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HomeMy WebLinkAbout7385 fin , Fa,Lk+ 6V;7-ala� 50 �5a -w � s� �tid IX e Aae � +ment;ev aews" I I .h�.cZw-I3 6(u3) a A0 COV(A) -7161 U,l � . � � . 1 /DSD /�!/uv/D 7/ - ' ----------- - �' ktS,I M1 :N fT 3 .-.- -.__�-..._-_--.- -_ .-_�__.-_--�_.�..- .__.-----_'_-_i=�� '•'vizi 9 1 19702e- "'tA At O CA CHECK BOXES AS COMPLETED 0 o Q ( ) Tape this form t CL ( ) Pull ZBA copy of cn moi, N ( ) Check file boxes C ( ) Assign next nurr outside of file fc mo oW 3xohoE y o Q ( ) Date stamp enti m _ file number — n. ( ) N co Hole punch enth a z o m (before sending ( � 0 � n � � a n ( ) Create new Inde ( ) Print contact infl o � --.% Q ( ) Prepare transmi ( ) Send original app 'to Town Clerk ( ) Note inside file f -ni and tape to insid 0 ( ) Copy County Tax neighbors and AC ( ) Make 7 copies an m ( ) Do mailing label un m BOARD MEMBERS (/ Southold Town Hall ®F $® Leslie Kanes Weisman,Chairperson ®�� Tif®0 53095 Main Road•P.O.Box 1179 ® Southold,NY 11971-0959 Patricia Acampora Office Location: Eric Dantes GO Town Annex/First Floor, Robert Lehnert,Jr. 2rl- s �Q 54375 Main Road(at Youngs Avenue) Nicholas Planamento ®1.7 cou , Southold,NY 11971 http://southoldtowimy.gov Q (C` I ZONING BOARD OF APPEALS & U --" g' pvv� TOWN OF SOUTHOLD JUL 2ud /9 20'200 Tel.(631)765-1809•Fax(631)765-9064 0. � [¢vl e.('���� 2 Southold Town Clerk FINDINGS, DELIBERATIONS AND DETERMINA MEETING OF JULY 16, 2020 ZBA Application No.: 7385 SE Applicants/Owners: Paul M Fried and Elizabeth O'Brien Fried Property Location: 1050 Hyatt Rd., Southold,NY SCTM No. 1000-50-1-13.1 SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type H category of the State's List of Actions, without further requirements under SEQRA. SUFFOLK COUNTY ADMINISTRATIVE CODE: This application was not required to be referred to the Suffolk County Department of Planning under the Suffolk County Administrative Code Sections A 14-14 to 23. 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. REQUEST MADE BY APPLICANT: The Applicant-Owner requests a Special Exception under Zoning Code Section 280-13(B)(13)to legalize an existing accessory apartment in an existing accessory structure. PROPERTY FACTS/DESCRIPTION: The subject property is a conforming 53,323. sq. ft. parcel located in a Residential R-40 Zoning District. The northerly property lines measure 278.93 feet and adjacent to property owned by the Southold Park District,the westerly property line measures 197.68 feet,the southerly property line measures 203.66 feet along 30 foot wide right of way which extends over the residential property to the east and connects to Sound View Avenue, and the easterly property line measures 247.00 feet along a 30 foot wide right of way(not open). The property is improved with a single-family two-story framed residence with an under the residence garage, and a two-story accessory structure as shown on the survey prepared by John T.Metzger,PC,LS, last revised June 25,2019, ADDITIONAL INFORMATION: In November 28, 2011 an appeal to add a wooden deck to the second floor of the two-story garage was approved by the Board of Appeals file#6517. The two-story garage obtained a Certificate of Occupancy October 4, 2011 #3544. At the time of the approvals,the second story of the accessory garage was unoccupied. The apartment will be rented to the owner's family as the family has grown. Page 2,July 16,2020 #7389SE,Fried—Accessory Apartment SCTM No. 1000-50-1-13.1 During the public hearing,the applicant informed the Board that a new IA advanced septic system was installed on their property to service both the principal dwelling and the accessory apartment. They were asked by the Board to submit a letter and corresponding survey indicating approval by the Suffolk County Department of Health. On July 14, 2020,the Board received a copy of a Notice of Incomplete Final approval from the Suffolk County DHS dated June 22, 2020 based upon their receipt of a survey, an inspection Completion Report dated June 8, 2020, and a copy of an engineered drawing depicting"as- built" sanitary system Design UA OWTS (Sheet S-1), prepared by Thomas A. O'Dwyer,P.C., dated July 2, 2020. FINDINGS OF FACT: The Zoning Board of Appeals held a public hearing on this application on July 9, 2020,at which time written and oral evidence were presented.Based upon all testimony, documentation, personal inspection of the property and the surrounding neighborhood, and other evidence,the Zoning Board finds the following facts to be true and relevant. In considering this application, the Board has reviewed the code requirements set forth pursuant to Article III, Section 280-13(B)(13) to establish an Accessory Apartment in an Accessory Structure and finds that the applicant complies with the requirements for the reasons noted below: 1. The Accessory Apartment is located on the second floor of the accessory garage with an area of 692 square feet in conformance with the code, as depicted on floor plans dated January 7, 2020, prepared and signed by Timothy P. Klesse, AIA,ASID, and as confirmed by the Building Inspector in a memorandum titled"Verification of Livable Floor Area" dated January 14, 2020 and received by the Board of Appeals on January 22, 2020. 2. The dwelling unit complies with the definition of same in §280-4 of the code and complies with the code requirements as defined in Section 280-13(B)(13) of the Zoning Code. The owner confirms that the accessory apartment shall not contain less than 450 sq. feet nor will the accessory apartment exceed 750 square feet of livable floor area, all on one floor with only one full bathroom. 3. The applicant herein, owns and resides at the property and will continue to occupy the single family residence as a principal residence in conformance with the code requirements as set forth in Article III, Section 280-13(B)(13)0, 1-4), and as documented by the documentation of Town of Southold Real Property Tax Bill, the owners New York State Driver's License, their Suffolk County Board of Elections Voter Registration certificates, their New York State Income Tax Filing and their New York State STAR Registration. 4. The occupants of the accessory apartment will be either a family member or a resident who is currently on the Southold Town Affordable Housing Registry, and the occupancy shall not exceed the number of persons permitted, in conformance with the code requirements as set forth in Article III, Section 280- 13(B)(13)0, 1-4). The tenants are Ellen Rose Fried, daughter of the applicants, copy of birth certificate on file and Owen George Fried, son of the applicants, copy of the birth certificate on file. 5. The owners' plans comply with the on-site parking requirements and provide for a total of three (3) parking spaces, two for the principal use and one for the Accessory Apartment, utilizing the existing driveway areas, as shown on the site plan or survey by John T.Metzger P.C. LS dated June 25, 2019. Page 3,July 16,2020 #7389SE,Fried—Accessory Apartment SCTM No. 1000-50-1-13.1 6. Only one accessory apartment will be on the subject property and no Bed and Breakfast facility, as authorized by Section 280-13(B)(14) hereof shall be permitted in or on premises for which an accessory apartment is authorized or exists. 7. This conversion is/shall be subject to a building permit, inspection by the Building Inspector, and annual renewal of the Certificate of Occupancy. REASONS FOR BOARD ACTION DESCRIBED BELOW: 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: 1) The Accessory Apartment, as applied for, is reasonable in relation to the District in which is located, adjacent use districts, and nearby adjacent residential uses. 2) This Accessory Apartment shall be in conjunction with the owner's residence in the Accessory structure, and as proposed will not prevent the orderly and reasonable use of districts and adjacent properties. 3) No evidence has been submitted to show that the safety, health, welfare, comfort, convenience, order of the Town would be adversely affected. 4)The special exception is authorized under the Zoning Code through the Zoning Board of Appeals as noted herein, and issuance of a Certificate of Occupancy from the Building Inspector is required by code before an Accessory Apartment may be occupied. 5)No adverse conditions were found after considering items listed under Sections 280-142 and 280-143 of the Zoning Code. BOARD RESOLUTION: On motion by Member Acampora, seconded by Member Dantes, it was RESOLVED,to GRANT a Special Exception for an Accessory Apartment, in the existing Accessory Structure, as applied for as depicted on a Floor Plan prepared by Timothy P. Klesse,AIA, ASID, dated January 7, 2020. SUBJECT TO THE FOLLOWING CONDITIONS: 1. This Special Exception Permit requires an annual renewal by a Code Enforcement Officer. It is the applicant's responsibility to apply to the Building Department each year to renew the accessory apartment permit. Failure to do so may require a public hearing before the Zoning Board of Appeals to review potential action to revoke the Special Exception Permit granted herein. 2. The Applicant shall submit a Final Approval from the Suffolk County Department of Health Services (SCDH) along with a signed and sealed engineered drawing stamped approved by the SCDH. 3. This Special Exception permit cannot be transferred to new owners That the above conditions be written into the Building Inspector's Certificate of Occupancy, when issued. Any deviation from the survey, site plan and/or architectural drawings cited in this decision, may result in delays and/or a possible denial by the Building Department of a building permit, and may require a new application and public hearing before the Zoning Board of Appeals. Page 4, July 16,2020 #7389SE,Fried—Accessory Apartment SCTM No. 1000-50-1-13.1 In the event that this is a special permit subject to conditions, the approval shall not be deemed effective until such time that the foregoing conditions are met; and failure to comply therewith will render this approval null and void. Any violations of the conditions, occupancy or other requirements described herein, may require a public hearing before the Zoning Board of Appeals to review potential action to revoke the Special Exception Permit granted herein. Vote of the Board: Ayes: Members Acampora, Dantes, Lehnert, and Chairperson Weisman(4-0). (Member Planamento Recused) C Leslie Kanes Weisman, Chairperson Approved for fling 7/17 /2020 i �i 1 SURVEY OF PROPERTY ��� j ' POINT �/� \y COR. EL73.5 0.4'FS Soy AT HORTONS o TOWN OF SOUTHOL.D .CEIV D c,-74- -N7RE 5,3�4''c�'F `` Zt ARA °S is SUFFOLK COUNTY, N. Y. 76 —., � �Ncf AN �I y n��n50 1000-50-01 13.1 J AN I L€ U ' �� COCOR. �00 / \ 0.1'N cyay POOL FlC4ER UtiK�,�, SCALE.• 1'=30' eats Poo ' JULY 13, 2011 .zoning Board Of APS }/ EQUIP. \ JUNE 25, 2019 PAD }� PATIO STONE / 74 s8� ` COPING \ / FI FVA(FD DECK v OVER GRAVEL f �, ® WELL 78—/ 5GATE 5 76 24.2 0"–PROPANE OH TANK OH--. EL77.3' c 1v �(niGENERATOR OUT -C –GENERATOR ON O SHOWER \ / `�8 GRAIL �24 n t� 4.5' GATE� � / 24 2 ' AC / X60. 4 . �' -76— .Op % �����N' r` / / sHowER o� jk6 �, a o \ 29.gY��v J '9 CONI. N N, 1 J a7 I \ '�QQ Q' ?�. COVER ft- Or \ ICE R\ `SAA rs / ►7 / O J. 3 /O / TH EL-74.3' h � CL-70.3 yFOc� �e ? / $ / / � � _ 0 ' � 3 /semfill, �Ppg \ \ / IG Oy Y / / o 4*1 IP AID 61 41 Coco ��\ �qr �'Rp ' %, / °� `' FINAL MAP o � \ � � � REVIEWED � s � � ?cis . 0,41 �Y ZBA SEE DECISION # IN, DATED / / e EL70.1 R �/ N6115,40 "W— ALJ69.1' / P.. i \ a N1'59�40"W-- -_- ' 000,/0. 18.79' \ F Wo3y 4o',, p/F tiSz \, �O� \ spa• �►� \ \ \Off. ELEVA77ONS REFERENCED TO NAVD 88 2�o \ \,�1 0. % KEY REBAR 3r ® = WELL ,9,`s�o i\ /«� �ro ® = STAKE = TEST HOLE ® = PIPE ® = MONUMENT = WETLAND FLAG Mj = U77UTY POLE AREA=53 323 SO. F. - . - .S LIC. NO. 49618 ' ECONIC,LSU _ RS, P.C. ANY AUERATFON OR ADD177ON TO THIS SURVEY IS A WOLA77ON OF SEC77ON 7209 OF THE NEW (631)."-765,,5020` AX (631) 765-1797 YORK STA 7F EDUCA770N LAW. EXCEPT AS PER SEC77ON 7209-SUBDIVISION 2. ALL CER77nCA77ONS P.O. B'4OX--909 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR 7HE 1230 TRAVELER STREET 08_209 IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON. SOUTHOLD, N.Y. 11971 U l Fuentes, Kim From: Westermann, Donna Sent: Monday, July 13, 2020 2:54 PM To: Fuentes, Kim Subject: FW: Affidavits of Mailings/Postings - Green and White cerfitied mailing receipts Attachments: 1050_Construction_Inspection_Notice_20200608_092308 (1).pdf, 1050SepticIncomplete_Final_20200622_085702 (2).pdf, hyatt_as built (2).pdf, IMG_0893 (1)jpg Hi Kim, Just forwarding to you as an FYI regarding the approval from SC Health Dept information. From: Liz O'Brien [mailto:lizobf(a?aol.com] Sent: Monday, July 13, 2020 2:46 PM To: Westermann, Donna Cc: Sakarellos, Elizabeth Subject: Re: Affidavits of Mailings/Postings - Green and White cerfitied mailing receipts Attached are the following: Letters of inspection approval and conditional approval from Suffolk Health Department As Built survey showing new septic system that has been submitted to the health department Last green card received after originals mailed to you Original to go in mail today. Once I receive the stamped final plan from the health department, I will forward you a copy per the board's request. Thanks. Elizabeth A O'Brien cell (917) 328-0449 -----Original Message----- From- Westermann, Donna <donnaw(5southoldtownny.gov> Cc: Sakarellos, Elizabeth <elizabeth sakarellos(5town southold.ny.us> Sent: Mon, Jul 13, 2020 10:59 am Subject: Affidavits of Mailings/Postings -Green and White cerfitied mailing receipts Good morning everyone, If you have not done so already, please mail the hard copies of the affidavits of mailings and postings, and all the white and green receipts from the certified mailings to our office as soon as possible. Our mailing address is below. Thank you for your cooperation, Donna Donna Westermann Zoning Board of Appeals Town Annex/First Floor 54375 Main Road 1 I N/O/F \ AS-BUILT K ORMATION / -SUFFOLK COUNTY TAX MAP ID 1000-50-01-13 I MARY MARGARET KEMENY /\ DWELL/NG -SCDHS REF#R-20-0276•\ -EXISTING 3 BEDROOM HOME WITH EXISTING GARAGE STUDIO APARTMENT WELL -LOT AREA 53 323 SF 1100 HYATT ROAD -PROPERTY LOCATED AT 1050 HYATT ROAD ^ N28' -TOWN OF SOUTHOLD,SUFFOLK COUNTY,NEW YORK \ j 46'00'E _- o -SURVEY PROVIDED BY PECONIC SURVEYORS,PC,DATED OG-25-201 9 < `P' 159 SET CKFROM \ -VERTICAL DATUM-NAVD'88 DATUM NEIGHBORSMUL -PRIVATE WELLS LOCATED WITHIN 150 LF OF PROPERTY SHOWN ON MAP 0w 9 i _ u1RE FENCE 197.68' NO PUBLIC WATER AVAILABLE NO SURFACE WATER OR WETLANDS WITHIN 300 LF OF THE PROPERTY E%ISTING WATER LINE FROM 11� 0a ` 15GBA 5ETCKROM FGENERAL NOTES WELL a / \ WELII TO HOUSE �1 �EMSTING I TOTAL OF 4 EXISTING BEDROOMS,NO PROPOSED CONSTRUCTION OR ADDITIONS AT THIS TIME 2. SANITARY DESIGN FOR UP TO 5 BEDROOMS TO ACCOUNT FOR FUTURE BEDROOM ADDITION IF NECESSARY a5.s' �1 ,'� I 3 SITE PLAN AND REFERENCE ELEVATIONS TO BE USED FOR 1/A OWT5 SANITARY SYSTEM I r I POOL CONSTRUCTION ONLY I \\ r r V i I 4 REFERENCE ELEVATIONS BA5ED ON SURVEY BY FECONIC 5URVEY5 PC 201 b 245 r 5 ONSITE UTILITY LOCATIONS ARE APPROXIMATE,MARK-OUTS PERFORMED BY CONTRACTOR PRIOR TO p` I Ir wall 1"& 2 STY+. rA < j PERFORMING SITE WORK • O I N FRAME HOUSE w1 —"°j HOT o £ I ASPHALT 106' o �A Tue a� a(n o A I G SOIL TEST HOLE DATA FROM ADJACENT PROPERTY PROVIDED BY SCDHS FOIL REQUEST ENGINEER 25 y(GAR. UNDER) 4}G I F o o n LA I I FF EW °:5 I \\� y� �g<I PERFORMED SHALLOW TEST HOLES TO VERIFY HISTORICAL SOIL TESTING W I �� IE=825' m\ ; oL� I N 7 PERCOLATION TEST PERFORMED BY PRECISION TESTING ON I I-14-20I 9 U / SRF 8 I/A OWT5 CONNECTED TO BOTH HOUSE AND APARTMENT DESIGNED FOR UP TO 5-BEDROOM5 Z /I I WALL A 29 s' y -': TOTAL Lu Ul __ r 1 1 / � R. 1 / $ I I �`� � � I/A OWT5 SEPTIC SYSTEM FOR UP TO 5 BEDROOM RESIDENCE � r =Ut i j q n e'V yoo IT1 I ONE(I)HYDROACTION AN500 I/A OWT5 F (7 Z O I T' 11 171 CO /1' 9I 1 11 / PI / 2 ONE(1)PLC CONTROL PANEL WITH HP80 COMPRESSOR r- y 1` 3. ONE(1)ORENCO 51MPLEX PUMP STATION PF3005 PUMP AND VEKICOMM CONTROL PANEL w O r I F I\ �g 1 1 ;� I 1I 4 FOUR(4)34'ROWS OF 34"INFILTRATOR CHAMBERS USED FOR PSD APPLICATION,TOTAL OF ``� I v I N 32 CHAMBERS AND 8 END CAPS = } Q) �I I \\\ 80 \ by s,L, 11 11 ' 11 = GENERAL SANITARY SYSTEM AND INSTALLATION NOTES w Z O I a �`, `\\_ �qt 11 e} 11 I r O / 1 I/A OWLS SEPTIC SYSTEM DESIGNED FOR UP TO 5 BEDROOMS PER SUFFOLK COUNTY DEPARTMENT m Q Rl \ �7 1 ) ) I ft'�� r r. OF HEALTH STANDARDS(SCDHS) Q } J C I O �\ CO \ �l 1 EXISTING WATER UNE TO x q O g \ GARAGE D (mn// 2 EXISTING TREES TO BE REMOVED AS NECESSARY IN DRAIN-FIELD AREA PRIOR TO CONSTRUCTION z a I ° ° airs°• I I D 3 SANITARY GRAVITY DRIAN PIPE TO BE 4-INCH PVC SDR35 N = _ 3ulI ` I t,,RIcyT 1 x .) 4 CLEANOUTS TO BE INSTALLED ON ALL TURNS AND ANY SPAN OF 75 FEET ON GRAVITY DRAIN PIPE —j O I . \ I __°F f 1 / &INCH SDR 35 GRAVRYWASTEp /--�`` `I I wAY pA-F.' 1�} OD �'C7 5 OWT5 TESTED FOR WATER TIGHTNESS PRIOR TO ARRIVING ONSITE U51NG THE METHOD APPROVED W Ln PIPE FROM HOUSE TO VA OWTS -3 / \ �\ / / p BY MANUFACTURER O O HYDROACTIONA-11A N aT\ �\ � 1 ate, / (n G THE OWT5 INSTALLER IS LICENSED,HOLDS AN ENDORSEMENT FROM SCDHS AND IS A Z OO I I 76____-' \ `\ _ rn '� j + -,70HYDROACTION AUTHORIZED INSTALLER W ORENCO SIMPLE%PS 0 7 THE OWT5 INSTALLER SHALL REGISTER THE ONSITE TREATMENT SYSTEM WITH SCDHS THE DESIGN ENGINEER SHALL PROVIDE RECORD DOCUMENTS AS REQUIRED BY SCDHS m k -- "ANT `.\ �v -1 ~' 8 AN OPERATION AND MAINTENANCE CONTRACT BETWEEN THE MAINTENANCE PROVIDER AND THE PROPERTY OWNER SHALL BE PROVIDED TO SCDHS FOR BOTH I/A OWT5 AND PSD O `\\ yb ; 1 `\ 9 A GARBAGE GRINDER SHALL NOT BE INSTALLED UPSTREAM OF THE OWT5 \\< I \\ 10 WATER SOFTENER BACKWA5H SHALL NOT BE FLUSHED TO PROPOSED SEPTIC SYSTEM. c I cR ` �11 $, \� v AS-BUILT DIMENSIONS FOR I/A OWTS SEPTIC SYSTEM: °H d�� �•• ` a 1 \1 / �\ fA 1 n� OUTLET OF ORENCO PUMP TANK: END OF ROW 1: END OF ROW 2: WALL \ HYDROACTION: 2A: 103' 3A: 21' 4A: 26' A > 1A: 99' 2B: 125' 3B: 29' 4B: 30' s� \ 00 �`\ 1B: 122' o \ \ rn " � °h 1�,lyj \\� \` \ _ \s �3� p END OF ROW 3: END OF ROW4: VALVE CONTROL FOR LEACHING FIELD: °O W 00 rn 5A: 30' 6A: 35' 7A: 53' 1 4 yT \ a x •g6�d`�2 HYDROACTION CONTROLPAWL 5B 32' 6B: 34' 76: 68' U S¢ O 09 Or k \VALVE B07L \ AND BLOWER '^ � Z \ FY ; VJ N �L } S2 Y 7 _•V� \t INFlLTRATOR 3d'STANDARD � U' Z C r 2p� O/Y \\ `\ \ 3 `1 ? 9 4 CHAMOER PSD LEACHNG Z C3 TRENCHES(A%)G4'%].83 ROWS rnOpZ y � O z �_ m~ 0. 0 RSG �P °H `\' \ `I l o�j o°9 0� i l p Z ¢ Z Q:Ld yLLJ 9$ Vt ztz? w �w OFUry-04, O H � \\` I��`1 O Cal) (D � Z�v V, -1 H 'V LEGENp _ U)m O `T O Cl-CAST IRON LP-LINEAR FOOT ¢Q CO-CLEAIIOUf LP-LEACMII IG POOL m �QR Fjv o a�,p T CP-EXISTING SANITARY CE55P001_ AIAX-t1AXIMUM 1 Q c T Sp Jr tv`VCTG CUT TO GRACE Ellt,-MIN'MUM Op-p15TROUTION 5OX OW75-ONSITE%VASTEV/ATER TREATMENT 5YSTEM 0] RCGF y j� �• EL ELEXEVATOII PT PERCOLATIOII TE5T E%- PAt1510N POOL 5CDH5-5UFFOLK COUII'DEPARTMENT OF HEALTH 5ERVICES Q ' 'y\ CXI5-EXI5TING ST-SEPTICTAIIK 8SO MFG c ,50 FFE-FIAI5HED FLOOR ELEVAT011 Th.TE5T HOLE GE-GRnDE CLLVATIOIt V-VIENT Y9 TOl-V-TSAL-101111150PER DAY TYP-I'Fl-LG CCTD GGC % POv1AlTCR A ECP. VAT.VE/ALTfRIIATVEOWr5R09p RECEIVED E It VERTELLVATIOt1 DATE.07-02-20 -73 SS�� SCALE: 1-40 A5-13UILT SANITARY 51TE PLAN JUL 14 2020 DESIGNER-TAO SCALE= 140 SHEET: ��'iy9 Zoning Board of APPealS FRECEIVED JAN 10 2020 Zoning Board Of Appeals 0 KLESSE ARCHITECTS 38 CHATHAM ROAD SHORT HILLS, NEW JERSEY 07078 PHONE (973) 379-6602 nESSE.COM TIMOTHY P. KLESSE, AIA, ASID NJ 09204 NY 027863 ROBERT W. FORBES, AIA, LEED AP NJ 21AI01962600 ALTERATIONS TO RESIDENCE OF: Mr. Fried & Mrs. O'Brien 1050 Hyatt Road Southold, NY 11971 23'-2* 61-9- FINAL MAP REVIEWED BY ZBA ------ED 5'-10" E. STAIR LEDGE SEE DECISION # 7595 3 ---------------------I i DATED 1 � Pp qux),-o I I I 1 O DN �6-. �OW IP Irk 00 00 EXISTING KITCHEN HN.A.C. A 2 CAR GARAGE UNIT Pm ----------------------j 0 STUDIO APARTMENT REF. NEW C,4 FINAL REVIE� AIR LEDGE DN— CC H.W.H. EXISTING UNIT H- A UN LO LEGEND OF CONSTRUCTION UP r------------------------------I r----------------------------7 MST. PARTITION TO REMAIN EXIST. PARTITION TO BE REMOVED NEW PARTITION 16 NEW 2 x 6 PARTITION VESTIBULE BATH NEW 42" HIGH PARTITION NEW INTERIOR BEARING PARTITION ---------------------------------------------------------------I ------------- BRICK / STONE On 4 x 4 POST PROVIDE SOLID W/D � BLOCMG AS 0 4 x 6 POST �REQUIRED ❑ POST ABOVE ARCHED OPENING BEDROOM #1 ROOM NAME 23'-2* 23'-2" 6'-9" O FLOOR/PLUMBING (SEE SPEC.) CEILING/WALL HEIGHT CEILING/WALL HEIGHT @ POINT BEAM CONFIGURATIONS: FLUSH RECESSED SEMI—RECESSED DROPPED ---------- CE All structure as indicated on plans to for floor above This document: and the ideas and designs incorporated herein, as an instrument of professional service, is the property of Klesse Associates P.A. and is not to be used in whole or in part without the written authorization of Klesse Associates PA . GARAGE FLOOR PLAN APARTMENT FLOOR PLAN LUNG. SPACE = 692 SO. FT. NO. REVISION DATE DRAWING TITLE : GARAGE FLOOR PLAN & APARTMENT FLOOR PLAN IF THIS LINE MEASURES 3" DRAWING IS AT FULL SCALE IF THIS LINE MEASURES 1-1/2- DRAWING IS AT 1/2 SCALE DATE: 01/07/2020 SCALE: SB GRAPHIC SCALE ABOVE IM!, UNCER PFNALTY Or- 1011 0 DRAWN BY: RM r.()U11AU1 HCRIM PE.—,:. rHALL ALTER THD; DRAVA",ri. CHECKED BY: TK DRAWING NUMBER E ® 1 PROJECT N017052 SHEET I OF I FRIED/O'BRIAN �OARD MEMBERS ®�t®f S® Southold Town Hall nes Weisman,Chairperson 53095 Main Road•P.O.Box 1179 Southold,NY 11971-0959 Patricia Acampora �/s �e Office Location: \ 10 Eric Dantes G Q �►® � �® Town Annex/First Floor, Robert Lehnert,Jr. COU 54375 54375 Main Road(at Youngs Avenue) Nicholas Planamento Southold,NY 11971 http://southoldtownny.gov ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel.(631)765-1809•Fax(631)765-9064 J AN 1 A 2020 TO: SOUTHOLD TOWN BUILDING DEPARTMENT RE: VERIFICATION OF LIVABLE FLOOR AREA Special Exception Applicatio RECEIVED to establish an accessory partment in an accessory structure °�� JAN 2 2 2020 ZBA Application: #7385SE Obrien, Paul & Elizabeth (1000-50.-1-1'3.1) Date sent to Building: 1/14/2020 Zon+r� 3�3ra flf Appeals Pursuant to Town Board Resolution No. 2011-353, effective April 26, 2011, the Office of the Zoning Board of Appeals is forwarding the above referenced application for verification of the livable floor area, per code Section 280-4, to be returned to this office within 14 days of receipt. FOR BUILDING DEPARTMENT USE Our office has reviewed the following documents provided in the above referenced application: Survey: Peconic Surveyors, dated June 25, 2019, Floor Plan: Kleese Architects dated January 7, 2020 Based uyon the information listed above The livable floor area is determined to be square square feet and is conforming to Section 280-13B (13) (a) of the code The livable floor area is determined to be square feet and is not allowed pursuant to Section 280-13B(13)(a) of the code which states: "The accessory structure shall contain no less than 450 square feet and shall not exceed 750 square feet of livable floor area..." The livable floor area cannot be verified. COMMENTS: Signature of revie r , Date: /tea/�� `l ted b the Board o A eats May 18,2011 Adopted y f nn y Y - TOWN OF SOUTHOLD RF!'FIVFD ZONING BOARD OF APPEALS Phone (631) 765-1809 (631)765-9064 AN 10 2020 APPLICATION FOR A SPECIAL EXCEPTION PERMIT FOR ACCESSORY APARTMENT IN AN EXISTING ACCESSORY BUIL Yo Ging Board Of Appeals Application No.: SCTM:No: Date Filed: Applicant(s)Name(s) TG2l�.'JQ m F rt t_A 0—nal F Applicant(s)Address k 05 0 C -J k k6 (House No., Street,Hamlet,Zip Code and mailing address if different from physical address) Applicant(s)phone number(s): Applicant(s)e-mail address: ' lZ 0 0_01 . WVIA /we are the owners of the subject property [ ] 1 am the agent for the property owner and my Letter of Authorization and Transactional Disclosure Form is attached. I. Statement of OwnershiD and Interest: { 66tw, Pl js(are)the owner(s)of the property known and referred to as 1050 House No. treet Hamlet Zip Code Identified on the Suffolk County Tax Maps as Distr'ct 1000, Section 5i0 Block Lot(s) Lot Size Zoning.District k I0 as shown on the attached deed and survey The above-described property was acquired by the owner(s)on(date) 6 I/we hereby apply to the Zoning Board of Appeals for a Special Exception Permit pursuant to Section §280-13B(13)of the Zoning Ordinance to establish an accessory apartment in an existin accessory building as�shown on the attached survey/site plan and floor plan(s) II. Proie`ct Description: �!O b1'd�,v► Q.v� �'�. Com/" 6 0 6 ° i.v� Gi.sn l STEM °fig'k c III. The applicant alleges that the approval of this special exception would be in harmony with the intent and purpose of said zoning ordinance, and that the proposed use conforms to the standards prescribed therein and would not be detrimental to prope1V or persons in the neighborhood for the following reasons: I Thi L4 . . a 1�o oti, `t'Le- car �,c3Z7�1. , e a � � � 1 l anc - 6tte. z � '-4,�-- PI-0 Pg*-� . Dawe re-C a �r l Page 2—Application—Special Exceptic ,Accessory Apartment in existing Accessor' ;acture r RECEIVED IV. The applicant alleges that the following standards prescribed by Section §280-13(B)(13',',a)-(k)of the zoning ordinance will be met: JAN 10 2020 a. The accessory apartment will be located in an existing accessory building. b. The owner of the premises shall occupy either the existing single-family dwell' tsTlt i 56S,�§915f Appeals apartment in the detached accessory structure as the owners' principal residenc . he-ot r-dwellin unit shall be occupied by a family member as defined in Section§280-4 of the code or a resident who is currently on Southold Town's Affordable Housing registry and is eligible for placement,evidenced by a written lease, for a term of one or more years. c. The accessory apartment shall contain no less than 450 square feet and does not exceed 750 square feet of livable floor as defined in Section§280-4 of the code. d. The accessory apartment will be located on one floor of the accessory building and will contain only one full bathroom. e. A minimum of three on-site parking spaces shall be provided as shown on the attached survey. f. Not more than one(1)accessory apartment shall be permitted on this parcel. g. No Bed and Breakfast facilities,as authorized by Section§280-13(B)(14)hereof shall be permitted in or on the premises for which an accessory apartment is authorized or exists. h. The accessory apartment will meet the requirements of a dwelling unit as defined in Section 280-4 of the Zoning Code. i. This conversion shall be subject to a building permit, inspection by the Building Inspector and Renewal of Certificate of Occupancy annually. j. The existing building,together with this accessory apartment,shall comply with all other requirements of Chapter§280 of the Town Code of the Town of Southold. k. This conversion for the accessory apartment shall comply with all other rules and regulations of the New York State Construction Code and other applicable codes. V. The property which is the subject of this application(check all that apply): [ ]has not changed since the issuance of the attached Certificates of Occupancy [V6as changed or received additional building permits. Certificates of Occupancy for these changes are attached or will be furnished "Foo I a [ ]has been the subject of a prior ZBA decision(s),copies are attached List Certificates of Occupancy/Building Permits,and dates of issuance below: By signing below,I certify all information is true and correct to the best of my knowledge. Owner Signature ` COUNTY OF SUFFOLK) ss.: STATE OF NEW YORK) Sworn to before me this 10_k__V1 day of J-an ua r y ,20 of b �Au" j�71;:)Lw&A ( otary PuT) ) Revised 12/18/2019 TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2 Df' a V QUESTIONNAIRE Mi FOR FILING WITH YOUR ZBA APPLICATION A. Is the subject premises listed on the real estate market for sale? Yes Z No B. Are�here any proposals to change or alter land contours? P/ No Yes please explain on attached sheet. C. 1.)Are there areas that contain sand or wetland grasses? A10 2.)Are those areas shown on the survey submitted with this application? Alfif 3.)Is the property bulk headed between the wetlands area and the upland building area? KD 4.)If your property contains wetlands or pond areas,,have you contacted the Office of the Town trustees for its determination of jurisdiction? Please confirm status of your inquiry or application with the Trustees: and if issued, please attach copies of permit with conditions and approved survey. D. Is there a depression or sloping elevation near the area of proposed construction at or below five feet above mean sea level? - E. Are there any patios,concrete barriers, bulkheads or fences that exist that are not shown on the survey that you are submitting?_Alb 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? /Ute If yes, please submit a copy of your building permit and survey as approved by the Building Department and please describe: G. Please attach all pre-certificates of occupancy and certificates of 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?–W—O If yes,please label the proximity of your lands on your survey. I. Please list present use or operations conducted at this parcel j2d, 4t�na 1� and the proposed use 5 C ,9,r (ex:existing single family,proposed-same with garage,pool or er) , Aut ized si a an ate RECEIVED a AGRICULTURAL DATA STATEMEN £ JAN 10 2020 56 ZONING BOARD OF APPEALS 3 TOWN OF SOUTH[OLD � WHEN TO USE THIS FORM: Theform must be completed by„the applicant for any special use perrni4 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 agficulttcral.data statcinent must be referred to the Suffolk County Department of Planning in accordance with sections 239- m and 239-n of the General Muhicipdt Law -1)Name of Applicant: >e-Arlr 70-441—f •,c ' 'r t 2)Address of Applicant: 3)Name of Land'OVMier(if other than a licant) 4)Alidres�of Land Owner. -_ 5)Description of proposed Project: J 6)Locatibn-of Property(road and tax map number): -Z)Is thre,pa>tel within an.agrieultural district? No YJ es'If yes,Agricultural District•Number 8)Js this parcel actively farmed? ❑N6 E]Yes ` 9) 'Nainrie atad '-ad4Yress"0f Any_ ;ovn er(s) of-land within the agricultural 'district containing;aeli�e.faxen oge at lit(s), ocated'S00 f t�of the-boundary of.the pru�6sed.project. (lnforma ion imay�e availabie'throU h , the Town ssesi;ors•Office; Tovc!n I all^Ic�catioit (765-19 7) oF;from Any,-pubhr, computer at the TbWh ' 1�0canc tts:by”riewiag the#Ir6el numhers on`the;Town of Southold Real Prbpetyy Tax System: -Nam'e-and.Address ; 6, (Please use,ba&side of page if more than six-property owners are identified.) - -nq-lot-3 umbers-may,,lie-obtained;in�advance,-whewrequested from the-Office-of thd'PYanning Boaid:af765= 1938 dr th�Zoriitig Btlard of Appdals at 765-1809. . 'Si6ature-afApi—ndant. ' Date Note: 1.Tile local board will'solicit cdrritiients from the owners of land identified above in order to consider the eMci of the,proposed action odtheir farm operation.`Solicitation will be made by supplying a copy of this statement 2.'Commehts returned•to the local board will be taken into consideration as part of the overall review of this application. 3.The'cletk'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. 1-14-09 617.20 Lzoning IVED Appendix B Short Environmental Assessment Form 11111 Instructions for Completing d of AppealS Part 1-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1 -Project and Sponsor Information Name of Action or Project: Project Location(describe,and attach a location map): U5D ket N&I 110171 Brief Description#Proposed Action:_ Name of Applicant or Sponsor: � Telephone: (ll �� 3 2 F Q V I o-,. . m r—r .4 ry I/X C &4-j 6n4,F� E-Mail: j l y o ij CC f> • '��h Address: 1v5 a--ti City/PO: I State: Zip Code: 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: 3.a.Total acreage of the site of the proposed action? 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? acres 4. Check all land uses that occur on,adjoining and near the proposed action. / ❑Urban ❑Rural(non-agriculture) C1 Industrial 11 Commercial M/Residential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): IVParkland Page 1 of 4 RECEIVED JAN I L.20 I 5. Is the proposed action, NO 9 YES N/A a.A permitted use under the zoning regulations? Zoning Board Of Ap eals I b.Consistent with the adopted comprehensive plan? 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: / 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES -Places? b.Is the proposed action located in an archeological sensitive area? 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? f If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ❑ Wetland ❑Urban C(Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? 16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a.Will storm water discharges flow to adjacent properties? ❑NO❑YES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? z If Yes,briefly describe: ❑NO❑YES Page 2 of 4 RECEIVE, 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? JAN 10 2020 If Yes,explain purpose and size: 1-701 -70ninq gnarrl nf Appeals 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE r p_ Applicant/spon qr name: % -I Date:_I A 0, Z o Signature: UA 141, � C ` Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" 111 > �'' .r �, �^ f P,. No,or Moderate s; f, . small to large t. wr"K, impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 f ' RECEIVED No,or Moderate • - - '; •1`.. ..;i1.j.s,..,�e � . small to large r �'�4z' rti.` •• - - +- �s t�$ t•.. ?Jaj,.:E'i4.yTYt�;-:s>'1"...,,�-ti�r'�r ;'s ,.. ',"' �=.� ,:.,•�;�; 31,�;� .;a�'�N �,A impact impact t.C'cx J' •� f ((.i + ) ..�-• ''y,.r.: ii Lt�}-lSrx.....T YVt r `^• ji t•' d - `, i7't,. ��•`, o may may _ ;,- _ - _ _ - - _ _ �•,y ��t�,. occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Name of Lead Agency Date Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) Page 4 of 4 -7 bS5�6 RECEIVED APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM JAN 10 2920 The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and' mployees The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow'itstb tak-elktwhatever/� action is necessary to avoid same. _ YOUR NAME : �LAe wX Fe- 1 r (Last name,first name,middle initial,unless you arc-applying in the name of someone else or other entity,—sucu A._ company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Qd.0v�,., Planning Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business interest"means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5% of the shares. YES NO If 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 RELATIONSIHP Submitted this day of ,20 Signature Print Name ( ^� RECEIVED AGENT/REPRESENTATIVE ��N ��2� TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers a idreninloyeRF2�TIWrposeels of this form is to provide information which can alert the town of possible conflicts of interest and railow-iCto-take-wha�' action is necessary to avoid same. YOUR NAME : �— (Last name,first name,middle initial,unless you are applying int a nailie of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business interest"means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in w 'ch the town officer or employee owns more than 5%of the shares. YES NO 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 Submitted this 0 day of � ,20 ZZ Signature Print Name C t Cl UO"`fit--� Town of Southold %b J LWRP CONSISTENCY ASSESSMENT F(A M RECEIVED A. INSTRUCTIONS JAN 10 2020 r 1. All applicants for permits* including Town of Southold agenc�iLs,r �h�lbepMple-�tg�,pis�lCCAF for proposed actions that are subject to the Town of Southold Waterfront eonsistency-Irevrew- . This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor-acfiori Iist;-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 n-cessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION < SCTM# The Application has been submitted to(check appropriate response): Town Board 0 Planning Dept. 0 Building Dept. 0 Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital I construction,planning activity, agency regulation, land transaction) (b) Financial assistance(e.g.grant, loan, subsidy) (c) Permit,approval, license, certification: Nature and extent of action: tom/ L/r�J Location of action: LJ O PQ G.-* R l E1VED Site acreage:_E;3 -3Z-j 4 . + Present land use: JAN �. � ��20 S C �-l�A 1 �,( {`� ,� Present zoning classification: �'T� Zoning Board Of Appeals 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: i a ,, r (a) Name of applicant: P��` `t e &VJ, nkza6� �t ,�/j/C hrjC(, (b) Mailing address: [© So (4 (:Z- ,`-cl- (c) Telephone number: Area Code( ) �� ' L+LO (d) Application number, if any: Will the action be directly undertaken, require funding,or approval by a state or federal agency? Yes ❑ No�e If yes,which state or federal agency? DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III-Policies; Page 2 for evaluation criteria. ❑Yes ❑ No ❑ (Not Applicable- please explain) Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III-Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No ❑ (Not Applicable-please explain) FORM NO. 4 � V TOWN OF SOUTHOLD RECEIVED BUILDING DEPARTMENT Office of the Building Inspector Town Hall JAN 10 2020 Southold, N.Y. Zoning Board Of Appeals PRS EXISTING CERTIFICATE OF OCCUPANCY No Z-24684 Date OCTOBER 10, 1996 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1050 HYATT ROAD SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 50 Block 1 Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER 2-24684 dated OCTOBER 10, 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 The certificate is issued to EDNA HARMAN & ANO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Building Inspecto Rev. 1/81 Town of Southold Annex 10/4/2011 54375 Main Road Southold,New York 11971 RECEIVED i CERTIFICATE N 10 2020J OF OCCUPANCI? Zoning Board Of Appeals 7 20I No: 35224 DM ate: - 47 THIS CERTMES that the building ACCESSORY GARAGE Location of Property: 1050 Hyatt Road, Southold, SCTM#: 473889 See/Block/Lot: 50,1-13.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 6/13/2011 pursuant to which Building Permit No. 36535 dated 7/5/2011 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: Construction of a New Accessory Building; 2 Car Garage with 2nd Story Non-Habitable Storage as applied for. The certificate is issued to Stickney C M Liv Trt (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 36535 gnlli PLUMBERS CERTMCATION DATED A40rile /Signature J� ptkt:•- Town of Southold Annex 2/10/2012 54375 Main Road Southold,New York 11971 RECEIVED JAN 10 2020 IZoning Board Of Appeals CERTIFICATE OF OCCUPANCY No: 35442 Date: 2/10/2012 THIS CERTIFIES that the building DECK Location of Property: 1050 Hyatt Rd, Southold, SCTM#: 473889 Sec/Block/Lot: 50.4-13.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 12/13/2011 pursuant to which Building Permit No. 36889 dated 12/27/2011 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: Addition to an Accessory Building(nonhabitable garage): 2nd Story Wood Deck 11.5'X 12.5', as applied for per ZBA#6517, dated 11/17/11,which states the deck shall not be covered with any permanent structure. The certificate is issued to Stickney C M Liv Trt (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED /Apt o ' ed Signature o�OgU4FOt,fCOG_ Town of Southold 5/16/2017 P.O.Sox 1179 ------�-- 53095 Main Rd RECEIVED ��✓�j o�`� Southold;New York 11971 / of � JAN 10 2020vi CERTIFICATE OF OCCUPANCY Zoning Beard Of Appeals No: 38949 Date: 5/16/2017 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 1050 Hyatt Rd, Southold SCTM#: 473889 See/Block/Lot: 50.4-13.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore fled in this office dated 3/4/2016 pursuant to which Building Permit No. 40520 dated 3/11/2016 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: ACCESSORY IN-GROUND SWIMMING POOL FENCED TO CODE AS APPLIED FOR The certificate is issued to Fried,Paul&Elizabeth of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40520 06-07-2016 PLUMBERS CERTIFICATION DATED t�orizo Signature BOARD MEMBERS *pF S —J� –(0�Southold Town Hall Oily "' nn Leslie Kanes Weisman, Chairperson p� �! RECEI��D95114ain}�oad•P.O.Box 1179 Southold NY 11971-0959 James Dinizio,Jr. OffiLe Location: Gerard P.Goehringer Q JAN 1000=x/First Floor,Capital One Bank George Horning 54375 Main Road(at Youngs Avenue) Ken Schneider ft i Zoning Board Of Afi So-Mld,NY 11971 http://southoldtown.northfork.net ZONING BOARD OF APPEALS RECEIVE• TOWN OF SOUTHOLD 3 I Tel.(631)765-1809•Fax(631)765-9064 8 210111 FINDINGS,DELIBERATIONS AND DETERMINATION n MEETING OF NOVEMBER 17,2011 �f Sou ®9 Town rk ZBA FILE No.: 6517 NAME OF APPLICANT: Cathrin Stickney PROPERTY LOCATION: 1050 North Hyatt Road, Southold NY SCTM#1000-50-1-13.1 SEORA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type 11 category of the State's List of Actions, without further steps under SEQRA. LWRP: The relief, permit, or interpretation requested in this application is listed under the Minor Actions exempt list and is not subject to review under Chapter 268. PROPERTY FACTS/DESCRIPTION: Subject parcel is improved with a one and two story dwelling with garage under and an accessory garage under construction. It contains 53,323 sq. ft., with a 30 foot right of way on Sound View Avenue, 203.66 feet along the southern property line, 197.68 feet along the western property line,231.72 feet along the northern property line and 247.46 feet along the eastern property line as shown on the survey dated July 13,2011 prepared by Peconic Surveyors, PC. BASIS OF APPLICATION: Request for Variance from Article III, Code Section 280-15, and the Building Inspector's August 2, 2011, revised October 3, 2011 Notice of Disapproval, based on a building permit application to construct a second story deck addition to an accessory garage, at: 1) more than the code required maximum square footage of 750 sq. ft. on lots 20,000-60,000 sq.ft. RELIEF REQUESTED: The applicant proposes to construct a second story deck addition to the accessory garage increasing the square footage to 1080 sq. ft, where 750 sq. ft. is permitted per the code on lots measuring 20,000– 60,000 sq, ft. AMENDED APPLICATION: During the hearing, the applicant was asked to bring the plan into more conformity with the code. The applicant was willing to reduce the size of the deck. FINDINGS OF FACT/REASONS FOR BOARD ACTION: The Zoning Board of Appeals held a public hearing on this application on November 3,2011,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 Beard finds the following facts to be true and relevant and makes the following findings: 1. Town Law &267-b(3)(b)(1). Grant of the alternate relief will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. Accessory garages are common in this neighborhood. The alternative relief will bring the total square footage into more conformity. The garage and second floor deck are well screened from adjoining neighbors. Page 2 of 3—November 17,2011 RECEIVED ZBA FileH6517-Stickney CTM. 1000-50-1-13 1 JAN 10 2020 2. Town Law 5267-b(3)(b)(2)_The benefit sought by the applicant could have leen achieved by some method, feasible for the applicant to pursue, other than an area variance. The accessory garlage was recen 16,b ilt to pe irly the maximum square footage allowed by the code. The applicant could have incorpiicatlerd_ffjr fO cAnd story of the accessory garage at the time of construction without the need for a variance, 3. Town Law 5267-b(3)(b)(3). The variance, if granted as applied for, would be substantial, representing a 44% relaxation from the code required 750 sq. ft. maximum. When considered in the context that the applicant had full knowledge of the need for a variance when she had the accessory garage constructed, as evidenced in testimony given at the hearing, granting a variance as applied for would be substantial, The granting of alternate relief will substantially reduce the variance, representing an 18% relaxation thus being in more conformity of the code, while allowing the applicant to enjoy the use of a second story deck in order to enjoy a view of the water. 4. Town Law 5267-b(3)(b)(4) No evidence has been submitted to suggest that a variance(alternate relief) in this residential community will have an adverse impact on the physical or environmental conditions in the neighborhood. The granting of a reduced variance will further mitigate any impacts that this nonconforming structure may have in the environment.All storm water runoff will be contained on site. 5. Town Law §267-b(3)(b)(5). The difficulty has been self-created. The applicant testified that she was aware that if she built a 744 square foot accessory garage she could not add a second story deck. Further testimony indicated that the building inspector informed the applicant that the inclusion of the proposed deck would result in a disapproval of the building permit and the need for a variance. The applicant chose to build the accessory garage without the deck and apply for a variance after the fact. 6. Town Law §267-b. Grant of alternate relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of a second story deck while preserving and protecting the character of the neighborhood and the health,safety and welfare of the community. RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 267-13, motion was offered by Member Dinizio, seconded by Member Weisman (Chairperson), and duly carried,to DENY, as applied for, and GRANT ALTERNATIVE RELIEF as noted below and subject to a condition; 1. That the deck be no larger than 144 square feet. Condition: The deck shal I not be covered with any permanent structure. That the above condition be written into the Building Inspector's Certificate of Occupancy, when issued. Before applying for a building permit the applicant or agent must submit to the Board of Appeals for approval and filing,two sets of the final architectural drawings conforming to the alternative relief granted herein.The ZBA will forward one set of approved,stamped drawings to the Building Department.Failure to follow this procedure may result in the delay or denial of a building permit,and may require a new application and public hearing before the Zoning Board of Appeals. Any deviation from the variance given such as extensions, or demolitions which are not shown on the applicant's diagrams or survey site maps, are not authorized under this application when involving nonconformities under the zoning code. This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code,other than such uses, setbacks and other features as are expressly addressed in this action. The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does not increase the degree of nonconformity. Page 3 of 3—November 17,2011 ZSA Filet16517-Stickney CTM 1000-50.1-131 RECEIVED Vote of the Board: Ayes:Members Weisman (Chairperson), Goehringer, Dinizio, ScL(Absent was:Member Horni g) This Resolution was duly adopted(4-0). JAN 10 2020g Board Of Appeals Leslie Kanes Weisman, Ch ' rson Approved for filing �J / 2011 APPEALS BOARD MEMBERS Southold Town Hall Gerard P. Goehringer,Chairman a y� RECEIVEDJ Main Road Serge Doyen ox 1179 James Dinizio,Jr. Oy �� ��� 10 , � ew York 11971 Robert A. Villa Tj �O )765-1823 Lydia A.Tortora Tele516) 765-1809 Zoning Board Of App BOARD OF APPEALS TOWN OF SOUTHOLD Appl. No. 4426 AC'T'ION OF THE BOARD OF APPEALS 10/17/96 APPLICANT: ESTATE Ole VIRGINIA MOORE-MOSS (Janet Swanson, Trustee) LOCATION OF PROPERTY: 1050 and 952 Ilyatt Road, Southold. COUNTY 'PAX MAP DISTRICT 1000, SECTION 50, BLOCK 1, LOT 12. APPLICABLE PROVISIONS OF ZONING CODE: Article II, Section 100-26. BASIS OF REQUEST: Waiver for undersized lots identified as District 1000, Section 50, Block 1, Lot 12, and Lot 13, which are "merged due to common ownership as determined by the Building Inspector under his Action of I)isapirroval dated September 24, 1996. District: R-40 Residential. Reasons for Denial of Waiver: 1. The, two areas have been merged and joined as a single lot totaling #?aoo t square feet in area,[, in this R-40 Residential Zone District. 2. The request for waiver of this lot size is not consistent with the surrounding area. 3. The record is not substantiated by economic hardship (original purchase price and other), and the Trust (Estate) is still able to use the land which has been joined with the house as a single, entire parcel. 4. Opposition and testimony received during the hearing. MOTION MADE BY R. Villa SECONDED BY S. Doyen ACTION/RESOLUTION ADOPTED: Denied. VOTE Ole THE BOARD: Ayes: Serge J. Doyen Lydia A. Tortora Robert A. Villa Gerard P. Goehringer Nay: James Dinizio, Jr. (felt application should be approved based upon history of deed conveyances up until time of death of one of the owners and other factual testimony. ) RECINV1 � THE TOVIN CLERK E `� GERARD P. GOEHRIN R C AIRMAN I 0To;-_ Town of Nouthold Paul NA. cried and Elizabeth OBrien Fried January 10, 2020 smombmmvT 3 " . D � 2020 fAppeals eaEs II q � r yr° s s Paul M. rried and Elizabeth OBrien Fried January 10, 2020 /�� RECEIVED 12020 and Of Appeal: s°ti jW.r r X y. 4 axev r � a . ! *k -••, i+ k�b r 4 5y a }"r v"" I T'_.T (D C— Q— W O N N cr 3 (D CD ��•' O O C. (D Q s - m m A o Paul M. Fried and Elizabeth OBrien Fried -bra January 10, 2020 -- RECEIVED 02020 Of Appeals 4 1 AM60 f RECEIVED JAN 10 2020 zoning Board Of Appeals 111111111111111111111111111111111111111111111111111 IN - - 1111111 IIIII IIIII 11111111 SUFFOLK COUNTY CLERK RECORDS. OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 07/21/2015 Number of Pages: 6 At: 10:14:34 AM Receipt Number : 15-0096378 TRANSFER TAR NUMBER: 14-31160 LIBER: D00012824 PAGE: 624 District: Section: Block: Lot: 1000 050.00 01.00 013.001 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $760,000.00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $30.00 NO Handling $20.00 NO COE $5.00 NO NYS SRCHG $15.00 NO EA-CTY $5.00 NO EA-STATE $125.00 NO TP-584 $5.00 NO Notation $0.00 NO Cert.Copies $0.00 NO RPT $60.00 NO Transfer tax $0.00 NO Comm.Pres $0.00 NO Fees Paid $265.00 TRANSFER TAX NUMBER: 14-31160 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County i r r C%] RECORDED Number of pages 2015 Jul 21 10:14:34 API t JUDITH A. PASCALE CLERK OF RECEIVED SUFFOLK COUHT`1 This document will be public -� .L /500012524 record.Please remove all P 624 Social Security Numbers DTB 13-31160 JAN .1 0 2020 prior to recording. Deed/Mortgage instrument Deed Mortgage Tax Stamp Recording I Filing Stamps Zoning Boaard Of Area is 3 FEES Page/Filing Fee Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-564 �_ Sub Total Notation SpecJAssit. or EA-5217(County) Sub Total i Spec./Add. EA-5217(State) S TOT.MTG.TAX Dual Town Dual County _ R.P.T.S.A. l dJ Held for Appointment Comm.of Ed. 5. 00Gal � Transfer Tax \`� Mansion Tax AffidavitrCertified Co The property covered by this mortgage is Copy or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only, Sub Total � _ YES or NO Other Grand Total ,7p(A-7 7 If NO,see appropriate tax clause on p of this instrument. Co ity Preservation Fund 95018476 l000 o5000 oioo 013001 Cotrsiderat' n Amount$ -1�e � Real Property II IIII l Tax Agency Service R DTY SA 11111111 (�I�I�IIIJ I�Q Ull I�I CPF Tax Due $ Verification 14-JUL-15 Improved 6 Satisfactions/uiscnarges/tteiedsesu�rrropen.y QW1IVO,.ror„nj--w.$ RECORD&RETURN TO: Vacant Lan`d TD I CHRYSA PASQUALONE,ESQ. TD 35 BANK STREET ' CENTER MORICHES,NY 11934 TD Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name EMINENT ABSTRACT,INC. www.suffolkcountyny.gov/clerk Title4 EA 1344-S 8 Suffolk County Recording & Endorsement Page This page forms part of the attached DEED made by: (SPECIFYTYPE OF INSTRUMENT) CATHRIN M.STICKNEY.AS TRUSTEE The premises herein is situated in SUFFOLK COUNTY,NEW YORK, TO In the TOWN of SOUTHOI.D PAUL In the VILLAGE El,!7_A R FTH(YRR I bN FRIED or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over J i T —Bus=and5*Deedw,%Carma&geonGmLWsActs—ladrvidedacapmemtSMOCSLcd) � CONSULT YOUR LAWYER BEFORE SIG NINO THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. E3,44Mt4W ] THIS INDENTURE,made the 256 day of June,in the year 2015 BETWEEN Catim M.Stickney as Trustee of the Cathrin M.Stickney Living Trust dated May 20,Lane,N6W,San Francisco,CA 94133'v of the first and Paul Fried and Elizabeth O'Brien Fried 17 Bail Road Millbu NJ 070party of the second pan, N,3 �'v�r'r'�cd "�� G' �k^3 rn 'L WITNESSETH,that the party of die first part,in consideration of Ten($1000)dollars 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 cermin plot,piece or parcel of land,with the buildings and improvements thereon erected,situate,lying and being in the SEE ATTACHED SCHEDULE A. BEING and intended to be the same premises conveyed by Marline Meyer by deed dated September 17,2008 and recorded in the Suffolk County Clerk's Office on September 29,2008 in Liber 12566 page 596. TOGETHER with all right, title and interest, if any, of the party of the first pan 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 pan 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 pan covenants that the party of the first pan 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 fust pan,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 tight to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the 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"patty"shall be construed as if it read"panics'whenever the sense of Utis indenture so requires. IN WITNESS WHEREOF,the party of the first part has duly executed this deed the day and year first above uriiten. IN PRESENCE OF: I A io1 Cathrin M.Stickney as Trustee J�`7 California All Purpose Acknowledgment Certificate Attached V• J ' 1 Schedule A Description '� -73s-65 "" l� Title Number EA1344-S Page REgEIVED JAN 10 2020 ALL that certain plot, piece or parcel of land, situate, lying and beinLg:�ti'40dr��(sof Appeals Point, Town of Southold, County of Suffolk and State of New York, b-0—amded-and-- described as follows: BEGINNING at a concrete monument set at the westerly corner of land now or formerly of Michele Brothier; RUNNING THENCE from said point of beginning along land now or formerly of Nicoletti, South 44 degrees 52 minutes 20 seconds West, 15.61 feet; RUNNING THENCE along the northeasterly line of a certain 15 foot right of way, and land now or formerly of Sadowski, North 61 degrees 14 minutes 00 seconds West, 203.66 feet to a point; RUNNING THENCE along lands now or formerly of Kemeny, North 28 degrees 46 minutes00 seconds East, 197.68 feet to lands now or formerly of the Southold Park District; RUNNING THENCE along said lands the following three (3) courses and distances: 1. South 73 degrees 24 minutes 10 seconds East, 231.72 feet; 2. South 58 degrees 34 minutes 40 seconds East, 25,57 feet; 3. South 40 degrees 41 minutes 20 seconds East, 21.64 feet to a point; RUNNING THENCE along the westerly side of a right of way and land now or formerly of Brothier, South 44 degrees 52 minutes 20 seconds West, 231.85 feet to the point or place of BEGINNING. TOGETHER with a right of way 15 feet in width over land now or formerly of Walter E. Hyatt, the southwesterly line of which is parallel with and 15 feet southwesterly from the southwesterly bouhdary line of the premises hereinabove described measured at right angles thereto, from the southwesterly corner of the premises southeasterly about 200 feet. TOGETHER with a right of way 30 feet in width over land now or formerly of Walter E. Hyatt from the southeasterly corner of the premises hereinabove described, southeasterly about 900 feet to Sound View Avenue. Continued..., Continued On Next Page Schedule A Description continued Title Number EA1344-S PYf ff1VE2--) JAN 10 2020 FOR CONVEYANCE PURPOSES ONLY: Zoning Board of Appeals TOGETHER with the use, in common with others, of a right of way 30 feet in width from the easterly comer of the subject premises and adjacent thereto for the full extent thereof, southwesterly and 250 feet, together with the right to use in common with others a right of way 30 feet in width over land of Walter E. Hyatt extending from the northerly line of the above mentioned right of way southeasterly about 900 feet to Sound View Avenue. ALSO with a right of way 30 feet in width over land now or formerly of George P. Lewis from the northeasterly comer of the premises described in Liber 11801 page 694 southwesterly about 120 feet to another 30 feet right of way as described above. , RECEIVED JAN 10 2020 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§1189 ----L )eals A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California } County of ZV_M ) On 4NAE Z3, Sol.C_before me, RAJENDRA K. MALIK-NOTARY PUBLIC Date Here insert Name and Title of the Officer personally appeared 4574 THRZA✓ /W S'77C keuFY Names)of Signer(s) who proved to me on the basis of satisfactory evidence to be the persopA whose named is//arer- - subscribed to the within instrument and acknowledged to me that�she/Wexecuted the same in i�raffter/t, r authollzed capacity asr,and that byA"9r/tpeif signature on the instrument the perso W, or the entity upon behalf of which the per8V"acted, executed the i strument. // I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. WEN=K.MALIK Signature Commission#2110230 Signature of Notary Public Le Notary Public•California Napa County My Comm.Expires Jun 3,2019 Place Notary Seal Above OP770MAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacilty(Ies)Claimed by Signers) Signer's Name:Q6,77f"m.-C77r-L±= Signer's Name: O Corporate Officer —Title(s): T ❑Corporate Officer Title(s): Q Partner — 0 Limited ❑General ❑Partner — 11U rted ❑General ,,PKindividual O Attorney in Fact O Individual D Attorney in Fact Q Trustee 0 Guardian or Conservator 0 Trustee 0 Guardian or Conservator O Other. ❑ Other. - Signer Is Representing: Signer Is epresenting: 4 02014 National Notary Association-www.NationalNotary.org- 1-800-US NOTARY(1-800-876.6827) Item 95907 - i 1 _ ` ACKNOW LEDGEMENT TA6gN IN NEW YORK STATE ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE Stain of Never York,Camey of .531 State of Ned Yank,County of ,u: �`''"�V✓/'� Oa the day of in the yew befmo aa,the On the day of in the year ,befom me,the J` tmdertigaed,personallyWest ed underaignedtiersomillyispPearmi personally Imawa to me or proved to ate on the basis of ,pasoatlly known to ate or gaavod toTO: o" oa the basis oF'ECEIVED satisfactory evitkmt a to be the individaal(s)wbosa amrte(B)is(me) aatissfeetwy evidence robe the individual(a)w�-0� )submcibed to the within instrument and acknowledged to me that subscribed to the within instrument and sIxledtoi t L n nhtlthelthey asemw the tett in h(t Wth&�eity(iml rind ohm by hrltdtrlthcy eEecutrl)thesmite iD hislher/lbett tBAedty{ind(V U Uhi0i sithea cipatue(s)on the i istrtm em,the tadividual(sX or the hisirba tbeir 6tparc(s)on fro iashnmitrit,the iodividtor the pecan pon bebalfofwhich Ilia individuat(s)acted,executed the perste Wn bobsifofwldch tbeindividual(a aLo88 gitneaaed the md.,.�,..r itstrumad 9 Board Of APPeals ACKNOWLEDGEMENT BYSUBSCRIBINGWITNESSTAKEN ACKNOWLEDGEMENT TAKEN 011"WENEW YORK- INNEW YORK STATE STATE State of New Yak.Comity of s,: 'Slue of CALIFORNK Cama of ss '(Or bun District ofColumbia.Territory.Pouessiou or Foreign On die dsy of in the year before me,the County) undersigned,a Notary Public mend for said State,personally oppwed .the=L-szrtlift-witness I-E--f�fdrig iii t,with wham- On the dpy oflane in rheyem 201 S,before me Cattain M. I am pe smrnlly acquainted,who.bft by me duly sworn,did depose Stickrity the undwipW persa ally appeared and say that hchhddtey reside(s)in Paaoually law..n to me or proved to me an die basis ofmtisfactory tdineraaect tmcedbsetr.md�a�maamiand I f-y.&=A evidence to be die individW(s)whose riame(s)is(an)tubtecibedtothe that hclshrlthey know(s) within instrument and acknowledgod to me that helshdthey executed the same in bish=hheir cepacity(ies),that by hisAmMeir s4uturv(s)on to be die individual described in and who executed the fasego ing the insatrntut,the individual(s)or the person upon behalf of which the itssmmmem that acid subscribing witness was pm=and saw said individi al(s)acted,executed the instmmem,rind that sub individual make such appearance before the unilmsWied in the V0-mze d--are s:Ciro t geld w W q 0at tis,tvte�Ote.pth!ccriheO bis wAlIcir MMX(()as t witness thereto (add the city or political subdivision and the sate orcountry yr other place the acknowledgement was taken). Bargain and Sale Deed With Covenants SEC130N.'M.00 BLOCK:01.00 Title No.EA 1344-S LOT 013.011 COtN'[YOR TOWN:Suffolk ISouthkold Cathrin M.Stickney as Trustee ortbe Cothtin M.Stidmey Living Trost dated May 20.2003 TO Paul Fried and EBrstbeth O'Brien Fried RETURN BY MAIL TO: 34 Bak Sam Cerus Malche4 NY 11934 W.631765•S M YOU&TITLE EXPECTS The JudkiU Tido Insuratteo Agency LLC STI E(0 85) FAX:OWAX 8386 INS7RUCilONs(RP.62f 7•POPar�:www apeamt�.mrus wRcoilHr;LTONLY maims" i�;�,3,g,$9 � �Idonand FinaMc°e c:am Dw new" 1 0-7/ of l / 151 Office of Real Pmp"Tax Semis L Pse. °" '"' b RP-5247-PDF ca.eoac g a�c�. � I�,Ir�„o.ratRevaerono� 1-ft" 1050 Hyatt Road RECEIVED toeeoe •�� •.,ewlArae Sonfhold 11971[Zoning JAN 10 2020 - •QNOaLONw �l#eE •ACmt f 2-Dew Fried Paul M. •uawemrrwr. nn..Wc Fried Elizabeth O'Brian Board Of Appals LM m..� ®ft a,dm.wn.nLoearaeWac.esraeM FY,;e 'T AM=$ Mawatmntaryar.ednes(mmommdfamq vn ctat+raw *i+d�o+eabeeme eat 1 mdPr,ar at (]valdAPaetl ( aPbteteor,eeggydcr�vegpy - eA.PYrdne ttu,dWfh tB&�b,rAWrAq Fla � - L0M6 X OR 1.12 Vcm Romp 01,,, as SnDSillonApewlOwnRgtiietllmTtaWa Q .CPrerltppawd(trsenwlAlMeD�+bod p Stickney, Trpaiee Cathrin K. two unramewnr ,wawwoe vena Cathrin M. Stio" Liv1Ag Trust wrarrtAoriun arc `T.idwlelndeeMpcaewtte6wow rsunbh dwMPrw tta C1wCkdu Dmealrmau thgr tppy: . twed�egopaytntltetirorlofee� LOwmahOYYDeuOd,dONliMcp 0 A.One Fanollp Retddateel LMwCmltrualonmt,Vaeietai0 tdt.veopedytomnawdhY+mAq,aq,rt101fuid 1fLBum md notkokdtpuwwepwpnrybinn 0 IMU NFORMA am at=m uItAnconjithm stoorebr. A.fieb BltwertRYewae trFO,mtr ftbtn,Ea ttSabr I esus, 05/29/2015 asriseeermPur,aoon aan w.anttun . •tsvm.meanmautk 06/25/2015 o e�eras�aruea.,r�teuaoepr»epru�e„ F B0-dFTWPeeesr4tpndalGw2&rhlydtBpBtlaM •tiPrtt6ahNka 760.000.00 aaoayG+mwn,P:oPapn.w.+Ttaaoesorenb+aswte, IFd8&W1 elally.+aaMnemrp Wf*rftpWmhkdo9PmawP, I �srAtladee.ar•r dn6reProe TwpelmrrtnnytaNbtermdatrf�dhapaparyapoa6 onluwv�tionW 6 Over(AxadFAdafARe�rgSWPemI�Y&�aM1 ,�t6itramrva�rrtlflrsBndber�w,obacArrracra,t J.Nar te.rmrentnrr..a■dPraa,u � DID"Ifthdo Intl"em 0.00 Nr uuoRNunoN•ou ea t]ro t (Font Audrmtettt RCI wn Tatt 1LYly40AexgmnRRpAftmwWAfnlb,natlanftWf 114 'V-T0WAMmuWVtice A�Q� •• IL►ro"Min 210 _ 11Lt3dwW0kU dWm@ Southold •20.Ta Rrv1�1 fdmNeAtiplreewrltte fe,raaael,eewl.r9h addklood Wa+tlMrtall 1000-0so.00-01.00-013.001 1CueytlataeO!Wktssal AMMUanaaleedmdbfamwtmewcoaed(m bpo wday""hapeambm d(andIwdbran1thn,#mdrgerbgwfiaJVt hin WtannwNalerstaid bet bade aabJatrea to tette n,au,p ace�,garAtW tastr,mm,s. &love sanher 4ytr.ncaetr.�wottG.revery.aaeeacamopera�otphmmroHr.mara��7�IIfJ�YN(d4i�!���Jp•r�� �tw�emwa�WYAFtvf4uWry P»enla��a1nt11i�A01Effild�lOOC�wL11 ct+Lrair®aaraowfE,rnpf�ptwrLRwamarine �aeMldmyJ sIIrBE Fried Paul K. (////},,-1 D (I(A,/w(� j/,/J�,��{ / (/9�1 •Wrr,yq aRtr/a1l , cr.. +�Ha(WI r TJtliw �RhQ1wFN anetaleWpaLL eqL 17 9aiiey Flr�d -snmwmrr •rmEbw,e !lilburrs NJ 07041, aft wow MMMATMBW CA;yea P_sq•_ala-e.'Esq. urrmre nim (631) 765-5:00 ra�eow ntwooaerra,aor, - u J MOWN OF SOIJTH®LD_PROPERTY RECORD CARD- , 00 ,0 S —� OWNER STREET ��VILLAGE' DI'ST: °`" SUR'. LOT' FORMER OWN RCM Sf't 6 rI,IYL,v ,N E .ACR.• i" 7 Nl�1�l�ffyl!Ia�6�S T�Wsa "1' s W// :TYRE OF`:BU,I,LDfNG , RF_ SEAS. VL. FARM C MM: CB. MICS. Mkf. Value- , LAND IMP. TOTAL DATE REMARKS C) 3 a� 6 f) P-/ ;::_• , c:ti; f t J'oi QiYAN /b• �/9l .� d00 f,T ,Nw - !Y Gul�i a ✓I G/ -.'� l.5 D 0 Q : S 70 o 6zoo 3 C�l �` bi nz "o I--�z NIP - -er 7sfr rr= res s�c a a S (o _ n r ` BUILDING CONDITION / 7!y AGE � –� � I NEW 3 NORIM, 'L BELOW ABOVE ' _� FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER Woodland TOW ®F SOUTH LD FRONTAGE ON ROAD- � 41 d � Meadowland2Q?� DEPTH JAN 1House..Plot„� BULKHEAD- ' -- ' Total •. DOCK MINE ;. : ; .. -.; 1■I�■■■■■■■■■■■■■■■■■■ MEN I ■N■■■■■■■■■■■■■■■■■■■ ■■■■■ Z, 11MEMMEMMEMM■■®■■■■■ ■�■■ m■■ ■■NOM■■■■■ ="M■NEMIN OMEN■■■ IRENE ffill.. w-i ' '{... ?..'1-F"'1'.:5'7'*?7Y'"i4c's'2 r,r ..-,!1 '• 5 •.o S f''._ a.::.:..+.- '` ..:J'.' �©—_.__ ■■�i♦� Ell ME MMMMEMMMMMMMMNM N INNIMMEMEMOMMOME . . Fire ' • df Rooms Ist Floc Rooms �nd Floor - 0 -7 77 -7 t OWNER STREETI GE �.-_ -- �. ,D'IST: 9`SUB. _ LOT P() MER OWNERSQ�t ks N E "ACR. na T are'7Gn SG' /-S W OF BUILDINGAR r ti RESI SEAS. VL. FARM COMM. CB. / M ISC: Ivflct.,Vdlue. I LAND IMP. TOTAL DATE REMARKS qff AGE BUILDING CONDITION NEW NORMAL BELOW 'ABOVE FARM Acre Value Per Value Acre Tillable 1 Tillable 2 N Tillable 3 I N Q I Woodland �w "' O U o Swampland I m FRONTAGE ON WATER Brushland —' :o FRONTAGE ON ROAD House Plot DEPTH BULKHEAD Tota I DOCK w : NOMINEE EMENNNERINNNEEMEMEM mom mom .,�-:: �, ...: r ®®■■■■■ ■■■■■■■■®■reg■■■�■■■ Interior Finish �-Rooms list Floor '-Rooms 2nd Floor 0 40 go Town Hall Annex TeleP hone 765-1 54375 Main Road ,' '`Ti,., "`'`' RECEIVED Fax(631)765-9502(631) P.O.Box 1179 `- M Southold,NY 11971-0959 roqer•richherf(7townl southold.ny.us JAN 2020 c®Ui , BUILDING DEPARTMEN Zoning Board Of Appeaf$ TOWN OF SOUTHOLD- CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Cathrin Stickney Address: 1050 Hyatt Rd City: Southold St: NY Zip: 11971 Building Permit#: 36535 Section: Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: License No: SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage X INVENTORY Service 1 ph 200a Heat Duplec Recpt 7 Ceiling Fixtures g HID Fixtures Service 3 ph Hot Water GFCI-Recpt 2 Wall Fixtures 1 Smoke Detectors Main Panel 200a A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect 200a Switches []4 Twist Lock Exit Fixtures TVSS Other Equipment: detached garage-200a overhead service Notes: i Inspector Signature: Date: Sept 7 2011 81-Cert Electrical Compliance Form • ntrlL0lut. nl!PnRun;tlr � � t 01111 oI-•`!;01111101 n NOII!;I Ifo (;()I),! I n!nv!c r l orl nei'olti — — — I urn r 1011: 1050 HYAT'f RD. ' RECEIVED - -- - ------••- SOUTHOLD, N.Y_ SIIIII11V1!iIoIf - imiiiiii=1pnlity) JAN-1-0-2020 Itntlr; OF nW(u!It (n)-----EDNA T. HARNAN ANO '' _-_.--- ----------- -- __- --- OCCIII1Al4:Y --- __ SINGLE FAMILY •--`---•---`------•--- (�y�,ej Zoning'Board Of Appeals M)InIIP:u 1tY: JANET MANSON AS TRUSTEE RRY AVAILAIII,l --" -- -'- •• •- - _ _-"• ACCUIIVAII111) 1tY: SAME. _ innr1,.('ii:Minx I IA V 1+0. 1000=50=1=13- --- ------ -- !u)uut•I! oP ur•.tiul!!il: JANET SWANSON `----- - _._ __,_••- - .._..>,TRUSTEE " -' nn 11!: " OCTOBER 7, 1996 ---- -• ----- 1111C.1 -•-1111C.1[Olf WOOD FRAME 2 1`011110AT I0N CEMENT BLOCK 1 1:x1 I!; 2 CI'N.I Alt PART. -- (nlAl. ItoOtI5: _ .- .. carnal. ,Pnc1! IIAlnitu0lt („) ONE - 101 1.1,1 Ilool l (n) 11111-fly 110011 roucn 'tvPl FRONT COVERED I111I7!7.1!IIAY . __.__--_-• _-__ N rin!PI ACIt SEE BELOW -- 1 ATIo .-. UNDER 1--CAR- OIL "CAR`' -- UUtti!!11I(: IrtllaAlt!tt - _ _ _ - 6AIIACI! - _ YES_-- I Y PI! nr.A l f.0 ELECTRICWAIIH Alit ICK --'- --- - IYPIt In!nl' OIL -•-- -._. At►tco0nillo0111c 01111!11: --_--• __ itO 1 WA l k:(l WOOD BURNING STOVE IN FIREPLACE (PRIOR TO 1984) ---`-`"-----'�----'-•--•--_------- -- -----_----.-.-______ -” - OLD CONCRETE FOUNDATION GRADE AC(aiJSUIY( LEVEL, NEVFR - - •__• _ !iIIIQCllllt!!3t - cnllnr.R, Ivrl! OF ron!:r. •----- - - _ - -- SIl11rHlm, 1'001, - - �)nIlAC11, IYI'I! CtNf!iI. CIIK!;I', CONS ll1111,it! - ' --- V101.A1'I(111!i' I:IIAI'1 lilt / -- -•-._..__..----__--_ - .._. )) N,Y. !i'I'A'l li IIH 11°UItN I°11111 1'111WI-011 loll a Ho l l.n1 N(: COnli 1 OCA 11011It VI IA It K111- - -"---- __. - - - — - -- IIISI'lil:llin IIY nnlr. dr INSP►!Cr101( OCTOBER 9, 1996 J M. BOUFIS — -_.--_ - T11IR !;'IAftl' 9:50 AM R111) 10:15 AM OF —OWN OF SOUTHOLD OFFICE HOURS&PHONE OFFICE ADDRESS. OFFICE 26-P.O.BOX 1409 CONS, [DATED REAi� PROPERTY TA TILL MON-FRI 8:00 AM TO 4:00 PM SOUTHOLD,NY 11971.0499 DECEMBER 1,201 DVEMBER 30,2020-TAXES BECOME A LIEN DEC ER 1,2019 631-765-1803 FAX 631-765-51 • e •e • IF THE WORD"ARREARS"IS PRINTED HE, __ :E • • NOTICE OF ARREARS ON REVERSE SIDE. j. 473889 50.-1-13.1 610 08 5361 PROPERTY LOCATION — _ 1050 HYATT RD 1.12 iAIDTOWNAID •' JAN 10 2320 313, 994, 939 2,259, 686 188880 i, "•' " '' ��'� oning Board Of Appeals 210 1 1 Family Res FRIED PAUL 12/09/2019 1,500 I 6, 600 FRIED ELIZABETH 0- • • • • ' 50 SUTTON PL S #2C -'THIS BILL IS FOR NEW YORK, NY 10022 INFORMATIONAL FRIED PAUL PURPOSES ONLY FRIED ELIZABETH 0 ' e ;Er r-• < ;'.,, p r •-ASSESSED VALUE'•. RAT,10.. • .100%OF FULL VALUE 1'St'-Half, 2`018 w,,;r t_ , .,. =s WHICH FITS 709, 677 -2nd 'Half 536.65 $4,4453:J4 ,0'S/Z:4%2Q,l:g ,:`;{ c;is'• F 6i 6,001 --IS:• 0_,-93 L'"EU''Y'DESCRIP.TIO'N" �Y A,F. _" L V+CHANGE T Y ntt T, " ' TOTAL'TAX AMOUNT LEVsY'% "s :Ii4AAi7LEVALii—c. :.• P,..'An1!_ N LD:`SCHOOL'" 64:,6.2'%' £,6",'6Q,0„' J&8$:5054 •.g; "+3:OOa ' X5,`8,64.13 - 'SOUTHO 3`5: , _ 14_04' - 2:OO,a°' ;2'3-3":-67„: ' SOUTHOLD LIBRARY, _ -",2'., _ n`1: ,"r'z�'r, a`�� ,:r.%;•.,Jy ,r+y`,%n ::j,^r;"". _�,_�.�.:+.;..�' ti.%a;��j',".,.h,-�''.i �.' s gip• - - :'qr-r«i,J4?� vF t'4�_;�. - _ {. - �, r, -SCkut -f'=`_ _ - •r+. 'r,'w''r,:- J, -TAX LEVIED4 67.19% • ' • • 6,097.80 .,a.. - TYa'F'A Uk s qt 6��+y"r;;.,,krr..t v�.a ,.c='r�,.,u;. $UEEC7LK`. Ot7I�}; �. X °4 ><,r; zx .t� , ,k:•. :� 1.30% • • • 118.16 SOUTHOLD-,T TAX^ _"23 300' 6'i'16E1:dk�s4. '32xtTa`v398'a,. '2:6C .; 2114:63 ,1. r23.30% • ' • 2,114.63 NYS `REAL `PROP TAXLAW 0 .63'%` :._'.{ ` ',6`,600;`;' =z 8:;67'3 ' 0 ^10% _57.2.4 MTA.-PAYROLL-'TAX; _ - _ .,. - '0'.t0,�1' '`° - Y'a;6^v0';.- 0.59i `r'�0= 3C°s _ 3,-94 OUT `O+F CT SC 0.08%, ,F,,:, tit.,.., y. °. :7 .51' .> 6;600,.. ;,,_1..18' =5:b `90° SOUTHOLD FD' "64,,:073 ;1'90,—oh - 422 87 _FD 4.66%- F .Iwy t 6� . .`, ' 123.62 SOUTHOLD; PARK' 1:360 „_6,600, :' -1'8::.130 ;2:0f0°' t SOLID WASTE DISTRICT =1.438- ;' 6,`600 =19-.4642-.j _ M 6.70•%•- 12'9.64 ` - - _ '. .. :. - - - - ra `'- "_R mss;�.A - -:'' ;' •- ,- - -: -.;' x Dim 8.20% 161 s • 11611 82 SECOND''HAL;FrT�►XY,'; ;; $q 537,:715•'' TOTAL`TA'X:ILEVY `FiR$T HAL;F;T x ;$4 h0'2020,r DUE,DEO'1 P019 PAYASL'E'WIIHOUI PENALTYTO;MAY3l 02C,,5EEREVERS9' -' - "` ouEDEC".1';2�19pAVAB4ENiITHQUTPENALTX,TQ;IAN.., :;T}i1S;TAX;!—,B,t`�!D IN ONE'-1 TWO"INSTALLINENI ?SEE REVERSE SIDE FORRENALTY-SCHEDULE.-;:r"`;' SIDE FOR PENALTjY,SCHEOUL'E AND'COUNTY COMPTHOLI ER'S;NOTICE -,,, x.:. .c.;,,f. _ _ — RECEIVED JAN 10 Z020 Zoning Board O Apyp ealS BOARD OF ELECTIONS,COUNTY OF SUFF•L-K YAPHANK,NEwYORK 11980,U.S.A. This is to Certify,according to the 'records on file in this office, ELIZABET,H;A;O'BRIEN m of 1050 HYATT RD;SOUTHOLD NYw11971 is registered to vote in Election District-9;-Town of-Southold,Suffolk County,New York. ;` Registration No, s. Anita S.Katz Nick LaLota ��� � Commissioners of Elections 12120/1 1 -7 G RECEIVED JAN LBOAIU)OF E-L,I;(°"L'MONS r �� ��" IS Aft= JUNTA EDI CTORAL: �oSIXG : 4K)BOX 700,YANIA\K SY 11h��tWN�1 1+�,�ss,� �A� R-tE`.1;+`iti lkt ani sa'ct 11 i,,J,}:t 6•r3L t":a x.IF•�a'6P.t"FS wi 1tir,0 ha;�d.FEt kti..5'1.!`i:A kHF;�A07. + E J4L5«;;, 1'e�4aL c`•fi€;tai at:saty".eery 4•liFa.x Lhr,+SAY1[i11 '.d.aaa•tly j cw�1E ii, hi b h;t i=;bL# }((t.r a.ti iPtaJS4t!tr, LLQ=1tES±i 4- _'�,eA,4'Y 3i,tiy.ttiil itJ t?:Sita}1,;igSf3Ce "ew�4c^h^f p9 »+tJ.i3i;t ii4idL",LbtS,il>4lRL6`*.`�6jT(Fl;4fAFi.Lt1to4 will e'�.4D45L+�AS,QQm,''vlie ib ith ,i,;t c.sS"i:a'E•i Sisn3f} i,e1 E;'"L'n'li.`t t'1;tte»xdi�,ti+V i1L5�iefhl'L""_t`a.J_,.iS-3#:.1454'x"tea Owl s4�!+,s't a.,:t�+:R��'t4'tfi y°.3�:Cari'asic3da „h„ tr rJj%t`ia sin 7.sAid:1 'tl,( _+,(ltik<.triis„ta �it'it„d,�a.tr hiif It N L=w E4 cce acts Lf.ucaiitiaa:iaan,'Y tarfa�;k±1< e.a3 k14 J 101a.L1 kt"s J iE3s �s2L(;l;ra n::»re`spx rats.Ai.e jkdv,,^Llstt�i tt i;tiitrt a d1r d3'it i Lav,i.L e2#t� °t raar i.glul ti, arrears i,La,<a<,1 diedlEPt .ld' a't:J 4tiiaa.41 7 s 4.n tnc�.:gtt�{,Lc�tfi4, i« i��hjuACL e:,t? � � axsaAeLtti4 t i.1 ;a'-n1,J±. r 6xAy4"s"l•.:".AJA.'iiSs£Cyaiilil+(,Iti tRierSia'�siia=atHr��`A.YEeI;A11,ubt.4t Li.w�FngS'�s.ikPitt:ltkY4ir'G:,•.Y�Z.1aa,.9r4iYer'<e4ld_is1}-cI4u`1irdEf•t�ZJl-ak;tta3�IaJ.-';s CEiy�1D..cY1r7�.+1v'h1'l0f^Ozr�9'tjOasqb"jah'l2S,al{GA3EEf, ,.1ic•kM"a thL,nafIwa-avi'lLoa j vtAkS'ErL- t39E+.}e4 R;:t4 'I y7a l,loTy,e84$,Aki..�,V�6•.a4l1 , 10,497402 S. "s#rss'.;rs=trtia'�fc„dra5'aad 4�di,e;i:.iA la�tdlltl�t�t'tltrtli�il'[�l�lalltl'l�l,����'l��I�L�tL�1�t1Q�ol��l1 _`, •: '',, .� ,' ” so suTION PL',s 2c �•3E'tf+l YORK' NY iOO22+4181 j Elizabeth A. O'Brien Mobile No. 917-328-0449 r I-,--4-r66S RECEIVED 1 You are retgiatered to vote in the County of Suffolk. tletaiis follow: Ud.$a ortcuentra cnmeAto pate votar on et condsdo de Suffolk.los dertalles sbgua n. RtY-!M.'ttA{rt svd.�+)ABakesn t tkrecs'imn e!usctrC:�l 9'amrn 1 tSwsx:�n ftKisn Q�_nt?s 1!t tCYA 'i awl, ---OUTH010 li s197$ZI9)7 �aa;sflr�!¢7 Oss'r.�fsc��a+ �§, t"� � SUM. pYrw � • Op.ftft.9 64 t-10'A S+Ou!lion)� Gtf,a7�lu�6t+r. - ,,,^_,,,,,,,,r, fat.�.9 Cnn r xingP dm iov 11�--_--_ "".Q1P corror iir t.�rl i' 420 OAK9.tiC"iN AVE Alxtrf�th nntorfal dr Vl 1'S'1t9)trftb1 sir r r jrftstrlto dr,t.Assmbles dr.Nx c t60L0 r ` 11977 i —SUM AW t dtislaCire TfTsdiTr[ tiJstrl a[� +T rljtlr Suffolk----y -- _ Fk Yz SA^ a tTa;;-:zr f Lx 7r4a;=i>rr.t-mss Cm's C-�► i�a�^Zu PsrzY1 Pareaat; f� �a Dam B A�►*i*W`,.Ir®x?n) �;�-_:Ct.�9�''f.;€:r{`e::a Gt:r 'flG''r."rft^:•P PY; cM/ k�o -tea-- cp,cir9— l'1�zu •1$/(i Csc�ceeaxt Gera«a�3 G�f 7 uta rav t fzr��u .23 d� a--,;.:? r wra du *0f1 (x;wrCaW—c'n- nsrrad6VU) Z01 • _'� _ v- a- . o a -a.8...,-. -S I.;X-.h �s�YY.a.-�...a.+_s.. -.c .. .n•a ._>.w�..� rr� .a- -_- ._a i -"` -_ w .�-..,r-_�....aw rz.+vw-a---.-n.«-.�++u'x..-.-sv..w_.�..a.a-�.-.vr.¢.re.c-.+..+..+..._.w�•.r�_.=rr�.va-.�sws..c-s.e�-- r-.++evy y� P 4 It you are interested to workin an 3t TIOWAR CT?p nd per afscUtpn,plarau cati 4 $l tltf test trob u rt { Oft t ffi f stno (dodo S N ftgm>�r�►��"ss2 e5rs,�tl¢Lr t f _ _ct�s� i� stt� E7tt�Gos Y1,x{167 M 3469 e'GtaOtx @r 1047 o 1 w LLI LLJ AL- -•OSS/! !��jp2022 ff� .. v S/ ski fit 09; 21 ,2017 - LU vr _= FRIED � 35i a�n r P L M 7 RJ 50 SU'l r g NEW CORK NY . k"j'0 2 NONE lisl,ed09/2712017 RECEIVED FRIEDPE8492 0WSQ019 3.15 PM Pg 8 € 1040 Departrnent of the 7roy I asurnternal Revenue Service M) 1 � 2020 �O /� f U.S. Individual Income Tax Return a OMB No.1545-0074 IRS Use onlyy.D not wnte or staple in Otis space. Fling status e X Marded ftl Maniac fd s rat Hard of nsueehold Q uric er Zo n l n a riQ�App pea l5 Ywr fret nenie end lnioei Lest name Yov_soTr ar-rR_ rlty�numbor PAUL M Your standard dadudlort: Sammne can claim Xcu as a doenderit You were born before Jarnl 2 1954 You are blind _j It Jrnnt return,spouse's first name and mibal Last Flame Spouse a soeialasourihy number ELIZABETH FRIED Spouse standard deducdort Sameono can clam your stsouee es o dependant Spouse was born bolas January Z,1954 TZ—LIZ health care eoverago 1-1 SMm is blind Spouse nemmss on a separate rattan or you were a duaFatntus alien or uxSW Lw instr. Harm address(number and sheet) If you krve e P O box•see instructions Apt.no. Presidential Election Campaign 1050 HYAT T RD, sea Inde 9You X Free City,town or post office,state,and ZIP code.It you have a fardgn address,attach Schedule 8. K more than four dependents, SOU HO D NY 11971 see htstrand here P. Dependents (sue Inst uclonsk (2) $Wel sewa7 mrnbu (3) Relatiomlup to you (4) 9 quaGBas for isee Wb.) t Fru name Last name _ Child tax cadt Credit rap star daoendents OWEN GEORGE FRIED SON I X Sign Under penal es of IsM iry,l dedare that I have examlred INS mluir and aampanyefg schedules and statemenla,and to the bee.of my knottfadga and belief,they are sue, Here cweA End cornpeta Declamsan of preinarer(otherthan iaxinsplJe basad an all Wermotian of whfdt prepaerhas any knoWedge. If the IRS sent you m IderNty Pnotecdon jamzW�+7 Your.ugr.aturc Doto oxupai:an PIN,enter it See atstuzun 1-�;;ORNEVINVESTOR has rase mW xeso a on for SPOM s signalise.K a)oIM rim,both must sign. Date Spouse's acculligon sort ytu an yO1R f°�` MN,enter t ATTORNEY INVESTOR here see tub Pruparees name Preparers si nature PTIN Check if. Paid IRA B GELLER IRA B GELLER Preparer a ► GRO AZ AS I TE Use Only 16 G OVE _ E CP„firs FN _*_ * - Velt�mpiaysd RO TEJ07'044-36"I vena For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate Instructions. Fort 1040(201m) DAA NEW Department of Taxation and Finance TM, YORK New York Resident, Nonresident, and q` RECEIVED e- STATEpart-Year Resident Itemized Deductions Submit this form with Form IT-201 or IT-203, See instructions for completing Form IT-196. JAN 10 214'o Names as shown on ur Form IT-201 or IT-203 Your Social sow number 10 PAUL M ELIZABETH FRIED *** Medical and dental expenses I(see instructions) 2 Caution: Do not include expenses reimbursed or paid by others. 1 Medical and dental expenses (see Instructions) ... .... 1 .00 2 Enter amount from Form IT-201 or IT-203, line 19 .... 2 .00 3 Multiply line 2 by 10% (0.10).. . ... . ................ 3 .00 -q 4 Subtract line 3 from line 1 (if line 3 is more than line 1,teeve blank) ........ ...... . .. ...... L 4 .00 1':1 Taxes you paid (see instructions) Z 5 State and local (Mark an X in only one box) Z a p income taxes -or- b ❑General sales tax 5 3 4 0 0 5 .00 y 6 State and local real estate taxes. 6 2 3 9 8 5 .00 7 State and local personal property taxes 7 -00 6 Other taxes. List type and amount_ F81 .00 0 9 Add lines 5 through 8 ....... . .................... . .. ....................... 9 57990 o0 `i Interest you paid (see instructions) m 10 Home mortgage Interest and points reported to you on federal Form 1098 .......... .... .... ... . ......... 10 12729.00 11 Home mortgage interest not reported to you on federal a Form 1098 If paid to the person from whom you a bought the home, show that person's name, identifyingZ number, and address 11 .00 12 Points not reported to you on federal Form 1098 ...... 12 00 G) 13 Reserved Z 14 Investment interest.... .............. . - 14 .00 ~I C 15 Add lines 10 through 14 . .. .... .... . .. .. - . 15 12729 -o � Gifts to charity (see instructions) „R1 16 Gifts by,cash or Check, (Ifyou made any girt of$250 or Q more, see instructions). ,, 18 8250.00 Z 17 Other than by cash or check. (if you made any gift of$250 or more, see Instruct(ons) 17 12 5 0 0.00 1$ Carryover from prior year ............... .. . . .......... 18 .00 _Z 19 Add litres 16, 17, and 18 . ... .. ............................. 9 20750 0 t4 O 196001181022 ILII I1 I1N 1111111111 IN I III 11111 r � Page 2 of 3 IT-196 (2018) your Soaal Security number _ **** RECEIVED Casualty and theft losses I A qn,)n 20 Casualty or theft loss(es)other than federal qualified disaster losses(see instructions) ... 20 0 - - .00 Job expenses and certain miscellaneous deductio (see Instructions) LZoning Board Of Appea0 21 Unreimbursed employee expenses-job travel, Z union dues, etc. 21 .00 22 Job related education expenses . ........ ..... . . . . 22 .00 23 Tax preparation fees............ ...... ........... .... 23 ,00 24 Other expenses-investment,safe deposit box,etc. List type and amount y 24 .00 `I f"I 25 Add lines 21 through 24 „ _ 25 .00 Z 26 Enter amount from Form IT-201 or IT-203, line 19 ,,,. 26 .00 m 27 Multiply line 26 by 2% (0.02) 27 .00 Z y 28 Subtract line 27 from line 25(if line 27 is more than line 25,leave blank) 28 0 Other miscellaneous deductions rn 29 Gambling losses (see instructions) ........... ..... .... 29 .00 y� Q 30 Casualty and theft losses of income-producing property -q (see instructions). . ...................... .... .... .. 30 .00 = 31 Federal estate tax on income In respect of a decedent rn (see lnsinictions). .. _. .. _ 31 .00 32 Deduction for amortizable bond premiums(see instructions 132 .0 33 An ordinary loss attributable to a contingent payment = debt Instrument or an inflation-Indexed debt Instrumeiit33 .00 34 Deduction for repayment of amounts under a claim of Z right if over$3000 (see instructions) . . . -.. . 34 .00 35 Certain unrecovered investments in a pension(see instivalors) 35 .00 36 Impairment-related work expenses of a disabled perso (see instructions)............................... ........... 36 .00 Z 37 Federal qualified disaster lass(see instructions). . .,.. 37 00 A 38 Loss from other activities from federal Schedule K-1 (f=orm 1065-B), box 2(see instructions) . . . 138 0 C 39 Add lines 29 through 38 .. ......... .. ,rn Total Itemized deductions (see instructions) O Is Form IT-201 or IT-203, line 19,over$160,000? (Marts an X in the appropriate box) 2 ❑ If No,your deduction is not limited.Add the amounts in the far right column for -I lines 4 through 39 and enter the amount on line 40. _ ❑X If Yes, your deduction may be limited. See the Line 40, Total itemized deductions worksheet, in the instr. to compute the amount to enter on line 40. 40 .. ........ . 40 91469 6 'Ty O 196002181022 ' 111111 IN I I I III III I III IN I III 11111 1 73 � Your Social Secun _number 11 196 (20187-WJfVSQf 3 Adjustments JAN 10 2020 41 State, local, and foreign income taxes (or general sales tax, if applicable), and other subtraction adjustments (see instructions) ..... . . .. .. .. . . ............... 41 -3A 0 Ob.00 42 Subtract line 41 from line 40 (see Instructions)......... .... . .. ...... 4Z �4 ob 0 College tuition itemized deduction(Form I7 203 Rers only,IT-201 Wars leave Wank and skip to UP-444) Z (Form IT-203-8, line 2, see instnfctions). ..... 43 44 Addition adjustments (see Instructions) ....., ...... ....... 44 .00 Z 45 Add lines 42,43, and 44 . .. .. ... . ... . . .. 45 574 64 .o 46 Itemized deduction adjustment (see instructions) ............... ................................ 46 14 3 6 6. o 47 Subtract line 46 from line 45 (see instructions)... ......... ........ ....... ......... .. ..... . 47 43098 .00 +� 48 College tuition Itemized deduction(Form IT-201 friers only, 1T-203 filers leave blank and skip to y kne 49)(See Form 17.272, Claim for College Tuition Credit or Itemized Deduction) (see instructlo 8 I 7500.00 m 49 New York State itemized deduction (add tines 47 and 48;enter on Form IT-201,line 34 or Form IT-203, line 33) (see Instructions). . .. . .. . ......... 49 50598 M Z m J O `1 Z m y Z Z t� O Z a y C �rn O Z y L� Z 'S 196003181022 Jill 11 IIII I I I fill 11111111111111111111 Fuentes, Kim From: Liz O'Brien <lizobf@aol.com> Sent: Monday, July 06, 2020 11:14 AM To: Fuentes, Kim; Westermann,.Donna Subject: Zoning Board of Appeals- 1050 Hyatt Road - Special exception request Attachments: Affidavit of Mailing.pdf, Affidavit of Posting.pdf, 2020_Taxes.pdf, DMV_application.pdf, Screenshot 2020-07-01 at 12.45.40 PM.png; GreenReceipts jpg Good morning, Attached are the Affidavits of Mailing and Posting as well as the following documents that we will rely,upon at the hearing in addition to the documents previously submitted with our application: 1. 2020 tax documents referencing our address as 1050 Hyatt Road 2. DMV application showing lines for address where you live and mailing address and indicating that voter registration will be for the address where you live. This is why our driver licenses show 50 Sutton Place S. as our mailing address and we are registered to vote here in Southold which is our physical address. Suffolk County recognized 1050 Hyatt Road as our primary residence when they approved our grant application for the I/A OWTS that has since been installed and that services our home and the garage accessory structure. 3. Copy of text message from my neighbor, Kirk Marcoe, closest to the garage indicating that he received our notice that was hand delivered and that they have no issues with it. 4 Two green receipts that we have received back to date. I will put the original affidavits and attachments in the mail to you Please let me know if you need anything else or if you have any questions. Thank you Elizabeth A. O'Brien cell (917) 328-0449 ATTENTION: This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. 1 ro C= c CV v > LU a LU e`I O0 w ?_ U _ � O FPoE0 074MGII19315 FM POO ��777 t_ DopoMwm dThmtlon and flromw Faing XOslractions K New York Stab)Me Signature Authorization,for Tax Year 2018 O apt For Forms Fr-201,R.201-)C,8'403,R-203-X,FT-M4NYC 208,and i Y"O N Form 1T-201-NM York Income Tax Return2f 7778n° �(Mo):Do not Ora tri form to g,a ran Department Reap a foryour raootz. Teugry s puna PAUL klEBIED 6 I-M;FLI2,ABeTP FRIED Twmble Year Ended December 31,2018 f�Na�dmaaaaaM —` Ponposo FAO.musl eawtete Pmt 0 prior m tram..nrimng vlxaeMpSy Algid Fan TIL579-1T mud be=Toted to aulhodm an IMO to e•610 a Income roar uo0vr�(Farms IT-201.tf-2at,1(,17308,17203•X,n•214, W nW memo tax mtum and 10 benxrnl bank ooamnt Intemc0on for NYGZWI,mrd NYG21.). , the uhcbmrs fund.sWhdrawal Beer Oro pad pmpabr and Na ERO ruo mquhad in ek3n Pout C. 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PAUL.M&ELI7d►BhTH FRIED eeneml bmhuctions HoweYa,limn.Siridud pl bnne;es born Om paid prupmer mid gw Taxpayers mend oenrptvm Part B boron,Oa ERO V-10 the ERO,he orsho Is any rMecd to sign as the paid p eparre 0 h not taxtayers ahcaeNeary filed Franc Ir-M.ROsdara beanie Tax "° to Ndtdo ftEiiO si9rxsme in Ods rase.r§easo note trotDate bate Due: April I5,20I9 Noean,rr201-X,Amondm!Ros.Hant becone Ter Podmry Ir2m, ce OYana69 slgnatum can be used as desoibod In PubLc ttan M Nam esWid and Pad.Year lbsdmd frre,me TOXR02m.IG2nX. ftwnstica far 8xvrr>B Tai Rab, Pmpmcr.,YwT our wcbrte a Aarmded rfamasidanf and Pad-Yow Ro:.7onr Idcono Tar Romm. �°"Pvb Wv�doMment Rfetnedaeeec None is reg'rcd.7Le retum ShOwB a total OvC 8210.C-We;for RoarPmpody Tar Gar$NYC-206 Gaon for Naw Do not mall Form TRSM•n to the Tax Dopmtmen,ERO,must TaYmeat of$8,485,which tm7l be Yadr q0'fnhonmd/8,a1 yeah anus prersnt n ro the Tax ant Pmpao Tae Cath w NY^M21o.r7alm far keep Oho toms(Orthene Depeft direct deposited into der CHASE ant to b adeposit.Pinky ow this filing IV-,York fray Sproat Tax Clact upon request. iovtrurtion as a mnlinder of the nmo®t b be deposited jab ypty ocaamA, 'IhI;tram Is ret rcquaed fa*ckmtro—hly Ghd Form Ii'-370,Apg=ffm For reams flea Mmth.DON xpwsea rrwdcomplN,e and an Fong TR•679tf. lbrAm u arc Slr Mreh Edcrrsron of TBno b Re for au&ft2ls See Fbrm TR-578.1-IT,MY York&ub Tapayer AWrodmlinn for Slgtmtmra: Sim and dare Farm TR 579 71;New York Slak 1rL7e Siglaahne AOlhorizr6sm_ @edrvr*fends 1S4 hfteaIW Tax Year 2018 Farm IT.=mil Tm Raul it as soon as possible In Your 2019 form fT-210& Pari A-Yarn rattlrn infomtaUon THE HOWARD GROSSMA-N 17IItM s Fademl edimted g oss rmwnw mea N mcn) ... +• 260,217 16 GROVE AVENUE 2 Rahxd .............................. .................I............... - ....... 2 C-495. 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Dato: 03282019 ` Part C_Deelarat(on of OWCM WAic,aural originator(ERG)and paid pnsparor Unkr penY4 of Perjury,I dedenr that fie tnfanva8m contdned rot Ods 2018 Now York SCb etOM-1c personal meters Ian relum Is the hdapa er.I eclaiced b ie nt Ne fbo Cefte te gibe Itz esK ayeshod 18 a o yak et poem ft MIM gk Soto mmm ffi9netl by a pard pmpmar,IdaclvO gWt Oto fnrmmetBn tonturred m R®taxp„ryafe 2018 NOW YOM Sta'a eteebonk ratan L3 tdanCrai to Ont t "by a hr gra N a copy or the-tern.B I em the ped pmp2nr,under penalty oI peOrxy I dada,,tlrra 1 htve examkrerl lhh 2010 Naw YaM Siena elccaonk Posen f wrmwasn avagable N ma and,to a best of my btvM"xdge and hrS:4 R.,chap o rare,mrrucl,mrd IMP?aa.1 havo based We dedabtwn m�.A ER3ra dT.&W...a_ .,� _ Data: Pail prepares d9Mf-o:TRA H .->-WR Dal,• 0328 X019 Bird roma IRA H �� .LEE( ' iRS,'84T(121181 •-._...__._. .... ............�_.__..._._.__.., tam LP ra o a N Q' � N 4- > O W U v-4 fo Ce Z �C m New York E-File Dedaratiotr Cetilliflcation *E-FILED--DO NOT MAIL--NQ 2D BARCODE* -7 is /-1 DrfzrommaTmal.n aW wilt (_Tro Pwor lama �1?AQL_LK_.__...___..._.. XED,,...._,„ r Yam Resident Income Tax Return IT-201 spoas.Nemo Xr7�, )iTH ELtIE1? C 'r TE New York State•Idmv Yodt City•Yonkers•tKCTm7 C � 0 2®9 FOU.fu8yoa lanu.ry 1,2D/8,OwoBh oommber at,2018,or Flsgt year6egtnntn9.�.�� : E,(i XPreparer Certification and Si ala ons - -••-.----- 9ro For hafp_wm tp aUn9 retwn.see the IfsstruNions�Foim,?r2a1a ----- _ - Q Yovew ramp to ,aa.^x.alPor� nnm nmgas.lemoon&e Ywwe H#�9 Y--*t LL« ] By maddng an X in the box below,)caft that I nave a vaiid Form Tt2-lvw, New Yark State E-Fda esus r _£H1E0 x S12naNre Aulhor&a5an for Tax Year 2018 1nr Forms IT-201,IT 201,x lr--203,ir 203-Y,Ir-214,NYC,209 and af,,,,,t „�,,, .V_.. w ,,,�,,,,,, �a ,,, �_ - X ` WC-210, authoddng me to sign and file this return on behalf of the tmpaym(s). I further comfy that a0 F.f.TT.ABF,TH FRZED ��M�- � •*, Z informaton provided on the returti Is true,correct and complete,to the best of my knowledge and bethf,and k,c�. . « :t..n�.«gym a>roa.L e--ratsc,m. _-- O ictal l have provided a copy of ihk:roWm to the taxpayer(s). lf financial Ulsidlrtlon account in(ofmabon has been 10500 HYATT RD ,4—„_ SOFF provided on the retum,1 oarbfy that the hatcpandayer(s)has agreed to paymalt of the amount dated as due by ,,. ,, .-�.., c a, ,r,�, cu^ �, S-1—,�„ �c xel electronic funds hdrawal,that t1w taxpayer(s)has auctioned the New York State Tax Department and Its A SO➢TROLD NY 11971 SOUTHOLO designated financial agents to Initate an electronic;funds vdihdra M from the Indicated account,and that the designated financial Institution is rMhodzed to debit the enhy to Ore Wpayefs account. By checking the box _ 610 y shown below,t understand and agree that 1 an atectm oeally signing enc fiimg this return. g,,, •a•Wd, ra mu.„•„e,..'N`e`�ica,maa�ro=cru, _ I m ® I have mad the ceniticaaon above and agree - "�`-- �'�-'^�•����r � -^�. ”�� `I -Y..... A Fdl pt rrd ym ta r.0.421 e•znvnr,orated I.0 m status ❑ N f.m!gn ree muaoy7(sa.paga fb). ... _ ...Yea❑ N. DO No'r swmw THm voeUacEraf UNLess REQUESTED TO DO SO D2 Y.,don msidaals and Y"ahe s paMyea m.1dems oetf. y xtr,oao lomat sp.ome aadar sanvaynnaaor corral (1)Did YOU Move a onpedy W.mrd a.&..? ❑ A batt. O❑h9mt.d kN9 6epamta rotum (somata fQ........................ 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H Dctoondent htte7mauon(r»py,fa7 'c pbat mora Y-1 tact name RCIpWaoN soul K.Zir ruanttar DTD of bash n Dwwr N �eoRGE F[tT¢D SQN *w I 1 C Z If more than 7 depandefdd,trt.k en x n the bat cm C=3 LU > LU 2.14 -N&I(Zola) f—Y.7im—M GU�_w U-1 0 rle --- IT-202(2078) R1.3.14 redow inc5n6 and 4qttMftM -pap 0) I wages.wkwl b., t-- ..r- Tax c=rwallori,c4w.,��ha,tax. _273ELgi.an zE 38 Tambb Income P—Lbea?.pend 2) 2 Thbt—defest 0 77.1.00 as ......... r"s Taxon Una 212271.0o ......... — 416, 40 WS h-UMh.0 md4&,v.:M A*b 1.Z­9) 39 6,Op 5 Allmony rc=&W 4 .00 :t. 41 R&Al-crood f—paw 24 = zz 42 COW NYS norwohindablo L-� 7 CaPAW gail of tam —228 .00 rzl 43 Add h�40.41.ad 42....... . ...9a mWYd.Msr.rFuro 4/97J .. ........ 2 4 9 TomblavoIcuWtRA'be Uw but — 00 44 'FIV r3 45 Net other NYS taxes rbmr"rare cm w; ........ 44 10 raae6le 11 Remtaa,=t,dPoMbh5mdGwwd� . ........ ... ............ ........... 'ey-f-M POM-fthin 8-opw-tIn.bust% 46 TWA Nex,YO*State taxes peda-34086 00w 44 OW 44'. 12 R­tal,-a-Mla axluckd(n fN----V.lk C4..d Ycmbg� tato It les.croditsI and sarcharges.and ANCTMT �12 _AQ 6 oWY Of.1�d*Z*'.'.'d'eOl F*.'F'*Wl 1") 47 NYC tsxwe hxorno,(—k-ftw, 3 Fm bwome Or less(.*p?a i •* 13 4? 14 UA=VoMmrd cvnjnuwsn ___.O 47a NYC�_4:rcnt to,�One 47 allmot 41h 0 15 Taxabla amouril OF soeW wctutf� "1;;; ....... . ..... 14 (eoo0, co Soo hmiructiorm an 48 NYC hmahom cda&.Va 2jj 48 PDPG 23 through 20 to fri 16 Other 49 suhbradra*48 ft.ft 47ajw;;.4;hNew York City and 0*of.,I—Rq =tax-,credilt%and 17 Add Dr..I through 11 ad 13 tht"I 10 96 1;2 .... 7-..: 16 8 03 Ot, 17 50 Pat-year NYC suldvalves.and MCTw. lta Total r.&,4 arA-b-mls to bIcome r-, rrml) AD 51 01h4f NYC UORld lrwW Ir-01,47r,r­74) .00 19 Federal-4-ted ams%fimacne(.dtr.,j r-in ft r-I)),. 260217 S2 AddUws4%50,-a Sl 52 010 .......... 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GQn Auffam Fund erm —so . ....... 30 1 OOMGQ SO Tow mlunLw canhawthms 041 F_w.a..," 37 TaxetWo 33l ................ . ... ...... .............. 2,12271 oO �10 61 70.1 IL�Vfflk8ftta,New Yank Cay.Ywowro and nates crusa tacos.NCVW,and 2010met= volmlAw contrMuffam,(aatahas 4a s0,4fid60) 201303181022 cu Cm < U.1 4— > 0 Uj 62 swn)wrmnt Daft dp Temian M P".,. PaWonts and ZEM-02-11".M: ii-AV-290.0*h32) L I-- New York Resident, Nonresident; and IT-196 63 p 20�12 Part Year Resident Itemized Deductions r 60 NYC -F:1 -- submit"rum oath F—rr-201 or IT-20a See tnsburLons for eomploOng Fenn ti--196. 65 Go Me ....... ..... .00 ---------------- L P1 ELItA9L ....... .......... 67 AD F711131) ca Wei., 69a Iff0sclivaltea crodAW-auducubmemou,j) 00 to Caution:Do not lrtdudO expenses reimbursed or Paid by o 70 NYC caned income .n cft 472.owo hem 703 WC cnh�ced M21 pVorjjt�W�j'­.. ... 7 CO 1 Medical and dental cirparmas(,,,e ftnerm,) 71 011ier mh-,deblu crueft(ram irwi.4irr. 71 --_5�? 2 Erter amount ftrn Fame IT.201 Fr-203.Na,19 F2 .70 72 Total l?mvV*,kSta1n it uPP-b'--ce-0-te Ferret.)IT-2 —11 3 RUIPly(ma 2 by 10%(0,10) 1099A and imbrra(hem �j 73 WRh your mft,.(_Po9v 13) LA 73 T.W ff�Vorx City w.WN.W 17000 and/or Fr fe 207 97. 4 Subtract fee 3 fmanun.1 jwwbb�*j 74 Total V-%'-tx(WWVdd.... ......... n.1-ad Imforni Form W-2 nfj ...... .. ... ......... with V_ftfum. 75 TMI esftzbd L-A M�-ts 04 0=mt Vdd _41 xtansJ 'W1 To Total payments(oda e-0SOWn+rJm 7y ............ L .104 34:4.1 ZZ $We and ............. LYour m-f—und,amount you me,and eeeourR InfomnaU sae P-IVS-73 fincurgh Sp -1 0 10 1ncCWH3 taxes-Or- b(jConeal We$tax 77 -_—q—f—anaud-039905.0 78 Am..t.1 b.17­Ubf.for nf�mt 8485 6 State and local real estate taxas.... Tft Amour4*ffne7Uftly`m*3o!f0& 8485 3 8 cc Whb = 7 StaLe and local parounal property taxes...... ........ 4=1 bft a NYS 629 M! TO 8 Other taxes.Ust tipe,and smmmj__ rti 84 5 0 SO mreee d=1 cf:� Sa (. '� M-ft Me fund choice: pa, 79 Amount cl[no 77 Mat you VcWt OPP204 tD jmUr 2019 chGde Refixd?Mrod depend is(he :r A&ran 5 through a .. ..... DO wsiesL faslest way to got your nj .. ........... 579=90 Jm,L-d tax Aw TP;rvbbad6na 73 eon milmd. (Coo jmftl� as E-E_ goeircS036forpaymantoptionm kmd3�1x1mwAm:nkanK1r,ftb ad ra in ran 83 and 84.If)nu hr,chadr, 10 Home Fm"IMB interest and prints reported to yeD tilt Z IS 12729.Do Home mangaga uttered not reparte 81 E.t-3!.d tax pwft 16,1bwar Ft e marry d-,-mut oep�ft tram 111-20 W-4—a ft�Am Y�ret II 1090.It Paid to him Perron fl"y a on adwo Ow-r,)xW--w-f.7?.*—Irop ss) See patia,37 for the proper borm rGIT ugh!the hurne.draw(hat pa--cp*s name,hlenW 82 r pff.�ba&and Irverect t—xp.,�q 972 ------" Am ju 03 —a*.1 your mber.and od*essL______ Acwwd Wm—to,dead depend w d."C"fu*nd".wiwa=l(­paw 95A fJ) 0 the Md.for YOM P-imum C''fi-W)"'u'd=0 rmm('go t)"�'d`xrtlrd-�hu US.,Wear Kin MIS be.pe�pg 35) C] a', ata A-N" R D P-..i W"F•-er. DB,�I­..d­�. 0— 12 PGbiM W reported to you on federal Form toga._ 12 13 Reserved............. 7" ham you Rffm 14 investment mlorcs, lZ [4 24 Ebtrortk AurW. .0 ;0 15 Add„nos 10 through 14,. . .. .... ......... a 01 ... ......... ... Erb 17-7-77--1 '_ Z 1229 7wrd-p-r4 Phi dast3hmd.— Dre—VGiRs (-a'00--dwv .70 d..(W—?fb-&'nJ IPA B (ELLER 973 16 Gifis by each or check(myoumado aygn Yes QX No❑ e•oat1RARfPTXER!'CNAIT,_COf-I ofs2a or IS IT :Si8f Oft than by cash w F,F 50.0 -L orr'Wo.M idsDwovaq) ............... .... .. 07 Towwong)trust Bign From 7 v GEL, 11A B GE 0Q uo T RMA B !— DO 140T MAIL THIS 18 CanYover from poor year FWu—Z ff 1i S_C0_P_y--N0 2E Go ...66 . _ rtUE GROVE AWGUE"... ...... I.,C '.i -7�.j.R 19 Add Fros 16,17.Md IS OMWESTOR -07 —5.P.RM itivw, 16 GRGn AVENUF Q VER02A NJ 07 441611 03282019 �a It-3t 1,LRABG'F N 201003I8I022 8_h.-tn="-Qvf0rwftmtv"Purfdum. MOVEIROM11391 M CL C=) OL cli C=D < LLJ C _0 LU 7­4 L_ U ra LU 0 P.002c3 MISS MISS(7DIS)Pago 3 d 3 F�uagy and own Adjuamonts 20 Casualty or ftfl teSS(ca)other Owns federal quaLfied c9sas r tuseas(sae kmkmftm) 41 Skate,=I Star and other Job exIseassa and certain miseollanmoue deduclh=jjwo&wwo&,4 42 WAIrad line 41 firann No 40 km hdrutebriq .. . ................ 34005,up 43 Cbfte bution Itemized deduction r -42 21 Unnermbmsed err44OM ex -job havet Io (Form IT-203-A N-Z .. ............. ............ . 43 A0 D LMOn dues.etl.............. . .............. 21 OO Z 44 Alchbon acgustments(we kwftwaru) 22 Job related educaban e)paises ZZO 23 Tax preparston lans,. 23 .0 46 AIM Enos 42,43,and 44. 57464.p 24 Other-Wnws-IVWa5hftan%oto deposit be., t, _00 40[Vnmd deduction o*sftned few&WAxt;om) 1436• 6" 73 List"and amount,_ Ag�. 47 Si*ad rine 46 from Una 45 rm hufteaft)...... ...... ........ AT c 43096,o, 48 COlrft9,,9,jtu(&[ "P-mr.48ductlon(Form?-201 o�m m*y,(r-2*3 a-k—wa*and 40 b CLft to Cclegs Ullon Orecil tr Iteniked Deductian)(m 1,eftdn 21% 25 Add 1—21 1hroWh 24.............. 25 49 UjwYcwk State ftwokeddOductIOn WEnes47and4g,cnwrmFhenlr-Z01,rwo 34 or 7500M M Fern 1AM.hM 33) kr*uvww) 49 28 Enter arrunmt ftre Fc=IT-201 or 1 2 ....................... ____5_0598 OD• ;e -r a 27 Mutliply line 26 by 2-(OD2) . t 7 28 Subbod Ena 27 from tine 26(wine 27h n-e oge,rw 24 1vc bbW............. Whet miso^Jr a.*ftdr. rn 29 Gamblng losses(sue Wvvaons) SO 30 CasuaW and thaft losses of b=vepmdu=g pmptut, op( C) Ins"bm) . .. ...... -I ........ 30 31 Federal estate tax 00 Income miespect of decedentZtwo("Ift-UM)...... ... .. ...... ... .. 31 32 Deduction for amwtirabia bond Fremums I=koucthm 32 0 33 An caftuny Ems aMbutable to a capimpm payment -4 debt inslivrearl or an fiallaffereiridexed debt jastruma 1p 34 Daducti-fDr m%rcfarzmne-der ac M*I fl,Mf..,r3M, ;,. _ .W 34 35 Omtr-n WROWIW byestrerds 0 a pensbn(see _ AS 30 Impalmsent4elated woric mMecnfr,of a cMabled pffw (SM Mstngwas) , .., ..... 37 Federal qua5red-scoter Iesa,(we 7 00 )h 30 Lm from other activaos from feet (Fan IDGSBJ box z &�IrLvkn4........__ 30=Sr.h:)&K-'l _L 3=30 Acid finer 29 through 38 ................. .................... L -rowi it=Lred rmtwams) IsFamff-M crIT-2AEncox) 0 ❑NO.your deduction is not failed,Add Ore w"unts in the far tight conn for tifleu 4 through 39 and enter Ike amount on one 40 QX If Yes,your deducffcn may be ftdcd.see Me Urw 40,TON NerAgrad de,*xWm ww*sftot in the Instr.to cam"ha IMOM 10 err on Wne 40, in 40 ............ ...................... to ............I................ ........ O .6"8102Z MOMIMMIMIN91 to �o C=) at tv Q LU O w o NEW DepMrem of TmmCon MA FinanceIT-272 � a♦1�pI� rt272(2010)(Page a of 2) `� Q i Claim for College Tuition -�/G STATE Credit or Itemized Deduction Pett2-termp6MPad2RyoarenLtlgaYcdmacgatu0atc�eressonmesaretas7tranas0af_ _ Full-year Nm York State resitif)nts only a t ear lalad Farm IT-2'r2 nth I-IT'201.Seo Fenn Ir-M4.kwav inn fir Fmm 7t-271 4 Cmrd Ivvlarmn(5200)............ .. ... ....... MWf A.Mwrwrlla.r(f:[nNJ ora Ym w:el vC•ttl/_n^ '�' �'T-•-°--�-� "ry \- oma 5 Enter Uw locscr o!Ino 3 or too 4.Thc b your w6oflo tuNfon emdtt.. .. ...... .. .......... ......... I�-wa„;,,,,,�,,,,^,,, ®• P 0�4JIt� � y �.�-.7 •R)xu did vat ffomua your doducttons on Yom Norr Yodt mtmn,onto 0w Ino 5 amount EI IZABETEI on Fmm M201,foe S& Z ') Hoh%Ryai M+trnNad and fiYng^sapantlo the verb Sla'a mhutia,you mrti aY..o ertQ ynui ousos rmna roti serial�_ O •111-itmnrmd your dod=o nn on year Nw York nftTL-tame Wbh PeA 4. O 1 Aro you CWMed oz a dependerd on enC!ler ie payer-Naw Yodc Stater tax retran Nr ars tax year, .... 0 - ❑ Na❑X x xa •U Yah atop;you do not a 4'mbY ror Irro rwlloga reran ned3or Iha calegw BtNen herrda+d doduclmrt Pelt 3-Camtate Psrt 3 0 your total quai0.N •9 IVa canLmuo x(h q.rYtan 2 � p 1o0o0a IWaorr v:rransas on lyra 3 em 85,x00 w mom. 2 Wem you(and your6Pouso U I5ngo jtiat ream)a New York Sbdo roside W for an of trim tat yaw?....... 22 Yea ❑X Nn❑ O 0 •If Yes,mnbwe ouh Pad i betas 8 Enter tiro arrrotvrt tram INo ... .. ................. 8 10000.00 •U Na etep;you Cb Wgwify for Us 07e9e 0etmn a83d Houmver,yarn day Beaty tel rhe cofata nation tem4cd deducfar,Far,,rare wwn%a6oa,sce Oro b w rrc ter Ron 8-203. ?0 7 MuKpil'rmo 6 try 4S:(04).Th>;ra yrar w0aso tu0kn aot5t. ................ 7 40000 Part 1-in ft-Faces PQVMd below,romp.' A 0veugrr 1 ror up to 0ree ditdko etudent,for Whom you poM y .If ycu did not itetrdm your deduNans on}our Neyv York"reel,uMea the bre 7 arnamt �I qualTmd wte0e kew oxpaut (gym,aro rJs oogmntcv foraamaun woo affo la stefrds aro mdnra'tar) "ander A fYsiaaw __ _ last,cels Wra D scrod«..h a_t-uer GaaMw.7....,. ~ on Form if x07.Ona 68. 3Ndtrd i - "".'.�.— ". rn •If ytu Remtzod your deductions on your Naw York roam,continuo Wlh Part 4 f*t .R..9 .Asa. •....... 'C - _-.._. 7670 ._._._......_. o 1s mo-hell"daken -o dependant an yaw NYS mtmo7(aero a�aad,.v) rtz❑X Hn ❑ Y Z Part 4-College tuition Remold deduction election E -a ..'°war 1 F Hamaw ore ,mo m's.n o nr OyouiWnimdyarndrducbmsanyour New Yakrate".Youamytrotadsmihocdlm tuNon �t Itendmil deduction Weed of qa eayegc h6dan wed7.To t nWW yea coye50 Imran ihndeod dedwUort mrta+e:H trwkahoat 1 m the ivsauc erns(a Des form,To detonW o It you w!I mcebe a greater lax bmeSt hem G WM aaponsee rel uadrrgroduoW tw6on7(mo ........ ......................... Yes© No❑� y Oro kukcd dcducfmn w a,&%mrsrptalc Nt eaheat 2 n fix mshuft.tar 07a tarn, y H Ama.1d of Vua!ftcd ea"eflo tmYmn 1 Fmx the Ics� B l4rfi an Xkr Ods box onN 0 you cteei b dakn rho eofla0o W01oo Remhad doducbon............. ..... .. .... ..... e X _ 10000� O O p7g1Ek'�Fun,arae.....__._Ht Last name •,.ufGa D fzc§I-.•.rs�4r Gondtr+- Z •0ym nv ked mr X in No box of tomo 5.wftr Ua mnount Dom Wortcheot t.lam5(inti,-Irr,SUWorrt:for urb Z tW�trt Fwmy,on Fenn IT-158.New Yort'f ddeA NwrBslddr4 end P49 Your ResFdan!8omlmd Dcdre�rn:.Do 2 �q �_„Y.„__`_ -- _ .y not enter Ove carege N{6an accu rmm Nc 5 ar7 above m Porn 8401.Yee eta cntUcd m dtfin aUrsr the y +~- "~--"�" ��• - "-" - .""^ ^'--^^�-- dcduslian or Oe acdt.but not boot D Is ere sludeirt d-q as a deparctera on yaw NYS rsfumt(ax drsaedhrtp............ . r[i❑ No E]—a •tf o did net mzdc an X m oxm Om bat0 arra you electto dem dig cotcgo tddtn eco in= ftf oYOro (A E _ ia:ato roas •na,®„i F -�m aaxo cr rww y�,nEvi�r '1 whito Won nanaad dedrm6ort inter the Ino 5 or Ino 7",,aunt on Fcmr U-701.Eno 6% G Wem etpansea forundergmdmb Inton7(mo trrsrtrtvn). .... _ .. Yes❑ No El yew v you aro clelmvq Umdego limon aoM w the eooego aohon kemuod dedodlon,you mast aubmR Form IT-=Year yew m6rtn. H Amount of gr.16fia4 astcgo tuyron T'^'� 1 Elan the"^,car ' ar�erises!ao nshetWrn). .: 1 __ of foo H ar_t0•g�. .-�� _ �^ EGgfhfe A Foo nano - 11,11 .-.�- - -wn wro �� SAs a eaeu eery.,.arae Ga.wen -. sold�at��_�.,...._._____.e.____.____.....___._.. -'-,._._'�.__,._..._ _ -_ 0 Is rho sbded ekdned as a dependant on ymc ras retwnY(aoa lnshndaar)................... Yoe❑ No❑ v E`€tTPo aoe•- or ware m•wawma F aTmy�.aorwS-lrmTn'3`u¢Tos, s G Wcmow=-ferundorgmduato btwnl(wo.0art-4 ..................... ....... Yos❑ No ❑ H Arnaud of quatfed cutmga nrrlan "-- _^ 1 Ender the!-scar expenses(asr ouaad%onrl,........ •_.-_...__,.__.__.�.._ at fro_H or 74000. �._...,._....,.__ •vu) 3 TOWI quagitd c Sep nsUoa acpermes(fotJLb Ina 1 aavnrto bre No canlrrds.krura&g amwmn'from �t aa�omdases roan or�mmr rza•var� ...... ........... ........ a 100ou�,l oil, �IIIti1�l61�8 �f�I�I�I�IIIBIt�llll�ltl ON F l!DPM492_MEA L M&ELIZABETH 3!28/2019 3:15 PM F m, New YtYrk TW*Year Cam t.f0 � - - � New York Stowmer is PSB � r York T Comparison Report V 2017A 2618 O - ! 0-Home Mor[tlant Interest&Pgq�ts_j1 Eo7m 1088 km w�bw �., -E3�8A1_x RIFD x017 2"a91?YL65N "io*amk 45 C - � DescA Amount a.Mmrest and dMdands at=-3-1 S 7 3.sNta tm ronxad.. -- _ 4 .. . . .. .. .......:.. IJP MORG RASE -SO OLD S 10.775 4.Agmq MdVed AM AS,'ZS,f 50 SUTTON f. OMER 954 ..•• .•. - 1, 5.Emttmss mxnma m fur G.caWm1 gmn or mss. T �T"1 S 12.729 B- 6 7 _ 7.l7dxm grins or to<cas,•„• �-1-�b-�-- _.-, &7amN,e amoant of MA dstnbu0ons 9.TOYaMo tsnouxd xd Pmtsiaxs end ornxxdtlea 9• " 61 1a noa•aai.a=acx4.amroaa�.aeraxaa..t, !°- -2.,.70y• -3 C It.Faxm duome or Io« 12 Itn ead - . -- -_ N !d 07xar 4xmtne 1Q 75.Yora1 Incomo, A A3..�:t i7.Q..2. y _- 3 70Q row adj ,,,_ 1G. udnxanm W fnwmo -• tg Fode-�_ uamd raves mcmno.-_._�.,�.....__ T. 3-43.s-01. Ii.Q..�..�•'7• - 3 700x.-... !0.No:fNaw Yak m414(h)l haaafte m 19.Pxdtic employee 414(h)refYcmmd xon4ibNAtM,, to 1 ........_-�. xa.Ttron yid wjl cddxcns �, p at.Tow Naw Ymt adaVxna to Inrauro Z7, 3.FS `,�• 3_62��, c $Smm el%tetmN •.••.•••. � ..... «.. _ ti.R 23.P-'W-N New Yctk knd and kdoml gov+mntcrt�a7. _ - a4 Sad71 a mMV and Ralbwd Mar 1 74. ir 2s.US cbsptkw a 2k ibrclon axcdGion...................• .. . zr rxdyan mxa oxer xabrmwmu ........... ar. "" =L!'W Now YOU exdnr.cdam from inxmna 23. 29.Ranrmt„adt mdv,o,,;aeame A 393 917. 6 31.rx9 -80 048. E dem or neouzea doaucNar so. 0 .598. 496 emy'hns... .... 37 .2,:_ 50 7 1,QOU _Q0._0 5_ 212,27 $x..549. 0.7 N=Yo* .T_,.- tax A 19.797���3,99� -S BOl 34,NwrYrakxoerat mOeM,vu�•'itbarW _ 35.O4tM New Yak Smit t- 28.Naw Na City,cayttis - 37.NM Yodx City hatxxhotl Gadd .•. ••••. g�,. 3&OTier New Yak ... ..••••.•••• ____.._._M._...,-�. 39,New Yolk ,etas... ........... ..... 3G. t0.MC167r City xeorocGoxdbfa xaadts 19 ...... ............................ 4P. y 41.Ymdtats mms q, ` 4a use tax - f � 40.can7xtu5aiz.................................. AL - . -- a 4a rotrl tam,e°t,aml eo dn'7aQons 444.• 747. 2 2.202 49,MW Yak Surto duM mW dapeneent can etedd S. �x 48-N+nv Yt7k bTam oatned Imome teat r47.fL•at tas aedt .••..••..•••• 4U ...•,,,_.. .-,._._.-. w_�, .__._W____ .....,,_,_,_.,,..__..._�.. 4S.All a7iCI nrxmddrb aM7s..................." a7. 4�1. 44 2 X72. t 4_44, Sk Tc4W Naw Yod:Smm Nwttto bx M.!dd....._.. d3. 10 19 1• 70• -8 931 >�.Tc+al Now YodcGry mrmrm bac WJlatab.....•._ 6°.Y 93 Q»..,_�I? Z2.2 c 9.862- 5z 862~ 5L Tatd Yu dm inaoma tax WMjd ••• "'`�'' _ yZ EBifm,JCd Oat paynerds ....... "' ..._. 6x. 53.Olm payxwns.. 5]. - SL Tam,payment*and xaMna&cmdaa _ 54. 059.a 3 cam. 55.TaX&.Nime......................... X12- _. -Et�985�._.__�.1_82? 50.F-all and hderost 6°. P 87.Nat bx dad-Munn57 ........... .. . "^.--_ EBoaYo mu rso ._.......•..........•.... _�' - l FRIEDP,,lE119492 0412712020 143 PM Pg 10 ' 1 ®€ �y ®�® Department of the Treasury—Intemal Revenue Service (�) ii U.S. Individual Income Tax Return I 2019 I OMB No 1545-0074 IRS Use Only-0o not write or staple in this space Filing Status ❑ Single FRI Marded filing Jointly 11 Maimed filing separately(MFS) F� Head of household(HOH) 11 Qualifying widower)(QW) Check only If you checked the MFS box,enter the name of spouse If you checked the HOH or QW box,enter the child's name if the quardpng person is one box a child but not your dependenLU Your first name and middle Initial Last name Your social security number PAUL M FRIED If joint return,spouse's first name and middle initial Last name spouses social secunty number ELIZABETH FRIED , ' Home address(number and street)If you have a P.0 box,see nstrucfions Apt no rrestunnuat nubun u -Udn)pafgn 1050 HYAT T RD Check here Fi yyou,or your spouse if filing IakN,want S310 go to this fund. City,torn or post office,state,and ZIP code If you have a foreign address,also complete spaces below(see instructions) Checking a box below va not change your tax orretund• You Spouse SOUTHOLD NY 11971 Foreign country name Foreign provtncelstatefcounty Foreign postal code If more than four depend see Intl and hereli Standard Someone can claim. You as a dependent 11 Your spouse as a dependent ^ Deduction LJ Spouse itemizes on a seoarate return or you were a dual-status alien Age/Blindness You: Were born before January 2,1955 Are blind Spouse. Was born before Januar,2,1955 Is blind Dependents (see instructions)- (2) Social secinity number (3) Relationship to you (4) d qualities foie(see lasvuduons) (1) ft name Last mme _ Child tax credit Wirt for other de eridents OWEN GEORGE FRIED SON X 1 Wages,salaries,bps,etc.Attach Form(s)W-2 1 513, 504 2a Tax-exempt Interest 2. 16 181 b Taxable interest.Attach Sch B if required 2b 906 3a Qualified dividends 3a 9 965 b Ordinary dNs.An.SCh.B it re. 3b 16,726 C- P disLnd ns � Taxable amount 0. , nsi(InsnI d Taxable amount ac.sec �j b Taxable amount Fb eduction for single Q Marlon 6 Capital gain or(loss) Attach Schedule D it requhd.If not requr'ed,check here u 6 10, 142 a 12 separotar/. 7a —65, 727 st2zoo 7a Other Income from Schedule 1, line 9 - .. MaltM Unit - ... ... L>, 7b 475,5 51 ptnly cr Qualifying b Add lines 1,2b,3b,4b,4d,5b,6,and 7a This is your total income `AdoYAerl, 8a 0 824,400 8a Adjustments to income from Schedule 1,line 22 - •- .- r Ffsad of n 8b 475,551 householQ b Subtract line 8a from line 7b This is your adjusted gross income , 8I8,35a •Iiyouchedmil 9 Standard deduction or itemized deductions(from Schedule A) 9 46,39 RN box cider swif;w 10 Qualified business Income deduction Attach Form 8995 or Fon 8995-A 10 De o. 11a Add Imes9and 10 - 11a 46 399 b Taxable income.Subtract Fine 1l from line 8b It zero or Less enter-4- 11 b 429, 152 For Disclosure, Privacy Act, and Paperwork Reduction Act Notice,see separate Instructions. Fern 1040(zols) DAA .,p Department of Taxation and Finance IT-201 Y®K Resident Income Tax Return STATE New York State-New York City a Yonkers•MCTMT 2099 For the full year January 1,2019,through December 31,2019,or fiscal year beginning ,. For help completing your return, see the instructions, Form IT-201-I. and ending "e Your first name IMI I Your last name fora Joint return,enter ouse's name online belowA Your date of both mmd Your Social Security number o PAUL M FRIED ( 11 Z Spouse's first name MI Spouses last name Spouses nate of Onvi tmmddy)W) Spouse's-Soclaf z5ecumy-number 1N ELIZABETH FRIED Mailing address(see instructions,page la)(number and street or ao box) New York State coup -of residence O 1050 HYATT RD NEWY City,village,or post office State ZIP code Country if not United States School district name SOUTHOLD NY 11971 MANHATTAN Taxpayer's permanent home address see instructions,page 14 (number and street or rural roulej Apartment number School district �1 cede number 3 6 9 City.village,or post office I StateZIP code Ta)pa er's date of death mmd ) Souse's date of death mmdd ) �� Decedent information A Filing ❑ Single D1 Did you have a financial account located in a X m Status foreign country?(see page 15) . ., , Yes ❑ No ❑ t (mark anMarried filing joint return D2 Yonkers"residents and Yonkers part-year residents only: y X in one FRI (enter spouse's Social Security number above), (1) Did you receive a property tax relief credit? box). ❑ Married filing separate return (see page 15) p Yes ❑ No ❑ (enter spouse's Social Security number above) m (2) Enter the amount- 00 ❑ Head of household (with qualifying person) D3 Were you required to report,any nonqualified deferred compensation,as required by IRC§457A Qualifyingwidower) on your 201(�.ny; e[aI return?(se, age rs) Y ❑ No ❑ ~ B Did 'ou itemize our dedu 'ons E (1) Did yo s a ma taln m you' 019 dera ncome t retu Ye ' x No quarteC dt ?(s page 15XeS No ❑ ?]] C Can you be claimed as a dependent (2) Enter the number of days spent in YC in 2019 on another taxpayer's federal return? . Yes ❑ No UK (any part of a day spent in NYC is considered a day) y F NYC residents and NYC part-year Z residents only(seepage 15)" (1) Number of months you lived in NYC in 2019 12 (2) Number of months your spouse lived in NYC in 2019= Cn G Enter your 2-character special condition ~ code(s) if applicable(see page 15) }i Dependent information(see page is) First name MI Last name Relationship Social Security number Date of birth(mmddyyyA OWEN GEORGE FRIED SON C m 0 0 If more than 7 dependents, mark an X in the boy❑ 201001191022 11111111111 IN I�I'II�II For once use only , FRIEDPE8492 04127/2020 1'42 PM P9 1 V� THE HOWARD GROSSMAN FIRM 16 GROVE AVENUE VERONA, NJ 07044-1611 PAUL M & ELIZABETH FRIED 1050 HYATT RD ? SOUTHOLD , NY 11971 4 DLN; STEX01 3���207968416 NEW Department of Taxation and Finance I YORK STAR Registration STATEY ECEIVED JAN 10 202:0 ;Property details Property key Property address IRC3747P 1050 HYATT RD SOUTHOLD, NY Zoning Board Of Appeals rTax map no. or SBL or BBL jMailmg address — I 1050 Hyatt Road, Southold, NY 11971, US _.____.__..___._...__.-____...___.-._.._ -op b. ._ ....___._.... -_.:.—_._ ._.____._. .____-_-___....-.-_.___ '-_.___-----._____._.__.-_.___..--- - ?Is the property part of a moble home park or co-op building? (Purchase date Seller's name �!-- Yes ✓;No {06/25/2015 'Cathryn M. Stickney Trust Trust or life estate Legal name of trust IReason for property not found - - - . • . ;Property owner,details'° Social_secunty cuermb ;Name y ELIZABETH A OBRIEN FRIED fyDate off_6irth� jThis mdividual is a' Is this the primary residence of the individual listed? :Owner ,''w ;% Yes No '--:uoes-this-mdividual own property in another state that is receivmg.a' ;Does this individual own any other Property in another state that is receiving a jresidency based property tax benefits ;;residency-based property tax benefit? i._ !Yes I✓j.No ! i Yes No i0ther property address;� •.`�- i ' s Income tax filing. _ Did this individual file a New York State tax return,in 2018 '' ��/�Yes No Didyou file a federal tax return in;2018? ................................................. .............................:...................................................................... Yes J No Filing status Federal ad usted ross.income.. :......................................................... .............:... Married filing joint return .................. ] g (FAGI) ...........................................................................,............................................. '� 260,217.00: lsooalecyrowner details �._. ity number Name PAUL FRIED D_ate-- __ � of birth_ 'This individual is a � .� -�-�- IIs this the primary residence of the individual listed? i !Owner Yes !No ,Does this imdivlaual own property in another state that is-receiving a. — Does this individual own any other pproperty in another state that is receiving a I !residency-based property tax benefits residency-based property tax benefit? I Yes �1 No Ll Yes ( I No - 0therroe - P P rty address - - ----- -- --------- -- - - -- --- - jIncome.' x filing - - - - �� (_Yes Di this individual file a New York State tax return in 2018? .......................................................................................................................... [ I No Didyou file a federal tax return in 2018? .................................................................................................................................................... LJ Yes jI No 9 [Married filing joint return __.__ Film status ............. Federal adjusted gross income(FAGI) ...................................................................................................................... 260,217.00 !Property owner/spouse summary Name Social security i Owner/spouse j Relationships Il number i ELIZABETH A OBRIEN FRIED Property owner ___10AUL FRIED(spouse) PAUL FRIED - ?roperty owner - !ELIZABETH A OBRIEN FRIED IPAUL FRIED - -1_1CM-XX-8492 Property owner F1*�_4BETH A OBRIEN FRIED i , ise) _.___:._.__m I _ent income eligibility Resld • Combined federal adjusted gross income(FAGI) iDoes the combined federal adjusted gross income minus the taxable amouunt�o otal IRA distributions of the individuals listed exceed$500,0007 260,217.00 ❑Yes No Contact information RECEIVED Contact name ELIZABETH OBRIEN ,} - . - - --- -- — - JAN-1 ---- - �contact phone-nu-mber_. —;,Email address i(917)328-0449 LIZOBF@AOL.COM ETransaction details Confirmation number — "- --` — — - _�_ 'Zoning Board Of 1ppeals Transaction date/time STEX0113207968416 --� 01/13/2020 12:29:24 PM submitted by: ELIZABETH 4•y��� `EG 'h' .: 3;' ,'? $"{'.�.�d�'t`.ix -•,off .,£..`- ,5,f,�Tv,4,`.'["�_,..i.,.ro-M}{q _ .f-°.T : rr�Y`m.)a;•' { �'(..«i k{'Sat'rc .=T•-) i 'YP`s 2-,�,rd� �ar�y. : ;f 'A" y5,�,g5gy/,.l+ ^'�"1 'y,;a .�e�fr.�''§g a�� r....w.��-� j x -�s;c'�; '•:ivy..`�? f •`� I� �. �2'•Y. •°��.�'�+ ate"=--• cps ��', �+; 4t a',,;• � ,;��'.,. We►nake thfnas runrk nr vor RECEt Visit vet,=kw.psegliny.ccl 't JAN 10 2020 Servict-i v.anzaoetn Fried . 1050 Hyatt Rd Pole#81 Southold NY 11971 Zoning Board Of Appeals ACCOMN Service From Oct 16,2019- Nov 23,2019 Thank you for your prompt payments. Previous balance $61.23 Cancelled Electric Charges:$61.23 for 29 days from Oct Cancelled PSEGLI Charges (see message) -61.23 16,2019 to Nov 14, 2019. Balance Remaining 0.00 Safe, reliable power comes from our unwavering New charges 103.92 commitment to strengthen and maintain our energy please Pa I3 Dec 27,2019 $103.92 Infrastructure. Explore projects in your community at y y PSEGLINY.com/Reliability. A 1.5%late payment fee will be applied to outstanding charges if- Payments are accepted at our Customer Service Centers payment is not received by December 27,2019 and authorized locations. Closest center: 117 Doctor's Path, Riverhead. Hours:8:30 a.m.to 5:00 p.m.,weekdays (excluding holidays). See stub for more options. Daily Usage Daily Cost Total Use_ SNE 4 rVIET R RiEAMI� Nov 19 12 kWh Nov 19 $2.73, :440 kWh On or about 12/16/2019 Nov 18 10 kWh Nov 18 $2.49 Average Daily Use s'4 O��Ty dam'I Z�S (monthly use/days in period) Customer Service 67 si 1-800-490-00251 Espanol :1-800-490,-0085 32 -0. 43 32 Weekdays 8AM-BPM,Automated Phone Services-24/7 25 Outages/Emergencies (24/7) � = a � _ Text OUT to PSEGLI (773454) or Call 1-800-490-0075 Nov' Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov 50' 39° 390 341 360 500 580 680 780 780 73°' 660 500 Bearing/Speech Impaired-TTY Device Required 2018"���., �`� ❑ 2019 1-631-755-6660 Curr Bill Vs.Last Year 'Actual Estimate One kWh of energy is equal to 1000 watt hours and willpower a 100 watt Energy Efficiency I Report Theft of Service light bulb for 10 hours(100 watts x 10 hours=1,000 watt-hours=1 kWh). 1-800-692-2626 1-631-755-6871- Nfacebook.com/PSEGLI facebook.com/PSEGLI L-]twittencom/PSEGLI Weekdays_7AM-11 PM, Sat,-Sun-9AM-61?M PAGE 1 of 2CUSTOMER ID:0704-3005-65-6 BILL DATE 12/04/2019 - Please detach here and return with your check made payable to PSEG Long Island. _ EG t t. CUSTOMER II PSs .y'g f'} Ile'l"het{,,,gi,"„„{,f,,,,„{ Amount Due $103.92 �} Please Pay By Dec 27,2019 PAY YOUR WAY,24/7 Ln We offer a variety of methods that make it easy to Enclosed: -' $ C pay your bill. See reverse side for more information. 000055060 e o W a PSEG Long Island �l Elizabeth Fried PO Box 9050 50 Sutton PI S APT 2C Hicksville NY 11802-9050 New York NY 10022-4181 + '1it11111111�1111�'I'III'�IIIIIIE1111'll'lllllilllll11� 110�1"' ���y1�1n111n1��11A111�J'�I�dlll�ll��ll�lllllll0'llll��l'�I� 070430056561009338310392442694 �:�:a^' + F._:_.. .� r � ,- .:a*..moi''_ `'=} e .a.'t'e�r�r,..,,_ ..' ,;t,.,,-%'�>=„.�.';•�'�. a Wer 1 nnk�llrirts orlr Jnr ynu. ,4,�.^"r ' v"Nfa'r" r n .f. '+jtik f'f,'.�4:i JF.t4'..:.1 yV,P*lir — •:A'., r —ty, yy _.6+'/tli LZoning ECEIVED Visit.�/�n w.psegliny.corn Customer ID. , I ® Ld�c� Service To:Elizabeth Fried -- 1050 Hyatt Rd Gar Apt Southold NY 11971 -SAGE �,EJ- oard Of Al�pzals U N T S 0 AM to r Thank you for your prompt payments. Service From Oct 16,2019-Nov 23,2019 Cancelled Electric Charges:$62.62 for 29 days from Oct Previous balance $62.62 16,2019 to Nov 14,2019. Cancelled PSEGLI Charges (see message) -62.62 Safe, reliable power comes from our unwavering Balance Remaining 0.00 commitment to strengthen and maintain our energy New charges 59,52 infrastructure. Explore projects in your community at Please Pay By Dec 27,2019 $69,52 PSEGLINY.com/Reliability. A 1.5%late payment fee will be applied to outstanding charges if - Payments are accepted at our Customer Service Centers payment is not received by December 27,2019 and authorized locations.Closest center: 117 Doctor's Path, Riverhead. Hours:8:30 a.m.to 5:00 p.m.,weekdays (excluding holidays). See stub for more options. Daily Usage Daily Cost' Total Use 3 X 9' WIETE.Fi FEADING Nov 19 6 kWh Nov 19 $1.57 . 217 kWh, On or about 12/16/2019 Nov 18 10 kWh Nov 18 $2.45 Average Daily Use O- jAT U5 (monthly use/days In period) Customer Service 1-800-490-00251 Espanol :1-800-490-0085 19 Weekdays 8AM-813M,Automated Phone Services-24/7 10 7 7 10 10 127 7 6 3 3 6 Outages/Emergencies(24/7) ❑ - = F-1 ❑� _, ❑_0�^❑_0` Text OUT to PSEGLI (773454) or Call 1-800-490-0075 Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov 50° 39' 39' 34o 36° 60° 641 641 78° 780 730 66° 601 Hearing/Speech Impaired-TTY Device Required 2018 2019 1-631-755-6660 t❑Curr Bill Vs.Last Year i.�Actual ❑ Estimate One kWh of energy is equal to 1000 watt hours and will power a 100 watt A Energy Efficiency I Report Theft of Service light bulb for 10 hours(100 watts x 10 hours=1,000 waft-hours=1 kWh). 17800-692-2626 1-631-755-6871 m Nfacebook.com/PSEGLI twitter.com/PSEGLI Weekdays 7AM-11 PM, Sat, Sun-9AM-6PM — - PAGE 1 of 2 CUSTOMER ID:0704-3005-64-9 BILL DATE 12/04/2019 Please detach here and return with your check made payable to PSEG Long Island. CUSTOMER i 1 IIi•nofkr llea,,�rfmtl.'lur ion, I Amount Due --_- _ $59.52 PAY YOUR WAY,24R g Please Pay By Dec 27,2019 We offer a variety of methods that make it easy to Enclosed: CD pay your bill. See reverse side for more information. 000055059 'D PSEG Long Island Elizabeth Frled CD CD PO Box 9050 50 Sutton PI S APT 2C Hicksville NY 11802-9050 New York NY 10022-4181 x•� mill -I 11iI”IIIIII111111111'lllllllll '111111111111'lllllhllhly 07043005649100933835952YY RECEIVED JAN JAN 7 0 2020 AFFIDAVIT OF PRINCIPAL RESIDENCE £ Paul M. Fried and Elizabeth A. O'Brien, having been first duly sworn,provide this Affidavit in support of an application for a Special Permit Exception for an Accessory Apartment in an Existing Accessory Building, and state the following: 1. 1050 Hyatt Road, Southold,New York 11971 is our principal residence. 2. We reside at and occupy the principal dwelling at 1050 Hyatt Road for more than 6 months out of the calendar year. 3. We purchased the property on June 25, 2015 and have declared it as our principal residence since September of 2017 when we moved from New Jersey to New York. 4. We are registered to vote in Suffolk County. STATE OF ' COUNTY OF ��t Fa I ) SS) Elizabeth A. O'Brien Pik PRINT FULL NAMES TURE P Paul M. Fried kv VMA PRINT FULL NAME SMINATURE Swornto and subscribed before me this�t=day of , 20AAUwt ( Notary Seal Notary Pu 1 c TRACEY L. DWYER' NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,213-9, Page 1 of 2 ` 55 6-,- HOUSE LEASE RECEIVED consult your lawyer before signing this lease- JAN 17 2020 Landlord and T enatrt tgi�iv iaaS6 trim 19re~'►Ises at tl'a runt anti for the term Stated: 0 Luning oara Of Appeals PREMISES: 1000 Hyatt Road age Apartment LANDLdRD: Paul M.Fried and 1111ho ath A.OBnen TENANT: Ellen NOW Owen Fried Date of Lease: 6/1/2020 Annual Rent:$ 100 Lease Term: 1 yr Monthly Rent:4 Commencement Date: 5/1/2020 Security Deposit:$ Termination Date: 4130/2021 I i. Use and Occupancy by this Lease, to Tenant at an address Tenant provides. The Premises may only be used strictly for If the Premises Is sold, Landlord will trans%rthe security residential purposes and may only be occupied by Deposit to the new owner and Teriant may only look to Tenant and Tenant's spouse and children. the new owner for return of the Security Deposit and Tenant hereby releases Landlord from any liability with 2. Inability to Give Possession respect to the Security Deposit, The falb of L,9 rn¢ep�cinn of the Premises on the Commencement Date shall not 6. Services and Utilities create liability for Landlord. In the event that possession Tenant shall pay for the following services either of the Premises is not delivered on the Commencement directly orto Landlord when billed: electd%fuel, gas, oil, Date, Monthly Rent hereunder shall begin on the date water, telephone, landscaping, snow removal, sanitation that possession of the Premises Is delivered to Tenant N/A. and shall be prorated for that portion of the month In which possession Is delivered. In such event, the 7. Furnishings Termination Date shall not change. The Premises is lepra delivered (,furnish" 3. Rent (unfurnished). If fumished, Landlord has given an Inventory of the furnishings which Inventory has been A. Tenant shall pay Monthly Rent in full on the first signed by Tenant and Landlord. Tenant acknowledges day of each month of the Lease. Monthly Rent shall be that sold furnishings are In good condition and Tenant Paid in advance with no notice being required from accepts sante in"as is°'condition. Landlord. Tenant shall not deduct any sums from the Monthly Rent unless Landlord consents thereto in writing. S. Repairs and Alterations Upon signing this Lease, Tenant shall pay Landlord Tenant shall maintain all appliances, equipment the nisi M01 thiy vent due and the Security Deposit. The furniture, furnishings and other personalro e entire amount of rent due farthe Lease Term Is due upon included under this Lease and, upon the surrender o the signing this Lease; however, Landlord consents to the Premises on the Termination Date, Tenant shall Tenant paying same in monthly installments provided surrerldsr Same tc) Landlord In the same condition as there exists no defaults by Tenant under the terms of this received, reasonable wear and tear excepted. In the Lease. event that Tenant defaults under the terms of this B. Additional Rent may include, but Is not limited Paragraph 9, Landlord may make necessary repairs or to any additional Insurance premiums and/or expensesWWAreplacement, the cost of which shalt be deducted from '.� bs Landis:u v�iiiaz arc charg®ai✓is to Tenam as rile security Deposit stated hereinafter. Additional Rent is due and payable Tenant shall not make any alterations, additions, with the Monthly Rent for the next month after Tenant modifications and/or changes to the Premises during the rAlves notice form Landlord that Additional Dent is due Lease Term, and payable. 4. Condition of Premises 9. Maintenance of Premises T®nant shall maintain the grounds of the Premise in Tenant acknowted®ss that Tenant is accepting the a neat clean and presentable condition. Tenant shall be Premises in its "as is=' condition. Tenant f!!tther re;n,w alble for upkeep oi'isle grounds, including,but acknowledges that Tenant has thoroughly Inspected the not limited to snow removal and the mowing of the lawn. Premises and has found the Premises to be in good order and repair and that the appliances, If any, are in 10. Pets good operating condition. Tenant further states that Pets of any kind or nature (shah} (shall not) be Tenant knows how to operate the appliances and shall do allowed In the Premmises. so in accordance with the manufacturers Instructions. 6. Security 11. Damage.Fire or Other Catastrophe in the c aRe1 of fire Liarrieagna cur nAfkan+daVif^"'ftMV0 iv Aries The Security Deposit is due upon the Tenant signing Premises not caused by Tenant, Tenant shall give this Lease. The Security Deposit shall not be used for Landlord Immediate notice of same. Upon receipt of the payment of Monthly Rent unless agreed to, in writing, such notice, Landlord may either(a) repair the Premises by Landlord and Tonarit. Nihil; fbn (40) days after or(b)terminate the Lease. if Landlord makes repairs to TOW surrenders possession of the Premises at the the Premises, Landlord shall have a_reasonable time In expiration of the Lease Term, Landlord shall return the which to do so. if the damage to the Premises renders securlth► Deposit, less anY cost of repairs as authorized the Premises uninhabitable, Landlord shall give notice to Tenant, after repairs are made, of the date on which the after the date of such--npttce-at wl -tlm"his�. ase shall then terminate. T Premises be reoccupied. Monthly Rent for the enant she11c6b'EFesponsibl6 for P may period that Tenant can not occupy the Premises because Monthly Rent and Additional Rent as set forth in this of the damage shall be forgiven. Lease up to the date of toFre7n Inatiqr� 1 (n1 In the event that Landlord terminates this Lease C. If this Lease is toinatcd'or�e jh?vacates the because of the damage, Landlord shall give Tenant thirty Premises prior to the Tination Date, Landlord /may (30) days notice of Landlord's Intent to so terminate, in enter the Premises and ,gypg gyp, �a ��n which event. Monthly Rent shah be due for the period up Oi property a;idlor mrn�nce-sun�!naty-prodOedina for to the date the Premises incurred the damage. eviction. The aforesaid actions are not the sole remedies of Landlord. 12. Liability D. if this Lease is cancelled or Landlord takes back Landlord shall not be liable for any loss, damage or the Premises expense to any person or property except if such loss is 1. Monthly Rent and Additional Rent for the L,mfksed by the willful acts of Landlord. unexpired portion of the Lease Term immediately Tenant shall be liable for the acts of Tenant, becomes due and payable. in addition, any coat or r ep" Tenant's family, guests and/or invitees_ i_andiofd's cost expended by Landlord shall be the obligation of Tenant and expense in repairing any such damage or from any and shall be deemed Additional Rent. claim resulting from such acts shall be billed as Additional 2. Landlord may re-rent the Premises and Rent and shall be paid by Tenant to Landlord. rental and any cost In connection thereIn It for with shall term dbe boat rn( e by Tenant which 13. Assigning or Subletting may Include, but Is not limited to the cost of repairs, This Lease may not be assigned by Tenant nor shall decorations, preparation for renting, brokers fees, Tenant sublet the Premises. adverm ig costs and attorney's fees. Any rent recovered by Landlord for the re-renting of the Premises shall 14. Subordination reduce the amount of money that Tenant owes to This Lease and Tenant's rights hereunder are Landlord. subject and subordinate to all existing and future leases for the land on which the Premises stand, to all 20. Condemnation mortgages on said leases and/or the Premises and/or the If any or part of the Premises is taken or condemned land and all renewals, modifications and extensions by any governmental authority, Landlord may cancel this thereof Upon request by Landlvrd,Tenant shall execute Leaae on noriro to Tanar Tena and nt's rights hereunder tt_.._ any certificate to this effect. shall end as of the date the authority takes title to the Premises which cancellation date can not be low than 15. Landlord's Consent thirty (30) days from the date of Landlord's notice. If, under the terms of this Lease, the consent of Tenant shall be liable for Monthly Rent and Additional Landlord is required, such consent shall not be Rent to the date of cancellation and shall make no claim unreasonably withheld. for the unexpired term of the Lease. Any award for the condemnation is the property of Landlord and Tenant 1a. Ent*- Kaey Le_das ascinnc to i andiord any and all rights. interest and/or Upon reasonable notice and at reasonable times, claim in and to such award. Landlord may enter the Premises to inspect, repair or to show it to prospective purchasers, tenants or lenders. 21. iBankruptcy Tenant shall give Landlord keys to all locks for the Should Tenant rite a voluntary petition In bankruptcy Premises. Tenant shall not change any looks or add any or an involuntary petition is filed against Tenant, or locks to the Premises without obtaining Landlord's should Tenant assign any property fro the benefit of consent, and if given, Tenant shall provide keys to creditors or should a trustee/receiver be appointed of Landlord forthese locks. Tenant and/or Tenant's property, Landlord can cancel this Lease upon thirty(30)days written notice to Tenant. 17. Signs Tenant shall not place any signs on the Premises or 22. Notices upon the grounds on which the Premises stand or in the Any notice to be given under this Lease shall be in Premises so as to be seen from outside the Premises. writing addressed to the party at the addresses set forth Landlord shall have the right to place or cause to be herein by certified mail or overnight courier service. placed on the Premises and/or upon the grounds on Notice by Landlord to one named Tenant shall be which the Premises stand "Far Rent" and/or "For Sale" deemed given to all Tenants and occupants of the signs. Premises. Each party hereto shall accept notices sent by the other. Any change of address by one party must be 18. Compliance with Authorities given, by notice, to the other. Notice shall be deemed Tenant shall, at its own cost and expense, comply given when posted or delivered to the overnight courier promptly with all laws, rules, ordinances and directions of service. governmental and/or municipal authorities, insurance carriers and/or homeowners'associations. 23. Waiver of Jury Trial,Setoff or countersiaim The parties hereto waive trial by jury in all matters 99. Tenanfs Defaults,Landlard;s Remedies except for personal injury or property damage claims. in A. Landlord must give Tenant notice of default a summary proceeding for eviction, Tenant waives (except for a default in the payment of Monthly Rent Tenant's right to any set-off and/or counterclaim. and/or Additional Rent)and Tenant, upon recelpt of such notice must cure the default within the time stated 24. Broker hereinafter. Tenant states that WA Is the sole Broker who I. a default under Paragraphs 8, 9, 10, 11, showed the Premises to Tenant. Tenant shall hold 12, 13, , 16 or 17, 18 of this Lease,ten (10) days, harmless and Indemnify Landlord fro any monies 2; a -efault under Paragraph 21 of this eYnande-d by Landlord should TenaM'_S Statement herein Lease,thirty(30)days. be untrue. B. In the event that Tenant fails to cure a default within the time stated therefore, Landlord may terminate 25. lnabiHty of Landlord to Perform this Lease. In such event, Landlord shall give Tenant If Landlord is unable to perform any of its notice stating the date upon which this Lease shall obligations to be performed hereunder due to OmMM, such date being not less than three (3) days governmental orders, labor strife or Inability to 7a m ismmdft NYIOW I Fax:tw ,,. __�.,....,..,, no fault on the su reeves ati prior representations, agreem em mu goods or materials, through pe _m part of Landlord, this Lease shall not be terminated promises,whether oral or written. ; or cancelled and such inability shall not Impact upon Tenant's obligations hereunder. 33. Amendments �`_ This Lease may ort{y be changed or amended in a writing signed by the parties hereto. -17 2020 26. Illegality should anv part of this Lease be deemed illegal,the 34. Riders __�L�•. :•, w ,a,0are annavraed remalning pardons of this Lease shall not be affected Addidonai iem5 ai Gulliel h•••----•�--••- — thereby and shall remain in Ali foo and effect, h$reto and designated R�I 1-U—1 Pl. _._. ' �preal� 27. NonZisturbance 3S. Surrender of Pdr'eOW So long as Tenant pays the Monthly Rent and on the Termination Date, Tenant shall deliver the Additional Rent and there exists no defaults under any of Premises to Landlord vacant, In good condition and the terms of this Lease, Tenant may peacefully occupy broom dean. Prior to such delivery. Tenant shall have tre Prcrttsesforthe Lease Tetgir. vacated the Premises, removed Tenant's property, repaired all damages 0069d by TQf'Qfrt arta M.U.M. tl:� 8S, NOMV111"r Premises in the same condition as received, reasonable Any failure by Landlord to Insist upon Tenant's full wear and tear excepted. compliance with the terms of this Lease and/or to enforce . such terms shall not be deemed to be a waiver of 3t3• Limitation of Recovery Landlord's rights to insist upon or so enforce the terms of Should Tenant obtain a judgment or other remedy this Lease at a future date. from a court of competent jurisdiction for the payment of money by Landlord, Tenant Is limited to the Landlord's ww r5...6 i A..-.-�t.. 6-..11. Rnl1-#0:- Z—ft w :n f�wmn �: pard"Board BUM=t"i:Ets t�t�tt:t::£ Ivl Elle Cse:ls�:use e:Saes. This Lease is binding upon Landlord and Tenant and their respective assignees and/or successors In interest. . Sale of Unit In the event Landlord sells the Premises, Landlord 38. Paragraph Headings ay terminate this Lease on thirty (30) days prior written Paragraph headings are for reference only. notice to Tenant, in which event Tenant shall vacate the Unit on the date set forth in said notice. 39. Effectiveness ,rule 1 weee 0K.wli i.aww a Affft t�sa VMSwr �� 6 :F6 ai3� 33. I=ew�c� when Landlord delivers a fully executed copy hereof to Tenaat is obligated to carry whatever property Tenant or Tenant's aftomey. and/or liability Insurance coverage that Landlord requires and shall have named on the policy of Insurance 3Z. Entine Agreement Landlord, as an insured. Tenant must deliver a copy of Tenant states that Tenant has read this Lease and the declaration page of the policy of insurance or the that it fully incorporates all understandings, binder showing Landlord as an Insured prior to taking representations and promises made to Tenant by possession of the Premises. Landlord and/or Landlord's agent and that this Leas This Lease has been entered Into as of the Date of Lease. LANDLORD TENANT PJWI M.Fried -J- 'k-S r Ellen Fried i Q JLA ��9•so ZBA TO TOWN CLERK TRANSMITTAL SHEET (Filing of Application and Check for Processing) DATE: January 14, 2020 ZBA # NAME OF APPLICANT——JCHECK�# -—AMOUNT TIC DATE STAMP 7385SE Fried, Paul & Elizabeth 575 $500.0 RECEIVED 7 JAN 1 5 2020 .,Own TOTAL $500.00 Sent via'Inter-Office to Town Clerk by: DW Thank you. -41 -ELIZA ,,BETH 66RjEfq- 'T� ORDER-OF .'; $1 `CHEAS WWW.qha§q.00rfi' ELIZABETH A.NEVILLE,MMC hyo G� Town Hall, 53095 Main Road TOWN CLERK ® P.O.Box 1179 CC Z Southold,New York 11971 REGISTRAR OF VITAL STATISTICS IS ® Fax(631)765-6145 MARRIAGE OFFICERy� ®t' Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER ®.l `1►� www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Zoning Board of Appeals FROM: Elizabeth A. Neville DATED: January 15, 2020 RE: Zoning Appeal No. 7385SE Transmitted herewith is Zoning Appeals No. 7385SE for Paul & Elizabeth Fried: ,,,"'The Application to the Southold Town Zoning Board of Appeals Applicant's Project Description Questionnaire Agricultural Data Statement _Short Environmental Assessment Form Applicant/Owner Transactional Disclosure Form(s) _./Agent/Representative Transactional Disclosure Form(s) ,ZLWRP 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 V Photos Correspondence- Copy of Deed(s) Building Permit(s) Property Record Card(s) Survey/Site Plan Maps- Drawings �Misc. Building Dept. forms (Certificate of Compliance, Housing Code Inspection, ect.) _,/_Misc. Paperwork- tt .CA 1be+ gA Enw-w-'n Ob c+a.n +. Ivtt oras .16,-1,L 1Lci�n,�pi�r �,�tl� -Aff-;dads �' o� TC.cS�denc�� a�-d Ho.�►s�- I.�caSeJ. own of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 01/15/20 Receipt#: 265224 Quantity Transactions Reference Subtotal 1 ZBA Application Fees 7385SE $500.00 Total Paid: $500.00 Notes: Payment Type Amount Paid By CK#575 $50000 Fried, Paul & Elizabeth Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Fried, Paul & Elizabeth 50 Sutton PI S#2C New York, NY 10022 Clerk ID: JENNIFER Internal ID 7385SE i TOWN OF SOUTHOLD 4 ZONING BOARD OF APPEALS Appeal No. SOUTHOLD, NEW YORK AFFIDAVIT { - OF { In the Matter of the Application of: MAILINGS r % r `�(.�•1 K U Y I 1 l�i 5 1/1 ZQ✓d�-[ '^V�'V'I P� �F�f e (Name of Applicant/Owner) " ID o S CTM No. 1000-_ 60 (Address of Property) (Section, Block& Lot) COUNTY OF SUFFOLK STATE OF NEW YORK I, (✓Owner, ( )Agent residing at RA 3L-- 1 94 New York, being duly sworn, deposes and says that: On the day of JLkAk-le- , 20 , I personally mailed at the United States Post Office in ,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 MELISSA R DEBOER day of,� , 20`KD NOTARY PUBLIC STATE OF NEW YORK SUFFOLK COUNTY LIC. #01 DE6349898 (Notary Public) COMM. EXR -10I311�) 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 6l � Al Al jl i ■ Complete items 1,2,and 3. 7ASignfNr.■ Prink your rfame and address on the reverse ❑Agentso that we can return the card to you. �'� ❑Addressee ■ Attach this card to the back of the mailpiece, ece d by(Pnn*ed N e) C. Date of Delivery jor on the front if space permits. 1 Article Addressed to: (` 4 D. Is delivery address different s el , rCl�'s � �c J,y,`+�� � If YES,enter delivery ad �s slow: r pto Phk KJ c4� CO J: 112 6 i tuy II illlll I II II I III II II II I II III I I I III II I I III 3. Service Type ❑Priority Mail Expresso ❑Registered ❑Adult Signature istered MaIIT"' I Q Adult Signature Restricted Delivery ❑Registered Mail Restricted f11 Certified Mad@ Delivery 9590 9402 5801 0034 3010 30 Q Certified Mail Restricted Delivery Q Return Receipt for Q Collect on Delivery Merchandise I 2. Article Number(Transfer from service labeq ❑Collect on Delivery Restricted Delivery Q Signature ConfirmationT (' 0-insured Mail 0 Signature Confirmation {} l� — r7 018 2290 0001 4574 0499 pail Restricted Delivery Restricted Delivery b PS Form 3$11,July 2015-PSN 7530-02-000-9053 Domestic Return Receipt I COMPLETESENDER • • • - ■ Complete items 1,2,and 3. A. Slg ■ Print your name and address on the reverse 13 Agent so that we can return the card to you. f�Addressee ( - - B. Re ived by(Printed Name) C. Da Jof De roe2b' I M Attach this card to the back of the mailpiece, Z� or on the front if space permits. �( 1. Article Addressed to: ! D. Is delivery address diffe t ❑Yes If YES,enter delive, s e �� No t) 3. 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Article Number(Transfer from service-label) ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation*"^ --— ❑Insured Mail ❑Signature Confirmation f,,9 ;2970 , 0001 ;8438,;051 ❑Insured Mail Restricted Delivery' Restricted Delivery (over$500) PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt 1 Al /10 z bily ?df /9=�� 1-1.1 ru CO Q • �� Pm Ike ii r f II' Certlfred Mad Fee $3.55 r-1 $ . �+ Or a� Extra Services&Fees Wieckbox,add tee qfIyo@fla ❑Return Receipt(hardcopy) $ I_• ■ ®` A .. � ❑ Return Receipt(electron".) $ -- V.Postmark ' Q ❑Certfled Mall Restricted Delivery $ I I}II I a AHeerre ® A O ® o `Q ❑Adult Signature Required $ r7.1 ©• Q k Q ❑Adult Signature Restricted Delivery$ 0 r q Postage �.•�Y�I �9-�_�e L1l • '•- - • -•Cr $ 06I-6 2020 Q GLFVIA QQ='L �D N •Y 15 7 f' ��� ,w� Cr Total Postage and ePs SI i U �� ru $ ! certified Mail Fee $3.55 0971 Se o Ln $ c r-Or q �0 - ---- -- ---_________________________________________ I :I- Extra Services&Fees(checkbox,add fee�,gpplyp�rjateJ Q see n- -- 0. P BO ❑Return Receipt(hardcopy) $ U �t�tll�t ZtLCJ r-=1 ❑Return Receipt(electronic) $ I( I II I L-2 4� �.` 9 1 O ❑Certriied Mail Restricted Delivery $ _ Hju 6 ❑AdultSignatureRequired $Q ❑Adult Signature Restricted Delivery$PostageQ . .fU Total Postageandru F s ?� f2f o ® Sent To ® r-I -- — -------------------------------------------------------------- ® Q Street an o. PO ox No i Ir © -- -� ------------------------------ ' • ,_ _ • - • • -a - �• E-71 Crry_'fB B�ZI _®�/t IV' ___- ------- Ln -- -- Q NELJ.rYUFi P �7�?f�9 01 � WS/ 4. ..... € E,. ee 1 aye o<e•o, a' x,, Certified Mall Feed•ec, 1971 1 Ln $ P Extra Services&Fees(check box,add ilea a2R9pa ate) r'?�b ❑Return Receipt(hardcopy) $ �l _ 3 Il UU Postmar []Return Receipt(electronic) $ ...b .� Q []Certified Mail Restricted Delivery $ - ti ,.f?�Here Q E]Adult Signature Required $ Q ❑Adult Signature Restricted Delivery$ i Q Postage1 Er ru Total Postage and Fs S II> rU $ CO Se To sire t and Apt llfo r PO x No. -- - -- - --1�. ------ Q - --5 ------------------------------ --------- ----- City, bCi jioe r ee aaI•e 1 f TOWN OF SOUTHOLD ZONING BOARD OF APPEALS �3�5 SOUTHOLD, NEW YORK AFFIDAVIT OF In the Matter of the Application of: POSTING &Jfq • ��1� Ct,yt� �Il��'�I/f e» SCTM No. 1000-�- 1 - 13, i (Name of Applicants) (Section, Block & Lot) COUNTY OF SUFFOLK STATE OF NEW YORK I U evi fy-(Cd residing at D 61b New York, being duly sworn, depose and say that: I am the (✓) Owner or ( )Agent for owner of the subject property On the 3e day of j JtLs%-L— , 202X), I personally placed the Town's Official Poster on subject property located at: �. N 1111 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 L q 2010 (Own r gent ignature) Sworn to before me this Day of N,�( x �� IPUBLIC R DEBOER (Notary Public) NOTAAT E OF NEW VOR!( COUNTY E6349898 near the entrance or driveway entrance of property, as the area most visib e to Cma� -/ TYPESET: in Jun 26 12.53 38 EDT 2020 dwelling; at 1) less than the code required NY SCTM No 1000-40-2-11. LEGAL NOTICE minimum rear yard setback of 35 feet;located 2:00 P.M.-HARD CORNERS PROPER- SOUTHOLD TOWN ZONING BOARD at 5194 Great Peconic Bay Blvd,Laurel,NY. TIES;LLC#7387-Request for a Variance OF APPEALS SCTM No 1000-128-2-20 from Article X, Section 280-46 and the THURSDAY,JULY 9,2020 at 9:00 AM 10:50 A.M.-MAUREEN BENIC#7389- Building Inspector's January 14,2020 Notice PUBLIC HEARINGS Request for a Variance from Article III,Sec- of Disapproval based on an application to This PUBLIC HEARING will be held tion 280-15 and the Building Inspector's No- construct a mixed-use commercial building virtually via the Zoom online platform Pursu- vember21,2019Notice ofDisapproval based with accessory apartments and four single ant to Executive Order 202 1 of New York on an application for a permit to legalize an family dwellings upon a 99,208 sq.ft.parcel, Governor Andrew Cuomo in-person access "as-built"accessory pergola;at 1)located in at, 1) one commercial and four residential by the public will not be permitted other than the code required rear yard;located uses upon a single parcel measuring less than The public will have access to view,listen at:375 North Parish Drive,(Adj.to Southold the minimum allowed 100,000 sq.ft in total and make comment during the meeting as it is Bay)Southold,NY.SCTM No.1000-71-1-4. -area;located at:-53530 Main Road,Southold, happening via Zoom. Details about how to 11:00 A.M.-ERIC FREND#7370-Request NY SCTM NO. 1000-61-4-1 tune in and make comments during the meet- for a Variance from Article XXIII, Section The Board of Appeals will hear all persons ing are on the Town's website agenda for this 280-124 and the Building Inspector's October or their representatives,desiring to be heard at meeting which may be viewed at http-Hwww 7,2019,Amended October 30,2019 Notice of each hearing,and/or desiring to submit writ- southoldtownny gov/agendacenter.Addition- Disapproval based on an application for a ten statements before the conclusion of each ally,there will be a link to the Webinar Zoom permit to construct an accessory shed at, 1) hearing Each hearing will not start earlier meeting at http Hwww southoldtownny gov/ more than the code permitted maximum lot than designated above Files are available calendar aspx coverage of 20%, located at 3690 Great for review on The Town's Weblink/ If you do not have access to a computer or Peconic Bay Blvd.Laurel,NY.SCTM#1000- Laserfiche under Zoning Board of Appeals smartphone,there is an option to listen in via 128-6-6 (ZBA)+oard Actions*ending.Click Link: telephone. You may Join by Telephone: +1 11:10 A.M.-ANTHONY NAPPA#7406- http://24.38.28.Z28:2040/weblink/ 646 558 8656,Webinar ID•984 2067 7181, Request for a Variance from Article III,Sec- Browse.aspx?dbid=0.If you have questions, Password- 435764. Call the ZBA office at tion 280-15 and the Building Inspector's Jan- please telephone our office at(631)765-1809, 631-765-1809 for help uary 28,2020,Notice of Disapproval based or by email:kimf@southoldtownny.gov 10:00 A.M. - A L E K S A N D E R on an application for a permit to construct an Dated:June 25,2020 MYFTARAGO #7346 - (Adjourned from accessory in-ground swimming pool; at, 1) ZONING BOARD OF APPEALS January 2,2020)Request for Variances from located in other than the code required rear LESLIE K A N E S W E I S M A N, Article IV, Section 280-15, Article XXIII, yard;located at:425 Jacobs Lane,Southold, CHAIRPERSON Section 280-124,and the Building Inspector's NY.SCTM No. 1000-88-1-15 BY Kim E.Fuentes July 30, 2019, Amended January 17, 2020 1:00 P.M. - SOLUTIONS EAST, LLC 54375 Main Road(Office Location) Notice of Disapproval based on an applica- #7379-(Adj.from March 5,2020)Request 53095 Main Road(Mailing/USPS) tion for a permit to legalize an "as built" for a Variance from Article III, Section P.O Box 1179 accessory garage and demolish an existing 280-15 and the Building inspector's Novem- Southold,NY 11971-0959 single family dwelling and construct a new ber 19,2019,Notice of Disapproval based on 2480830 single family dwelling;at, 1)accessory ga- an application for a permit to construct an rage located less than the code required mini- accessory garage;at,1)located in other than mum rear yard setback of 3 feet,2)accessory the code permitted rear yard;located at 1055 garage located less than the code required. North View Drive, Orient, NY. SCTM No. minimum side yard setback of 3 feet,3)con- 1000-13-3-1. struction more than the code permitted maxi- 1:10 P.M. - ALEXANDRA BAUMRIND mum lot coverage of 20%,located at 135 Oak #7393-Request for a Variance from Article Place, Mattituck, NY. SCTM No. XXII,Section 280-105 and the Building In- 1000-142-1-11. spector's January 2,2020,Notice of Disap- 10:10 A.M.-RHODA M.URMAN AND proval based on an application to construct an STEPHEN SPILLER#7383-Request for a 8 foot deer fence;at, 1)more than the code Variance from Article XXIII, Section permitted maximum four(4) feet in height 280-124 and the Building Inspector's De- when located in the front yard;located at 1965 cember 11, 2019, Notice of Disapproval Mulberry Street,Cutchogue,NY.SCTM No. based on an application for a permit to con- 1000-83-2-12 1 struct additions and alterations to an existing 1:20 P.M. - ALEXANDRA BAUMRIND single family dwelling, at, 1) less than the #7394-Request for a Variance from Article code required minimum front yard setback of XXII,Section 280-105 and the Building in- 35 feet,located at 85 Lake Court,Southold, spector's January 2,2020,Notice of Disap- NY SCTM No 1000-59-5-8 3 proval based on an application to construct an 10:20 A.M. - PAUL M. FRIED AND 8 foot deer fence,at, 1)more than the code ELIZABETH O'BRIEN FRIED#7385SE permitted maximum four(4) feet in height ::Request for a Special Exception under Town when located in the front yard;located at 2215 Code Article III, Section 280-13B(13), the Mulberry Street,Cutchogue,NY SCTM No. Applicants are the owners of subject property 1000-83-2-12 2. requesting authorization to legalize an Acces- 1:30 P.M. - RIMOR DEVELOPMENT, sory Apartment in an existing accessory LLC, HARVEST POINT CONDOMIN- structure,located at 1050 Hyatt Road,South- IUM#7398 - Request for a Variance from old,NY.SCTM#1000-50-1-13 1 Article XXII, Section 280-105A and the 10:30 A.M.-860 BAYVIEW DRIVE,LLC Building Inspector's January 23,2020 Notice #7386-Request for a Variance from Article of Disapproval based on an application for a III.Section 280-15F and the Building Inspec- permit to construct a 10 foot high fence sur- tor's January 6,2020 Notice of Disapproval rounding a tennis court,at 1)more than the based on an application for a permit to legal- code permitted four(4)feet in height when ize an"as-built"accessory garage,at,1)less located in the front yard,located at:51 Mill- than the code required minimum front yard stone Lane(Harvest Point Lane),Cutchogue, setback of 40 feet, located at 860 Bayview NY SCTM No 1000-102-1-33.8 Drive, (AdJ to Spring Pond) East anion, 1:50 P.1C4 ERHCSMITH-##7400=Request -- NY SCTM No. 1000-37-5-10 1 for a Variance from Article Ill, Section 10:40 A.M. -MINTON IRREVOCABLE 280-15 and the Building Inspector's January TRUST#7388-Request for a Variance from 31,2020 Notice of Disapproval based on an Article XXIII, Section 280-124 and the application for a permit to construct an acces- Building Inspector's January 17,2020 Notice sory in-ground swimming pool,at 1)located of Disapproval based on an application for a in other than the code required rear yard, permit to legalize"as-built"additions and al- located at- 280 Homestead Way,Greenport, terations to an existing single family �#0002480830 OSTATE OF NEW YORK) )SS: E OUNTY OF SUFFOLK) Lori Bazata , of Mattituck,in said cnty,bein duly sworn,says that she is rin .incl (']srk 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 07/02/2020 Q (ou Principal Clerk Sworn to before me this day of.,�L L� � - 67- MELISSA R DEBOER NOTARY PUBLIC STATE OF NEW YORK SUFFOLK COUNTY LIC.,#01 DE 49898 COMM.EXP. 0 3 t COUNTY OF SUFFOLK w�y�L`DU� 0. i j hh �3Y STEVEN BELLONE SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF HEALTH SERVICES GREGSON H. PIGOTT, MD,MPH Commissioner THOMAS O'DWYER June 22, 2020 PO BOX 1111 Notice #: 1 SETAUKET, NY 11733 1050 HYATT RD, SOUTHOLD Tax Map: 1000050000100013001 Record ID: R-20-0276 Notice of Incomplete Final THOMAS O'DWYER, This office has reviewed your submission for final approval of the installed sewage disposal and water supply systems for the above referenced project. The following will be required prior to final approval of the application. Please submit 4 copies of final as-built surveys Please note that alterations of surveys/plans must be made by a licensed design professional or surveyor and be properly certified. Photocopies of documents and penciled in corrections are not acceptable. Please do not hesitate to call (631) 852-5700 with any questions. Regards, O l i,V; R i,C� Olivia Richter Public Health Sanitarian CC: RECEIVE ELIZABETH O'BRIEN FRIED 7 �9Sr-/, JUL 1 4 Inrlr j Zoning Board of Appeals O DIVISION OF ENVIRONMENTAL QUALITY-OFFICE OF WASTEWATER MANAGEMENT 360 Yaphank Avenue,Suite 2C,Yaphank, NY 11980 Public 14th (631)852-5700 1 Fax(631)852-5755 Page 1 of 1 COUNTY OF SUFFOLK 0-1s, STEVEN BELLONE SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF HEALTH SERVICES GREGSON H. PIGOTT, MD, MPH Commissioner THOMAS O'DWYER June 8, 2020 PO BOX 1111 SETAUKET, NY 11733 1050 HYATT RD, SOUTHOLD R-20-0276 Inspection Completion Report THOMAS O'DWYER, The Office of Wastewater Management has performed an inspection of your site on 06/05/2020. The inspection of the Sewage Disposal System and/or Water supply, as required by the approved plans and permit conditions, has been completed and found to be acceptable. The review of the "Final Paperwork" may require the need for additional inspections. Please do not hesitate to call (631) 852-5700 with any questions. Regards, Office of Wastewater Management CC: ELIZABETH O'BRIEN FRIED rv, Q V / DIVISION OF ENVIRONMENTAL QUALITY-OFFICE OF WASTEWATER MANAGEMENT 360 Yaphank Avenue,Suite 2C,Yaphank, NY 11980 (631)852-5700 1 Fax(631)852-5755 Westermann, Donna From: Westermann, Donna Sent: Monday,June 22, 2020 1:02 PM To: Iizobf@aol.com' Subject: #7385SE Fried July 9, 2020 ZBA Video Conferening Public Hearing Attachments: #7385SE-Fried_20200622101412.pdf J 1 Good afternoon, Attached please find the information for your July 9, 2020 ZBA Video Conferencing Public Hearing, including instructions for mailings and sign postings, affidavits of mailing and posting, Laser Fische instructions, and instructions to access the public hearing. Please read the all documents carefully, and note date(s)that mailings and postings need to be completed. The attached will also be mailed to you today for your use, including the hard copy of sign(s) for posting. If you have any questions or concerns, please contact our office. Thank you, Donna Westermann Zoning'Board of Appeals Town Annex/First Floor 54375 Main Road Southold, New York 11971 (631) 765-1809 6 p BOARD MEMBERS OF SOU Southold Town Hall Leslie Kanes Weisman,Chairperson �o�� TyOIO 53095 Main Road o P.O Box 1179 Southold,NY 11971-0959 Patricia Acampora q Office Location: Eric Dantes �, �, Town Annex/First Floor, Robert Lehnert,Jr. ® iQ 54375 Main Road (at Youngs Avenue) Nicholas Planamento l�100uSouthold,NY 11971 bttp:Hsoutlioldtownny.gov 5� ZONING BOARD OF APPEALS TOWN OF SOUTHOLD � Tel.(631)765-1809 e Fax (631) 765-9064 June 22, 2020 Dear Applicant; Due to public health and safety concerns related to COVID-19, the Zoning Board of Appeals will not be meeting in-person. In accordance with the Governor's Executive Order 202.1, the July 9, 2020 Zoning Board of Appeals Regular Meeting will be held via video conferencing, and a transcript will be provided at a later date. The public will have an opportunity to see and hear the meeting live. Below, please see instructions for the video conference hearing and material required to prepare for the ZBA public hearing which include: PLEASE READ CAREFULLY. 1. Yellow sign to post on your property seven (7) days prior to your hearing, to be placed not more than 10 feet from the front property line (within your property) bordering the street. If you border more than one street or roadway, an extra sign is supplied for posting on both front yards. Posting should be done by July 1, 2020. 2. SC Tax Map with property numbers. 3. Legal Notice of video conference meeting. Instructions for participation will follow, and will be posted on the Town's Website under the meeting date, and the Legal Notice section of Suffolk Times Newspaper. 4. Affidavits of Mailings and Posting to be completed by you, notarized, and returned to our office verifying that you have properly mailed and posted. 5. Instructions for Laserfiche/Weblink to view application. Please send by USPS Certified Mail, Return Receipt the following documents 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. We ask that you send your mailings promptly so that if any piece is undeliverable, you can reach out to your neighbors to request their mailing addresses, and re-mail. Mailinlz to be done by June 26, 2020. a. Legal Notice informing interested parties of meeting being conducted via video conferencing. A WEBLINK to the meeting will be provided on the Town's Website under the date of the meeting. Instructions for ZBA Public Hearing C Page 2 b. Cover Letter which should include your contact information, date and time of hearing, procedures for submitting written comment via email or USPS to our office. Recipients should be able to contact you for additional information. Furthermore, if recipients need to contact the ZBA staff, they may telephone 631-765-1809 or email us at kimf a,southoldtownny.gov or elizabeth.sakarellos@town.southold.ny.us c. Instructions for Laserfiche/Weblink to view all pending applications. Link to view pending applications: http://24.38.28.228:2040/weblink/Browse.aspx?dbid=0. d. Survey or Site Plan depicting "as-built" and proposed improvements requiring ZBA relief. The Town's Laserfiche/Weblink files provides both location addresses and mailing addresses in their current Assessment Roll listing. (See Link Below). Also, the Town Assessor's Office can be reached at 631-765-1937. Contact us via email or by phone if you need further assistance. TownOfSouthold> Assessors > Assessment Books/Tax Rolls > 2010-2019 > 2019 http•//24 38 28 228:2040/weblink/0/doe/1022250/Pagel.aspx. We ask that you scan and email the USPS mailing receipts, green signature cards and affidavits to kimf@southoldtownny.gov, and promptly mail the originals to the Town of Southold, ZBA, P.O. Box 1179, Southold, NY 11971. Please note that without your mailing receipts, the ZBA will be prevented from conducting your hearing pursuant to New York State Law. Please be reminded that New York State Law requires the ZBA to follow the above specific policies. If for any reason, you are unable to prepare for your public hearing as instructed, please let us know. Sincerely, Kim E. Fuentes Board Assistant kimf@sotitholdtownny.gov t BOARD MEMBERS if $® Southold Town Hall Leslie Kanes Weisman,Chairperson ®�S� � 53095 Main Road-P.O.Box 1179 ® Southold,NY 11971-0959 Patricia Acampora Office Location: Eric Dantes c� Town Annex/First Floor, Robert Lehnert,Jr. ® y� 54375 Main Road(at Youngs Avenue) Nicholas Planamento ��C®U �\ Southold,NY 11971 http://southoldtowimy.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, JULY 9, 2020 PUBLIC HEARING Due to public health and safety concerns related to COVID-19, the Zoning Board of Appeals will not be meeting in-person. In accordance with the Governor's Executive Order 202.1, the July 9, 2020 ZBA meeting will be held via video conferencing, and a transcript will be provided at a later date. The public will have an opportunity to see and hear the meeting live and provide written comments via email or by USPS prior to the date of the public hearing. Please see instructions for the video conference hearing on our website under http://www.southoldtownny.gov/agendacenter for the date of the hearing. You may also join by Telephone: +1 646 558 8656, Webinar ID: 984 2067 7181, Password:435764 10:20 A.M. - PAUL M. FRIED AND ELIZABETH O'BRIEN FRIED #7385SE — Request for a Special Exception under Town Code Article III, Section 280-13B(13), the Applicants are the owners of subject property requesting authorization to legalize an Accessory Apartment in an existing accessory structure; located at 1050 Hyatt Road, Southold, NY. SCTM#1000-50-1-13.1. The Board of Appeals will hear all persons or their representatives, desiring to be heard at each hearing, and/or desiring to submit written statements before the conclusion of each hearing. Each hearing will not start earlier than designated above. Files are available for review on The Town's Weblink/Laserfiche under Zoning Board of Appeals (ZBA)\Board Actions\Pending. Click Link: http://24.38.28.228:2040/weblink/Browse.aspx?dbid=0. If you have questions, please telephone our office at(631) 765-1809,or by email:kimf@southoldtownny.gov Dated: June 25, 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 Southold, NY 11971-0959 • sl USW h" it i; ,*F� ��v�_u;"` 1 �- �.��^.+�tiSatiw„7w. it a 'W W t > ewLx o x W� , w, /ft c}^ � • qT 97C7.tI. Q���r<_����l `�� J.�"�,(-�.,..%..-sw �,h y t ,e«. -s ,.�.IS�X"t,x�l,�;�•o.-�,^Gw^.1::..�,��°'tt,h`"r�r'�;r".� .�Ca',3.`�rn.<$C'•`c� 'o w$,2�s1t:: ¢7y s < ,• f .c r L.. 5� ;.-. COSThCi2le. 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Revised 6/15/2020 BOARD MEMBERS ®F s® �® Southold Town Hall Leslie Kanes Weisman,Chairperson o`® �® 53095 Main Road•P.O.Box 1179 Southold,NY 11971-0959 Patricia Acampora Office Location: Eric Dantes ® Town Annex/First Floor, Robert Lehnert,Jr. °®� 54375 Main Road(at Youngs Avenue) Nicholas Planamento �c®UmSouthold,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, APRIL 2, 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, APRIL 2, 2020. 10:00 A.M. - PAUL M. FRIED AND ELIZABETH O'BRIEN FRIED #7385SE — Request for a Special Exception under Town Code Article III, Section 280-13B(13), the Applicants are the owners of subject property requesting authorization to legalize an Accessory Apartment in an existing accessory structure; located at 1050 Hyatt Road, Southold, NY. SCTM#1000-50-1-13.1. The Board of Appeals will hear all persons, or their representatives, desiring to be heard at each hearing, and/or desiring to submit written statements before the conclusion of each hearing. Each hearing will not start earlier than designated above. Files are -available for review during regular business hours and prior to the day of the hearing. If you have questions, please contact our office at (631) 765-1809, or by email: kimf@southoldtownny.gov Dated: March 19, 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 NOTICE O 5 HEARING The Ho inill be heard by the Southold Town Board of peaNs VNA ZOOM WEBMNAR ® REFER 70 ZBA S WEBSITE FOR AGENDA on htb outhoHdtownny,,R, ,,, 0v P N ARN,-T-# E c02 FR�, ED , PAUL & EL � ZABETH #7385SE 3 CT M 0 1 000mS (Oml ml 3 . 1 R f" R- CEu S P E CEAL EXCEPTNON REQUEST2 L G A LU ACCESSORY APARTMEM7 NN AN EXDSTNHG ACCESSORY STRUCTURE THURS . , JULY 9 � 2 020 1 01m22 0 AM DATEM You may review the ffle(s) on the town 's website under Town Webflnk ,3 13 ion s/ --,,Iecords/ ZBA/ Board Act' Pending 91 ZBA Office telephone (631 ) 765=1 809 i ' - K :1NG BOARD OF APPEALS -r MAILING ADDRESS and PLACE OF HEARINGS: 53095 Main Road, Town Hall Building, P.O. Box 1179 Southold, NY 11971-0959 I (631) 765-1809 Fax 765-9064 LOCATION OF ZBA OFFICE: Town Hall Annex 1st Floor 54375 Main Road and Youngs Avenue, Southold website: http://southtown.northfork.net March 2 , 2020 Re: Town Code Chapter 55 -Public Notices for Thursday, April 2, 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 March 16th: 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 March 23rd : Please either mail or deliver to our office your Affidavit of Mailing (form enclosed) with parcel numbers, names and addresses noted, along with the green/white receipts postmarked by the Post Office. When the green signature cards are returned to you later by the Post Office, please mail or deliver them to us before the scheduled hearing. If any envelope is returned "undeliverable", please advise this office as soon as possible. If any signature card is not returned, please advise the Board during the hearing and provide the card (when available). These will be kept in the permanent record as proof of all Notices. 2) Not Later March 25th : 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 March 31, 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. i4u' Tlk', E COF HEARIi4o' The following application will be heard by the Southold Town Board of Appeals at Town Hall, 53095 Main Road , Southold : NAME : FRIED , PAUL & ELIZABETH #7385SE SCTM # : 1000-50 - 1 - 13 . 1 VARIANCE : SPECIAL EXCEPTION REQUEST: LEGALIZE AN ACCESSORY APARTMENT IN AN EXISTING ACCESSORY STRUCTUR I I _D) DATE : THURS. , APRIL 2 , 2020 10 : 00 AM If you are interested in this project, you may review the file(s) prior to the hearing during normal-bus iness days between 8 AM and 3 PM . ZONING BOARD OF APPEALS-TOWN OF SOUTHOLD (631 ) 765-1809 !/T ' BOARD MEMBERS pF SO O�� y�l Southold Town Hall Leslie Kanes Weisman,Chairperson 53095 Main Road •P.O.Box 1179 t Southold,NY 11971-0959 Patricia Acampora Office Location: Eric Dantes • �O Town Annex/First Floor, Robert Lehnert,Jr. �liY 54375 Main Road(at Youngs Avenue) Nicholas Planamento '� Southold,NY 11971 http://southoldtownny.gov ZONING BOARD OF APPEALS ; ` TOWN OF SOUTHOLD Tel.(631)765-1809•Fax(631)765-9064 I JAN 1 4 2020 � TO: SOUTHOLD TOWN BUILDING DEPARTMENT RE: VERIFICATION OF LIVABLE FLOOR AREA Special Exception Application to establish an accessory a�108, partrkent in an accessory structure ZBA Application: #7385SE c�rier�, Elizabeth (1000-50.-1-13.1) Date sent to Building: 1/14/2020 Pursuant to Town Board Resolution No. 2011-353, effective April 26, 2011, the Office of the Zoning Board of Appeals is forwarding the above referenced application for verification of the livable floor area, per code Section 280-4, to be returned to this office within 14 days of receipt. FOR BUILDING DEPARTMENT USE Our office has reviewed the following documents provided in the above referenced application: Survey: Peconic Surveyors, dated June 25, 2019, Floor Plan: Kleese Architects dated January 7, 2020 Based upon the information listed above The livable floor area is determined to be square feet and is conforming to Section 280-13B (13) (a) of the code The livable floor area is determined to be square feet and is not allowed pursuant to Section 280-13B(13)(a) of the code which states: "The accessory structure shall contain no less than 450 square feet and shall not exceed 750 square feet of livable floor area..." The livable floor area cannot be verified. COMMENTS: Signature of reviewer Date: Adopted by the Board of Appeals. May 18,2011 BOARD MEMBERS q soar Southold Town Hall Leslie Kanes Weisman,Chairperson O�� yam! 53095 Main Road •P.O.Box 1179 h O Southold,NY 11971-0959 Patricia Acampora Office Location: Eric Dantes vs Town Annex/First Floor, Robert Lehnert,Jr. • COQ 5437.5 Main Road(at Youngs Avenue) Nicholas Planamento �ij' Southold,NY 11971 - -- - - -- -- - ------ -COUMY,� -- - ----- - - - --- ---- ------ --- - - - - - - --- - - - - - - -- - -- - http://southoldtownny.gov ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel.(631)765-1809•Fax(631)765-9064 July 21, 2020 =Paul&Hli—abeth=Frie�d -- -- -- - - -- -- -- - 1050 Hyatt Road Southold,NY 11971 Re: ZBA Application#7385SE Accessory Apartment, 1050 Hyatt Road, Southold SCTM No. 1000-50-1-1,,3.1 Dear Mr. &Mrs. Fried; Enclosed please fmd a copy of the Zoning Board of Appeals determination rendered at their July 16,2020 meeting, granting a Special Exception Permit to establish an accessory apartment in an accessory structure upon the above referenced premises,pursuant to Article III Section 280- 13(B) 13 (a-k)and 280- 13 (D) 1-9 of the Town Code. Please be advised that this Special Exception Permit requires an annual 'renewal from the Building Department. It is the applican't's responsibility to apply td the Building Department each'year to renew the accessory apartment permit: Failure to do so may require a public hearing before the Zoning Board of Appeals to review potential action to revoke the Special Exception Permit granted in the enclosed decision. Please also note that this Special Exception Permit cannot be transferred to new owners. Before commencing any construction activities, a building permit is necessary(if applicable). Please be sure to submit an application along with a copy of this determination to the Building Department. If you have any questions,please feel free to call the office. Since ely, Kim E.Fuentes Zoning Board Assistant Encl. cc: Building Department ID S0000 /.-- ONG / e 7- B 5 1 WC) 1.19 -`- - //� NV .. -�':•�• m $Q yam. 2.5 14" 1 3 161 _ ,b r 4 / • J Q 6 BA(C) A(c 1.4A�y SOUPARK DIST. 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