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HomeMy WebLinkAbout7365 Aaitt . -7 15 lve� 1d lt'7Y)(CL4 vim- a( lob Ito ft 11 c (Xwf" Bb P.o.A. led �o/,�S-Poj CHECK BOXES J-7 ( ) Tape this form .., : D 0 D O ( ) Pull ZBA copy o, (D � a 3 ( ) Check file boxes- y ( ) Assign next nur, o outside of fide ft- �.-� .CD .w.-cn co ( ) Date stamp ent �, '-o°° °:M (31ile number " 3 Cn o f "- CD < (D ( ) Hole punch ent wtCD �,c`Dnh v� (before sending Z o c ( ) Create new ind+. : .- : m D � ( ) Print contact in;. , 42, . q' rn ( - y CD ( ) Prepare transmcol Mcn 4V ( ) Send original al�,- c, to Town Clerk m ( ) Note inside file o and tape to insir -n ( ) Copy County Ta; 0 neighbors and Ak- ( ) Make 7 copies ant ( ) Do mailing label W Z BOARD MEMBERS ®F SaSouthold Town Hall Leslie Kanes Weisman,Chairperson ®�i� �ej®e 53095 Main Road•P.O.Box 1179 ® Southold,NY 11971-0959 Patricia Acampora Office Location: Eric Dantes C Qc Town Annex/First Floor, Robert Lehnert,Jr. ® ,�`�� 54375 Main Road(at Youngs Avenue) Nicholas Planamento ®��c®UI9��v Southold,NY 11971 http://southoldtovmny.gov RECEIVED ZONING BOARD OF APPEALS & 0 2:q3 itl TOWN OF SOUTHOLD AUG - 3 2020 •n,� Tel.(631)765-1809 •Fax(631) 765-9064 Southold Toanrn Clerk FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF JUNE 25, 2020 ZBA FILE: 7365 Corrected NAME OF APPLICANT: Susan Blazowski PROPERTY LOCATION: 75 Clearview Avenue, Southold SCTM No. 1000-70-8-40 & 1000-70-8-41 PROPERTY FACTS/DESCRIPTION The subject property is a 21,345.3 sq. ft. parcel located in an R-40 Zoning District. The property is a corner lot with 110 ft. of road frontage on Clearview Avenue, then runs north for 200.21 ft. along Gardiners Lane, it then runs west 101.51 ft. before returning south 200.00 feet to Clearview Lane. All as shown on the survey of SCTM No. 1000-70-8-41 (AKA lot 19) by Joseph A. Ingegno, Land Surveyor, last revised on March 9,2000. The subject lot is undeveloped at this time. SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type Il category of the State's List of Actions, without further steps under SEQRA. LWRP DETERMINATION: The relief, permit, or interpretation requested in this application is listed under the Minor Actions exempt list and is not subject to review under Chapter 268. BASIS OF APPLICATION: Request for a Waiver of Merger petition under Article II, Section 280-10A,to unmerge land identified as SCTM No. 1000-70-8-41 which has merged with SCTM No. 1000-70-8-40, based on the Building Inspector's October 18, 2019 Notice of Disapproval,which states that a non-conforming lot shall merge with an adjacent conforming or non-conforming lot held in common ownership with the first lot at any time after July 1, 1983 and that non-conforming lots shall merge until the total lot size conforms to the current bulk schedule requirements(minimum 40,000 sq. ft. in the R-40 Residential Zoning District); located, at 75 Clearview Avenue, Southold,NY. SCTM Nos.1000-70-8-40 & 1000-70-8-41. RELIEF REQUESTED: The applicant requests that the ZBA overturn the Building Inspector's Notice of Disapproval by recognizing that lot# 1000-70-8-40 and lot# 1000-70-8-41 are single and separate lots. ADDITIONAL/BACKGROUND INFORMATION: During written and oral testimony at the public hearing of February 6, 2020,the applicant's agent testified as to the chain of title of the properties, and also to the existence of an approved building permit on the subject property. Chain of title was discussed for both properties and presented to the Board. In 1966 Dominic&Anna Barbato bought lots 40 and 41. In 1989 lot 40 was transferred by the Estate of Vincent Barbato to Vincent Barbato who then in 1996 conveyed this lot to Mr. and Mrs. Worsyz; while lot 41 (the subject lot)was transferred to Salvatore Barbato who then conveyed this lot to Susan Blazowski in 2000 Page 2,June 25,2020 #7365, Blazowski SCTM No. 1000-70-8-40&41 FINDINGS OF FACT/REASONS FOR BOARD ACTION: The Zoning Board of Appeals held a public hearing on this application on February 6, 2020 at which time written and oral evidence were presented. Based upon all testimony, documentation, personal inspection of the property and surrounding neighborhood, and other evidence,the Zoning Board finds the following facts to be true and relevant and makes the following findings: The subject lot, Lot#41,was held in common ownership with the adjoining lot,Lot 440 by the Estate of Dominic Barbato. In 1989 Lot 440 was conveyed to Vincent Barbato and Lot#41 was transferred to Salvatore Barbato. In 1996, Vincent Barbato transferred Lot#40 to the current owners, Mr. &Mrs. Worsyz and was improved with a single family residence for which a building permit and Certificate of Occupancy had been issued. Due to the fact that the Building Department had issued a building permit and thereafter a certificate of occupancy,the Town recognized Lot 440 as a single and separate lot. In 2000, Salvatore Barbato transferred the subject lot,Lot#41 to the applicant. In June of 2000, prior to the applicant taking title, a building permit for a single-family residence was issued. The issuance of a building permit is evidence that the building department recognized Lot#41,the subject lot, as a single and separate lot. It is noteworthy that the issuance of the building permit for the subject lot occurred after Lot#40 had been issued a building permit and certificate of occupancy and after Lot#40 had been transferred to a non-family member. The town has recognized Lot#41 as a single and separate lot through the issuance of a building permit, accordingly,the subject lot has not merged with adjoining Lot#40 and the Notice of Disapproval should be overturned. RESOLUTION OF THE BOARD: In considering all of the above factors motion was offered by Member Lehnert seconded by Member Planameno, and duly carried, to overturn the building department's Notice of Disapproval dated October 18 2019, and determine that the subject Lot, identified on the Suffolk County Tax Map as Lot# 1000-70-8-41 is recognized as a single and separate lot. Vote of the Board: Ayes: Members Acampora, Dantes, and Lehnert, Planamento, and Chairperson Weisman(5-0), Leslie Kanes Weisman, Chairperson Approved for filing 7 /Z7 1 ,2-0 i „ I ■�r�.-+.rte- .�^1 r _ W oT�f•S s t)-TAv.IL . 1S IJ 13''�.=iiFAG6 WA.T60. W lT SA 1L.4 +rne ®e t•t Torsott, '1,,�.t.�.V1TA0.a- Aa.a II.A SuRT)N\SAat.l 2-4� SAwb�( soar•\ V 'S� SUFFO�-M�. to�s>u T4 TAN. r DIST. 1000- see.. olo.ob 1 1 ,� i� �\.♦i.. x$.00-1.0 .�O OOG e_S S►I•AO 4•Tay 1 RECEIVEEDD, I tM•♦ ` 1 \,+ OCTp Q �i�`t Q tdi .. (•11\CJ uO w41aq J �V~ Y{a C I 8 8 u iJ �s• ` r1* }'~� az,-se. 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Now York 11701 �.� . r r+FRePIC1.1 A =hltmc=t. . _ rf���JLZT��'7��C7J1[i'0♦O fy �:a�`I�y ��I I� I r rte. �►i.� "i""r' -.,.--.a•� :.�i���r�-� I" / DLJ / CI .�'`.•.. - = ■�rrrsrrcurr•is��av-����-� "Fume -- Slim- Sal li I. r i ' d ' � MOM_ - - mini sail►A.Jy i ` ra��L=Ai: ��j '� 7111 _.y 7 ,� '_ =i it, - :!�t`lirl � 1��■�L. .I �, .� �'`� now i MEMO �' ■■■e■1 ■■m MEN- la, York I I-A .IV 34 Washlng!= {I �� ■■■ ■■■ !■■■■■■■■■■■■ , ,,. _� .�ya.■.�:a�a �' "9 r� MEN � _ m COUNTY OF SUFFOLK z RECEIVED i Zoning Board of appeals OFFICE OF THE COUNTY EXECUTIVE Steven Bellone SUFFOLK COUNTY EXECUTIVE Natalie Wright � Department of Acting Commissioner Economic Development and Planning November 13, 2019 Town of Southold Zoning Board of Appeals 53095 Main Road P.O. Box 1179 Southold,NY 11971-0959 Attn: Leslie Weisman Dear Ms. Weisman: Pursuant to the requirements of Sections A14-14 thru A 14-25 of the Suffolk County Administrative Code, the following application submitted to the Suffolk County Planning Commission is to be a matter for local determination as there appears to be no significant county-wide or inter-community impacts. A decision of local determination should not be construed as either an approval or disapproval. Applicant Municipal File Number Reinckens, Paul #7359 Wexler, Donna #7363 Basios, Panayiotis #7364 Blazowski, Susan #7365 Very truly yours, Sarah Lansdale - Director of Planning Theodore R. Klein, Principal Planner TRK/cd Division of Planning&Environment H.LEE DENNISON BLDG ■ 100 VETERANS MEMORIAL HWY,11th FI ■ P.O.BOX 6100 ■ HAUPPAUGE,NY 11788-0099 ■ (631)853-5191 FORM NO. 3 RECEIVED TOWN OF SOUTHOLD OCT 'A19 BUILDING DEPARTMENT SOUTHOLD, N.Y. Zoning Board Of Appeals NOTICE OF DISAPPROVAL DATE: July 1, 2019 RENEWED: October 18, 2019 TO: Paul Davey(Blazowski) 1365 Watersedge Way Southold, NY 11971 Please take notice that your application dated June 20, 2019: For merger determination at: Location of property: 75 Clearview Avenue, Southold, NY County Tax Map No. 1000— Section 70 Block 8 Lot 41 Is returned herewith and disapproved on the following grounds: The subject lot has merged with an adjacent lot to the east (SCTM# 1000-70-8-40) pursuant to Article II Section 280-10, which states; "Merger. A nonconforming lot shall merge with an adjacent conforming or nonconforming lot which has been held in common ownership with the first lot at any time after July 1, 1983. An adjacent lot is one which abuts with the parcel for a common course of fifty(50) feet or more in distance. Nonconforming lots shall merge until the total lot size conforms to the current bulk schedule requirements." Authorized Signature CC: file, Z.B.A. U Lieb at L:a W P.C. Phone: 646.216.8009 • 1 Fax: 631.878.4460 308 W. Main Street, Suite 100 www.LiebatLaw.com Smithtown, New York 11787lnfb@liebatlaw.corn RECEIVED OCT 182019 Zoning Board Of Appeals APPLICATION FOR WAIVER OF LOT MERGER for 175 CLEARVIEW AVENUE TAX MAP NO.: 70 , — 8 — 41 OWNER: SUSAN BLAZOWSKI APPLICANT: STEVEN SILIATO,ESQ. Page 1 of 1 F--I RECEIVED For Office Use Only OCT 1 ,O 19 Fee: $ Date Assigned/ZBA File# Filed by: Office Notes: Zoning Board Of Appeals WAIVER OF LOT MERGER APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS THIS APPLICATION IS BASED ON THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED JUNE 20,2019 WHEREBY THE BUILDING INSPECTOR DENIED AN APPLICATION DATED JULY 1,2019 under Town Code Chapter 280 (Zoning), Article II, Section 280-10 for: ❑ Building Permit ❑ Permit for As-Built Construction ❑ Certificate of Occupancy ❑ Pre-Certificate of Occupancy L7 Other MERGER WANER Owner of Parcel for Waiver: SUSAN BLAZOWSKI Owner of Adjacent Parcel: JEAN AND GERARD WORYSZ Note: If applicant is not the owner, state if applicant is owner's attorney, agent, architect, builder, contract vendee, etc. Mailing Address: 308 WEST MAIN STREET,SUITE 100,SMITHTOWN,NY 11787 Telephone No: 631-878-4455 Fax/Emai 1613-878-4460/STEVEN SILIATO@LIEBATLAW COM Agent for Owner: STEVEN SILIATO,ESQ. Address: 308 WEST MAIN STREET,SUITE 100,SMITHTOWN,NY 11787 Telephone No: 631-878-4455 Fax/Email: 6138784460 STEVEN SILIATO@LIEBATLAW COM Please specify who' `ou wish correspondence to be mailed to, from the above: ❑ Owner, or Authorized Representative I (we), STEVEN SILIATO,ESQ request that the Zoning Board of Appeals waive the merger and recognize the original lot lines under the provisions of Article II, Sections 280-9, 280-10, 280-11 of the Southold Town Zoning Code, for the purpose of recognizing for Town building purposes Suffolk County Tax Map District 1000, Section 70 Block 8 Lot 41 containing ----- square feet located at #175 Street CLEARVIEW AVENUE , as a separate and distinct building parcel from District 1000 Section 70 Block 8 Lot 40 containing ----- square feet. The property is located in the R-40 Residential Zone District. RECEWED OCT 18 2.019 The lot to be recognized was originally created by deed dated DECEMBER 1,18�2 , is vacant, and has historically been treated and maintained as a separate and independent ent residential lot since the date of its original creation. Zoning Board Of Appeals The lot to be unmerged has.not been transferred to an unrelated person or entity since the time the merger was effected. This application is an alternative to that provided for under other Town Code provisions available for an area variance. APPLICANT'S REASONS: (1) The waiver would recognize a lot that is as large, or greater in size than a majority of the improved lots within 1000 foot distance from any lot line of the lot proposed to be recognized because: The neighborhood consists of improved lots of similar in size;the grant of this waiver will not substantially increase the density of the neighborhood and a denial of the waiver will cause economic hardship to the owner (2) The waiver would recognize a lot that is vacant and has historically been treated and maintained as a separate and independent residential lot since the date of its original creation because: The county and town parcel assessment records show this as a separate parcel on the town-approved Map (3) The proposed waiver and recognition will not create an adverse impact on the physical or environmental conditions in the neighborhood _ or district because: The natural details and character of the contours will not be significantly changed or altered. Please check one or more of the following that apply to the lot to be unmerged: ❑ This lot was formerly approved by the Southold Town Planning Board on (attach copy). ❑ This lot was approved or shown on a map approved by the Southold Town Board during 19 (attach copy). ❑ This lot was approved by the Board of Appeals on (please attach). 9 A search of Town records found no approvals or other action by the Town of Southold, except for Application# in the Year 2019 (please attach copy). RECEIVED ❑ A search of Town records found a Certificate of Occupancy was issued / / for a dwelling or other purpose on SCTM Lot# (please attach copy). OCT 18 '_019 (Attach additional sheets if needed). Zoning Board Of Appeals Owner(Parcel 1) Sworn to before me this day of ,20 Notary Public Owner(Parcel 2) Sworn to before me this day of , 20 Notary Public ZBA 3/2012 ' LOT WAIVER QUESTIONNAIRE RECEIVED z.b.s What are the square footage and dimensions of this lot (subject of buiLFingdepartment merger application): s.f. ft. by +- ft. T 18 2019 Date of first deed which created this lot: Dated: 5/10/1989;Recorded: 5/ oard Of AppealsDate of current deed to present owner: Dated: 7/7/2006;Recorded: 12/23/20 Owners' names of lot at current time: Susan J. Blazowski Date and name of subdivision (if any): N/A Size of remaining lot in the merger: 0.46 Acres s.f. Were there any building permits issued in the past for this lot: Yes X No If yes, please provide copy of former permit and map approved. (Voided Building Permit Attached) W fere there any County Health Department approvals in the past for either lot? Yes X No If yes, please provide a copy. Were they any vacant land Certificates of Occupancy requested in the past? Yes No X . If yes, please provide a copy. Were there any other Town actions (approvals or denials) in the past regarding this property (such as a pre-existing Certificate of Occupancy for a preexisting building, a variance, lot-line change, Trustees approval, or other type of application to build or use the property in any way)? Yes X No Lot 41:Denied/Voided Building Permit(Attached) If yes, please provide copy (if available), or explain: Lot 40(neighbors):Relevant C/Os and Permits attached Is there any building or structure, such as a patio, driveway, or other, overlapping the deeded lot line which separates the two merged lots? No. x Yes _ If yes, please explain. How many other vacant lots are on the same block and immediate neighborhood? 1 Please note other approvals or other information about common ownership of these lots: Previous Waivers Approved for: 700&800 Gardiner Lane,Southold;and 180 Custer Street,Southold I am an owner of the subject lot and the above information is provided to the best of my knowledge. (Copies noted above are attached.) Dated: Owner's Signature ZBA5127199 RECEIVED QUESTIONNAIRE FOR FILING WITH YOUR ZBA APPLICATION OCT 18 2019 A. Is the subject premises listed on the real estate market for sale? X Yes No Zoning Board Of Appeals B. Are there any proposals to change or alter land contours? X No Yes please explain on attached sheet. C. 1.) Are there areas that contain sand or wetland grasses? No 2.)Are those areas shown on the survey submitted with this application? N/A 3.)Is the property bulk headed between the wetlands area and the upland building area? No 4.)If your property contains wetlands or pond areas,have you contacted the Office of the Town trustees for its determination of jurisdiction? N/A Please confirm status of your inquiry or application with the Trustees: N/A and if issued, please attach copies of permit with conditions and approved survey. D. Is there a depression or sloping elevation near the area of proposed construction at or below five feet above mean sea level? 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 Please show area of the structures on a diagram if any exist or state none on the above line. F. Do you have any construction taking place at this time concerning your premises? No If yes, please submit a copy of your building permit and survey as approved by the Building Department and please describe: N/A G. Please attach all pre-certificates of occupancy and certificates of occupancy for the subject premises. If any are lacking,please apply to the Building Department to either obtain them or to obtain an Amended Notice of Disapproval. H. Do you or any co-owner also own other land adjoining or close to this parcel?N_ If yes,please label the proximity of your lands on your survey. I. Please list present use or operations conducted at this parcel Vacant and the proposed use Single Family Home (ex existing single family,pi oposed same with garage,pool or other) C Authorize ignature and Date RECEIVED AGRICULTURAL DATA STATEMENT ZONING BOARD OF APPEALS 0 C T 1 8 2019 TOWN OF SOUTHOLD "Coning Board Of Appeals WHEN TO USE THIS FORM. The form must be completed by the applicant for any special use permit,site plan approval, use variance, or subdivision approval on property within an agricultural district OR within 500 feet of a farm operation located in agricultural district All applications requiring an agricultural data statement must be referred to the Suffolk County Department of Planning in accordance with sections 239- m and 239-a of the General Municipal Law. 1)Name of Applicant: Steve Siliato,Esq. 2)Address of Applicant:-308 West Main Street, Suite 100,Smithtown,NY 11787 3)Name of Land Owner(if other than applicant) : Susan Blazowskt 4)Address of Land Owner: 55075 Main Road Unit 35,Southold,NY 11971 5)Description of Proposed Project: Merger Waiver 6)Location of Property(road and tax map number): 75 Clearview Avenue; 70.- 8-41 7)Is the parcel within an agricultural district? ®No ❑Yes If yes,Agricultural District Number 8) Is this parcel actively farmed? ®No ❑Yes 9) Name and address of any owner(s) of land within the agricultural district containing active farm operation(s) located 500 feet of the boundary of the proposed project. (Information may be available through the Town Assessors Office, Town Hall location (765-1937) or from any public computer at the Town Hall locations by viewing the parcel numbers on the Town of Southold Real Property Tax System. Name and Address LLC- �//A&�, /��� 3. 4. 5. 6. (Please use back side of page if more than six property owners are identified.) The lot numbers may be obtained,in advance,when requested from the Office of the Planning Board at 765- 1938 or the Zoning Board of Ap t 765-1809. Signature of Applicant Date Note: 1.The local board will solicit comments from the owners of land identified above in order to consider the effect of the proposed action on their farm operation.Solicitation will be made by supplying a copy of this statement. 2.Comments returned to the local board will be taken into consideration as part of the overall review of this application. 3. The clerk to the local board is responsible for sending copies of the completed Agricultural Data Statement to the property owners identified above.The cost for mailing shall be paid by the applicant at the time the application is submitted for review.Failure to pay at such time means the application is not complete and cannot be acted upon by the board. 1-14-09 Short Environmental Assessment Form '� Part 1 -Project Information RECEIVED Instructions for Completing OCT 1 8 2019 Part 1—Project Information. The applicant or project sponsor is responsible for the completion of Part [a , sponses become part of the application for approval or funding,are subject to public review,and may be subject to further verifin. Complete Part 1 based o information currently available. If additional research or investigation would be needed to fully respapy jtmfq)lKstA i5 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: SUSAN BLAZOWSKI APPLICATION FOR WAIVER OF LOT MERGER Project Location(describe,and attach a location map): 175 CLEARVIEW AVENUE,SOUTHOLD(TAX MAP ID:1000-70.-8-41) Brief Description of Proposed Action: WAIVER OF LOT MERGER(Subject Properties Listed Below) Worysz: 1000-70 -8-40 Blazowsla 1000-70 -8-41 Name of Applicant or Sponsor: Telephone:P 631-787-4455 STEVEN SILIATO,ESQ E-Mail: STEVEN SILIATO@LIEBATLAW.COM Address: 308 WEST MAIN STREET,SUITE 100 City/PO: State: Zip Code: SMITHTOWN NY 11787 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 z ❑ 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 government Agency? NO YES If Yes,list agency(s)name and permit or approval:DEPARTMENT OF HEALTH ❑ 3. a.Total acreage of the site of the proposed action? 0.46 acres b.Total acreage to be physically disturbed? acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.46 acres 4. Check all land uses that occur on,are adjoining or near the proposed action: 5. ❑Urban ❑ Rural(non-agriculture) ❑ Industrial ❑ Commercial m Residential(suburban) ❑Forest ❑ Agriculture E] Aquatic ❑ Other(Specify): ❑Parkland Page l of 3 SEAF 2019 5. Is ther o e p op s d action, NO YES N/A a. A permitted use under the zoning regulations? s❑Y n ❑ b. Consistent with the adopted comprehensive plan? RECEIVE 1. =�✓d ❑ 6. Is the proposed action consistent with the predominant character of the existing built o Q natural a T scap§?2019 N YES 7nnina Ro s 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Envi unmental—ATea`�— NO YES If Yes,identify: ❑ NO YES 8. a. Will the proposed action result in a substantial increase in traffic above present levels? ❑✓ F-1— b. b. Are public transportation services available at or near the site of the proposed action? ❑ c. Are any pedestrian accommodations or bicycle routes available on or near the site of the proposed F-1 Z- 9. 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 project site contain,or is it substantially contiguous to,a building,archaeological site,or district NO YES which is listed on the National or State Register of Historic Places,or that has been determined by the ❑ Commissioner of the NYS Office of Parks,Recreation and Historic Preservation to be eligible for listing on the State Register of Historic Places? b.Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for ❑ archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory? 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: Page 2 of 3 14. Identify the typical habitat types that occur on,or are likely to be found on the project site.Check all that a ly: ❑Shoreline E] Forest ❑Agricultural/grasslands, E] Early mid-successional —I N ❑Wetland ❑ Urban m Suburban I RECEIVED 15. Does the site of the proposed action contain any species of animal,or associated h bitats,listed by the State or NO YES Federal government as threatened or endangered? OCT 18 2019 16. Is the project site located in the 100-year flood plan? INO YES Zoning Board Of Appeals❑ ❑ 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? F b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? F-1 F-1- If Yes,briefly describe: 18. Does the proposed action include construction or other activities that would result in the impoundment of water NO YES or other liquids(e.g.,retention pond,waste lagoon,dam)? If Yes,explain the purpose and size of the impoundment: ❑ 19. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste NO YES 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 CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor/name: STEVEN SILIATO,ES Date: Signature: Title:ATTORNEY PRINT FORM Page 3 of 3 F Does the proposed,action include construction or other activities that result in the impou NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? es,explain purpose and size: RECEIVED 19.Has the site of the proposed action or an adjoining property been the location of an ache�t&1o8q 0 19 No YES solid waste management facility? If Yes,describe: zoning Board Ut ApPEaIX 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: X I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Steve 'liato,Esq. Date: Signature- Part 2-Impact Assessment, The Lead Agency is responsible for the completion of Part 2. Answer all ofthe following questions in Fart 2 using the information contained in Part I 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?" '4� 9x�'�t� ��n35#��"%'�`�;� '�`�.,,.$' ���""Y�t`:�' ,qty �'•" . �v x ,a G - h r ,g {�iti�::t�'- :�1 u-•FH �,�E,r' �v`y w-r x` y`F �;•� s n.:a rr?? nr- ra: a r 1�1��Or Moderate ��,r�r. tg�x�• <I��+E A�S� •� g` �$��Yai, �' n �T ;r' asx4:?� r syy _`;x�xg°su',s�"�b',.'r,i�y��c�ii�•X;�r`y$.,f.x<t: ��yM?s',„•t�.,�,,f•�;,3<%<-�a°�_ ,;'u��� �-"�..$.., uk°i,'�'t•w a� r,� 4 �j small to large wF%; impact impact ' ,.4ZY may may • s < ;r occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoding regulations? X 2. Will the proposed action result in a change in the use or intensity of use of land? X 3. Will the proposed action impair the character or quality of the existing community? X 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area PEA)? X 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? X 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? X j 7. Will the proposed action impact existing- a.a.public/private water supplies? b.public/private wastewater treatment utilities? X 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? X 9. Ntll the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? X Page 3 of 'T22 V2 , - t " 11•17:14' !111 No,or Moderate t' �, `y<t •�a. t a.s �i a; �k s t� snlgll to large ' .!. 7.��..�.�;�-'t ''•"i :,,:.k ye ;-Q'I�.'";Z4Y-;y'i':97'l -, p 'L{',, r 3,simpact�®Imp��F �'tL'J t - cc'�' - Y - •t :i. L+'F-:• Y�. :�*:,�sf .i� �f IV y S t` �`�' - +e? ' v%� `:�`'v'•x: 'y`' ' it'- �` '��''cr i.t,...,•t':'' i�.. .ea ,, J � _ m Eltl=D may �' :t,�•Li. _tY^.r�K�i'z {�;4�`t•�=+tT•YY4 �j qi �'. ar. .-"a•% ° Fi'..h s�� q to}' '# ''m�3 � 'S= z� " 0ecur occur 1p. Will the proposed actionresultin an increase in the potegtial for erosion,flooding or d 'nage � 18 2019 problems? 11- Will the proposed action create a hazard to environmental resources or human health? 7nnirn Aard If Appeals 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",tic 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,identj0 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 ofoecurring, dgration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. NOT APPLICABLE I ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, j that the proposed action may result in one or more,potentially large or significant adverse impacts and an x enyironmental 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. 1 . I Name of Load 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) I Page 4 of 4 ! e f 4 DocuSign Envelope ID:52B9D133-C27A-43AF-A9EE-7CF97516B40D APPLICANT/OWNER 111v� TRANSACTIONAL DISCLOSURE FORT- RECEIVED The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of tol, officers and emplovees.The p jrvose of this form is to provide information which can alert the town of possible conflicts of interest a I e whatever action is necessary to avoid same. YOUR NAME : Blazowski, Susan , (Last name,first name,middle initial,unless you are applying in the name ofgptga s_e_ ,Sraa company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Merger Waiver Application 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 No,sign and date below.If 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 Submitte Ilgo"S,gned by day of ,20 Signature Smai 1, �jbAi 52 Print Name Susan Blazowski 10/17/2019 Ir I AGENT/REPRESENTATIVE RECEIVED TRANSACTIONAL DISCLOSURE FO The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of tolwofficeffiidl is W2:The rose of this form is to rovide informatio which ca alert the town of o sible conhic s of fhterest and allow it to take whatdver action is necessa�r,to avoid same. Zoning Board Of Appeals YOUR NAME;, Siliato,Steven on behalf of Susan Blazowski (Last name,first name,middle initial,unless you are applying In the name of someone else or other'egdty,such as a company.Itso,Indicate the other person's or companys name.) TYPE OF APPLICATION; (Check all that apply) Tax grievance Building,Permit Variance Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Merger Waivei Application Plaquing Do you personally, (orthrough your company,spolt$e,staling,porept,or ehiltl)have a,relationship with.any officer or employee of the Town of$outhoid?f�$e tion ltiij�".tnCind by blood,marriage,,or business interest,"Business: interest"means a business,,including a partnearahip,la which the town officer or employee has even a partial ownership of(or employment by)a corporation in whipli the town officer or empioyee owns niore than,5%of the shares. X YES NO If No,sign and date below.If Yes,complete the balance of this foram 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%ofthe 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) an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this day of , 0 Signature Print Name Steven Siliato,Esq. i i 11 Town of Southold LWRP CONSISTENCY ASSESSMENT FO RECEIVED A. INSTRUCTIONS OCT 18 2019 1. All applicants for pmWts* including Town of Southold ageneie , shall complete this CC for proposed actions that are subject to the Town of Southold Waterfront-Conrsis o cy R�etv'ew L . TWs ea s assessment is intended to supplement other information used be cy 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 SCTNA# 70.0 - 8 41 The Application has been submitted to(check appropriate response): Town Board 0 Planning Board❑ Building Dept. ❑ Board of Trustees ❑ 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity, agency regulation,laud transaction) ❑ (b) Financial assistance(e.g.grant,loan,subsidy) -. -r c erm�p oro vat cen�i—se,certification: X Nature and extent of action, WAIVER OR LOT MERGER APPLICATION Location of action: 175 CLEARVIEW AVENUE,SOUTHOLD - Site acreage: 0.45 RECEIVED Present land use: VACANT OCT 18 2019 Present zoning classification: RESIDENTIAL(R-40) Zoning Board Of Appeals 2. If an appliea.tion for the proposed action,has been filed with the Town of Southold agency, the following infoimatiou shall be provided: (a) Nwne of applicant:• STEVE SILIATO,ESQ. on behalf of SUSAN J.BLAZOWSKI (b) Mailing address: 308 WEST MAIN STREET,SUITE 100,SMITHTOWN,NY 11787 (c) Telephone number: Area Code( } 631-878-4455 (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? C. 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 L_'_1 No ❑ Not Applicable Attach additional sheets if necessary -'-Policy2.-Pr teet and pra6irVE-historic and archaeological resources of e Town o 79outhord. See LWRP Section III Policies Pages 3 through o for evaluation criteria ❑ Yes 0 No ❑ Not Applicable Attach additional sheets if accessary / Policy 3. Enhance visual quality and protect scenic resources throtughout. the Town of outhold. See LWRP Section IIS'—Policies Pages 6 through 7 for evaluation criteria RECEIVED ❑ Yes [j] No R Not Applicable CT 18 2019 Bacjrd of Appeals I Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources Brom flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria El Yes if l No F Not Applicable Attach,additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria 1-1 Yes FX] No. ❑Not Applicable Attach,additional,sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal I3sh and Wildlife habitats and wetlands. dee LWRP Section III—Policies;mPa es 22- tbrough 32 for evaluation c?A— ia.`w y --yes F No Q Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria, RECEIVE ❑ Yes Lx l No❑ Not Applicable OCT 18 2019 Zoning Board Ut Appeats Attach additional sheets if necessary Policy S. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria, ❑Yes FXI No ❑ Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold, See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria ❑ Yes KI No❑ .riot Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Sou,thold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria, -"Yes'�JNNo❑"Nom App7ic�le"._. .. �___._.__ _�___. _ _.__. ... .... ..____ .. Attach additional sheets if necessary RECEYVED 7 Policy 11. Promote sustainable use of living marine resources in Long Isl d Sound. P Q�nic Estuary ,and Town waters. See LWRP Section III—Policies;Pages 57 through 02 fo evaiMIT Iffir ❑ Yes � No ❑ Not Applicable Zoning Board Of Appeals Attach additional sheets if necessary Policy 12, Protect agricultural lands in the Town`of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluations criteria. 1:1Yes lx 1 No❑ Not Applicable ,Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies!; Pages 65 through 68 for evaluation criteria. ❑ Yes 0 No ❑ Not.A,pplicable Created on 5125105 .1.1:20 AM FORM NO. 3 RECEIVED TOWN OF SOUTHOLD 0 C T 18 2019 BUILDING DEPARTMENT SOUTHOLD, N.Y. Zoning Board Of Appeals NOTICE OF DISAPPROVAL DATE: July 1, x•019 TO: Paul Davey(Blazowski) 1365 Watersedge Way Southold,NY 11971 Please lake notice that your application dated June 20, 2019: For ihawt d6terml iatiah;at: Location of property.,75 Clearview Avenue, Southold,NY_ County Tax Map No. 1000—Section 770., Block ._8 Lot 41, Is returned herewith and disapproved on the following grounds,*.- molredaWrAkaftiaeenl lvl o e bg _44,00 0 (Yr l} pursuant to.Article II Section 280-10,which,states;, : Ierg iisncc�n 3�ig 1+� ll nrst a aced confdm1hik. r ionic iipori i3fii 7d �rliic fias been held in common ownership withthe-first lot at .�ii• tirkie�i�e���`i� � �,�&'�.�u:�''' n":lo. _'�:ri� •:;�'abntla��i��:the ar •1-iii . ��arr�rr�n co �o�: - -:,��•:= 'ra ._- .�`: ' � �%-�'�•�i�uri �n' -.'tr� .s -� m�until-the total lot size conforms to the current bulk schedule requirements_" a•a - 'G �4 ------- � d� + •Signature � -. CC: file, Z.B.A. DocuSign Envelope ID:88059029-20EC-4E74-B577-53CEFC830DEC :RECEIVEDBoard of Zoning Appeals Application O9AUTHORIZATION Zoning ppeals (Where the Applicant is not the Owner) l, Susan B I azows k i residing at (Print property owner's name) (Mailing Address) 55075 Main Road, Unit 35,Southold, NY do hereby authorize Steven Siliato, Esq. (Agent) to apply for variance(s) on my behalf from the Southold Zoning Board of Appeals. DocuSigned by: SIASadn. �,a�jbWS�I (Owner's Signature) Susan J. Blazowski (Print Owner's-Name) - xowN of souTHOLD baa 13 74 7v .. � BUILDING DEPARTMENT 'b � /�6y, TOWN HALL 765-1802 r' ', ED APPLICATION FOR CERTIFICATE OF OCCUPANCY OCT 18 '019 A. This application must be filled in by typewriter OR ink and submi�ted to the building inspector with the following: for new building or new use: �Zrning Board Of Appeals 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(5--9 form) . 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. ' 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinsz - $100.00 3. Copy of Certificate of Occupancy - -ZS,C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . ....... ....00 .... . .. . .. . .. . . .... .. New Construction.. . . .. .: . Old 9r Pre-existing Building...... .. . ..... . Location of Property.... .. ....�}. .Vi '�lj ..Ste:`: . ... .......... . ... ... .. .. .. ....... ........ . House No.//'+� r , S/h,,,eat Hamlet Onwer or Owners of Property....UiL .+::� ' �5.?�.... .. ... ..... ... .. .. ... ... ....... County Tax Map No 1000, Section...70 . .... ..Block.. . ..? . . .. . . . .Lot.... .X �... _ . . .• .. ... Subdivision. . . . �i�� .i.�j°L�fC... ............Filed Map........ . ...Lot... ... .. . . . .. .. .... Permit No. . .Z35J.q.'A.. . .Date Of Permit.......... . .....Applicant. � 7-'.. ••• . .• .. . . . ..• • . Health Dept. Approval. .. X .. ...Underwriters Approva3 ... .,l. .Y:.... .. .. . . .. .... Planning Board Approval......... ...... .. ....... 'r CerAficate. . ... . . . ... Fi Certicate.. . . . . . Submitted: $.. . .. . . ... .... ... . JUL 2 2 .. .. ... ..... . . . . .. .. . . . . .. . . . , t Q� ICANT ,• 1 pF.DE4T t Cc W59 3 FORM NO. 4 TOWN OF SOUTHOLD 1 - BUILDING DEPARTMENT RECEIVED Office of the Building Inspector Town Southold,lN.Y. QC ?019 s Zcning Board Of Appeals CERTIFICATE OF OCCUPANCY No: Z-25839 Date: 07/23/98 THIS CERTIFIES that the building NEW DWELLING Location of Propertys 175 CLEARVIEW AVE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 8 Lot 40 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 29, 1996 pursuant to which Building Permit No. 23519-3 dated JUNE 18, 1996 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to GERARD & JEAN WORYSZ (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-96-0040 05/07/98 ELECTRICAL CERTIFICATE NO. 16809 _ 07/02/97 PLUMBERS CERTIFICATION DATED 07/25/97 ARNOLD LINDEN Building In5Atoz' Rev. 1/81 YOUR LAWYER uloaf HONING rNls RISIRMAAYNr-.1HIf INsraar_'■"*.!MOOLO sE arW ar LsWYElts ONLY THIS= ENTURE,trade the 10A day'of ' ,n" `a hundred and eighty—trine �. . BE og-3(oa5 �o IA9072 SALVATORE BARBATO, residing at 244 Letax fid., Huntington Statiaui, NY 11746 and VINCEM'BMW, residing at 20�Wti s faun Eion, NY 11746 11;07101+1 A LZ .09 1 t 17 the lase win and testament z A. BARBAM r .late of 1 � . 't u �is�PaYt.and Rcast EC!'�V1E . V SALVATORE BARBATO, residing at 244'ikox Rd,, Huntington tationD NT gl 6 and VINCFNr BARBATO, residing at 20 Willets P1., Huntingt n Station, NY 746 ! t party of the second part, ! [r•~ �' rap a P c' WITNESSETH,that the party of the Rrst part,by virtue of the power and authority given in•aud�t"Al IECiC- DLSDUCT will and testament,and inconsideration of.TEN and 00/100 ($10,00)-- dollars, 1000' paid by the party of the•second part,aloes hereby grant and SEOf10N release unto the party of the second part,the heirs or successors and assigns of the party of the second part 07000 focevsx.a,..a; BLM ALL those tracts or parcels of land situate, lying and being at '4800 Soutbold, in the Rbwn of Southold, County of Suffolk and State of New York, ;: LOIr known and designated as Lot Nmbw Seventeen'(17) on a certain map entitled, R"039M ; �r�l$ "Map of Section One, Fairview Park, at Southold, New York, dated July 12, •` 1961" filed in the Suffolk Colmty Clerk's Office as and by Map No. 3388 on August 9, 1961, a �=',• 3 op $ 34607 REAL ESTATE :L : -} MAY 19 R 1989 TRA LO 6lrantors herein are the executors and sole devisees under the Last Will and, Testament of DOMENIC BARBATO. TOGETHER with all right,kids and Interest,if any,of the party of the Brit part in and to any street$and roads abutting the above deteribed premises to file center lines thereof;TOGETHER with the appurtenances, and also all the estate which the said decedent had at the time of decedent's death h,said premises,and also the estate therein,which theparty of the first part has or Itis lrower to convey or dispose of,whether individ- ually,or by virtue of said will or otherwise;TO HAVE ARID TO HOLD the premises herein granted unto the party of the second part,the heirs or successors and assigns of the party of the second part forever. i i AND the party of the Rrstpart covenants that the party of the first part has not done or suffered anything r whereby thersaid premises have been ineumbered hr any way whidever,except w aforesaid. AND the party Zile first part,in compliance will,Seclien 13 of Ilse Iden Law,covenants that the party of the first part will receive the consideration for this convc,imarc and will hold lite right to recel,c such consid- j Jeration as a trust fund to be'applied first for the purtrose of la't%ing fisc asst of the improvement and will apply the some Rrst to the payment of the cost of the improvenmul before using any part of the total of the same for any other�S,srpnse. i 'The word parry"shall be construed as if it rend"parties"whenever lite sense of this h,deuture so reiplires. IN WITNESS WHEREOF.the party of the first part has duly executed(Iris(Iced the day and year first above written. } Irl raessNcs or: -SALMORE BARMIO 11AY 19 k 89� `, 9 RECORDED hi 't .':'Y{'''`_i �i�' ?f`•'•� +" r_ .sn S r '•?TS� !: ":fir ' 117� wr'/1 SM-2061 a Salt Dced,with Covc,unu agaiml Gnnmr',Acu-1n'—I—_�,jr Cmpu:nlnn,(unglC phut) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the /day of June ,nineteen hundred and nit y-si DISTRICT $ETWEEPi VINCENT BARBATO, residing at 20 Willets Place, 1030 Huntington Station, New York 11746 SECTION RECEIVED DISTRICT SECTION BLACK LOT 070.00 m 13 I l k BLOCK t part,and 0 1 17 Z"Pa W019 08.00 -GEI;AR9party of the firs LOT GEE AbD-WORYSZ and JEAN WORYSZ, his wife,, resid g 040,000 at 4 Felix Place, Amityville, New York 11704 Zoning 80ard Of Appeals party of the,second part, WITNESSETH,that the party of the first part,in consideration of ten dollars and other valuable consideration paid by the party of the second part,does hereby grant and release unto the party of the second part,the heirs or successors and assigns of the party of the second part forever, ALL that certain plot, piece or parcel of land,with the buildings and improvements thereon erected,situate, lying and beingiv4*e at Southold, in the Town of Southold, County of Suffolk and State of New York, known and designated as Lot Number 18, as shown on a certain Map entitled, "Map of Section One, Fairview Park at Southold", and filed in the Suffolk County Clerk's Office as and by Map No. 3388, an August 9, 1961. BEING AND INTENDED TO BE the same property as conveyed by SALVATORE BARBATO and VINCENT BARBATO, As Executors of the Last Will and Testament of DOMINIC AL BARBATO, deceased, to VINCENT BARBATO, by deed dated May 10, 1989 and recorded May 19, 1989, in Liber 10859 Page 370. TOGETHER with all right,title and interest,if any,of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof;TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises; TO HAVE AND TO HOLD the premises herein granted unto the party of the second part,the heirs or successors and assigns of the party of the second part forever. AND the party of the first part covenants that the party of the first part has not done or Suffered anything whereby the said premises have been encumbered in any way whatever,except as aforesaid. AND the party of the first part, in compliance with Section 13 of the Lien Law,covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consid- eration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply Ute same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose. The word?party" shall be construed as if it read"parties"whenever the sense of this indentpre so requires, IN WITNESS WHEREOF,the party of the first part has duly executed this deed the day and year first above written. IN PRESENCE OF; 17/ INCENT BARBATO RECORDED JUL 12 1996 of se llc'�`'cor+ �► v�i1 uv/'f SuadudN.Y.&T,U.FmmanaS-IoM _ Ea+avtor'+Il++d-Indl+idu+lorCorpar+tlon(+1n51++hn+) ` CC YOUR LAW11111 KFO55 IIONINO 11115 INSTRUMENT 11115 1111111101111111, aIle K 11!50 BY LAWYM ONLY Q `�Q THIS 1• .ffURE,made ilia day of IA,,, nin , hundred and ei&tY'nJm CBETWEEN o8-3(02 SALVATORE BARBATO, residing at 244 Lenox fid., Huntington Station, NY 11746 and VINCW BARBATO, rtesiding at 20 Willets PI., lltuttirlgton Station, NY 11746 iST�;fT SEiTl;�t4 BLOCK LOT ,_r y 34608Liq-0 '�'• yDOi�A. BARBATf1�,� 77 21l t1vEdo lRteol >�OVL}!t`ne V�"f' 0 C T 1 R 2019 SALVA'DDRE BAHBATO, residing at 244 Lenox Rd., HuntingtonItation, NY 11746 � -- � - Zoning Board Of Appeals t7�Y P of the second art, • WITNESSETII.that the party of the first part,by virtue of the power and authority given in and by said last DISI CT will and testament,and in consideration of 'i'EN arxh 00/100 (810.00)------- doWn, 1000 paid by the party of the second part,does hereby grant and SIMON release unto the party of the second part,the heirs or successors and assigns of the party of the second part I07000 forever, BIM ALL arose tracts or parcels of land situate, lying and being at I '0800 Southold, in the Town of Southold, County of Suffolk and State of New York, ,:'LOT Imam and designated as Lot Number Nineteen (19) on a certain map entitled, �! 041000 . ;' •��na't�{ "Map of Section One, Fairview Park, at Southold, New York, dated July 12, 1961" filed in the Suffolk County Clerk!s Office as and by Map No. 3388 on • • h4pst 91 1961, n' �.� TRECEE 5' - _. - REAL ESTATE •� 34608 r MAY 19 1989 TRANSFER TAX SUFFOLK COUNly Or'arttors herein are the executors and sole devisees under the Last Will and Thatament or DOMINIC BARBATO. TOGETHER with all right,title and interest,if any,of the party of the first part in and to any streets and roads abutting the above described premises to 1110 center lines thereof;TOGETHER with the apptuten mem and also all the estate which the said decedent had at the lime of decedent's death Lr said premises,and also the estate therein,which the party of the first part Ions or has power to convey or dispose of,whether individ- ua11y,or by virtue of said will or otherwise;TO IIAVr Atli)TO HOLD file premises herein granted unto 1 the party of ihte second part,the heirs or succcssor5 and assigns of 1he pally of file second part forever, J'AND the party of the first part covenants that the party of 1110 first part las tat done or suffered anything whereby the�aid premises have been incumbered hr any way wlinlever,except as oforesold. AND the party of the first part,in compliance will!Seclit•1r 13 of the Lien Law,covenants that the party of the first part will receive tate consideration for this consttinncv and will hell the right to receive such correid- oration as a trust fund to be applied first for file pugmae of paying Ila•cost of die improvement and will apply the same first to the payment of the cost of tiro Improvmncnl tmfurc using nuy p:1rt of the total of the same for any other purpose. The word party'shall he construed as if it rend"parties"whenever lite sense of this indenture so ralrlires. IN WITNESS WHEREOF!(he party of the Brat part Inas duly executed this deed lite day and year first above written.. IN rtommuz or: SALVAPTO BA M •'.. 411 i W'.Y. y RECORDED w►Y x9 198$-t AiJN^J-.K' 1�l ••.. qWf 8VW000MYcLr w • ( - asreuur�o rar♦ celslor Inc. A ukd d. MrC tDo13 • T691—�u�N.Y.9.T.U.Pmn u���,Fr.,NyltYm.11•�! r,h cevuunl,pYut pwm CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—TDIIS INSTRUMENT SHOULD BE USED BY LAWYERS ONL 1-1>r 1)VO THIS INDENTURE,trade on T.eAl5 9 i RE:CEED BETWEEN SALVATORI; BARBATo, residing at 244 Lennox w Yo°k 'L L' 20 9 Huntington Station, ZOning BoaOf Appeals ply of the first part,and �cy`y ` �- f residing at /�- SDSANABLAZOWSKI and CATHERINI `HARPEIt, hank, New York 11980 yon 143 Long island Avenue, Yap ' •-••,.,;u. .. ..: . .. ... party of.the second,part. WITNESSETH,that the party of the first part,in consideration of Ten Dollars and oththeer vaseen dl cotgte he cs pa}d by,the.ptarty of the second part,does hereby grant and release unto the party or successors and-assigns of to party of the second part forever, AU'Ahat certain plot, piece or parcel of land. with to buildings and improvements thereon erected, situate. lying and being in the of Suffolk and State of New at Southold,in the Town of Southold,County of Section One, York,known and designated as Lot Number 19 on a certain map entitled, Map Fairview Park,at Southold,New York,dated July 12,1961"filed in the Suffolk County Clerk's Office as and by Map No.3388 on August 9,1961. Said land being more particularly bounded and,described as follows: easterly BEGINNING•at the comer formed by•the interssectlonof t TACE from aid point or place with the northerly side of Clearview Avenue; of beginning along the distances easterly side of Gardiner's Lane the following two.courses: 1)north 12 degrees 40 minutes 30 seconds east,81.13 feet; 2)north 14 degrees 39 minutes 20 seconds east 101.51 feet to the division line betweem lot 7 and lot 19 on the aforementioned map; RUNNING THENCE•along said division line south 78 degrees 22 minutes 50 seconds east, 101.51 feet to the division line between lot 18 and lot 19; RUNNING THENCE along said division line south 11 degrees 37 minutes 10 seconds west 200.00 feet to the northerly side of Clearview Avenue north 78 degrees 22 minutes 50 seconds west 110 feet to the aforementioned corner at the point or place of BEGINNING ises conveyed to Salvatore Barbato by deed BEING AND INTENDED to be the same prem dated May 10,1989 and recorded in the Office of the Suffolk County Clerk on May 19,1989 in Liber 10859 at page 374. TOGETHER with all right, tide and interest, if any,pl the party of the first art in and to any streets and t e abutting to the ltrof: TOG THER with lines there EAND TOAOLD roads and atheestteand rights of t pay of the part and to said premisesTO HAV the premises herein granted unto the party of he second part.the heirs or successors and assigns of the party of the second part forever. AND to party of to first part covenants that the party sof the first part has not dpne or suffered anything wheleby the said premises have been encumbered in any way whatever,except as aforesaid. AND the party of the first part,in compliance with Section 13 of the Lien Law,covenants that to party o£the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost 8fttof thhe e Diel of the samerovement and tforll papt►y other purpose. the same fird to the payment of the cost of the improvement before using any p The word"party"ghall be construed as if it read"parties"whenever the sense of this indenture so requires. IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day andoyear first above written. �O 7 IN PRESENCE Ut'; �7i}"' L.S• vAZORg BARBATO J -462223 In - � 12050PC861 �-1 s flGs XO'' I REAL ESTA"M 3:4 4 Number of pages JUN 2 3 2000 0o JUN.23 P Ile TORRENS TRANSFER TAX EQ�f�RI) F. ;,•,l f+V Serial N Cl I(�i'i I1F SUFFOLK SUFFOLK Of1UiiiY Certificate k RECEIVED Prior Ctf.0 � r 46222 e Tax Stam Recording/Filigg,$ nr g Z019 Deed/Mortgage lnsuvment Deed/Mortgag P 1177 1, FEES 4eats Mortgage Amt. Zenin�rd Of App Page/Piling Fee 1.Basic Tax Handling =--^ 2.Additional Tax TP-584 Sub Total -- Notation. Sub Total � Spec./Assn. F.A-5217(County) � Or -� Spec./Add. EA-5217(State) NGUI TOT. TG.TAX RP.T.S.A. Y Dual Town Dual County *; Hold for Apportionment Comm.of Ed. _---�2� � + Transfer Tax Affidavit .- -- Mansion Tax - � The property c povered by this mortgage is or Certified Copy will beimproved by a one or two family Reg.Copy dwelling only- Sub NO' Sub Total YES if NO,see appropriate tax clause on page N Other GRAND TOTAL of this mstrumint. op Real Property Tax Service Agency Veri t 4 Community Preservation Fund aur4atrt Dist Section Block Lot Consideration Amount S ODOR P CPF Tax Due ` i 006 0-1 D.0 o�� � ��� Imp RE EWW — acant Land lniti � D 7 Satisfactions/Dischazg RECORD&t. pr peRETUR Tp wners Mailing Addr JUN 2 3 2000 D -------- i�vn� J R- COMMUWN n J D!n lu PMERVA" �v,d c0_?j �ead- FUND g Title Company Information Pa rk u1 l Cb.Name ICI"I' Or -. •t Title# Suffolk County Recor&n &Endorsement Pa e made by: 'rias page forms part of the attached (SPECIFY TYPE OF INSTRUMENT) _ Ojj I&TO(2t C The premises herein is situated in SUFFOLK COUNTY,NEW YORK. p In the Township of TO 050 J {R 0� ` In the VILLAGE or HAMLET of BOXES 5 THRU 9 MUST HE TYPED OR PRINTED 1N BLACK INK ONLY PRIOR TO RECORDING OR FILING (Ove— PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS:http://wwW.orps.state.ny.us or PHONE(6181473-7222 FCOUNW-USE ONLY 1' 9 +1.1 i _ 0 (• RI ROPERTY TRANSFER REPORT STATE OF NEW YORK C2.bete Deed Raoorded 316,0 STATE BOARD OF REAL PROPERTY SERVICES RP - 5217 C3.Fjpok 04.Pepe hTPaty An aaT PROPERTY INFORMATION 1.Property I 75 1 CL ARVIEW AVENUE STREET NUMBER STREET NAME V I cnnmunr n I 1 ;PN, _1 CITY VILLAGE .�- 2.� I BT.920WAKT I SL1SAiS RECEIVED Name LAST NAME I COMPANY RRST NAME I HARPER I CATHERINE n n r 4 n n 1 n LAST NAME I COMPANY Polar NAME 3.Tax Indicate whore future Tex Bills are to be sem 1 Billing if other than buyer address(at bottom of foot)I Address UM NAME COMPANY FIRST NE "tonin Board Of App als STREET NUMBER AND STREET NAME CITY OR TOWN 11'_ aP CODE 4.Indicate this number of Assessment 1 ,1 (Only if Put of a Pmmq Check as they apptr. Roel parcels transferred on the dead I *of Parcels OR ❑ Part of a Parcel IA.planning Board with Subdmsion Authority Exists ❑ 6.Deed 49,Subdivision Approval was Required for Transfer ❑ Property 1 1 0NT1 m0 I X1 2 DEPTH 0 I OR ACRES • I 4C.Parcel Approved for Subdivision with Map Provided ❑ Size a Seiler I BARBATO 1 SALVATORE 1 Name LAST NAME I COMPANY FLRST NAME LAST NAME I COMPANY RBST NAME 7.Cheek the box below which meet accurately describes the use o1 the property at the time of Bair. Cheek the boor below r they apply S.Ownership Type is Condominium ❑ A One Family Residential E Agricultural I Community Samoa 9.New Construction on Vacant Land ❑ B 2 or 3 Family Residential F Commercial i Industrial 10A.Property Located within an Agricultural District ❑ C Residential Vacant Lend G Apartment K Public Service 108.Buyer received a disclosure notice Indicating D Non-Residential Vacant Land H Entertainment!Amusement L Forest that the property la in an Agricultural District SALE INFORMATION 16.Check one or mere M these camlltlons as appaable to transfer. 11.Sale Contract Date 1 08 / 27 / 49 1 A Sale Between Relatives or Former Relatives NPnth Dtry year B Sale Between Related Companies or Partners in 81/siness C One of the Buyers is also a Seller 12.Date of Sale If Transfer 1 O(6 / 09 / Oy I D Buyer or Seller Is Government Agency or Lending Institution M-th Day Year E Deed Type not Warranty or Bargain and Sale(Specify Below) F Sale of Fractional or Leas than Fee Interest(Specify Below) G Significant Change in Property Between Taxable Status and Sale Dates 13.Full Selo Price I 7 n. n I n. 0:0 . 0 I H Sale of Business is included in Sale Price ! ! (Full Sale Price is the total amount paid for the property including personal property. I Other Unusual Factors Affecting Sale Price(Specify Below) This payment may be in the form of cash,other property or goods,or the assumption of ) None mortgages or other obrigations.) Plaase round to fhe nearest whoto dollar amount 14.Indicate the value of personal I , 0 . 0 I property Included in the safe e ASSESSMENT INFORMATION•Data should reflect the latest Final Assessment Roll and Tex BILI 16.Year of Assessment Roll from 0 0 1 8. 0 0 1 which Information taken 1 1 17.Total Assessed Value lof ell parcels In transfer) 1a.Property Class 1 3 1. 1 I-IJ ta.school District Name I SOUTHOLD 20.Tax Map WentiRer(s)I RON IdentiRer(s)IN more than four,attach shoat with additional idlimd uls)) 1000-070.00-08.00-041.00 CERTIFICATION 1 certify that EER of the items of Information entered on this form are true and correct(to the best or my knowledge ami belief)and 1 mderslaTd Chat the making of any willfhl false statement of material fad herein will subjed rix to the providwB of the WjW law rdative to the making std liking of false fnstn®ents. I — ` BUYERBUYER'S ATTORNEY MUNSON I NANCY UJHPALAZOWSRI DA WTNAME RRSTNAME CATHERINEAHARPER I i'4 �c 1,t'I I;JN.liye 631 1 271 — 8161 STREET NUMBER STREET NAME(AFTER SALE) AREA CODE TELEPHONE NUMBER CUYORTOWN STATE 2P CODE SELLER CITWO"ASSESSOR COPY i 5W .Di1Yc'1bRE BARBATO _ DAA W-9-4l I�:1Y4tlp4an-.nraY(MiaIQwAlC+kDadwrhpn.a�.tap�.sG�4*'sAa�dadnWadurCgvlS11*- W1tN Li-6 RnrI111LIMNT-11111 YBY4WDtt • . LNS-M1A1F%TNU111U>BE11MMS1'I.fW'1'FR5(1.\41' THIS INDENTURE.made the 7TM day nOuly.in the)rdr 210170 e0o" I RETW EEN SUSAN J.DLAZOWSKI and(Wrl IF.RI,r,A.HARPER.as jnim tenons with riphttl of sunivu iI— :RECED residing m 1.13 Iargt WaW A%%WM-Yophank,NY JIM O019patty NJ. rust J) and SIJSAV 1.8117J)WSKIRF�IDINGAT323'/1i71shimI.mn.Oakd2lc.NY 11769 yt- r•; I•. .0,Toningf Appeals 4 ood Party ortltc second Puy. WITNIU%ET11.that the patty orthe Iia part in miciderativa orTL'n Ofdhiref and other valichlc L niAlL•tution paid he the duty of Ilfe mmund part duu%huN y pont and W:Lwg Unit%Ila luny or lie Dkeco d pu3p,019 heirs vt suvcaawsrs.uid ut„ig:fa ul'the Pam.oflhc seavmd pall racy. ALL that terrain plat.p1LW Arparcel of kind.within the buildings and itnpmviments Ihemin cntted.smic.kAng mW Icing in the at Snullalld•in the Town or snuthold.Cntmty of svoik ww Slate urAew York.known and dimmed as Lot Numbcr 19 nn u cermin Huls emnk%L!..Map of:kctrvu Wu.I-alrvlex rr•.W aauta.lW,new 1 11rA.owed Au1y t2.tvu I':tied in the 111n1Ut Tai Nfiv Cnuivv(.left Office ars and In J•Ydp Ni%.139$an Augus19.19ui I %Id lwid bLii g ague poictilarly Iuiimded and dr.--rii cl Iks:Ya:iam as rulluws: Iili(lINKING at the comer fasted by the iniamihnn of iln eageriv side of Sronlims!s lane with the mlnhefiv side of 117c:uviev^ 1110 Imam Avenue: RuvNINin nisii:E 0vtm Tadd pointof plfav nl'heginning allmg Clic d6 unces onstwly side of(jartlineds lane the tidloavh irr %W to two cnurxx t)north 12 degrees 40 minute's 70 seconds Last.81.1Ifcc1: foil a 2)norther Ii degn'L:u 39 m1nutc;'.41 uvendv caj9trl:�'fnl to Ibe division line heI%%v6n hu 7 amt lot IQ on[be afiucoentia m l map: I.tats)i l RUNNING THENCE alongsaid dhvisinn line ROM dcgn'es L minors yl s e*iMb tog.101.51 feet 111 the divisieoo line letween lot IN and Int 19: RUNNING 111FME aloof,said division line saulh I I dL•Stm 37 minutes 10 sceamb west:4111.00 Pvt uv the nathLvh sok of Clcurvmv Avenue mirk 76 degnea 2'minutax 5u xalLus weal i lu felt to die wlam-mc:tilmLd.t,mvrii:the ji,iw ar pLvc.1f DWINNING. BEING AND iNIVNI)1'.D to he the Atte preatiwS t'1uuv r;•Ld to Salvalilre Bw(uto by ckwd data!hisy 10.I o8y aid m'eorded in the Office of the Suffolk County Cktk on Sky 19.19fto in LibLr 10859 at pW 374. TOGETHER With all right.title and inion-Ft.if any.orib.luny of the first peat of in and to inn•stints and rwids abutting the tthtw'L••dewribed premises to the antler limn thew-cif TOGF.THIER with the uppuner attces mut all the Latae and rights of the patty of the first pari in and to mhd prctnbcs:TO HAVE AND TO I TOLD the picmises htridn granted unto the party of the sccwat part.the heirs ler acardia and nsaivw omit dirty ufthe&%vnd)ort figLivr. AND the party of the fust pan cowrmanag that the party of the first pari has silt done 1v autTered an)thing witertby the said pnmiscs bavv been incuirdiaW In uLv way whore mr.eftaltt as uftttestid.' AND the pony urlhc fiat pan.in cuaglliamv with suctum 13 of the l.irn Law.Ltivtreatis that the party offt first pan will 1 rmi%v the Lvrtsiderrtion fur thio convL'ynacc and will Judd the Fight In ruaim such candderdtiun as a Ittalt rued to be applied first ter the purpose dpaying the ca of ike impraveinatt and will apply the same first to the mvntcid 14 the Lost of ibe improvements berorc uftufg nay port orthe rani of the<anle fiv any other putpoae. 71ee%Luvt-Lusty"shall be nmstrmd as If it read-pffNesr wtftaim-t the serve orthis indcmluc Fu tequinx IN WITNMS WHEREOF.the puny of the firm part Jim duly cuvuad this tktd the day and}ear first above Written. IS IMIF�Eu�(IF: ' — -- — su AN J.m4utwism Cr4I11F7UNH ti HARPER 1 AL1.thw eennin plot,plece or parcel of land,within the hoildings and improvownts thereon credal,$Dame.lying amt being In the m Soutbold.In We Town of Southold,County of sulfolk and Stoic of New York.known and desipnated m Ix4 Number 19 no ■eerubn map endlled,'Map al SWUM Unc.l•mrvrew I'rk.W lnothnW.New%Jr►,dotal July 14.19bl'Ided m Ute bultolk Coanyr Clerkb 011lce as aml by Map No.33116 on August 9.1951.Said land being fore part(cularly hounded and dcmrihed us fallmys: RF.GINNING at the cortw Formed by the iniermcihm of the easterly side of Gardiner's Lanc Kith the ramheriv sW of Clenrview Avenue. RUNNING111IMP ftm said point arpirm ofbegiening along Wr disinnca easterly sdde of(iardinces lure the following two cuumm 1)north 12 degrecs 40 minutes 30 seconds oma,61.13 rest: i2)norther 14 duras 39 minutes 20 seconds cast 19W kir In the division line hainven lot 7 and int 19 on the afirementioned RUUNNING THENU along said division line south 76 dL•gn�Os2 R 2 minutes 5U seconds;cant.101.51 feet In the division line beta en lot Ill and tat 19; RUNNING THI38CF,slung raid division line snulh I 1 delp oes 37 minutes 10 smnrds wag 2 L)QQ f to the nnthely srde or (3carview Avenue north 79 degrees 22 minutes SU s couch;west I IU Ikcl Ia the a0 rarnamiun 1 cava r at the gyral iN BEGINNWS t� ElR/ED OCT1 � 2019 Zoning Board Of Appeals I I , I• t 'Lt�BaLl.Wa7J'JrGrl1L'.\TFWIIdE/Iltl'k7llffa\b7'{Y11[YldTfi[�.\Y I: r,�I:AfIWiJYf8t7GF!IF\Tfir�rfldrrY'M7171fa\•fill']Utlf.�ra�uw.l: Awle orvrw vnrL f.wulYurVnlrhlt � ff,.: simirufnee 1'wk.f'ntlnq •OnftT'dgYnflalyInik)%w20M (In ft dayof In dig leer Ju IIet:YL'mL the sttrlmdral.POMWIF CPpwtal ocure mssAl1.SA. J.RU17J1WS):ImmlCATI[ERI%AUA.IL►RPER.peswllykmuntoneorpmsad[omo«IthebaseorsntutG=s;rC%I&m- pwAWl1yknu"nwmetcPnnLbvbW& hlisufwll. ayeps k+bt the imdi\4daalls)xhose tameis)b larc)wbsCribtd tothe„iddn us W die Idim&MI vilm i�liil ldme in iagssttntm turd atkswkdEnl ts,the she hr/slefdR•y c\sttutel the same a nnrmssem smW pdatsaksdlFtl { kisAtaAhdrs�eciUltesRtatdsikm{stlsss)selhe bWb.,mkIreapaftliaLimdlhelbyhWINNAIairstpla<lee{stuodr 112161 ahiCYda inwnns.•n.the individswk{L UT she pvwm upsa behairnrrhieh the iroweseaR the udn'Wudtsi n ktdn ' 4401 cwutcd de hummelsl. mdi"al,$)mcW.s:rnr 'msd dC 7 1 20YPUPAJ%M A.GARCA :•:. WrARY PUIpublic.SimmolN@WVABoard Of Appeals Na01GASMIGS7 Ouullfiod in Suffolk CC)-I Canmlmate n Eltpim Aug t;,L t ACF.\'pY'LlaGEmarr7rAsll•Yfm[tf6MYfrfLY�k'IMI'WI •�Lyfu�ie': .ICIG�PJIYk7t �.�4MYi.Y�..�ert i+ •�It+iaR.krjrtlF.rsvr.r: l+�f:.{:w.,rgstlip.apl..6.[rd�agA,r'f � i state ufRav 1•wL CattM of �f� i v: I•• • p\�itvliar.*Rur�S�arA ltiu�.st..Peo� As doyof in da;}em On die dsyor intlw.car Ikltn im.the uttlk+aitInal.p xmvaUy opp`wW wrote me.the mslmeiFw-Ptracwlly aw-d dwsWwz&ai;%itr s10anr{a ingku mem•„ishmbmIon �lykaaantoamswptovedwto441a Ismisurlwafa.•tolyoi&vm, PLOY %1m b by dulY'""'Mdid' dimm he the h4%%W61 sihsxe A=ds)is lard WbK"w the ubblo hdskhhttinsidtigin bb n0esttmd&imtssdcWksmtthatholAdlkrfM"VWtisevmtwin ►(frra,yHn@srws kP%va/marl).bw1wkthe9 ra ls0wWaaad►er.{f hidWiViliireaict41ft 1.lhatbyhiIsdolft,rAgkt16-)div"si mal.. r6rna this knmist t�mdiv11he11sL sr dw pave upon hdadfa rMh'kh' the ndivnitmllsi a�4es1 at4: in �t��' Lv=W1 the maninsem MW 919 m1ch tulividual mode NL'b uppatsmwe to be dw individal dnc&d U and uia,atasted dw famVIAS nmameot befae the tmdc aNlai in the dw mW s alaen'bbiS rioen um POW mad saw scold env adwnw.andthatAM%& easmdwso=thmsutaam {bwwrwa&vwL%6•%wvwtdatih/naiasttlsdrhruwr.wamrmq.tfnthe► { hforafteirnaemislaawitnessdwdu Pk+edte.rbrmrl pssr+muustt&tsr 51717ARY P11"Lic 0TARY IK.RIAC UjkJU AI%A SAI.E DEW UIIi1RIC[ 1000 %7MJt%v7L%A.%15AGAR65rCAM MAn5 711 om tif(76t4V IAts dl SUSAN J.Nt.A7.OlY KIlad CAT1117RINEA IIARPWt CiQ4rYpkTuws -%ffu t RL7W8F uafL W TO I.AW ul17CF5 tip PF.fER It CARCIA CA'rlirlah'li A.I1ARIIF.R :tll Codor:imsl %uiay 1{ma►.N Y 11791 e RESERVE THIS SPACE FOR USE OF RECORDING OFFICE , 1 2 Number of page LRRRECEIID TORRENS 2066 M JSerirl fl IF r CeniFcate#Prior CIL M Board Deed/Mortgage Instrument Deed/MtirWgc Trz Stamp Recording/lFiling Stamps 31 MRS Page/fling Fee _ This d=Mentwul be PUNIC Mortgage Amt. Handling S. 00 (eW(d.PWM MWO 81 1. Basic Tax ��..,A�,N�''11�c.��,,,,,,11� 2. Additiorud Tax TP-594 SW SO*NWb6S Sub Total Notation pft t4 - SpecJAssit. or EA-5217(County) Sub Tocol Spec./Add. EA-5217 4S=) TOT.MTG.TAX Dual Town Dual County -- Held�i Held forAppointmen,,tt(XL—&A Comm.of Ed. 5. 00 Transfer �(XL— �A Affidavit + Munsi —V — I Certified Copy property covered by this mortgage is r will he improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES or NO Other C Grund Total. I O•we appropriate tax clause on Pa'e of this instrumenL 4 1 Disl000 Section 070 1 Block OffWt Q 5 Co llnwivation Fuad Real Propem, 660362" 1000 0 000 osoo oal000 Consideration u $�� Tax Service F T S Agency R ON A CPF Tax Due Verification is ocT Improved Vacant Land 6 Satisfactions/Discharges/Releases List Proptrty Owners Moiling Addea TD �� RECORD tit RETURN TO: D TD TD Aj 7 1 Title Wyany Info tion (r 7?0 Co.Name Title# sI Suffolk Coun!y Rec ing & Endorsement Pa e N page forms part of the nuacbed • made by: ( YP O!'INSTRUMENT) '�f<'A —A n 42f The pmmises herein is s itualcd in SUITOLK COUNTY.NEV YORK. a In the Township of In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST HE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) I loll 1111111111111 IN IN 1111111111111111111 :REEIVED] I'II lI I' Zoning SUFFOLK COUNTY CLSRK RECORDS OFFICE RECORDING PAGE Type of Inatruments DEEDS/DDD Recorded: 10/23/2006 ft-her of Pagans 4 At s 11 x 32:07 AN Receipt Number : 06-0103040 TRANSFER TAX NUMBER: 06-10328 LIBER: , D0001247S PAGE: 300 District: Sections Blocks Lots 1000 070.00 08.00 041.000 EXAMINED AND CSARGED AS FOLLOWS Deed Amount: $150,000.00 Received the Following Fess For Above Zastrument NO Page/Filing $12.00 NO Handling Exempt Handling $5.00 NO COX $5.00 NO NYS SRCSG $15.00 NO EA-CTT $5.00 NO Ell-STATE $75.00 NO TP-584 $5.00 NO Cert.Copies $0.00 NO RPT $30.00 NO SCTS $0.00 NO Transfer tax $0.00 NO Comm.Pres $1,500.00 NO Fees Paid $1,652.00 TRANSFER TAX NONBERs•06-10328 THIS PAGE IS A PART OF THE INSTRM=T TRIS IS NOT A BILL Judith A. Pascale County Clark, Suffolk County PLEASE TYRE OR-PRESS FIRMLY WHEN WRITING"`'"3RM t iRUCTIONS.hUWJ/www.orpe.state.nyma or PHONE 473-7222 FOR COUNTY USE ONLY'`-- Q (� C1.SWIS Cod. I'y 7, a, �', / I REAL PAOPEtRY TRANSFER REPORT OF /® Db OF L F V= . CZ.Data David Ranadad BTATB MUM OF MALFDOPFAftf SIMM C3.Book 7 s cL Pala l I RP Y 5217 PROPERfYINR MATRON 1.P.aa.Ky tae�ba r wuv. . IPICI aye_ EVE) I c Ot�lYsrLN I 11147, I s'ycr�rOU� OCT A 7nig I fflann y l I I I Zoning Board Of Appeals) L Tea indicate whew h1t1m To Mile an se to sent fm bom I otlrrtlan blryr mem.fat toaom ase d01m1 I , L I I I I I r�r MIR 011 rAt! 71Tf0aP L tWods RM mmbr d Arrau n! , ` , (WI R Put of a Meda amok a thor apple Rd pros aaaartod an do dad X11 i of Palwh OR Md of s Pamel 4A.Mming good w%fiukdM w Ado*NO ❑ L Dead r1I A Subdridan Appmel wes Roq*W ler Tralefr ❑ I holum r L� " it I I DA I I e¢Frtd AppaeRd rose suLd+eaiml cath cap Frolftled ❑ Bled . I a sur �sg� I NSI. raNir 141 r 14alrc ertw %Check dw blas blow~mat amlraWr dmwlm tM ao d tln propMV at tea thou vIjmW C m*the bmm baba adder apple L Owrom*Typo Is Combminken ❑ I A One FWnly PoWantW E AgrkulW W 1 Cos14_4 dIy Srrtse L lar CamMoodom on Vacant LaW ❑ B 2 a 7 Funny R�IA 1 F rorammmm J kwuaaod UL PropeW Laeamd""ser Aplpoluttl Mott ❑ C Residential VA and G Apuanern FUND 50114100 tr.Lw wnPrd a dsdomm natim wskKk* ❑ DW Noo-RMWamlal Varese and It Fruadotmnmt r Armoement L Parser that tle pro�rty b H an ApriaYkaal DlrrFt SALE INFORMATION 1L Clad1 ase or mase d*Am mendh6er m ANUmbb to trrl I 11.lana contred Dad / I A SYu Bowman RNr1ua at F•omur LW KKK '�— B Sae Bea.em Robe Companies or Palermo In Buskum C Oro a do Sayers 4 else a 5d1ar 1L Dab of sob I TreadD sayer or Satbr is Ga nounwit Ante cV or Lending Inadwdon Mob our YIN I( Dad Typo nod WWWAy a Barash and Sala MW*Sdm14a TT �1 f Sala of Frac0ond or Ler ane Fee hllmrar(Spedry edom n Full Btla Price ._S.LJ.Q U.�. D . fl I 0 Stgdlmnt Change In A.I.-me Between Taxable Statue rad Sala Da ' r ! • H Sala of Business Is Included o Sob No IRA Side MBs sea the toned amount pad for do propaM Including paced pmpmy. 1 Oder Unawd FaWs Afbedng Sdo Puha I mOv BdmM This l a nwa may be In the(Wm drmh.oder propadr of gooft or de armnpda of J Now mrtpapas a otter abdgdlon.I Fk=round to fhe awaef whda doWrr jepo . 1L bdcm to ran of pread . D U 1 yrrl1 --bladed b ffia mats ASSESSMENT INFORMATION-Dat®should mftd the latent Final Assessment Roll and Tax DII p ��/� 1a.sear d A"e"'t 41 from 17.Topa Aassead Vater bl a1 parseb b trseubrd I__.� ; �'` l/.V I whWl le4omudoo Taker 1L NW=Cr Close , —L—J IL Srmaol nk&k!mien I CJ/k-&O'lVJ\ I IL Tea Nap fdrltilrW I Moll HonglirW 0 mm than Imr.Mall unlet v t add k%nWuW 770 I I I I CERfIFICAIMN I Cnay pad ell of the Umar of lar nmd m coft"d a0 Gla rotta are Iroe ad am"d Ile the Masi of my koaalmBe and hdefl end 11a11ditliand Lint tae quift of NO WNW Me matimlal or raarld but mala Will NW*at tae to for Ltl WL*m d the oma law ntdhe b tar maws and mhgl or Me learomrabl. JEt rE11 oe BUVER'B ATTOWNY 2bk#6- F PSI MAS tam am tnarwlrtm S'VerlfAla W9la rl Amame "Ima"WARm Lm on*vm aTAta /lel ATEIAT YORK STATE COPY 4 raLLNr0ae1Aum, �• • m.. TOWN OF SOUTHOLD PROPERTY- RECORD CAR® OWNER STREET VILLAGE. DIST. SUB. LOT Gr ?rd., - vs� •1.3^x` ,FORMER OWN RV ar N E ACR. f, -� S W TYPE OF BUILDING � ���—•-�- ZES i1 SEAS, VLA FARM COMM. CB. MISC. Mkt. Value LAND IN ` JTAL DATE REMARKS � w °�" o ? -0. dry �..�e �f o-v l J l Dom- ' / 2 Tillable 1 Tillable 2 am wh Tillable 3 /Voodland Dc 1 8 HIS iwarnpl.and FRONTAGE ON WATER 3rushland FRONTAGE ON ROAD -louse Plot DEPTH BULKHEAD r• tai ,DOCLC. G TM fix. 3 ■■■■■e MMMBMMMs■■■■■■■■■■■ ■■■■■■ ■f��■■■■i■■■■■■■■■■■ ■■e■■"_ ■M■■■N■■■■■■■■■■■■■ ■■■■■�■ ■IN■■e�,��■■■■■■■■■■■■■ .r � - ee■■■ � ■I�■■era■■m■■■■■■■■■■■ .�. .. ■■■■■■■ ■■■■■■■■■■■■■■■■■■ ■■■■■■■ ■■■■■■■■■■■■■■■■■■�i 0 oun at on Ext. Walls _ - • • �� .. Rooms Ist Floor Dormer i Driveway r _ i o TOWN OF, SOUTHOLD PROPERTY RECORD CARD `OWNER��{ 4'zowskf STREET - VILLAGE DIST, SUB. LOT Z 0istPGk 60z ER OWN RS` a QU N E ACR. f S W TYPE OF BUILDING SEAS. VL. .ice t Y/y FARM COMM. CB. MISC. Mkt. Value . LAND 11�1tP. TOTAL DATE ' REMARKS C. I o ! tY N C) BE 2=1 Y7C O C Gj f 00 L . 12.0 "`i.-E o C 1J dn f` AGE BUILDING CONDITION Z 410s _ -61'AJO NEW NORMAL BELOW ABOVE 0 k, 41am h ,6lazow-r o iv FARM Acre Value Per Value Acre T .le 2 Tillable 3 Noodland TOWN OF SO UTHOLn swampland FRONTAGE ON WATER 3rusliland FRONTAGE ON ROAD -louse Plot DEPTH BULKHEAD Total DOCK Es4Qv 15L1� 'p"�� �S4A6Y.6, t� N1D i ..,��.V�AL4 WI►'CG0. ItI11nJ4_�_Etq�!, W\tM\1i SOP P{F Tl!\•Y T A44CL.• '�C'•1 •eowbo\�. Y�w1`�1v, -t�g\.�gv►.Z\ura?� ARt faa StfQtbN\SIOI� - 3A..pK �cc."J .9 MD � L-oa.►.. b►T�►►a. B 3� SVRROti.K• t-uuw'r1 TAdt MO.P •� r•� � o16.aa p\S'1'. 1006- Esa•L• I �, mOV0.+SG� flF�T.4F 08,00-111 040.000 Samos WA7MMMY AND CONFO 1VrWSySEWAGED73PTIZED 8 gMUST ANDARD9 DAZ b 11tOV�'Ai1BER 13,1 a�a i TE s's Mo\.E •1'tt'�S'Za'gK"•LO'• I .' du y 4'119•N4 `a►�patr ;RECE 0.0 19 � .t ���*,�►� zoning Board f APP al, lip soy, ,►�. i op o tla M`S .f yr i* Too`. ... .�ar C� ,YIL �A­ ILNat' i • `Q *r F 1 Ria T C1"r,'4R s o.i�w t So•„1 .��L�, . w14< iR Z 10 sad ` Q s 4'e7r wsA` 4 m Nrl °ab Ljlk ."•r Ra �S % FAM\SLIL►0. WITH T►1iC'bT%*1&SDS • 1~OT#' 1B APp\-\cw.at\ e�laavmVAY- oa *.\.►w+s A+aea c.ou•ti.iauus\o..1- .I OW Tf18 1111'1 OC"SCbT1D..f ONS- 4��ha-p VjawV S'L Sc uJ l.tag, a\sP�1\� SYt"CIII VMS.4.HVL�- F`AT"a 1Ebf/ pA0.V.` �F4tix sL-wee p+�M\A_q Res\m=.ac¢b'an►>w11-+. •A4.eQ. M4wE '3'-sBrJ3.- F1�.E0 AN 4.4,lS41 AM\T`lVt%A.& M`l 11701 eY Tf►E 40"t0\T%,R_&b 6110 Fowr% rwp6I rMl�•.,,$LAk +.n,SlAlbAu uL.Ls.nwn A.111a QLI.L THE p69II TO LLaws+arQ.uaY. r�.i ta.f ilG6'0.T TO THIS susvE7 LS A VIGLATIOH Ol SEMON 7204 a.THS NEW You STATE 4�PL\6LWT'0\j S\GN►T1J0.� EDUCATION bWM OP S01STNO!.0 Copla - COPIES Of TIDS SURVEY AVP NOT aLA,D10 S u IF THE wm 9nV+mD NO SM on OLSOSM SEAL SMALL NOT K-DASDIAm TO 11 A VALID TRUE COPY ���.a� r�.�pp�Y.�. 'm`.� $1J PN E Y 7�li.6`( s pTIAtAN1FEs pWICATID HLPEOH SHALL RUN SUMIXODI.�a I DBPARdo•s OFIMALT ER�� f')a'fY�►��..�� �.w�VD•`.{.SL�. 0. TD 7HI HeSON WA WHOM THS BUa T IS"PARED AND ON HIS UHALE 7o 710 r10.gVtlt%XvL.kV1L%11.176 MUgCIRPANY,COVLSNSUNTALAGIICS FERMFORAMOVALMI'CO4d9•�dCl[MONHORA tit vE f3ovM'T�N•�f. 1f Y15 UNI ruTrtuTpH+L%M PURI AND 9 FARELY!TRL�'4fiDENC�G•'ONLY TO IN A392MI OS THE LENDm Mn' �Ya' O�•L w V.�—'� 1 �1�31�•j-LS�Z. ELI GUAUNILS ARL HOT RANO , rJ' �d p/ I ' '. QO. �Q 9�0 �d I><0 ^bc•+R•a'E !"+40'- pp,TS ARIL\L20,\1'lf�D A90"Doom�101+ asnnmaNsoaHmsm r/ VED L FOR MA7OSC LM OF SEOROOMS (.11JA¢bw.1Ti.E.CD'T"O'-G7ER'+oeTa �. ,5E7>1.f v\tflq�{S-(. To P F1 a bT l%.Ke.R\aA.+-. T\TL7¢ \►+S.Pp.op7yY EXPEtESTARESYEARS FROM DATE OFAPPROVAL �ie2.•� .' r,i�rr,� - -.r tt; � n�y,s�•t�,,•- •1�1 .7 �" .,` .Ly�;:•'''' 1^`'^ "••�`..d{': �r'•.f''r r.{ i��''�r^n'' .f'• `•Via, .9Fh_w4"_�^kir. 'itM "'t'j.is,k% ,l Ts "cs tiu'^V 1Aat w6-Ts P. ,•'� iix. ,., W\S M►ti• baeti �S "i°��ls►'t Ao.c.Ai., 1�CL�V iT\nt.►y �.4t •••" bVTLON\4r•o••s % Nj)'�V i►�fOLyL COv N'S�( �('1►1{, M 1 o►b<.\off- 3t�. a'�o>C�D : + 6PuRSE TAT S 0.balm 4wr�y RECEIVEE Vt� _ 9 OCT 8 AbT - wl, ging Bo rd Of A. els' All 7 � yp• Fr,•w Hy' M �►; a"�� 721 T ,I ~ i 'vim a1•, �..■■ y `a- .tea '? •O ,"�, r` k• •1 '• •T J,Ntt• or •• `�y.�•��..� .�� .��'r - r• \t'¢ f T.T. 4116 t, lit JE Ny 0 3?? sk % Nwp `�,Tp J i Tn Ell' T r � � J.N 3 S eTlw\ P4'w la-liw> W\TN T\•\t,'rtil w►►01.R1S L.aY* 1$ ^PV\.\G 1.l.\'t ti , t►�OTTw'a+h OP Pv/.,MS au10 GO•,►•r'[atr YCrOJ" oTra Ywi Hal. O Tr";�ctl(prwl off.'. 4eso:aae wTawvs•L sswtw4t islspos,w,;. STfwlTtp'lS TT■Pa s•►u.tt- *•A1RV 1C6VJ PA%W: 4'Ba\•\x r►wcA iaTh\4Y 0.elmtorSTaGTSb"A*+r wwti A6t*i. P14io 9506F1tf�0 AY4,!{ 1�V� hV%% tVNd.O�i`T WL0 r 6Y !KL toNDeT1o.+S b�! RsarTt fTI [TTr{ �bi1'V►«p 0.Y ►M. l44t-hut. )Ryp aw TM�rewvlTr t'O tat+gre'sver�, ' TDw m QG N'TN.4%..O >jo.IM aacm"ito w nN�17��Ate++ A'r\'\cAut'S 5\4t�►tUl.� '�,c� `cons of Tree XMIT w'.N°T TOtwo 9�t .dOWW u tconwa ICfi�l.aetb x.1S� ,e..4, To w a oaoe Tat con. i't 4 Re\WR�lV tw1V R. euwems"awto Am"IXAa ew b4VG !��Y"!i is•y. lM'{\`� d+% WD!°er M IN fee mo""A M �•►+p N Ade IN NN MwAu>Oo r'Q rW bis 141b 1'�" FtAr�'�tr3'>10.4'i nnT eoeu.NT.eonTN"v Kno mc..re _ ulmfa SWIFS N luno IMM-•Nu !,yLlt 1�w 0• •cTTaNTa a•NT tlNo9mv s}�'Ztps eTUT ! d'itTi Z4.\ �y•TNn°s•uNOTnw+art•a ®LFt SwILV,V C vfta GwTrM.ete..t\,\l ltrwna SAVY3FbT0`•(maw- v.sf TO: Ft Ta ST kwj"%iAw1 t\r1.>< �N y,GO.oP mm 1� i "M NO. ! RECEIVED TOWN OF SOUTHOLD BUILDING DEPARTMENT 0 C T 1 8 2019 TOWN HALL, SOUTHOLD, N. Y. Zoning Board Of Appeals BUILDING PIE;RMIT (THIS PERMIT MUST BE KEPT ON THE: PREMISES UNTIL FULL f COMPLETION OF THE WORK AUTHORIZED) N° 23519 Z Date ....... ....1f........., 34...9 Permission is hereby granted to: .. . : .. ...1.... .! ........ a b . . . . ..... .... : .............a... ....... .. .......� ..... ... ....... .. ........................ ..?) •. •. • ♦•.N.• MN.......l.f•.I..•...•�...• • • • •.• .fi..••..•• • N 0.•• • .1 .•....r•.N•....••••...•• atpremises located at .......... .......... ..... ..... ........................................... ...................•.........................0..........s.......................— •.... ....................................................................... ............................................................................................................. ..........................�............. County Tax Map No. 1000 Section ...........F...�. Block .........I ........ Lot No. . .. ! pursuant to application dated ....................... .. .. .. .. ,,�...., 19.`•kms and approved by the Building Inspector. Fee $..fGl.4r .... " Building Inspector I t Rev. 6/30/80 Town Hall,53095 Main'Ropd y = Fax5,1 s 3 P.O. Box 1175 T �}�7� 802 Southold,New York 11971 y�ia- p� OCT 1 8 2019 OFFICE OF THE BUILDING INSPECTOR zoning Board of Appeals TOWN OF SOUTHOLD C E R T I F I C A T I O N _ - DATE: + - Building Permit No. 1 owner: Gumar, 6jmoa PAY (�� JUL 2 g (99? '(please print) rownsr of'OU PT Plumber: Ag!�Oe,� At.�r�A�' (please,prlpt.) I certify that the solder used in the water supply system contains less than 2/10 of It lead. (Plumbers Signature) Sworn to before me this NOTA"W139"'LYA.yA� day o f �� 19 C,�� �°u1!e��t,t�St�aNa�rlbrtc �mm�i®n[ledjaS �� Notary Publicjl�so County sxatresr�,�,b�' ,ts g O AcTO� &77tFtI Id, .a6dQ,7htO TqW ALL' m 19 IiRttlGntet * LL ;#�F r• qyr:';. +.� ... 8661. :'. ':' ' . . _ •.. -. .rr - - �a.r�zrni:rliiiti{��-�' _ ' •.LJ1i�4dflxG'��' A•. Q0 X :asr�t� �• sem` � .. � - ' .��' '• r .. - : . . .. .��A�fiT13C(I' 1�• - '7+tt�7'P�. b'�L11.G6' �' �• 71T1 ,.., , ,, ?Il?ZJ QMDM' Atilt? 'Mom- 'cl W.: FF�fl' htb"c r$LGYI �d?lfP ' - •• 'a1YQ0 3�:: •T.rFf�- •• •.SM�t=• - 'S�hT �11.7rb'L+f b�PrJ rL�J�. .. SFf GNB' . NM i i wN M,M tN�:�r.•i(Il:i�.M.MM'w:i,Nw M:M MM i•iMf N•M wM•••{N.M�/fw i•i•MM M M•NM,♦r MM M M MM i M YM.Y'h•MN•" •' ..... 1. r r ;. NOW= •• __ .ipr�:. �• •• w0..�.. � � •� ���.. .. r ' fnaallnrtotfs..: : :' daiy� al s uo' :!? P L6l�fd" uuaiuraanix•' NO . • eadd' C�'Pteo6orRg1No7. : rr �.rZLt%Ct` ... C;�3 RECEIVED OCT 18 2019 M-1802 Zoning Board Of Appeals BUILDING DEPT. r INSPECTION } FOUNDATION i ST { } ROUGH P ( ] FOUNDATION 2ND ] INS TION [ ] FRAMING r INAL } FIREPLACE & CHIMNEY REMARKS- At DATE INSPECTO THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE i 95099 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 Date R&Y 07,1999 Application No. on file 18155399/99 N 487941 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of MR. WORYSZ, 175 CIAARVIEW AVE. , SOUTT�OLD NY in the following location; Basement ❑ 1st Fl. u 2nd Fl. OUT Section Block Lot was examined on MAY 03t1999 and found to be in compliance with the National Electrical Code. r FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS A OUTLETS INCANDESCENT FLUORESCENT OTHER AML K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT, H.P. 1 1 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MUSLTI-OUTLET DIMMERS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT WATTS 1 20 SERVICE DISCONNECT NO,OF S E R V I C E METER NO.OF CC COND. A.W.G. A W.O AWG. !!f MP. TYPE EQUIP, 1 2W 1 0 SW 3 3W 3® 4W PER 0 OF CC.GOND_ NO. HIAEG OF HI-LEG NO OF NEUTRALS OF NEUTRAL OTHER APPARATUS: SWIMMSNG POOL- I GFCI-1 *(SWIMMING POOL) �This Certificate 0I covers compliance at the date of inspection only. Because of unusual �_ environments it is advisable to 0 � rn Have frequent test/and or repairs a m made by a qualified person. o J o t v C,,.. <<< Continued on Page 2 >» L GENE RAI.aNFAlriitiGER Per This certificate must not be altered In any manner; return to the office of the Board If Incorrect. Irfspectors may be identified by their credentials. COPY FOR' BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. %%3FFOLk o� o� RECEIVED Town Hall,53095 Main Road y Fax(516)765-1823 Southold,New York911971 Oy A�� Tele PVT MAW1802 Zoning Board Of Appeals C� OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 12, 1997 J r Mainsail Construction ' P.O. Box 1376 Southampton, N.Y. 11969 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) XX No Underwriters Certificate on file. \ XX The check is (not on file. )$25.00 XX No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 23519-Z (Worysz) Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. IV- VVII THE NEIN YORK BOARD OF FIRE UNDERWRITERS PAW 2 1195099 BUREAU OF ELECTRICITY F- 40 FULTON STREET, NEW YORK, NY 10038 Date MAY 0701999 Application No. on file 1.8155399/99 N 487941. THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of Mit. WORYSZ1 175 CLEARVZEW AVE. , SOUTH OLD, NY in the following location; ❑ Basement ❑ ist FL ❑ 2nd Ft. OUT Section Block Lot was examined on MAY 03r1999 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS , OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. I AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECPT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL N.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET Aw. WATTS SERVICE DISCONNECT NO.OF S E R V I C E METER No.OF CC GOND. A.W.G. A w.G A.W.G. AMT. AMP. TYPE EQUIP. 1 0 2W T 0 3W 3 0 3W 3 0 4W PER 0 OF CC.COND. NO, HI-LEG OF HIAEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: ' PV - 0 o n o -a rn rn Oo� M MSAGE ELEC. INC. PO BOX 38 R GREENPORT, NY, 11944-0038 GENERA ANAGEN 11 Per LThisrtificate must not be altered In any manner; return to the office of the Board it incorrect. Inspectors may be identified by their credentials. COPY FOR; BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF SOUTHOLII; = BUILDING-RER-vAf4*PPL-ICATIO CHECKLIST BUILDING DEPARTMENT Do you IRW r VE t�e following efore applying? TOWN HALL Board of Health- _ SOUTHOLb,NY 11971p r4�et�af�iy}��P1ans , TEL:(631)765-1802 O:_ an n approvaf— FAX:(631)765-9502. Survey _ Southoldtownny.gov PERMIT NO. ' ° cher _ _ mm Zoning NX- Trus- —Trustees C.O,App-Iicatton - Flood Fermif�, Single&Se ffia Truss Identification Form Storm Water Assessment Form,-. Contact: ; tt�rxavd= 29^ Mail�trofir: ii7zy' Tc_irtfiLe=�.1,tytt,A Disapproved a/c__ G -- _ -- - Phonef _ J pit w+-+ EX JUN 20 2019 APPLICATION FOR BUILDING PERMIT Date J.OFYN OF SOU3'-a0gD! INSTRUCTIONS a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans,accurate plot plan to scale.Fee according to schedule. _ b,Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas,and waterways. e.The work covered by this application may not be commenced before issuance of Building Permit. d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant.Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Tnspector t issues a Certificate of Occupancy. f Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the i property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months.Thereafter,a new permit shall be required APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold,Suffolk County,New York,and other applicable Laws,Ordinances of Regulations,for the construction of buildings,additions,or alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code,housing code,and regulations,and to admit authorized inspectors on premises and in building for necessary inspections;. -•- ($i afar6i:of applicant or name,if a corporation) t (l laga ofV" 1a plicaot� 9-71 State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder f Name of owner of premises "" St-ct/ - rJ t�3 �C 1 - (As on the tax roll or latest O$ed ` - If applicant is a corporation,signature of duly authorized officer } (Name and title of corporate officer)- - Bufiders License No._ — _ Plumbers License NO*'—. ---'----"- Electricians License No. Other Trade's License N6.- 1. a;1. Location of land on which proposed work will be done. AlefHouse'NutnT�er _._ =Street _ - WSW io`,1 t a1IrJUff#rn10 _ r 4 y1nupo rIVYQ `. ;il4rt ye 1 County Tax Map No. 1000 Section W �U -= of - - - Subdivision, Filed Map Nct. - - - - - Lot._ -- - 7 2. State existing use and obcupancy of premises and intended use and occupancy of proposed constructs a. Existing use and bccupancy. _ p r Ir1i: I RECEIVE b. Intended use and occu v 5 , 3. Nature of work(check which applicable):New.) t'iQvj'a Ott LAACui = 019 Repair RAftaya_4?emolitiorL- Other Work (Description) 4. Estimated Cost Fee z'pipQ.R-onrd nf A peals z (To be paid on fili g-this.application) 5. If dwelling,number of dwelling units Number of dwelling units on each floor _ If garage,number of cars; 6. If business,commercial-or mixed occupancy,specify nature and extent of each type of use,; 7. Dimensions of existing structures,if any;Fronts --_Rea . ___ Depth.. Height Dimensions of same structure with alterations or additions: Front, Depth Height _ _ _ -- . _Number=of Stories $, Dimensions of entire new construction:Front _ Rear Depth. Height - -- Number of Staeies-- - - 9. Size of lot;: FORM NO. 3 TOWN 'OF SOUTHOLD BUILDING DEPARTMENT Town HallF RECEIVED Southold, N.Y. RECEIVED BUILDING PERMIT Zoning Board Of Appeals (THIS PERMIT MUST BE KEPT ON THE PREMISES rTi`i+ COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 26550 Z Date JUNE 6, 2000 r i Permission is hereby granted to: SALVATORE BARBATO ( arper/Blazowski) 244 LENOX ROAD HUNTINGTON STATIONjff 11746 for CONSTRUCTION OF A SINGLE FAMILY DWELLI WITH ATTACHED GARAGE AS APPLIED FOR. at premises located at /75CLEARVIEW AVE SOUTHOLD County Tax Map No. 473889 S0 Block 0008 Lot No. 041 pursuant to application dat 19, 2000 and approved by the Building Inspector. Fee $ 390.60 . r l Authori a Signature ORIGINAL Rev. 2/19/98 IF FIELD INSPECTION REPORT Dim `MMENT_=_===�'x======x--�= H FOUNDATION ( 1ST) � fl��O^ � '�l�11 1 a FOUNDATION (2ND) I OCT 18 2019 _ o J L Zoning Board Of Appeals V-y ROUGH FRAME & FLUBBING i INSULATION PER N. Y. H STATE ENERGY CODE H I FINAL I W ADDITIONAL COMMMS: x O » b H 3. Niture of work (check uhjj, icable): New Building ... ..... Addition Repair •••... :. Alteratir>W-1.9411 .. Removal ............. Demolition Other Work 4. Eslinnmted Cost ...v5�0.t Q69 Q...... fee ........ ...............(Description)•.•.. . ... , oto be paid on filimg this application) 5. 1 clotting, nunlier of dwelling units ............ timber of dwelli mute or each Floor ............�/�� IF garage, ranter of cars ..........:;? 6. If business, commercial or mixed occupancy, specify nature and extent of each type of uRECEIVEDr 7. Dimensions of existing structures, if any: Front.. Rear ileig(nt ................... ............... Deptl ..........RECEIVED................ Number of Stories ............ Dimensions of sane structure with 1 OCT 1 8 2 019 alterations or additions: Front ,,.,,.,,,•,,,,, pear Depth ..............0..... Height .................... •• ....... //Nudger of Stories ............... 8. Dimensions of entire new construction; �.1 -„-7— Rear Front ....` E � ............... Depth .. Height ................ ... timber of stories KZ- fflg-Board Of Appeals 9. Size of lot: Front ........a. , ...... Rear .................... Depth ....:� .......... o O 10. (late of Purchase ..................... Name of Former Owner ...................................:.... 11. Zone or use district in whidl premises are situated 12. Does proposed construction violate any zoning lav, ordinance or repletion: ........................ 13. Will lot be regraded .................... Will excess fill be reowed from ..... premises: YES NO 14. Names of Owner of premises ........... ..... YY 1� Architect ...:��•�le`eY\.0 4�:��--• Address ..��7. ..........� No. ...11.......... Name of Architect Address ,�15�V*ve- Name of Omtractor .....0. ............................ Address .......... .Phone No. ....... ...... 15. Is this property within 300 feet of a tidal wetland? *YES .......... NO *IF YES, Six MD MM 71IS188.S PEFMT HAY ER EMMM. •.•. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from Property lines. Give street and block ember or descriptio:according to deed, and show street vanes and indicate whether interior or corner lot. l ME or NSI MAK, 3XIT()T S5 .... being duly and says that he is the applicant lane of individual si ing.. ... Y worn deposes love nmed, n contract is lite ........... 1':`. � ..... . .......................................... (Cont'ra'ctor, .. .....•........... nt, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this 3plicatimi; that all slalements contained in this application are true to the beat of his knowledge and belief; and tat the work will be perGnrned in the manner set forth in the application filed therewith. -urn/Lo lbeFore„m�e this ���ii .day of Notary Public . ...... {•'.: HELENE D.HORNE (S gsa� of Applicant) , Notary Public,State of New Yak No.4961364 Oualified in Suffolk Cou Commission ExpimMay 22,rdwe,o� Ile HEALTH ............... ln�' FORM NO. 1 3 SETS OF PLANS ............... 1' AffI 9 L TOWN OF SOUTHOLD SURVEY ........................ BUILDING DEPARTMENT CHECK ......................... CLDG.DEPT. TOWN HALL SEPTIC FORM ................... L!�WW OF SOUTHOLD SOUTHOLD, N.Y. 11971 . TEL: 765-1802 NOTIFY: R CALL Ermined.... ......t.., 20.... MAIL T0:.................... Approved..�F?I W.........70 0.0. Permit No. .alpS.SC� ......[Zoning ......� u EJvt-:D....... Disapproved a/c .................................. ..... ........................ ........................................ ............ OCT 1 8 2019 (Buildiog ' ••tor) Board Of Appeals APPLICATION FOR BUILDING PERMIT Date.................20.... INSTRUCTIONS a. this application must be caopletely filled in by typewriter or in ink and submitted to the Building Inspector Wil 3 sets of plans, &=rote plot plan to scale. Fee acemft to sdredule. b. Plot plan abming location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept m the premises available fur inspection througiuout the work. e. No building stall be occupied or used in wbole or in part for any purpose whatever until a Certificate of Occupancy stall have been granted by the Building-Inspector. APPLICATICH IS HEM MADE to the Building Departmrxut for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk Ommty, New York, and other applicable laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, of for ramontal or demolition, herein described. 7he applicant agmes to comply with all applicable lets. building code, bowing , and regulations, and to admit authorized inspectors on premises and in buildi necessary i tions. .(Signat� L f applicant, or i •a ' r'poration) .•..•(Mailing address of.applicart .• . State whether applicant is ower, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ...............................................................(...�.......................................................... Name of owner of premises ........., o:�y;cs;, ?v.:? ..lag,s�O,x,&......................................... (as on the tax roll or latest deed) r If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name aid title of corporate officer) Builders License No. ......................... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... i ;�!,.. 1. Incatim of land on which proposed work will be done................................ ...................... .a`•c vrl�C:...5?• . ......C.0.4--aA gi< ..:. ................... House Number Street Hamlet Canty Tan Map No. 1000 Section ........1.4�... Block ... (°a. An... subdivision ....... . Filed Mapit ..... •N.. ..._? nInt .....Lk k... ... `..l`..... (Name) 2. State existing use and omrpanty of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............. C-G u.t.l .`r.'.^.`. .......................................... b. Intended use and occupancy ............\r+-�`.�•}.d�+r1)•1 f.��...�. .L�.`\:4i•�I ....................: I TEST HOLE DATAy OM molt••out;or, gg==am OMERIEN to 1.) w ♦ SURVEY OF Onc AEor wor 1Oa n Ms uLwl w o LOT 19 Ms nw m aaA¢wO 30 a FAIRVIEWO PARK SECTION ONE IM{L AwNN nc m IEDIY wO /C _. RUE No. 336E FlUa AUGUST 9, 1961 SITUATED AT PINE NECK TOWN OF SO S y SUFFOLK COUNTY, NEW DYORK 8 22 5p. F S.C. TAX No. 1000-70-08-41 Lp7 SCALE 1'=40' g -o for.51• v4 ® OCTOBER 7. 1999 d OECEIAM 9. 1999 REVEM AS PER S.GD.NS NOTICE • PARCH 9,2000 REVISED SITE PLAN O ltgC/� IL1k APRIL 17.2000 REVISED SITE PIAN 0 AREA = 21,345.30 sq. ft. I O Wr`D4 0.490 ac. O • O r.1 N �( A CERTIFIED TO: i W TOPAZ ABSTRACT CORPORATION A SUSAN BWZOWSKI CATHERINE HARPER w /.adtlda AML!�®1®TO AN ASR®Da EM M R "UVERRiR ARE SHOW THIS � TAMOW S70 2.MNMRNt SEt11C TAMK ai TA Al To 4 @WROOM"OM IS I'M A LEACIEi RYSIO,FOR A 1 7 ON1O6 YMYUY 10 REORROOY HOUSE 13 300 R a OLLw41 AQA. f1> s 1ms E•OW.r.l 49 V�r ED r� �/• u �.'-�� ` �� a IME 1000 M Or MUS AND CEMOMS SHM HM N Aa rm1 Ion ass—XJM°NSMas�N.Ae�Olx[EA • A .. Sp er�a,I NEI Ips Cpy >J G.• FN 3 IS - LOT® E ` wasAEm w Aam"NAs w1x T1E NIM/AI $� S RO�LD O \? 'sminv ry 1K Ii11Yw sOOe i ` •TA:TI 1E1O o7afar �71V m6a� 101 oI XML < �i � �, g ,1'fl l-�• - -1 •} NY5.1tn NO 106001 , 1AV-&IV u s .� Joseph A. tngegm N"sMN 2co Land Surveyor eornram fMLL�/.OwY� �°"lwri' A�mm AOI S,-&Ad"O-Se.M=- C&ODU M Lqu' zr(9 rv—im for PIIOIff(R31rn-2�0 Poz(638727-1m 91a1. "`umG A1,1Ep/p��1FApSr1:1E6Z-a Of wA119 O{II�!OOHED Ar MUM ADDRESS A OL 01171 1307 AM:IMIf EllOwl 101�II�W�W1®. ,3 Ooalob AIw1�E01 RI�Mo0.P/w Y- I10O1-0 Town Of Southold P.O Box 1179 Southold,NY 11971 * * * RECEIPT* * * Date: 04/19/00 Receipt#: 0 Transaction(s): Subtotal 1 Septic Permit-Construct-Resid. $10.00 Total PaidjNq� 10.00 RECEIVED OCT 18 2019 Zoning Board Of Appeals Name: Kennedy,John 15 Addie Lane Nesconsett, NY 11767 Clerk ID• HELENEH Intemal ID:9191 I'I 4 { _• --. '��,:` : ,� _ _ ��5... --LAS--•---�Q�{-"�-L S•�-`"-"'..'�-`"��' ._._- ________•__ . ._.__. RECEIVED - - -•- ----+� --- --- -- -- � - -- T � � 201 - -- • • --- --- - - -- ----- _ * - _... * �7o�in Bo a, pp -- -- q �p r JL itl,I TF OF'N�N i. , — i , i• �.I I' IJ � 4 I�. TEST d6�b8 AITA x ; Mr ME Oub fmrr ■12�lia op cC1pla i4,sAq { • wcesorlwa SUN*,Y OF 1rW• 19 ■R�,an■■■� Q •.; �sarwwy d FAMM PARK .r f} gftkT8D AT PSE NECK TOWN & SOUTHow _ SUFFOLK COUNV. REW YON 10 f S.C. TAX lig, 100-70-08-•41 • ,�^s 0 R 1"=4W rn w 'o }QI•SY y'cupFJ 0G Y,-}fi9 W'o a€�ee tYN IICM6m A4!n1 8.C.6NS rracc • �� fIwC�1 4.7oy0'11EY16iD 511E FWI = +� r �k me N AREA 2}.3 3.50 aq• ft maw O.NA■e hf xiC, - tvl= •.� N lC] C=) N oKt W C–) P GBR1_ I_pmp 71d,;• �h Fi w O —i m TWAZ A[V%W COR/O"T" 09 cli m Ate.• Trow ■aewwfft�cAlu. ssgKy = g d .m....�..■. (n gmmdhg amum III t a `rf A FEL' MR APPROVAL OFCONMUCfION FOR A FAMILY RIMENCE ONLY DATS- •w �. �' .. APP1tOVED A.a� F.c . d'I . w + y•.'-�� FMMAXM MOP 8 0 •• � fI0,p0, �1 ID 7fIRTMYBARSFROMDB:U'O AP WVAL - VI�TAr � ` 7 �/ 9 F N�y •I foli a"W-40 '+sao,�aef LOW" 4� T - IT Applicant/ 4rr Date Owners Name: jb5u Reviewed: 6 It, do Architect/ Date Engineer: Submitted: 6/ 4 SCTM#: _ District: 1.000 Section: Block: Lot: RECEIVED rte Project „7 n N bdivisio Location: CS:9 VA J arae: i Single&separate Required certification: Yes/No Req. O '34 S Req. Appeals "Zoning District.—. [Lot size: "CUb� Actual:Z 1 [Lot coverage'2 0 a Proposed �3 Req Req Req. [Front Yard —10 Proposed: `i l� 1 [Side Yard [ Proposed: [Rear Yard 150 Proposed:�J Project Description: hJ I AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A.A. NO YES Numbg„�r Suffolk County Health Dept. Q- b q New York State D. E. C. I Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation??? Flood Zone: Notes: t r ✓J( tX of Iii y 12 j ,MAINSAIL CONSTRUCTIO CONTRACTOR5 • CON5TRUCTION MG .i....a P.O. BOX 1376 TELEPHONE (516)287-6160 SOUTHAMPTON, NY 11969 FAX(516)287-4579 RECEIVED May 8, 1998 Southold Bldg.Dept. OCT 18 2019 P.O.Box 1179 Southold, NY 11971 Zoning Board Of Appeals RE: Permit#23519Z To Whom It May Concern: Please find enclosed the Covenants and Restrictions for the above referenced permit number. If all else is in order, please forward the Certificate of Compliance. Should you have any questions or comments do not hesitate to contact me. nicer , 1 y ' i i �I PRIVATE WELL COVENANTS ED11-10 DECLARATION OF COVENANTS AND RESTRICTIfdJEAN ::: 2019 This Declaration made by GERARD WORYSZ aYSZ this 12th day of November, 1997, residing at 17$ CleiePpeals Southold, NY 11971, hereinafter referred to as the DECLARA the owner of premises described in Schedule "A" annexed hereto, (hereinafter referred to as the PREMISES) desires to restrict the use and enjoyment of said PREMISES and has for such purposes determined to impose on said PREMISES covenants and restrictions and does hereby declare that said PREMISES shall be held and shall be conveyed subject to the following covenants and restriction: 1. WHEREAS, DECLARANT has made application to the Suffolk County Department of Health Services (hereinafter referred to as the DEPARTMENT) for a permit to construct and/or approval of plans for a single-family residence, a subdivision or development or other construction project on the PREMISES; and 2. WHEREAS, the PREMISES are to be served by an individual on-site private well; and WHEREAS, the test wells sampled for the PREMISES indicated a groundwater supply that had contamination in excess of the minimum drinking water standard and/or guidelines of the State of New York and contained excess of the following: N I T R A T E S E A complete list of analysis results is attached hereto as Schedule "C" , and each chemical parameter which exceeds 60 percent of the acceptable level is indicated with an asterisk; and WHEREAS, the County of Suffolk Department of Health Services has agreed to issue a permit only if there be a record covenant that the necessary water' conditioning equipment be installed so as to meet the quality standards for drinking water; it is DECLARED and COVENANTED by DECLARANT, their heirs or successors and assigns forever, that no residence upon the above-described property will be occupied prior to the installation of the necessary water conditioning equipment so that the water, when• - conditioned, meets the said minimum quality standards for drinking water of the State of New York and evidence of the same is furnished to the Suffolk County Department of Health Services for their written approval. 3 . The DECLARANT, its successors and/orassiXERki set forth these covenants, agreement and declarations in any and all leases t occWahI#flJ9 tenants and/or lessees of the above- escribed property and shall, by their terms, ubject same to the covenants and restrictions conta �fe�gffbVa.(ff.Appeals Failure of the DECLARANT, its successors and/or assigns to so condition the leases shall not invalidate their automatic subjugation to the covenants and restrictions. 4. All of the covenants and restrictions contained herein shall be construed to be in addition to and not in derogation or limitation upon any provisions of local, state and federal laws, ordinances and/or regulations in effect at the time of execution of this agreement, or at the time Such laws, ordinances and/or regulations may thereafter be revised, amended or promulgated. 5. This document is made subject to the provisions of all laws required by law or by their provisions to be incorporated herein and they are deemed to be incorporated herein and made a part hereof, as though fully set forth. 6. The aforementioned Restrictive Covenants shall be enforceable by the County of Suffolk, State of New York, by injunctive relief or by any other remedy in equity or at law. The failure of said agencies or the County of Suffolk to enforce the same shall not ` be deemed to affect the validity of this covenant nor, to impose any liability whatsoever upon the County of Suffolk or any officer of employee thereof. 7. These covenants and restrictions shall run with the land and shall be binding upon the DECLARANT, its ' successors and assigns, and upon all persons or entities claiming under them, and may be terminated, revoked or amended only with the written consent of i the DEPARTMENT. S. The declarations set forth in the WHEREAS clauses contained herein shall be deemed and construed to be promises, covenants and restrictions as if fully repeated and set forth herein. 9 . If any section, subsection, paragraph, clause, phrase or provision of these covenants and restrictions shall, by a Court of competent jurisdiction, be adjudged illegal, unlawful, invalid or held to be unconstitutional, the same shall not affect the validity of these covenants as a whole, or any other part or provision hereof other than the part so t RECEIVED adjudged to be illegal, unlawful, inva id or unconstitutional. OCT 18 2019 10. Local Low #32-1980 • The DECLARANT rep esents and warrants that he has not offered or gi errnirgMPard Of Appeals gratuity to any official, employee or ager Suffolk County, New York State or of any political party, with the purpose or intent of securing favorable treatment with respect to the performance of any agreement, and that such person has read and is familiar with the provisions of Local Law #32- 1980. Gerard Worysz Je orysz ACKNOWLEDGEMENT STATE OF NEW YORK) ) ss. : COUNTY OF SUFFOLK) On the Pa:S day of 1l0vje*,61,. 1997, before me personally came, Gerard Worysz and Jean Worysz, to me known to be the individuals described in and who executed the foregoing ' instrument and acknowledged that they executed same. (Nota . Public) NANCY McGINN Notary Public.State of New York No.01 MCB020211 Qualified in Suffolk COu ry Comrlmi6sion Expires Nov. t F� 7 - SCHEDULE "An DESCRIPTION OF PROPERTY RECEIVED DECLARANT: Gerard Worysz and Jean WOrysz H.D. REF. NO: R10-96-0040 OCT I 82019 Zoning Board Of Appeals (Property Description) RECEIVE gEAULE "A" DESCRIPTION OCT 18 2019 ALL that certain plot, piece or parcel of land, wit[th9 guard Of Appealsbuildings and improvements thereon erected, situate, n9 and being at Southold, in the Town of Southold, County of d Suffolk and State of New York, known and desingated as Lot Number 18 as shown on a certain map entitled, "Map of Section One, Fairview Park at Southoldb►"Mandf��x in t on he Suffolk County Clerk's Office as and y P N August 9, 1961. } i t $ ngn ar_uE�DUL ��e 4 J CONSENT OF MORTpAQEN/LIENOR RECEIVED OCT 18 2019 (Annexed hereto) Zoning Board Of Appeals i i LEplBlLTI'Y P-00 � TlY FOR MlCAO� LM RECEIVE[) SCHEDULE 8 CONSENT OF MORTGAGEE/LIENOR - OCr182019 DECLARANT �' " Board Of Appeals H.D. REF. NO. OR NAM OF SUBDIVISION In the matter of the application of qC And i the undersigned, an holder of a mortgage or lion on premises described, in Schedule "A" annexed hereto, hereby consents to the annexed covenants and restrictions on said premises. Independent National Mortgage Corporation A De ware Corporation I B LINDA IRVING Vice - President Loan Administration f (Corporate or Individual or Partnership Acknowledgement) r (as appropriate) , MRS PRIVATE WELL COVENANTS -5- (REV. X/91y p1A BALL-PURPOSE ACKNOWLEDGMENT �atstrxt t oun ` ► F®A O RECEIVED /1,411 ;State of County of �, OCT 2019 On before me, TITLE OF CER- (i„•JANE C-kWslnc`Of Appeal DATE personally appeared ` °�`y NAMiOP5F SIGNER(S) ❑ personally known to me - OR - proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and ac- knowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their � w signature(s) on the instrument the person(s), e ww"W011l3Sllt1 or the entity upon behalf of which the "°�» � person(s) acted, executed the instrument. MrCanrl. eMx�20D1 WITNESS my hand and official seal. SIGNATUR NOTARY f OPTIONAL Though the data below is not required by law,it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT 300liPOAA'f E DICER rl� at aeiB TITLE Oh TYPE OF ' ' ris„ldjl^I �ti'�3 7 " x. PARDON ❑ umr ED ❑ GENERAL ® ATTORNEIY--Ita-FACT. NUMBER OF PAGES ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: DATE OF DOCUMENT SIGNER IS REPRESENTING: NAME OF PERSONS)OR ENTITY(IES) SIGNER(S)OTHER THAN NAMED ABOVE 7D 03148 s , i t acmuLE "CIO ' RECEIVED OCT182019 (Water Analysis results annexed hereto) mooning Board Of Appeals F F � t HAR$Y GOLDMAN WATER TESTING TYPE..... . POTABLE WATER (516) 298-4640 ROUTINE MAIN ROAD ORIGIN.... WELL MATTITUCK, NY 11952 WELL TYPE. RAW RECEIVED DATE COLLECTED. 07/03/97 POINT NO: TIME COLLECTED. 0627 EMS. LOCATION: MAINSAIL CONSTRUCTION OCT 18 2019 DATE RECEIVED.. 07/03/97 175 CLEARVIEW AVE.,SOUTH LD COLLECTED BY... D99 REMARKS: SOURCE(ST)FLOW 5 GPM/WR 1�5 MIN PROJECT No..... 2 (T�I1000-Q70--08-040/R10-96 `��ng Board Of Appeals PARAMETER (S) RESULTS UNIT3 LIMIT TOTAL COLIFORM BACT. negative ----- negative E. COLI. absent ----- absent .CHLORIDE 31 mg/1 250 SPECIFIC CONDUCTIVITY 343 umhos COPPER <0.02 mg/1 (1.31 IRON <0.02 mg/l 0.30 DETERGENTS (MSAs) <0.04 mg/l MANGANESE <0.01 mg/1 0.30 AMMONIA (AS N) +12.1 2 mg/l 10.0 * NITRATE (AS N) m9/ LEAD <1.0 ug/1 (15.0] PH 5.8 units ZINC <0.02 mg/l 5.0 1 - Result(s) marked * exceed(s) NEW YORK STATE/USEPA limits for potable water. - Result(s) Reported meet(s) [USEPA action level] for potable water. COPIES TO: DATE ISSUED 07/14/97 ABORATORY DIRECTOR ORIGINAL HARRY GOLDMAN WATER T$STIBIG TYPE. ..... POTABLE WATER (516) 298-4640 ROUTINE MAIN ROAD ORIGIN.... WELL HATTITUCK, MY 11952 WELL TYPE. RAW RECEIVED OCT � 8 2019 DATE COLLECTED. 07/03/97 POINT N0: TAME COLLECTED, 0627 FRCS. LOCATION: MAINSAIL CONSTRUCTION Board Of Appeals DATE RECEIVED.. 07/03/97 175 CLEARVIEW AVE.,S U-7-j&$ Board BY... D99 REMARKS: SOURCE(ST)FLOW 5 GPM/WR 15 MIN PROJECT NO..... 2 (TMi000-070-08-040/R10-96-40) TOTAL ALDICARB - ( uSI/l ) PARAMETER (S) RESULT LIMIT PARAMETER (S) RESULT LIMIT ALDICARB SULFONE <1 ALDICARB SULFOXIDE <1 ALDICARB <1 TOTAL ALDICARBS <3 7.0 Result(s) Reported meet(s) NEW YORK STATE/USEPA limits for potable water. COPIES TO: DATE ISSUED 07/14/97 DATE RUN....... 07/11/97 DATE REPORTED.. 07/14/97 R ECTOR ORIGINAL MUR;.GOLDMAN WATER TEST,- TYPE. ..... rcrRABLE WATER .(516) 298-4640 ROUTINE MAIN ROAD ORIGIN.... WELL MATTITUCH, NY 11952 WELL TYPE. RAW DATE COLLECTED. 07/03/97 POINT N0: RECEIVED TIME COLLECTED, 0627 HRS. LOCATION: MAINSAIL CONSTRUCTIOf OCT 18 2019 DATE RECEIVED.. 07/03/97 175 CLEARVIEW AVE.,S UTHOLD COLLECTED BY... D99 REMARKS: SOURCE(ST)FLOW 5 GPM 15 MIN PROJECT NO.... . 2 (TM1000-070-08-040/R1 E96'hlA,030ard Of Appeals PRINCIPAL ORGANIC COMPOUNDS - ( ua/l ) PARAMETER (S) RESULT LIMIT PARAMETER (S) RESULT LIMIT DICHLORODIFLUOROMETHANE <0.5 5.0 M-DICHLOROBENZENE <0.5 5.0 CHLOROMETHANE <0.5 5.0 P-DICHLOROBENZENE <0.5 5.0 VINYL CHLORIDE <0.5 2.0 O-DICHLOROBENZENE <0.5 5.0 BROMOMETHANE <0.5 5.0 1,2,4-TRICHLOROBENZENE <0.5 70.0 CHLOROETHANE <0.5 5.0 HEXACHLOROBUTADIENE <0.5 5.0 FLUOROTRICHLOROMETHANE <0.5 5.0 1,2,3-TRICRLORO13ENZENE <0.5 5.0 1,1-DICHLOROETHENE <0.5 5.0 BENZENE <0.5 5.0 METHYLENE CHLORIDE <0.5 5.0 TOLUENE <0.5 5.0 TRANS-1.2'-DICHLOROETHENE <0.5 5.0 ETHYLBENZENE <0.5 5.0 1,1-DICHLOROETHANE <0.5 5.0 113-XYLENE <0.5 5.0 CIS-1,2-DICHLOROETHENE <0.5 5.0 1,4-XYLENE <0.5 5.0 2,2-DICHLOROPROPANE <0.5 5.0 1,2-XYLENE <0.5 5.0 BROMOCHLOROMETHANE <0.5 5.0 STYRENE <0.5 5.0 CHLOROFORM <0.5 50 ISOPROPYLBENZENE (CUMENE) <0.5 5.0 l,l,l-TRICHLOROETHANE <0.5 5.0 N-PROPYLBENZENE <0.5 5.0 CARBON TETRACHLORIDE <0.5 5.0 1,3,5-TRIMETHYLBENZENE <0.5 5.0 l,l-DICHLOROPROPENE <0.5 5.0 TERT-BUTYLBENZENE <0.5 5.0 1,2-DICHLOROETHANE <O.5 5.0 1,2,4-TRIMETHYLBENZENE <0.5 5.0 TRICHLOROETHENE <0.5 5.0 SEC-BUTYLSENZENE <0.5 5.0 1,2-DICHLOROPROPANE <0.5 5.0 P-ISOPROPYLTOLUENE <0.5 5.0 DIBROMOMETHANE <0.5 5.0 N-BUTYLBENZENE <0.5 5.0 TRANS-I,3-DICHLOROPROPENE <0.5 5.0 METHYL TERT.BUTYL ETHER <0.5 50 CIS-1,3-DICHLOROPROPENE <0.5 5.0 1,1,2-TRICHLOROETHANE <0.5 5.0 TETRACHLOROETHENE <0.5 5.0 1,3-DICHLOROPROPA14E <0.5 5.0 CHLOROBENZENE <0.5 5.0 1,1,1,2-TETRACHLOROETHANE <0.5 - 5.0 BROMOBENZENE <0.5 5.0 1,1,2,2-TETRACHLOROETHANE <0.5 5.0 1,2,3-TRICHLOROPROPANE <0.5 5.0 2-CHLOROTOLUENE <0.5 5.0 4-CHLOROTOLUENE <0.5 5.0 Result(s) Reported meet(s) NEW YORK STATE/USEPA limits for potable water. COPIES TO: DATE ISSUED 07/14/97 DATE RUN....... 07/06/97 DATE REPORTED.. 07/08/97R ECTOR -ORIGINAL /*tg� J ;N, S d 516.298.427E MERMAID - � FAX 298-3873 Water s.YsteWs MAIN ROAD • PO BOX 859 • MATTITUCK NY 11952 RECEIVED OCT 18 2019 Zoning Board Of Appeals August 7th, 1997 Suffolk County Health ,Department County Center Riverhead, N.Y. 11901 Dear Sirs: This is to certify that on July 30th, 1997, we installed a Reo— Pure 10 gallon Reverse Osmosis Drinking Water System for Mr . Jerry Worysz at 175 Clearview Avenue, Southold, N.Y. The Health Department Reference ## R10-9E-0040. The specific area of treatment is nitrate reduction to conform to the NYS drinking water standards of less than 10ppm. 1011 equipment is installed with a complete i yr warranty on defective darts and replacement labor. Cordially, John Scaramucci JS/r.r . r IVNIDIUO HOs w =os salaoO L6/90/80 asnSSi szva -sagEM aTgv4od aro; SITMTI VdSSn/!ZIVIS )THO' MSN (s)gaam pa4lodaa ($Wnsag - 0'0T T/bm T'O> (M StL) 3z�72LLIN Slwi'i s IZ� sz snz� S ti3LS�t�i'da • c 6Z *ON JjOUOVd WdJ T MOW(Q8)IMMOS s S)I?Ird tl 660 •••xH azzo3Z w •---=--egoulno '• OV MSIA •mrio SLT L6/1£/LO ':(ISAIS0Z8 SSQ sleaddV dO Pae09 uiz ZSX71OM aSMMOLVOM -San E010 'a3dS700 swsz :on asioa L61TEILD •03103170° RIVO 616781IN 9saal 7SM ZB6TTES '=1ZzzM 4COa2n3D3b V ams ••••s�z0zuo mmu RM � SZdWifS l MV--861 tiS 1iM mav'wa ••••••SaXJ, vullsaz MMVR WON= EBBS OESTZL6 SSOR SSI e<m•tat ttoasal Kte-w(9t5)*xva°roc- NOTE) 0 3%1 LVIII 'X*V 40ttlAtVA•00%P011att Pie 515 MAINSUL CON$TRUCTI®N CORP. CONTRACTOR5 • CONSTRUCTION MGMT. P.O. sox 1376 TELEPHONE(518)287-6160 SOUTHAMPTON,NY 11969 FAX(5 16)287.4579 RECEIVED July 25, 199' C T 1 8 2019 - Town Hall Bldg.Dept. Zoning Boarc; Of Appeals P.O.Box 1179 Southold, NY 11971 Re: Final Surveys&Solder Certifleate Please find enclosed: • Plumber's Solder Certificate dated the 25th of July, 1997 • Five(5)copies of the final survey Please file as necessary for your records. Should you have any questions or comments do not hesitate to contact this office. cervi BLDG, DEPT OF GOUT'OLQ t ' -pp. •rlam REPORT COMMENTS FOUNDATION (24/) REM CEIIJ SCJ S�—^-�C=—C�s—�+�•IC=�.7Co�O� ogCxaCn 0 C T 18 2019 _ 1 ROUGH FRANK & _ - nine joard Of App PLUMBING _ (� „_omcss=___�occc55:s�cc�t=o �_s 7^cssm ooCtea--q9�=Co9c'-,.-�c_,_�,,J�m�Ccacc.'�.�cCo � C�omaca��=42ei—.ccsc [� TNSULATION PER N. Y. STATE ENXRGY f/ CODE ------- z+'� ot FINAL P,;Oil ool ADDITIONAL COMMENTS: ' i v� RECEIVE M-1802 OCT 18 2019 BUILDING DEPT'. zoning Board Of Appeals , INSPECTIO. N [ j FOUNDATION IST ROUGH PLBG■ ] FOUNDATION 2ND j INSULATION [ looKFIRAMING [ j FINAL I FIREPLACE & CHIMNEY REMARKS: O www a q. ..�rwwrryww DATE 1NSpECTOR r RE7EDP OCT I7 -�'$d2Zoning BoarBUILDING DEPT, eais INSPECTION [ j FOUNDATION IST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND l 1 1 ULATION ] FRAMING FINAL [ 1 FIREPLACE A CHIMNEY REMARKS: 4 t t t rl 1} DATE INSPECTOR RECEIVED 1 ' l LE I Zoning Board Of S r o ,r Appe Is : i BUILDING DEPT, FOUNDATIONINSPECTION FOUNDATION IST ROUGH PLBG. 1 IN O INAL FRAMING FIREPLACE & CHIMNEY cl f DATE INSPECTO l f►`r�.y► �, ..r,, � .rte , :,�..:. � ,, y RECEIVED OCT 18 2019 Zoning Board Of Appeals M-1802 BUILDING DEFT, INSPECTION X [ ] FOUNDATION IST [ ROUGH PLOD Aa4e* [ j FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL j ] FIREPLACE A CHIMNEY REMARKS: 1, E DATE INSPECTOR RECEIVED .o CT r c n9 Board 0 eals 4-11102 UILDI INSPECTION [ ] FOUNDATION 1 ST [ ON PLBG. [ FOUNDATION 2ND NSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY r R ARKS. 161?041, - 4/0 /44 DATE. �� INSPECTOR r RECEIVED 67%,0" F OCT 182019 Board Of A e Is Zoning '� 768-1842 BUILDING DEPT. INSPECTION [ ] FO DATION IST [ ROUGH PLBG. [ FOUNDATION 2ND [ } INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY l' REMARKS: t DATE �o INSPECTOR t , RECEIVED o OCT 18 2019 Zoning Board Of Appeals M-1802 BUILDING DEPT. [ /�INSPECTION ] FOUNDATION IST [ ] ROUGH PLI30. [ J FOUNDATION 2ND [ J INSULATION [ ] FRAMING [ ] FINAL [ J FIREPLACE A CHIMNEY REMARKS: c DATE INSPECTOR MAINSAIL CONSTRUCHONT COQ CONTKACTOR5 * CONOTRUCTION . RECEIVED P.O.BOX 1376 pCT 1 � 2019 - TELEPHONE(516)287-6160 SOUTHAMPTON, NY 11966 FAX('516A)287, 579 d of ApPeals Boar Zoning • February 10, 1997 Town of Southold P.O. Box 1179 Southold, NY 11971 Re: Under Construction Survey Permit# To Whom It May Concem: Please find enclosed four(4)copies of the under construction survey for tax map# Dist. 1000-Sec. 070.00-Blk. 08.00 -Lot 040.000. Should you have any questions or comments do not hesitate to contact this office. incerely, Ja 'Aries } TOWN OF SOUTHOLD BUILDING PERM!f APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health,., SOUTHOLD,NY 11971 4 sets of Building Plans TEL:(631)765-1802 Pi M_ Cledr approval K ._ V FAX:(631)765-9502, _ Surve Southoldtownny.gov A PERMIT NO. r Chec OrTsoto Trustees N C.0,,�Appplioation Examined_. _ .. _ _ _ 20 Zonincj,� l&nep,� Truss Identification Form Storm-Water AssessmentFann, Contact: ; tPlSidved 20 M4iltof �5 D 11 q isapproved a/c `1Q Phone Expit JUN 20 2019 APPLICATION FOR BUILDING PERMIT PU-ID„rii 1 DMI*V. Date TOWN OF INSTRUCTIONS a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans,accurate plot plan to scale.Fee according to schedule. b,Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas,and waterways. c.The work covered by this application may not be commenced before issuance of Building Permit. d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant.Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be,occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f.Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months.Thereafter,a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Budding Zone Ordinance of the Town of Southold,Suffolk County,New York,and other applicable Laws,Ordinances or Regulations,for the construction of buildings,additions,or alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code,housing code,and regulations,and to admit authorized inspectors on premises and in building for necessary inspections., WkUdur&of applicant or name,if a corporation) � = {1yl g=of lap pl1 it) k State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder Name of owner ofpremises =� St-esi, ' t ajk 1� 5 (As on the tax roll or latest d ee dam` If applicant is a corporation,signature of duly authorized officer (Name and title of corporate officer Builders License.No. Plumbers License No,_. Electricians License No.___ w_ Other Trade's License Na, 1. Location of land on which proposed work will be done* house Number Streetr1B.adJUff4M1, t i �ixi•I H�eN to-,1 a _ *� ylrntAO A'po*' County Tax Map No, 1pOp Seotion l #3 ofR t a Subdivision ..__ _ _ -_. ! Filed Map No. - Lot- 2. ot 2. State existing use and occupancy of premises and intended use and occupancy of propose construction, a. Existing use and occupancy „�'� -b. Intended use andoccupGy „� lrCi. 0) 19 3. Nature of work(check which applicable):New3ui1iiu3dstior�_ _ Alteration Repair_. _ 'Reixtovif A)emolition Other Work -� �� �t 4 T Of ppeals 4. Estimated Cost _ _ Fee (To be paid on filing this application 5. If dwelling,number of dwelling units Number of dwelling units on each floor- If loorIf garage, number of cars, _ 6. If business,cbmmercial•or mixed occupancy,specify nature and extent of each type of use, _ 7: Dimer$ions of existing structures,if any.Front .hear _ Depth. Height-•---- - --_-----._--Number of Stories Dimensions of same structure with alterations or additions: Front,__ _ ,” `_' ""'" Rear Depth Height ___'� Number of Stories_ __'_ $ Dimensions of entire new construction:Front_Rear - Rear- Height Number of Stories ` 9. Size of lott:Fj:p;f Depth 10.Date of Purchase Mame of Former Owner 11.Zone or use district in which premises are situated 12.Does proposed construction violate any zoning law,ordinance or regulation?YES_ NO 13.Will lot be re-graded?YESr.NO.__,Will excess fill be removed from premises?YES. NO w„ 14.Names of Owner ofptretiuse§ Address Phone No., - Name of ArchitectN .Address, - � _.Phone No- Name of Contractor ____- _ __-_-_-- - .- -Address--- f Phone Now 15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?*YES_NO. T *IF YES,SOUTHOLD TOWN TRUSTEES&D.E.C.PERMITS MAY BE REQUIRED. b.Is this property within 300 feet of a tidal wetland?*YES NO *IF YES,D.E,C.PERMITS MAY BE REQUIRED. tt 16.Provide survey,to scale,with accurate foundation plan and distances to'property lines. 17,If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. 18.Are there inq covenants and restrictions with respect to this property?*YES NO *IF YES,PROVIDE A COPY. c a• ' 5 i STATE OF NEW YORK) t SSi COt7 T)('OF—— being duly swom,:deposes and says that(s)he is the applicant (Name of individual signing n'ontra6i above named, ($)He is the (Contractor,Agent,Corporate Officer,etc.) of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief,and that the work will be performed in the manner set forth in the application filed therewith. , SWQrR to bY_ me this ,�.' - - - llfnyE�,Fhente5- _NOR+ ubitoAtate 4f e�v � 'f01Ct = ilC,#� tt4911,7.09, oritptlsa(oit Eit I B A Drift. r o�®Su�Fot,�coG Town Hall,53095 Main Road c Fax(516)765-1823 P.O.Box 1179 rf" Telephone-(51.6)-765- Southold,New Yotk 11971 ,1,�®� � RECEIVED OCT 18 2019 OFFICE OF THE BUILDING INSPEC Qng Board Of Appeals TOWN OF SOUTHOLD /1 September 12, 1997 1 Mainsail Construction P.O. Box 1376 Southampton, N.Y. 11969 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) XX No Underwriters Certificate on file. XX The check is (not on file. )$25.00 XX No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 23519-Z (Worysz) Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. - RECORDEa. 7/0 5 RE*WAPR I S ppb y s 7 Number of pages ROMAINE ToxRENs 0 CT�u �t 0� serial# K COUN y Certifirste# v L2oning Board Of Appeals Prior Co.# Deed/Mortgago lustnunent Deed/Mortgage Tax Stamp RecoNing/Filing Stamps dw FEES Page/Filing Fee Mortgage AML Handling 1. Basic Tax TP-584 2. Additional Tax Nolation Sub Total EA-5217(County) Sub Total SpecJAssiL or BA-5217(State) Spec./Add. R.P.T.S.A. 1- TOT.MTh.TAX CqmDual Town Dual County M• $• held for Apportionment Affidavit ♦ Transfer Tax Certified Copy / 1Y® Mansion Tax The property covered by this mortgage is or Reg.Copy ^r/ O will be improved by a one or two family Sub Total aL 1 dwelling only. Other � YES or NO GRAND TOTAL.y Zti,1 — If NO,see appropriate tax clause on page# of this instrument. Real Property Tax Service Agency Verification Title Company Information DnmSection Block Lot SCow g."'s"-� 0 070-00 0S•00 0510,000 �— 'Company Name Da� � ►sarry � G� ay�7� FOR MICA Title Number FEE PAID BY ' , Cash Check Z Charge /770 M/eA,r Payer sa r if di event) NAME: =RECORD / n / 7, ADDRESS: �p &RETURN TO 7 (ADDRESS) Suffolk County Recording & Endorsement Page This page forms putt of the,attached ?���•r� �y d����� Y ' - made by: 1 ) (SPECIFY TYPE OF INSTRUMENT) [�Orin t4 Cf— L e CLI-� The premises herein is situated in YDS Z SUFFOLK COUNTY,NEW nn YORK. / TO In the Township of �' h.. d1d In the VILLAGE or HAMLET of BOXES 5 THRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. J•rilp t'Y4V.0811;7f!•'!'�;S""� y',Cl;,•, ll�.. ail":. ...r.M.t(I'!.'l .................. •fa sl V111 .. ��..��g4s-mj- i 6.wucSluxl txlu Bun I>>fxtalul 'll ' .............................................. .... 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I (10 lie lusltl till filing thlo aniffeadoll)':' if tAasllityl, Ixnlxer Of tAtelliclg unit .t ... tkedmr of Alalling unite tel Tach floor .............RECEIVED If gltrage, tx>tlloel of oats ........ c � ...� ............. l� n9 .,. c(1� If ix1ui11ean, txmrercial or laixed nrt:iluuKy, six vlly tu►ture sixi extent. of each type of title..............��� .� 2U 13 Dluo:nsiote of exis,ing alma wca, i�mty: (hurt.. ...... Iteur .. ...... Ikeplh ................. 1w1g11t ...... .......... Ikt�loer cif 3t tlr lea ..Ai(�r................ 0111unuions of uutra atructure Willi allarut lulu or rtrkllt Iona: Ftonr ................Item ........Z41n117g Board Of Appeals Ikiplll .................... llail;itl ..�................. Nn(sur tlf Mullett ..... ....... Diucuaiuts of entire new ttxtatnstaloin viont ....... ... Item .....ssr..... Nilth ..c�PJ�...... Ikeigllt. ........... ..... N,Ilier of tilos leo ..Q................ Size of IOL: Pruni. . . ......IL... 1War .........r0/. . nepili ej0 .. Data of Rlrcilase ..'.7,/A1?.in1 I N+r1r of Pointer Owner t!!c. Zone or true dialt ic:t fit wltltdt prep if are aEtuaLetl ............................ . ...I......................... Iklen proposed exmistruction violate a ly ztirlhtg law, ordinance or rallulat iol: .......0......T........ Will lot. lie legraled .•. .. . W`irll1ie/xcese fill lee rennved frMT6 Jaen• 111M .4 !`t tll'� s1sAl.3U �Atkiraea Y l(.. '_f r1�0� Nnitee of(kaluer of pmmnlaea�,n� /Llai(. �t� if ►9tw(tle Ho. Note of Arcli sect ..Qky!':"1-s. t.7............... Arkheas .8AKh$k&. .... .........�/11 >e Ncs• °]8� /3t Millie of(IonLractor ..R.'.`�1►!•`#Q I. d71.. ntklre"a ve �. rJb'Z` l CoU la title pmpetly within A) feet of � Lidal weelatxl4 k Us .......... M) ..�..... Air YLS, G(Xrllnj)-film-inslla(SI ral"'I'MAY 1% lu'Ailina). 11LO'l' 111 AGltAM lu:ate clearly slut distinctly all Ixt�lidinga, edlelher existing Or ptolxssed, niml ltxlicate all set-back dlntensione nl property linea. Give street mill bhx:c limber or tleaerlplltst aceording to deed, and allow atreet turns atxl itxlicate tillact loterlor or coaxer lot. � \J 8 I i I I \It's lll� NXJ Y(MtK, I RJIY (Ai ` ......... Sl3 L4 I, 1� '04• .`...........Ixcim duly ewurn, dolums-mml flays thuC Ise is lite uppl icaul 111L of icxllvithial signing contract) lve Iur11ad, A 411 the ... . ........ 1............... ............................................... (CAMI(I11etn1 IgeuC, (orlxilIrtsleofficei, tae.) amid towner or , "101s duly txtthclrized Lo lxerfonn or hatva lxrrlinuted the acid milk tuxl to antke atxi lila thin Aicatiun; that till sLaltlltenul ctxltallw(i 111 1111" upplhallioll lire title to the boat.' of Ilia luxswledge taxi Ixiliefi ntxl It ilia work will lie llerlivated iu (he avaltler set. faith is Ilia applical.(cui filed therewith. nn to Refute sae i (Ilia Z ......fifty of ... 19.��.. skit tlty 11f111 ir. ... .... 0—< ..- 4= ROBE SCOTfiJR• (Sigtudtge of Applleunt NOTARY-G IC,State of N.Y. t Q4R� No,47060SE Suffolk Cou Term Expire May 31,19 -02 e .aG I Title RECEIVED . : .. INSURANCIE sBRVXCES,LLC OCT1 � 019 s z i TITLE NO:7404-005024 District: 1000 caning Board Of Appeals Section: 070.00 Block: 08.00 ; Lot: 041.000 Town of Southold,New York Gentlemen: FIDELITY NATIONAL TITLE INSURANCE SERVICES,LLC'hereby certifies to the TOWN OF SOUTHOLD that it has searched the records of the Suffolk County Clerk for deeds affecting the captioned property and properties immediately adjoining and finds, e SEE ATTACKED r: And the records of the Suffolk County Clerk and/or Suffolk County Registrar disclose no other s further conveyance of any of the foregoing lots other than as set forth. FIDELITY NATIONAL TITLE INSL R.ANCE SERVICES,LLC certifies that the above-captioned property has been in single and separate ownership by Susan J.Blazowski and his/her predecessors •in title since prior to 411/1.957 except as follows: (see attached chains of title). No searches have been made other than as expressly stated above. The Company's liability under a this Certificate shall only be to the party to whom it is certified and such liability shall under no circumstances exceed the amount of Twenty Five Thousand Dollars($25,000.00)and no policy of a title insurance can be issued based upon the information contained in the Certificate. Dated:June 19,2019 FIDELITY NATIONAL _ INSURANCE SERVICES,LLC Sworn to before me this 19th day of June,2019 Rotary Public ; , 24 Commerce Drive•1iYerllead,New York 11901 • (631)727-0600•Fax:(631)727-0606 .: � xtle INSURANCE SERVICES,LLC RECEIVED OCT 18 2019 TITLE NO. 7404-005024 !` STATE OF NEW YORK.)ss: Zoning Board Of Appeals =i COUNTY OF SUFFOLK) JEAN DUVA,being duly sworn deposes and says: Thi ee � a s _ .of i0 its of t t+ t ', of Suffolk County with �e to. 1itio0-,W4 j, - : an � .g`the z;0-,W s: N SCTM: 1000-070,00-08.00-041,000 �i `# ?1 _ xeiitr' s indicate the following chains of title as to premises and adjoining lots since i AM.. A SUBJECT PREMBES: 1000-070.00-08.00-041.000 G.Wells Phillips,unmarried Liber 550 cp 86 t TO Dated: 12/01/1892 Christopher Leicht Rec'd: 02/17/1904 ; .t (premises and more) Christopher Leicht died on August 09, 1953,devising premises to his son Fred C.Leight, Frederick C. Leicht died on July 08, 1954,devising Life Estate to his wife Edith T. Leicht. ` x Edith T. Leicht,surviving Executor of the Liber 4954 cp 148 Last Will and Testament of Frederick C.Leicht Dated:03/01/1961 TO Rec'd:03/01/1961 Southold Development Corporation (premises and more) F1D$LITY NATIONAL. ,.f INSURANCESERVICES,LLC Sworn to before me this 19th day of June,2019 Notary Public �,.�3p111 M ! 24 Commerce Drive erhead,New York 11901 •(631)727-0600 •Fax:(631)727-0606 9 1 40, 19 1 `at e INSMUNCE SERVICES,LLC RECEIVED] m ' f OCT 8 n Southold Development Corporation Liber 5841 590 - TO Dated:09/0 49651g Board O William B.Smith Rec'd: 10/18/1965 (premises and more) William B. Smith Liber 5915 cp 325 Lr--- Dated: 02/15/1966 _1 his wife, Recd: 02/23/19b6 414-vi-i .: d : : M64-: I - (premises and more) No proof of death found for Dominic Barbato and Anna Barbato in Suffolk Surrogates Court. Salvatore Barbato and Vincent Barbato,as Executors Liber 10859 cp 374 ;. of the Last Will and Testament of Dominic A,Barbato Dated: 05/10/1989 TO Rec'd: 05/19/1989 Salvatore Barbato :. Salvatore Barbato Liber 12050 cp 869 TO Dated: 06/09/2000 Susan Blazowsid and Catherine A.Harper,as joint Rec'd: 06/23/2000 a tenants with right of survivorship . Susan 1 Blazowski and Catherine A.Harper as joint Liber 12475 cp 300 ` tenants with right of survivorship Dated:07/07/2006 e TO Rec'd: 12/23/2006 Susan J.Blazows1d ' LAST DEED OF RECORD FIDELITY3 • _ ' : JNSUR.ANCE SERVICES,LLC Y Sworn to before me this 19th day of June,2019 _ Notary Public 1=41W1 24 Commerce Drive Riverhead,New York 11901•x•(631)727-0600 •Fax:(631)727-0606 u F . e t y o i I Title �P6 _ INSURANCE SERVICES,LLC RECEIVED .i OCT 18 2019 r PREMISES NORTH: 1000-070.00-0$.00-029.000 Zoning Hoard Of Appeals4 G.Wells Phillips,unmarried Liber 550 cp 8 TO Dated: 12/01/1892 Christopher Leicht Recd: 02/17/1904 (premises and more) Christopher Leicht died on August 09, 1953,devising premises to his son Fred C.Leight. Frederick C.Leicht died on July 08, 1954,devising Life Estate to his wife Edith T. Leicht. b Edith T.Leicht,surviving Executor of the Liber 4954 cp 148 Last Will and Testament of Frederick C.Leicht Dated: 03/01/1961 TO Rec'd:03/01/1961 Southold Development Corporation (premises and more) _ Southold Development Corporation Liber 6895 cp 133 p TO Dated.: 02/11/1971 Vito D. Cecchini Rec'd: 03/05/1971 Vito D. Cecchini Liber 7180 cp 419 TO Dated: 05/25/1972 Joseph C.Gordon and Elizabeth E. Gordon,his wife Rec'd: 06/19/1972 LAST DEED OF RECORD e r FIDELITY NAII�: _, :_ .0 '1NSURANCE SERVICES,LLC Sworn to before me this - 19th day of June,2019 _ t,6 11 0 _Public — MM ��_ 24 Commerce Drive&,Riverhead,New York 11901 •(631)727-0600 •Fax: (631)727-0606 id hwV L1 � � � RECEIVED INSURANCE SERVICES,LLC OCT 18 2019 PREMISES EAST: 1000-070.00-08.00-040.000 Zoning Board Of Appeals 1. G.Wells Phillips,unmarried Liber 550 cp 86 TO Dated: 12/01/1892 r t Christopher Leicht Reed: 02/17/1904 (premises and more) Christopher Leicht died on August 09, 1953,devising premises to his son Fred C.Leight. Frederick C.Leicht died on July 08, 1954,devising Life Estate to his wife Edith T. Leicht. Edith T.Leicht,surviving Executor of the Liber 4954 cp 148 Last Will and Testament of Frederick C.Leicht Dated:03/01/1961 TO Rec'd;03/01/1961 Southold Development Corporation (premises and more) z Southold Development Corporation Liber 5841 cp 590 TO Dated:09/02/1965 William B. Smith Rec'd: 10/18/1965 (premises and more) William.B.Smith Liber 5915 cp 325 To `� -" � Dated: 02/15/1966 mide Barbato and Anna Barbato,les wife, Recd:02/23/1966 as tenants by the enter---- =---- (premises and more) No proof of death found for Dominic Barbato and Anna Barbato in Suffolk Surrogates Court. FIDELITY N !T, S•:_- ; tTi�TSURANCE SERVICES,LLC Sworn to before me this --- _ •.w M _- -�_.-_. _ 19th day of June,2019 Not Publican - �lr'0�1r!1tY. _ _._. 24 Commerce Drive-41 Riverhead,New York 11901 •(631)727-0600 •Fax:(631)M-0606 t +� s . RECEIVED INSURANCE SERVICES,LLC o OCT 18 2019 Zoning Board Of Appeals Salvatore Barbato and Vincent Barbato,as Executors Liber 10859 cp 370 of the Last Will and Testament of Dominic A.Barbato Dated: 05/10/1989 ' TO Rec'd: 05/19/1989 _ Vincent Barbato 8 Vincent Barbato Liber 11782.cp 482 TO Dated: 06/28/1996 Gerard Worysz and Jean Worysz Reo'd:07/12/1.996 LAST DEED OF RECORD PREMISES SOUTH: CLEARVIEW AVENUE PREMISES WEST: GARDINERS LANE m s F E i S FIDELITY NATIONAL ;INSURANCE SERVICES,LLC Sworn to before me this 19th.&Y of June,2019 Notary Pub& ` „0014' 24 Commerce Drive•Riverhead,New York 11901 •(631)727-0600•Fax: (631)727-0606 i RECEIVED 1121 OLD WALT WHITMAN ROAD,Suite 200, MELVILLE,NY 11747•Phone No. 631-385-8844•F o. 1- -x298 Wednesday,June 19 2019 page If 1 LANCE LONGO,ESQ. 43 SCHNEIDER LANE I AM e HAUPPAUGE,NY 11788 Account Number: 36 (631)342-9664 Fax No.(631)297-8466 Search Number: 19-SSTL27065 Order Details: ordered: 6/7/2019 Customer Reference: BATM Capital Corp.from Blazowski Owner(s): Susan J.Blazowskl Buyer(s): BATM Capital Corp. Premises: 75 Clearview Avenue,Southold,NY 11971(Suffolk County) Date Des ' tion of charges __. - -�-' "°-- -' - - _ — -__ __Q!P B - Amount SalesTax pa�+ments` Amount ( - 6/19/2019 SINGLE AND SEPARATE - _ $1,000.00 - $0.00 �J$0.00 $1,000.00 * Sales Tax not applied Charges: $1,000.00 Please make checks payable to: ' Sales Tax: $0.00 ` TRIBOROUGH LAND SERVICES Payments: - $0,00 1121 OLD WALT WHITMAN ROAD,Suite 200 MELVILLE,NY 11747 Total Due: $1,000.00 _ Please return this portion with your payment — Name: LANCE LONGO,ESQ. Invoice Amount, $1,000.00 Amount Enclosed;, . [ ]Please apply payment towards Search Number 19-SSTL27065. ]Please apply payment towards balance under Account Number 36, Terms:All charges due within 30 days upon receipt without penalty. Please make checks payable to TRIBOROUGH LAND SERVICES . .tea._..>.-. ....-_..-.....-.� ...�.............. n> m ,a _ a Lieb at Law P.C. Phone:646.216.8009 Fax:631.878.4460 308 W.Main Street,Suite 100 www.LiebatLaw.com Smithtown,New York 11787 Email: info@liebatlaw.co FBoard October 17, 2019 2019 VIA FIRST CLASS MAIL Mr. and Mrs. Worysz ppeals 175 Clearview Avenue Southold,NY 11971 Re: Lot Merger Waiver 75 Clearview Avenue,Southold,NY 11971 175 Clearview Avenue, Southold,NY 11971 Dear Mr. and Mrs. Worysz: This law firm represents Susan J. Blazowski in connection with the sale and potential development of 75 Clearview Avenue, Southold, NY 11971. Pursuant to New York Rules of Professional Conduct Rule 4.3, Communications with Unrepresented Persons, the undersigned . advises that you forward this correspondence to your counsel and requests that said attorneys) contact the undersigned concerning any responses and/or future communications. A land records search conducted by Fidelity National Title Insurance Services,LLC,in the Suffolk County Clerk's Office revealed Dominic and Anna Barbato acquired both of the above referenced parcels,amongst others,on February 23, 1966.A copy of the single and separate search is attached hereto. I At some point in time,one of the lots was deemed non-confirming for developing purposes and the two lots were deemed merged. Before Ms.Blazowski can sell the property so same can be developed, the lot merger of the above referenced properties must be waived by the Town of Southold. The application for said waiver calls for a survey of both 175 Clearview Avenue, Southold, NY 11971 and 75 Clearview Avenue, Southold, NY 11971. Ms. Blazowski has engaged Scalice Land Surveying to conduct the required survey. With your permission, the field team will go to both properties and complete the survey required for the waiver application. My client is respectfully requesting your assistance in this matter. Please feel free to give me a call to discuss further. Page 1 of 2 Should you have any questions,please do not hesitate to contact the undersigned. Very truly yours, RECEIVED ---E Steven A Siliato OCT 18 ,019 Zoning Board Of Appeals Page 2 of 2 09/23/2019 13:50 63129E, 3 PALIJMBLI ASSOCIAh__— PAGE 01/02 The Law Firm of Palumbo and Associates P.C. 13200 Main Road,P.O Box 132 Mattituvk,New York 11952 Phone(631)298-1600 Pax(631)298-1603 Aritho Y B• .�9C-#4 Tracy Karsch Palumbo,Esq. Via facsimile o�aly:631-878-4460 0 C T 1 9 Zoning Board Of Appeals September 231 2019 Steven M. Siliato,Esq. Lieb at Law PC 308 W.Main Street, Suite 100 Smithtown,New York 11787 Re: 175 Clearview Avenue,Southold,NY 111971 Dear W. S' Please be advised that the owners of the above-referenced property, W and 1&s. Worysz, will not consent to a surveyor entering their property at this time. e e e a co of their survey for your convenienc which should provide the ' ormarion yo you. VerPK.Palumbo s, Tra TKP/dl CC: Client �� arui se•fo•si IN_ 3 g ., ���� - ` ✓ , 21 i 2t J Oe-O -27-D • a n N N.. 73.1 �(o 6 j - 7- �- 6.TN Y aV stud Il(/ e.8 m — 6.10 5 b 7 O 4s1�E 4A. L11 a'f'1 e �- ti® • O Y '�+� f� 1.3 t� 3 e soutnan mo"015�'.MVED a j , m 7.1 0 ® O d s 11 OCT 18 2019 4" ' 'N lei �" • ' r Of 13 Appeals FOR FL1.N0. 'Qypf• �,6 + sm ML W6 U cmrm �� OcsW-010.1 L5afo1 Ron •, la 17 15 1 47A1d L�2A'lOkl L2Md 1LWkw 1. 18.1 2L2 7o 2� S 1 35 1 ��• !ft • 2 e 52 i to u 12 13 11 N 1'r U 17 11 15 20 7.1 LWd UAW IMCI Loud� L3ud 2=12 IU 7 ~ 4 ' TOWN OF S007NDLD w SI 332u44 22 crag , 19c) LAW i iOSERT U" Lome) O Y sNdaK 29 7f.2 +" 45A !:td LLW a a • 1! + 4 31.1 • .a • 3_P LSud i • a 46 33 5 3sM TA Loud Q 303 MA 1 31 39 40 /A 42 � 441 � LUId 7 7! 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'F � ..,._ "�`.?^• .'�•'�. :` ��.. +'f�'gS �' S. .tr- -, >'�:.•' _�S.._� '.:' � 1, *.�. �. ••X731.� 9 Y S 4 YrtsuRal c vtc",UC RECEVE OCT 18 2019 i TITLE NO:7404-005024 District. : 1000 Section: 070.0 Zoning Board Of Appeals s: Block: 08.00 ' Lot: 041.000 r Town of Southold,New York Gentlemen: FIDELITY NATIONAL TITLE INSURANCE SERVICES,LLC hereby certifies to the TOWN OF x SOUTHOLD that it has searched the records of the Suffolk County Clerk for deeds affecting the captioned property and properties immediately adjoining and finds: SEE A,TTTACHED 4 And the records of the Suffolk County Clerk and/or Suffolk County Registrar disclose no other Anther conveyance of any of the foxegoing lots other than as set forth, FIDELITY NATIONAL TITLE INSURANCE SERVICES,LLC certifies that the above-captioned property has been in single and separate ownership by Snsu J.Blazowski and his/her predecessors in title since prior to 4/1/1957 except as follows: - (see attached chains oftitle). a No searches have been made other to as expressly stated above. The Company's liability under this Certificate shall only be to the party to whom it is certified and such liability shall under no circumstances exceed the amount of Twenty-Five Thousand Dollars($2.5,000.00)and no policy of z 3 title insurance can.be issued based upon the information contained in the Certificate. Dated:June 19,2019 FIDELITY NATIONAL INSUItAI`Nt;E SERVICES,LI.0 Sworn to before me this 19th,• of Jw}e,,2;019 r• lotary public 24 Commerce' Veruead,New York 11901 (631)727-0600 Fax:(631)727=0606 t 1 l Y - de3 INNRANCE SERVICEsa LLC RECEIVED OCT 18 2019 3: TITLE NO. 7404-005Q24 Zoning Board Appeals STATE OF NEW YOIZI�,)ss. s COUNTY OF SUFFOLK) JEAN DUVA,being duly sworn deposes and says: 'qj4e U , a E0qMk.,of ft=rxh of•6 :0 of Suffolk County with `4a ,j-theJf SCTM; 1000-070,00-08,00-041,000 r indicate the fallowing chains of title as to premises and adjoining lots since ` N/ 94� SUBMCT PREMSES; 1009-070.00-08.00-041.000 5 G.Wells Phillips,unmarried Liber 550 cp 86 TO Dated: 12/01./1892 Christopher Uicht Rec'd:02/17/1904 (premises and more) Christopher Leicht died on.August 09, 1953.devising premises to his son Fred C.Leight. Frederick C.Leidbt died on July 08, 1954,devising Life Estate to his wife Edit#T. Leicht, Edith T.Leicht,surviving Exemtor of the Liber 4954 cp 148 Last Will and Testament of Frederick C.Leicht Dated:03/01/1961 TO I Rec'd:03/01/1961 Southold Development Corporation (premises and more) FIDELITY NATIONAL, J:INSURANCE SERVICES,LLC Sworn to before me this 19th day of June 2019 Notary Public 24 Commerce Dxlve w Riverhead,New York 11901 a(631)727-0600 Fax:(631)727-0606 B - 'Title INSURANCE SERVICES,LLC e RECEIVED OCT 18 2019 Southold Development Corporation Liber 5841 cp 59 '' TO Dated:09/02/196 Zoning Board Of Appeals William B.Smith Rec'd: 10118/196 F (premises and more) a William B. Smith Liber 5915 cp 325 Dated:02/15/1966 his wife, Reed; 02/23/1966 (premises and more) No proof of death found for Dominic Barbato and Anna Barbato in Suffolk Surrogates Court. Salvatore Barbato and Vincent Barbato,as Executors Liber 10859 cp 374_ of the Last Will and Testament of Dominic A.Barbato Dated: 05/10/1989 � TO Reed: 05/19/1989 Salvatore Barbato 1 r Salvatore Barbato Liber 12050 cp 869 ; TO Dated:06/09/2000 Susan Blazowski and Catherine A.Idarper,as joint Recd:06/23/2000 , tenants with right of survivorship R; Susan J.Blazowski and Catherine A.Harper as joint Liber 1-2475 op 300 y tenants with right of survivorship Dated:07/07/2006 ; TO Reed: 12/23/2006 Susan J.Blazowski ]LAST DEED OF RECORD FiDBL1TX : --- INSURANCE MVICLS,LLC Sworn to before me this 19th day of June,2019 - otar Public -tom�•• - . 24 Commerce Drive Riyerhead,New York11POI (631)727-06.0,0 -Fox:(631)7.27-QO96 s d Tid MVWaSERV10ES,LLC t� RECEIVED PREMSES NORTH: 1000-070.00-00.00-029.000 O C T 18 2019 Sti G.Wells Phillips,unmarried Liber 550 00 Mning Board Of Appeals TO Dated: 12/0 F18 Christopher Leicht Rec'd: 02/17/1.904 ^ (premises and more) Christopher Leicht died on August 09, 1953,devising premises to his son Fred C.Leight, Frederick C.Leicht died on July 08, 1954,devising Life Estate to his wife Edith T. Leicht. Edith T.Leicht surviving Executor of the Liber 4934 cp 148 Last Will and Testament of Frederick C.Le(sl►t Dated: 03/01/1961 TO Roc'd:03/01/1961 Southold Development Corporation (premises and more) Southold Development Corporation Liber 6895 op 133 TO Dated,02111/197.1 ; Vito D.Cecchini Recd: 03/05/1971 u Vito D. Cecchini Tiber 7180 9 419 0 TO Dated:05/25/1972 Joseph C.Gordon and Elizabeth E.Gordon,his wife Rec'd,06/19/1497.2 LAST DUD OF RECORD s r FIDELITYNA ' INSURANCE SERVICES,LLC Sworn to before me this 19th day of June,2019 a Aft t -, <- . lic - 24 Commerce Drive t Riverhead,New York 11901 •(631)727-0600 •Fgx:(631)727-0606 Mdeft NziffionA, i je UgSU CE stRvicl s,L c RECEII/ED � a OCT 18 2019 PRFMSES FAST:1000-070.00-0&00-040.000 G.Wells Phillips,unmaxried Liber 550 cp 86 zoning Board Of Appeals TO Dated 12/01/1892 Christopher Leicht IF-cc'd;02/17/1904 ; (premises and more) Christopher Leicht died on August 09, 1953,devising premises to his son Fred C.Leight. Frederick C.Leicht died on July 08, 1954,devising Life Estate to his wife Edith T. Leicht. Edith T.Leicht,surviving Executor of the Liber 4954 cp 148 ' Last Will and Testament of Frederick C.Leicht -Dated:03101/1961 TO Reed;03/01/1961. ' Southold Development Corporation (premises and more) : Southold Dcvelapment Corporation Liber 5841 cp 590 TO Dated:09/02/1965 William B. Smith Rec'd: 10/18/1965 (premises and more) William B.Smith Liber 5915 cp 325 To--_� -�-°� -�-4 Dated:42/15/196b �c-Barbato and Anna Barbato,his' e, Recd:02/23/1966 Eby the — .=-._. `' (premises and mare) No}goof of death found for Dominic Barbato and Anna Barbato in Suffolk.Surrogates Court. FIDELITY N ? _ ,Ti�TSURANCE SERVICES,LLC' Sworn to before me this 19th day of Tune,2019 Notary Public 24 Commerce DAve 4 Riverhead,New York 11901 •(631)727-0600 •Fax.-(031)7�7-0606 Fid IM a- 1 .' lie ` INS Vical LLC RECEIVED 0182019CT Salvatore Barbato and Vincet Barbato,as Executors Liber 10859 cP 370 iofthe Last Will.and Testament of Dominic A.Barbato Dalod: 05,110/1989 Zoning Board Of Appeals TO Rec'd: 05/19/1989 Vincent Barbato "Vincent Barbato Liber 11752 op 482 TU Dated:06/28/1996 Gerard Worysz and Jean Worysz Recd:07/12/1996 FAST DEED OY RECORD )PREMUS SOUTH: CLEARVIEW AVENUE i PREMSES WEST: GARDENERS LANE r; a _ b FIDELITY NATIONAL INSURANCE SERVICES,LLC Sworn to before me this - - = : 19th of June,2019 _ a Notary P4bUo ` , 24 Commerce Drive•Itiverhead,New York 11901 •(631)727-0600•Fax:(631)727-0606 RECE Ma 0" A h RECEIVED 1121 OLD WALT WHITMAN ROAD,Suite 200, MELVILLE,NY 11747•Phone No.631-385-8" Wednesday,dune 19,2019 Page.'l of Jr LANCE LONGO,ESQ. 43 SCHNEIPER LANE HAUPPAUGE NY 11788 Account Number. 36 (631)342--9664 Fax No.(631)297-8466 Search Number. 19-SSTL2706S Order Details: Ordered: .6/7/2019 Customer Reference: HATM Capital Corp.from 8109OWsk) owner(s): Susart.1,Blazowslif Buyer(s); RATM Capital Corp. Premises: 75 Clearview Avenue,Southold,NY 11971(Suffolk County) Rite Des ptlog ofr fh6uri aeiTax ----P4ymenU Arnoun1; 6/19/2019 SINGLE AND SEPARATE $1,000.00 $0.00 $0.00 $1,000-00 Sales Tax not applied Charges: $1,000.00 Please make checks payable to: Sales Tax: $0.00 TRIBOROUGH LAND SERVICES Payments: $0.00 1121 OLD WALT WHITMAN ROAD,Suite 200 TotalDue, $1,000.00 MELVILLE,NY U741 Please return this portion withyourpayment— — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — Name: LANCE LONG O,ESQ. Invoice Amount. $1,000.00 Amount Enclosed;, Please apply payment towards Search Number 19-SSTL27065. Please apply payment towards balance under Account Number 35. Terms:All charges due within 30 days upon receipt wlthota penalty. Please make checks paya4le to TRIBOROUGH LAND SERVICES F ZBA TO TOWN CLERK TRANSMITTAL SHEET (Filing of Application and Check for Processing) DATE: October 22, 2019 ZBA # NAME OF APPLICANT CHECK # AMOUNT TC DATE STAMP RECEIVE® ` 7365 Blazowski, Susan 1825 $750.00 OCT 2 3 2019 outhold Town Clerk TOTAL $750.00 Sent via Inter-Office to Town Clerk by: DW Thank you. V: 56-6661214 •'sus�v.J,rBr�zow��a :- �,� -, �;,, 'fir`'„ T .� -a,,. 9 f::tt•!.'a;:-„`i��”-i:;.'K. r<4.?�55U75;R'I':25�IIIVITy35;;r= •-° ,"' _ ,.-�,.�x. - _ ��_--�w;'� _ SOUTW", VIY:11971" < ;,.. - ;DATE x - PAYkO $ e TAEORDEROF � f. `s- � a sr.q, .,�„µ•_�'� .a:"t s eaacUve7- cn ( t-r�, ,5.... J r.si'r,.1 •'b` -SY••;,'i � ^i' '• BNB-` - ~'y''�'•6.i '*t..,1}�• •,`4. , Bank ` - •_ ;=�t'= « .L '�.' '� MEMO ,. 01`4^=> [�Dr�+ � ;T~ , 0 Nr LOOK O' AU0.0 RRINO A flES INCWDINO THE SECURITY SQUARE A D NEAT E CTM: K DETAIL ON BACKy � ...{s '" :ra, ®�®SUFFo`�.c® ELIZABETH A.NEVILLE,MMC �� r/y Town Hall, 53095 Main Road TOWN CLERK O P.O.Box 1179 y Z Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p • Fax(631)765-6145 MARRIAGE OFFICER 'y� 0� Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER0,� J �� FREEDOM OF INFORMATION OFFICER www.southoldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Zoning Board of Appeals FROM: Elizabeth A. Neville DATED: October 23, 2019 RE: Zoning Appeal No. 7365 Transmitted herewith is Zoning Appeals No. 7365 for Susan Blazowski: The Application to the Southold Town Zoning Board of Appeals Applicant's Project Description Questionnaire ,/Agricultural Data Statement Short Environmental Assessment Form o/Applicant/Owner Transactional Disclosure Form(s) �7Agent/Representative Transactional Disclosure Form(s) 7LWRP Consistency Assessment Form :�/::Notice(s) of Disapproval Board of Zoning Appeals Application Authorization Certificate(s) of Occupancy Findings, Deliberations and Determination Meeting(s) Action of the Board of Appeals Photos Correspondence- ,ZCopy of Deed(s) Building Permit(s) Property Record Card(s) Survey/Site Plan ]5 Maps- Drawings Misc. Building Dept. forms (Certificate of Compliance, Housing Code Inspection, ect.) Misc. Paperwork .i)wn of Southold P.0 Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 10/23/19 Receipt#: 260862 Quantity Transactions Reference Subtotal 1 ZBA Application Fees 7365 $750.00 Total Paid: $750.00 Notes: Payment Type Amount Paid By CK#1825 $750.00 Blazowski, Susan Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 I Name: Blazowski, Susan 55075 Route 25 Unit 35 Southold, NY 11971 Clerk ID: JENNIFER Internal ID 7365 I _ 1 ■ 111law1 1 V b�lY�'iY 1- k RECEIVEDIm ➢. r ��,`t�' `w_` *s►.fir-.�. ani `mit.' ti p.r.1i=���!:\_'y✓y�j�7!�. .?ti•. -� III - f I UL FEB I , 1 0 2020 AT : ) rl 1 P 71 11j iiYrl I'` •`�I` 71i�f � �,��f Awl's ! Sh1 Yli 21 Am tp ► o r. _ w. I E �-4\ve',4„�h,'�spPit�•.,,i i- '•:� •� ' icP"-�>r � ,Rufa+�)1v ' ✓�� K."y yef�.a d5w7{_}'���1+•,�j•..r a.�:.�`� .- �•r•'+C�:�°i♦...,.!' �8\aY�Y.�a5r4 ',A• �'.t�+f , -t`..�'`S� Vii' OP q s ti ;t = •i ��. 44 rte. � I , n 1� ►� I; L, .� i,, � r� k .41 NOTICE OF HEARINGx � � 1 n, NAME LAZOWSKI,GUSAN .7345 3 ..1 .. i �. F . { r c• ,a. i I�.• ifY � 1� r � � , >� � � � II', 1 l•� °�f >rt o Si IY 'd'� � j •+ ri r•� r `� r` 1! �. E 1G�r'�,I�la �7{J�• X41►���,������i ( ! i �� �� ��j�y� `,'°'0.r•'i{ti� \ 1d{t� ,�1�,Q7 / 1�� m� ► �. 'm �orf Ili Will 49 ` ��� mr a ; r' '�'.r ''�� t� 1 r'7,�+'r�� � ;i ���1lm`• a.�g I'� I � ...W.'!•y,ya9 _ 1 � A , r 7N� RECEIVED FEB 0 3 1.020 Zoning Board Of Appeals IR � i � 1 Ll +� +� +lig, A`),R .6�1✓ ��+�'�� '�" �'!, 4� 71 4� ;'����� i ++ 9 �1 �� ��. � � �'`�1► .�� ` �t a��, � �, � �� — r I : l 1F Aft- 7,71 sGP'40 sw ` • , VY.. �A K t ILII I(IINI I� N � J�'"�j/Tf' , �;` '. o s �`.�4� .•inn'!• �wVR .� .R7°�i ,� 1��I1 •1 1 lif�Mtyt d'z` lntl+ `arl 1r ( q �. _ 3 AT ' t i 4 Pp, F .......... ............ fir 'r iY5 yyi Rol .......... wa 7�f "Aft" 14 D#Tgk � )-OILD FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT RECEIVED Town Hall Southold, N.Y. honing board of Appeals BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 26550 Z Date JUNE 6, 2000 Permission is hereby granted to: SALVATORE BARBATO ( arper/Blazowski) 244 LENOX ROAD HUNTINGTON STATION 11746 for CONSTRUCTION OF A SINGLE FAMILY DWELLI WITH ATTACHED GARAGE AS APPLIED FOR. at premises located at /on EARVIEW AVE SOUTHOLD County Tax Map No. 473889 S0 Block 0008 Lot No. 041 pursuant to application dat 19, 2000 and approved by the Building Inspector. Fee $ 390.60 Authori a Signature I RECEIVED FEB 6 7 � ORIGINAL Rev. 2/19/98 Zoning Beard of Appevis Dow E. Ba; . OF HEALTH IIi3 SETS OF PLANS . . . . . . . . . . . . . . . ARA-90 TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . .. . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . .. . . . . . . . ELDG.DEPT. TOWN HALL SEPTICFORM . . . . . . . . . . . . . . . . . . . i� ?vliy's�Cir SOUTHOLD SOUTHOLD, N.Y. 1 1971 TEL: 765-1802 NOTIFY: Q t CALL . .?.7?,',. l Examined... .........., 20.... l MAIL T0: Appraved..1R L• .........70 O.Q. Permit No. A.k.vr,sC7;ZZ ................................... 4 Disapproveda/c .................................. ............................... ...................................... .......... (Building tor) APPLICATION FOR BUILDING PERMIT Date. . . . . . . . . . . . . . . . 20. . . . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Auilding Inspector 3 sets of plans, accarrate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. c. The work covered by this application may not be cannenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Sucl permit shall be kept on th6 premises available for inspection throughout the work. e. No building shall be occupied or used in Whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HELUff EM to the Building Department for the issuance of a Building Permit pursuant to the Building ?one Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the couastruuction of buildings, additions or alterations, ok for removal or demolition, herein described. The applicant agrees to comply With all applicable laws, ord' building code, housing , and regulations, and to admit authorized inspectors on premises and in buildi fo necessary in tions. . ... .. ...�N.�.. ..... ........ •(Signator-e.of applicant, or i .a..oiporation) ................................. ............... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buil ...................................................................................................................... s Name of owner of premises ........ ¢�v�:, � 2 ..'S� ....................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Nene and title of corporate officer) Builders License No. ......................... Plumbers License No. ......................... r s Nuture of work (cibeck wind, applicable; lew Building Addition Repair ............ Removal ............. Demolition ..... .......... Alterati ....... Other Work i. Estimated Cost ...v50.tQ Q?Qf...... ee .............. �bescription)................ ................................ oto be paid on filing this application) �• 1 E ri<rel l ing, rxniier of dwelling units ............ NLaber of dwellingunits on each floor ............... If garage, (Miter of cars ..........:�)-........ �. If business, crmnercial or mi .•.•.•.--...-•-- wed occupancy. specify nature and extent of each type of use.. '• Dimensions of existing structures, if any: ............. Front ....... Heigi't ............... ...---.......... Rear ............... Depth ................. - Number of Stories Dimensions of sane structure with al ...................... �� Depth ............. alterations or additions: Front . ................. N ....... Height ... urber Rear .............. of Stories .......,,, I. Dimensions f ..... o entire new construction: Front y� llei�it ............... ....�' .�.r�•sr Rear ............... Depth ..b.'7....... •.•••• . NLuber of Stories ....... ............ Size of lot: Croat ........\-�,Q ...... Rear .................... Deptt► D. Date of Purchase ..................... Name of Former Owner . I• Zone or use district in which premises are situated ...... ?• Does proposed construction violate any zoning law, ordinance or regulation: ............................... .. . Will lot be regraded .................... Will ............. excess fill be removed from premises: Y� ND i. Names of Owner of premises .. " Address Pln�e No. Nave of Arcliitect ...: SSP ......... ....... .. ...�5�v�•.. .. .......... '`�' ... None of Ccmtractor ................................... �`�4•••-=:'N�orre No�.`�.-���'�,.':.�� ........ Address ........ Is this .....phone No. ...... .... party within 300 feet of a . tidal wetland? * YES ,,.,,,,,, *IF YES, SO[TI110ID 701dd 74(iJSI1�.S NDPERMT MAY HE WgRREO. .. .... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or om Property lines. Give street and block dingoto and indicate all set-back dimensions amber or description according to deed, and show street names and indicate ether interior or corner lot. l le of individual. signing contract -•.•......"„ming duly sworn, deposes and says that he is tine applicant TEST HOLE DATA E1p z (TEST HOLE DUG BY ON OCTOGSI 18, 1999) �� Q• WM a sNW tnw a $ aoww LOW Sfm sm . �wown FM ro aawSE swwr SW % a •�"�" �mown ME ro nor WM SP a = `. ozor WAlM IN PALE ORMH 'S 7 8 22.50- E coT® _ O 'O�'S 1' YACAW 3 . °„3s O.S. nuc FEAIQ- ' O ASSN N 1 so'.* Co .yg - Ov co �. e _ _ - .e • . e C • FENCE r� 3 loT ® o "bOD° g- o C4 od x -• � SFr dd' ._ �r 8. v� > 5o" ,Nn Of Southold '.O Box 1179 Southold, NY 11979 / * * * RECEIPT * Date: 04/19/00 Receipt#: 0 Transaction(s): Subtotal 1 Septic Permit-Construct- Resid. $10.00 Total Paid: $10.00 Name: Kennedy, John 15 Addie Lane Nesconsett, NY 11767 Clerk ID: HELENEH Internal ID:9191 I l l,l i ---- �-tel �,(�•,.-�- -ec,e��� _ -��� '�c � - w.`� j C�� � --- �I 1-7 71. ;Q LA . ., ED gip,►._ I - Lia-- - - - -- -- -- - - -- - -;� - - �O.os r i Sj� yp ---- -- S -L ® v TF OF 140 - - ----- ;• Ac Lt 4 i' j.l a � I i I l li r9sr 9WAAM M car>E «15 or ON 7► tai ls") �>.wLow o IV ♦ n Wfx LOAWNoa 30 so- 1w now e1i�w Marr so � * � ve J l CL soft S -s W ,so•t .0. r Nv aft 8 d ~ G A • :•ate' � • •� � f3'�.fr \ % ♦ • _ �•�[ SWOLK SIV SS y f6. PERM 14 v a• lTM �1 DATE 1 ,. APrROVn_ FC BUILDING P _ [EMIT REVIEW C 1ECK LIST Applicant/ 22 rr Date Owners Name: , moi b ,> Li 07tReviewed: Architect/ Date Engineer: Submitted: /l 0 SCTM #: District: 1.000 Section: _ Block: _ Lot: _ Project Subdivision Location: 75— CJt fit_ XM EL,) -4v'P— IkCCQ Name• i Sin&le&separate Required certification: Yes/No j Req / O r Req. Zoning District —1 [Lot size: `Ub l� Actual 2' 34 S 1 [Lot coverage'-0 a 8 Proposed 3, ttJJ4 Req (F ont Yard —l0 Proposed-_t' ] [Side Yard [ J Proposed: `� 1 [Rear Yard 150 Proposed Project Description: P I o AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation??? Flood Zone: Notes: S't -`' The Law Firm of Palumbo and Associates, P.C. 6 (e `-4 13200 Main Road,P.O Box 132 1Y�Jtt� Mattituck,New York 11952 Phone (631)298-1600 J(C5 OL&iu-za Fax(631) 298-1603 Anthony H.Palumbo,Esq. Tracy Karsch Palumbo,Esq. February 2, 2020 0-01 Zoning PP Board of Appeals 0 '7 3�& Southold Town Town Hall Annex OZOnin 54375 Route 25 PO Box 1179 Southold, New York 11971 -01 Re:, Waiver of Merger application 75 Clearview Avenue, Southold, NY 11971 Dear Board Members,- This embers,This firm has been retained by Mr. and Mrs. Gerard Worsyz, concerned neighbors, in connection with the above-referenced application which is on your calendar for a hearing for Thursday, February 6, 2020. Mr. and Mrs. Worsyz purchased 175 Clearview Avenue, the parcel located to the east of the subject property, by deed dated June 28, 1996. Thereafter they built their home on the lot, .where they resided peacefully with their family until September of 2019 when they were notified of this application. A reading of the single and separate search of the two properties which the Town suggests merged which was provided by the applicant's attorney, reflects that in 1989, the Estate of Dominic A. Barbato conveyed my clients' lot to Vincent Barbato, who then in 1996 conveyed his lot to Mr. and Mrs. Worsyz. Similarly, in 1989 the Estate of Dominic A. Barbato conveyed the subject lot to Salvatore Barbato who then conveyed it to the applicant, Susan Blazowski in 2000. It appears that in 1989, the co-Executors of the Barbato estate intended to transfer the separate lots separately to family members in equal shares, placing the lots in separate names. Regardless of whether or not they were aware of the merger statute at the time, they then sold those two separate lots to my clients in 1996 and to the applicant in 2000, benefiting from the sales of the separate lots. My clients do not seek to interfere with anyone's legal rights, they simply seek to preserve their own. However, if the Board deems the properties merged and cannot grant a waiver of the merger, since my clients were first to purchase the property then, under the laws of New York State, they would be the title owners of the merged property. If the Board holds this to be the case, then, the only remedy at law for the applicant would be to pursue an action for a taking under the Constitution. It seems as though equity dictates that these properties should be recognized as two separate parcels. Thank you in advance for considering Mr. and Mrs. Worsyz's concerns with this application. Very truly yours, T acy K. Palumbo TKP/dp Enclosures Cc: Steven M. Siliato, attorney for the applicant by email only: steven.siliato@liebatlaw.com RECEIVES -73&� FEB 0 5 2020 Zoning Board Of Appeals a _ 1 { Fuentes, Kim From: Fuentes, Kim Sent: Friday, June 19, 2020 8:43 AM To: 'sms@liebatlaw.com' Subject: ZBA #73 �Blazowski Attachments: ZBA Chairperson s Update on Reopening Plans June 15 2020.pdf Hi Steven, Sorry for the delay in responding. The Town is preparing for Zoom virtual meetings for all Boards and we just received approval to conduct our first special meeting on June 25. The Blazowski matter will be on the agenda. I've attached the Chairperson's memo to applicants pending. Kim L. Fuentes Secretary to the Zoning Board of Appeals Town of Southold 54375 Main Road Southold, NY 11971 631-765-1809, Ex. 5011 E-mail:kimf@southoldtownnygov Mail to:P.O. Box 1179, Southold, NY 11971 i BOARD MEMBERS ®��®F 5®U� Southold Town Hall Leslie Kanes Weisman,Chairperson ® 53095 Main Road•P.O.Box 1179 Southold,NY 11971-0959 Patricia Acampora Office Location: Eric Dantes ® �O Town Annex/First Floor, Robert Lehnert,Jr. 54375 Main Road(at Youngs Avenue) Nicholas Planamento SCOW N I Southold,NY 11971 http://southoldtownny.gov ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel.(631)765-1809•Fax(631)765-9064 LEGAL NOTICE SOUTHOLD TOWN ZONING BOARD OF APPEALS THURSDAY, FEBRUARY 6, 2020 PUBLIC HEARING NOTICE IS HEREBY GIVEN, pursuant to Section 267 of the Town Law and Town Code Chapter 280 (Zoning), Town of Southold, the following public hearing will be held by the SOUTHOLD TOWN ZONING BOARD OF APPEALS at the Town Hall, 53095 Main Road, Southold, New York 11971-0959, on THURSDAY, FEBRUARY 6, 2020. 10:10 A.M. - SUSAN BLAZOWSKI #7365 - Request for a Waiver of Merger petition under Article Il, Section 280-10A, to unmerge land identified as SCTM No. 1000-70-8-41 which has merged with SCTM No. 1000-70-8-40, based on the Building Inspector's October 18, 2019 Notice of Disapproval, which states that a non-conforming lot shall merge with an adjacent conforming or non-conforming lot held in common ownership with the first lot at any time after July 1, 1983 and that non-conforming lots shall merge until the total lot size conforms to the current bulk schedule requirements (minimum 40,000 sq. ft. in the R-40 Residential Zoning District); located, at 75 Clearview Avenue, Southold, NY. SCTM Nos.1000-70-8-40 & 1000-70-8-41. The Board of Appeals will hear all persons, or their representatives, desiring to be heard at each hearing, and/or desiring to submit written statements before the conclusion of each hearing. Each hearing will not start earlier than designated above. Files are available for review during regular business hours and prior to the day of the hearing. If you have questions, please contact our office at (631) 765-1809, or by email: kimf@southoldtownny.gov. Dated: January 16, 2020 ZONING BOARD OF APPEALS LESLIE KANES WEISMAN, CHAIRPERSON By: Kim E. Fuentes 54375 Main Road (Office Location) 53095 Main Road (Mailing/USPS) P.O. Box 1179 Southold, NY 11971-0959 1 TYPESET Wed Jan 08 10 15 11 EST 2020 75 Clearview Avenue,Southold,NY SCTM ant to Article III, Section 280-13B(1), the LEGAL NOTICE Nos.1000-70-8-40&1000-70-8-41 applicant is requesting to convert a single SOUTHOLD TOWN 10:20 A.M.-JUDITH EVANS#7366-Re- family dwelling to a two-family dwelling, ZONING BOARD OF APPEALS quest for a Variance from Article III,Section located,at 45805 NYS Route 25,Southold, THURSDAY,FEBRUARY 6,2020 280-15 and the Building Inspector's Septem- NY SCTM No 1000-75-2-14. PUBLIC HEARINGS ber 18,2019 Notice of Disapproval based on 1:50 P.M.-WILLIAM GORMAN#7302- NOTICE IS HEREBY GIVEN,pursuant an application for a permit to construct an (Re-opened on December 19,2019)Request to Section 267 of the Town Law and Town accessory in-ground swimming pool at, 1) for a Variance from Article XXIII, Section Code Chapter 280(Zoning),Town of South- located in other than the code required rear 280-124 and the Building Inspector's March old,the following public hearings will beheld yard;located at 1120 Willow Drive,Green- 18,2019,Amended December 2,2019 Notice by the SOUTHOLD TOWN ZONING port,NY SCTM#1000-40-2-6.8. of Disapproval based on an application to BOARD OF APPEALS at the Town Hall, 10:30 A.M.-BRYAN NICHOLSON AND construct a front porch addition to an existing 53095 Main Road,Southold,New York on SCOTT BOGER #7367 - Request for single family dwelling currently under con- THURSDAY,FEBRUARY 6,2020. Variances from Article XXIII, Section struction(BP#42160)and to alter an existing 9:30 A.M.-ROBERT YEDID#7309-(Ad- 280-124 and the Building Inspector's August building to an accessory storage building;at, Journed from October 10,2019)Request for 27,2019,Amended December 6,2019 Notice 1)Dwelling is located less than the code re- Variances from Article III, Section 280-15; of Disapproval based on an application for a quired minimum front yard setback of 40 feet; Article XXIII,Section 280-124,and Building permit to construct a single family dwelling 2)Accessory structure is located in other than Inspector's March 22,2019,Notice of Dis- at,1)located less than the code permitted side the codepermitted rearyard,located,at45805 approval based on an application to legalize yard setback of 10 feet;2)located less than the NYS Route 25, Southold, NY SCTM No an"as built"accessory swimming pool and an code permitted combined side yard setback of 1000-75-2-14 "as built" accessory shed; at, 1) accessory 25 feet,located at 155 Bridge Street,Green- 2:00 P.M. JOAN COOKE #7342- (Ad- shed located less than the code required side port,NY SCfM#1000-34-3-45 joumed from December 5,2019)Request for yard setback of 5 feet;2)accessory shed lo- 10:40 A.M.-ROBERTAALIFANO#7368- a Variance from Article XXIII, Section cated less than the code required rear yard Request for Variances from Article XXIII, 280-124 and the Building Inspector's June ll, setback of 5 feet;3)"as built"construction is Section 280-124 and the Building Inspector's 2019,Notice of Disapproval based on an ap- more than the code permitted-maximum lot October 16, 2019 Notice of Disapproval plication for a permit to amend an existing coverage of 20%,located,at 230 Hippodrome based on an application for a permit to con- building permit#42432Z for additions and Drive, Southold, NY SCTM No struct additions and alterations to a single alterations to a single family dwelling,at,1) 1000-66-2-25. family dwelling at, 1) located less than the less than the code required front yard setback 9:40 A.M. - DONNA M. WEXLER, code permitted rear yard setback of 35 feet,2) of 35 feet,located at 2205 Bay Avenue,East DONNA M. WEXLER REVOCABLE located less than the code permitted side yard Marion,NY.SCTM No. 1000-31-17-6. TRUST AND RODNEY T. QUARTY setback of 10 feet, located at 1500 Grand #7363-Request for Variances from Article Avenue,Mattituck,NY.SC1'M#1000-107-3- The Board of Appeals will hear all persons IV,Section 280-18 and the Building Inspec- 13. or their representatives,desiring to be heard at tor's September 30,2019 Notice of Disap- 1:00 P.M.-BARBARA BECKER#7369- each hearing,and/or desiring to submit writ- proval based on an application for a subdivi- Request for a Variance from Article XXII, ten statements before the conclusion of each sion of merged properties at,l)both proposed Section 280-105C(3) and the Building In- hearing. Each hearing will not start earlier lots will be less than the code required mini- spector's October 18,2019 Notice of Disap- than designated above.Files are available for mum lot area of 40,000 sq ft;located at 1275 proval based on an application for a permit to review during regular business hours and West Hill Road and 1175 West Hill Road, construct a deer fence at, 1) more than the prior to the day of the hearing If you have Southold. NY SCTM#1000-70-4-22 and code required maximum four(4)feet in height questions,please contact our office at,(631) 1000-70-4-23 when located in the front yard, located at 765-1809, o r by email k i m f@ 9:50 A.M. - EILEEN AND ROY 38015 NYS Route 25,(Adj.to the Long Is- southoldtownnygov SCHUMACHER #7372 - Request for land Sound)Orient,NY.SCTM#1000-15-2- Dated:January 16,2020 Variances from Article XXIIi, Section 15 8 ZONING BOARD OF APPEALS 280-124 and the Building Inspector's October 1:10 P.M. QJSG PROPERTIES, LLC LESLIE KANES WEISMAN, 24,2019 Notice of Disapproval based on an #7371-Request for a Variance from Article CHAIRPERSON application for a permit to construct additions XXII,Section 280-105C(3)and the Building BY.Kim E Fuentes and alterations to an existing single family Inspector's October 18,2019 Notice of Dis- 54375 Main Road(Office Location) dwelling at, 1) located less than the code approval based on an application for a permit 53095 Main Road(Mailing/USPS) required front yard setback of 35 feet(Holden to construct a deer fence at,1)more than the P.O.Box 1179 Avenue); 2) located less than the code re- code required maximum four(4)feet in height Southold,NY 11971-0959 quired front yard setback of 35 feet(Southern when located in the front yard, located at 2438490 Cross Road),located at 980 Southern Cross 38015 NYS Route 25,(Adj to the Long Is- Road, Cutchogue, NY SCTM#1000-110-5- land Sound)Orient,NY.SCTM#1000-15-2- 49. 15.7. 10:00 A-M.PANAYIOTIS BASIOS#7364- 1:20 P.M.-ERIC FREND#7370-Request- Request for a Variance from Article XXII, for a Variance from Article XXIII,Section Section 280-116A(1) and the Building In- 280-124 and the Building Inspector's October spector's September 25,2019 Notice of Dis- 7,2019,Amended October 30,2019 Notice of approval based on an application for a permit Disapproval based on an application for a to construct an accessory in-ground swim- permit to construct an accessory shed at, 1) ming pool at, 1) located less than the code more than the code permitted maximum lot required 100 feet from the top of the bluff, coverage of 20%, located at 3690 Great located at 2505 Soundview Avenue,(AdJ to Pecwnic Bay Blvd,Laurel,NY SCTM#1000- the Long Island Sound) Mattituck, NY. 128-6-6. SCTM#1000-94-1-12.2 1:30 P.M.-KENDALL TODD#7373-Re- 10:10 A.M.SUSAN BLAZOWSKI#7365- quest for Variances from Article XXIII,Sec- Request for a Waiver of Merger petition under tion 280-124 and the Building Inspector's No- Article 11,Section 280-1 OA,to unmerge land vember 6,2019 Notice of Disapproval based identified as SCTM No 1000-70-8-41 which on an application for a permit to demolish an has merged with SCTM No 1000-70-8-40, existing dwelling and to construct a single based on the Building Inspector's October 18, family dwelling at, 1) located less than the 2019 Notice of Disapproval,which states that code required front yard setback of 35 feet,2) a non-conforming lot shall merge with an located less than the code required rear yard adjacent conforming or non-conforming lot setback of 35 feet, located at 670 Bayview held in common ownership with the first lot at Drive, (AdJ to Spring Pond) East Marion, any time after July 1, 1983 and that non- NY SCI'M#1000-37-5-3 conforming lots shall merge until the total lot 1:40 P.M. - WILLIAM GORMAN size conforms to the current bulk schedule #7303SE - (Adjourned from December 5, requirements(minimum 40,000 sq ft in the 2019)Request for a Special Exception pursu- R-40 Residential Zoning District),located,at 46002438490 4 STATE OF NEW YORK) )SS: COUNTY OF SUFFOLK) Kimberly Gersic of Mattituck, in said county,being duly sworn, says that she is Principal Clerk of THE SUFFOLK TIMES ,a weekly newspaper,published at Mattituck,in the Town of Southold,County of Suffolk and State of New York,and that the Notice of which the annexed is a printed copy, has been regularly published in said Newspaper once each week for 1 weeks(s),successfully commencing on 01/16/2020 Principal Clerk Sworn to before me this day o RiS. �tiA VJtINSKI NOTARY PUBLIC-STATE OF NEW YORK No 01VO6105050 Qualified in Suffolk County My Commission Expires February 28,2020 L-.,_%`VING BOARD OF APPEALS T ' MAILING ADDRESS and PLACE OF HEARINGS: 53095 Main Road, Town Hall Building, P.O. Box 1179 Southold, NY 11971-0959 (631) 765-1809 Fax 765-9064 LOCATION OF ZBA OFFICE: Town Hall Annex 1st Floor 54375 Main Road and Youngs Avenue, Southold website: http:Hsouthtown northfork.net January 3 , 2020 Re: Town Code Chapter 55 -Public Notices for Thursday, February 6, 2020 Hearing Dear Sir or Madam: Please find enclosed a copy of the Legal Notice describing your recent application. The Notice will be published in the next issue of The Suffolk Times. 1) Before January 21St : Please send the enclosed Legal Notice, with both a Cover Letter including your telephone number and a copy of your Survey or Site Plan (filed with this application) which shows the new construction area or other request, by CERTIFIED MAIL, RETURN RECEIPT REQUESTED, to all owners of property (tax map with property numbers enclosed), vacant or improved, which abuts and any property which is across from any public or private street. Use the current owner name and mailing address shown on the assessment rolls maintained by the Southold Town Assessors' Office. If you know of another address for a neighbor, you may want to send the notice to that address as well. If any letter is returned to you undeliverable you are requested to make other attempts to obtain a mailing address or to deliver the letter to the current owner, to the best of your ability, and to confirm how arrangements were made in either a written statement or during the hearing, providing the returned letter to us as soon as possible; AND not later than January 28th : Please either mail or deliver to our office your Affidavit of Mailing (form enclosed) with parcel numbers, names and addresses noted, along with the green/white receipts postmarked by the Post Office. When the green signature cards are returned to you later by the Post Office, please mail or deliver them to us before the scheduled hearing. If any envelope is returned "undeliverable", please advise this office as soon as possible. If any signature card is not returned, please advise the Board during the hearing and provide the card (when available). These will be kept in the permanent record as proof of all Notices. 2) Not Later January 29th : Please make arrangements to place the enclosed Poster on a signboard such as cardboard, plywood or other material, posting it at the subject property seven (7) days (or more) prior to hearing. (It is the applicant/agents responsibility to maintain sign until Public Hearing) Securely place the sign on your property facing the street, not more than 10 feet from the front property line bordering the street. If you border more than one street or roadway, an extra sign is supplied for posting on both front yards. Please deliver or mail your Affidavit of Posting for receipt by our office before February 4, 2020. If you are not able to meet the deadlines stated in this letter, please contact us promptly. Thank you for your cooperation. (PLEASE DISPLAY YOUR HOUSE NUMBER ALWAYS). Very truly yours, Zoning Appeals Board and Staff Ends. �+IuTIi. E -00' F HEARlrl � ' 'he following application will be heard by the- Southold Town Board of Appeals at Town Hall , 53095 Main Road , Southold: NAME : BLAZOWSKI , SUSAN #7365 SCTM # m. 1 000- 70-8-40 & 41 `. 'ARIANCE : NMER E LOT 41 FROM 40 VLEQUESTEE WAIVER OF MERGER SATE : THURS . , FEB . 69 2020 10 : 10 AM If you are interested in this project, you may review the file(s) prior to the hearing during normal business days between 8 AM and 3 PM. ZONING BOARD OF APPEALS-TOWN OF SOUTHOLD (631 ) 765-1809 O • TOWN OF SOUTHOLD ZONING BOARD OF APPEALS Appeal No. l7 SOUTHOLD,NEW YORK AFFIDAVIT OF In the Matter of the Application of: MAILINGS (Name of Applicant/Owner) t� —7S C/cC.U1c.... A.,� Jv� vld / SCTMNo. 1000- �G — (Address of Property) (Section, Block & Lot) COUNTY OF SUFFOLK STATE OF NEW YORK I, ( ) Owner, Agent residing at I G I l- . K-i, 5�"``� S r t�"^`'� I ti? �? �� New York, being duly sworn, deposes and says that: On the r day of 20 �a, I personally mailed at the United States Post,Office in Svc i^Fut ,New York, by CERTIFIED MAIL, RETURN RECEIPT REQUESTED, a true copy of the attached Legal Notice in Prepaid envelopes addressed to current property owners shown on the current assessment roll Verified from the official records on file with the (Assessors, or ( ) County Real Property Office, for every property which abuts and is across a public or private street, or vehicular right-of-way of record, surrounding the applicant's property. (Signature) Sworn to before me this day of c\0�1 U _ , 20&s SAMANTHA SORCE Notary Public,State of New York No.01 S06390022 Qualified in Suffolk County (Notary Public) Commission Expires April 08,20-0 PLEASE list on the back of this Affidavit or on a sheet of paper, the lot numbers next to the owner names and addresses for which notices were mailed. All original USPS receipts and mailing confirmations to be submitted to the ZBA Office along with this form completed, signed and notarized. I Postal • • - .CERTIFIED MAIV'RECEIPT ■ ® MIL , © ■ ■ N /. • �ru /• m }�ZE €�a as £� �'� if p i�• �j L:<.,� :.� g �'� ["� Ii /'� ;t r' S't t ( �'r." } z. �IZ— M Certlfied Mad Fee V - in Certified,Mad Fee Er Extra Services&Fees(check box,add fee as appropdate) O r� ,-F-� ❑RLR eturn Receipt(hardcopy) $ .¢4 O ,.1 Extra Services&Fees(check box,add tea as appropl<te). i, o. ❑Return Receipt(hardcopy) $ O ❑Return Receipt(electronic) $ t 9 Stmafk ® C3 - y ;7 4� ❑Return Receipt(electronic) _ $ Postmafft) ❑Certified Mail Restricted Delivery $ 1 ere A U' t El Mail Restricted Delivery $' Her � El Adult Signature Required $ �. E]Adult Signature Required $ O Posta Adult Signature Restricted Delivery$ A ❑Adult Signature Restricted Delivery$ � g Cl�` Postage L \•�_ °'� $ 501 Total Postage and Fees L p Iti $o.65 O O Total Postage and Fees .A Sent To Sent To sC o = �, r��t� .__�ZS� -------------------------------------------- S reef an Apt.t IoG.nor P�Box IVo. Street d A t AE,of F(3 Box Pio. •®` `'--01------- ------------------- �a 4 --------------------------------------------------- C�ry State,ZlP+4°D C tate,ZIP+4® I g 1 1-05 i o1 11'S4 z- I I Ll Postal Service", ° • 'LZ 11 On CERTIFIED t , t3 RECEIPT . , 0 ■ E Do estic Ma ly, M1 Domestic,Mail Only Ln Ln 'Fc .J M Certified Mad Fee - ` M Certified Mall Fee Ir M Er Extra Services&Fees(check box,add_fee as appropdate) cV Extra Services&Fees(check box,add tee as appropriate) 't ❑Return Receipt(hardcopy) $ J O C3I � �' ❑Return Receipt(hardcopy) $ h! 0 ❑Return Receipt(electronic) $ Pp tt lark E]Return Receipt(electronic) $ (e Porrtlark c3 ❑Certified Mail Restricted Delivery $ '4Z t'`ere El Certified Mail Restricted Delivery $ H`Bye ❑Adult Signature Required $ C3 � ltd � � Q ❑Adult Signature Required $ ElAdult Signature Restricted Delivery$ �- ❑Adult Signature Restricted Delivery$ .7W O PostageO i O Postage -may 0 Total Postage and Fees 0 Total Postage and Fees 5 $ to.Cl _111 Sent To -4 Sent To 'a _ �3Lc1 OvJY^fG yin Lt-�- '1 01 1- 0 f+c�cw� Irl.. Str et ndgp��-orPOBoxtrio- C3 Sfreetand-w IVo.,o*POBozIIo "---------"' SvvtateffSSLL4� lq------------------------------------------------ 7 '�__i c1�_c i 2�1 .. ------------------------ to,�! C taZIP+4 j� postal ■'TIrF'IED , © RECEIPT nj _n D. s LO ru IN Lf,,\ 4..."2'A M Certified Mad Fee � $ o-So N Extra Services&Fees(check box,add tee as appropriate) N - O ❑Return Receipt(hardcopy) $ s^' a ❑Return Receipt(electronic) $ `0POs�tmark r-3 El Certified Mall Restricted Delivery $ Q E]Adult Signature Required $ []Adult Signature Restricted Delivery$ O Postage g `% r- $ 0 O Total Postage and Fees $ro-95 Sent To 117-9 1C30- S -Ran-:_d , PO Box-N'o -� ------'—-------------------------------------- -- ----------------------------- -- -__gam -- City,State,ZlP+4® f\4 11 11.1-0,51 :er r re rr••r - I TOWN OF SOUTHOLD ZONING BOARD OF APPEALS SOUTHOLD, NEW YORK AFFIDAVIT OF In the Matter of the Application of: POSTING Sosa,V U ft2., yAS6 --W- 1365 SCTM No. 1000- -1 Q - '�- 41 (Name of Applicants) (Section, Block & Lot) COUNTY OF SUFFOLK STATE OF NEW YORK I, WA-0 residing at \q , Mly%Y1�4? , %fy J }yvk�VN .,W\JiL11M ,New York, being duly sworn, depose and say that: I am the ( ) Owner or r Agent for owner of the subject property On the 1 2�h day of \Nny OA , 20 o b, I personally placed the Town's Official Poster on subject property located at: indicating the date of hearing and nature of application noted thereon, securely upon subject property, located ten (10) feet or closer from the street or right-of-Way (driveway entrance) facing the street or facing each street or right-of-way entrance,* and that; I hereby confirm that the Poster has remained in place for seven (7) days prior to the date of the subject hearing date,which hearing date was shown to be Ov�`I ro,a C➢d,� (Owner/Agent Signature) Sworn to before me this 1Day of 2000 SAMANTHA SOR E Notary No.01 PublicS06390022 of w York Oualified in Suffolk County otary Public) Commission Expires April 08,203 * near the entrance or driveway entrance of property, as the area most visible to passerby o- - CERTIFIED O ■ ■ ® p ■ CO � /. • r� m Lr) �(�j f;_ _ In _ i� S� p;�p; • t� J � ';..3'• a •� N _/ l e • � • • f� •4 � I m Certified Mall Fee � �� • �� IF- � � ��� � �� � �� �� ✓Ij m Certified Mall Fee Ir j Extra Services&Fees(check box,add $ fee as appropriate),) O 17-91 Extra Services&Fees(checkbox,add fee as appropriate) O ❑Return Receipt(hardcopy) + N [:1 Return Receipt(hardcopy) $ O E]Return Receipt(electronic) $ � d P6stmark 4V i 0 ` ❑Certified Mail Restricted Delivery $ �� / j C3 []Return Receipt(electronic) $ OStlnark Here 3 ❑Certified Mail Restricted Delivery $ ' 0 E]Adult Signature Required $ E]Adult Signature Restricted Delivery$ O ❑Adult Signature Required $ >� j []Adult Signature Restricted Delivery$ i j Ip $ostOage 6 5 � s O Postage Ln j N Total Postage and Fees h- ITI�O 5 - ta a and Fees •U Sent To ` 1 1-9 (. ��}��(\ '11(}t .A Sent To --- - - �'-------k ---------------------------------- '� ( �►rc1 tMtS-C�Q,�O �l v�1�s �Z----------------------- Street andApt. -o,or PO Box No. J O freet andApt. - ,or PC7 Box No. r%-- LI :(�� ��1�`r•71�,`n--�'9�reml�Q r'' �j C�Q�x C ty State,ZIP+4CC ^ --- ""-w'a— h Si t� ll� O�{�ala1 ity,State,ZIP+4 CJ J' 3 :r• r •r 7 :rr r �• 0 ° o I• a ru Is rq O m m 00 � � � Cod F• F r--, � L Uru fa •'=� M CertifiedMailFee m1-0 Ir F Certified Mail Fee Ir $ Er Extra Services&Fees(check box,add fee as Z-;> r Extra Services&Fees(checkbox,add fee as appropriate) El Return Receipt(hardcopy) $ �prop��)✓.e y - ❑Return Receipt(hardcopy) $ Cf - I !I-3 E]Return Receipt(electronic) $ j POS[miark ❑Return Receipt(electronic) $ j Cl Postmark-i` C7 ❑Certified Mail Restricted Delivery $ He e ❑Cert�ed Mail Restricted DeliverLn y $ �' �� Here --_j', O ❑Adult Signature Required $ ?_` ❑Adult Signature Required $ '{ il I( {i ❑Adult Signature Restricted Delivery$ ` pe •.fig ( E]Adult Signature Restricted Delivery$ S-; e. p Postage r -' \, Postage - Ln $ Total Postage and Fees �' _ ` r- Total Postage and Fees ,,,p Sent To , I ;=01 _:_ jot W- �- (- - �- --t J- d - ----``�--'------------------------------------------------------ ------- O Street anr/Apl.No o PO Box No. O Street andApt N.,,-or PO Box No. '� i C ,State,ZIP+48 ty9tate,ZIP+41 y`1 r `lei 11— Ott'S6 �etc.vto t?l' (1-]'7c)-H%91010 M. � M. r rr•• - r •r Om" o V-I _ � fU LO ru M Certified Mail Fee Cert(fied�a l' IF m EXtra Services&Fees(check box,add fee as appropnate) _'�:�_)!`,° r $ ❑Return Receipt(hardcopy) $ q�j\w• Extra Services&Fees(check box,add fee as appropriate) O ElRetuReturnReceipt(electronic) $ f 0 tmark`��.. i ❑Retum Receipt(hardcopy) g ❑Certified Mail Restricted Delivery $ , ❑Return Receipt(electronic L' Ory 'Here ) $ Posfmaik'., El Adult Signature Required $ ,, tx'r El Certified Mall Restricted Delivery $ / *y E]Adult Signature Restricted Delivery$ 'L"1 S 7,� ❑Adult Signature Required $ ) O r9 I3 Postage -`� f ❑Adult Signature Restricted Dellvery$ Lr t $ .6 S \ f I O Postage 4 0 I r` �- ` � < jj� $ i• IS I Total Postage and Fees ,. / Tota�ltPostage and. Sent To $ /• !�ti,\' i3 ,��( _-RAO iw _�--�_d f---: ?� -------------------- S T _ �'10 I `j E3 Street andApt.No,o1r�Ppp Box No. - -• ' -0 6 /�y1� ~-1 C3 S/tr'ee¢t dApt No.,orAPpO,'Bopz Nd.------------------------------ ----------------- City,State,ZIP+4° "L 0_ C (�Y({�'�SF1 ! H (, 1 11 1 ~ 0044 L- State, ---- ° - ---------------------------- I, r ' ro 1� tq -7l-3� 4 O 0 Lieb at Law P.C. Phone:646.216.8009 � Fax:631.878.4460 308 W.Main Street, Suite 100 www.LiebatLaw.com Smithtown, New York 11787 January 27, 2020 VIA UPS OVERNIGHT Town of Southold 53095 Main Road, Town Hall Building Southold,NY 1197-0959 Attn: Zoning Board of Appeals 1/30/2020 Re: Appeal No. 7365 SCTM: 1000-70-8-41 75 Clearview Avenue, Southold,NY 11971 To Whom it May Concern: Enclosed herein please find the following documents pertaining to the above file: 1. 1/30/2020Affidavit of Mailings; 2. Affidavit of Posting; 3. List of neighboring properties, including parcel numbers and names; 4. Green/White receipts postmarked by the Post Office, and 5. Return receipts signed by all neighboring properties. i Should you have any questions,please do not hesitate to contact the undersigned. I Very truly yours jaftWthhorcc Paralegal Enclosures Page 1 of 1 II P s o e • • I ■ Complete items 1,2,and 3. A. re - ■ Print your name and address on the reverseL7 Agent l so that we can return the card to you. X ❑Addressee ■ Attach this card to the back of the mailpiece, B. Recei by(Printed Name C.Da of D v or on the front if space permits. li L 1. Article Addressed to: D. Is delivery adt ress different from item 1? 113 Y -^Q ®finn_w&� F IM L t If YES,enter delivery address below: ElNo 5 11g5�s-O�U�1 3.II Service"type El Priority Mail Express@ I IIII�I Ili II I III II II III I Illllli��III ❑Adult Signature ❑Registered MaIITM ❑Adult Signature Restricted Delivery 11 Registered Mail Restricted{ 9590 9402 2116 6132 7750 23 1S�.ebrtiied Mail® Delivery ,i ❑Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise j 2. Article Number(Transfer fromiservice label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTm ( -���� -- - — Insured Mall'; Signature Confirmation 7 016 0 7 5 0 0 0 0 0 19 3�6 2 5 8 6 \ $5 0)'I iRestricted Delivery' Restricted Delivery PS Form 3811;July;20151P,SN 7530-02-000-b053 Domestic Return Receipt !� w Complete items 1,2,and 3. A. Sign t�ir �r / 7-V� F' _■ Print your name and address on the reverse X �� � lei Agent - I so that we can return the card to you. Ad ressee 1( � B. h d C. of ell ■ Attach this card to the back of the mailpiece, ry i or on the front if space permits. V��, 1. Article Addressed to: D. Is delivery address different from item ? ❑Pes i -ff'v-4l6-TCA -Rvm L GC If YES,enter delivery address below: ❑No 1,1121-0 iyl&-&V✓1 T�*Q( LAY1Q I i 'i Qe CW;C II I IIII�I IIII III I III II i Ii IIIIII IIIA II I I I 3. Service Type ❑ gPriorityMall Express® Rei ❑Adult Signature ❑Registered Mail M ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted; 9590 9402 2116 6132 7750 30 S?Certified Mail® Delivery i ❑Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise 2. Article Number(Transfer from service_ia4e1) ❑Collect on Delivery Restricted Delivery ❑Signature Conflrmation1m - - 7016 0750 11000 1936 2579 �d Mail Restricted Delivery,d Mail ❑Restricted Delft/,ry ; $500) PS Form 3811,July 2015 PSN 7530-02-000-9053 << Domestic Return Receipt ' f _A i ,-Tint your name w ry adaress on the reverse so that we can return the card to you. f� � Y U Adarassee � ® Attach this card to the back of the mailpiece, B. celved by( rioted e) C. Date of Delivery or on the front if space permits. 1. Article Addressed to: Is delivery ddress different from Item 1? ❑Yes If YES,enter delivery address below: ❑No �a r�osC�eCOdlr} C QW\1041 Icy 1IS'41 M(143 r II I IIQI�I IIII III I Iii III II IIIIII IIA ��IIII Ili113 oAdultSignature ❑RPriorityegistered ed MalpMss® Adult Signature Restricted Delivery ❑Registered Mail Restricted; 9590 9402 2116 6132 7750 78 ®-Certified Mail® Delivery Certified Mail Restricted Delivery ❑Return Recelpt for ❑Collect on Delivery Merchandise2, Article Number(Transfer from service label)-- _ ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTM c Mail ❑Signature Cop(rRiatim 7 016 0750 0000 1936 2 5 2 4 Melil Restricted Delivery Restricted Delivery PS Form 3811;July�2015'FSN 7530-02-000-b053 '3 Domestic Return Receipt Phone:646.216.8009 Lieb at Law, P.C. Fax: 631.878.4460 308 W.Main Street, Suite 100 www.LiebatLaw.com Smithtown,New York 11787 , I Below please find all owners of property, vacant or improved, neighboring 75 Clearview Avenue, Southold,NY 11971, SCTN No. 1000-70-8-41, owned by Susan Blazowski. j 1. Nfiroslav and NMeva Gobic Mailin%Address: 12 Roscoe Court Greenvale,NY 11548 Neighboring Property of Ms. Blazowski: SCTM: 1000-70-8-42 j 80 Clearview Avenue Southold,NY 11971 2. Ralph B. Wright, Jr. Mailing Address: 10 Cheryl Lane Patchogue,NY 11772 i Neighboring Property of Ms. Blazowski: SCTM: 1000-70-8-30 180 Cluster Avenue Southold,NY 11971 3. Gerard and Jean Worysz Mailing Address: 175 Clearview Avenue Southold,NY 11971 Neighboring Property of Ms. Blazowski: SCTM: 1000-70-8-40 175 Clearview Avenue Southold,NY 11971 I I Pagel of 3 f • i o • • • . ■ Complete items 1,2,and 3. A. Signature ■ Print your name and address on the reverse I so that we can return the card to you. X C-1 ❑Agent ( ■ Attach this card to the back of the mailpiece, B. Received by(P' Name Addressee or on the front if space permits. ) C. Date of Delivery 1. Article Addressed to: D. Is delivery address differ to m e s If YES,enter delivery i?' below: GDJAb 10 2020�Z� Som-hv Ia•I Niq n Ccs 1-OS i s j III IIIIII IIII III I III I 1111111111111111111111111 13❑ rvice Typo de Signature ure Restricted Deliv ❑RegredWIN Ss@ 9590 9402 2116 6132 7756 89 �'Lertified Mail@ ❑Registered Mail Restricted Delivery � ❑Certified Mail Restricted Delivery O RQturr#Receiptfor 2. Article Number ,, ❑Collect on Delivery Merchandise (T Rsfer from servieelabep ❑collect on Delivery,Restricted Delivery;❑Signature Confirmation. — r 7016 7 5Ef 0 0 0 0 19 3 6 2 5 5 5'I• : d Ma I Restricted Delivery i`13 iRestricted Confirmation elivery Uon 4 PS Form'3811','JUIy 2015 PSNI7530-02-000-9053 6500) --— — --_ Domestic Return Receipt •MPLETE-MY SECtION. COMPLETIFTHI.�,�ECTIOONDELIVERr i ■ Complete Items 1,2,and.3. A. Signature ■ Print your name and address on the reverse v ❑Agent so that we can return the card to you. ❑Addressee ■ Attach this card to the back of the mailpiece, B• Received by nit ed Name) C. Date of Delivery y or on the front if space permits. 1J ate=•++ l 1. Article Addressed to: ! D. Is dehvery'�addre"�s'�drff�r�ht f� etn 1 El Yes %on n If YES,en er d@livery address b to ®No � �tld ,i��p 11�1'►1 'v�l'd - i i ❑Adul3. t Type Q Priority Mail l Xpresse II I IIIIII IIII III I III I I II I I II IIIIII III III II I III ❑Adult Signature Restricted Delivery 11 Registered Mall ❑Registered Ma I Restricted 9590 9402 2116 6132 7750 47 i'certfledMail@ Delivery I ❑Certified Mail Restricted Delivery ❑Rgturt!F#eceiptfor ❑Collect on Delivery Merchandise 2, Article Number(Transfer froRl service label) :• : ❑Collect-on Delivery Restricted Delivery i❑Signature Confirmation?M Boyd Mail ❑Signa#UreCgpfirrgation" I` 7 016 :0750 0 0 0 0' 1936-2562` ` '':d Mau Restricted Delivery Restricted Delivery $5no PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt 1 • •' 60114PLETETHIS SECTIONON DELIVER ® Complete-items 1;2,and 3. A Sig ature ■ Print your name and address on the reverse X 13 Agent so that we can return the card to you. Addressee N Attach this card to the back of the mailpiece, B.°Req lve y • d name) C.D e of elivery ` or on the front if space permits. { 1. Article Addressed to: D. Is delivery address different from item 1?t❑Aes I If YES,enter delivery address below: ❑No H S C`'U(dQ)VN L4 15 C--)0 d0 AM C&Y,\-k i &0+h01LA' f\q `I cil I- 11% I3. Service Type ❑Prioflty Mail Express@ i II I IIIIII IIII III I III I I II I I II IIIIII VIII I III III 11 Adult 60 9590 Signature Restricted Delivery ❑Registered MMaip ail Restricted 9590 9402 2116 6132 7750 92 ifYGF rtified Mail(D Delivery El Certified Malt Restricted Delivery ❑Return Receipt for 171 Collect on Delivery Merchandise 2. Artic_le Numbers(Transfen from service labeo ❑Collect-on Delivery Restricted Delivery.❑,Signature Confirmationrm 7 016 — R red Mail ;: : i •• +❑Signature Confirmation -'0 7'5 0'``0 0 0 0' 19'86 '2'517 ' led Mail Rebtrioted Delivery `' Restricted Delivery Moo) ,I �PS Form 381!1,July 2015 PSN7530-02-000-9053 i! Domestic Return Receipt'` 4. Clifford K. Schriefer Mailing Address: P.O. Box 512 Southold,NY 1197 Neighboring Property of Ms. Blazowski: SCTM: 1000-70-8-8 800 Gardiners Lane Southold,NY 11971 i Neighboring Property of Ms. Blazowski: SCTM: 1000-70-8-9 700 Gardiners Lane Southold,NY 11971 5. Howard W. Sawicki Mailing Address: P.O. Box 1839 Southold,NY 11971 Neighboring Property of Ms. Blazowski: SCTM:1000-70-8-39 275 Clearview Avenue Southold,NY 11971 I 6. The Old Town Farm LLC i Mailing Address: 7930 Indian Neck Lane P.O. Box 1 Peconic,NY 11958 Neighboring Property of Ms. Blazowski: SCTM: 1000-78-1-10.23 2355 Main Bayview Road Southold,NY 11971 I Page 2 of 3 _ f A. Si nature I ■ Complete items 1,2,and 3. 4Adl ■ Print your name and address on the reverse X Addredre ssee l so that we can return the card to you. B. Received by(Printed Name) CDat f Delivery ■ Attach this card to the back of the maili piece, � X11 _ or on the front if space permits. ! 1. Article Addressed to: D. Is delivery address different from item 17 ❑Yes If YES,enter delivery address below: ❑No 11tkL Vk V-WL iro-_+ { 40�ft:`qj)c .¢CSS L44 074(4 IIIII IIID I I II III 3.II Service Type [3 priority Mail Express®I IIIIII IIII III I IIII I III I II I ❑Adult Signature 13 Registered Mall R ❑Adult Slgnature,Restricted Delivery El Registered Mail Restricted it Mail® Delivery 9590 9402 2116 6132 7750 54 ❑Certified Mail Restricted Delivery ❑Nlerucrhandicseeiptfor ❑collect on Delivery ❑Signature ConfirniationTM' ) ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation (` J 2. Article Number(Tran_ sfer from_•sere'ci a lab et).:° ' ' ^—ured Mail;' •t ' �, ' i lleg icted Delivery ', lined Mail Restrictddbelivery- • ` ' 7016 ' 750 D[]fl0' 19'36"2=593 'r$500 Domestic Return Receipt i PS Form 3811,;lUlyi2015 PSN 7534-02-00019,053 p O • A. tune is Complete items 1,2,and 3. Age t I, ■ Print your name and address on the reverse r A eWee 1 so that we can return the card to you. g eived by rinted Name)% (C:Date Delivery ■ Attach this card to the back of the mailpiece, ¢9' or on the front if space permits. Is delivery address differdnt fm Item 1? 13 s D. 1. Articis-„-Idreised to: If YES,enter delivery a dre Mt• � 3. Service Type ❑priority Mall Express® II 1111111 IIII III I III I I II I I II 111111 III I IIIII III 11❑Adult Signature Restricted Delivery ❑Registeredistered MailMalIRestrietedi Certified Mail® Delivery ) 9590 9402 2116 6132 7750 61 ❑Certified Mall Restricted Delivery ❑Return Receipt for Merchandise ❑Collect on Delive ❑Signature Confirmation"" 0 Collect on DeliveryRestricted Deliveryg 2. Article NumbeL2ransf_ellrom ser_vlp're( be0 d Mail p Signature Delivery I d Mail Res feted Delivery Restricted Delivery 7216 2750 2202 1936 2302 5001 �`:' s��. ' - Domestic Ftet0m Receipt r PS;Form 3811,`July;2015 PSN.7530102-000-9053 ; !1 S 1 . ON P s ® u A Signature ■ Complete items 1,2,and 3. ❑Agent f, ■ Print your name and address on the reverse _ X - — -- - ❑Addressee f --so-that-we-can-return the card-to you g, Received by rinted Name) C.Date of Delivery a Attach this card to the back of the mailpiece,= or on the front if space permits. D. Is deliv d i Brent from Item 17 13 Yes i 1. Article Addressed to: ::,, if Y `� i F17 dress below' E3No '~����(' ��.' ' i tp CyizXy k LL '� X31' 3. Service ❑II Priority Mail MaIITM Express®I IIiIII IIII III I III I I II I I II 111111 III I II III III ❑Adult Signature Restricted Delivery ❑Registered MaHi Restricted ertified Mail® Delivery 9590 9402 2116 6132 7756 72 Certified Mail Restricted Delivery ❑Return Receiptfor 13 Collect on Delivery Merchandise - ❑Collect on Delivery Restricted Delivery, ❑Signature ConfirmationT"' d Mail ❑Signature Confirmation 2. Article Number Crransferrfrom_serviceiabel)_•_., .; :° I ;i Restricted Delivery d MailiRestricted Delivery 7216 075 0[]00 '193.6 23_19:' E X5001 t Domestic Return Receipt Ps' 3811;July,2019 PSNi7530-02-000-9053 r I !. i 7. Mellas FMLY 2006 Irry Trust llv� Mailing Address: 280 Clearview Avenue P.O. Box 44 Southold,NY 11971 Neighboring Property of Ms. Blazowski: SCTM: 1000-70-8-43 280 Clearview Avenue P.O. Box 44 Southold,NY 11971 8. Elizabeth E. Gordon: Mailing Address: 485 Gardiners Lane Southold,NY 11971 Neighboring Property of Ms. Blazowski: SCTM: 1000-70-8-29 485 Gardiners Lane Southold,NY 11971 9. Anthony Giorgetti: Mailing Address: 43-08 Skillman Avenue Sunnyside,NY 11104 NeighboringProperty of Ms. Blazowski: SCTM: 1000-70-8-10 600 Gardiners Lane Southold,NY 11971 Page 3 of 3 -7 COMPL ETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3. A Signature ■ Print your name and address on the reverse so that we can return the card to you. X ❑Agent ■ Attach this card to the back of the mailpiece, ❑Addressee , I or on the front if space permits. B. Receiv d Name) C.Date of Dglivery 1 1. Article Addressed to: af� fl D. Is delivery address different from 1 m 1? E3 es I �{. A+'A'ih oyiii �,11 11 o v If YES,enter delivery address below. ❑No 1 dC�l'Rlgrv%cm A l�Pin'�U-Q cIUY,Aq31.�; 1YVV� 1110y-aiai y I - III IIII'I I'll I'I IIII I lull Il II'lll III'II Ill Ill 1:1 AduIlSignature e El❑Registered l Expresso I 9590 9402 2116 6132 7756 96 uerti Signature Restricted Delivery ❑Registered Mall Restricted I�'�ertified Mail® Delivery ❑Certified Mail Restricted Delivery 13 Return flecelpt for I Article Nu ber ❑Colied on Dellvery Merchandise rrt {Transfer from SeN/ce label) ❑Collect on Delivery Restricted Dred Mailelivery 0 Signature confirmation 7 216 13750 0 0,110' 1936-2548 : 1 , $SgMaI Restricted Dellvery °Rin ed Delivery Confirmation tion PS Form 38,11 31.11July 205 PSN75300200 -9053I.•. ts Domestic Return Receipt 5 COMPLETEs ■ Complete items 1,2,and 3. A lure ; ■ Print your name and address on the reverse t so that we can return the card to you. X .-13-Agent-- 13 —�Agent ■ Attach this card to the back of the mailpiece, y(Printed me Addressee" B. Ree ed b ) C. Date of Delivery > or on the front if space permits. { 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes { (.I1(i mv�-e-"1?�(,UfC� WON S–C If YES,enter delivery address below: ❑No )-15 Cl.�&,fvk-cW vVlJ,1 90041cg id,tN I I !4!2IIIIIIIIIII3. Service Type ❑priori Mail❑Adult Signature Express® OAdult Signature Restricted Detive 0 Registered Mail R9590 21 16 6132 7757 02 Cert+f'ad Mail® Delivery Registered Mall Restricted' Delivery ❑Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise ^_2.__Article Numbef(Transfer from;servlce%abei :'' f ;: ❑Collect ori Delivery Restilcted Delivery:❑Signature Confirr iop?^+ 7 016 0750-+ -.253 �ured Mail: ;;;1 ; 11; r p Signature Confirmation 0 0 0 19 3 6 1 .red Mail Restricted Delivery Restricted Delivery ''�soo> PS 4Form 30,111, Iuly 2015 PSN 753002-11d0-9d53 j Domestic Return Receipt f 1 BOARD MEMBERS 0� soyo - Southold Town Hall Leslie Kanes Weisman,Chairperson �� lQ 53095 Main Road•P.O.Box 1179 Southold,NY 11971-0959 Patricia Acampora Office Location: , Eric Dantes �p Town Annex/First Floor, Robert Lehnert,Jr. 54375 Main Road(at Youngs Avenue) Nicholas Planamento COUNV I Southold,NY 11971 http://southoldtowmy.gov ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel.(631)765-1809•Fax(631)765-9064 October 22, 2019 Ms. Sarah Lansdale, Director Suffolk County Department of Planning P.O. Box 6100 Hauppauge, NY 11788-0099 Dear Ms. Lansdale: Please find enclosed the following application with related documents for review pursuant to Article XIV,of the Suffolk County Administrative Code: ZBA File #7365 Owner/Applicant: Blazowski, Susan Action Requested: merger determination Within 500 feet of: ( ) State or County Road ( ) Waterway (Bay, Sound, or Estuary) ( ) Boundary of Existing or Proposed County, State, Federal land (X) Boundary of Agricultural District ( ) Boundary of any Village or Town If any other information is needed, please do not hesitate to call us. Thank you. Very truly yours, Leslie K. Weisman ZBA C irp rson By: Encls. BOARD MEMBERS Southold Town Hall Leslie Kanes Weisman,Chairperson ��0� SUU�yO 53095 Main Road•P.O.Box 1179 Southold,NY 11971-0959 Patricia Acampora .fL Office Location: Eric Dantes Town Annex/First Floor, Robert Lehnert,Jr. • COQ 54375 Main Road(at Youngs Avenue) Nicholas Planamento �IyCOUN Southold,NY 11971 http://southoldtownny.gov ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel.(631)765-1809•Fax(631)765-9064 June 30, 2020 Steven Siliato, Esq. 308 West Main Street, Ste. 100 Smithtown,NY 11787 Re: Appeal No. 7365 Blazowski, 75 Clearview Avenue Southold SCTM No. 1000-1000-70-8-40-&41 Dear Mr. Siliat6; Enclosed is a copy of the Waiver of Merger determination, by the Zoning Board of Appeals, rendered on June 25, 2020. Please be sure to follow-up with the Building Department for the next step in the zoning review/application process. Before commencing any construction activities, a building permit and other agency approvals are necessary. Sincerely Kim E. 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