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HomeMy WebLinkAboutPolyn, Randolph FORM NO. 3 RECEIVED TOWN OF SOUTHOLD JUL 0 3 2025 BUILDING DEPARTMENT SOUTHOLD,N.Y. ZONING BOARD OF APPEALS NOTICE OF DISAPPROVAL DATE: May 1, 2025 TO: Randolph J Polyn 2900 Grand Ave Mattituck,NY, 11952 Please take notice that your application dated March 26, 2025: For m er detennination at: Location of property: 3000 Grand Avenue Mattituck NY County Tax Map No. 1000—Section 107 Block 2 Lot 6 Is returned herewith and disapproved on the following grounds: The subject lot has Mgrge_d with the adjacent lot to the norlh SCTM# IQQO_-107.-2-f) pursuant to Article II Section 20-10 which states: "Merger. A nonconfonning lot shall me a with an adjacent confonning or nonconforming lot which has been held,in common ownership the first lot at. any time gafter July 1 1.983. An adjacent Igt is one which abuts with the parcel for a common course offi 50 feet or more in distance. Nonconforming lots shall mere until the t tal lot sire conforms to the Currenbulk schedule Mmkm9fl1§f A&fton' Signat l CC: file,Z.B.A. Town Hall Annex Telephone (631) 765-1 802 54375 Main Road P.O. Box 1179 5n RECEIVED Southold,NY l 1971-0959 OOUNV M � JUL 0 3 2025 gNyBUILDING DEPARTMENT TOWN OF SOUTHOLD ZONING BOARD OF APPEALS STOP WORK ORDER c k TO: Randolph Polyn 2900 Grand Avenue Mattituck, New York 11952 YOU ARE HEREBY NOTIFIED TO SUSPEND ALL WORK AT: 2900 Grand Avenue Mattituck New York TAX MAP NUMBER: 1000-107.-2-5 Pursuant to Section §144-8 A(1)of the Town of Southold Code, you are hereby notified to immediately suspend all work until this order has been rescinded. ,w BASIS OF STOP WORK ORDER: C Construction without first obtaining a Buildin Permit+. CONDITIONS UNDER WHICH WORK MAY BE RESUMED: ( () When a Building Permit has been issued. _ . D TO COMPLY WITH FAILURE TO REIVIECf'ht�'THE GONDITIO�1 S e4FORESp►iC1 AI+� ��, (� THE APPLICABLE PROVISIONS OF LAW MAY CONSTITUTE AN OFFENSE PUNISHABLE BY FINE IMPRISONMENT OR BO TH. DATE: 2/7/2024 Lester Ba n Ordinance pector IT SHALL BE UNLAWFUL TO REMOVE THIS NOTICE WITHOUT WRITTEN CONSENT OF THE ISSUING AGENCY. W I\]`-..� YrI Z:I LJF I-t- L-�Qlt:Up UOLC, U I ULIP 11 ILI U I I Y, 11401 H C 11)-�U I I y I File Edit View Toolbar Windoix Help e (AA C` e- D ................... ....... .....................--------- a m v my 0 ki To T ----------- i M W I 717/40NONIN/1" 11//­�I View Cond A v,,w I JS R/ %W, P'' 111kal 1121 ........... S/`nfido 015) ................ .............. .......... ....... P 7 �Zeadv 7 RECEIVED JUL 0 3 202 APPLICATION TO THE TOWN OF SOUTHOLD BOARD OF APPEALS pqq WAIVER OF LOT MERGER ZONING BOARD OF APPEALS THIS APPLICATION IS BASED ON THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED5/1/2025 WHEREBY THE BUILDING INSPECTOR DENIED AN APPLICATION DATED 3/26/2025 under Town Code Chapter 280 (Zoning), Article II, Section 280-10 for: ❑ Building Permit ❑ Permit for As-Built Construction ❑ Certificate of Occupancy ❑ Pre-Certificate of Occupancy ❑X Other MERGER DETERMINATION Owner of Parcel for Waiver (Vacant) RANDOLPH J. POLYN Owner of Adjacent Parcel: ANDREA AND ANGELO PROVVISIERO Note: If applicant is not the owner, please state if applicant is owner's attorney, agent, architect, builder, contract vendee, etc. Mailing Address: 11276 FOOL DUCK AVENUE,WEEKI WACHEE, FL 34613 p 631-987-0000 IAM2NDSON@GMAIL.COM Telephone No: Email, Representative/Agent for Owner: MARTIN D. FINNEGAN (FINNEGAN LAW, P.C.) -OWNER'S ATTORNEY Address: PO BOX 1452, 13250 MAIN ROAD, MATTITUCK, NY 11952 Telephone No: 631-315-6070 Email: MFINNEGAN@NORTHFORK.LAW Please specify who you wish correspondence to be mailed to, from the above: ❑ Owner, or 91 Authorized Representative we I ( ) RANDOLPH J. POLYN request that the Zoning Board of Appeals waive the merger and recognize the original lot lines under the provisions of Article II, Sections 280-9, 280-10, 280-11 of the Southold Town Zoning Code, for the purpose of recognizing for Town building purposes Suffolk County Tax Map District 1000, Section 107.00 Block 02.00 Lot 006.000 containing 25,719 square feet located at #3000 Street GRAND AVENUE, MATTITUCK, NY , as a separate and distinct building parcel from District 1000 Section 107.00 Block02.00 Lot 005.000 containing 36,590 square feet. The property is located in the R-40 Residential Zone District. The lot to be recognized was originally created by deed dated 11/24/1948 , is vacant, and has historically been treated and maintained as a separate and independent residential lot since the date of its original creation. Please indicate whether the statement is True. THE ABOVE STATEMENT IS TRUE. RECEIVED "r JUL 0 3 2025 soqq Page 2—Zoning Board of Appeals - Waiver of Merger Application ZONING BOARD OF APPEALS The lot to be unmerged has not been transferred to an unrelated person or entity since the time the merger was affected. Please indicate whether the statement is True. YES,THE PROPERTY WAS OWNED BY THE APPLICANT'S PARENTS,JOHN A. POLYN AND EDNA POLYN, FROM 1963 TO 1996 WHEN IT WAS CONVEYED TO THE APPLICANT. This application is an alternative to that provided for under other Town Code provisions available for an area variance. APPLICANT'S REASONS: (1) The waiver would recognize a lot that is as large, or greater in size than a majority of the improved lots within 1,000 feet distance from any lot line of the lot proposed to be recognized because: YES,THIS 0.59 ACRE LOT IS COMPARABLE IN SIZE TO MANY OF THE NEIGHBORING LOTS ALONG GRAND AVENUE, KNOLLWOOD LANE,WOODCLIFF DRIVE,AND MAPLE LANE. (2) The waiver would recognize a lot that is vacant and has historically been treated and maintained as a separate and independent residential lot since the date of its original creation because: THE PROPERTY HAS ALWAYS BEEN A SEPARATE TAX PARCEL AND IS LARGELY WOODED AND VACANT„ (3) The proposed waiver and recognition will not create an adverse impact on the physical or environmental conditions in the neighborhood or district because: THERE ARE NO PERCEIVABLE ADVERSE IMPACTS RELATED TO THE RECOGNITION OF THIS LOT. A Y S AND HEALTH DEPARTMENT REGULATIONS,INCLUDING THE INSTALLATION OF AN I/A SANITARY SYSTEM. Please check one or more of the followiu that apply to the lot to be unmer ed: ❑ This lot was formerly approved by the Southold Town Planning Board on (attach copy of approval/subdivision map). ❑ This lot was approved or shown on a map approved by the Southold Town Board on (attach copy of approval/subdivision map). ❑ This lot was approved by the Zoning Board of Appeals on (please attach decision). ❑ A search of Town records found no approvals or other action by the Town of Southold, except for Application# in the Year (please attach copy). i gECEIVED Page 3 —Zoning Board of Appeals - Waiver of Merger Application 'JUL U 3 2025 �� APPEALS � A search of Town records found a Certificate of Occupancy was issu .I or a dwelling or other purpose on SCTM Lot# ,s (please attach copy). (Attach additional sheets if needed). r 1' cel Qcvv in D.i=i M o j,,'n, Aitt 0,11 t0 bforg his day of Jvn� , 2025 ANNALISE OUELLETTE NOTARY PUBLIC-STATE OF NEW YORK Notary Public No.01OU6409457 Qualified in Suffolk County My Commission Expires 09-28-2028 Owner(Parcel 2) Sworn to before me this day of , 20 Notary Public ZBA 7/2023 I RECEIVED ZONING BOARD OF APPEALS 'JUL 0 3 2025 LOT WAIVER QUESTIONNAIRE ZONING BOARD OF APPEALS 1. What are square footage and dimensions of parcels: Subject Lot to Unmerge: Square Feet: 25,719 Depth: +/-220' Width:117' Property Identified as merged with Subject Lot: a TM No. 107.-2-5 Square Feet: 36,590 Depth: 250' Width: 217' b) TM No. Square Feet: Depth: Width: 2. Date of First deed which created subject lot: 11/24/1948 3. Date of Current Deed of present owner: 11/4/1996 4„ Owners' Names of subject lot at this time: RANDOLPH J. POLYN 5. Date and Name of Subdivision that created subject lot(s)(if any) N/A 6. Building permits issued in the past for subject lot(s): N/A 7, Suffolk County Dept. of Health Service approvals issued for any lots: YES,4/27/2024 FOR LOT 6 8. Any other Town Actions regarding this property such as a Pre-existing Certificate of Occupancy for a preexisting building, Variance, Lot Line change, Board of Trustees Wetland Approval, or other type of approval to build or use the property in any way: Explain: NONE 9. Is there any building or structure, such as a patio, driveway, or other, overlapping the deeded lot lines which separate the two/three merged properties? NO If so, Explain: N/A 10. How many other vacant lots are on the same street and immediate neighborhood? Please indicate other approvals or other information about common ownership of these lots. NONE I am owner of the j ct lot and the above information provided is true and accurate to the best of my knwle 6/27/2025 Authorized signature Date MARTIN D. FINNEGAN, ESQ. Print Name QUESTIONNAIRE RECENED FOR FILING WITH YOUR ZBA APPLICATION A. Is the subject premises listed on the real estate market for sale? JUL 0 3 2025 Yes X No B. Are there any proposals to change or alter land contours? ZONING BOARD OF APPEALS X No Yes, please explain on attached sheet. C. 1.)Are there areas that contain sand or wetland grasses? No 2.)Are those areas shown on the survey submitted with this application? N/A 3.)Is the property bulk headed between the wetlands area and the upland building area? N/A 4.)If your property contains wetlands or pond areas, have you contacted the Office of the Board of Trustees for its determination of jurisdiction? N/A Please confirm status of your inquiry or application with the Trustees: N/A 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? No E. Are there any patios, concrete barriers,bulkheads or fences that exist that are not shown on the survey that you are submitting? NO Please show area of the structures on a diagram if any exist or state none on the above line. F. Do you have any construction taking place at this time concerning your premises? NO G. If yes, please submit a copy of your building permit and survey as approved by the Building Department and please describe: N/A 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. I. Do you or any co-owner also own other land adjoining or close to this parcel? No If yes, please label the proximity of your lands on your survey. J. Please list present use or operations conducted at this parcel VACANT LAND and the proposed use VACANT I AND K. (exam . existing single family,proposed: same with garage,pool or other) 6/27/2025 Auth ire tg � � Date RECEIVED ono A AGRICULTURAL DATA STATEMENT JUL 0 3 2025 ZONING BOARD OF APPEALS TOWN OF SOUTHOLD ZONING BOARD OF APPEALS 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. 1. Name of Applicant: RANDOLPH J. POLYN 2. Address of Applicant: 11276 FOOL DUCK AVENUE, WEEKI WACHEE, FL 34613 3. Name of Land Owner(if other than Applicant): 4. Address of Land Owner: 5. Description of Proposed Project: WAIVER OF MERGER 6. Location of Property: (Road and Tax map Number) 3000 GRAND AVENUE, MATTITUCK, NY.11952 SCTM#1000-107.-2-6 7. Is the parcel within 500 feet of a farm operation? { } Yes {X} No 8. Is this parcel actively farmed? { } Yes {X} No 9. Name and addresses of any owner(s) of land within the agricultural district containing active farm operations. Suffolk County Tax Lot numbers will be provided to you by the Zoning Board Staff, it is your responsibility to obtain the current names and mailing addresses from the Town Assessor's Office (765-1937) or from the Real Property Tax Office located in Riverhead. CC NAME and ADDRESS La,(A&V 1 7KU iVV--A Kn� 2. 3. 4. 5. 6. (Please use the back of " if there are additional property owners) 6 27 /2025 Signature of Ap licao 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. � RECEIVED 617.20 jg (,� Appendix B 'JUL 0 3 2025 I Short Environmental Assessment Form Instructions for Comj2lefin ZONING BOARD OF APPEALS 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: POLYN WAIVER OF MERGER Project Location(describe,and attach a location map): 3000 GRAND AVENUE, MATTITUCK, NY 11952 (SCTM #1000-107.-2-6) Brief Description of Proposed Action: WAIVER OF LOT MERGER. Name of Applicant or Sponsor: Telephone: 631-315-6070 MARTIN D. FINNEGAN, ESQ. E-Mail: MFINNEGAN@NORTH FORK.LAW Address: PO BOX 1452, 13250 MAIN ROAD City/PO: State: Zip Code: MATTITUCK NY 111952 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 X may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes, list agency(s)name and permit or approval: X 3.a.Total acreage of the site of the proposed action? 0.59 acres b.Total acreage to be physically disturbed? 0,00 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.59 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑ Industrial ❑ Commercial N Residential(suburban) ❑ Forest ❑Agriculture ❑Aquatic ❑ Other(specify): ❑Parkland Page 1 of 4 ,j RECEIVED 5 a.sA permitted use under the zoning regulations? JUL 0 3 2025 l NO YES N/A proposed p g g ions? X b. Consistent with the adopted comprehensive plan? im an AMD OE PEALS X 6. Is the proposed action consistent with the predomina c er of the existing built or natural NO YES landscape? X 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: X 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES X b.Are public transportation service(s)available at or near the site of the proposed action? X c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? X 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies. X 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: X ....... ........ ........ 11. Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: X 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? X b. Is the proposed action located in an archeological sensitive area? X 13. a. Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? X b. Would the proposed action physically alter, or encroach into,any existing wetland or waterbody? X If Yes, identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑ 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 rX O 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 X 17. Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, X a. Will storm water discharges flow to adjacent properties? ❑NO❑YES b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO ❑ YES Page 2 of 4 18.Does the proposed action include construction or other activities that rREEMMmpoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? go, H If Yes, explain purpose and size: X 19.Has the site of the proposed action or an adjoining property b-6GNW Q)MhARM%Ft1osed NO YES solid waste management facility? If Yes,describe: X 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: X I AFFIRM THAT THE INFnN�, O"VIDE )ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Date: 6/27/2025 Signature: MARTIN D. FIN 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)? I 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 RECEIVED No,or Moderate 'JUL 0 3 2025 small to large impact impact may may ZONING BOARD OF APPEALS 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. • 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. w..................� - 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 RECEIVED JUL 0 3 2025 LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS ZONING BOARD OF APPEALS 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 shalf 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# 107.00 _02.00 _006.000 The Application has been submitted to (check appropriate response): Town Board Planning Dept. [11 Building Dept. E] Board of Trustees vZONING BOARD OF APPEALS 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital El construction,planning activity, agency regulation, land transaction) 0 (b) Financial assistance(e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: WAIVER OF LOT MERGER. Location of action:3000 GRAND AVENUE, MATTITUCK, NY 11952 (SCTM #1000-107.-2-6) Site acreage:0.59 RECEIVED fil � Present land use:VACANT RESIDENTIAL JUL 0 3 2025 Present zoning classification:R-40 ZONING P APPEALS 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: RANDOLPH J. POLYN (b) Mailing address: 11276 FOOL DUCK AVENUE,WEEKI WACHEE, FL 34613 (c) Telephone number: Area Code ( )631-987-0000 (d) Application number, if any-,_ Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes 1:1 No V If yes, which state or federal agency? DEVELOPED COAST POLICY N/A - MINOR EXEMPT ACTION Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. Yes No V 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 E] Yes 11 No ® Not Applicable �i 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 El Yes D No VNot Applicable L'W 1 RECEIVED AL 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 0 Yes 0 No ® Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria E Yes 0 No V Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. Yes E] No® Not Applicable a, 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. RECEIVED Yes ❑ No'77' Not Applicable JUL 0 3 2025 APPEALS?nfjIRG_8QARQ OF _ 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 F] No Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. LJ Yeo No® Not 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 VED JUL 0 3 2025 Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No V Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through❑65 for evaluation criteria. Yes E] No VNot 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 ® Not Applicable Created on 5125105 11:20 AM t Boland of Zoning Appeals ALIplication �Q RECEIVED OWNER'S NUTHORI ATI N (Where the Applicant is not the Owner) JUL 0 3 2025 ZONING BOARD OF APPEALS I RANDOLPH J. POLYN residing at 11276 FOOL DUCK AVENUE, (Print property owner's name) (Mailing Address) WEEKI WACHEE, FL 34613 do hereby authorize MARTIN D. FINNEGAN (Agent) & FINNEGAN LAW, P.C. 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 1S THIE PROPERTY O"' NERD RESPONSIBILITY TO ENSURE CO ..FIANCE WITH THE CODE.REQUIRED TIME FRAME DESCRIBED HEREIN. (Odwnerl Sign to e) RANDOLPH J. POLYN (Print Owner's Name) RECEIVED JUL 0 3 2025 APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM ZONING BOARD OF APPEALS 1he Tawp of Southold'sZ Code of Ethics Dr—obilifts, unfliets 9—f interest on the part of town olficers anA elLiployees.The purpose o this form ia to I!r2vid_v infoLmation whig h can alert the town of possible co flier s of interest and allow it to take what ev2E action i , peceslarytoavoid same. YOURNAME : RANDOLPH J. POLYN (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) WAIVER OF MERGER Planning Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business interest"means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5% of the shares. YES NO X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee. Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) — A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation) B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation) Q an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this d- day of 144-P-6-q 2025 Signature Axjw-� 4, Print Name-RANDOLPH J. POLYN m 7i AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the eart of town officers and employees.The ur ose 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 saute. YOURNAME : MARTIN D. FINNEGAN (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) RECEIVED QU qq TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit JUL 0 3 2025 Variance Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring ZONING BOARD OF APPEALS Other(activity) WAIVER OF MERGER 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. X 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 this 27th Uhl'E 2025 Signature Print Name MARTIN D. FINNEGAN 5 � � �m a 94AT RECEIVE o UIL 3 �02,5 U pl LSp 0 m z Zo '1N EEO 0 V L. 0 n W ��[\� V1 n,Y�lyye. N Lr) 0 JUA a P .. � LU V _ Q .. o CL W W �� u � o J � U' C7 LLLJ N Q 2 2 Z Z O O a J U W " LL LL O L e r 6i rY q � W LLJ - iU Z O J 0. m O f . 01 Q d � IU6 c LL z O W W ..w...'ac. U cy- ,r ,b Z ufi� J Z > d O L F- a �M. 1 J G-J ,.. o Q LU Z W to ... ............. ............... ,..... LLI LLJ ." . N g Z E s �asr Q v o 6 0o a o ............. V) V) LLI (D LL. LLI 'A CL LI 3, 9L LLI "91 Lr) qa LLJ j C2 O Lu LLJ .......... Q) tA IttCEIVEID LL LL 'JUL 0 3 295 LU 2 m 'OF�PPEALS BOARPj ..... ----- ZoNjNr ................... DL LU V) u-, CZ c LU Li- 0 a] EL — E 0 0 Lo 2 O C) ,xwo w�me�.wNYrc��'v imnwrv4,n.+nm�ro'a,+r»'n'"o✓ a.✓i�wm ..��,eiwi...w.w.w�rvw rr�N�nu wm�m�.wwm✓swg�wxmmo+"+W+u nolFory O.�V wp�;M,g,yWli"�","H'�""A*y'*"""w.uoou�yy�'+wxww�w�oo n.w.rmww —rn+++nf rr +r:oaw�.,. wee vi �e�e rw�.,,.,�.oU ,.,, i�., ,.� e����.... „�,,,,,,,, ",; } � f „ I REC EIVED JUL 0 3 2025 N ZOININ G BOARD MAPPEALIS LL All CL 0 1 r r LL s IJ uS u. F m a�W w, "N J ".% kn 14 �i J i1 I; Ih� ia �41 C.D i g.. I Chicago Title Insurance Services LLC �qq CEIVED TITLE NO: 7404-017629 District: 1000 'JUL 0 3 2025 Section: 107.00 Block: 02.00 ZONING BOAR©OF APPEALS Lot: 006.000 Town of Southold,New York Gentlemen: CHICAGO TITLE INSURANCE SERVICES,LLC hereby certifies to the TOWN OF SOUTHOLD that it has searched the records of the Suffolk County Clerk for deeds affecting the captioned property and properties immediately adjoining and finds: SEE ATTACHED And the records of the Suffolk County Clerk and/or Suffolk County Registrar disclose no other further conveyance of any of the foregoing lots other than as set forth. CHICAGO TITLE INSURANCE SERVICES,LLC certifies that the above-captioned property has been in single and separate ownership by Randolph J.Polyn and his/her predecessors in title since prior to 1956 except as follows: (see attached chains of title). No searches have been made other than as expressly stated above. The Company's liability under this Certificate shall only be to the party to whom it is certified and such liability shall under no circumstances exceed the amount of Twenty-Five Thousand Dollars($25,000.00)and no policy of title insurance can be issued based upon the information contained in the Certificate. Dated: August 8, 2024 CHICAGO TITLE INSURANCE SERVICES, LLC �v .I A U"'4'A Sworn to befo 8 of A 04 o lic INlOTARY PUBLIC,STATE OF NEW YORK Registration No.0131 63 3057 Gwalitic:d iil So-Iffoll: t ounty l� 24 Commerce Drive•Riverhead,New York 11901 • (631)284-2400 • Fax: (631) 727-0606 Chicago Title Insurance Services, LLC RECEIVED TITLE NO. 7404-017629 JUL 0 3 2025 STATE OF NEW YORK) ss: ZONING BOARD OF APPEALS COUNTY OF SUFFOLK) JEAN DUVA,being duly sworn deposes and says: That he/she has had a search made of the records of the County Clerk of Suffolk County with reference to an application for a variance affecting the following premises: S CTM: 1000-107.00-02.00-006.000 That the said records indicate the following chains of title as to premises and adjoining lots since prior to 1956. SUBJECT PREMISES: 1000-107.00-02.00-006.000 Cora D.Newton and Venie B. Benjamin Liber 2906 cp 154 TO Dated: 11/24/1948 Hugh H. Benjamin and Venie B. Benjamin,his wife, Rec'd: 12/17/1948 as tenants by the entirety (premises and more) Subject to a life estate for Fred H. Robinson. Find no proof of death for Fred H. Robinson in Suffolk Surrogates Court. Hugh H. Benjamin and Venie B. Benjamin,his wife Liber 5374 c p 518 TO Dated: 06/29/1963 John A. Polyn and Edna Polyn, his wife Rec'd: 07/08/1963 CHICAGO TITLZ,JE , CE SERVICES,LLC t b Sworn efore r� S A 8 ay of Aug t 2024 -Tqary P NOTARY PLiksUC,STATE OF P�-Vd�'C3r�4C RP—gisti,ation Nio.C'1 s1lW373057 o.u. 'Im ter:in Suff olk coLinty 1" r,� r i€12, 2026 k 24 Commerce Drive • Riverhead,New York 11901 • (631)284-2400 • Fax: (631)727-0606 Soq ,00"*4L W Chicago Title Insurance Services, LLCcl 'vE° Q)e JUL 0 3 2025 John A. Polyn and Edna Polyn, husband and wife Liber 11804 cp 961tONING BOARD OF APPEALS TO Dated: 11/04/1996 Randolph J. Polyn Rec'd: 12/05/1996 Subject to a life estate for John A. Polyn and Edna Polyn. John A. Polyn died a resident of Suffolk County on 06/04/2000, Surrogates File No. 363 S 2000. Edna Polyn died a resident of Suffolk County on 11/05/2000, Surrogates File No. 2012-1734. LAST DEED OF RECORD PREMISES NORTH: 1000-107.00-02.00-005.000 Cora D.Newton and Venie B. Benjamin Liber 2906 cp 154 TO Dated: 11/24/1948 Hugh H. Benjamin and Venie B. Benjamin,his wife, Rec'd: 12/17/1948 as tenants by the entirety (premises and more) Subject to a life estate for Fred H. Robinson. Find no proof of death for Fred H. Robinson in Suffolk Surrogates Court. Hugh H. Benjamin and Venie B. Benjamin,his wife Liber 4903 cp 328 TO Dated: 09/21/1960 John A. Polyn and Edna Polyn, his wife Rec'd: 11/09/1960 CHICAGO TITLE INSURANCE SERVICES,LLC JEA JVA Se�rn ��ore me this ay of ut tqOTA[�V(PUBLIC, 0 B1637, ' 201219 24 Commerce Drive -Riverhead,New York 11901 • (631)284-2400 ■ Fax: (631)727-0606 Chicago Title Insurance Services, LLC RECEIVED John A. Polyn and Edna Polyn,husband and wife Liber 11804 cp 967JUL 0 3 2025 TO Dated: 11/04/1996 Denis A. Polyn and Randolph J. Polyn, tenants in common Rec'd: 12/05/1996 ZONING BOARD OF APPEALS Subject to a life estate for John A. Polyn and Edna Polyn. John A. Polyn died a resident of Suffolk County on 06/04/2000, Surrogates File No. 363 S 2000. Edna Polyn died a resident of Suffolk County on 11/05/2000, Surrogates File No. 2012-1734. Denis A. Polyn and Randoph J. Polyn, tenants in common Liber 13236 cp 349 TO Dated: 01/23/2024 Andrea Provvisiero and Angelo Provvisiero,husband and Rec'd: 02/15/2024 wife LAST DEED OF RECORD PREMISES EAST: 1000-107.00-02.00-004.002 Cora Newton and Venie B. Benjamin Liber 2431 cp 367 TO IDated: 03/19/1945 Joseph Michalecko and Josephine Michalecko Rec'd: 03/26/1945 (premises and more) Joseph Michalecko died a resident of Suffolk County on 01/01/1970,Surrogates File No. 130 A 70. Josephine Michalecko, Liber 7084 cp 284 TO Dated: 01/05/1972 Salvatore C. Raia and Sarah Raia,his wife Rec'd: 01/11/1-972 (premises and more) Find no proof of death for Salvatore C. Raia in Suffolk Surrogates Court. CHICAGO TITLE INSURANCE SERVICES, LLC A—I JE D'VA Sworn to re nx 8 ay of Au ;2024 m Notary Publ Qualified S ':6'rUK ARP' ti rsmrni�.sicj � r t it 24 Commerce Drive • Riverhead,New York 11901 • (631)284-2400 • Fax: (631)727-0606 RECEIVED �()qV Chicago Title Insurance Services, LLC um JUL 0 3 2025 Sara Raia, as survivor Liber 8803 cp 125 ZONING BOARD OF APPEALS TO Dated: 01/24/1980 Louis Raia and Gaetana F. Simonelli,tenants in common Rec'd: 04/07/1980 (premises and more) Louis Raia and Gaetana F. Simonelli,tenants in common Liber 9485 cp 442 TO Dated: 08/12/1983 Gregory Simonelli and Gaetana F. Simonelli, his wife Rec'd: 12/10/1983 (premises and more) Gregory Simonelli and Gaetana F. Simonelli Liber 11048 cp 186 TO Dated: 01/19/1990 Gregory Simonelli Rec'd: 04/09/1990 (premises and more) Gregory Simonelli Liber 11745 cp 849 TO Dated: 09/27/1995 Jesse J. Gaffga and Jennifer Anne Kruse, Rec'd: 10/13/1995 tenants in common LAST DEED OF RECORD PREMISES SOUTH: 1000-107.00-02.00-007.000 Cora D.Newton and Venie B. Benjamin Liber 2906 cp 154 TO Dated: 11/24/1948 Hugh H. Benjamin and Venie B. Benjamin, his wife, Rec'd: 12/17/1948 as tenants by the entirety (premises and more) Subject to a life estate for Fred H. Robinson. Find no proof of death for Fred H. Robinson in Suffolk Surrogates Court. CHICAGO TITLE INSURANCE SERVICES,LLC JE UVA Sworn b rc �h' ay of Au 024 Votary�Publi 0` 24 Commerce Drive • Riverhead,New York 11901 • (631)284-2400 • Fax: (631)727-0606 Chicago Title Insurance Services, LLC RECEIVED JUL 0 3 2025 Hugh H. Benjamin and Venie B. Benjamin,his wife Liber 5521 cp 447 TO Dated: 03/31/196 ONING BOARD OF APPEALS Stephen Marshall Simons Rec'd: 04/01/1964 Stephen Marshall Simons Liber 11775 cp 639 TO Dated: 05/14/1996 Stephen Marshall Simons and Roberta P. Simons, his wife Rec'd: 05/28/1996 Find no proof of death for Stephen Marshall Simons in Suffolk Surrogates Court. Roberta P. Simons, as surviving spouse Liber 12744 cp 304 TO Dated: 07/17/2013 The Roberta.P. Simons Revocable Trust u/a/d 7/17/2023 Rec'd: 09/13/2013 Roberta P. Simons, as Trustee The Roberta P. Simons Revocable Trust u/a/d 7/17/2023 Liber 13091 cp 70 Roberta.P. Simons, as Trustee Dated: 07/28//2020 TO Rec'd: 02/16/2021 Wayne E. Sailor, as Trustee of the Roberta P. Simons Irrevocable Trust dated 7/23/2020 Wayne E. Sailor, as Trustee of the Roberta P. Simons Liber 13204 cp 258 Irrevocable Trust dated 7/23/2020 Dated: 05/31/2023 TO Rec'd: 06/05/2023 Wayne E., Sailor LAST DEED OF RECORD PRENUSES WEST: GRAND AVENUE CHICAGO TITLE IN I' CE SERVICES, LLC JiEA A Sworn to efbrc 8 ay of Augu , 024 Or"oeN m a ww,.wrBk aw 24 Commerce Drive • Riverhead,New York 11901 + (631)284-2400 Fax: (631)727-0606 NAI[•ol A.S. DINp-7p11 M,-"&'Rib]d.n O.-0 it '*Of III'OM'691.84-*MM 1PN A.41dh'H."I Iw�wa y/I R0 ) Jill,1. ` /JLn/i[/ 1 #26 ? Y " krrrt S 1 R.S�,,,,lbruf 90yq Made the 24th day of November Mneteen Hrandred and Forty-eight RECEIVED l;rtiverae CGRA D. IXEWIi'UI• of 1C17 Bayview xv:nue, Inwood, New York, and VL'NU B. BK JAMjjN, of Wattituek, Suffolk County, New York, JUL 0 3 2025 u a y ZONING BOARD OF APPEA P parties of the Just part, and BUGB Ii. BF,I jAh.•ilN and VENIE B. BENJIMN, his wife, as tenants by the entirety, residing at Mattituck, Suffolk County, idew York, k part 1 es of the second part;. won'tthat the parties of the first art )r� don ht' One exact GG/'3.t�D------------------ (it ,� , s eratEor� of, p Y.00 ------------------Dollar yy ratio'money of t�s tlrrtted utatas,�and onhar good and rrrm,lueble ooaaalderation paid by the partial of the seaorrd dart„ ar 18 it � r��ss' r r a xrties o/the second part, end t1le parr vigor of such / dl that tract or pgroel or 1&nd ,with the buildings and improvements thereon, situate near Mattituck, In the Town of Southold, County of Suffolk, and State of New York, bounded and described as follows. westerly and Northerly by the high- way sometiwes called Grand Boulevard and sometimes known as Bridge Road; Easterly and Southerly by land of Joel iIichalecko, containing by estimation 2 1/2 acres, be the same raore or less. S,,.daad N,Y.B.T.U.F.mg001.8-62-20M—Buffalo and Sale Deed,with C—.-ag4 Ga . .A.—IMMdwl-C.ep.ead... CONSULT YOUR LAWYE STONING THIS,INETIg MEW—THIS INSTRUMENT SHOULD 41 Y, 'f LAWYERS ONLY. 1105:374 PbcE510 U.S.I.R.S...AVA.sZ— THIS INDENTURE,made the 29th day,of June ,nineteen hundred and sixty-three v BETWEEN LTJGH H. BENJAMTN and VENIE B. BENJAMIN, his wife,, residing at -" Mattituck, Town of Southold, Suffolk County, New York, " F 'EIV'ED i� JU 0 3 2025 party of the first part,and JOHN A. POLYN and EDNA POLYN, his wife, residing at 44 St.- Marks s place, New York 3, New York, ZONING 131 1ARD OF APPEALS party of the second part, WUNF-ASETH,that the party of the first part,in consideration of One and 00/100------------- ----------------------------------------------------($ 1.00 } dollars, lawful money of the United States,and other good`and valuable consideration paid S by the party of the second part,does hereby grant and release unto the party of the second part,the heirs or successors and assigns of the party of the second part forever, ALL that certain plot,piece or parcel of land, situate, lying and being iMMIX at Mattituck, Town, of Southold, Suffolk County, New York, bounded and described as follows: BEGINNING at an iron pipe on the easterly line of Grand Avenue 100.0 feet southerly along said easterly line from the southeasterly line of Grand Avenue; said point of beginning being the southwesterly corner of land conveyed by the party of the first part to Polyn; from said point of beginning running along said land of Polyn, N. 780 151 0011 E.-217.80 feet to an iron pipe and land of Michaleoko; thence along said land of Michalecko, S. 12°,40t 30" E.-116.93 feet to an iron pipe; thenoe along land of the party of the first part, S. 78° . 081 10t1 W.-221.35 feet to an iron pipe on said easterly line of Grand Avenue; thence along said easterly line of Grand Avenue, N. 100 56U 4011 W.-117.37 feet to the point of BEGINNING.' BEING AND INTENDED TO BE•part of the premises oonveyed to.Hngh, w H. .Benjamin and Volt a B« Benjamin his Wife b" deed from 0ora Do Newton and V"innie B. Benjamin by deed datedp November 24, 1948 and recordedXX DDeoember 17,' 1948. in LiDler;290 ofd a' 15'P � y Farm 8007.8-88 5M—nargain and Salo Dnnd,with Covenant against Grantor's ACLs—Individual or Corporation. CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. THIS INDEN URE9 made the "Jt4� day of November .nineteen hundred and ninety-six BETWEEN JOHN A. POLYN and EDNA POLYN, husband and wife, both residing at Pq/^� 2900 Grand Avenue, Mattituck, New York, f(/ DISTRICT SECTION BLACK LOT q t A q 0 party of the first part,and RANDOLPH J. POLYN, residing at 31-56 36th Street, Astoria, New York 11106, RECEIVED JUL 0 3 2025 party of the second part, ZONING BOARD OF APPEALS WITNESSEPH, that the party of the first part,in consideration of TEN AND 00/100-------------- ------------------------------------($10.00)--_----------------_-- ......,.---dollars, lawful money of the United States, and other good and valuable consideration paid by the party of the second part, does hereby grant and release unto the party of the second part, the heirs or successors and assigns of the party u[ the second part forever, .AXAAIkicxidFl�xHAH3rh[a�fX>� xfA8HxHA$ ix ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being iltt * x at Mattituck, Town of Southold, Suffolk County, New York, bounded and described as follows: BEGINNING at an iron pipe on the easterly line of Grand Avenue 100.0 feet southerly along said easterly line from the southeasterly line of Grand Avenue; said point of beginning being the southwesterly corner of other land of Polyn; from said point of beginning running along said other land of Polyn, North 78a 15' 00" East 217.80 feet to an iron pipe and land now or formerly of Michalecko; THENCE along said land of Michalecko, South 12a40' 30" East 116.93 feet to an iron pipe; THENCE along land now or formerly of Benjamin, South 78a08' 10" West 221.35 feet to an iron pipe on said easterly line of Grand Avenue; THENCE along said easterly line of Grand Avenue, North 10' 56'40" W. 117.37 feet to the point of BEGINNING. TAXI IA BEING AND INTENDED TO BE the same premises conveyed to the party of the first DINIGNA'[I')N part by deed dated June 29, 1963, and recorded in Suffolk County Clerkl's Office J)', 1000 on July 8, 1963 in Liber 5374, Page 518. 107.00 SUBJECT to the life use of the premises by the grantors, JOHN A. POLYN and EDNA POLYN. Illk 02.00 I,.0 006.000 RECORDED .w 5 tw6 QM OF �w �E 4oNtlLp It LAWT 16 1a'ittiMYttloTHis1NfiWrllR.THISINSTRUMENTSHOULD21usm BY LAWYERS ONLY I Of D L w THM ilmE nMX. .lct1C / dayad' September,nineteen hundred and A BETWEEN MGH H. BINJAMIN and VERIE B. BA.TAKIN, his wife, residing at Mattituok, Town of Southold, County of Suffolk and State of Now York, II.S.f.IL "Yil party of the first part,and JOBN A. POLYN and FXKA POLYN, his wife, residing at 44 St. Markle Place, Now York 3, Now York, RECEIVED JUL 03 2025 t party of the second part, ZONING BOARD OF APPEALS WITNESSETH,that the party of the first part,in consideration of.One and 00/100--------- --• ( 1.00 ) dollars, j, lawful money of the United States, and other good and valuable cons lderationpaid by the party of the second part,does hereby giant and release unto the party of the second part the heirs or & successors and assigns of the party of the second part forever, aG ALL that certain plot,piece or parcel of land,with the buildings,and improvements thereon erected,situate, Etl lying and being laultet at Mattituek, Town of Southold, Suffolk County, New !� York, bounded and described as follows: BEGINNING at a point on the southeasterly side of Grand Avenue which point of beginning is where the westerly side of land now or formerly of Michalecko intersects the southeasterly side of Grand i Avenue; thence along the westerly side of land of Michalecko, South le 401 30n East 250 feet to other land of Benjamin; thence along other land of Benjamin, South 780 151 West 217.80 feet to the easterly side of Grand Avenue; thence along thw easterly side of Grand Avenue, r' North 10' 561 40" West 100 feet to a monument set in the easterly side ;'rn{ of Grand Avenue at the point of curve in said Avenue; thence along _ 1 the southeasterly side of Grand Avenue, North 43e Olt 1011 East 259.98 a� feet to the point or place of beginning. l Form 8007.8-88 SM—li-gory and`Jul.n.ed,wlth Covenant against Granter's Act,—Individual or Corporation. « CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. THIS INDENTURE,made the /^day of November ,nineteen hundred and ninety—six BETWEEN JOHN A. POLYN and EDNA POLYN, husband and wife, both residing at �Q 2900 Grand Avenue, Mattituck, New York 11952, �q�C DISTRICT SECTION BLOCK LOT E1 HU party of the first part,and DENIS A. POLYN, residing at 11 Lancashire Way, Pittsford, New York, and RANDOLPH J. POLYN, residing at 31-56 36th Street, Astoria, New York, (� as Tenants in Common, RECEIVED J U L 0 3 2025 party of the second part, WITNESSETH,that the party of the first part,in consideration of TEN AND 00/100-------------- _________________Z II ING BOARD OF APPEALS --------------------------------($10.00)---------------- tfdla lawful money of the United States, and other good and 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 parcel of land, with the buildings and improvements thereon erected, situate, lying and beingiimX re at Mattituck, Town of Southold, Suffolk County, New York, bounded and described as follows: BEGINNING at a point on the southeasterly side of Grand Avenue which point of beginning is where the westerly side of land now or formerly of Michalecko intersects the southeasterly side of Grand Avenue; THENCE along the westerly side of land now or formerly of Michalecko, South 12° 40' 30" East 250 feet to other land of Polyn; THENCE along said land, South 78e 15' West 217.80 feet to the easterly side of Grand Avenue; THENCE along the easterly side of Grand Avenue, North 10* 56' 40" West 100 feet to a monument set in the easterly side of Grand Avenue at the point of curve in said Avenue; THENCE along the southeasterly side of Grand Avenue, North 43' 01' 10" East 259.98 feet to the point or place of BEGINNING. TAXA1AP BEING AND INTENDED TO BE the same premises conveyed to the party of the first 1)1:<IGNXI[ON part by deed dated September 21, 1960, and recorded in Suffolk County Clerk's UFI. 1000 Office on November 9, 1960 in Liber 4903, Page 328. S.„ I SUBJECT to the life use of the, premises by the grantors, JOHN A. POLYN and 107.00 EDNA POLYN. 111t, 02.00 I„llxu 005.00 RECORDED IL g 1q RECEIVED JUL 0 3 2025 I IIIIIII IIII IIIII IIIII IIIII IIIII IIIII 11111111111111 111kONING BOARD OF APPEALS IIIIIIillllllllllllllllll �-�� SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 02/15/2024 Number of Pages: 4 At: 11 :37 :58 AM Receipt Number : 24-0019559 TRANSFER TAX NUMBER: 23-19971 LIBER: D00013236 PAGE: 349 District: Section : Block: Lot: 1000 107 . 00 02 . 00 005. 000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $680, 000 . 00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $20 . 00 NO Handling $20 . 00 NO COE $5. 00 NO NYS SRCHG $15. 00 NO EA-CTY $5. 00 NO EA-STATE $125. 00 NO TP-584 $5. 00 NO Notation $0. 00 NO Cert.Copies $0. 00 NO RPT $200. 00 NO Transfer tax $2,720. 00 NO Comm.Pres $12,000. 00 NO Fees Paid $15, 115.00 TRANSFER TAX NUMBER: 23-19971 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL VINCENT PULEO County Clerk, Suffolk County RECORDED RECEIVED Toy Numberof pages 2024 Feb IS 11:37:53 R14 VINCENT PULED CLERK OF JUL 0 3 2025 This document will be public SUFFOLK COUNTY record. Please remove all L OD0013236 Social Security Numbers P�`4 4_ ZONING BOARD OF APPEALS prior to recording. DTt« 21 19,r1 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps S FEES Page/Filing Fee � mm Mortgage Basic Ta Amt 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. �.- or EA-5217(County), Sub Total � � Spec./Add. EA-5217(Stale) TOT,MTG.TAX Dual Town Dual County R.P.T.5,A. / Held for Appointment Comm,of Ed. 5. 00 - , Transfer Tax : — Affidavit 6 ' Mansion Tax The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES or NO Other .M Grand Total If NO,see appropriate tax clause on page# of this Instrument. - a3-a 4 Dist.100i 2400544f logo 10700 0200 005000 ) 5 Community Preservation Fund Real Property P T S Consideration Amount . Tax Service R CGR A t I �IpN®IWI� tl Agency !lIIIIWWW UUUWWW I CPF Tax Due $ (20 Verification Improved 6 Satisfactions ds.charges/Reieases List Property owners Mailing Address RECORD&RETURN TO: Vacant Land TO v Ls+-la cuc v- N TD t �- ieivuKcca TO Mail to: Vincent Puleo, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name �k--C,,QOl p0� www_suffolkcountyny.gov/clerk Title,# LeqI- - O LALpoq s Suffolk County Recording & Endorsement P6ge This page forms part of the attached t made by: (SPECIFYTYPE OF INSTRUMENT) PO) The premises herein is situated in SUFFOLK COUNTY, NEW YORK.. TO In the TOWN of � ' `o (jVw31Q1'0 In the VILLAGE V ) ero or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING, v, 1 Bargain and Sale Deed with Covenant against Grantor's Acts-Individual or Corporation(Single Sheet) q0qq CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY cWo.9 RECEIVED THIS INDENTURE,made the �.3 day of January in the year 2024 BETWEEN JUL 0 3 2025 Denis A.Polyn and Randolph J.Polyn,as Tenants in Common Residing at 2900 Grand Avenue,Mattituck,NY 11952 party of the first part,and ZONING BOARD OF APPEALS )kndrea Provvisiero and Angelo Provvisiero I Pcus ba ick-4 Residing,at 159 Howard Beach NY 11414 pity of the second part, WIITNESSETH,that the party of the first part,in consideration of Ten Dollars and other valuable District: consideration paid by the party of the second part,does hereby grant and release unto the party of 1000 the second part, the heirs or successors and assigns of the party of the second part forever, Section: 107.00 ALL that certain plot,piece,or parcel of land,with the buildings and improvements thereon Blk: erected,situate,lying and being in 02.00 Lots: SEE SCHEDULE"A"ATTACHED 005.000 BEING and intended to be the same premises conveyed to the party of the first part by deed dated 11/4/96 recorded 12/5/96 in Liber 11804 Page 967,made by John A. Polyn and Edna Polyn, husband and wife in Suffolk County Clerk's Office. PREMISES KNOWN AS: 2900 Grand Avenue,Mattituch,NY 11952 TOGETHER with all right,title,and interest,if any,of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof;TOGETHER with 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 whatever,except as aforesaid. AND the party of the first part,in compliance with Section 13 of the Lien Law,covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose. The word"party'shall be constructed as if it read"parties"whenever the sense of this indenture so requires. IN WITNESS WHEREOF,the party of the first part has duly executed this deed the day and year first above written. IN PRESENCE OF: NJ Dead A.Polyn Randolph J.Polyn First American Title Insurance Company Title Number: 641-S-046t14 Page 1 SCHEDULE A DESCRIPTION ALL that certain plot piece or parcel of land, situate, lying and being at Mattituck, Town of Southold, Suffolk County, New York, bounded and described as follows: BEGINNING at a point on the southeasterly side of Grand Avenue which point of beginning is where the westerly side of land now or formerly of Michalecko intersects the southeasterly side of Grand Avenue; THENCE along the westerly side of land now or formerly of Michalecko, South 12 degrees 40 minutes 30 seconds East 250 feet to other land of Polyn; THENCE along said land, South 78 degrees 15 minutes 00 seconds West 217.80 feet to the easterly side of Grand Avenue; THENCE along the easterly side of Grand Avenue, North 10 degrees 56 minutes 40 seconds West 100.00 feet to a monument set in the easterly side of Grand Avenue at the point of curve in said Avenue; THENCE along the southeasterly side of Grand Avenue, North 43 degrees 01 minutes 10 seconds East 259.95 feet to the point or place of BEGINNING. RECEIVED JUL 0 3 2025 ZONING BOARD OF APPEAL` 1 STATE OF NEW YORK RECEIVED COUNTY OF SUFFOLK ss: On the 9th day of January the year 2024 before me,the undersigned,a Notary Public in and for said State,personally appeared Randolph J.Polyn JUL 0 3 2025 personally,known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s)is(are)subscribed to the within instrument and acknowledged to me ZQNING BO that he/she/they executed the same in his/her/their capacity(ies),and that by his/her/their ARC OF APPEALS signature(s)on the instrument,the individual(s),or the person upon behalf of which the individual(s),or the person upon behalf of which the indi us]($)acte uted the instrument. DINA M, Obi yf E TARY PUEI.IC,SPATE OF NEW YORK Notary Public ntl VWd e9k asion E-pl STATE OF FLORIDA ) COUNTY OF*epro^ 5na )ss: On the i O day of January in the year 2024 before me the undersigned,personally appeared Denis A.Polyn personally known to me or proved to me on the basis of satisfactory evidence, to be the individual(s)whose name(s)is(are)subscribed to the within instrument and acknowledged to me that(he)(she)(they)executed the same in(his) (her) (their)capacity(y)(ies), and that by(his)(her)(their) signature(s)on the instrument,the individual(s)or the person upon behalf of which the individual(s)acted,executed the instrument,and that such individual(s) made such appearance before the undersigned in the (add the city or political subdivision and the state or country or other place the acknowledgment was taken). JOAN t •" ,t�Caary Pub ic•Stsrs of FNorids f Commro�IOs�an 0 F4H 39939 Notary Public a %Ay Commission ExpOres Setsmiasr 07, 0d BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS Title No. 641-S-04604 Peconic Abstract,Inc. Denis A.Polyn and Randolph J.Polyn,as Tenants in Common District:1000 Section: 107.00 Block:02.00 -to- Lot(s): 005.000 Town/County:Mattituck /Suffolk Andrea Provvialero and Angelo Provvisiero Record&Return to: k CLvc'1 4aqf11 F s'�' t xQ V 0SA-C, CDuV4- 2�VQVhSUAW itgo � ll Town of Southold 10/9/2024 SIM P.O.Bog 1179 53095 Main Rd RECEIVED Southold,New York 11971 'JUL 0 3 2025 CERTIFICATE OF OCCUPANCgoNING BOARD OF APPEALS No: 45640 Date: 10/9/2024 THIS CERTIFIES that the building ELECTRICAL Location of Property: 2900 Grand Ave,Mattituck SCTM#: 473889 Sec/Block/Lot: 107.-2-5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/7/2024 pursuant to which Building Permit No. 50315 dated 2/7/2024 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: 200 amp overhead electric service upgrade and lighting,in living Room& Ist floor bathroom. The certificate is issued to Provvisiero,Andrea of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 50315 9/18/2024 PLUMBERS CERTIFICATION DATED uthoriz:erl i t l FORM NO. 4 RECEIVED TOWN OF SOUTHOLD BUILDING DEPARTMENT JUL 0 3 2025 Office of the Building Inspector Town Hall Southold, N.Y. ZONING BOARD OF APPEALS CERTIFICATE OF OCCUPANCY No Z-23010 Date MAY 23, 1994 THIS CERTIFIES that the building FOUNDATION & ADDITION Location of Potiert 2900 GRAND AVENUE MATTITUCK N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 107 Block 2 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 24, 1990 pursuant to which Building Permit No. 19055-Z dated MAY 2901 1990 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 NEW FOUNDATION & ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHN A. & EDNA POLYN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-273295 - APRIL 21, 1993 PLUMBERS CERTIFICATION DATED N/A euilding Inspector Rev. 1/81 TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 latt s://%v %v. oittlioldLo viiii . o% pp Date Received BUILDINGAPPLICATION FOR o � For Office use only RECEIVED PERMIT NO. Building Inspector., w- _ _ JUL 0 3 2025 Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an ZONING BOARD OF APPEALS Owner's Authorization form(Page 2)shall be completed. Date:3/21/2025 OWNER(S)OF PROPERTY: Name:RANDOLPH J. POLYN SCTM# 1000-107.00-02.00-006.000 Project Address:3000 GRAND AVENUE, MATTITUCK, NY 11952 Phone#:631-987-0000 I Email: IAM2NDSON@GMAIL.COM Mailing Address: 11276 FOOL DUCK AVENUE, WEEKI WACHEE, FL 34613 CONTACT PERSON: Name: MARTIN D. FINNEGAN, ESQ.. Mailing Address: PO BOX 1452, 13250 MAIN ROAD, MATTITUCK, NY 11952 Phone#:631 -315-6070 Email:MFINNEGAN @NORTHFORK.LAW DESIGN PROFESSIONAL INFORMATION: Name:SECCAFICO LAND SURVEYING PC Mailing Address:500 MONTAUK HIGHWAY, MORICHES, NY 11955 Phone#:631-878-0120 Email:PSECCAFICO@OPTONLINE.NET CONTRACTOR INFORMATION: Name:N/A Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: Other WAIVER OF MERGER $0.00 Will the lot be re-graded? ❑Yes BNo Will excess fill be removed from premises? ❑Yes igNo 1 PROPERTY INFORMATION Existing use of property:RESIDENTIAL VACANT LAND Intended use of property:RESIDENTIAL VACANT LAND Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to R_4 o this property? ❑Yes 9 No IF YES, PROVIDE A COPY. 8 Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water Issues as provided by Chapter 236 of the Town Code. APPLICATION IS HEREBY MADE to the Building Department for the Issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold,Suffolk,County,New York and other applicable Laws,Ordinances or Regulations,for the construction of buildings, additions,alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code, housing code and regulations and to admit authorized Inspectors on premises and In building(s)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210AS of the New York State Penal Law. ApplicationY(P ) g Submitted B (print name): I3Authorized Agent ❑Owner Signature of Applicant: _W" Date: 3/21/2025 �q RECEIVED STATE OF NEW YORK) SS: 'JUL 0 3 2025 COUNTY OF SUFFOLK MARTIN D. FI N N EGAN being duly sworn, deposes and sa�' AWf-,WAM06pvbippAA_,, (Name of individual signing contract) above named, (S)he is the AG E NT/ATTORNEY (Contractor,Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his/her knowledge and belief; and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this day of MARCH , 20 25 d Notary Public PROPERTY OWNER AUTHORIZATION ANNALISE OUELLETTE NOTARY PUBLIC-STATE OF NEW YORK (Where the applicant is not the owner) No.01 OU6409457 Qualified in Suffolk County My Commission Expires 09-28-2028 I, residing at do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Print Owner's Name 2 RECEIVED B11ilding,Devartment Anplication 'JUL 0 3 2025 ZONING BOARD OF APPEALS AUTHORIZATION (Where the Applicant is not the Owner) I RANDOLPH J. POLYN residing at 11276 FOOL DUCK AVENUE, (Print property owner's name) (Mailing Address) WEEKI WACHEE, FL 34613 do hereby authorize MARTIN D. FINNEGAN (Agent) & FINNEGAN LAW, P.C. to apply on my behalf to the Southold Building Department. 1/10 YOLWV aS (Owner's Si tuts) It (Date) RANDOLPH J. POLYN (Print Owner's Name) ... RECEIVED 1AA JUL 0 3 2025 FINNEGAN LAW, P.C. ZONING BOARD OF APPEALS 13250 MAIN ROAD P.O. BOX 1452 MATTITUCK,NEW YORK 11952 (631) 315-6070 MARTIN D. FINNEGAN, ESQ. MFINNEGAN@NORTHFORK.LAW By Hand June 30, 2025CI Ms. Leslie Kanes Weisman, Chairperson J'JL 0 Town of Southold Zoning Board of Appeals 54375 Route PO Box 1179 25 O9 NG,B AR OF ,EA Southold, NY 11971-0959 Re: Waiver of Merger Application Premises #1: 3000 Grand Avenue, Mattituck, NY 11952 Owner: Randolph J. Polyn SCTM #1000-107.00-02.00-006.000 (Vacant Land) Premises #2: 2900 Grand Avenue, Mattituck, NY 11952 Owner: Andrea and Angelo Provvisiero SCTM #1000-107.00-02.00-005.000 (Improved) Dear Chairperson Weisman and Members of the Board: With respect to the above-referenced Waiver of Merger application, enclosed please find a check made payable to the Town of Southold in the amount of$2,000.00 representing the required filing fee and an original and seven (7) copies of the following documents for your review: 1) Notice of Disapproval dated May Ist, 2025. 2) Copy of Building Permit Application with Single and Separate Search and corresponding deeds. 3) Waiver of Lot Merger Application. 4) Lot Waiver Questionnaire and Questionnaire Form. 5) Agricultural Data Statement. 6) Short Environmental Assessment Form. 7) Local Waterfront Revitalization Program Consistency Assessment Form. 8) Owner's Authorization. 9) Transactional Disclosure Forms for Applicant and Agent. 10) Assessor's Property Record Cards for both properties. 11) Certificates of Occupancy for Lot 5. 12) Eight (8) survey prints prepared by Nathan Taft Corwin III Land Surveyor dated 5/ 16/2025 for Lot 6. Kindly advise if you require any further documentation to place this matter on your next available agenda for a public hearing. Thank you for your consideration. Very t urs, Z!Ihnegar So MDF/ao RECEIVED Encl. 'JUL 0 3 2025 ZONING BOARD OF APPEALS RECEIVED JUL 0 3 2025 ZONING BOARD OF APPEALS lee �& � N O � V G� Wa O ZF }a C7 0 O Z o Y o w Lij o� �¢w a� Y mul❑ Qaw u_ Z r sroNe O Z <w MON CONc � o FD COVERS p Z AG GAS O 650 LLJ STANK 0 52.SS'WELLass Ei Z Z o HEAD m 1Z STY m W NAS X FIR RESCE NETAF o co❑ > 3 STOOP #29W ❑sEm SHED a t' tar oa w Q C�a O� m w Z z S � ts.r � �� Q DST DRIVEWAY o comet Sloop [� 21-9 O N Cd Z PIPE m FD NO FOSS. FD O �- W t S 78'15'00"W 217-W N/F POLYN DESCRIBED PARCEL SITUATE AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY,NEW YORK CERTIFIED TO:ANDREA PROVVISIERO AND ANGELO PROVVISERO FIRST AMERICAN TITLE INSURANCE COMPANY FAIRWAY INDEPENDENT MORTGAGE CORPORATION M� k°. 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