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HomeMy WebLinkAbout1000-115.-12-2 OFFICE LOCATION: ����®� ® MAILING O. ADDRESS: Town Hall Annex 54375 State Route 25 ir Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) G ® Telephone: 6317f5-1J38 Southold, NY 11971 � a C4U�T`�,�� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: Leslie Weisman, Chair Members of the Zoning Board of Appeals From: Mark Terry, AICP Assistant Town Planning Director LWRP Coordinator Date January 25, 2024 Re: LWRP Coastal Consistency Review for ZBA File Ref 70 DEEP HOLE DR., LLC/,BRADY LEIFER #7880SE SCTM No1000-115-12-2. 70 DEEP HOLE DR., LLC/BRADY LEIFER 1/7880SE -Applicants request a Special Exception under Article III, Section 280-13B(13). The Applicant is owner of the subject property requesting authorization to establish an Accessory Apartment in an existing accessory structure; at: 70 Deep Hole Drive (adj. to Deep Hole Creek), Mattituck, NY. SCTM#1000-115-12-2. The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department and the records available to me, the proposal is recommended as CONSISTENT with the LWRP. Pursuant to Chapter 268, the Southold Town Zoning Board of Appeals shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Paul DeChance, Town Attorney BOARD MEMBERS Southold Town Hall Leslie Kanes Weisman, Chairperson O���F SO(/ryol 53095 Main Road•P.O. Box 1179 Patricia Acampora Q Southold,NY 11971-0959 Eric Dantes Office Location: Robert Lehnert,Jr. N Town Annex/First Floor Nicholas Planamento �Q 54375 Main Road(at Youngs Avenue) COUnm,� Southold,NY 11971 http://southoldtownny.gov ZONING BOARD OF APPEALS TOWN OF SOUTHOLD December 18, 2023 Tel. (631) 765-1809 Mark Terry, Assistant Town Planning Director nRECEIVED]LWRP Coordinator Planning Board Office 2023 Town of Southold Town Hall Annex Town Southold,NY 11971 Planning Board Re: ZBA File Ref. No. # 7880SE—70 Deep Hole Dr, LLC Dear Mark: We have received an application for an accessory apartment in an existing accessory structure. A copy of the Building Inspector's Notice of Disapproval under Chapter 280 (Zoning Code), and survey map, project description form, are attached for your reference. Your written evaluation with recommendations for this proposal, as required under the Code procedures of LWRP Section 268-51) is requested within 30 days of receipt of this letter. Thank you. Very truly yours, Leslie K. Weisman Chairperson By: Encl. Site Plan/Survey: Vasiliy Land Surveying Co, P.C. last dated July 2, 2022 Public Hearing Date:March 7, 2024 Revised 6121123 TOWN OF SOUTHOLD ZONING BOARD OF APPEALS Phone(631) 765-1809 (631) 765-9064 APPLICATION FOR A SPECIAL EXCEPTION PERMIT OR A ACCESSORY APARTMENT IN AN ACCESSORY BUIL Applicant(s)Name(s) Applicant(s)Address c1 'e ANP, Ir OV1,06 1�' Phone: �-�� "'° �� Email [6�,T 1�/we are the owners of the subject property [doeam the agent for the property owner and my Letter of Authorization and Transactional Disclosure Form is attached. Representative(if other than applicant). ,,,C- &5 � .. Address ( 19 N IT YA t Phone: Email: W,\L 1` t7Z_AN'1 �" f A. Statement of Ownership and (Interest: M kae `�-� . C' =L-71 is(are)the owners)of the property known and referria to as House No. treet �- Hamlet Zip Code Identified on the Suffolk County Tax Maps as District t000,Section 0 Block !?- Lot(s) Lot Size of 4? Zone District.a-4 as shown on the attached deed and survey dCVi :, The above-described property was acquired by the owners)on I/we hereby apply to the Zoning Board of Appeals for a Special Exception Permit pursuant to Section §280-13B(l3)of the Zoning Ordinance to establish an accessory apartment in an accessory building as shown on the attached survey/site plan and floor plan(s) B. Project Description: FA aw% A -sxis a,j juk to e)c o acc es-s Application Page 2,Special Exception for Accessory Apartment C. The applicant alleges that the approval of this special exception would be in harmony with the intent and purpose of said zoning ordinance,and that the proposed use conforms to the standards prescribed therein and would not be detrimental to propert} or persons in the neighborhood for the following reasons: Z:�CAs D. The applicant alleges that the following standards prescribed by Section §280- 13(B)(13)(a)-(k)of the zoning ordinance will be met: a. The accessory apartment will be located in the accessory building. b. The owner of the premises shall occupy either the existing single-family dwelling or the accessory apartment in the detached accessory structure as the owners' principal residence.The other dwelling unit shall be occupied by a family member as defined in Section§280-4 of the code or a resident who is currently on Southold Town's Affordable Housing registry and is eligible for placement,evidenced by a written lease,for a term of one or more years. c. The accessory apartment shall contain no less than 220 square feet and does not exceed 750 square feet of livable floor as defined in Section §280-4 of the code d. The accessory apartment will be located on one floor of the accessory building and will contain No more than two bedrooms and No more than one bathroom. e. A minimum of three on-site parking spaces shall be provided as shown on the attached survey. f. Not more than one(1)accessory apartment shall be permitted on this parcel. g. No Bed and Breakfast facilities,as authorized by Section §280-13(B)(14)hereof shall be permitted in or on the premises for which an accessory apartment is authorized or exists. h. The accessory apartment will meet the requirements of a dwelling unit as defined in Section 280-4 of the Zoning Code. i. This conversion shall be subject to a building permit, inspection by the Building Inspector and Renewal of Certificate of Occupancy annually. j. The existing accessory building which is converted to permit this accessory apartment has been in existence and has a valid Certificate of Occupancy for no less than three years,and is attached hereto. k. The existing building,together with this accessory apartment,shall comply with all other requirements of Chapter§280 of the Town Code of the Town of Southold. 1. This conversion for the accessory apartment shall comply with all other rules and regulations of the New York State Construction Code and other applicable codes. E. T property which is the subject of this application(check all that apply): has not changed since the issuance of the attached Certificates of Occupancy ]has changed or received additional building permits. Certificates of Occupancy or these changes are attached or will be furnished ! [ ]has been the subject of a prior ZB c'sion(s), copies ar a ached J t Owner Signature � fi COUNTY OF SUFFOLK) ss.: � f STATE OF NEW YORK) Sworn to be re me this 0A day of I\Jwep'tl b-er ,30p�i3 (Notary Public) LYNN E STEVENS Notary Public-State of Now York 6•`2/:23 NO.OIST6269424 Qualified in Suffolk County Commission Expires.; i/ QUESTIONNAIRE FOR FILING WITH YOUR ZBA APPLICATION A. Is the subject premises listed on the real estate market for sale? Yes No B. Afethere any proposals to change or alter land contours? No Yes please explain on attached sheet. C. 1-)A there areas that contain sand or wetland grasses? zo1 2.)Are those areas shown on the survey submitted with this application? 0() - 3.) Is the property bulk headed between the wetlands area and the upland building area? .S , � St r(U3 Quo. Sam 4.) If your property contains wetlands or pond areas, have you contacted the Office of the Board of Trustees for its determination of jurisdiction?J0 0 Please confirm status of your inquiry or application with the Trustees: and if issued,please attach copies of permit with conditions and approved survey. D. Is there a depression or sloping elevation near the area of proposed construction at or below five feet above mean sea level? E. Are there any patios, concrete barriers,bulkhead or fences that exist that are not shown on the survey that you are submitting? f00 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? G. If yes, please submit a copy of your building permit and survey as approved by the Building Department and please describe: H. 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. 1. Do you or any co-owner also own other land adjoining or close to this parcel? If yes, please label the proximity of your lands on your survey. J. Please list prese t use or oper tion conducted at this parcel � tt� �� and the proposed use � �{ - y� (ex:existing single family,proposed:same with garage,poo o other) Auth ri e d s i g niatue ii&l D 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 jj r� e e , 1. Name of Applicant: w6�1� e�t + L UC- ��4 ����� (MQ '�`v) 2. Address of Applicant: %Ae, ,4t, 3. Name of Land Owner(if other than Applicant): Q 4. Address of Land Owner: ram, , 5. Description of Proposed Project: 6. Location of Property: (Road and Tax map number) 7. Is the parcel within 500 feet of a farm operation? Yes { } No 8. Is this parcel actively farmed? { ) Yes { 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). NAME and ADDRESS 3. 4. 5. 6. Ie the back of this page i here are additional property owners) z of Appli ant Date The Suffolk County Tax Map numbers may be obtained in advance when requested from.the office of the Zoning Board of Appeals at 631-765-1809. 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. July 2023 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 o Name of,,Action or Proj ct: X' CeA"104 (rx-fol,ZAR Project Location(describ d attacfPa location itA�kvc'kc' ft Brief Description of Pro osed Action: VL4 )hoolr A )&x"e co-'-70'e"' e'-4�V-A&%kk Name of Applicant or Sponsor: Telephone: ( r" c ��rb E-Mail: Address City/PO State Zip Code• ;-k IVY ���1 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval:1�b�> A - SO AA 0A plp,<VA\4 X_ _ 3.a.Total acreage of to of the proposed action? e'W R Z- acres b.Total acreage to be physically disturbed? 0 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? -fit acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban o Rural(non-agriculture) o Industrial ❑Commercial Residential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? b.Consistent with the adopted comprehensive plan? 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO AES b.Are public transportation service(s)available at or near the site of the proposed action? c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? b.Is the proposed action located in an archeological sensitive area? 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑Shoreline ❑Forest ❑Agricultural/grasslands 13 Early mid-successional ❑ Wetland ❑Urban Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO ES by the State or Federal government as threatened or endangered? 16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a.Will storm water discharges flow to adjacent properties? XNO❑YES b.Will storm water discharges be directed to established conveyance systems(rffand 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: 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: 20.,Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YE completed)for hazardous waste? If Yes,describe: I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/spohs? name: = / �� Date: �l9 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?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or 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 action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. 1 ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Name of Lead Agency Date Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) Page 4 of 4 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# The Application has been submitted to (check appropriate response): Town Board E Planning Dept. R Building Dept. G 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) (b) Financial assistance(e.g.grant, loan,subsidy) .(c) Permit,approval, license,certification: Nature and extent of action: ��� S)Location of action: I Site acreage: �- n Present land use: � �- . 9�L� t CtA, Present zoning classification: '" q 2. ,If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: r - (a) Name of applicant: � �`�,. '�' L �" � �t"� (b) Mailing address: Rt by, (c) Telephone number: Area Code( (d) Application number, if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ No/4 If yes,which state or federal agency? DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWItP Section III-Policies; Page 2 for evaluation criteria. ®Yes ❑ No ❑ (Not Applicable- please explain) k k a- ):l Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See L(WRP Section III-Policies Pages 3 through 6 for evaluation criteria A ®N Yes ❑ No ❑ (Not Applicable-please explain) Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria NZI Yes 0 No (Not Applicable—please explain) Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria Yes No F (Not Applicable—please explain) V A I�A 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 Yes E No E (Not Applicable—please explain) TIVc-CIp e t Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. Yes [E No a (Not Applicable—please explain) vl�l %Vkb1q rl 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. See Section III—Policies Pages; 34 through 38 for evaluation criteria. Yes ❑ NZ No (Not Applicable—please explain) F 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. 0 Yes ❑ No X(Not Applicable—please explain) 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. � ❑ Ye❑ j No o�`° (Not Applicable—.please explain) J S Attach additional 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. �d.Yes ❑ No ❑ (Not Applicable—please explain) 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 LVVRP Section M—Policies; Pages 57 through 62 for evaluation criteria. Yes ❑ No ❑ Not Applicable—please explain UO: kk e`er, E \ t OAS r Attach additional•sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III— Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No Not Applicable—please explain wG V W ' 01--- c 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 ❑ No 19 Not Applicable—please explain d ( C, Board of Zoning Appeals Application OWNER'S AUTHORIZATION (Where the Applicant is not the Owner) I, b residing at (Print pro owner's name) (Mailing Address) p� IS� do hereby authorize l�, (Agent) to apply for variance(s) on my behalf from the Southold Zoning Board of Appeals. By signing this document,the Property Owner understands that 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. IT IS THE PROPERTY OWNER'S RESPONSIBILITY TO ENSURE COMPLIANCE WITH THE CODE REOUIRED TIME FRAME DESCRIBED HEREIN. Failure to comply in a timely manner 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 r (QWm er's Sign e) ( Q Owner's Name) • 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 : l (Last name,first am ,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,in • to the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) acig sg ", '} Planning Do you personally(or through your company,spouse,sibling, parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship" includes by blood,marriage,or business interest. "Business interest" means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee. Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 5% of the shares of the corporate stock of the applicant(when the applicant is a corporation) B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation) C)an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted i ay of , Signature Print Name S.. R 4— . 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 c(u� %&?aA i\f-. W1 &�944� (Last name,first name,middle initial,unless you are applying in the name of so nee 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 w iC it e'-t t" Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship" includes by blood,marriage,or business interest. "Business interest"means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee_ Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation) B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation) C)an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted t ' d of 00V ,20 Signature Print Name AGENT/REPRESENTATIVE f , NY 005-Bargain and Sale Deed with Covenant against Grantor's Acts tndivldani or Corporation(Singic Sheet)(NYBTU 8002) CONSULT YOU%J AwYER BEFORE SIGNING TWS INSTRUMENT-THIS INSTRUMENT SHOUW DE USED HY LAW YE$S ONLY THIS INDENTURE,made the f't'r", day of September ,in the year 2021 BETWEEN ®MAS RAND4.DN tas to a 45%Inteaest)and ALICE DWAIiLLE{as to a 55%itretereso having an address at 154 Broadway,Apt.4,Brooklyn,NY 11211 party of the first part,and 70 Deep Hole Drive LLC, a Now York limited liability company having an address c/o 1031 Exchange Clearing House Inc., 189 Wells Avenue, Newton, M& 02459 party of the second part. WITNESSETH,that the patty of the first part,in consideration of Ten Dollars and other valuable consideration paid by the party of the second part,does hereby grant and release unto the party of the second part,the heirs or successors and assigns of the party of the second part forever, ALL that certain plot,piece or panel 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 as conveyed by Deed recorded in the Suffolk County Clerk's Office on August 14,2015 in Liber 12828 Page 53. TOGETHER with all right,title and interest if any,of the party of the firstpatt of,in and to any streets and roads abutting the above-described premises to the centerlines 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 tobe 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 duty executed this deed the day and year first above written. IN P=VNCE OFt Thomaajs'Randon Alice Rucaill Ronne Abstract Corp. SCHEDULE A DESCRIPTION Title No.:27885-HA-S ALL that certain plot piece or parcel of land,situate,lying and being at Mattituck,County of Suffolk,in the Town of Southold,County and State of New York,bounded and described as follows: BEGINNING at a monument set on the southerly line of New Suffolk Avenue at the westerly line of Deep Hole Drive; RUNNING THENCE along the westerly line of Deep Hole Drive,South 02 degrees 40 minutes 40 seconds West, 126.68 feet to an iron pipe and land now or formerly of Edgett; THENCE along said land,two courses and distances: 1. South 87 degrees 01 minutes 20 seconds West,30.00 feet; 2. South 84 degrees 07 minutes West, 197.00 feet,more or less,to ordinary high water mark of Deep Hole Creek; THENCE northerly along said Deep Hole Creek and across a branch of said Creek along a tie line bearing North 07 degrees 52 minutes 41 seconds West,52.79 feet; THENCE along land last described,North 16 degrees 06 minutes East,I30 feet to an iron pipe on said southerly line of New Suffolk Avenue; THENCE along said line of New Suffolk Avenue,South 81,degrees 54 minutes East,205.07 feet to the point or place of BEGINNING. Premises Known a% 70 Deep Hole Road,Mattituck,NY 11952 District 1000 Section 115.0 Block 12.00 Lot 002.000 1 8225 Third Avenue I Brooklyn,New York 11209 14 Penn Plaza.91h Floor I New York,New York 10122 Brooklyn: (718)6804663 1 Manhattan.(212)542 2200 1 Fax.(718)680-4668 infoRr�,homeabstractcoro.com 1 www.homeabstractcorp.com USEAcmvowtEBC1Y wFORMBEIAwwnwNNEWYoiwSTATsONLY: USEACENOWLMMENTFORMBELOWW DNNEWYORr(STATEONLY. StateefNewYork,County of 5L f<A)11 )s&. StateofNewYork,Countyof Afjwdl•k }ss„ On the 7.5 day of'SiI ty in the year 2021 Orr the Z2>day of 5im1y in the year 2021 before me,the undersigned,personally appeared before me,the undersigned,personally appeared Thomas Randon Alice Bucaille personally known to me or proved to me on the basis of satisfactory personally known to me or proved to me an the basis of satisfactory evidence to be the individual(s)whose name(s)is(are)subscribed to the evidence to be the individual(s)whose name(s)is(am)subscribed to the within instrument and acknowledged to me that he/shelthey executed within instrument and acknowledged to me that belsheJthey executed the i �, his/her/their capacity(ies)t and that by hislhedtheir the same in his/her/their capacity(ies), and that by his/her/their �10 Ar a instrumeindividual(s)aceted,executle(d theinstru the met on upon ��� �o � indn the ividuai(s)acted,ment;the xecuted the instrument rson upon ' Y'AMP,i �� ZARY"'•..��� ,1 to i ��tis1a2 N =W �b2A6 4 ilifPdt�C'GU c =__Q; o�pviiFtoyNtti UFFp1 Aar O FOL�G i SOF ` °ark 12q D2�Zt. PU61;\••�,y��� FORMFORU8EwlmlNNEwYORKSTATEONLY.• ri�. 11�R' ENTFOR1dFOnUSEOU7siDENEWYORESwvONLY: 1 New York Subscrlbiag Witness Aelmowredgtnent CeniJicatel f+l+trt inl!) ofstate or Foreign Genera!Admowiedgmem Centlicgrel State of New York,County of }ss: .. .. .,......IM; (Complete Venue with State,Country,Province or Municipality) On the day of in the year before me,the undersigned,personally appeared On the day of in the year before me,the undersigned,personally appeared the subscribing witness to the foregoing instrument,with whom I on personally acquainted,who,being by me duly swom,did depose and personally known to me or proved to me on the basis of satisfactory say that he/shelthey reside(s)in evidence to be the individual(s)whose name(s)is(are)subscribed to the within instrument and acknowledged to me that he/sbelthey executed (ifthe place ofresidence is in a city,include the street and streetntunber, the same in his/her/their capacity(ies),that by his/her/their signature(s) if any,thereof);that hdshdthey know(s) on the instrument,the individuah(s),or the person upon behalf of which theindividual(s)acted,executed the instrument,and that such individual to be the individual described in and who executed the foregoing made such appearance before the undersigned in the instrument;that said subscribing witness was present and saw said execute the same;and that said witness at the same time subscribed (InserT the city or other political subdivision and the state or country or his/herhheir name(s)as a witness thereto. other place the acknowledgment was taken), BARGAIN&SALE DEED WMI COVENANTS AOAMSTGOWTORS AM T)rLENo. DISTRICT 1000 SECTION 115.00 Thomas Randon (as to a 45% interest) & BLOCK 12.00 Alice Bucaille (as to a 557, interest) LOT 002.000 COUNTY ORTOWN Town d Southold TO 70 Deep Role Drive LLC REMW DYMAILTO Richard Dicker, Esq. Dickler and Roth LLP 19 Fulton Street:, Suite 306 New York, NY 10038 0 0 to z ra m cUS w ¢ tL O w s lu e a to ill W 7 ¢ yin W R 70 Deep Hole Drive, Mattituck, NY LEASE Whereas 70 Deep Hole Drive, LLC is the owner of the property: and Whereas Brady Leifer, a Member of 70 Deep Hole Drive, LLC lives in the main house; and Whereas Brady Leifer is interested in Leasing the to be built studio apartment above the garage in the separate building on the property to a her Parents, Roger & Beryl Leifer; and Whereas Roger & Beryl Leifer are interested renting for occasional use the said studio apartment; Now therefore this shall be A LEASE FOR $1 A MONTH CONSIDERATION for the rental of the to be built studio apartment at 70 Deep Hole Drive, Mattituck, NY for a term of two year commencing July 1,2024 and terminating June 30, 2026. 70 Deep Hole Drive, LLC Roger & Beryl Leifer a ' By Brad eifer, Member Roger L ifer Beryl Leifer Novembers , 2023 ".k S, Y O iyy "NOT.. FOR. ;�'.'g:,i,s,;4.'i.i'M��a<3.PJ kb'1:1•S'Z.Mi 2 .y - �? ti a Y''Ywat ♦' � ,( •� k• - - '( Ol ?! J.. � ^�SiPa Ca.t s�"EI,� `st�> S�.'.s�§® �'� n w=v�s'a+i�;��I:Y'q%�a'd•:.';`•„6 "UN �• ilk" "5, 9/}./��+R� n ''k ,i "'� rrip rFabr !Y,,y�i'g4ye i �733t �Af4, ''¢5',M ad° w.•X�•,..,Ac' 1sw R BRADY' 'S q ° -S;' Y - •,,a$ \^,; YY \T �,.y:�o �`, fy �1'w..;a� � y-*'h �4 T' w �J 4 ,�*',i.�;h f :eY.' WY 0:QEEP OL1L ,,.D !l T' _TUCK N.Y.'4�1952:� y � 1 _ 4•^;#a+-:M„!!d...-.-.>�_ 3^:� t�,�sb„-'4P�` dr'_J. - '4''y',`r ti�id'�C'r5./ilt� s}. ( T61 N OF SOUTkOLD- PER'Y RECORD- OWNERSTREET VILLAGE DISTRICT • -••�-t}B�. LOT RMER bWNE et1t P 4Z. O E' ACREAGEf%va-Stu Q_4 44 D I /Gl�r! Lt�P It S t W TYPE OF BUILDING - t- fiESFA ld I SS. I VL. FARM COMM. �•IND. CB. misc. LAND IMP. TOTAL DATE REMARKSj6� i ' - - �► . 40C ion , `� . .on on NEW NORMAL BELOW r ,A .O E7,:? Z 47 tAC: - •j I-�IP�.t1irtl M=iL � e.;� / C- ' 1 / `�c �' ' ,Z o aaAcre V� r A red c alums, OI-'L c t 3 —GuL-us Q1llFJ= ,M E TVIcifa°z .�� ,-'�'D a 01.7 .r- OV i • Ita I 3 i 5 Ss a Q 3 r ,� s-o'n�.rs.c a a .-el Swampland 5 p - L(A C�1� 4- Brushlor ,y..,.a-? l j►�ryd � t jHouse Plot - 5 i — Total •µ` • - IM U - :l. _ _ - �' a•L o %� a r� t ! " '`. ` M. Bldg. D, Foundation Extension stA - ;I%� Basementr�' S— Floors r 7•r.•- �n .� r AtF Extension .�" Ext. Walls o" s Interior Finish Extension Fire Piece " Heat CO a r;,P1 G, ! _ �� �' tl Parch o Attic Ie 0 CS fG s Porch Rooms ]st Floor �n�g/9s 7 vc p 3.00 p Patio Rooms 2nd Floor s c zz if 12- Z&9 .a s' Garage-• * - _: tab- Q,wveway. Q . cy si � O. B. - l r I 70 Deep Hole Drive, Mattitucic, NY LEASE Whereas 70 Deep Hole Drive, LLC is the owner of the property: and Whereas Brady Leifer, a Member of 70 Deep Hole Drive, LLC lives in the main house; and Whereas Brady Lease is interested in Leasing the to be built studio apartment above the garage in the separate building on the property to her Parents, Roger & Beryl Leifer; and Whereas Roger & Beryl Leifer are interested renting for occasional use the said studio apartment; Now therefore this shall be A LEASE FOR $1 A MONTH CONSIDERATION for the rental of the to be built studio apartment at 70 Deep Hole Drive, Mattitucic, NY for a term of two year commencing July 1,2024 and terminating June 30, 2026. 70 Deep Hole Drive, LLC Roger & Beryl Leifer By Brady Leifer, Member Roger Leifer Beryl Leifer November �, 2023 _... . :: Ar .•:.. . . .:- .. .. -s .. ' .... 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Y. CERTIFICATE OF OCCUPANCY No. Date .......... .... E'...................... ............ .. 10L. THIS CERTIFIES that the building located at alo.-aaw.. ........ Street e/s AVRV Holck Drive, ,tattitUdC Map No. .... �e '. ............ Bloch No. ..... �e�r..........Lot No. ..................................................I... ............... conforms substantially to the Application for Building Permit heretofore filed in this office dated N?X: ... a...... , 1A pursuant to which Building Permit No. ....... ���.. � dated . ......... ....... l� f r... $... ......., 19_19 was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issuedis ....... ...........................AWAV. Cl 1' w`.0 5r NG4...... ...................................... .... This certificate is issued to .............. ................................ .... ........ (owner, lessee or tenant) of the aforesaid building. _q. . ....... ! Building Inspector /,l FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z=22482 Date JULY 29, 1993 THIS CERTIFIES that the building ADDITION Location of Property 70 DEEP HOLE DRIVE MATTITUCK,_ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 115� Block 12 Lot 2 Subdivision Filed Map No. Lot No, conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 23, 1993 pursuant to which Building Permit No. 21512-& dated JULY 2, 1993 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 DECK ADDITION & INSTALLATION OF WINDOWS IN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GRACE E. NELSON (Owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A 1 , /� dingO'Inspector 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-22983 Date MAY 4, 1994 THIS CERTIFIES that the building ACCESSORY Location of Property 5950 NEW SOLR L 'fTITII�• NEW YORK House No. street Hamlet County Tax Map No. 1000 Section 115Block 12 Lot 2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVffiIDER 19, 1993 pursuant to which Building Permit No. 21819--Z dated DECEMBER 4, 1993 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ACCESSORY TWO CAR GARAGE AS APPLIED FOR The certificate is issued to GRACE NELSON (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-308756 - MARCH 28, 1994 PLUMBERS CERTIFICATION DATED N/A B iid g Inspector / 37 Rev. �,/$l �g�fFOtX�oG Town of Southold 3/4/2016 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38131 Date: 3/4/2016 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 70 Deep Hole Dr,Mattituck SCTM#: 473889 Sec/Block/Lot: 115.12-2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/14/20.15 pursuant to which Building Permit No. 40208 dated 10/26/2015 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: interior alterations to an existing one family dwelling as applied for. The certificate is issued to Randon,Thomas&BucailIe,Alice of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40208 2/24/2016 PLUMBERS CERTIFICATION DATED 02-16-2016 George Fredricks Auth,qfizedAignaturt N: ------------- V 'Y Front of Existing Garage � � ✓.. r � r ; �. nTh :a Rear of Existing Garage f Existing Interior- First Level 17 Existing Interior—Second Level � t ♦ f t� J+v « E .s ,yyy I f A _ I � � a Lam. �. �'� • - '. r. .+ _ �� dw 4 Exisitng Driveway f SecondExisting Interior— Level- Rear ex �cs • ' ♦ • Suppo"Couw?" Suffolk County.WaterAuthority RED X HOLDINGS, LLC 2045 Route 112, Suite 5 70 DEED HOLE DR Coram, NY 11727 631-698-9500 Account Number3000856846 Meter Number 673441 A�xAvT110 www.scwa.com Security Code 19283672 Meter Size 1" Important-Messages Bill Summary Colder weather is coming.Is your system ready? Service Period Aug 31, 2023-Nov 29, 2023 Colder weather is approaching and that means it Is time to'winterize Billing Date Nov 29,2023 your outdoor plumbing.irrigation systems should be drained and turned off to prevent damage to the system and possible leaks.All Previous Balance 148.72 outdoor faucets should be turned off as well, If you have water lines Payments -148.72 in unheated spaces, service should be shut off and drained until Adjustments 0.00 Spring to prevent breaks.Always remember that if you have an Current Charges 163.30 interruption in service,please call us at 631-898-9500 so a customer service representative can be dispatched to investigate. 9 Help us identify lead servi6es lines Bifling and meter defaft on page 2 0 In an effort to protect public health,the Federal government is proposing changes to the Lead and Copper Rule.These changes may require the participation of property owners assisting with Identification of their service line material via an interactive map.Go to scwa.com/ieadandcopper for more information.There you can Usage Comparison view records for your home and learn to self-Identify the material in your service line.Providing this information will help us create a complete inventory of all lead services in our service territory. 83.85 55.5 SC S tre.,Up:tcs 2,50•of#your 5CIJ4JA ;:. bt1�:#o'r iu l f i : �aiater saving .� 11/30/22 03/02/23 06/26/23 08/30/23 11/29/23 ` cl�eYlea i r;your home. `-, Shown by number of CCF units per period.I CCF unit=748 gallons �ti�rSr�� , t For mor ltifornmtion please visit 5C WA.eorn AA#I ter V. se }� :4,":,€��CA 9,.Y r``f. 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Please return the bottom Portion with your check made payable to SCWA „SC40113Q23 W OO2J7�U�DOU41b9,, ... .... .... ............ ; Portion 40-MRU 40112001 Suffolk County Water Authority Total Amount Due $163.30 i 2045 Route 112, suite 5 Due Date Dec 26, 2023 Coram, NY 11727 631-698-9500 Account Number 3000866846 www.scwa.com Security Code 19283672 i 000190 000004156 h 1i Jill 111111mill'1111111111 fill III 1111111111111111111111111111 RED HOLDINGS,LLC 'Ili'IIIhIIIIII Jill 1I11In1lll'rn1111III�Iirl11111'1'�IIN�'lll KA PO BOX 5180 SUFFOLK COUNTY WATER AUTHORITY '� WESTPORT CT 068H1-5180 PO BOX 9044 `• HiCKSVILI-5 NY 11802-9044 2 i 3 00030008558469000163303 s ARTICLES OF ORGANIZATION OF 70 DEER HOLE DRIVE LLC Under Section 203 of the Limited Liability Company Law FIRST; The Name of the limited liability company is: 70 DEEP HOLE DRIVE LLC SECOND: To engage in any lawful act or activity within the purposes for which limited liability companies may be organized pursuant to Limited Liability Company Law provided that the limited liability company is not formed to engage in any act or activity requiring the consent or approval of any state official, department, board, agency, or other body without such consent or approval first being obtained. THIRD: The county, within this state, in which the office of the limited liability company is to be located is SUFFOLK FOURTH: The Secretary of State is designated as agent of the limited liability company upon whom process against it may be served. The address within or without this state to which the Secretary of State shall mail a copy of any process against the limited liability company served upon him or her is: 1031 EXCHANGE CLEARING HOUSE INC 189 WELLS AVENUE NEWTON, MA 02459 FIFTH: The limited liability company is to be managed by: A class or classes of members SIXTH: The existence of the limited liability company shall begin upon filing of these Articles of Organization with the Department of State. f SEVENTH: The limited liability company shall have a perpetual existence, EIGHTH: The limited liability company shall defend, indemnify and hold harmless all 3 3 members, managers, and former members and managers of the limited liability company against expenses (including attorney's fees, judgments, fines, and amounts paid in settlement) incurred in connection with any claims, causes of action, demands, damages, liabilities of the limited liability company, and any pending or threatened action, suit, or proceeding. Such indemnification shall be s made to the fullest extent permitted by the laws of the State of New York, provided that such acts or omissions which gives rise to the cause of action or i Filed with the NYS Department of State on 09/02/2021 Piling Number:210902002645 DOS ID:6273215 i i i t proceedings occurred while the Member or Manager was in performance of his or her duties for the limited liability company and was not as a result of his or her fraud, gross negligence, willful misconduct or a wrongful taking. The indemnification provided herein shall inure to the benefit of successors, assigns, heirs, executors, and the administrators of any such person. I certify that I have read the above statements, I am authorized to sign these Articles of Organization, that the above statements are true and correct to the best of my knowledge and belief and that my signature typed below constitutes my signature. DAVID W. GRADER (Signature) DAVID W. GRADER, ORGANIZER 55 WATERMILL LANE SUITE 100 GREAT NECK, NY 11021 Filed by: DAVID W. GRADER 55 WATERMILL LANE SUITE 100 GREAT NECK, NY 11021 i i I f t 1 5 i 2 Filed with the NYS Department of State on 09/02/2021 Filing Number.210902002645 DOS ID:6273215 STATE OF NEW YORK DEPARTMENT OF STATE Certificate of Status I,ROSSANA ROSADO, Secretary of State of the State of New York and custodian of the records required by law to be filed in my office, do hereby certify that upon a diligent examination of the records of the Department of State, as of the date and time of this certificate,the following entity information is reflected: Entity Name: 70 DEEP HOLE DRIVE LLC DOS ID Number: 6273215 Entity Type: DOMESTIC LIMITED LIABILITY COMPANY Entity Status: EXISTING Date of Initial Filling with DOS: 09/02/2021 Statement Status: CURRENT Statement Due Date: 09/30/2023 No information is available from this office regarding the financial condition,business activity or practices of this entity. WITNESS my Hand and official seal of the Department of State, s •e•.• O •••• at the City ofAlbany,on September 02,2021 at 04:07 P.M. . , ��• • �• ROSSANA ROSADO,Secretary of State co • �, • ••1' �V T 0 ••.• By Brendan C.Hughes ••.•••••.••` Executive Deputy Secretary of State Authentication Number 100000315396 To Verify the authenticity of this document you may access the Division of Corporation's Document Authentication Website at ://ecoro,dos.nv eov f STATE OF NEW YORK DEPARTMENT OF STATE I hereby certify that the annexed copy for 70 DEEP HOLE DRIVE LLC, File Number 210902002645 has been compared with the original document in the custody of the Secretary of State and that the same is true copy of said original. WITNESS my hand and official seal of the 000009000, • Department of State, at the City of Albany, •; OF NE ••. on September 02, 2021. . J' v • XV c8ti�sioR 0 • 0 ,PNT '• Brendan C. Hughes 00 ••••••1,00 Executive Deputy Secretary of State i l { P Authentication Number:100000315388 To Verify the authenticity of this document you may access the Division of Cotporatiods Document Authentication Website at ht Acc W.dos, gov ' i NEW YORK STATE DEPARTMENT OF STATE DP/ISION OF CORPORATIONS,STATE RECORDS AND UNIFORM COMMERCIAL CODE FILING RECEIPT ENTITY NAME: 70 DEEP HOLE DRIVE LLC DOCUMENT TYPE: ARTICLES OF ORGANIZATION ENTITY TYPE; DOMESTIC LIMITED LIABILITY COMPANY DOS ID: 6273215 •a'�t��� , �O ` FILE DATE: 09/02/2021 FILE NUMBER: 210902002645 5_ ' •• TRANSACTION NUMBER: 202109020002492-176990 * ."s EXISTENCE DATE: 09/02/2021 DURATION/DISSOLUTION; • •PERPETUAL •!� ...�&;rr.;tsziA • -.cgyereu.v2uy�"' COUNTY: SUFFOLK •a too • NT•asses... SERVICE OF PROCESS ADDRESS: 1031 EXCHANGE CLEARING HOUSE INC 189 WELLS AVENUE, NEWTON,MA,02459,USA FILER: DAVID W.GRADER 55 WATERMILL LANE,SUITE 100 GREAT NECK,NY, 11021,USA You may verfty this document online at: h11j?:11eerlrp.dos.nv., AUTHENTICATION NUMBER: 100000315387 f TOTAL FEES: $235.00 TOTAL PAYMENTS RECEIVED: $235.00 FILING FEE: $200.00 CASH: $0.00 s CERTIFICATE OF STATUS: $25.00 CHECK/MONEY ORDER: $0.00 CERTIFIED COPY; $10.00 CREDIT CARD: $235.00 COPY REQUEST: $0.00 DRAWDOWN ACCOUNT: $0.00 EXPEDITED HANDLING: $0.00 REFUND DUE: $0.00 r 1 A_SSIM T AND ASJMI'TI OF 79 Deep Hole lyr ivet LLC This Assig=ont and Assumption of Membership Interest in 70 Deep Hole Drive LLC a Now York limited liability company,(this"Agreement")is made as of the I$th day of December 2021,by and among 1031 Exchange Clearinghouse,Inc(the"AssignoV),728 post Road,LLC,a Connecticut limited liability company,having a usual address of 36 Church Lane,Westport,CT 06880 .(the Assignee') and 70 Deep Hole Drive LLC, a New York limited liability company (the"Company"). WHER,HAS, the Assignor owns acid one hundred percent (100%) of the membership interest(the"Membership Interest")in the Company;and WHEREAS, the Assignor desires to transfer to the Assignee,the Membership Interest; and the Assignee desires to accept the transfer of the portion of the Membership Interest, in accordance with the terms and conditlow of this Agreement. NOW, THEREFORE, for Ten Dollars ($10.00) and other good and valuable consideration,the receipt and sufficiency of which are hereby acknowledged,the parties hereto agree as follows: 1. Transfer of Ni tubers 'p inter ats. The Assignor Hereby assigns,transfers and delivers to the Assignee, free and clear of all liens, pledges, claims, rights of first refusal, options„charges,security interests,mortgages,or other encumbrances of any mature whatsoever, all of its Membership Interest, including all rights in any claims to profits and losses of the Compony,undistributed allocations of profits and losses of the Company,undistributed property and benefits of my kind allocable to the Membership Interest in the Company, 2. Rearesentatioiis and ARM ntiea o `ssi men. The Assignee represents and f wanrants to the Company and the Assignor as follows: 2.1 Transfo r Restrictions imposed by securities haws. The Assignee unders#airda that the Membership Interest has rkdt been registered under the Securities Act or any other applicable securities laws,and,therefore,cannot be resold unless it,is subsequently registered under the Securities Act and other applicable securities laws or unless an MmPtioa from sugh registration is available, The Assignee agrees not to resell or otherwise dispose of all or any part of the Membership Interest purchased by it,except ` as permitted by law, including, without limitation,any regulations under the Securties i Act and other applicable securities laws; the Corn intention and is under no obligation to register the Company not have any present Membership Interest uzider the ; Securities Act and other applicable securities laws. ; 2.2 Power and Authority. The Assignee has the requisite power and authority to e11ecute and deliver this Agreement, to perforin Its obligations hereunder and to engage I ' 1 t i I in the transactions contemplated hereby. The Assignee has taken all requisite action to "lake Oil the provisions of this Agreement the valid and enforceable obligations tt purports to be. This Agreement is,and upon the execution an delivery thereof,will be, the legal,valid and binding obligation of the Assignee,enforceable in accordance with its terms, subject to laws of general appiidation Jl'om time to time in effect affecting creditors' rights. and the exercise of judicial discretion" in Accordance with general equitable principles. 3. Indemnification of Assi nor. The Assignee assumes and agrees to hold the Assignor harmless from, all obligations and liabilities of the Assignor hereafter arising with respect to the Membership Interests, 4. Asstgngr RMsentaflons. The Assignor represents and warrants to the Assignee that it has good and marketable title to. the Membership Interest, free and clear of all liens pledges,security interests and engumbrances of every kind and nature and that it has the right to sell,assign and transfer:the Membership hrtef'ests to the Assignee,subject only to the consent of the Members Of the Company,which consent has been obtained. 5. Amendment apA Modification. This Agreement may be amended, madifled, or supplemented only by written agreement of the parties hereto, b, 'Waiver of Com 1' ee• Consents, Any failure of a party to comply with any obligation,covenant,agreement or condition herein may be waived by the other party;provided, however, that any such waiver may be made only by a written instrument signed by the party granting such waiver, but such waiver or failure to insist upon strict compliance with such obligation,covenant,agreement,or condition shall not operate as a waiver of, ar estoppel with respect to,any subsequent or other failure. i . 7. Assignment, This Agreement and all of the provisions hereof shall be binding ` upon and inure to the benefit of the.pmties hereto and their respective successors and permitted assigns. Nothing in this Agreement, expressed or implied, is intended or shalt'be construed to confer upon any person other than the parties,any successors and permitted assigns, any rights, remedy,or claim under or by reason of this Agreement or any Provisions herein oo to p u "tied, 8. farther AssuKances. From time to time, at the request of the Company, the ' Assignor or the Assignee,and without further consideration,each panty,at its ovm expense,will execute and deliver such other documents, and talce such other aetio"a, as the Company, the s Assignor or the Assignee may reasonably request in order to consummate more effectively the transaction contemplated hereby and to vest in the Assignee good and marketable title to the f Membership Interests. � i i 9, WM�109_1=, This Agreement shall be governed by and construed in j accordance with the laws of The State of Now York (without regard to its-conflicts of law i doctrines). f � I 1 j t i i a t 10. QWk-M41k. This Agreement may be executed in two or more counteipatts, each of whioh shall be deemed an original, but all of which together shall conatltute one and the same instrument referenc 1e1, eadin s. The article and section headings contained in this Agreement are for Agreement.purposes only and shall not affect in any way the meaning or Interpretation of this. 12. Entire Agr'eee This Agreement, and the other documents and instrumetrtg referred to herein, embodies the satire agreement and understanding of the parties hereto in respeot of the subject matter contained herein, This A and understandings between fire parties with Agreement superscdes all prior agreements respeot to such subject matter. 13. Seve Aab'fib. If any one or more provisions contained in this Agreement shall,For any mason, be field to be invalid, illegal, or unenforceable in an y r es Peet, such invalidity; illegality, or unenforceability shall not affect any other provision of this Agreement, but this Agreement shall be construed as if such invalid, illegal, or unenforceable provision had never been contained herelh. 'N WITNESS WHEREOF,all of the Members hereto have set their hands and seals as of the 15th day of December 2021, Assignee 728 Post Road,LLC Ttogsr Leifer, anager Assignor " 1031 Exelaange Clearinghouse Inc I Barry S.Fox,President 1 Arthur D.Brecher,Treasurer i " I i e t � i " 1 1 1 1 E � � i ACKNOY&EDGED By COMPANY; 70 Deep Hole, Drive LLC By. �.P ... Rico-hard fickler,Mane . � I 1 ' ` I a I S ' f I � I i 1 i I i I � i i 1 t i ' I i I I ! i 3rd OPERATING AGREEMENT AMENDMENT for 728 Post Road LLC a Limited Liability Company The undersigned,as signatories to this Agreement, do hereby enter into this Operating Agreement Amendment at Westport,Fairfield County,Connecticut,effective the 15t'day of April 2020 under the name of 728 Post Road LLC,a Connecticut Limited Liability Company,(the"LLC")by and among Roger J.Leifer and Beryl Leifer,Brady Leifer and Maxwell Leifer hereinafter"Members". Each member now owns an undivided interest in the business and company as follows: Roger J.Leifer 30% Beryl Leifer 30% Maxwell C.Leifer 20% Brady E.Leifer 20% IN WITNESS WHEREOF,the parties have hereunto set their hands the day and first above written. Roger Leifer,Membe Beryl er,Member dy Leifer,Member Maxwell Leifer,Member • i i i i i i %w ^,, .ai"m.°'L"v "at "puCI=' °.u"p'my".�Y� =/"=' "/y«nY I File Edit View Toolbar Window Help __ __________-__________ _______ - '-'."�. OM a '- --- ,- -' '-.__- ' ) =- --- I I , IW ti i" ,,, . . -'. �' �"-r''-': '.-'-, ' aw� ' ` Hfl►-E CREEK SEEP �62'q.1"� °�1 Ar'6006-90 LANDN,,FDZCKERSrj`o 4A N° 62-le 1.5'E 2 Q �► >06", N . _ _ H I? f/r,2" (ro 0 9'E 9'E �LKHFAD .'... 0 00' (o,�o} N•W M.) i�3i/e� 1,0'F . ••+...�,�• + FE. 2.7'E C BULKHEA �.� 7.3'N nowo l 1LLJ vd bm" r 11 °o"' j a a _ q w 1 LAWN & TTREES• 22.3'1 00 36.3' 2 ao 2 STY ' • , 0 1 FRAME 4 � % AREA 34,028.34 SgFt now STCIC] GAR '� Q 1 0.7812 Acres 2 4' 34.8'now . o o � fi Z ` LAWN & TREES DECK d , HIMN. a i S Y 1r1e. I <c ra 0� b ( C�ii 19L 1'01;a,�.CO S' U' 1 , 1•/JBS�fNT 'n,aua W W b �tJ�d Celt Oo Q.P. Cd Da 2 0 4911 41.6' • y = LA z oNc. w LAWN- i h C ` Z TREES I NO SID &R CONC. ASPHALT EDGE S02°40'40 99 W 126.68' NOTE: DEEP HOLE DRIVE 1. THE OFFSETS OR DIMENSIONS SHOWN HEREON, WEST BRANCH) FROM THE PROPERTY LINES TO THE STRUCTURES ARE TAKING FROM A SPECIFIC POINTS AND THEREFORE SURVEY T PROPERTY 0�' .PROPERTY LOCATED AT; LINES RETOOGUDE THE EDERECTION OF TO NFENCES, #70 DEEP HOLE DRIVE, MATTITUCK MPR FAIN UCTURES OR ANY OTHER TOWN OF SOUTHOLD, COUNTY OF SUFFOLK •2. THIS SURVEY IS FOR TITLE PURPOSE ONLY, NOT STATE OF NEW YORK DIST. 1000 FOR ANY OTHER USE. - 3. EASEMENTS NOT SHOWN ARE NOT GUARANTEED. SEC. 115.00, BLOCK 12.00, LOT S ' 002.000 REVISIONS RIFA=a FILE DATE 2. V.s. 15-1461 07-02-22 _CERTIFY T0: 1. 15-1461 07-01-15 S " I .Sv,�jt"L. Thomas Randon and Alice Bucaille . E 051013 AI�� ' G COMPANY PC UE IR Scaler TEU (516) 946 9080 it = 30' ORDERED 8Y: surveynyc@Msn.com Job Not Red. X Holdings, LLC 15-1461 ,' 10 3'-51/2" 1, 181-10 " 14 R @ 7.625" = 8'-8 7/8" UP 12 TR @ 10.5" i 11 1 36" HIGH RAILS BALUSTERS LESS THAN W IN BETWEEN TYPICAL, ALL RAILS I CUT BEAM TO W/ GRASPABLE HANDRAILS 1 FIRE RATED FIT STAIRS SHEETROCK ON I ENTRY WALLS & CEILING 1 ! NEW STEEL CUT ACCESS THRU i I COLUMN ON FOUNDATION WALL i NEW DOORS I 2'x2`xl' FOOTING FOR DOOR III W/ #4 REBAR {2" O.C. BOTH WAYS t "4`- FIRE RATED (I) RISER @ +/- 8" SHEETROCK ON TREAD @ IZ" WALLS & CEILING j ACTUAL NO. OF RISERS TO.BE VERIFIED IN THE i FIELD - TYPICAL I ro I 1 I EXISTING GARAGE I TO REMAIN 1 I 1 i ;T06 OOR f EMAIN I fI 1 I EXISTING FIRST FLOOR SCALE: I/4"=1'-0" SCTM#1000-115-12-2 ISSUE 1 REVISION DATE 1 FORPERMT 01110123 2 REVISED 101310 4 * N.J.MAZZAFERRO,P.E. DRAM 9Y: C PROFESSIONAL ENGINEER DATE: � o1l�otx� P.O.BOX 6?,OREENPORT NY,118" SCALE. �+ 616.467.SM EMAIL:mezjnn@msn.com 1141u1'-W ��• 05'1 ' RESIDENTIAJ. stl Na 70 DEEP HOLE DRIVE I► MATTITUCK,NY 11952 A f S L i GUARD WINDOWS PER CODE W/ RAILS OR BARRIERS MAINTAIN MINIMUM 3'x3' x 6'-8" SPACE AT TOP OF 56x72 FIXED 33x72 56x72 IXED LANDING GUARD RAILS (TYP) ® , HAND RAIL PER CODE o 1 ' DETECTOR HARD WIRED t i T ® OI I . KTICHEN z � tr O W w r f IS YLT. y;D �= WING ROOM j f :o Lu n, M ;o + I CLOSET I I DETECTOR 4 HARD WIRED _I I SKYLT. t BATH p N f 1 ` O ull INT9RIOR P TEMrE E Gl S 1 2" x 4" WOOD STUD 1 5 0 ER IWALLS @ 16" 0.C. I W1 y" GYP. BD., B.S. 1 5'- 2" EX. WINDOWS TO BE CHANGED TO CASEMENT VENT BATH FANS DIRECTLY STYLE - SAME OPENING THRU THE EXTERIOR WALL TEMPERED GLASS OR OR THRU ROOF (Ty?) GUARDED WINDOW PER CODE EXISTING SECOND FLOOR SCALE: U4"=1'-0" LN 1 U09 I � IG ; ISSUE/REVISION DATE 01110M �\ � >roR PERMIT 2 REVISED 1013/129 F Nei 3 `� •p,� 4 O 'A f�I.J.MAZZAFERRO,F.E. st DRA KS pROFESSIONAL ENGINEER DATE: � 01J10129 W P.O.BOX 67,GREENPORT NY,11W SCALE: 518.d57.b596 EMAIL•�z,JIR{�nmz0ln 1id"e+i'A" .0 570°�$ �� RESIDENTIAL SHEET NO: SIO TO DEEP HOLE DRIVE A-2 MArnTUCK,W 11952 -4" KITCHEN _J NEW COLUMN STAIR EXISTING GARAGE ENTRY r-�--J TO REMAIN NEW STEEL COLUMN ON 2'x2'xt' FOOTING W/ #4 ;o REBAR 12" O.C. BOTH WAYS #4 REBAR 12" O.C. BOTH WAYS SECTION VIEW SCALE: 1/4"=1'-(Y k SCTM#1000116-12 2 # ISSUE/REVISION DATE 1 FORPERNT OUlow 2 REVISED 10 ira 4 DRAWN BY. N.J.MAZZAFERRO,P.E. Ks O PROFESSIONAL ENGINEER DATE: 4 OU10f23 P.O.BOX 67,OREENPORTNY,1190 SCALE: �� MA57AM EMAIL:ms; n@msn ccm 11,�1'4r 2�E'p NO. 05.109 ► RESIDENTIAL SHEETNO: RO SSIONNv 70 DEEP HOLE DRIVE A-3 MATTITUCK,NY 11962 I� 4 ` VENTTOROOF 2WYENT 2"6'VENT DRNNLINES-4'0NEW �f�L Nfl9L. K2 SINK LAY iW-c ' SHOWER 2ND FLOOR 99 41 2",l�r' 2W 4"0 4"A' ,SST FLOOR EJEa0RPl1WlNWA6E ro F /STING s�prlC RISER DIAGRAM SCALE: NTS SCTM#1000-115-12 2 # ISSUE/REVISION DATE 1 FOR PERMIT olli 88 2 REVISED 1Q/31125 v r 4 N.J.MAZZAFERRO,P.E. D!�►WSBY: xs PROFESSIONAL ENGINEER DA o horse P.O.PDX 67,GREE(PORT NY,11944 SCALE: 518.457.5%8 EMAIL•ms,_Ifn®msn.00m NTS 059 �aa~ RESIDENTIAL SHEET NO: OSSiO�P� 70 DEEP MOLE DRIVESEAL A MATTITUCK,NY 11962 I'1 GUARD WINDOWS PER CODE W1 RAILS OR BARRIERS MAINTAIN MINIMUM 3'x3' x 6'-8" SPACE AT TOP OF 56x72 FIXED 33x72 156x72 diXED LANDING GUARD RAILS (TYP) CO HAND RAIL PER CODE ON o DETECTOR t HARD WIRED i 1 i 6' ` lI 1 I I KTICHEN Lu a I 1 a �o ' Lu Lu I u l I I 5SX p Q —I o O X W -- --- �) wlU I a_ i S YLT. I °°I°n "? ' _ _-- i + U�1 " I 8'-5" 1 IVING IROOM ' L �fLD I 1 Lu U i N im i I j . � DETECTOR CLOSET / HARD WIRED i I 1 } of 1. E SKYLT. { BATH 1 INTERIOR PARTITIONS ' ' 2" x 4" WOOD STUD { TEMPERED GLASS Lo ao SHOW.R WALLS @ 16" O.C. { W/Y^ GYP. BD., B.S. I I EX. WINDOWS TO BE CHANGED TO CASEMENT STYLE - SAME OPENING VENT BATH FANS DIRECTLY THRU THE EXTERIOR WALL TEMPERED GLASS OR OR TVARU ROOF (TYP) GUARDED WINDOW PER CODE 40Fc.1 0( 9 e0aro ?49 o/ qp p�d�s EXISTING SECOND FLOOR SCALE. 1/4"=1'-0" Ftflor R+__.._�_._arn Square Footage -- -- 1 Entry-Staircase Bottom 40.5 _— 2 _ Open Space-Living/Bed/Kitchen 404.1 _ SCTM#1000-116-12-2 2... i Closet --------..-----.._.—._._.—___ 15.80 .. �- - --------- Bath — ---- - 45.8 ISSUE/REVISION DATE 2 Staricase 39.80 1 FOR PERMIT o111a23 Q REVISED 1D131123 and 2 Total`Apair#Ww Ares 46.Ofl �� ¢ nrZ s 4 DRAWN BY N.J.MAZZAFERRO,P.E. ` KSGy PROFESSIONAL ENGINEER DATE:01110/23 [y P.O.BOX 57,GREENPORT NY,11944 SCALE: 516.467.6596 EMAIL:mozjln@msn.com 114"=1' " 05709 �° � A RESIDENTIAL SHEET NO: �O� SIOP� 70 DEEP HOLE DRIVE A�n MATTITUCK, NY 11952 A EA "E.' ;.7..- ii- '1''F ,-. 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