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1000-98.-4-12, 13 & 14
PROPERTY LINE (VARIABLE) r - - - - - - - - - � 0,41) BUILDINGENVELOPE (VARIABLE) OP, I ;� NEC �- NORTH STAR INDIA I PROP. SINGLE FAMILY I ENGINEERING O RpRISEs LP g I RESIDENCE ELATE X�`�' I SITE ROBGER ORMERLy OF UBLIC WATER) 4'MIN. -- I I I ' P.O. BOX 686 3 HOLBROOK, NY 11741 D NOW O/R FRO D W/ P — — 10'MIN. — — — — � (516) 761-3826 LIMP O� t��iX 10'MIN. PROP. SANITARY MVAVRICA@NORTHSTARPLLC.COM WATER �- 71 1 1 - 1 � SCHURCHILL@NORTHSTARPLLC.COM U �+ ' A 99E 148- 19 X�ti _ _ FD•MaN X SERVICE MIN. LEACHING POOL w w o �9°37 O0 C �� o.7 w� I 10'MIN. 8 8'MIN. 50°/D EXPANSION 'A _ 1.6'S �ti 1 I �, a 11 LEACHING POOL W MIN.��J`� s r 1 CONSULTANTS 0 WOOD I PROP. OwER SHOWER a o I/A O 7 L DRAINAGE WTS 5'MIN. h ON �. �1t SH .6Ys' — - — — FD.M (8.4 X6 ) EASEMENT c� 5.0 S. ,�. . CURB + WATER MAIN N' T.i l X o 1 (w) (�n W (W) (W) (W) (Nn x �� of STREET VICINITY MAP 0 600 1200 1 r.` TYPICAL PLOT PLAN SCALE: 1" = 600' SCALE: 1" =600' NOT TO SCALE z !k t PARCEL A 1 0 , c X�� AYEA_22,735 S'F' 1 w SITE INFORMATION SITE: 1135 SMITH ROAD �1t� OT 12 �� 0.0' EL.21.3 PECONIC, NY 11958 o + ,.•,{ ' 1 X �0 LOT 13 DARK BROWN PROPERTY OWNER: CHARLES VANSANT p 1 LOAM(OL) EL.20.3CA SCTM#: 1000-98 4-12, 13, &14 W X ��• 11 V--k BROWN SILT(ML) GROSS LOT AREA: 46,485 SF(1.067 ACRES) % C�*X rn Co PROPOSED PARCEL A=22,735 SF O + O ` VACANT Q�' �Q• 3' EL. 18.3 PROPOSED PARCEL B=23,750 SF w00DED� 4� " BUILDING CLASSIFICATION: SINGLE FAMILY RESIDENCE a C'a p2 >11 ^ TOWN ZONE: R-40 W -A � ' tY, GWMZ: ZONE IV --k 1 PALE BROWN FINE SAND U p. , �, ' a GENERAL NOTES WT. 17' EL.4.3 ,t f `-t H N 12 1. SURVEY OBTAINED FROM SECCAFICO LAND SURVEYING, PC, DATED JANUARY 4,2020. rn ,�� z " 1 O 2. ALL ELEVATIONS ARE IN NAVD88. ~ W w W Q NO GROUNDWATER ENCOUNTERED 3. EACH LOT SHALL HAVE ITS OWN WATER SERVICE LINE. -+ + ', 1 O Z 4. ALL WATER SERVICE LINES MUST HAVE A MINIMUM OF 4.5'OF COVER. 5. WATER SERVICE LINES MUST BE A MINIMUM OF 10'FROM DRAINAGE STRUCTURES AND �^ W d t x� Q�xS �' NOTES: SEWAGE DISPOSAL SYSTEMS. - a, o WOODED �v A Gj l� GL 1. TEST HOLE INFORMATION PROVIDED BY 6. I/A OWTS ARE REQUIRED FOR NEW SINGLE FAMILY RESIDENCES. oj' ` MCDONALD GEOSERVICES, DATED APRIL 7. THERE ARE NO WETLANDS WITHIN 300'OF THE SITE, do 23,2024. 8. THERE ARE NO WELLS WITHIN 150'OF THE SITE. W --.• 2. HIGHEST EXPECTED GW EL.0(PER USGS 9. THERE ARE NO DRAINAGE STRUCTURES PROPOSED AS PART OF THIS PROJECT. f I DEPTH TO GROUNDWATER VIEWER) w X _---- � 15�•95 1 �7f00 APPROX. LOCATION OF EXIST. TEST HOLE 79' DRYWELL FOR OUTDOOR SHOWER LEGEND ti �ti o o X CoNOT TO SCALE OF� W xti C' ' WOODED X�ti x� �o•cl. ` EXIST. OUTDOOR SHOWER -- EXISTING PROPERTY LINE y.�P� KANC'e'? ,�- W + ��• O ( 1 -- PROPOSED PROPERTY LINE r- e X Q 4t —off—oR— EXISTING OVERHEAD ELECTRIC LINE&POLELLJ r ' a o w CEL O—G G PA O S"F" EXISTING GAS LINE&TANKZ�jt Z r =23.75 CONC —w w— EXISTING WATER LINE W/METER l AREA c- A 104495 �Cr LOT 14 TEST HOLE rrssl&P � 1 p/O LOT 13 O g- < _ ��1 Unauthorized alteration or addition -- OH 1 C.E. MA 4 �Q v to This drawing and related documents 1 8s WALK � ¢~' O is a ablation or Section ocu U T� OH "m O � X O of the New York State Education Law 1� 3 T 0• GEN. _W PA ALK CONC 1 N 5 A 0 11 _ _ 7.2 C "�W $t CONC w �1 2 ADDED SET MONUMENT LOCATIONS 10/30/24 TE .� 1 REVISIONS PER SCDHS COMMENTS 8/2/24 j w w G" G• Number Rehsion Description Rehsion Date J J G GAS 7/12/24 w r— Q V �i y„•� O � Q z 11• W Z Date Submitted rJ1 N APPROX. W O Site Address: �0 1 LOCATION OF 'Co N°G 11.s 1 w 1135 SMITH ROAD o EXIST. SEPTIC PECONIC, NY 11958 SYSTEM TOWN OF SOUTHOLD _ SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES Project: 25.4 I Great River, NY 1135 SMITH ROAD t `r W� 1 v� A a ! �_. F+ z w/ 0 1 ; ,; r . AUG 3 A 2024-Q1� \N Xo !_l ourl-oid To vn� DATE LAND DIVISION pXX CON L ,� ,rd wAY E DRIVE _ The proposed development for 1135 Smith Road in the Town of Southold Y zzo 1 STON —_ — �— i t.! �G with a total of two 2 lots is EXEMPT•from 'requirements pursuant to . , ...�.. r Article 6 of the Suffolk County Sanitary Code Section 760-612136. E •� 1000-98-4-12 13 & 14 N » 161 .7 " '" ` Water Supply and Sewage Disposal Facilities on each lot must conform County Tax Map Number ' APPROX. LOCATION X U.P 5 _ _� '0 W , , . ,,., �. ., . o •13= g 3 7 t C _ , ' ;. " i , , ; to construction standards in effect at the time of construction and are OF WATER MAIN O S - �,Q CHAEL GREENBERG 6' L 11'a �14 t subject to separate permits pursuant to those standards. 4 OF HARRIET & MI ERLy piJBLIG WATER) ,� LAND DIVISION �r OR FOP"' OVED W/ _ __ ..- _.___. .Yr.......,... m.d1IR.� U LAND NO (IMPR ... MAP a E John Sohngen, P.E. " Director, Division of Environmental Quality C-100 N LAND DIVISION MAP Drawing Number- "I hereby ce Ziy haf"the water su 1 s and/or sewa a dis osal s stem(s for this ro ect were SCALE: 1 rr = 20' designed by me r under my direction.Based upon a careful and thorough study of the soil,site, 1 1 and groundwater conditions,all lots,as proposed,conform to the Suffolk County Department of Sheet or 0 20 40 Health Services construction standards in effect as of this date." o wA TJM2402 Signature: G�+ uJ Date ' '��o 16 Project Number: SCALE: 1" =20' ,. /y g Maggie F.Vavrica, .I;. License#: 104495 w � Q wo w a PROPERTY LINE (VARIABLE) DBUILDING ENVELOPE (VARIABLE) � I O NORTH STAR IND PROP. SINGLE FAMILY O TE PRISES LP I I RESIDENCE I i a ' ' ENGINEERING BGER EN R X� ( SITE - F R P P.O. BOX 686 o ER) o ORMERL OF PUBLIC WAT i a'MIN. I ( HOLBROOK NY 11741 c� D R pR / , - - 10'MIN.- - - - LAN N°� IM OVED o �. J (516) 761-3826 ( WATER 10'MIN. PROP. SANITARY MVAVRICA@NORTHSTARPLLC.COM v �+ o ��• g. 19 8' �- LEACHING POOL x d �, SCHURCHILL@NORTHSTARPLLC.COM c x 14 ti MON' x SERVICE O '0� E 0.9 S "`��� FD 'yv 10'MIN. MIN. 8'MIN. 50% EXPANSION -> w w LEACHING POOL 6 S I rn!i: �� - s, X - �'�• 1 1 PROP. -� ``,,w, a. .. ""- CONSULTANTS ir�SHpWER s 09S. - I/A OWTS 5'M N. I d C MoN• �' 6' 7.6 S. _ _ _ - DRAINAGE :.. 5.0 S• (8 4 x EASEMENT '. CURB ;- 1, WATER MAIN b�` . N' T.11 X c 1 (WM (WM (\M Mn (W) W (W) VICINITY MAP + X STREET 0 600 1200 ..., kn �" c�ti• w 1 TYPICAL PLOT PLAN SCALE: 1" = 600' SCALE: 1"=600' w �' 1 � ) NOT TO SCALE a z PARCEL A 1 SITE INFORMATION w p ' , c x�ti• AREA_22,735 1 W G° p WIZ o O1135 SMITH GL � ti' 12 ��• 0.0' EL.21.3 SITE: P CONIC, NY011958 >� LOT X o L+ 1 p/0 LOT 13 D LOAM(OL) PROPERTY OWNER: CHARLES VANSANT x O � 1' EL.20.3 SCTM#: 1000-98-4-12, 13,&14 A t X ��• 11 .--1 BROWN SILT(ML) GROSS LOT AREA: 46,485 SF(1.067 ACRES) x �Q PROPOSED PARCEL A=22,735 SF w �'X C0 + O VACANT 0� �o• 3' EL. 18.3 PROPOSED PARCEL B=23,750 SF IR 1 W°ODED/ ��• X BUILDING CLASSIFICATION: SINGLE FAMILY RESIDENCE a, Cq TOWN ZONE: R-40 w U a+ GWMZ: ZONE IV A PALE BROWN FINE SAND �ti• 1 a (SP) w v � "" - `� ��, �, ' a GENERAL NOTES ,�� y 0a NyT.12 O E 17' EL. ,�Q' SE x 1. SURVEY OBTAINED FROM SECCAFICO LAND SURVEYING,PC, DATED JANUARY 4,2020. Gj �' 9,C� 'A O ►a x 1 O w 2. ALL ELEVATIONS ARE IN NAVD88. �� Z, A NO GROUNDWATER ENCOUNTERED 3. EACH LOT SHALL HAVE ITS OWN WATER SERVICE LINE. � � Q w 'y' = (' 4. ALL WATER SERVICE LINES MUST HAVE A MINIMUM OF 4.5'OF COVER. r =R' " 5. WATER SERVICE LINES MUST BE A MINIMUM OF 10'FROM DRAINAGE STRUCTURES AND �� W a ' O 'A WOODED Q�� A a NOTES: SEWAGE DISPOSAL SYSTEMS. O _ Gj Rt 1. TEST HOLE INFORMATION PROVIDED BY 6. I/A OWTS ARE REQUIRED FOR NEW SINGLE FAMILY RESIDENCES. ?' 0 1 MCDONALD GEOSERVICES, DATED APRIL 7. THERE ARE NO WETLANDS WITHIN 300'OF THE SITE. 4 9 2'S J x��• 23,2024. 8. THERE ARE NO WELLS WITHIN 150'OF THE SITE. �� CAND 2. HIGHEST EXPECTED GW EL.0(PER USGS 9. THERE ARE NO DRAINAGE STRUCTURES PROPOSED AS PART OF THIS PROJECT. 5f I DEPTH TO GROUNDWATER VIEWER) w __�;; 15�•9 � __�---� -7g�37'®� E - - TEST HOLE APPROX. LOCATION OF EXIST. DRYWELL FOR OUTDOOR SHOWER LEGEND o. NOT TO SCALE WpOUED X�ti X� EXIST. OUTDOOR SHOWER -- EXISTING PROPERTY LINE of NEW w + �ti �ti O _ ( 1 PROPOSED PROPERTY LINE �.�P PRANCES Y�.Q Q lS� 2�-GH-OH- EXISTING OVERHEAD ELECTRIC LINE&POLE O ~1 ��. RCEL B \ U r : -.- PA .23,750 S.F. CONC Q-G-G EXISTING GAS LINE&TANK y 1 w Ll l 0 W W- EXISTING WATER LINE W/METER 14 �- LOT 13 TEST HOLE �A 104495 1 p/0 LOT 0.8 w o of w �OFESSIDNP� Quo - �U ly- �� rn 1 Q �,( ,�" WALK e'� �Q wO Unasutthorizedo alteration eo r 7209 on PH �_ OH 18.8 G',E• MA'"' t�0 CD - O to this drawing and related documents O � W O v M of the New York Stale Education Lew O MAs. v l� ATI 20.3 ° W GEN. -�W P WALK CONC 5 4 O 1 �W ONC (n �' � p , 3 A _ 2 ADDED SET MONUMENT LOCATIONS 10/30/24 7.2 C� TE gc C -�1 � . _ ��.n�.. �� �. J w w s� /o O NOV J 2024 Number REVISIONS PER SCDHS COMMENTS 8e �onDate Ln w r o U.G ►n o Z 11.8 z GAS --- 1 7/12/24 O _ O N LL u' � � �� F" � � PlannSouting Ecarrd Date Submitted APPROX. d w O � w 1 Site Address: LOCATION OF c~n N 9 1 w 1135 SMITH ROAD 0 1 EXIST. SEPTIC PECONIC, NY 11958 n SYSTEM TOWN OF SOUTHOLD O cV SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES Project: �+ O 25.4 Great River, NY ~ �� -z 1 w�W o� 1 AUG 3 0 2024-• ��s� 1135 SMITH ROAD \N Xo DATE LAND oX CONC DIVISION per., DRIVEWAY _ �.� Q�• d The proposed development y, STONE ter-- p p for 1135 Smith Road 1n the Town of Southold with a total of two 2 lots is EXEMPT from requirements pursuant to Article 6 of the Suffolk County Sanitary Code Section 760-612136. E W 1 .72� 1000-98-4-12 13 & 14 N XU•P _5 -� ,00„ 1 6 Water Supply and Sewage Disposal Facilities on each lot must conform County Tex Map Number. ' APPROX. LOCATION ,13 7 o � 7 9 3 to construction standards in effect at the time of construction and are = OF WATER MAIN �O S Q �• L GREENHERG subject to separate permits pursuant to those standards. N MICHAE OF �FEIET �I'ATER� ELY LAND DIVISION g NOW oR FORME IMPROVED / piJEis MAP U LAND a John Sohngen, P.E.AV `� Director, Division of Environmental Quality C-100 LAND DIVISION MAP Drawing Number: h „ _ , certify that the water supply(s)and/or sewage disposal system(s)for this project were SCALE: 1 - 20 d lgned by me or under my direction.Based upon a careful and thorough study of the soil,site, 1 1 and groundwater conditions,all lots,as proposed,conform to the Suffolk County Department of Sheet of 0 20 40 Health Services construction standards in effect as of this date." a TJ M 2402 o� SCALE: 1"=20' + F Signature: C � Date: j0'3t I a� ProjedNumber 1 o Maggie F.Vavrica,Y.E. License#: 104495 =W U LLl� Z f .0 LL a INDIAN NECK ROAD LOT LINE MODIFICATION MAP 0 OF LOTS 24, 26 & 28 o MAP OF INDIAN NECK PARK � SITUATE AT PECONIC TOWN OF SO UTHOLD SUFFOLK COUNTY, NEW YORK 9 a FILED: 05/27/1913 MAP No. 551 S.C.T.M. No. 1000-98-04-12, 13 & 14 TOTAL AREA = 46,486 S.F. ZONING DISTRICT: R40 GUARANTEES OR CERTIFICATIONS ARE NOT TRANSFERABLE. UNDERGROUND UTILITIES EASEMENTS NOT SHOWN AND UTILITY POLE LOCATIONS ARE NOT GUARANTEED. THE OFFSET DIMENSION SHOWN HEREON FROM THE STRUCTURES TO THE PROPERTY LINES ARE FOR SPECIFIC PURPOSE AND USE, THEREFORE ARE NOT INTENDED TO GUIDE THE ERECTION OF FENCES, RETAINING WALLS, POOLS, PATIOS, PLANTING AREAS, ADDITION TO BUILDINGS AND OTHER CONSTRUCTION. THE EXISTENCE OF RIGHT OF WAYS, WETLANDS AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP O� + NOT BEARING THE LAND SURVEYOPS SIGNATURE AND RED INK OR EMBOSSED SEAL SHALL NOT BE CONSIDERED A TRUE VAA COPY. ALL LOCATIONS OF AND DISTANCES TO WELLS AND CESSPOOLS ARE BY LOCATIONS FROM HOMEOWNERS, FIELD OBSERVATIONS AND/OR INFORMATION OBTAINED FROM OTHERS. SINCE MOST ARE NOT VISIBLE THESE LOCATIONS AND DIMENSIONS CANNOT BE CERTIFIED. NOTE: MONUMENTS FOUND ON SUBJECT PROPERTY SEEM TO BE HOMEMADE. LOCATION MAP 1"=600' LOT AREA TABLE EXISTING TAX LOT 12 = 15,044 S.F. MDIAN NECK ROAD EXISTING TAX LOT 13 = 15,495 S.F. EXISTING TAX LOT 14 = 15,946 S.F. PROPOSED PARCEL A = 22,735 S.F. o PROPOSED PARCEL B = 23,750 S.F. 0 c LAND NOW OR FORMERLY OF 10BGER ENTERPRISES LP PROPERTY OWNERS .; LOT 22 N 79037'00"E 148.19' TAX LOT 12; CHARLES & KAVITA VANSANT TAX LOT 12, 15,044 S.F. D -o.s's TAX LOT 13; CHARLES VANSANT W NU.P.YT. 1 x SHOOER ! 1•s's Fo 7 w TAX LOT 14; CHARLES VANSANT A q - (8.4',6) SHOWER EXMMG LOT LINE 7.6S. LEGEND x ■ = CONCRETE MONUMENT TAX LOT 13, 15,495 S.F. PARCEL d c o Jx o AREA=22,735 s.F. o `� = UTILITY POLE to "'x I o � o o o U.G. GAS- UNDER GROUND PROPANE TANK Rom, EXISTING LOT LINE LOT 24 ti o x W W.M.- WATER METER a RECEIVED x WOODED o MAS.= MASONRY TAX LOT 14 15,945 S.F. V ~ k Z% GEN. = GENERATOR JUN 2 2 2022 x ' EXISTING LOT LIVE �,o C.E. = CELLAR ENTRANCE Planning Board EXISTING P R/0 = ROOF OVER cV N A w wx /P/0 LOT 26 o o TO BE ADDED TO TAX LOT 12 O o Cq W W I /� o W WOODED / 2 o � PROPOSED LOT LINE Z W N 79037'00"E 154.95' W AREA=22,735 S.F. ~ WOODEDt� O P/0 LOT 26 044 PROPOSED LOT LINE U P PARCEL B phi --- - -- -- ..... AREA=23,75A S.F. ---- - O NYT13 CONC i 1.4 �y C.E. 0.8 ti MAS. WALK--, W w v AREA=23,750 S.F. 9.1. GEN. S. 7.2 CID PATIO O c CONC 20.3 co a W & CONC WA CON- ►ko Z .., TE e w Z 11.8 �i U.G. S.Q, W Z GAS �n o PROPOSED 1 �' LOT 28 25.4 KEY MAP �a � CONC Z 0. BLUESTONE DRIVEWAY U.P. 101'4NYT.13-5 S 79037'00" W 161.72' F LOT 30 LAND NOW OR FORMERLY OF HARR]ET & MICHAEL GREENBERG OF NEw y SECCq OCO ,p� C 0 2S O492g� J� SAND SJ� SECCAFI CO LAND SURVEYING PC 500 Mon touk High way Moriches, New York 11955 Phone: (631) 878-0120 Phone (631) 728-5330 pseccofico@optonline.net Pat C. Seccafico. PLS Pat T. Seccafico. PLS NYS Lic. No. 051040 NYS Lic. No. 049287 copyright — 2022 Seccafico Land Surveying PC DATE: 0512512022 REVISED PER COMMENTS DATE: 0312412022 REVISED PER COMMENTS PROJECT No. 63014—LOT LINE MODIFICATION SCALE: 1 " = 30' DATE: 0110412020 PROPERTY LINE (VARIABLE) f X BUILDING ENVELOPE (VARIABLE) O Y K 1?0C f N.E l�I ORTH STAR INDI PROP. SINGLE FAMILY I E N G I N E E R I N G 7+ O TERpRISES LP RESIDENCE - pBGEg EN `�`� I I I i SITE P.O. BOX 686 FORMERLY OF PUBLIC WATER) x a'MIN. `�` HOLBROOK, NY 11741 c� R I `' '` 10'MIN. I (516) 761-3826 0 W/ _ _ LA (IM O , �' 10'MIN. — — — PROP. SANITARY k " ND NOW PROVED -J MVAVRICA@NORTHSTARPLLC.COM p y' 9 x WATER �� f SCHURCHILL@NORTHSTARPLLC.COM + o 9 » 148. 1 ✓ ti• ON x g 8' LEACHING POOL - SERVICE a s o o f 0 E o g'S x`�� — FD M 10'MIN. MIN. o Q yY 8'MIN, 50% EXPANSION n: w 79037 x — 0 Io M81 w. LEACHING POOL _ O 6'S `l� - a w `� _ 1. t _ r CONSULTANTS � 1 I Of PROP. ��r' I f SECCAFICO LAND SURVEYING, P.C. x �' = �? yv00D OWER ?a o I/A OWTS 5'MIN. � SHOWER S 6'S _ -L _ �- DRAINAGE FD.MON' �`� (g,4'x6 ) q, �?� EASEMENT 5.0 S' a OF NF �U 1 X o 1 CURB (�M (�M (�M (VM (�M WATE`R MAIN (� �yiP- SECCI��"0 STREET VICINITY MAP 0 600 1200x"X/�I�c w 1�� TYPICAL PLOT PLAN SCALE: 1" = soo' SCALE: 1" =600' ~_ C11 CC 01 NOT TO SCALE 20 049 1 PARCEL A.F. <A N D SITE INFORMATION d Q x O SITE: 1135 SMITH ROAD 0., Q fiW_ -� 0T 12 �ti 0.0' EL.21.3 PECONIC,NY 11958 x L x DARK BROWN PROPERTY OWNER: CHARLES VANSANT&KAVITA VANSANT p/p LOT 13 1 LOAM(OL) EL.20.3 SCTM#: 1000-98-4-12, 13,&14 w x ti 1 r-1 BROWN SILT(ML) GROSS LOT AREA: 46,485 SF(1.067 ACRES) W Q 'Ay�V00DED� �' u O 3' EL. 18.3 PROPOSED PARCEL B=23,750 SF VACANT �� x� BUILDING CLASSIFICATION: SINGLE FAMILY RESIDENCE . � TOWN ZONE: R-40 GWMZ: ZONE IV rW PALE BROWN FINE SAND Z ' 1 a (SP) x w U P w a GENERAL NOTES r, CM NYT 12 � �, � 17' EL.4.3 1. SURVEY OBTAINED FROM SECCAFICO LAND SURVEYING,PC, DATED JANUARY 4,2020, Cal x c� 1 O AND UPDATED ON MAY 25,2022. 2. ALL ELEVATIONS ARE IN NAVD88. OZ A NO GROUNDWATER ENCOUNTERED 3. EACH LOT SHALL HAVE ITS OWN WATER SERVICE LINE. Z 6 4. ALL WATER SERVICE LINES MUST HAVE A MINIMUM OF 4.5'OF COVER. D ���� A Op'., NOTES: 5. WATER SERVICE LINES MUST BE A MINIMUM OF I U FROM DRAINAGE STRUCTURES AND Q+ x p WOODE �j I, R+ 1. TEST HOLE INFORMATION PROVIDED BY SEWAGE DISPOSAL SYSTEMS. MCDONALD GEOSERVICES,DATED APRIL 6. I/A OWTS ARE REQUIRED FOR NEW SINGLE FAMILY RESIDENCES. 23,2024. 7. THERE ARE NO WETLANDS WITHIN 300'OF THE SITE. 2. HIGHEST EXPECTED GW EL.0(PER USGS 8. THERE ARE NO WELLS WITHIN 150'OF THE SITE. 9 1 DEPTH TO GROUNDWATER VIEWER) 9. THERE ARE NO DRAINAGE STRUCTURES PROPOSED AS PART OF THIS PROJECT. 7�37 p0 E APPROX. LOCATION OF EXIST. - TEST HOLE DRYWELL FOR OUTDOOR SHOWER LEGEND 1 of NEtry O o x� NOT TO SCALE y ti ED �1 x� ti EXIST. OUTDOOR SHOWER -- �.�P ��ANCFS �Q .a x 1VO4D x / EXISTING PROPERTY LINE O NV PROPOSED PROPERTY LINE ps xR, 1 ---� .�____.... _ __--._- - C9 '2,—off—off— EXISTING OVERHEAD ELECTRIC LINE&POLE S.F. � O K o a. EXISTING GAS LINE&TANK N 1 �ti' RCEL B �—GG w AgEA_2g,75U CONC 5 -- - - ®—w w— EXISTING WATER LINE W/METER ,p 104495 14 ^i 1O• - + TEST HOLE ��FESSIONP� P/ 13 cn 4 .. -- 0 LOT 0.8� o col W _ . 1 4 Q n or addition WALK �Q, 1 Unauthorized^0 t h s draw ng and related documents -_ OH 1 S•U C.E. 1V1A m `. O �......._..__,_ m e a violation t Section 7209 OH -x� o o e New o e Education Law a, MAS Z a' 0 pAT1 20.3 ° �T, ONC N - -- - _ WE HEREBY CERTIFY THAT THIS SUBDIVISION WAS MADE FROM AN ACTUAL 5 W GE N. wALK C , r- — -- SURVEY MADE AND COMPLETED BY SECCAFICO LAND SURVEYING, P.C. ON 4 �\N NC JANUARY 4, 2020 AND THAT CONCRETE MONUMENTS HAVE BEEN SET AS 3 REVISIONS PER SC CLERK'S OFFICE 3/25/25 A 2 C C O �1 SHOWN. 2 ADDED SET MONUMENT LOCATIONS 10/30/24 7. Cr- 1 REVISIONS PER SCDHS COMMENTS 8/2/24 0 1 LU >- w S G�!" 0 Q Number Revision Description Revision Date Q 7/12/24 .11 W 11.8 1,(� �Z GA� � � BY rye,t"�V 4 T`f 3• LAND Dale Submitted O O LL ,� 1 --: , SURVEYING, P.C. APPROX. w %o — - 11Site d35 SMITH ROAD LOCATION OF �' N 9 1 W 0 1 EXIST. SEPTIC 11 — - -- _. PECONIC, NY 11958 SYSTEM _ TOWN OF SOUTHOLD O N SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES Project: O 25.4 — ------ Great River, NY lk 1 w o�" 1 1135 SMITH ROAD z l `N/ x x o l DATE AUG 3 0 2024 W /� �o' LAND DIVISION CONC NE DRIVEWAY The proposed development for 1135 Smith Road in the Town of Southold z s TO o with a total of two 2 lots is EXEMPT from requirements pursuant to Article 6 of the Suffolk County Sanitary Code Section 760-612B6. E 2 W 1000-98-4-12, 13, & 14 M ' „ 1 61 Water Supply and Sewage Disposal Facilities on each lot must conform County Tax Map Number: APPROX. LOCATION O x U•p 13-5 _ °37 �� to construction standards in effect at the time of construction and are OF WATER MAIN �O S 79 G subject to separate permits pursuant to those standards. r & MICIIAEL GREENBE B OF 1ARBIEI WATER) LAND DIVISION MERLY pUBL 162 r OR F(ROR 9 OVED W� MAP LAND Nov E John Sohngen, P.E. Director, Division of Environmental Quality C-100 Drawing Number: LAND DIVISION MAP 9 R1 I hereby certify that the water supply(s)and/or sewage disposal system(s)for this project were SCALE: 1'r = 20' designed by me or under my direction.Based upon a careful and thorough study of the soil,site, 1 1 and groundwater conditions,all lots,as proposed,conform to the Suffolk County Department of shear or 0 20 40 Health Services construction standards in effect as of this date." o 6 TJM2402 124 5 �� � NT� Project Number: � SCALE: 1 =20 Signature: NarnA � Date: Maggie F.Vavrica,P.E. License#: 104495 Wo LL a ZNDIAN NECK ROAD LOT LINE MODIFICATION MAP OF LOTS 24s 26 & 28 0 0 MAP OF INDIAN NECK PARK SITUATE AT PECONIC TOWN OF SO UTHOLD SUFFOLK COUNTY, NEW YORK FILED: 0512711913 MAP No. 551 S.C.T.M. No. 1000-98-04-12, 13 & 14 TOTAL AREA = 46,486 S.F. ZONING DISTRICT: R40 GUARANTEES OR CERTIFICATIONS ARE NOT TRANSFERABLE. UNDERGROUND UTILITIES EASEMENTS NOT SHOWN AND UTILITY POLE LOCATIONS ARE NOT GUARANTEED. THE OFFSET DIMENSION SHOWN HEREON FROM THE STRUCTURES TO THE PROPERTY LINES ARE FOR SPECIFIC PURPOSE AND USE, THEREFORE ARE NOT INTENDED TO GUIDE THE ERECTION OF FENCES, RETAINING WALLS, POOLS, PATIOS, PLANTING AREAS, ADDITION TO BUILDINGS AND OTHER CONSTRUCTION THE EXISTENCE OF RIGHT C OF GUARANTEED WAYSWETLANDS ND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF (S' SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS SIGNATURE AND RED INK OR EMBOSSED SEAL SHALL NOT BE CONSIDERED A TRUE VALID COPY. ALL LOCATIONS OF AND DISTANCES TO WELLS AND CESSPOOLS ARE BY LOCATIONS FROM HOMEOWNERS, FIELD OBSERVATIONS AND/OR INFORMATION OBTAINED FROM OTHERS. SINCE MOST ARE NOT VISIBLE THESE LOCATIONS AND DIMENSIONS CANNOT BE CERTIFIED. NOTE: MONUMENTS FOUND ON SUBJECT PROPERTY SEEM TO BE HOMEMADE. LOCATION MAP 1 "=600' LOT AREA TABLE EXISTING TAX LOT 12 = 15,044 S.F. INDIAN NECK ROAD EXISTING TAX LOT 13 = 15,495 S.F. EXISTING TAX LOT 14 = 15,946 S.F. PROPOSED PARCEL A = 22,735 S.F. b PROPOSED PARCEL B = 23,750 S.F. 0 c LAND NOW OR FORMERLY OF ROBGER ENTERPRISES LP PROPERTY OWNERS i LOT 22 N 79037'00"E 148.19' TAX LOT 12, CHARLES & KAVITA VANSANT TAX LOT 12, 15,044 S.F. .Mo 0'9' TAX LOT 13; CHARLES VANSANT -� U.P. x— OOD � 1.6'S W FD.MON. TAX LOT 14; CHARLES VANSANT cs� 0.7'W. NYT. 1 SHOWER SHOWER �-� (8.4 g6 SA7smNG LOT LINE I 7.6S. p � x LEGEND I� ■ O TAX LOT Is, 15,485 S.F. �X PARCEL A = CONCRETE MONUMENT O AREA=22,735 S.F. = UTILITY POLE H w o ti -4 c F, c '" .tea — I Q LOT z4 Q U.G. GASH= UNDER GROUND PROPANE TANK �srnvG LOT LnvE o x z W W.M.- = WATER METER a x WOODED o MAS.= MASONRY TAX LOT 14 15,848 S.F. I V RECEIVED ko x GEN. = GENERATOR o off. C.E. = CELLAR ENTRANCE J U N 2 2 2022 EXISTING F EXISTING LOT LINE tbFO SOUt O TOWn / N P. RIO = ROOF OVER Planning Board W A A W �% o Q' o P/0 LOT 26 �, N p TO BE ADDED TO LOT%12 44 a W ( WOODED o O PROPOSED LOT LINE Z 1� W hl N 79037'00"E 154.95' W AREA=22,735 S.F. E. WOODED O P/0 LOT 26 _ O � PROPOSED LOT LINE U.P. PARCEL B NYT.13 AREA=23,750 S.F. CONC p W 18.8 19.5 ko C.E. 0.8 3 ti z 00 °�' MAS. WALK x eh U v AREA=29,y50 S.F. 9.1 O I CQ w N C� ' tS GEN. MAS. °O 7.2 PATIO O o CONC 20.3 Z W W c�1TE & CONC A CONC U.G. t` kO ch Z GAS M PROPOSED 1 LOT 28 r� 25.4 KEY MAP Zo M CONC BLUESTONE DRIVEWAY U.P. NYT.13-5 S1' S 79037'00" W 161.72' `� LOT 30 LAND NOW OR FORMERLY OF HARRIET A MICHAEL GREENBERG .��OF NEw .�P S E C C f`p �r Qz r C� 4AND `' SECCAFICO LAND SURVEYING PC 500 Mon tauk High way Moriches, New York 11955 Phone: (631) 878-0120 Phone (631) 728-5330 pseccofico@op tonline.net Pat C. Seccafico. PLS Pat T. Seccafico. PLS NYS Lic. No. 051040 NYS Lic. No. 049287 DATE: 05/25/2022 REVISED PER COMMENTS copyright — 2022 Seccafico Land Surveying PC DATE: 0312412022 REVISED PER COMMENTS PROJECT No. 63014—LOT LINE MODIFICATION SCALE: 1" = 30' DATE: 0110412020 LOT LINE MODIFICATION MAP RECEIVED OF LOTS 24, 26 & 28 APR 21 2022 MAP OF INDIAN NECK PARK SITUATE AT PECONIC Bout of Town TOWN OF SO UTHOLD Planning Board SUFFOLK COUNTY, NEW YORK FILED: 0512711913 MAP No. 551 S.C.T.M. No. 1000-98-04-12, 13 & 14 TOTAL AREA = 46,486 S.F. ZONING DISTRICT: R40 GUARANTEES OR CERTIFICATIONS ARE NOT TRANSFERABLE. UNDERGROUND UTILITIES EASEMENTS NOT SHOWN AND UTILITY POLE LOCATIONS ARE NOT GUARANTEED. THE OFFSET DIMENSION SHOWN HEREON FROM THE STRUCTURES TO THE PROPERTY LINES ARE FOR SPECIFIC PURPOSE AND USE, THEREFORE ARE NOT INTENDED TO GUIDE THE INDIAN NECK ROAD ERECTION OF FENCES, RETAINING WALLS, POOLS, PATIOS, PLANTING AREAS, ADDITION TO BUILDINGS AND OTHER CONSTRUCTION. THE EXISTENCE OF RIGHT OF WAYS, WETLANDS AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP + t NOT BEARING THE LAND SURVEYORS SIGNATURE AND RED INK OR EMBOSSED SEAL SHALL NOT BE CONSIDERED A TRUE VALID COPY. p ALL LOCATIONS OF AND DISTANCES TO WELLS AND CESSPOOLS ARE BY LOCATIONS FROM HOMEOWNERS, FIELD OBSERVATIONS AND/OR INFORMATION OBTAINED FROM c LAND NOW OR FORMERLY OF ROBGER ENTERPIISES LP OTHERS. SINCE MOST ARE NOT VISIBLE THESE LOCATIONS AND DIMENSIONS CANNOT ,.� BE CERTIFIED. —i LOT 22 N 79037.900"E 148.19' NOTE: MONUMENTS FOUND ON SUBJECT 0.9'S PROPERTY SEEM TO BE HOMEMADE. U.P. x— WOOD { 1.6'S FO 7 W. NYT. 1 SHOWER LOT AREA TABLE (a.4 zs) SHOWER R ! 7.6'S. h EXISTING TAX LOT 12 = 15,044 S.F. EXISTING TAX LOT 13 = 15,495 S.F. EXISTING TAX LOT 14 = 15,946 S.F. x o PARCEL A PROPOSED PARCEL A = 22,735 S.F. o AREA=22,735 S.F. PROPOSED PARCEL B = 23,750 S.F. �d o o k I ~ "x c PROPERTY OWNERS LOT 24 ti 0o x W TAX LOT 12; CHARLES & KAVITA VANSANT a TAX LOT 13; CHARLES VANSANT x WOODED o TAX LOT 14; CHARLES VANSANT o co 0 Zx � LEGEND � �F EXISTING LOT LINE �F' � � •P• ?� ' = CONCRETE MONUMENT A q wx o = UTILITY POLE P/O LOT 26 a U.G. GAS-= UNDER GROUND PROPANE TANK O p I d TO BE ADDED TO TAX LOT 12ko to c WW ..r w WOODED w W.M.° = WATER METER o� -� MAS.= MASONRY o z � PROPOSED LOT LINE z GEN. = GENERATOR W ;0I N 79037'00"E 154.95' W WOODED ��,t� C.E. = CELLAR ENTRANCE Pg1 RIO = ROOF OVER O P/O LOT 26 PARCEL, B U.P. NYT.13 AREA=23,750 S.F. CONC p — 18.8 ko C.E. to ~ 0.8 Z �+ MIS. WALK x U w M 49.1' m a MAS 7.2 PATIO O ONC .y c 20.3 co Z to W COnTC WALK CONC E ~ V SLA & V, � o �*. 11.8 _% U.G. i` •y ui y" W Z G)S in ai to V p C co W 1 C — 5k LOT 28 25.4 �a .h CONC Z0. BLUESTONE DRIVEWAY U.P. NYT.13-5 F9 S 79037'00" W 161.72' F LOT 30 LAND NOW OR FORMERLY OF HARRIET & MICHAEL GREENBERG of NEW y SECCAFICO LAND SURVEYING PC SF-Cc', °•Q �� � 500 Montauk Highway co Moriches, New York 11955 Q;1 Phone: (631) 878-0120 Phone (631) 728-5330 0 pseccofico©optonline.net Au, Pat C. Seccafico. PLS Pat T. Seccafico. PLS 492 ��� NYS Lic. No. 051040 NYS Lic. No. 049287 SF� LANI C-) — 2022 Seccafico Land Surveying PC DATE. 0312412022 REVISED PER COMMENTS PROJECT No. 63014—LOT LINE MODIFICATION SCALE: 1" = 30' DATE: 0110412020 SURVEY OF LOTS 28 & P/0 26 FRECEIVED ' MAP OF INDIAN NECK PARK 17 -- SITUATE AT PECONIC APR 21 2022 TOWN OF SOUTHOLD s old Town SUFFOLK COUNTY, NEW YORK Planning Board FILED: 0512711913 MAP No. 551 S.C.T.M No. 1000-98-04-14 & P/0 13 LOT AREA = 23,750 S.F. MUS771VG CLEARING = 22,442 S.F. / 94.5% GUARANTEES OR CERTIFICATIONS ARE NOT TRANSFERABLE UNDERGROUND U77LI77ES EASEMENTS NOT SHOWN AND UTILITY POLE LOCATIONS ARE NOT GUARANTEED. 774E OFFSET DIMENSION SHOWN HEREON FROM THE STRUCTURES TO THE PROPERTY LINES ARE FOR SPECIFIC PURPOSE AND USE, THEREFORE ARE NOT INTENDED TO GUIDE THE ERECTION OF FENCES, RETAINING WALLS, POOLS, PATIOS, PLANTING AREAS, ADDITION TO BUILDINGS AND OTHER CONSTRUCTION. THE EXISTENCE OF RIGHT OF WAYS WETLANDS AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS SIGNATURE AND RED INK OR EMBOSSED SEAL SHALL NOT BE CONSIDERED A TRUE VAUD COPY. ALL LOCATIONS OF AND DISTANCES TO WELLS AND CESSPOOLS ARE BY LOCATIONS FROM HOMEOWNERS, FIELD OBSERVATIONS AND/OR INFORM477ON OBTAINED FROM OTHERS. SINCE MOST ARE NOT VISIBLE THESE LOCATIONS AND DIMENSIONS CANNOT BE CERTIFIED. NOTE. MONUMENTS FOUND ON SUBJECT PROPERTY SEEM TO BE HOMEMADE. INDIAN NECK ROAD 0 0 0 I ~S ptx Q !ti U.P. 1�0 . NYT.12 x I x I x P/0 LOT 26 I � x N 79037'00" E 154.95' 0 - - - - x I q 1 w f G P/0 LOT 26 k O U.P. O `p NYT.13 CONC ., 18.8 O ~ C.E. 0.8 rA ~ 0 NAS. WALK 0 v to 8.1, 7.2 GEN. �rASo H C'h h ~ O ONC PATI 0 w P. CO C CONC O o o R O �i cc �. a 11.m 41 v AS g to ti LOT 26 5 o� V . k hCONC BLUESTONE DRIVEWAY U.P. NYT.19-5 S 79037'00" W 161.72' LOT 30 OF NEW PC c�iO C * Q p yt " SECCAFI C0 LAND SURVEYING PC r � � 500 Montauk Highway mod' 49 �J Moriches, New York 11955 LAN SJ Phone: (631) 878-0120 Phone (631) 728-5330 pseccafico@optonline.net Pat C. Seccafico. PLS Pat T. Seccafico. PLS NYS Lic. No. 051040 NYS Lic. No. 049287 copyright — 2021 Seccafico Land Surveying PC PROJECT No. 63013B SCALE: 1" = 30' DATE: 0110412020 SURVEY OF LOTS 24 & PI0 26 DIVE® OF nV AD�v NECK PARK INDIAN NECK ROAD Ir APR 21 2022 PEOON N F souTHoLn Southold-Town SUFFOLK COUNTY, NEW YORK Planning Board F: 05/27/1913 MAP NO. 551 w S.C.T.M NO. 1000-98-4-12 & P/0 13 o AREA = 22,735 SQ. FT. LOT 22 N 79037'00"E 148.19' EXISTING CLEARING = 3,193.F. / 14X 1 nff.��(�o jN1j MMON. GUARANTEES OR CERTIFIC471ONS ARE NOT TRANSFERABLE UNDERGROUND UTILITIES l- 0.7�W. EASEMENTS NOT SHOWN AND UTILITY POLE LOC477ONS ARE NOT GUARANTEED. THE OFFSET DIMENSION SHOWN HEREON FROM THE STRUCTURES TO THE PROPERTY LINES p� WOOD $ ARE FOR SPECIFIC PURPOSE AND USE; THEREFORE ARE NOT INTENDED TO GUIDE THE SHOpEg ERECTION OF FENCES, RETAINING WALLS POOLS PATIOS, PLANING AREAS, _ (8.4=B� ADDITION TO BUILDINGS AND 07HER CONSTRUCTION. THE EXISTENCE OF RIGHT W A fs; x OF WAYS, WETLANDS AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SEC710N 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS SIGNATURE AND RED INK OR EMBOSSED SEAL SHALL O NOT BE CONSIDERED A TRUE VALID COPY. O ALL LOCATIONS OF AND DISTANCES TO WELLS AND CESSPOOLS ARE BY LOCATIONS �• Ox FROM HOMEOWNERS, FIELD OBSERVA77ONS AND/OR INFORMATION OBTAINED FROM Q I OTHERS SINCE MOST ARE NOT VISIBLE THESE LOCATIONS AND DIMENSIONS CANNOT ko r BE CERTIFIED. 04 g I LOT 24 O w AOODED/PACANT C w U.P. NYT.12 P/0 LOT 26 S 79037'00" W 154.95' P/0 LOT 26 of NEV, SECCAFICO LAND SURVEYING PC ,` 500 Montauk Highway coaQ 0 1` Moriches, New York 11955 Phone: (631) 878-0120 Phone (631) 728-5330 pseccafico@optonline.net Pat C. Seccafico. PLS Pat T. Seccafico. PLS sF 4' NYS Lic. No. 051040 NYS Lic. No. 049287 PROJECT No. 63014A. SCALE: 1" = 30' DATE: 0110412022 LAND copyright — 2021 Seccafico Land Surveying PC a �° MAILING ADDRESS: PLANNING $DART) MEMBERS P.O. Box 1179 JAMES H.RICH III Southold, NY 11971 Chairman ; OFFICE LOCATION: Ji MIA JEALOUS-DANK. ,.,; Town Hall Annex PIERCE RAFFERTY '�� � � 54375 State Route 25 MARTIN H.SIDOR �, � �� � (cor. Main Rd. &Youngs Ave.) DONALD J.WILCENSR � � Southold, NY Telephone: 631 7R-19 8 www.southoldtownny.gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD June 3, 2025 Mr. Thomas McCarthy McCarthy Management, Inc. 46520 County Road 48 Southold, NY 11071 Re fie-Issue Final Plat Approval Vansant Resubdivision Located: East side of Smith Road, 1100+1- feet south of Indian Neck Road, Peconic S CTM#:1000-08.-4-12, 13 & 14 Zoning District: R-40 Gear Mr. McCarthy: The following resolution was adopted at a meeting of the Southold Town Planning Beard on Monday, June 2, 2025: WHEREAS,this Resubd ivision proposes to create two lots from three existing 15,000 +/- sq. ft. parcels, SCTM##1000-08.-4-12, 13 and 14. Existing Lot 13 will be divided between Lots 12 and 14 to create proposed Parcel A at 22,735 sq. ft. and proposed Parcel B at 23,750 sq. ft. Bath required area variances to create lots that are non- conforming in the R-40 Zoning District (granted in RBA Rile#7751); and WHEREAS, on June September 25, 2023, the Southold Town Planning Board granted Conditional Final Plat Approval upon the map entitled "Lot Line Modification Map of Lots 241 25 & 28 Map of Indian Nock Park" prepared by Seccafico Land Surveying PC, dated January 4, 2020, and last revised May 25, 2022 with the following conditions: 1. Install concrete monuments at each new property corners. 2. Notify the Planning Board when the monuments have been installed so that an inspection can be made. Vansant Resubdivision Page 12 June 3, 2025 3. Submit 12 paper copies and 5 mylars with the stamp of approval from the Suffolk County Department of Health Services. WHEREAS, the Final Plat Approval expired on April 7, 2025; and WHEREAS, the Southold Town Planning Board extended the Conditional Final Plat Approval for this application to July 5, 2025; and WHEREAS, all conditions have been met; and WHEREAS, on November 15, 2024, the applicant submitted a new Final Plat with Suffolk County Department of Health approval, replacing the last survey prepared by North Star Engineering dated July 12, 2024, and last revised October 10, 2024; therefore be it RESOLVED, the Southold Town Planning Board re-issues Final Plat Approval upon the map entitled 1135 Smith Road Land Division" prepared by North Star Engineering, dated July 12, 2024, and last revised October 30, 2024. If you have any questions regarding the above, please contact the Planning Board office at 765-1938. Respectfully, James H. Rich III Chairman b MAILING ADDRESS: PLANNING BOARD MEMBERS �,� ,,, P.O. Box 1179 JAMES H.RICH III Southold, NY 11971 Chairman OFFICE LOCATION: MIAJEALOUS-DANK Town Hall Annex PIERCE RAFFERTY Ski54375 State Route 25 MARTIN H.SIDOR (cor. Main Rd. &Youngs Ave.) DONALDJ•WILCENSHI °, 0 Southold, NY Telephone: 631 765-1938 www.southoldtownny.gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD May 6, 2025 Mr. Thomas McCarthy McCarthy Management, Inc„ 46520 County Road 48 Southold, NY 11971 Re: Conditional Final Plat Approval Extension Vansant Resubdivision Located: East side of Smith Road, 1100+/- feet south of Indian Neck Road, Peconic SCTM#:1000-98.-4-12, 13 & 14 Zoning District: R-40 Dear Mr. McCarthy: The following resolution was adopted at a meeting of the Southold Town Planning Board on Monday, May 5, 2025: WHEREAS,this Resubdivision proposes to create two lots from three existing 15,000 +/- sq. ft. parcels, SCTM#1000-98.4-12, 13 and 14. Existing Lot 13 will be divided between Lots 12 and 14 to create proposed Parcel A at 22,735 sq. ft. and proposed Parcel B at 23,750 sq. ft. Both required area variances to create lots that are non- conforming in the R-40 Zoning District (granted in ZBA File#7751); and WHEREAS, on June September 25, 2023, the Southold Town Planning Board granted Conditional Final Plat Approval upon the map entitled "Lot Line Modification Map of Lots 24, 26 & 28 Map of Indian Neck Park" prepared by Seccafico Land Surveying PC, dated January 4, 2020, and last revised May 25, 2022 with the following conditions: 1. Install concrete monuments at each new property corners. 2. Notify the Planning Board when the monuments have been installed so that an inspection can be made. Vansant Resubdivision Page 12 May 6, 2025 3. Submit 12 paper copies and 5 mylars with the stamp of approval from the Suffolk County Department of Health Services. WHEREAS, the Final Plat Approval expired on April 7, 2025; and WHEREAS, on April 7, 2025 the applicant's agent wrote an email to the Planning Board requesting a 90-day extension to complete the requirements of Final Plat Approval; therefore be it RESOLVED that the Southold Town Planning Board extends the Conditional Final Plat Approval for this application to July 5, 2025. The next step is to meet the conditions above. If you have any questions regarding the above, please contact the Planning Board office at 765-1938. Respectfully, )6-1-14-- P. James H. Rich III Chairman OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 °' Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY I, � Telephone: 631 765-1938 www.southoldtownny.gov co"'^ a PLANNING BOARD OFFICE TOWN OF SOUTHOLD January 14, 2025 Mr. Thomas McCarthy McCarthy Management, Inc. 46520 County Road 48 Southold, NY 11971 Re: Final Plat Approval Vansant Resubdivision Located: East side of Smith Road, 1100+/- feet south of Indian Neck Road, Peconic SCTM#:1000-98.-4-12, 13 & 14 Zoning District: R-40 Dear Mr. McCarthy: The following resolution was adopted at a meeting of the Southold Town Planning Board on Monday, January 13, 2025: WHEREAS,this Resubdivision proposes to create two lots from three existing 15,000 +/- sq. ft. parcels, SCTM#1000-98.4-12, 13 and 14. Existing Lot 13 will be divided between Lots 12 and 14 to create proposed Parcel A at 22,735 sq. ft. and proposed Parcel B at 23,750 sq. ft. Both required area variances to create lots that are non- conforming in the R-40 Zoning District (granted in ZBA File#7751); and WHEREAS, on June September 25, 2023, the Southold Town Planning Board granted Conditional Final Plat Approval upon the map entitled "Lot Line Modification Map of Lots 24, 26 & 28 Map of Indian Neck Park" prepared by Seccafico Land Surveying PC, dated January 4, 2020, and last revised May 25, 2022 with the following conditions: 1. Install concrete monuments at each new property corners. 2. Notify the Planning Board when the monuments have been installed so that an inspection can be made. 3. Submit 12 paper copies and 5 mylars with the stamp of approval from the Suffolk County Department of Health Services. Vansant Resubdivision Page 12 Janua 14 2025 WHEREAS, the conditions have been met; therefore, be it RESOLVED, that the Southold Town Planning Board grants Final Plat Approval upon the map entitled 1135 Smith Road Land Division" prepared by Seccafico Land Surveying PC, dated July 12, 2024, and last revised October 30, 2024. The map for this Resubdivision will be kept on file with the Southold Town Planning Department. The deeds must be filed within 90 days,of the date of this resolution or such approval shall expire and be null and void. Submit proof of recordin and a copy of the recorded deeds to the Southold Town Planning Department. If you have any questions regarding the above, please contact the Planning Board office at 765-1938. f4espectfully, H. /A, James H. Rich III Chairman OFFICE LOCATION: MAU ING ADDRESS: Town Hall Annex P.O.Box 1179 54375 State Route 25 �" Southold,NY 11971 (cor.Main Rd.&Youngs Ave.) Telephone: 631 765-1938 Southold,NY www.southoldtovmny.gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD October 8, 2024 Mr. Thomas McCarthy McCarthy Management, Inc. 46520 County Road 48 Southold, NY 11971 Re: Conditional Final Plat Approval Extension Vansant Resubdivision Located: East side of Smith Road, 1100+/- feet south of Indian Neck Road, Peconic SCTM#:1000-98.-4-12, 13 & 14 Zoning District: R-40 Dear Mr. McCarthy: The following resolution was adopted at a meeting of the Southold Town Planning Board on Monday, October 7, 2024: WHEREAS,this Resubdivision proposes to create two lots from three existing 15,000 +/- sq. ft. parcels, SCTM#1000-98.-4-12, 13 and 14. Existing Lot 13 will be divided between Lots 12 and 14 to create proposed Parcel A at 22,735 sq. ft. and proposed Parcel B at 23,750 sq. ft. Both required area variances to create lots that are non- conforming in the R-40 Zoning District (granted in ZBA File#7751); and WHEREAS, on June September 25, 2023, the Southold Town Planning Board granted Conditional Final Plat Approval upon the map entitled "Lot Line Modification Map of Lots 24, 26 & 28 Map of Indian Neck Park" prepared by Seccafico Land Surveying PC, dated January 4, 2020, and last revised May 25, 2022 with the following conditions: 1. Install concrete monuments at each new property corners.. 2. Notify the Planning Board when the monuments have been installed so that an inspection can be made. Vansant Resubdivision Page 12 October 8, 2024 3. Submit 12 paper copies and 5 mylars with the stamp of approval from the Suffolk County Department of Health Services. WHEREAS, the Final Plat Approval expired on March 25, 2024; and WHEREAS, on April 4, 2024 the applicant's agent wrote a letter to the Planning Board requesting a six-month extension to complete the requirements of Final Plat Approval; therefore be it RESOLVED that the Southold Town Planning Board extends the Conditional Final Plat Approval for this application to April 7, 2025. The next step is to meet the conditions above. If you have any questions regarding the above, please contact the Planning Board office at 765-1938. Respectfully, James H. Rich III Chairman FFICE LOCATION: Town Hall Annex ���, '° w� MAILING ADDRESS: 5 4375 State Route 25 P.O. Box 1179 ° �" „ ���, Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY s Telephone: 631 765-1938 www.southoldtow-nny.gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD September 26, 2023 Scott DeSimone P.C. P.O. Box 233 Peconic, NY 11958 Re: Conditional Final Plat Approval Vansant Resubdivision Located: East side of Smith Road, 1100+/- feet south of Indian Neck Road, Peconic SCTM#:1000-98-4-12, 13 & 14 Zoning District: R-40 Dear Mr. DeSimone: The Southold Town Planning Board adopted the following resolutions at a meeting held on Monday, September 25, 2023: WHEREAS, on April 12, 2022, the applicant submitted a Resubdivision application for review by the Southold Town Planning Board; and WHEREAS, this resubdivision proposes to create two lots from three existing 15,000 +/- sq. ft. parcels, SCTM#s 1000-98-4-12, 13 and 14. Existing Lot 13 will be divided between Lots 12 and 14 to create proposed Parcel A at 22,735 sq. ft. and proposed Parcel B at 23,750 sq. ft. Both required area variances to create lots that are non-conforming in the R-40 Zoning District (granted in ZBA File#7751); and WHEREAS, on August 8, 2022, at their work session, the Planning Board found the application incomplete because it required a variance from the Zoning Board of Appeals; and WHEREAS, on April 15, 2023, the Planning Board provided comments to the Zoning Board of Appeals stating no objection to the resubdivision as proposed; and Southold Town Planning Board Page 12 September 26, 2023 WHEREAS, on April 20, 2023, the Zoning Board of Appeals granted area variances for lot area and lot depth (ZBA File#7751); and WHEREAS, on June 5, 2023, at their work session, the Planning Board found the application complete; and WHEREAS, this application is EXEMPT from review by the Local Waterfront Revitalization Program as no new development potential will result from this resubdivision; and WHEREAS, the Southold Town Planning Board, pursuant to State Environmental Quality Review Act (SEQRA) 6 NYCRR, Part 617, has determined that the proposed action is a Type II Action under SEQRA according to 617.5(c)(16) "granting of individual setback and lot line variances and adjustments"; and WHEREAS, pursuant to §240-56 Waivers of certain provisions, the Southold Town Planning Board shall have the authority to modify or waive, subject to appropriate conditions, any provision of these subdivision regulations, if in its judgment they are not requisite in the interest of the public health, safety and general welfare, except where such authority would be contrary to other ordinances or state law; and WHEREAS, the Southold Town Planning Board has determined that the following provisions of the Southold Town Code §240 Subdivision of Land are not requisite in the interest of the public health, safety and general welfare. The reasons for this determination are that this resubdivision does not convey any significant additional development potential to either parcel, therefore the following provisions can be waived: a. Article V: Sketch Plat Review; b. §240-10 (A): Existing Resources Site Analysis Plan (ERSAP); c. §240-10 (B): Yield Plan; d. §240-10 (C): Primary & Secondary Conservation Area Plan; e. Article VI: Preliminary Plat Review; f. §240-19 (C-2): Preliminary and Final Public Hearings; and WHEREAS, pursuant to Town Code §240-41 concrete monuments to mark the new property boundaries are required; and WHEREAS, on June 5, 2023, at their work session, the Planning Board found that this application meets all the necessary requirements of Town Code Chapter 240 for a resubdivision; therefore be it Southold Town Planning Board Page 13 September 26, 2023 RESOLVED, that the Southold Town Planning Board, pursuant to §240-56 Waivers of certain provisions, hereby waives the following provisions of subdivision: a. Article V. Sketch Plat Review; b. §240-10 (A): Existing Resources Site Analysis Plan (ERSAP); c. §240-10 (B): Yield Plan; d. §240-10 (C): Primary & Secondary Conservation Area Plan; e. Article VI: Preliminary Plat Review; f. §240-19 (C-2): Preliminary and Final Public Hearings; and be it further RESOLVED, that the Southold Town Planning Board grants a Conditional Final Plat Approval upon the map entitled "Lot Line Modification Map of Lots 24, 26 & 28 Map of Indian Neck Park" prepared by Seccafico Land Surveying PC, dated January 4, 2020, and last revised May 25, 2022 with the following conditions: 1. Install concrete monuments at each new property corners. 2. Notify the Planning Board when the monuments have been installed so that an inspection can be made. 3. Submit 12 paper copies and 5 mylars with the stamp of approval from the Suffolk County Department of Health Services. Conditional Final Plat Approval shall expire six months from the date the Planning Board adopted this resolution. Extensions may be requested as needed. Please provide the reason why the extension is needed. The next step is to meet the conditions above, after which the Planning Board will issue Final Plat Approval. If you have any questions regarding the above, please contact this office at 765-1938. qly, —32� Donald J. Wilcenski Chairman Submission Without a Cover Letter svb-F . . � P117- Name: b � / { � G / MAY 0 1 2025 Project Title: SOUTHOLD TOWN r f PLANNING BOARD SCTM#: 1000 - ( r _ , 2— Date: It [ �5 Details of Submission: K,`C,V Ltd 1- [ xvl S -2- d OV5 7 t-L From: Terry, Mark S�b Sent: Monday, April 7, 2025 9:21 AM F6 H To: Michaelis,Jessica;Westermann, CaitlinrAPR r; � "' : ED Subject: FW:VanSant subdivision expiring April 7, 2025 Attachments: Thomas J. McCarthy.vcf 0 7 2025 ;OUTHOLD TOWN rL. MNG BOAR From:Thomas Mccarthy<tmccarthy.tmccarthy@gmail.com> r Sent: Monday, April 7, 2025 9:09 AM To:Terry, Mark<mark.terry@town.southold.ny.us> Cc:Thomas Mccarthy<tmccarthy.tmccarthy@gmail.com>;colin McCarthy<colin.mccarthy@thomasjmccarthy.com> Subject:VanSant subdivision expiring April 7, 2025 Dear Mark, Would you kindly extend the Conditional final Approval for this subdivision? We had to make a few minor clerical changes to the map when we went to file it, and will be bringing your office the new maps with an explanation of these changes for your Chairs endorsement and our subsequent refiling. Many thanks! Thanks, Tom ATTENTION: This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. i iry99N%(�I�J Thomas J. McCarthy 1 E C. 46520 COUNTY ROAD 48 a uu uu0uu uu u SOUTHOLD, NY 11971 � JC)B NO (631) 765-5815 FAX (631) 765-5816 _m....... .. A TO Fib ?4�w "." ........ ........ „_�. . #,, .� J.v...w . ..., .m w .... ... . _............_ . . .. I Planning WE ARE SENDING YOU Attached 0 Under separate cover via. _..�. � �-the following items: 11 Shops drawings ---➢ If'irints EI Plans [7 Samples C 1 Specifications Copy of letter F1 Change order _.. ..... . .. ...... m .......... oil 7"mi ... ............... THESE ARE TRANSMITTED as checked below: E] For approval 1-1 Approved as submitted I Resubmit -------------___._codes for approval El For your use E] Approved as noted ❑ Submit .......m......................copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return _ __.corrected prints ❑ For review and comment ... ....-. ......... .... --------- CJ FORBIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US ------------ REMARKS .. ... ... ...__. .„ .. ..� ..... � � ...31 �S'......�.. ...... ... ...... �.. ......... .... ........... ... ........... ........ . ............ ......... .... _............. COPYTO .............. ........_.. .. ........._ ..... ...... .. SIGNED: . ..... .... ............... .........,.,.,.,..................... ..... It enclosures area not as noted,kindly notify cis at once. Submission Without a Cover Letter Name: L-Or- r6j rw Frrj� r 1 G 1<s Project Title: V"I scirl+ 9-es v -�a i v;s 1 ca►.-\ 5V*p SCTM#: laoa - cl $. — q -- 12.. 13 yREC'EIVED Date: 10 I ' 71 OCI` 1, 5 2024 , (-^� w.i „o_mm Sf���a � .n._.. Planning Board Details of Submission:. Authentisign ID:53D49D0D-3G87-EF11-8473.002248299057 Charles Vansant 200 Exchange Place, Unit 513 Providence, RI 02903 October l Wh, 2024 RE: 1355 Smith Road Peconic,NY 11958 Authorization Letter I, Charles Vansant,hereby authorize Thomas J McCarthy and/or McCarthy Management,Inc to act on my behalf and handle all necessary work involved with Local Townships, County and NYS municipalities or any other entity for permits, expediating, development, or any other matter for the subject property located at 1355 Smith Road,Peconic NY 11958. SCTM# 1000-98-4-12,13,&14. Thank you, leHFFEhW^4C9krr. -,. Art v6t cot Charles Vansant Owner From: Scott DeSimone<taxcertesq@optimum.net> Sent: Wednesday,April 3,2024 12:19 PM To: Michaelis,Jessica Subject: Request for extension 1000-98-4-12,13&14 VA N SAr N T R-S(AD"J I S 10 N Attachments: Approval Letter.pdf Due By: Friday,April 5,2024 12:18 PM Jessica, We are still in the health department and need a six month extension of the conditional final plat approval. Copy of approval letter is attached.Thank you. SvbF Regards Pis, HL— RECEIVED Scott DeSimone, Esq. IuUt SCOTT DES/MONE P.C. c athol "'i o �-'-- ATTORNEYSATLAW Planning Board 0 41245 Route 25 l P.O. Box 2331 Peconic 1 NY l 11958 Southold Office*146520 County Road 481 Southold 1 NY[11971 "631 765 3535 1 A631 765 5148 1 www.reaIproper-tytaxlaw.com *For personal service and overnight delivery of process and/or papers Confidential Notice:This E-Mait/Fax message and any documents accompanying this transmission may contain privileged and/or confidential information and is intended solely for the addressee(s) named above. If you are not the intended addressee/recipient,you are hereby notified that any use of,disclosure,copying,distribution,or reliance on the contents of this E-Mail/Fax information is strictly prohibited. Please reply to the sender advising of the error in transmission and immediately delete/destroy the message and any accompanying documents. 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Box 1179 54375 State Route 25 ° �� ",e Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) ` Telephone: 631 765-1938 Southold, NY www.southoldtowiniy.gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD June 16, 2023 Scott DeSimone P.C, P.O. Box 233 Peconic, NY 11958 Re: Vansant Resubdivision Located: East side of Smith Road, 1100+/- feet south of Indian Neck Road, Peconic SCTM#:1000-98-4-12, 13 & 14 Zoning District: R-40 Dear Mr. DeSimone: The Planning Board reviewed the application referenced above at their Work Session on June 5, 2023 and has found the following: 1. The application is complete. 2. The public hearing will be waived. 3. A Conditional Determination will be made at the July 10, 2023 Public Meeting. 4. Conditions will include: a. Receive approval from the Suffolk County Department of Health Services; b. Install concrete monuments at the new property corners. If you have any questions, please do not hesitate to contact this office at 631-765-1938. Respectfully, Heather Lanza, AICP Town Planning Director SOLIthold Town Plann - Project name: Va'n"sa",rii Re-subdivision-- —'-'-, _M_ 1 1000 9 8-4 12 13 & 14 Location: 1135, 1265 & 1355 Smith Road, Peconic Des'' 1 6 1 i pt'i o n: This resubdivision proposes to create two lots from three existing 15,000 sq. ft. parcels, SCTM#s 1000-98-4-12, 13 and 14. Existing Lot 13 will be divided between Lots 12 and 14 to create proposed Parcel A at 22,735 sq.ft. and proposed nonl- ,750q. ft. Both will require an area variance to createlots that areconfornii g in the R-40 nin District._nStatus: Pendin ......... ... ........... .................. ....... .......- -- A ion: Review for Conditional Determination o. Staff Report ........................ Attachments: It ..................... . ..... ............ Project NpTq, Jenkins Conservation Subdivision. 1 1000-102-2-2.6 & 2.7 .......... _§PT' M#.; Location: q4tcl�.YL -...... ............ be'scriptio"n, This proposal is for a Conservation Subdivision of a 17.89-acre parcel into two lots, where Lot 1 is 1.84 acres and contains an existing house and accessory buildings, and Lot 2 is 16.05 acres and contains a Town drainage easement of 0.28 acres and 15.77 acres of agricultural land. The Town purchased development rights on 15.77 acres of Lot 2 in 2001, and ownership of this property has not cn nged since that time. The property is located at 2800 Depot Lane, Cutch ue, the AC Zon!lg on i _Pistrict. I Status Pending_. mk Action, [Review for Final Plat Determination Attachments: St J- Discussion: ❖ Planning Board Monthly Report-May 2023 ❖ ZBA Request for Comments: o RQA Properties, 29950 Main Road, Cutchogue, SCTM#1000-102-3-1 HEARING: July 6, 2023 Southold Planning Department Staff Report Subdivision Application Re-subdivision Review Date June 5, 2023 Prepared By: Heather Lanza, AICP I. Application Information Project Title: Vansant Resubdivision Applicant: Charles & Kavita Vansant Date of Submission: April 12, 2022 Tax Map Numbers: 1000-98-4-12, 13 & 14 Project Location: East side of Smith Rd, 1100+/- feet south of Indian Neck Rd. Hamlet: Peconic Zoning District: R-40 II. Description of Project Type of Subdivision: Resubdivision Acreage of Project Site: 1.07 acres Existing parcel sizes: 98-4-12: 15,044 sq. ft. 98-4-13: 15,495 sq. ft. 98-4-14: 15,946 sq. ft. Proposed: Parcel A: 22,735 sq. ft. Parcel B: 22,750 sq. ft. This Resubdivision proposes to reconfigure the lot line of two recognized lots, one of which is vacant and the other contains a single family dwelling. The vacant lot, 30,539 sq. ft. and currently consisting of two tax parcels that have been merged by Town Code, will transfer 7,804 sq. ft. to the house lot, making it less non-conforming as it will be increased in size from 15,946 sq. ft to 22,750 sq. ft III. Status Pending IV. Action to review Completeness and next steps Page 2 V. Completeness Review The application was found incomplete on August 8, 2022 due to the need for a variance from the ZBA. The ZBA granted the area variance: ZBA File#7751, dated April 20, 2023. During their review, the ZBA discovered that two of the three tax parcels (lots 12 & 13) had merged by Town Code. The main difference this discovery made was that instead of this application creating two lots out of three, it is moving the lot line between two lots. VI. SEQRA Classification This is a Type II action under SEQRA, according to 617.5(c)(16) "granting of individual setback and lot line variances and adjustments". No further review under SEQRA is required. VII. Items to Consider • Find the application complete. • Consider waiving the public hearing due to the Zoning Board of Appeals having held a hearing on this application. • If hearing is waived, consider a conditional determination at the next public meeting to include the condition that Health Department approval must be obtained prior to Final Approval. N �"^ 7 Southold Town Hall BOARD MEMBERS , � w v Leslie Kanes Weisman, Chairperson 53095 Main Road • P.O. Box 1179 w � Southold,NY 11971-0959 Patricia Acampora Eric Dantes ( flice°�Location: Town Annex/First Floor Robert Lelmert, Jr. Izc Nicholas Planamento 54375 Main Road(at Youngs Avenue) �' Southold,NY 11971 6 RECEIVED .� http://southoldtownny.gov ZONING BOARD OF APPEALS ANI 4 , &SAY 1 .0 . 1 TOWN OF SOUTHOLD ut�°csici ¢.ovv�_ . 0 � Tel. (631) 765-1809 P�anll�ng Board Southold Town Clerk FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF APRIL 20, 2023 ZBA FILE#7751 NAME OF APPLICANT: Charles and Kavita Vansant PROPERTY LOCATION: 1355, aka 1288 Smith Road, Peconic, NY SCTM#1000-98-4-12 SCTM41000-98-4-13 SCTM#1000-98-4-14 SI:,;,QRA I;)E I"1 R1 1, ° n : 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. SQ I.Q .. .( ( p l fit" ADMINIC 1t 1T c) 1 This application was not required to be referred to the Suffolk County Department of Planning under the Suffolk County Administrative Code Sections A 14-14 to 23. LWRP IBC 11 RN41 AT.'It, '` The relief, permit, or interpretation requested in this application is listed under the Minor Actions exempt list and is not subject to review under Chapter 268, BAN t";AIµ SOLJ"rFl()I„I)PL ANNI (iBO BOAR ; The application was referred to the Southold Town Planning Board for comment. In a memorandum dated April 15, 2023, the Planning Board stated that they have no objection to the area variances required to allow the lot line to be relocated between the two lots as proposed. I'Rt)I>I 1t 1 ' 1 AC S/DI (IR,IP'I'IO1"�._„.The subject properties are non-conforming totaling 46,486 square feet located in the R-40 Zoning District. The northerly property line measures 148.19 feet, the easterly property line measures 350.35 feet, the southerly property line measures 161.72 feet and the westerly property line measures 350.00 feet and is adjacent to Smith Road. Lot 412 currently is 15,044 square feet and is unimproved wooded parcel, lot#13 is a 15,495 square foot lot and is an unimproved wooded parcel, lot# 14 is a 15,946 square foot parcel with a frame one-story residence with a detached frame garage as shown on the survey map prepared by Pat T, Seccafico, LS, and last revised May 25,2022. A single and separate title search was conducted by the applicant's representative and accepted by the Town Attorney's office. The search indicated that two of the subject lots (#12 and 913) have merged by operation of law, thereby resulting in this request for a lot line change of two lots. BAS1S_CI1.., 1'P kC.:. QN: Request for Variances from Article IV, Section 280-18; based on an application to change a lot line of two existing lots; 1)Proposed lots A and B at less than the code required lot size of 40,000 square feet; 2) Proposed lots A and B at less than the coded required minimum lot depth of 175 feet; located at 1355, aka 1285 Smith Road, Peconic,NY. SC"fM#1000-98-4-12, 1000-98-4-13, 1000-98-4-14. Page 2,April 20,2023 #7751,Vansant SCTM No. 1000-98-4-12, 13 & 14 RELIE.F.R i ' UESfur E D: The applicant requests variances to create two lots measuring 22,736 sq. ft. and 23,750 sq. Ft ,i n--s-t,e a d c,f.the quired 40,000 sq. ft. and with lot depths of approximately 148.19 and 154.95 sq. ft.,respectively, instead of the required 175 feet lot depth. The applicant's re ayes did not apply to the Building Department to seek administrative approval or a Notice of Disapproval from the Zoning Officer of theTown. During the first hearing of March 2, 2023, the Board adjourned the applicant's public, hearing and requested that single and separate title searches be conducted on subject parcels. A search was completed and accepted by, the fown Attorney's office, which indicated that two of the subject lots(412 and 913) have merged by operation of law. l"fNDFNQS 01" 1` CTI REA SON.5� �QRJL QACHON: _ The Zoning Board of Appeals held a public hearing on this application on March 2, 2023 and April 6,2023 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. Jown Lmy §267-b(31(b)(1). Grant of the variances will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The new lot configuratioris resulting from the lot line change will not add to groundwater pollution, population density, or increased traffic. In addition, the size and depth of the proposed lots are comparable to niany other lots in the sLibJect area, as documented by a written analysis submitted by the applicant's representative. 2. Town Law §26L-_bQJLhJU2 . The benefit sought by the applicant cannot be achieved by some method, feasible vet and Parcel B for the applicant to pursue, other than an area variance, Parcel A is proposed to be 22,735 sqLiare f is proposed to be 23,750 square feet where the code requires ,40,000 and the lot depths are also non-confonning, 3. Town 1,aw.,§267-bQ(b)(3)- The variances granted herein are mathematically substantial, representing 43% and 41 relief from the code for lot size and 15% and 12% relief from the code for lot depth. 4. No evidence has been submitted to Suggest that a variance in this residential community will have an adverse impact on tile physical or environmental conditions in the neighborhood. The applicant must comply with Chapter 236 of the'fown's Storm Water Management Code. and any future residential construction On the undeveloped lot will require the installation of an IA sanitary system. 5, Law '267- The difficulty has been self-created, "rhe applicant purchased the parcel after the Zoning (lode was in effect and it is presumed that tire applicant had actual or constructive knowledge of the I irn ItationS Linder the Zoning Code in effect prior to or at the time of purchase, 6. Town Law '267-b. Grant of the requested relief is the minimum action necessary and adequate to enable the applicant to enJoy the benefit of a lot line change consisting(.)f two lots while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. REISOLU 1t1): In considering all of the above factors and applying the balancing test under New York Town Law 267-B, motion was offered by Member Acampora, seconded by Member Weisman (Chairperson), and duly carried,to GRANT the variances as applied for and shown on the survey map prepared by Pat T. Seecafico, LS, and last revised May 25, 2022. Page 3,April 20,2023 #775 1,Vansant SCTM No. 1000-98-4-12, 13 & 14 SUBJF,CT'r(-Y-F-I-I—F-F-O-L-l.,-ONVIN(� CONDITI(INS: 1. The applicant shall submit a revised survey, signed and sealed, accurately depicting the key map and the existing lots. 2. Subdivision approval from the Town of Southold Planning Board shall be required. This approval shall not be deemed'effective until the required conditions have been met.At the discretion of the Board of Appeals,fititure to comply with the above conditions may render this decision null and void That the above conditions be written into the Building Inspector's Certificate of Occupancy, when issued 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. IMPORTANT LIMIT s)i_GRANT EEID) REREIN Please Rea4_f.arcful1X Any deviation front the survey, site plan andlor architectural drawings cited in this decivion, or work exceeding the scope of*the reli(f granted herein, ovill result in dela s andlor a possible denial by the Building Department Y ofa building permit and/or the issuance of it Stop Work Order, and may require a new application andpublic hearing before the Zoning Board of Appeals. An ,deviation from the variance(s)granted herein as shown on the architectural drawings,site plan andlor survey cited above, such as alterations, extensions, demolitions, or demolitions exceeding the scope of the reliqfgranted herein, are not authorized under this application when involving noncy)1!1j)rndtiev under the zoning code. This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code,other than such uses, setbacks and other features as are expressly addressed in this action. 'I'IME LIMITS ON T1-1,1,S APPROVAL: 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 (1) year terms. )WNER'S RFSPONSIBILITY TO ENSURE a PHTRE CODE 'IN. Failure to comply in timely manner ,REQ_13RED TIME FRAME IDES,CWBEILHERE may result in the denial by the Building Department of a Certificate of Occupancy, nullify the approved variance relief, and require a new variance application with public hearing before the Board of Appeals Vote of the Board: Ayes: Members Weisman (Chairperson), Acampora, Dantes, Lehnert, and Planamento (5-0). tic "y 'ki't'n"'e"s"''W"'e-i-s-n a-n,"'-C' h-a"'i''rpe'r's'o'n,............. Approved for filing --�-/,,�/ /2023 LOT LINE MODIFICATION MAP OF LOTS 24, 26 & 26 MAP OF INDIAN NECK PARK SITUATE AT PECONIC TOWN OF SOUTHOLD gi. SUFFOLK COUNTY, NEW YORK FILED:05/27/1913 MAP No. 661 JJJ S'.C.TM.Mo. 1000-96-04-12, 13&14 TOTAL r AREA�(^4E'466�IFMe µ„,wwxa ZONING DISTRICT:R40 nil 4 2023 J Voll- � �� N% u ( a o LOCATION MAP 1=600 LOT AREA TABLE EXISTING TAX LOT 12=15,044 S.F. NECK ECK ROAD EXISTING TAX LOT 13—15,496 S.F. -'--- EXISTING TAX LOT 14=15,946 5'.F. ____....„.,._.._ _____................. PROPOSED PARCEL A 22,735 S.F. PROPOSED PARCEL B=23,7.50 S.P. uxo xna na o aoacxx arvrxaearsxs u PROPERTY OWNERS far zz N 79"37'00"E 140.19, �" TAX LOT 12;CBARLE8&KAYITA VANSANT rr TAX LOT 13;CHARLES VAN.S'ANT nw.,am„ ra,xv • � �.,4,., .,.. T^^^^"vn..uvu.^, 'TAX LOT 14,CBAHLES YANSANT LEG r..wr...,uva.... j PARCEIsAe * = CONCRETE MONUMENT exu as ra x C= UTILITY POLE wy 4 w U.G. GAS— UNDEI!GROUND PROPANE TANK $ + ti (} � W.M.-= WATER METER ,yv 1 rvoaoxu o = MASONRY GEN.=GENERATOR 1 CELL ENT= AR ENTRANCE sPfY j KK76f1 ClN6 ,,c+fy, `� C P, F EXISTING f a (" ,Tt r ,r^ ,ram > RIO= ROOF'OVER a N/93700 Ee 1649 F u.m,, a Afrvneu Fa'a+ 0. rxorxxex,e.xxx .x o PARCEL Bb. 0 t' �' mxzi 9 1 rcM, rn PROPOSED mT en 1& pN 3 u --------------- KEY MAP a.r r+nr,b:a.s " S 79"37'00"W 161,72' ff+u rvox ore eaaaaat,'�r furexfar a x,�,�x��aaaxaaa� 1�c-- ept copy from i 6mal P"+orwi d ZEA Pita Y `"J'"7/ Date:1 /a(1 ,Oi k t PdEWv SECCAFICO LAND SURVEYING PC 500,wh Mon touk H19h Mofiches,N—York 119 7195.5 Ph-, (e37)s/e 'v t-fl, (037) 7zB-s3ec7 "N��• peecnafico¢nptPolt 7. St Pot C. .N.. 51 PLS pot L . ..04,,PIS NYS lic No 057040 NYS L N O492H7 copyight—2022 Sec r—Land Surveyi g PC as/ac/zazz xansau Pax manbxrs ns/zb/aoa a cuawaxls uArx: a xansxn PROJECT Na. 6'3014—LOT LINE MODIFICATION SCALE:1"=30' DATE:0110412020 as Town Hall Annex MAILING ADDRESS: OFFICE LOCATION• H P.O. Box 1179 �� 54375 State Route 25 �� Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Telephone: 631 765-1938 Southold, NY www.southoldt ownny.gov 'UUNTV,� PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Leslie Weisman, ZBA Chairperson Members of the Zoning Board of Appeals Cc: Julie McGivney, Assistant Town Attorney From: Donald J. Wilcenski, Planning Board Chairman Members of the Planning Board 6`V\ Date: March 1, 2023 Re: ZBA# 7751, Vansant, 1355 Smith Road, Peconic SCTM#1000-98-4-12, 13, & 14 The Planning Board has reviewed your request for comments regarding the above-referenced application and has no objection to the area variances required to allow the merger of three lots into two. Typically, lot area variances are not supported by the Planning Board except in special circumstances. In this case,the area variances are merely a formality because one lot will be eliminated, and the two remaining lots will become less non-conforming. They are each going to be made larger by merging with half of the parcel in between. In addition, because the center lot will no longer exist, overall housing density and thus impacts such as groundwater pollution and traffic will not be increased as a result of these variances. Thank you for this opportunity to provide comments. If you have any questions or require additional information, please do not hesitate to contact the Planning Office. PareII Michaelis, Jessica From: Lanza, Heather Sent: Monday, September 19, 2022 5:17 PM To: Scott DeSimone Cc: Michaelis, Jessica Subject: Vansant Resubdivision follow-up September 19, 2002 Hi Scott, Back in August the Planning Board found this application incomplete until you receive ZBA approval for the lot areas, and also you'll need to get Health Department approval so the owners are not left in a difficult position if they need Health Dept approval for future construction of the vacant parcel. Unfortunately even though the parcels will be made less non-conforming, we have nothing in our code that allows the Planning Board to "create" a non-conforming lot even in this circumstance. Please call with any questions. Regards, Heather Lanza,AICP Town Planning Director Southold Town Planning 53095 Route 25 P.O.BOX 1179 Southold,New York 11971 Phone: (631)765-1938 E-mail: heatherl((southoldtownmy.gou i Southold Town Plan nin Board Work Session —Au ust 8 2022 — Page 2 ..mm � On the side of Hortons Lane, +/-9 00 nso southeast of Jennings � , .... _ 43148 Project name Liebert Standard . .w..W_wm.. �_.. _.__-- . 4.8 Location: Road To Des —' ._ sth ro osal is for the standard subdivision of a 2.43-acre vacant lot in ... cnption: Th' proposal � to two lots, where Lot 1 equals 54,134 sq. ft. and Lot 2 equals 54,134 sq. ft. in the R-40 Zoning District �Status,_ CPlat Action: - Review Revised Final Plat Approval Conditional Final PlatAp ro lat Attachments: Staff Rep ort .Pro y ct_m na_m.—e. Vansan_t Resubdivision _ SC W# _0 98�4 .._w. , .. 14 Location 1135 1265 & 1355 Smith Road, Peconic _Description: This resubdivision proposes to create two lots from three existing 15,000 +/- sq. ft. parcels, SCTM#s 1000-98-4-12, 13 and 14. Existing Lot 13 will be divided between Lots 12 and 14 to create proposed Parcel A at 22,735 sq. ft. and proposed Parcel B at 23,750 sq. ft. Both will require an area variance to create lots that are non-conforming in the R-40 Zoning District. Status ...... ..�.— New Aeplii!q tion 1 Y ... . _ .... _� n Action:-.__..-.. ._ ._ ,�.Completeness m�tieo ... ..- -.... ..e.. - _.��..� .,........� 1 Attachments Staff Project Name: Messina Conservation _ SCTM# 1000 56 1 1 Subdivision _ �. ... — 1000 55 6 35 & 36 751 & 2425 Laurel. subdivision uthold rii tion This 80/60 conservationproposes to a into Location: .p subdivide 50 acres into Description: �. p p eight (8) residential lots of approximately 35,000 sq. ft. each, and one 43.6-acre parcel to be preserved..was open s ap ce by the Town. .. . _. �. .... ..._Conditional. .. �.� _ .Sketch Status — k_ Plat Approval _.,__.... _ Plat Application Completeness_...w..e.... _. Action Fin,_ - PP. Attachments: Staff Rem .... .._mm 56655IT NYS Route 25 Southold .. _ ..._ �� I_. �.J. m. _ 63 3 15 --- ... .._. � e _ SCTM#: I Lo�cat�on Name: I The Enclaves Hotel _ � _ .... 1000 Description: This proposed site plan is for the conversion of an existing 3,026 sq. ft. residence with a 584 sq. ft. addition into a 74-seat restaurant and the construction of a hotel with 44 units, and an outdoor pool on 6.75 acres in the Hamlet Business Zoning District. _ ...._ Status: Pending . Action Review Attachments k Staff Iepr _w_ Southold Planning Department Staff Report Subdivision Application Re-subdivision Completeness Review Date August 8, 2022 Prepared By: Heather Lanza, AICP I. Application Information Project Title: Vansant Resubdivision Applicant: Charles & Kavita Vansant Date of Submission: April 12, 2022 Tax Map Numbers: 1000-98-4-12, 13 & 14 Project Location: East side of Smith Rd, 1100+/- feet south of Indian Neck Rd. Hamlet: Peconic Zoning District: R-40 II. Description of Project Type of Subdivision: Resubdivision Acreage of Project Site: 1.07 acres Existing parcel sizes: 98-4-12: 15,044 sq. ft. 98-4-13: 15,495 sq. ft. 98-4-14: 15,946 sq. ft. Proposed: Parcel A: 22,735 sq. ft. Parcel B: 22,750 sq. ft. This Resubdivision proposes to create two lots, Parcel A at 22,735 sq. ft and Parcel B at 23,750 sq. ft. from three existing lots that total 46,485 sq. ft. III: Status New Application IV: Action to review Completeness V: Completeness Review The following table shows the requirements for Re-subdivision Completeness: Re uired Submitted Cover Letter Yes Page 2 Re-Subdivision Application Form Yes Authorization Letters Yes Transaction Disclosure Form Yes Property Deed Yes Copies of Easements, C&Rs n/a Proof the parcel meets Lot Yes — lots created by subdivision in Recognition 1913 Certificates of Occu anc Yes Part I of the Env. Assessment Form n/aType II action Application Fee Yes - $500 6 Copies of the Re-subdivision Plan Yes inclusive of the following: • Existing and proposed acreage for each lot • Existing and proposed lot configuration for each lot; • Existing lot lines shown with dashed lines and proposed lot lines with solid lines. Draft Deeds inclusive of the Yes statement: • "The Southold Town Planning Board approved of this lot line modification by resolution on insert approval date ". Schedule with legal description of Lot Yes Line Modification LWRP Consistency Form Yes — Exem t from LWRP review The following table shows the technical re uirements for a Re-subdivision Plan: Re uired Submitted Scale 1" = 100' V = 30' OK Key/Legend Yes Existing & Proposed lot lines Yes Table with existing and proposed Yes acreage Existing and proposed im rovements j Yes, existing only OK Name of Project Yes Name of all property owners Yes Name, address, seal and license Yes number of NYS license surveyor or en ineer prenaring the Ian North arrow Yes Tax map numbers Yes All utilities, available and proposed n/a Zoning District Yes Page 3 Existing easements and C&R's n/a includin liber and a e number Distance to nearest existing, or Yes platted streets, intersections, or other public ways within or immediately adjacent to the lots Location of wetlands, recharge n/a areas, flood-prone areas (as shown on the FEMA Flood Maps) and the Coastal Erosion Hazard Area line VI: Item to Consider • Find the application incomplete. A ZBA variance is required to proceed with this resubdivision. • If area variances for the two new lots are granted, the application will be found complete. • Consider whether to approve prior to Health Department. This is not recommended due to one of the lots being vacant. Health Dept will not recognize the new lots without a subdivision application being reviewed and approved by them. TT DE IM RECEIVED SCO S ONE P.C. ATTORNEYS AT LAW IJUN 2 2 2022 41245 ROUTE 25 Plan o - Town Planning Board . P.O. BOX 233 Phone 631 765 PECONIC NEW YORK 11958 Fax 631 765 5148 Email Info@realpropertytaxlaw.com Internet www.realpropertytaxlaw.com June 21,2022 VIA HAND DELIVERY Southold Town Planning Board Town Hall Annex Building 54375 Route 25 P.O. Box 1179 Southold,New York 11971 Attention:Heather Lanza Re: Re-Subdivision(Lot Line Modification)Application Vansant Smith Road,Peconic SCTM Nos.: 1000-98-4-12,13 and 14 Dear Heather: In connection with the above, and per your email request of April 28, 2022, enclosed please find the six (6) copies of the revised/updated Subdivision Plan showing the "before" and "after" sketch required by the Board. Please review and advise should you need any further information or documentation. Of same are satisfactory,please put this matter on your next available agenda. t yours, imone /lf/Enc. CUTCHOGUE OFFICE* 29205 Main Road_ Cutchogue New York _11935 ' *Office location for personal service and hand delivery of process and/or papers SCOTT DESIMONE P.C. ATTORNEYS AT LAW 41245 ROUTE 25 P.O. BOX 233 Phone 631 765 3535 PECONIC NEW YORK 11958 Fax 631 765 5148 Email Info@realpropertytaxlaw.com Internet www.realpropertytaxlaw.com April 20, 2022 1. t VIA HAND DELIVERY RECw.._....._.�......._.- ,,. Southold Town Planning Board APR 21 Town Hall Annex Building soutlhoCr- - 54375 Route 25 own Planning Board P.O. Box 1179 Southold,New York 11971 Re: Re-Subdivision(Lot Line Modification)Application Vansant Smith Road,Peconic SCTM Nos.: 1000-98-4-12 13 and 14 Dear Sir or Madam: In connection with the above, enclosed please find the following for submission to your office: 1. Re-Subdivision Application form; signed and notarized where needed; 2. Authorization letter from clients; 3. Copy of deeds for all involved properties; 4. Copy of certificates of occupancy for all existing buildings; 5. Proof parcel meets Lot Recognition standard; 6. Short EAF; 7. Application fee in the amount of$500; 8. Six(6)copies of survey showing existing conditions on the parcels involved; 9. Six (6) copies of the Re-Subdivision Plan showing the existing and proposed lot line configurations as well as the existing and proposed lot areas; and 10. Draft deeds for two new lots being created from the lot line modification. Please review and advise should you need any further information or documentation. der Lily yours, So uncrle /If/Enc. CUTCHOGUE OFFICE* 29205 Main Road Cutchogue New York 11935 *Office location for personal service and hand delivery of process and/or papers ' qM1 AP 2 . F_R E--C-E-I V_EFDn 2022 ooINWOCOWn Planning BL F--.. __oard SOUT:HOLD PLANNING DEPARTMENT Re-subdivision (Lot Line Modification) Application Form APPLICATION IS HEREBY MADE to the Town of Southold Planning Board for the proposed RE-SUBDIVISION described herein: 1. Original Subdivision Name Indian heck Park 2. Suffolk County Tax Map#(include all tax map parcels involved) 1000-98-4-12,13 and 14 3. Hamlet Peconic 4. Street Location Smith Road 5. Acreage of Site 46,485 6. Zoning District R-40 7. Date of Submission AIXa �' .. `,. 8. Please provide the names, addresses and phone numbers for the following people: Applicant: Charles Vansant and Kavita Vansant 200 Exchange St,Unit 513 Providence RI02903 Re-Subdivision Application Form 8. (continued) Please provide the names, addresses and phone numbers for the following people: Agent: Scott DeSimone,Esq. Scott DeSimone,P.C. 41245 Route 25,P.O.Box 233 Peconic,New York 11958 Property Owner(s): Same as Applicant Surveyor: Seccafico Land Surveying 500 Montauk Highway ...., Moriches,New York 11955 Engineer: N/A _.................... Attorney: Same as Agent ...............-................ 9. Briefly describe the proposed lot line change and state reason(s) for requesting same. Takin three hree tax lots and creating two tax parcels with a lot line modification 2 Re-Subdivision Application Form 10.DOES THE PROPOSED MODIFICATION (a) Affect the street layout in the original subdivision? No (b) Affect any area reserved for public use? No (c) Diminish the size of any lot? No (d) Create an additional building lot? No (e) Create a nonconforming lot? No (f) Require a variance from the Zoning Board of Appeals? No (g) Impact the future planning of the subject properties? No 11.Does the parcel(s) meet the Lot Recognition standard in Town Code Q:j loot Reco mitioij? Yes x . No If"yes", explain how: The lots were created by deed recorded in the Suffolk County Clerk's office on or before June 30,1983, and the lots conformed to the minimum lot requirements set forth in Bulk Schedule AA as of the date of creation. 12.Does this application meet the standard in :L,_1 pVe , adiustmerit of prop t:; lines to waive the subdivision process? If so, please provide the name and date of the original Subdivision. Yes,Map of Indian Neck Park,Map No.:551 and filed on 5/27/1913 13.Application completed by [ ] owner N agent [ ] other Upon submitting a completed application,the Planning Board will review the proposal and determine if the project is eligible for a waiver of subdivision review pursuant to Town Code 4 240-57. Wa:iver, adjustment of property lines. If the application meets the criteria for a waiver, the modification may be authorized by the Planning Board by resolution and no further review will be required. If the proposed lot line modification will create substandard lot sizes, lot widths or make existing structures nonconforming with respect to setbacks, the applicant will not be able to receive Planning Board approval without first obtaining relief from the Zoning Board of Appeals. Signature of Preparer Date A w 2,Ll i 3 Re-Subdivision Application Form Charles and Kavita Vansant 200 Exchange Street, Unit 513 Providence, RI 02903 We, Charles and Kavita Vansant, owners of the property identified as SCTM Nos.: 1000-98-4-12, 13 and 14 in Peconic, New York, hereby authorize Scott DeSimone, Esq. to act as my agent and handle all necessary work involved in the re-subdivision/lot line modification process with the Southold Planning Board. We, Charles and Kavita Vansant, owners of the property identified as SCTM Nos.: 1000-98-4-12, 13 and 14 in Peconic, New York, hereby authorize Scott DeSimone, Esq. to apply for a re- subdivision of our property and hire any agents necessary to complete the work involved in the re- subdivision/lot line modification process with the Southold Planning Board. Charles Vansant Kavita Vansant Swon to before me this TfN day of_... 2022 ,�,t rfX�yFayFF Public N0TA �7 PUBLIC m .. u Southold Planning Department. ent. Applicant Transactional Disclosure Form The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees. The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. Your Name: Charles Vansant Last,First,middle initial............................................................... ...... unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other person's or company's name. Nature of Application: (Check all that apply) Subdivision or Re-subdivision X Site Plan Other(Please name other 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, X,._ If you answered"Yes"complete the balance of this form and date and sign where indicated. Name of the person employed by the Town of Southold ww W... ._...._..m Title or position of that person w Describe the relationship between yourself(the applicant)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 souse,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); B.the legal or beneficial owner of any interest in a noncorporate entity(when the applicant is not a corporation); C.an officer,director,partner or employee of the applicant;or D.the actual applicant Description of Relationship: Submitted this day of 2022 d Signature. WW. Print Name Charles Vansant Disclosure Form Southold Planning Department Applicant Transactional Disclosure Form The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees. The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. Your Name: Kavita Vansant Last,First,middle initial unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the otherperson's or company's name. Nature of Application: (Check all that apply) Subdivision or Re-subdivision X Site Plan Other(Please name other 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 X If you answered"Yes"complete the balance of this form and date and sign where indicated. Name of the person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant)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 souse,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); ............ B.the legal or beneficial owner of any interest in a noncorporate entity(when the applicant is not a corporation); C.an officer,director,partner or employee of the applicant;or m....... D.the actual applicant Description of Relationship: Submitted this_E day of _q/2022 Print Name Kavita Vansant Disclosure Form THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD PLANNING BOARD ON FEBRUARY 14,2011: WHEREAS, the Southold Planning Board has found that applications for lot line modifications (re-subdivisions) often involve very minor adjustments of lot lines, or adjustments that result in no new development potential; and WHEREAS,the Southold Planning Board, pursuant to §240-56 of the Town Code, has the authority to waive certain requirements in the subdivision review process; and WHEREAS, the Southold Planning Board, by way of this policy, intends to simplify and shorten the application process for certain lot line modification (aka re-subdivision) requests by reducing the number of agency approvals necessary prior to Planning Board approval; NOW,THEREFORE,BE IT RESOLVED that the Planning Board of the Town of Southold hereby adopts the"Lot Line Modification/Re-subdivision Application Process Policy" as follows: Lot Line Modification/Re-subdivision Application Process Policy The following applications for lot line modifications (re-subdivisions) are eligible for a decision from the Southold Planning Board prior to receiving approval by the Suffolk County Department of Health Services (SCDHS): 1. The transfer of land from an oversized parcel (larger than the minimum zoning requires) where the oversized parcel remains above the minimum lot size required, and where no new development potential will be created in the parcel to which the land is transferred. 2. The transfer of land between two or more parcels, all of which are currently developed and can produce legal certificates of occupancy, which results in no new development potential. 3. The transfer of land between two or more parcels, vacant or developed, where the SCDHS has previously approved the subdivision map, and where the two lots will remain at or above the minimum lot size required by zoning. 4. Other situations where the Planning Board finds the amount of land being transferred is negligible will result in no additional residential units being developed, and that there will be no impact to wetlands or other sensitive environmental features. The Planning Board shall formally waive the requirement for SCDHS approval by resolution prior to their decision resolution. The following language shall also be included in every Planning Board decision resolution containing the waiver of the requirement for SCDHS approval: `The Southold Town Planning Board, in waiving the requirement for SCDHS approval prior to their own approval, is simply waiving a technical requirement of final plat approval under the Town Code and makes no representations as to whether SCDHS approval is required. SCDHS approval of this lot line change may be necessary to be in compliance with the Suffolk County Sanitary Code, and to be eligible for future construction or renovations.' The following clause will also be inserted at the end of the resolution and the applicant required to sign a copy for our files: `I understand that Southold Town Planning Board approval of this lot line modification does not grant, guarantee or waive an approval, if required, from the Suffolk County Department of Health Services. I understand that I will need to apply separately to the SCDF S fog°any applicable approvals.' Signature of Applicant 2 i r �rrrr rir��rrr���r�r �r� r rr�r�ri ��r r��riir��rri r��r r �r SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 02/20/2015 Number of Pages: 4 At: 10:09:14 AM Receipt Number : 15-0021531 TRANSFER TAX NUMBER: 14-18251 LIBER: D00012807 PAGE: 561 District: Section: Block: Lot: 1000 098.00 04.00 012 .000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $235,000.00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $20 .00 NO Handling $20.00 NO COE $5.00 NO NYS SRCHG $15.00 NO EA-CTY $5.00 NO EA-STATE $250.00 NO TP-584 $5.00 NO Notation $0.00 NO Cert.Copies $0.00 NO RPT $60.00 NO Transfer tax $0.00 NO Comm.Pres $0 .00 NO Fees Paid $380 .00 TRANSFER TAX NUMBER: 14-18251 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County a t_ u RECORDED 2015 Feb 2'0 10:09.14 AM th UDITH A. PASCALE Number of pages CLERK OF SUFFOLK COUNTY L D00012007 This document will be public P 561 record. Please remove all DTI; 14-18251 Social Security Numbers prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES J Mortgage At.Page/Filing Fee _ 1.Basic Tax Handling 20. 00 - 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. _ or EA 52 17(County) Sub Total Spec./Add. EA-5217(State) TOT.MTG.TAX R.P.T.S.A. 1 Dual Town Dual County _ Held forAppointment Comm.of Ed. 0 W Transfer Tax `' Affidavit . Mansion Tax The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only- Sub Total YES or NO Other ago Grand Total ! If NO, see appropriate tax clause on I page 4 of this instrument. 4 Dist.1 flnn Sectionn.m.no I Block 04.00 Lot 012.000 5 Community Preservation Fund Real Propert 15003747 1000 09800 0400 012000 Consideration Amount$ � I Tax Age cy Service F CPF Tax Du Verification R7- 1A IIN1111111111111 e Improved1) Satisfa-._. 's Vag 6 CHRYSA PASQUALONE,ESQ. TD I� 35 BANK STREET TD CENTER MORICHES, NY 11934 TD Mail to:Judith A.Pascale,Suffolk County Clerk Title Company Information 310 Center Drive, Riverhead, NY 11901 ... ", 310 Center Drive, ov/clerk Co.Name EMINENT ABSTRACT,INC. Y Y•g Title It EA1147-S 8 Suffolk County Recording & Endorsement Page This page forms part of the attached DEED made by: (SPECIFYTYPE OF INSTRUMENT) August Schumacher,as Trustee of the G.Elliot Smith The premises herein is situated in TosWrTwr ory Trust under the LWT of G.Elliot Smith SUFFOLK COUNTY,NEW YORK. TO In the TOWN of SOUTHOLD Charles Vansant and Kavita Vansant,his wife In the VILLAGE or HAMLET of PECONIC BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over, CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the G� 1 day o jo?eJ 201 BETWEEN August Schumacher,as Trustee of the G.Elliott Smith Testamentary Trust under the Last Will and Testament of G.Elliot Smith a/k/a George Elliot Smith,who died a resident of / Nassau Cnimtvpn M " 2 nterraher 19. 1993,Nassau Countv Surmnate Court File No.282601, party of the tryst part,l ^ c 33 r*— t rtrt r+.w,,Wgshwtat ,OC o o O'1 t ►(�y Charles Vansanf and Kavita Vansant,residing at 200 Exchange Street, Unit 513, Providence, RI 0290 party of the second part, WITNESSETH,that the party of the first part,in consideration of U/ dollars paid by the party of the second part,does hereby grant and release unto the party of the second par,ltte heirs or successors and assigns of the party of the second part forever, ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected,situate, lying and being in the See Schedule A attached hereto and made a part hereof Being and intended to be the same premises conveyed by deed in Liber 2497 Page 201, TOGETHER with all right,title and interest,if any,of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof;TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises;TO HAVE AND TO HOLD the premises herein granted unto the party of the second part,the heirs or successors and assigns of the party of the second part forever. AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby the said premises have been encumbered in any way whatever,except as aforesaid. AND the party of the first part,in compliance with Section 13 of the Lien Law,covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose.The word'party'shall be construed as if it read'parties"when ever the sense of this indenture so requires. IN WITNESS WHEREOF,the party of the first part has duly executed this deed the day and year first above written. IN PRESENCE OF: n Aug st Scv\humacher,As Trustee Standard N.Y.B.T.U.Form 8002 Bargain and Sale Deed,with Covenant against Grantor's Acts-Uniform Acknowledgment Form 3290 Schedule A Description Revised: 09117/2014 Title Number EA1147-5 Page 1 ALL that tract or parcel of land, situate at Indian Neck, near Peconic in the Town of Southold, County of Suffolk, State of New York, designated as Lot 24 on a certain map entitled, "Map of Indian Neck Park", George W. Smith, owner, made by Franklin F. Overton, Surveyor 1912, and filed in the Suffolk County Clerk's Office on May 27, 1913, under Map number 551, said lot being more particularly bounded and described as follows; BEGINNING-at a point on the easterly side of Smith Road (private road) distant 1100.00 feet southerly from the corner formed by the intersection of the southerly side of Indian Neck Road with the easterly side of Smith Road (private road), said point of beginning being where the division line between Lot 24 and Lot 22 intersects the easterly side of Smith Road; RUNNING THENCE from said point of beginning along the division line between Lot 24 and Lot 22, North 79 degrees 37 minutes 00 seconds East, 148.19 feet to a point; THENCE along land now or formerly of Anne M. Werber, South 12 degrees 58 minutes 00 seconds East, 100,10 feet to a point; THENCE along the division line between Lot 24 and Lot 26, South 79 degrees 37 minutes 00 seconds West, 152.70 feet to a point on the easterly side of Smith Road (private road); THENCE along the easterly side of Smith Road (private road), North 10 degrees 23 minutes 00 seconds West, 100.00 feet to the point or place of BEGINNING. TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York,County of S.A.9%1-ji— ss: State of New York,County of SS: On the '�t day of`�z c�vv�WjLe in the year 2014 On the day of in the year before me,the undersigned,personally appeared before me,the undersigned,personally appeared August Schumacher personally known t o me or proved to me on the basis of personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s)is satisfactory evidence to be the individu al(s)whose name(s)is (are)subscribed to the within instrument and acknowledged to (are)subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their me that helshe/they executed the same in histherftheir capacity(ies),and that by his/her/thei r signature(s)on the capacity(ies),and that by his/her/their signature(s)on the instrument,the individual(s),or the person upon behalf of which instrument,the individual(s),or the person upon behal f of which the individual(s)ac-a executed the instrument, the individual(s)acted,executed the instrument, .I iII� ....................... (s gnaturA and office of I adividual taking acknowleNW y Pub1ldp6h t g4rN@XcyG&dividual taking acknowledgment) No.02PA6079544 OualiBed In Suffolk County Commisslon Explres August 5,20la TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE Stale(or District of Columbia,Territory,or Foreign Country)of SS: On the day of in the year before me,the undersigned,personally appeared personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s) is(are) subscribed to the within instrument and acknowledged to me that he/shelthey executed the same in his/her/their capacity(ies),and that by his/her/their signature(s)on the instrument,the individual(s),or the person upon behalf of which the individual(s)acted, executed the instrument,and that such individual made such appearance before the undersigned in the in (insert the City or other poldlcal subdivision) _ (and insert the Stale or Country or other place the acknowledgment was taken) (signature and office of individual taking acknowledgment) DISTRICT 1000 SECTION 98 BARGAIN ANDSALE DEED BLOCK 4 WITH COVENANT AGAINST GRANTOR'S ACTS LOT - 12 Title No. Peconic COUNTY OR TOWN1135 Smith Road Schumacher,As Trustee STREETADDRESS TO Recorded at Requestof Vansant RETURN BY MAIL TO: DISTRIBUTED BY Chrysa Pasqualone,P.C. 35 Bank Street Center Moriches,New York 11934 W U LL O O z S K 0 U W D W N R' LL W U m N S F W 7 K W WN K INSTRUCTIONS(RP•52i 74MF4N5):www.orpsAtMny.0 �.OR COUNTY USE ONLY New York State Department of ct:MS code Taxation and Finance C.000 Deed' !' I / Office of Real Property Tax Services / RP-5217-PDF CB.Book �, s l COL Pape i n s ,/ ( Real Property,Transfer Roped.(NIO) ..PROPERTY INFORMATION' I•PMIN"F9' 1185 Smith Road Locallon Peconic 11958 •urtwrrmw _. vure •ra cooE LBeyr Vansant Charles Nerve -ran NctscdrewB rVin NKW Vansant Kavita wrwrccaawwr .. rzm>wwo 3.Tnd NfdrAe4ewhoao NUWaoT"ax�Bae tvenWaM Vansant Charles r BAd�o a taller gain buyer ocidme(al boltarht of frm) h�srrrarEeorsan rasT x+he 200 Exchange Street, Unit 513 Providence RI 02903 @K1THLA1WN kVA CT-rltaw MAIL Sl CeOE 4.Ihrdleata to aunber d Assessmefa 1 a d Parcels OR Pan ofr Pwuf (OoN l Panel a Percol)chock so they oppllr. Rol pareele bronoterred on the deed IA,.Pww*v Wool*0 subs wslen kdwsy E444 Dood l,Properly •FROM flat X OR ,3 ,�,rF ell.subaN.wwasn Apphdvel w Ro9u4d for Tremor sin eC.Psrod Appwd lot.. tdtb Nap PrmWad Schumacher August e.low .r,ayyrnrwrocowrtwn.r s sTrAw Noon wan -7.Select On description which roost aeerotaly,descdbn en Checlt am basoo below a they oppl)r. ten d tle ProPe�q the tlm dsale L Omwdep Type b Condrmeum C.Residential Vacant Land a.NewComlruCun an a Vwrt Land ICA.Property locoed wtoan an Aptadnral Dbttd toe.Buyer,saved a d-udowe at indon ing that the Propem is in an AgreAurol DAB SALE B+R°ORIMAT Ora t mn r mr+ char a m tnd ht14w A.Solo Retwmn Reledves or For rRdd&A* 08/27/2014 B Bob bows n PalC, m er ormw ed Companies Pae In Bualmm tt.Salo contact Data Dr'wd tw euyro k area a sow 'tiDW dfalMhmrsrar p7Jl�(pT,rj D.Bled or y51Gr hOararsmurain a r Lending*Beln E Dad Type not Wrrarty r aetaeln end See(Seedy Below) F.Sole of Fudawl of Lae sun Fee Moral(Spoory Below) •1L Full halo Price 235,000.00 G.SgWmt Change h Praprry Robreen Tamale Status and Sole Doles N.Son of Buenas Is endued in Selo Pdce (era Sate Rim is am Ind emem paid for the Papery mdu ing pima Paped hr 7- I.Oti Ursrnd FadrsAledng Sole Pdas(Bps*Bo-" Tale percent mar,be in fho form of ask oew propony or goods,or the aeuroon of J.tmho nnrtopa or oahe oWgdrm.)Rea roundm fM rorssf wAda ddrr amrea Caehtaoha(s)an Condition: 14.Indicate to micro of p wwpW propory,ndhrded In tM ale •08 A I SShIE-7 INFORMATION.DW shOlAd retied.the INU t Phill Assessment 0 and Tax t9dp' il.Yew drAssaened Rol from which nkmutloeYan(M 13 '17.1raWAssessed Vane 700 -IL Property Cleo 312 _ •IL School Dtablct Norse Southold 'iL Ta Map Wsslllor(spRdl IdoodW.)81 more than bar,aWeh MostwlM additional Idordlllar(so 1000109B.00/04.OD/012.000 . rmwl� T I C.rtly Owe oll of the IMhhs or lrrmetlen seleled on We hem ale erhre and correct(to the beat er nay enwledip and beW and I understand that the maWng of any willful ohs statsme t of material bet brain sAnt ens to tinXMhtlaaa.ojIhL aaLLNw.nelWvs to the makna and"d Use nstrurne>d. SELLEELAG 1AIURE BUYER CONTACT INFORMATION IE�rft elm err aw kW.fe 'Va. ewt cnrmaumn.pnvr MA CW"A$.auad _�__ ■ p Peb raw era aaarra'brwawmnrywrrm Mrehaer eheaehYw ea wCrp kwwMidrwl0y.) �MM9Ne p ` �(,r W4 M h non m lne,Mud Vrm w SAM",own M'&to Wwrtw y,r .......,AT" lye,rrrrse►.ny.) a Ir a/,F'Nli�gUMb .. E Vansant Charles 9lB81flt1ADJRE wu cater �Tw"rr me svr'rE:.-awer.segos, rt o�ni, 200 Exchange Street, Unit 513 _ " •w'aatu.t+viwer •alw,irwwc Y Providence RI 02903 'y"Pinto- •aTelE •/YCmC r .0 Pasqualone Chryea i,�tnwiw nearn,re 1 (631) 76 -590D .A 'rc rrvrrw«m+rewaa rr,•wdoar'� i EXECUTOR'S DEED(INDIVIDUAL OR CORPORATION) STANDARD NY13TU FORM 8010 GVrION:THISAGREEMENTSIIOtBA BE PREPARED BW AN ATTORNEY AND REVIEWED BVATIORNEVS FORSELUIRAND t'URt.TL►SFR BEFORE SIGNING. THIS INDENTUR&nuKic the 2-) 'day of -'Uyt."004 between ESTATE OF JOSEPH SMITH byStJSAN EC /AN,resldlag Rt 1525'"VMI.+Greek Ave<,Cutchogue. NY 11935.SU'SAN VE FEE KS*nmiding,at 121.lewellyn Way.Edgar Two,MA..05239 and NORTH FORK RAMC.27511rot4bollow Rd.,Melville,NY 11747 as Co-Ezecators or the Estate of Joseph Smith (Suffolk County SRrro rtes Court File#2141P'2003). party of the first part.and CHA LS F.VANSANT residing at 3 Dana Circle,Milford,MA 01757 party of the second pan, WII"WESSVTft,than the party of the first part„to whom lcttsers teshuncalt"were issued to Susan Susanne Fftks grid North fork/lank by the Surmfisties Court,Suffialk County,Now York on 311 W1004 and by virwe of the power and authority given In and by said last will a nd wstarnent,and/or by Article I I orthe Estates , Powers and Trusts Law,and in+consideration of$53Z000.00 doltsttt lawful money ofthe United Statm paid by the party of the second park,does hereby grant and release unto the party of the second part,thhe distributees or successors and assigns orthe party orthc second port forever. ALL that certain plot„piece or parcel of land,with the buildings and improvements thereon erected, situate,lying and being In the SEE SCHEDULE'A'ATTACHED HERETO TOfr'ETHER with all tight,title and Iattctest,If any,orthe,party of the first pan in and to any streets and roads abutting the above described premises to lire canter lints thetesof, TOGETHER with alto appurtenances.and also all the estate which the said decedent had at the time of decedents death in ssid pntmises and also the estate dnercin,which the patty ofthe first putt has or has power to convey or dispose of,whether individually.or by virtue ofraid will or otherwise, To OAPW AND'70 HOLD the promises'hercin grartted unto the party of the second part,the heirs or successors and assigns of the party orthe second part fotevcr. AND the party orthe first part covenants that the party orthe first part has not done or suffered anything whereby the said,premises have boon encumbered in day way whatever.except as aforesaid. AND the party of the first part in compliance with Section 13 orthe Lien Law,covenants that the party orthe first part will receive the consideration for this conveyance sod will hold the tight to reeci've such considetaiion as a trust fund to be spoiled first for the purpose of paying the costs of the improvement and wilt apply the pp y same first to the payment of the oust of tho improverneast before usirtg any pan of the total of same for any other purpose, The word"party"shall be construed as if it read"parties"whenever the sense of this indenture so requires. INWITNSS WHEREOF,the party of the first part has duly executed this deed the day and year first above written. a ..S11 AN E+C, l+i' SUSANNE FEEKS NORTH FORK BANK By. AM NYSDA Rees&wial Real FAute Fanny on HwOoma(W D) copyright CoMR"De-kgment .t. STATE OF NEW YORK ) COUNTY OF SUnf= )ss On the 1 day of Seposomber.2004,before me,the undersigned,personally appeared SUSAN F.GAN, personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose namc(s)is(arc)subscribed to the within instrument and acknowledged to me that she executed the same in her capacity(ies;),and that by her signature(s)on the instrument,the indiv"rduel(a),or the person upon behalf of which the'iindi "dual „executed the instrument ptrgiika,0lsdsh 4 WARY PUBLIC 0^1W�pn.Suffolk 0" STATE OF NEW YORK 1� COUNTY OF UL%T-L ? ) On the V'day of September,2004,before me,the undersigned,personally appeared SUSANNE FEEKS,personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is s m"bad to the within instrument and acknowledged tome that she executed the ace in her capacity. and signature on the instrument'the individual,or the person upon behalf of which the individual prof ex insuvmcnt. MR91t8lE MritT604M InP.b o11114448 TARY PUBLIC 4mad'n stater I ri �. STATE OF NEW YORK ) )ss: COUNTY OF SUVrMX .EFFYtM F. UA[� On the 7 day of Sopunigaw,41M.before me,the undersigned,personally appeared CAh IVAW. CIAM 'M personally known to me or proved to me on the basis of satisfactory evidence to be individual whose come is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity, and that by his signature on the instrument,die individual,or the person upon behalf of which the individual acted,executed the instrume t. NOT Y PUBLIC Oft CrIMP4001101 C BtphanMM+ad['SD. ?dd4 NYti9A Resldear W Red Fiore Fame m 1 YMOoeae(9M) cDpSftm C"Wtr 4TbP^M DECISION 200D REAL ESTATE SERVICES INC. SCHFOULE A CoffItVUED Title No.04M-4733 All that certain plot,piece or parcel of land.situate,lying and being in the Town of Southold,County of Suffolk and State of New York.known and designated as lots 26 and 28 on a certain map entitled "Map of Indian Neck Park"and filed in the Office of the Clerk of the County of Suffolk on 5/27/1913 as Map No.551.said lots when taken together are more particularly bounded and described as follows: Beginning at a point on the easterly side of Smith Road(Private Road)where the same is intersected by other land now or formerly of Smith,said point point or place of beginning being also distant 1,200 feet southerly as measured along the easterly side of Smith Road from the comer formed by the intersection of the easterly side of Smith Road with the southerly side of Indian Neck Road; Running thence from said point or place of beginning along other land now or formerly of Smith North 79 degrees 37 minutes 00 seconds East 152.70 feet to land now or formerly of Werber; Thence along said last mentioned land South 12 degrees 58 minutes 00 seconds East 200.20 feet to land now or formerly of Greenberg; Thence along said last mentioned land South 79 degrees 37 minutes 00 seconds West 161.72 feet to the easterly side of Smith Road; Thence along the easterly side of Smith Road North 10 degrees 23 minutes 00 seconds West 200.00 feet to the point or place of Beginning. For Information Only: District 1000 Section 098.00 Block 04.00 Lots 013.000 and 014.000 1 Representing Chicago Titie Insurance Company d iz Number of pages RECORDED TORRENS 2704 Oct 27 09.42157 AM Edward P.Rcuaine Serial H- CLERK OF SUFFOLK COUITY Ccniftcaic M L D00012351 P 400 Prior CIE w DTO D4-13146 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps FIEF z Page/Fi I ing Fee Mortgage AtnL Handling L Basic Tax TP-594 2,Additional Tax Notation Sub Total EA-52 17(County) Sub Total Spec./Assil. EA-5217(Stale) Spec,Or/Add. R-P.T.S.A. 9P TOT.MTG.TAX Dual Town Dual County - Held of Ed. 5 Qom + Held for Appotionmen_t A tdivit N Transfer Tax sL2/'trap Certified Copy Mansion Tax The property covered by this[ttongag a asps or Reg.Copy will be Improved by a one or two family Sub Total dwelling only. Other _ YES-or NO GRAND TOTAL IT NO,see approprialc tans clause n pa a 4 of this instrutnenl. S Real Pmpeoy Tax Savice Agency Verification 6 Corn tasnit Preservation °Fasrtfl Dist- Section Block Lae Conaid rWmount S tamp 3 �W06 2000 09900 0400 0130001 OFF Tax CSast 7 f 1000 09000 0400 014000 Dote T . a Improved d t� CFE A Initials Vacant Land 7 Satis fact ior�,.,.,.esa, ,rmeleasycs tAst rroporty{wnet4 Mailing Addres TD RECORD di RETURN TO: TD PAUL A. COMINITI, ESQ. TD P. 0. BOX 846 SOUTHOLD. NY 11971 Ig Title Company Information Co.Name D., an InGo goal Titic N 0/C-t18-4 9 Suffolk County Recording &Endorsement Page 'Mis page forms part of the attached Deed made by: (SPECIFY TYPE OF INSTRUMF.rfr) Fq-rATF DIE TOSEPH SMITH The premises herein is situated in SUFFOLK COUNTY,NEW YORK TO In the Township o€ SOUTHOLD CRARLFS P. VANSANT In the VILLAGE or HAMLET of 13OXES 5 THRU 9 MUST BE TYPED OR PRIMED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING- (OVER) 1111111111111 oil 111111 IN III 111111111111111111111PI SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEEDS/MD Recorded: 10/27/2004 I Number of Pages: 4 At: 09s42:57 AN. Receipt Number s 04-0118476 TRANSFER TAX NUMBER: 04-13146 LIBER: D00012351 PAGE: 400 District: Section: Block: Lot: 1000 098.00 04.00 014.000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $532,000.00 Received the Following Fees For Above Instrsment Exempt Exempt Page/Filing $12.00 NO Sandling $5.00 NO COE $5.00 NO NYS SRCHG $15.00 NO EA-CTY $5.00 NO EA-STATE $165.00 NO TP-584 $5.00 NO Cert.Copies $0.00 NO RPT $30.00 NO SC TX $0.00 NO Transfer tax $2,128.00 NO Co:mn.Pres $7,640.00 NO Fees Paid $10,010.00 A TRANSFER TAX NUMBERr 04-13146 THIS PAGE IS A PART OF THE INSTRUMENT THIS I9 NOT A BILL Edward P.Romaine County Clerk, Suffolk County C , ..__.— --------... ..._._..... PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS:httpJ/w W.orpsstate.ny.us or PHONE(518)473-7222 FOR COUNTY USE ONLY 3�r� � REAL PROPERTY TRANSFER REPORT C1.MIS Code . STATE OF NEW Y— CZ Date Deed P..wdd STATE BOARO OF REAL VIC PROPERTY SERES RP — 5217 C3.Book C4.Page .._.arm.. Xt "" aP nll Avr srw PROPERTY INFORMAT ION 1mr'1'r naewaa —J-Ji'1155111 „................ ..,.... 2.Buyer p VanaaaY a w ...._�.�. _.__. ... I Charles --_,....�.._.�.. hems '-Frdr 2.T.. (ndicale whma Mum Tea Bills ere to be sent Baling if Odle*Ihen buyer eddrea let boaan d forme * ....� yn}"R •^- ^^� Addo.ss �.""ur'aianex w .......... .....u:'ukk zanws.nwma. a-v ""rose.� � s_Indkc.ra,na wmbm ar Ae.ees,neM ' 'I IonN B Pen 'a'--Q a'--Q..dr ea they.ppM. Roll perch.wanafswN an the dab L�J F of Parcel. Ofl❑Pon of a Parcel �penning���vbn AuYwrity E.hb ❑ b.0 ^r�! 4B.SubdtwWw Appwal"IMfluircd for Tr.nHer ❑ fer"rty I e.onr rtat I XI asnx I OR "r`.m..�,a „tt„�^s °•'-I 4F Pme.l Approved for Subdhioion w!h Map Fronded ❑ she s.sager q._..... G 73l ' Nona r� o. rn+r k .... .�. "'-.Sueaffie Peeks ! �.... .,.... . � ,,..,,, 1a pTbtls 'rrzk lank Fd8 CG-d-,Ibutote o t�1e s;etetc ra'�BB(Sltt lthe boxes beaaw.s they apply: T,Clwr h m 1 eccur.tely dauriha the r¢e of the palrpwfY S. wmm� ElDhlp Type hon Cdomknlum A 1711 Famhfiy 6gervhaann(sl E AfVtau115amp9 1 Coam.moNty Service ena B.New Cbocdon on Veoem land ❑ C 7 r F F.m(ty P.a lXgsaPhgl 1: Caron c7el Indr4ah7ml 10A Propene'located within an Agrir IWral DhhYi 4#M ro r ❑ R-4.MW Vasatx 6..mad C INWk Serricm 10B.Buyer rm eiyed a dbdosure nodes Indicating el ❑ D Non R. mnttatl Varant 4ntl H r.ntrRtam.Nnar4t/Amusement L For.ca that the poperry Is n an Ag iwlhrrd District 'BAtE INF't1RNAATIOrN 15.Gna-one or more 0 thosa"Veftlo'ae as.. a.b..f- 11,7a'.k Conh wwt base I"""i 1 A 5.10 Bclwcon"OlhV yr�Fonlao1 RaV PY0s, $ Sale Between Related Compsnae or Porters in Buairwse /' C On.01 the Buyare Is elce a Seller 10:.Omaa o1 eels f Ts.ruafw Jt Dip D Buyer ar Seller is Goyenateant Agency or landing nedanion ' .'... ' Y yw.�r E. Deed Type not Warremy or B^rV^I^and Sale ISperIN faelarl P Sale of Fractional a Less then Fee hneraet(SP.eIIY Balm-) G'.. SiBnlft.ant Change InPmpany Between Tenable Status and Sale Dallas 12.FUR Sol.Pries 5 n...3,2-.�.. H Sale of Business is Included in Sale Prloe 1 7 . ] Dther Unusual Fedora Aff.M g Sala Fri.ISpedfY BM—) RF W Sate Nr ce b Vw Waif arnQunt peso for%4 pmpsdy 4retnddn®F«enY.aMI props+tw,fi Thdw p•Yna may be In 1ho f...t mush.Cabe ompmrcy or grna0:t„pr tho s9avraprkrn of J None errs pgts or Otto.,ol,14.lonf Ffasaa rw d le Ube rma.ratr"ola d asr 4wntw K ..14.l o 4'df.ate dw Yu(ue rd pnMxa val .. I .. ....�-. ®,. "'My MY�sa dear ask �' ".. e " ... ASSESSMENT IpIFORM✓tI41'IOd "OatP mYem/wkS fCRR+ts.'Rho taBx R Fleal A:aal=arwrnt R*R egad"fax B11I 16.Year of Aasemmant R0A tom l�q�i1Nl 17.Taal Asa.ased Vdw(ol.11 penal%In tremferl�.—+.—a_„»...�..�.... ....,7�.. ...r.. . sutler irfaram.tlon tsN; x. 7e.Prepany a.a. so,srAa•w fFawrwa r;Iamma�...� 20.Tact Mop NrrcfkwW r R.II kM.M nW OF ens a me^bur•elaa.h shael evhh ad&b—1 iMnlelnlsll 1000-098.00-0400-013-000 and 014.000 CE.fkFIFICASION Irr.W that ag or th.Rams of Iptotemtia ea cd on W.facet ass b-sad.mead(to tbt brat er my keawtcdse and held)and f aad.tma that ma .d&g or eny w=W fate slatemmt of ma M rays bnvla will subject me to We providom or the omal law o.Ie&e to the making sad Sling.f Cale msaaameard. BUYER BUYER'S ATTORNEY �rmr a wx m ,.,..m.�.. _ J�Grd��7"��d° ., �- .C. "✓;�... F a W dr"•[.......,.„ ___ , T we 3 I L�kNIF C'reec E / I a,nr�r ,ar,la ,.watmm. 1.zxwaalalwasw.a_ _.... NEW YORK STATE .1 COPY a FORK NO. 4 TOWN OF SOUTHOLD, BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupahcy No. Z6614 . . . . . Date . . . . . ., . w . z . . . . .�u . . .�. . . . ., ]9. 7.5 THIS CERTIFIES that the building located at . . . .Wth .ROOA. . . . . . . . . . . . Street w Map No.40AAA. ftlock No. . . . . . . . . . .Lot No. . Pi 3. . . . .Psootda . . .RoY,. . . . i conforms substantially to the Application for Building Permit heretofore filed in this office F dated . . . . . . . . . . . UIV. . .31., 19. .?Ik pursuant to which Building Permit No. 7. 452Z. _ dated . . . . . . . . . . . JiAy . . . .31 19.74-, was issued, ana conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . .Priv,09. oho. family, Awning. a# .addition .tic.P:G►t -Oarage. .(aeaessor3 The certificate is issued to . . .Sarah . . . . .Smith -OwAar. . . . . • . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval !R . ... . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. - X .M473. . . .?U17 . .15 . .197.5 « , . . . . . . . . . i HOUSE NUMBER . . . . . . . Street . . . " h. od. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . 'Building Inspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. 7� 5. . . . . , Date . . . . . . . . . . . . . . . . . . . . . . . 19. . . THIS CERTIFIES that the building located at .4#.th.Road . . . . . . . . . . . . . . Street Map No.l dlan .ft. .Block No. . . . . . . . . . .Lot No.26& 28 „ Peconia N.Y.. conforms substantially to the Application for Building Permit heretofore filed in this office dated . , . . . . . . . , , . PY. . . .17, 19. 25 pursuant to which Building Permit No. .8304z. P dated rrov i 7 , 19. .75, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . ePri.vate ane family^ dwelling with. an ,adidition . . . . . . . . . The certificate is issued to . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .. ..'.R.. . . . . . . . . . . . . . . . . . „ . . UNDERWRITERS CERTIFICATE NoX. 4? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HOUSE NUMBER . . . . .1 P-0 . . . . Street . . .Smith. Road. . . Peconie, . . . . . . . . . . Building Inspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28917 Date: 10/07/02 THIS CERTIFIES that the building FIRE REPAIRS Location of Property: 1355 SMITH RD PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 98 Block 4 Lot 14 Subdivision Filed Map No_ Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 2, 2001 pursuant to which Building Permit No. 27904-Z dated NOVEMBER 1G, 2001 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is FIRE REPAIRS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR, The certificate is issued to JOSEPH SMITH (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ PENDING_ 03 18/02 PLUMBERS CERTIFICATION DATED N/A ut a'ized Xgnature Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-33613 Date: 03/24/09 THIS CERTIFIES that the building PELLET STOVE Location of Property: 1355 SMITH RD PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No_ 473889 Section 98 Block 4 Lot 14 Subdivision Filed Map No. Lot No, conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 27 2009 pursuant to which Building Permit No. 34472-Z dated MARCH 3, 2009 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is PELLET STOVE IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CHARLES F VANSANT (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A r tKo zed Signature Rev. 1/81 01, ' Town of Southold Annex 6/17/2013 ` +y�tFti(�" �� P.O. Box 1179 54375 Main Road ' rwyVw,'' Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36294 Date: 6/12/2013 THIS CERTIFIES that the building ALTERATION Location of Property: 1355 Smith Road, Peconic, SCTM#: 473889 SecBlock/Lot: 98.-4-14 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 1/4/2010 pursuant to which Building Permit No. 35289 dated 1/6/2010 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: ceiling fan as„plied for. The certificate is issued to Charles F Vansant (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 35289 6/6/13 PLUMBERS CERTIFICATION DATED A horve Awture -------------------............. ffoo CIO Town of Southold 7/28/2021 53095 Main Rd Southold,New York 11971 ............................... PRE EXISTING CERTIFICATE OF OCCUPANCY No: 42203 Date: 7/28/2021 ........... THIS CERTIFIES that the structure(s)located at: 1355 Smith Rd,Peconic SCTM#: 473889 See/Block/Lot: 98.4-14 ............ Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 42203 dated 7/28/2021 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame:single family dwel.11-1-in a with wood fraing ace-es'so ra e. The certificate is issued to Vansant,Charles (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. ............ PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. AViz I e S xnatiure BUILDING DEPARTMENT TOWN OF SOUTHOLD :HOUSING CODE,INSPECTION REPORT LOCATION: 1355 Smith Rd,Peconic SUFF.CO.TAX MAP NO.: 98.-4-14 SUBDIVISION: .��........ _ ..................................... �._.. ._._ ._......_ NAME OF OWNER(S): Vansant,Charles �. OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Vansant,Charles DATE: 7/28/2021 DWELLING: #STORIES: 1 #EXITS: 2 FOUNDATION: cement block CELLAR: partial CRAWL SPACE: ):BATHROOM(S): 1 TOILET ROOM(S UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: 1 GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: electric AIR CONDITIONING: TYPE HEAT: electric WARM AIR: HOT WATER: #BEDROOMS: 2 #KITCHENS: 1 BASEMENT TYPE: un$ni__....._ ._.........._.. shed OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST: .... SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 1/29/2020 TIME START: 11:25am END: 11:30am 3/2/22, 10:07 AM Town of Southold,NY Ecode360 Town of Southold,NY Wednesday,March 2,2022 Chapter 280. Zoning Article II. Districts § 280-9. Lot recognition. [Added 11-28-1995 by L.L.No.23-1995;amended 7-22-1997 by L.L.No.22-1997] A. A lot created by deed or Town approval shall be recognized by the Town if any one of the following standards apply and if the lots have not merged: (1) The identical lot was created by deed recorded in the Suffolk County Clerk's office on or before June 30, 1983,and the lot conformed to the minimum lot requirement(s)set forth in Bulk Schedule AA111 as of the date of lot creation. [1] Editor's Note:Bulk Schedule AA is located a the end of this chapter. (2) The lot(s)in question is/are approved by the Southold Town Planning Board. (3) The lot(s)in question is/are shown on a subdivision map approved by the Southold Town Board prior to June 30, 1983. (4) The lot(s)in question is/are approved and/or recognized by formal action of the Board of Appeals prior to June 30, 1983. B. All lots which are not recognized by the Town pursuant to the above section shall not receive any building permits or other development entitlements. C. All lots are subject to the merger provisions of§280-10. hftps://ecode360.com/prinVS00452?guid=5162025 1/1 ZONING 280 Attachment 5 Town of Southold Bulk Schedule AA [Added 11-28-1995 by L.L.No.23-1995; amended 7-22-1997 by L.L.No.22-1997] F------------------- Lot Size Width Depth Date of Lot--C"reation ....._. mmmmm mm�sc�uare feet) (feet) (feet) Prior to April 9, 1957 An An An Between April 9, 1957, and December _..._..97..�.......w............. -�1, 11 A Residential Zone 12 500 100 Any .. ...__..... .... B and B-1 Business Zone 7,500 50 An B-2 Business Zone 40,000 50 Any Multiple-Residence Zone 12,500 100 An C Industrial Zone _ 12,500 100 Any ................_.. .. ... ._____ Between December 2, 1971, and June 30, 1983 _ ._._ .. ........ ..... .... A Residential Zone 40,000 135 175 ht Multiple Residence 40 000 135 An .......—__._._-.W M-1 Multiple Residence Zone 80,000 200 An B-Li ht Business Zone_ 20,000 60 An B-1 General Business Zone 30,000 _ 150 And C-Liht Industrial Zone 40,000 200 Any ._......._ .. C-1 Heavy Industrial Zone 200,00 1 300 LLAny 280 Attachment 5:1 05-01-2006 "II .:I I lil�l'N 0 c),11 In G 0 z- In UA In it.I 0 w. 000m oocx 000x 000 0001 999, In n dxj z, 1p 11 4--) lul u u Io w w w w w I"''In Izi III rq vj wl ul In 4 5:1 W 4 8 8 4 .:1 1 -.1 H Q a -! .."I '] o. 11 1�I� C). 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Deed/Mortgage Instrument Deed 1 Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee --------_„_— Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. or EA-52 17(County) Sub Total Spec./Add. EA-5217(State) TOT.MTG.TAX................................................................................. Dual Town Dual County _ R.P.T.S.A. Held for Appointment Comm.of Ed. _....................................5a....�.�..... Transfer Tax Affidavit Mansion Tax The property covered by this mortgage is Certified Copy _...._......_._._._._._.�, or will be improved by a one or two NYS Surcharge is. 00 family dwelling only. Sub Total YES or NO Other _.......v.................._ ......_......_.............. Grand Total If NO, see appropriate tax clause on page# of this instrument. 4 1 Dist. 1000 Section 098.00 Block 04.00 Lot t?i a 5 Community Preservation Fund Real Property Consideration Amount$ Tax Service Agency CPF Tax Due $ Verification Improved...................._.......... _ 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land Scott De5imone,Esq. TD Scott DeSimone,P.C. TD 41245 Route 25,PO Box 233 Peconic,New York 11956 TD Mail to:Judith A. Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcountyny.gov/clerk Title# g Suffolk Count y RecordintT & Endorsement Page This page forms part of the attached ............__ Bargain&Sale Deed made by: (SPECIFY TYPE OF INSTRUMENT) Charles_Vansant The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold Charles Vansant _w.w.w.w..._ In the VILLAGE or HAMLET of Peconic BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over IMPORTANT NOTICE If the document you've just recorded is your SATISFACTION OF MORTGAGE please be aware of the following: If a portion of your monthly mortgage payment included your property taxes,you will now need to contact your local Town Tax Receiver so that you maybe billed directly for all future property tax statements. Local property taxes are payable twice a year: on or before January 10�h and on or before May 31.. Failure to make payments in a timely fashion could result in a penalty. Please contact your local Town Tax Receiver with any questions regarding property tax payment. Babylon Town Receiver of Taxes Riverhead Town Receiver of Taxes 200 East Sunrise Highway 200 Howell Avenue North Lindenhurst,N.Y. 11757 Riverhead,N.Y. 11901 (631)957-3004 (631)727-3200 Brookhaven Town Receiver of Taxes Shelter Island Town Receiver of Taxes One Independence Hill Shelter Island Town Hall Farmingville,N.Y.11738 Shelter Island,N.Y. 11964 (631)451-9009 (631)749-3338 East Hampton Town Receiver of Taxes Smithtown Town Receiver of Taxes 300 Pantigo Place 99 West Main Street East Hampton,N.Y. 11937 Smithtown,N.Y. 11787 (631)324-2770 (631)360-7610 Huntington Town Receiver of Taxes Southampton Town Receiver of Taxes 100 Main Street 116 Hampton Road Huntington,N.Y. 11743 Southampton,N.Y. 11968 (631)351-3217 (631)283-6514 Islip Town Receiver of Taxes Southold Town Receiver of Taxes 40 Nassau Avenue 53095 Main Street Islip,N.Y. 11751 Southold,N.Y. 11971 (631)224-5580 (631)765-1803 Sincerely, Judith A.Pascale Suffolk County Clerk dw 2/99 17-0t0A..06(OKkA BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS (INDIVIDUAL OR CORPORATION) STANDARD NYBTU FORM 8007 CAUTION:THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND PURCHASER BEFORE SIGNING. THIS INDENTURE,made the day of ,Two Thousand Twenty-Two,between CHARi.,ES VANSANT,residing at 200 Exchange Street,Unit 513,Providence,RI 02903 party of the first part,and CHARLES VANSANT,residing at 200 Exchange Street,Unit 513,Providence,RI 02903 party of the second part, WITNESSETH,that the parry of the first part, in consideration of TEN($10.00)DOLLARS,and other good and valuable consideration, lawful money of the United States,paid by the party of the second part,does hereby grant and release unto the party of the second part,the heirs or successors and assigns of the party of the second part forever, ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate,lying and being in SEE SCHEDULE A ATTACHED HERETO The premises also known as S.C.T.M.No.:1000-098.00-04.00-014.000 and part of 013.000;and BEING AND INTENDED TO BE PART OF THE SAME PREMISES conveyed to Charles Vansant by deed dated September 27, 2004 and recorded on October 27, 2004 in the Suffolk County Clerk's Office in Liber 12351 page 400. This lot line modification has been approved the Southold Town Planning Board by Resolution dated TOGETHER with all right,title and interest,if any,of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof, TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises, TO HAVE AND TO HOLD the premises herein granted unto the party of the second part,the heirs or successors and assigns of the party of the second part forever. AND the party of the first part,covenants that the party of the first part has not done or suffered anything whereby the said premises have been encumbered in any way whatever,except as aforesaid. AND the party of the first part,in compliance with Section 13 of the Lien Law,covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the.cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose. The word "party" shall be construed as if it read "parties" whenever the sense of this indenture so requires. IN WITNESS WHEREOF,the party of the first part has duly executed this deed the day and year first above written. INPRESENCE OF: Charles Vansant NYSBA PRACTICE FORMS 10/99 RE067.16 -1- STATE OF ) COUNTY OF ) ss.: On the day of in the year 2022 before me, the undersigned, personally appeared CH.A.RLES VANSANT personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity,and that by his signature on the instrument,the individual(s),or the person upon behalf of which the individual(s)acted,executed the instrument. (signature and office of individual taking acknowledgment) Acknowledgment taken outside New York State STATE OF ) COUNTY OF ss.: On the day of in the year before me,the undersigned,personally appeared personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her capacity,and that by her signature on the instrument,the individual(s),or the person upon behalf of which the individual(s)acted,executed the instrument,and that such individual made such appearance before the undersigned in the (add the city or political subdivision and the state or country or other place the acknowledgement was taken). (signature and office of individual taking acknowledgment) BARGAIN and SALE DEED DISTRICT: 1000 WITH COVENANTS AGAINST SECTION: 098.00 GRANTOR'S ACTS BLOCK: 04.00 LOT: 014.000 and p/o 013.000 COUNTY: Suffolk TOWN: Southold CHARLES VANSANT STREET ADDRESS: To Smith Road,Peconic,New York CHARLES VANSANT RETURN BY MAIL TO: Scott DeSimone,Esq. Scott DeSimone,P.C. 41245 Route 25,PO Box 233 Peconic,New York 11956 RESERVE THIS SPACE FOR USE OF RECORDING OFFICE RE067.16 NYSBA PRACTICE FORMS 10/99 -2- Seccafico Land Surveying PC 500 Montauk Highway Moriches,NY 11955 631-878-0120 Fax 631-574-8939 pseccafico@optonline.net LEGAL DESCRIPTION Land Division Parcel B Date: January 19, 2022 S.C.T.M.No. 1000-98-4-14 &Part of 13 Project Number: 63014B DESCRIPTION OF PARCEL: All that part or parcel of land situate at Peconic, Town of Southold, County of Suffolk and State of New York and known as lot 28 and part of lot 26 on the map of Indian Neck Park, filed in the office of the Suffolk County Clerk on 05/27/1913 as map number 551 and described as follows: Beginning at a point on the easterly side of Smith Road, 1,250.00 feet southerly from its intersection with the southerly side of Indian Neck Road,running thence, lot 26, north 79°37'00"east a distance of 154.95 feet to land now or formerly of Anne M. Werber; Thence, along the land now or formerly of Anne M. Werber, south 12°58'00" east a distance of 150.15 feet to the northerly lot line of lot 30; Thence, along said lot line, south 79°37'00"west a distance of 161.72 feet to the easterly side of Smith Road; Thence, along the easterly side of Smith Road,north 10°23'00"west a distance of 150.00 feet to the point or place of beginning. Said parcel containing 23,750 square feet. OF NEw SEC 0 ry M: 0 -9 9 2 -�N SAND 5� For conveyances of reel Property, or interest therein, located ire New `fork sty, you must use Form P-5 4- `C. 1 2 '$Nlt Cif ril' Pwimi Earrr�. Number of pages This document will be public record.Please remove all Social Security Numbers prior to recording. Deed/Mortgage Instrument Deed!Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee Mortgage Amt. ........ 1.Basic Tax ............................. Handling 20, 00 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. or EA-52 17(County) .................. Sub Total. .......... Spec./Add. EA-5217(State) _ �.�� TOT.MTG.TAX Dual Town Dual County R.P.T.S.A. .. Held for Appointment Comm.of Ed. 5, 00 ..* � Transfer Tax _ . + .Affidavit Mansion Tax ............_.,,. The property covered by this mortgage is Certified Copy ., or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total .......................__ YES or NO Other Grand Total If NO, see appropriate tax clause on page# of this instrument. 4 Dist. 1000 Section 098.00 Block 04.00 Lot 0(-&Vcj t 10 5 Community Preservation Fund Real Property Consideration Amount$ Tax Service Agency CPF Tax Due $ Verification Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land ScottDeSimone,Esq. TD�.................................................................... Scott DeSimone,P.C. TD 41245 Route 25,PO Box 233 Peconic,New York 11956 TD Mail to:Judith A. Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcountyny.gov/clerk Title# s Suffolk. County Recording Endorsement Page This page forms part of the attached Bargain&Sale Deed _made by: (SPECIFY TYPE OF INSTRUMENT) Charles Vansant and Kavita Vansant The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold Charles Vansant and Kavita Vansant In the VILLAGE or HAMLET of Peconic BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. nvei IMPORTANT NOTICE If the document you've just recorded is your SATISFACTION OF MOR TGAGE please be aware of the following: If a portion of your monthly mortgage payment included your property taxes,"you will now need to contact your local Town Tax Receiver so that you ma be billed direct) for all future property tax statements. Local property taxes are payable twice a year: on or before January 101h and on or before May 31.. Failure to make payments in a timely fashion could result in a penalty. Please contact your local Town Tax Receiver with any questions regarding property tax payment. Babylon Town Receiver of Taxes Riverhead Town Receiver of Taxes 200 East Sunrise Highway 200 Howell Avenue North Lindenhurst,N.Y. 11757 Riverhead,N.Y. 11901 (631)957-3004 (631)727-3200 Brookhaven Town Receiver of Taxes Shelter Island Town Receiver of Taxes One Independence Hill Shelter Island Town Hall Farmingville,N.Y.11738 Shelter Island,N.Y. 11964 (631)451-9009 (631)749-3338 East Hampton Town Receiver of Taxes Smithtown Town Receiver of Taxes 300 Pantigo Place 99 West Main Street East Hampton,N.Y. 11937 Smithtown,N.Y. 11787 (631)324-2770 (631)360-7610 Huntington Town Receiver of Taxes Southampton Town Receiver of Taxes 100 Main Street 116 Hampton Road Huntington,N.Y. 11743 Southampton,N.Y. 11968 (631)351-3217 (631)283-6514 Islip Town Receiver of Taxes Southold Town Receiver of Taxes 40 Nassau Avenue 53095 Main Street Islip,N.Y. 11751 Southold,N.Y. 11971 (631)224-5580 (631)765-1803 Sincerely, Judith A.Pascale Suffolk County Clerk dw 2/99 /2-0104..06/06H BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS (INDIVIDUAL OR CORPORATION) STANDARD NYBTU FORM 8007 CAUTION:THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND PURCHASER BEFORE SIGNING. THIS INDENTURE,made the day of ,Two Thousand Twenty-Two,between CHARLES VANSANT and KAVITA VANSANT,as husband and wife,both residing at 200 Exchange Street,Unit 513,Providence,RI 02903 party of the first part,and CHARLES VANSANT and KAVITA VANSANT,as husband and wife,both residing at 200 Exchange Street,Unit 513,Providence,RI 02903 parry of the second part, WITNESSETH,that the party of the first part, in consideration of TEN($10.00)DOLLARS, and other good and valuable consideration,lawful money of the United States,paid by the party of the second part,does hereby grant and release unto the party of the second part,the heirs or successors and assigns of the party of the second part forever, ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate,lying and being in SEE SCHEDULE A ATTACHED HERETO The premises also known as S.C.T.M.No.: 1000-098.00-04.00-012.000 and part of 013.000;and As to lot 12,BEING AND INTENDED TO BE THE SAME PREMISES conveyed to the party of the first part by deed dated January 26,2015 and recorded on February 20,2005 in the Suffolk County Clerk's Office in Liber 12807 page 561 and As to lot 13, BEING AND INTENDED TO BE PART OF THE SAME PREMISES conveyed to Charles Vansant by deed dated September 27, 2004 and recorded on October 27, 2004 in the Suffolk County Clerk's Office in Liber 12351 page 400. This lot line modification has been approved the Southold Town Planning Board by Resolution dated TOGETHER with all right,title and interest,if any,of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof, TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises, TO HAVE AND TO HOLD the premises herein granted unto the party of the second part,the heirs or successors and assigns of the party of the second part forever. AND the party of the first part,covenants that the party of the first part has not done or suffered anything whereby the said premises have been encumbered in any way whatever,except as aforesaid. AND the party of the first part,in compliance with Section 13 of the Lien Law,covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose. The word "party" shall be construed as if it read "parties" whenever the sense of this indenture so requires. IN WITNESS WHEREOF,the party of the first part has duly executed this deed the day and year first above written. IN PRESENCE OF: Charles Vansant _._. ................ Kavita Vansant NYSBA PRACTICE FORMS 10199 RE067.16 -1- STATE OF ) COUNTY OF ) ss®: On the day of in the year 2022 before me, the undersigned, personally appeared CHARLES VANSANT personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity,and that by his signature on the instrument,the individual(s),or the person upon behalf of which the individual(s)acted,executed the instrument. _........... _ _......................-- --- (signature and office of individual taking acknowledgment) STATE OF } COUNTY OF ) ss.: On the day of in the year 2022 before me, the undersigned, personally appeared KAVITA VANSANT personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her capacity,and that by her signature on the instrument,the individuals),or the person upon behalf of which the individual(s)acted,executed the instrument. .ww_......... (signature and office of individual taking acknowledgment) BARGAIN and SALE DEED DISTRICT: 1000 WITH COVENANTS AGAINST SECTION: 098.00 GRANTOR'S ACTS BLOCK: 04.00 LOT: 012.000 and p/o 013.000 COUNTY: Suffolk TOWN: Southold CIIARLES VANSANT and STREET ADDRESS: KAVITA VANSANT To Smith Road,Peconic,New York CHARLES VANSANT and KAVITA VANSANT RETURN BY MAIL TO: Scott DeSimone,Esq. Scott DeSimone,P.C. 41245 Route 25,PO Box 233 Peconic,New York 11956 RESERVE THIS SPACE FOR USE OF RECORDING OFFICE RE067.16 NYSBA PRACTICE FORMS 10/99 -2- Seccafico Land Surveying PC 500 Montauk Highway Moriches,NY 11955 631-878-0120 Fax 631-574-8939 pseccafico@optonline.net LEGAL DESCRIPTION Land Division Parcel A Date: January 19, 2022 S.C.T.M.No. 1000-98-4-12 &Part of 13 Project Number: 63014A DESCRIPTION OF PARCEL: All that part or parcel of land situate at Peconic, Town of Southold, County of Suffolk and State of New York and known as lot 24 and part of lot 26 on the map of Indian Neck Park, filed in the office of the Suffolk County Clerk on 05/27/1913 as map number 551 and described as follows: Beginning at a point on the easterly side of Smith Road, 1,100.00 feet southerly from its intersection with the southerly side of Indian Neck Road, running thence, along the northerly lot line of lot 24, north 79°37'00" east a distance of 148.19 feet to land now or formerly of Anne M. Werber; Thence, along the land now or formerly of Anne M. Werber, south 12°58'00" east a distance of 150.15 feet; Thence, south 79°37'00"west a distance of 154.95 feet to the easterly side of Smith Road; Thence, along the easterly side of Smith Road, north 10'23'00"west a distance of 150.00 feet to the point or place of beginning. Said parcel containing 22,735 square feet. NEW A, µws ' ' 3, For conveyances of real ,property, or Interest therein, located in New York City, you must use Form Ti P"-5 -NYC. TP-584(9/19) Recording office time stamp Department of Taxation and Finance NEW YORK Combined Real Estate Transfer Tax Return, TATE Credit Line Mortgage Certificate, and Certification of Exemption from the Payment of Estimated Personal Income Tax See Form TP-584-1, Instructions for Form TP-584, before completing this fonn. Print or type. Schedule A—Information relating to conveyance Grantori"Transferor Name(if individual,last,first,middle initial)fE3mark an X if more than one grantor) Social Security number(SSN) 17� Corporation Mailing address SSN F� Partnership 200 Exchange Street, Unit 513 KV: F� Estate/Trust city State ZIP code Employer Identification Number(EIN) 171 Multi-member LLC Single member's name if grantor is a single member LLC(see instructions) Single member EIN or SSN n Other Grantee/Transferee Name(ifindividual,last,first,middle initial)(E] mark an Xifmore than one grantee) SSN Mx Individual Vansant, Charles and Vansant, Kavita CV: F� Corporation Mailing address SSN F� Partnership 200 Exchange Street, Unit 513 KV: I F1 Estate/Trust city State ZIP code EIN 0 Single member LLc Providence RI 02903 F� Multi-member LLC Single member's name if grantee is a single member LLC(see instructions) Single member EIN or SSN E] Other Location and description of property conveyed Tax map designation— 'SWIS code Street address City,town,or village County Section, block&lot (six digits) (include dots and dashes) 098.00-04.00 473889 Smith Road Suffolk Type of property conveyed (mark an X in applicable box) 1X one-ho three-family house GD Apartment building Date ofconveyance Percentage of real property 2 El Residential cooperative 7 ElOffioohui|ding conveyed which iuresidential 3 0RoaidonUa|oondominium 8 El Four-family dwelling real property 100 4 0 Vacant land S E]Othor month "a' year (see instructions) 5 El Commomia|/industrial Condition ofconveyance [ [] Conveyance which consistsofa |. [] Option assignment orsurrender (mark on}rin all that apply) mere change ofidonbty,or form of ownership or organization(am,n» m [] Leasehold assignment oraunonder a. [] Conveyance of fee inVemut p»"n T� Sc hedule hoom�� � b. [] Acquisition ofu controlling interest(state g. [] Conveyance for which credit for tax n. [] Leasehold grant percentage acquired_______—_%) previously ba claimed(attach o. [71 Conveyance ofaneasement Fxnn 7P-584./' Schedule G) o [] Trnoferof000n�mUinginhomot(����o p [� Conveyanceforwhiohox�m�Uoo � ~ h [] ConveyonxoofonopenoUveape�men�o) � pomantogetmneforred_------_96) � from transfer tax claimed (complete Schedule 8' Part3) d. [] Conveyance 10 cooperative housing i. [] Syndication q [] Convoyanneof partly within corporation � p"^p"'v and partly outside the state * [� �onvoyanoepumuan1Voorin|iouof j� [] C ofa�dg�oor � foreclosure o/enforcement ofsecurity development rights r. [] Conveyance pursuant to divorce orseparation interest(attach Form TP-xo4./'Schedule s) k. [] Contract assignment lot line modification o. 2g Other(describe) Page 2of4 TP-584(9/10) Med | B Real estate transfer Part 1 —Computation of tax due 1 Enter amount of consideration for the conveyance (ifyou are claiming a total exemption from tax,markanXin the Exemption claimed box,enter consideration and proceed mPart 3y................................ E] Exemption claimed 2 Continuing lien deduction (see instructions if property is taken subject to mortgage o,lien).......................................... 3 Taxable consideration (subtract line u from line 1) .................................................................................................. 4Tax:$2 for each$5OO. or fractional part thereof, of consideration on line 3 ....................................................... 5 Amount of credit claimed for tax previously paid (see instructions and attach Form TP-584.1, Schedule G) ............... 5. 0 0 6 Total tax due*(subtract line 5 from line 4) ....__................ Part 2—Computation of additional tax due on the conveyance nf residential real property for$1 million ormore 1 Enter amount of consideration for conveyance (from Part t line 1) ......................................... —_------_.. 2 7axaNaounoNa��onknu�,�0noI by�opomo �gouf�opmm�oowh�h�m^�on0a/ma/pn�o��ao�mwn� ��o� u�/V '� 3 Total additional transfer tax due*(multiply line uby1%(01))---------------------------. Part 3—Explanation of exemption claimed on Part 1. line 1 (mark anXm all boxes that apply) The conveyance of real property is exempt from the real estate transfer tax for the following reason: a. Conveyance io0othe United Nations,the United States ofAmerica, New York 8tate, or any of their instrumentalities, agencies, or political subdivisions (or any public corporation, including a public corporation created pursuant to agreement or compact with another state or Canada)................................................................... ........ ......--_—_------....................._ ........_—. a b. Conveyance iuto secure a debt or other obligation.................................................................................................... _— ............... b | | c. Conveyance is without additional consideration to confirm, correct, modify, or supplement a prior conveyance....... ____...... o El d Conveyance � realtyos bona fide gifts....................................— ...--_—_................ ...... _...... __--............................__---.......... o e. Conveyance is given in connection with e tax sale........ — ..........._.......... --_—_—_--........ ........ --_—_----- .......... e t Conveyance is a mere change of identity or form of ownership or organization where there is no change in beneficial ownership. (This �—1 comprising the cooperative dwelling ordwo|ingoj Attach Form TP'5841. Schedule F............................ .........._—_---_—_' f g. Conveyance consists of deed of partition........... ........ __.-----_—......... ........ ....... —__—_ ............. ...... ... --- ........ g h. Conveyance is given pursuant ho the federal Bankruptcy Act.......... ....... ....... —_— ... .....................--_--- ................... _- h i Conveyance consists of the execution ofa contract 0o sell real proporty,without the use or occupancy of such property, or the granting of an option to purchase real property,without the use or occupancy of such property................................................. i � Conveyance ofan option or contract to purchase real property with the use or occupancy of such property where the consideration is less than$200,000 and such property was used solely by the grantor as the grantor's personal residence and consists of a one-,two-, or three-family house, an individual residential condominium unit, or the sale of stock in a cooperative housing corporation in connection with the grant or transfer of a proprietary leasehold covering an [� individual residential cooperative apartment............................................................................................................................. --'' k. Conveyance is not a conveyance within the meaning of Tax Law,Article 31, § 1401(e) (attach documents F_l x ovppom�osuch mam) -------------.-----------_—__---_..____--__—_________--____. ~ The total tax(from Part 1. line 0 and Part 2. line 3 above) io due within 15 days from the date of conveyance. Make ohook(s) payable 10 the county clerk where the recording is to take place. For conveyances of real property within New York City, use Form TP-584-NYC. If a recording is not required, send this return and your check(s) made payable to the NYS Department of Taxation and Finance, directly to the NYS Tax Department, RETT Return Processing, PO Box 5045,Albany NY 12205-0045. If not using U.S. Mail, see Publication 55, Designated Private Delivery Services. Page 3 of 4 TP-584(9/19) ....... _ . Schedule C—Credit Line Mort a e Certificate Tax Law Article 11) Complete the following only if the interest being transferred is a fee simple interest. This is to certify that: (mark an X in the appropriate box) 1. ❑ The real property being sold or transferred is not subject to an outstanding credit line mortgage. 2. F] The real property being sold or transferred is subject to an outstanding credit line mortgage. However,an exemption from the tax is claimed for the following reason: a ❑The transfer of real property is a transfer of a fee simple interest to a person or persons who held a fee simple interest in the real property(whether as a joint tenant, a tenant in common or otherwise)immediately before the transfer. b D The transfer of real property is(A)to a person or persons related by blood, marriage or adoption to the original obligor or to one or more of the original obligors or(B)to a person or entity where 50% or more of the beneficial interest in such real property after the transfer is held by the transferor or such related person or persons (as in the case of a transfer to a trustee for the benefit of a minor or the transfer to a trust for the benefit of the transferor). c ❑The transfer of real property is a transfer to a trustee in bankruptcy,a receiver, assignee, or other officer of a court. d The maximum principal amount secured by the credit line mortgage is$3 million or more, and the real property being sold or transferred is not principally improved nor will it be improved by a one-to six-family owner-occupied residence or dwelling. Note:for purposes of determining whether the maximum principal amount secured is$3 million or more as described above,the amounts secured by two or more credit line mortgages may be aggregated under certain circumstances. See TSB-M-96(6)-R for more information regarding these aggregation requirements. e ❑Other(attach detailed explanation). 3. ❑ The real property being transferred is presently subject to an outstanding credit line mortgage. However, no tax is due for the following reason: a ❑A certificate of discharge of the credit line mortgage is being offered at the time of recording the deed. b ❑A check has been drawn payable for transmission to the credit line mortgagee or mortgagee's agent for the balance due, and a satisfaction of such mortgage will be recorded as soon as it is available. 4. 7 The real property being transferred is subject to an outstanding credit line mortgage recorded in (insert liber and page or reel or other identification of the mortgage).The maximum principal amount of debt or obligation secured by the mortgage is . No exemption from tax is claimed and the tax of ...... is being paid herewith. (Make check payable to county clerk where deed will be recorded.) Signature (both the grantors and grantees must sign The undersigned certify that the above information contained in Schedules A, B, and C, including any return, certification, schedule, or attachment, is to the best of their knowledge,true and complete, and authorize the person(s) submitting such form on their behalf to receive a copy for purposes of recording the deed or other instrument effecting the conveyance. _..... ...... Grantor signature Title Grantee signature Title .......... ....g � ........ _. Grantor signature Title Grantee signature Title Reminder: Did you complete all of the required information in Schedules A, B,and C?Are you required to complete Schedule D? If you marked e, f, or g in Schedule A,did you complete Form TP-584.1? Have you attached your check(s) made payable to the county clerk where recording will take place? If no recording is required, send this return and your check(s), made payable to the NYS Department of Taxation and Finance, directly to the NYS Tax Department, RETT Return Processing., PO Box 5045,Albany NY 12205-0045. If not using U.S. Mail, see Publication 55, Designated Private Delivery Services. Page 4 of 4 TP-584(9/19) _._._._.._ _.�............__..._....... Schedule D—Certification of exemption from the payment of estimated personal income tax Tax Law,Article 22, §663) Complete the following only if a fee simple interest or a cooperative unit is being transferred by an individual or estate or trust. If the property is being conveyed by a referee pursuant to a foreclosure proceeding, proceed to Part 2, mark an X in the second box under Exemption for nonresident transferors/sellers,and sign at bottom. Part 1 —New York State residents If you are a New York State resident transferor/seller listed in Form TP-584, Schedule A(or an attachment to Form TP-584), you must sign the certification below. If one or more transferor/seller of the real property or cooperative unit is a resident of New York State, each resident transferor/seller must sign in the space provided. If more space is needed, photocopy this Schedule D and submit as many schedules as necessary to accommodate all resident transferors/sellers. Certification of resident transferors/sellers This is to certify that at the time of the sale or transfer of the real property or cooperative unit,the transferor/seller as signed below was a resident of New York State, and therefore is not required to pay estimated personal income tax under Tax Law§663(a) upon the sale or transfer of this real property or cooperative unit. Signature Print full name Date Signature Print full name Date _. ............... ....... Signature Print full name Date __......... ......... ........ ... e Signature Print full name Date Note:A resident of New York State may still be required to pay estimated tax under Tax Law§685(c), but not as a condition of recording a deed. Part 2—Nonresidents of New York State If you are a nonresident of New York State listed as a transferor/seller in Form TP-584, Schedule A(or an attachment to Form TP-584) but are not required to pay estimated personal income tax because one of the exemptions below applies under Tax Law§663(c), mark an X in the box of the appropriate exemption below. If any one of the exemptions below applies to the transferor/seller,that transferor/seller is not required to pay estimated personal income tax to New York State under Tax Law§663. Each nonresident transferor/seller who qualifies under one of the exemptions below must sign in the space provided. If more space is needed, photocopy this Schedule D and submit as many schedules as necessary to accommodate all nonresident transferors/sellers. If none of these exemption statements apply,you must complete Form IT-2663, Nonresident Real Property Estimated Income Tax Payment Form, or Form IT-2664, Nonresident Cooperative Unit Estimated Income Tax Payment Form. For more information, see Payment of estimated personal income tax, on Form TP-584-I, page 1. Exem tion for—nonresident _..._ p�� _ ..... onresident transferors/sellers This is to certify that at the time of the sale or transfer of the real property or cooperative unit,the transferor/seller(grantor)of this real property or cooperative unit was a nonresident of New York State, but is not required to pay estimated personal income tax under Tax Law §663 due to one of the following exemptions: The real property or cooperative unit being sold or transferred qualifies in total as the transferor's/seller's principal residence (within the meaning of Internal Revenue Code,section 121)from to (see instructions). Date Date ❑The transferor/seller is a mortgagor conveying the mortgaged property to a mortgagee in foreclosure, or in lieu of foreclosure with no additional consideration. El The transferor or transferee is an agency or authority of the United States of America,an agency or authority of New York State, the Federal National Mortgage Association,the Federal Home Loan Mortgage Corporation,the Government National Mortgage Association, or a private mortgage insurance company. A Signature Print full name Date ......... _.........._ Signature Print full name Date .... .... ......... _m Signature Print full name Date ..... _. _.. Signature Print full name Date 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. _,ptpstr � . rl W 1 ya�amtMgd s to its igi�Flct beneficial and adverse elects a on the coastal area which includes all of Southold Town). 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 explained in detail listing both sty aortin and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not;b 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# 98 - 4 - 12,13 and 14 PROJECT NAME Vansant Lot Line Modification The Application has been submitted to(check appropriate response): ElTown Board Planning Board U�`N Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction, planning activity, agency regulation, land transaction) F] (b) Financial assistance(e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: Lot line modification Location of action: Smith Road,Peconic Site acreage: 46,485 Present land use: Residential Present zoning classification: R-40 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: Charles Vansant and Katvia Vansant (b) Mailing address: 200 Exchange Street,Unit 513,Providence,RI 02903-2623 (c) Telephone number: Area Code(50 4 s- www w -wwwWWwww (d) Application number, if any: N/A Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes LJ No If yes,which state or federal gent'? ................ 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 effects of development. See LWRP Section III-Policies; Page 2 for evaluation criteria. Yes [:] No :X:] Not Applicable _._.-........................... ..® . .... ..w_... .. ------ _..............._.... Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III-Policies Pages 3 through 6 for evaluation criteria tip 1.........N Yes El No K Not Applicable Attach addition al. ..sh....ee ts i....f nece..... s"_.ssar.y..__ .. ....... .. .____.— 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 [] No _] 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 El No n Not Applicable _.............................. .... Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria LJ Yes o No X1 Not Applicable .. ................ _................. . Attach additional sheets if necess ary 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 III— Policies; Pages 22 through 32 for evaluation criteria. Yes [:] No E 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 Fx—] 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. Yes ❑ No ❑ Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. 1— 1 Yes 0 No K Not Applicable Attach additional�... ............................�.�mmm.. W._............__�....._������.......__........—...m, .�..W._................__.....__....._����_��.��._.�.P.�.��, _��............. sheets if necessary WORKING 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. F] Yes [:1 No [X:1 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 LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. E.11 Yes El Nom 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. Yes1:1 No'J x] Not Applicable ._ . ..... ........ __ _mm __.—.........__.._......_m _..WW..........m -------- Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. Yes El No Not Applicable PREPARED BY Scott DeSimone,Esq. TITLE Agent/Attorney DATE tl Amended on 811105 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 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1-Project and Sponsor Information Name of Action or Project: Lot Line Modification for Charles and Kavita Vansant .. ....... _. Project Location(describe,and attach a location map): 1000-98-4-12,13 and 14-Smith Road,Peconic . --... ___..... Brief Description of Proposed Action: Taking three(3)tax lots and creating two(2)confirming parcels with a lot line modification. Name of Applicant or Sponsor: Telephone: 508-498-5139 Charles Vansant and Kavita Vansant E-Mail: Address: 200 Exchange St.,Unit 513 ....... _.... City/PO: State: Zip Code: Providence RI 02903 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO-1 YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that X 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: X 3.a.Total acreage of the site of the proposed action? 4C,,4S -aer�� b.Total acreage to be physically disturbed? O........... fes- c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 46,485 zar-ea-- S6?,uAPF—FED 4-.—Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial 4XResidential(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? X b.Consistent with the adopted comprehensive plan? X ........ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? X 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: X ....... .. 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES X .............. b.Are public transportation service(s)available at or near the site of the proposed action? X c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? X .................................. _.... 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: _.9 ................................. _ .... _. X .. ........ ...... 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: X 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: X -- ...... 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? X b.Is the proposed action located in an archeological sensitive area? ......°•X.. _........................................... ............................... .......... .. 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? X .................m 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: X,,....- .. ............ ......................... ............... .... ..................................._-......_............. __9� _..... ........ ... 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑ Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ❑ Wetland ❑Urban IN 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? X 16.Is the project site located®in the 100 year flood plain? _ NO YES X 17.Will the proposed action create storm water discharge,either from point or non- .... .. ... ........ g p point sources? NO YES If Yes, a.Will storm water discharges flow to adjacent properties? ❑NO ❑YES X b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO❑YES Page 2 of 4 ___ ...... _. 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: X _._._... ........ 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? IfYes,describe: .................WWWW....WWW... .._.__. m X ....._. 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Aiplieant/s onso r name, CharlesW Vansantand Kavita Vansant Date:Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" ......W.� .... .. ._ No,or Moderate small to large impact impact may may occur occur 1. Will thep proposed action create a material conflict with an adopted land use la p p p plan zoning regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? ...... 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 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 problems? _ 11. Will the proposed _.......................__ . __- ...... p p d action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-tern,long-term and cumulative impacts. _m .................. [I Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. __... _ __ nnm _ ........... ... ..µ ............W....._ _ _W................ . Name of Lead Agency Date ....m ............ Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer _... ....W mm-Signature of Responsible Officer in Lead Agency Signature of Preparer(if e different from Responsible-m �g y._._... sponsible Officer) Page 4 of 4 OFFICE LOCATION: ;, MAILING ADDRESS: Town Hall Annex ) �,�� � � P.O. Box 1179 54375 State Route 25 µ r Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) ( "+ Telephone 631 765-1938 Southold, NY �m www.southoldtownny.gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Accounting From: Planning Department Date-, April 21, 2022 Re: Checks Please deposit the attached check into B691: Deferred Revenue. Fee is for a Lot Line Change Application not yet accepted by the Planning Board. Thank you. ... .......m. Project Name & Type Tax Map # Amount Check Date & Number Vansant Resubdivision 1000-98.4- $500.00 3/17/22 12, 13 & 14 #5914 AP ra5914 r r 17-112�.... 53-13/110 MA d � r d a,�, to the °"..�-- � �-�..�-�- ..... 26555 Oreler +4CN 6R•?U79000738 1 w" 1 1000 L 38 0000 iD 2