Loading...
HomeMy WebLinkAboutTR-9756 Glenn Goldsmith,President ®f SOTown Hall Annex A. Nicholas Krupski,Vice President ®� ®�® 54375 Route 25 P.O. Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly CA Elizabeth Peeples ® Telephone(631) 765-1892 a Fax(631) 765-6641 o�C®U0,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1919C Date: June 2, 2022 THIS CERTIFIES that the installation of a new foundation and lifting the existing_cottage to be FEMA compliant', remove and construct new landingto o entry 3 risers to ground with 36" handrail to code; and remove and replace part of existing roof of 693sq.ft. seasonal cottage includinga 22sq.ft. addition of landward northeast corner of cottage; At 65490 Route 25 Breezy Shores Cottage#10, Greenport Suffolk County Tax Map #1000-53-5-12.6 Conforms to the application for a Trustees Permit heretofore filed in this office Dated September 10, 2020 pursuant to which Trustees Wetland Permit#9756 Dated November 18, 2020, was issued and conforms to all the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the installation of a new foundation and lifting the existing cottage to be FEMA compliant; remove and construct new landing to entry, 3 risers torg ound with 36"handrail to code; and remove and replace part of existing roof of 693sq.ft. seasonal cottage including a 22sq.ft. addition of landward northeast corner of cottage. The certificate is issued to Michael &Mary Beth Petsky owner of the aforesaid 4pey. r Authorized Signature Glenn Goldsmith, President V � Town Hall Annex A. Nicholas Krupski,Vice President ® ; ��� 54375 Route 25 P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples ®� p � �® Fax(631) 765-6641 N 1 g e9 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: G1 q, 1 21 INSPECTED BY: Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, haybale line/silt boom/silt curtain 1St day of construction % constructed Project complete, compliance inspection COMMENTS: _W0_-0avA Tevmi-v AITS(o . L,,Av)-,-) CERTIFICATE OF COMPLIANCE: G -4'a A SSv2 Glenn Goldsmith,President QF so Town Hall Annex 0 Michael J. Domino,Vice-President ,`O l0 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III Southold,New York 11971 A.Nicholas Krupski Q Telephone(631)765-1892 Greg Williams '�� �� Fax(631) 765-6641 ------------ —-----------------------------—------------- ------------- ----------------------- 0 BOARD OF TOWN TRUSTEES TOWN OF-SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72'HOURS.'PRIOR TO'COMMENCEMENT OF TWE ACTIVITIES CHE_ C�CEb'OEF ""BELOW INSPECTION SCHEDULE Pre-constrdct'rc h,,=lYdy-bafe'iine/silt'b&n/sllf w'rtain 1St day of construction % constructed X When,project complete, call for cornplian'ce inspection; V BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 9756 DATE: NOVEMBER 18,2020 ISSUED TO: MICHAEL & MARY BETH PETSKY ?F PROPERTY ADDRESS: 65490 RT. 25,BREEZY SHORES COTTAGE 910, GREENPORT SCTM# 1000-53-5-12.6 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on November 18, 2020, and in consideration of application fee in the sum of$250.00 paid by Michael&Mary Beth Petsky and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and .4 permits the following: Wetland Permit to install a new foundation and lifting the existing cottage to be FEMA compliant; remove and construct new landing to entry,3 risers to ground with 36" handrail to d code; and remove and replace part of existing roof of 693sq.ft.seasonal cottage including afi 5 22sq.ft. addition of landward northeast corner of cottage; and as depicted on the site plan prepared by Robert I.Brown,Architect,P.C., received on November 17,2020,and stamped 72, approved on November 18,2020. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed,and these presents to be subscribed by a majority of the said Board as of the 181'day of November,2020. co COO —I f-1 K 6......... N�' TERMS AND CONDITIONS C.,, r The Permittee Michael &Mary Beth Petsky,residing at 65490 Route 5,Breezy Shores Cottage#10, Greenport,New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved, but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. S. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. ?. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized,or if, in the opinion of the Board of Trustees, the-work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 10. No right to-trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. Glenn Goldsmith,President QF SOUrTown Hall Annex Michael J.Domino ,`O� �r54375 Route-25 � P.O.Box 1179 John M.Bredemeyer III 41 4 Southold,New York 11971 A.Nicholas Krupski G • Telephone(631) 765-1892 -Fax-(631)765_6641--- ----- ------ --�yCUTY,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 20, 2020 Robert Brown, Architect 205 Bay Avenue - Greenport, NY 11944 RE: MICHAEL & MARY BETH PETSKY 65490 ROUTE 25, BREEZY SHORES COTTAGE #10, GREENPORT SCTM# 1000-53-5-12.6 Dear Mr. Brown: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, November 18, 2020-regarding the above matter: WHEREAS, Robert Brown Architects on behalf of MICHAEL & MARY BETH PETSKY applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of,Southold, application dated September 10, 2020, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on November 18, 2020, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, z WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, - I- WHEREAS, the'structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found.the application to'be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of MICHAEL & MARY BETH PETSKY to install a new foundation and lifting the existing cottage to be FEMA compliant; remove and construct new landing to entry, 3 risers to ground with 36" handrail to code; and remove and replace,part of existing roof of 693sq.ft. seasonal cottage including a 22sq.ft. addition of landward northeast corner of cottage; and as depicted on the site plan prepared by Robert I. Brown, Architect, P.C., received on November 17, 2020, and stamped approved on November 18, 2020. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 truly yo rs, Glenn Go dsmith President, Board of Trustees GG/dd X 5.7 7 369 0 6✓ w 404 267 CF 11 ©4'4 �� SOS @62j s Cis°' w 3, WOODS/B ?g7 0 0406 Lv s �J 40 o� h 39 Cb' �Kv Cb� PETSKY '4S 44' �'` Cp O 45. X624 CO RESIDENCE 746, ^ RAS V 14 PROPOSED DKYWELL 8'dla. X 3'G" '46 °"CG�; 2 PROPOSED ADDITION ti� 4C�, (C EXISTING STRUCTURE. 692.8 5F Q)� PROPOSED ADDITION. 2 1.3 5F 745, �• a ^ 5� .7• ' V PROPOSED ADDITION 3.0% ry`O h o .3g8 N g 6' ,45�V� �o o h 46�0• 224-,5. Cb �V / ro 14?ry C) n h 0 o �• 2 V moo. 3 TIDL�INE ALONG ?o ? A ROY,.- NIGH WATErR MARK N ,?3ti�8.•�. F � T 6 0 • 0>> BASED ON SURVEY BY- YOUNG Y YOUNG AND YOUNG SURVEYORS DATED: 30 DECEMBER, 2010 VV 5CTM: 1000-53-05-12.G ZONED: R-80 O AREA: 8G.G7 ACRES (3,775,345.2 5F) 130/ OOD 6 EXISTING STRUCTURE: 692.8 5F PROPOSED ADDITION: 2 I .3 5F PROPOSED TOTAL: 714. 15F 2 1 .3 / 714. 1 = 3.0% INCREASE © = CONCRETE COVER W = WATER METER Q = VALVE lar = HYDRANT FIX = FIXED DOCK S 1 T E FLAN \ DRAINAGE CALCULATION5. INS = FLOATING DOCK WS = WOOD STORAGE ZONE I 7 14 SF x 0 17 = 122 CF CE = CELLAR ENTRY RO = ROOF OVER EXI5TI NG EXCEPT A5 NOTED PROVIDE(1)8'DIA x 3'G"D DKYWELL(147.8 CF) OS = OUTDOOR SHOWER C-28 = FRAME COTTAGE & NUMBER SCALE: I = 40'-0" 5.09 = (SURVEY) ELEVATION X 6.5 = (RECORD) ELEVATION P° = WETLANDS FLAG & NUMBER APPROVED BY -BOARD 'OF IRUSTEE•S PETSKY RESIDENCE TOWN OF SOUTHOLD BREEZY SHORES COMMUNITY SOUTHOLD, NY 119 1 REV. 17 NOVEMBER, 2020 DATE 1vog&eM 19 i 2ozo SCALE:1" =40'-0'• Robert I® Brown Architect, P.C. 205 Bay Ave. Greenport NY inf5o@ribrownarchitect,com 631-477-9752 NOV 1 7 2020 ; _f IT IS A VIOLATION OFTIIE LAW FOR ANY PERSON, _ r UNLESS ACTING UNDER TI IE DIRECTION OFA LICENSED ARCI IITECT,TO ALTER ANY ITEM ON -------- THIS DRAWING IN ANYWAY ANY AUTI IORIZED ALTERATION MUST RE NOTED,SEALED,AND DESCRIBED IN ACCORDANCE WITI I TI IE LAW ROBERT I. BROWN, ARCHITECT P.C. 205 BAY AVENUE GREENPORT' NY 11944 631-477-9752 FAX 631-477-0973 info Oribrownarchitect.com Transmittal Date: November 17 2020 r — � To: Southold Town Trustees NOU 1 7 2020 Re: Petsky Cottage#10 Breezy Shores �— — - Per our conversation earlier today please find two copies of revised Site Plan adding the Drywell layout to the above referenced application. Thank you, Karen Szczotka Agent for Robert I. Brown Architect, PC Glenn Goldsmith, President ����°� °°yam Town Hall Annex Michael J. Domino y z 54375 Route 25 John M. Bredemeyer, III a h P.O. Box 1179 A Nicholas Krupski 4,, oo�cS� Southold, NY 11971 Greg Williams �'Y Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: MICHAEL & MARY BETH PETSKY c/o ROBERT BROWN Please be advised that your application dated September 10, 2020 has been reviewed by this Board at the regular meeting of November 18, 2020 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) % Constructed ($50.00) xx Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) 30-Year Maintenance Agreement (complete original form enclosed and submit to Board of Trustees Office) The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ 50.00 BY: Glenn Goldsmith, President Board of Trustees ROBERT 1. BROWN, ARCHITECT 205 BAY AVENUE GREENPORT, NY 11944 631-477-9752 FAX 631-477-0973 nt' �1�iF ro�vtlr��ltec� o� Transmittal Date: November 17, 2020 - To: Southold Town Trustees ti Re: Petsky Cottage#10 Breezy Shores Per our conversation earlier today please find two copies of revised Site Plan adding the Drywell layout to the above referenced application. Thank you, Karen Szczotka Agent for Robert I. Brown Architect, PC `s X 5.7 C? its I 0 , S i✓ wf 0' t.1 ow4 dol 34s c �J r WOODS/B F C)43s O f 7� 2 LY Cb IV PETSK ` S• C�6�4 RESIDENCE S j 11101. PROPOSED DRYWELL 8'd a X 3'G" ' PROPOSED ADDITION �4e EX15TING 5TRUCTUPE: G92.8 SF PROP05ED ADDITION: 2 13 5F 5 � .} PROP05ED ADDITION: 3-0% S 1 c) h° Os. °6, ga � 4 Qj h + 0• Jas• � �2 �'�_ `'i' � TIELINE ALONG ° APPROX. HIGH j WATER MARK Ql BASED NSRI=EY f5 0 YOUNG AND YOUNG 5URVEYO � � � R5 �1 � DATED: 30 DECEMDER, 20;0 5CTM: 1000-53-05- 12,G ZONED: R-80 AREA: 8C. 7 ACRE5 (3,775,345.2 5F) 0 EXISTING STRUCTURE: C92.8 5F SO/ PROP05ED ADDITION: 21 .3 5F q PROPOSED TOTAL: f 14 1 5F f 2 1 .3 i 7 1 4. 1 = 3,017Q INCREASE 1 0C = CONCRETE COVER w = WATER METER = VALVE F p = HYDRANT S I T E FLAN FIX = FIXED DOCK FLO = FLOATING DOCK DRAINAGE CALCULATtORS: WS = WOOD STORAGE f ZONE 1: 7 1 4 5F x 0 1 7 = 1 22 CP CE = CELLAR ENTRY 11 EXISTING EXCEPT A5 NOTED PROVIDE (1)8'DIA x 3'G"D DRYVVELL(147.8 CF) RO = ROOF OVER SCALA: 1 " - 40'-011 OUTDOOR OS = DOOR SHOWER - C-28 = FRAME COTTAGE & NUMBER 5.09 ELEVATION X 6.5 = (RECORD) ELEVATION = WETLANDS FLAG & NUMBER PETSKY RESIDENCE BREEZY SHORES COMMUNITY SOUTHOLD, NY n REV. 17 NOVEMBER, 2020 SCALE: 1" =40'-0" Robert I. Brown Architect, P.C. 205 Bay Ave. Greenport NY ino�o@rlbrownarchitect.com 631-477-9752 IC6 6' "3IIs i� L zf Pt a i`N ,§ i Glenn Goldsmith, Pre: _ Town Hall Annex Michael J. Domino �� 54375 Route 25 John M. Bredemeyer III CZ 'T P.O.Box 1179 Ze V A.Nicholas Krupski Southold,NY 11971 Greg Williams >>` Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time. 1 "'� D Completed in field by: n Robert Brown Architects on behalf of MICHAEL & MARY BETH PETSKY requests a Wetland Permit to install a new foundation and lifting the existing cottage to be FEMA compliant; remove and construct new landing to entry, 3 risers to ground with 36" handrail to code; and remove and replace part of existing roof of 693sq.ft. seasonal cottage including a 22sq.ft. addition of landward northeast corner of cottage. Located: 65490 Route 25, Breezy Shores, Cottage #10, Greenport. SCTM# 1000- 53-5-12.6 CH. 275-3 SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Noticepf Hearing Card Posted: Y / N Ch. 275 Ch. 111SEQRA Type: 1 II Unlisted Action Type of Application: —Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey :5 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/c o mments/standards-. 3 r5 I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other X 5.7 s a 7 ST o !vs 1?0 369 63 �0Rq�R y l?3� '?• o �� �l• �s ' 3, � �S yam. 9 w u04 26/ C� 6✓ l 1 114'4 SS3� 0' `� WOODS/B 241 0 oc' tiae Ll �✓ b' 'jq �lz rJ n. s: �✓S Q ?s� 144 eb'� O 145 624 S ° ti COCb 146 vb v 1¢ PETSKY , S 616 RESIDENCE lrs, rye° c �'szsa 144 PROPOSED ADDITION CV .61 .3 g8 rV 0) °y 46,�°• ?4s, tiry 2 h �/ 3' a O, 0 7 ^� V ' Z111 CF .2 r° TIELINE ALONG 20 S APPROX. HIGH ��QQ y WATER MARK V 6 0 T N6 0 2 0>> 3 BASED ON 5URVEY BY: (� YOUNG AND YOUNG SURVEYORS I DATED: 30 DECEMBER, 2010 /s 42 >> Yv 5CTM: 1000-53-05- 12.G ZONED- R-80 O y/ AREA: 8G.G7 ACRES (3,775,345.2 5F) S00 OOn 6 EXISTING STRUCTURE: 692.8 5F CI�kyFq PROPOSED ADDITION: 2 1 ,3 5F PKOP05ED TOTAL: 7 1 4 1 5F 2 1 .3 / 7 1 4. 1 = 2 98% INCREASE © = CONCRETE COVER ✓� = WATER METER C�) = VALVE ®� = HYDRANT a E a, �1 f \• FIX L FIXED DOCK S 1 T E PLAN !l� = �I 4 Illy WS = FLOATING DOCK Q0WS = WOOD STORAGE CE = CELLAR ENTRY EXISTING EXCEPT A5 NOTED SEP 10 2020 RO = ROOF OVER 05 = OUTDOOR SHOWER C-28 = FRAME COTTAGE & NUMBER SCALE: 1 = 40'-0° 5.09 = (SURVEY) ELEVATION X 6.5 = (RECORD) ELEVATION = WETLANDS FLAG & NUMBER ' pal ..— PETSK Y RESIDENCE BREEZY SHORES COMMUNITY SOUTHOLD, NY ng o1 NOVEMBER, 2019 SCALE:1" =40'-0" Robert I. Brown Architect, P.C. 2oc Bay Ave. Greenport NY info ribrownarchitect,com 631-477-9752 o ,s \R,��RED ARCM - r Q�C?O��RT Q�� 2 IT IS A VIULATION OFM IE LAW FUR ANY PERSON, UNLESS nCIINC UNUER TIIL'DIRECD(iN pFn I ICENSED ARCI IFI'ECf,TO AI TER ANY FI EM ON +rt - FI IIS DRAWING IN ANY WAI'•ANY AL1f11011176D AI9 F.RATION MUST RF NOTED,%rAl FD,AND - DFSL'RIRfD IN ACCORDANCE W fl l l'D IE LAW 341 / T N NEW ANDERSEN NEW ANDERSEN 400 SERIES 400 SERIES A 281 1 A 281 6'-0" 4'-6 112" 6'-I I" 4'-G 1/2" 14'-0" 2-O" 9'-0 112" 51- EXISTING STRUCTURE: 694.7 SF f , AREA OF NEW PROPOSED ADDITION: 2 1 .3 SF / CONSTRUCTION PROPOSED ADDITION: 3.0% — PROPOSED _LOSE NEW ANDERSEN WOOD PLOD TO' NEW ANDERSEN 400 SERIES m PROPOSED BEDROOM , MATCH EXI5 ING 400 SERIES TW 2446 p - TW 2446 NEW 2x4 CONSTRUCTION 2068 SIDING TO MATCH EX15TING NO INSULATION REQUIRED / NEW ANDERSEN / 400 SERIES NEW 2x4 WALL N6 / A 21 210681 NEW COUNTER % O AND CABINETS REFR i ' NEW BATHROOM NEW FLOOR AND STRUCTURE d NEW HOT WATER = TO BE LEVEL WITH REST OF Lu NEW ANDERSEN 400 SERIES NEATER ABOVE , HOUSE TW 24210 5. % `o �� NEW WINDOW LOCATION PROPOSED KITCHEN , FRAME AND REPAIR AS NECESSARY NEW 2x4 WALL , C-j w NEW ANDERSEN 400 SERIES n A 21 NEW COUNTER - AND CABINETS - - - - - - — - - - - 3068 N (2) 13/4" x 9/4" 2.0E MICROLLAM LVL O NEW LANDING io 36" HANDRAIL TO CODE (TYP.) REMOVE EXISTING CEILING USE EXISTING RAFTEP.S FOR CATHEDRAL CEILING, DRYWALL SPACKLE AND PAINT NEW ANDERSEN 400 SERIES TW 2446 NEW 2x4 WALL 77/77 ZZ� GOG8 BARN DOOR WOOD FLOORS TO , MATCH EXISTING ' NEW FLOOR AND STRUCTURE TO BE LEVEL WITH REST OF NEW ANDERSEN HOUSE NEW ANDERSEN (2) 400 SERIES (2) 400 SERIES TW 2446 TW 2.446 NEW 2x4 CONSTRUCTION TO REPLACE EXISTING IN KIND FRAME FOR NEW FLOOR AND CEILING HEIGHT AND NEW 2668 WINDOW LOCATION NEW ANDERSEN rNEW ANDERSEN (2) 400 SERIES (2) 400 SERIES TW 2446 TW 2446 PETSKY RESIDENCE 0 01 BREEZY SHORES COMMUNITY SOUTHOLD, NY 11971 28 AUGUST, 2020 " NEW LANDING 36" HANDRAIL TO CODE (TYP.) SCALE;1/4" =1�-0�� Robert I. Brown FLOORPLAN EXISTING STRUCTURE- 694,7 5F Architect, P.C. PROPOSED ADDITION 2 1 .3 SF 20 Bax Ave. Greenport NY EXCEPTT AS NOTED info@ribrownarchitect.com EXISTING X SCALE: I E = PROPOSED ADDITION: 3.0% 631-477-9752 A D ARO' IT ISA VIOLA'I ION OFTI IF LAW FOR ANY PERSON, SEP1 ® 2oLo UN LESS ACI INC UNDERTI IF DIRECI'IUN UFA LICENSED ARCI II PEC-I.TO ALTER ANY I I'EM ON YT` ji 'I I IIS DRAWING IN ANY WAY ANY AUI I IURIZED ALTERATION MUST RE NO7 ED,SEALED,ANDi; DESCRIBED IN ACCORDANCE WITI1911E LAW { IT 1, 634 X021 "NEIN 2'-0" \ / l nz / U-j �i o �O Do AREA OF NEW O �_ O CONSTRUCTION N N N EXISTING 2x6 f LOOK JOISTS % (2) 2xG JOKj UDdDEK WALL EXISTING 2xG FLOOK JOISTS Q-/ IY w w TY w N LV p_[ Cz LIQ 0 O O % % X N N N N (V N w w w - — --- ° Cz CCz 0 0 0 ---- -------— --- O N N N N (\I N N EXISTING 2xG =LOOR JOISTS (2) 2xG J0I51�, aE�NEW WALL \ i/ (V QZ/ Cz w w w O O O % X X N N N N N N ----------- PETSIY RESIDENCE STRUCTURAL PLAN BREEZY SHORES COMMUNITY SOUTHOLD, NY 11971 28 AUGUST, 2020 NEW F O U N D AT I O N SCALE:1/4" =1'-0" SCALE: 1/4" = 11-0" Robert I. Brown EXISTING EXCEPT AS NOTED _y Architect, P.C. �� �` ; f,- '. `I 205 Bay Ave. Greenport NY nn- — — -- ��I ,+ info@ribrownarchitect.com ! ;f 631-477-9752 u SEP i 0 2020 eD ARC ' tt �� c�• Z S 111hk0 if",vn ITISA VIOLA ION OF I I I E LAW FUR ANY PERSON, UNLESS ACFINC UNDER'I'IIE UIIiEC"I'IUN UFA LICENSED ARCI II I E0,10 ALI ER ANY I'T'EM ON 'T'I IIS DRAW INC IN ANY WAY ANY ALIMORIZEU ALTERATION MUSS'BE NOTED,SEALED,AND I DESCRIBED IN ACCORDANCE WITH'll M LAW t Y S'-E' —b E 16VA 0R�' t� 0r NE\N� i/ I � I I NEW ROOFING TO / MATCH EXISTING / / I / I I I NEW GABLE f f / NEW ROOFING TO/ I /MATCH EXISTING A I / I I I I I I I I I I I I I I I I EXISTING ROO TO REMAIN I I I I I I I I I I I I ' L---------- ----------� I I I I I I I I I I I I NEW SPLIT SHEET ROOF I I I I I I I I I I I I L----------------------J1 PETSKY RESIDENCE RO O P 'P LA N BREEZY SHORES COMMUNITY SOUTHOLD, NY 11971 28 AUGUST, 2020 SCALE. 1/4" = 1'-0" SCALE:1/4" =1'-0" EXISTING EXCEPT AS NOTED Robert I. Brown _ Architect, P.C. 205 Bay Ave. Greenport NY I--- - ,1 info@ribrownarchitect.com 631-477-9752 7'� P 1 0 2020 I~D A, R�1.13 ) �I ''�� ITISA VIOLATION OF'I I IE LAW FUIt ANY PERSON, S�7ffi �iIl,lf* _ _ UNLESS ACTINGUNDERTIIEDIREC'PIONUFA ,�„IM 1� ----- - -- LICENSED ARCI IITEC`I','I'O ALTER ANY I'14M ON 1IIL'1S DRAWING IN ANY WAY ANY AUTI IONIZED AEKKI ION MUSF RE Norm SEALED,AND DESCRIBED IN ACCORDANCE WITII'I IIL LAW meq aiy X � �16341 tom' :N 1=��n� • NEW ROOFING TO NEW SPLIT SHEET ROOFING MATCH EXISTING 2xG RAFTERS @ I G" O.C. EX15TING ROOF TO REMAIN NO INSULATION REQUIRED 12 2 v NEW ANDERSEN 400 SERIES Ll TW 2446 SIDING AND TRIM NEW LANDING TO MATCH EXISTING 3G" HANDRAIL TO CODE (TYP") NEW ANDERSEN NEW ANDERSEN 400 SERIES (2) 400 SERIES A 21 NEW ANDERSEN TW 2G3 10 400 SERIES TW 244G _______ VERT FINISHED FLOOR HEIGHT ` TO BE ABOVE ELEVATION +8.0' GRADE. +7.5' NEW LANDING 3G" HANDRAIL TO CODE (TYP.) ' SOUTH ELEVATION SCALE: 114" = P-0" l •." r:; !Tom' EXISTING EXCEPT A5 NOTED + r y i41 yl s�P 1 ® 2020 �PETSKY RESIDENCE 1PREEZY SHORES COMMUNITY SOUTHOLD, NY n97f - Snuthui;i=t•';� � 28 AUGUST, 2020 SCALE:1/4" = 1'-0" Robert 1. Brown Architect, P.C. 20 Bay Ave. Greenport NY in o@ribrownarchitect.com 631-477-9752 ARci` $q IT 15 A VIOLATION OF THE LAW FOR ANY PERSON, O v Q ¢ UNLESS ACTING UNDER THE DIRECTION Of A IC LENSED ARCI ITfECT,TO ALTER ANY ITEM ON •L.•-• TFIIS DRAWING IN ANY WAY ANY AUTI IORIZED •, I� ALTERATION MUST BE NOTED SEALED AND DESCRIBED IN ACCORDANCE WITH TIIE LAW 16341 OF NGS y NEW GABLE 12 _ NEW ROOFING TO 8 MATCH EXISTING NEW ANDERSEN 400 SERIES A 261 SIDING AND TRIM TO MATCH EXISTING �O �o NEW ANDERSEN rLj 400 SERIES Ll TW 24210 NEW ANDERSEN NEW ANDERSEN NEW ANDERSEN (2) 400 SERIES 400 SERIES 400 SERIES TW 2G3 10 VERIFY FINISHED FLOOR HlIGHT TW 2446 TW 2446 TO BE ABOVE ELEVATION 8-0' ––––––––––– –––––––––––––––––––––––––––––––––––––––––––––––––––––––– GRADE: +7-5' — NORTH ELEVATION SCALE. 1/4" = P-0" EXISTING EXCEPT A5 NOTED PETSKY RESIDENCE BREEZY SHORES COMMUNITY SOUTHOLD, NY ug7i 28 AUGUST, 2020 SCALE:1/4"=1'-0" rl'Lr)j 1 Robert L. Brown SEP 10 2020 Architect; P.C. 20 Bay Ave. Greenport NY S.,etilo,,1 TI..n info@ribrownarchitect.com Beard of Tru--tun 631-477-9752 ED Agcq 0 IT IS A VIOLATION OFTFIE LAW FOR ANY PERSON UNLESS ACTING UNDER THE DIRECTION OF A ^ 4 LICENSED ARCHrrECr TO ALTER ANY ITEM ON TIUS DRAWING IN ANYWAY ANYAUTHORIZED _ k- ALTERATION MUST BE NOTED SEALED,AND DESCRIBED IN ACCORDANCE WITH TIIE LAW 16341 j 1 Oiz. . s NEW ROOFING TO NEW ROOFING TO MATCH EXISTING MATCH EX15TING 51DING AND TRIM TO MATCH EXISTING j in i' NEW ANDERSEN NEW ANDERSEN 400 SERIES 400 SERIES, NEW ANDERS N A 281 A 281 400 SERIES Ln A21 i VERIFY FIN15HED FLOOR HEIGHT TO BE ABOVE ELEVATION +8.0' ; GRADE. +7.5' EAST ELEVATION SCALE: 1/4" = I'-O" EXISTING EXCEPT A5 NOTED PETSKY RESIDENCE BREEZY SHORES COMMUNITY SOUTHOLD, NY ng7i 28 AUGUST, 2020 SCALE_1/4" = 1'-0" Robert I. Brown 11 d Architect, P.C. SEP 1 0 2020 zo55 Bay Ave. Greenport NY into@rlbrownarchitect.com L 631-477-9752 Bo rd of Tr�ste� E �-pED ASC 13 Fri A VIOLATION OFTHE LAW FOR ANY PERSON UNLESS ACTING UNDER TI IE DIRECTION OFA LICENSED ARCHITECT TO ALTER ANY ITEM ON THIS DRAWING IN ANY WAY ANY ALM IORIZED ALTERATION MUST BE NOTED,SEALED AND DESCRIBED IN ACCORDANCE WMITHE LAW. t 163G� NEW ROOFING TO MATCH EXISTING EXISTING ROOFING TO REAMIN 2xG RAFTERS @ I G"O.C. EXISTING RAFTERS TO REMAIN NO INSULATION REQUIRED NO INSULATION REQUIRED REPAIR AND PATCH AS NECESSARY N N N N N N N N N N N N N N SIDING AND TRIM SIDING AND TRIM NEW HOT WATER ( TO MATCH EXISTING TO MATCH EXISTING 2 HEATER IN THI5 AREA NEW SPLIT SHEET ROOFING MECHANICAL SPACE 2xG RAFTERS @ I G" O.C. 2xG COLLAR TIES @ 48"O.C. 2xG COLLAR TIES @ 48" O.C. NO INSULATION REQUIRED 12 DRESSED (2) 13/4" x 9%4" 2.OE MICROLLAM LVL DRESSED 2 0 9 B B B 2x8 J015T5 @ I G"O.C. REMOVE EXISTING CEILING REMOVE EXISTING CEILING USE EXISTING RAFTERS FOR USE EXISTING RAFTERS FOR CATHEDRAL CEILING, CATHEDRAL CEILING, DRYWALL SPACKLE AND PAINT DRYWALL SPACKLE AND PAINT NEW 2x4 CONSTRUCTION TO REPLACE O O EXISTING IN KIND FRAME FOR NEW - FLOOR AND CEILING HEIGHT AND NEW WINDOW LOCATION NEW FLOOR AND STRUCTURE TO BE LEVEL EXISTING PROPOSED LIVING ROOM PROPOSED BEDROOM VERIFY FINISHED FLOOR HEIGHT TO BE ABOVE ELEVATION +8.0' GRADE: +75, 7'-G 112" ADD (2) 2xG UNDER EXISTING FLOOR JOISTS TO REMAIN ADD (2) 2xG UNDER RAI5E FLOOR NEW WALL NEW(2) 2x 10 GIRDERS (SEE FRAMING PLA ) NEW WALL Q c� 24" BASE CONCRETE 24" BASE CONCRETE 24" BASE CONCRETE BIGFOOT FOOTING BIGFOOT FOOTING BIGFOOT FOOTING SECTION A SCALE_ 1/4" = 1'-0" PETSKY RESIDENCE EXISTING EXCEPT AS NOTED BREEZY SHORES COMMUNITY SOUTHOLD, NY u971 28 AUGUST, 2020 _ SCALE:1/4" = 1'-0" _ E C, '� � Robert I. Brown _ Architect, P.C. SEP 1 0 2020 2o5 Bay Ave. Greenport NY info@ribrownarchitect.com 631-477-9752 Son;E:ck;Town Board )Hiuss^p, , ?.j---D Af; ITIS A VIOLATION OF TI IE LAW FOR ANY PERSON Q ` UNLESS ACDNG UNDER TFIE DIRECTION OFA LICENSED ARCHITECT,TO ALTER ANY ITEM ON <'J TIIIS DRAWMG INANYWAY ANYAUITIORIZED "INp`.cIj 7. ALTERATION MUSE BE NOTED SEALED,AND DESCRIBED IN ACCORDANCE WFII I TIIE LAW .ii~"_ .' ,u f• f 1634 - �4 EXISTING ROOFING TO REAMIN EXI5TING RAFTER5 TO REMAIN NEW ROOFING TO MATCH EXISTING NO INSULATION REQUIRED 2x6 RAFTERS O.C. REPAIR AND PATCH A5 NECE55ARY NO INSULATIONN I REQQ O.C. 2x6 COLLAR TI @ 48"O.C. DRE55ED O NEW WINDOW IN EXISTING OPENING REPAIR AND PATCH A5 NECESSARY O �p VERIFY FIN15HED FLOOR HEIGHT PROPOSED BEDROOM PROPOSED CL05ET TO BE ABOVE ELEVATION +8.0' EXISTING FLOOR J015T5 TO REMAIN NEW(2) 2x 10 GIRDERS (5EE FRAMING PLAN) p 24" BASE CONCRETE BIGFOOT FOOTING MINIMUM 3'-0" BELOW GRADE ON UNDI5TRUBED 501L SECTION B SCALE: 1/4" = 1'_0" PETSKY RESIDENCE EXISTING EXCEPT A5 NOTED BREEZY SHORES COMMUNITY SOUTHOLD, NY u97i 28 AUGUST, 2020 - _ SCALE:1/4" =1'-o" FD Robert I. Brown <<L;f'� Architect, P.C. Lk SEP 1 0 2020 L� 20 Bay Ave. Greenport NY in�o@ribrownarchitect.com 631-477-9752 Roard of TfiISiCE'_S S i nGG�A! FF IS A VIOLATION OF TI IE LAW FOR ANY PERSON, „'z L` UNLESS ACTING UNDER THE DIRECT OFA A4” LICENSED ARCHITECT,TO ALTER ANY ITEM ON TI IS DRAWING IN ANY WAY AAUTHORIZED SE ALTERATION MUST BE NOTED SEALED,AND DESCRIBED IN ACCORDANCE WITI I TI III LAW NEW DORMER 2xG RAFTERS @ i G"O.C. NO INSULATION REQUIRED NEW ROOFING TO MATCH EXISTING 2x6 RAFTERS @ 16"O-C. C NO INSULATION REQUIRED I NEW 110 ATEK H EATEK IN THI5 AREA r/r MECHANICAL SPACE % 2x8 JOISTS @ I G" O.0 NEW BATHROOM NEW FLOOR AND STRUCTURE I p TO BE LEVEL WITH RE5T OF O HOUSE PROPOSED VERIFY FINISHED FLOOR HEIGHT PROPOSED KITCHEN BATHROOM TO BE ABOVE ELEVATION +8 O' EXISTING FLOOR JOISTS TO REMAIN NEW(2) 2x 10 GIRDERS (SEE FRAMING PLAN) 0 24" BA5E CONCRETE BIGFOOT FOOTING MINIMUM 3'-0" BELOW GRADE ON UNDI5TRUBED 501L SECTION C PETSKY RESIDENCE SCALE: 1/4" = I'-0" EXISTING EXCEPT A5 NOTED BREEZY SHORES COMMUNITY SOUTHOLD, NY u97i 28 AUGUST, 2020 „j: r � i j SCALE:1/4" =i'-o„ L, L; !►' Robert I. Brown ` S � Architect, P.C. EP 1 0 2020 —� 205 BayAve. Greenport NY in?o@ribrownarchitect.com f ' 631-477-975Z Burd at TrGs�cer____,.9 `� 5 �Fi BI N IT IS A VIOLATION OFT]IE LAW FOR ANY PERSON UNLESS ACTING UNDER TI IE DIRECTION OF A �,,,^• ` LICENSED ARCHITECT TO ALTER ANY REM ON 'k' �=ys.:,+ .S� TIIf DRAWING IN ANY WAY ANY AUTHORIZED 7! ALTERATION MUSE BE NOTED,SEALED AND I ,• _ i J r DESCRIBED IN ACCORDANCE WITH TTIE LAW. (1)UNAUTHORIZED ALTERATION OR ADDITON TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW (2)DISTANCES SHOWN HEREON FROM PROPERTY LINES TO EXISTING STRUCTURES ARE FOR A SPECIFIC PURPOSE AND ARE NOT To BE USED TO ESTABLISH PROPERTY LINES OR FOR ERECTON OF FENCES.(7)COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY.(4)CERTIFICATION INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING INSTITUTION uS1ID HEREON,AND TO THE ASSIGNEES OF THE LENDING INSTITUTION.CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS (5)THE LOCATION OF WELLS(W),SEPTIC TANKS(ST)R CESSPOOLS(CP)SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS. 400 Ostrander Avenue, Riverhead, New York 11901 tel. 631.12'7.2303 fax. 631.-72-7.0144 admin®youngengineering.com Howard W. Young, Land Surveyor Thomas G. Wolpert, Professional Engineer Douglas E. Adams, Professional Engineer Robert G. Tost, Architect SITE DATA TOTAL AREA = 82.6563 ACRES PENINSULA = 1.5661 ACRES , DUG BASIN = 11.5415 ACRES I X 0 y "' VERTICAL DATUM = N.G.V. DATUM (M.S.L. 1929) A 105 xis , i� / / `SSr G{Q \ \ `•`��/ / / /%ice// \ I // /// w :.- / LEGEND dry ,,� © = CONCRETE COVER '%I /i;///\\ ; / / \\ �o�,� O = WATER METER , /p \\ I OO = VALVE ':-) � I x,A I - \ 1 /' 1 / 11 1 = HYDRANT / �/ // \ ,LA1 FIX = FIXED DOG J V, FOw // / / Y45 = FLOATING DOCK k0 0 Q RO = ROOF OVER L S /// J` / W5 = OOD STORAGE CE = CELLAR ENTRY 10 05 OUTDOOR 5HOYqER 0-28 = FRAME COTTAGE h NUMBER 0� / l v 0 / --- h i 5.09 = (SURVEY) ELEVATION x 1' I / / `0 J / , / X 6.5 = (RECORD) ELEVATION J 0 / ( ' ry 0� CO 0' WETLANDS FLAG 8 NUMBER Au 0' U 2,e'A / �� , \ \ (\ v0�v$0 1 x // I , - - " " / �4,\ / / x,a / I \ \ \ � _3 0 �.o� LOo' \x,.l /�/ y�gTL�NDS v �\ i ' x1e x 4 �a0) �~ / _- \ Q J o' / r 0 'amu U / o' `D&\\ / ,' l\ $° -4 \ ---_ III 1 i I`I' -�.I- ��0 o' 1 I U \ tl, Q -;e k I ,0 0 x19A \�/? J / / �y I 'A' / /^ v� \ xJ (� �YJU' CO10 ut 0' \ 0 3 / \-ted \'\\ N ► I , „ I / -_ - �\`'\ x19a 1 \ 0 / \ \4 z \ \ / / \ �J \\ \ J \ , \v / /'-- / , P°ND \\\ \/ I I . �0 i �ce 07 ,/ � � r N' // - \ - - - - - - - - - . �� \ � 0 to / , / �j0j \ I 1 LO / i'0 0� \\ F _ - - _ X,A \L , - . \ \ V \ \ `l \ / —— ' J o' \, J W \0�� U=0' 1 ` \ 1 \ \ >�N \ \ / A A.0 I \ \ \ \ °oDS/ , / 1 a _6- _ 0? -� x 0.1 _ \ \�\ \ ,.O \ 1 1 x 0A G, / _',"1• (� ``, •\ cZA / xbJ x,9 \ \` \ \ ` , x `� \ \\ Ve ND5 // \ \;�` ( tea\ " - — ,/ % O `— 6 8'W N7 °r✓-6' \ \ \ \ \ ` _ ) , \ \-- —\ /ji/ \ `I \ 0 / `�'-- --- °g ' /-\ / \ / ------ `� _ /- \-e,g-- ---_-- m a- ►u / \ \ \ - - moi_ _ x \_ / \ 1 / / _ , / ,\ \ // , x19 \ \ I / I I \ / Horn Pm m r - T1 x9.4\ I /� - _ _-� lend A sl \ —a-— \ � O Mn I Gah�I 4 - _ _ -meg y G• Q 1 I_b- n � 1 l X43 ,_--= X44. - = _ S6 /, V J an n /� N \\ \\ e �- ---- I \ (0f\ 84 _ (n —� IITS / / 1 56C obis"s -�q � y ' \\ N \ \� \\ P°ND �(9.9 -_1C" ' `e ' �q q `4 - - - - ` - / -_576°00'38"E \\ / \\\ / \ / N80°2 8!' -� u \ -190.x4' 1 ' �\ \ \� gshl. \ I \ x11, Q) \ '4\ -I d 1- -1 xlo x4AAll o \ �T\-P` 9 I 0 , 1L \ I I x s 1 o a x I I \ �� °� N � �� \ \ i 11 y�E'fL�NDS `. \a ' / I II II`11 I\ X9A \ I \ I � ��� $p�511`� I ' I i \ \I ( � � • \\ �DOo° --a_,\ I\ ---,\\_-// ,' 11 \\ ,, \\_� \ I 1 r\I ( \\v ( II \l f X�AJ I I - m �IY�` \ 1 �, / I JX a `J ' I e _ N82°16'58"W 1 \\ I I I ( I m% \\ \\ L J L � 6 � \\ , /f/ \ �\`\ W°°DS�� x 6A `\ Al- 4z � �a \ — O �� \ \ \ \3���F, S \ D' ,L pIDDETIV / — \�`\ 570°35'$215 \ sTolty I / \ W Dg/�Ri/- \\ / '\ AID �' I \ \ \ UJ N, / I / \\ \ ( I \ x9A1 \ �S 56.14' ° DS/�RUS� \ ' X3A \ \� IAFI\ ��' 6,y ,� `\\ y.S.T •P' Tm - \\ W°° x,.0 1 / / rta ?i�r•� \ x°' / /S ` •-•\ 6 /F. I i ��yy♦r.R>7 lll'TI ti.A o \ ebt F ARS Av ve"t'r- l9`'. \ Q \ s/,� i ° I or \ 6 \ 15Y ox bnO >� 2�or l > I ` \1 \. �„ Tlflw PAY . -?r fl.t� 12ro \ 5uR`�Y 2 9 \>t\ 3R3>e I 11�r>s o a uJ °as r+Y�9�� \ 1 `m \ g\ _ /" _ \ IIx �S°3> `O°I I at 6g� \\ \ \ I ���C) <t o s I < N I U) I / N / a 1 1 I 57o-35, \f \ m / 9 I a f\ O o � - ii m / o h I 8 O, ,y�. \ 8 S 6 x,, \ gyp' 5/B �s ^/ N , d 'N tl1 I t' o / c o • \ I I N N I / /' 41 / - 5 1 Z \ n ,i \ \ SH <q e I " � � m I . � � • �0 ° �' � o r �- m >` _ / \L 0 // I I I to � 6 , �i 6 p m �Y - N u. m / o I I Q Z I 9 •, O 6 _ o , 0 m , �\ !n 0 \ if)/ I . �er or I I I I !L to Ate\ ,yoj \\ , ' "° \ C�' �OW°oD� � U � 0 (4 I `a p �jI 1 -, > m �D ' ''� e \z p O > I I N- !O ' I In I \ z I " -_I �'/e fie''/ I I I �I(? �0 " s n © 6 '�zo I up I o �z ° s ^ 6q` �. I I � to ' N �\ eC p"'e R>° / 1 1 dJ 111 mm 2`78 4.4 N� \\O�II ? N6g°4q�5"Vy "lxcA"r'�b 'Y ,.>Z ,5 -- - I /-�..G—_ -_-------- ft-- .. \ ��- �Y Ogg 9 ��ti+,� ° � b' /� ��' '�9-0' // \ - ---� l pyo SS, s \ ° 0. TPRxIMAR N64?16.841 tf� 3 \ � ' \ '0 r\�w��� N78 1:221154,,W��\ WA °qb ,.% o e°, >3b \` W� \� / c �o `Y oc u - e� T�+e q7 oi. \ \ � oar o'L� p�oK6 Ate° \ d 1q_0 0 ><oc4-� T1r_%_114E�R 1,p R1G1 WOyp LL s.Q \ \� b' ca n \9' 3. /,/ -84 Co merly ` wn Q RpG 4+7 \ \ -<0�6 / \ �,,�4 o-S„ \\ e \ ' SURVEYOR'S CERT I F I GAT I ON 5 �?`\' ,' oath°Id ShOrh 85 IHI15 N64,�'07\ -21 G'� S Q51n Ot ,ten sul'>'er 1 2 11� Al-0146 / B TIS- s� A�RxN1ARK o N^ HZL o i \`— /N °d 14 N6g oO o ,_.,'i .,_� I '1 r--r .. ,.. --' �SL.gN -3.ea' , 4s7'�v —_ �F= I.-,t� /\ b SQ'K, N74°58'12"W 7� q` 13.27 "'YD , 0ru, N7Q° '56'1 NN TI-0 16H �°06`A� / 1 33 ^A 1) D\ 576'46:24"E SEP 0 2020 +��u, A, / S$�° 3r JQ' �\< wffi Of 2 *0 911 0 � r _. 3 / .' �Y \�• O e S APDX' Ric £ HOWARD W, YOUNG, N.Y.5. L.S. NO. 45893 J RS.2„ OQJ AW \ i Q I Q (nS36o TIELIT4� °16H �0�j/SCJ 0 �q°33 mI \�3S$ A"� Wf'T MA 0 01 0°All �. N6 �II�\\ \� zI 566°4�� \\ 574°IO 59"N� �06� \\\ SSg, -- TACO M R `` `�?37.00 72.31' \X06 8 6' �N�Nc�'� '� SURVEY FOR 04 o0.w 141.222'L�� O 36 55 E � BREEZY SHORES COMMUNITY yyp,TE 68 , `�• O 1 II JK N73°51'08"W 16_7.77' 78.38' _.- �A\ at Greenport, Town of 5outho Id N77°03'Oq"W 60 a2 �� N71°42'051, �6 Suffolk County, New York �2 s y L TOPOGRAPH I GAL SUR\/E1' IS �.g County Tax Map District 1000 Section 53 Block 05 Lot 12.6 a 30 /]<� 0 MAP PREPARED DEC. 30, 2010 Record of Revisions REVISIONS DATE GENERAL AMENDMENTS JAN. 25, 2011 N a 0 J O 0 100 O 50 100 200 300 } m Scale: 1" = 100' a JOB NO. 2010-0203 DWG. 2010_0203_topo I OF 2 EI - MONUMENT SET ■= MONUMENT FOUND A= sTAKE 5ET A= 5TAKE FOUND (1)UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A MOLA71ON OF SECTION 7208 OF THE NEW YORK STATE EDUCATION LAW.(2)DISTANCES SHOWN HEREON FROM PROPERTY LINES TO EXISTING STRUCTURES ARE FOR A SPECIFIC PURPOSE MID ARE NOT TO BE USED TO ESTABLISH PROPERTY UNES OR FOR ERECTION OF FENCES (3)COPES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY.(4)CERTIFICATION INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING INSIITUTION USTED HEREON,AND TO THE ASSIGNEES OF THE LENDING INSTITUTION.CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS (5)THE LOCATION OF WELLS(W),SEPTIC TANKS(ST)h CESSPOOLS(CP)SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS. / -1 / 400 Ostrander Avenue, Riverhead, New York 11401 N, a min@youngenginecring.com I l tel. 631 2303 fax. 631.121.0144 /�� / \ � � •\ � .\ , din@youngenginecrinering.com - , 4 4 Howard W. Young, Land Surveyor Thomas G. Wolpert, Professional Engineer 54 Douglas E. Adams, Professional Engineer / \ Robert G. Tost, Architect \ =T _ - \ ` SITE DATA TOTAL AREA = 82.6563 ,OGRES PENINSULA = 1.5661 ACRES DUG BAS 1 N = 11.5415 ACRES 91 ® ' * VERTICAL DATUM = N.G.V. DATUM (M.S.L. 1424) 8 I \ \ X103 LEGEND 0 \ ►\ \ /\ Q - I \ p = CONCRETE COVER ZO \ \ T \ \ \ OO = WATER METER ;E) \/� -O HYDRANT\ \ H RANT FIX = FIXED DOCK FLO = FLOATING DOCK GE = WOOD CELLAR ENTRY 6 O / RO = ROOF OVER OS = OUTDOOR SHOWER 1 G-25 = FRAME COTTAGE 8 NUMBER �� Ip^� / / \ 5.04 = (5URVEY) ELEVATION X 6.5 = (RECORD) ELEVATION WETLANDS FLAG 4 NUMBER 11% 09 i \ > ® X \ \ \ 1 �1X > 6 IN 9>1 n4 ALO �•� 6 6.q \ -- r / o / -51 I� U� 6 \ THS IN T�� .5 ISD LINT F1,o \ \ T� fl�LIN�N0 \ X 6 1.1DV`I DS 6• �Y p,5 ANN 51 / .6-a co � LP• II I II OF � G ��4 12/06/lo ° 0 A \ \ I �I.1-Go�SU ON 10/2"1 I6 6.1 / -4 4•S0 Ro I S� N •8� 06./' S A �V I <0 4,7.2 0 I I \ .n 33.x' 5 /4./ >N co O p0 ` m O o o \ /2 / o \ \ �R 5H LINA ;r 6.0 U ° I I I 4.5 v m 0 l(r 0 3 1=��M d -2o 16 I I \ 8 1 4.55 7� / I yV00D SULK! 4 7� _ 13.4' m 36. ' o ° C� 04 6 6 ` X i4•/ a 4�; / \ � 13.3' `� 9.1' ' S�'Q o- m � � F �� � 8 J�- $•4 �Y 6.0' � \ 8.07 --- � � � � I \ ) - ry �M� 9.r 0 U to CF d' ./g � 4•� © 3/ � �� C` I H0 (f)g 0� R0c/C S� JR 38.4, " U m `Z �4 U N _ �$�,n 7/S •� o $ / S./S �O 146, �U © - �'$-�• � \ C 8.45 O / / 7 �� Sy � 39 �o ��'ory � � \ O ry � v� An• o- � � � SI \ �D �0 " m _ o$ ./0 6�� ®� \ p 3 0 �06 7 66 l s' `0 J \ \ �4• 0(f) n • ,, � / 7.80 6 •95t ro S C �.4' , m s �w, S/-/��� \ ® 6•� f'a . /\ V-0 6 ^ 0g 4, �10p / a S 4.q. 7'Itq C() ?3/ iv \ / \ " ?e o ° 9 0.4. / h/S 6.8 Qw 4 ?o C 3 \ ' 2 _ ° COaSAZN " SURVEYOR'S CERT I f=1 GST I ON ro , m m \ U) wm ma M \Ej m 31 �' 8=' m 79' s m ^44 ' / y F I�Y y✓ ' o �'V00D �U \ �\ 79\ N.r;8; ry(n % �I�"� \ � �j�p •�.�..._•�;�\ m 6•s � ' \ \ Gj 0 / N.Y.S. L.S. NO. 45843 O 1 Or � � HOWARD W. YOUNG, SURVEY 3=0R 4.8 BREEZY SNORES COMMUNITY of Greenport, Town of Southold 9 Suffolk County, New York M O N N TOPOGRAPH I GAL SURVEY C 0 0 County Tax Map District 1000 Section 53 Block 05 Lot 12.6 0 J a MAP PREPARED DEC. 30, 2010 Record of RPviainc REVISIONS DATE GENERAL AMENDMENTS ",,7 - f i N o >' 00 (} ?4Q1 O 20 40 So 120 a a I 5cole: 1" = 40' JOB NO. 2010-0203 0 = MONUMENT 5ET ■= MONUMENT FOUND A= STAKE 5ET 0= 5TAKE FOUND DWG. 2010_0203_topo :20r 2 } .fir C ia'4. '•'..+.]LYw,+n:`iL14.L'M�aP T.c�s��•_r.:.k�:.,.. _ a.',Y. n.0<.>f �; ' BREEZY SHORE COMMUNITY INC Sage Blvd Greenport, NY 11944 February 5th, 2020 The Board of Directors of Breezy Shores Community Inc. (BSCI) 2019-2020, consisting of James Truman, President; Richard Wehrman,Treasurer; Janinne Milazzo, Secretary; Diane Nelson, VP; Jason Schmidt, VP, hereby affirm that we have reviewed the repair and renovation proposal sent by Mike and Mary Beth Petsky. Plans were submitted on January 7th, 2020, prepared by: Robert Brown Architect, PC 205 Bay Ave Greenport, NY 11944 info@ribrownarchitect.com cc: karen@ribrownarchitect.com The Board has no objections thereto. Thank you, Jason Schmidt VP; on behalf of the Board of the Directors. ' I NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL i:61SISERVATION Division of Environmental Permits,Region 1 SUNY @ Stony Brook,50 Circle Road,Stony Brook,NY 11790 P:(631)444-03651 F:(631)444-0360 www.dec.ny.gov LETTER OF NON-JURISDICTION -TIDAL WETLANDS ACT December 16th 2019 Mike and Marybeth Petsky 413 Stewart Ave Garden City, NY 11530 Re: DEC# 1-4738-01951/000016 Breezy Shores Cottage#10—65490 Sage Blvd, Southold, NY 11971 SCTM# 1000-53-5-12.6 To Whom It May Concern; Based on the information you have submitted; the New York State Department of Environmental Conservation has determined that: The portion of the referenced property which is located landward of a functional and substantial man- made structure (a bulkhead) greater than 100' in length, constructed prior to August 20th 1977, as evidenced on NYSDEC's Tidal Wetland Aerial Photomap #718=550 is beyond the jurisdiction of Article 25 (Tidal Wetlands). Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 661) no permit-is required under the Tidal Wetlands Act. The check.#1965for$200 will-be returned to Robert Brown Architect. Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hay bale berm. This letter shall remain valid unless site conditions change. Please note that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies or local municipalities. Sin rel , Sherri Aicher Permit Administrator das PIEwYORK Department of NITY cc: Robert Brown Architect STATE OF Environmental OPPONTU BMHP /file Conservation PETSKY RESIDENCE-BREEZY SHORE COMMUNITY, UNIT #10 SCTM #: 1000-53.-OS-12.6 u oil a t .fie. 1 FACING NORTHERLY IN REAR YARD ON WATERSIDE PETSKY RESIDENCE-BREEZY SHORE COMMUNITY, UNIT #10 SCTAA #: 1000-53.-05-12.6 f 2 Rear yard waterside facing Westerly. PETSKY RESIDENCE-BREEZY SHORE COMMUNITY, UNIT #10 SCTM #: 1000-53.-05-12.6 4. . 3 Rear yard facing Easterly PETSKY RESIDENCE-BREEZY SHORE COMMUNITY, UNIT #10 SCTM #: 1000-53.-05-12.6 R� `:•fix � 4 4 Westerly sideyard facing South 'ETSKY RESIDENCE-BREEZY SHORE COMMUNITY, 11000-53.-05-12.6 Landward front yard facing Southeasterly P PETSKY RESIDENCE—BREEZY SHORE COMMUNITY, UNIT 1 1000-53.-05-12.6 .fid *+ P io- •:,:�1� �. � .� 1 + t Y V • Landward front/side yard facting Southwesterly. Flogged / e/ is proposed addition BFEEE M0«6 WATCH SEE SEG.NO.016. .. 3, NA,ce uxE R- -- �— SOU„HOLD W,4 T Sp� J �/ FOR fMRCF.t xo. p7 / 1�7A £ a/j SEE SEG.3 SIiFOIx ��� as lldllll101D R ,.a 10AA LOAN OF 8011,NOlD - a ,av�1 s l so T o n to TOWN OF cl a�F 2 souTHOLD 1{., O _ + _ TO°M OF sa,lr,iGan PPES GREEK - =S tan10 • � t s°' �° "' a 'fit t�.� ' � � e�6t1'it, a fpt 4�t •B y �, t �,�� t ' # p•Y�q� �pts� 'y tires' y4 •' •."� d �('N t f F' F+�4 'tea y, S•i - y ,ti `F ;� as cr • ya 'N • ,,.. , 4 y� ,. �,•,� 1 �, s' _ _ - - • y' --... y� b y "V y$. y ,'v� }�' .rte,, �"A ,z a , • t y 1 • iy+, y� % .• tt 411.16 e • dr '�1 P:4• � \. n TAA pw aIJ $ Y ( \ \ �'•�. /FOIL PCL MD. Q ��g"tt�' �M1�•aF• xmtc r 71`,t a a ` .• v.. mu �, ,� , "�• 6 a t F -- -----�------ ------ -- � — uE wTCN • z?---- �uxE � `�s �a a 7 6 SEE SEG.xo.OS! sm am NO.067 SEE sec.NO.6sr _ COUNTY OF SUFFOLK © K 011 ° SOUT„OW SECTION NO al ax Service Age Re Property T m „woes ua� NOTICE re usm .•• ..•e " ruw. ..._ — rl� �ry,r�`R1wIwaC.xv HM11 �� nrr wm:e.u>Eiu*ro�vae on __ ,— ..w:��n:=� =;._ ,e,�.�._ ren • OFFICE LOCATION: � �� "�y,� MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 q� Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) ¢' g ��• � " 5-1938 Telephone: 631 76 Southold, NY 11971 P LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: November 13, 2020 Re: LWRP Coastal Consistency Review of MICHAEL & MARY BETH PETSKY SCTM# 1000-53-5-12.6 Robert Brown Architects on behalf of MICHAEL & MARY BETH PETSKY requests a Wetland Permit to install a new foundation and lifting the existing cottage to be FEMA compliant; remove and construct new landing to entry, 3 risers to ground with 36" handrail to code; and remove and replace part of existing roof of 63sq.ft. seasonal cottage including a 22sq.ft. addition of landward northeast corner of cottage. Located: 65490 Route 25, Breezy Shores, Cottage#10, Greenport. SCTM# 1000-53-5-12.6 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the LWRP policies and therefore CONSISTENT with the LWRP. The structure will be raised to meet Chapter 148 Flood Damage Protection of the Southold Town Code. To further Policy 6 it is recommended that the Board assess the location and function of the sanitary system due to the proximity to surface waters. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Damon Hagan, Assistant Town Attorney BOARD MEMF 3 OF soar Southold Town Hall Leslie Kanes Weisman,c iiairperson �� y0 53095 Main Road •P.O.Box 1179 •IP Southold,NY 11971-0959 Patricia Acampora a�t Office Locati on: Eric D'antes Town Annex/First Floor, Robert Lehnert,Jr. O • COQ 54375 Main Road(at Youngs Avenue) Nicholas Planamdnto liyCOUn 1 ��` -NY 11971 -1E`4-E1VED http://southoldtownny.gov ZONING BOARD OF APPEALS AUG 2 5 2020 TOWN OF SOUTHOLD Tel.(631)765-1809•Fax(631) 765-9064 h O i O W f] E C FINDINGS DELIBERATIONS AND DETERMINATIO MEETING OF AUGUST 20, 2020 ZBA FILE : 7408 NAME OF APPLICANT: Mike & Mary Beth Petsky PROPERTY LOCATION: 65490 Route 25, Qreenport,NY, (Breezy Shores Cottage# 10) SCTM No. 1000-53-5-12.6 StORA DETERMINATION: The Zoning Board of'Appeals has visited the-property under consideration- in this application and determines that this review falls under the Type II category of the State's List of Actions, without further steps under SEQRA. SUFFOLK COUNTY ADMINISTRATIVE COBE: This application was referred as required under the. Suffolk County Adminisirativd .Code Sections A 14-14 to 23, and the Suffolk County Department of Planning issued its reply dated March 9, 2020 stating that this application is considered a matter for local determination as there appears to be no significant county-wide or inter-community impact. LWRP DETERMINATION: This application was referred for review under Chapter 268, Waterfront Consistency review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. The LWRP Coordinator issued his recommendation dated July 22, 2020. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available, it is recommended that the proposed action is CONSISTENT with LWRP policy standards, and therefore is CONSISTENT with the LWRP. I . PROPERTY-FACTS/DESCRIPTION: Subject parcel is located in the R-80 Zoning District and contains 82. 6 acres. It is improved with three dwellings, a brick building, two garages, 28 seasonal cottages and 20 sheds. Access to the property,is via Sage Boulevard, which is a private road, and the property is adjacent on the south to Shelter Island Sound. The Breezy Shores community is a unique property deeply rooted in the history of the Town. The multiple cottages on the property are pre-existing non-conforming use that was established prior to zoning by the Sage family,in the early 1900's.. The cottages previously housed employees of the Sage family brick factory, and after the brickyard closed, they ere rented as seasonal cottages. In 2000, a real estate cooperative, Breezy Shores Community Inc. was established, and shares were offered as an ownership interest in the Cooperative. The cottage at issue in this application is known as Cottage # 10 and is owned by Mike &Mary Beth Petsky. The cottage, with proposed improvements, is shown on the Site Plan of Breezy Shores, prepared by Robert Brown Architect, dated November 2019. BASIS OF APPLICATION: Request for a Variance from Article XX1II, Section 280-123 and the Building Inspector's January 2, 2020 Notice of Disapproval based on an application for a building permit to make additions and alterations to an existing seasonal cottage, at; 1) a non-conforming building containing a non-conforming use shall not be enlarged, reconstructed, structurally altered or moved, unless such building is changed to a conforming Page 2,August 20,2020 #7408,Petsky STM No_1000-53-5-12.6 use; at: 65490 Route 25, (aka Sage Boulevard, Breezy Shores Cottage #10, Adj. to Shelter Island Sound) Greenport,NY. SCTM#1000-53-5-12.6. RELIEF REQUESTED: The applicant requests a variance to construct additions and alterations to an existing nonconforming seasonal cottage measuring an additional 21.8 sq. ft., less-than 3% increase in overall size, when such changes to a nonconforming structure containing a nonconforming use are not allowed by Code. ADDITIONAL INFORMATION: The file contains a memo submitted by the Board of Breezy Shores Lac., dated February 5,;2020, stating their approval of the applicants proposed cottage renovation. Testimony Was taken during the hearing from the architect that the subject structure was going to be raised, and new foundations installed to FEMA requirements to make the structure compliant. The applicant in a letter dated August 5, 2020, acknowledged that the application'erroneously omitted a new foundation and lifting of the cottage, although noted on the drawings. FINDINGS OF FACT/REASONS FOR BOARD ACTION: The Zoning Board of Appeals held a public hearing on this application on August 6,2020,at which time written and oral evidence were presented . Based upon all testimony, documentation,personal inspection of the property and surrounding neighborhood, and other evidence,the Zoning Board finds the following facts to be true and relevant and makes the following findings: 1. Town Law•4267-b(3)(b)fI).. Grant,6f the variance will not produce an undesirable change in the ctaracter.of the-neighborhood or;a d'etri�ent to nearby properiios. This unique property represe4t�its owp neighborhood-.4, .-82.6'acres. It contains substantial buffer of wetlands along the northern boundary of the property, and the enclave ' of cottages is sufficiently removed fromm other adjacent neighborhood properties so that adjacent property-owners will not be affected by an additions and alterations. 2. Town Law 4267-b(3)(b)(2). The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to pursue, other than an area variance. The existing seasonal cottage is a pre-existing non- conforming building with a pre-existing non-conforming use. As a consequence of the non-conforming status, any proposed additions and alterations will require relief from the code. 3. Town Law 4267-bQ)(b)(3). The variance(s) granted herein granted herein for the alterations and additions is mathematically substantial, representing 100% relief from the code because Section 280-123 prohibits the enlargement of non-conforming buildings with non-conforming uses. However, the proposed addition of 21.3 square feet to the existing structure represents 2.98 % increase in the size of the pre-existing cottage footprint. The Board in prior decisions related to other Breezy Shore applications involving proposed increases of structure less than 3 %, has deemed such increases, to be de minimus in nature. This applicant's proposed increase in structure size is minor and is just squaring off the building that is already being lifted to conform to FEMA codes. 4. Town Law $267-W( (b)(4) No evidence has been submitted to suggest that a variance in this residential community will have an adverse impact on the physical or environmental conditions in the neighborhood. The applicant must comply with Chapter 236 of the Town's Storm Water Management Code. 5. Town Law U674(30)(5). The difficulty has been self-created since the applicant'purchased the parcel after the Zoning Code was in effect and it is presumed that the applicant had actual or constructive knowledge of the -----7mrtatrons-oirt—h-u�-us - -e-parce-un er-toma e-m-e ec -prior o-or,-aftl-ie- ime 0-pure ase -ITowever— _- the extent that a seasonal structure such as this one periodically requires some degree of reconstruction and/or alterations to continue the safe use of the structure, the need for variance relief is not self-created, but is created by Zoning Code that now prohibits an existing use and activities that at one time were not prohibited. Page 3,August 20,2020 _ #7408,Petsky STM No. 1000-53-5-12.6 6. Town Law 4267-b. Grant-of the requested relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of renovations and additions 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-B, motion was offered by Member Lehnert, Seconded by-Member DArites,, and duly - carried;to - GRANT the variance as applied for, and shown on a Site Plan 'of Breezy Shores, dated November 1,' 2019 and Architectural Drawings, dated January 3, 2020, prepared by Robert I.Brown,Architect. r r r SUBJECT TO THE FOLLOWING CONDITIONS; 1. The cottage use will continue in its current status as an unheated seasonally occupied dwelling. 2. No other alterations or additions may be undertaken without review by the ZBA, except for necessary minor repairs as determined by the Towti Building Department. That the above conditions be written into the Building Inspector's Corticate of Occupancy, when issued. Any deviation from the survey, site plan and/or architectural drawings cited in this decision will result in delays andl'or a possible denial by th"e Building.Department of R•building permit, and may require a new application and public hearing before the.Zoning Board of•4pPd,als. 'An deviation h om'the vrz>+art e s anted herein asWh'o>ti+nron the arra h tectural•tl'r'a i,'tzgs; site plan �rndfc�r's'urve�+ ' 'Any'd �� cited above, such as alterations, extensions, or demolitions, are not authorized wi n' er this application when involving nonconforrr•{ities,under the zoning code. 7hj&action does,,iiot authorize,or ne any current br 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. In the event that an,approval is granted subject to conditions, the approval shall.not be deemed effective until-the required conditions have been met; and failure to comply therewith will render this approval null and void. 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. ]Pursuant to Chapter 280-146(B) of the Code of the Town of Southold Any variance granted by the Board of Appeals shall become null and void where a Certificate of Occupancy has not been procured, and/or a subdivision map has not been filed with-the Suffolk County Clerk,within three (3)years from the date such variance was granted. The Board of Appeals may, upon written request prior to the date of expiration, grant an extension not to exceed three (3) consecutive one c (1) year terms. Vote of the Board: Ayes: Members Weisman (Chairperson)Acampora, Dantes, Lehnert, and Planamento(5-0). Ax A 1.4 P),11 L� Leslie KanA Weisman, Chairperson Approved for filing F/ OIj/2020 Poo, ." 3V w Town Hall Annex Michael J.Domino,President Q - �� - 54375 Route 25 John M.Bredemeyer III,Vice-President P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A-Nicholas Krupsld Telephone(631)765-1892 Greg Williams Y\ Pax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application E C, Wetland Permit Application Administrative Permit Amendment/Transfer/Exteng'on SEP 10 2020 Received Application: (MORD —Received Fee: $450-00 Completed Application: Incomplete: SEQRA Classification: Type I_ Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): r1LWRP Consistency Assessment Form Sent: , CAC Referral Sent: Date of Inspection: d 3 Receipt of CAC Report: 74- Technical Review: Technical Hearing Held: jjj12'j,-)-Q Resolution: Owner(s)Legal Name of Property(as shown on Deed): Ab jgd, 0011M �A Mailing Address: nAj I�21 Y Phone Number: Suffolk County Tax Map Number: 1000- 5�5 12= Property Location: z):"z�'e dl&6��4 e (If necessary,provide LILCO Pole 4,distance to cross streets,and location) AGENT(If applicable): Mailing Address: g&.,l J" W, al'mf4lnw) Phone Number: 117Z- �75-,)- Board of Trustees App], ation GENERAL DATA Land Area (in square feet): �J � to Area Zoning: J �d Previous use of property: Intended use of property: Q rz) Covenants and Restrictions on property? Yes No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? - Yes No If"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Y) Yes No If"Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes No Does the structure (s) on property have a valid Certificate of Occupancy? Yes A No Prior permits/approvals for site improvements: Agency Date j��?A - K[ c �f rn(aj W 4awl, r44 �tg 1 _No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? No Yes If yes, provide explanation: rr Auld/111"�,,'Ayl Project Description (use attachments if necessary): G 71)1 . c � , 9As-q Board of Trustees Appl Ltion WETLAND/TRUSTEE LANDS APPLICATION DATA �p Purpose of the proposed operations:. (r-1`i_ Aug Area of wetlands on lot: square feet Percent coverage of lot:�y'1�- % Closest distance between nearest existing structure and upland edge of wetlands: .� feet Closest distance between nearest proposed structure and upland edge of wetlands: Jc T feet Does the project involve excavation or filling? _�- No Yes If yes, how much material will be excavated? ,� cubic yards How much material will be filled? -.cubic.cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations(use attachments if appropriate): 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing, 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 I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. 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 -Proje t and Sponsor Information M_, e of ctio or Proje Nam � qt Project Location(describe,,16d attach a to at'on map): oOiA _awl5 Br' f Descriptign of Proposed Act'1nn: kd tngu& MU41 WO, LyqdPvwd Nc�-# G Co Z_I% N me of Applicant or.Sponsor: Telephone: l � � E-Mail: Address: I City/PO: State: Zip Code: L'Does the propose action only involve the legislative adoption of a plan,local law,ordinan e, 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:2�0,A, 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? �i,� __acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban �Rural(non-agriculture) ❑Industrial ❑Commercial .(Residentia)(suburban) ❑Forest .Agriculture Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? b.Consistent with the adopted comprehensive plan? ❑ M' 6. Is the proposed action consistent with the predominant-character of the existing built or natural NO YES - landscape? ❑ Of 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: - - .tin! ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method-for providing potable water: t_I ; 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? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. I entify the typical habitat type`s that occur on,or are likely to be found on the project site. Check all that apply: Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional Wetland ❑Urban ❑Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? (� 16.Is the project site located in the 1-00 year flood plain? 11NO 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 F], ❑ b.,Will.storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: r)MNO []YES Page 2 of 4 IS.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)? If Yes,explain purpose and size: El 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? IfYes,describe: (� AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE ��,..� Applicant/sponsor na e j/ Date: Signature: f� Part 2-Impact Assessment. The bead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? �. 3. Will the proposed action impair the character or quality of the existing community? „4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or ["1 affect existing infrastructure for mass transit,biking or walkway? El 1j 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate �j"'`I rezofiably.available energy conservation or renewable energy opportunities? _ L. i 7. Will the proposed action impact existing: a.public/private water supplies? b.public f private wastewater treatment utilities? 1....1 8. Will the proposed action impair the character or quality of important historic,archaeological, ❑ S�"i architectural.or aesthetic resources? (� 9. Will-the proposed action result in an adverse change to natural resources(e.g.,wetlands, (� waterbodie's,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage El 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 Targe 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, !T1 that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required: F] 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'. Town of Southold-Board of Trustees Name of Lead Agency Date President _ Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer s Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) owners of the property identified as SCTM# 1000- y� 8 `'1. 2-� in the town of 38 U-r (Jfd i S> ,New York,hereby authorizes 96 6VLI— X-' V'�"WlN A-a-c'WJ PC to act as my agent and handle all necessary,work involved with the application process for permit(s)from the Southold Town Board of Trustees for this property. r r Propel wi 's Signat re Property Owner's Signature SWORN TO BEFORE ME THIS 2W 44% DAY OF ®vim► ,20 °I Notar ublic ,I=N�otary XING LEE � -State of New York1 LE6235889n Nassau CountyExpires Feb 14,2023 APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The pmrpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: + (Last name,firsit name,middle initial,unless you#e#Fplying in then me of someone a se ur other entity,such as a company.If so,indicate the other person's or co pa y's name.) TYPE OF APPLICATION: (Check all that apply)' Tax grievance Building Permit Variance Trustee Permit Change of'Lone Coastal Erosion Approval of Plat Mooring Other(activity) Planning Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business interest'means.a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5% of the shares. YES NO If you answered"YES';complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee. Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 5%of the shares of tate corporate stock of the applicant(when tate applicant is a corporation) B)the legal or beneficial owner of any interest in a nun-corporate entity(wren the applicant is not a corporation) C)an officer,director,partner,or employee of the applicant,or I))the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this of 20 Signaturex Y. at,,-N4,t?, Print Name APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold'S Code Of Ethics prohibits conflicts of interest nn the Hart of town officers and employees.The purpose of this form 1 nroVt'dC InfOCrYlatiOn Which Can alerttil a town of noSStble Conflicts Of interest and allow it to tale WhatCYcr action is necessary t0 aVaid Same. ���L: :.�1= YOUR NAME: ( name,first nam , iddle natal,unless you are applying in the name of s meone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat _ __ Mooring Exemption from plat or official map Planning Other (if"Other',name the activity.) - ---- Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has,even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); H)die 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 Submitte4thi ""�' a f 2 Signature Print Nam Form TS 1 APPLICANT/AGENT/REPRESENTATM TRANSACTIONAL DISCLOSE FORM The'T wn cifSouthold's-Code ei Ethics nrohibits conflicts of interest on the part oftown o vers And employees.ThuurriosLe of ise it rni i tis rovide`rif " ation which cah alert the#o of ilii lets®f in'esustand all tito'like who ever action is grrssary to svoid tee. YOUR NAME: ' (Last name,first name,isiddle initial,unless you are applying iii the name of ; someone else or other entity,such as a company.If so,indicate the other person's,or company's name.) NAME OF APPLICATION: (Check all that apply.) ' S Tax grievance Building Variance --- Trustee Change of Zone Coastal Erosion Approval of plat _ Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.). Do you persanally,,(or through your company,spouse,siblin&parent,or ehild);have a rclaiionshlp,% ith tinny officer,oremployee-,' of the Town of Southold? "Relationship"'includes by blood,olarriage,of businessinterest."Business interest'means°a business, including a partnership,in which the town_afficer or empioycc has,even a goat ownership of{or employment bye a corporation in which the,town officer or employee owns snore than S%of the shares. YES NO if you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold_ Title.or position of that person_ w 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)die ownerofgreater than 5%ofthe•shares of the corporate stock of the applicant (when,the applicaivas a corporation), l3}the`legat or,benelicialzwnO ofany interest in,a non-corporate entity(whets the applicant,is not a-corporatl6a); C)ari officer,director,"partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submittedthis day 20� Signature Print Name Form TS l it Board of Trustees Application AFFIJDAVIT' /1A 1cA4-" Ml `T 6er&� �c�lx BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE-IS THE APPLICANT FOR THE ABOVE-- DESCRIBED BOVEDESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD,TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD-THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUS'T'EES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD-OF TRUSTEES DURING THE TERM OF THE PERMIT. of faw t" i Signature of Pr y ner 'Sign ure of P operty Owner SWORN TO BEFORE ME THIS 2.00- DAY OF ���/�+ � ,20 Notary Public LE XING LEE Notary Public-State of New York NO.01LE6235889 ., Qualified in Nassau County My Commission Expires Feb 14,2023 Glenn•Gbldsmith,PresidentO�VFF��'fCOG Town Hall Annex Michael J.Domino 54375 Route 25 John M.Bredemeyer III a P.O.Box 1179 A.Nicholas Krupski ® Southold,NY 11971 Greg Williams Telephone(631)765-1892 �OV -jz'43' Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 22, 2020 Robert Brown Architects 205 Bay Avenue Greenport, NY 11944 Re: Board of Trustees Application of Michael & Mary Beth Petsky 65490 Route 25, Breezy Shores Cottage#10, Greenport SCTM# 1000-53-5-12.6 To Whom It May Concern: You are receiving this letter as notice that, in accordance with the Governor's Executive Order 202.1, this application is now scheduled to be heard by the Southold Town Board of Trustees, via videoconferencing on Wednesday, November 18, 2020 beginning at 5:30 P.M. Please continue to check the Town's website as the meeting date approaches for the latest meeting agenda and videoconferencing information. Also enclosed is an informational notice regarding the videoconferencing meeting and how to access the online meeting. Please mail a copy of the informational notice along with all other required paperwork to each of the adjacent property owners. Please keep a copy of said informational notice for your records so that you can access the meeting in order to have a conversation with the Board during your application review. Kr uly Y urs, � 44""A Glenn Goldsmith, President Board of Trustees 1 Glenn Goldsmith,President ��p�pSUFf01KcoG Town Hall Annex Michael J. Domino 54375 Route 25 John M. Bredemeyer IIIA _.' P.O.Box 1179 A.Nicholas Krupski ,�` ® 0�� Southold,NY 11971 Greg Williams � 0� �a fi Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD WORK SESSION & PUBLIC HEARINGS WEDNESEDAY, NOVEMBER 18, 2020 5:OOPM & 5:30PM A Regular Work Session and Public Board Hearings of the SOUTHOLD TOWN BOARD OF TRUSTEES will be held on Wednesday, November 18, 2020 with the Work Session beginning at 5:OOPM and Public Hearings beginning at 5:30PM. Pursuant to Executive Order 202.1 of New York Governor Andrew Cuomo in-person access by the public will not be permitted. Town residents are invited to attend the public meetings virtually via the Zoom online platform. Written comments"may also be submitted via email to the Trustees Clerks at eli2;abethc@southoldtownny.gov and diane.disalvo@town.southold.ny.us. Said comments will be considered at the public hearing provided that they are submitted no later than 12:00 P.M. (Prevailing Time) on the day of the public hearing. The public will have access to view and listen to the meeting as it is happening via Zoom. If you do not have access to a computer or smartphone, there is an option to listen i,n via telephone. Further details about how to tune in to the meeting are on the Town's website,at https://www.southoldtownny.gov/calendar or call the Board of Trustees office at (631) 765-1892 Monday through Friday between the hours of 8:OOAM—4:OOPM. Options for public attendance: - • Online at the website zoom.us, click on "join a meeting" and enter the information below. Zoom Meeting ID: 962 8115 2407 Password: 299051 • Telephone: Call 1(646) 558-8656 Enter Meeting ID and Password when prompted (same as above). In order to "request to speak" when the application you are interested in has begun, please press *9 on your phone and wait for someone to acknowledge your request. When prompted to unmute your phone press *6. To view the application files please visit: https://www.southoldtownnV.gov At the bottom of the picture on the main screen click on the second button from the right "Town Records, Weblink/Laserfiche"; go to bottom of page and click on "pg. 2"; click on "Trustees" folder; cjick on "Applications'; click on "Pending"; all files are listed by name in alphabetical order. Click on the name of the application to view the file. Adjacent PropertVtCTM#'s for the application of MICHAEL & MARY BETH PETSKY`"-' Located at: BREEZY SHORES, COTTAGE #10; SCTM#1000-53-5-12.6 56-4-24 53-4-44.39 52-5-59.5 53-4-44.44 53-5-9 53-5-8 53-5-10 53-5-7 53-5-11.2 53-5-6 53-5-12.8 53-5-5 53-2-29.1 53-5-4 53-2-28 53-5-3 53-5-12.6 53-5-2 53-6-46.8 57-2-37.1 53-6-46.7 57-2-42.5 53-4-44.40 57-2-42.6 53-4-44.35 57-1-38.3 53-4-44.11 57-1-35 43-4-44.10 57-1-39.3 43-4-44.9 57-1-39.4 53-4-44.8 57-1-39.2 53-4-44.7 43-4-44.6 53-4-44.5 53-4-44.4 53-4-44.3 �,.V Glenn Goldsmith,President '�Cv Town Hall Annex Michael J. Domino 54375 Route 25 John M. Bredemeyer III ro P.O. Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams �,ho Cpl Telephone(631)765-1892 1 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of MICHAEL & MARY BETH PETSKY,BREEZY SHORES COTTAGE #10 COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING DO NOT COMPLETE THIS FORM UNTIL AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEVENDAYS PRIOR TO THE PUBLIC HEARING DATE residing at/dbaj�� eing duly swor�n, depose an say: That on the qday of Wd)'6496", 20,}, I personally posted the property known as by placing the Board A Trustees offs dial noticing Poster where it can easily be seen from the street, and that I have checked to be sure the noticing poster has remained in place for seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday, November 18,2020. Dated: G Sign ure) Sworn to before me this (,(,Qday of"t4©U20 2-6 BETSY A.PERKINS Notary Public,State of NewYoft" b4-/k�)q o No. 01PE6130636 Qualified in Suffolk Cou�y�,�^ r tary Publ _ Commission Expires July 18. / PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: STATE OF NEW YORK COUNTY OF SUFFOLK G ' , residing at _0A4being duly sworn, depo es and says that on the d y of ae 20d , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessme troll of the Town of Southold; that said Notices were mailed at the United States Post Office at that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETU RECEIPT. Sworn to Wore me this Day of 20 02 C N ublic BETSYA.PERKINS Notary Public,State of New York No.01PE6130636 Qualified in Suffolk Con�,,,,�,�, Commission Expires July 18. i U.S. Postal Service- C: CERTIFIED,�IVIAILP RECEIPT A Domestic Mjj 0,11Y 0 Lr) tiff 7 Y Ln U...0 �m $ $3.55 M Certified Vial]1- 151958 1 Fee r-1 $ Extra foes Fees-(Checkbox,uou too a M 18 $ a Services&Fees ftackbMo��.add lee as ❑Re Receipt(hard' IY9�,jj 0 Q3 n $2.35 (hardcopy) z EOIRetu iecelpt(hedoopy) to))", NOV 3 C3 --Tu—.TI7IL—, �01?0 1 C3 El Return Receipt(electronic) , ; 4 0 M 11 Return Receipt(electronic) ❑Cer0fied Mall Restricted Delivery Postmark r.3 Z020, 0 OL im -$ El Adult Signature Required ' ,G� H?re El Certified Mail Restricted Delivery $ Postma 0 0 Adult Signature Restricted Delivery OAdult Signature Required He 0 0 EjAdull Signature Restricted Delivery r-3 Postage $ $ 55 C3 Postage CD Postage and I $ �lb co Total Postage and "$ , 1 9 5 11/10/202171 .951 (1/2020 C3 Sent No t $- I ru C3 Sent To C3 Street ------- ---- ru ,0-n A t No; 0-1-B,o -------- 0. ------ C3 et A 49--------M-41- r% -----91wil -0 --- ---- ---------- ------------- --------------- ----------- Jli� U.S. Postal Service T irl CERTIFIED. MAI,,L'5',RECEIPT ru Domestic Mbil Only M E3 FL m Certified Mail Fee $3.55 0950- 1-4 $ 1? R,F, z til M Extra Services&Fees(checkbox,add fee atflplm to) OV tl10 [I Return Recelpt,(hardeopy) $ C3 E]Return Receipt(electronic) $ Postmark E3 []Certified Mail RestrictedDelivery $ d) Here 0 EjAdult Signature Required 1-3 - []Adult Signature Restricted Delivery$ E3 Postage $0.55 r-1 $ 11/10/2020 C0 I Postage and rq $' W.95 C3 Sent To ru -----I--- --- ---------- --------- ------------------------ ��Fiet an ox . - --------------- ---------------------------------- � 0? iU.S. Postal Service""_ CERTIFIED oRECEIPT Io 1 'Domestic Mail Only ITl Domestic AAWI.Onify' I p^ ^Id7 we Vftyf s I@3 • i) ( t s'6rx e0 l IJ), f Q. ! •91 3 sa �;7 ��� � r< is s!, .�'• �� . �/ 095 Certified Mall Fee .} 1 � i rn Certified Mall Fee 55 rD 01 gry8D r m pc pro 1. $ Zl�0 M, Extra Services&Fees(checkbox,add fee y�te) NOV Q 1(�'�O { m Exna Services&Fees(checkbox,add tee a p f{Q�ta) o ❑Retum Receipt(hardcopy), $ °r rU �' ❑Return Receipt(haNwpy) Postmark O Return Receipt(electronic) $ _ ❑ReturnReceipt(electronic) $ 11=1ji- 9 Postmark ❑ II 111 r Here ❑Certified Mall Restricted Delivery $ $rl_1117 _ S� Postmark C�1 C ❑Certlt'ied Mail Restricted Delivery $ �'� pG � ❑Adult Signature Required $ �t -tllr ,GSpS t []Adult Signature Required $ r_ ter? ~ SPg eta O P�OR"fN, C3 ❑Adult Signature Restricted Delivery$ e,-��OR ❑AdultSignatureRestrictedDelivery$ C3 Postage $0.55 C3 Postage $0.55 11/10/2020 �" $ iCO Total Postage and F e¢ qc 11/10/2020 `a Total Postage and F�s gc OO. �rl $ ' I j $ t i p Sent To - Sent To N - ---- -- •• O street Apt orPO B9A N°` C3 Street A NLlAu3ox o. 1 GJ / _ � .._ ------------ ---5'_"` - .C_--__ Y ` `r- - ------ i I Clry, e, IP+4® l f�j� TI U..S. Postal Service U.S. Postal Servi CEBTIFIE - , © . E"IPT .0 Domestic Mail Only Q Ln `^ •Qii i'0 -y �ii• 91� • r t \ T ,.tN��(r���s la e_� f'.�.• i `w tt t� l P" I `� Certified Mail Fee .i.:r:t, j�0 1] .9 ncr 5, m Cert fled Mail Fee $� cc " c g m 9•. , •( J...�:r - I 0998 �„ 'a $ - 1 NOVCl I r $ 7 c �� rn Extra Services&Fees(checkbox,add fee aypfrmrtete) •� 1 O 2 `'" -C M Extra Services&Fees(checkbox,add fee a�}gpp ) I _ 1 Q�J,(,]� -< - ❑Return Receipt(hardcopy). $ lrr-1 [! O i ❑Return Receipt(hardcopy) $ +' r• - s -"20 O ❑Return Receipt(electronic) $ _ I�1 ,v9� POStma11C C7 ❑Return Receipt(electronic) $ I_.' y s vp,Ostmark O ❑Certified Mail Restricted Delivery $ s n.I Irl \rP Here 0 ❑Certified Mail Restricted Delivery $ '' <k ll_ill l_fll I G`Hare �- M []Adult Signature Required ' $ �5�� f��Q% � ❑Adult Signature Required $ k r rn� :SRS ��4 � [:]Adult Signature Restricted Delivery$ 0 ❑Adult Signature Restricted Delivery$ �" lttOR7N 0 Postage 5 1.55 •• J E3 11.,t•.r Postage cc r_1 $ t � r,�_ ` �co Total Postage and �'g'y e 11/10/2120 ria Total Postage and Ftbsa 9 5 11/10/2 a20 I � $ $ 1 0 Sent To b Sent To (y _______ __ SVeet an Apt.No., BozlVo ---- ------------ _ _ !Q - •- I p Street andApf ------------- 55� - -- --- - 1 _ � Ci State,ZIP+4® •- - -- ------------------ Is ------------- - - h �17y�� P l��►/t '7 Cdy,State,ZIP+ ® - - ��° r` f l/ :r o r r r rrr••• :er 1 rr .rr•r I --- Postal o 1 ° ' 2 milli r` '• ' to 1 U rn Ln 7ce. Fe� ,s;0 •-» Il$i (y �� � eTn ee ; � 1�g5pIt1Certified Mail Fee �.55 Ifio� �195�, �� rq.� Or( R'1 Fees(checkbox,e$fee axagPrtr@ '` N��i o2O?0$ ,� 2(/ _ (hardcopy) 1trr �rJJ1 F-xtre Services&Fees(checkbox,add fee a. r�q�re) � C3et(electronic) $ i I Iii "+. Postmark i ❑Re tum Receipt(hardcopy) $ i1 IJ�1 Here r d;ll i(rl O ❑Return Receipt(electronic) $ ,,18 Postmark �. 0 ❑Certified Mall Restricted Delivery $ — i ❑Certified mail Restricted Delivery $ $rl 11 11 'a. ,s`�y Her 0 ❑AdultSlgnatureflequtred $ +kt�. r.-.sryra'� 1'��SpS •T �O� C-3 ❑ d;fl (til" Se+�ORAdultSignature Restricted Delivery$ �,.-� Q ❑Adult Signature Required $�-.�- �'^• ❑Adult Signature Restricted Delivery$ Postage M Postage i 1.55 rr_1 $ i--1.55 11/10/2020 co Total Postage and F es $ 11/10/2020 � X6.95 CO Total Postage and F$e .95 • $- ra $ O N Sent To - O Sent To o -- i I StreetandApt.N. P(3s fl ---------------- -- ' - -----•- -- -- - - No- - boxN. O StreetandApt Crry----s-- Z-P+4 F�0--- -- - _------ I City--State,ZIP+4, .� /.t � -- -- - -- �• �r�•r' I :rr r rr rrr• - I ■CE;R,TIFIEb MAILO '7 fEI a Domestic Mail*Only • ' ii.! !i •q Q ,�1�![[' • {fI - +5 •,a.-� CO ! Qom`= a t f _"1 • 1 ru rfl Certified Metl Fee $3.55 F c0 Cerhfied Mall Fee $3.55 Er Extra Services&Fees(checkbox,add fee ao•r�r�te) �<y� /� Cr Extra Services&Fees(checkbory add fee 6i+�rrgptr�te) � ❑RatumReceipt(hardcopy) $ i'r' ❑ReturnReceipt(hardeopy) $ F t•, �r !I.I IIJ A' ibo COZQ 0 ❑Return Receipt(etectronlc) $ 1•t-(�f W.,t�'tg,�k � � ❑Retum Receipt(electronic) $ � IY�r O []Certified Mail Restricted Delivery $ 10.00 �r HteT 2Q20 C3 ❑Certrged Mail Restricted Delivery $ 111-j10 ' He 1 C_3 ❑'duh SignatureRequired $ $0 .'�'•.r�' t� r3 ❑Adult Signature Required - $ Its!., []Adult Signature Restricted Delivery$ ��S _ �4 / I ❑AduitSignatureRestricted Delivery$ C3 Postage ja°5� �GS� f l p0-• Postage $0.55 1 GSRs f1 . {� L 0 11/ltl Total Postage and Febs�9 -t r m Total Postage an Fit.9 e tt 5 1--0 Sent To j 11-9 J Sent To t� �__ --- Q -- ------- -- ------------------------- I 0 §---Nand �'a 9tieet an pt. ,o Box --- - -- - — - -- % / r - I Ci State,ZIP+ �- -- Crty sere zT - ty `7� l c-Z :ee a ee eee•. 1 :ee a ee .�.•e, ---- U.S. Postal Service Ln Domestic Mail Onl�. GP P t NY! kl9 ' cry et 09.5 � Certru ified Matl Fee, $� 'M Certified Mail Fee $3.55 f� t�t`�(�{9{a'" t '° /.� $ 05 a I "ra $ o � �� �' ted tpj 1 0 2020 i Extra Services Fees(checkbox,a Ole a r ipr (TI Extra Services&Fees(checkbox,add fee te) ❑Return Receipt(hardcoPY) �A _. !_ l Postmark - ❑ Return Receipt(hardcopy) $ �(�}'//p ..,y ❑Return Receipt(electronic)- $ ,� F �- p ❑ Return Receipt(electronic) $ $i 1 l flCi poSt�ark' O $I 1111 l ys Here 40/ ❑Certified Mall Restricted Delivery $ 1 0 ❑Certif ed Mail Restricted Delivery $ ITa'flil ' HBrO �Q J % 0 ❑Adult Signature Required $ #tom- g(JSpS�f�(r 7I 0 []Adult Signature Required $ ri• a �r�r / - - *'� da ❑AdultSlgnatureRestrictedDelivery$ ----� []Adult Signature Restricted Delivery$ -�(� �-� PI� Postage' C5,, ootage i i r1�- /2j2�$0.55 o $ ! cO Total Postage and F es l i r1 1/ '20 j m Total postage and FIT.q5 17-1 $ 3+ En Sent To Sent To fU --------------------------- --------------------------------- 0 Street and Apt B o. §trees andT-ij, 01P2J (` --- —"`' �[U��/ -------------- I City ate ��77 City,State, 1 :ee r ee ere•e• _ --, - - ■ � I a 1 L 1 ■ WA i� `- •5o1 0 p �1 �4 [9%° L �d " fTl • 095 Certified Mad Fee, $-3.•�5y IS Certified Mailee t 7_ee rd� I195U ((N r-1 $ to) Nov I m •:t•J ` j! M Extra Services&Fees(cheekboz add tsetse a app= t -� $ 1 Nov ,�t ❑RetumReceipt(hardCc I �fJ n" ,: Postm�k2OZO I IM Extra Services&Fees(checkbox,add lee rot.e) t! z�`� { Return Receipt(eiactnonl1) $ '" Here ❑RetumRecelpt(hardcoPY) $ 2Q O ❑ �'j j( 17j1 Postmark ❑Certltied Mall ResVided Delivery `� ❑Return Receipt(electronic) $ fflry I.t `qs Hera .�/ 3 "Adult Signature Required �Q ❑certigedMailRestddedDelivery _$ .-r--- 8G �4/ - ❑Adult Signature RestnctedDehvery$� �O []Adult Signature Required $ — DSPs(dOR�Q postage ❑Adult Signature Restricted Delivery$�— •�-._ (_ ' �ilJ55 11/10/2020 �!r 3 $Stage $1_i,.55 1111 G/2i12b ca Total Postage and Fes c , 6.9.E ct] Total Postage and 95 'r3� $ Sent tn C - - $S ,State,ZIPe+e 4o �.o 0Sent =31 No.---------- -- '- - - r' S ru -------------- C3reetn - / ------------------------------------- r4I City,State, IP+4® :ee a ee eee•e ._— , i , Postal P � f CE13TIFIED MAIL@ RECLIPT MAIO . ru 'Ddrhestic Mail OWY ) m Dqm6stic Mail Only ro .• 1 i CD cO Certified Mall Fee 7 ce �O Certified Mad Fee er �.:i:r - /"�� bY�ft �1 r�°� 3.•atie J�IFt� Q'gi Extra Services&Fees(checkbox add fee ep�po te) a 4Ln Extra Services&Fees(check box,add fee esuprte) rtr i� ❑11-9 Return Receipt(hardcopy) $ e�•� �aAI -, ❑Return Receipt(hardcopy) $ ❑Return Receipt(electronic) $ 1.�.�1 A`nv postrnafl '� O ❑Return Receipt(electronic) $ T-01( [t1r1C��q I , 0 ❑Certified Mall Restricted Delivery -$ $11_Ila � ' Here � f + O ❑Certified Mall Restricted Delivery $ $17.ill i � Here 20 C3 ❑Adult Signature Required - $ dr- 3 r ❑AdultSlgnatureRegwred $ dmf r��i^ 9� / +I []Adult Signature Restricted Delivery$ '"�t? O�j ❑AduitSignatureRestdctedDelivery.$ O Postage c Gsp ( M Postage $0.55 asps Fof Q-. `�17,.f:5 � Sfdoa� rr !V C3 $ o $ 1'1/10/ 02D f m Total Postage and F c 11/1 ra12t! - i m Total Postage and F W.9.. .9 179 3:0 Sent T GIJZ � Sent To r.9��/� 1,'1 � Sreetan Apt.No.,orlC7Box o. ` �i1"` -_-�----------------- 1 � Ci•Sfafe��P , -I �-��-- •---��-/-1--„-/y--r-e- Sret _ --- ' -------- Qi ----��=�.2_c�r1--MVV J � � c'trtit K--.------•-------- ■ • p ■ • jY ! © i o . m f i Domestic Mail Only ? o ,, reg Aat ,lY 94 �z �� rR Att Ire Ir i I, ( ru \,,) it*" r �' �asf��` Fa_, ru • � Ln Certified Mail Fee ee - g J' r 0958 i • �'i3..1i,e _ I ep�*�` �.I 1v��"� _ e0 Certified Mail Fee t�3��5 �pp�� p/ y �tni�rP/y�r�� Extra Services&Fees(checkLn bo 4 add fee qpp te) Extra Services&Fees(checkbox,add fee te) ❑Return Receipt(hardcopy) $ I.i.ll_ -< r� NOV9pl/y 1 run1`�� ❑RatumRecelpt(hardcopY) $ 3 ❑Return Receipt(electronic) $ $11..1111 Posttmar t r-91 ❑Return Receipt(electronic) $ 11• 1-I P Postmark 0 ❑Certified Mail Restricted Delivery $ , 0Postage ro'°GS O� O Certified MallRestedDalive $Here ++bk rr'l1 r.i,.lrrTile - 9.f8`. p�Here C3 ❑Adult Signature Required $ kiefi-r, � ❑Adult Signature Required $ ❑Adult Signature Restricted Delive ry$ []Adult Signature Restricted Delivery$ Poeta e Ir Postage$ $ . e $ e�5 1I1 Ir l l/���i�li!I O 11/10/202t_t Total Postage and F r.9� I m Total Postage and Fees•g c $ $ �O '� Sent To Sent To a C3 -------- - ---� --- . - • -- ------------------- ------- ? � §lraef and'Apt IVo.,orPt3�ozNo. I p {� ;-�p "--"o. sYree I - - _ _ r` - �I0 - I ----- - - -- - ---------' - _. . Clry,State,Z/P+4b 'N�yt '""-- "" Stat,ZI l I :ee r t l ' f ■ ® Service y ■ • I a tEATIFIED O . ■ Ica ■. •nly O ' L •t " L ,r pA�P Cerhfed Mad Fee $3.c5 L0"95ru Ir ym � cO Certihed Mail Fee,, �,cry rl9.ery rl $ c' SIS _ A, $ pc;� �t�, 'I -�.•1�,� (t') Extra Services Fees(check add feeertte) I�Q�f f,�t L„ Extra Services&Fees(check box,add fee aaagora9riate) *•rtti�, ❑Return Receipt(hardcopy)- $ 1 u El Return Receipt(hardcopy) $ �'1 Cill��li `�� tel` ,F� p ❑Return Receipt(electronic) POStmalk u r{ ��,l C ❑Return Receipt(electronic) - •e $ t•, Postmatk R( (' � []Certified MailResWetedDelivery $ tl� tl�l` ,¢ Here C ❑Certified Mali Restricted Delivery $ girl 00 r� J��I; �F�ere �`, 0 ❑Adult Signature Required $ �)��-11� � �•l C-3 []Adult Signature Required - $ �i �r'; ,; r' b J'ii 0 ❑AdultSignatare Restricted Delivery$ GsA$P40R��O4 []Adult Signature Restricted Delivery$ t: Postage $0.55 ' Postage cc 'k r9 $ 11/1 Cl%2l]?i D C/ 4 , Total Postage and F$eg. c mrnTotal Postage and F c ? $ �p $ �. Sent To -- Sent To rl l ------- - ----- - _.. C3 Streets r=I �l//1/T/� Apt No.,or PO N Sfreee and Apt.N,or Pa�ox'ldo. ,-- ------------------ __ t. Cdy,State,ZIP+4® P 19 ------ -- ? Cdy State ZIP+4® 1 1 :ee r ee ee,•e. TM 0 U.S. PostafServide 0" CERTIFIED o RECEIPT Domestic Mail s Ir Ln [1-' nj "Fi- NCertified Mail Fee .:t � �AA�` ; Certified Mart Fee. $3.55lig Q^ F_xtra SeMces&Fees(chackbox add fea @A ryp t� �� tr'�'t' D' Extra Services&FeeS(check box,add fee p te) 4t r ❑Return Receipt(hanicePYl $ L�•L� �)p _ �0® O �f02 ❑Retum Receipt(hardcopy $ •LrILr _ ht {, ❑Return Receipt(electronic) $ I_„I It I t PoStNgo t ❑Return Receipt(electronic) $ t l I in Itl os 202 t}_jijt Hefe ❑Certrfiad Mail Restricted Delivery $ L(1 1}i l- d'. Here ( 0 ❑Certified Mail ResMcted Delivery •$ 1 ! J ❑Aduk Signature Required $ `�—I �1 '�10 OQ(, O ❑Adult Signature1:3 Required $ �� s8 ��; ❑Adult Signature Restricted Delivery$ - °+,•�G°GS �, - ❑Aduk SignatureRastrlcted Delivery$ 'Co p Postage. $6�try �'S pJO Q Postage' $0.55 s PdOR fO Total Postage and s 11/1 1/70.21 I 1 C3 Total Postage and Ff9s 95 CO $ nt o . cp Sent To OO,�ey( v r-4 + -----------------^- O S e an-Ap No---PtjSoxWfo---- ----5"-- -- -- ------ C3 ' ------ -.-and Lffd- PO Bo Co _- ----------------------------------- ------------------- -_` --------------- i CI ,St fe 1P+4 - - p- -^------- _ � CI tate +4 - (•, - -- --- -- -I -- - Postal- - — I Postal /# CERTIFIED MAIL"' RECEIPT CERTIFIED MAILP RECEIPT Domestic 10ail Onl C3 Dom'6'stic Mail Only M ru tr Q- .0 Q - 0. I e ill i [ - .� website I rU i IS t � ` , 8,a h to Certdied Mad Fee re �° t= co Certified Mail Fee cr $3.:r:r ��� 19a�C� � $3.:r:r Q^ Extra Services&Fees(checkbow add fee Q" Extra Services&Fees(checkbox,add fee rop(ye) •�- `� ❑Return Receipt(hardcopy) $ - - ❑Return Receipt(hardcopy) $ - •'-'!' - /L. (1�(1 I O ❑ReturnReceipt(electronic) - $ - +I}_1111 ��rk nO - -G I O ❑Return Receipt(eleetmnle) $ Q >! Nov 1PQsit?99 111 C3 ❑Certified Mail Restricted Delivery $ $0�•l_1i t1 Ha ( �� II ❑Certified Mall Restricted Delivery '$ _f^,1 1111 C Here 1 [:3 ❑Adu1tSignature Required $ p9 - fr a QAdukSignatureRequlred $ e�� 14A_� Qom! ❑Adult Signature Restricted Delivery$ - S Q'�, ❑Adult Signature Restricted Delivery$• - ,,g 'Cie, 1 p Postage < - rc �G fOi' p Postage ir C3 Total Postage and F r 11/1 fl/�[I�Q O Total Postage and F e r 11/10/2020 I m $ fr.9:r m $ �.9:r co Sent To �p r c0 S t o r '� f r_` -- ---- ' � Stree and t. ., PO o. � O S rest�d Apt o �-Boz No ;� � - : - - - - z rt�1P �{ -►_fir_. C ty, tate, I j 0 I Crty,Stafe,Z/P+4 - ^ - 144-- -= Postal, `W04043 3n V P 1Domestic Mi 111 OnlY rU 1I O Cr ru cO Certified Mail Fee 3 re (\r t}o ru ; ✓ j l c �+.i.•J:t - � < <J ca Certified Mail Fee ��pp r6. r �' v' m._ Extra Services&Fees(checkbox,add fee e,ap�nd�te) m �7 EMra Services&Fees(checkbo�y add fee r ❑Return Receipt(hardcopy, $ u I_ILLI Nov 1 99 ❑Return Receipt(hardoopy) $ �reR) ®� r �1 ' — Post �y r ❑Return Receipt(electronic) $ X20 ❑Return Recelpt(electronic) $ 11_Ilii [ 7� (] ❑CertlFled Mall Restricted Delivery •$ t I-1111 > Here C3 �, Postr�tla F +k l'1 •I lfl a d` 0 ❑Cert�fled Mail Restricted Delivery $_ tri f ,�> Here' p []Adult Signature Required, $ -- G �; M ❑Adult Signature Required ry$- ❑Adult Signature Restricted DehverY$ M []Adult Srgnatura•RestrlctedDellve $ 0 Postage �il l-55 Sps P11 �'� I M Postage rr �S P�YOR��• Er $ 11/it�7 Ij2Ct' Ir $ ►:t.:r.-, - M Total Postage and F C3 Total Postage and F e¢ 11/10/2020 �.9 m �e Sent To CO Se To 1 tti Sfreefand p! orPiiz o.' ----------- -----------------' � I O St a Apt'-o.,,pr Boic llfo:j�� �7ry;state,2iP+4 i i crry f @,ZIP+4� - 1 6j - - r .S.,post RECEIPT -GERTIFIEDjMAILo . CERTWIED MAIL { t.r) Domestic me,oniy _G ! Domestic lj4aff Only ,rill �- - •11ntr��tt3�:ilk! � t1 N •Soll�o nor Y 119 1 rE�'�, ru � ¢ t r L L�> �' iO Certified Mall Fee p ec C J._15.1 rrl Certified Mad Fee •cis �/ (1951 ��� � �' � h ; ri $ c (4/0V It Er e r ,�} Extra Services&Fees(checkbox,add fee �Qp10"Ie) I M Extra Services&Fees(check box add fee a app J I lrr r , ❑ Return Receipt(hardcopy) $ �i°- r ©��il o '{j6 ❑Return Receipt(hardcopy) $ !as ,D ❑❑ 'G Postm � ❑Return Receipt(electronic) t(electronic) $ Certified Mail Restricted Delivery $$Return ReceipHere OHere '0 ❑CernedMail Restricted Delivery $ C3 $ p tied $ Adult Signature Requlred ❑Adult Signature Restricted DeINary$Q ❑Adult Signature Restricted Delivery$ NORV arK.ULV p� ' I O Postage $0.55, USpS 00 ' Postage $0.5c Er 2 7 r-1 $ 11/10/2020 � Total Postage and F gs c I I,,•11 CO Total Postage and Fee ftl d..9. ra $9.95 $ $ 17=1 Sent To O Sent To - - ------------- - - --_ ----- ----------- N or P Bo N. Street an p r ox O Street Ap Str t V. o P B o,n ------ - ------------ ----------------------- -----`-- --- y City State,Ztt�+4a----------------- — =+_ J __ � 1 _ zs --�J-Y - � mCity,State,ZI +4 ,� /' j 1 1 1 111' _ I •/ r 1 1 111•1 - Postal Service""T1 Postal S6rvicelI , o ■ © RECEIPT I /• Only CE43TIFIED MAILM CO f1J rp {� tt s ru 1QQ �1 ,r01 ��r 4 cp Certified Mall Fee .O Certified Mail Fee $3.55 �`F � Il) U,) $ e l��C 0r Extra Services&rem(checkboxadd fee date) ay�Q Ir i J 2 Extra Services&Fees(checkbox add fee aaapprgf+file) Q ,c , ❑Return ReceiPt(harttwpy) $ Irp� �r (1 Return $ i�irr(r ° ; ❑ReturnReceipt(electronle) $ ¢t---r-r-.titer �VUYs t7k2U20 r� U.0 ® ° 7 Cl ❑Return Receipt(electronic) $ 020 a0 ❑Certified Mail Restricted Delivery $ e ISL— Here � ❑Certfited Mall Restricted Delivery $ 'ki7-ilii_ - Here " i Adult Signature Required $ Adult Signature Required $ d:i — k y Q t= ❑ E:3 ❑ ❑AdurcSlgnatureRestricted Delivery$ []Adult Signature Restricted Delivery$ .93. x/ p Postage _ 1� postage i l.55 �USFS�� "l I E' $ !t.cir_Y Q, $ 1'1/1 f!l2!72U I � Total Postage and Fees m Total Postage and F�qs.9 5 (�l $6.95 CC11 � $ . IS cO Sent To 'rfl Set r •� r=1 -------------'-'-------------------------• O _------- Box o. V Y L'�- ---- O Street and Apt N ,or lsD S1oxiii N S e' an t. o.,or O [� -- --------------------------------- -- Crty,State Z +4 �n � I ' I :11 1 11 111•1' � • 1 Postal . CERTIFIED MAIL© ■ ■ rutr cc Domc�tjc Mail Only M • • lt� • •Grua � �E3 --0958 ru 11 CO % �' `�'> n W Certified Mad Fee $3 cc U L P t tU� �• ©� ��iC I Certified Mail Fee 55 p Q+ $ Extra Lr) AN Services&Fees(check box,add fee aR Extra Services&Fees pheckbox,add fee 1(ppilff e) 4 �Y 5 ❑Return Receipt(hardcoPY) �I Ili l Postmark s i ❑RetumReceipt(hatdcoPY) $ Vn - ❑ReturnReceipt(electronlc) NOVere N0�° '020 I $ { O ❑Return Receipt(electronic) -$ t •�U I I ❑Certified Mail Rastncted Delivery i ❑CertifiedMailRestrictedDelivery'$ $17 fliI-- 1k Here C3 []Adult Signature Required $ —yrTl Ia` •4 O E]Adult SignatureRequlred- $ di r• � ,� 4`� , AdultSign—Restricted $�� []Adult Signature Restncted Delivery$ 9S �G Q� Postage c l�•cc �y $�I.55 S OR Postage i,i 11/iC!I -26 M $ O $ � m Total Postage and IT.95 1 M Total Postage and FIK 95 nt GGcc S Sent To / I p / --- -- � Street and t. o. �PO'�Bo�x No., - 'r-------- ------------- ---- ---------------- '--'-C--- ---- -Stae.ZIP+4® - - :11 1 11 11 •/ Pos" tal ' eU.S. Postal Srvice"il J9 T. CEIRTIFIED MAILRECEIT TIFIEDO P , AILT RE, EPT ff tv! A C 1. Ohly� Domestic Mail omestic Mail Only M —UQla 011111, Lno Ln F S 0 Oak., T F FFNy 'rl 142119 ollOoRdli )U Certified Mail M Certified Mail Fee A $3.55 r-4 $ F1958 $ -1 *01/ 095 NOV S �c sa,�. 0 Extra Services as(check box,add �0�0 M _T Services fe"a aji 9pr—fttal' M Extra Services&Fees(checkbox,add fee 0 j Return Receipt(hardcopy) I El Return Receipt(hardcopy) $ 20V $ _X I 0 [3 Return Receipt(electronic) f C:3 ❑Return Receipt(electronic) CP Postm'ar C3 $ C3 El Certified Mail Restricted Delivery Postmark E]Certified Mail Restricted Delivery (kn A171 Hero r-3 ElAdult Signature Re .�9,S, He �0,,- 'C3 []Adult Signature Required Required $ C3 $ 0 0 [3Adult Signature Restricted Delivery$ []Adult Signature Restri6ted Delivery S C3 Postage_ 0 Postage r-*1 $ $0.55RZO Total 11/10/2020 Total Postage and 11/10/2020 $ $ x.95 r3 Sent To 10 Se ni 11j --- r_:3 StreetA t---- ---- ------ E3 at Act. r ---- - - ---- ---- ---------- --------------- ------------ ------- 11 - ----------- -- --------------- C late, ....................... --------------- i�4110.. r 211 TW Postal Service U.S. Postal Service )L 6� �1471,1� �CERTIF18D 'MAIL� Le R� -)&A ECEIPT 9 CEIRTIFIiED MAI RECEIPT1.1'. ru -Domestic Alaill"Onlyr Ln Domestic Mail Only M M 1111111112-UgWORW919"ll.1111111.11MMIN CO UPeLkn Prop 11, I Sr- 1�423, rrt, p� ru i M Certified Mail Fee qp ro Certified Mail Fee —\.-.-7 6 e $3.55 $3.55 $ Ln -PEG 58. M Extra Services& — �\3L FeeiTpheckbcqy addja9aa%VTV(69) Extra Services&Fees(check Er box,ecteens 3t, El Return Receipt(hardcopy) $ r.9 [I Return Receipt(hardcopy) $'- g 1=3 [I Return Receipt(electronic) $ 'S 0ma z 0 Return Receipt(electronic) $ I co _e. Po ,V _<I , l C3 0 'El Certified Mali Restricted Delivery $ Here, 10 P tm C-3 tif)-Q0 i C-3 11 Certified Mail Restricted Delivery $ NOV ?s .120 []Adult Signature Required $ so w 1_-3 E3Adult Signature Required $000 1 ,Here C3 - ElAdultSignature Restricted Delivery$ $9.00 El Adult Signature Restricted Delivery$ C3 Postage $ r3 Postage Er •55 61 r-1 $ rO Total Postage and 11/10/2020 M Total Postage an 020 r-q $ E3 Firs.9s r_3 Sent I CO t TO To fru (6 r9 -I V Rf�-6------------- C3 8fF,;& T. et NoT'O ------------------------------ 1.N Vox NP. -0 tai, ,i - - - ------- rif S dli� ---------- U.S. Postal,Servi i U..S. Postal Service ACERTIFIED MA Lo R'iCEIPT. CERTIFIED © AECEIPT,�'. ,. 1 Ir Do -MailOnly " mestic rr Donjestic Mall Only i C13 rU M j=-Mogm =ZZ111 MM= Yoft _p;S, Pli �107131 U k ,RIP U certified Mail Fee $3.55 Q7 P U U U Ll M (19 58 M ified Mail FOB $3.55 \FU -199, 7 q $ S13 r rq $ IN $ lwr.onlel ?, M Extra Services&Fees(checkbox,addlee eb M Extra Services&Fees(che TbOx.add fee a ❑Return Receipt(hardcopy)ckboK,add as asjffr.CFf6e) $ /x Postmark Return Receipt(hardOOPY) /10// 13 r_3 ❑Return Receipt(electronic) $ C' ppp i C-3 ❑Return Receipt(electronic) $ it 1 He ark' z 0 ❑Cergied Mail Restricted Delivery $ Here 0 M ❑Certfied Mail Restricted Delivery $ I I ll 1-3 []Aduh Signature Required $ 0 $ IN. L [3 Adult Signature Required A, 0-0 A r-3 E3 Adult Signature Restricted Delivery$ C3 []Adult Signature Restricted Delivery$ Postage C3 $1).55 1=1 Postage $0.55 0 9 $ ------- 0 rc-.' 611pogEj�ge and FV3Z•9c 0 Total Postage and Frg.9� ca r:1 1 $ $ c3 SentT C:l sent TO rij .- I --- ---------- - ----------------- rU ---------------- -------- ------- C:3 andA 0 PAU 2T 1W ------------- it n Apt. x 0. O S r- 7 ------- -------- ate, 7 ZIP+4® ty, F Q7 t4/1 te, • •MPLETE THIS • • • . • • • o • DELIVERY COMPLETE ■ Complete items 1,2,and 3. A. Sig ur ■ Complete items 1,2,and 3. A. Signature gent ■ Print your name and address on the reverse X ❑� ■ Print your name and address on the reverse X S ddre y so thatwe can return the card to you. so that we can return the card to you. [TAddressee D livery B. Received by(Printed N e) C. Date B. Received b ri ted,Name) C. Date of Del'very ■ Attach this card to the back of the mail lece, ■ Attach this card to the back of the mailpiece, �j'��,� C f or on the front if space permits. rn oa�( IQ P or on the front if space permits. l D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: D. Is delivery address fierent from Item 1? ❑ 1. Article Addressed to: ry ++ If YES,enter delivery address below: ❑ If YES,enter delivery address below: ❑No 1 4 ) 07f 3. Service Type ❑Priority Mail Express® II 1111111 IIII III I I I I I II I III��III I I I I II IIII III 3. Service Type ❑Priority Mail) II 1111111 IIII 1111111 I II I 1111111111111111111111 El Adult Signature 13 Registered R El Adult Signature ❑Registered Mail"m ❑Adult Signature Restricted Delivery ❑Registered d E3 Adult Signature Restricted Delivery ❑Registered Mail Restricted ElCertified MaM Delivery 1 [3 Certified Mall® Delivery 9590 9403 0769 5196 1203 37 ❑Certified Mail Restricted Delivery ❑Return Re 9590 9403 0769 5196 120139 ❑Certified Mall ResMcted Delivery ❑Returnhdc e t for ❑Collect on Delivery Merchandis6 ❑Collect on Delivery ❑Signature Confirmation TM ❑Collect on Delivery Restricted Delivery.❑Signature Cc ❑Collect on Delivery Restricted Delivery 2. Article Numher(fransfer fiom;servlce labes,_�_i.!—j_ -,___,,Mil __ , _ :;!p signature c� 2•-Adicl_e_Number(Transfer from service labe9 ,-_•.�l,ia+l , , , , ❑signature Confirmation r �_+ t G + 4+ d+ ! t !r i ;4 t + sil Restricted Delivery' I Restricted Delivery l 1 7018 3090 3 3 31 9 5 8 2 63 6 8 - ,D0.11 Restricted Delivery Restricted DI I "�Q 2 O; 1813` 0'0 0 ; 31'3 41 �5 2 8'51 = ? Ps Form 3811,April 2015 PSN 7530'-02-000-9053 Domestic Retu6•JPS,Form 3811,„April 2015 PSN 7530-02-000-9053 E - = `: Domestic Return Receipt _ i SENDER* COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIV( SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY of ' ” r' t+' A:Signature i; s= , .r = = • : = ■ Complete items 1,2,and 3. ■ Complete items 1,2;a�i;.�,�3°A� ' ' ' ' A.-'Sig ■ Print your name and address on the reverse X y �� ■ Print your name and aopress on the reverse ❑Agent j so that we can return the card to you. so that we can return t4i card to you. X ❑Addressee j e) P ■ Attach this card to the back of the mailpiece, B. eiv b ti ■ Attach this card to the back of the mailpiece, B.Wceiv d by ted Name) C. Date of Delivery j or on the front if space permits. y or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from Rem D. Is delive address 'm rent from item 1? ❑Yes „ ry 1 1. Article Addressed to: I I . If YES,enter delivery address below ry t�, r,4wo 1 If YES,enter delivery address below: ❑No I A6 1'tqwx // �Zt�'►�Z � - 1 / q�A III 111111 IIII III I I I I I II I III II III'I I I II I I II III Service❑Ad eIIItlllllIIIII'IIIIIIIIIIIIIIIIIIIIIIIIIIII trs � 3 'all �® Rel Signature ❑Rel1eddulSntreRestricted Delivery ❑ Adult g7 _'MaiIM D 13 Certified Mall® ❑duSig Restricted Delivery ❑Reglsteredil Restictedl 9590 9403 0769 5196 1203 13 ❑Certified Mail Restricted Delivery O Re1:1 Certified Mad® I, I ❑Collect an Delivery M� 9590 9403 0769 5196 1201 84 ❑Certified Mail Restricted Delivery ❑I�etum Receipt for r 2.-Article Number(transfer from service labeq ❑Collect on Delivery Restricted Delivery ❑Sic)-- ❑Collect on Delivery --Merchandise r o_'••'••,�,a Mail ❑Siq 2. Article Number(Transfer from service label ❑Collect on Delivery Restricted Delivery Cl signature Confirmation- 7018 Ma=+ ❑Signature Confirmation 7 318 3090 3031 9582 8382 00)il Restricted Delivery R 7 3 2 0 1810 3 3 3 3 313 4 6 8 6 2 itricted Delivery Restricted Delivery ;;Ps Form 3811,April 2015,PSN 7530-02-000-9053 Dorney pS Form 3811,April 2015 PSN 7530-02-000-9053 Domestic Return Receipt ! _ I SENDER: Co • •MPLETE�THIS TION ON ■ Cohilite items 1,2,and 3. A. Signature I ■ Print your name and address on the reverseX 13Agent I so that we can return the card to you. ❑Addressee ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery r m or on the front if space permits. N ® o o 1. Article Addressed to: D. Is delivery address different from dem 1? ❑Yes m `o o m a�m o Crs €€ If YES,enter deliveryaddress below: No rna o z sm _- E o 13 13 0) 1113 12 0,Z!2 C C om`' U IO�O!01— N �3 A _ � 'P02 a: N p i S ' 1.41Eo 'P02a:m o:2 U5 m¢. m J E ❑ I f 1. -- on(' 4--(2 II I IIIIII IIII III I I 111111111111 II I I III III 3, Seniice Type ❑Priority Mf' W C�0• all ExpressO , > ,om O11 Adult Signature 1:1 Registered MallTm C` � `II IT ❑Adult Signature Restricted Delive ry ❑Registered Mail Restricted f ❑Certified Mail® Delivery 13 Return ❑cc d❑Ceified Mail Restricted Delivery 6 ',9590 9403 0769 5196 1202 21 ❑ Receipt0VZ3Collect on Delivery Merchandise F.2.2- 2. Article Number(Transfer from service-label) ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation^" ❑Signature Confirmation 0) m i p p-- 7018 3093 0001 9582` 8474 Delivery ry m �w SE `E�� m�,�, o o °� Restricted Delive Restricted Delive m v �• o--m.8.. PS Form 3811,April 2015 PSN 7530-02-000-9053 m �' Domestic Return Receipt--- - - ---- --- — - — — ----- — - - - - - d vd' i�- �X Cd 6 ac _ --- - _ 77 Ln 00 i O SENIJE- • - U -� rn ON • EL , ® co m c > o ® r rq O ■ Complete items 1,2,and 3. ' A. Signature s T 6 N ,m c ■ Print your name and address on the reverse /�j�/ " 2 :f' o �—CU,' d ' so that we can return the card to you. X �l v" gent o-0 o� 10 .-; o n ❑Addressee y ® � �? D z ■ Attach this card to the back of the mailpiece B. Received by(Pri ted N e ri y `° Y E y, O o7 or on the front if space permits. ) C. D t f Deli' very m (D m a� A4 o � E; o n. LO 1. Article Addressed to: D. Is delivery address different from item 17 ❑Yes r' �i v c � 0 (0 N If YES,enter delivery address below: ❑No I r m a) U) o O H ra _ tu M c' C p a cis � ® O & ri Q I � 3tm � ® $ :3ru 00 to z / v 7 ` E c cs 5 o ® O g `o 11 LUa` r°n ¢ `odr rdi D- 3. Service Type I II IIIIIII IIII III I I I I I II I III II IIIc II III II III III ❑0 Adult Adult Signature ture Restricted Delivery ❑Re istered Mail Restricted • ■ • N - a' ❑Priority Mail Express® _ El Certified Mallo ❑Registered Mailr^+ I 9590 9403 0769 5196 1202 07 ❑Certified Mail Restricted Delivery ❑Detum Receipt for 2.rArf c Number(transfer from service labep C]Collect on Delivery Merchandise ❑Co_llec_t_on_Delivery Restricted Delivery ❑Signature Confirmati- E ! 7 0 2 0 1810 00110 313 4 E148 lestncted Delivery El Signatu d nonfl-' j, PS Form 3811,April 2015 PSN 7530-02-000-9053 — ------- - - Dorrm- SENDER: COMPLETE ThIS SECTION COMPLETE ■ Complete items�1,2,and 3. A. Signature ■ Print your name and address on the reverse ❑Agent so that we can return the card to you. X E3 Addressee ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) Cat f ive I or on the front if space permits. // ry - - - - 2 _ ® oo m ? 1. Article to: � � N � ° D. Is delivery address different from item 1? ❑Yes m0 Cd ,� I,_ If YES,enter delivery address below: ❑No o,a o m c a ¢ 0 €€m ¢ JK(E� ¢ ¢ o �z u'_S � 'M 'aod E 22 CC I rwmmE�cc V ll 4 U aEi o a¢aeo �minti E • E d ❑❑❑ ❑ ❑❑ t] Rel N z 3. • 8 e, ❑AdulService gn lure ❑Priority Mail Express® � > Z p liillll I'll III II II III I III II III III IIIII III III 1:1❑AduCertlt ignature Restricted Delivery ❑Re isten d Mall Restricted a v 01 " m ❑Registered Mair • 2 _ m > v_ m 9590 9403 0769 5196 1202 83 d Mail® Delive »°3 m $ Q ❑Certified Mail Restricted Delivery ❑Retum Recei tfor I ! `� 'o v P m ,' m I 2.-Article-Nu ❑Collect on Delivery Merchandise ! o v ¢ _ I (Transfer from seNice labeq ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation-! t a �.2 ¢ I 7 018 3 0 9 3841' 2 n r^S1fed Mal ❑Signature Confirmation I z a m >> �_ I 0 0❑1 9 5 8 2 8 412 -- iRestricted Delivery - - Restricted Delivery 3 = ;m-. - _ - '- C C C C J I PS Form 3811,April 2015'PSN 7530-02-000-9053 j ci v °v in W 0.9° -- — Domestic Return Receipt I m ¢ w= d_ --- — --v- - I • �vvmmo,o�~ X m Ci ¢QUUUU .0 ri❑❑❑❑❑❑ Em SENDER: COMPLETE THIS SEC77ON [2 U-) C, COMPLETE'THIS SECTION ON DELIVERY O. f� O LPD Oca 9 i . . � a U- o ■ Complete items 1,2,and 3. A. S" ure ❑Agent r o E N a ■ Print your name and address on the reverse rl90 so that we can return the card to you. X ❑Addressee ° - T- 9 - ■ Attach this card to the back of the mailpiece, Y ) C.Date of Delivery I N Y E y C3 z B. ei ed b ted Name w j or on the front if space permits. I ;v u, �' LD E a 1. Article Addressed to: « IS ° O r I ! D. Is delivery address ifferent from item 1? ❑Yes I k, W', aro ti Er o j � q-� If YES,enter delivery address below: ❑No { f. N « CL O y a j 'll - - l r mm ° v, ° -- �� m _ �� 1 I> E E y� ¢ M-1 ID g3 a) v to ,o fIl / 71 t E c� o f O cmi I! II 1111111 Illi III I I I I 1111 III 1111111111111111111 EJ❑daft Signature Restrict 'D�ry+�- ' Istmtl3. Service Type N I f. pi rM Re ct _ ■0 EL N ■ T �� a ❑Certified Mail® \ _ i 9590 9403 0769 5196 1201 77 ❑Certified Mail Restricted Delive ry`�p�Retu Recelptfor ❑Collect on Delivery Merchandise 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmatlonTm I 7 0 2 3 1813 0000 313 4 6 3 5 0 --ail ❑Signature Confirmation ! _ _'ail Restricted Delivery Restricted Delivery i PS Form 3811,April 2015 PSN 7530-02-000-9053 : iDomestic Return Receipt 1 w C , SENDER: COMPLETE • COMPLETE SECTIONON { ■ Complete items 1,2,and 3. A. Signature ■ Print your name and address on the reverse X ❑Agent r so that we can return the card to you. ❑Addressee I ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C.Date of Delivery or on the front if space permits. 1. Article ddressed to: D. Is delivery address different from item 17 ❑Yes r N ® o o J If YES,enter delivery address below: I w o1 I�6� �G� �✓� — I E3[3 ❑ ❑ >> U r g m 1 J m NN�N N O101y N � ��� 0A o`acoort�min¢ E 1 "� ❑❑❑ ❑ ❑❑�, o j IIIlIIIIIIIIIIIIIIIIIIII IIII[IIIIIII�IIII VIII -2: z .. 3. Service Type i - ❑Adult Signature ❑Priority Mail Express® • m a`�i ❑Registered MaiITM1+ d Z, 3 ill... ❑Adult Signature Restricted Delivery D Registered Mail Restricted ' a c a v ❑Certified Mail® Delivery 9590 9403 0769 5196 1201 91 ❑Certified Mail Restricted Delivery 0 Retum Recelpt for ❑Collect on Delivery Merchandise 2._Article_Number_lTransfer_'from_service_label) ❑_CaHeat on DeliveryRestricted Delivery ❑Signature Confirmation -- 9 T^+ "ail ❑Signature Confirmation (�} >, v m ?020 1812 0 0 0 0 313 4 6 8 5 5 Itil Restricted Delivery Restricted Delivery m o. S®_o _>- L , 1 c - ~c cM2Lc_c t0� PS Form 3811,April 2015 PSN 7530-02-000-9053----- -, -_-w - --- - is_ _0_ � --_- 9 - - - -Domestic Return Recelpt- j_ t �� D "u�'i rn d d•0 0 9 I£X'j U99 NN 00 0 O � ri0❑❑❑O❑❑{{i"u7 co ( COMPLETE • • • • • ru 8 Q N � C N ih :N c I I ■ Complete items,l,2,and 3. A. Signature j • 6 -8: c ■ Print yodhfamesand address on the reverse ❑Agent «- o m.: o X ❑Addressee a- "r 0 0 n so that we can return the card to you. o o «- N� ■ Attach this card to the back of the mailpiece, B. Received•by(Printery Name) C, to of elivery ; � � � E y.••t3 z or on the front if space permits. 0' �-C% W t i �y �� c -8� � co a e � o Lo 1. Article Addressed to: D. Is delivery address different from item'i ❑ es 1 �° me crei o If YES,enter delivery address below: ❑No I C a.5 t N o _\ c C3 N 4 rn a� a v lV m Q l/ ` 3 • U U p W cp r y w r �® m i N 'a E ' co / Ec0 mo � ® o i II�'lll'I illi I'I I I I I I II I III II III I I I II I II I II III 3. Service Type ❑Priority Mail Express® - ■ ■ ■ r moi— Cl) ❑Adult Signature ❑Registered Mails" ❑Adult Signature Restricted Delivery ❑ egistered Mail Restricted ❑Certified Mali® Delivery 9590 9403 0769 5196'1202 14 ❑Certified Mail Restricted Delivery ❑Retum Receipt for ❑Collect on Delivery Merchandise 2.-Article-Number-fftansferfrom_service labe0 ❑Collect on Delivery Restricted Delivery d Signature ConfirmatlonTM ?018 3090 0001 9582 8 4 81 ❑Signature Confirmation t Restricted Delivery Restricted Delivery } 'PS Form 3811,-April 2015 PSN 7530-02-000-9053 p Domestic Return Receipt '� SENDER: COMPLETE THIS SE tION CO V ■ Complete items 1,2,and 3. A. Si'. tilt ■ Print your name,and address on the reverse �� J so that we can return the card to you. X .i/f 0 Agent ■ Attach this card to the back of the mailpiece, B. ived by pn*nte a ee _ _ . - m v °' a. or on the front if space permits. C.Date of Delivery �, ar z ® o o ;, 1. Article Addressed to: OLD � N ' N � 9`"a a I D If YES,Is a different fr 1? ❑Yes r ¢a o Z 9 g 2 8 00 0 livery address ❑No )f - J �fJt/ f/Iv'lLM1Ur `C�/ NOV13 ❑❑ o ❑❑ �mzEroo cc F4o mm mm j �[ _ U� o a¢¢no��rorn� Ea i N m 3. Il��lflflt'ill'IIIIIIIIIIIIIIII�tlltllllllllll ❑AdultioeType ❑Priority Mail Fxpmss® . Z a Z a oa o ❑Adult Signature ❑Registered Mail- ;.� a, ig ature Restricted Delivery ❑Registered Mail Restricted v, '- 9590 9403-0769 5196 1200 ❑Certified Mall® 54 ❑Certified Mail Restricted Delive Delivery m i F. ❑Collect on Delivery ry ❑Retum Receipt for { m m R > ¢ ?•_Article Number rY Merchandise r a>>__ m i +I _(fl2nsfer from seN/ce/abed ❑Collect on Delivery Restricted Delivery ❑Signature ConfrmationTm t I �� ar ,,a a o o , 7020 1810 0 0 0 0 ❑-Insured Mall ❑Signature Confirmation �, c c 313 4 7 2 9 6 ii Restricted Delivery Restricted Delivery 01 CD w w v o 0 PS Form 3811,April 2015 PSN 7530-02-000-9053 i `1 = °2''o a o' Domestic Return Receipt � - ' Q �( m t I N�Qt! _ --- ° - r6[1[10131:1011, 1 co SENDER: COMPLETE THIS SEC)11ON COMPLETk'THIS SECTION ON DELIVERY a) C� rn Ln Ca ill'Complete items 1,2,and 3. A. Sig r x o o E _9 o c o i CD ■ Print your name•and.address on the reverse X � �� ❑Agent i i� • o Q a ra o so that we can.return the card to you. ❑Addressee I o' » Z I ■ Attach this cardio the back of the mailpiece, B. ec ' y(Printed Name) C. Date of Delivery y 0 E '�' N o cd E C3 a 0. or on the fion"•if space permits. I c = Q O) Q 1. Article Addressed to: _ Cn D. Is delivery address different from Item 17 13 Yes- i 0 E r 0 y N ii,/^ ,,� � � If YES,enter delivery address below: p No N - c a c c b-Iss N IEd of Za U C N T • o aT O E CM rn w- 10- 762-0' a. 3 3 �L v Q.� ® � Z O a v I . 'l V J /�7 1 • p �• cmi Iti 1i U a`. r°nQ `o 111 Illlil I'll 111111111111111111111111111111Service Type ❑Priority Mail Express® ! ' NiD 13 - Ill ❑Adult Signature ❑Registered MaiITM I �-_• � • � r ❑Adult Signature Restricted Delivery ❑Registered Mall Restricted] ❑Certified Mail® Delivery 9590 9403 0769 51961203 75 0 Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise r } 2. Article Number(transfer from service labeq ❑Collect on Delivery Restricted Delivery ❑Signature ConfinnationTm I r .[1.Insured Mail ❑Signature Confirmation { l 7 218-_ 3 2 9 2 0001 9582 6944 I Restricted Delivery Restricted Delivery If ), Ps'Form 3811,•'Apri12015 PSN 7530-02-000-9053 _ Domestic Return Receipt J SENDER: COMPLETE THIS SECTION COMPLETE THIS ik'CUON ON DELIVERY ■ Complete-items 1,2,and 3. A,-Signature ■ Print your name-and address on the reverse X ❑Agent so that we can return the card to you. ❑Addressee ■ Attach this card to the back of the mailpiece, B Received by(Printed Name) C.Date of Delivery or on the front if space permits. ' 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes If YES,enter delivery address below: ❑No ' aciv0 w a�Q ° r/ Ll�1/{�`/,�VVV/•{�')/��IA/_JJ!(-Ifs'' `��:5�'' s 1313 O ❑❑ 2 m 2`¢��'Zi A rE 1 17q® t M W& W m 0 yo a.r- OBW��. E Er 00 0 3. Service Type ❑Priority Mail Express@ I ` E n � II I'lllll IIII I'l l 11l I I II I III II III I I II II III I I�iI ❑Adult Signature ❑Registered MaiITM9 ❑Adult Signature Restricted Delivery ❑Registered Mad Restricted-, ❑Certified Mail® t7elivery 1 re m y > m o..-Z. 9590 9403 0769 5196 1201 46 ❑Certified Mail Restricted Delivery ❑Return Re for I Z d m m ❑Collect on Delivery Merchandise 2. Article Number(Transfer from service(abe# ❑Collect on Delivery Restricted Delivery ❑Signature ConfirrmationT"' m x -- -. --:;-; : -:- -- - n t��,i .nn�u--•. , i r i❑Signature Confirmation Ii .m - is ¢•-°' 7 0 2 d i 11'810 t 0 0.0 0 31�3 4 5 5 0 6 f'!i 1 istricted Delivery , l 1 Restricted Deliverya? •- CL PS Form 3811•,April 2015 PSN 7530-02-000-9053 _-___-- _Domestic F7pGi Receipt-e - �•. •; a dui �rnrnvvo o$r...� Q m O 0Q�aS80J � _ I ri❑❑❑ ❑ ❑ ❑[ U- SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION,ON DELIVERYi co_ i ■ Complete items 1,2,and 3. A. signature m a 1 {-� o ■ Print our name and address on the reverse _ ❑Agent ! N „n y X ❑Addressee ; i • mio E D^ o so that we can return the card to you. t >, m fV B. Received by(Printed Name) ' C. Date of Delivery I a o � _ `- W.F r�i ` ■ Attach'this Bard to the back of the mailpiece, 0-0 �p r or on the front if space permits. / N `a Y U 2 C3 =z` 1. Article Addressed.to: `_ `,'• D. Is de' ery address efferent m m i? ❑Yes 1) o € �! � a A' n��,A/ ' ,^ 'j '' If S,enter delive add a w: ❑No � � �� � � � °i T o WL>WCQ 17 �t nj O N �� O n'..E3 C9 C. CL �7S U C Y — roQ0o 'a O ® °' r T to p M Le Co 3. Service Type q Priority Mail Express( I II I IIIIII I'll III I I I I I II I I'I II III I I I I IIII II I SII 10 Adult:1 Adult Signature Restricted Delivery ❑Reistered Mal Restricted( • U d 10 N Q Registered ` ❑Certified Mad® Delivery I ■ ■ ■ NI`_ D=- 9590 9403 0769 5196 1203 99 ❑Certified Mad Restricted Delivery D Return Receipt for - ❑Collect on Delivery Merchandise I 2._Article-Article (Transfer from service label} ❑Collect on Delivery Restricted Delivery ❑Signature Confirnatiorim ❑Insured Mail ❑Signature Confirmation I L 7 018 3090 2 0 01 9582 6 9 2 2 —�Restricted Delivery Restricted Delivery I PS,Form 3811,1April 2015 PSN 70-02-000-9053 _ Domestic Return Receipt 53 l SECTIONSENDER: COMPLETE THIS ■ Complete items 1,2,and 3. ignature ■ Print your name and address on the reverse E3 Agent - _ so that we can return the card to you. ❑Addressee ■ ■ ■ ■ Attach this card to the back of the mallpiece, B. Received by doted Name) C. Dat of Delivery livery _o o o n o or on the front if space permits. FO ® m ' s a 3 • 1. Article Address to: � D. Is delivery address different from item 1? ❑Yes ((( ca E3 :rr vt @ A j n m s c m if YES,enter delivery address below: ❑No !� 3 OC rn m � m ` 1 O • gg '- �Bp I v LLI �� p, o a m O" p ca O -� -Cn 141 ! IIIIIII'II'llIII 3. Service Typey ❑Priority Mail Express®Z y Adult Signature ❑Registered MaiITM On � IIIIIII III1IIIIIIIIIIIIIIIII ❑Adult Signature Restricted Delivery 13 Rei c istered Mail Restrcted fevery j} ! e m 9590 9403 0769 5196 1203 44 ❑Certified Mail Restricted Delivery ❑Return Receipt for N m O 3 O • ❑Collect an Delivery Merchandise N �' �' 2. Article-NumberlTransfer from service label ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTM+ - — E3 Signature Confirmation C3 rU f0 C i r,.� �..a(rigs.( ;�stricted`Delivery; Restricted Delivery o 0 m ! �" 70-18 3090. 0001 9582 83`51 C33 . PS Form 3811,April 2015 PSN 7530-02-000-9053` Domestic Return Receipt Ln [30.00000w 11I = F o o_2 io a a u, � x D i- ----- - _ -- Jo.H in m in in a a 3ooaamrSc mm _ rp _ _ �- - - SE.NDERE • SECTION COMPLETE THIS SECTION ON DELIVERY 9 mm cc`.� N p, e) ti N m ®m m ■ Com lets iterib 2,and�3.' A:S ature a �o p ::,mss Et a ■ Print youe narlje rtd address on the reverse 13 Agent i o a so that wb cdifil uPh the card to you. ❑Addressee j � a o z o ■ Attach this card to the back of the mailpiece, B e�ceived by fn s)_ CC,D f D t ery m m a 3 z or on the front if space permits. r( J `( o i m N • V 1 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes i .2 N 2 1 r If YES,enter delivery address below: ❑No ❑ ❑ ❑❑❑ 3. ��✓ Cj�T ham { 3wwo`H�Nmo �� 3 n UavxoL 8y � I IM COL CL C3 0 2anm ❑ ❑ m ❑❑ PiDI�O R m o m a cc I le�Cn y ;� � � CD (D 0 o-4 ® m 3. Service Type Priority Mail Express® -0. _ _ _ _ m EJ Adult_ __ 1 II I IIIIII Illi III II I I I II I III II III I I I I III ll I I III E3Adult Signatu a Restricted Delivery 11ReRegistered ist red Mail Restrict( ❑Certified Mall® Delivery 9590 9403 0769'5196 1203 51 ❑Certified Mail Restricted Delivery Q Return Receipt for ❑Collect on Delivery Merchandise I{ 2.-Articie_Numtiei(Transfer from service/abet) 13 Collect on Delivery Restricted Delivery 0 Signature Corrfirr2atlonTM n_lnc„rodMa i 0 Signature Confirmation I 7 018 3090 0001 9582 8 3 4 4 (Restricted Delivery Restricted Delivery ;TPs:Fora(3811,,April'2015 PSN 7530-02-000.9053_— --T Domestic Return Receipt - - 55-6-;t- SENDER- i DEL Y � ® Complete items 1,2,and 3. A. Slgnatur la Print your name and address on the reverse x ❑3 Agent Addressee so that we can return the card to you. _ B. eceived by(Printed Name) C. ate of elivery CO ■ ■ ■ , , ■ Attach this card to the back of the mailpiece,�i �� -n d > $ > o v o ;= or on the front if space permits. �'� `�"�5 11113 ZO -J ` i 1. Article Addressed to: /// 7'.'' D. Is delivery address different from item 1? ❑Ye N ® J.' ° �r o Fq /�t �„ _ _ / If YES,enter delivery address below: ❑No �L CD 0 O ® J��(]\�\' M N �, C `tlcr� -P UJWI J �i \ N = N N Al N `{ "'JWcla CA JI f N Al N -c W 07 C3 -can r3 ice Type 0 ti O h t38 ) �� N Q o El OM 0 CODW Ad.II I IIII�I IIII IIII I I I I II I III II III I II I III III III ❑AduhSignature Signature Restricted Delivery ❑Regis Mail ed± w m .a " 0 �_ ❑Certified Mail@ Delivery C3 m 3 9590 9403 0769 51961200 92 ❑Certified Mail Restricted Delivery ❑Returneceipt for 1 EM N �LLI _ 0 6-r m � ® � ` � c � • ❑Collect on Delivery Merchandise C) �� v 2. Article Number_(TranSfer from service labe0_; _. . .�. . O_Collect on Delivery Restricted Delivery ❑Signature ConflnnationTM Vad ❑Signature Confirmation o CD" 7-020-- 1810, ❑0❑0= 3`13 4 5❑,4 9-, ad Restricted Delivery Restricted Delivery ru I - - -- - — - --- - - PS Form 3811,April 2015,PSN 7530-02-000-9053 `Domestic Return Receipt D 7❑❑❑❑❑❑P n o o�m as W P3 X - -- '— - .,,�L- - M CO io..o.mminCnID C — — aa- �.wmom�wcc� C m®� m ' Q m ■ Complete items 1,2,and 3 R'._,. A signature/ aa a p ■ Print your name and ad`tlress on the reverse �1�/ ❑Agent o z CUD �_ so,that"we can return the card to you. l ddressee = o `D ° m I 1 ■ Attach this card to the back of the mail lece, B. Rece'ved by(Pri ted1Vame C.Dte of gellve o Q Qom, p• QI ed t4 ) ry o CL m or on the front if space permits. �� l 0 m ( 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes u pv� t 1 If YES,enter delivery address below: [3 No L o ❑❑ ❑ 0011 m - j I,-lqU WJ t�liL' + m zcoo�o�v o m rt 455aEF mm� 0 gwmIcmn 1 1 t/iv coo S a a -�a�3 O I -77 0 o m R ��- (_ut > >o -a �@� Z� o D D '1 X1 C y D a CQ ® - < y .« - II I IIIIII I'll III I t I I I II I III II III I 111111111111111 3. Service Type 13 Priority Mail Express@ m 0 Adult Signature ❑Registered MaiiTM a B ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted` El Certified Mail@ Delivery 9590 9403 0769 5196 1200 23 ❑Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise f } 12.-Article_Number(Transfer from service label) _ ❑Collect on Delivery Restricted Delivery 13 Signature ConfirmationTm 1 I sn n ail ❑Signature Confirmation 71120 181 Q 111100- 3134 5841 l ll Restricted Delivery Restricted Delivery PS Form 3811,April 2015 PSN 7530-02-000-9053 Domestic Return Receipt f SENDEMDELIVERY ` ■ Complete items 1,2,and 3. A. S n lure j ■ Print your name and address on the reverse E3 Agent }4 so that we can return the card to you. ddressee d 7 ■ Attach.this_card to the back of,the mailpiece, B. R e ed (Printed ate of Delivery. _ or on thsifront if space permits: ` �1- � e o y Cl) -o (� 1. Article Addressed to: D. Is elivery address different from item 1? O.Yes o -n�D ;v (Wo = 5 . � If YES,enter delivery address'below: p;.VF' V`� m a i .moi 7' `0 .r �1 CO 1J Z ttt;7pp1 �_ D �'.+ O iD s'� 9 2 -1 CD � 0 (0 _ N 0 ;:Tl� . r Nov Z ►0 LLJ ,` n� .. -1090 Er 0 N IN 0 Al S 3Q N - C? O M « ' m m .*c °o, II�'lllllIIII I'I(IIIIII IIIIli IIIIII II I IIII I III 3. Service Type Prlot0 ❑' rd"y Expre s so [I Adult Signature ❑Registered Mal Fm ca � � N ❑Adut Sgnatre Restricted Delivery ❑Registered Mail Restrictedl•n a Om Q Z C3 (0 3 El Certified Mall® Devery 0) O 950 9403 0769 5196 1202 38 Ceiied Mall Restricted Delivery 13 Return Receipt forO .0 f O I ❑Collect on Delivery Merchandise CD N 3 o m • f 1 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature CorlfirmatiorP 1 O •• ❑Signature Confirmation o "D N m f i 7018 3090 0001 5.82 8467. Restricted Delivery g jestrictcl Delivery CD ru m m I PS Form 3811,April 2015 PSN,7,530-02-000-9053 Domestic Return Receipt W -, — On Ln !!Q(�AADDCl) O Ql X i SENDER: :O.ii1llJn _ - �- - - -tea = _n _=--m >_-I - -, � COMPLETE r > w e, < < w I ■ Complete items 2,and 3. A.- .0 gnature i ®;e a M z a I ■ Print your name-And address on the'reverse E3 Agent P mam f a .V so that we can return the card to you. A ❑Addressee I CL CL ■ Attach this card to the back of the mailpiece, _ B._ eceived by(Printed Name) C. I atq of qeiivery o o a a or on the front if space permits. i m a o m Z 1. icle Addressed to: D. Is delivery address different from item J? O Yes �� � { /��/'v✓r �,��� If YES,enter delive �s�elow�c,::p=No N ( /i o 1/UV W O o c c�3 z ia a 3 p ` o / !1 -/y(��(®/�� I.:? v� m $.S 011 aam E3❑ m ❑❑ Y 3 m10mo 3 Z.- :O � '.. ICL'ID II I�IIIII IIII III I I 11111111111111111111111111 3' Service Type �/4'�_i p+P�lentjdT7lailFipressO v o wy % N O .�.a ❑Adult Signature ❑Reglstered,MailTm m o o rs ® ❑Adult Signature Restricted Delivery ❑Re?Istered Mail Restricted o ''ys Q m ❑Certified Mail® pevery a - _ _ - _ _____ - 9590 9403 0769 5196 1200 61 ❑certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise 2. Article Number(Transfer from service labeq ❑Collect on Delivery Restricted Delivery El Signature ConflrmarlW. 0 _1urad Mail, 11Signature Confirmation 7 0 2 0 1810 0000 3134 7 3 0 2 Restricted Delivery Restricted Delivery i? Ps Form 3811,April 2015 PSN 7530-02-000-9053 — _ Domestic Return Receipt L COMPLETESECTION COMPLETE • ON DELIVERY ■ Complete items 1,2,and 3. A. Signature ■ Print your name and address on the reverse X E3 Agent jso that we can return the card to you. [3 Addressee ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes If YES,enter delivery address below: ❑No I i 3. Service Type ❑Priority Mail Express® ! II IN I II11111II1 III ❑Adult Signature 11 Registered Mail ❑Adult Signature Restricted Delivery 11R Registered Mail Restricted El Certified Mail® Delivery 9590 94Q3'0769 5196 1200 85 ❑Certified Mad Restricted Delivery ❑Return Rlptfor j ❑Collect on Delivery 2.r Article_Number(Transfer from_service/abe0 4 Collect on Delivery Restricted Delivery El Signature ConfirmationTM ❑Signature Confirmation c-•7 0 2 0 1810 —0 0 0 0---313 4 "5032 Restricted Delivery Restricted Delivery PS Form 38,11-i April 2015 PSN 7530-02-000-9053 i` Domestic Return Receipt • • • SENDER: • 1 ■ Complete items 1,2,and-3.- N DELIVERY A. Signa ■ Print your name and address on the reverse X 't A Agent so that we can return the card to you. Addressee ■ Attach this card to the back of the malipiece, B. Received by(Printed Name) C. Date of Delivery , or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes i /� ,� � If YES,enter delivery address below: ❑No I ��,q",q"/ I d �v J �,-YU4 1 R*f3. I II 1111111 IIII III I I II III I III II III I I I III II II I III Service Type E3 Priority Mail Tm ® 11 ❑ ❑Adult Signature Registered Malla11TTM � i ❑Adult Signature Restricted Delivery ❑Registered Mall Restricted; ❑Certified MalW Delivery I 9590 9403 0769 51961202 52 ❑Certified Mali Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise [I Collect on Delivery Restricted Delivery ❑Signature ConfirmationTm 2. Article Number(transfer from service label — --- 13 Signature Confirmation 7 018 3090 0001 9582 8443 �IRestricted Delivery Restricted Delivery !7FS-Form 3811,,April 2015,PSN 7530-02-000 9053 i Domestic Return Receipt i -I-------- - -- ---------- — ------ - -- --- --- NOTICE F HEARING NOTICE IS HEREBY GIVEN that a Public Hearing concerning this property will be held by the Southold Town Board of Trustees l9 via the online Zoom platform. n r� OWNER(S) OF RECORD: MICHAEL & MARY BETH PETSKY SUBJECT OF PUBLIC HEARING: For a Wetland Permit to install a new foundation and lifting the existing cottage to be FEMA compliant; remove and construct new landing to entry, 3 risers to ground with 36" handrail to code; and remove and replace part of existing roof of 693sq.ft. seasonal cottage including a 22sq.ft. addition of landward northeast corner of cottage. Located: 65490 Route 25, Breezy Shores; Cottage #10, Greenport. SCTM# 1000-53-5- 12.6 TIME & DATE OF PUBLIC HEARING: Wednesday, November 16, 2020 — at or about 5:30P.M. — To access the Zoom meeting please see the meeting agenda located in the Trustees section of the Town website. If you have an interest in this project, you are invited to view the Town file(s) through the Southold Town website. To view the application files please visit: https://www.southoldtownny.gov At the bottom of the picture on the main screen click on the second button from the right "Town Records, Weblink/Laserfiche"; go to bottom of page and click on "pg. 2"; click on "Trustees" folder; click on "Applications"; click on "Pending"; all files are listed by name in alphabetical order. Click on the name of the application to view the file.-- BOARD ilerBOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated, as :to 'its. si 'nig ficant beneficial and adverse effects upon the coastal area(which includes all of Southold Townl. 3; If any question in Section C on this form is answered "yes" or"no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus,each answer,must be exnlained'in detail, listing both.supporting and non- supporting facts: 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# PROJECT NAME C�YJ G l(� — lZJ RC2 S The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. n Board of Trustees-H 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g.capital ❑ ,construction,planning activity,agency regulation,land transaction) (b) Financial assistance(e.g. grant,loan,subsidy) (c) Permit,approval,license,certification: Nature and extent of action. -b CD PMA 11ayloye le? gM% , Location of action:. Site acreage: 7�. Present land use: 5� Present zoning classification: - 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: (b) Mailing address: F (c) Telephone number: Area Code( ) (d) Application number,if any: - Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes No❑ If yes,which state or federal agency?� _ 7i �d J" C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. 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 effect's of development. See LBYRP Section.III—Policies; Page 2 for evaluation criteria. 'Q Yes Q No [4 Not Applicable Attach additional sheets if necessary Policy 2. Protect. and preserve historic and archaeological resources of the Town of Southold. See LNVRP Section III—Policies Pages 3 through 6 for evaluation criteria 0 Yes F-1 No M Not Applicable 1 Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ Non Not Applicable Attach additional sheets if necessary } NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP ' Section III—Policies Pages 8 through 16 for evaluation criteria ; Yes ❑ No'P4,7zJ Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III --Policies Pages 16 through 21 for evaluation criteri i ❑ Yes No Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section HI—Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ VN- Yes No Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. Yes ,F]No-Pj Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in 'Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38'for evaluation criteria. ,l Yes 0 No Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—PoIicies; Pages 38 through 46 for evaluation criteria. YeF-1 No fi� Not Applicable Attach additional sheets if necessary WOIIEINO COAST POLICIES' Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III Policies; Pages 47 through 56 for evaluation criteria. ❑'Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and 'Town waters.,See LW12P,Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the 'Town of Southold.. See LWRP Section III—Policies; Pages 62 through 65-for evaluation criteria. ❑-Yes ❑ No Not Applicable' Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LVVRP Section III—Policies; Pages 65,through 68 for evaluation criteria. Q,Yes ❑ No Not Applicable PREPARED 'TI'TLE DATEQ �/ r ROBERT I. BROWN, ARCHITECT P.C. 205 BAY AVENUE GREENPORT' NY 11944 631-477-9752 FAX 631-477-0973 infd(@ribrownarchitect.com Transmittal Date: September 9, 2020 _ . --�. X11 gyp• To: Southold Town Trustees nr C SEP 1 0 2020 Re: Petsky Cottage#10, Breezy Shores L�OaWj—dfcw11 Renovation/Addition Q dr o 7raatees Enclosed please find application for the above referenced. Thank you, Karen Szczotka Agent for Robert I. Brown Architect, PC