HomeMy WebLinkAbout1000-107.-8-44.1 OFFICE LOCATION: ' �
MAILING ADDRESS:
Town Hall Annex ��� �, P.O. Box 1179
54375 State Route 25 Southold, NY 11971
(cor. Main Rd. &Youngs Ave.) Telephone: 631 765-1938
Southold, NY 11971
LOCAL WATERFRONT REVITALIZATION PROGRAM
TOWN OF SOUTHOLD
To: Leslie Kanes-Weisman, ZBA Chairperson
Members of the Zoning Board of Appeals
Cc: Glenn Goldsmith, President
Town of Southold Board of Trustees
Honorable Lori Hulse, Attorney
Julie McGivney, Assistant Town Attorney
From: Heather Lanza, AICP, Planning Director
LWRP Coordinator
Date: August 3, 2026
Re: LWRP Coastal Consistency Review
Leis, SCTM #1000-107.-8-44.1
ZBA File Ref. No. #8117
This application is a request for a variance from Article III Section §280-15. The Building
Inspector's March 6, 2026 Notice of Disapproval is based on an application to construct
an inground pool swimming pool, hot tub and generator accessory to an existing single-
family dwelling at 990 Grand Ave, Mattituck, NY.
The proposed action has been reviewed to Chapter §268, Waterfront Consistency
Review of the Town of Southold Town Code and the Local Waterfront Revitalization
Program (LWRP) Policy Standards.
Based upon the information provided on the LWRP Consistency Assessment Form
submitted to this department, as well as the records available to me, it is my
recommendation that the proposed action is CONSISTENT with the policies of the
LWRP as follows:
Policy 6 Protect and restore the quality and function of the Town of Southold ecosystem.
6.3 Protect and restore tidal and freshwater wetlands.
A. Comply with statutory and regulatory requirements of the Southold Town
Board of Trustees laws and regulations for all Andros Patent and other lands
under their jurisdiction
The proposed action is on a nonconforming waterfront parcel with a pre-existing
residence that is less than 100ft from the wetland boundary of Long Creek.
The proposed action is consistent with Policy 6.3A because the proposed pool meets
the 60ft wetland setback for a swimming pool and related structures from Town Code
Town Code Chapter §275-3D(a)[5].
In addition to the Zoning Board of Appeals variance, please note the proposed action is
within the jurisdiction of the Board of Trustees and will require an approval of a wetland
permit.
The proposed action has been reviewed to Chapter §268, Waterfront Consistency
Review of the Town of Southold Town Code and the Local Waterfront Revitalization
Program (LWRP) Policy Standards.
2
Y�xxat-Z�,.
BOARD MEMBERS t}of sQ(j Southold Town hall
Leslie Kanes Weisman,Chairpersonho �+�� 53095 Main Road • P.O.Box 1 179
Patricia Acampora Southold,NY 11971-0959
Robert Lehnert,Jr. C„ Office Location:
Nicholas Planamento YO$ Town Annex/First Floor
Margaret Steinbugler 54375 Main Road(at Youngs Avenue)
�? A Southold,NY 11971
http://soutlioldtownny.gov
ZONING BOARD OF APPEALS
TOWN OF SOUTHOLD
Tel. (631)765-1809 ,77
April 7, 2026
Heather Lanza, Town Planning Director
LWRP Coordinator
Planning Board Office �P
Town of Southold i v-7'— 'l
Town Hall Annex
Southold, NY 11971
Re: ZBA File Ref. No. # 8117 — Leis, David & Helen
Dear Sir or Madam:
We have received an application to construct inground swimming pool, hot tub and generator accessory to an
existing single-family dwelling. A copy of the Building Inspector's Notice of Disapproval under Chapter 280
(Zoning Code), and survey map, project description form, are attached for your reference.
Your written evaluation with recommendations for this proposal, as required under the Code procedures of LWRP
Section 268-51) is requested within 30 days of receipt of this letter.
Thank you.
Very truly yours,
Leslie K. Weisman
Chairperson
By: �t
Encl.
Site Plan/Survey: Angelo Joseph Cecere, Land Surveyor last dated February 18, 2025
Public Hearing Date: August 6, 2026
FORM NO. 3
TOWN OF SOUTHOLD
f
BUILDING DEPARTMENT -
SOUTHOLD, N.Y.
NOTICE OF DISAPPlROVAL
DATE: February 7, 2025
DEVISED: March 6, 2026
TO: David Leis
760 W End Ave #I5-A
New York, NY, 10025
Please take notice that your application dotted December 10, 2024:
For permit to: construct art inIII ii1L,_}�c�5i,_1u�i tub and �retle ntc�raccewsory to
aii existing siii le lat7i,ily dwelltnt.;_at::
Location.of property: 990 Grand Aveptie. Mattit.uck, NY
County Tax Map No, 1.000-- Section 107 Block 8 Lot 44.1
Is returned herewith and disapproved on the following grounds:
l l7c date . ) ct)I�Lose i accessories. on Ih is 46,673 so.ft. parcel in the Resideii(ia] IZ40
District, are not pemlitted DL11",U311t to .Abele. Ill. Section 280-15. which states accessory,,
buildim,,s aticl 5tt°ucILWCcS shall„be located in the. required rear yard and ita the case of'a
�,N!aterfront varcel, acc.essor4 bUildin and staueit1tc�5 niay be located in the front N,ard
provided princil7l front yard setbacks are met.
'I•17�2rot�osedljt of is in the, side �,ard.
The proposed hot tub is in the side vard.
Tile pro a�osed geiieratc r is i p_Ihe side yard.
j4aau/ YX
Autl-0-ized 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, ZBA
APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS
AREA VARIANCE
fl`,ottr(;eNo. 990 Street Grand Avenue Hamlet Mattituck
107 Block: 8 44.1 R-40
1000 Section. Lot Size: 46,673sq.ft. Zone
APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR
VW` 3/6/2026 BASE]) ON SURVEY/SITE,PLAN DATED 2/18/2026
David & Helen Leis
Address. 760 W End Ave #15.-A, New York, NY 10025
-
w Fax- Email:ne: 917-678-9327 david.p.leis@gmail.com
n addition to th e aL)ojea please complete below if application is signed by applicant's attorney,agent,
builder,contract vendee,ctc.and name of person who agent represents:
4 Representative- Chris Cole,Cole Environmental Services for M Owner Other:
425 Montauk Highway, East Quogue, NY 11942
sryneo 631-369-9445 Fax: Email: Info@ColeEnvironmentalServices.com
-respondence to be inailed to,from the above names:t�!wch to specify it,ho,rou ivish coi
nti,Jicant/Olvner(s), (X) Authorized Representative, O Other Name/Address below:
BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN
and DENIED AN APPLICATION DATED 12/10/2024 FOR:
(X) Building Permit
Certificate of Occupancy O Pre-Certificate of Occupancy
Change of Use
Permit for As.-Built Construction
)n of the Zoning Ordinance Appealed. (Indicate Article,Section,Subsection of Zoning Ordinance
h t Do not quote the code.) 15
III Section: 280 Subsection:
yv, of Appeal. An Appeal is made for:
(X)A Variance to the Zoning Code or Zoning Map.
A Variance due to lack of access required by New York Town Law- Section 280-A.
Interpretation of the Town Code,Article Section
Request for Reversal or Overturn the Zoning Officer's Denial
Other
appeal has, (X) has not been made at any tone with respect to this property,
it Appeal No(s). Year(s).
!')('SZII'e 10 1'eSeIJI.ch he 0 J're comj)lelinr this question or call our f(ffilcefior assistance)
Paloe _", Area Varilailce Application
Rv%'Ised 6r21)23
R.E,ASONS FOR APPEAI,,,
(fl'lease bespeeijie, additional sheets ni(q he zisetlivith preparer's signature notarked):
1. An undesirable chango will not be produced in the CHARACTER of the neighbor or a detriment to
properties ifgl'anted,because:
Granting g the requested variance will not produce an undesirable change in the character of the neighborhood nor create a detriment tonearby
properties.The proposed in-ground swimming pool,hot tub and generator will be located in the side yard oft he residential parcel and will remain
weir within the interior of the property,set back a substantial distance from adjoining property lines and neighboring residences.The
improvement is consistent with typical residential development found on similar properties in the surrounding neighborhood and will not alter
die residential character of the area or adversely affect neighboring properties.
f ho benefit Sought by the applicam C'ANNOT be archieved by some method tleasible fior the applicatit to
J-)LWSLI,2,other than all area vnriane(-, because:
The benefit sought cannot be achieved by another feasible method because the configuration of the waterfront parcel and the location of the
existing residence limit the areas where the,proposed Pool,hot tLA)and generator can reasonably be placed.The rear yard is constrained by the
shoreline,while other locations would require substantial reconfiguration of existing development.The proposed location adjacent to the
residence is the most practical placement and requires the requested side yard variance. Additionally,the Board of Trustees require pools to be
setback a minimum!of 60'from the wetlands,which limits where the pool can be situated.
flic amount of relict i-equested k no! "Llbstantial bteeause:
"Aw amount of relief requested is not substantial because the proposed pool,hot tub and generator will remain well within the interior of the
parcel and will be located near the existing residence.The variance relates only to the placement of the pool,hot tub and generator within
u cskle yard and does not involve an increase in the scalp or intensity of the residential use of the property.
i. The variance will NOT lave afl advel,w eff'ect ar hirpact on the physical or environmental conditions in
the neighborhood oi-disli-ir:,t because:
iir.requested variance will not have,an adverse offect on the physical or environmental conditions in the neighborhood. The proposed pool,
�,-ot tub and generator will be located near the existing resich�,nce,within an already developed portion of the property.The project will remain
with the surrounding residential use of the area.To mitigi-ite,the proposed development,a 10'x100'non-turf buffer is to be planted
I1 fl, s-native
. salt-tolerant non-fertilizer dependent vegetaton and a 30'non-turf buffer are proposed on the eastern side of the property along
the existing concrete wall. The Board of Trustees have approved the proposed pool,hot tub and generator location.
1 allele diflkl.dtv been �,,,Wcreated? Yes,or �W No Whv:
The difficulty is riot self-created because it results from the proximity to wetlands,configuration of the waterfront parcel,location of the pre-
(zxisting residence on the property,and Board of Trustees code.These site constraints limit where accessory structures can reasonably be
1 o Ca t e'.d,
C, Are there any(,ovennllts or Restrictions concerning this land? �X$' No Yes(please furnish a
Copy)
This is tile N,11NV,11UX!j lh It is necc,sairy Lind ,,idequale,and at the.saille time preserve and pl*oleet the
c4laracter oi,fllti, 31'.kdfli(whood and 111C 11C'alfh, and WdfiWC of the Co 111111LIflitV.
1�y Agning this(locuolent, tile PI 01.4"RT"A' OWNER ti it(lei's tands that purstriant to Chapter 280-
146"13)ol*the Code ofthe Toxvil o,"S011fil0ld,J11V variance-ranted by the Hoard of Appeals shall
liecorne,nall awl void-where a (:Vrlficate of0ectipaney has not been procured,and/or a subdivision
niap has not beell filed with the 1;1"Iffolk (Aerk, within three(3)years fronj the date stich
r"WOMIce Was grantod. The floard rag,y, upoll N;ritten request Prior 10 the(late of expiration,grant
an extension not to exceed three(3)consectith-c oiw(1)year terms. [T IS THE PROPERTY
'0W.NTIVS RESPONS113111TYTO ENSURE (70NIMAANCE,WITH THE CODE IZEQUIRfl)
TME 1�'RAMFI DE SCRMFI) HEAMN.
`s,ign,11ure OFAJ plicant loAffl—iorized Agent
(Alolelil MUt t S1,11111lit written Authorization fi-oin Owner)
Sx%nrn to bel'ore ine ibis day
ALISON A FAY
NOTARY PUBLIC,STATE OF NEW YORK
Registration No.OIFA6415288
Qualified in i SlIffiolk Copnty_
N( -Lib ic.
mv Commission Erpircs.
Zo-kning Board of Appeals
APPLICANT'S PROJ ECT DESCRIPTION
A. l�' Cole Environmental Services SCTM No. 1-000-107-8-44.1
` Otidon of Existina Buddhig Areas
Existing fountain to be relocated.
rzbu�areas being
-----------
-------------------------
Areas (N as lia ti lli.aug or New Additions/Extensions):
"li": of first floor extew'1011.
of new second floor.,
1 Moor above second
H('•� 61 t"-oml c'Xistina natural
1's 11'o"I'-'Cn.11"'rut or-lowest floor area bcilw constrLICIed? Ifycs, please provide height(above ground) measured from
'd i grade to first floor:
loor:
Construction Description (Alternations or Structural Changes)
fi c,'ioot if necessary). Please describe building areas:
WlilhtA= 1c)()rS and General Char;.,wteristics BEFORE Alterations: Fountain
iors and Charwes W11,14 Alterations: Pool,hottub__generator,_patio,_
-o-u-tdoor shower,BBQ area
---------------- ..........
"V i Cos, of building as a tas• a nd 11,W coverage,sky plane (Froni Surveyor,Design Professional):
footage ol'buildings on Your 1)ropc.11y: 4,917sq.ft.
of building coverawc• 1,599 sq.ft.
S of y0Llr lot: _4 6,-6.7-L-5-s Q.-.
Vc >w oh,overaoe of your lot by building area (lot coverage) Exj�stin _1015% Proposed: 14.0%
1*Wa (GFAof'sim le lC mily dwellilL i )ClUdiffln [lie attached garage and/or habitable detached
ed
(Please refer to Chal')Ier 280. Scel ion 280--207 of the Town Code):
project within Ille allowable Skv Plane? (Please refer to Chapter 280, Section 280-208 of
lots, is pl Plane?....
!New construcfionr ----- -----
pnstruction is to install an in-ground swimming__p_qqlL.hpt tub- en erator p and BBQ area as
M.-g-
acc.c.::::;ory in,r)(ovements to the existing single-family residence for residential recreational use.The improvements are
.........-------------------... .
m,i_!& t., 'm-iance the enjoyment of the property while remaining consistent with the residential character of the
JG
Atli ��ri"oe the land conioars (flat,slope 1/0, hwavfly wooded, inarsh area, etc.)on your land and
,z,l: z to the difficulfty ihn ineeting the code irequdreiinent(s): Describe on separate page if needed:
-c generally level in the developed area around the existing residence and slopes gradually toward Long Creek
ih, cortion of the lot.The shoreline area contains natural vegetation seaward of the existing concrete wall.
'S sets of phol w';' h_a beled to show different angles of yard areas after staking corners for
and photos. of building area to be altered with yard view.
Revised 6/20Z3
Q0ES410NNAIRE
�,OR FDLDNGqAAITTI "VO0R ZBA.APPLICATION
� IS the subjec/ promisCa cuoenUy listed on the n:u| estate market for sale?
__--yes
X No
_
B Are dic/r |s any proposu to change or after land contours?
p(cusc explain on uopuo8e ahoeL minor regrading is proposed.
� |J At-(,there orcaxdhu1 contain sand or wetland grasses? Yes
2j Are zhoyc areas shown on the survey submitted with this application?.Yes
_______
J�) 1s d/� pnopo/iy hu|k hcudod b��wnon the wetlands area and the upland building area?
Yes
4.) If'your ltroporty conlains or pond areas, have YOU contacted the Office of the
fbr Its dotcrmiunbonof�uriediohoo? Yes
Mcusc cmn0m status of your )oquiry orapp|icaiion with the Board of Trustees:
Project was approved pending receipt vr updated plans,which were submitted to the Board. Permit ispending.
l[issuCd, p|cuyeuUo,bcopieso[yourpermi1 listing conditions mf approval with uoopyof
the approved surv�y.
L� Is there a depre'ssioll Or slophq-?,elevation near the area of proposed construction at or
below five [cclabove nlcun sea level? No
C Are Uhueany patios., concrete barriers, bulkheads orfencesthat exist that menot ehovvn
uuthcsurvo�that you are submit|iog9_m»______
Ifally offlic "A'Orellientiorled iterns exist on your property, please show thein on a site
plan.
F /\� da.manyconx/muionpn�e�s currently iupnooconnyourpropor�'? No
lfyes. Submit a colw ofyour building permit and Survey as approved by the Building
Dcpodn-icn| and please describe scope ofvvoik:
(i P\cusc o11uch uUi of occupancy and ooirtiQuotou of occupancy for the aoNex1
p/-CMiscy. /[noxcczis{, p|cusc apply totile Building Dqpurtmontto obtain tbcm orto obtain on
/\mcndodNniiccofOisupp/-uval.
{|. Qn you or any co-owner also own other land m6oiningor close to this parcel? No
If yes, please \ohc| the proxiMi\y o[your }undc Oil your Survey and identify the Suffolk
County '[oz IN/lap No.
______________________________
l Plcus� |is!pnusu�toocuroperaiiunsconduoicdaiyoorpvopody, und/or\hepropoucduum
Existing:single family,nropn,ed ^amc with pool,hot tub and generator
/ (mnmy|m:c,i^doPdo�!v /au'i|r. pmpo^^d: mm*vilb garage,pool^,other)
03.26.26
Au|hurizcd xh,OaUurc Date
Town of Southold Annex 1/14/2014
54375 Main Road
Southold, New York 1.1971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
Nov; 3e 771 Date: 9/15/1999
TI ,# " F �`�t47ES that the structure(s) located at: 990 Grand Ave, Mat tituck
SC11"10'44,, 473889 See/Block/I,ot: 107.-8-44.1
SIsb(fiii1�i>;i Filed Map No. Lot No.
co;..r11 r it , to the requirements for a built prior to
API- 1_, 10157 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 36771
dated 9/1 5/1999 was issued and conforms to all the requiiements of the applicable provisions of the law.
ThC c3CGLIi.)!,3 y for which this certificate is issued is:
gr7Q_irtnL:ly clwo.A ng with accpssory Rarage and storage shed.*
ruix r3 ed to�-oflex,t change in owners name and Suffolk County Tax Map number anly. Date on this Certificate reflects
th vc,' ihu were combined,
ccrfMic ale Is issued to Mueller, Adele& Mueller,Robert
(OWNER)
of the affof°csaid building.
SUI+'I OLK COUNTY DEPARTMENT OF HEALTH APPROVAL
EL C `YIt'Af, CERTIFICATE NO.
PI,UI BEE RS CERTIFICATION DATED
AS1,. STJ A TACIIED INSPECTION REPORT.
---- rtzed ign
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATIONI, 990 Grand Ave, Mattituck
SUFF, CO.TAX MAP NO.: 107.-g-44.1 SUBDIVISION:
NAME OF OWINER(S): Mueller,Adele&Mueller, Robert
OCCUPANCY:
ADMITTED BY: Daniel Mooney 9/29/98
S0LJRCF0VREQUEST: Mueller,Adele&Mueller, Robert DATE: 9/15/1999
. ........------
#IS,I 1 0 141 t"1_1 S 2 #EXITS: 2
F0kJNDAT101V',' brick CELLAR: tull CRAWL SPACE:
BATHROOrvf(S): 2 TOILET ROOM(S): UTILITY ROOM(S):
PC i V. 'T 1 T V?E. front&side DECK TYPE: PATIO TYPE:
BRFTV.ZEA,VAV! FIREPLACE: yes I GARAGE:
DONIESIVW 110TWATER: Yes TYPE HEATER: Street Gas AIR CONDITIONING:
'ryi)t," nmn gas WARM AIR: HOT WATER:
9 BEOROOVIS', ft KITCHENS- BASEMENT TYPE:
OT f I EX:
GARAGE,ITYPE OF CONST: wood frame STORAGE,TYPE OF CONST: wood frame
SVVI'IVMU�N4G f"0011- GUEST,TYPE OF CONST:
-----------
V 10) AT li Od N1
buildings in good condition except tool shed(7' X 10' 3"poor condition)attached to storage building.
INSPEC'rED BY: 11 0 (AISPe-claaAl-.11 DATE OF INSPECTION:
PW Q- l A) SC 7-Al W 9,V&y TIME START: END:
Town of Southold Annex 9/10/2014
P.O.Box 1179
54375 Main Road
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 37138 Date: 9/10/2014
T HT�'S JK t,,,"',TiF)ES that the building ELECTRICAL
Locadop,i W'Property: 990 Grand Ave, Mattituck,
SCTMV. 473889 Sec/Block/Lot: 107.-8-44.1
Filed Map No. Lot No.
conf-m-n", stJ;stintially to the Application for Building Permit heretofore filed in this officed dated
9/81'2014 pursuant to which Building Permit No. 39168 dated 9/10/2014
WRS JSSIR'(1. 8'r)d conforms to all of the requirements of the applicable provisions of the law. The occupancy for
fbis c rtificate is issued is:
ELE, '11�oJQAL SURVEY
The cerfiflicate is issued to Mueller,Adele&Mueller,Robert
(OWNER)
of the al'oresaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 39168 09-08-2014
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
Fot,��G.- BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
r=
n k; SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 49337 Date: 6/2/2023_ _
Permission is hereby granted to:
Leis, David _ -
760 W End Ave #15-A
New York, Ni 10025
To: Construct deck addition and window alterations to an existing single family dwelling as
applied for per DEC and Trustees approvals.
At premises located at:
990 Grand Ave. Mattituck
SCTM #473889
Sec/Block/Lot# 107.-8-44.1
Pursuant to application dated �511/2023 and approved by the Building Inspector.
To expire on 12/1/2024.
Fees:
_ CO-ADDITION TO DWELLING $50.00
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $249.20
Total: $299.20
Building Inspector
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BOARD OF SOUTHOLD TOWN TRUSTEES „p: -•;,;
SOUTHOLD, NEW YORK
- PERMIT NO. 10939 DATE: FEBRUARY 11, 2026
�4
ISSUED TO: DAVID & HELEN LEIS
PROPERTY ADDRESS: 1150 GRAND AVENUE, MATTITUCK °' s
I SCTM41000-107-8-44.1
'J 'i � d 'v •,,
AUTHORIZATION
Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in
> ` accordance with the Resolution of the Board of Trustees adopted at the meeting held on February 11,2026, and
in consideration of application fee in the sum of$1,250 00 paid by Tenforty Cetnral LLC and subject to the
sr A Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits . ,
the following:
Wetland Permit to remove existing fountain and construct a proposed 14'x50' in-ground pool
and 7'x7' hot tub with a 2' high,60' long retaining wall with stone veneer; install 850sq.ft. non-
x iped to drywell; install a 4'x8' DP drywell for
permeable patio pitched to gutter drain and p , 3
pool, patio,and a proposed t12'x7' outdoor shower and storage area with a load bearing top
e. =:.
and inspection lid; install a t12'x2' outdoor bbq and counter area; install a 4'x8' generator and
pool equipment area with sound deadening enclosure; install a f151x12' gravel gas fire pit area
on permeable stone; install paver walkways; install 4' high pool enclosure fencing with gates,
°r and all existin fencing to be brought to pool code; remove three (3)junipers one crab-apple s'
g
= tree,existing cryptomeria and redbud; and to establish and perpetually maintain a 10' wide
vegetated non-turf buffer area that will be planted with salt-tolerant native non-fertilizer ��; 4
Ig dependent vegetation to extend the width of the property along the creek; with the condition
the fence be moved back 20' from concrete wall; and any tree removed to be replaced with a
one to one replacement; and as depicted on the site plan prepared by AJC Land Surveying
{ PLLC, received on March 13,2026,and stamped approved on March 20,2026. y..
IN WITNESS WHEREOF,the said Board of Trustees hereby Causes its Corporate Seal to be affixed,
and these presents to be subscribed by a majority of the said Board as of the dqy and year written above.
_,**3F Mt�co
15
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\,. °Jpr7A"Ytm 1 ee lever ..gAe d� ee• .,., p / s! i pi d 1aZne ao�AAd iiie o Av a t ' ,:
" :, ,. ":. ee a. �. <e�dA66, ♦dD .or a a ai ;-. 4a`ao a e+t•
6.17.20
Appendix B
Short Environmental Assessment Form
Instruictioi.m ror Comoletinf!
P�rokeet linformation. The applicant or project sponsor is responsible for the completion of Part 1. Responses
become part ofthe application for approval or funding,are subject to public review,and may be subject to further verification.
Ccirnplete Dart 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.
Cornpleteall iteras in Part 1. You may also provide any additional information which you believe will be needed by or useful
to the lead agcncy;attach additional pages as necessary to supplement any item.
oar t f---P--rr lest—and Sponsor r-Information
ect:
990 Grand Ave - Pool
i Project I-ocaeon(describe,and attach a location map):
990 Grand Ave, Mattituck, NY 11952
Brief Descril)tion of Proposed Action:
Please see attached project description.
.... ...
..
Nianic of Applicant or Sponsor: Telephon' 631-369-9445
Cole Environmental Services Info@ColeEnvironmentalServices.com
Address:
425 Montauk Hwy
------------------- ----------
City/po: State: Zip Code:
East Quogue NY 11942
----------
1.Does tile,proposed action only involve the legislative adoption of a plan,local law,ordinance NO YES
administrative rule,or regulation?
if Yes,attach a narrative description of the intent of the proposed action and the environmental resources that
inay be affected in the municipality and proceed to Part 2. If no,continue to [z] F]
question 2,
2. Does tht 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:
NYSDEC, Town of Southold Trustees
3 3 acres
.a.Total aoreage of the site of the proposed action? 1.07
b.'Total a". ea�ge to be physically disturbed?
0.2 acres
c.Total acreage(project site and any contiguous properties)owned
or controlled by the applicant or project sponsor?
4. t.her ,ii la-nd us at occur on,adjoining an ar the prop cpL4 action.
ial OResidential (suburban)Urban rural(non-agriculture) Industrial L_JCornmerc
F'Orest Hv/
agriculture Aquatic 00ther(specify):
Parkland
Page I of 4
18. Does the,proposed action include construction or other activities that result in the impoundment of NO YES
1 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 art active or closed NO YES
solid waste management facility?
If Yes,describe: ❑
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 ACCURATE TO THE BEST OIL MY
KNOWLEDGE
Chris Cole,Cole Environmental Services
Applicant/sponsor name: D<ate:3/13/26
Signaturc:. ,�,,ti1"' t✓ _.,..__.._ _--_.---
6":au t 2-Impact. Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following
gUestions in Part 2 using the information contained in fart 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?"
Igo,or Moderate
small to large
impact impact
may may
OCCUR, occur
E1. Will the proposed action create a material conflict with an adopted land use plan or zoning
reflalretii;i75'?
7. . Will the proposed action result in a change in the use or intensity of use of land?
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--v-esta.blishment of a El Environmental Area(CEA)? n
5. Will the;proposed action result in an adverse change in the existing level of traffic of° ^^� �
affect e;�isting infrastructure for mass transit, biking or walkway? El
6. Will the proposed action cause an increase in the use of energy and it fails to incorporate
reasonably„available energy conservation or renewable energy o porturnties? El
7. Will the proposed roposed action impact existing:
a. public,/private water supplies? v..
b°public/private wastewater treatment utilities?
8. Will the proposed action impair the character or quality of important historic,archaeological, {�
Garchitecwral or aesthetic resources?
9 Will the;proposed action result in an adverse change to natural resources(e.g,,,'wetlands, (� �P
waterbodies,groundwater,air quality,flora and fauna)? (-_J L l
Page 3 of 4
No,or Moderate
small to large
impact impact
may may
occur occur
10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage
problems?
11. Will the proposed action create a hazard to environmental resources or human health?
Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every
question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular
element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3.
Part 3 should,in sufficient detail,identify the impact, including any measures or design elements that have been included by
the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact
may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring,
duration, irreversibility,geographic scope and magnitude. Also consider the potential for short-term, long-term and
curnulative impacts.
11 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
425 Montauk Highway
_--=--.-_- East Quogue, NY 11942
Environmental Consulting (631) 369-9445
Wetland Project Management
David & Helen Leis
1150 Grand Avenue
Mattituck, NY 11952
SUM NO: 1000-107.00-08.00-044.001
Protect Description
Existing fountain to be removed. The following items are proposed: 14.0' x 50.0' in-ground pool with 60'
long 2' high retaining wall with stone veneer. 7.0'x 7.0' hot tub with R4 cover. 850 sq.ft. non-
permeable patio pitched to gutter drain and piped to drywell. 4'x 8' DP drywell for pool, patio, and
outdoor shower. Drywell to have load bearing top with inspection lid. ±12'x 7'outdoor shower and
storage area. ±12'x 2' square foot outdoor barbeque and counter. 8'x 4'generator and pool
equipment with sound deadening enclosure. ±15.0'x 12.0' gas fire pit area on permeable stone. Paver
walkways. 4' pool fence+all existing fences to be brought to pool code as needed. Removal of three
(3) non-native shrubs that are compromising the existing bulkhead. Species to be replaced with native
vegetation within the proposed 10'x 100' non-turf buffer that will be planted with salt-tolerant native
non-fertilizer dependent vegetation. Additional 10' wide (approx. 755 sq.ft.) non-turf buffer. Existing
cryptomeria and redbud to be removed. Any tree to be removed will be replaced 1:1.
www.ColeEnvironmentalServices.com
)Board of Zoning,.�k�) eals�A) Ai�cafiojl
AUTHORIZATION
(Where the Applicant is 11ol the Owner)
residing at
(Print plopem omlel-'s name) (Mailinty Address)
do hereby authorize
(Agent)
Cole Environmental Services to apply for variance(s) on my behalf from the
Southold Zoning Board of Appeals.
(OWDel-'S Sill laftll-C)
(Print Owner's Name)
Boas-d of Zonhw Aimeals Am)ILM"It—ion
AUTHORIZATION
(Where the Applicam is not the Owner)
residing at
(Print properh oN',nel s name) (Mailing Address)
do hereby autlaotizG
(Agent)
Cole Environmental Services to apply for variance(s) on my behalf from the
Southold Zoning Board of Appeals.
(O��ner's Signature)
(Print Owner's Name)
APPLYCANT/AGENT/R]EJPRESENTATI'VVI
TRANSACTIONAL DISCLOSURE FORM!
.1�2'fg4'
�- 71te nurnose�Jf
'Fite Taws of Southald's(:ade of Cthic h' con 'ctti f inicre5t oat tl c ut of fawn afficcr,and em11
thi _Corry_is to ytrovide info ,,ujcon which can alert the tcxwn ofnnsstblc cnnfhrt of int%L, a>d allow it to tape w(t�Yever action is
t„wcessaryto avoid sal
YOUR NAME:
(Last name,first name,Aaiddle 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.)
NAME OF APPLICATION: (Check all that apply.)
Tax grievance _ Building X _
Variance Trustee
Change of Zone _ __ Coastal Erosion
Approval of plat _ Mooring
Exemption from plat or official map Flaunting _..._...__,_.—
Other
(if"Other",narpe the activity.)
Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or cutployce
of the Town of Southold? "Relationship"includes by blood,toarriatge,or husincs interest_"f3usiitcss interest"ntc,tns a business,
including a partnership,in which the town officer or employee t-ls even a partial ownership of(or,employment by)a corporation
in which the town officer or employee owns more than 5°ru o 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
Title or position of that person
f�cscribe the relationship between yourself(the applicandalenitrepresentative)and the town officer or employee.Either check
the appropriate line A)through D)an(Vor 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 than 5%of tite shares of the corporate stock of the applicant
(when the applicant is a corporation);
T__13)the legal or beneficial owner ofairy interest in ai non corporate entity he the
applicant is not a corporation);
an officer,director,partner,or employee of the applicant;or
--D)the actual applicant.
DESCRIPTION Of RELATIONSHIP
Submitted th' ay of _�20
Signature
Print Name
Form TS I
AGENT/REPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
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.
)'OIJR NAME: Cole,Christopher C.
(Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a
company.If so,indicate the other person's or company's name.)
TYPE OF APPLICATION: (Check all that apply)
Tax grievance Building Permit X
Variance X Trustee Permit X
Change of Cone 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
haterest"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
s h a res.
YES NO X
If you answered"YES",complete the balance of this form and date and sign where indicated.
Name of person employed by the Town of Southold
'Witte 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 ill 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)
_It)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation)
C)an officer,director,partner,or employee of the applicant;or
_ D)the actual applicant
DESCRIPTION OF RELATIONSHIP
Submitted this 16 day of March 9 20 26
Signature
Print Name Christopher Cole
1'awn of Southold
LWRP CONSISTENCY ASSESSMENT FORM
A, INSTRUCTIONS
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 infonnation 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 At-ea.
1 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.10 its §igL iificant
beneficial and adverse effects upon the coastal area_Lwhich includes all of Southold Town).
3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will
affect the achievement of the LWRP policy standards and conditions contained in the consistency
review law. Thus, each answer must be explained in detail, listing both suMpq and non-
sup porting facts. If an action cannot be certified as consistent with the LVVRP policy standards and
conditions,it shall not bg_uqdertaken.
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.
B11, DESCRIPTION OF SITE AND PROPOSED ACTION
1000 107A 44.1
PIZOJECT NATYM, 990 Grand Ave-Pool
he Application has been submitted to (check appropriate response):
Town Board 1-1 Planning Board 1:1 Building Dept V Board of Trustees W1
I Category of Town of Southold agency action(check appropriate response):
(a) Action undertaken directly by Town agency(e.g.capital F1
construction,planning activity,agency regulation, land Iransaction) F-1
(b) Financial assistance(e.g.grant,loan,subsidy)
(c) Permit,approval,license,certification:
14a.ture and extent of action:
Please see attached project description
Location of action: 990 Grand Ave, Mattituck,NY 11952
Site acreage:. 1.07 acres(46,671.50 sq.ft.)
Present land use: Residential
Preso.mt zoning classification: R-40
2. If an application for the proposed action has been filed with the Town of Southold agency, the following
information shall be provided:
(a e of applicant:---------.---._Cole Environmental Services on behalf of David&Helen Leis
) Nam
(b) Mailing address: 425 Montauk Hwy, East Quogue, NY 11942
(c) Telephone number: 631-369-9445
Will the action be directly undertaken,require Rmding,or approval by a state or federal agency?
Yes 1:1 No W1 If yes, which state or federal agency?
Evaluate the project to the following policies by analyzing how the project will further support or
n.ot suipport the policies® Provide all proposed Best Management Practices that will further each policy.
:lip coirnplete answers will require that the for be returned for completion.
DEVELOPED COAST POLICY
111�.-fllicy 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
inh),hnizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation
crfte.-�ria.
Z Y-es FINo 1-1 Not Applicable
Client seeks to install 14'x50'in-ground pool and TxT hot tub with surrounding 850 sq.ft.non-permeable patio that is In like character to the neighborhood.
A 2 retaining wall is proposed with a stone veneer that is intended to be reminiscent of the historic stonework elsewhere on the property. To minimize
adverse effects of development,a 10'x100'non4urf buffer is proposed along the bulkhead/wetland line to be planted with native salt tolerant plants and an
additional 10'wide(approx.755 sq.ft.)non-turf buffer is proposed along the northern portion of the bulkhead,
x'W�ac,4 additional sheets if iiecessary,,
1111�ogji(�°y 2.. Protect and preserve historic and archaeological resources of the Town of Southold. See
I
f,"11 VTRP Section 1H—Policies Pages 3 through 6 for evaluation criteria
1:1 Yes 1:1 No W1 Not Applicable
A 1=11 additional sheets if necessary
I't,,,T,Uk:!y :fie Enhance visual quality and protect scenic resources throughout the Town of Southold. See
l` W;AP Section III a.,Policies Pages 6 through 7 for evaluation criteria
Ves ❑ NoFJ Not Applicable
The proposed development is keeping in like character of the neighborhood.A 10'x100'non-turf buffer is proposed along the bulkhead/wetland line to be
planted with native salt tolerant plants and an additional 10'wide(approx.755 sq.ft.)non-turf buffer is proposed along the northern portion of the bulkhead to enhance the visual quality of the
water front property and protect scenic resources in the Town of Southold. A 2'retaining wall is proposed with a stone veneer that is intended to be reminiscent of
the historic stone work elsewhere on the property.Lastly,all trees are to be maintained to the max extend possible but any tree removed will be replaced 1:1.
ARach additional sheets if necessary
€'4.A-,'Y'URAL COAST POLICIES
Ilei ie-y 4. Minimize ize less of life, structures, and natural resources from flooding and evasion. See LWRjP
Sc,i,l u :III--Policies Pages through 16 for evaluation criteria
YJ Yes ❑ o ❑ Not Applicable
The proposed 10'x100'non-turf buffer to be planted with native salt tolerant plants with strong root systems and an additional 10'wide(approx.755 sq.ft.)non-turf buffer is proposed along the northern
portion of the bulkhead to assist in controlling storm water and minimizing flooding and erosion.Three junipers and a small tree are compromising the existing bulkhead and are to be
removed and replaced with native,non-fertilzer dependent species.One proposed 4'x8'DP.drywell for pool and patio will address runoff.
Alt-t,".114ddltional sheets if necessary
" li °fir 5. Protect and improve water quality and supply in the Town of.Southold® See LWRP Section III
7a�al i ies Pages 16 through 21 for evaluation criteria
YJ 'Yes ❑ No ❑Not Applicable
The proposed 10'x100'non-turf buffer to be planted with native salt tolerant plants and additional 10'wide(approx.755 sq.ft.)non-turf buffer Is proposed along the northern portion of the bulkhead to assist in
filtering pollutants,and to help protect and improve water quality in Long Creek and the Town of Southold.One proposed 4'x8'DP.drywell for pool and patio will assist with managing runoff
from entering the water body.
`t:.�:F'Rfi&'i_dditiona l sheets if necessary
1''441cy 6 Protect and restore the quality and function of the Town n of Southold ecosystems including
A 4.n.v'ficant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III®Policies; Pages 22
last,°vagh 32 for evaluation criteria.
YJ Yes ❑No ❑ Not Applicable
the proposed 10'x100'non-turf buffer is to be planted with native,salt tolerant vegetation,and and additional 10'wide(approx.755 sq.ft.)non-turf buffer is
proposed along the northern portion of the bulkhead to help protect filter pollutants before they enter the waterway. This will help protect coastal and wetland habitat while
.._..._._.w_._
also working to connect habitats that have fragmented.
,€t.tt.,t.,�additional sheets if necessary
1,�I:flxy T Protect and improve air quality in the "down of Southold® See LWRP Section III — Policies
Pages 3.2 through 34 for evaluation criteria.
Yes ❑ o Fv/] 'ot Applicable
t!%.a th additional sheets if necessary
I o iey 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous
�,. iasann :es and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluatiop criteria.
❑ Yes ❑ o ❑✓ Not Applicable
1sIC COAST POLICIES
:f?cdU,,fir 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public
reawt roes of the Town of Southold. See LWRP Section III®Policies; Pages 38 through 46 for evaluation
Yell No 0 loot Applicable
I.G,la c h additional sheets if necessary
Mi'011KIlNG COAST POLICIES
Policy 10. Protect Southold®s water-dependent uses and promote siting of new water-dependent uses in
suitable locations. See LWRP Section M—Policies; pees 47 through 56 for evaluation criteria®
❑ "es ❑ o V Not Applicable
.t €dI dditic�n l sheets if necessary
Policy I.11° Promote sustainable use of living marine resources in Long Island Sound, the Peconic
E&4u'vq and Town waters® See LVMP Section I —Policies; Pages 57 through 62 for evaluation criteria.
❑❑ Yes ❑ No V✓ Not Applicable
Atrtir„1.additional sheets if necessary
I'%':livy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III® Policies-, Pages
61 through 65 for evaluation. criteria.
❑Yes ❑ No❑✓ Not Applicable
Au ad,additional sheets if necessary
l'fi lip Y 13. Promote appropriate use and development of enemy and mineral resources. See L
Se(,dian Ill—Policies-, Pages 65 through 68 for evaluation criteria.
0`des ❑ No❑✓ Not Applicable
l t.E`;1P=AIDE D BY Chris Cole TITLE Agent A°TE 3/13/26
4.
425 Montauk Highway
-- - East Quogue, NY 11942
Environmental Consulting (631) 369-9445
Wetland Project Management
David & Helen Leis
1150 Grand Avenue
Mattituck, NY 11952
SUM NO: 1000-107.00-08.00-044.001
Project Description
Existing fountain to be removed. The following items are proposed: 14.0' x 50.0' in-ground pool with 60'
long 2' high retaining wall with stone veneer. 7.0' x 7.0' hot tub with R4 cover. 850 sq.ft. non-
permeable patio pitched to gutter drain and piped to drywell. 4'x 8' DP drywell for pool, patio, and
outdoor shower. Drywell to have load bearing top with inspection lid. ±12'x 7' outdoor shower and
storage area. ±12' x 2' square foot outdoor barbeque and counter. 8' x 4'generator and pool
equipment with sound deadening enclosure. ±15.0' x 12.0' gas fire pit area on permeable stone. Paver
walkways. 4' pool fence+all existing fences to be brought to pool code as needed. Removal of three
(3) non-native shrubs that are compromising the existing bulkhead. Species to be replaced with native
vegetation within the proposed 10'x 100' non-turf buffer that will be planted with salt-tolerant native
non-fertilizer dependent vegetation. Additional 10' wide (approx. 775 sq.ft.) non-turf buffer. Existing
cryptomeria and redbud to be removed. Any tree to be removed will be replaced 1:1.
www.ColeEnvironmentalServices.com
425 Montauk Highway
East Quogue, NY 11942
Environmental Consulting (631) 369-9445
Wetland Project Management
PHOTO SHEET
DAVID LEIS
990 GRAND AVENUE
MATTITUCK, NY 11952
SCTM No.: 1000-107.00-08.00-044.001
PHOTO 1—AERIAL(FACING NORTH)
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SCTM # .. f
M , TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET ' VILLAGE DIST. SUB LOT
ACR. !� H REMARKS
y £/yi5 a TYPE OF BLD.
+a ,_�k tom-,S"
PROP. GLASS
LAND j IM O���P. T ppTAL DATE
M
FRONTAGE ON WATER HOUSE/LOT
C BULKHEAD
t
TOTAL.
1OWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER- STREET VILLAGE DIST.1 SUB. LOT
FORMER OWNER- ' '� N E
r ACR71
::i , �.. - $ :sir_m � '�, .�', r rd' ..,..: t ,�w$ �` ^�° •*p,� ;,per,-.. �,^"
W TYPE S,
PE OF BUILDING
f t'
«N. gars b w,� m'� � i Ff WA'
RES SEAS. VL. FARM COMM. CB. MISC. Mkt. Value
LAND if IMP. TOTAL DATE REMARKS
tl x , _
rpiz
� 1!"
yr _r `_�• ,'� .r `tt /
t a
'"_ €"` yr? 3 -7 7
AGE, � �� BUILDING CONDITION
t
q ;
FARM Acre Value Per Vale
J Acre
Tillable t
Tillable 2 ..
q v
"',. .,_s?""„_—�___-ice+ 3 § .«^r ..�•.. " ? - ''W m
Tillable 3 y
'� 4§< « " F " c exalt
Woodland
Swampland � FRONTAGE ON WATER
Brushland FRONTAGE ON ROAD
House Plot DEPTHAf
Ir BULKHEAD _
I
Total DOCK ,t
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER ISTREET j, VILLAGE DIST. SUB. LOT
FORMER OWNER N ACR.
S W TYPE OF BUILDING
RES, u SEAS. VL. FARM i COMM. CB. MISC. Mkt. Vafbe
LAND IMP. TOT AL DATE REMARKS
7
Qi6
A f-
f
'10
lol4
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value
Acre
Tillable I J11
A-
Tillable 2
Tillable 3
Woodland A
Swampl-and FRONTAGE ON �R
C3
Brushland FRONTAGE ON ROAD _Z,
House PInt
117
BULKHEAD
Total
IDOCK .
x �
,
f. f
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{
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107:&-44.1 10/2013 -- - — - - --
;w
__. p
r, P .d
M. Ring_ Y ,. f � 2, Foundation Bath Dinette
Extension asement Floors r F K.4,,
XtEnSlOn ? r
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MATTITUCK,TOWN OF SOUTHOLD
SUFFOLK COUNTY,N.Y. _
TAX MAP NO.:1000-107.00-08.00-044.001 i
LOT AREA:46,671.50 S.F.(1.07 ACRES) i
i
DATE SURVEYED:MARCH 21, 2025
PLOT PROPOSED:AUGUST 20,2025 PROPOSED LOT COVERAGE'
REVISED: SE .12.2025 DWELLING: 1.372S.F. n
SEPT.23,2025 PORCH: 322 S.F. \5�\
NOV.17.2025 REAR DECK: 110 S.F. \198'
ACC.STRUC.: 1.420 S.F.
DEC.9,2025 GARAGE: 967 5 F. „
FEB.2,2026 CONC.COURT: 628 S.F. of NEW Y
SHED: 98 S.F.
FEB.18.2026 POOL: 700 S.F. 't
HOT TUB: 49 S.F.
NON-PERMEABLE PATIO: 650 S.F. (0
TOTAL: 6.516 S.F.OR 14.0%
-ELEVATIONS REFER TO NAVOBB * (q * -
-PROPERTY ALSO KNOWN AS PART OF LOT i ON MAP OF EXISTING LOT COVERAGE: 'wVj1
"BUILDING SITES OF MR.JOHN MUTTTTT AT MATnTUCK L.I..N.Y." i
DWELLING: 1,372 S.F.
PORCH: 322 S.F. Q�
0 40 80 REAR DECK 1 10 S.F.
Feet ACC.STRUC.: 1,420S.F. (' d
GARAGE: 967 S.F. SQ99 E
SCALE: 1 INCH= 40 FEET CONC.COURT. 628 S.F. E.
SHED: 98 S.F.
TOTAL: 4.917 S.F.OR I O.S% A W
F1' t
AJC LAND SURVEYING PLLC
LAND SURVEYING&PLANNING
153 WADING RIVER MANOR RD.,MANORVILLE 1 1949
PHONE:631-846-9973
EMAIL:INFO@AJCLANDSURVEYING.COM � ...�.,�,,........�.
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SUFFOLK COUNTY,N.Y. `\
TAX MAP NO.:1000-107.00-08.00-044.001 \\
LOT AREA:46,671.50 S.F.(1.07 ACRES) i
a7` i
DATE SURVEYED:MARCH 21,2025
E
-ELEVATIONS REFER TO NAV D88
-PROPERTY ALSO KNOWN AS PART OF LOT I ON MAP OF
"BUILDING SITES OF MRJOHN MUTTITT AT MATTITUCK,Li.,N.Y."
EXISTING LOT COVERAGE.
0 40 80 DWELLING: 1372 S.F.
Feet PORCH: 322 S.F.
REAR DECK: 1 1 O S.F.
1.
SCALE: 1 INCH= 4 0 FEET ACC.STRUC.: 1420 S.F. E
GARAGE: 967 S.F. -. E
CONC.COURT: 628 S.F.
SHED: 98 S.F.
TOTAL: 4977 S.F.OR 10.5%
a°x.��o�«rm,ure�,.no"wcown°.�ron,Ksurm wveowwa.,u<x,.�scu w.°amcroAseru.5nhoun°„orec_m<w n�. t^
AJC LAND SURVEYING PLLC
LAND SURVEYING&PLANNING
153 WADING RIVER MANOR RD.,MANORVILLE 1 1949 v
PHONE:631.846.9973
EMAIL:INFO @AJCLANDS U RV EYI N G.CO M
COMPLIES WITH: JAMES
2020 CODE SECTION 303.2.1-303.4 SWIMMING POOLS,SPAS, DEERK❑SKI
AND HOT TUBS P.E.
SECTION R326 OF THE RESIDENTIAL CODE OF NEW YORK
O
SECTION 3109 OF THE BUILDING CODE OF NEW YORK
19'
SECTION N1103.12(R403.12)RESIDENTIAL POOLS AND
PERMANENT RESIDENTIAL SPAS
SECTION 3109.3.1.2-3109.7.4 POOLS AND SPA GATES,BARRIERS
SECTION G106 ENTRAPMENT PROTECTION
Makiltuck,Ner York 11952
SECTION G107 ALARMS
SECTION E4201-E4312 ELECTRICAL CONNECTIONS FOR POOLS EreN JeneStlxBrkwNRYeHoocm
0
A,a REVISIONS
POOL NOTES: riM )BESCRPTIIM MTE
1 WOE AND R0.0RERTY To aw w TO CURRENT STATE ANOIOCN CODE.
ENFacr<OBxEnvATpN E3 wj.wD ELE<Tacu coar.
2. WC4 UCONWRMTOMSljNS TANDARDSRl26.3.1
3. SKT lD .1POOLAUNSTOBEINSTALLEDLREWIREDBYCODR
4. iEMWRLY v6RIMETERBARRIDUAROUNOCONSr0.URroNAREA
DDRWLCCNSTRUCRON.NNAL FENCING BARRIER vFA 0.3265.ALl GTFA[CFti
TO eE SELKLosINc.wD SELF UTCHINL/IIXNNL R0.CODE.
5. 35C0 PR N'w0.EDCCKKPFTF WALU.MN.W
6. FNEwLHED SAND w6EwrH WRnwowx nr WrroM
µMaADEMFNSTO BF 0.ES WNSIRLITYOF
CONTRACTOR.faco[sL�TNWDRSaLCONDEDC1.
SEESRE RUN m COBmucrow FOR POOL LOCATroN.SETB—IAN.xNCES.
CONfTRURpNTE AN D LOCAL aFQUIREMUxiSTO BF V[0.IFIFD vNpR TO
s. DUN COVDN TO MEET CODE REQUIRFM 9DDI)
COMPANY.
11
HOUS IONaD To swvE AwnY FROM WOL ANDAWAYFaaA
E If CONNECTED.RRONDF ADortroNAl Dv.AWACd LF N NECESSARY. �
NORTH FORK POOL CARE INC.
I =,LgQ,_LDC%R FREEOTTONST pNC.LNIC MATRa.caMVMT
12.SUCTION ourtRs vEn ANSI/AVSVJ.VERIFY IN➢ELD P0.pRT0<ONSTRucrpn.
13-WELCHLGENOTPEI D7EDW 11 fa[xA SHA1 AND6'f0.0MOEEVENDB.
OL ECNIVMENI LOCATION TO BF DETERMN6D IN HELD 1MNNTAN MNIMUM "
sEiBAC.L aEQumEDj.
15 BOLD DM TO BE DETER LED INSTALLER AND CnVNF0.
AD➢RESSS
mn PROP SED POOL
1150 GRAND AVE
MATTITLICK NY,11952
WALLTYPE PLAN
N.T.S.
uxLTRAa ICRADE) ccavDB) 6B 99uMR q.R
C.D.
(9)NORlzoxrAL
k�I.TlCx_ SCALES AS NOTE➢
Nn LiNER .C. IvuoEl HM—
I�, IIWRT2AL 14" BRAVING TITLE-
FILTER
4„ noolxc M1MP Alfi'0 SKIMMER POOL
RMADx^Wu9 Q.4Pa PLAN
. 4 NIA REMR PENTATR AUT =N,EEO
aNCRFTA vDmcuO LEEHTE,FlLmnm,I9
coxaETE 1 °'C' ELECTRIC HEATER U.�L.L=Oy-k
•A� SHEET NIL
�-10POM
L10 NAL O A MAIN DRAIN A 1
WALL B DETAIL WALL C DETAIL
WALL A DETAIL N.T.S. PIPING SCHEMATICRosTAncvuvEamPOOL COVER TU[1E IN GR4V0.OASE
N.T.S. N.T.S.
N.T.S.
NOTES: JAMES
DEERK❑SKI
1. DIVING BOARD TO CONFORM WITH ANSVAPSPUICC5 SEC:6 P.E.
2. NO SOIL DISCHARGE PERMTTED WITHIN 4 FEET OF EXCAVATION
3. POOL MUST BE SURROUNDED BY A CONTINUOUS BARRIERCONSTRUCTFDIAWREO.OF SEC326.4.2.1-R326.4.2.6 OF THEW SRESIDEMIALCODR2020)AND ALL SECTIONS OF THE SOUTHOLD CODE O
4. WALLS MAY SERVE AS PART OF THE POOL BARRIER AS PER SEC 326.4.2.8 AND ALL WINDOWS HAVE A SELF LATCHING DEVICE
5. ACESS GATES SHALL COMPLY WITH SEC R326.5.2 OF THE NY S RESIDHNML OOOE(2020)AND BE SELF CLOSING,SELF LATCHING AND BE SECURELY LOCKED WHEN FOOL IS NOT IN USE OR SUPERVISED.ALLL
GATES ARE TO OPEN AWAY FROM THE POOL AREA.
6. DUPJNG CONSTRUCTION THE CONTRACTOR SHALL ERECT A TEMPORARY BARRIER AROUND THE EXCAVATION AW CODE OF THE TOWN OF SOUTHOLD.
Mottltuck,New York 11932
7. POOL MUST BE EOUIPED WITH AN APPROVED POOL ALARM CAPABLE OF DETECTING ENTRY INTO THE WATER AND SOUNDING AN ALDIBLEALARM WHEN DETECTED THAT IS AUDIBLE AT THE POOLSIDE AND
INSIDE THE DWELLING.THE ALARM MUST BE INSTALLED,MAINTAINED AND USED IN ACCORDANCE MATH TE H MAUFACTURERS INSTRUCTIONS.THE ALARM MUST MEET ASTM F2208"STANDARD SPECIFICATION
FOR POOL ALARMS".THE DEVICE MUST OPERATE INDEPENDENT(NOT ATTACKED TO OR DEPENDENT ON)OF PERSONS.
8. POOL SUCTION FITTINGS(IXEF CT FOR SURFACE SKIIMERS)MUST BE PROVIDED WTHA COVERTHAT CONFORMS TO ASNFIANSI Al 12.19.BM ORA MNIMUM I8"X23"DRAIN GRATE ORA CHANNEL DRAIN REVISIONS
In nEsro1PT uiE
SYSTEM POOL CIRCULATION SYSTEM MUST BE ERUPTED WITH ATMOSPHERIC VACUUM RELEF.SUCH VACUUM RELIEF SYSTEMS SHALL CONFORM WITH ASME Al 12.19.17 OR BE A GRAVITY SYSTEM
APPROVED BY THE TOWN OF SOUTHOLD.FOOL SALL BE PROVIDED WITH A MINIMUM OF 2 SUCTION FITTINGS OF THE ABOV E MENTIONED TY PE THE SUCTION FITTINGS SHALL BE SEPARATED BY A MNIMUM OF 3'
AND MUST BE PIPED SUCH THAT WATER IS DRAWN THROUGH THEM SIMULTANEOUSLY THROUGH A VACUUM RELIEF-PROTECTED LINETO THE PUvP(OR PUMPS).VACUUWPRESSURE CLEAN"11NG FITTINGS SHALL
BE INACCESSIBLE POSITION,MINIMUM OF 6"AND NO GREATER THAN 12"BELOW THE MNIMUM OPERATIONAL WATER LEVEL OR BEAN ATTACHMENT TO THE SKIMWERISKIMMERS.AREQUIRFDPOOL
ATMOSPHERIC VACUUe1 RELEIF SYSTEM SHALL BE INSTALLED AS PER NY S RESIDENTIAL CODE R326.6.3(2020)AND IN ACCORDANCE TO TOW CODE
9. ALL ELECTRICAL WORK SHALL COMPLY WITH THE REQUIREMENTS OF NFPA 70(NEC),PRINCIPALLY ARTICLE 680 AND THE NYS RESIDENTIAL CODE SECTION 4102 THROUGH 4106.ALL ELECTRICAL DEVICES
MUST BE APPROVED BY UNDUWRTERS LABORATORIES AND BE PROTECTED BY A GOUND FAULT CURRENT INTERRUPER(GFC).CURRENT CARRYING ELECTRICAL CONDUCTORS D(CFPT FOR THOSE PROVIDING
POWER TO FOOL LIGHTING AND POOL EQUIPMENT SHALL MEET THE SEPARATION REQUIREMENTS OF TABLE E4203.5.ALL METAL ENCLOSURES,FENCES OR RAILINGS NEAR OR ADJACENT TO THE SWIMMING .
POOL THAT MAY BECOME ELECTRICALLY CHARGED DUE TO CONTACT WITH AN ELECTRICAL CIRCUIT SHALL BE EFFECTIVELY GROUNDED.
10. WATER SOURCE FILLING THE POOL SHALL BE EQUIPPPED WITH A BACKFLOW PROTECTION DEVICE AW NYS PLUMBING CODE 608.
11. ALL PIPING IS DIAGRAMMATIC UNLESS OTHERMESTATED. COMPANY,
12. WALKS,IF PROVIDED SHALL BE NONSLIPAMD SLOPE AWAY FROM THE POOL EDGE NORTH FORK POOL CARE INC.
13. A MEANS OF EGRESS FROM DEEP AND SHALLOW ENDS MUST BE PROVIDED AW ANSVNSR-5 SECTION 6,
14. CONTRACTOR TO PLACE THE POOL AW TOWN OF SOUTHOLD CODE SETBACKS.
15. ALL DRAINAGE FROM THE POOL SHALL BE MAINTAINED ON THE SUBJECT PROPERTY
16 THE DESIGN IS BASED ON A DRANA GE SOL WITH<10%SILT.GROUND WATER SHA LL NOT EXIST WITHIN THE EXCAVATION IF GROUND WATER EXISTS WITHIN 6'0"FROM GRADE DEWATERING FACEITIES WILL ADDRESS,
BE REQUIRED.
17 ALL GAS AND OIL WATER HEATERS(IF INSTALLED)FOR THE IN-GROUND SWIMMING POOL SHALL BE NATIONAL APPLIANCE ENERGY CONSERVATION ACT(NAE-CA)COMPLIANT.POOL HEATERS SHALL BE
TESTED AW ANSI Z21.56 AND SHALL BE INSTALLED AW MANUFACTURERS SPECIFICATIONS.OL FIRED POOL HEATERS SHALL BE TESTED AW UL726.POOL HEATERS SHALL BE LOCATED OR GUARDED TO PROPOSED POOL
PROTECT AGAINST ACCIDENTAL CONTACT OF HOT SURFACES BY PERSONS.POOL HEATERS SHALL BE PROVIDED WITH TBVPERATURE AND PRESSURE-RELEF VALVES.A BYPASS LINE SHALL BE INSTALLED 1150 GRAND AVE
ArniucK NY,vssz
FROM THE INLET TO OUTLET TO ADJUST WATER FLOW THROUGH THE HATER POOL HEATERS SHALL BE PROVIDED WITH TIE FOLLOWING ENERGY CONSERVATION MEASURES: M
17.1 ALL POOL HEATERS SHALL BE EQUIPPED WTHAN ON-OFF SWITCH MOUNTED FOR EASY ACCESS TO ALLOW SHUTTING OFF THEOPERATION OF THE HEATER WITHOUT ADJUSTING TIETHERMIOSTAT SETTING
AND TO ALLOW RESTARTING WITHOUT RELIGHTING THE PILOT LIGHT.AT LEAST ONE THERMIOSTAL MUST BE PROVIDED FOR EACH HEATING SYSTEM.HEATED SWIMMING FOOLS SHALL BE EQUIPTED WITH A
POOL COVER(exempt FROM THIS ARE OUTDOOR FOOLD)DERIVING 20%OF THE ENERGY FOR HEATING THE POOL FROM RENEWABLE SOURCES OVER AN OPERATING SEASON.
17.2 TIME CLOCKS SHALL BE INSTALLED SO THE PUMPCAN BESET TO RUN DURING OFF-PEAK ELECTRICAL DEMAND PERODS,AND CAN BESET TO RUN THE MINIMUM TIME NECESSARY TO MAINTAIN THE POOL
WATER IN A CLEAN AND SANTORY CONDITION A W APPLCABLE SANTORY CODE OF NEW Y ORK STATE
18 BACKFILL HALL BE DONE WITH CLEAN EARTH FREE OF ROOTS AND DEBRIS.BACKFILL HEIGHT AND WATER LEVEL TO BE WITHIN 8"OF EACH OTHER PLACE OONCRETEON SANDY LOAM SOIL. CLAY TO BE DATE,LC:.&
REMOVED AND REPLACED WITH SANDY LOAM
DRAWN19 THERE IS NO MAIN DRAIN IN THIS POOL. SUCTION FOR THE FOOL WATER CICULATION B PROVIDED BY THE SKIMMERS ONLY.THIS MEETS REQUIREMENTS OF NY S CODE SEC 326.5 FOR
E3NTRAPMENT PROTECTION SCALE
20 THE POOL WAS DESIGNED REFERENCES AS THE FOLLOWING:
DRAWING TITLE-
20.1 THERESIDENTIAL BUILDING CODE OF NEW YORK STATE(2020)SECR326
20.2 THE ENERGY CONSERVATION CONSTRUCTION CODE OF NEW YORK STATE(2020)SEC R403.10 POOL
20.3 THE FUEL GAS CODE OF NEW Y ORK STATE(2020) NOTES
20.4 THE NEW Y ORK STATE SANTORY CODE
20.5 ANSUAPSFYIOC-5 STANDARD FOR RESIDENTIAL IN-GROUND SWIMMING FOOLS. SHEET NO.
20.6 BOCA CODE SECTION421.
20.7 COMPLIES WITH CODE OF THE TOWN OF SOLM40LD SECTION 85-891 A 2