HomeMy WebLinkAbout1000-5.-2-2 & 3 OFFICE LOCATION: MAILING 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.southoldtow-rmy.gov
UN'N'
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
MEMORANDUM
To: Leslie Weisman, ZBA Chairperson
Members of the Zoning Board of Appeals
From: Donald J. Wilcenski, Planning Board Chairman
Members of the Planning Board
Date: December 13, 2022
Re: Gwathmey & Gruner Resubdivision, SCTM#1000-5-2-2 & 3
The Planning Board has reviewed your request for comments regarding the above-referenced
application and has no objection to the area variance required to allow the property boundaries to
be modified as shown in the application.
The transfer of area between the two parcels is even in square footage and results in no further
nonconformity over the existing conditions. Further,the area transfer improves a parcel boundary
that conflicts with the current build-out.
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 Board Office.
cc: John Burke, Deputy Town Attorney
a g e
OFFICE LOCATION: MAl ANG ADDRESS:
Town:Hall Annex P''.0_Box 1179
54375 Mate Route 25
Southold,NY 11971
Main Rd. Youngs Ave.)e.)
Ccor. � Telephone.,
?'65-1938
Southold, Y �'
vvww.southoldtownny.gov
f
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
M"EMORANDUM
*0 *;
To: Leslie Weisman, ZBA Chairperson
:Members of the Zoning Board of Appeals
Donald J. Wilcenskii Planning Board Chairman �`�
From: g
Members of the Plannincr Board
Date: December 13, 2022
Re: Gwathmey & Gruner R.esubdivision, SCTM#1000-5-2-2 & 3
The Planning Board has reviewed your request for comments regarding the above-referenced
application and has no objection to the area variance required to allow the property boundaries to
be modified as shovm in the application.
The transfer of area between the two parcels is even in square footage and results in no further
nonconformity over the existing conditions. Further,the area transfer improves a parcel boundary
that conflicts with the current build-out.
you ou for this opportunity to provide comments. If you have any questions or require
additional information,please do not hesitate to contact the Pla.n.n.ing Board Office.
cc: John Burke,Deputy Town Attorney
BOARD MEMBERS �� �� Southold Town Hall
Leslie Kanes Weisman Chairperson
�� n
53095 Main Road is P.O.Box 1179
� Southold,NY 11971-095 9
Patricia Acampora Office Location.
Eric Dantes l' Town Annex/First Floor,
Robert Lehnert,Jr. w 54375 Main Road(at Youngs Avenue)
Nicholas Planamento � Southold,NY 11971
http:Hsoutholdtownny.gov
ZONING BOARD OF APPEALS
TOWN of C[TTHCLD L
Tel.(631) 765-1809•Fax(631) 765-9064 Y
MEMO IXan
TO"J Planning Board
FROM: Leslie K. Weisman, ZBA Chairperson
DATE: June 26, 2022
SUBJECT: Request for Comments ZBA #7695 The Gaines Gwathmey 2012 Trust
The ZBA is reviewing the following application. Enclosed are copies of Building
Department's Notice of Disapproval, ZBA application, and current map on file. Your
review and comments are requested at this time.
The file is available for review of additional documentation at your convenience for
reference if needed.
Applicant: The Gaines Gwathmey 2012 Trust
Tax# Zone District: 1000-102-5-2-2 & 3
ZBA #: 7695
Hearin Date: November 3, 2022
CodeSection: Article Ill Section 280-14
Date of St edurvey, 1/11/2022
Pre parer of Survey Craig P. Bigger
Thank you. (Enc.)
FORM NO. 3
z
TOWN OF SC►UTHOLD
BUILDING DEPARTMENT
NOTI+C:E OF DISAPPROVAL
DATE: February 24,2022
RENEWED: May 24, 2022
TO: Stephen Ham 111, Esq. (Gwathmey/Gruner)
3 8 Nugent Street
Southampton,NY 11968
'lease take notice that your application dated January 25, 2022:
For a permit: for aa,lot . ne c an at:
Location of property: East Main,,Road& '13 7 lie sant Drive fishers Island
County Tay.Map No. 1000—Section 5 Block. 2 Lot 2 &.3
Is returned herewith and disapproved on the fallowing grounds:
e ro os of c .tl is nooum rn In 2
.�3 5 ., ft. lot:�� the Res�dential R4. Di t t
dot � d � , h o c In 4 f M lot � the L. � D stri. dot s t r � t
Arti,'cle 1.11 Section 2 -1 h'oh state ,
o ` u iu or reemn ses shall be used andno, u.ildirr o art thereof shall be erected or altered in
th 12 fist,im of un l,ess the sa e con "or s to th
e e u e n ent s `the i l kSchedule n of the
e
a i ; Sclldu,lewit o eorceat effecta,sfstc r a bi he,re't 11rn l
full.
ro d; Lot � „ l ehe ule re re;s a i i dot s,1ze of'']20,000,Is, tare feet and lot width of 200
feet an a lot,depth of 300 feet. Rollo tie plo, Deed lot i .e chin loot l will be -conr in
eas nd lot eth of 151. 2 feet
Proposed Lot 2- Bulk,Schedule rwu iros of n i i nun lot sizes of'],L0,0�00�,su�axe ��et� � tl°�e
vroposed, sub ivist on, Lot 2 will be ti c nfibn e su��1� � s ua�e feet itl alit tl of l 2
feet.
le ro os lot li, e c1a° �e ai,es roval f the otlold°T�o "lai , Board,.
.Authorized Signature
Note to Applicant: Any change or deviation to the above referenced application,may require further
review by the Southold Town Building Department.
CC.ZBA, Planning,.file
RFC EIVED
FORM NO.3 JUN 2 8 20,2Z
TOWN OF SOUTH OLD `'
BUILDING DEPARTMENT Zoning Board of Appeals
NOTICE OF DISAPPROVAL
DATE: February 24, 2022
:RENEWED: May 24, 2022
TO: Stephen Ham III,Esq. Gwathmey/G runer)
3 8 Nugent,Street
Southampton,NY 11968
Please tale notice that your application dated January 25,2022:
For a permit: br a,lot fin fing ohn g at:
Location of property: I s t .in Road& 13 Phe sat,11111.,'t..........Drive.� iSher �ls� d. °�
.............
County Tax Map No. 1000—Section 5 Bloch 2 Lot 2
Is returned herewith and disapproved can the following grounds!
"le. r ose lot line change,,, this noeewn. orin 2335 lost the cside ti�l12 cstriot
P lot 2 and this onto fo i n 1°2,s ..° . lot,[* the -120 i"st l ct lot s not verm itt ed Irsu rat to
isle 111 Section 80 14- m,hich, states,,,
No'building re i ses s e used and no a it in or° art:thereof"sha11 be erected.or,altere irn.
the R.-120 District unless the same conforms to the
arking,Sc e 1e wit tl e sarne force and le ff-ect asl'f such re a ati ns mere set forth herein in
full.
ro ed( t I, u11 the ui re ui ss a minimum ot size of 12 00 s oars yet and lot width of20
feet r►d Iot th f 0 feet. F llo A the r os lot line than e dot 1 i11 e non e 'o in
jneasurj_!jg,g'.9,335 squairefleetwifth a lot width of 53.97 feet and lot de th :151 02 feet.
o o ed t 2 u 1,k,Schedule rge"gires a Lninnuinlot si of 2 s u�are feet". olio in the
ose; su d"' s"on. .� ran " I. with a t e
, r of 2 111 ion on " in neastj ' 4 stare f t � t o, 1, 2�
feet.
The r os lot one cl an e u res aporoval from the Southg1d,Town Planning Board.
Authorized Signature
:Note to Applicant: Any change or deviation to the above referenced application,may require fin Cher
review by the Southold Town Budding Department.
CC:ZBA,Planning.file
RKEIVED
FORM NO. 3
JUN 2 8 202Z
TOWN OF SOUTHOLD q,70��'
BUILDING DEPARTMENT Zoning Board of Appeals
NOTICE OF DISAPPROVAL
DATE: February 24,2022
RENEWED: May 24, 2022
TO: Stephen Hain 111,Esq. (Gwathmey/Gruner)
38 Nugent Street
Southampton,NY 11968
Please take notice that your application dated January 25,2022:
For a permit: for a,lot line chap at:
Location of property: East Main Road& 137 Pheasant Di,*'I,V' ers,1_1�J4fld,,,NY
County Tax Map No. 1000—Section 5 Block 2 Lot 2 &3
Is returned herewith and disapproved on the following grounds:
T1 sed lot fine cha .e thisnoncon fbi-mi n g.293 3 5 sqft, 1
110-OP 01110 na on ptinithe Residential R-120 District
0,
(lot.,Z)...and-his tionco,n",fo�rmin,,a,64,,,7'12,:s ft. lot in'the R-12,01),istrict(lot 31AS not, en"nitted ursuant to,
AjticLoe,111,1,,.Section 280-14 which state
I - 3, §;
No bui,ldi "I s,es shall_b d and no,build art thereof shZi 11, be erected,or altered 1*11,
....... na p rem J -us ina.,.-grip
the R-120 District unless the same conforms to the Mq fit eLments.ofthe,i4q],k,
Daria p edulg wiffithig same fotce,and_g, rect,as,if sugh,Legt i nvwvere set forth hereill in,Sch 4; ,ff gilat 0 J1
full.
,P -es a ininimuin lot feet and.lot width,of 2,00 m, g.sed LoUt-Bulk,Schedulexe uit, ,$1,ze of 120,LO,O,s pare
feet and a,lot.,depthof 3,00 feet. Followj[ngthe orppg§igd� lot li:n,echaxme.,Lot 1, will b,,e,non-con fiorming.
0,
preasur,sung 29 .5,si uare feet witb,a lot width of 53.97 feet and lot de I, of 15 1.02 feet331
P,!Loposed Lot 2-Bulk Schedule rgg Ares.gaminjm,ygi lot size of],,LO(,QQIQ&,qoa,re, yet, E pj1,ow*t1n1&(,hp,
pLo d subdiv, ill be non-confi6iin" r*njz 64,7112 et w"th a,lot 2,
V, 9,se Lot 2 wi .#]M_,measp 1 sauarefie i de 10'
feet.
The-p,Loposed,lot fine chanee-,re c ,,s a, prova] from the Southold,TownPlan,nin Att
_iurre fl.ggr.—
Authorized Signature
Note to Applicant: Any change or deviation to the above referenced application,may require further
review by the Southold Town Building Department.
CC.-ZBA, Planning,file
FORM NO. 3 RECEIVED,
JU 2 8 2022
TOWN OF SOUTHOLD q-,c_'
BUILDING DEPARTMENT Zoning Board o f Appeals
NOTICE OF DISAPPROVAL
DATE: February 24,2022
RENEWED:May 24,2022
TO: Stephen Ham 111,Esq. (Gwathmey/Gruner)
38 Nugent Street
Southampton,NY 11968
Please take notice that your application dated January 25,2022:
For a permit: for a lot fine a, re at:
Location of property: East,Main ,Road,& 137'Pheasant Dt,-1V 1, hers Is d,%NY
County Tax Map No. 1000—Section 5 Block 2 Lot &3
Is returned herewith and disapproved on the following grounds:
T1 11ig11 ON D
-pro osedd lot ibine changygg��,,on this,rionconforinnib"'r,2 sq
19433 ft. lot,in the Resi'detialal R-120 Dl*str,*I,ct
—
lot 2 - d thIn.olc onfbming,6,4,71'2 . lot n theR-12Q,Dstrictctot is not ine ur suan't to
j el wh"ch m,
le III Section 280-14 1 states,*
I Ed,
No buildi n, 2qLprgmses shaLl b 1IIIIIIIIIJ and no buildia.I part thereof shall bp Ierected or altered, 1., - —_ - h the R-120 District unless the same conforms toth r e Mu'lrements oft Buf,"k,Sq,
I lip, it 11 1,re a"I ons were,set f6rthhereih in
--ark", Schedule, i h the same force and e5ect a,s*'f Istich, gglat
Z"M
full.
Pro 'le uires,a minimum Ize :*t andlotwidth''of 20
med Lot1-Bulk Schedu lot s* o�f'1,20,,000suamii�fcg".t ang,1,
feet and a lot,de L fget .,.,Fo,j,,I line cha Wil nge,Lot I l bg non-confi in
P.
n yeas with,a lot width of 53.97 feet and lot depth of 151.02 feet'.jn&22,�j, e
Proposed Lot 2,-Bulk Schedule rggui,res,a,minl*muin, lotsize,of-121.000s uar e feet,. FollowlinIg-ftg,--Q,,
n ng 4, 1 1 1 11
Pro,vosed will be 6 et w'th a,lot depth,of 162
..........................................I 11,n _u
feet.
The oroaosed lot line chgn&p re roval from the Southol"IdTown Planni"n ,B, ard.p
Authorized Signature
Note to Applicant: Any change or deviation to the above referenced application,may require finiher
review by the Southold Town Building Department.
CC ZBA, Planning,file
RKEIVED
FORM NO.3
JUN 2 8 2,OZZ
'0'r
TOWN OF SOUTHOLD►
BUILDING DEPARTMENT Zoning P Board of Appeals
NOTICE OF DISAPPROVAL
DATE: February 24,2022
RENEWED:May 24,2022
TO: Stephen Ham 111,Eq. (CGwathmey/Gruner)
38 Nugent Street
Southampton,NY 11968
.please take notice that your application dated January 25,2022:
For a permit: Loy a lot line clan at:
Location of property: East Main Road& 11 fishers, lsla,nd.
County Tax.Map No. 1000—Section 5 B lock 2 Lot
Is returned herewith and disapproved on the following grounds:
True osod 1 t 1 ne c e o tl is tic fo �n . lot in the esid entia � ° 12 �istrlet
Lot., d this n nc n o in 4 " s . lot in the 20 ist��ict lot 2 i not g'r itte ° u"L�s ant too
µc1 l::l "'ectior,2 l ich st .t s
shall,l b di o� t red-1i ' t
the R,-120 Di.strict unless the same conforms to flie�e re ants of t.1�e u11 Sc ed le� o t1;
p Mgt � , t 1e with t1�e sa e orce,a� e e t i such,re �1�tions mere set forth herein,i
full.
Ep os d of I- ul e e u e re uims. nin 10 size o °l 0 0 sure�e t lot� Idth o 200,
feet and a lot dgpth 2f 30 feet. o loX in ,t a ro Deed loto line c1 n e .of :l i11 he n�cpuf r ll
n eaasurin. 2,( 5,s uare feet with a lot width of 53.97 feet and lot de` of 1 1. 2. t.
o os dot 2, u1 e1e u1e re ire of 1.2 s ware fie 01; of t e
ro os,e a division Lot w�il1 e n n-coy fo in e s r�in 2,s jt re qet with a dot ,e ;y f 162,
feet.
e r used 1 t line e1 ne wires a 1,*Rp" 0� 1 tie Sot hodd .1anin oars!'.
Authorized Signature
Note to Applicant: Any change or deviation to the above referenced application,may require further
review by the Southold Town Building Department.
CC:ZBA,Planning.file
if
RE-CEIVED
FORM NO. 3
JUN 2 8 702Z
TOWN OF SOUTHOLD :q7o�_Ir
BUILDING DEPARTMENT Zoning Board of appeals
NOTICE OF DISAPPROVAL
DATE: February 24,2022
RENEWED:May 24,2022
TO: Stephen Ham 111,Esq. (Gwathmey/Gruner)
38 Nugent Street
Southampton,NY 11968
Please take notice that your application dated January 25,2022:
For a permit:for,a lot line chap at:
Location of property: L-ast-Ma"t ive, �i
in Road& 1,37 Phcas'an't,Dr," Fisbers Is1and.NY
County Tax Map No. 1000—Section 5 Block 2 Lot 2 &3
Is returned herewith and disapproved on the following grounds:
Tlie vroDosed lot line chan",--on this none forte in ja 29,33,55,sa ft. lot,[n, tli,,e,Res,iden,t'llai, ,'R-,120,'Dwt'stri,et
............
lot""n the 20 Distil"I'let n " ed pu,rsu
('lot,2)and this n,o(nconf6n,-ninZ, 64.7-12 s i t 1 itit antto
q, in i is not
A tAl i c 1,e_1,',11 S ec t I ion 28014,whiich states
No,buildinR-or Premises sliall be ed,and no,bui Ing,or,"oartthereofshall be erected or altered in
the R-120 District unless the same conforms to t1iejMquiLem,eqts of the Bulk Schedule and of the
pgt.k,in,gS,cJJ,eAt with amll.!jp,w' h flig s, e,f6rce and effect as, 'if such UlAtilmoss were set herein in,
full.
P,r0pMq,Ld,L!9,j_j-. ulk Schedule,re 'es,a mimm"uni, lot size of 120,000 quare,feet and lot width of200
the ed chan o *11 n
feet an,dja, 11!Ltjo,,pA' F-3,00,feet Fotlovvi lot line ge, 'wi, be ngn-cgqfijMj*,nsz,
DgL_p=�qs
Wlga,su.11pg,22L3.35 squqil-e feet itl a lot width of 53.97 feet and lot depth of 15 1.02,feet.,
P g..Lot 2-Bulk Schedule ILe§A f 12,Q,Q,0,0§ tj,,,a,r,e feet,, Follow�n the
ng
11n ,i, .,W—osed subdi, ..........Lot2,wi*,Ilbeno,,n-coti,,Lom', rt64 1712 souare feet with a lot,depth of'162
feet.
'rhe ro posed lit line chan=mwires anpr m,oval fro the Southold Town Pla!mjgggad
ro,)O
Authorized Signature
Note to Applicant: Any change or deviation to the above referenced application,may require farther
review by the Southold Town Building Department.
Md ZBA., Planning.,file
R F C E IV ED
FORM NO.3
JUN 2 8 202Z
TOWN OF S{JUTHOLD I a O
r-1 r
BUILDING DEPARTMENT Zoning PP Board o�Appeals
is
NOTICE OF DISAPPROVAL
DATE: February 24,2022
RENEWED.May 24,2022
TO: Stephen Ham III,Eq. (Gwathmey/ runer)
38 Nugent Street
Southampton,NY 11968
Please take notice that your application dated January 25,2022:
For a permit: t re ca at:
Location of property: East Maig,Road& 1 37 Phe sant Drive, FisLiers 1 an
County Tax Map No. 1000—Section 5 Bloch 2 Lot 22 &33
Is returned herewith and disapproved on the following grounds:
T,
e ose o`t 11 bn e q a t -,S n 0 1,Confo .in 2 33 s lot in the Residential -120 District
lot th i n n n i 2 . lot i, the i 2 ist lct lot . is not e, i ed n rat
Article 11 °,�ect ion 2 0�l 4 ich states
;o building,or,prem ises sn ail be used an.,d no buddi..,n -4.or. art thereof shall �e erected or,altered in..
Schedule o e
the 120 Di Bulk strict unless the sure cvnforns to the e ui re eats of tle
par" is the u e vitl the same"force, a et as i�` ci re uia s wire yet o herein in
full.
ru ed IBulk, �e Nuires minimum, lot,si e o. ' 2 square feet and l t i th o 0
. G �
feet and a, lot.de 300,feet. llowin t ro pose A lot i iue c e .Lqt l will be non conf . il"
e s r n 5 s u e f t ith a lot width of 53.97 feet and lot dWh of, l 6 l..02 feet.
o"vose t -Bulk,,Schedule re sires a mini"nitim l t size f l s � e tent. Fol 1,2wn t
ro o ed sub iv Rio 1- Lot 2 wil 1 �,nion-confio rminim; eas rin I2 s oars yet-with,, lot de tl o
feet.
The,nrovoLed Lo,!_
o chganize,reawres,approval from the South,,olid Town,Plant, in. ' o r
Authorized Signature
Note to Applicant: Any change or deviation to the above referenced application,may require further
review by the Southold Town Building Department.
CC:Z'BA,Planning,file
FORM NO.3 RIPCEIVED
JUN 2 8 7022
TOWN OF SOUTHOLD
BUILDING DEPARTMENT Zoning Board of A ppeals
NOTICE OF DISAPPROVAL
DATE: February 24,2022
RENEWED: May 24,2022
TO Stephen Ham 111,Esq. (Gwathmey/Gruner)
3 8 Nugent Street
Southampton,NY 11968
Please take notice that your application dated January 25,2022:
For a permit: fora,lot 111*ne, at:
Ne
Location of property: East'Main Road& 137 Pheasant Drit Fishers Island.NY
County Tax Map No. 1000—Section 5 .Block 2 Lot 2 &3
Is returned herewith and disapproved on the following grounds:
14, 000sed], 1&pnkvlgeg 11 T tie,pr otfinecha, on th* lot inthe Resl"'den,t"l*,alR-120,District
age
Jot 21,and,thi's notmonfbrm in�,64.71.2 s ft lot in the R,-,]' 20,Dist'"111"C"t(lot,3) is not perm'j"tted t),urssuant to,..........
A 280-14,..whith statp5;
No buildi e 11 d and no,,hq*,jd,0 thereof shall,be er,ected,or aftered in
D,&,qrpremi, essliall,b I § i m1g,or part
the R-120 District unless the same conforms to LffitjgQ u,i re,m e ji is o,f L11 e B u 11 k S c he du.1e a,d of the
park in S,phieddle, wi h the,gas e force and effort as if"such reoulations were,set forth herein j"n
full.
Pro, c of -Bulk Schedule require's,a inimu"m lit p�,j"ze of 12'0 0,0,0:!MUare,&e't and lot,wildth,of 200
fit, L ,dot,4.gothof0ftet - -
han A,."ot I 11 tc mipp1lowin&thepro seAlot Iine c
bet
wili ;,a lot width of 53.97 feet and lot 4- of 151.02 feet,.,
10 *
ro ed Lot, -Bulk,Schedu 1, of 129Q,901 sqqare feet, Followl'i
�'P'os le,,rqquj,re. ' 1 *5
z
rop!gtrg sghd jl"Vt s' Lot 2,wil I be 64,712 sqj,t are feet with a lot d,'qgt",h of''I 62,
feet.
*e 17he' ro, ored lot line chanae wires appr,gMg]:from the Sou th ld Town'Plann`ng'Board.
w ,r
. ..........................
Authorized Signature
Note to Applicant: Any change or deviation to the above referenced application,may require further
review by the Southold Town Building Department.
CC:ZBA, Planning,file
Fee:$,.. . ................. Filed BY: Assignment No.
APPil''ICATIONTO TIJ,',,E, SOUTHOLD TOWN BOARD OF APP EALS
ol,
AREA VAMANCE
22617 East Main 'Road �WR"
House No._137 Street Pheasant Drive Hamlet Fishers Island
0029000 29,355 SF
SCTM 1000 SectionOO5.00 ]Block 02.00LO,qs.) 003-000 I.,ot Size 64,712 SF Zone —120
— R
I (WE)APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR
DATED 05/24/2022 BASED ON SURVEY/SITE PLAN DATED 01/I I/2 0 2 2
The Gaines Gwathmey Family 2012 Trust
Owner(s): PNC Bank, National Associations as Trustee
Maill*ng,A,ddre,ss,. c/o Matthews &. Ham, 38 Nugent Street, Southampton, NY 11968
Telephone: (631) 283-2400 Fax: (631) 287-1076
Email:steveham190@gmail.com
NOTE.-In aid dit'lon,to t,heab,ov please complete below if application is signed by applicant's attorney,agent,architect,
builder,contract vendee,etc.and name of person who agent represents.-
Name of Representative: Stephen L. Ham,, III., Es q* ;for(X) Owner( )Other:
Address: Matthews & Ham, 38 Nugent Street, Southampton, NY 11968
Telephone.
(631) 283-2400 Fax: (631) 287-1076 -Email: stevehaml90@gmall.com
Please check to specify ipho you wish correspondence to be mailed to,fi-oin the above names:
( )Applicant/Owner(s),, (X)Authorized Representative, ( ) Other Name/Address below:
WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN
DATED 01/11/2022 and DENIED AN APPLICATION DATED 01/25/2022 FORW
(X) Building Permit (lot line change)
) Certificate of Occupancy ) Pre-Certificateof Occupancy
O Change of Use
Permit for As-Built Construction
Other:
Provision of the Zoning Ordinance Appealed. (indicate Article,Section,Subsection of Zoning Ordinance by
numbers.Do not quote the code.)
Article III Section- 280-14 Sub,sectil'olm
IN WOO
Type of Appeal. An Appeal is made for:
(X) A Variance to the Zoning Code or Zoning Map.
A Variance due to lack of access required by New York Town Law-Section 280-A.
( }Interpretation of the Town Code,Article Section
Reversal or Other
A prior appeal has, (X) has not been made at air eWith,respect to this,.pr UNDER
Appeal No(s), Year(s).,
coat err this question or-call oui,-officefor assistance) (Please be sure to research bqfore
Name of Owner: ZBA File#
q EASONS FOR APPEAL (Please be specific, additional sheets inay be used with re P area
signature notarized),-,
p
l.An undesirable change will not be produced in the CHARACTER of the nee l o; or a detriment to nearly
properties if granted,because: them will be no change to the physical ,�°; cteri�
p �' stics
(nor will there be the potential for any such change) and no increase in population
density as there are currently two homesites at the location and there will
continue to be the same two homesites if the variances are granted. Moreover,
neither of the two parcels will have a. net change in lot area.
2.The benefit sought by the applicant CANNOT be achieved by sonle method feasible for the applicant to pursue,
other than an area variance,because: there is a fixed amount of land to be distributed between
the two lots and there will be a need for lot area, width and depth variances
no matter how the total lot area is distributed.
3.The amount of relief requested is not substantial because: if the variances are granted, although the
lots will be nonconforming, the degree of nonconformity will not be increased
since there will be no net change in lot area given that an equal number of
square feet will be transferred from each parcel to the other.
. `iev ce will NOT ha,vc n adverse effect or impact on th e physical o environmental conditions in the
,°pan
neigliborhood,or district bec se. there will, be no e ,c t� can -i ys i cal con,d its. ns as the
the only impact will be moving an invisible boundary line.
5.Has the alleged difficulty been self-created? I j Yes,or %j No Why: 'there are already two lawful
homesites that have been approved by the Planning Board, as lots on the. Map
of Fishers Island Development Corporation. The new configurations will make
greater practical sense as to how the properties are used.
Are there any Covenants or Restrictions concerning this land? { I No ft Yes(please furnish a copy)
pis is the e I I t t is necessary and adequate,,,and at the same time preserve and protect the Character of the
e.1g
cr bor ood and the lea ll,safety and welfare o�t e commu�n ty,.
Signature�of A Applicant
w
pp ' ant or Authorized Agent
Agee itiv st:submit'written Authorization from Olyncr)
pro before nee this day
tep�,e L. H°� �,, III, authorized agent
r�t.
of r.J uneo
Notary Public
I
0,,:Lvo,643,2568
QUALIVIED :rj` StTFr= COUNTY
APPLICANT'S PROJECT DESCRIPTION
The Gaines Gwathmey Family 2012 Trust
PNC Bank National Associlat' s Trustee
APPLICANT: ion, as PREPARED: June 23, 2022
1. For Demolition of Existing Building Areas
Please describe areas being removed: N/A
.................
U.New Construction Areas New Dwelling or New Additions/Extensions):
Dimensions of first floor extension, N/A
Dimensions of new second floor: N/A
Dimensions of floor above second level: N/A
Height(from finished ground to top of ridge): N/A
Is basement or lowest floor area being constructed? If yes,please p—rovide"111 height(above ground)
measured from natural existing grade to first floor:
111.Proposed Construction Description (Alterations or Structural Changes)
(Attach extra sheet if necessary). Please describe building areas:
Number of Floors and General Characteristics BEFORIE Alterations: N/A
Number of Floors and Changes WITH Alterations* NA
. ............
IV. Calculations of building areas and lot coverage(from surveyor):
Existing square footage of buildings on your property: NIA
Proposed increase of building coverage.,
Square footage of your lot: sq. ft. (1000--5-2-2) 64,,712 f t. (1000-5,.2-3)
Percentage of coverage of your lot by building area: N/A
V. Purpose of New Construction: No 'new eonstructlon, wil1-1. re..su,lt frog the proposed lot
line change which ch is being unde'rtaken so that f eatures appurtenant to �each pa.rcei
that are located on the other Parcel will be in fact 1-0cated—W i Uhin the
appropriate boundary lines of the parcels they serve,
VI.Please describe the land contours (flat, slope %, heavily wooded, marsh area, etc.) on your land
and how it relates to the difficulty in meeting the code requirement(s):
Land contours are not relevant to the difficult
meeting Cod requirements.
iculty in e
Please submit 8 sets of photos,labeled to show different angles of yard areas after staking corners
for new construction, and photos of building area to be altered with yard view.
4/2012
April 15, 2005
FISHERS ISLAND DEVELOPMENT CORPORATION
Re Latriicttive Covenants RelatiU,.
tQ Devel, Mjj,e ,,,t,4
M aiidA�n,i�,ual,Ass'essr,,ii,e,n,t
Set forth below are the operative provisions of the restrtetive.("Ovanants in iniposed
by FlDC0 and,,its predecessail-sl Fishers llslatid Corporation and,M're, rr el Is ers Istand Estates,
Inc. fe, edto, t1iei:,,,,'hi as"'gt,antot, its S,Uccessors or-assigns") in, thedee ds to all lands, in
the 01,rnsted, "Park'",east oft, , gate on Fish rs Island,
M Ilerelating to the construction of
Impilovements on and landst
ping o
f such-lands auid the of atinuad,M`a*
Char itn'te.nalice
,g�es,, as such covenants wereniodi'fiied and,renewed foifo a tenai of 10 years fi, `1
15) 2005. These covenants 4crun with the land"'and are bind on al,*� ,oin Ap,'t'j,
,I such, lands n ,a �d on
the owners thereof and their trans"."fei-ees -and assigi,6,iees(referred,to tii,ereln,as- grantee his
heirs,,S11coessors or asssig,ns�7' d sent con of ,,Ie spec' :ied m, "o ty
W"th tlie i'f Eli in acreage of
the owners of lands in the"P a rk"
renewed for successi* �'these covenants,ni,ay' 'be �fui-th,er,tno,dified,
ve terms o,f'2,,O years.
44
That thae ell�,ises shall be occupted, and'utsed by the grantee, hi
s/herl
tiel"rs aj�id assiigns 'for private residential n
411 ,
be erecteddiereon only ta,pr" Puilllt)Oses oilly, and, ot otherwise,and there shall
idence f�orthe,use,of one family only,t '
ate ogether with
'di,e necessar5i outbuil,ditigs appm-tenant thereto, PROVIDED that *f rnore than one
homesite,is,hereby convoyed,only one such residence shall be erected or maintained on
each ofsucl ho.tnz ftesovliich are hereinbefore respect'
Nos. vely designated as Homesites
Or�C 7
YtIler structui-e s!",iall, be erected on,the afore's,aid premis'e-s',,no
'(1tte-raot,10,1.1"s slab the rn,ade in the extenior of an,y btiild:"
1`119,01,4 ot tier structit'l7e erected,th',' ereon,
nd not' ing else shall be done meatel-l"'ally af'fectlng th.e "111ppearance of flit af6res,,.ailld
premises,exceptiaccord'ing to,P
h ing exterior co
11 ctn's (J*nctudl lor scheme, grad,tilIg plan,
Phng plalj and localion pla,11)which Shall have been approved 'in,writing" by the
its Successors oras,sign's.
"That no stable for 4,live stock shall be erected or maintained on the aforesaid
I
premises by the glrmitee ,his,heirs or assigns,wid no live stock shall, be kept on any part of
the proplerty hereby,convqed, without the wrIttell consent of the gra,,titor,"Ifts,successors
or assigns.
"That,the premi'ses herei,,n conveye;d shall be ke, tftee from any nui
from any 'I P * isanee, and
objec�t or cond'"tion othterwlse,offei,,isive to the neighborhood or dati
the health of trees or other vegetafion # 1 3 gesous to
'I In sa",*I"d.,neigh,,"bo,rh,oil*
at ftom,and, after A r
5,� 2005,11 the jj,�i�s1111S
asagns, by th,e accQ, lance Qf`tllis deed
p, -ay to tj
gran,tlor, jt succe, ,s -S 0,,r'I covenants wn'd agreus�to,PC je
(a)an ann,,tu,,all", C!
gellas 1"'JIxed by e gratitor 4s,
I
S1,10cessors,or assig"11SIVVIii,ch, a® exce"Pt W*ffi, the,coijscnt, of thile
own,ers a a y ni acreage of all, land, W�`th*11,t1le'"Pa,,rk,"sliall tl"Ot
eX-CC,ed'in atiiy, w yeaj', $sloope,,I*,a,,crepsa,ic,'Il, charge toben,applied,tothe
repalir
l,'m",P,j"Ov,emen"t,of'i-o,,ei,d,s,, sidemirial1c, vers and,
axi,dto the
(b) aoii ec -(, addisposal of gai-bagaI axj' r,eSf sseeA,: and
u
g1,laq jito ` ecessS u0,p r pll'SeSm1"
9e1,n11St7a Wl m1l1u,'aihnn-teiaance_ Cb,carge',Xv,cai'slhfi I th`
le e cons(l- l ohs, pc Ielien charge,exeept,,, I of
t1W,01MIel"S Of,cv, mqjimruy In,acl,'eage O'f all hT
ld, W!"Ith,inflit r 11P,a, j ',,,, 'sh
year$2,000 ,all nat
sai'd chw,-geto, beappli,ed to th,e
of roa,,ds, ,S'Icl,,C,walks,,sewcArs,, and -s
pair
gtatei,
ai,id tol'the maintenance of,SLj*t�,ble TeS C�,',Ves thereBo,,r,, and
01
W tlie eo1,,1,ect,,jojj,, an d,d1sposal,,of Bail bage and; othei,,-rlefitse.
In es taablish 1'ng feo,m t
MICA01i le the am,.o,urtj,,t Of SA'd tn'littal S,'Ltl,?P'
I lemi,,etttal,
maiutena,,n,,,ec,�csjim-ge difllerej,,�jt
char ges m-ay "be rilade,a pbeable'to,
tu''11411-11proved pc-11-Cej& p 'pt'oved
S SUCC
In 1,1,10 event, Sh"'all tille,lis 917E1111tee,his hea I e$sorsl 0,
'be obfigated,to pay
assig, , I in,tany ai,je year,a sup, jejjcj; Intenance,ch,,arge
wilth ep ,more than.on,e �p ,en
rseo, to tal ma
Pt-,Ucel ()wned by,the grantee
"d i he "Park"',
provi ed, however, " ' 0
"0 _ if any parcel owne,ld by the grantee"his'lleIrs, StIccessors or
assigns,is p,,-aved,parcel,,
ffiesupplemein'tal cliarge pay<-,ible sha,111
be [n,,tht,
aunoi,ti,,,n,t tii,eqj,established ,f6or,
improved pa,rcel.s. Solelylmpu oses 0,1,",th
'rig sen,.tentce the,tei n
preced*,
`c 'te'le"shall, include t1,1 �,!,�ntee aj,,x]_SuCJi,, of his,
,,,e� q
Spouse and,mni
i.nor obildren 't:hatwelw
re residentin h* r
I js prirtna. h,ou,,,s0,`,io1df6r
more days, during tlie ytariji, questil
"Sald bassic
_a gles shall be
gym l-111,11141,11Y W1, pa3,1 le, payable,
th ffill m nt drue wfl,.1
(15), days o�f i,eceipt
ofa w
State-Men't tli_et� fior T rilten
e Uj, es are by,
9 e niade Jen's on
AS,stwcess
pltmi 'N Lng Illemi, coi,,ita"ned slmll o,b' cratethe gr�,-,nto
*,s es, oth
asssigns,to mall.nta"in'',re S or,
n, truj,,j pan 0''I",111,11prove oany, roads,sidewalks, sew e%,rs(except stu,cjj,,,
<
tnesewersas mra wi
y exist, m til"'I"lle to t"I'lle)Or'guttens, orto coflec,t,
g 'blage a o,the r ref'I
d' 110se )f any w-`
0 event shall the ;t,,ntor its
ass gTT1 to the grw,
successors o10 sbe I ul tee, grE
I 1 0, A t heir's,any E,�edltiie of'perfna % 'LIIl I � st!,,ti*c
s caettrSi0b111*uS.toarb lwa,
ssig:ns
to the
ence of the 's or assi,gns, #11, VNphiclit evell
9' grantor, 01''its Successm
any Such
11"'ab"I'try,silej-C
tO Olt,a1110 L111t,C0,1,I ted,pursum it to,t'j�,.j Pa
.Cc
# IF
QUESTIONNAIRE
FOR FILING WITH YOUR ZBA APPLICATION
A. Is the subject premises listed on the real estate market for sale?
—Yes x No
B. Are there any proposals to change or alter land contours?
X No Yes please explain on attached sheet,
C. 1.) Are there areas that contain sand or wetland gras,s,es? no
2.) Are those areas shown on the survey submitted with this application? 'n/a
3.) Is the property bulk headed between the wetlands area and the upland buildingarea? 1�,/a,
4.) If your property contains wetlands or pond areas, have you contacted the Office of the Town
trustees for its determination of Jurisdictio ni? n/a Please confirm status of your inquiry or
application with the Trustees: and if issued, please attach
copies of permit with conditions and approved survey.
D. Is there a depression or sloping elevation near the area of proposed construction at or
below five feet above mean sea level? n/a
E. Are there any patios, concrete barriers, bulkheads or fences that exist that are not shown
on the survey that you are submitting? no Please show area of the structures on a diagram
if any exist or state none on the above line.
F. Do you have any construction taking place at this time concerning your
premises'.? no If yes, please submit a copy of your building permit and survey as approved
by the Building Department and please
describe;
G. Please attach all pre-certificates, of occupancy and certificates of occupancy for the
subject premises. If any are lacking, please apply to the Building Department to either obtain
them or to obtain an Amended Notice of Disapproval.
19 no
H. Do you or any co-owner also own other land adjoining or close to this parce if
yes,please label the proximity of your lands on your survey.
I. Please list present use or operations conducted at this parcel Single-familly residences
and the proposed use'. single-family residences
(ex: existing single family,proposed: same
with garage,pool or other)
109 4061k. L , C 06/23/2022
Authorized signature and Date
Stephen L. Ham, III, authorized agent
4u
FORM NO 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold,, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No 1'9 Date JUNE. 71991
THIS CERTIFIES that the ui n ONE FAMILY ;" G
Location of Property PRIVATE ROADLoEAST'
F'IS S IS
County Tax Map No. 1000 Section 5 ec dot
Subdivision Filed Map No. Lot No.
conforms substantially to the requirements for a Private One Family
amxl.y
Dwelling built prior to: IL9�,o, 1957 pursuant to
which
CERTIFICATE OF O CC
dated JUNE"
7 1
was issued, and conforms to all of the requirements of the applicable
PP icle
provisions of the law. The occupancy for which this certificate is
issued x s FAMILY'Y DWELLING WITH ACCES,,S0RY 2 CAR
The certificate is issued to ED D
, CRANE
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF FILTH APPROVAL
UNDERWRITERS +CERTI'F Y CATE NO.
1 -651163 PLUMBERS CERTIFICATION DATED N A
*PLEASE SEE ATTACHED INSPECTION REPORT.
Buildi,dq
nsectr
Rev. 1/81
,U I T.�I DrEP",.n.T:-EI T
T0f;,T1 OF SOUTHOLD, N. Y.
OUSI::G COD- Iir-SP .OTION REPORT
oC,._"�1.Ort
-� PRIVATE ROAD, EAST END, FISHERS ISLAND, N.Y.
(i'1L1n1C1p��1�`f
Subdivision Man FTo, Iry
Name of o%•!n er(s) EDWARD M. CRANK, jR. & WF.
occupaknc7_ R. 1 OWNER
Ad.itted. by:___ Nr. Evans Accompanied by- Same
Key available S u folk O o. T xc ljo. 1 Oov--5,2-2
Jean D.
Source of request Jean .fie �May13, I991
........ Date
�..___.
®.
D„ `t LING
Type of construct,.On Frame with stucco finish
s� o ' es ]
concrete slab Foundatl � C ell ar Crspacesanme
awl,
Total rooms, 1st. F1 9 2nd. F1 rd. F1
Bathroom(s) 3Toilet rc o
m(%~.... $)
Porch, type
Deck,, '� Patin, �
ree e.vay Garage` Utilitym
- - o ro
Type Heat OIL FIRED 'Farm A.i,rxx
*Hotaater
Fireplace(s 1 No. Exits 5 .
YES
Domestic hot'--water e he at�ear R IC
�� a
Other
,p
ACCESS
IM
Garage, type coast. 2 CAR tox'a e e
` g , const.
,S%•ri�mzng pooh west
Other type const.
TC IAPTER 45-N.Y. STXrE UNxF"oR+I FIRE PI ::VE
T N & BNILDZNG CODE
Des-cr rp
Art a
S,ec
oil
WIMP MAIONMPM(6�
•ow.
This pre co includes BP #1723Z issued S/1/,62 for an addition -
® CO --1408 issued 8/1/6Z eni a V!�c
Inspected by;
Date -of Insp. MAY 210, 1991
C
Time start 1:30 e1 2 C
0
w
FORM NO. 4
TOWN of SOUTHOLD
13UILDING DEPARTMENT
Office of the Building Inspector
Town Hall.
Southold, N.Y.
CERTIFICATE OF OCCUpANCy
o Z 20021 Date
DUNE 21 1 1
THIS CERTIFIES that the ADDITION
Location of Proper 'Y' T END .
House Now Street Hamlet
County Tax Map No. 1000 Section 5 Block 2, Lot 2
Subdivision Filled leap No. Lot Now
conforms substantially to the Application. for Building Permit heretofore
Filed in this office dated � 1 1991 pursuant to which
. g - JU` 1 J9l
�3u.� �n P+�rmit N+a. 1.9�3 T ,� dated...
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which thl.s certificate is
issued is 121 x 101 ADDITION TO EXISTING ONE FAMILY WELLili NG AS BUILT
The certificate is issued t4 EDWA D
(owner)
of the aforesaid building.
SUFFOLKCOUNTY DEPARTMENT of HEALTH AppROVAL
-y
MERWRITEHS CERTIFICATE No. LA,
PLUMBERS CERTIFICATION DATED Nr A
13, j ld n ' n pec°tor
Rev. I/81
TOWN OF SOUTHOLD
8VILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: ,Z-27631 Date: 2411,81.01
THIS CERTIFIES that the building ADDITIONS & ALTERATIONS
Location of Property: PVT RD OFF E END RD F18HERS ISLAND
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 5 Block 2 Lot 2
Subdivision Filed Map No. I Lot NO.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 14 19 9 9 pursuant to which
Builcling Permit No. 25860-Z dated JUL Y 911 1999
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 ADD ITIO14S & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR
The certificate is issued to GAINES GWATHMEY
(OWNER)
of the aforesaid building.
SUFFOLK Col;.` W DEPARTMENT OF RE%LTH APPROVAL NZA
ET CTRICAL C IFICATE NO. N-550346 22L7LO
PLU, MB'ERS CERTIFICAT1014 DATED 02/2_§�, 01 MAI 10 ZNGHOTTU, JR.
...........
Au'tfiorize ' signature
Rev. 1/81
$0
FORM NO,4
TOWN OF SOUTHO L D
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold,.N.Y.
Certificate Of Occupancy
4
No. r .T■'3.Q 1 9• r • r • • • • Date • ■ • 9 Y.i M i • 2 • d # r # r it w . • # # # r+� 1984
THIS CERTIFIES that the building ■ *�.d d i.t z o n t o d w e 11.�r� a n d alteration
r r • r ♦ a . • • • # r • M ♦ # ! • • U • • • • • • ♦ r • r • • 6 r r • ► ♦ • • • • • J •
Location of Property . F,isher5■ Island Dev,: ■ Corp . gas t End Fishers Te iand
House No. scree ° Hamlet
Co u •t J Tyr x A'I�i M a o r 1000 Sect ion i r N,. . �p�� �,®, . . ii ,Mi� . imi i Blo c �M w -M� M '�� . .Lot i.M iMU M�, i• #� r �M ^w, � ��, r� i o
4 �W dM MY XW Mb �
Subdivision . ,. . e # 0 Filed Map No. •Lot Nop . . . . � . ., . . .
conforms substantially to the Application for Building Permit heretofore filed in this office dated
#^ �h1! ♦ •,� vo fir,., ,2.' �. 9.,. lei •, GY P, * ♦ I 1/ ♦ .✓u suT+��i�t tY •�h1Vh Btdldimi Pe .kt o• • i •1•2 7`, V * - * v, # °y�..
dated 0 eac., . a . • . 4,4, , . . , r . uk, r r . • 10 l . ,was issued, and conforms to all of the requirements
of the applicable provisions of the lair. 'Tire occupancy for which this certificate is issued is # #, • # # 4, *1l ,# .
. • , • ,Addition ■to# •existin ■ dwellinZ• and •altera.t•ion• to rexisting ■ba.th •r
The certificate is issued to . . # E#D R D . ; r CRANE J R . AND JEAN D. CRANE
it r '! '•,•, . 'XN MM �1 u • NM . .n # # . • '# r e ;ek r. #- MY # • MM i. #i Nu dIW' Md • ,apr • #
X
of the aforesaid building.
Suffolk County Department of,health Approval . N/A
�, � . . � • . . . . , r � � � . � . . � , r 0
UNDER'�''IITE S CERTIFICATE NO. • rr , . . . . . • • • • # . Pend in• • . . , . • r . • • • . r . ♦ • • • • • . .
Building Inspector
Kerr•1181
FORM No.4
TOWN OF Sty►UTNOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
1 ro r .::, * tI.•906* 0 0,, . i■ Date . . ■ . • .P0.0.6.00r. .19. 19 .79
THIS CERTIFIESthat the building 4, * a * 1, 0a„ a0aaIF .. . . 4 a. . Ia . a. a ., Ia,
Location of property . . . • A14. 1144t. 1.11N.R.00. . , • • . 0 % a . • . . ♦ • . . . . . . ■ �� +�:�'�#.11s.14=0
House No. Street Hamlet
County Tax Map No- 1000 Section a ■ . . . a a .Block . . . •OZ . . . . . a a .0 Lot . . r . a &O a . ■ . r • • .
Subdivision r . • • . . . . . . . ■ r • • ■ . . . . . . sled Map No. . . . • ■ . ■ iLo 1r i 7 o. • • 11 . as . a . • • ■
r+ to
conforms substantially to the
Certificate ano
a ■ • . 1 ■z 3. ■ r . . . , 19 5.7pursuant to which 9gWPfiPVfqM'I
dated . . . December. 1.' . . . . . . . . . , . ig . .?' 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
:gip • a . . • • . • . • . . . . . r a `;■ . !Qw), P.ently. 9;k:k. • • • . tijg. a a MM, 101 . . . 0 wa uai a1 a- IbY . • * . ,a ., a®, aF . ,. . 0 a
The certificate is issued to r r W5 vR" ^III MW a %IMMMM
: PoV .14 1 0- 0*1 4 . . r • • . r 4 r a • • 00 . . a •
of the aforesaid building.
Suffolk County Department of.Health.Approval , . ., ., . . a . a�;/R ,
. a . . r . . • a . . . . . . • . . ., . . .
UNDERWRITERS CERTIFICATE NO, . . . ■ • . a . . . . . aaa . . . • • . • . . . • � � . � ,� . ■ � ■ 00 • 4, 0VA . . . 44
0
a a 'f m a is av a . •a ,a ip a' ,a; a ra •a a a. . a5. 1011 a a, 4, . of a. ,A . a,, u,.
Budding Inspector
Rear 4/79
FORM NO. 4
TOWN of SOUTHOLD
BULDING DEPARTMENT
Town Clerk's Office `
Southold, N. Ye
Certificate Of Occupancy
No. A4A. . . . . . Date . A . • A . . . . • ■ . • : 3t 9. . . ig♦ .
7.
a }
THIS CERTIFIES that the building located at . . �, . . . . . . . . . . . Y . . . r . Street
Map No. r . . • . Y ■ r loc NL• •Xx■ • . . Y •Lot No. A, ♦ . a Y • • '`,j 3 e s+ 181 r Y AI �.
conforms substantial] to the
d do cod
` o O c up
, Y -April
Y A 23. . .57.
pursuant to
which
ZW�41
dated . . . . , r . r -AUg,,KS t, . . ., 19. 72, 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 . . ■ A 6 pr at w e YfamilyAwfel.Ang A N r w X r N . . ♦ 4N4, w A W w d, . 0, M N Y Y p Y µ
The certificate is issued to ,Edward! Graver -to A•1-bert. P&, t a -Wife. . Owners,
downer, lessee or tenant
of the aforesaid. building.
Suffolk County Department of Health Approval . . . . . reipex1 . r - - , . . . . . . . A . . r .
UNDERWRITERS CERTIFICATE No. . . . -l'�` . .��#.�•�;lr.�
HOUSE NUMBER. . .n ,,e . . . . .Strt:et. • . • . ♦ . � . . .. � w . ♦ il� � . . w . ♦ t iw . . pry,. s, A, I w
�# . A•. . �, � W � R n . w . w iY . Y� �s . ,w w w Y s w ,. �w w xw M xw mr ,. Y . . w . ,w w w, w. � w ,8� w w . �. AM wu RN . ,b .w vY. we w . w qq � rr . . ., w w. Nfw . . . w . A w qµ . ., . w,
Joe
y
BUildilIg t ispector
FORM NO, 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERKS OFFICE
SOUTHOLD,, N. Y.
CERTIFICATE OF OCCUPANCY
No. Date &LMt.&.D.1L6*r 19os62.
THIS CERTIFIES that the building located at s#hssP@rziV* -9Ltje v. ...(.t13je..Park), Street
Map No. jF.,.j,.V,.Sta.tdj3Apck No. La No*
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4*01#4 406000406600 bosses goo*Apr--Lj...o—Posv boost 19.62.. pursuant to which Building Permit No. Z:L.7.
dated *4 a a I a As o 4 0 a I a 0
�klv 1 #0 19. 62.E was issued, and conforms to all of the requirements
of the applicable provisions of the low. The occupancy for which this certificate is issued is
04618 so moll@
The certificate is issued to
G
(owners tessee ortenont)
of the aforesaid building.
A
W 0 04, if b W 01 1 4,0, 0 Al 0 41 0,410 A so I Is I
Building', Inspector.
FORD NO. 2
TOWN OF StyUTHOLD
BUILDING DEPARTMENT
y
TOWN CLERKS OFFICE
OUTHOLD, N, Y.
y BUILDING PERMIT
(THIS PERMIT MUST BE KEPT CAN THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
No 17 1
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Permission I's hereby granted to,
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pursuant to Application dated wtwW �pyWw��Mr �►W���► W �hWMYNiaWw►�W wLW11 tw • . ws --19.62 and approved by the
Building Inspector
Fee $ �
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Appendix.B`
Short Environmental Assessment..Form
Instructions'for Com 1,101,119
v ""' "off . applicant
o sor is re a .
o� � ,for the �� °, �peti, n of Pr I� Res
become
�***fi��gg
AF�M""+.d'.�J��.'. M � �M v � * �:�I�r � m P review',
,.�� .. � b .... i6.
e application lo�� approval l or tun dung,a,����� sub.] to public,r view' and inay bye sub�Ject to'hut her ver:flca°pion.
Complete Part l barsecl on,inforniat on cijn"e tly a �ailable., 'lfadditional restai"ch or Investigation would be needed to fully
respond to any item,please answer as thoroughly as possible based on current in orn a.t''I'on.
Complete all ite s in Part 1. You nlny a1so provltie any addiltonal information which you believe will be needed by or useful
to the lead,agency-, attach additional pages as nceessary to su,pplement any item.
m
Part 1 -Project and Sponsor information
Name of Action or Project.
GWATH EY/GR.0 ER. LOT LINE CHANGE
rvrvrvrvry
Project Location(describe, and attach a location map):
137 PHEASANT DRIVE and 22617 EAST MAIN ROAD I FISHERS ISLAND D ( C'pM#1 s 1 0-5- 2-2 ,
ry
Brief Description of Proposed Action:
transfer of 6,941, square feet from each of the two subject: parcels two the other
so that features appurtenant to each parcel but located on the other parcel will
be located within the boundary lines of the parcel they serve
Name of Applicant or Sponsor: l Telepl�one: (6
The Ga iies Gwathfney� Family 2012 Trust 3 } 2S3 24��
P C Bank, National Association, as Trustee -email stevehaml90@gmail.com
Address, c/o Matthews & Ham
38 Nugent Street
ity/P
..
State. _ ZipCode:
Southampton NY
11968
1.Does the proposed action only involve the legislative adoption.of a plan local law,
Y � r
� ,ordinance, NO YE
administrative rule,or regulation?
If Yes, attach a narrative description of the intent of the proposed action and the environmental resources that
may be affected in the municipality and proceed to Part 2. If no,continue to question 2.
2. Does the proposed action require a permit,approval or f indin from an othergovenimental Agency.?g y lO YES
If Yes, list agency(s)name and pern-.it or approval:
Town of Southold Planning Board ("re—subdivis ion")
Suffold. County Department of Health Services ►'realty subdivision."
.a.. Total acreage of the site of the proposed action? acres
b.Total acreage to be physically disturbed? acres
c.Total acreage(project site and any contiguous properties)owned
or controlled by the applicant or project sponsor? 2.15 +/acres
4. heck all land uses that occur on,adjoining and near the proposed action.
r,Urban 0 Rural(non-agriculture) E3 Industrial ❑ Commercial o Residential(suburban)
❑Forest ❑Agriculture n Aquatic 0 Other(specify). Res iden.t ial (rural)
n Parkland
ow
Page 1 of
WW
Is the proposed action, NO YES N/A.
a.A permitted use under the zoning regulations? X
b. Consistent with the adopted comprehensive plan? rvrvrvrvry
X
6. Is the proposed action consistent with the predominant character of the existing built or natural YES
landscape? X
7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? _-N- O �YE S
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? -- N 0 'E"'S
If the proposed action wil'I exceed requirements,describe design features and technologies:
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:Priyate on s I*te t~isX
12., a.Does the site contain a structure that is listed on either the State or National Register of Historic- -NO YES
Places?
b. Is the proposed action located in an archeological sensitive area? X
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? y
X
b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody?
X
If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres:
...............
14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply-,,
11 Shoreline 0 Forest 11 Agricultural/grasslands El Early mid-successional
11 Wetland 11 Urban 11 Suburban Rural
IS.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-point' sources? No "YES
If Yes, 1�-
X
a. Will storm water discharges flow to adjacent properties? 99 NO El YES
b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)?
If Yes,briefly describe: M NO 1:1 YES
Page 2 of 4
18.Do'e's 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 YE's'',
solid waste management facility?
If Yes, describe,- 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: ryry
X
I
I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY
KNOWLEDGE The Gaines Gwathmey Family 2012 Trust
Applicant/sponsor name:PNC Bank, National Association, as Ttee Date: June 23, 2022
Signature: t
Stephen L. Ham, III, authorized agent,
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 infon-nation contained in Pall I and other materials submitted by the project sponsor or
otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my
responses been reasonable considering the scale and context of the proposed action?"
No,or Moderate
small to large
impact impact I
may may
occur occur
1. Will the proposed action create a material conflict with an adopted land use plan or zoning
regulations?
.................
2. Will the proposed action result in a change in the use or intensity of use of land?
mm
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
111"I es?
reasonably available enegy conservation or renewable energy opport iti
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)?
mm
_J
Page 3 of 4
rvrvrvrvrvWW
.. ............
.N.o,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 action create a hazard to environmental resources or human he"a ith?
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 irnpact,please complete Part 3.
Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by
the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact
may or will not be significant. Each potential impact should be assessed considering its setting,probability of occurring,
duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term, long-term and
cumulative impacts.
Check this box if you have deten-nined,based on the information and analysis above,and any supporting documentation,
that the proposed action may result in one or more potentially large or significant adverse impacts and an
environmental impact statement is required.
Check this box if you have determined,based on the information and analysis above, and any supporting documentation,
that the proposed action will not result in any significant adverse environmental impacts.
Name of Lead Agency Date
Print or Type Name of Responsible Officer in Lead Agency
Title of Responsible Officer
Signature of Responsible Officer in Lead Agency Signature of Preparer if different from Responsibie'-Officer)
Page 4 of 4
r
r"
.town of Southold
,L,ARP ,„i
A. INSTRUCTIONS
L .All applicants for permits* including Town of Southold agencies, shall comp fete this 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
n a ig th
y<, a etenn, natioi, of consistency, � ��� � e�v 1 actions # �w � Building .Pelwlits
2. :Before answering the questions in Section C, the preparer of this form should review the exempt
p
minor action list, policies and explanations of each policy contained in the Town of Southold Local
Waterfront Rev
italization Program.
. � asto itssianffiffitca:nt,
ben efic al and,,
a pe s e,�.acts a o t o c a�ta ar a pie: nc`ud a i fSo �tl�ol To �� ,
. If any question in Section C on this farm is answered "yes" or `ono" then theproposed action
p' p' will
affect the achievement of the LWRP policy standards and conditions contained in the consistent
e cl� s be e �l i tilst i and,law. 2 io
s 1�a, facts. If an action cannot be certified as consistent with the LWR
policy standards and
conditions, t seal I riot be undertaken.
A copy of the LVvRP is available in the following places: online at the Town of Southold's website
(southoldtown.north fork,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##1000-005.GO-02.0 V W 002.000 & 003,000
PROJECT NAMEE GWATHME /GRU ER LOT LINE C14ANGE
The Application has been submitted to(check appropriate response):
Town Board Planning:Board BuildingDept. Boar Board of Appeals
p d 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
(b) :financial assistance(e.g. grant, loan, subsidy)
(c) Permit, approval, license, certification:
Nature and extent of action:
Chan e .in boundary14ne between tw+a arcels, both_Lmpr,,oyed with residences,
mry
so that features appurtenant to each parcel that are currently located on
the ether (adjoining)) parcel will be located within the boundary lines of
the parcel to which they are appurtenant.
Location of action: 137 Pheasant Drive and 22617 East Main Road, Fishers Island
Site acreage: 2,15 acres
Present land use: single-family residential
Present zoning classification: R-120
2., If an application for the proposed action has been filed with the Town of Southold agency, the following
information shall be provided:
THE GAIN ES GWATHMEY FAMILY 2012 TRUST Stephen Le Ham, III,
(a) Name of applicant- PNC BANK3 NATIONAL ASSOCIATION, AS TRUSTEET authorized agent
(b) Mailing address: c/o Matthews & Ham, 38 Nugent Street y Southampton, NY 11968
(c) Telephone number: Area Code (63), 283-2400
(d) Application number, if any:
Will the action be directly undertaken,require ftinding, or approval by a state or federal agency?
Yes 0' No If yes,which state or federal agency'?,
L!;.Z 0 12.
DEVELOPED COAST POLICY
...................
Policy 1. Foster a pattern of development in the Town of Southold that enhances conimu,nity character,
W
preserves open space, makes efficient use of Infrastructure, makes beneficlial use, of a c
6 * "U11,111''mizes adverse effects of development, See LWRP Section III—Polici oustal location, and
i es,* Page 2 for evaluation
•
erl'teria,
)(es Li No Not App licable
. ..........
Attacli additional sheets if necessary
Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See
LWRIV Section III—Policies Pages 3 through 6 for evaluation criteria
Yes No Not Applicable
AGRICULTURAL DATA STATEMENT
ZONING BOARD OF APPEALS
TOWN OF SOUTHOLD
WHEN TO USE THIS FORM: This form must be completed by the applicant for any special use
permit, site plan approval,use variance, area variance or subdivision approval on property within
an agricultural district OR within 500 feet of a farm operation located in an agricultural district.
All applications requiring an agricultural data statement must be referred to the Suffolk County
Department of Planning in accordance with Section 239m and 239n of the General Municipal
Law.
The Gaines Gwathmey Family 2012 Trust
1. Name of Applicant: PNC Bank, National Associat ion, as Trustee
2. Address of Applicant;,c/o Matthews & Ham, 38 Nu ent Street, Southampton, Y 11968
3. Name of Land Owner(if other than Applicant): same as A-PplVitant
4. Address of Land Owner: same as Address of Applicant
5. Description of Proposed Project: chanke in bouni lint, be,tween two ad oining parcels
AMA 111,11111111
so that features appurtenant to each parcel will be located within its boundary lines
...........
F. Location of Proverty: (road and Tax map S CTM No s 10 0 0-0 0 5.00-0 2.0 0-0 0 2 2 0 0 0 & 003.000
number) 22617 East Main Road & 137 Pheasant Drive, Fishers Island
7. Is the parcel within 500 feet of a farm operation? Yes No
8. Is this parcel actively farmed? { ) Yes {x} No
9. Name and addresses of any owner(s) of land within the agricultural district containing
active farm operations. Suffolk County Tax Lot numbers will be provided to you by the Zoning
Board Staff, it is your responsibility to obtain the current names and mailing addresses from the
Town Assessor's Office (765-1937) or from the Real Property Tax Office located in Riverhead.
NAME and ADDRESS
L
2.
3
41ffi
50,
6,
(Please use the back of this page if there are additional property owners)
06 23 2022
Signature of Applicant Stephen L. Ham, III, auth. agent Date
Note:
1. The local Board will solicit comments from the owners of land identified above in order to
consider the effect of the proposed action on their farm operation. Solicitations will be made by
supplying a copy of this statement.
2. Comments returned to the local Board will be taken into consideration as part as the overall
review of this application.
3. Copies of the completed Agricultural Data Statement shall be sent by applicant to the property
owners identified above. The cost for mailing shall be paid by the Applicant at the time the
application is submitted for review.
ROSE HOPKINS HARVEY and F. BARTON HARVEY, III,
as TRUSTEES OF THE GAINES GWATHMEY FAMILY 2012 TRUST
U/A DATED SEPTEMBER 20, 2012
c/o Brown Investment Adv"Isory & Trust Co.
901 S. Bond Street, Su'fte 400
Baltimore, Maryland 21231
May t7 2022
Board of Appeals
Town of Southold
P.O. Box 1179
54375 Main Road
Southold, NY 11971
Re: Application for Variances at Premises at Fishers Island
!L�l 09,0-005.,00-0,2,,,00-,O,02,.00O &DQ:DM
`0111
Dear Board Mernbers:,
The undersigned,the owner of premises situate at Fishers Island, New York
(SCTM#1000 5.00-02.00-00,2.000),, her authorizes Stephen L.Ham, III of Matthews
& Ham, 38 Nugent Street', ouch on, New York 11968 1 1*
to act," its as agent 'in making,,
such applications to your Board and in taking any and all incidental actions, in regard'
thereto, including without limitation, completing and', executing t,h,e required, forms, giving
any, requireld notices, and', appeadng at a,n,y, pLiblic hearings, as he shaillideem necess,ary,
or advisable In order to obtain approval of any,vanances th,at are requiredfor the proposed
lot line change relating to, the referenced prernises, 'in accordarice with the Ma,p of
Gwathmey/G run er Lot Line Change prepared by CHA,,, dated January 11 t 2022, as, the
same may be revised from time to time.
Very truly yours,
THE GAINES GWATHMEY FAMILY 2012 TRUST
B ly
Rose Hopkins Harvey, Trust
By a., -a o-v\ H e/i.ve,
F. Barton Harvey, 111, Trustee
PNC BANKS NATIONAL ASSOCIATION, AS TRUSTEE UNDER
THE IRREVOCABLEAGREEMENT OF SARA E. FISCHER.DATED JUNE 291, 1916
AS APP,OI1NTED '8Y WILL OF SARA E. F. EVANS DATED APR,IL 17,, 19,69
Fl3,0 NANCYE. GRUNER, AND ASTRUSTEE UNDER THE WILL OF" SARA, E. F-
EVAN'S DATEI)i APRIL 17, 19,69 FBO NANCY E. GRUNER
300 Fifth Avenue, 31s,t Floor
Pittsburgh, Pennsylvania 15222
May 1*� 2022
Board of Appeals
Town of Southold
P.O... Box 79
54375 Main Road
Southold, NY 11971
Re: Application for Variances at Premises at Fishers Island
(C
ML:T.M., N01S. 1000-0,05,00-02
Dear Board Members:
The undersigned,,the owner of'premises situate at Fishers and, New York
(SGTM#lOOO-005.,00-,0,2,.00-003�.,000,),hereby authorizes,Stephen L Ham, I I I of Matthews
& Ham, 38 Nugent, Street,, Southampton, New York, 119681 to, act,as lits agent 11"n making
such applica,fionsto your Board and in any and all incidental actions "in regard
thereto,, includ"ing without fim'"' tontat' CO 011
j , mplefing and executing the required forms, g,"*v*
i ;ng
any, required notices, and appearing at any public hearings, as he sha'11 de�em necessary
oradvisable in orderto obtain approvalof any variances that are required forth epropos' ed
,lot 141 ne Change relating to the referenced premises in accordance with 'the Ma,,,p of
Gwathmey/Gruner Lot Line Change prepared' by CHA dated Janua ry 11 2022, as, the,
same may be revised from tirn,e to time.
Very truly yours,
PNC BANK, NAB A S CIATION, AS TRUSTEE
T] USTS
OF T , IN
...-Woo
By---
Kc<n'n--efl J. H
Pre
TRANSACTIONAL IS
The Tiftxvn of Ql%Iltlloldls Cede nr E t��cs rohl it col is of interest
f this for ,is tlii .art
��'
w" ,
. otcrcallow
TRUST
(Last name,first name,middle Initial,unless you are aPP4yii,tg,in the name
of cemPany.If so,indicate the other persows or company's namrc, someone else or other entity,such as a
PE F" `LIC TION: (Check all that apply)
Tex grievance
Variance X Building Permit
Change of ►rye Trustee Permit
g Coastal Erosion
Approval of Plat Mooring
Other(activity) rind
Planning
o you pwersona y or through,your company,spo'u,
�. ��bl�ng p�a�re
or em to e°�of a on vtl� a officer
p the, 'o °gin of " wtl . u t` it ,
oll�� � elatl�o � � �'e shy
.
s�
u��cl ��des;by blood �
�re�t� narr�a e,or business in "Business
:�� �rter � ,gin��� h � the ton o � employee
te���est��
, � per ore � � � a
eat
ov�nuersl,„ �t� W�� � � �u� n � r�r� io ����h�
p of for e �p�loyueuth �� ,�corporation�n which the to�vr� officer � s� ea� �.partial
shares. or employee owns more,d an 5%of the
YES O
If you answered"YES complete the balance of this forma •and date and sign where indicated.
Name of person employed by the Town of Southold
Title or position of that person
Describe the relationship bet peen yourself tie a 1.��
t o eo,tw/rep esen t'ative)and the town officer or em
ployee.check the appropriate,il a �thro l a o describe i the space provided.
The town officer or employee or his or her spouse, �siblin parent,or� p child is(check all that apply);
... A the owner r of greater that 5%of the shares of the corporate stock of the applicant l�pleant(when the applicant is a
D)the legal or beneficial owner of any interest in a non-corporate entityNvh�cn t
f he ap►pl%cant rs not a corporation)
_ ►an.officer,director,partner,or employee of the applicant;or
D tile actual applicant
itt
DESCRIPTION OF RELATIONSHIP
ri
�' e' t s o y 22
2
By Signature
:print Name Rose Hopkins Harvey', Trustee
APPLICANT/OVVNER.
TRANSACTIONAL DISCLOSURE FORM
The'Town,of South old"s Code afLUblics
L its st 'n or -s and iloypes,The
p obib" conflic_ its jh,e parto WU officet ern toy purRose
ofthis:form is to 12 #d 1o,,n,W,11jg!j, analertthetow
-rovy,t in]'ormat' possible cony lets ofintgrest and allowit,totake whatey
Action is nes'essa,Ly to avoid samek
YOUR NAME GAINES GWATIMEY' FAMILY 2012 TRUST
(Lost name,first name,[Middle initial,unless you are applying in the name of som e"o'ne else or other entity,such as a
company.If so,indicate the other person's or company's name.)
TYPE OF APPLICATION: (Check all that apply)
Tax grievance Building Permit
Variance X Trustee Permit
Change of Zone Coastal Erosion
Approval of Plat Mooring
Other(actlivity) Planning
Do you personally(or through your company,spouse,sib ling,parent, or child) have a relationship with any officer
"B
or employee of the Town of SouIhold,?W "Re I atio n ship"11ncludes by blooA,tuarria grve,or b U si"ess,Intelre'st* usiness
interest"'ineans a business,includiing,a parbiership,in whi le h the town oft"icer,or employee has even ,at 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 person employed by the Town of Southold
Title or position of that person
Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.
Either check the appropriate line A)through D) and/or describe in the space provided.
The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply)
A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a
corporation)
B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation)
Q an officer,director,partner,or employee of the applicant;or
D)the actual applicant
DESCRIPTION OF RELATIONSHIP
u*tted L th"if GWAT is of MaY.-_ 20 2 2
W7,Z,rl
HM,rr7nM, ? 2 2
�tj,
[A
By Signature
Print Name F, Barton Harvey,,--, III, Trustee
APIPLICANDOWNER
TRANSACTIONAL DISCLOSURE FORM
The ToNym,o, Wts,conflicts,ot'linterva theD"WIT,k,)ffitciens and,enlilip,
of t
. ...... bees Tim Ose
of thi"s fora t n,alcrt the tow
n,of voissible canflicts nf Jittgrpvt-pnd allowitto tAke i0at9ye.-
actlionis necessarvAlonVOW satue. 1*1--------------Z.-L—
YOURNAME: PNC BANK, NATIONAL ASSOCIATIONJO AS TRUSTEE
(Last name,first name,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.)
TYPE OF APPLICATION: (Check all that apply)
Tax grievance 'Building Permit
Variance x Trustee Permit
Change of Zone Coastal Erosion
Approval of Platt Mooring
Other(activity) Planning
.......... ...........
Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer
or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business
interest"means a business,including a partnership,in which the town officer or employee has even a partial
ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the
shares.
YES NO x
If you answered"YES",complete the balance of this form and date and sign where indicated.
Name of person employed by the Town of Southold
Title or position of that person
Describe the relationship between Yourself(die al l llc,,an,tla,genre presen,fat i",,v�e,,,')and the town officer or employee.
Either check the approp,n"I'alteline A)througli,D)and/or deserlibein,the spacesprovided.
The town officer or employee or his or her spouse,sibling,parent,or child is(check an that apply)
A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a
corporation)
B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicantlis not a corporation)
Q an officer,director,partner,or employee of the applicant;or
D)the actual applicant
DESCRIPTION OF RELATIONSHIP
Submitted this dall z 2
PNC BANK,, NATI q
By= Signature
Print Name Kenneth JS V� c, ent
... .........
TRANSACTIONAL DISCLOSURE FOR:
he Town of South,old"s Code � � w�. �, a
r w� brts contlrcls interest o arl to o ollicer and c i
��y � y�py.r mow; fl � �, �: �, ,� � ;, � u
n A Maw®, , a ,whit A B
Lan alert + � lW conk icts of Interest and allow it" tale Whatever ae t on�
arly to ad srir The Gaines Gw thmey Family 2012 Trust
anct
YOUR . : S e e,i L,. Il , as, au,"thorizedent of PNC Ban.kj, Na ona,l Assocliation,
(Last alms,fir 1i ,middle iniiiat,unk.15 arse applying In the me onwonaelse or othor entiorst _ns a as Trustee
cotnpany.tf'soo indicate tht offer p ry oo s or coniva r,° s natne.
TYPE PE OF APPLICATION: (Check all that apply)
Tax grievance Building Permit
Variance Trustee Permit
Change of Zone Coastal Erosion
Approval of Plat Mooring
Other(activity) Planning
Flo 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" ",S",complete the balance of this form and date and sign where indicated..
Name of person employed by the Town of Southold
Title or position of that person
Describe the relationship between yourself(the applicant/agent/representative) and the town officer or employee.
.dither check the appropriate line A)through D)and/or describe in the space provided.
The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply)
A.)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a
corporation)
B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation)
Q an officer,director,partner,or employee of the applicant;or
D)the actual applicant
DESCRIPTION OF RELATIONSHIP
Submitted this 23rd day of June ,20222
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ockrWdo No (21) ARE WITHIN THE FOLLOWNG OSTRICTS NOTICE
pas Dil Lill lo.-,,
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1511l Na U2 Rl Dis3l Lam R—
SCHOOL 4 t
can 6), , MAINTENANCE ALTERATION,SALE OR
No Schtild DWid Ll SCH.................... Mydrnm OwUicY L i no H UNLESS DRAVW OTHERMSE ALL PROPE RnES
............... —......................................
q,
Mier Dvttfld Line 'W�l—I,— Hd,,,=J 04Wl Law HST )q RE HYDRAN Re
s.ean
621 r-minly Laic
T DISTRIBUTION OF ANY PORTION OF THE
Light Dl Law 4, ....... Ul T VIIIATIER
U I'll
12 1 A(d)or 12 1 A Tell Line REFUSE SUFFOLK COUNTY TAX MAP 15 PROHIBITED
VWAl R -TEN PERMISSION OF THE
pill ownct Lil 0................. wpm ............ III OUT VMIT qI l"I'll",,I 2CK
ta 12 1 ft4 vi 2juit U no ''Ohgoo
IlII*XhNA co# REAL PROPERTY TAX SERVICE AGENCY
6