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Home My WebLink About6549 1-7 k 8 LsskDoIb / — 3�'�• 14,Cso SEA' XL'j i r BOARD MEMBERS Southold Town Hall Leslie Kanes Weisman,Chairperson ��0�$�UTyO 53095 Main Road•P.O.Box 1179 !� Southold,NY 11971-0959 James Dinizio,Jr. Office Location: Gerard P. Goehringer �, -NC Town Annex/First Floor,Capital One Bank George Horning 0 • �OQ 54375 Main Road(at Youngs Avenue) Ken Schneider l''COU Southold,NY 11971 http://southoldtown.northfork.net ZONING BOARD OF APPEALS RECERJED TOWN OF SOUTHOLD 3 ' 3 Z�P kn, Tel.(631)765-1809•Fax(631)765-9064 FINDINGS,DELIBERATIONS AND DETERMINATION Southold Town Clerk MEETING OF APRIL 19,2012 ZBA FILE: 6549 NAME OF APPLICANT: Justin Swartz and Joanna Weiner PROPERTY LOCATION: 275 Back Lane(aka Private Rd. #5)Orient,NY SCTM#1000-17-4-26&11.1 SEQRA DETERMINATION: 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. SUFFOLK COUNTY ADMINISTRATIVE CODE: This application was referred as required under the Suffolk County Administrative Code Sections A 14-14 to 23, and the Suffolk County Department of Planning issued its reply dated February 28, 2012 stating that this application is considered a matter for local determination as there appears to be no significant county-wide or inter-community impact. LWRP DETERMINATION: The relief, permit, or interpretation requested in this application is listed under the Minor Actions exempt list and is not subject to review under Chapter 268. PROPERTY FACTS/DESCRIPTION: Subject parcel contains 26,677 sq. ft. and is located in the R-40 zone. It is improved with a one and two story single family dwelling with accessory garage and shed. It is located on a 20 foot right of way with 186.87 feet along the eastern property line, 335.17 feet along the northern property line, 250.56 and 129.70 along the southern property line and 137.02 along the western property line, it is a odd shaped lot as shown on the survey prepared by John C.Ehlers,Land Surveyor dated August 3,2010. BASIS OF APPLICATION: Request for Variance from Article XXIII Section 280-124 and the Building Inspector's December 20, 2011 Notice of Disapproval based on an application for building permit to construct additions/alterations and deck addition to existing single family dwelling: 1) less than the code required minimum rear yard setback of 50 feet. RELIEF REQUESTED: The applicant requests a variance to construct additions/alterations to the existing dwelling including a new deck addition that will attach the existing dwelling to the accessory garage that has a one foot rear yard setback where the code requires 50 feet. FINDINGS OF FACT/REASONS FOR BOARD ACTION: The Zoning Board of Appeals held a public hearing on this application on April 5,2012 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: • Page 2 of 2—April 19,2012 ZBA File#6549—Swartz/Weiner CTM: 1000-174-26&11.1 1. Town Law W7-b(3)(b)(1). Grant of the variance will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The neighborhood consists of many non-conforming lots with houses that pre-date zoning. This property is not visible from the main road; Back Lane is a private narrow road; and the rear of the subject property is well screened from adjoining neighbors by trees and vegetation. The accessory garage has existed with a one foot non-conforming rear yard setback for many years without adverse impact to the adjoining neighbor. 2. Town Law §267-b(3)(b)(2). The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to pursue, other than an area variance. The dwelling and accessory garage have existed in the current location since prior to zoning. By attaching the accessory garage to the dwelling via a small deck addition to mitigate slight grade changes on the property, the applicant's will have easier access from the dwelling to the garage but will require a variance because the dwelling is now considered to have a non-conforming rear yard setback . 3. Town Law 4267-b(3)(b)(3). The variance granted herein is mathematically substantial,representing 98% relief from the code. However, due to the configuration of the lot and the pre-existing location of the dwelling and garage,there will be little to no change in the existing conditions on the property. 4. Town Law k267-b(3)(b)(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. Storm water runoff will be retained on site per code. I 5. Town Law §267-b(3)(b)(5). 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 4267-b. Grant of the requested relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of a renovated dwelling with attached garage 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-B, motion was offered by Member Weisman (Chairperson), seconded by Member Goehringer, and duly carried,to GRANT, the variance as applied for, and shown on the proposed site plan dated 12/9/11 and the architectural drawings dated 12/9/11 pages 1-8, all prepared by Elizabeth Thompson, Architect. Any deviation from the survey, site plan and/or architectural drawings cited in this decision will result in delays and/or a possible denial by the Building Department of a building permit, 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 andlor 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. The Board reserves the rightto substitute a similar design that is de minimis in nature for an alteration that does not increase the degree of nonconformity. Vote of the Board: Ayes:Members Weisman(Chairperson), Goehringer,Schneider,Horning. (Absent was:Member Dinizio) This Resolution was duly 4 dopted(4-0). 'I Leslie Kanes Weisman, Chairperson Approved for filing t� / /2012 / I i rt. - FINAL .MAP REVIEWED BY ZBA SEE DECISION # r � DATED oli �� }�fl A\�n n:� Jl- ! j - { k s� 1 r 0 i�� 1 %I��d t��f-�a ,��no ��ad ��i� �•sl�d, 1 � I Siva d`d 40 Gdvog �-o i;- W) 9- 16 r - J,5vYj 'l F J-- i� FINAL MAP REV BY. ZBA R Garage 6EE'DEMION # DATED RECEIVED v FEB ® 7 2012 BOARD OF APPEALS Play Room Den 76A' I, Entry Porch Bath Storage Shed Hall Living Room ; Kitchen Bedroom ~� =``4:•3 f r RECEIV E"D ,FEB BOARD Of: APPEAL. 3V Job: Date: Elizabeth Thompson Architect 250 Mercer St. f3606 °�' �- ' W New York, NY 10012 Title: ui�,�� Scale: r FINAL MAP REVIEWED BY ZBA SEE DECISION # . DMED�j 1 (0/ ILL- RECF FEB 0 7 2012 BOARD OF APPEALS O O 0 FINAL r" REVi L-VY L °`� '' SEE DEG"�IU DAT PO L Job: Date: Elizabeth Thom psom h1' e° t op5wr, Hy 250 Mercer St. B806 Title: Scale: New York NY 10012 1 /g"-I'-o �' FINAL MAP I � BY BA REVIEW E _ cvS10N # - -� = rT — - - - - - - - 7 SEEpE /2- I I ! I pATED - -�- - —4 t cl �- -,— -�►. D RECEIVED - � — — — FEB Q 7 2012 -- - - BA-4--I-- - - BOAR® OF APPEALS o. Ii UP I IylWi -bl�rl.l�l� �I wT Etib � P2ft, I oo1. Igo=R:�l SOP Job 2 7 y _ ( ( Date Elizabeth Thompson Architect orr,UIr, .W**y IZ q/11P--7 250 Mercer St. Suite B 806 Title scale New York, NY I-Iz�l �Pov- PLAN 10012 212-614-7180 i FINAL MAP A ED BY. ZB — —. — — — — —— -- REVIEW CISION # �--D Q �til �-�ra p SEE , , , - - � DATED G�\1 fit;� O P� PN DM O DIt� f�I:PP-Ni, Z ��PfZt'I, 3 i FoIt'r gp F-00�' \V x 5'-4'' 4 �® ®� Appsp'us Job Date Elizabeth Thompson Architect 27� �� I�- SAW5 1:0/II aP-+ Y / 250 Mercer St. Suite B 806 Title Scale New York, NY 10012 212-614-7180 FINAL MAP A REVIEWED BY ZB SEE DECISION # DATED Id— "L" WV4 �CoF \ I L.. 1 I I I — - -- — — — — - - — - - - - - — - - — — - - - - - - - - -4 - - - - - - �— - - — N .FV' < BOARD OF APPEALS .� �� lei shy a LT04 Thompson Architect yob 2�� 04� �wz opfwr 1LI Date Elizabeth Thom IZ p II 250 Mercer St. Suite B 806 Title Scale New York, NY 10012 212-614-7180 FINAL MAP REVIEWED, BY ZBA SEE DECISION # DATED ILL > a � \ K i R,EOEIVED ® a ZQ12 m FEB OF D 73 , APPEALS 130A Job o Date Elizabeth Thompson Architect 21: -;IMGK. -EAU 250 Mercer St. Suite B 806 rifle Scale New York, NY '� 10012 212-614-7180 � Y '�Io �81I I �d r w FINAL MAP RE Y IEEDBZg A VWSi �# 0E" oN SEE Q . . •' --t�:C1�--� �I=.JAR .f'oR-�H RECEIVE® f` �m"� ' �:� :e°•• , FEB o7 2012 � a ' 7 = � BOARD OF APPEALS Job 7i7� G �„�;,�,� Date Elizabeth Thompson Architect _. oi' _ _ F-7 . 250 Mercer St. Suite B 806 Title Scale New York, NY 10012 212-614-7180 r FINAL MAP REVIEWED BY ZBA SEE DECISION # DATED l .N. WON POZM15P r'I uw�c yrrw�, I ' � i 7 I I ✓c RECEIVED '� � : '� f FEB 0 2012 f' ✓— , '� e �� BOARD OF APPEALS r ". Job �1, - Date Elizabeth Thompson Architect 250 Mercer St. Suite B 806 Title Scale New York, NY - -WrT 10012 212-614-7180 5URVEY OF PROPERTY 51TUATE: ORIENT LpJ-V Land now or formerly of: TOWN: 5OUTHOD ROGk �VgLL David 1=vans SmitF� SU��OL� �iOUNTY� NY Land now or formerly of: N 613 Orient LLG SURVEYED AUGU5T 5, 2010 - - ISS3°1.492®"� .. w � s E p 5UFFOLK COUNTY TAX # 1V7� � 1000 - I1 - 4 - 11.1 y�r 335.17' s a 1000 - 11 - 4 - 26 6�5 To DUMP LQnd ®� �0 0 5 GLIPPINGS S n Or For / F�R� X L q tC1ER'II] ED TO: ' NQnGy SAyo/q Dry of.. F / GCFAR a o ' kr mJustin M.Sw= emme Ii®ama,P-Weiner o Q) �� `y J p `� Decision 20M Real Estate Services,Enc. (Title No. RG--®8-6963) 0 a o JP Morgan Chase Bank,N.A. �p Lan ` �� LL . ��0�c �eneor For T'X��0�lp DQnGhier/y oF: OT,0,''/-7- ` � ° o J m` _ m: 10.4 .......-.. '- - - 00 _ In m • - ..34.0' Hse. - - E ONob 6 .. rock .+oll � _ 501 0 . ':.: J Q FEg. Q'� 201 o :I` 0 06 11 �� Of APPEALS p N Land nok, or ®A Stet fart W No ton of. 6 of NEW EjyZ Oy NOTE5: ■ MONUMENT _ 6 F 0 PIPE 6 tis�o N ,r��,-EA = 2641?-7 5F OR Ohl AGRE5• a R ' r , 0� 6 EAST MAIN STREET N.Y.S.LIC.NO, 50202 6RAPHIG 5GALE 1"= 40' RIVERHEAD,N.Y. 11901 - - 369-8288 Fax 369-8287. REF.-TIGER\PROS\99-294. it- - — -- -- COUNTY OF SUFFOLK A/ RECEIVED FEB 2 9 2012 SOARD OF APPEALS STEVEN BELLONE SUFFOLK COUNTY EXECUTIVE SARAH LANSDALE,AICP DEPARTMENT OF PLANNING DIRECTOR OF PLANNING February 28, 2012 Town of Southold ZBA PO Box 1179 Southold,NY 11971 Att: Leslie K. Weisman, Chair Dear Ms. Weisman: Pursuant to the requirements of Sections A14-14 thru A14-25 of the Suffolk County Administrative Code,the following applications submitted to the Suffolk County Planning Commission are to be a matter for local determination as there appears to be no significant county-wide or inter-community impacts. A decision of local determination should not be construed as either an approval or disapproval. Applicants Municipal File Numbers Mele (Patricia) &Christiano (Cheryl) 6542 Thorton, David&Janet 6543 Baran, Roma(c/o Leann Romanelli) 6544 Fraser, Douglas (c/o David Cichanowicz) 6545 Weir, Glyn&Michele 6546 Steele, David 6547 Heidtmann, Glenn 6548 Swartz, (Justin) &Weiner(Joanna) 6549 Very truly yours, Sarah Lansdale Director of Planning Theodore R. Klein Senior Planner TRK:ds LOCATION MAILING ADDRESS H.LEE DENNISON BLDG.-4TH FLOOR P.O.BOX 6100 (631)853-5191 100 VETERANS MEMORIAL HIGHWAY HAUPPAUGE,NY 11788-0099 TELECOPIER(631)853-4044 • f • FORM NO. 3 NOTICE OF DISAPPROVAL DATE: December 20, 20 1 / TO: Elizabeth Thompson, Architect for (� Justin Swartz& Joanna Weiner RECEIVED 165 East 1181h St. #7A New York,NY 10035 FEB 0 7 2017 Please take notice that your application dated December 9, 2011: BOARD OF APPEALS For permit to construct additions/alterations & deck addition to existing single family dwelling at: Location of property: 275 Back Lane Orient,NY County Tax Map No. 1000 - Section 17 Block 4 Lot 26 & 11.1 Is returned herewith and disapproved on the following grounds: The proposed additions/alterations to the existing single family dwelling, on a non- conforming 26 677 square foot lot in the Residential R-40 District is not permitted pursuant to Article XXIII Section 280-124 non-conforming lots, measuring less than 20,000 to 39 999 square feet in total size require a rear yard setback of 50 feet,the proposed addition is shown at 1 foot*. Aut orized Signature Note to Applicant: Any change or deviation to the above referenced application may require further review by the Southold Town Building Department. CC: tile,Z.B.A. *Note:The deck addition attachment to the accessory garage changes the garage status to an addition. RECEIVED FEB 0 7 2012 Fee:$ Filed By: Assignment No. ,C\P P EA LS APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS House No. Z'1 Street S AGIC_ LANE Hamlet D P—I E tj t SCTM 1000 Section I] __Block -' Lot(s) 11. Lot Size .l01 Ae—• Zone Q.-40 I(WE)APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED I Z I zo I l l BASED ON SURVEY/SITE PLAN DATED Al-glip € z !l Applicant(s)/Owner(s): J O A N N►4 �V EI QE2 A USTI Q S w A f2.T'Z Mailing Address: PLAZA sr. easT �*703 b>?J5,6K.L!jN . WY IIZS6 4MS@_ oLA-rrC 4 6,oc,DEN. C-0M Telephone: (Ap SZ-4•0713 Fax: 64&-501-40 5;7 Email: A wola @- mAi Mom I Tns m1FD.0?A 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: for[5;50wneiE10ther: Address: 16 q EAST S sT• #7/4 . N `1 . N`f l003 S Telephone: 911-'9+9 1541 Fax: Email: Please check to specify who you wish correspondence to be mailed to,fro e above names: ❑Applicant/Owner(s), RAuthorized Representative, Other Name/Address below: WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN DATED 8 3 10 j I2 9 II and DENIED AN APPLICATION DATED IZ q 111 FOR: Building Permit Certificate of Occupancy ( )Pre-Certificate of Occupancy Change of Use Permit for As-Built Construction Other: Provision of the Zoning Ordinance Appealed. (Indicate Article,Section,Subsection of Zoning Ordinance by numbers.Do not quote the code.) Article: X x I 1 I Section: 2$0— I Z 4 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. Interpretation of the Town Code,Article Section [— Reversal or Other A prior appeal❑has, has 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 for assistance) Name of Owner: ZI ilc# RECEIVED REASONS FOR APPEAL(additional sheets ina)7 be used with preparers signature): FEB ® 7 2012� AREA VARIANCE REASONS: BOAR® OF APPEALS (1) An undesirable change will not be produced in the CHARACTER of the neighborhood or a detriment to nearby properties if granted, because: 'ram e-W Ati6tE IS V ER.`j mwc It > No 0TREF~ j4ouseS A" LoGATffb WITRIN D1ILEGT VIEW OF TH-E Agz A • IN AD1>ITlbk3, 9,E1,0Gi4TEb Sµi:D IS Moueb FAM11-FEIZ A%Vh%-( FiZoM NIFAP-EST PP-dPe1zT`( o�VNE��S 1+00se 4 VIElY. (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: ALL TWE ST RUe-T V RES O N TH-E S1TE Nom-D 10tue To BE MoT>i FIFA 4 F-ELoGATED To Gof+PL-( , (3) The amount of relief requested is not substantial because: A L-L MA4 OR. S7(Z0 GTUQ. < \VI LL (LEIMAIN lip EXISTI NcI L-oGAT1oi4�S . T14E SMAt c_ NEW ST"(-TuME TI+A-T- k� IL.L 1 jt;Re-q -rKM IS IN 14 VE?-`j ?I?lVAT-- rA0r OF TWE LoT/ NOT DIQ-ELTL1f FfLoM o'm+EIZ. L-OTS (4) The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: -rl+E A(ZC,1-i I TE e-T 0 R A L_ b'6sl N )S e-0k FA-n BLE \V1V AD4A LEFT LOTS. 14EM IS No IMPRLT To A NA(-E VT- PRoFeP-ri es I N (Lt✓L,A-no N TD SITL3 ARAItuA(6E I RUN o FF Sm-)4IL s4ADE e2 ANC t5TFFC2 F-N V 12oM M E oTAL. GoiV fZP-N . (5) Has the alleged difficulty been self-created?❑Yes,or�No. Are there Covenants and Restrictions concerning this land: f;allo. Yes (please fiu•nish 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. Check this box 0 IF A USE VARIANCE IS BEING REQUESTED, AND PLEASE COMPLETE TILE ATTACHED USE VARIANCE SHEET. (Please be sure to co:salt youf uttorne .) Signature of Appellant or Authori ed Agent (Agent must submit written Authorization fi m Owe er) Sworn to before me this lciL—day r UA 20 L Notary Public . -:ANJvL.PH. NOTARY PUBUG,Stab Of NO*Y&* OL1nIMLtif h i5L11loN i, ,APPLICANT'S PROJECT DESCRIPTION (For ZBA Reference) Applicant: �1i1ZT<F�,ETF{ PeoP Aecl4itEG7 Date Prepared: 13011 tdt .lr/� I.For Demolition of Existing Building Areas Please describe areas being removed: NOM E FEB Q 7 ?19? . I S H. New Construction Areas(New Dwelling or New Additions/Extensions): Dimensions of first floor extension: 1lloN-GON Fo2M I uc:'pELIL �4t x Al Boor I o'X Zol Dimensions of new second floor: Dimensions of floor above second level: .r Height(from finished ground to top of ridge): Is basement or lowest floor area being constructed? If yes,please provide height(above ground) measured from natural existing grade to first floor: 1'_..lest I 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: f Z STo" 'FRAM WoOSE W/ I Srnw-f flzAMC- e9AM4G6,D6TACt4M i Number of Floors and Changes WITH Alterations: I Z STo P-y FF-AM C Rouse 1V/ I STo R.y F2�r�t; lsA2AGN. Art'.4GFF6D I IV. Calculations of building areas and lot coverage(from surveyor): j Existing square footage of buildings on your property: 2,Z 40 SF - M b f,,S 14 Z S F -D cq:C. Proposed increase of building coverage: 2 116 s F - SLbe e, 5 52 SF - EGIG S 1 Square footage of your lot: Z SF Percentage of coverage of your lot by building area: Z.3 0o I u.v I EC j i V. Purpose of New.Construction: J;?SGW- ADD 1 Tto NA GOV e2f-b \\J A LV-W J4 4 Ta C�AZAGE � J I 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): SIT1r IS &&"TL�I SLOPING, 4 PAI?--nA- Y \VoccSDC� IT HAS NO IMP4c'T oM UIFFIr-OL?'t OF M ETIAlG LODE 4.EQVtIt.��lEf.�T< I Please submit seven (7) 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. 7/2002; 2/2005; 1/2007 i I i i 1 QUESTIONNAIRE RECEIVED y i FOR FILING WITH YOUR ZBA APPLICATION A. Is the subject premises listed on the real estate market for sale? FEB 2012 Yes _X_No BOARD OF APPEALS B. Are there any proposals to change or alter land contours? _No Yes please explain on attached sheet. C. 1.)Are there areas that contain sand or wetland grasses? No . 2.)Are those areas shown on the survey submitted with this application? 3.) Is the property bulk headed between the wetlands area and the upland building area? No 4.)If your properly contains wetlands or pond areas,have you contacted the Office of the Town trustees for its determination of jurisdiction? r Please confirm status of your inquiry or application with the Trustees: / and if issued,please attach copies of permit with conditions and approved survey. D. Is there a depression or sloping elevation near the area of proposed construction at or below five feet above mean sea level? N o E. Are there any patios, concrete barriers, bulkheads or fences that exist that are not shown on the survey that you are submitting? N)o Please show area of the structures on a diagram if any exist or state none on the above line. F. Do you have any construction taking place at this time concerning your premises?_tJo If yes, please submit a copy of your building permit and survey as approved by the Building Department and please describe: -� G. Please attach all pre-certificates of occupancy and certificates of occuRancyfor the subject premises. If any are lacking,please apply to the Building Department to either obtain them or to obtain an Amended Notice of Disapproval. H. Do you or any co-owner also own other land adjoining or close to this parcel? No If yes,please label the proximity of your lands on your survey. I. Please list present use or operations conducted at this parcel__xIST1 N ck SW gtF, fi4wt� 'D\JgLL 1 L.�f� and the proposed use SRMC (ex:existing single family,proposed:same with garage,pool or other) Authorized signature and Date I 617.20 Appendix C �F � State Environmental Quality Review VED SHORT ENVIRONMENTAL ASSESSMENT FO .M� For UNLISTED ACTIONS Only FLB 0 7 2012 PART I-PROJECT INFORMATION To be completed by T2. licant or Project S onsor1. APPLICANT/SPONSOR PROJECT NAME 50AKU OF �L,12ASGTH 14o1MPSoIJ S\VA2.TZ f IYEIWCR. R�S1DtrNtk, 3. PROJECT LOCATION: 2 c g Ac-r, L A N E T kw-lh TG W N Municipality County S u FF-DLV- Gov 1vT`( 4. PRECISE LOCATION(Street address and road intersections,prominent landmarks,etc.,or provide map) Star; A'TrA-GI+6b MAP 5.'PROPOSED ACTION IS: New Expansion F—I Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: opera 4 Covt:ft, 7b T>E(-K- /4DDiT1o1J GOWNEGT1PC) Ex I sr� k 14-*0" 7o 6 x rsn N r D En u-ftt'D 4 A aA 6A& 7. AMOUNT OF LAND AFFECTED: Initially •&I acres Ultimately I acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? Yes No If No,describe briefly NpN �NFo2t►KIIJcI ?.CAP_ YA12D S6T'S4<,r 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? XResidential 0 Industrial ❑Commercial Agriculture Park/ForesUOpen Space O Other Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING,NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL,STATE OR LOCAL)? Yes No If Yes,list agency(s)name and permittapprovals: 7.o N1 N 6t V^24 I4aGE APi'RovA-L, - Z B A , Sou T*crt.D To w W gutt.DlNy PER-wt1T — So�1�+o�D Towty 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? Yes No If Yes,list agency(s)name and permiUapprovals: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? Yes RNo CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE ApplicanUsponsor name: 4 055-M A c m FJ50 N Date: d3ohz I Signature: If the action is in the.Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER I ' I PART II - IMPACT ASSESSMENT Tc� ;om leted by Lead Agency) A. DOES ACTIOFN0 CEED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617.4? If yes,coordinate the review process and use the FULL EAR Yes B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative declaration may be superseded by another involved agency. Yes No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,if legible) C1. Existing air quality,surface or groundwater quality or quantity,noise levels,existing traffic pattern,solid waste production or disposal, potential for erosion,drainage or flooding problems? Explain briefly: C2. Aesthetic,agricultural,archaeological,historic,or o er natural or cultural resources;or community or neighborhood character?Explain briefly: C3. Vegetation or fauna,fish,shellfish or wildlife species,si ificant habitats,or threatened or endangered species?Explain briefly: C4. A community's existing plans or goals as officially adopted,or a c ange in use or intensity of use of land or other natural resources?Explain briefly: C5. Growth,subsequent development,or related activities likely to be induced by the proposed action?Explain briefly: 4 4 C6. Long term,short term,cumulative,or other effects not identified in Cl-057, Explain briefly: C7. Other impacts(including changes in use of either quantity or type of energy)? Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTIC5'THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA(CEA)? Yes No )f Yes,explain briefly: E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE Ef�V�/IRONMENTAL IMPACTS? Ej Yes No If Yes,explain briefly: PART III-DETERMINATION OF SIGNIFICANCE(To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,import t or otherwise significant. Each effect should be assessed in connection with its(a)setting(i.e.urban or rural);(b)probability of occurring;(c) uration;(d)irreversibility;(e) geographic scope;and (f)magnitude. If necessary, add attachments or reference supporting materials. Ensu that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If questio of Part II was checked yes,the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CIA Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then procee directly to the FULL EAF and/or prepare a positive declaration. 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 AND provide,on attachments as necessary,the reasons supporting this determination 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) AGRICULTURAL DATA STATEMENT r RECEIVED ZONING BOARD.OF APPEALS TOWN OF SOUTHOLD FEB 07 2012 BOARD OF APPEALS WHEN TO USE THIS FORM: The form must be completed by the applicant for any special use perm{t,site plan approval, use variance,or subdivision approval on property within an agricultural district-OR within 300 feet of a far* operation located in agricultural district:All applications requiring an agricultural data statement must be referred-to the Suffolk Eounty Department of Planning in accordance with Sections 239- m•and239-n-ofthe General Municipal.,Law. 1)Name of Applicant: g u?4 6 6-ft{ A?_?_4 t t� 2)Address of Applicant: 165 EAST' i_t8" S'F' 07A j N`f N4 tooZ1S 3)Name-of-Land Owner(if other than applicant)-: Nj o A m IU a W-el m L . .1 u ST i m Subs A R'n_ 4)Address of Land Owner_•3.$ fLl4zj4 ST. .E As-t.` tf 7b s - �t3mo t��y N r A1`( {I Z?.-iz 5)Description of Proposed Project: leX IS"t'im!h: S 1 tvr�l r_ �iRtM 1 tL "Atli�CLt N3 G, C_D fj N GGTt l 3 t; ffoose Tb 6v A aA 6-e , 6)Location of Property(road and.taz map number): 9 .0 $A'<)V— 1AW(3 - e RA IS Iy 1 l CtSD -17 7)Is the parcel within an agricultural district? E]No Yes if yes,Agricultural District Number S)Is this parcel actively farmed? E3 No..%,Yes 9) Name and• address of any owner(s) *of land within the agricultural district containing active farm operation(s)•located 500 feet of the boundary of the proposed ' ect..(information may be,avaiiable through the Town Assessors. Office, Town Hall location (765-1937) or from any public computer at the Town Hall locations by viewing the parcel numbers on the-Town of Southold Real Property Tax System. Name and Address 1. 509T-t WfUR 1,� _p.U.309 NO oil IrMT WY 11ri rF7 2. o 4,- 3 . 4 5 6. (Please use back-side of page if more than six property owners are identified.). The lot numbers may be obtained,in advance,when requested from.either the Office of the Planning-Board at ..765-I938 or tlic Zozung Bo d of.Appeals at 765-1809. fI , l / 3;0/ tZ Signature of Applicant Daic 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.Solicitation will.be made by supplying.a copy of this statement. 2.Comments returned to the local board will be taken into consideration'as part of the overall review of this application. 3-Copies of the completed Agricultural Daia Statement shall be sent by applicant and/or the clerk of the board 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.'Failure to pay at such time means the application is not complete and cannot be acted upon by the board. 1-14-09 CN AGRICULTURAL DATA STATEMENT ZONING BOARD.OF APPEALS TOWN OF SOUTHOLD WHENYO.USE THIS FORM. The form must be completed by the applicant fo pecial use permit,site plan approval, use variance,or subdivision approval on property within an agricultural district QR within cultural district.All applications requiring an agricultural data 500 feet.of a farm operation located,in agri statement must be referred,to the Suffolk County Department of Planning in accordance with Sections 239- m and 239-n of the General Municipal.Law. 1)_Name of Applicant: l5jA Z4i5(F-'tH . �t}cnur'�SoIV . A R-Gµ Trr .2)Address of Applicant: I EAsT I IST Sr..#'7A NJ N`i too3S 3)Name of Land Owner(if other than applicant) o A N N/q \V el u€r- d u STi o S w A R-T2_ 4)Address of Land Owner: 5)DescriptionofProposedProiect: ?NovAb&N/Abb11r10j0 TIC eXISTIN Ito(AtS t nVA1" 1>'WCU'10A : (_0NNaemk5w Ifoo5e Tb AtAaA&F. 6)Location of Property(road and tax map number): Z 7.S 15 Acw. t,OrN 6, _ D Qa rr OF loop - 17- 4-244(/-1 7)Is the parcel within an agricultural district? O No Yes If yes,Agricultural District Number 8)Is this parcel actively farmed? ONO.XYes 9) Name and. address of any owner(s) "of:land within the agricultural district containing active farm operation(s) iocated 500 feet-of the boundary of the proposed proiect..(Information may be.,available through the.Town Assessors Office, Town Hall location.(765-1937) or from any public computer at the Town Hall locations by viewing the parcel numbers on the Town of Southold.Real Property Tax System. Naive and Address. 1 SouT14 U`f92 LING. t_'P. 0. $ox Bfd . 01?_10l��. N`l �1e157 2. 1.0r WO. 1 0005 r7 �.?�. 3... . 4. . 5. 6.. (Please iike back side of page if more than six property owners are identified). The lot numbers may be obtained, in advance,when requested from.either the Office of the Planning Board at 765-1938 or the Zoning Boa d ofAppeals at 765-1809. ` f / 3o/ rZ Signature of Applicant Date Note: . 1.The local board.will solicit comments.from the owners of land identified above in order to consider the effect of the proposed action on their farm operation.Solicitation wilt be made by supplying.a copy of this statement: I Comments returned to the local board will be taken into consideration'as part of the overall review of this application. 3.Copies of the completed Agricultural Data Statement shall be sent by applicant and/or the clerk of the board 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.'Failure to pay at such time means the application is not complete and cannot be acted upon by the board. 1-14709 APPLICANT TRANSACTIONAL DISCLOSURE FORM (FOR SUBMISSION BY OWNER and OWNER'S AGENT) The Town of.Southold's Code of Ethics prohibits conflicts of interest on the part of Town officers and employees. The purpose of this form is to provide information, which can alert the Town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: _ TI}O M o , b 1A 7,6561--I (Last name,first name,middle initial,unless y u are applying in the name of someone else or other entity,such as a company. If so,indicate the � � other person or company name.) NATURE OF APPLICATION: Check all that apply.) / RECEIVED Tax Grievance Variance Special Exception F E B 6 212 If"Other", name the activity: BOARD OF APPEALS Change of Zone Approval of Plat Exemption from Plat or Official Map Other 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 0 NO Complete the balance of this form and date and sign below where indicated. Name of person employed by the Town of Southold: Title or position of that person: / Describe that relationship between yourself (the applicant) and the Town officer or employee. Either check the appropriate line A through D(below)and/or describe the relationship 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 than 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); 0 C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this y o u 070 I Z Signature: i7 Print Name: E U?AggTm Tj+o APPLICANT TRANSACTIONAL DISCLOSURE FORM (FOR SUBMISSION BY OWNER and OWNER'S AGENT) The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of Town officers and employees. The purpose of this form is to provide information which can alert the Town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same YOUR NAME: A L I N E C- I J D Pr M N A (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 or company name.) NATURE OF APPLICATION: Check all that apply.) Tax Grievance Variance RECEIVED Special Exception If"Other", FEB name the activity: O 7 2 q l Change of Zone Approval of Plat SOAR® OF APPEALS Exemption from P at or Official Map Other 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 I . I NO[. Complete the balance of this form and date and sign below where indicated. Name of person employed by the Town of Southold: Title or position of that person: Describe that relationship between yourself(the applicant) and the Town officer or employee. Either check the appropriate line A through D(below) and/or describe the relationship in the space provided. The Town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): EA)the owner of greater than 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); 0 C)an.officer, director,partner,or employee of the applicant;or ,D)the actual applicant. DESCRIPTION OF.RELATIONSHIP Submitted this 2" day of Signature: \ Print Name: .,jz V-m,• 12. 11JZt��►/ APPLICANT TRANSACTIONAL DISCLOSURE FORM (FOR SUBMISSION BY OWNER and OWNER'S AGENT) The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of Town officers and employees. The purpose of this form is to provide information, which can alert the Town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: Sw A esiZ d U ST 1 K3 (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 or company name.) NATURE OF APPLICATION: Check all that apply.) Tax Grievance / Variance �Q Special Exception RECEIVED _ If"Other", name the activity: FEB 0 7M2 Change.of Zone Approval of Plat BOARD OF Exemption from at � 7 APPEALS or Official.Map Other 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 II NO EZ= Complete the balance of this form and date and sign below where indicated. Name of person employed by the Town of Southold- Title or position of that person: Describe that relationship between yourself (the applicant) and the Town officer or employee. Either check the appropriate line A through D(below)and/or describe the relationship 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 than 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation); DB)the legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant; or D)the actual applicant. DESCRIPTION OF:RELATIONS:HIP Submitted this -, ay of �e Signature: Print Name: ✓. w oZ Town of Southold ��✓ ' RECEIVED LWRP CONSISTENCY ASSESSMENT FORM FEB 0 7 2012 A. INSTRUCTIONS pp ,,��,, 1. All applicants for permits* including Town of Southold agencie�sshaII co�mpletePPls�� AF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. if an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# - 4 - ((. The Application has been submitted to (check appropriate response): Town Board E Planning Dept. E Building Dept. 0 Board of Trustees 0 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) El (b) Financial assistance(e.g.grant, loan, subsidy) (c) Permit,approval, license, certification: Nature and extent of action: #' J Location of action: 7 7 S D 21 C!J l Site acreage: Present land use: r h9(9 LG f-A'k t teAl -t>w ot-c-L 1 &t�:Z` Present zoning classification: - 4o 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: E LA ZA, 140u- F! 0 !V (b) Mailing address: fg S %A!52T l f Q`14 .0 7� (c) Telephone number:Area Code( ) C1 17 !9 A S (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ❑ No?� If yes,which state or federal agency? DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, - preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III-Policies; Page 2 for evaluation criteria. ❑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 LWRP Section III-Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No ❑ (Not Applicable-please explain) Joanna Weiner Jan 16, 2012 Justin Swartz 34 Plaza St. East#703C�S � Brooklyn,NY 11238 646-824-0793 RECEIVED Fax: 646-509-2057 FEB 0 7 Z02) jweiner@maimonidesmed.org j ms @ outtengolden.com BOARD OF APPEALS To Southold Town Zoning Board of Appeals: We, the Property Owners of 275 Back Lane, Orient, NY, give consent for Elizabeth Thompson, Architect, to be designated as our representative for the Variance Application for this property. Applicant contact information: Elizabeth Thompson, Architect 165 East 118t" St#7A New York,NY 10035 917-848-1541 et@elizabeththoml)sonarchitect.com Sincerely, Joanna Weiner tin z STATE OF NEW YORK COUNTY OF N112 Y2rL Joanna Weiner and Justin Swartz, being duly sworn, deposes that they are the individuals signing above. Sworn to bef re me this I? day of J2,k0A 2012 e 1,10W Notary Puffic Johnny Cadavid Notary Public State of New York Queens County tJc.+1r01 1 Comm.Exp. I S7b3dd b.:I0 ®�,bo ' r',no ► s _ ioy5 , i I-I u� i x, + 91 1 VT — ! c� -�994 tNN h 21�3I\o 'oa2J r i a ri c j ieiQ.H L iijaq 11 ` f 1-View from the North 2- View from the East DECEIVED • FEB 0 I �5 BOARD OF AppEALS - - 275 Back Lane, Orient M Lot: 1000 - 17 - 4 - 26 & 11.1 (merged) y . January 14, 2012 Owners: Joanna Weiner, Justin Swartz Applicant: Elizabeth Thompson, Architect Me 3- View from the Northwest '¢yt d d R.+ ' tY ✓ �� c, _. __.. li `�� ✓rya j". _� -- b ,� I a _ rQMly, 1 4- View from the South 5-View from the South-southeast RECEIVED� BOARD OF APPEALS 275 Back Lane, Orient Lot: 1000 - 17 - 4 - 26 & 11 .1 (merged) January 14, 2012 Owners: Joanna Weiner, Justin Swartz Tas Applicant: Elizabeth Thompson, Architect 3 6-View from the Southeast r G JS. AND S`�l1�ETZ kvG1 NEf2' �s�nco� Z7J�' F$►4GK. LANE , DfLt�ts[' ,_�;• . '�` ��•- SEC E.D 4-0 't EI � � FEB 0 7 2012 BOARD OF APP_E 3.OA / T s7 od..'- 1- •u? .�, ..1.5 ,r V (n ^ t g o / N o / 1.9A " C21q�� 11 15. y, � .. its, 7. eg Yr 2.OA 1.4A(e) - ��-- w �� ' w Ch / ss+ ?o, 12A(0 2 0 A »'tl r 7 1 cE, �, m - 15.4 �.tl x 2.2A 2'2 , a 3s yis Y CeME-SEK O 1.4A t - -- - -t` 3.4A I 1 bs zn 14 1 .2 \J a 3.2A / �74y b�S1� �r 16 s , 04 hod �`�` = �, '• es 21.1A 6 " » + 2.?A(2, Z OA(c) /y rn +, tp �,� 21 � '2 iAlc1 ti s§P.-- 2eo 12.1 IV l 53l`l � s rse �s 11.6 4 ~x wo cos g 1.1A �' +an +75s +os � ,aos 11.1g w 3.1 "' 1 1A(e) ,ss 2 7 ez so +se 123 toe �TFi 2.ss 405 iss 1-2 c ,o+ ;,r 26 it» wt 9.1 1 A N 260 31 p5 �' ,30 12a yr w m ,w es �mas N� 4 20' �m ,c, s 3 1 o +os m� 4 �' ° 3 4 5 r,6 8 1.11A 10 m I 2• ) 9.2 a ,ec l 8 1 7o es ss rTp r I 7 es 12+ gee 1.7A S.R.25 6.1 2y0 51 145 + 77 es 11.4 13g 4 rTs rsr ,or n y s 25g ae :4nBwo Rb- 8 120 39 �) 2. 24 ry 2S•Z ss' Al LhTHAw► S �J p 2 Alc) rr 0 OA(c) )oPPp15t� r—rye`'- --•\4 3 hA 4.SAlcl x 3 r? /•- g w ,qu � 92 151 7 0 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall RECEIVED Southold, N.Y. FEB 07 Z012 CERTIFICATE OF OCCUPANCY BOARD OF APPEALS No: Z-33678 Date: 04/26/09 THIS CERTIFIES that the building ADDITION Location of Property: 275 BACK LA ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No_ 473889 Section 17 Block 4 Lot 26 Subdivision Filed Map No_ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 14, 2007 pursuant to which Building Permit No. 33522-Z dated NOVEMBER 14, 2007 .4 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MARTIN A & APUL D SARANDIA & ANO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ N/A PLUMBERS CERTIFICATION DATED N/A f Aut rized Signature Rev. 1/81 TOV",d OF SOUTHOLD BUILDING-__,'MIT APPLICATION CHECKLIST 'BUIL. IING DEPARTMENT Do you have or need the following,before applying? TOW ..-.Hp1.LL Board of Health SOU' HOLD,NY 11971 4 sets of Building Plans TEL: (631).765-1802 Planning Board approval FAX: (631) 765-9502 Survey www. northfork.net/Southold/ PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees Examined ,20 Contact: Approved ,20 Mail to: Disapproved a/c Phone: RECEIVE, 7 Expiration ,20 FEB 0 7 2012 Building Inspector LDG BOARD OF APPEALS FRFEC. PPLICATION FOR BUILDING PERMIT Date -pee_ °( , 20 I INSTRUCTIONS e completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale.Fee according to schedule. , b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within`l 8 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize, in writing,the extension-of the permit for an addition.six months.Thereafter, a new permit-shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County,New York, and other applicable Laws,Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances,building code,housing code, and regul tions, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, a corporation) 1�y LA+s-T 118) -,l k -1 M`( I vo rZ-- (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises V040010A \VGIOFE �, LS,11N SLOAP Z (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 075 BquL /,.ANE 012-ICNT House Number Street Hamlet Count Tax Ma No. 1000 Section 1 �t` ' Y p "1 Block � Lot l l . I Subdivision Filed Map No. Lot (Name) �_...._,.._ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Si►U G L6 FA-M►" D%► Eau 0 a b. Intended use and occupan 3. Nature of work(check which applicable): New Building Addition I/ Alteration I-- Repair Removal Demolition Other Work (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling,number of dwelling units Number of dwelling units on each floor If garage, number of cars Z 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front 3 3.Z 1 Rear. I I..? Depth S;7. 2 Height 2 S ' Number of Stories Z Dimensions of same structure with alterations or additions: Front 53. Z Rear 16, Z' Depth 57. 3 ' Height 95 ` Number of Stories Z- 8. Dimensions of entire new construction: Front L 5 Rear Lo Depth 3 Height —Number of Stories f 1 ► r 9. Size of lot: Front I g io .V7 Rear 90 Depth 31. g• 10. Date of Purchase Zv It) Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO Will excess fill be removed from premises?.YES NO 1oI�NN A \�G►af t? 3,4 Pt-A7-A Sr, EI+sT'd7o3 14.Names of Owner of premises J uSTI N e w A6 gz._ Address Ny II Z58 Phone No.�`I` "8 Z4- 0,713 Name of Architect 2A z q 3r"fH '1't emPsotnl Address �_ lo"t s" Phone No q r7- S+g-15'+I Name of Contractor If . 6 14. Address Phone No. " 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NOS * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OFSAfO L �( i aala2-Nn being duly sworn, deposes and says that(s)he is the applicant (Name'of individual signing contract) above named, (S)He is the r r-A ;4,z c-+ (Contractor,Agent, Corporate Officer, etc.) of said owner or owners, and.is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn tQ before me thi -f-It day of � 20 1 1 &VaA'L' 1 I � jk 71 r 71LA Ndta,ryAblic Signature of lic MELANIE DOROSKI NOTARY PUBLIC,State of New York . No.01D04634870 Qualified in Suffolk County Commission Expires September 30,_1 I r j _ 11yWN OF, SOUTHOLD ,PROPERTY RECORD CARD OWNER STREET Z7, VILLAGE, DIST. SUB. LOT; FOR ERGO NER c, N �N�( ' u� E ACR. i Irl ` S W TYPE OF BUILDING RES. /O SEAS. VL. FARM COMM. CB. ` MISC. Mkt. Value ID IMP. TOTAL DATE REMARKS �G� � �CJ ��4!� c�� —�" ,� •�t��'Y"r�a�i�, �`L�'...c �j`�fl"E`•`c..^� C� y,."'�� .'"rYs%� +�''`.`.s. z+. 6 d ;Z6 d ZP V •i •i l ldIt,p64 n jee 400 S C9©a 9^- L- (0 9A'l -T:-:) - 5 ,_I Zen 1 ace mo r-J�d t! {� 1Vf i f P rs - e✓1 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE 101 E P# 3352•2- UjaCeS ap a7d 1v- FARM Acre Value Per Value Acre. Til 1 Tillable 2 i a q6l. ,,rS �.. _ f , . Tillable 3 r,, LU Woodland Q LL FRONTAGE ON WATER U a 0 Swampland U Brushiand FRONTAGE ON ROAD �w � er House Plot DEPTH 0 BULKHEAD Total DOCK i 00 t ��N� 1 A�L�Y..� vex ti'__� ___ _T_^r-+.v .,r'4'±� ��,..r . ■■■■■■■ ■■■■■■■l■��I■■■■■■■■■■ . w. mom INN , L . : .. ■■■I■Oil■■■■■■■■■■ =j n: —- - - ■■■■■■■ N■■ ■■■i■■f■r aM■■■■N■ ..y; ` -- — ■■■■■■■ mom EN 7 ■■■MONO ■■■■■MI��■■■■■■NONE M No ON ■■■■■■ ME a• p Foundation dens 'Basement ion •• .Ext. 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Neville DATED: February 9, 2012 RE: Zoning Appeal No. 6549 Transmitted herewith is Zoning Appeals No. 6549 of Elizabeth Thomason for Justin Swartz &Joanna Weiner-the Application to the Southold Town Zoning Board of Appeals. Also enclosed is the Applicant's Project Description, Questionnaire, Short Environmental Assessment Form, Two Agricultural Data Statement,Transactional Disclosure Form, LWRP Consistency Assessment Form,Authorization Letter from Joanna Weiner&Justin Swartz to Elizabeth Thompson to Represent Them in this Matter Dated January 16, 2012, Copy of Proposed Site Plan Showing Existing&Proposed Construction Dated December 9, 2011 Prepared by Elizabeth Thompson-Architect, Two Pages of Photos of Property, Copy of Tax Map Showing Site, Copy of Certificate of Occupancy No. Z-33678 for Deck Addition to an Existing One Family Dwelling Dated April 4, 28, 2009, Copy of Application fro Building Permit Dated December 9, 2011, Two Page of Property Record Card,Notice of Disapproval from Building Department Dated December 20, 2011, Copy of Proposed Site Plan Showing Existing&Proposed Construction Dated December 9, 2011, Copy of Survey Showing Property as it Exists Dated August 3, 2010 Prepared by John C. Ehlers Land Surveyor, Eight Pages of Plans Showing Existing&Proposed Floor Plans &Elevations Dated December 9, 2011 Prepared by Elizabeth Thompson-Architect. ZBA TO TOWN CLERK TRANSMITTAL SHEET (Filing of Application and Check for Processing) DATE: 2/8/12 ZBA # NAME CHECK # AMOUNT TC DATE STAMP 6549 Swartz, Justin and 2979 $500.00 Weiner, Joanna . FEB - 9 2012 n Cgeric I i $500.00 i By_lc_ Thank you. i i Town of Southold P.O Box 1179 Southold, NY 11971 li I I * * * RECEIPT * * * I Date: 02/09/12 Receipt#: 125727 Transaction(s): Reference Subtotal I 1 1 ZBA Application Fees 6549 $500.00 Cash#: 2979 Total Paid: $500.001, I I hIi i i i i i I I i I I i I i i Name: Thompson, Elizabeth i 1655 Old Farm Road Orient, NY 11957 Clerk ID: CAROLH Internal ID:6549 RECEIVED #10597 STATE OF NEW YORK) � ��® APPEALS COUNTY OF SUFFOLK) - Karen Kine of Mattituck, in said county, being duly sworn, says that she is Principal Clerk of THE SUFFOLK TIMES, a weekly newspaper, published at Mattituck, in the Town of Southold, County of Suffolk and State of New York, and that the Notice of which the annexed is a printed copy, has been regularly published in said Newspaper once each week for 1 week(s), successively, commencing on the 22nd day of, March, 2012. Principal Clerk Sworn to before me this CylO dayof— �012. CHRISTINA VOuNSKI NOTARY PUBLIC-STATE OF NEW YORK N 0- rlIVob1b;;"); 12:00 P.M. - JII SWARTZ and QuaIlflod in 8001k t JOANNA WEINER-#6542-Request for .k`IY GomwlI56iofi expires FQ ;. Variance from Article XXIII Section 280- 124 and the Building Inspector's Decem- LEGAL NOTICE ber 20,2011 Notice of Disapproval based SOUTHOLD TOWN ZONING family dwelling at:1)more than the code on an application.for building permit to BOARD OF APPEALS permitted maximum lot coverage of 20%, construct additions/alterations'and deck THURSDAY APRII 5;2012 located at:4205 Breakwater Road(corner addition to existing single family.dwelfing: PUBLIC HEARINGS. East Road)Mattituck,NY SCTM#1000- 1) less than the code required minimum 2LM P.M., _ KIMOGENOR POIN1 NOTICE IS HEREBY.GIVEN,.pur-. 106-3-6 rear yard setback of 50 feet;located at:275 INC.(BINlGHAMI-#6550-Request for suant to Section 267 of the Town Law and` 1L•00 A.M.-GLYN and MICHELLE Back Lane(aka Private Road-#5)Orient, Variances from Article-XXIII Code Sec- Town Code Chapter 28Q.(Zoning);Town WEIR - #6546 _ Request for Variance NY.SCTM#1000-17-4-26&11.1 tion 280-123 and Article XXII Section of Southold;the following public hearings from Article XXIII Section 280-124 and 00 P.M. - THOMAS and IRENE i. 280116 and the Building Inspector's Janu- will be:held by the:SOUT$OLD TOWN the Building Inspector's December 7,2011 KALOGERAS:- #6554 =,Request for ary 19,2012.Notice of Disapproval based. ZONING'BOARD OFAPPEALS.at the Notice of Disapproval based on.an appli- Variance from,Article 3=1 Section 280- on an application for building permit for. Town[call,53095 Main:Road,PO:Box cation for building permit to construct ad- 124 and the Building Inspector's Febru- demolition and construction of a new, i 1179,Southold;New York 11971-095%on ditionsWterations to existing single family. ary 15,2012 Notice of Disapprovalbased single family dwelling at,1)a nonconforin- THI•IRSDAYAVRiL5-M12 dwelling:.1) less`than the code required on an application for building permit-to -- 10.00 A M =KENNETH SEIFERTH minimum rear yard setback of 50,feet;lo- construct:alterations and"as built"deck ing building containing a nonconforming #6551-Request for Variance front origi- sated at:5200 Mill Road(aka SSSO Wiest addifion tb existing single family dwelling. use shall not be enlarged,reconstructed nal Z13A-GiimC46504&0 the Building Mill.Road,Cox Neck Road) Mattituck, 1) less'than the code required itiinimum structurally.altered orinoved,uliless such Inspector's February 7, 2912:Notice of NY.SCTM#1000-106-6-7 side yard setback of 15.feeV.1&ated at: building is changed to a confornyng use, Disapproval,based on amended:plans,for 11.20 A.M.-GLENN HEIDTMANN. 700 Sound.Beach Drive.(on Long.Island 2)less than the code required bulkhead the access bry.garage at;.l)the degiolition #6ggg-Request for Variance from Sound)Mattituck,NY SCI'4#lOpO 99-1- setback of 75 feet,located at:50 Jackson and reconstruction area devration of the Article X H Section.280-124 and the 10.1 ' Street New Suffolk,NY.SCIMv ,k000-116- original ZBA grant allowing additions.and + =Builduig Ins' Ior's January 30,2012 No- L-50 P.M. PHH,IP MARCO #6552- 6-24;1 altemdons,•located at.2000 Nassau Point i tr�of Disapproval bas on an applied- Requg:it fot Variance frortl Article'X KIII The Board of Appeals will hear all per- Road:-(adj. to.Broadwatei s Cove) Cu- 'Zn fpr biuldtrtg permit dt as bur1E c tW. Section 280-124.and the Building Ins pec- sons or their representatives,desiring to be tchdgtte;NY.SCTM#1(3001d4-10'Ml. hot t►r6 add7fioa•tq exXsf ng stttgle'famu tor's Feb'tuary 13,2012 Nb& of Disap- heard at each.hearing;and/or desiring-to 10511 A.M.'-OLIVER-aid GLORIA dwelling.1� less than the code�eSutred proval.based on an application for build- submit written statements before the,con- -for-#6555 Request for Van- *ear yard setbapit;vf 54f t1 ing permit for"as built'deek.additidn to clusibn of`each hearing.Each hearing will ante.from Article III Section 28015 and sated ['Cl AibaGote Dnve G{eenpoik, existing single fa�rtily dwelling.l)less Wan -not start earlier than designated above. the Building Inspector's February:$,2012 Ny yM#lOQ0�s7)2� I the code_,requrred. minimum rear yard Files are available for review during regu- Notiee of Disapproval based on ah appli- 114(I A M DE ARfi Ole"NA1 CSRE..' setback of 66 feef;located at:43861ndiain lar business hours and:prior to.the day of cation for building petmit.taconstruOt an LLC 6541 I;equest firr Vartalters from Neck Road Peconic,NY.SCTM#10W98- the hearing:If you have questions,please accessory two car garage and an iil-ground Arhele.:-IYI Code .$ecttons;280 i3E1(2) 1-5.4 contai our,office at,(631)76571809,or by swimming pool at 1)location other than basedoiianapphcationforbat i tgpermit 2.10 R Ni - WILLIAM TONyES _ email-Vicki:Toth@Town.Southold.ny.us. the Code required teat yard,located at: and the Buildmg:Inspector's December #6551 Request for Variance from Article Dated.March 6,2012 385 North Cross Road (corner Holden 29,201.1Notice of Disapprovalconcerning )u Section 280.15 and Article XXIII Sec- 'ZONING BOARD OF APPEALS Avenue)-,Cutchogue; .NY. SCTM#1000- proposed addrtions/alterations'to'existing tion 280-124 and the Building,Inspector's LESLIE KANES WEISMAN,CHAIR - 103-13-29 greenhouse.struetiiie an1.1'd new office trail- December 28,2011 Nopce of Disapproval PERSON 10.40 A.M. = I)AVID I-L THORN= ers,at;1.)less than,the code required front based on an application for btdgj!g petltnit BY Vicki Toth TON and JANET E.DAVIDSON f16543 yard setback of.60 feet,2) less than the for an accessory garage at:1)location other 543f5 Main Road(Office Location) - Request for Variance from Article cede required'minimuin side yard setback than the code required rear yard,2)lotcov '" 53695 Main Road(Mailing/USPS) XXIII Section 280424 and the Building. of 20 feet,3)more than the code permitted I erage more than the code pernutted 20% P.O.Box 1179 Inspector's January 18, 2012 Notice of maximum lot coverage of20%,located at: I maximum,located at 75 8th Street (cor- Southold,NY 11971-0959 Disapproval based on an application for 23423 Middle Road (CR48) Cutchogue, I ner of Front Street)(aka 717 Front:Stteet) 105. -IT 3/22 building permit for additions to a single NY.SCTM#1000-84-1-10.4. ; Greenpom NY.SCTM#iwo-a-t-R BOARD MEMBERS *rjF S y Southold Town Hall Leslie Kanes Weisman,Chairperson �� OHO 53095 Main Road -P.O.Box 1179 Southold,NY 11971-0959 James Dinizio,Jr. Office Location: Gerard R Goehringer G • Q Town Annex/First Floor,Capital One Bank George Horning O 54375 Main Road(at Youngs Avenue) Ken Schneider �yIrou ,� Southold,NY 11971 http://southoldtown.northfork.net ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631)765-1809 -Fax(631)765-9064 LEGAL NOTICE SOUTHOLD TOWN ZONING BOARD OF APPEALS THURSDAY, APRIL 5, 2012 PUBLIC HEARING NOTICE IS HEREBY GIVEN, pursuant to Section 267 of the Town Law and Town Code Chapter 280 (Zoning), Town of Southold, the following public hearing will be held by the SOUTHOLD TOWN ZONING BOARD OF APPEALS at the Town Hall, 53095 Main Road, P.O. Box 1179; Southold, New York 11971-0959, on THURSDAY, APRIL 5, 2012: 12:00 P.M. - JUSTIN SWARTZ and JOANNA WEINER - #6549 - Request for Variance from Article XXIII Section 280-124 and the Building Inspector's December 20, 2011 Notice of Disapproval based on an application for building permit to construct additions/alterations and deck addition to existing single family dwelling: 1) less than the code required minimum rear yard setback of 50 feet; located at: 275 Back Lane (aka Private Road #5) Orient, NY. SCTM#1000-17-4-26&11.1 The Board of Appeals will hear all persons, or their representatives, desiring to be heard at each hearing, and/or desiring to submit written statements before the conclusion of each hearing. Each hearing will not start earlier than designated above. Files are available for review during regular business hours and prior to the day of the hearing. If you have questions, please contact our office at (631) 765-1809, or by email: Vicki.TothO-Town.Southold.ny.us . Dated: March 5, 2012 ZONING BOARD OF APPEALS LESLIE KANES WEISMAN, CHAIRPERSON By: Vicki Toth 54376 Main Road (Office Location) 53095 Main Road (Mailing/USPS) P.O. Box 1179 Southold, NY 11971-0959 Nu- TICE OF HEARINt� The following application will be heard by the Southold Town Board of Appeals at Town Nall, 53095 Main Road , Southold: IL'AME SWARTZ, J . 8 WEINER, J #6549 MAP # 17E=4=26 & 11 . 1 VARIANCE SETBACK r-,EQUEST ADDITIONS/ALTERATIONS DATE : THURS , APRIL 5 , 2012 12EMOO PM If you are interested in this project, you may review the file(s) prior to the hearing during normal business days between 8 AM and 3 PM . ZONING BOARD -TOWN OF SOUTHOLD 765= 1809 TOWN OF SOUTHOLD .ZONING.BOARD.:OF APPEALS SOUTHOLD,NEW YORK _ . ... r r AFFIDAVIT' OF In the Matter of the Application of: MAILINGS �US-TIO SW A9,T Z 4 JOANNA \UEIti6 (Name of Applicants) SCTM Parcel# 1000- I'1 — 4 — COUNTY OF SUFFOLK STATE OF NEW YORK I, r,,-tA zA V eTI-t 'r4-C.M PSSot,j residing at It*S IF I I$ ST *-7A toy New York,being duly sworn, deposes and says that: On the 1 SW day of M A e N , 201 Z,I personally mailed'at the United States Post Office in o fR i E tir ,New York,by CERTIFIED MAIL, RETURN RECEIPT REQUESTED,a true copy of the attached Legal Notice in Prepaid envelopes addressed to current property owners shown on the current assessment roll Verified from the official records on file with the Assessors, or( ) County Real Property Office, for every property which abuts and is across a public or private street, or vehicular right-of-way of record, surrounding the applicant's property. 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C3 C3 Ilp Total Postage&Fees $ $5.75 03/15/2012 C3 Total Postage&Fees $ $5.75 (9/15/201L ru ,/�f / ,d r 1 p\ ,e �•( A rq Sent To PAW V. `)4UA TAN) Sent To A 1 �LP r79J5 ----------------- C3 Apt.No.; .�, Street Apt.No.; 'N i�xc - - or PO Box No. or PO Box No. --- ---- --------------- � --------`-gC------------------------------ �` ---------------------- •n,_ s�a� -°1---------------------------------- City,State,ZIP+4 d, L0007, City State,ZIP+4 b E N T N`1 111927 PS Form 3800,AUgust 2006 See Reverse for Instructions, PS�orrn 380 A 006 See Reverse for Instmctions Postal Servic eTM CERTIFIEDMAILTm ■ ■ to Mornestic Mail Onfy;No Insurance Coverage co i�E�YOF N 101303 P A2 L U m Postage $ '$0.45 0957 ru Certified Fee $�L.95 .-03— 0 Return Receipt Fee O (Endorsement Required) $� 35 Here✓J O `' Restricted Delivery Fee r�f� Q (Endorsement Required) $0.00 Y6/I�a E3 Total Postage&Fees $ $5.75 03/15/201 ru rq Sent To GN-iq,1Z� M r 3 � ------------------- LTA �..(��_ u,l v A or PO Box No. 1 ,µ City 8iaie,ZlP+4T-- --------------- ma COMPLETE THIS SECTION COMPLETE THIS SECTION . ■ Complete items 1,2,and 3.Also complete A. Sign a u item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse X ❑Agent so that we can return the card to you. ❑Addressee ■ Attach,this card to the back of the mailplece, B. Received-by.(� e� e) C. Dat of Delivery or on'the front if space permits. I I. Article,.Addressed to: %-.is deliveWa d"hem m' mll ❑Yes r If YqS1` t/d'_eliv ddre elow: ❑No IQ19 6/0 STc U E V c VSS C5 Q, 261 r Sc!-} 4er L)G l'.� . J.".seNl as P 7 -5pA A V le- - Rertified Mail, ©Press Mail I Return Receipt for Merchandise N y 10017 V Q I ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number, (Transferfrom service labeq . ;701,1 ;2 0 0 0 .0002 4348 1672 PS Form 3811,February 2004 Domestic Return Recelp ` — 102595-02-M-1540 , ITIs�� 2tG C TV RAL Lot' f Soon} D t R 1,L c c�Pa G rvr;'ry Y -- - -- - $ PGA_.? Mc--i 2S7 _ ... I_.. ...: # I FlP- ._..- - S 1 - - - -- --- - _.._.. _. . e, DaLu,$. Y• !a v ,Y f' l7- CERTIFIED MAILT. RECEIPT GERTIFIRMAILT. RECEIPT -0 (Domestic Maii Only;No Insurance Coverage Provided) Ln (Do estic mail 6t7!y,,,,Nq Insurance Coverage Provided) q N4tYd'Cal V-10ocC, I A L Al m Postage $ $0.45 57 ` m Postage $ $0.45 0957 Certified Fee $2.95 3 q I, t ry,(t9 Certified Fee $2.95 3 O R(F ruD 1 r,., Return Receipt Fee Here O Return Receipt Fee os iRa O p (Endorsement Required) $2.35 O (Endorsement Required) $2.35 ,t Here 2L t3 Restricted Delivery Fee (� 0 A Restricted Delivery Fee C3 (Endorsement Required) $0.00 SpS 1�g O (Endorsement Required) $0.00• � rp Total Postage&Fees $ $5.75 03/15/201 ro Total Postage&Fees $ $5.73 /15/t012 A r-9 Sent To /t A t y. � I I ��Q,�` � Sent To j ff ry r i 'V ------------ 7�l�4N1� R` - R r�--r ----- ----------------------------------- - Q street,ape No.; , � Street Apt No.: �A�Z`7----�'1'cWL'Vig -�-C�----------------'----" Box No. — — �0 [�- CityO Box No.-- {, Fi N -z - ----------------------------------- City,State,ZIP+4 City,State,ZIP+4 S Form 3800,August�006 SeLR�verse for Instructions PS Form 3800, 006 See Reverse for IqMructions Postal $ervic-eT1. iCE ■ , s ■ cD Lh (Domestic • M Postage $ '$0.45 0957 .� I ru Certified Fee $ 95 2. r-3 Return Receipt Fee s O (Endorsement Required) $2.35 He J 0 2 Restricted Delivery Fee C3 (Endorsement Required) $0.00 �/ < E3 Total Postage&Fees C. r r $ $5.75 03/15/c012� Sent To Chi F• M x pYC LT1 Vjq _ t7 or City Sete,Z%P+4--�4--- Iw—pf..-i-1 t-'--------------- N`1 limo COMPLETESENDM COMPLETE THIS SECTION ■ Complete items 1,2,and 3.Also complete A. Sign u item 4 if Restricted Delivery is desired. I ■ Print your name and address on the reverse X 11 Agent SO that we can return the card to you. ❑Addressee ■ Attach1his card to the back of the mailpiece, B Received-by...... tee e) C. Dat of Delivery or oh,ihe front if space permits. I 1. ArticleAddressed to: D:'Is deliver ryrafeffir"cliffere t``rom Rem 17 ❑Yes I If,�"3��eriferd'eTive ddre.) elow: ❑No G '- o2(6iv 19 V0 STG.0 E \N ems CS Q. Sc 14 G l c Ht r ' D 4 o s !�.C , 3•,send as / ''7 _ Certified Mail 0 press Mail c0 1 3�../� " 'V �� --"El Return Receipt for Merchandise N 1 16017 Insured Mail ❑C.O.D. 2. Article Number, 4. Restricted Delivery?(Extra Fee) ❑Yes - - ransfer from service fabe9 - .7a112a00 --- 01102 4348 Ps Form 3811',February 2004 Domestic Return Receip 1672 102595-02-M-1540 ® DELIVERY ,EN. • • ■ Complete items 1,2,and 3.Also complete A. S' n item 4 if Restricted Delivery is desired. Agent ■ Print your name and address on the reverse X • ddressee so that we can return the card to you. B. eived by(Pri Name QLDate of Delivery ■ Attach this card to the back of the mailpiece, / - m I-- or on the front if space permits. y D. Is delivery address different from item 17 ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No STe W A R"t- 4-6?-T0 N r b• 0- 7 3. Service Type d C NT N ❑Certified Mail ❑Express Mail I I- 177 ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes N c d, 2. Article Number ',' '. '; 7p11 2A0 000.2i4348 1634° � L y N (Transfer from service label) _- e E' 4 '102595;02-M-1540 +m'" ❑ ❑ ❑ o PS Form 381T ,February 2004'. Domestic Return Receipt m E _ 4 r9-'ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY E ci ....... ■ Complete items 1,2,and 3.Also complete A. SI nature I v `_...❑Agent Sitem 4 if Restricted Delivery is desired. v■ Print your name and address on the reverse X ❑Addressee Iso that we Can return the Card to you. B. Received by(Printed Name) C. Date of Delivery o 'a "'"" co ■ Attach this card to.the back of the mailpiece, �or on the front if space permits. _D. Is delivery address different from item 1? ❑Yes °' �1. Article Addressed to: If YES,enter delivery address below: ❑ No ) 'ddwE3 p-o .3,X g .•• �` 3. Service Type N N T-1 ►V ❑Certified Mail ❑Express Mail a a ❑Registered ❑Return Receipt for Merchandise -3Insured Mail [3C.O.D. a o T E C t 4. Restricted Delivery?(Extra Fee) ❑Yes 2O Cd Y J 2. Article Number 7 01'1 2 0 0 0 0;0 0'2` 4 3 4 9' 17 0 2 ;, o m a ...... (Transfer from service laben y a m Q PS Form 3811,February 2004 Domestic Return Receipt 102595-o2-M-15ao E m P [�� !E � a N l� 2 :.....N LL cCd %- 2 2 E 2 .r....� iENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY0 00 3 Y u, Q tJ I`!� Z..a M I ■ Complete items 1,2,and 3.Also complete A. SiZA� 0 c °1 � N � � � E ' ��//�� (c.. mo 0 I item 4 if Restricted Delivery is desired. X I"�- l gent i c o r —" rd LL Ia. wQ o ¢- ■ Print your name and address on the reverse ❑Addressee ,■ ■ N EL so that we can return the card to you. B. Received b Printed Name C. Da of D ive — ----- ■ Attach this card to the back of the mailpiece, e ,�r( M C�� ? Z L T or on the front if space permits. h D. Is delivery address different from item 17 ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No y1F L I IN 0 A T:L l 6,E Ls o" 14PT'. Zz- L � pp��6O Pi VIE e S I1,E 3. Service Type ❑Certified Mail ❑Express Mail N N I p D Z ❑Registered ❑Return Receipt for Merchandise + ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (Transfer from service label, 7 011; '2 00 0 0 0 0 2 2 4'3 4 8 16 8 9 : ` :': `. PS Form 3811,February 2004 Domestic Return Receipt 1025' 62-M 1540;; COMPLETE • COMPLETE SECTIONON DEI ■ Complete items 1,2,and 3.Also comple a A. Signature item 4 if Restricted Delivery is desired. A� J ■ Print your name and address on the reverse X '"l Gr . ❑Agent so that we can return the cans to you. Addressee ■ Attach this cans to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes If YES,enter delivery address below: ❑No �►2E�c�N--1 5 uc�l v►,jN ?L• Si,_ rf 3. Service Type ❑Certified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. - - ----— —— 4. Restricted Delivery?(Extra Fee) > N ° ❑Yes 2. Article Number d,�, c (Transfer,from service label - o ° 2 y N :.:;.. 2000 0002 4348 1658 °r } Z r PS Form 3811,February 2004 Domestic Return Receipt o t ❑ ❑ N W25�S�2-M-1540 o 0 ° E SENDER: • • • • • , E m m O � v a5Q L u7 ■. Complete items 1,2,grid 3.Also complete A,sign "re Z it or 0 �p ' item 4'if Restricted Delivery is desired:'; ❑Agent m 0❑ ■ Print your name and address on the reverse ❑Addressee z >- so that we can return the card to you. ...... ■ Attach this card to the back of the mailplece, eive by(Printed N C. Date f Dell e �0 , m v or on the front if space permits. 3 /7 / 1'8 tm 1. Article Addressed to: D. Is delivery ad different from item 1? ❑Y s — �, W $' H If YES, r deli ery address below: ❑No y } rU An h .�� C4L.LA 14A(U Im d � o rr Zo C s1, , i mC-3 cc y � C ( 3. Service Tpe j a R I •o �� ❑Certified Mail ❑Express Mail '� :❑ ❑Registered ❑Return Receipt for Merchandise E ❑Insured Mail. ❑C.O.D. r w d 2. Article 4. Restricted Delivery?(Extra Fee) ❑Yes v 4e"- --•••• " cle.Number .,. _ € U i..,.._ •O.. (Transfer from service labeq 7 011 2000. 0002 4348 16 ' 6 m m 2-1 .N PS Form 3811 February 2004 Domestic Return Receipt �. 1o2s95-o2-M-ts40 $ C o Co ►_ v 8 2 COMPLETE THIS SECTInN ON DELIVERY a) SENDER: COMPLETE THIS SECTION Z.` :m L+ Q ■ Complete items 1,2,and 3.Also complete A. Si ure I - q '+(1 _m 2 € item 4 if Restricted Delivery is desired. X ❑Agent 1¢ o` ° ■ Print your name and address on the reverse ❑Addressee ■ P _ - so that we can return the card to you. e i y n Na a C. Date of Delivery — —— ——-- ■ Attach this cans to the back of the mailpiece, , -or on the front if space permits. D 16-rz,'j 1. Article Addressed to: Is delivery Brent it 1? El Yes If YES,ent r delivery address below: ❑No Q C N T 3. Service Type i r ❑Certified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise I ICI / ❑Insured Mail ❑C.O.D. I 4. Restricted Delivery?(Extra Fee) ❑Yes 2. ArticleNumtiei i i ;<< 7p11 2000} 0002 i434T1627; i (Transfer from service lab' ' ` _PS Fo'rrW 3811';Febniary.2004 '. i ; Domestic Return Receipt 10259&02-M-1540 1 TOWN OF SOUTHOLD ZONING BOARD OF APPEALS SOUTHOLD,NEW YORK AFFIDAVIT OF In the Matter of the Application of POSTING J�STtN SW A , fi goANt,)A `VG If)Ce— (Name of Applicants) Regarding Posting of Sign upon Applicant's Land Identified as SCTM Parcel#10.00-11 - COUNTY OF SUFFOLK) STATE OF NEW YORK) I,_F a-Z,4 g eTm '14e mFSo iJ residing at I 5 E I I$ .ST. 'AM lV ENV yo tw ,New York, being duly sworn, depose and say that: On the day of HA Rz,44 201Z , I personally placed the Town's Official Poster, with the date of hearing and nature of my application noted thereon, securely upon my property, located ten(10) feet or closer from the street or right-of- way(driveway entrance)—facing the street or facing each street or right-of-way entrance,* and that I hereby confirm that the Poster has remained in place for seven(7)days prior to the date of the subject hearing date, which hearing date was shown to be (Signatu ) Sworn to before me this 2r/Z Day of jkkkf►e-a� , 20 DANNY CHIN NOTARY PUBLIC,STATE OF NEW YORK NO.498>!'Tl5 l QUALIFIED IN KINGS COUNTY (Notary P 11G) i9FRIMC6C)MV9ISP-JONA£Xp RES NOVEM13ER 8.ilTE FILED IN NEWYORK TM3 * near the entrance or driveway entrance of my property, as the area most visible to passerby. 11ONING BOARD OF APPEALS �541 MAILING ADDRESS and PLACE OF HEARINGS: 53095 Main Road, Town Hall Building, P.O. Box 1179 Southold, NY 11971-0959 (631) 765-1809 Fax 765-9064 LOCATION OF ZBA OFFICE: Town Hall Annex at North Fork Bank Building, 1st Floor 54375 Main Road and Youngs Avenue, Southold website: http://southtown.northfork.net March 5, 2012 Re: Town Code Chapter 55 -Public Notices for Thursday, April 5, 2012 Hearing Dear Sir or Madam: Please find enclosed a copy of the Legal Notice describing your recent application. The Notice will be published in the next issue of The Suffolk Times. 1) Before March 19tn: Please send the enclosed Legal Notice, with both a Cover Letter including your telephone number and a copy of your Survey or Site Plan (filed with this application) which shows the new construction area or other request, by CERTIFIED MAIL, RETURN RECEIPT REQUESTED, to all owners of property (tax map with property numbers enclosed), vacant or improved, which abuts and any property which is across from any public or private street. Use the current owner name and addresses shown on the assessment rolls maintained by the Southold Town Assessors' Office, or Real Property Office at the County Center, Riverhead. If you know of another address for a neighbor, you may want to send the notice to that address as well. If any letter is returned to you undeliverable, you are requested to make other attempts to obtain a mailing address or to deliver the letter to the current owner, to the best of your ability, and to confirm how arrangements were made in either a written statement, or during the hearing, providing the returned letter to us as soon as possible; AND not later than March 26th: Please either mail or deliver to our office your Affidavit of Mailing (form enclosed) with parcel numbers, names and addresses noted, along with the green/white receipts postmarked by the Post Office. When the green signature cards are returned to you later by the Post Office, please mail or deliver them to us before the scheduled hearing. If any envelope is returned "undeliverable"; please advise this office as soon as possible. If any signature card is not returned, please advise the Board during the hearing and provide the card (when available). These will be kept in the permanent record as proof of all Notices. 2) Not Later March 28t": Please make arrangements to place the enclosed Poster on a signboard such as cardboard, plywood or other material, posting it at the subject property seven (7) days (or more) prior to hearing. (It is the applicant/agents responsibility to maintain sign until Public Hearing) Securely place the sign on your property facing the street, not more than 10 feet from the front property line bordering the street. If you border more than one street or roadway, an extra sign is supplied for posting on both front yards. Please deliver or mail your Affidavit of Posting for receipt by our office before April 3, 2012. If you are not able to meet the deadlines stated in this letter, please contact us promptly. Thank you for your cooperation. (PLEASE DISPLAY YOUR HOUSE NUMBER ALWAYS). Very truly yours, Zoning Appeals Board and Staff Ends. BOARD MEMBERS ��QF $0(/l�o Southold Town Hall Leslie Kanes Weisman,Chairperson O !� 53095 Main Road•P.O. Box 1179 Southold,NY 11971-0959 James Dinizio,Jr. Office Location: Gerard P.Goehringer • Q Town Annex/First Floor,Capital One Bank George Horning 54375 Main Road(at Youngs Avenue) Ken Schneider fCoUNTY Southold,NY 11971 http-//southoldtown.northfork.net ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel.(631) 765-1809 •Fax(631)765-9064 February 8, 2012 Mr. Thomas Isles, Director Suffolk County Department of Planning P.O.-Box 6100 Hauppauge, NY 11788-0099 Dear Mr. Isles: Please find enclosed the following application with related documents for review pursuant to Article XIV of the Suffolk County Administrative Code: ZBA File #6549 Owner/Applicant: Swartz/Weiner Action Requested: Rear yard setback Within 500 feet of: (X) State or County Road ( )Waterway (Bay, Sound, or Estuary) ( ) Boundary of Existing or Proposed County, State, Federal land. (X) Boundary of Agricultural District ( ) Boundary of any Village or Town If any other information is needed, please do not hesitate to call us. Thank you. Very truly yours, Leslie K. Weisman ZBA Chairperson Byx ., Encls. BOARD MEMBERS Southold Town Hall Leslie Kanes Weisman,Chairperson O'of sv�ryol 53095 Main Road•P.O. Box 1179 't O James Dinizio,Jr. Southold,NY 11971-0959 � � Office Location: Gerard P.Goehringer CA Q Town Annex/First Floor,Capital One Bank ellGeorge Horning • �O 54375 Main Road(at Youngs Avenue) Ken Schneider COUNT`I Southold,NY 11971 http://southoldtown.northfork.net ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel.(631)765-1809 •Fax(631)765-9064 April 20, 2012 Elizabeth Thompson, Architect 165 E 118" St#7A New York, NY 10035 RE: ZBA Application#6549, Swartz Dear Ms. Rivera: Transmitted for your records is a copy of the Board's April 19, 2012 Findings, Deliberations and Determination, the original of which was filed with the Town Clerk regarding the above application for variances. Before commencing any construction activities, a building permit is necessary. Please be sure to submit an application along with a copy of this determination to the Building Department. If you have any questions,please call the office. Sinner/elly, Vicki Toth Encl. Cc: Building Dept. ISLAND p • SO �j%� L. 40 �• 25 41 O 12 1q .60 (,I -Q6 \ �Z' s.t E 1?1 1.6A a 19 15. 6.2 23� W 2.0A 6 rn 1.3A(C)'s , - 1.41 -'--` /1/ \`V 5' \ 1 1 2.0- z2 $ 3 al m V O 7.1 ry rel .1 f° �5.4 j• Q R 'fir xn .EtF3�m 1.4A I____-, 5 3.4A $1� 14 1.14 9 c'/ '\\ 3.2Ai of :�{G. a'�F4 16 I 27A 3,1 /o , 21.1A 4Bq S r PO N 1 2.0A(C) (,q �� _30- uo 131 14 1 12.1� _ — @� +n. 11.6 aea yn / -DO �� ay (.i 1?A(c) vx ,� �Q q S 12 w _2 s ,m •2 1.0 +e+ 31m u tl 7 8 R+I g s zo'wN 4 a $ gam 4 5 m6 19A' mI pOP` /=0C ur m 9.2 m .nc ti 7 8 10 3~ 8 10 15 17A w A5 S.R.25 +n 11.4 .13� 3$' /AQz MnaION 4 34A BA(c) / rk OµIEN -4 3r p �. ej /. CI N p j: LO'I vg �• \.-/�(UNDERWATERo -� A k \ BC4lYN �� Stlpol OimlG Ws --sO1-- HTman,DmMDrc Ur.6E55 O-WNN OTFIER,MSE.ALLPItOPERTIES (mot) I+ITHN rHE Fa+nver;c asmieTs: NOTICE c h.we waint>m✓al —W HmvblD�r W 16T-- qPE� y, sNVFGnANi � MAINTENANCE,ALTERATION.SALE OR Real uo +++ L Airtubim LLse Om— A uDHr <B� DISTRIBUTION DFANY PORTION OF THE i 13.+A — ' mArc SUFFOU(COUNTY TA%NAP IS PROHIBITED GGG111 C :3 T "� ..yF'•• gS ,ry W� .v3iE�M�ER -- IMTHOUT W1y TTEN PERM p,_OF THE e, s. dv: K",..`S. ��"&. .�• `�`"*��. a. Jzs�'sm-'o,�"PJ„W >'- 5.rt6 Al..tc:. " L-f}�%k.>•, "'��,y'r E'�' �s�,�7`'"� g�'�-��.�'� -, ` `�" �ir'�'e2"8'�;+rf' ',y.>•-.P "fit �.g`:> ��. - "��saus a,;.. -tom < aJ t�'�i`.�: ^�A�s.=i;�Y'r ''^' a")'. �,..�,.T-"T�.: :_y�- „s..sr u;'�'+`'��t'3 ,'-; �.sk�,',�„ 1`�'` .;: '�'ac'1f'r. •��' �',��ri;+,.,rd ��'." "1; _ -:s- a--:,�.�rt ,'-+`' t;}.Y `s--=x. 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