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Home My WebLink About8148-Flossos ZBA application FORM NO. 3 Received TOWN OF SOUTHOLD JUL 1'5 2026 BUILDING DEPARTMENT SOUTHOLD,N.Y. Zoning Board of Appeals NOTICE OF DISAPPROVAL DATE: February 19, 2025 RENEWED: May 20, 2025 AMENDED & RENEWED: July 24, 2025 RENEWED: December 31,2025 AMENDED &RENEWED: June 24, 2026 TO: Spiro Flossos 945 W Mill Road Mattituck,NY 11952 Please take notice that your application received January 3, 2025: For permit to: Construct an addition to an accessojy ggage of an existing single Tamil dwelling at: Location of property: 1325 Central Drive Mattituck County Tax Map No. 1000— Section 106 Block 2 Lot 30 Is returned herewith and disapproved on the following grounds: The existine accessory garage on this non-conforming 12.197 soft. parcel in the Residential R40 District is not ermitted pursuant to Article III Section 20-15 which states: lots rneasurin between. I 000-1,9.999 s uare feet in total.size re wire a minimum setbaek of 5 feet far accesso structures u to 1 S fi~et in heillt. The survey shows the existing garage to be located at 2.5 feet off of the side yard DrODertv line and 3.2 feet from the rear property line. Lhis d1smarovad has been aazended to rnrlude the groomed use as per the ounrents onailgdt the ?1�rs dice rµo rzul has been ttaraended based on a rev1.ed plon Prowr"ded to the buLld ng de arMtment 6.16.2 i dr shows the pLqpsed second floor to now be a Dertnitteduse to rnisdred stoi a e. 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. ve APPLICATION TO THE SOUTHOL.D TOWN OE APPEALS AREA VARIANCE 131ji- 1 2026 House No. Street C6\� � - Hamlets S rW Zon 9 SCTM 1000 Section: Block: Lot(s) Lot Size: r 2 Zone `' I(WE) AP EAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED . ASED ON SURVEY/SITE PLAN DATED Owner(s): S"wo Y-U J� Mailing Address: 1 Telephone: SR Email: '" t 7 NOTE: In r ddi'tion 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 _' ift for Owner( ) Other: I", � Addl'eJS" 99 tt 9 �19Teleplton 1 m 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 TI-II" BUILDING INSPECTOR REVIEWED SURVEY/SIT PL N f DATED and DENIED AN APPLICATION DATED ZUZ.�FOR: ( Building Permit ( ) Certificate of Occupancy O 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.) [ 5 Article: ( � Section: �- Subsection: Type of Appeal. An Appeal is made for: ( ) A Variance to the Zoning Code or Zoning Map. ( ) A Variance due to lack of access required by New York Town Law- Section 280-A. ( ) P r Interpretation of the Town Code,Article (,� + Section _ ( ) Request for Reversal or Overturn the Zoning Officer's Denial Other A prior appeal ( ) has, has not been made at any time with respect to this ro ert , UNDER Appeal No(s). Year(s). (Please be sure to research before completing this question or call our office.for assistance) Page 2, Area Variance Application Revised 6/2023CO( REASONS S O APPEAL L 15 Z026 (Please be specific, additional sheets may be used with preparer's signature notarized): ,u {{ Appeals 1. An undesirable change will not be produced in the CHARACTER of the neighb 0%,V61M Qb nearby properties if granted., because: 2. The benefit sought by the applicant CANNOT be achieved by some method feasible for the applicant to pursue, other than an area variance, because: 3. The amount of relief requested is not substantial because: 4. The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: C �V—M I(Y— to o-hpr 5. Has the an �ed difficulty been self created? { } Yes,or f 4o Why: • Are there any Covenants or Restrictions concerning this land? KI No { } Yes(please furnish a copy) • This is the MINIMUM that is necessary and adequate, and at the same time preserve and protect the character of the neighborhood and the health, safety and welfare of the community. By signing this document, the PROPERTY OWNER understands that pursuant to Chapter 280- 146(B)of the Code of the Town of Southold,any variance granted by the Board of Appeals shall become null and void where a Certificate of Occupancy has not been procured,and/or a subdivision map has not been filed with the Suffolk County Clerk,within three(3)years from the date such variance was granted. The Board may, upon written request prior to the date of expiration,grant an extension not to exceed three(3)consecutive one(1)year terms. IT IS THE PROPERTY OWNER'S RESPONSIBILITY TO ENSURE COMPLIANCE WITH THE CODE REQUIRED TIME FRAME DESCRIBED u e o pal" r Authorized Agent (Agent r to itw ion from Owner) Y or QUAL� Sworn to before/me this day .18 IN suo, 072 2 of ( 2 a'ry Public Zoning Board of Appeals APPLICANT'S PROJECT DESCRIPTION ece ied APPLICANT: �� v:> S C T M No.IVI.� �l NpeO 1. For Demolition of Existing Building Areas nn gpatd Please describe areas bei ng remov d: II. New Construction Areas (New Dwelling or New Additions/Extensions): Dimensions of first floor extension: L1 . Dimensions of new second floor: - Dimensions of floor above second level: Height(from existing natural grade): Is basement or lowest floor area beingconstructed? ucted? If yes, please provide height(above ground) measured from natural existing grade to first floor: n�VL< III.Proposed Construction Description (Alterations or Structural Changes) (Attach extra sheet if necessary). Please describe building areas: Number of Flo rs l General Cla actertstics BEFORE Alter ations: Number of Floors and Changes WITH Alterations: w IV. Calculations of building areas and lot coverage,sky plane (From Surveyor, Design Professional): Existing square footage of buildings on your property: rh: Proposed increase of building coverage: _ . Square footage of your lot: Percentage of coverage of your lot by building area(lot coverage) Gross Floor 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 Construct"onu: VI. Please describe the land contours (flat,slope %, heavily wooded, marsh area,etc.) on your land and how it relates to the diffie Ity in meeting t e codg requir en't(s): Describe on separate page if needed: 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 FIL 'G WITH YOUR ZBA APPLICATIO ,eoe'J\406 A. Is the Subject pre ses currently listed on the real estate, market for sale9 No,Yes 7S7 1BOSId 0i Appeq* B. th ere here any proposals to change or alter land contours? Z0019 No Yes,please explain on separate sheet. C. 1.) Are there areas that contain sand or wetland grasses? 2.) Are those areas shown on the survey submitted with this application? 3.) Is the property bulk headed between the wetlands area and the upla d buil ing area? 4.) If your property"I I contains wetlands or pond areas, have you contacted the Office of the BOARD OF TRUSTEE for its determination of jurisdiction? Please confirm status of your inquiry or application with the Board o 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 prop struction at or below five feet above mean sea level? OM E. Are there any patios, concrete barriers, bulkheads or f &s at exist that are not shown on the survey that you are submitting? If any of the aforementioned items exist on your property, please show them on a site plan. F. Are there any construction projects Currently in process on yo r p rty? If yes, please submit a copy Of Your building permit and 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. I I C)i H. Do you or any co-owner also own other land adjoining or close to this parceig /K-) If yes, please label the proximity of your lands on your survey and identify the Suffolk County Tax Map No. I. Please list rese it use o erations co du y ur rb%e ,,andlor the proposed use o U (examples:ex] i single fa proposed:sa e with garage, pool or 0 02J 0—Autho iz gnature D I to FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT � �We Town Clerk's Office ZO26 Southold, N. Y. ,�JL Z06M Board of Appeals Certificate Of Occupancy No.ZI+721+ . . . . . . Date . . . . . . . . . . . . . . Axly. . . . .2t ., 19.72. . . . . . . THIS CERTIFIES that the building located at . .Control .Dri:ve . . . . . Street Map No. .Capt. .KiddBlock No. . . . . . . . . . .Lot No. .136 , . . . . Mattit . . . .N.Y.. . . - conforms substantially to the r e s w code dat*Llt Prior to t 97"! 1� . . . . . 9. . . . pursuant to which y,4724 April 23 dated . . . . . . . . . . . July • • •2e•, 19. .7Z 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 . .Prlvate. Ane. xamily. Aver ling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . Vladlidra. & .Zenobis. . ZaLzulak . • . • • . :Iwers • . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . pre..ex-i-sting • • • • • . . . . • • • • . . . • . UNDERWRITERS CERTIFICATE No. . .Prz—existir . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HOUSE: NUMBER. .1325; . . . . . .Street. . . . . .0011tral. Dri.. . . . . . . . . . . . . . . . . . . . . . . . . . . . Zxception to housing code; Need electric light BWiteh Buildi»g Inspector near enterance doors,, FORM NO. 4 TOWN OF SOUTHOLD (� BUILDING DEPARTMENT seCewe \4 Town Clerk's Office UL 1'S 2026 Southold, N. Y. •� Zoning Board of Appeale Certificate Of Occupancy No.Z .3776 . . . . . Date . . . . . . . . . . . . April . . . 4 . . . ., 19. .70 THIS CERTIFIES that the building located at . - - .Central •Dr. • . . . • . . . • • . Street Map No. Capt.Kidd. Block No. .xx . . . . . .Lot No. .136. . . .Mattituck . .N.'Ye . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . . .Ayg .21. . , 19.69� pursuant to which Building Permit No. . .4432Z dated . . . . . . . . . . .p1 . .25 . . 19. 69, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . . . . .Private- Garage► - - (Aaces-sory-Bu—:Ming) . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . .Tladi ro.& .Z*nata.Zn1013,a1 . . . . .Owners. . . • • . , . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval N,.R.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inpoictor . . . , . . . . . . . House 0 1325 i 617.20 Received Appendix B Short Environmental Assessment Form jug 1.52026 Instructions for Cc mpletin 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 Sponso nformation Name of Action or Project: Project Location(describe,and antta ocation ma Brief'Description of Proposed Action: ��M �n Je:Aa_cNJ Name of icant or Sponsor: Telephone: E-Mail:, City/PO:�' tat ; ilp Qode- 1.Does the proposed action fmly involve the legislative adoption of a plan,local law,ord ce, 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: 3.a.Total acreage of the site of the proposed action? acres b.Total acreage to be physically disturbed? 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 Residential(suburban) ❑ Forest ❑Agriculture ❑Aquatic ❑ Other(specify); ❑Parkland Page 1 of 4 5. Is the proposed action, LF U /n NO YES N/A a.A permitted use under the zoning regulations? !ter ' 1 b.Consistent with the adopted comprehensive plan? 6. Is the proposed action consistent with the predominant character of the existing built or 4Mt3l VVU NO YES landscape? 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environm "AA 1XILINO YES If Yes,identify: �� Plea' 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? I 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 o;grre likely to be found on the project site. Check all that apply: ❑Shoreline ❑Forest. 0ltural/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? CYNO❑YES b.Will storm water discharges be directed to established conveyance systems(runoff d storm drains)? If Yes,briefly describe: EWO❑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 ULe� 5202 NO YES solid waste management facility? If Yes,describe: . and of A peals 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND A�C'iC RATE TO THE BEST OF MY KNOWLEDGE �� rkApplicant/sponsor name: Da 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 ene!g 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 R cPr i impact may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drai problems? 11. Will the proposed action create a hazard to environmental resources or human healilPning Boa d P e 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 Board of Zoning Appeals Application Received OWNER'S AUTHORIZATION (Where the Applicant is not the Owner) JUL 1 .5 2�26 Zoning Board of Appeals 1 residing at P' nt property owner's name) (Mailing Address) do hereby authorize rq 6 ts (Agent) to apply for variance(s) on my behalf from the Southold Zoning Board of Appeals. By signing this document,the Property Owner understands that pursuant to Chapter 280- 146(B) of the Code of the Town of Southold any variance granted by the Board of Appeals shall become null and void where a Certificate of Occupancy has not been procured,and/or a subdivision map has not been filed with the Suffolk County Clerk,within three (3)years from the date such variance was granted. The Board of Appeals may, upon written request prior to the date of expiration,grant an extension not to exceed three(3) consecutive one (1)year terms. IT IS THE PROPERTY"OWNER'S RESPONSIBILITY TO ENSURE COMPLIANCE WITH. THE CODE REQUIRED TIME FRAME DESCRIBED HEREIN. ...... ---- (Owner's Signature) r nII Print Owners Name) TRANSACTIONAL DISCLOSURE FORM JUL 16 Wt The Town of Southold's Code of Ethics 12rohibits conflicts of interest on thr art of town ofricers_and employees.The jtm6tepwaAs this form is to provide information which can alert the town of possible conflicts of interest and allow i Ver action is necessary toavoid samn YOUR NAME : (i as"t name,flist 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' beck all that apply) Tax grievance i 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, I which the town officer or employee has even a partial ownership of(or employment by)a corporation ' 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 --tv'k- 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 00 t:11 Submitted tl day Signature Print Name TRANSAC IO 'AL DISCLOSURE FOR1 PpcbeN The Town of Southold's Code of Ethics Prohibits conflicts of interest on the part of town officers afAftnTI e ournose of this form is to provide information which can,alert the town of possible conflicts of interest and al ' Va to a whatever action is necessary to avoid same. `- of Appeals YOUR NAME : � ion+►�� ,oard (Last 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 mm 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 w 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 milk"IG S1EWYDRK IG NOTARY Np 03 W9 2 U0 Submi ir , 01� 2d202 Si ' e Print Name Town of Southold Received L CONSISTENCY ASSESSMENT FORM JUL 14 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 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 SCT'M# The Application has been submitted to (check appropriate respo ): Town Board �!➢ Planning Dept. Building I Dept. Board of Trustees 1. Category ofTown 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: Location of action:. eceived Site acreage: JUL 1 2026 Present land use: on6ijng Board of Appeals 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: (b) Mailing address: c Telephone number: Area Code (d) Application number, if any:. Will the action directly undertaken, require funding,or approval by a state or federal agency? Yes � No If yes, which state or federal agency? DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverser(Not development. See LWRP Section III—Policies; Page 2 for evaluation criteria. Yes NoApplicable- please explain) Attach additional sheets if necessary Policy 2. Protect and pr rve historic and archaeological resources of the Town of Southold. See LW�RP Section III—Pali es Pages 3 through 6 for evaluation criteria N �' Yes No (Not Applicable—please explain) •x. Attach additional sheets if necessary Rer Pe, iv Policy 3. Enhance vi at quality and protect scenic resources throughout, the Toarp��ruthc�Id. See L Section III—1 olicies Pages 6 through °7 for evaluation criteria Vs G pp please explain) non Boar, of Ap'i� a Yet No Not Applicable �o Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize 1 ss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies ages 8 through 16 for evaluation criteria Yes No (Not Applicable—please explain) ....................... 4 9K Attach additional sheets if necessary „ Policy, . Protect and i .prove water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 t1�r ugh 21 for evaluation criteria 13 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 Fist and 'wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluat" n criteria. Yes No (Not Applicable-� please explain) ece 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 M No N( of Applicable—please explain) n i_-sheets Attach additional sheets f 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 Df'(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 Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. 0 YeO No (Not Applicable— please explain) ) L OD Q �' � Jjjj Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of r water-dependent to- pendent uses in suitable locationsr(NApplicable WRP Section III—Policies; Pages 47 through 56 for ev a j*o t ria. Yes 0 No —please explain) A eat 1 �d # Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town w ers. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. EYes No r Not Applicable—please explain VVI r)Q,C* 1")Utl� Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 fhreva' tion criteria. ❑ Yes ❑ No Not Applicable—please.explain 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—please explain �m.mm d ' r µ d a Reeer JUL 1 5 2026 s � SAL ° n liN I � ROA T71n I 000 ....................... o g,mo, ns r � r / u itl, III j , I 'TOW, f ^ 1 dl�lti @@�'��YYII�rH�vrwnm5'��'1�1w� „ r Il ✓r � �%r�,,, ,. �f�y��//�F�j l�ii ��, �„a, �� 1 i �I m� o o , / "6 �r j7 y �9f rt6 i � Irii�,,:" i to ,A I� rr'✓,/,^�,' � �� TOWN OF SOUTH OLD PROPERTY RI OWR STREET VILLAGE DISTRICT SUt3. O � - FORMER O NER £ i-N E ACREAGE s�� a _ , 2 W TYPE OF BUILDING r �3 S. SEAS. VL. FARM COMM. IND. CB. MISC. i LAND IMP. TOTAL DATE € REMARKS r ^ r. v" - ! 7,0 b F - BELOW `" � �O � t - _S Farm - cre Value Per Acre Value ar Tillable 1 i [ Tillable 2 J Tillable 3 Woodland Id pku - -- Swampland j Brushland House Plo I I ; Toto I 1 1 i ,. — f� l 7 f ,a.� , ti r J. � . s ...E _ G 7A . � 1 U r ,r 71 e M. B[dg. 3 °G 4l Foundation �� s-r' Bath x Rio 3 � `�$ 3�� Basement )�. .�� Floors CcX ,�, . Ext. Walls �'`" y� Interior Finish xt ion r 1 Fire Place i F) r1 (' Heat E.xtens10 or _' - i, J.: , I — - g Porch Attic - - - Porch Rooms 1 st Floor Patio !« �' Rooms 2nd Floor Garage �a rlvey O. B. a - h ��