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Home My WebLink AboutMallas application RECEIVED TOWN OF SOUTHOLD APR U 8 2026 BUILDING DEPARTMENT SOUTHOLD,NY ZONING BOARD OF APPEALS NOTICE OF DISAPPROVAL DATE: March 2,2026 TO: Chris Rivera(Mallas) 250 Sound Beach Drive Mattituck,NY 11952 Please take notice that your application dated January 12, 2026: For permit:to le dize an"as built"accessory shed(under 144 sq. ft.)at: Location of property: 420 Summit Drive Mattituck NY County Tax Map No. 1000—Section 106 Block 2 Lot 8 Is returned herewith and disapproved on the following grounds: The"a ermitt:ed grrr�ant to tticle ll1 Section 217-15 which states acesso buildira sand structures shall be located in the required rear yard. The accesso is located in a and other than tlae rear yard. 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. APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS AREA VARIANCE House No ZO Streets" "^•1c Hamlet . !"3 (6 a SCTM 1000 Section: ^ Block. Lots) Lot Size:_ eSr Zone 4 a I (WE) APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED BASED ON SURVEY/SITE PLAN DATED Owner(s): a vk f A'1(* Mailing Address: zo M. �� L S' 1Q S'z Telephone: (a r- g Fax: Email: 4 t r r_y4. �11 (•��, 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: 7R r V e.11'w. for( )Owner(-Ybther: Address: Telephone-S)Ea .2 Fax: Email: �t+w Please check to specify who you wish correspondence to be mailed to,from the above names: ( ) Applicant/Owner(s), ( —tthorized Representative, ( ) Other Name/Address below: WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN DATED and DENIED AN APPLICATION DATED FOR: ( ) Building Permit ( ) Certificate of Occupancy ( )Pre-Certificate of Occupancy ( ) Change of Use ( rmit 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Do not quote the code.)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: Section: Subsection: Type of Appeal. An Appeal is made for: ( Variance to the Zoning Code or Zoning Map. ( )A Variance due to lack of access required by New York Town Law- Section 280-A. ( ) p Inter retation of the Town Code ArticleSection, ( )Request for Reversal or Overturn the Zoning Officer's Denial Other A prior appeal (A has, as not been made at any time with respect,to this property, UNDER Appeal No(s). Year(s). (Please be sure to research before completing this question or call our office far assistance) ' RECEIVED APR U 8 2026 ZONING BOARD OF APPEALS Page 2, Area Variance Application Revised 6/2023 RECEIVED REASONS FOR APPEAL APR 0 8 2026 (Please be specific, additional sheets may be used with preparer's signature notarized): 1.An undesirable change will not be produced in the CHARACTER of the neigIMN040 1110AIR01MAPPEALS nearby properties if granted,because: $ n,t4 0,^4 �r. +'0 +w.S VA « 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: J6t4— L a {- j S O-, a- a rye_. "'Jo f.d. VNOvf•e,i Pcw'l a*.l- L"A-V— lac•, � P,o L. C�— -V>,r6-p 4-t 6,C J4 eVICIS 4.1 0 4j, 3. The amount of relief requested is not substantial because: s W e.z�. fNa +- be- I>U+ 4.The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because. +., �• b t sv 5. Has the alleged difficulty been self created? ( --'yes, or ( ; No Why: • Are there any Covenants or Restrictions concerning this land? (01 No 1 } Yes (please furnish a copy) w• 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. w 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 of Applicant or Authorized Agent (Agent must submit written Authorization from Owner) Sworn to before me this '1 day CONNIE D.BUNCH Notary Public,State of New York of A 1 "3 20 a�_ No.01 BU6185050 �t�� Qualified in Suffolk County F Commission Expires April 14,2 PaF5 Notary Public Zoning Board of Appeals APPLICANT'S PROJECT DESCRIPTION APPLICANT: STtrG 5 A A& SCTM No. 1. For Demolition of Existing Building Areas RECEIVED Please describe areas being removed: ' II.New Construction Areas (New Dwelling or New Additions/Extensions): ZONING BOARD OF APPEALS Dimensions of first floor extension: Dimensions of new second floor: Dimensions of floor above second level: Height(from existing natural grade): Is basement or lowest floor area being constructed? If yes, please provide height (above ground) measured from natural existing grade to first floor: III.Proposed Construction Description (Alterations or Structural Changes) (Attach extra sheet if necessary). Please describe building areas Number of Floors and General Characteristics BEFORE Alterations.40 Number of Floors and Changes WITH Alterations: IV. Calculations of building areas and lot coverage,sky plane(From Surveyor,Design Professional): Existing square footage of buildings on your property: _„_ �. .- Proposed increase of building coverage: Square footage of your lot:.. ... —3 Percentage of coverage of your lot by building area(lot coverage) ..«....... Gross 1Mloor Area GFA 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): For Residential lots, is project within the allowable Sky Plane?(Please refer to Chapter 280, Section 280-208 of the Town Code): .... V. Purpose of New Construction: l v ' 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: a a Please submit 8 sets of photos,labeled to s ow different angles of yard real 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 RECEIVED A. Is the subject premises urrently listed on the real estate market for sale? Yes APR 0 8 2026 an proposals B. Are y p p alter land contours? ZONING BOARD OF APPEALS tl o Yes, please explain on separate sheet. C. 1.) Are there areas that contain sand or wetland grasses? /f/a 2.)Are those areas shown on the survey submitted with this application? property p Iding area? 3. Is thebulk headed between the wetlands area and the upland bui44 4.) If your property contains wetlands or pond areas, have you contacted the Office of the BOARD OF TRUSTEES for its determination of jurisdiction?_ 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 th area of proposed construction at or below five feet above mean sea level? � E. Are there any patios, concrete barriers, bulkheads or fences that exist that are not shown on the survey that you are submitting? If any of the aforementioned items exist n 10 operay, please show them on a site plan. F. Are there any construction projects currently in process on your property? � If yes, please submit a copy of your building perm ;nd survey as a p oveddy the Building Departm it and please describe scope of work: C,� a a"" , d. v 41;cJcL, , 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? " 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 operati conductedX y ur property, and/or the proposed use - (examples:existing single family;proposed:same with garage,pool or other) AI Authorized signatur Date I FORM NO. 4 RECEIVED TOWN OF SOUTHOLD ` BUILDING DEPARTMENT APR U 8 2026 Town Clerk's Office Southold, N. Y. ZONING BOARD OF APPEALS Certificate Of Occupancy NoZ5798. . . . . . . Date . . . . . . . . .Feb. . . . . . . . . . . , 19. . .. THIS CERTIFIES that the building located at . ft=tt Dr XA . . » . . . . . . . . Street Map No.g4Ft MO. • Block No. . . . . . . . . . Lot No. P$?!t V80. . . Mattituck N.Y. conforms substantially to the Application for Building Permit heretofore filed in this office dated . ° . . . Maur ° ° 15 . . . , 19 73. pursuant to which Building Permit No. . M3Z dated . . . . . . . .Mai • . • • 15 , 19.73., 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 P37iyate, one.family dwelling , , , . , ,, , . . . . . . . . . . . . . . . . .. . . . . . . . . . . The certificate is issued to Peter Ketoz Owner� . • • » » » » » ° - - • « . ~ ° " ' " ' ° ' ' ' ' " . . . ` (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval N•�' UNDERWRITERS CERTIFICATE No. .P.endin9• • • • • • • » • • ° • • • « • ° . ° . « « • . . • . HOUSE NUMBER . . . ?P0 - . . . . Street Summ3 DPi ve. . . . . . . . . . . . . . . .. I . .. . .. Building Inspector ' •. Town of Southold Annex 4/13/2012 +t , P.O. Box 1179 54375 Main Road RECEIVED Southold, New York 11971 l APR U 8 2026 CERTIFICATE OF OCCUPANC'VNc BOARD OF APPEALS No: 35537 Date: 4/13/2012 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 420 Summit Dr, Mattituck, SCTM#: 473889 Sec/Block/Lot: 106.-2-8 Subdivision: _ _ _ • • Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this of6ced dated 2/21/2012 pursuant to which Building Permit No. 37019 dated 2/27/2012 was issued, an d conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: g1ter existing , to sunrooxn on an e:ci tint;oaie fantil dwellin as atv fi for- The certificate is issued to Mallas,Stella ,,,,,_,_ ........... _ (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37019 4/9/12 PLUMBERS CERTIFICATION DATED . Au�ot"i Si urn 37 TOWN OF SOUTHOLD BUILDING DEPARTMENT RECEIVED a TOWN CLERK'S OFFICE h SOUTHOLD, NY APR U 8 2026 BUILDING PERMIT ZONING BOARD OF APPEALS (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE S ET OF APPR04'ED PLAN S AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 48504 Date: 11/17/2022 Permission is hereby granted to: Mallas, Stella 420 Summit Dr Mattltuck, NY 11952 To: construct accessory garage with unfinished attic as applied for per ZBA approval. At premises located at: 420 Summit Dr Mattituck SCTM #473889 See/Block/Lot# 106.-2-8 Pursuant to application dated 914/2022 and approved by the Building Inspector. To expire on 5/1812024. Fees: ACCESSORY $404.00 CO-ACCESSORY BUILDING $50.00 Total: $454.00 Building Inspector TOWN OF SOUTHOLD RECEIVED BUILDING DEPARTMENT " TOWN CLERK'S OFFICE APR U 8 2026 SOUTHOLD, NY BUILDING PERMIT ZONING BOARD OF APPEALS (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 48502 Date: 11/17/2022 Permission is hereby granted to: Mallas, Stella 420 Summit Dr Mattituck NY 11962 To: demolish (as per Town Code definition) and reconstruct a single-family dwelling as applied for per ZBA & SCHD approvals. At premises located at: 420 Summit Dl, Mattituck SCTM #473889 Sec/Block/Lot# 106.-2-8 Pursuant to application dated 9/4/2022 and approved by the Building Inspector, To expire on 5/18/2024. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $1,709.60 CO-NEW DWELLING $50.00 Total: $1,759.60 Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, NY RECEIVED APR U 8 2026 BUILDING PERMIT ZONING BOARD OF APPEALS RENEWED (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 50073 Date: 11/29/2023 Permission is hereby granted to: Renewal Date: 12/10/2025 Stella Mallas 420 Summit Dr Mattituck, NY 11952 To: construct accessory in-ground swimming pool as applied for perZBA approval. replaces by#48503 Premises Located at: 420 Summit Dr, Mattituck, NY 11952 SCTM# 106.-2-8 Pursuant to application dated 09/04/2022 and approved by the Building Inspector. To expire on 12/10/2027. Contractors: Fees: $200.00 Renewal Fee Total 200 Iui lding Inspector G BOARD MEMBERS ®f soy Southold Town Hall Leslie Kanes Weisman,Chairperson �' 53095 Main Road•P.O.Box 1179 Southold,NY 11971-0959 Patricia Acampora � Office I-ocat on: Eric Dantes Town Annex/First Floor, Robert Lehnert,Jr. 54375 Main Road(at Youngs Avenue) Nicholas Planamento c®UNTI Southold,NY 11971 RECEIVED http://southoldtownny.gov ZONING BOARD OF APPEALS RECEIVE® APR U 8 2026 TOWN OF SOUTHOLD Z� Tel.(631) 765-1809 a Fax(631)765-9064 JUN 2 3 2022 ZONING BOARD OF APPEALS FINDINGS, DELIBERATIONS AND DETERMINATIOI-Southold Town Clerk MEETING OF TUNE 16,2022 ZBA FILE: 7633 NAME OF APPLICANT: Stella Mallas PROPERTY LOCATION: 420 Summit Drive,Mattituck,NY SCTM No. 1000-106-2-8 5 Q A IWDETER14'ICNAT1ON: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions, without further steps under SEQRA. SL11°FQLK COUNTY ADl' IINIS l'kt ATIV'E CDE: (This application was not required to be referred to the Suffolk County Department of Planning under the Suffolk County Administrative Code Sections A 14-14 to 23. LV,rRP DETERMINATION: The relief, permit, or interpretation requested in this application is listed under the Minor Actions exempt list andis not subject to review under Chapter 268. PIIQPERLFY FACTS1DE5CRIPTI0N., The subject property is a 23,340 sq.ft. non-conforming parcel located in an R-40 Zoning District, The parcel has a 175.00 feet frontage on Summit Drive,then turns south for 140.91 feet toward the rear property line where it turns west for 181.9 feet before returning for 121.35 feet back to Summit Drive. The property is improved with an existing two-story house along with various retaining walls and an existing chicken coop at the western end of the property. All as shown on survey prepared by Ralph D.Heil,L.S., revised"hove aber 24, 2021. BASIS OF APPLIC ON: Request for Variances from Article III, Section 280-15; Article XXIII, Section 280- 124; and Building Inspector's December 15, 2021 Notice of Disapproval based on an application for a permit to demolish and construct a single family dwelling, construct an accessory in-ground swimming pool, construct an accessory garage and legalize an "as built" accessory coop at; 1) dwelling located less than the code required minimum rear yard setback of 50 feet; 2) accessory garage located in other than the code permitted rear yard-; 3) swimming pool located in other than the code permitted rear yard; 4) coop located less than the code required minimum rear yard setback of 10 feet; 5)coop located less than the code required minimum side yard setback of 10 feet; located at 420 Summit Drive,Mattituck,NY. SCTM No. 1000-106-2-8. RELIEF REQUESTED: The applicant requests variances for the following: a) Variance for the code defined 1 demolition of the house with an existing rear yard setback of 19.8 feet where a minimum of 50 feet is required. b) The proposed accessory garage is placed in the side yard where a rear yard placement is required. RECEIVED Q Ul Page 2,June 16,2022 APR 0 8 2026 #7633, Mallas SCTM No. 1000-106-2-8 ZONING BOARb OF APPEALS c) The proposed inground swimming pool is placed in the side yard where a rear yard placement is required. d) The "existing" chicken coop has a rear and side yard setback of.4 feet where a minimum rear and side yard setback of 10 feet is required. ADDITIONAL 1NLQO MATION: The current house on the property was built in the early 1970's and has a Certificate of Occupancy(#4445)dated October 28, 1971. There is another Certificate of Occupancy(#5798)dated Feb 20, 1974 for the same one-family house. There was an alteration of the porch to a sunroom which has a Certificate of Occupancy(935537)dated April 13,2012. The Board received three letters in support from neighbors. FINDINGS OF FACT/REASONS FOR BOATS D ACTION: The Zoning Board of Appeals held a public hearing on this application on June 2. 2022 at which time written and oral evidence were presented. Based upon all testimony, documentation, personal inspection of the property and surrounding neighborhood, and other evidence,the Zoning Board finds the following facts to be true and relevant and makes the following findings: 1. Town Law 4267'-h(3)(b)(1,). Grant-of the variances will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. Due to the location and elevation of the house,which is set to the rear of the property,there is no other feasible location for an accessory garage and swimming pool. The proposed garage and swimming pool are set to the rear of the house,but due to the shape of the house they fall in the side yard. The setback variance for the house results from to the amount of construction and work done to the house which by code is deemed a demolition, but the footprint of the existing house is to remain the same. As for the chicken coop, it is set back along a high retaining wall, and is not visible from either the street or the neighboring properties. Therefore, there will be no change in the character of the neighborhood. 2. Town Law 267-b .h 2 . The benefit sought by the applicant or cannot be achieved by some method,feasible for the applicant to pursue, other than an area variance. Due to the existing location of the house,and the amount of work being proposed, it would require an area variance. The proposed accessory structures would also require area variances due to the existing house location. Therefore, there is no feasible method other than an area variance to complete the proposed work. 3. Town Law 267-1a . The variances granted herein are mathematically substantial. a) The technical demolition of the house and placing the dwelling 19.8 feet from the rear yard property line represent 61 %relief from the code. b) Both the proposed detached accessory garage and in-ground swimming pool represents 100% relief from the code. c) The existing"as-built"chicken coop represents almost 99% relief from the code. However,the footprint of the existing house is not changing,which makes the setback compliant with the previous Certificate of Occupancy. This puts the location of the accessory structures in the only feasible space,while still behind most of the house, but still in the side yard. The chicken coop cannot be seen from either the road or the neighbors due to its location and the retaining walls it sits near. 4. Town Law 267-h Q 4'. No evidence has been submitted to suggest that a variance in this residential community will have an adverse impact on the physical or environmental conditions in the neighborhood. The property is significantly screened from neighbors with vegetation. The applicant must comply with Chapter 236 of the Town's Storm Water Management Code and the conditions of this board. RECEIVED f Page 2,June 16,2022 APR 0 8 2026 #7633,Mallas SCTM No. 1000-106-2-8 ZONING BOARD OF APPEALS 5. Town Law 267-b 3 b . The difficulty has been self-created. The applicant purchased the parcel after the Zoning Code was in effect and it is presumed that the applicant had actual or constructive knowledge of the limitations on the use of the parcel under the Zoning Code in effect prior to or at the time of purchase. 6. Town Law 267-b., Grant of the requested relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of a. renovated house, accessory garage, swimming pool, and chicken coop while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. RESOLUTION OF'THE BOARD,: In considering all of the above factors and applying the balancing test under New York Town Law 267-13,motion was offered by Member Lehnert, seconded by Member Dantes,and duly carried,to GRANT the variances as applied for and shown on the survey prepared by Ralph 0' Heil, L.S., last revised November 24,2021,and Architectural Plans(Sheets A-1 thru A-4)drawn by Michael Macrina,Architect,last revised January 25,2021. SUBJECT TO THE FOLLOWING CONDITIONS: 1. Swimming Pool pump equipmendmechanicals must be located a minimum of 20 feet from any property line or be contained in a shed type enclosure with a lot line set back that is in conformance with the bulk schedule for accessory structures. 2. A Drywell for pool de-watering shall be installed. 3. Prior to receiving a building permit,the owner(s)of the subject property cited herein must sign a statement acknowledging: a. That the applicant(s)have read this determination and understand the limits of the variance relief granted herein. b. That the applicant(s)will immediately contact the Building Department if a demolition, as defined by Section 280-4 of the Town Code,i occurs during construction, or any construction undertaken in any other way exceeds the scope of the approvals granted herein, or the issued building permit; c. That the applicants are aware that the Zoning Board of Appeals retains jurisdiction until the issuance of the Certificate of Occupancy and has the right, after a public hearing, to modify, suspend or revoke such approvals or any term or condition thereof or to impose thereon one or more new conditions, pursuant to Article XXV, Section 280-141 of the Town Code. 4. The applicant must apply to the Building Department for a building permit for the "as built" improvement(s) within 90 days of the date of this decision and submit same to the Office of the Zoning Board of Appeals, or submit a written request for an extension to the Board of Appeals setting forth the reason(s)why the applicant was unable to obtain a building permit in the time allotted. 5 The applicant must obtain a Certificate of Occupancy from the Building Department for the "as built" improvement(s)and submit same to the Office of the Zoning Board of Appeals within 12 months of this decision or submit a written request for an extension to the Board of Appeals setting forth the reason(s) why the applicant was unable to obtain a Certificate of occupancy in the time allotted. NOTE: Section 280-4 of the Town Code defines"Demolition"as any removal of a structure or portion thereof, where the total cost of the reconstruction of the structure or portion thereof exceeds 50% of the market value of the existing structure before the start of removal. "- RECEIVED Page 2,June 16,2022 APR U 8 2026 U C #7633, MalIas SCTM No. 1000-106-2-8 ZONING BOARD OF APPEALS This approval shall not be deemed effective until the required conditions have been met. At the discretion of the Board of Appeals,failure to comply with the above conditions may render this decision null and void That the above conditions be written into the Building Inspector's Certificate of Occupancy, when issued. The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does not increase the degree of nonconformity. Any deviation from the survey, site plan and/or architectural drawings cited in this decision will result in delays and/or apossible denial by the Building Department of a buildingpermit, and may require a new application and public hearing before the Zoning Board of Appeals. Any deviation from the variances) granted herein as shown on the architectural drawings, site plan and/or survey cited above, such as alterations, extensions, or demolitions, are not authorized under this application when involving nonconformities under the zoning code. This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. IMPORTANT TIME LIMITS ON THIS APPROVAL 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. Failure to comply in a timely manner may result in the denial by the Building Department of a Certificate of Occupancy,nullify the approved variance relief, and require a new variance application with public hearing before the Board of Appeals Vote of the Board: Ayes: Members Weisman (Chairperson) Dantes, Planamento,Acampora,and Lehnert. This Resolution was duly adopted(5-0) Leslie Kanes Weisman, Chairperson Approved for filing /// /2022 RECEIVED 617.20 Appendix B APR 0 8 2026 Short Environmental Assessment Form Instructions for Completing ZONING BOARD OF APPEALS Part I - 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 I 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: Project Location(describe,and attach a location map): Brief Description of Proposed Action: _0 Name of Applicant or S onsor: Telephone: G Address: City/PO: State: Zip Code: /) yf' Z, 1.Doe the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: J 3.a.Total acreage of the site of the proposed action? acres b.Total acreage to be physically disturbed? acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial TrIZesidential(suburban) ❑Forest ❑ Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 RECEIVED 5. Is the proposed action, APR NO YES N/A a.A permitted use under the zoning regulations? qi b.Consistent with the adopted comprehensive plan? ZONING BOARD O App: 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ✓ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES 1f Yes,identif y: 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: n 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? VNO YES If No,describe method for providing wastewater treatment: 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? b.Is the proposed action located in an archeological sensitive area? 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ✓ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑Shoreline ❑Forest ❑Agr`cultural/grasslands ❑Early mid-successional ❑ Wetland ❑Urban lKuburban 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? 0❑YES b.Will storm water discharges be directed to established conveyance systems(runo and storm drains)? If Yes,briefly describe: =0❑YES Page 2 of 4 x 18.Does the proposed action include construction or other activities that result in t e impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: - APRAIL mg 19.Has the site of the proposed action or an adjoining property been MAMBO o ac i e o o NO YES solid waste management facility? If Yes,describe: v 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: (f I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY WLEDGE -4011 Applicant/sponsor li name: Date: 2 Signature: 0 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 ener 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 occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact, including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. I RECEIVED APR 0 8 2026 ZONING BOARD OF APPEALS ❑ 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. 13 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 I Page 9—Use Variance Application, Revision Nov.2023 Board of Zoning Appeals Application RECEIVED OWNER'S AUTHORIZATION APR 0 8 2026 (Where the Applicant is not the Owner) ZONING BOARD OF APPEALS residing at lv WrIw lI (Print property owner's name) (Mailing Address) do hereby authorize (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 IIESPOIV'SI:BILITY TOE NSURE COMPLIANCE WITH TTIE CODE REQUIRED TIME FRAME DESCRIBED HEREIN. do J4/ ,"e//, l� (Owner's Signature) (Dated) (Print Owner's Name) Revised 12/30/2025 RECEIVED APR U 8 2026 APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM ZONING BOARD OF APPEALS The Town of Southold's Code of Ethics rohibits conflicts of interest on the se of this form is to nrovide information which can alert the town of possible conflicts of interest and allow it to take_wbatever action is necessay to avoid same. YOUR NAME : (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning Do you personally(or through your company,spouse,sibling, parent,or child) have a relationship with any officer or employee of the Town of Southold?"Relationship" includes by blood, marriage,or business interest. "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5% of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee. Either check the appropriate line A)through D) and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation) B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation) Q an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP A Submitted this 6- day of M 20 ZG Signature Print Name RECEIVED S 120 APR U 8 2026 AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORIONING BOARD OF APPEALS 'rhe Town of Southold's C2de of Ethics prohibits conflicts of interest on the part of town-officers nand emplovees�The oucafLse of this form is to provide information which can alert.the.town of Possible conflicts o interest and allow it to take whatever action is necessary to avoid same. YOUR NAME : U, C�, (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance Trustee Permit Change of Zone Coastal Erosion Approval of Plat- Mooring Other(activity) Planning Do you personally(or through your company,spouse,sibling, parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship" includes by blood, marriage,or business interest."Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5% of the shares. YES NO If you answered "YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee. Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation) B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation) Q an officer,director,partner,or employee of the applicant; or D)the actual applicant DESCRIPTION OF RELATIONSHIP (`Submitted this day o 2076 Signature 4�-e4-- Print Name Z�119/"j RECEIVE® Town of Southold I APR U 8 2026 LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS ZONING BOAR®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 landertaken. 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# MOO - The Application has been submitted to(check appropriate response): Town Board 0 Planning Dept. D Building Dept. Board of Trustees 13 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:. r F1 RECEIVED Location of action: 420Site acreage: APR .0 8 Present land use: - ZQII PPEALS 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: ❑ g b Mailin address:, (c) Telephone number: Area Code (d) Application number, if any:n __ Will the action be directly undertaken, require funding,or approval by a state or federal agency? Yes D 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. Yes ❑ No ❑ (Not Applicable- please explain) Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LW�RP Section III—Policies Pages 3 through 6 for evaluation criteria t'1 Yes ❑ No ❑ (Not Applicable—please explain) \ \ \\ \ \ \\\\\\\o. o \ \\\\\ \\\\\�\.\w\ \ _ s. .. _ ... . _�.. -.:._. i;V �= k \ ; vIf 10 „. . s th F e49 uAl- - _ v pi AS MINIMMI �3€ _ r .. �.OU g h ` a4ZIr ..s. :. §.''--• �,. .. -� € \ _ 3 x, all .. „Wl Aw - - : �. : a t e .¢-.. to �- `.€ `�'�..- €_tom'7,k t r7 IN ��. _ f e I!� - a � a Fa ;t- u :; n e _ t �\ , } TOWN OF S U OLD PROPERTY RECORD CARS _ STREET ` V If LLACG E DIET; SUB LOT J Al I - � = e , FORMER OWNER e N I E ACR. S W TYPE OF BUILDING f W r ES � SEAS. VL, j FARM COMM. CB, MICS. Mkt. Value _ I 1 LAND IMP. TOTAL DATE REMARKS e _ O _ 1/1 I is , gAf a / , u .� $$ UILDI C {1DITCt 3 i� � ' 2 t T FARM Acre —1 Value Per Value Z�4 r w Ac re ' ; " � � FL Tillable FRONTAGE ON WATER61 Woodland j FRONTAGE ON ROAD j e; �, � Q Meadowland W E i DEPTH f` ', � vs r House Plot I - BULKHEAD TottrK '� DOCK SCT 'i # � TOWN OF SOUTHOLD PROPERTY RECORD CARDg j OWNER STREET lTa�� r> �t ` ILAC DIST SUES LOT - ACR t REMARKSJIII _ TYPEOF LO _R _ o LAND IMP, TOTAL DATE < Z e g z I FRONTAGE ON WATER HOUSEILOT 9UKHEAD TOTAL jL__- ti f a f x - ZZ s LOR r 1 i Lu y v` ® i _ a Y 4 e DG.- -z3 311071 - 3 r: NIA- r �a r n GXc�CY530�1TX ✓= i J �.r / a 3 21 FC��l.nC3.3CI�S1 to toots U e EXt`.`Wo1I S - .. ` .. .. _ - � � Interior reezeway rise Place Hact m - CjflPCSL�O �� r ITy e Roof F1i741 r s a rc so _ _ �` Recr�a�;on h�nrn Rooms 2rsd Floor _ t'crmc r drwv��cy - Tota 7 e d Total .,� SQ FT .=z ,:- :,Q a o 0 me t f 3 r 106.-2-8 9/18/2025 3 ., �G- - 7=0F �� E �c.,�! Foundation uir.r.,� Bath Dinette Y _ E-i Basement PARTIAL Floors !1€ Kit, f , � 'ension - Finished B. Interior Finish L Fl. f Extension FP/NJBS Meat `l�� D A �� f f) J v Ext. Walls TF, BA. Color For 5I LKZee Dormer Tarn �� Bathes a � - - ��_-� ..Fin.gam SO Ft �_ � Roof ��, � i a Fam Rrn J POOI i ��_ `l i i a Solar Fir a Foyer Pool A.C./GEIV 1 `T 2n� Fir � ', Laundry 048. L+braaryi i Straw a -f-►estc . e v SURVEY OF DWELLING P_, 0 LOT 80 USES PUBLIC WATER MAP OF DWEWNG USES PUBLIC WATER CAPTAIN KIDD ESTATES - DWEWNG �7 USES PUBLIC WATER Y FILE No. 1672 FILED JANUARY 19, 1949 Su— D 75.00' SITUATE N 8oap0'p0'93.J] .2 -85.9] MATITUCK x \ x SOP} N TOWN OF SOUTHOLD '�'� 95.9 SUFFOLK COUNTY, NEW YORK B a! � T..W N S.C. TAX No. 1000-106-02-08 o SCALE 1"=40' 90.15x Z DWELUNG I0a.01 Folk USES I I , PUBDC WATER SEPTEMBER 29, 2021 x 1 I" FEBRUARY 15, 2023 STAKE GARAGE & POOL li ri JULY 22, 2023 RESTAKE GARAGE DWEWNG CD ' ' ��A: LOT OCTOBER 16, 2023 GARAGE FOUNDATION LOCATION USES PUBLIC WATER o x JANUARY 15, 2024 UPDATE SURVEY toT -= - NOVEMBER 12, 2025 FINAL SURVEY NDDP p SATE WADS 4k ' GOT AREA = 23,340.2 sq. ft. �A1 p 0.536 ac. row j A P am, M'" SLATE NATO , SAM LO RECEIVED ' SAT sts, APR 0 B 2026 `'1 ''Lv`, N a FE aas au KE Lp FE,rs lz't FE D s's — ZONING BOARD OF APPEALS J ss FEN� LOT 96 P/0 LOT BO 181.90' DWELLING S 860 22'1 Q" W DWEWNG USES PUBLIC WATER USES PUBLIC WATER NOM LOCAMTS AND EASTENCE OF ANY g„ 9ASURFACE QTlU7F--AND/OR STRUCTURES j! NOT READILY West.ARE NOT CERTIFIED, OF I waver¢walrcr To ANr E.ttiwuTr METES AND BOUNDS SURVEYING µ-pp A�UZ' 53 PROBST DRIVE vwamoaam ALTEMN oa ADpapN ro A SHIRLEY, NY 1 1967 ,u Dww as } PHONE (516) 972-5812 - ,, t..or THE NEW roan STATE - surve dude@o tonline.net Y P A trmm tm,0 ftm T'purvey map +w! yw-I+8n p€r of the land �µ Inked N9k# LOTS: 08 BLOCK: 02 SECTION: 106 DISTRICT: 1000 = z ,:. vt 'e>�r ow,,. per,ply MAP OF: CAPTAIN KIDD ESTATES Te�pd aro TRp txiw a N., Ys SITUATED AT: MA71TUCK =1 pie rum ma-np TrF TOWN OF SOUTHOLD, SUFFOLK CO., N.Y. arr.trN+ > k p�eR cst� q e ' A DRIVL NOTES: CENTR E CERTIFIED 1. 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