Fillable 878 Zoning Board Of Appeals Application (Incorporated Village of Sag Harbor)

Fill Online, Printable, Fillable, Blank 878 Zoning Board Of Appeals Application (Incorporated Village of Sag Harbor) Form

Use Fill to complete blank online INCORPORATED VILLAGE OF SAG HARBOR (NY) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

878 Zoning Board Of Appeals Application (Incorporated Village of Sag Harbor)

On average this form takes 125 minutes to complete

The 878 Zoning Board Of Appeals Application (Incorporated Village of Sag Harbor) form is 35 pages long and contains:

  • 1 signature
  • 16 check-boxes
  • 489 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Incorporated Village of Sag Harbor

BROWSE INCORPORATED VILLAGE OF SAG HARBOR (NY) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
ZONING BOARD OF APPEALS
55 MAIN STREET. POST OFFICE BOX 660
SAG HARBOR, NEW YORK 11963
631-725-0224
TO: PROSPECTIVE APPLICANTS
FROM: CHAIRPERSON, ZONING BOARD OF APPEALS
RE: Instructions and guidelines for preparation
and
submittal of applications to the
Zoning Board of Appeal
All applicants must first apply to the Building Department for a building permit. Building
permit applications must be sufficiently complete for the building inspector to make a
determination as to what variances are required. If the permit is refused, a written referral
to the Zoning Board of Appeals will be drafted by the Building Inspector. No application
for a variance will be entertained by the Zoning Board of Appeals without a written
referral from the Building Inspector.
After the application has been reviewed and deemed complete it will be scheduled for a
public hearing on the next available meeting date. There are no deadlines. Applications
are reviewed in the order they are received. Although every effort is made
to
expedite
each application, there
is
no specific time limit
in which to review applications.
Applicants should review the agenda one week prior to the meeting. Agenda are
available on the Village website or
in
person from the Building Department.
Alternatively, applicants may contact the Building Department at 631-725-0224 to
ascertain the presence
and
location of their application on the agenda.
The filing fee for a single family residence
fa
$250.00. The filing fee for
all
other
applications
fa
$350.00. The filing fee must accompany the application.
The Board may require the payment of out-of-pocket expenses incurred by the
Village
in
studies/and or by retainer of advisor that are over and above application
fee.
To collect such additional fee, the Board will provide the applicant with written
notice of its
intent
to conduct such studies by the Village consultant/expert advisors
related to the hearing.
Applicants must submit one original and ten copies of the complete application
packet. Each packet must be ASSEMBLED by the applicant and include one of
each of the documents enumerated below. The Building Department will not
assemble packets, make copies or fold plans. Please denote which application
contains the original documents.
Each Zoning Board of Appeals packet must include:
a.
A completely filled out and notarized application form. The specific nature of
the request should be clearly explained, including the specific section(s) of the
code from which relief is requested. Please note that the zoning code is now
found in chapter 300, not chapter
55.
b.
A completed and notarized application for a building permit.
c.
A complete set of drawings at 1/8"scale.
d.
A survey.
e.
A deed, lease or Certificate of Occupancy in the name of the Applicant
f.
A completed and notarized consent for inspection.
g.
A completed and notarized authorization form (if represented by an agent).
h.
A completed Coastal Assessment Form
i.
A completed Short Environmental Assessment Form
In
addition to the above, the applicant must submit an original and two copies of the
following:
a.
Complete set of drawings at
¼"
scale
b.
Completed and Notarized Disclosure Affidavit
Requests for relief from lot coverage requirements, required setbacks or the pyramid law
should contain the proper (§300-4.3 for coverage and setback relief in the R-20 district;
§300-9.3 for pyramid relief) in the AREA VARIANCE portion of the application.
Applicants for these types of variances should furthermore address the five questions
found in paragraph 6 of the application.
If the application is for relief from required structure setbacks or lot coverage, the
applicant must furnish an original and two copies of a certified abstract of single
and separate ownership. The search must go back prior to November 17, 1971.
Title
reports from property closings generally do not provide the required information. Reports
are furnished to the Village Attorney for review prior to placing an application on the
agenda.
Single and separate reports must be furnished with the initial application,
please retain the application until the single and separate search has been obtained.
If
the application is for relief from the PYRAMID LAW, the plans must clearly indicate
the existing structure, including the degree of EXISTING non-conformance and the
amount of additional PROPOSED non-conformance.
A calculations in cubic feet shall be provided for each existing and proposed building
on the subject premises and a calculation in cubic feet as to those parts of each
Existing and proposed building which exceed the Pyramid Law, including the
Percentage of the total volume of the buildings that exceed the Pyramid law.
Elevations shall show those areas of existing and proposed buildings that intrude into the
pyramid. Pyramid lines shall be drawn on all planes. Pursuant to resolution by the Board,
applicants MUST COLOR CODE ELEVATIONS OF THE STRUCTURE IN
QUESTION AS FOLLOWS:
A.
THE EXISTING STRUCTURE SHALL BE COLORED GREEN.
B.
THE PORTION OF THE PROPOSED IMPROVEMENT THAT DOES NOT
REQUIRE A VARIANCE SHALL BE YELLOW.
C.
THE PORTION OF THE PROPOSED IMPROVEMENT THAT REQUIRES
A VARIANCE SHALL BE COLORED RED.
If the application is for a road frontage variance, include ten copies of a tax map
depicting the subject parcel and the proposed access leading all the way to its connection
with a public road.
If the application is for variances required to subdivide property, include ten copies of a
tax map showing the subject property and the surrounding area.
If
the application is subject to Suffolk County Health Department ("SCHD") approval, a
copy of the SCHD submission must be included. Projects that require SCHD approval
include, but are not limited to, those projects where the home is being demolished, and;
where the bedroom count is being increased, an; where sanitary service is being added to
an existing accessory structure, and; where the sanitary system must be relocated to
accommodate an addition or accessory structure. Contact the Building Department for
referral guidelines.
If
the applicant is represented by an agent, a notarized original and two copies of a letter
authorizing the agent to act on behalf of the applicant must be submitted.
In
the case of an
attorney acting as agent for the applicant, this Board will accept a notarized affidavit by
the attorney attesting to the fact.
For commercial uses, include a site plan of the proposed project that includes parking,
vehicular access and elevation sketches of the proposed structures demonstrating
compliance with §300-9.6, if applicable.
Some applications may require a landscaping plan.
Surveys shall be current and guaranteed. If proposed construction involved, the surveyor
should depict the proposed construction on the survey. All
surveys
must be less than one
year old and contain:
a.
Setbacks of
all
structures depicted on the survey
b.
dimensions of all structures depicted on the survey
c.
lot coverage of the existing principal structure and proposed principal structure
d.
lot coverage of all structures on the parcel
In summary:
The applicant must provide the specific applicable sections of the Village Code and
clear, specific descriptions of the request.
The applicant must explain why the request is necessary.
The application must contain sufficient information to demonstrate that any request
for a variance meets the applicable tests for a use variance or area variance. These
tests are listed on the application form
Certain types of applications necessitate inclusion of particular types of
information, such as a single and separate abstract.
The submittal of an accurate, thorough application with all necessary information
is prerequisite to the scheduling of a public hearing. An incomplete application
will only delay the processing cycle.
Following a review of the Environmental Assessment Form Part 1, if required, a
determination will be made as to whether an Environmental Assessment Form Part
II evaluation will be required.
If
an EAF part II is needed it will be prepared by the
Village Consultant and no public hearing will be scheduled until after it has been
Completed and provided to this Board.
If
an Environmental Impact Statement is
determined to be necessary, no public hearing will be scheduled until it has been
satisfactorily prepared and submitted by the applicant to this Board.
DATED: 01/2017
APPLICATION TO THE ZONING BOARD OF APPEALS
VILLAGE OF SAG HARBOR
FOR AN INTERPRETATION AND/ OR VARIANCE
(Application shall be accompanied by a fee of $250.00 payable to the Village of Sag Harbor, and
necessary surveys or other documents.) for a single family, all others $350.00.
IN THE MATTER OF THE APPLICATION OF:
(IF NOT OWNER OF PROPERTY, PLEASE INDICATE RELATIONSHIP, CONTRACT PURCHASER,
ATTORNEY IN FACT, ETC.)
Mailing Address:
Telephone:
Attorney or Agent for Owner:
Mailing Address:
Telephone:
QUESTIONAIRE:
1. Location and Description of Property:
a.
Zoning District as shown on Zoning Map:
b.
Street Name:
c.
Tax Map Number:
District:
Section:
Block:
Lot:
2. Name and Addresses of Adjacent Property Owners:
3. Date Property Acquired:
From Whom:
4. Type of and Reason for Application:
INTERPRETATION OF Section
is
requested to determine whether:
USE VARIANCE OF Section is
requested in order to:
AREA VARIANCE OF Section
is
requested in order to
5. If this is an application for a USE VARIANCE, please answer how the request satisfies the
following requirements of the Zoning Law:
a.
Under applicable Zoning regulation the applicant is deprived of all economic use or benefit
from the property in question, which deprivation must be established by competent financial
evidence.
b.
That the alleged hardship relating to the property in question is unique, and does not apply to
a substantial portion of the district or neighborhood.
c.
That the request use variance, if granted,
will
not alter the essential character of the
neighborhood.
d.
That the alleged hardship has not been self-created.
6. If this is an application for an AREA VARIANCE, please answer how the request satisfies the
following requirements of the Zoning Law:
a.
Whether an undesirable change will be produced in the character of the neighborhood or a
detriment to nearby properties will be created by the granting of the area variance.
b.
Whether the benefit sought by the applicant can be achieved by some method, feasible for
the applicant to pursue, other than an area variance.
c.
· Whether the requested area variance is substantial.
d.
Whether the proposed variance will have an adverse effect or impact on the physical or
environmental conditions in the neighborhood or district.
e.
Whether the alleged difficulty was self-created; which consideration shall be relevant to the
decision of the board or appeals, but shall not necessarily preclude the granting of the area
variance
.
7. A plot plan of the premises shall accompany this application and shall include the following
details: (Any other pertinent information the applicant feels is important should be submitted.)
a.
Property line, give length to nearest foot.
b.
North direction arrow
c. Size of lot in acres or square feet
d.
Indicate scale of survey sketch
e.
Location of building on property and distance to property lines.
f. Floor plan of house showing room use.
g.
Door and window locations
h.
Cesspools, septic tank, and Wellpoint
i.
Driveways, note if dirt, asphalt or concrete
j.
Any unusual planting of trees.
k.
Fencing
I.
Accessory buildings on property.
m.
Patios, decks, swimming pools and tennis courts
n.
Proposed building additions in dashed lines
o.
Proposed property divisions in dashed lines.
p.
Location of buildings on adjacent property.
q.
Distance of buildings on adjacent property from applicant's property lines.
r.
Elevation views
of unusual buildings.
NOTE: If this application is submitted by an agent, a letter of authority from owner must accompany the application.
STATE OF NEW YORK)
SS:
COUNTY OF SUFFOLK)
______________________________________________________________
being duly sworn deposes and says he/she is
the owner or agent for the owner of the property above described. That all statements made in this application are true to
the best of his/her knowledge and belief, except as to the matters therein stated to be alleged on information and belief
and as to the matters, he/she believes the same to be true.
___________________________________________________________________________________________________________
Sworn to before me this
day of________________20__
________________________________________
(Notary Public)
VILLAGE OF SAG HARBOR
BUILDING DEPARTMENT
55 MAIN ST., PO BOX 660
SAG HARBOR, N.Y. 11963
631-725-0224
631-725-4852 FAX
BUILDINGDEPT@SAGHARBORNY.GOV
BUILDING PERMIT APPLICATION
*** ALL QUESTIONS MUST BE ANSWERED ***
THIS IS A(N): NEW PERMIT AMENDMENT TO AN EXISTING PERMIT No.________
TAX MAP NUMBER: ______ - ______ - ______ - ______ PROPERTY LOCATION: ___________________________
DISTRICT SECTION BLOCK LOT LEGAL STREET ADDRESS AND NUMBER
PROPERTY OWNER:___________________________ APPLICANT:______________________________
MAILING ADDRESS:___________________________ MAILING ADDRESS:______________________________
___________________________ ______________________________
PHONE:___________________________ PHONE:______________________________
EMAIL_______________________________
APPLICANT IS: OWNER LESSEE AGENT ARCHITECT BUILDER OTHER:__________________________
IF OWNER OR APPLICANT IS A CORPORATION or LLC, FURNISH NAMES OF MANAGING OFFICERS or MEMBERS:
CORPORATE/LLC PROPERTY OWNER NAME CORPORATE/LLC APPLICANT NAME
NAME: ____________________________________ NAME: ____________________________________
ADDRESS: ____________________________________ ADDRESS: ____________________________________
CONTRACTOR RESPONSIBLE FOR CONSTRUCTION:
NAME: _____________________________________ CONTRACTORS LICENSE NO:___________________________
PHONE: _____________________________________ ISSUED BY: SOUTHAMPTON EAST HAMPTON SUFFOLK
E-MAIL:
THIS PERMIT IS TO: BUILD A NEW STRUCTURE MAKE CHANGES TO AN EXISTING STRUCTURE
THIS PERMIT IS FOR: PROPOSED WORK WORK ALREADY PERFORMED
WHAT IS THE ESTIMATED COST OF CONSTRUCTION? $________________________ (COST DOES NOT AFFECT THE PERMIT FEE)
CURRENT No. OF BEDROOMS: __________ PROPOSED No. OF BEDROOMS: __________
CURRENT No. OF FULL BATHROOMS: __________ PROPOSED No. OF FULL BATHROOMS: __________
CURRENT No. OF HALF BATHROOMS: __________ PROPOSED No. OF HALF BATHROOMS: __________
IS THIS PARCEL IN THE HISTORIC DISTRICT OR DESIGNATED AS A LANDMARK? YES NO
FLOOD ZONE: X V AE N/A
ZONING DISTRICT: R-20 VB WF OD RM
IS THIS PARCEL IN THE TIDAL OVERLAY DISTRICT? YES NO
Briefly describe the scope of the project: ________________________________________________________________
_________________________________________________________________________________________________
STATE OF NEW YORK } ss.:
COUNTY OF _________________________}
_____________________________________ being duly sworn deposes and says that he/she is the owner or agent for the owner and is duly
authorized to make and file this application; that all statements contained in this application are true to the best of his/her knowledge and belief, and that
the work will be performed in the manner set forth in the application and in the plans and specifications filed therewith.
______________________________________________
SIGNATURE OF APPLICANT
Sworn to before me this _______ day of __________________ 20_____
___________________________________________
Notary Public ________________________County
APPROVED: __________________________________
Thomas Preiato
BUILDING INSPECTOR
click to sign
signature
click to edit
INC. VILLAGE OF SAG HARBOR COASTAL ASSESSMENT FORM
55 MAIN ST. • PO BOX 660 CHAPTER 275: WATERFRONT CONSISTENCY REVIEW
SAG HARBOR, NY 11963
(631) 725-0222
-1- 05-05-2011
NAME OF PROPOSED ACTION:
______________________________________
STREET ADDRESS OF PROPOSED ACTION:
______________________________________
SUFFOLK COUNTY TAX MAP NUMBER (S):
_______ – _______ – _______– _______
_______ – _______ – _______– _______
_______ – _______ – _______– _______
INSTRUCTIONS
1. Applicants—or in the case of direct actions, Village agencies—shall complete this Coastal
Assessment Form (CAF) for proposed actions which are subject to Chapter 275 of the Village
Code, entitled Waterfront Consistency Review. This assessment is intended to supplement other
information used by a Village agency in making a determination of consistency.
2. Before answering the questions in Section C, the preparer of this form should review the policies
contained within the Local Waterfront Revitalization Program (LWRP) and their explanations. A
copy of the LWRP is on file in the Village Clerk’s office and on the Village’s website. A
proposed action should be evaluated as to whether it will have any significant beneficial and
adverse effects upon the coastal area.
3. If any question in Section C of this form is answered “YES,” then the proposed action may affect
the achievement of the LWRP policy standards and conditions contained in Chapter 275,
Waterfront Consistency Review of the Village Code (the “Waterfront 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. CONTACT INFORMATION (Please print or type answers)
Applicant: ___________________________________________________________________________
Mailing Address: _____________________________________________________________________
Telephone Number: ( ) ____________________________________________________________
Owner (if not the applicant): ____________________________________________________________
Mailing Address: _____________________________________________________________________
Telephone Number: ( ) ____________________________________________________________
Attorney (if applicable): ________________________________________________________________
Mailing Address: _____________________________________________________________________
Telephone Number: ( ) ____________________________________________________________
INCORPORATED VILLAGE OF SAG HARBOR
COASTAL ASSESSMENT FORM
-2-
B. DESCRIPTION OF PROPOSED ACTION AND PROJECT SITE
1. Type of Village Agency Action (check appropriate response):
Directly undertaken (e.g., capital construction, planning
activity, agency regulation, land transaction).
Financial assistance (e.g., grant, loan, subsidy).
Permit, approval, license, certification.
2. If an application for the proposed action has been filed with another agency, provide the
Application Number; the Approval/Filing Date; and the Contact Person. Please be sure that all
approvals are consistent with the action seeking approval from the Village of Sag Harbor.
(a) NYS Dept. of Environmental Conservation _______________________________________
(b) NYS Dept. of State __________________________________________________________
(c) US Army Corps of Engineers __________________________________________________
(d) Southampton Town Trustees ___________________________________________________
(e) Other _____________________________________________________________________
(f) Please provide copies of all approvals and approved/submitted plans with this Coastal
Assessment Form. Any documents that are attached should be indicated in Section E.
3. To your knowledge, has this project site every been granted approval by any Village Agency for
any other project? Yes No Not Applicable
(a) If “Yes,” please indicate the agency, type of approval, date of approval and name of previous
applicant/owner in Section E or on a separate sheet. If “Not Applicable,” please indicate
why in Section E or on a separate sheet.
4. Describe Nature and Extent of Proposed Action (indicate any proposed structures, including
sanitary systems, drywells, swimming pools, patios, driveways, decks, etc.):
5. Location of Proposed Action: _____________________________________________________
______________________________________________________________________________
6. Total Size of Project Site
(a) Acres: _______________
(b) Square Feet: _______________
INCORPORATED VILLAGE OF SAG HARBOR
COASTAL ASSESSMENT FORM
-3-
7. Land Use:
(a) Existing: ___________________________________________________________________
(b) Proposed:___________________________________________________________________
8. Existing Zoning District: ___________________________
9. FEMA Flood Zone: __________
10. Describe any unique or unusual landforms on or around the project site (e.g., bluffs, dunes,
swales, ground depressions, other geological formations):
11. Approximate Depth to Groundwater: _____ ft.
12. Percentage of site which contains slopes of 15% or greater: _______ %
13. If there are any wetlands or bodies of water (e.g., stream, lake, pond, bay, harbor, etc.) located
contiguous with, adjacent to, or entirely within the project site, please indicate the following:
(a) Name of Water Body (if applicable): _____________________________________________
(b) Area of Wetlands or Water on Project Site: ______________ sq. ft.
14. How much natural vegetation, if any, will be removed from the project site? ___________ sq. ft.
C. COASTAL ASSESSMENT
INSTRUCTIONS FOR COASTAL ASSESSMENT
If the answer to any questions within this Section C is “YES,” please provide either further
explanation in Section D or attach a separate sheet with the explanation. If a separate sheet is
attached, please indicate this in Section D. The question number should be referenced within
each explanation that is provided—e.g., Question 1(a).
Please note that answering “NO” to every question will not exclude the proposed action from
the Waterfront Consistency Review Process.
YES
NO
1. Will the proposed action be located in, or contiguous to, or have a
potential adverse effect
upon any of the resource areas identified
on the coastal map:
(a) Significant fish or wildlife habitats?.................................................._____ _____
(b) Scenic resources of local or statewide significance? ........................._____ _____
(c) Natural protective features in an erosion hazard area? ......................_____ _____
INCORPORATED VILLAGE OF SAG HARBOR
COASTAL ASSESSMENT FORM
-4-
YES NO
2. Will the proposed action have a significant effect upon:
(a) Commercial or recreational use of fish and wildlife resources?........_____ _____
(b) Scenic quality of the coastal environment? ......................................._____ _____
(c) Development of future or existing water-dependent uses?................_____ _____
(d) Land or water uses along the shorefront or within 1,500 feet
of the shoreline?................................................................................._____ _____
(e) Stability of the shoreline? .................................................................._____ _____
(f) Surface or groundwater quality?........................................................_____ _____
(g) Existing or potential public recreation opportunities? ......................._____ _____
(h) Structures, sites or districts of historic, archaeological or
cultural significance to the village, town, county, state or nation?...._____ _____
YES NO
3. Will the proposed action involve or result in any of the following:
(a) Physical alteration of land along the shoreline, underwater lands,
or coastal waters?..............................................................................._____ _____
(b) Physical alteration of an area of land located elsewhere in the
Waterfront Revitalization Area? ........................................................_____ _____
(c) Expansion of existing public services or infrastructure in
undeveloped or low density areas of the coastal area? ......................_____ _____
(d) Energy facility not subject to Article VII or VIII of the
Public Service Law? .........................................................................._____ _____
(e) Mining, excavation, filling or dredging in coastal waters?................_____ _____
(f) Reduction of existing or potential public access to or
along the shore? ................................................................................._____ _____
(g) Sale or change-in-use of publicly owned lands located on
the shoreline or underwater?.............................................................._____ _____
(h) Development within a designated flood or erosion hazard area? ......_____ _____
(i) Development on a beach, dune, barrier island or other natural
feature that provides protection against flooding or erosion?............_____ _____
(j) Construction or reconstruction of erosion protective structures? ......_____ _____
(k) Diminished surface or groundwater quality?....................................._____ _____
(l) Removal of ground cover from the site?............................................_____ _____
INCORPORATED VILLAGE OF SAG HARBOR
COASTAL ASSESSMENT FORM
-5-
YES NO N/A
4. If the project site is publicly owned and located adjacent to the
shore, answer the questions below. If not, continue to Question 5.
(a) Will the project protect, maintain and/or increase the level and
types of public access to water-related recreation resources
and facilities? ....................................................................................._____ _____ _____
(b) If located in the foreshore, will access to those and adjacent
lands be provided? ............................................................................._____ _____ _____
YES NO
5. If the proposed action is located adjacent to shore, answer the
questions below. If not, continue to Question 6.
(a) Will water-related recreation be provided?........................................_____ _____
(b) Will public access to the foreshore be provided? .............................._____ _____
(c) Does the project require a waterfront site? ........................................_____ _____
(d) Will it supplant a recreational or maritime use? ................................_____ _____
(e) Do essential public services and facilities presently
exist at or near the site?......................................................................_____ _____
(f) Is it located in an area of high erosion? ............................................._____ _____
YES NO
6. If the project site is publicly owned, answer the questions below.
If not, continue to Question 7.
(a) Will it involve the siting and construction of any major
energy facilities? ..............................................................................._____ _____
(b) Will it involve the discharge of effluents from major stream
electric generating and industrial facilities into coastal facilities? ...._____ _____
YES
NO
7. Is the project site presently used by the community neighborhood
as an open space or recreation area? ........................................................_____ _____
8. Does the present site offer or include scenic views or vistas known
to be important to the community? .........................................................._____ _____
9. Is the project site used for commercial fishing or fish processing?........._____ _____
INCORPORATED VILLAGE OF SAG HARBOR
COASTAL ASSESSMENT FORM
-6-
YES NO
10. Will the surface area of any waterways or wetland areas be
increased or decreased by the proposal?.................................................._____ _____
(a) Increased by: __________ square feet
(b) Decreased by: __________ square feet
11. Do any mature forest (over 100 years old) or other locally important
vegetation existing on this site which will be removed by the project? .. _____ _____
12. Does any locally important vegetation existing on this site which
will be removed by the project?..............................................................._____ _____
13. Will the project involve any waste discharges into coastal waters
including, but not limited to, stormwater runoff?...................................._____ _____
14. Does the project involve surface or subsurface liquid waste disposal
(e.g., sanitary/septic waste, stormwater runoff, etc.)? ............................._____ _____
15. Does the project involve transport, storage, treatment or disposal
of solid waste or hazardous materials? ...................................................._____ _____
16. Does the project involve shipment or storage of petroleum products?...._____ _____
17. Does the project involve discharge of toxins, hazardous substances
or other pollutants into coastal waters?...................................................._____ _____
18. Does the project involve or change existing ice management practices?_____ _____
19. Will the project alter drainage flow, patterns or surface water
runoff on or from the site? ......................................................................._____ _____
20. Will best management practices be utilized to control stormwater
runoff into coastal waters?......................................................................._____ _____
21. Will the project utilize or affect the quality or quantity of sole
source or surface water supplies? ............................................................_____ _____
22. Will the project cause emissions which exceed federal or state air
quality standards or generate significant amounts of nitrates or
sulfates into the atmosphere?..................................................................._____ _____
D. REMARKS OR ADDITIONAL INFORMATION
(Please list any and all additional sheets that are to be used to complete/supplement this form.)
INC. VILLAGE OF SAG HARBOR COASTAL ASSESSMENT FORM
55 MAIN ST. • PO BOX 660 CHAPTER 275: WATERFRONT CONSISTENCY REVIEW
SAG HARBOR, NY 11963 SECTION E
: LWRP CONSISTENCY REVIEW CHECKLIST
(631) 725-0222
-7-
MESSAGE TO THE APPLICANT:
The section that follows will be used by the Harbor Committee to determine whether the project is consistent with
the Village of Sag Harbor Local Waterfront Revitalization Program (LWRP). The policies listed in this section
are fully described in Section III of the LWRP.
– FOR USE BY SAG HARBOR VILLAGE HARBOR COMMITTEE –
E. LWRP CONSISTENCY REVIEW CHECKLIST
“The policies for the Village of Sag Harbor’s local waterfront revitalization area are based on the
economic, environmental and cultural characteristics of the Village’s waterfront area. The
policies reflect existing laws and authority regarding development and environmental protection
throughout the Village’s local waterfront area. The application of these policies will guide an
appropriate balance between economic development, preservation and restoration to promote
beneficial use of, and prevent adverse effects on, the Village’s coastal resources. No policy
should be viewed as of being more significant than any other.” (Excerpt from introduction of
Section III of the LWRP, entitled “Waterfront Revitalization Program Polices.”)
Is the Project Consistent?
YES NO N/A
Policy 1: (III-3)
Foster a pattern of development in the Village of Sag Harbor
that makes beneficial use of its coastal location, enhances
community character, preserves open space, makes efficient use
of existing infrastructure, and minimizes adverse effects of
development.
Sub-Policy 1.1: (III-4)
Sustain the pattern of existing land use which defines Sag
Harbor as a historic port.
Sub-Policy 1.2: (III-7)
Protect and enhance residential areas.
Sub-Policy 1.3: (III-7)
Maintain and enhance natural areas, open space, and
recreational lands.
Sub-Policy 1.4: (III-8)
Ensure that development and uses make beneficial use of Sag
Harbor’s coastal location.
Sub-Policy 1.5: (III-8)
Minimize adverse impacts of new development and
redevelopment.
INCORPORATED VILLAGE OF SAG HARBOR SECTION E: LWRP CONSISTENCY REVIEW CHECKLIST
COASTAL ASSESSMENT FORM
-8-
Is the Project Consistent?
YES NO N/A
Policy 2: (III-8)
Sustain the Village of Sag Harbor as a center of maritime
activity and suitable location for water-dependent uses.
Sub-Policy 2.1: (III-9)
Protect existing water-dependent uses.
Sub-Policy 2.2: (III-9)
Allow for new commercial and recreational water-dependent
uses in the Waterfront Functional Area, consistent with local
zoning. [See Sub-Policy 1.1]
Sub-Policy 2.3: (III-9)
Ensure that development and uses make beneficial use of Sag
Harbor=s coastal location.
Sub-Policy 2.4: (III-9)
Provide sufficient infrastructure for water-dependent uses.
Sub-Policy 2.5: (III-9)
Promote efficient harbor operation.
Sub-Policy 2.6: (III-10)
Participate in regional inter modal transportation activities that
enhance maritime character and provide an alternative
transportation method.
Policy 3: (III-10)
Promote sustainable use of living marine resources in Sag
Harbor.
Sub-Policy 3.1: (III-10)
Ensure the long-term maintenance and health of living marine
resources.
Sub-Policy 3.2: (III-11)
Provide for commercial and recreational use of finfish, shellfish,
crustaceans, and marine plants.
Sub-Policy 3.3: (III-11)
Promote recreational use of marine resources.
Policy 4: (III-11)
Minimize loss of life, structures, and natural resources from
flooding and erosion.
Sub-Policy 4.1: (III-12)
Minimize losses of human life and structures from flooding
hazards and erosion.
INCORPORATED VILLAGE OF SAG HARBOR SECTION E: LWRP CONSISTENCY REVIEW CHECKLIST
COASTAL ASSESSMENT FORM
-9-
Is the Project Consistent?
YES NO N/A
Sub-Policy 4.2: (III-12)
Preserve and restore natural protective features.
Sub-Policy 4.3: (III-12)
Protect public lands and public trust lands and use of these lands
when undertaking all erosion or flood control projects.
Sub-Policy 4.4: (III-13)
Manage navigation infrastructure to limit adverse impacts on
coastal processes.
Sub-Policy 4.5: (III-13)
Ensure that expenditure of public funds for flooding and erosion
control projects results in a public benefit.
Sub-Policy 4.6: (III-13)
Consider a sea level rise in the siting and design of projects
involving substantial public expenditure.
Policy 5: (III-13)
Protect and improve water quality and supply in waters of the
Village of Sag Harbor.
Sub-Policy 5.1: (III-14)
Prohibit direct or indirect discharges which would cause or
contribute to contravention of water quality standards.
Sub-Policy 5.2: (III-15)
Minimize nonpoint pollution of coastal waters and manage
activities causing nonpoint pollution.
Sub-Policy 5.3: (III-17)
Protect and enhance water quality of coastal waters.
Sub-Policy 5.4: (III-17)
Protect and conserve the quality of potable water.
Policy 6: (III-18)
Protect and restore the quality and function of the Village of
Sag Harbor ecosystem.
Sub-Policy 6.1: (III-18)
Protect and restore ecological quality throughout Sag Harbor.
Sub-Policy 6.2: (III-19)
Development within or near the Sag Harbor and Northwest
Harbor Significant Coastal Fish and Wildlife Habitat shall be
sited so as not to impair the viability of the habitat.
Sub-Policy 6.3: (III-21)
Protect and restore tidal wetlands.
INCORPORATED VILLAGE OF SAG HARBOR SECTION E: LWRP CONSISTENCY REVIEW CHECKLIST
COASTAL ASSESSMENT FORM
-10-
Is the Project Consistent?
YES NO N/A
Policy 7: (III-23)
Provide for public access to and recreation opportunities on
waters, public lands, and public resources of the Village of Sag
Harbor Local Waterfront Revitalization Area.
Sub-Policy 7.1: (III-24)
Promote appropriate and adequate physical public access and
recreation through the Village of Sag Harbor coastal area.
Sub-Policy 7.2: (III-24)
Provide physical linkages between public parks, open spaces,
public trust lands, and nearshore surface waters.
Sub-Policy 7.3: (III-25)
Provide public visual access to coastal lands and waters or open
space at all sites where physically practical.
Sub-Policy 7.4: (III-25)
Preserve the public interest in and use of lands and waters held
in public trust by New York State, Suffolk County and the
Towns of East Hampton and Southampton.
Sub-Policy 7.5: (III-26)
Assure public access to public trust lands and navigable waters.
Sub-Policy 7.6: (III-26)
Provide access and recreation which are compatible with natural
resource values.
Policy 8: (III-26)
Preserve resources in the Village of Sag Harbor.
Sub-Policy 8.1: (III-27)
Maximize preservation and retention of historic resources.
Sub-Policy 8.2: (III-28)
Protect and preserve archaeological resources.
Sub-Policy 8.3: (III-29)
Protect and enhance resources that are significant to the coastal
culture of Sag Harbor & the Peconic Bay Area.
Policy 9: (III-29)
Enhance visual quality and protect scenic resources in the
Village of Sag Harbor.
Sub-Policy 9.1: (III-30)
Protect and improve visual quality in the Village of Sag Harbor.
INCORPORATED VILLAGE OF SAG HARBOR SECTION E: LWRP CONSISTENCY REVIEW CHECKLIST
COASTAL ASSESSMENT FORM
-11-
Is the Project Consistent?
YES NO N/A
Policy 10: (III-31)
Protect and improve air quality in Long Island.
Sub-Policy 10.1: (III-31)
Control or abate existing and prevent new air pollution.
Sub-Policy 10.2: (III-31)
Limit discharges of atmospheric radioactive material to a level
that is as low as practicable.
Sub-Policy 10.3: (III-31)
Limit sources of atmospheric deposition of pollutants to the
Long Island Sound and Peconic Bays, particularly from
nitrogen sources.
Policy 11: (III-31)
Minimize environmental degradation in the Long Island Coastal
area from solid waste and hazardous substances and wastes.
Sub-Policy 11.1: (III-31)
Manage solid waste to protect public health and control
pollution.
Sub-Policy 11.2: (III-31)
Manage hazardous wastes to protect public health and control
pollution.
Sub-Policy 11.3: (III-31)
Protect the environment from degradation due to toxic
pollutants and substances hazardous to the environment and
public health.
Sub-Policy 11.4: (III-31)
Prevent and remediate discharge of petroleum products.
Sub-Policy 11.5: (III-31)
Transport solid waste and hazardous substances and waste in a
manner which protects the safety, well-being, and general
welfare of the public; the environmental resources of the State;
and the continued use of transportation facilities.
Sub-Policy 11.6: (III-31)
Site solid and hazardous waste facilities to avoid potential
degradation of coastal resources.
Kathleen Mulcahy, Mayor
James L. Larocca, Trustee
Aidan Corish, Trustee
Beth M. Kamper, Clerk-Administrator
55 Main St., PO Box 660
Sag Harbor, N.Y. 11963
631-725-0222
631-725-0316 FAX
Thomas C. Gardella, Deputy Mayor
Bob Plumb, Trustee
Denise R. Schoen, Village Attorney..
Disclosure Affidavit
General Municipal Law §809
STATE OF NEW YORK}
} ss.:
COUNTY OF SUFFOLK}
____________________________________, being duly sworn, deposes and
says that:
1. (a) an application has been made by _______________________________
Name of applicant
to the __________________________________________________________, of the
Name of Village Agency
Village of Sag Harbor with respect to property situate at _______________________,
Street address
Sag Harbor, New York. I am the ________________________________________,
Applicant or Agent for applicant
I reside at _______________________________________.
Address of applicant or agent
(b) The shareholders, partners or members of the applicant corporation,
partnership or limited company are (if applicable):
(1) _______________ (3) _________________
(2) _______________ (4) _________________
2. (a) the landowner’s name and address are:
______________________________________________
______________________________________________
(b) The shareholders, partners or members of the landowner corporation,
partnership or limited company are (if applicable)
(1) _____________________ (3) ______________________
(2) _____________________ (4) ______________________
3. (a) the contract vendee’s name and address are (if applicable):
____________________________________________________
____________________________________________________
(b) The shareholders, partners or members of the contract vendee
corporation, partnership or limited company are (if applicable):
(1) ___________________ (3) ________________________
(2) ___________________ (4) ________________________
4. Does any officer or employee of the Village of Sag Harbor have an interest in
the applicant or in the landowner or in the contract vendee?
_______ Yes ______ No
If yes, state the name and residence of such officer or employee and the nature
and extent of such interest.
________________________________________________________
________________________________________________________
For the purpose of this disclosure, an officer or employee of the Village of
Sag Harbor shall be deemed to have an interest in the applicant or in the landowner or in
the contact vendee when he, his spouse, or their brothers, sisters, parents, children,
grandchildren, or the spouse of any of them:
(a) is the applicant or landowner or contract vendee, or
(b) is an officer, director, partner, member or employee of the applicant or
landowner or contract vendee, or
(c) legally or beneficially owns or controls stock of a corporate applicant or
landowner or contract vendee, or is a partner or member of a partnership or limited
liability company applicant or landowner or contract vendee; or
(d) is a party to an agreement with such an applicant or landowner or
contract vendee, express or implied, whereby he may receive any payment or other
benefit, whether or not for services rendered, dependent or contingent upon the favorable
approval of such application.
A person who knowingly and intentionally fails to make such disclosure shall be guilty of
a misdemeanor as provided in General Municipal Law §809.
________________________________________________________________________
________________________________________________________________________
5. Does any officer or employee of the Town of Southampton and/or East Hampton,
County of Suffolk or State of New York have an interest in the applicant or in the
landowner or in the contract vendee?
_________ Yes ___________No
If yes, state the name and residence of such officer or employee, the name of
such governmental entity (Town, County, and State) and the nature and extent of such
interest. ____________________________________________________________
For the purpose of this disclosure, an officer or employee of the Town of Southampton
and/or East Hampton shall be deemed to have an interest in the applicant or in the
landowner or in the contact vendee when he, his spouse, or their brothers, sisters, parents,
children, grandchildren, or the spouse of any of them:
(a) is the applicant or landowner or contract vendee; or
(b) is an officer, director, partner, member or employee of the applicant or
landowner or contract vendee; or
(c) legally or beneficially owns or controls stock of a corporate partnership or
limited liability company applicant or landowner or contract vendee; or
(d) Is a party to an agreement with such an applicant or landowner or contract
vendee expresses or implied, whereby he may receive any contingent upon the favorable
approval of such application.
A person who knowingly and intentionally fails to make such disclosure shall be guilty of
a misdemeanor as provided in General Municipal Law §809
___________________________________
Applicants Signature
State of New York)
) ss:
County of _____________)
On the ______ day of ___________in the year__________ before me, the undersigned,
personally appeared _______________________, personally known to me or proved to
me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are)
subscribed to the within instrument and acknowledged to me that he/she/they executed
the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the
instrument, the individual(s), or the person upon behalf of which the individual(s) acted,
executed the instrument.
______________________________________
(Notary Public)
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

878 Zoning Board Of Appeals Application (Incorporated Village of Sag Harbor)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 19 January 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document