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HomeMy WebLinkAboutTR-6463A • • James F. King, President ��OF SO(/jyO Town Hall Jill M. Doherty,Vice-President ,�O �� 53095 Route 25 P.O. Box 1179 Peggy A. Dickerson Southold,New York 11971-0959 Dave Bergen CA Bob Ghosio,Jr. �0 y00UNTY, �O Telephone(631) 765-1892 Fax(631)765-6641 � � BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0199C Date: May 8, 2007 THIS CERTIFIES that the removal/rebuilding of existing porch, repair roof, repair siding, and replace doors and windows to existing dwelling. At 29 Sage Boulevard, Greenport, New York Suffolk County Tax Map # 53-5-12.6 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 10/16/06 pursuant to which Trustees Permit# 6463A Dated 10/18/06. Was issued, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for removal/rebuilding of existing porch, repair roof, repair siding, and replace doors and windows to existing dwelling. The certificate is issued to Margaret Heidenry owner of the aforesaid property. 11, o'5, Authorized Signature Albert J. Krupski,President • 0 Town Hall James King,Vice-President $�FFO�/f 53095 Route 25 CD Artie Foster P.O.Box 1179 .Z.o l/ Ken Poliwoda y� Southold,New York 11971-0959 Peggy A. Dickerson Z Telephone(631) 765-1892 5 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. J INSPECTION SCHEDULE Pre-construction, hay bale line 15t day of construction % constructed '✓ Project complete, compliance inspection.�$lol OTC. James F. King,President ��Of soulyo Town Hall Jill M. Doherty,Vice-President Ile 53095 Route 25 P.O. Box 1179 Peggy A. Dickerson Southold,New York 11971-0959 Dave Bergen G A.- Telephone(631)765-1892 yCOU Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 6463A Date of Receipt of Application: October 16, 2006 Applicant: Margaret Heidenry SCTM#: 53-5-12.6 Project Location: 29 Sage Blvd., Greenport Date of Resolution/Issuance: October 18, 2006 Date of Expiration: October 18, 2008 Reviewed by: Board of Trustees Project Description: To remove and rebuild the existing porch, repair roof and repair siding on existing dwelling, and replace doors and windows. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as depicted on the survey prepared by Warren Sambach last dated June 6, 2003. Special Conditions: None If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. o'Z Ja s F. King, Presi nt Board of Trustees Albert J. Krupski,President + • Town Hall James King,Vice-President SOFFO(,( 53095 Route 25 Artie Foster P.O.Box 1179 Ken Poliwoda Southold,New York 11971-0959 C Peggy A. Dickerson Z Telephone(631) 765-1892 Qy �yC Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. 14e ice ems' `-y INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construction 'Y2 constructed Project complete, compliance inspection. �'t +iSy '��'aC{� ,it���`.F"� �1• `f7„1 � i i .i � i 1: . t l i SP 1 f 1 I ti :_l ♦ /% E • 1 .J -,r` .�'s'..✓"..f/./� fY,�.T.✓17y" ,•->r.arrr^ i�'d��'" /�� /� �,�y5 µl.wy �.� t ..� J''�n r1 `.'• �t� J.. > y' ..- awe '/'���;r�Y >���•,'Z �'. TERMS and CONDITIONS Margaret Heidenry TU Permitter 29 Sage Blvd. , Greenport, N.Y. residing atN. Y., as _ pat of the coaddetadon for the iavanae of the Permit does undetst" and prescribe to the fol- lowing: 1.. That the said Board of Trustees sod the Town of Southold are released from any and all damages, or dain for damages, of cults arising dire* or inditectly as a result of say opm tba-faformed--purwtant .this padntt,_.uul3he _u fds«_Leh mM_e>pmu, defend say and all such sults'hhidaoed by third 4)aeda, sod the amid Pecmh assumes full flabllity with respect thereto, to temcoapplete excl sir of the Board of Trustees of the Town of Southold 2. That this isermit is valid for a pedod of _ 24 = mos. which is tit siderbd to be the estimated time required to complete the work involved, but'should drauusaom watnuu; request for an e:aoston may be made to the Board at a tact dark 3. Tlut this Permit should be retained indefinitely, or as long as the aid Pectulme wlshes In maintain the stnunue or pmject involved, to provide evidence to anyone concerned that suth- ociradon was originally obtdned. 4. That the work involved will be abject to the inspection and approval of the Board at its agents, and noncompliance with the provisions of the originating application, may be nose fat tevmtion of this Permit by resolution of the said Board. S. That them will be no unreasomble interference with navigation as a result of the work herein sddwtiud. 6. That tbete shall be no interference with the right of the public to pass and reps" along the beach between high and low water madcs. 7. That if future operations of the Town of Southold require the.removal and/or dtetadoom in the location of the wodc fierda authorized, or 14 is the opialon of 4he Board of TYnsoees, die. wodc shall cause unreasonable obstruction to free navigadon, the said Permittee will be required, rpm due rods,to remove or alter this work or project hecdn stied without sspenta to the Town' of Southold & Thu the add Board will be notified by the Formulate at the completion..of the week stub- orhed . 9. That the Pecmkow will abain all other permits and mosents that may be required nqi plemeoal to this permit which may be abject to revoke Van fdhme to drain aamr. ,gpFF0t1r Albert J. Krupski, President �� Q Town Hall James King;Vice-President =� G'f'� 53095 Route 25 Artie Foster y P.O.Box 1179 Ken Poliwoda Southold, New York 11971-0959 Peggy A. Dickerson �y� a��� Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 24, 2004 Ms. Margaret Heidenry 29 Sage Blvd — P.O. Box 51 Greenport, NY 11944 RE: 29 SAGE BLVD., GREENPORT SCTM # 53-5-12.6 Dear Ms. Heidenry: The Board of Town Trustees took the following action during its regular meeting held on Thursday, June 24, 2004 regarding the above matter: WHEREAS, MARGARET HEIDENRY applied to the Southold Town Trustees for a permit under the provisions of Chapter 97 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated June 2, 2004, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on June 24, 2004, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 97 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, z NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of MARGARET HEIDENRY to remove and rebuild the existing porch, repair roof and repair siding on existing dwelling, and replace doors and windows and all as depicted on the survey prepared by Warren Sambach last dated 6-6-03. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, /' ° Albert J. Krupski, Jr. President, Board of Trustees AJK/hct 0 r W �i (3ete W RecelVM Frbm F �CC 0 m � Address � s � � zoa 9 . vz .For ( `Alw F o c ILL. r O8 ` �oo�w ACCOUNT m Q o r our u m N AMT.PAID :5%! BtuN OE M0 D DUB J �o�OgOFF04CGG � y Telephone p Town Hall (631)765-1892 N 53095 Route 25 • .F P.O.Box 1179 AN Southold,New York 11971-0959 ! * 1a CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Tuesday, June 15, 2004, the following recommendation was made: Moved by Doris McGreevy, seconded by Don Wilder, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the Wetland Permit application of MARGARET HEIDENRY to remove and re-build the existing porch, repair roof and repair siding on existing dwelling, and replace doors and windows. Located: 29 Sage Blvd., Greenport. SCTM#53-5-12.6 Vote of Council: Ayes: All Motion Carried I —�— macww 0 1.33 oy .. ^ m ° / ♦ / , m / tm w <� w w+ tm a f//J.y � m.� ♦ o f • , mmm K w ' tV \ O •'L '[ O M w. •�l t, s tm 6• ° ,�, s s w, Q•, � ° tsm © o `4 °a �m o 'ate ma SWiM0.D seclax w s COUNi t OFe.�sx.F 053 y' L foaowa� B,ruN�Nous c IILJJ� c c ?srr. HSE. �VELEO G c 64'4 c euL"HE" 380 06 N. "E� c o00 1 46 LJ W l� '42"iN. s 54 52' _i N 64037 N m srr. w 289. 24 H EEC N. 6 4°32 3! 99E 45 p0"E. 27"W. 220'43 was o9so" 0.69o08 0g.25 ' N64°27 37. 16 3 N68°17p5 66aioj> ti 3 LANp ct' 2,53626,, TE R 60 , 4 g 6, 49. go 9°j T , .39183 Rfy ' ?RQFQ 12039PG302 E 2 RECF3 S 7 Number of pages /D REAL ESTATE 00 MA Y —2 All 11: 14 TORRENs MAY 02 2000 ENi,' '; 1 i'. 1;i hi.;diJE CLEft(i OF Serial# TPANBFERTAX SUFFOLd( COUNTY Certificate# SWF= DIY Prior Ctf. # 391183 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 4 1 1 FEES Page/Filing Fee Mortgage Amt. Handling 1. Basic Tax TP-584 2. Additional Tax Notation Sub Total EA-52 17(County) S Sub Total yS Spec./Assit. 0r EA-5217(State) ,ZS Spec./Add. R.P.T.S.A. �.`� .y�1�0td�A, TOT. MTG. TAX zS� _ Dual Town Dual County Comm.of Ed. 5 00 Held for Apportionment Affidavit +�ryry"ti- z Transfer Tax �o ) Certified Copy �% Mansion Tax J �T.ne property.covered by this mortgage is or Reg. Copy w T-Fe improved by a one or two family Sub Total Y S dwelling only. Other YES or NO GRAND TOTAL If NO, see appropriate tax clause on page# of this instrument. Real Property Tax Service Agency Verification 6 Cotmnunity Preservation Fund r + ' Dist. Section B lock Lot Consideration Amount $2 /f 33 c�our� i nt i+ 1000 053.00 05 .00 012 .006 CPF Tax Due $ S.� E 7 •E6 .Daley' "' nproved MCEIVP Im "T $ vas,3 lacant Land 7 Satisfactions/Discharges/Releases List Property Owners Mailing Addri ss D / (] RECORD& RETURN TO: MAY 0 2 2000 FD CHARLES R. CUDDY, ESQ. Ckwmubw CD 445 Griffing Avenue, P.o. Box 1547 PMSERVAr" Riverhead, New York 11901 8 Title Company Information Co. Name d.JJOC o��S hS t? �- Title # 1-6 9 Suffolk County Recording & Endorsement Page This page fornis part of the attached DEED made by: (SPECIFY TYPE OF INSTRUMENT) RREEZY SHORES TPdC The prenuses herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the Tbwnslrip of SOUTHOLD BREEZY SHORES COMMUNITY INC. In the VILLAGE or HAMLET of GREENPORT BOXES 5 THRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FIL' Dear Taxpayer, Your satisfaction of mortgage has been filed in my office and I am enclosing the original copy for your records. If a portion of your monthly mortgage payment included your property taxes, you will now need to contact your local Town Tax Receiver so that you may be billed directly for all future property tax bills. Local property taxes are payable twice a year: on or before January IO h and on or before May 30. Failure to make payments in a timely fashion could result in a penalty. Please contact your local Town Tax Receiver with any questions regarding property tax payment. Babylon Town Receiver of Taxes Riverhead Town Receiver of Taxes 200 East Sunrise Highway 200 Howell Avenue North Lindenhurst,N.Y. 11757 Riverhead,N. Y. 11901 (516) 957-3004 (516) 727-3200 Brookhaven Town Receiver of Taxes Shelter Island Town Receiver of Taxes 250 East Main Street Shelter Island Town Hall Port Jefferson,N.Y. 11777 Shelter Island, N.Y. 11964 (516) 473-0236 (516) 749-3338 East Hampton Town Receiver of Taxes Smithtown Town Receiver of Taxes 300 Pantigo Place 99 West Main Street East Hampton,N.Y. 11937 Smithtown,N.Y. 11787 (516) 324-2770 (516) 360-7610 Huntington Town Receiver of Taxes Southampton Town Receiver of Taxes 100 Main Street 116 Hampton Road Huntington,N.Y. 11743 Southampton,N.Y. 11968 (516) 351-3217 (516)283-6514 Islip Town Receiver of Taxes Southold Town Receiver of Taxes 40 Nassau Avenue 53095 Main Road Ishp„N.Y. 11751 Southold,N.Y. 11971 (516) 224-5580 (516) 765-1803 Sincerely, Edward P. Romaine Suffolk County Clerk dw 2/99 izoia::zve NY005-Bargain and Sale Deed with Covenant against Grantor's Acts Individual or Corporation(Single Sheet)(NYBTU 8002) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the I-IA-h day of April in the year 2000 BETWEEN BREEZY SHORES INC. , a New York corporation having its -address at 350 Marine Place, Greenport, New York 11944 party of the first part,and BREEZY SHORES COMMUNITY INC . , a New York corporation having its address t P.O. Box 546, Greenport, New York 11944 V36 party of the second part, WITNESSETH,that the party of the first part,in consideration of Ten Dollars and other valuable consideration paid by the party of the second part,does hereby grant and release unto the party of the second part,the heirs or successors and assigns of the party of the second part forever, ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected,situate,lying andbeinginthe Town of Southold, County of Suffolk and State of New York, as described on Schedule "A" attached hereto. Being and intended to be the same premises conveyed to the party of the Tax Map first part herein by deed recorded in Liber 11742 page 585. Designation Together with all right, title and interest, if any, in and to the Dist. under water lands adjacent to the subject premises . 1000 This conveyabce has been made with the consent of the holder of at Sec. least two—thirds of the outstanding shares of the party of the first 053.00 part entitled to vote thereon obtained at a meeting duly called. Blk. 05.00 Lot(s) 012.006 TOGETHER with all right, title and interest, if any, of the party of the first part of, in and to any streets and roads abutting the above-described premises to the center lines thereof; TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises; TO HAVE AND TO HOLD the premises herein granted unto the party of the second part,the heirs or successors and assigns of the party of the second part forever. AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby the said premises have been incumbered in any way whatever, except as aforesaid. AND the party of the first part, in compliance with Section 13 of the Lien Law,covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund 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 construed 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: BR ZY SHORES INC. JAMES P. AGE USEAC97VOWLEDGMENTFORMBELOW WITTIDVNEWY0RKSTA7E ONLN USEACUVOWLEDGMENIFOBMBELOW Wf]HBVNEWYORBSTA7EONLP. State of New York,County of SUFFOLK }ss.: State of New York,County of }ra yil On the/7 day of April in the year 2000 On the day of in the year before me,the undersigned,personally appeared before me,the undersigned,personally appeared personally knoRA rid or P%l;ed to me on the basis of safisfactory personally (mown to me or proved to me on the basis of satisfactory evidence to be the mdividual(O whose name(.gtis(*Subscribed to the evidence to be the individual(s)whose nami is(are)subscribed to the within instrumett and acknowledged to me that he/s executed the within instnmrent and acknowledged to me that he/she/they executed the same in capacity(ies),and that by srgnanne(�}on same in histher/dw capamty(ies),and that by histher/Oteir signatme(s)on the inatrlmrenT individual(,or the person of wtvc the the instrument,the urdividual(s),or the mdividual(s)acted,executed a instrument l upon behalf of which the irudividural(s)acted,executed the instrument Notary Public,State of New York No.OISCti009470,0uantied in Suffolk Cqua4 Commission Expires June 29,2000 AamwLEwmvrFORMFOR USE M7jmvNEwYORBSTA7E ONLN A0 ovo wLEatmwFORMFaa UsE OEM WNEwYOMSTM0MP (New York Subscribing Witness Acknowledgment Certificate] (Out DI State or General Acknowledgment Certificate) Foreign State of New York,County of ) ss.: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . }ss.: On the day of in the year (Complete Venue with State,Country,Province or Municipality) before me,the undersigned,personally appeared On the day of in the year before me,the undersigned,personally appeared the subscribing witness to the foregoing instrument,with whom I am personally acquainted,who,being by me duly sworn,did depose and personally]mown to me or proved to me on the basis of satisfactory say that he/she/they reside(s)in evidence to be the individual(s)whose name(s)is(are)subscribed to the within instrument and acknowledged to me that he/she/they (if the place ofresidence is in a city,include the street and street number,if executed the same in his/her/their capacity(ies),that by his/her/their any,thereon; that he/she/they know(s) signature(s)on the instrument,the individual(s),or the person upon behalf of which the individual(s)acted,executed the instrument,and to be the individual described in and who executed the foregoing that such individual made such appearance before the undersigned instrument; that said subscribing witness was present and saw said in the execute the same; and that said witness at the same time subscribed (Insert the city or other political subdivision and the state or country or his/her/their name(s)as a witness thereto. other place the acknowledgment was taken). BARGAIN&SALE DEED WITH COVENANTS AGAINST GRANTOR'S ACTS TITLE No. DISTRICT SECTION BREEZY SHORES INC. BLOCK LOT TO COUNTY OR TowN BREEZY SHORES COMMUNITY INC. RECORDED ATREQUESTOF Fidelity National Title Insurance Company of New York RETURN BY MAIL TO FIDELITY NATIONAL TITLE INSURANCE CHARLES R. CUDDY, ESQ. _ COMPANY OF NEW YORK 445 Griffing Avenue INCo"ottATEDI938 P.O. BOX 1547 c�a6F1deliiy-OA�l Riverhead, N. Y. 11901 Member New York State land rule Association w U LL 0 0 -Z ¢ 0 U w ¢ w O w to 7 ¢ O w w U Q a N N 2 F- w w w ¢ Breezy Shores:: Lease http://www.breezystKm,corn/bzy/documents/lease Breezy Shores 16aderesses 0Documents 6Pictures rd! Links Lease PROPRIETARY LEASE BREEZY SHORES COMMUNITY, INC. PROPRIETARY LEASE, made as of the day of, 200L by and between BREEZY SHORES COMMUNITY, INC., a New York Corporation, having an office at 3050 Sage Boulevard, Greenport, New York, 11944(the"Lessor") and , (the "Lessee"). WHEREAS, the Lessor is the Owner of land and certain buildings erected thereon in the Town of Southold, known by and as BREEZY SHORES; and WHEREAS,the Lessee is the owner of one(1)share of the Lessor, which has been allocated to Unit(sometimes referred to as"home" or"cottage") ; NOW,THEREFORE, in consideration of the premises, the Lessor hereby leases to the Lessee, and the Lessee hires from the Lessor, subject th the terms and conditions hereof, the Unit for a term from , 200_until December 31, 2085 (unless sooner terminated as hereinafter provided). 1. MAINTENANCE.The rent (sometimes called maintenance) payable by the Lessee equals that proportion of the Lessors cash requirements which the number of shares of the Lessor allocated to the Unit bears to the total number of shares issued and outstanding on the date of the determination of such cash requirements. Such maintenance shall be payable in equal monthly installments in advance on the first day of each month without deduction or setoff or claim which the Lessor may have against Lessee.The Lessor may charge the Lessee a reasonable late charge in the event any monthly installment of maintenance is not received by the fifteen (15th) day of the month in which it is due. 2. SHARES OF STOCK. In every proprietary lease it will be specified that the number of shares of the Lessor issued to the Lessee is one (1). 3. CASH REQUIREMENTS. "Cash Requirements"whenever used herein shall mean the estimated amount in cash which the Lessors Board of Directors shall from time to time in its judgment determine to be necessary or proper for the operation, maintenance, care, alteration and improvement of the Corporate Property(as defined at Paragraph 5 of this Proprietary Lease). Lessor may from time to time modify its prior determination and increase or diminish the amount previously determined as cash requirements. 4. PAID IN SURPLUS. The Directors may from time to time determine how much of the maintenance and other receipts, shall be credited on the corporate accounts to "Paid-In-Surplus". Unless the Directors shall determine otherwise, the amount of payments on account of principal of any mortgages shall be credited to Paid-in-Surplus. 5. OBLIGATION FOR MAINTENANCE AND REPAIR. (a) Lessors'Obligation. The Lessor shall at its expense keep in good repair the Corporate Property, which shall be defined as all property owned by the Lessor other than the Units. 1 of 11 3/11/04 2-57 PM Breezy Shores:: Lease hup://www.breezystKxm.com/bzy/documents/lease Without limiting the generality of the foregoing, the Corporate Property shall include the roadway, grounds (other than landscaping immediately surrounding each Unit), bams, dock and beach areas, together with any associated equipment and apparatus. (b) Lessees' Obligation. (i)The Lessee shall at his expense be solely responsible for all repairs, maintenance and renovation of his Unit whether such maintenance, repair, or replacement is exterior, interior, structural or of any other nature, including maintenance, repair, pumping and/or replacement of the cesspools serving each unit. In the event two or more units are served by one cesspool, all of such costs shall be shared by the owners of the shares and Proprietary Leases relative to each unit using the cesspool, who will be jointly, and Beverly, responsible for those casts. All items of maintenance, repair, or replacement and all alterations shall be performed in accordance with the architectural considerations set forth at Paragraph 21 of this Proprietary Lease. (ii) Disrepair of Units. In the event Lessee shall fail to maintain his Unit in a manner satisfactory to the Board of Directors including but not limited to structural and exterior maintenance of the roof, siding and fascia of the Unit and such failure continues after a reasonable request by the Board of Directors to do so, the Board of Directors, through its agents, employees or contractors shall have the right to enter upon the Unit and to repair, maintain and restore the Unit as necessary or appropriate. The cost of such maintenance, plus an additional sum equal to 20 percent(20%) of such cost as an administrative charge, shall be billed to the Lessee as additional maintenance. 6. LESSOR'S OBLIGATION TO MAINTAIN AND MANAGE THE CORPORATE PROPERTY.The Lessor shall be responsible to maintain and manage the Corporate Property.This covenant is subject, however, to the discretionary power of the Lessor to determine from time to time what services are proper and the manner of maintaining and operating the Corporate Property, and also as to what services shall be changed, or terminated. 7. INSURANCE. (a) Corporate Property. The Board of Directors shall maintain public liability insurance, to the extent obtainable, covering each shareholder, Lessee and occupant, and the managing agent, if any, against liability for any negligent act of commission or omission attributable to them which occurs on or in the Corporate Properties. To the extent obtainable, the Board of Directors shall also be required to obtain the following insurance: a) fire insurance with extended coverage, water damage, vandalism and malicious mischief endorsements, insuring the facilities on the Corporate Properties, in an amount equal to their full replacement values, and b) Workers Compensation Insurance. All insurance premiums for such coverage shall be paid for by the Lessor. (b) Units. (i) Lessee shall be required to obtain and maintain adequate insurance of his Unit which shall insure the property for its full replacement value, with no deductions for depreciation, against loss by fire or by other hazards, including, but not limited to, losses incurred by reason of flood. Such insurance shall be sufficient to cover the full replacement value,or any necessary repair or 2 of 11 3/11/04 2:57 PM Breezy Shores:: Lease httP://www.bmczyshores.com/bzy/documents/lease reconstruction work. Said insurance shall be written in a manner reasonably satisfactory to the Lessor, which shall be named as a loss payee on each such policy. Lessee shall be required to supply Lessor with evidence of insurance coverage on his Unit which complies with the provisions of this Section. (H) In the event the Lessee fails to obtain the insurance required pursuant this Paragraph 7, and/or to provide the Lessor with proof of the existence of such insurance, then the Lessor may obtain such insurance coverage on Lessee's behalf. The cost of such premium, plus 20 percent(20%) of such premium as an administrative charge to the Lessor, shall be billed to the Lessee as additional maintenance. 8. REPAIR OF CASUALTY DAMAGE. (a) Repairs by the Lessor. If the Corporate Property shall be damaged by fire or other cause covered by insurance carried by the Lessor, the Lessor shall at its own cost and expense timely repair such damage. In the event the cost of such repair exceeds the applicable insurance proceeds, if any,the cost to repair shall be bome by the Lessees as additional maintenance. (b) By the Lessee. In the event the Unit shall be damaged or destroyed by fire or other casualty, the insurance proceeds shall be deposited in a bank or other financial institution, subject to withdrawal only by the signature of an agent duly authorized by the Board of Directors. If no repair or rebuilding has been contracted for, or otherwise substantially started by the Lessee,with the cooperation of the Board of Directors, within sixty(60) days after the receipt of the insurance proceeds and/or completed within a reasonable period of time, the Board of Directors may itself initiate or complete, as the case may be,the repair or rebuilding of the damaged or destroyed portions of the Unit in a good and workmanlike manner in conformance with the original plans and specifications.The Board of Directors may advertise for sealed bids from any licensed contractors, and may then negotiate with the said contractors. The contractor or contractors selected to perform the work shall, if requested by the Board of Directors, provide full performance and payment bonds for such repair or rebuilding. In the event the insurance proceeds are insufficient to fully pay for the cost of repairing and/or rebuilding the damaged or destroyed portion of the Unit in a good and workmanlike manner, the Lessee shall be responsible for such additional cis, plus an additional sum of 20 percent(20%) of such costs as an administrative fee, as additional maintenance. If the insurance proceeds exceed the cost of repairing and/or rebuilding, such excess shall be paid over to the Lessee and/or the Lessee's mortgagee, in such proportions as shall be independently determined by those parties. In the event Lessee fails or refuses to repair or rebuild his Unit within the aforementioned sixty(60) day period, the Lessor, by and through its Board of Directors, is hereby irrevocably authorized by Lessee to repair and/or rebuild such damaged or destroyed portions of the Unit, in a good and workmanlike manner in conformance with the original style, colors and materials of the Unit. The Board of Directors shall charge Lessee, as additional maintenance, whatever amount is sufficient and necessary to pay for such repair or rebuilding of this type, together with an amount equal to 20 percent(20%) of such cost as an administrative fee to the Lessor. 9. ABATEMENT OF RENT. In no event shall any damage either tb a Unit or to the Corporate Property entitle the Lessee to a whole or partial abatement of rent (maintenance). 3 of 11 3/11/04 257 PM Breezy Shores:: L.ease htt[YI/www.bnxmlKxm.00m/bzyldocumentMease 10. WAIVER OF SUBROGATION. In the event that the Lessor suffers loss or damage for which Lessee would be liable, and Lessor carries insurance policies which contain a waiver of subrogation against the Lessee, then in such event Lessor releases Lessee from any liability with respect to such loss or damage. The Lessor agrees to use its best efforts to obtain a provision in all insurance policies carried by it waiving the right of subrogation against the Lessee. 11. BOOKS OF ACCOUNT OF LESSOR. The Lessor shall keep full and correct books of account at its principal office or at such other place as the Directors may from time to time determine, and the same shall be open during all reasonable hours to inspection by the Lessee or a representative of the Lessee. The Lessor shall deliver to the Lessee within a reasonable time after the end of each fiscal year an annual report of corporate financial affairs, including a balance sheet and a statement of income and expenses, prepared by an independent certified public accountant. 12. CHANGES IN PROPRIETARY LEASE. This Proprietary Lease(and all other Proprietary Leases) may be changed by the approval of at least 66-2/3% of the Lessees and such changes shall be binding even if the Lessee did not vote for such changes except that the proportionate share of rent or cash requirements payable the Lessee may not be increased nor may his right to cancel the lease under the conditions set forth in Paragraph 36 be eliminated or impaired without his express consent. 13. QUIET ENJOYMENT. The Lessee, shall at all times, quietly have, hold and enjoy the Unit subject to any and all mortgages and underlying leases of the land and building. 14. HOLD HARMLESS AGREEMENT. The Lessee agrees to save the Lessor harmless and indemnify Lessor from all liability, loss or damage due wholly or in part to any act or omission of the Lessee, his agent(s) or of any person dwelling in or visiting the Unit. Lessee further agrees to save the Lessor harmless and indemnify Lessor of all liability, loss or damage due wholly or in part from Lessee's failure to adequately maintain, repair or replace his Unit or to supply the insurance called for under the terms of this Proprietary Lease. 15. HOUSE RULES. Lessor shall have the authority to adopt house rules which, when delivered to the Lessee, shall be deemed to be a part of this Proprietary Lease and the Lessor may alter, amend, or repeal such house rules and adopt new house rules. Lessee shall comply with all such house rules. Breach of the house rules shall be a default under this lease.The Lessor shall not be responsible to the Lessee for the non-observance or violation of house rules by any other Lessee or person.The Lessor may impose reasonable fines upon the Lessee for the violation of a house rule by the Lessee, his subtenant or guest, which fines shall be treated for allpurposes of this lease as additional maintenance. No fines shall be payable by Lessee on account of a violation of the house rules and regulations by Lessee, his sublet or guest, unless (i) the amount of the fine is reasonable; (it) Lessee is given notice and an opportunity to are the violation prior to the imposition of the fine; (iii) no fine will apply if Lessee is able to remove or end the violation in a reasonable period of time or takes reasonable steps to eliminate the violation including, if appropriate,attempted eviction of a subtenant; (iv) multiple charges of a fine will not be imposed relating to a particular violation unless the violation has not been cured after reasonable notice and a reasonable opportunity to cure, it being understood that multiple fines may be levied and repeated failures to cure after such reasonable notice and reasonable opportunity to cure, but in any event not more than five times 4 of 11 3111/04 2:57 PM Breezy Shores:: Lease buF://www.breezysb3m.comtbzyldocuments/lease with respect to a particular violation; and (v)the Lessee shall be entitled to a hearing with Lessor, if requested. The levying of any fines pursuant to this paragraph shall not preclude the Lessor from exercising any other remedies allowed by law. 16. USE OF THE UNIT. The Lessee shall not, without, the written consent of the Lessor, upon such conditions as Lessor may prescribe, use the Unit or permit the same to be used for any purpose other than for a lawful home occupation and/or as a private dwelling or to permit the Unit to be occupied by anyone other than Lessee, his immediate family, domestic employees and guests occupying the Unit with the Lessee. 17. SUBLETTING. The Lessee shall not sublet the whole or any part of the Unit or renew or extend any previously authorized sublease, unless consent thereto shall have been duly authorized by a resolution of the Directors,or given in writing by a majority of the Directors or, if the Directors shall have failed or refused to give such consent, by Lessees owning at least 65%of the then issued and outstanding shares of the Lessor. Consent by Lessees as provided for herein shall be evidenced by written consent or by affirmative vote taken at a meeting piled for such purpose. Any consent to subletting may be subject to such conditions as the Directors or Lessees, as the case may be, may impose. There shall be no limitation on the right of Directors or Lessees to grant or withhold consent to a subletting for any or no reason except as limited by law. No consent to a subletting shall operate to release the Lessee from any obligation hereunder. 18) ASSIGNMENT. (a) The Lessee shall not assign this lease or transfer the shares to which it is appurtenant or any interest therein, and no such assignment or transfer shall take effect as against the Lessor for any purpose, until: (i) An instrument of assignment in a form approved by Lessor executed and acknowledged by the assignor shall be delivered to the Lessor; and (ii) An agreement executed and acknowledged by the assignee in a form approved by Lessor assuming and agreeing to be bound by all the covenants and conditions of this lease to be performed or complied with by the Lessee on and after the effective date of said assignment shall have been delivered to the Lessor, or, at the request of the Lessor, the assignee shall have surrendered the assigned lease and entered into a new lease in the same forth for the remainder of the term, in which case the Lessee's lease shall be deemed cancelled as of the effective date of said assignment and (iii) All shares of the Lessor to which this lease is appurtenant shall have been transferred to the assignee, with proper transfer taxes paid and stamped affixed; and (iv) All sums due from the Lessee shall have been paid to the Lessor, together with a sum to be fixed by the Directors to cover reasonable legal and other expenses of the Lessor and its managing agent in connection with such assignment and transfer of shares; and, in addition,a fee calculated as follows: 1) Five (5%) percent of the sale price as set forth in Contract of Sale if the share and Proprietary Lease relative to the unit are sold prior to the first anniversary of their purchase by the selling shareholder; 2) Four(4%) percent of the sale price as set forth in the Contract of Sale if the share and Proprietary Lease relative to the unit are sold after the first anniversary, but prior to the second anniversary of their purchase; 3) Three (3%) percent of the sale price as set forth in the Contract of Sale if the 5 of 11 3111/04 2.57 PM Breezy Shores:: Lease httP://www.bnxzyshores,com/bzy/documenmease share and Proprietary Lease relative to the unit are sold after the second anniversary, but prior to the third anniversary of their purchase; and 4) Two (2%) percent of the sale price as set forth in the Contract of Sale if the share and Proprietary Lease relative to the unit are sold at any time after the fourth anniversary of their purchase. The above fee shall not be payable for transfers; 1. Made after the death of the Lessee; 2.To an immediate family member of a Lessee; and 3.To an existing shareholder of the Cooperative. Such transfers shall, however, be subject to any reasonable legal expenses of the Lesser or its managing agent in connection with the assignment or transfer of the shares. (v) A search or certification from a title or abstract company as the Directors may require shall be delivered to Lessor; and (vi) Except in the case of an assignment, transfer or bequest of the shares and this lease to the Lessee's spouse, adult siblings or parents, consent to such assignment shall have been authorized by resolution of the Directors, or given in writing by a majority of the Directors or, if the Directors shall have failed or refused to give such consent within 30 days after submission of references to them or Lessor's agent, then by Lessees owning or record at least 65%of the then issued shares of the Lessor. Consent by lessees as provided for herein shall be evidenced by written consent or by affirmative vote taken at a meeting duly called for such purpose. (b) Consents: on Death of Lessee. If the Lessee shall die,consent shall not be unreasonably withheld to an assignment of the lease and shares to a financially responsible member of the Lessee's family (other than the Lessee's spouse, adult siblings or parents as to whom no consent is required). (c) Consents Generally: Stockholders' and Directors'Obligations to Consent. There shall be no limitation, except as above specifically provided, on the rights of Directors or Lessees to grant or withhold consent, for any reason or for no reason, to an assignment. An assignment from a lessor to anyone who at the time of said assignment is already a stockholder of Lessor shall not require the consent of Directors or Lessees. (d) Release of Lessee Upon Assignment. If the lease shall be assigned in compliance herewith, the Lessee-assignor shall have no further liability on any of the covenants of this lease to be thereafter performed. (e) Further Assignment or Subletting. Regardless of any prior consent theretofore given, neither the Lessee nor his executor, nor administrator, nor any trustee or receiver of the property of the Lessee, nor anyone to whom the interests of the Lessee shall pass by law, shall be entitled to further assign this lease, or to sublet the Unit, or any part thereof, except upon compliance with the requirements of this lease. (f) Statement by Lessor. If this lease is then in force and effect, Lessor will, upon request of Lessee, deliver to the assignee a written statement bo that effect; but no such statement shall be deemed an admission that there is no default under the lease. 19. PLEDGE OF SHARES. The Lessee may pledge and assign this lease and the shares allocated to the Unit as security for a loan made to the Lessee by a bank, trust company, insurance company or other recognized lending institution under such terms and conditions as shall be satisfactory to Lessor and Lender to be contained in an agreement commonly known as a "Recognition Agreement." In such event(a) the shares will not be voted by the Lender; (b)the Lessor will give the Lender a copy of any notice of default which the Lessor may give to the 6 of 11 3/11/04 2:57 PM Breezy Shores:: Lease http://www.breezysbxes.comlbzy/documenMease Lessee and if the Lessee fails to cure such default then the Lender shall have as additional time, such time as was given the Lessee within which to secure said default; and the lessor will not act upon said default until the time afforded the Lender has elapsed; (c) if the lease is terminated by the Lessor as a result of a default on the part of the Lessee, the Lessor shall promptly give notice of such termination to the lender and upon written request of the Lender, made within 30 days after such notice, the Lessor shall commerce summary proceedings to dispossess at Lenders's expense and shall within 60 days after the said written notice reissue the shares and execute a new proprietary lease with any individual designated by the Lender provided, however,that the Lessor shall have received payments on behalf of the Lessee of all sums due under this lease to the date of a reissuance of the shares; (d) if the lessee defaults under the loan agreement with the Lender and notice of such default is given to the Lessor, the individual designated by the Lender shall receive the transfer of shares and the proprietary lease shall be made to such individual upon such instruments as shall be reasonably satisfactory to the Lessor; (e) the Lessor shall not, without the prior written consent of the Lender, change the terms of this lease, accept a surrender of this lease, permit an assignment of the lease or a subletting of the Unit, consent to any further mortgage on this lease; (f)any designee of the Lender may cancel this lease pursuant to foreclosure upon 30 days notice; (g) the Lender shall indemnify the Lessor for all losses and expenses which may be claimed by the Lessee resulting from the ads or omissions of either the Lessor or the Lender, and the Lessor shall give the Lender prompt written notice of such claim, which the lender may contest in behalf of the lessor at the Lender's expense; (h) when the loan is paid the Lender will give notice to the Lessor to that effect; (i) the Recognition Agreement may contain such different or additional terms as the Lessor and the Lender may agree. 20. INCREASE OF RATE OF FIRE INSURANCE.The Lessee shall not permit or suffer anything to be done or kept in the Unit which will increase the rate of fire insurance on the Corporate Property. If, by reason of occupancy or use of the Unit by the Lessee, the rate of fire insurance on the Corporate Property is increased, the Lessee shall be liable for the additional insurance premiums incurred by Lessor, and the Lessor shall have the right to collect the same as additional rent. 21. ALTERATIONS AND ARCHITECTURAL CONTROL. Nobuilding, fence, wail or other structure, or change or alteration to any Unit or in the landscaping shall be commenced,erected or maintained, nor shall any exterior addition to and change or alteration be made until the plans and specifications showing the nature, kind, shape, height, colors and locations of the same shall have been submitted to and approved in writing as to harmony of external and location in relation to surrounding structures and topography by the Lessor or its architectural committee. In the event Lessor or its designed committee, fails to approve or disapprove such design and location within forty-five(45) days after said plans and specifications have been submitted to it, approval will not be required and this article will be deemed to have been fully complied with. In addition to the foregoing, Lessee shall not make any alteration, enclosure or addition to any water or gas pipes, heating Units, electrical conduits, wire or outlets, plumbing fixtures or systems, or any other installation any part of which is situated on a Corporate Property, without obtaining the prior written consent of the Lessor. 22. SURRENDER OF POSSESSION. On the expiration or termination of this lease, the Lessee shall surrender to the Lessor possession of the Unit. Any additions, improvements, fixtures or appliances not removed by the Lessee on or before such expiration or termination of this lease shall, at the option of the Lessor, be deemed abandoned and shall become the property of the Lessor and may be disposed of by the Lessor without liability or accountability to the Lessee. 7 of 11 3/11/04 2:57 PM Breezy Shores:: Lease http://www.breczyshom.comlbzy/documents/lease 23. SUBORDINATION OF LEASE. This lease is and shall be subject and subordinate to all ground or underlying leases and to any mortgages now or hereafter liens upon such leases or on the property of the Lessor, and to any and all extensions, modifications, consolidations, renewals and replacements thereof. This clause shall be self-operative and no further instrument of subordination shall be required by any such mortgagee or ground or underlying Lessee. In confirmation of such subordination the Lessee shall at any time, and from time to time, on demand, execute any instruments that may be required by any mortgagee, or by the Lessor for the purpose of more formally subjecting this lease to the lien of any such mortgage or mortgages or ground or underlying leases, and the duly elected officers, of the Lessor are and each of them is hereby irrevocably appointed the attomey-in-fact and agent of the Lessee to execute the same upon such demand, and the Lessee hereby ratifies any such instrument hereafter executed by virtue of the power of attorney hereby given. 24. MECHANICS LIEN. In case a notice of mechanic's lien against the building shall be filed purporting to be for labor or material furnished or delivered at the building or the Unit to or for the Lessee, the Lessee shall forthwith cause such lien to be discharged and if the Lessee shall fail to do so within 10 days after notice from the Lessor, then the Lessor may muse such lien to be discharged by payment, bonding or otherwise, without investigation as to the validity thereof or of any offsets or defenses thereto, and shall have the right to collect, as additional rent, all amounts, cost and expenses paid or incurred in connection therewith, including reasonable attorneys'fees and disbursements, together with interest thereon from the time or times of payment. 25. ACCESS TO UNIT BY LESSOR. The Lessor and its agents and their authorized workmen shall be permitted to enter the Unit and any storage space assigned to lessee at any reasonable hour of the day upon notice, or at any time and without notice in case of emergency, to inspect the Units or make or facilitate repairs in any part of the building or to cure any default by the Lessee and to remove such portions of the walls, floors and ceilings of the Unit and storage space as may be required for any such purpose, but the Lessor shall thereafter restore the Unit and storage space t0 its proper and usual condition at Lessor's expense if such repairs are the obligation of Lessor or at Lessee's expense if such repairs are the obligation of Lessee. In order that the Lessor shall have access to the Unit or storage rooms for the purposes provided for in the lease,the Lessee shall provide the Lessor with a key to each lock providing access to the Unit or the storage rooms. If the Lessee shall not permit any entry at any time when an entry therein shall be neceesary or permissible hereunder and shall not have furnished a key to Lessor, the Lessor or the Lessor's agent may forcibly enter the Unit or storage space without liability for damages by reason thereof and without in any manner affecting the obligations and covenants of this lease. 26. WAIVER OF BREACH OF LEASE. The failure of the Lessor to insist, upon a strict performance of any of the provisions of this lease, or to exercise any right or option herein contained, shall not be construed as a waiver, of any such provisions, options or rights, but such provision, option or right shall continue and remain in full force and effect. The receipt by the Lessor of rent, with knowledge of the breach of any covenant hereof,shall not be deemed a waiver of such breach, and no waiver by the Lessor of any provision hereof shall be deemed to have been made unless in a writing expressly approved by the Directors. 27. NOTICES AND DEMANDS. Any notice by or demand from either party to the other shall be duly given only if in writing and sent by registered or certified mail; if by the Lessee, addressed to the Lessor at the building with a copy sent by regular mail to the Lessor's managing agent; if to the lessee, addressed to the building. Notices or demands shall be deemed given on the date when mailed. 8 of 11 3/11/04 2-57 PM Breezy Shores:: Lease http://www.bmezyshores.cmNbzy/documenMease 28. DEFAULT BY LESSEE. If the Lessee shall at any time be in default hereunder and the Lessor shall incur any expense in performing acts which the Lessee is required to perform, or in instituting any action or proceeding based on such default, or defending or asserting a counterclaim in, any action or proceeding brought by the Lessee, the expense thereof to the Lessor, including reasonable attorney fees and disbursements, shall be paid by the Lessee to the Lessor, on demand as additional rent. 29. LESSOR'S LIABILITY.The Lessor shall not be liable,except by reason of Lessor's gross negligence, for any failure or insufficiency of heat, water supply, electric current, gas, telephone, or other service to be supplied by the Lessor hereunder. No abatement of rent or other compensation or claim of eviction shall be made or allowed because of failure to make repairs,al lrations or for the interruption or curtailment of any service agreed to be furnished by the Lessor unless due to the Lessor's gross negligence. 30. STORAGE SPACE AND BUILDING FACILITIES. If the Lessor shall furnish to the Lessee any storage bins or space,the use of the laundry, or any facility outside the Unit, the same shall be deemed to have been furnished gratuitously by the Lessor under a revocable license.The Lessee shall not use such storage space for the storage of valuable or perishable property, and any such storage space assigned to Lessee shall be kept by Lessee dean and free of combustibles. Any use that Lessee may make of such equipment or space shall be at his own cost, risk and expense. 31. TERM OF LEASE.The term of this lease shall expire and the Lessee shall quit and surrender the Unit to the Lessor upon at least 5 days written notice (it being the intention of the parties hereto to create hereby a conditional limitation), upon the happening of any of the following events: (a) If the Lessee shall cease to be the owner of the shares and this lease to which they are appurtenant; (b) If the Lessee hereof shall be adjudicated a bankrupt, a receiver of all of the property of the Lessee shall be appointed; or lessee shall make a general assignment for the benefit of creditors; (c) If there be an assignment of this (ease, or any subletting, without full compliance with the requirements of this lease; or if any person not authorized by paragraph 17 shall be permitted to use or occupy the Unit; (d) If the Lessee shall be in default for a period of one month in payment of any rent or additional rent; (e) If the Lessee shall be in default in the perfornance of any covenant or provision hereof; (f) If at any time the Lessor shall determine upon the affirmative vote of two-thirds of its then Board of Directors, at a meeting duly called for that purpose, that because of objectionable conduct on the part of the Lessee,or of a person dwelling or visiting in the Unit, repeated after written notice from Lessor, the tenancy of the Lessee is undesirable; (g) If at any time the Lessor shall determine, upon the affirmative vote of two-thirds of its then Board of Directors, at a meeting of such Directors duly called for that purpose, and the affirmative vote of the holders of at least 75%of its issued shares, at a shareholders' meeting duly called for that purpose, to terminate all proprietary leases; (h) If at any time the Unit or substantial portion thereof shall be taken by condemnation proceedings; 9 of 11 3111/04 2:57 PM Breezy Shores::Lease hup://www.bteezystumm.comlbzy/documents4ease (i) If the Lessee makes any alteration to his Unit or the Corporate Property in violation of Paragraph 21 of this Proprietary Lease. 32. REPOSSESSION BY LESSOR. In the event the Lessor resumes possession of the Unit, by summary proceedings, or otherwise, Lessee shall continue to remain liable for payment of a sum equal to the rent which would have become due hereunder and shall pay the same in installments at the time such rent would be due hereunder. After resuming possession, the Lessor may, at its option, relet the Unit for its own account, or relet the Unit as the agent of the Lessee, in its discretion. If the Lessor relets the Unit as agent for the Lessee, it shall, after reimbursing itself for its expenses in connection therewith, including leasing commissions and attorneys' fees and decorations, alterations and repairs to the Unit, apply the balance against the Lessee's continuing obligations hereunder. There shall be a final accounting between the Lessor and the Lessee upon the date of expiration of the term of this lease, or the date as of which a new proprietary lease shall become effective. Fallowing the termination of the Proprietary Lease, in addition to the right to relet the Unit as aforesaid, Lessor shall have the option to sell the Unit in any commercially reasonable manner, and to reimburse all of its costs and outstanding charges from the sale proceeds. 33. TERMINATION OF LEASE. Upon the termination of this lease, the Lessee shall surrender to the corporation the certificate for the shares of the corporation owned by the Lessee to which this lease is appurtenant. 34. WAIVER OF RIGHT OF REDEMPTION. The Lessee hereby expressly waives any and all right of redemption in case the Lessee shall be dispossessed by judgment or warrant of any court or judge. 35. SURRENDER OF POSSESSION. On or before any termination of this lease, the Lessee shall vacate and surrender possession thereof to the Lessor or its assigns, and upon demand of the Lessor, shall execute,acknowledge and deliver to the Lessor or its assigns any instrument which may reasonably be required to evidence the surrendering of this lease or the Unit. 36. CANCELLATION OF LEASE BY LESSEE. This lease may be cancelled by the Lessee on any September 30th after execution of this lease by both Lessee and Lessor. Irrevocable written notice of intention to cancel must be given by the Lessee to Lessor on or before April 1 in the calendar year in which such cancellation is to occur. At the time of the giving of such notice there must be deposited with the Lessor by the Lessee: the Lessee's counterpart of this lease with a written assignment in form required by the Lessor, effective as of August 31 of the year of cancellation, free from all subleases, tenancies, liens, encumbrances and other charges whatsoever and the Lessee's certificate for his/her shares appurtenant to the lease, endorsed in blank for transfer and with all necessary transfer taxes due thereon; for which shares the Lessee is to receive no payment or compensation of any kind whatsoever; and on or before said August 31st the Lessee shall deliver possession of the Unit to the Lessor in good condition with all required equipment, fodures and appliances installed and in proper operating condition and Lessee shall pay to the Lessor all rent and other charges which shall be payable under this lease up to and including the following September 30th. 37. SHOWING OF UNIT. The Lessor and its agents may show the Unit to prospective Lessees, and others at reasonable times after notice of the Lessee's intention to cancel. 38. CANCELLATION OF LEASES BY LESSEES. If Lessees owning at least 80%of the issued shares of the Lessor shall exercise the option to cancel their leases, to of 11 3/11/04 2:57 PM Breezy Shores:: Lease http://www.breezyslwres.com/bzy/documents/leaw then this and all other proprietary leases shall thereupon terminate on the September 30th of the year in which such options shall have been exercised. 39. TRIAL BY JURY.The parties hereto waive trial by jury in any action, proceeding or counterclaim brought by either of the parties against the other on any matters whatsoever arising out of or in any way connected with this lease. 40. INVALIDITY OF PROVISIONS. If any provision herein contained shall be adjudged invalid,the same shall not affect the validity of anyother provision of this lease. 41. CHANGES IN LEASE.The provisions of this lease cannot be changed orally. 42. CAPTIONS. Captions of the several paragraphs of this lease shall not be deemed part of this lease. IN WITNESS WHEREOF, the parties have executed this lease. BREEZY SHORES COMMUNITY, INC., Lessor By: By: Lessee 11 of 11 3/11/04 2:57 PM Q Breezy Shores Community Inc. P.O. Box 548 Greenport,NY 11944 5-01-04 To: Southold Town Trustees From: The Office of The Coop Board of Directors at BSCI To Whom It May Concern, The Board of Breezy Shores Community Inc.(BSCI)has received,and voted upon,a request by BSCI Shareholder Margaret Heidenry to replace the dilapidated existing rear porch on cottage#29 and make general repairs to the home. Stamped engineer's drawings were requested and reviewed. This letter is to authorize,on behalf of the Corporation,approval of above project to any Town/State or Federal office. As a side note,let it be known that Breezy Shores community wishes to establish a good relationship with your office by internally enforcing all codes and procedures for permits. The Board at Breezy Shores has made it clear to the Shareholders that any work done to their cottage must be approved first by the BSCI Board before applying for a permit from the town. Our community requirements are the same as those set by local standards of Building code and the like. Our intention is to unburden the town by presenting any request from Breezy Shores in an organized and professional manner. Thank you for your help. Sincerely, Aal.— ur� — H. Michael Otano President-Coop Board of Breezy Shores Community Inc. 917-796-3997 Otano@mac.com Albert J. Krupski, President �O�OSUFFf7(�'COG Town Hall James King,Vice-President P.O. Route 11 25 y� P.O. 79 Henry Smith y : Southold,New York 11971-0959 Artie Foster Ken Poliwoda WO Telephone(631) 765-1892 Fax(631) 765-1366 T BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Application _Wetland Permit Application _Major _Minor —Waiver/Amendment/Changes _Received Application: _Received Fee:$ _Completed Application _Incomplete _SEQRA Classification: Type I_Type II Unlisted _Coordination:(date sent) _CAC Referral Sent: _Date of Inspection: _Receipt of CAC Report: _Lead Agency Determination: _Technical Review: _Public Hearing Held: Resolution: Name of Applicant Address Z S/kCI ^' c Phone Number:( Suffolk County Tax Map Number: 1000 - Property Location: (provide LILCO Pole#, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: Board of Trustees Application GENERAL DATA Land Area(in square feet): Area Zoning: Previous use of property: S 1 = S u C° o 7 I L- Fi Intended use of property: �� S L' C b Tf/k 12 Prior permits/approvals for site improvements: Agency Date ZNo prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? No Yes If yes, provide explanation- r Project Description (use attachments if necessary): R 1 M 0 Vkl-- A' w v j��PAlft L5J Sl � la� �i hl P IRI t;I �C7RICKL_ L(P— QkVe ©v" /h>3b pDcoR 1 PLhC Mt='�i NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES , TOWN OF SOUTHOLD In the matter of appl}'cant: pEr1 gf3E�2� SIkDRFS �aNIM- ANC' . SCTM#1000- YOU ARE HEREBY GIVEN NOTICE: 1 . That it is the intention of the undersigned to request a Permit from the Board of Trustees to: IBC XISTrtJC-r Pr` VV iENER t REFki ) �( i ���- '�C M ��r3 2 . That the property which is the subject of Environmental Review-,is located adjacent to your property and is described as follows : 2c.t 5 .& 6F 5L D , CF1GCs3PDhI Nam( �l `i4 3 . That the project which is subject to Environmental Review under Chapters 32 , 37, or 97 of the Town Code is open to public comment on: You may contact the Trustees Office at 765-1892 or in writing. The above referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might haveto review same proposal . OWNERS NAME: Hkfi IftC4�� MAILING ADDRESS: R0. bOX 'n 1 (15FeN9VRT N 7 4- 9 PHONE #: I 2 C1 ( �_ '"1ST 2 9 Enc. : Copy of sketch or plan showing proposal for your convenience. .S Board of Trustees Application County of Suffolk State of New York 2e-4 f 1 C, a �., ,z BEING DULY SWORN DEPOSE9 AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. � ( re Signature SWORN TO BEFORE ME THIS___-V_DAY OF `WI 0. 20 0 eqtc � ��s Notary Public 1.4-16-4 i2l87)—Text 12 PROJECT I.D.NUMBER I 61721 S EQ Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I-PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME •�"' NIArR6PPIF--- ;��1p1=N � �I I P06hC �1 P>>✓PLhC Mi✓ti 7. PROJECT LOCATION: II Municipality 41 TcA� County S0�C t-44 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc.,or provide map) Zc sEt�iF P�L� D, S�+ Lty N- nF r1AW '12 t (R7 Z S. IS PROPOSED ACTION: -' ❑New ❑Expansion Moditicationialteration I—!'A-d- l� 0-f[ ✓4�" ` " / 6. OESCRISE PROJECT BRIEFLY: eXIstIN � pCir"0 E E " N . Sloes oT- 14OL05C W LL 131 f-0 Y1A l-�'t� Ly 'fiN'K- f11 D wA! , N Ew �c O'rt !LL•7 s/p I L ES ks �f�t EsvFi. 5rR•w. P b� I^.vly5 , (<LL ry � � -Ce4e '/L c7/ �.� t 11 +6+ L:7XeC�7'C0PQ C (yi l�SC Ebb' PCFiloil Wt vDo �u 5 �`oPnr4inl t� 7. AMOUNT OF LAND AFFECTED: ` 0 Initially acres Ultimately ' O acres a. V4LLLPROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? ?,as ❑No If No.-describe briefly 9. wHH T IS PRESENT LAND USE IN VICINITY OF PROJECT? ' ies.dential ❑•!ndustrial r Commercial ❑Agriculture ':-I Park/ForesUOoen space L.Diner I! q�//escrib L MM 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING,NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STATE EE7OR LOCAL)?^''I qp as y ❑No If yes, list agency(s)and permittapprovals r SotAtF LP "WwrV 15ul t_DinlS Dt�p/ — (7UILDrV(, PEP�.II/T S6 U t t ID L4 nl -t-�r t 5 T�� �/ — ( c w tJ -r-LL5Y V - A-PA t-Wkz_ .s it. DOES ANY SPACT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes' o if yes,list agency name and permitlapproval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MOOIFICATICN? ❑Yes Nc I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNCWLSDG'c lI O�NP�� a� is 6 Applicant/sponsor name: Date: f-7 41 Signature: Un If the action is in the Coastal Area, and you are a state acency, complete the Coastal Assessment Form beiore proceeding with this assessment OVER - ?ART II--:VVIRONMENTA -SSE E:`IT ,�O be a noie!ec by .�genC' I A. ]OF S AC71CN iCEcD ANY I . =1 - -ES'r.G LO rl 3 NYCFF. ?4RT i17. yes. acramate :ne review ;rocev and use :ne FULL ° F. yes No 3. 'NtU ACT ICN Awz.ve CCCFCINATED REVIEW AS PFCVIOED:•C.UNLISTED.ACTICNS iN a NYC.7R. ?AnT i;La? if No, a negaw la dec:ara may be sucefse by another lmclvea agency. L2Y s No C. Cr:ULO ACTiCN RESULT:N ANY AOVEFSE E==CTa '.VliX .nE . OL_..NING.,Ansxers may _a oancwn L_n. .f .evlclal 11. Existing air cualirf, surrace or grounawater cualily or ouari noise levels. existing ::aifio patterns, solid -.vasie prep Lc:idrt or 31szc potential to erosion. pramage or flooding praclems? -=xolam briefly: to C2. Aesthetic, agricultural, emnaeological• hlstaflc, or other natural or cultural resources:or community or nelgno�d�r0 °° cnaractar? E<elaln cr NV — Eoog t3y Lkww C',� L EA'7 CC. Vegetation or !auna. ;Isn. snellfisn or• ildlife species, significant bapilats, or threatened or endangered sdec:es? Explain ]rfally. yet C A comemunity'$existing plans or goals as otfic:aay adcated.or a cnange in use or intensity at use of land prattler natural resources? Explain ❑r YV V C5. Growth. subseeuent ceveloament,or related activities likely to be induced by me --(loosed action? Explain briefly. CS. '_cng term.snort :arm.:umulative. or other elects not identified in Ct.C57 Explain briefly. I Iv Omer lrri iinc:acing c.`.anges in use of eanef quantity or type of energy)? upiam cratty. v — Nl, p� eA &f"vC FG.rn,r ac/�cttM13:1✓6 0. :S THERE.OF:S7'ric,,,---�E L:XELY TO 3E CONTROVEFSY RELATED TO POTS^!i!AL ACV E35E E?l VIFONMENTA L''.7.PACTS': yes 'Y)10 If Yes. explain briefly /T I ?ART III—OM"'c9MINATION OFa.SIGNIFICANCB (To be comoteted by Agency) INSTRUCTIONS: For each adverse effect identified alcove,determine whether it is substantial,large, important or otherwise sign;fic. Each effect should be assessed in connection with its (a) Setting (i.e. urban or rural); (b) probability of occa,�7ng; (c) duration: irreversibility: (et geograt:nic scoee; and (l) magnitude. If necessary, add attacnments or reference supporting materials. insure explanations contain sufficient detail to snow that all relevant adverse impacts have been identified and adequately acdressec. Check this box if you have identified One or more potentially large or significant adverse imO2Cts whicn 'MAY _ occur. then oreceed direc'ly to the FULL c.AF Intl/or prepare a positive,declaration. Check :his box if you have determined, based on the information and analysis above and any sucoortinc documentation. :hat :he prooOsed action WILL NOT result in_~?ny significant adverse environmental imoac:_ AND prov'Ce on attacnments as necessary, the reasons succorting this determination: ' ..nil or 'V< �+me P L•>CCn,•me t.0 Ker .n '.cad tScoCr :�lle ar :tc>aonvoie Olnet, i r (rn. JJre,tir ]w,rCnt Ir,T :raaan4me JI nC 2rl Pl'n Jl Lrn.)) <C}CCn,iale-�1:4ir n _e!O iyrn CY i�Qnd:fir✓ J ttC APPLICANT ' TRANSACTIONAL DISCLOSURE FORM i The Town of SoAhold'a Code of Ethics pichibibe conflicts of Interest on the part of town officers and emDloxees�The purpose of this form is to rovide SnEormation wh ci h can alert the town of possible conflicts of nterest_and allow it to take whatever action is necessary to avoid same. YOUR NAMES 0-WNU 4f1Ke�o�-�,..:. . (Last name, fiiistlnam0i Middle Initial, unless you are applying in the name or someone else or other entity, such as a company. I! so, indicate the other person's or company's name. ) NATURE Olt AppLICATION2 (Check all that apply- ) Tax grievance Variance Change of zone App peal of plat ExbAption from plat or official map Other -P,F�.ttCT FAA t3.�D6 . VrN'9 T" (2! "other," n the activity. ) Do you personally (or through rout Company, rpeuse, sibling, patent, or child) have a relationship with any offlcer or employee or the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a businesa, including a partnership, in which the town officer or employee hue even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% of the stiaree. YES NO If you answered "tES,". complete the balance of this torm 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) 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 lice 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 noncorporate •entity (when the applicant is not a corporation); C) an officer, director, partner, or emplbyse. of the applicant; or - D) the actual applicant. DESCRIPTION OF RELATIONSHIP ;( I . IL Submitted t>tle t day of Signature h` �K t� -Print name ; LSO li^ AY vaJlnA AtAdoid pod a'+rrol:o=_s OlOH1f105 a,\ I * (3) A10336S 30 AINOOO '-010''' j ION I "31�3N� 0�51 �snv - uUfi ro�o , b9bL- hS� - v� b - (Znuap�a�- �- ,�, � ��\ � �_:1 �h. •y�a.W 1> 1.�;'.p_ ))}) 'yet.j. et �s 6[* `f>����,�yyhiH�'�1H^Y `' t_ � R 4 IM R�1 �� i1P• ['G / 1 ��[�C"� ��p ([ d � ,�[ �`��3't� �/ V i w R♦ �.i ^ ij, y R a�� M1t � TttlOffi L1 W2! f/ f gill 60 q Office Use only _Coastal Erosion Permit Application _Wetland Permit Application ✓ Administrative Permit —Amendment/Transfer/Extension '-Received Application:_�1� �b _ - --'Received Fee:$ 90' _Completed Application Incomplete _SEQRAClassification: OCT 1 6 2006 Type( Type IIUnlisted Coordinatiom(date sent) - CAC Referral Sent: ate of Inspection: _Receipt of CAC Report: _Lead Agency Determination: Technical Review: ,e i blic Hearing Held: I le Resolution: Name of Applicant M A R G R R e. �" E l a L' N le Address SAGe- 131vo 6xP_e. ,poQ4, n7I II19Y Phone Number:81-f 15 El 19 8 Q Suffolk County Tax Map Number: 1000- s3 — 5- - !2/1 6 Property Location: 29 SQ (, 2 Qiyo . / GR-e z, Poa4 N7 jj 9qq l joca+eo in g(Leez - 4yrt2I (ommV^ l44./ IAlc rovide LILCO Pole#, distance to cross streets, and location)._—](gE7UrEle 1-11 UL # 3! I •N WlaS AOOKOX_ 70 MW4W 901RaYTE ZF � AGENT: (If applicable) Address: Phone: Board of Trustees Application GENERAL DATA Land Area(in square feet): /Z 6 fL,4er A 7a 6E X°E'o IWCt ) Area Zoning: _g C $ t b e n T i k L- / Previous use of property: V Q L Q t i o w R enfc 1 Cb >` t<f►G e. Intended use of property: 3 V M/h e Q- C o ti 1<A (�e Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspencjed by a governmental agency? )( No Yes If yes,provide explanation: Project Description(use attachments if necessary): A e,�OvE' A7VV QfgW&P THE ei( i MAM POOCH Z&OffR -Pawl^ ,f vD QEPHi.0 s/o11v6 Board of Trustees Application County of Suffolk State of New York MAAG-4t2E7 rJEI flFNRY BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE HE THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND 144AT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS ENOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. ,.d �t-4 d 2AA,-q Signature SWORN TO BEFORE ME THIS / U DAY OF V �'� 2000 *NotPubli? h `,4 Albert J. Krupski,President O$VFF�(�C Town Hall James King,Vice-President =.r0�. �Gy� 53095 Route 25 o P.O.Box 1179 Henry Smith A Ns Z Southold,New York 11971-0959 Artie Foster W Ken Poliwoda Telephone(631) 765-1892 y�101 �aO� Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Application � etland Permit Application Major _Minor —Waiver/Amendment/Changes deceived Application: 1 0 deceived Fee:$ —1,'�bmpleted Application a D E C E Q V E . 1. _Incomplete I _SEQRA Classification: Type I_Type II Unlisted JUN - 2 2QQ¢ _Coordination:(date sent) 'CAC Referral Sent:b/ Southold taws ate of Inspection: / Board of tmsteel _Receipt of CAC Report: _Lead Agency Determination: _Technical Review: ,public Hearing Held: W Resolution: Name of Applicant Mh(��Ap,� � 4EN� H CAI Address l�l Fl NTDP1T N Y I I Phone Number:( ) 9 Suffolk County Tax Map Number: 1000 - Property Location: (provide LILCO Pole#, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: Board of Trustees Application GENERAL DATA Land Area(in square feet): Area Zoning: Previous use of property: S A, S u AZ C° o Tj L- 6 F�— Intended use of property: A" � u fQ A, L C Prior permits/approvals for site improvements: Agency Date N /No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? �` No Yes If yes, provide explanation- r Project Description (use attachments if necessary): Rf M 0 Vk- - A N f7 nn�,►�G of PeP,c�+ ��x�srr►v�� Q Peo�lNb I�CFAlf� `5/ 'S101N4 rJFPA:1p1 (V EL-ee-TRICk — Up— QkTE 0 W 1 N O ovJ AN b b o 06 1��PL-0cGgM�►�T (NO_ C 1( N(1E5 �l Si �S� GN�R,Ati F71✓��41RS NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of appl 'cant: tA0kf,\()kRET 13R i 2I S}FDP%E,S CDMM. 37NC . SCTM#1000- YOU ARE HEREBY GIVEN NOTICE: 1 . That it is the intention of the undersigned to request a Permit from the Board of Trustees to: 4%� cC ExlsT � r� F, Uoe. e 4k � CnENERati REPhilhs/gT�P�-kG� MEN+� 2 . That the property which is the subject of Environmental Review--is located adjacent to your property and is described as follows : 2r1 S by 5LVD , C FiGci� PD6 Ny k� 144 3. That the project which is subject to Environmental Review under Chapters 32 , 37, or 97 of the Town Code is open to public comment on: You may contact the Trustees Office at 765-1892 or in writing. The above referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal . OWNERS NAME: HK6 tiff kc-19F01 MAILING ADDRESS: T•0. 6flX h 1 faTUENPDRT " �� 4 PHONE # ' I 2- C1 I + -is-+ 21 d q Enc. : Copy of sketch or plan showing proposal for your convenience. S Board of Trustees Application County of Suffolk State of New York A ee f I I C r a e r iZ L1 BEING DULY SWORN DEPOSE9 AND AFFIRMS THAT BE/SRE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S)OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. k(h'J Signature SWORN TO BEFORE ME THIS_ jk _DAY OF V Q 20 O_q eratt �wuv:. beI(,cSAVII, Not Pu v:wmOM ary 14.16-4 12/871—Text 12 [PR�MBER st 7.zT SEC Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I—PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT(SPONSOR 2. PROJECT NAME r" MI�RANTIS67" � �IyENRt� . PROC61 f1iEPr,�4c?�H � 7. PROJECT LOCATION: Municipality Vf0PoPtT' County a, PRECISE LOCATION(Street address and road intersections,prominent landmarks, etc., or provide map) T3 o, 50U -tF- of " A, I/V 12; 0A0 Cf',T. 25 5. IS PROPOSED ACTION:: ❑New ❑Expansion Modification/alteration I' `�t 7 r L-r[ ✓4/'" 6. DESCRIBE PROJECT BRIEFLY: EXIS-tI.N4 oAcbt © ni n! , S Ion of I4o-u5C wiLL (3-E C o V%A �j 4 E t may T�*r-C—tJ _O D w N . nt E W �v ot-I ?VC? S/P I t_ E5 7�� EN ,6, 5-f- A-I+t PE-10 D(11_4nY l vV G 5 . K Lt_ "EF `-'v G C NS7_fL ti.C-'/V!) V17 16F C—X CTIF5 V ©'(` T-rEU.SI: Off ?E lFII OP \�NI Npo-W S eoe;1l:ii 7. AMOUNT OF LAND AFFECTED: Initially ' !i2� acres Ultimately e acres 8. WILL r1 PROPOSED ACTION COMPLY'WITH EXISTING ZONING OR OTHER EXISTING LiND USE RESTRICTIONS? -L 0es lJ No If No.-describe briefly 9. WH T IS PRESENT LANDD USE IN VICiNiTY OF PROJECT? esidential G.!ndustrial ❑Commercial ❑Agriculture U ParklForesdOoen space L Other esc:iD �.( e (� A'L 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NCW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STAT���[[[E''''''���O���R LOCAL)? L]p res ❑No If yes. I.,list agency(s) and permit/approvals �^ /L' SOU'('rVL(;t1•Su1LD �y b�I (jLt ILDrN/y PE-A�1T i5'0_ ktA3 TE S — TOW tJ ✓i}t_ -s 11. DOES ANY JEACT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes [�� o If yes, list agency name and permit/approval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMITIAPPROVAL REQUIRE MOOIFQATICN? ❑Yes No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEOG'c a � �� � Io�N�► q' �a a Applicant/sponsor name: rt Date: 61 Signature: V" If the action is in the Coastal Area, and you are a state agency, complete the LCoastal Assessment Form before proceeding with this assessment OVER PART II—ENVIRO;Jb9ENTA'�ESE2dENT -0 ce car-cietec oy .Age.n.0 • A. GOES ACCICN E;iCEED ANY . _L Ti+RES'r.GLO :N S NYCRP, ?.RT 3:7.'.Z? It yes. cocrmnats :ne review =rocess and use :ne F L'LL EAR, "eg No _. 'NIL,_ACT:CN R C :yE :CCPGINA7c7 3E171E/V AS PRCVICED FCR UNLlSTc ACTiCNS iN 3 NYC'R, ?ART 317:4 if No. a negative leotard may be sucerse ay tinemer lnvolvea agency. yes �No C. CCULD ACTiCN RESULT N ANY ADVERSE EF?63TS ASSOC;AT=D'.VITH -hE FOLLOWING:iAns'wers may oe nancwncten. J :eglbtel Gt. _xisting air quality, surracs or groundwatercualily or quantity, horse seveis• existing 'Bait is :at:erns. solid .vas;e omcuc:ion of lIscc potential for erosion. cfainage or.'loading oroblems? '_[plain briefly: No C2. Aesthetic, agricultural, archaeological,historic,or other natural or cultural resources;or community or netgnoor °° cnarac:er? Exolain cr No — c ooB VIy-c 5 t'7Eczvtt2E ,IV f�€ LAc Ea/ CC. Vegetation or fauna. 'Isn, snedfisn or wildlife species. sigmiicant haoitats.or :hreatened or endangered spemes? Exclam artaily: C=. A community's existing plans or goals as offic:atly adooted,or a change in use or intensity of use of land or other natural resources?Explain ar NJ CS. Growth, suoseauent gevelGOmenl,or related ac:lvitles likely ro be induced oy me arocosOa action? Exomin arlefly. No Cs. Long :arm,snort term.-_umulative,or other elects not Ieemitied In C.- 5? Explain onerly. I . Ctner imoacs iinc:acing :-tinges in nse pf caner quantity or type or energy)? Expiain xietly. No — Jvy Ntlw o!h t �gNvC ��c7 pir etct �u•KB�NG� ors (-�✓A'� .�n� s'7-n�.z,AC. J. IS THERE. CR is���-•••ii=RE ''_:KEL" TC BE CCNTAGVEFSr RELATED 70 nTEN TIAL A--VERSE =NVIRONMEN TAL:::PACTS? tee$ p It Yes. ex Clain orieily i PART III—OEiERMINATION CI .SiGNIFiCANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large. Important or otherwise signific. Each effect should be assessed in connection with its (a) setting (i.e. urban or rurai); (b) probability of occaSring; (c) duration: irreversibility; (e) geograonic scope; and (f) magnitude. if necessary, add attachments or reference supporting materials. Ensure extitanations contain suificient detail to snow that all relevant adverse impacts have been identified and adequately aCCressec. Checfc ;his box if you have identified one or more potentially large or significant acverse impacts which iii ccur. Then ?roceed cirectly to the FULL EAF anefor prepare a positive declaration. _ ChecA :his box f you have determined, based on the information and analysis above and anv sucoortinc documentation. :hat :he prboosed action WILL NOT result in�?ny significant adverse environmental imcactz i AND provice Dn attachments as necessary, the reasons supporting this determination: V.,,112'll _r�U itlnCY I hint or :vice �.rnr Jl 4•tpem•am Jnic er n ,uue agcncv fair of dv:oommle Ui bon i ' $i�nJlulr er <rseamrole ll'�ier m LraCl.a prn<v iiC•na:vrr Jr I'pp Jfrr:Ir JII a'Cnt :rOT rCSaOn HOlr JlryC irl - JJrr PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: STATE OF NEW YORK COUNTY OF SUFFOLK M Fe, n2 ,residing at �9 .5�aUe g 10 o G22�nPoR y being duly sworn deposes and says that on the day of 20� deponent mailed a true copy of the Notice set forth in the Board of Trustees Application directed to each of the above named persons at the addresses set opposite there respective names;that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold;that said Notices were mailed at the United States Post Office at (S e a e n k i that said Notices were mailed to each of said persons by (certified) (registered)mail. a, r Pa d D Sworn to before me this Day of�20_!� Notary Public CHRISTIE HALLOCK Notary No ry�1950Suffolk"ff of�1H Cormiission Expires,May 31,20 6 7 SVFF�(� Town Hall Alberti. Krupski,President �� co James King,Vice-President Gy 53095 Route 25 Artie Foster o P.O.Box 1179 y = Southold,New York 11971-0959 Ken Poliwoda Peggy A.Dickerson �,fi O`er Telephone(631) 765-1892 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- hi the Matter of the Application of COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, MpjpgA2e4 ryemnKq ,residing at 2q S461e � � �0 • l7Q0- eAPo1z ny � (9Yy being duly sworn, depose and say: That on the day of , 200 , I personally posted the property known as by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight daxs prior to the date of the public hearing. Date of hearing noted thereon to be held Th1l �1U•1�Q Dated: ��//0� / _ *(sgnraZure) Sworn to before me this dray of-200 5� Notary Public Nona dN.�ew�rbyrk Coaws 31,20� . APPLICANT TRANSACTIONAL DISCLOSURE PORH � The Town of S.oAhold's Code of Ethics Pohibits conflicts of Interest on the art of town of£ cere and em to eee. The purpose of this form is to provide information which can alert the town o£ possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAM �(G DN I� 11 l v •� (___Last name, Ei et name, middle initial, un eee you are applying in the name or someone else or other entity, such an a company. If so, indicate the other person's or company's name. ) NATURE Op AppLICA'fIONs (Check all that apply.) Tax grievance Variance change of cone App pwal of plat �� Exefption from plat or official map - other (I! "other," n the activity. ) 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 ofricer or employee owns more than 5% of the abares. 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) 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 than 5% of the shares of the corporate stock or the applicant (when the applicant is a corporation), B) the legal or bbneficial owner of any interest in a noncorporate'entity (when the applicant is not a corporation), c) an officer, director, partner, or emplbyse_ Of the applicants or D) the actual applicant. ' DESCRIPTION OF RELATIONSHIP su bin itteda ) day of Signature. + 'Print name F , Breezy Shores Community Inc. P.O. Box 548 Greenport,NY 11944 J UN - 2 2004 ;; ! To: Southold Town Trustees oi-:SoutAotq,TOWiI t}oatQ of Trustees From: The Office of The Coop Board of Directors at - ------- To Whom It May Concern, The Board of Breezy Shores Community Inc.(BSCI)has received,and voted upon,a request by BSCI Shareholder Margaret Heidenry to replace the dilapidated existing rear porch on cottage f29 and make general repairs to the home. Stamped engineer's drawings were requested and reviewed. This letter is to authorize,on behalf of the Corporation,approval of above project to any Town/State or Federal office. As a side note,let it be known that Breezy Shores community wishes to establish a good relationship with your office by internally enforcing all codes and procedures for permits. The Board at Breezy Shores has made it clear to the Shareholders that any work done to their cottage must be approved first by the BSCI Board before applying for a permit from the town. Our community requirements are the same as those set by local standards of Building code and the like. Our intention is to unburden the town by presenting any request from Breezy Shores in an organized and professional manner. Thank you for your help. Sincerely, xt�� 44—^— H. Michael Otado President-Coop Board of Breezy Shores Community Inc. 917-796-3997 OtanoQmac.com March 11,2004 D c f Southold Town Trustees PO Box 1179 g 2C04 t_` i Southold,NY 11971 Southold Town goard of Trustees Dear Board Trustees, I am a resident of the cooperative Breezy Shores Community Incorporated located at the end of Sage Boulevard in Southold Town. Our cooperative purchased the property,which consists of 31 cottages on 90 acres,from the Sage family several years ago. At the time,we were all renters who banded together to stop the family from selling the property to developers. Now as owners,we are dedicated to preserving our wonderful homes and would like to be able to make some very necessary repairs. In trying to get a permit to do repairs to my home,I was told by Lauren that Breezy Shores must first establish how Breezy Shores ownership works with your office. Enclosed please find a copy of our deed and our proprietary lease. In the summer of 2003,1 brought in our survey and Lauren made a copy for you to reference. I hope these materials will be helpful. Please call me at(917)754-2989 with any questions. Thank you very much for your time and attention to this matter. Sincerely, Margaret Heidenry � P.O. Box 51 Greenport,NY 11944 a PO (917)754-2989 l • a r 1 L �,���� .�� III '.• 1 �{4 ,�i'.: . # .- •� • - - - ., - • - � •• � yam �'`��j 1, �y /��• r ` , \ / A� / � J �r�\f -V .,: c. �.."-T.? .-�r"1• y,rJl• 1 -. V,� + .1.:�n~.i, �y�i `�..-..."I •,,off �*•........•'I"� ,r+e� �`.""'/ ooSUFFo���, Albert J. Krupski, President �. QG Town Hall James King,Vice-President = y� 53095 Route 25 Artie Foster coo - P.O.Box 1179 Ken Poliwoda Z Southold, New York 11971-0959 Peggy A. Dickerson Oy'� a��� Telephone(631) 765-1892 1 * Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 24, 2004 Ms. Margaret Heidenry 29 Sage Blvd — P.O. Box 51 Greenport, NY 11944 RE: 29 SAGE BLVD., GREENPORT SCTM # 53-5-12.6 Dear Ms. Heidenry: The Board of Town Trustees took the following action during its regular meeting held on Thursday, June 24, 2004 regarding the above matter: WHEREAS, MARGARET HEIDENRY applied to the Southold Town Trustees for a permit under the provisions of Chapter 97 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated June 2, 2004, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on June 24, 2004, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 97 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, 2 NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of MARGARET HEIDENRY to remove and rebuild the existing porch, repair roof and repair siding on existing dwelling, and replace doors and windows and all as depicted on the survey prepared by Warren Sambach last dated 6-6-03. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, dt ""e �7' � � Albert J. Krupski, Jr. President, Board of Trustees AJK/hct h1,aeK w147 t011 Cvo .- 1 ,dl a a�d I m, � ., '"" (� ,I 'I^.— {'`' lJ 1 �.. 4'" 'ri+ BYRE ss-i.z'', 12./p JUN - 2 2004 aL; n '1J., 1 - Southold Board of Tmstestee5 ALL W'�'C'C.'�`kl� �"GCY"A.�. T#7 YF$"d"I' .J0A CN0- CG '6XISTI.tiIEe sKts ef+uc . cnTr�ss - , - 6 1; hXlouWhLL^y1 - ( '' C,ct.N S riza.e7ttN ktN11T { t KM ASS t V4d4k i? . T7.*Tr,1 f'J''Efk'd'Y1+H;d1Y' kr?,v°4rMG' rt 2b 13 POUr T4s 0. '.Cq.�r +t ra 1791 (PAY, 4. LlV Fa,.rd57 LG7W)fL 40 µlsawr; � p . ?*/d �CPCOUL✓ 0 P.RI?r 'ta r 'L"44 '0,0019 T01'05 C611t4f_K:L'*0 V '2.$"y6W &)W,. (xIS¢. 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