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HomeMy WebLinkAbout#8134-Szarka Breezy Shores ZBA application FORM NO. 3 Peceiva.d TOWN OF SOUTHOLD MAY 19 2026 BUILDING DEPARTMENT SOUTHOLD,N.Y. Zoning Board of Appel NOTICE OF DISAPPROVAL DATE: March 4, 2026 TO: Frank Uellendahl (Szarka) PO Box 316 Greenport,NY 11944 Please take notice that your application dated January 20, 2026: For permit to: construct additions and alterations to an existin seasonal cottage Location of property: 65490 Main Road,Green port, NY(Breezy Shores Gotta e 26 County Tax Map No. 1000 - Section 53 Block 5 Lot 12.6 Is returned herewith and disapproved on the following grounds: The proposed construction on this conformin lot in the R-�0 Districtjs not allowed pursuant to Article XXIII Section 28 -123 which states; "A non-conforming buildin containin a non-conforming use shall not be enigged,reconstructed or structurall altered or moved except as set forth below: unless the use of such building is changed to aconformin use."' JACCCUI 9- .2 (44 Authorized 6ginature 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.�5 r" Streeet 4 OA1,? Hamlet ^�� ✓"' SCTM 1000 Section: Block: Lot(s) 12-o b Lot Size: e to 4cc Zone_"— fi9 I (WE) AP L THE WRITTEN DETERMINATION OF THE BUILDING I SP oaived DATED "PE 4 2,j—:>-BASED ON SURVEY/SITE PLAN DATED Owner(s): MAY -19 2026 �� Board of Appeals Mailing Address: + " ' Email:4174 i"" � ��'"""�16 d G W, Telephone: " a�" '" "�� �Fax: ,�:° 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: dahl RA Name of Representative: Frank W. Uellen for ( owner ( ) Other: Address: Greenport, NY 11944 Telephoner )+ " '�" Fax: Email: Please check to specify who you wis correspondence to be mailed to,from the above names: ( ) Applicant/Owner(s), ( Authorized Representative, ( ) Other Name/Address below: WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN DATED / � '�-^�.' and DENIED AN APPLICATION DATED /, "'. ".V/2 EOR: ( wilding 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: Xx ly Section: j;?—g0 /ZJ Subsection: Type of Ap eal. An Appeal is made for: (y�A Variance to the Zoning Code or Zoning Map. ( ) A Variance due to lack of access required by New York Town Law-Section 280-A. ( ) Interpretation of the Town Code,Article Section ( ) Request for Reversal or Overturn the Zoning Officer's Denial Other A prior appeal(w as, ( ) has not been made at any time with resl2ect to this property, UNDER Appeal No(s). Year(s). (Please be sure to r ese at-ch before compleanq this question oi-aril our e#11ce/rn•ers°sistance) 0ev. � 616 90 01R)'j? �g `f PART A: REASONS FOR APPEAL (1) An undesirable change will not be produced in the CHARACTER of the neighborhood or a detriment to neaeb' topertles, if granted, because: It has been determined by the Town of Southold that all 28 seasonal cottages at Bree Community, Inc. constitute non-conforming buildings containing a non-conforming residential use. Therefore the Building Department has determined that relief is required to undertake theI std9 20�6 renovations and alterations because the structure will not be changed to a conforming user is unique property represents its own neighborhood of 82.6 acres with substantial wetlands and it's lrof Appeals removed from neighboring properties so that no adjacent property owner will be adv ffid by the proposed structural improvements. The addition will increase the size of the existing structure minimally by less than 3%. (2) The benefit sought by the applicant CANNOT be achieved by some method feasible for the a plicant to ursue, other than an area variance, because: Due to the pre-existing, non-conforming residential use of the cottage that cannot be enlarged and structurally changed, it is not possible to make the proposed improvements to the cottage without the requested relief from the code. (3) The amount of relief requested is not substantial because: The footprint expansion of the cottage is only 13 SF. In prior decisions related to other Breezy Shores applications involving proposed footprint enlargements of less than 3% the Board has deemed such increases to be de minimus in nature. (4) The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the nei hborhood or district because: Due to the isolated location of the property a variance relief in this community will not produce a negative impact on the ph sical or environmental conditions. (5) Has the all ed difficul been self-created? X Yes, or No. Why? Yes, because the applicant bought the cottage after the Zoning Code was in effect and was aware about the limitations regarding alterations to the structure, however, the need for a variance is not self-created because a seasonal dwelling requires periodically some degree of reconstruction or alteration to continue the safe use of the structure. Are there any Covenants or Restrictions concerning this land? (X) No ( ) Yes This is the MINIMUM that is necessary and adequate, and at the sme time preserve and protect the character of the neighborhood and the health, safety and welfare of the community By signing this document, the PROPERTY OWNER understands that pursuant to Chapter 280- 146(B) of the Code of the Town of Southold, any variance granted by the Board of Appeals shall become null and void where a Certificate of Occupancy has not been procured, and/or 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 of 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 FRAMEDE``S,,'C__RIBED HEREIN. Sworn to before me this : �1 Day of May .......-, �'RNIE D.BUNCH Notary Public,State of New York No.01 BU6185050 Qualified in Suffolk County Commission Expires April 14,2 _ _ _ Notary Publlc: Signat a of Appi ant or Authoraized Agent Zoning Board of Appeals APPLICANT'S PROJECT DESCRIPTION APPLICANT: XA- SCTM No. load- 1. For Demolition of Existing Building Areas Received Please describe areas being removed: M- tv 4dli—H � eA -- Zoning 'l� r 'l�P II. New Construction Areas (New Dwelling or New Additions/Extensions): Dimensions of first floor extension: Dimensions of new second floor: Dimensions of floor above second level: Height(from 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: nat5 + P �S 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: Number of Floors and Changes WITH Alterations: t" a 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: / Sic=- Square footage of your lot: ... : Gl �S Percentage of coverage of your lot by building area(lot coverage) 1 Gross EjggE.�GF p 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: 111" ' aI145 1 "� Z:;�dG�- 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: 105 lle4 ae4- - " 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. Revised 6/2023 QUESTIONNAIRE FOR FILING WITH YOUR ZBA APPLICATION G Received <0zq A., Is the subject premis P,currently listed on the real estate market for sale? —.-Yes No MAY 19 205 B. Are Pere any proposals to change or alter land contours? zoning Board of Appeals No Yes, please explain on separate sheet. C. 1.) Are there areas that contain sand or wetland grasses? 3.) Is the roe bulk headed between the wetlands area and he upland 2. Are those areas shown on the surveysubmitted with this application? _ property t-ty p building area? ir 4. If our roe contains wetlands ol�llt y property rty pond areas, have you contacted the Office of the BOARD OF TRU; TEES for its determination of jurisdiction? YCS Please confirm status of your inquiry or application with the Board of Trustees : If issued, please attach copies of your permit listing conditions of approval with a copy of the approved survey. D. Is there a depression or sloping elevation near the area of proposed construction at or below five feet above mean sea level? E. Are there any patios, concrete barriers, bulkheads or fences that exist that are not shown on the survey that you are submitting? AJ�V— If any of the aforementioned items exist on your property, please show them on a site plan. E Are there any construction projects currently in process on your property? "0 If yes, please submit a copy of your building permit and survey as approved by the Building Department and please describe scope of work: 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? "0 If yes, please label the proximity of your lands on your survey and identify the Suffolk County Tax Map No. I. Please list present use or operations conducted at your property, and/or the proposed use (example :existing single family; proposed,same with ,,rags:..pool or other) IVAI, OP Authori: . sip 11e Date AGRICULTURAL DATA STATEMENT ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Received y�4 WHEN TO USE THIS FORM: This forma must be completed bye the applicant for any A caal a e permit,site plait approval, use variance, area variance or subdivision approvaal oat rI t an agricultural district OR within 500 feet of a farm operations located in an agricultural district. All applications requiring an agricultural data statement must be referred%%r�,,ffi*Cr0§,0Pea1S Department of Planning in accordance with `ection 239m and 239n of theneral Municipal Law. 1, Name of Applicant: 2. Address of Applicant: 3. Name of Land Owner(if other than Applicant):8 4. Address of Land Owner: 5. Description of Proposed Project: I 6. Location of Property. (Road and Tax map Number), - 7. Is the parcel within 500 feet of a farm operation? } Yes { } No 8, Is this parcel actively farmed? { } Yes { } No 9. Name and addresses of any owner(s) of land within the agricultural district containing active farm operations. Suffolk County Tax Lot numbers will be provided to you by the Zoning Board Staff, it is your responsibility to obtain the current names and mailing addresses from the Town Assessor's Office(765-1937) or from the Real Property Tax Office located in Riverhead. NAME and ADDRESS 2. m .... .— ..._.. ... ......... .. .... _ m �. � ✓� ... ...m . 4. _ ....._ _ .. 5. ..... 6. ........ ........_.... ..... .....��.. _ (Pleat u.e the b f t s page if there are additional property owners) Sitnakt of ApplicantWw. _ ... 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. a! 617.20 Appendix B �(1 /vk` Short Environmental Assessment Form ((�� Instructions for Completing Received Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Pa> . RJs@)gVJ6 become part of the application for approval or funding,are subject to public review,and maybe subject to fu er verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed;to A respond to any item,please answer as thoroughly as possible based on current information. Zoning BOO 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: 52e4R KA ~ /AJ - . .*'a& Project Location(describe,and attach a location map): &5'400 RVUZ-.�F 26- otrP--rg�Ae�-c AZ_001 R2/L,;477e A IIVD Brief Description of Proposed Action: /3 61= Name of Applicant or Sponsor: Telephone:&e Jon E-Mail: Address: P.O. BOX 316 City/PO: State: Zip Code: 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: PEv2rI L 3.a.Total acreage of the site of the proposed action? acres b.Total acreage to be physically disturbed? C,420 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 92'441 acres 4. Check all land uses tha cur on,adjoining and near the proposed on. ❑Urban ural(non-agriculture) ❑Industrial Commercial 'Residential(suburban) ❑Forest riculture zXquatic ❑ Other(specify): ❑Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? b.Consistent with the adopted comprehensive plan? 6. Is the proposed action consistent with the predominant character of the existing built or natural �- V e NO YES landscape? ec 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmen pl�Ar 2 O YES If Yes,identify: y � A e2 r7- 8. a.Will the proposed action result in a substantial increase in traffic above present Ievef ring NO YES V 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? Y 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: 11.Will the proposed action connect to existing wastewater utilities? ;NOYES 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: t 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑ Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ❑ Wetland ❑Urban ❑Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? 16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, ,� a.Will storm water discharges flow to adjacent properties? 'V NO❑YES b.Will storm water discharges be directed to established conveyance systems(runoff and�torm drains)? If Yes,briefly describe: ❑N' YES Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: 19.Has the site of the proposed action or an adjoining property been the location of an active or closet _9 YES solid waste management facility? MA If Yes,describe: 11 Owoo 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: I AFFIRM T THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLE'D E Applicantlsp ns � � i�-44+" Z4,4F).,,��e � Date: Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy 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 Page 9—Use Variance Application, Revision Nov.2023 j Board of Zoning Appeals Application cie OWNS "S AUTHORIZATION MAY 19 2026 (Where the Applicant is not the Owner) Zoning Board of Appeals I, residing at Clfl CCC- h' Al$ '#J1S (Print property owner's name) (Mailing Address) do hereby authorize _ 1 4401C �L -Al (Agent) to apply for variance(s) on my behalf from the Southold Zoning Board of Appeals. By signing this document, the Property Owner understands that pursuant to Chapter 280- 146(B)of the Code of the Town of Southold any variance granted by the Board of Appeals shall become null and void where a Certificate of Occupancy has not been procured, and/or a subdivision map has not been filed with the Suffolk County Clerk,within three (3)years from the date such variance was granted. The Board of Appeals may,upon written request prior to the date of expiration,grant an extension not to exceed three(3) consecutive one(1)year terms. 'IT IS THE PROPERTY OWNER'S RESPONSIBILITY TO'EI' S E COMPLIANCE THE CODE REQUIRED TIME FRAME DESCRIBED HEREIN. 3�3It-/z6 (Owner's Signature) (Dated) 61141ae-'Ir ti/ J Zlw(-4 (Print Owner's Name) Revised 12/30/2025 APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the 12art of town officers and employees.The Purpo e of is form is to vrovide information which can alert the necessary to avoid same., d YOUR NAME : C-Cs P, (Last name,first name,middle initial,unless you are applying in the name of someone someoneIse or other ent th as a company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) — Buildin Permit V/ �pg Board ot plppea% Tax grievance g zon 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. .1 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 5&C day of 7— 41 ,20 Signature Print Name AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics orobibits;conflicts of interest on the art of town ofricers and em to 'ces.The_pyLp_oseof this form is to provide information which egi,gn alert the town of ossiible conflicts of interest and allow it tg take whatever action is necessary to avoid saute. 0111i''1111,it, il 00 io!,�` YOURNAME : U 4�L_,C—A_J12A kv (Last name,first name,middle initial,unless you are applying in the name of someone else or fwmmcrii. 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 70609 13.a,d 0i P'Ppea"6 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 hich 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 6;K day of 20 Y4- Signature Print Name 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.,lone- oO cumulative impacts. J� MAY d of Appe6s Z06in9 Boar 0 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. 11 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 Town of Southold iReCelVed ) LWRP CONSISTENCY ASSESSMENT FORM MAY 19 2026 A. INSTRUCTIONS Zoning Board 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 ritcessary, 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# - The Application has been submitted to(check appropriate response): Town Board Planning Dept. VBuilding Dept. E Board of Trustees 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: rl) /3 ed -,;,)4 Location of action: 6;5 1:26417E �25 , ; e-iZ7 QekV q'd Site acreage:.._ Present land use:,, Present zoning classification:-„� 1 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: ... er-oq )4 (b) Mailing address:—, -r-4 ' e—"7" _. -Palo ✓llama, Z5APi�. J(7- //W� (c) Telephone number: Area Code( )140 G b �6a ( (d) Application number, if any: Will the action be directly undertaken, require funding,or approval by a state or federal agency? �� If es which state or federal agency? .......Yes No ......... yes, ��pG, 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 ElNo (Not Applicable- please explain) Attach additional sheets if necessai _ rY Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III-2(Not es Pages 3 through 6 for evaluation criteria EdEF-1 Noe- please explain) Yeas t Applicable .e : ....:.C..... t 3 Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III— Pulii Pages 6 through 7 for evaluation criteria Yes I No (Not Applicable—please explain) 19�01 \1\ 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 P 8 through 16 for evaluation criteria Yes No (Not Applicable—please explain) Attach additional sheets if necessary , Policy 5. Protect and imps water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 throtr 21 for evaluation criteria Yes No (Not Applicable—please explain) 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 evalatio 'criteria. Er Yes No (Not Applicable—please explain) •�ummmmm H Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. See Section III—Policies Pages; 34 through 38 for evaluation criteria. Yes R No (Not Applicable—please explain) Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. Yes 1:1No (Not Applicable—please explain) 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 uthold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. Y No (Not Applicable— please explain) Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Sout ld's water-dependent uses and promote siting of new water-dependent uses in suitable locations. Se WRP Section III—Policies; Pages 47 through 56 for evaluation criteria. [] Yes No (Not Applicable—please explain) SON 00 Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town wa rs. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. E Yes 1:1 No Not Applicable—please explain Attach additional sheets if necessary Policy 12. Protect agric ltural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evalu Lion criteria. Yes No Not Applicable—please explain Attach additional sheets if necessary Policy 13. Promote a p opriate use and development of energy and mineral resources. See LWRP Section III—Policies; ages 65 through 68 for evaluation criteria. Yes 0 No Not Applicable—please explain SCTM # �� �F - � TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET � a `d VILLAGE DIST SUB- LOT s = T ACR. REMARKS T:-�7—�i�TYPE OF BLD. - PROP:CLASS g ' _ LAND IMP_ TOTAL DATES � m a a >> �y F` pp 0 s t f ze i r a � =t f �,•� k t .- '- t HQUSEti�T FRONTAGE ON WATER3,71 �- 1� io — BULKHEAD TOTALol -] TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET 3 VILLAGE DIST. SUB LOT I ACR, — REMARKS ! TYPE OF BLD. PROP. l� {.j r'�� � =F �� i `, �o- _ _ " l��i •�. _..- i� _V� .ter � �6�i ��i ._ CLASS a LAND `� IMP' TOTAL DATE a- rat tj ir- cl revic LjLi J , - �e 'h } p _ ji � DEPTHfAl ME WLAND �.BULKHEAD t : F : -LOT t., - - TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET q VILLAGE - DIST, SUB. LOT - ram. �w.� t C� �. PO ER 0 EC N E ACR. ` Ft�ctii{ tr,r�L a I P vV Pecz 1+•L, S -- TYPE OF B[�. F4 z f t ( e" �''L1 l Ee. 1( $ C ,. , f' _ RES. SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP.. TOTAL DATE REMARKS � �� � -- O ` 5 ) .tea Z.� ��� t �1f'* t $ Z L� L�l�. > L. t r J - t `Y` F t: tt i 5 00 �? 2 �? 2 �,3 �� t Via` lam" . •, 1.: 1_ I / / CsCrr f `473889 53 . -5-12 6 OWNER: SHORES INC BREEZY NUMBER# DATE TYPE CO # USE/DESCRIPTION 23440 5 15 96 PERMIT REPAIR COTTAGE #25 - 23441 5/15/96 PERMIT REPAIR CO GE - # 23442 5 15 96 PERMIT REPAIR COT ; GE 425 23443 5 15 96 PERMIT REPAIR CTG #2 w. Tillable ew 23444 5 15 96 PERMIT REPAIR COTTAM # fa- Woodland _ �+ Meadowland 23623 8/08/96 PERMIT REPAIR EXISTI SEASONAL COTTA' m House Plot BULKHEAD Total COLOR �- TRIM — e i 8 4 gg --7 i k p e < n i l I m� If i Extension d r Extensions ` .� 43 I - I Extension r� l r D / Foundation Bath - Porch .j u - d Dinette Basement Floors I K. I Porch fir. IExt. Walls g 3 ¢ 1 Interior Finish R. •Breezeway � e z u Fire Place Heat Garage IYPe Roof Rooms 1st FloorEg- Patio - 'Recreation Room - _ Rooms 2nd Floor 1 FI B O. B. Dormer _ Driveway ,otol uu_v t e it STREET VILLAGE DIST. :OWNER SUB. LOT i � E P fQ >t /0 1 _ . t Goa C - � I COLOR - - «_ ire TRIM [ � -a to r I _ 7 q ° r1 — ot f ' - _ M. Bldg. '` gg Foundation z��� ""`� Bath Dinette - Po 545 W1dl' 6oR h� Extensi€n _ Basement Floors K. nL 2 Extensi Ext. Walls C L G'�� Interior Finish a�v s c u94'h LR. Extension �E 'rt' °Fire Place o Heat r DR. `M *" 70 Type Roof Rooms 1st Floor BR, 1) Porchs Rooms 2nd Floo r N. e Porch I J, �{ _ c ..< Dormer 4Cp use Breezeway x _ r ! ]Driveway 9- I ad A i L A Garage lei —r , y _ Patio 'Y A 1,�• - '�� ` �•r� a tq C) 0 s o. B 'y Total 1113 ,f SI 10 Y/� n Y I r—* a e� V COLOR TRIM 1— 1 I i 2- --------- ------ =F1 till .+ )T 1 ' S 1 I M. Bldg. _ i f Q� ; Extension ELI Extension I Emil 1 1 i Extension Foundation I �_� Bath t - Dinette tx-r U IC Porch L X .1 : 14 asement Floors > )I< Porch -r t. Walls `b o cc�e v1 Interior Finish ;,k1 . LR. Breezeway Fire Place Heat r, 1)R. r Garage -� _ / Type Roof Rooms 1 st Floop53 BR. Patio " Recreation Room Rooms 2nd Floor IFIN. B C). B. Dormer Driveway c� _X Total / R 2- 5 e E ,® COLOR . � TRIM I r I € ' -FF LH M. Bldg. Extension � Extension i Extension Foundation Bath Dinette _ Porch r l ! r Ruse �t' Floors �, r K. Porch Ext. Walls Interior Finish Y• , LR. �R z Breezeway Fire Place S Heat- 00/? i _ . Garage I LC J rt' i ype Roof 1 Rooms 1st Floor B Patio. Recrearion Room Rooms 2nd Floor F I t�ZB O, B. Dormer Driveway o - Total ✓ _ - -o t E COLOR TRIM 0-2 ----------- ® b a r a e 1 M. Bldg. - 5_,> > I f Extensioe, - - J I Extension �.L, ; :� y ,f -r Y ' ar Extension 7Fgundation .�> Bath Dinette �� Porch -L 1 Basement J Floors ; K. Porch ? - +f i Ext. W I� • alls ;t � , .. . Interior Finish -,?�i. . � �,• ' LR. Breezeway-j., - , , ,. ;Fke Place �r - Heat ° FBR R. GarageT�rpe Roof Rooms lst r° .c C Patio .Recreation Room Rooms 2nd Flr °� FIN.Cq O. B. Dormer. Driveway °-� p - - Total - 1 � f ;7 C)Lr C) ✓ � _ r i �3. a I COLOR LT.' TRIM —SZ i t � � .�� / 4T_Fr__7 , al rc Py M. Bidg ExtensionE� r' �•! E i Extension x z 8 , E •Extension g I I /Z X 3 �J�. ✓ �undation Bath t '�/ da :- l >:�' /�•<.,fir(;- / Dinette Porch B semen ' �, +�• 1 o Floors y K. Porch Ext. Walls Interior Finish r r LR. ' ' !Fire Place Heat DR. Breezeway ��,,,�, .,�_• Garage 1 T' e Roof Rooms 1st Floor Patio i r - /7 r Ile" Room Rooms 2nd Floor i4N. B en 01 B. Dormer Driveway o Total ` - 1lo ` _ -- _ --- COLOR �.t. I TRIM+1 _ 3 s e I _.. d T, T_tT _v M. Bldg � f , 3 s 4_ f � Extension q i Extension x 3 .5 t € 1 Extension Z. _ P X1 1 1 F 7,5 ti,' -� -• ~. >, �' �r' �1�, - foundation �,� �e Bath Dine --- ` S I / tte Porch .� - - _ p iBasement , Floors — Porch z a�; \ j�� y ✓ i 'Ex 1 t. Walls s Interior Finish r; L Bree�ewvy ����: , ' F' e Place �I� r� Heat DR. LD Garage / X z s' I - e Roof Rooms 1st Floor 01 Patio il PoFr IKcreation Room Rooms 2nd Floor FIN. B 04 B. Dormer Driveway Total a COLOR TRIM • 3 € � f it IJ 0" c i 1� • i F` M. Bldg_ Id° '� � � _ �• �� , n .,. 1. �-- � j r,, - '_ _ •i I I I a •'r � 1 Extension X , - Extension0 - - 1 a _ , E , Extension /a " / ' / > '`� G ✓ 11i D poundation r, Bath r, r. Dinette Porch `y 1 !Basement Floors Ic __. Porch " �sr;f =�`r z r,, Ext. Walls 5 :/ InteriorFinisFF �,1. LR. I Breeeway'� F?o " xy r � Place Heat N D . a 4 l w i R Garage l7 x ' 6, a� . ` �' c ✓ f ��n g _ Type Roof Rooms 1st FIB C BR. Patio t / �- ,r,' M' ✓ Recreation Room Rooms 2nd Floor CD. FIN. B Ol B. tl?ormer Driveway co CID . Total _ - k, TOWN OF SOUTHOLD PROPERTY RECORD CARD t —r- OWNER STREET VILLAGE DIST. SUB. LOT FORMER OWNER N E ACR. S W TYPE OF BUILDING rr � RES. SEAS. VL 7 FARM COMM. CB. MILS. Mkt. Value a LAND IMP. TOTAL DATE REMARKS r'1 ,,, ` .E a �9 y r p p� s —� Jr fa m a 1 N t Tillable FRONTAGE ON WATER f } FRONTAGE ON ROAD `D Woodland � , �> o Meadowland DEPTH - House Plot BULKHEAD i Total _ - Rr Nj F t t 53-5-12.6 9/03 M. Bldg. Foundation Bath Extension 3 Basement Floors „ Extension Fxt. 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NO W f age ZBA APPLICATION oNow MA CID Zoning Board of ApPea� COTTAGE a W 11 GREENPORT, NY 26 BREEZY SHORES /iil ilia, Ir ARCHITECT FRANK UELLENDAHL � P.O.BOX 316 o GREENPORT, NY 11944 y TEL: 631-680 0041 rnm. OWNER CHARLES SZARKA J 5 CATHY CT. o GLEN HEAD, NY 11545 I 1 � O d O IW' w 2E f/l S2 ZZO c� 0 ca z LAM„ 05 Y 1 L2026 a PHOTO #2 WEST DIRECTION DWG. NAME o� PH-2 DWG„NO c ZBA APPLICATION 9 202s MAY 9 Board of Appeabs Zoning COTTAGE I GREENPORT, NY n � 26 BREEZY SHORES ARCHITECT vlGi i Gui� , ��r FRANK UELLENDAHL f, — P.0.B0X 316 GREENPORT, NY 11944 t TEL: 631-680 0041 OWNERW I* PwM"w wl " r F u ref CHARLES SZARKA 5 CATHY CT, GLEN HEAD, NY 11545 r LIS d ems, L'i a �G o ad 0 z DATE`. V111X026 PHOTO #3 Y EAST DIRECTION a DWG. NAIVE o� DWG. 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