HomeMy WebLinkAbout8159 FORM NO. 3 ,`Received
TOWN OF SOUTHOLD SEP - 9 2026
BUILDING DEPARTMENT Zoning Board of Appeals
SOUTHOLD,N.Y.
NOTICE OF DISAPPROVAL
DATE: August 26, 2026
TO: Keefe,Michael
45 Smith Dr N
Southold,NY, 11971
Please take notice that your application dated August 14, 2026:
For permit to: to remove an existing shed and construct additions and alterations to an
existing single-family dwelling at:
c
Location of property: 45 Smith Drive North. Southold,NY
y
County Tax Map No. 1000—Section 76 Block 1 Lot 24
Is returned herewith and disapproved on the following grounds:
The proposed construction, as per the Anthony Portillo architectural site plan dated
08/13/26.on this non-conforming 1.1250 sq_ft. corner parcel in the R-40 residential
district, is not permitted pursuant to Article XXIII Section 280-124,which states corner
lots measuring less than 20,000 square feet in total size require a minimum primaKy front
yard setback of 35 feet and a minimum rear Yard setback of 35 feet.
The site plan shows a primary front yard setback of 25.4 feet.
The site plan shows a rear yard setback of 14.9 feet.
A t orized Signatt r
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
f
i
Received
APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS SEP 9 ?Oz AREA VARIANCE
House No. 45 :Street Smith Drive North Hamlet Southold Zoning Baard of Appeals
SCTM 1000 Section: 76 Block: 1 Lot(s) 24 Lot Size: .26 Zone R-40
I(WE) APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR
DATED 8/26/26 BASED ON SURVEY/SITE PLAN DATED 8/13/26
Owner(s): Michael Keefe
Mailing Address: 45 Smith Dr N, Southold NY
Telephone:516-458-0925 Fax: Email: shannonjek@verizon.net
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: Anthony Portillo,AMP Architecture for(x)Owner( ) Other:
Address: PO Box 152, Mattituck, N.Y. 11952
Telephone: 631-603-9092 Fax: Email:bepperson@amparchitect.com
Pie se check to specify who you wish correspondence to be mailed to,from:the above names:
Xp''licant/Owner(s), ( )Authorized Representative, ( )Other Name/Address below:
WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN
DATED 4/14/26 and DENIED AN APPLICATION DATED 8/14/26 FOR:
Building Permit
O Certificate of Occupancy O Pre-Certificate of Occupancy
( )Change of Use
( ) Permit for As-Built Construction
( )Other:
Provision of the Zoning Ordinance Appealed. (indicate Article,Section,Subsection of Zoning Ordinance
by numbers.Do not quote the code.)
Article:23 Section: 280 Subsection: C24
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
( )Request for Reversal or Overturn the Zoning Officer's Denial
Other
A prior appeal( ) has, (,,.4 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)
Received
Zoning Board of Appeals SEP 9 2Q26
APPLICANT'S PROJECT DESCRIPTION
APPLICANT: Michael keefe SCTM No. 1000-76-1-24 Zoning Board of Appeals
1. For Demolition of Existing Building Areas
Please describe areas being removed: all areas of removal will be removed due to renovation
and are within the existing building's footprint
Ill. New Construction Areas(New Dwelling or New Additions/Extensions):
Dimensions of first floor extension: 34'-7"x 10'-0" dwelling; 9'-1"xl4'-3" porch and kitchen; 25'x20' 3/12"garage;4'x13'cov.porch
Dimensions of new second floor: N/A
Dimensions of floor above second level: N/A
Height(from existing natural grade): 19'-21/2"
Is basement or lowest floor area being constructed? If yes, please provide height(above ground) measured from
natural existing grade to first floor:
New Crawlspace approx.1'-1"out of ground
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:
1 Floor single family dwelling with 1 car attached garage
Number of Floors and Changes WITH Alterations:
1 Floor single family dwelling with 2 car attached garage
IV. Calculations of building areas and lot coverage,sky plane(From Surveyor,Design Professional):
Existing square footage of buildings on your property:_1,393 sf
Proposed increase of building coverage: 743 sf proposed additions
Square footage of your lot: 11,250
Percentage of coverage of your lot by building area(lot coverage) 19.0%
Gross Floor Area(GFA)of single family dwelling including the attached garage and/or habitable detached
accessory structure: (Please refer to Chapter 280, Section 280-207 of the Town Code):
1,851 sf
For Residential lots, is project within the allowable Sky Plane?(Please refer to Chapter 280, Section 280-208 of
the Town Code): Yes
V. Purpose of New Construction: 10 ft front extension,sunroom expansion, and interior remodeling
convert existing 1 car garage into 2 car garage
VI. Please describe the land contours(flat,slope%, heavily wooded, marsh area,etc.)on your land and
how it relates to the difficulty in meeting the code requirement(s): Describe on separate page if needed:
Flat, suburban and lightly wooded
Please submit 8 sets of photos,labeled to show different angles of yard areas after staking corners for
new construction,and photos of building area to be altered with yard view.
�l 5�
Received
Page 2, Area Variance Application
Revised 6/2023 SEP 9 2026
REASONS FOR APPEAL Zoning Board of Appeals
(Please be specific,additional sheets may be used with preparer's signature notarized):
1.An undesirable change will not be produced in the CHARACTER of the neighbor or a detriment to
nearby properties if granted,because:
The proposed addition preserves the visual rhythm and residential scale of Smith Drive North. At a height of 19'-2.5",
the 10-foot front extension and single-story expansions maintain a low profile that aligns with neighboring single-
family residences without dominating front streetscapes or blocking adjacent sightlines.
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:
Since the 11,250 sq.ft. parcel is pre-existing non-conforming in an R-40 zoning district and the existing dwelling
sits within required setback buffers, any addition requires variance relief. Reconfiguring internal space without
expanding exterior walls cannot accommodate standard modern living requirements.
3.The amount of relief requested is not substantial because:
The requested relief is incremental and minimal. The primary extension projects only 10 feet forward from the current
footprint,bringing overall building coverage from 1,287 sq.ft.to 1,852 sq.ft.This equals 19.0%total lot coverage
while remaining fully compliant with Town sky plane standards.
4. The variance will NOT have an adverse effect or impact on the physical or environmental conditions in
the neighborhood or district because:
The lot is flat and suburban; construction requires minimal site disturbance, preserves existing open space and local
drainage patterns, and involves no major land grading or loss of mature vegetation.
5. Has the alleged difficulty been self created? { } Yes,or t4 No Why:
The current lot is non-conforming, any changes would require a variance
• Are there any Covenants or Restrictions concerning this land? M No { }Yes(please furnish a
copy)
• This is the MINIMUM that is necessary and adequate,and at the same time preserve and protect the
character of the neighborhood and the health, safety and welfare of the community.
By signing this document,the PROPERTY OWNER understands that pursuant to Chapter 280-
146(B)of the Code of the Town of Southold,any variance granted by the Board of Appeals shall
become null and void where a Certificate of Occupancy has not been procured,and/or a subdivision
map has not been filed with the Suffolk'County Clerk,within three(3)years from the date such
variance was granted. The Board may,upon written request prior to the date of expiration,grant
an extension not to exceed three(3)consecutive one(1)year terms. IT IS THE PROPERTY
OWNER'S RESPONSIBILITY TO ENSURE COMP IANCE WITH THE CODE REQUIRED
TIME FRAME DESCRIBED HEREIN.
ignatu Applicant or Authorized Agent
t must submit written Authorization from Owner)
Sworn to before me this 36-4 day
of 6_%_ 20 Zlv
WARY M. GRADY
I° NOTARY PUBLIC-STATE OF-NEW YORK
N tary P is 6 No.01GR6030703
Qualified in Suffolk.County
My Commission Expires 09-20-2029
815
Received
Revised 6/2023
QUESTIONNAIRE SEP 9 2026
FOR FILING WITH YOUR ZBA APPLICATION
Zoning Board of Appeals
A. Is the subject premises currently listed on the real estate market for sale?
Yes _V_No
B. Are there any proposals to change or alter land contours?
�/No Yes,please explain on separate 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? N/A
3.)Is the property bulk headed between the wetlands area and the upland building area?
N/A
4.) If your property contains wetlands or pond areas, have you contacted the Office of the
BOARD OF TRUSTEES for its determination of jurisdiction? N/A
Please confirm status of your inquiry or application with the Board of Trustees:
N/A
If issued, please attach copies of your permit listing conditions of approval with a copy of
the approved survey.
D. Is there a depression or sloping elevation near the area of proposed construction at or
below five feet above mean sea level? No
E. Are there any patios,concrete barriers, bulkheads or fences that exist that are not shown
on the survey that you are submitting? No
If any of the aforementioned items exist on your property,please show them on a site
plan.
F. Are there any construction projects currently in process on your property? No
If yes, please submit a copy of your building permit and survey as approved by the Building
Department and please describe scope of work:
G. Please attach all pre-certificates of occupancy and certificates of occupancy for the subject
premises. If none exist,please apply to the Building Department to obtain them or to obtain an
Amended Notice of Disapproval.
H. Do you or any co-owner also own other land adjoining or close to this parcel? No
If yes, please label the proximity of your lands on your survey and identify the Suffolk
County Tax Map No.
I. Please list present use or operations conducted at your property,and/or the proposed use
Existing Single family residence
J. (examples:existing single family,proposed:same with garage,pool or other)
3 V,
Authori ed s' tyre Date
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR Receiveri
TOWN HALL
SOUTHOLD. NEW YO11K
SEP znz�
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES �®ning Board c)i
r�A�a1s
THIS IS TO CERTIFY that the
/T/ Land Pre C.O. #- ZI3695
Building(s) Date- August 2, 1985
Use(s)
4475 Main Bayview Road
located at 45 Smith Drive North Southold
Street Hamlet
shown on County tax map as District 1000, Section 76 , Blocic I
Lot 24 does{not)conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Insufficient total area.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /T/Land / /Building(s)
Use(s) existed on the effective date the present Building Zone Code of the
Town of Southold, and may be continued pursuant to and subject to the appli-
cable provisions of said Code.
IT IS FURTHER CERTIFIED that, based upon information presented to
the Building Inspector's Office, the occupancy and use for which this Certifi-
cate is issued is as follows: Property contains a one story, one family,
wood-framed dwelling with attached garage. Property is corner lot
situated in tLe A-Residential Agricultural Zone w/access to Main Basview Rd.
& Smith Dr. North; both town maintained roads.
The Certificate is issued to PHILLIP & ROBIN GRATTAN
(owner,
of the aforesaid building.
Suffolk County Department of Health Approval T1/A
UNDERWRITERS CERTIFICATE NO. N/A
NOTICE IS HEREBY GIVEN that the owner of the above premises HAS
NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec-
tor to determine if the premises comply with all applicable codes and ordin-
ances. other than the Building Zone Code, and therefore, no such inspection
has been conducted. This Certificate, therefore, does not, and is not intended
to certify that the premises comply with all other applicable codes and regula-
tions.
Buildine, inspector
EA CA
Received
SEP 9 2026
AGRICULTURAL DATA STATEMENT
ZONING BOARD OF APPEALS Zoning Board of"Appeals
TOWN OF SOUTHOLD
WHEN TO USE THIS FORM: This form must be completed by the applicant for any special use
permit,site plan approval,use variance,area variance or subdivision approval on property within
an agricultural district OR within 500 feet of a farm operation located in an agricultural district.
All applications requiring an agricultural data statement must be referred to the Suffolk County
Department of Planning in accordance with Section 239m and 239n of the General Municipal
Law.
1. Name of Applicant: Michael Keefe
2. Address of Applicant:45 Smith Dr N, Southold NY
3. Name of Land Owner(if other than Applicant): Michael Keefe
4. Address of Land Owner: 45 Smith Dr N, Southold NY
5. Description of Proposed Project:Extension of existing home and screened in porch addition
6. Location of Property: (Road and Tax map Number) 1000-76-1-24
7. Is the parcel within 500 feet of a farm operation? { } Yes .i No
8. Is this parcel actively farmed? { } Yes YJ No
9. Name and addresses of any owner(s)of land within the agricultural district containing active
farm operations. Suffolk County Tax Lot numbers will be provided to you by the Zoning Board
Staff, it is your responsibility to obtain the current names and mailing addresses from the Town
Assessor's Office(765-1937) or from the Real Property Tax Office located in Riverhead.
NAME and ADDRESS
1.
2.
3.
4.
5.
6.
(Please use the back f this page if the additional property owners)
Signature f i•ant Date
Note:
1.The local Board will solicit comments from the owners of land identified above in order to consider the
effect of the proposed action on their farm operation. Solicitations will be made by supplying a copy of
this statement.
2.Comments returned to the local Board will be taken into consideration as part as the overall review of
this application.
3. Copies of the completed Agricultural Data Statement shall be sent by applicant to the property owners
identified above. The cost for mailing shall be paid by the Applicant at the time the application is
submitted for review.
617.20 Received
Appendix B SEP 9
Short Environmental Assessment Form 202�
Instructions for Completing Zoning Board of -Appeals
Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses
become part of the application for approval or funding,are subject to public review,and may be subject to further verification.
Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully
respond to any item,please answer as thoroughly as possible based on current information.
Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful
to the lead agency;attach additional pages as necessary to supplement any item.
Part 1 -Project and Sponsor Information
Name of Action or Project:
Keefe Residence
Project Location(describe,and attach a location map):
45 Smith Dr N, Southold NY
Brief Description of Proposed Action:
Front addition, sunroom expansion, proposed screened-in porch, and interior alterations.
Name of Applicant or Sponsor: Telephone: 631-603-9092
AMP Architecture E-Mail: bepperson@amparchitect.com
Address:
PO Box 152
City/PO: State: Zip Code:
Mattituck NY 11952
1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES
administrative rule,or regulation?
If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that /
may be affected in the municipality and proceed to Part 2. If no,continue to question 2. �/
2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES
If Yes,list agency(s)name and permit or approval:
Building Department
3.a.Total acreage of the site of the proposed action? .26 acres
b.Total acreage to be physically disturbed? .04 acres
c.Total acreage(project site and any contiguous properties)owned
or controlled by the applicant or project sponsor? .26 acres
4. Check all land uses that occur on,adjoining and near the proposed action.
❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial N/Residential(suburban)
❑Forest ❑Agriculture ❑Aquatic ❑ Other(specify):
❑Parkland
Page 1 of 4
Received
6
5. Is the proposed action, NO VMS /
a.A permitted use under the zoning regulations?
onin LDLAbpeals
b.Consistent with the adopted comprehensive plan?
6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES
landscape? `/
7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES
If Yes,identify:
8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES
b.Are public transportation service(s)available at or near the site of the proposed action?
c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action?
9.Does the proposed action meet or exceed the state energy code requirements? NO YES
If the proposed action will exceed requirements,describe design features and technologies:
10. Will the proposed action connect to an existing public/private water supply? NO YES
If No,describe method for providing potable water: /
11.Will the proposed action connect to existing wastewater utilities? NO YES
If No,describe method for providing wastewater treatment: , /
12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES
Places?
b.Is the proposed action located in an archeological sensitive area? V- /
13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES
wetlands or other waterbodies regulated by a federal,state or local agency?
b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? . /
If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: V
14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply:
❑ Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional
❑ Wetland ❑Urban ®Suburban
15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES
by the State or Federal government as threatened or endangered? , /
16.Is the project site located in the 100 year flood plain? NO YES
17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES
If Yes,
a.Will storm water discharges flow to adjacent properties? ®NO ❑YES
b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)?
If Yes,briefly describe: ❑NO 12 YES
All roof runoff will be collected by gutters and directed to proposed on-site drywells
Page 2 of 4
Received
18.Does the proposed action include construction or other activities that result in the impoundment of NO YES
water or other liquids(e.g.retention pond,waste lagoon,dam)? SE
If Yes,explain purpose and size: Zoning Boa/oi Appe Is
19.Has the site of the proposed action or an adjoining property been the location of an 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 OF MY
KNOWLEDGE
Applicant/sponsor name: Antho y Portil MP Architecture) Date: G
Signature:
Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following
questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or
otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my
responses been reasonable considering the scale and context of the proposed action?"
No,or Moderate
small to large
impact impact
may may
occur occur
1. Will the proposed action create a material conflict with an adopted land use plan or zoning
regulations?
2. Will the proposed action result in a change in the use or intensity of use of land?
3. Will the proposed action impair the character or quality of the existing community?
4. Will the proposed action have an impact on the environmental characteristics that caused the
establishment of a Critical Environmental Area(CEA)?
5. Will the proposed action result in an adverse change in the existing level of traffic or
affect existing infrastructure for mass transit,biking or walkway?
6. Will the proposed action cause an increase in the use of energy and it fails to incorporate
reasonably available energy conservation or renewable energy opportunities?
7. Will the proposed action impact existing:
a.public/private water supplies?
b.public/private wastewater treatment utilities?
8. Will the proposed action impair the character or quality of important historic,archaeological,
architectural or aesthetic resources?
9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands,
waterbodies,groundwater,air quality,flora and fauna)?
Page 3 of 4
qeceivc,.
SEP 9 2026 No,or Moderate
small to large
impact impact
Zoning Board of Appeals may may
occur occur
10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage
problems?
11. Will the proposed action create a hazard to environmental resources or human health?
Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every
question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular
element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3.
Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by
the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact
may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring,
duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and
cumulative impacts.
❑ 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
C\l
Received
SEP 9 2025
Board of Zoning Appeals Application Zoning Board of Appeals
AUTHORIZATION
(Where the Applicant is not the Owner)
1, Michael Keefe residing at 45 Smith Dr N
(Print property owner's name) (Mailing Address)
do hereby authorize
(Agent)
AMP Architecture to apply for variance(s) on my behalf from the
Southold Zoning Board of Appeals.
wner's Signature)
Michael Keefe
(Print Owner's Name)
eceivei
APPLICANT/OWNER
TRANSACTIONAL DISCLOSURE FORM SEP 9 2026
The Town of'Southold's Code of Ethics-prohibits conflicts of interest on the part'of town officers and employ at �� f t is
form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is HPpeaIS
necessary to avoid same.
YOUR NAME : Michael Keefe
(Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a
company.If so,indicate the other person's or company's name.)
TYPE OF APPLICATION:(Check all that apply)
Tax grievance Building Permit
Variance X Trustee Permit
Change of Zone Coastal Erosion
Approval of Plat Mooring
Other(activity) Planning
Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or
employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business interest"
means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or
employment by)a corporation in which the town officer or employee owns more than 5%of the shares.
YES NO 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
Title or position of that person
Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either
check the appropriate line A)through D)and/or describe in the space provided.
The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply)
A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a
corporation)
B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation)
Q an officer,director,partner,or employee of the applicant;or
D)the actual applicant
DESCRIPTION OF RELATIONSHIP
Submitted this day o 20 2(P
Signature
Print Name
Receiver
SEP 9 2026
AGENT/REPRESENTATIVE Zoning Board of Appeals
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.
YOUR NAME : Anthony Portillo,AMP Architecture
(Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a
company.If so,indicate the other person's or company's name.)
TYPE OF APPLICATION: (Check all that apply)
Tax grievance Building Permit
Variance X Trustee Permit
Change of Zone Coastal Erosion
Approval of Plat Mooring
Other(activity) Planning
Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer
or employee of the Town of Southold?"Relationship" includes by blood,marriage,or business interest. "Business
interest"means a business,including a partnership,in which the town officer or employee has even a partial
ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the
shares.
YES NO
If you answered"YES",complete the balance of this form and date and sign where indicated.
Name of person employed by the Town of Southold
Title or position of that person
Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.
Either check the appropriate line A)through D)and/or describe in the space provided.
The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply)
A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a
corporation)
B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation)
C)an officer,director,partner,or employee of the applicant;or
D)the actual applicant
DESCRIPTION OF RELATIONSHIP
Submitted this clay of ,20
Signature
Print Name An ony Portillo
�I
Received
Town of Southold
LWRP CONSISTENCY ASSESSMENT FORM SEP 9 2026
A. INSTRUCTIONS Zoning Board of "Appeals
I. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for
proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This
assessment is intended to supplement other information used by a Town of Southold agency in
making a determination of consistency. *Except minor exempt actions including Building Permits
and other ministerial permits not located within the Coastal Erosion Hazard Area.
2. Before answering the questions in Section C, the preparer of this form should review the exempt
minor action list, policies and explanations of each policy contained in the Town of Southold Local
Waterfront Revitalization Program. A proposed action will be evaluated as to its significant
beneficial and adverse effects upon the coastal area(which includes all of Southold Town).
3. If any question in Section C on this form is answered "yes", then the proposed action may affect the
achievement of the LWRP policy standards and conditions contained in the consistency review law.
Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a
determination that it is consistent to the maximum extent practicable with the LWRP policy
standards and conditions. If an action cannot be certified as consistent with the LWRP policy
standards and conditions, it shall not be undertaken.
A copy of the LWRP is available in the following places: online at the Town of Southold's
website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all
local libraries and the Town Clerk's office.
B. DESCRIPTION OF SITE AND PROPOSED ACTION
SCTM# 76 _ _ 24
The Application has been submitted to(check appropriate response):
Town Board 0 Planning Dept. V Building Dept. 0 Board of Trustees 0
I. Category of Town of Southold agency action(check appropriate response):
(a) Action undertaken directly by Town agency(e.g.capital
construction, planning activity,agency regulation, land transaction)
(b) Financial assistance(e.g. grant, loan, subsidy)
(c) Permit, approval, license, certification:
Nature and extent of action:
Proposed Front extension of dwelling and proposed screened in porch additon
eceived
Location of action: 45 Smith Drive N 'SEP 92026
Site acreage: .26 2onlrlg Board of-aPPeais
Present land use: Residential Single Family Dwelling
Present 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) Name of applicant: Michael Keefe
(b) Mailing address: 45 Smith Dr N Southold NY
(c) Telephone number:Area Code( ) 516-458-0925
(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
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
Received
A M P Architecture Address:300 Private Rd#4 laurel NX 11952
Phone.631-902-52112 SEP 9 2026
Design + Build Zoning Beard
of Appeals
ill
h
South East of property looking North West South East of property looking North
r
West looking North East West of property looking South
jig,
East of property looking South West North East of property looking South
Keefe Residence-45 Smith Dr N Southold NY 11971
Owner: Michael Keefe
Applicant:AMP Architecture
All Photos taken on May 6`h 2026
�oef_ _ _z y TOWN OF. SOUTHOLD- ' �...OPERTY RECORD CARD
OWNER STREET VILLAGE DISTRICT SUB. LOT�,/ ��r •?
FORM R OWNER N E ACREAGE
•i _ :; (JrC:f t','; . . ' S W TYPE OF BUILDING / _
- 4�r
RES. Z f 6 SEAS. VL. FARM COMM. I IND. I CB. I MISC. I Est. Mkt. Value —
LAND IMP. TOTAL DATE REMARKS -
'�oRR�. s e'
a z 6 c,a 3 l oa / SAZFs1617s� �z oa �.��rE-�sQ,✓ ��; _ .�
3 / 6 b t; b �/� �e m.�- 6 c .S' LT 'r A.222•f'6y�nh'
� LJ / 00 37cv
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE FRONTAGE ON WATER
Farm Acre Value Per Acre Value FRONTAGE ON ROAD J X /f-� C7 -� —=
Tillable 1 BULKHEAD
Tillable 2 DOCK
Tillable 3
Woodland
Swampland
Brushland W cA CD
rn,
House Plot r� ^ a CD '
---- CD
N
Total C
v
i
1
t � i
I, 1
M. Bldg. ,� Foundation C' r� Bath
�-
Extension !-%�� Basement Floors
Extension �/ 3 f [i s/- E Walls 1 Interior Finish '> -r
Extension Fire Place Heat ;
Porch Roo` Type -
Porch Rccros 1st Floor j
Breezeway Z f9kio Rooms 2nd Floor cQ
- ---
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Q � -
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-- — --- ----- -- ---- D _ N 0-
o'
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PARCEL AREA=11,250 SO.FT OR 0.258 ACRES
LOT 4
FOUND S 51 000'00" E 75.00'
MONUMENT FOUND
MONUMENT
8''STOCKADE.FENCE to
FE CDR END FENCE a 12;2' SHED
0.2'S 0.4'W iv FRAME
O.B'W °p SHED DAIS
HEDGE ROW
SHED
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1 f-
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M GARAGE
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SIGN ,
EDGE OF PAVEMENT
MAI N BAYVIEW ROAD
GUARANTEED:
MICHAEL KEEFE
ALL STATE ABSTRACT CORP.#S103732-43
NOTES: SURVEY OF PROPERTY
PROPERTY CORNER MONUMENTS WERE NOT SET AS
EART OF SEMENT ,IFANY,N 45 SMITH DRIVE NORTH -
EASEMENTS,IF ANY,NOT SHOWN ARE NOT CERTIFIED. -
SITUATED IN FN
'UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP SOUTHOLD �� �O
PREPARED AND SEALED BY A LICENSED LAND SURVEYOR IS y'
A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE
TOWN OF SOUTHOLD,COUNTY OF SUFFO STATE OF NEW YORK '
DucAnoN uw.• LK�
•COPIES FROM THE ORIGINAL OF THIS SURVEY MAP NOT A
MARKED WITH AN ORIGNAL OF,HE LAND SURVEYOR'S INKED J O S E P,H M.. P E T I T O
SEAL OR HIS EMBOSSED SEAL SHALL NOT BE CONSIDERED AI'
VALID TRUE COPY.' 'CERTIFICATION INDICATED HEREON Land Surveying & Civil En.girteeri:ng PC
SIGNIFY THAT THIS SURVEY WAS PREPARED IN ACCORDANCE 27 Forest Auenue.. Locust Valle NY 11.'56.0, 516, 676-3260 0:
WITH THE EXISTING CODE OF PRACTICE FOR LAND SURVEYS Yr � ' �
PROFESSIONAADOPTED BY L ILA D�SURVEYO S. SADOCERTIFICAT a
IONS Website: www.jpetito.com Email:jpetitolsce@gmail.com . ;S�
THE SUR
PREPARED, ONLY ANDON HIS BEHALF TO THESHALL RUN TO THE PERSON FORHOM TITUE COMPANY,IS formerly O'Connor - Petito, L.L.C.
GOVERNMENTAL AGENCY AND LENDING INSTITUTION. MAP OF GOOSE NECK CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL MAP DIST.1000 SEC, 76 BLK 1 LOT 24
INSTITUTIONS OR SUBSEQUENT OWNERS." FILED ON NOVEMBER 22,1928 AS MAP No.1833
DATE:APR 14,2025 REVISED: SCALE: 1'=20' SHEET: 1 OF 1
LOT 4 EXISTING SOUTHOLD TOWN_GO 0-20"1 (A)(I) " Z
FOUND SHED TO BE w a
a 75.0 LOT 51ZE/vAREA IN ALLOWABLE TOTAL
MONUMENT 551 00 00 E REMOVED 11�50.0 S.F. 1250.0 S.F. z m w 3
EXCESS OF IOp00 GFA GFA F=m a
FOUND (b) LOTS CONTAINING UP TO 3,350 S.F. g a a Sm
6' STOCKADE MONUMENT 20,000 S.F. MAX. N y o r
T- FENCE Z
ALLOWABLE S.F./PLUS U a
10' 12.5% OF EXCESS LOT 2,100.0 S.F. 15 5.5 S.F. 2,256.3 S.F. 1,551 S.F. m a F
v SIDE ROW E
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O O I ARCHITECT'S BEST OF KNOWLEDGE. Z ww o w a
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2.SURVEY INFORMATION WA5 OBTAINED '.Wow s
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N Q EXIST. I �- �/
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'� 25.4' -•� � �-' Q
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U W m PROPOSED SCREENED-IN PORCH 106.0 5.F. OA%
GJ� 0) r PROP. I
PROPOSED ENTRY DECKS "12.0 S.F. 0.6%
IRELOG. ADDITION 1 �n
I0 A . _ I►� TOTAL AREA OF ALL STRUCTURES 2156.0 S.F. 19.0%
PROP. MAXIMUM LOT COVERAGE ALLOWED: 20.0%
GOVERED
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FRONT YARD
55.0' 25.4 25.4' NO ,. •:�'`` a
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FRONT YARD I
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1`i LNL. r R"r YFRONT YAR17) L/ MIN. REAR YARD 35.0' 14.9' 14.9' NO �' M
(SEGO )
MAXIMUM HEIGHT 55.0' 15.51 19.2' YES
PROPOSED SITE PLAN
SCALE: 1" = 20'-0" o a
OENERAL SYMBOL KEY: z
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EX15TINO EXIST.
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r----------J PORCH N N
FIRST FLOOR DEMOLITION PLAN 34-'
PROPOSED FIRST FLOOR PLAN N_' -
tiQ
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