HomeMy WebLinkAbout#8039-Cinchsure LLC-Boville ZBA application ceivt-�d
TOWN OF SOUTHOLD JUN 2 5 2025
BUILDING DEPARTMENT
SOUTHOLD,N.Y. Zoning Board of Appeals
NOTICE OF DISAPPROVAL
DATE: November 17, 2020
RENEWED: September 24, 2024
RENEWED: May 13,2025
AMENDED: May 13,2025
TO: Patricia Moore (Boville)
51020 Main Road
Southold,NY 11971
Please take notice that your application dated July 30, 2020, revised application submitted May
6,2025:
For permit to: legalize an "as built"accessory pergola,shed and patio at:
Location of property: 1025 Great Peconic Bay Blvd, Laurel,NY
County Tax Map No. 1000—Section 129 Block I Lot 5_2
Is returned herewith and disapproved on the following grounds:
The as-built construction on this conforming 42,192 square foot lot in the R-40 District is not
permitted pursuant to Article III Section 280-15 which states accessory buildings and structures
shall be located in the required rear yard and lots measuring 40 000-59,999 square feet in size
require side and rear setbacks of 15 feet. The shed has a side yard setback of 10.1 feet and the
pergola has a side yard setback of 8.2 feet.
In addition the as-built patio is not permitted pursuant to Article XXII Section 280-104C(1)
which states paved terraces steps and walks shall not project four feet of a property line. The
patio has a 0 foot setback.
�k.
LS
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: file,Z.B.A.
APPLICATION TO THE SOUTHOLD TOWN BOARD OF A ,
AREA VARIANCE ° ��
ed
House No.1025 Street Peconic Bay Boulevard Hamlet Lat"N 2 5 2025
SCTM 1000 Section: 129_Block: 1 Lot(s)5.2 Lot Size: 42,192 Zone R-40
Zoning Board of Appeala
I(WE)APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR
DATED May 13,2025 BASED ON SURVEY/SITE PLAN DATED 10/2/24
Owner(s): Cinchsure LLC,Howard M.Boville member
Mailing Address: 36 Hemlock Hill Road,New Canaan CT 06840
Telephone: 917-557-0421 Fax: Email: howard.boville @me.com
NOTE: In addition to the above,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: Patricia C. Moore for(X)Owner( ) Other:
Address: 51020 Main Road,Southold,NY 11971
Telephone: (631) 765-4330 Fax: (631)765-4643 Email: pcmoore(a)mooreattys.com
Please check to specify who you wish correspondence to be mailed to,from the above names:
( )Applicant/Owner(s), ( X)Authorized Representative, ( )Other Name/Address below:
WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN
DATEDIO-24-24 and DENIED AN APPLICATION DATED July 30,2020 FOR:
(X)Building Permit
O Certificate of Occupancy O Pre-Certificate of Occupancy
( ) 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: 280-15(15' setback of accessory structure)shed has a
setback of 10.1' and pergola side yard setback of 8.2'
Article XXII Section 280-104 C (1) paved terrace 4' from property line
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
( )Request for Reversal or Overturn the Zoning Officer's Denial
Other
A prior appeal ( ) has, has not been made at any time with respect to this property,
UNDER Appeal No(s). ' Year(s).
(Please be sure to research before completing this question or call our office for assistance)
Page 2, Area Variance Application
Revised 6/2023 Received
I3 A
REASONS FOR APPEAL JUN 2 5 202
(Please be specific,additional sheets may be used with preparer's signature notarized):
Zoning Board of A pear
1. An undesirable change will not be produced in the CHARACTER of the neighbor or a detriment top
nearby properties if granted,because:
The subject property is Lot 1 of Laurel Wood Estates subdivision,the 12.3' x 12.9' Pergola was built 8.2 from the
property line(according to the deed). However,the structure is 15' from the line shown on the Filed Map of Laurel
Estates. When the pergola was constructed the owner and contractor followed the property lines shown on the filed
map. The adjacent land is below the grade of the applicant's property with a line of mature evergreens. The property
line was misidentified and followed the subdivision line.
The patio(on grade)was believed to be more than 5' from the property line(using the subdivision map lines)and the
topographic features of the property. The patio was designed with a decorative curb of a few inches). Also, due to
the grade drop off on the adjacent property the patio is slightly"above grade"along the adjacent p[property line.
The application was delayed trying to understand and correct the property lines, if they were wrong and could be
corrected. The"no-mans" land between property line on the filed map and the property line on the survey was
explained by Doug Adams,at Young Surveyors that the map was filed at the County Clerk with a property line
description error. The deeds of the McNulty parcel and the prior owners of lot 1 on the filed map matched the
surveyor's description of the property. The Filed Map from 1971 lot lines were wrong. This should not have occurred
(The County usually checks this prior to mapping-the map was drawn by Vantuyl in 1971). Surveys of this property
will always show the discrepancy between the two property lines.
If the filed map was followed the setbacks of all the accessory structures would be conforming.
Also,the existing conditions of the Boville parcel and the adjacent McNulty parcel appear to follow the filed map.
There are old stockade fences which run along the neighbor's property and follow, in part,the setbacks of the filed
map.
2. The benefit sought by the applicant CANNOT be achieved by some method feasible for the applicant to
pursue, other than an area variance, because:
The shed was located by prior owners without a survey following the neighbor's fence line. The pergola and patio
repeated this mistake. Moving these structures would push them too close to the swimming pool. The patio is on
grade with a slight curb detail (architectural feature)and maintains a flat surface until the grade changes on the
adjacent property. These structures are in the rear yard and the mature landscaping blocks the view of the structures
from the adjacent property and from the street.
3. The amount of relief requested is not substantial because:
The required setback of these accessory structures is 15 and the shed is 10.1 which is a minimal variance. The shed
contains electricity and hides the pool equipment. The pergola also requires 15' setback and is 8.2 ,the paved terrace is 4'
from the property line but is designed to be"on grade". The grade begins to drop off several feet on the adjacent parcel
(McNulty parcel). The land adjacent to the patio,the pergola and the shed is wooded, a natural grade difference with a
dilapidated stockade fence belonging to the neighbor(McNulty).
4.The variance will NOT have an adverse effect or impact on the physical or environmental conditions in
the neighborhood or district because:
The structures are hidden from the view of neighbors or the public. The shed is over 25 years old and has no water or sanitary
(only electricity). The location of these structures is next to the pool. The adjacent parcel is wooded and below the elevation of
the Boville property. The accessory structures cause no environmental or physical adverse effect on the subject property or the
neighboring property.
5. Has the alleged difficulty been self-created? { X } Yes,or { } No Why: The structures were built without a
building permit but believed to be conforming. The measurements were taken from an inco r and
following the neighbor's stockade fence which would appear to be the property line.
JUN 2 5 2025
• Are there any Covenants or Restrictions concerning this land? {X } No { } Yes(please furnish
a copy) Zoning Board n; /A..oi;>c-alf<
• This is the MINIMUM that is necessary and adequate,and at the same time preserve and protect the
character of the neighborhood and the health, safety and welfare of the community.
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 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 REQUIRED
TIME FRAME DESCRIBED HEREIN. o -
Sig— n of Applicant or Authorized Agent
(Agent must submit written Authorization from Owner)
1LQ
Sworn tobefore me this day
`,
of �� , 20 a5
k1
No ary Public
MADISON M SSINA
NOTARY PUBLIC,STATE OF NEW YORK
Registration No.01 ME6370536
Qualified in Suffolk County
Commission Expires February 5,_--_9
Zoning Board of Appeals
APPLICANT'S PROJECT DESCRIPTION
APPLICANT: Cinchsure LLC,Howard M.Boville member_ SCTM No. 1000-129-1-5.2
CIS/
1.For Demolition of Existing Building Areas IJUN 2 �� �
Please describe areas being removed: none ti / Zoning Rr�M`,`
II.New Construction Areas(New Dwelling or New Additions/Extensions): Not applicable
7
Dimensions of first floor extension:
Dimensions of new second floor:
Dimensions of floor above second level:
Height(from existing natural grade):
Is basement or lowest floor area being constructed?If yes, please provide height(above ground)measured from
natural existing grade to first floor:
III.Proposed Construction Description(Alterations or Structural Changes)
(Attach extra sheet if necessary).Please describe building areas:
Number of Floors and General Characteristics BEFORE Alterations: one stotyrshed 6 y,ti r
Number of Floors and Changes WITH Alterations:
IV.Calculations of building areas and lot coverage,sky plane(From Surveyor,Design Professional):
Existing square footage of buildings on your property: N1�hCU'. �1 ur� a
Proposed increase of building coverage: ` iA't k�. _ Z �� �i-.�4 iM-y ,IIP — b �� '-v<)�(e� ,
Square footage of your lot: 2. 1
Percentage of coverage of your lot by building area(lot coverage)_ fi"
Gross Floor Area(GFA)of single family dwelling including the attached garage and/or habitable detached
accessory structure: (Please refer to Chapter 280, Section 280-207 of the Town Code):
NIA
For Residential lots, is project within the allowable Sky Plane? (Please refer to Chapter 280, Section 280-208 of
the Town Code): JQ(A
V.Purpose of New Construction: /vt kcA
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): Describe on separate page if needed:
Please submit 8 sets of photos,labeled to show different angles of yard areas after sta*ing corners for
new construction,and photos of building area to be altered with yard view.
Revised 6/2023
QUESTIONNAIRE ( )
FOR FILING WITH YOUR ZBA APPLICATION Received
A. Is the subject premises currently listed on the real estate market for sale? JUN 2 6 2025
Yes No
Zoning Board of AQ,DoniS
B. Are there any proposals to change or alter land contours?
_,K—No Yes, please explain on separate sheet.
C. 1.)Are there areas that contain sand or wetland grasses?
2.)Are those areas shown on the survey submitted with this application? ,el iA
3.)Is the property bulk headed between the wetlands area and the upland building area?
Nc
4.)If your property contains wetlands or pond areas, have you contacted the Office of the
BOARD OF TRUSTEES for its determination of jurisdiction? &e,A
Please confirm status of your inquiry or application with the Board of Trustees:
If issued, please attach copies of your permit listing conditions of approval with a copy of
the 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? t4io
E. Are there any patios,concrete barriers, bulkheads or fences that exist that are not shown
on the survey that you are submitting? 6ZO
If any of the aforementioned items exist on your property, please show them on a site
plan. r
F. Are there any construction projects currently in process on your property? V , 6 'cv} ,�� i
If yes, please submit a copy of your building permit and survey as approved by the Building
Department and please describe scope of work:_AA( wo V'K l�tP tr
I
G, Please attach all pre-certificates of occupancy and certificates of occupancy for the subject
premises. If none exist,please apply to the Building Department to obtain them or to obtain an
Amended Notice of Disapproval.
H. Do you or any co-owner also own other land adjoining or close to this parcel? �V o
If yes, please label the proximity of your lands on your survey and identify the Suffolk
County Tax Map No.
1_ Please list present use or operations conducted at your property, and/or the proposed use
J. (examples: existing singe family,pr posed:same with garage,p of or other)
Autho signature Date
FORM NO. 4
TOWN OF SOUTHOLD Re
ecivd
BUILDING DEPARTMENT
Office of the Building Inspector JU N ���
Town Hall
Southold, N.Y.
Zoning hoard of Appeals
CERTIFICATE OF OCCUPANCY
No: Z-28068 Date: 11/15/01
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 1025 GREAT PECONIC BAY BLVD LAUREL
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 129 Block 1 Lot 5
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 26, 2000 pursuant to which
Building Permit No. 26697-Z dated NOVEMBER 1, 2000
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is issued
is ONE FAMILY DWELLING WITH FIRST AND SECOND STORY PORCHES AND ATTACHED
TWO CAR GARAGE AS APPLIED FOR.
The certificate is issued to WILLIAM & LINDA ZILZ
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-00-0112 11 02 01
ELECTRICAL CERTIFICATE NO. 1965 08/30/01
PLUMBERS CERTIFICATION DATED 11 01/01 GAH PLUMBING
A hori ed Si nature
Rev. 1/81
Town of Southold Annex
P.O.Box 1179
54375 Main Road
JUN 2 5 2025
S? Southold, New York 11971
Zoning Board of Appeate
CERTIFICATE OF OCCUPANCY
No: 36712 Date: 1/13/2014
THIS CERTIFIES that the building AS BUILT DECK
Location of Property: 1025 Great Peconic Bay Blvd, Laurel,
SCTM#: 473889 Sec/Block/Lot: 129.-1-5.2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
12/23/2013 pursuant to which Building Permit No. 38612 dated 1/6/2014
was issued,and conforms to ail of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
"As built"deck addition to an existing single family dwelling as applied for.
The certificate is issued to Zilz, Linda
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
At ed ignat e
ofsouTyo! TOWN OF SOUTHOLD Received
° BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
JUN 2 5 2025
COUNT'I.N��
SOUTHOLD, NY toning Board of Appeals
BUILDING PERMIT
RENEWED
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 43792 Date: 05/24/2019
Permission is hereby granted to: Renewal Date: 09/24/2024
Howard W Boville
100 Barclay St Apt 29B
New York, NY 10007
To:
Accessory in ground swimming pool with fence to code as applied for. Replaces BP#38809
Premises Located at:
1025 Great Peconic Bay Blvd, Laurel, NY 11948
SCTM# 129.4-5.2
Pursuant to application dated 05/24/2019 and approved by the Building Inspector.
To expire on 09/24/2026.
Contractors:
Required Inspections:
FOOTING/REBAR, ELECTRICAL- ROUGH , ELECTRICAL- FINAL, DRAINAGE , FINAL,
Fees:
Renewal Fee $200.00
Total $200.00
"-�h--,- -
Building Inspector
p4s0&p�o TOWN OF SOUTHOLD
BUILDING DEPARTMENT
� TOWN CLERK'S OFFICE j
��OUNTY. d,.� ���
SOUTHOLD, NY 1
ec.re i v
BUILDING PERMIT JUN 2, 5 2025
RENEWED
zoning Boars 0
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 45454 Date: 11/17/2020
Permission is hereby granted to: Renewal Date: 09/24/2024
Howard W Boville
100 Barclay St Apt 29B
New York, NY 10007
To:
legalize "as built" finished basement and raised platform addition with hot tub to existing
single-family dwelling as applied for. Additional certification may be required.
Premises Located at:
1025 Great Peconic Bay Blvd, Laurel, NY 11948
SCTM# 129.4-5.2
Pursuant to application dated 07/30/2020 and approved by the Building Inspector.
To expire on 09/24/2026.
Contractors:
Required Inspections:
Fees:
Renewal Fee $1,069.20
Total $1,069.20
Building Inspector
AGRICULTURAL DATA STATEMENT
ZONING BOARD OF APPEALS
TOWN OF SOUTHOLD ��`� g�
WHEN TO USE THIS FORM: This form must be completed by the applicantfor any ial ise025
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 agr"11i+Jd idt Appeals
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.
1. Name of Applicant: Patricia C. Moore
2. Address of Applicant: 51020 Main Road Southold NY 11971
3. Name of Land Owner(if other than Applicant): Howard Boville
4. Address of Land Owner: 1025 Great Peconic Bay Boulevard Laurel
5. Description of Proposed Project: .W, 111%ed effQi 0 Cmd pulno
6. Location of Property: (Road and Tax map Number)Peconic Bay Boulevard 1000-129.-1-5.2
7. Is the parcel within 500 feet of a farm operation? {X } 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 naives and mailing addresses from the Town
Assessor's Office (765-1937) or from the Real Property Tax Office located in Riverhead.
NAME and ADDRESS
1. Half Hollow Nursery Corp 624 Deer Park Ave Dix Hills NY 11746
2.
3.
4.
5.
6.
(Please use the back of this page if there are additional property owners)
Signature of Applicant 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.
617.20 �� ,
Appendix ie����=�.., ��
Short Environmental Assessment Form
JUN 2 5 2025
Instructions for Completing
Zoning hoard of Appear
Part 1-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses
become part of the application for approval or funding,are subject to public review,and may be subject to further verification.
Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully
respond to any item,please answer as thoroughly as possible based on current information.
Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful
to the lead agency; attach additional pages as necessary to supplement any item.
Part 1-Project and Sponsor Information
Name of Action or Project:
Ci "C'.
Project Location(describe,and attach a location map):
Brief Description of Proposed Action:
�a "�1"21� r:a��� .�._-_._ u c�J�t�Cf:�'� cL j."l� .�C'C.✓�
Name of Applicant or Sponsor: Telephone:
E-Mail:
Address: b r
Gcz K'`k.C`ai'1 (A— 0
City/PO: State: Zip Code:
1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES
administrative rule,or regulation?
If Yes,attach a narrative description of the intent of the proposed action and the environmental resources t hat )C
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: ��??
(tee Mcu) , rl �1 X
3.a.Total acreage of the site of the proposed action? °l * acres
b.Total acreage to be physically disturbed? acres
c.Total acreage(project site and any contiguous properties)owned
or controlled by the applicant or project sponsor? _acres
4. Check all land uses that occur on,adjoining and near the proposed action.
9 Urban 9 Rural(non-agriculture) 9 Industrial 9 Commercial C9kosidential(suburban)
9 Forest 9 Agriculture 9 Aquatic 9 Other(specify):
9 Parkland
Page 1 of 4
5. Is the proposed action, NO YES N/A
�1
a.A permitted use under the zoning regulations? ;
11/ 1
cei '
IN'
b. Consistent with the adopted comprehensive plan?
6. Is the proposed action consistent with the predominant character of the existing built or n&XI O YES
landscape? Zoning Qpprr' f X,
7. Is the site of the proposed action located in,or does it adjoin, a state listed Critical Environmental Area. NO YES
If Yes, identify: X
8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES
X
b.Are public transportation service(s)available at or near the site of the proposed action?
c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? �C
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: �'-A
11.Will the proposed action connect to existing wastewater utilities? j NO YES
YES
If No,describe method for providing wastewater treatment: I /ti
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, identity 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 roject site. Check all that apply:
❑ Shoreline ❑ Forest ❑ Agricultural/grasslands Early mid-successional
❑ Wetland ❑ Urban ❑ Suburban
15.Does the site of the proposed action contain any species of animal,or associated habitats, listed NO YES
by the State or Federal government as threatened or endangered?
16. Is the project site located in the 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? D NO ❑ YES
b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)?
If Yes,briefly describe: V'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 ,-sed NO YES
solid waste management facility?
If Yes,describe: 11 I1\ ?n7�
20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES
completed)for hazardous waste?
If Yes,describe:
I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY
KNOWLEDGE
Applicant/sponsor�narne: 0 A KA"U Date: j
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, archae ological,
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
im act impact
m ceveri
occur occur
10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage JUN 2 5 2025
problems?
11. Will the proposed action create a hazard to environmental resources or human health? loning Bo.rcl e
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.
9 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.
9 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
Received
Board of Zoning Appeals Application,,'(
J U N 2.5 2025
OWNER'S AUTHORIZATION zoning Board of Appeals
(Where the Applicant is not the Owner)
We, Howard M. Boville and Connie P. Ryan residing at 36 Hemlock Hill Road,New
Canaan, CT 06840 do hereby authorize Patricia C. Moore 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 REQUIRED TIME FRAME
DESCRIBED HEREIN.
t__
Ho and M. Boville
..
Connie P.Ryan
APPLICANT
TRANSACTIONAL DISCLOSURE FORM
(FOR SUBMISSION BY OWNER and OWNERS AGENT)
The Town of Southolds 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.
'j
YOUR NAME: BOVILLE HOWARD M. AND RYAN CONNIE P. AND PATRICIA C. MOORE
Received
NATURE OF APPLICATION: (Check all that apply.)
Tax Grievance JUN 2 5 2025
Variance X
Special Exception
If Other, Zoning3oard of App€'n
name the activity:
Change of Zone
Approval of Plat
Exemption from Plat
or Official Map
Other Trustees
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.A 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
Complete the balance of this form and date and sign below where indicated.
Name of person employed by the Town of Southold:
Title or position of that person:
Describe that relationship between yourself(the applicant)and the Town officer or employee. Either check the appropriate
line A through D(below)and/or describe the relationship in the space provided.
The Town officer or employee or his or her spouse, sibling, parent, or child is(check all that apply):
A)the owner of greater than 5%of the shares of the corporate stock
of the applicant(when the applicant is a corporation);
B)the legal or beneficial owner of any interest in a non-corporate entity
(when the applicant is not a corporation);
C)an officer,director,partner, or employee of the applicant;or
D)the actual applicant.
DESCRIPTION OF RELATIONSHIP
Submitted this�day of
Signature: `
Howard M. Boville
Signature:
Connie P.-Ry n
Signature/
+Oricia C. Moore
Town of Southold
LWRP CONSISTENCY ASSESSMENT FORM -
JUN 2 5 2025
A. INSTRUCTIONS
onin Board of Appear
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 ❑ Planning Dept. ❑ Building Dept. ❑ Board of Trustees
1. Category of Town of Southold agency action(check appropriate response):
(a) Action undertaken directly by Town agency (e.g. capital construction,
planning activity, agency regulation, land transaction)❑
(b) Financial assistance(e.g. grant, loan, subsidy) ❑
(c) Permit, approval, license, certification:❑
Nature and extent of action:
t [
Location of action:
2�5-
j
Site acreage: 0 ==
/� �® 202�
Present land use: H w ce p ana �"C,�1 �ir '/ Ct�c� C,�C�
eals
Present zoning classification: 9-F �10
2. If an application for the proposed action has been filed with the Town of Southold agency, the following
information shall be provided:
(a) Name of applicant: CILIC:� r�' � 'C�C�I�a ' `� ` PA, lw,,
(b) Mailing address: C: �1� L�
(c) Telephone number:Area Code O C/l 7
(d) Application number,if any: A�A
Will the action be directly undertaken,require funding,or approval by a state or federal agency?
Yes ❑ No If yes, which state or federal agency?
DEVELOPED COAST POLICY n/ca/m/4'A 6 2
Policy 1. Foster a pattern of development in the Town of Southold that enhances community character,
preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and
minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation
criteria.
[NYes ❑No ❑Not Applicable
Attach additional sheets if necessary
Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See
LWRP Section III—Policies Pages 3 through 6 for evaluation criteria
❑Yes ❑ No Not Applicable
Attach additional sheets if necessary Received
Policy 3. Enhance visual quality and protect scenic resources throughout the Tomas old. See
LWRP Section III—Policies Pages 6 through 7 for evaluation criteria
-;A
zoning, k3oard o Appagle
ElYes ElNo '' Not Applicable-
Attach additional sheets if necessary
NATURAL COAST POLICIES
Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP
Section III—Policies Pages 8 through 16 for evaluation criteria
❑Yes ❑No VNot Applicable
Attach additional sheets if necessary
Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III
—Policies Pages 16 through 21 for evaluation criteria
❑Yes ❑No XNot Applicable
Attach additional sheets if necessary
Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including
Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III — Policies; Pages 22
through 32 for evaluation criteria.
❑Yes El No 'Pot Applicable
Policy 7. Protect and improve air quality in the Town of Southold. See L ti n SII — Policies
Pages 32 through 34 for evaluation criteria.
❑Yes ❑No -Not Applicable
:Zoning Board of Appeal,,
Ar
Attach additional sheets if necessary
Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous
substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria.
❑Yes ❑ No K Not Applicable
PUBLIC COAST POLICIES
Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public
resources of the Town of Southold. See LWRP Section III —Policies; Pages 38 through 46 for evaluation
criteria.
❑Yes 0 No KNot Applicable
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.
0 Yes ❑ No Not Applicable
Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the
Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 t °f�bd
evaluation criteria. '
JUN 2 5 202,
❑Yes ❑ No Oot Applicable
Zoning Board of ,ppp.ak,;
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.
Iftes ❑ No ❑ Not Applicable
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 KNot Applicable
Created on 5125105 11:20 AM
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