUTHORIZATION (Where the Applicant is not the Owner) I, Andrew Shannon & Katherine O'Brien residing at 95 Franklin Street, #5A (Print property owner's name) (Mailing Address) New York, NY 10013 do hereby authorize Samuel W. Fitzgerald, (Agent) Architect to apply for variance(s)on my behalf from the Southold Zoning Board of Appeals. (Owner's Sigrtature (Print Owner's Name) I/ r k C✓N State of New York r County of New York Sworn to before me MICHAEL ALEXANDER DOCKETT this.U%,day of COMMISSIONER OF DEEDS kbus i, ) 20i& CITY OF NEW YORK NO. 4-10420 CERTIFICATE FILE IN NEW YORK COMMISSION EXPIRES 01/01/2028 - 15- F' 2026 APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORK Uuc->u ul Appea T e Togg of SouthoLds Code of Ethics ro is conflicts of interest on the part of town officers and eMjjjojeesL The numose of this form is 1g,gravide information can alert the town ofumitle coafficts of Interest a it Lq take whatever mfign is necessary to avoid some. YOUR NAME: Andrew Shannon (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 X 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) C)an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP '] State of New York �1gam to before me' Submitted this L L day of ,20 2- y t his LL day of Count of New York Signature Print Name n A v MICHAEL ALEXANDER DOCKETT COMMISSIONER OF DEEDS CITY OF NEW YORK NO. 4-10420 - 16- CERTIFICATE FILE IN NEW YORK COMMISSION EXPIRES 01/01/2028 ........ ............ APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM - ed The 12wn of Southold's Code of Ethics p_jo_h1bits conflicts of interest on the nail of town officers and cifiul$o°" 0 scr of this form is to provide info rnia 'on which can alert the town of possible mflicts of intore and allow it to take wlidt action Is necessat:y to avoid same. Zoning ooarc of Appeals YOUR NAMEE: Katherine O'Brien (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 X 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 an 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 State of New York Sworn to ofore me Submitted this day o 20 OL County of New York this&A day of V-L%&J� 2*16 ui Signat � day of -0 Print Name K V1Q- MICHAEL ALEXANDER DOCKETT COMMISSIONER OF DEEDS CITY OF NEW YORK NO. 4-10420 CERTIFICATE FILE IN NEW YORK COMMISSION EXPIRES 01/01/2028 AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Sout - _hod's Code of Ethics prohibit conflicts of interest on the part of town officerc and emp o e The- o this form is to provide information which can alert the town of possible conflicts of i9terest and allow It to take,whatever action is necessary to avoid same. 01 Appeals YOUR NAME . Samuel W. Fitzgerald (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 X 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 day of 20 7-G- Signature hot Print Name - 18 - Town of Southold (^ 00!! } LWRP CONSISTENCY ASSESSMENT FORM cd A. INSTRUCTIONS Zonis�, of Appeals 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# 9 6 - 4 The Application has been submitted to(check appropriate response): Town Board 0 Planning Dept. E Building Dept. 0 Board of Trustees © ZBA 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital construction,planning activity,agency regulation,land transaction) (b) Financial assistance(e.g. grant,loan, subsidy) (c) Permit,approval,license,certification: Nature and extent of action: Rebuild existing two-sto y west wing of house with ve slight increase in footprint Proposed newly-constructed 236 sq. ft. screened porch Proposed newly-constructed 36 sq. ft. open covered entry porch - 19 - Location of action: 1950Equestrian Avenue, Fishers Island, NY 06390 Zorn", of APMO Site acreage: .31+/- acres Present land use: Single family residential Present zoning classification: R-80 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: Samuel W. Fitzgerald, agent (b) Mailing address: 15 E. Putnam Avenue, #234, Greenwich, CT 06830 (c) Telephone number:Area Code( ) 860-287-3808 (d) Application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes 11 No N 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. See LWRP Section 268-3(F)-minor LWRP actions are exempt Yes � No Not Applicable The proposed two-story addition will be set way back from the road, The additions will be of a scale commiserate with the neighborhood. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria 0 Yes 0 No rX] Not Applicable See LWRP Section 268-3(F)-minor LWRP actions are exempt The existing house was built in the 1880's and is of a distinctive Queen Anne style. The house will be restored and its architectural integrity preserved with the new work. No issues of historic or archaeological preservation are relevant here. -20 - 202 Attach additional sheets if necessary APR 0 9 Policy 3. Enhance visual quality and protect scenic resources throuiGnp6t&ft Toxt Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria i 0 Yes 0 No © Not Applicable See LWRP Section 268-3(F)-minor LWRP actions are exempt The proposed additions are quite small and will have no impact on the visual quality of the the town Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria 0 Yes 0 No © Not Applicable See LWRP Section 268-3(F)-minor LWRP actions are exempt 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 11 No ©Not Applicable See LWRP Section 268-3(F)-minor LWRP actions are exempt Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. Yes 0 No© Not Applicable See LWRP Section 268-3(F)-minor LWRP actions are exempt - 21 - ocelve n Y Attach additional sheets if necessary Zoning of App2818 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 R No© Not Applicable See LWRP Section 268-3(F)-minor LWRP actions are exempt Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. 0 Yes ❑ No © Not Applicable See LWRP Section 268-3(F)-minor LWRP actions are exempt 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. 11 YeF1 No© Not Applicable See LWRP Section 268-3(F)-minor LWRP actions are exempt Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. Yes ❑ No 0 Not Applicable - 22 - C Of P'P 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. E] Yes ❑ No © Not Applicable See LWRP Section 268-3(F)-minor LWRP actions are exempt 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. 11 Yes El No 1E Not Applicable See LWRP Section 268-3(F)-minor LWRP actions are exempt 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 See LWRP Section 268-3(F)-minor LWRP actions are exempt 24 Created on 5125105 11:20 AM - 23 - PERTI 4 TOWN OF SOUTHOLD Pot� CA D 076 ��o_5 CT SUB. LOT OWNERIA- unck, STREET CA S VILLAGE Se I- FORMER OWNER: N E ACREAGE 5511L,,i!" W TYPEE OF BUILDING :ES. /A SEAS. VL, FARM comm. I IND. CB. misc. Est. Mkt. Value LAND lmp. TOTAL DATE REMARKS X • "if b s0 _ CD 1CQ 2 AGE BUILDING CONDITION f",27 NEW NORMAL BELOW ABOVE # FRONTAGE ON WATER,,/�,.;� Farm Acre Value Per Acre Value FRONTAGE ON ROAD BULKHEAD / i- ,,) Tillable I L DOCK Tillable 2 S)S L4 S �j j r! Low_t�_�D-lacc, Tillable 3 PIP4 3l Jfft 91 Woodland Swampland _31V9 (I�a -—------- Brushlan 'g, House Plot Totz, i T � x A �.Y - _ - o T� /r g _ t l000 MMM > .. TOM- 9,64 3/13 I �� CD T n 9-6-4, 02/02 ' i CD CCL # s ( ` N t o r 3 o? M. Bldg. Foundation Both 93 fit � � Extension j3 j Basement ,.�" Floors i yak j s �. �I t1l Extension °�� � E- Walls 's Interior Finish E t _ Extension ; Fire Place He =v 0J ` l 0 r" Porch Roof Type r / _ Porch Rooms 1 st Floor I Breezeway ' *�' �� o Patio Rooms 2nd Floor Garage 3 iveway Dormeru t 9 _ <, r -