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Home My WebLink About1000-54.-7-21.1 APPLICATION FOR APPROVAL OF PLAT To the Planning Board of tim To~vn of Southold: The undersigned applicant hereby applies for (tentative) (final)approvalofasubdivision plat in accordance xvlth Article 16 of the Town Law and the Rules and Regulations of the Soutbold Toxvn Planning Board, and represents and states as follows: 1. The applicant is the owner of record of the land under application. (If the applicant i~ i~'ot the owner of record of the land under application, the applicant shall state his interest in said land under application.) 2. The name of the subdivision is to be .... 5,.~.~.,} [,..I..~...C.0}~,/....~4..A..~' ................... ~) The entire land under application is described in Schedule "A" hereto annexed. (Copy of deed suggested.) 4. The land is held by the applicant under deeds recorded in Suffolk County Clerk's office as follows: L ber .... 1.1. 3. ......... Page .... 6. . .). .5 ....... On ....6./.a.0../9.7. ...... Liber ........................ Page ...................... On ....................... Liber ........................ Page ...................... On ....................... ; Liber ........................ Page ...................... On ....................... ; Liher ........................ Page ...................... On ....................... ; as devised under the Last \Viii and Testament of ....................................... or as distributee ........................................................................ 5. The area of the land is ..~..qolh.'/.~ ...... acres. 6. All taxes which are liens on the land at the date hereo[ have been paid except J~0..~,~.... The land is encnmbered by .... CIO. O, .~. ................................................. mortgage (s) as follows: (a) Mortgage recorded in Liber .............. Paffe .................. in oriffinal amonnt of $ .............. unpaid amount $ ................. behl by ...................... .............. address ......................................................... (b) Mort2'ag-e recorded in Liber ......... Page ....................... in origin31 amount of .............. unpaid amount $ .................... held by ...................... .............. address ................................................... (c) Mortgage recorded in Liber .............. Page ................ in original amolmt of .............. unpaid amount $ ...................... held by ...................... ...................... address ......................................................... 8. There are no other encumbrances or liens against the land except ... I'~.0..~..~. ............ 9. The land lies in the following .zoning use districts .. t~t.?.~.,. .............................. i0. No part of the land lies under water whether tide water, stream, pond water or otherxvise, ex- cept ... ~ O.r3..~.. ...................................................................... 11. The applicant shall at his expense install all required public improvements. 12. The land do(...~.~) (doJr,,,-~;) lie in a \Vater District or Water Snpply District. Name of Dis- trict, if within a District, is ....~.C.....W...~. .............................................. and (a) (no) charge will be made for installing said mains. 14. Electric lines and standards will be iustalled by . .... ?-~.~.~ ~5~r.~i,~ ........................ ..................................... and (a) (no) charge will be made for installing' said lines. 15. Gas mains will be installed by ..... .O~\..0~. ................................................ and (a) (no) charge will be made for installing said mains. 16. If streets shown on the plat are claimed by the applicant to be existing l)ublic streets in the SuffOlk County Ilighway system, annex Schednle "B" hereto, to show same. ~ I[ streets shown on }.he plat are claimed by the al)plicant to be existing public streets in the Town of Southold I lighway system, annex .qchednle "C" hereto to shoxv same. 18. There are no existing' bttikliugs or structures <m lite land which aL'e not Iocatcd anll showll on the plat. 19. \Vhere tile plat shoxxs prOl~osed streets which are extensions of streets on adjoinint~ snb- division maps hereto/ore filed, there are no reserve strips at thc cml of the streets on said cxistin;[ ]nal)s at th,cit' COlljnnctions wilh tile proposed streets. 20. In tile course of these proceedings, thc :ll,plicant will o(fcr prmff ~[ title :ts requirt:d hy Sec. 333 ,d the IQ. al Prtqmrty [.aw. ~ S::bmit ;t copy ,ff proposed deed for lots shov,'ing all restricli,ms, covenants, crc. Nchcdulc "l)". 22. The applicant estimates that tbecost of grading and required pnblie improvements will $..)[h.~C.~. as itemized in Schedule "E" hereto atmexed aud reqnests that the matority of the Performance Bond be fixed at .............. years. The Performance Bond will be written by a licensed surety company unless otherwise shoxvn on Schedule "F". (Na~cant) By 6, ~ ............ (Address) STATE OF NEW YORK, COUNTY OF ............. ss: On the ......... day of .... , I9,. ..... , before me personally came ''''"~'/[~:'~ ................... ~1'~"~' V to me known to be the individual described in and who executed the foregoing instrument, and acknowledged that ...'~3'12~L-~... executed the same. CAMI~ LUCARINI Nota~ Public, State of New York No, 4910722 Qualified in Suffolk County STATE OF NEW YORK. COUNTY OF ............................ ss: Oo the ................ day ............ of .............. , 19 ....... before me personally came ....................... to me koown, who being by me duly sworn did de- pose and say that ......... '... resides at No .............................................. : ...... ............................ that .......................... is the .......... .................. of ......................................................................... the c(,rporation described in and which executed the forcgoi.g i.strumcnt: that ............ knows the ~eal of said corp.ration; that the seal a[fixed by order (,i ll~c board .[ directors oi said corporation Notary Pnblic CONSENT Re: SCTM # 1000-54-7-21.1 4395 Horton Lane, Southold, NY I, Julia Conway residing at 4395 Horton Lane, Southold, NY, the owner of the above referenced property, consent to my representative, Catherine Mesiano, Inc., to make applications necessary for the approval of a Set-Off from the above referenced property, including but not limited to the Suffolk County Department of Health Services and the Town of Southold Planning Board, and all matters relatingq/theret°' ~ Dated: ,/~, ,2001 Julia Conway Sworn to before me this ~ day of September, 2001 CAMILLE LUCARINI Notary Public, State of New York No. 4910722 Qualified in Suffolk County Commission Expires ti/I1~ [ 0 The Town of Southold's Code of ELhies p~ohibibs inLerest on the parL o£ bown officers an~-e--~_~j~ees. The purpose of this form ks Lo provide information which can alert tile towl~ of_possible co~lflicts of £nterest a~*d allow (If "Other," name the activity.) pcovided. parent, or child is (check all that apply), eil)l lng, 1~ a eorpor~.ton)~ corporation); Southold Town Planning Board Town Hall Southold, New York 11971 Gentlemen: The following Re: statements are offered for your consideration in the review of the above-mentioned minor subdivision and its referral to the Suffolk County Planning Commission: (1) No grading, other than foundation excavation for a residential building is proposed. (2) No new roads are proposed and no changes will be made in the grades of the existing roads. (3) No new drainage structures or alteration of existing structures are proposed. Yours truly, P L A N N I N ~_,,'7'B O'A'R D . TO~N OF SOUTHOLD S U FFO L K '-'CO.U'~TY Southold. N.Y. 11971 (516) 765-1938 QUESTIONNAIRE TO BE COMPLETED AND SUBMITTED WITH YOUR APPLICATIONS FORMS TOTHE PLANNING BOARD Please complete, sign and return to the Office of the Planning Board with your completed applications forms. If your answer to any of the following questions is yes, please indicate these on your guaranteed survey or submit other appropriate evidence. 1. Are there any wetland grasses on this parcel? (Attached is a list of the wetland grasses defined by the Town Code, Chapter 97, for your reference) Yes O 2. Are there any other premises under your ownership abutting this parcel? Yes ~_~ 3. Are there any building permits pending on this parcel? 4. Are there any other applications pending concerning this property before any other department or agency?(Town , State, County, etc.) 5. Is there any application pending before any other agency with regard to a different project, on this parcel? 6. Was this property the subject of any prior application to the Planning Board? 7. Does this property have a valid certificate of occupancy, if yes please submit a copy of same Yes Yes ~ Yes ~ Yes ~ Yes No I certify that the above statements are true and will be relied o~ the Plang~ng Board in considering this application. Sature-oY ~r'op'erty owner or authorized agent 'da'te Attachment estionnaire for the Planning Board STATE OF NEW YORK, On the ~day of came_ individual described and acknowledged that COUNTY OF SUFFOLK, ss: ~1~ , before me personally /~/'/~/~) to me known to be the in and who executed the foregoing instrument, executed the same. CAMILLE LUCARINI Notary Public, State of New York No. 4910722 Qualified in Suffolk County 11836 Cml~, or Ed, 39651, RECEIVED $_ d, RE.ad. ESTATE TP. AN~{~"E fl TAX ~UF~ ' N Dist. Sectlm~ Bio~. Lot 9'/JUt{ 20 PH >'t 0~' ED',VA[<{} P. F~OI'IAIHE CLERi( OF SUFFOLK COUNTY Hold ~er ARxminam~m ,. "'~ Commmv lnfortmtkn 540{5 ~A[E ROAD PO BOX 846 SOUTHOLD NY 11971-0846 FEE P^19 Cash ,, Oleck Chatl~ __ NAivIE: (or if different) ....... 1 · ADDRF.9_~: TO & Endorsement ' TYPIm OF 1 NS'I~.U MENT) Tl~e p~ulses herein · sltua~ in SUF~LK ~U~, HEW YORK. made by: Bz'rwE~.~ .'TOS]::PH H. C*,NWAY a~cT JULTA CC~q~A¥; b~ w:[~.', ze;iding &~ each j)o3sessisg ar undivided ~:~£t¥ p~rcent interest lyinl and ~l~ iff ~ke t~l~ end Town ~ Sou~old, C~ or' ~u~ md ~ ~d d~'7~'a u follows: : Northly by h~ fo~K~ ofRi~ L. P~t~, h~' offC~te~ L ~ ~ now of ~e~ ~1~ now off ~fl~ B. Co.ay; ~ cn ~ W~ p~Y t~ ~ ~: B~F~O~ a pokit, m~ by a ~e~ on t~ w~t~y ~d~ ~ (~o ~to,~ ~ Ho.oh's Point Ro~), w~ p~t is ~ ~ soul~ ".~edy ~ ~ ofl~d now or fo~eflv of Ssi:h; ~ th~, ~o~ ~ weg~y Hne off~'s s~, t~ ~U~W}~ tWO of ~, ,901 in L~:~ 505 ofD~g P~ l 1 ~; ~ ~ce ~o~ :~ ~1) ~e of~ now or fo~ off~s No~h ~2 d~s 31 ~t~ W~t I~62.1S ~ :,~ ~nu~; ~& *! mn~ ~o~ the s~li I~ o~agd 1~ now or for ~i~y of dei~s ~ ~o~ds ] :~t 747.8S ~t to ~e wesl~ly gde ofH~on's ~e ~d 12, tgsi' ~rded Pebm~t 15, 1957 in ~ 4259 ~e 545. whereby the I~ p~.~s~ ~ ~m~d in ~y way whatever, except es aTO~SM~, ~t~,l~d:~ tim for ~e ~r~. of ~ ~ ~ ~t of the :mpmve~t an~ wi ~ I~ .' JuLia Conwa~ to me Imow. to be the ind~vtdua! deK~ibed in and who On the d~y of 19 , before me the .ub~-r~blng witness to Ge fo~ng h~trumem, w~.th wh~ Z ~ ~tm~ly Kq~nt~ w~, ~ me duly s~rn, did ~e and ~y t~it he ~s ~at No. CONWAY %"%; CONWAY Zip H~ "l State Environmental QUality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION (To be completed by Applicant or Project sponsor) SEQR t. APPLICANT'S"ONSOR [ 2. PROJECT NAME 3. PROJECT LOCATION: 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc.. or ~3tovide map) H .5c{5 5. IS PROPOSED ACTION: ~ New ~ Expansion ~ Modif[caflonl~tteration 6. DESCRIBE PROJECT BRIEFLY: 1. AMOUNT OF ~ND AFFECTED: I~ltlally ~. I~ acres Ultimately ~. )~ acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHE~ EXISTING ~ND USE RESTRICTIONS? ~ Yes ~ No If No, describe briefly ~. WHAT IS PRESENT ~ND USE IN VICINITY OF PROJECT? ~ Res{dentiat ~ In~u~,rJal ~ CommerciaJ ~ Agriculture ~ Park/Forest/Open space ~ Olhe~ Describe: 10. ~ES ACTION INVOLVE A PERMIT APPROVA~ OR FUNOtNG, NOW OR ULTIMATELY PROM ANY OTHER GOVERNMENTAL AGENCY (FEDERA~ STATE OR L~A~? ~ Yes ~ No II yes, list agency(s) and permiuapprovais . 11. ~ES ANY A~PE~ OF THE A~IOI4 HAV~ A CURRENTLY VALID PERMIT OR APPROVAL? ~ Yes ~ No If yes, list agen~ name and ~rmJg~pproval 12. AS A RESULT OF PROPOSED ACTION WILL ~ISTING PERMIT/APPROVAL REQUIRE MODIFICATION? ~ Yes ~ NO I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLE~E If the action Is In the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 03/08/02 Transaction(s): Application Fees ReceiptS: 5299 Subtotal $250.00 Cash#: 5299 Total Paid: $250.00 Name: Conway, Joseph& Julia Hodon Lane Southold, Ny 11971, Sctm #1000--54-7-21.1 HAl{ ~L '~ 2002 Southold Town Planning Board Clerk ID: JOYCEW Internal ID: 50858 /~ _~/_ ?_.~i,~OWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET ~. O~ ~' VIL~GE DI~. SUB. LOT ~o~ ow~ N~~ ~ ~. ~C~. ~.~ ~ ~_~ . S W ~PE OF BUILDING 5~ES. ~/~ 5~S. VL~ ~ FARM COMM. CB. M[CS. Mkt. Velue ~ND IMP. I TOTAL DATE R~RKS /, ~ ' v/ ,/ i AGE BUILDING CONDITION NEW FARM NORMAL BELOW ABOVE Value Per Acre Value Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total ~' ~ i ~, ~ DOCK ,/~ ~: ,~ ....:¢~- ?_~.i,~OWN OF SOUTHOLD PROPERTY RECORD CARD OWNER ¥'*~'FoRMER OWNERt'"' '~ ~Es.zW LAND STREET S ( / FARM DATE SEAS. VL IMP. TOTAL NO~AL AGE BUILDING CONDITION NEW FARM VI LLAGE E W COMM. CB. IST. SUB. TYPE OF BUILDING Mkt. Value BELOW ABOVE Value Per / Value Ac re REMARKS LOT Tillable FRONTAGE ON WATER Woodland ' FRONTAGE ON ROAD Meadowland I DEPTH House Plot i ! BULKHEAD T°tai~ '~ i ~" DOCK 10/10/01 RE: Conway Spoke to Cathy Messiano re: application. Told her that PB had reviewed at work session. PB looking at entire property and feels that proposed lot should be clustered in light of the clustering requirements. Messiano said that family proposing set-off for estate purposes. Messiano to discuss clustering with applicant and to get back to me. In addition, discussed potential for dev. right sale with Messiano. Messiano to discuss with applicant. MS CATHERINE MESIANO, INC. 12 MILL POND LANE EAST MORICHES, NY 11940 631-878-8951 September 12, 2001 Planning Board Town of Southold 53095 Main Road Southold, NY 11971 Re: Set-Off application Julia Conway Horton Lane, Southold Soutl~,,~d 'town Planning Board Sir/Madam: I am the agent for Julia Conway, owner of the above referenced property. On behalf of Mrs. Conway, I respectfully submit the enclosed application for a set-off of a 3.3381-acre lot from her +34 acre parcel of land together with the following: 1. Twelve survey maps prepared by Peconic Surveyors, P.C. dated August 1,2001. 2. Filing fee in the amount of $250.00. (check #5299 Joseph Conway/Julia Conway). 3. Form letter regarding drainage, etc. 4. Part 1- Short EAF. 5. Completed Questionnaire. 6. Owner's consent. We request that this application be considered as a set-off because no public improvements will be necessary to create the proposed lot and the applicant wishes to not preclude the future subdivision if the remaining 30-acre parcel. Should you require any further information, please do not hesitate to contact me. Thank you for your attention to this matter. Very truly yours, Catherine Mesiano, President Enclosures South',!~ 'town Planning Board $outholdToWn : ·, Plafinin§ Boa~l :COUNTY, N, ¥. ~ooo-'~4-o"/-,e~.~ I00 0 3~0 100' NIDIF RDTHMAN & MuLLABY Nf~/F EDsTROM N L~T i NIl]IF M. S 47.34'0~' ~ N/rl/F T, & C,ci]NWAY 50' / ¢~% 917.39' S 48°p9'30' ~/ NIl]IF AB2AT/ELLD .SITE DATA - LDT ,i AREA=3,3381 ACRES DR L[2T B t~REA=30, SB97 ACRES F~/dt.f TDPUG~fAPHr. C"H~P FZVE ,E'A~"~EI~N TJ2MN$ ZI~ZN5 DT. STRIC TI gCHDDL 9JSTRICT, SUUTHDLD FI~£ DISTRICT; SDUTHDLD APPLICANT~ g~UTHdL~, N,Y, 11971 VNER~ 4395 HD~T~N'S LANE KEY MAP SCALE¢ 1~=600'