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Home My WebLink About6251,.-0 / - North Fork Permits To: From: Town of Southold Zoning Board of Appeals ........ Town Hall Annex Southold, NY 11971 I ~ · North Fork Permits I ~ 7 2009 William Gorman PO Box 1447 ~ '<""""""""'~ ~c~.D'~{ Mattituck, NY 11952 ! : ' Date: April 6, 2009 Re: Michael and Dana Meyran SCTM# 1000-141-1-31 Front yard variance To whom it may concern. As we have sought another avenue to accQmptish our objectives, we respectfully, with~lraw 9ur Zoning application for a front yard variance~ Thank you for consideration, ~Villiam ~. Ci~j~, North Fork Permits Authorized Representative for the Meyrans PO Box 1447, Mattituck, NY 11952 (631) 445-1461 Office Location: Town Annex/First Floor, Capital One Bank 54375 Main Road (at Youngs Avenue) Southold, NY 11971 Mailing Address: 53095 Main Road P.O. Box 1179 Southold, NY 11971-0959 http://southoldtown.northfork.net BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809 Fax (631) 765-9064 MEMO TO: FROM: DATE: SUBJECT: Elizabeth A. Neville, Town Clerk Jerry Goehringer, Chairman April 8, 2009 Request for Partial Refund of Fee (6251 - M & D Meyran) A partial refund ($100) of the filing fee for the above application is recommended. After a public hearing held in February 2009 and other services were provided to the applicant for processing of this application, the applicant decided to conform to the code and withdraw the variance and Plans submitted to the ZBA. Copies of the agent for the applicant's letter and the Town's original payment receipt are enclosed. Also, please note in the receipt records of November 18, 2006 that the application is void and no other processing will follow (as a result of the above refund). The refund may be returned to the business which paid the original filing fee, noted below: P.O. Box 1447 Matttituck, NY 11952. Thank you. Encs. ' cc: Accounting Department (wi enc.) 0 SURVEY OF PROP MATTITUCK j TOWN OF SOUTHO~_D ¢)~'~ S.C. TAX No. 1000-141-01-31 SCALE 1"=20' AUGUST 27, 2003 NOVEMBER ~2, 2008 ADDED PROPOSED ADDITIONS AREA = 15,960 sq. fL 0.366 ac. CERTIFIED TO: JP MORGAN CHASE BANK DANA M, DeSTEFANO BLACKSTONE LAND TITLE AGENCY, L,L,C, FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK LOT COVERAGE DATA ~ AREA X LOT COVERAGE DESCRIPTION EXIST. HOUSE 615 sq. fl. $.8~ EXIST. GARAGE 544 sq. ff. 2.2~, EXIST. SHED 117 sq. ff. 0.7X :XlST. DECKS 290 sq. ff. 1.8% TOTAL 1,564 sq. ff. 8.5% PROPOSED LOT COVERAGE DATA DESCRIPTION AREA ~ LOT COV~RAGI EXIST. HOUSE 613 sq. ff. 3.8~ EXIST. GARAGE $~4 *q. ff. 2.2% EXIST. SHED 117 sq. ft. 0.7~ EXIST. DECK 180 iq. ft. 1.1% PROP. ADDITION 501 Iq. ff. $.1% PROP. PORCH 82 sq, ff, 0,5~ TOTAL 1,837 Iq. ft. 11.4~ UNAUTHORIZED ALTERATION OR N)DmON TO THIS SURVEY IS A %IOLATION OF SECTION 7209 OF THE NEW YORK STASE EDUCATION LAW. THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS AS ESTABUSHED BY THE I-I.A,I-S. AND APPROVED AND ADOPTED FOR SUCH USE BY THE NEW YORK STATE LAND TITLE ASSOCIATION. / /&', ,~:,' "+-A \ " "Z:::" -'" NmY. S. Lic. No. 50467 Nathan Taft Corwin III Land Surveyor ~t~ Surveys -- Sub,vis,ns -- Site Plans -- Construct~n Layout PHONE (651)727-2090 Fox (631)727-1727 OFFICES LOCATED AT MAIUNG ADDRESS 322 Roanoke Avenue P.O. Box 1931 Riverheod. New York 11901 Riverheod. New York 11901-0965 "" 24-039, Ill II II FRONT ELEVATION SCALE: 1/4" = 1'-0" NOV 18 2008 ~/ LEFT ELEVATION SCALE: 1/4" = 1'-0" JD REAR ELEVATION SCALE: 1/4" = 1'-0" RIGHT ELEVATION SCALE: 1/4" = 1'-0" ,~,DDITION M~:'T'~,~,N, M ~,TTITUC:~.. 42'-4" V£RIFY W~TR OWNER. ,~-(2) 2X4 DP#2 -~' ff~ POST (TYP.) ~, ~-'~""~ ~' GREAT ROOM ERED PORCH <:~INEW l EXIST ~' 304& m DINING ROOH 22'-4" &'-q 1/2" EX. KITCHEN INSTALL BLOCF~NG HID SPAN OF STUD WALL EXIST. BATH NEW iH'-IO 1/2" EX. BEDROC;q XIST EX. BEDROOM 12'-5 1/2" 3'-0" 1ST. FLOOR PLAN SCALE: 1/4"= 1'-0' ADDITION; 502 SQ, FT. COVERED PORCH: E4 SQ. FT. ADDITION METRAN, MATTITUC~, NY )Februar~ I0, 2001 ELOW LOFT WALL TO CONTINUE DN BEDROOM No 3 MASTER BEDROOM 17'-~ 1/2" ~,DDITION ME'I'R~,~N, M~,TTITUCK, NY SURVEY OF PROPERTY SITUATE MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-141-01-51 SCALE 1"=20' AUGUST 27, 2005 NOVEMBER 12, 2008 ADDED PROPOSED ADDITIONS AREA = 15,960 sq. ff. 0.566 ac. CERTIFIED TO: JP MORGAN CHASE BANK DANA M. DeSTEFANO BLACKSTONE LAND TITLE AGENCY, L.L.C, FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK EXISTING LOT COVERAGE DATA DESCRIPTION AREA ~; LOT COV[RAGI EXIST. HOUSE 613 sq, ff. 5.8~¢ EXIST. GARAGE 344 Iq. fi, 2.2% EXIST. SHED 117 sq. ff. 0,7X EXIST. DECKS 290 sq. ff. 1,8% TOTAL $,$64 sq. ff. 8.5~ PROPOSED LOT COVERAGE DATA DESCRIPTION AREA ~ LOT COVERAGE EXIST. HOUSE 615 sq. fl. 3.8~ EXIST. GARAGE 344 ~q. ft, 2,2~ EXIST. SHED 117 iq. ff. O,7X EXIST. DECK 180 sq. fi. 1.1X PROP. ADDmON 501 ,q. ff. PROP. PORCH 82 Iq. ff. TOTAL 1.8~7 Iq. fl. tl.4~ COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR E~IBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID ]]RUE COPY. THE EXISTENCE OF RIGHTS OF WAY AND/OR E.~SEMENTS OF RECORD. IF ANY. NOT SHOWN ARE NOT GUARANTEED. Lic. No. 50467 _Nathan Taft Corwin III : Land Surveyor ~e Surveys -- Subdivisions -- Site Plans -- Construction Layout ~HONE (631)727-2090 Fox (631)727-1727 OFFICES LOCATED AT MAIUNGADDRESS 322 Roanoke Avenue P.O. Box 1931 Riverheud, New York 11901 Riverheod, New York 11901-0965 ~4-039 TO: Dana & Michael Meyran 280 Youngs Ave. Southold, NY 11971 FORM NO. 3 NOTICE OF DISAPPROVAL DATE: November 6, 20~ Please take notice that your application dated October 31, 2008 For reconstruction of an existing dwelling at Location of property 280 Youngs Avenue,, tSo~hold /?//477T~6)C~ /$~z2/~ County Tax Map No. 1000 - Section 141 Block 1 Lot 31 Is returned herewith and disapproved on the following grounds: The proposed reconstruction, on this non-conforming 15,959 square fi. lot, is not permitted pursuant to Article XXIII Section 280-122A which states; "Nothing in this article shall be deemed to prevent the remodeling, reconstruction or enlargement of a non-conforming building containing a conforming use, provided that such action does not create an,/new non-conformance or increase the degree of non-conformance with regard to the regulations pertaining to such buildings." The existing single-family dwelling, notes a front yard setback to Youngs Ave. of 24.1 '. The 2 story construction with covered front entry is proposed at approximately 14' from Youngs Ave. Pursuant to the interpretation in Walz (#5039), such alterations & additions will thus constitute an increase in the degree of nonconformance. The construction is not permitted pursuant to Article XXIII, Section 280-124, which states that non-conforming lots, measuring less than 20,000 sq. fi. require a minimum front yard of 35'. · L.x~ ¥~tX/e../ Date Assigned/Assignment No. Office Notes: ~x,~L'g~0k~ ParcelHouseNo.2~O Street C~OCY/O~'~ ~t]~__d~U'~ Hanaet/, 4Z'r 7-OC4<. 1000 Sectionl UlockO Lot(s) I (WE) APPEAI~ THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR Applicant/Owner(s): t)PdO~ · ~t~tCdA~et.- Mailing Telephone: NOTE: In addition to the above please complete below if application is signed by applicant's attorney, agent, architect, builder, contract vendee, etc. and name of person who agent represents: Authorized Representative:/~C)ttA, i ~t~x. ~og-~,~oL~ for (~'~/Owner, or ( ) Other: Address: Telephone: Please check box to specify wh~o y~. wish correspondence to be mailed to, from the above hames: 13 Applicant/Owner(s) I~<~uthorized Representative [] Other Name/Address: / WHEREBY THE BUILDING INSPECTOR DENIED AN APPLICATION DATEff FOR: ~nilding Permit ~ Certificate of Occupancy [] Pre-Certificate of Ocenpaney [] Change of Use [] Permit for As-Bnilt Construction []Other: Provision of the Zoning Ordinance Appealed. Indicate Article, Section, Subsection of Zoning Ordinance by numbers. Do not quote the code. Article ~-ll] Section280- IZ.~-./~L ~ [E,~ Subsection Type of A~eal. An Appeal is made for: ~ A Variance to the Zoning Code or Zoning Map. [] A Variance due to lack of access required by New York Town Law-Section 280-A. [] Interpretation of the Town Code, Article Section [] Reversal or Other A prior appeal [] has h~as not been made with respect to this property UNDER Appeal No. Year . (Please be sure to research before completing this question or call our office to assist you.). Name of Owners: Dana and Michael Meyram Appeal Nor-.-- _---- REASONS FOR APPEAL (additional sheets may be used with applicant's signature): IH ~ C ~ ~ ~q ~ L~ LZONiNG OOAP, D OF gPPEALS (1) An undesirable change will not be produced ia the CHARACTER of the neighborhood or a detriment to nearby properties if granted, because: A number of the neighboring properties are similarly setback from both Youngs Avenue and Pine Street (see pictures). (2) The benefit sought by the applicant CANNOT be achieved by some other method feasible for the applicant to pursue, other than an area variance, because: The burden of having two front yards requires, necessarily, that the rear yard be reduced in size and utility. The applicants seek t? maintain a semblance of their already undersized rear yard. (3) The amount of relief requested is not substantial because: Visually, the proposed construction would have a setback of 26' from the pavement. The 12' buffer between the property line and the pavement create the appearance ora much more substantial setback. (4) The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: The properties directly across Pine Sl~eet and Youngs Avenue have the similar set back conditions. (5) Has the alleged difficulty been self-created? ( )Yes, or ( X )No. Does this variance involve as-built construction or activity? ( )Yes, or ( X )No. This is the MINIMUM that is necessary and adequate, and at the same time preserve and protect the character of the neighborhood and the health, safety, and welfare of the community. Relief pursuant to Article XXlll Section 280-122A andArticle XXIII Section 280-124. Check this box ( ) IF A USE VARIANCE IS BEING REQUESTED, AND PLEASE COMPLETE THE ATTACHED USE VARIANCE SHEET: (Please be sure to consult your attorney.) Sworn to before me thia ~q U~ e..o~lc~L~ Notary Public ~t~m~ o f ~p eli/a n~J must submit written~'.uthorization from Owner) CONNIE D. BUNCH Notmy Public.State of New York No. 01BU6185050 Qualifl~ in Suffo k County Commission £xpifes April 14, 20 ~ ~ APPLICANT'S PROJECT DESCRIPTION (For ZBA Reference) Applicant: [~P~ '~ lk{[ (~4A~'/ lb{~t~t~ Date Prepared:////7/~ I. For Demolition of Existing Building Areas Please describe areas being removed: RECEIVED II. New Construction Areas (New Dwelling or New Additions/Extensions): Dimensions of first floor extension: ~.O, · Dimensions of new second floor: ~-(~"- 4° ~ ,e.{ 2~ % ,~' Dimensions of floor above second level: Height (from finished ground to top of ridge): ~'7 Is basement or lowest floor area being constructed? If yes, please provide height (above ground) measured from natural existing grade to first floor: III. Proposed Construction Description (Alterations or Structural Changes) (attach extra sheet if necessary) - Please describe building areas: Number o f Floors and General Characte~ristics BEF_~,RE Alterations: 500 (o t.~ (62-4 ) Number ofFloors and Changes WlTH Alterations: ~ ~TO~'~.i IV. Calculations of building areas and lot coverage (from surveyor): Existing square footage of buildings on your property: ~. ~J-~'/O Proposed increase of building coverage: ~ '~ ~ i1' - Square footage of your lot: US'l°t~O "- Percentage of coverage of your lot by building area: ~'gt~'C~.?30 V. Purpose of New Construction: /.A.~c~E~'~-a~ /~ O~l.Y~ VI. Please describe the land contours (flat, slope %, heavily wooded, marsh area, etc.) on your land and how it relates to the difficulty in meeting the code requirement(s): Please submit seven (7) photos, labeled to show different angles of yard areas after staking corners for new construction), and photos of building area to be altered with yard view. 7/2002; 2/2005; 1/2007 QUESTIONNAIRE FOR FII JNG WITH YOUR Z.B.A. APPLICATION Is the subjecJ~premises listed on the real estate market for sale? [] Yes ~No Are_there any proposals to change or alter land contours9 ~o [] Yes, please explain on attached sheet. ' 1) Are them areas that contain sand or wetland grasses? t~ C) 2) Are these areas shown on the map submitted with this application? 3) Is the property bulkheaded between the wetlands area and the upland building area? 4) If your property contains wetlands or pond areas, have you contacted the office of the Town Trustees for its determination of jurisdiction? Please confirm status of your inquiry or application with the Trustees: and if issued, please attach copies of permit with conditions and approved map. D. Is there a depression or sloping elevation near the area of proposed construction at or below five feet above mean sea level? t~D Are there any patios, concrete barriers, bulkheads or fences that exist and are not shown on the survey map that you are submitting? J~ID (Please show area of these structures on a diagram if any exist. Or state "none" on the above line, if applicable.) Do you have any construction taking place at this time concerning your premises? If yes, please submit a copy of your building permit and map as approved by the Building Department and describe: G. Do you or any co-owner also own other land close to this parcel? the proximity of your lands on your map with this application. If yes, please label H. Please list present use or operations conducted at this parcel ~'tKt%~'. ~tJ,.~bt.C ~'sl, l~t[~ (examples: eyeing: single-family; proposed: same with garage or pool, o~ other description.) A~ho~ze(Sr~a{o..r~ and Date 2/05; 1/07 Town of Southoid INSTRUCTIONS 1· LWRP CONSISTENCY ASSESSMENT FORI~, REC, ,- All applicants for permit~* including Town of Southold agencies, :hall comp.[~l~eo~3~$p~_.~ for proposed actions ~at ~e subject to ~e Town ofSouthold Water~ont, ~ev]ew Law. T~s ~sessment is intended to supplement other info~ation used by a Town of Sou~old agency in m~ing a dete~hation of consistency· *Except minor exempt actions including Building Permits and other ministerial pe~its not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and egplanations of each policy contained in the Town of $outhold Local Waterfi'ont Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (wlfich includes all of Southold Town). If any question in Section C on tiffs form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards m~d conditions. If an action cannot be certified as consistent with the LTM policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.nortlffork.net), the Board of Trustees Office, the Plarafing Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTm# /o >o . t' t - OI . :3 I The Application has been submitted to (check appropriate response): Tow..oar, [] , nn g.oard[] "nild gDept. [] "o r"ofTr.ste s [] Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan, subsidy) ~)----Pe~rmit, approval, license, certitic~.~iorii Nature and extent of action: Location of action: Site acreage:_ Present land use: Present zoning classification: [~',,~" D - 7aut~.~oA~a o~F 27~_q,%.~- If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (d) Application number, if any:_ Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes [] No [~ If yes, which state or federal agency?.__ C. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southoid that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. [--]Yes ~ No ~Not Applicable Attach additional sheets if necessary ..... Poimy'~y~;.qProt~t-~d~t~icr9-6 hisl~ri-c-'h~d~'r~h~i~6 olb~gi~alT-6goffr~es o~'t:h-e-To-w~t~ld. See LWRP Section III - Policie~,~3 thro!gh 6 for evaluation criteria A~tach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of South01d. se.e LWRP Section III-~s Pages 6 through 7 for evaluation criteria I ~ ~'~' ~ ~ ~ ' [] Yes [-~ No I'l Not Applicable , ~'~'-" ":~'"' ':' Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pa/ges 8 through 16 for valuation criteria Iq Yes Iq No ~ Not npplicah,e Attach additional sheets if necessary Policy 5. Protect and ilnprove water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 th~21 for evaluation criteria [~ Yes [--q No k~l Not Applicable Aitach additional sheets if necessary sPOlicy_ 6. Protect an.d restore the quality and function of the Town of Southold ecosystems including igniticant Coastal Fish and W?dlife Habitats and wetlands. See LWRP Section III - Policies;. Pages 22 [] Yes [] At/ach additional sheets if necessary Policy 7. Protect and improve air quality iu the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. [-~ Yes [] No [~Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and w~z See LWRP Section Ill - Policies; Pages 34 through 38 for evaluation criteria. [] yes [~] No ~ Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Soutbold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. [] Yes [-~ No [-~Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect So[~hold's water-dependeut uses ;nd'~rol~l~}te'}iting of new' v~ater-dependent uses suitable Iocations~fie LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria, in -'~-q y~ [~]-No' r~J Not-APPlicabl~ Attach additional sheets if necessary Policy 11. Promote sustainable use of living m..ariu.e resources in Long Islan! Soun.d., the Pec.onie Es uary alld Town waters. See LWRP Sectioll III- Pohcies, Pages 57 through 62 for Attach additional sheets if necessary Policy 12. Protect agricultural lands through 65 for ev~,t~on criteiia, in the Town' of Southold. See LWRP Section III - Policies; Pages 62 [] Yes ~] No I ' I Not Apphcable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies 65 through 68 for evaluation criteria. [] Yes [] No I ~] Not Applicable Created on 5/25/05 11.'20 AM 61Z21 Appendix C State Environmental Qualtt~ Review SHORT ENVIRONMENTAL .~SE$SMENT FORM For UNI~ISTED ACTIONS Only PART I - Project Information (To be complete by Applicant or Project sponsor) 1. Applicant / Sponsor 2. Project Name 3. Project location: Municipality County 4, Precise location (S[ree! address and road intersections, prominent landmarks, etc. or provide map) 6. Is proposed action: ) NEW ( ) EXPANSION (v'~MODIFICATION/ALTERATION Oescdbe project bdefly: J 7. Amount ct land affecied: Initially: acres;. ,~:~ ~) Ultimately: acres 8. Will proposed action comply v~th ex~sting or other existing land use restrictions:( ~,)~I~S ( ) NO If No, describe bdefly: 9. What is present land use in vicinity of project: (describe): (¢~'Residential ( ) Industrial ( ) Commercial ( ) Agricultural ( ) Park/Forest/Open Space ( ) Other 10, Does., action involve a permit approval or funding, now or ultimately from any other Govemmenta agency,(Federa. State or Local) (~'YES ( ) NO If Yes, list agency(s) and permit/approvals: 11. Does any aspect of the action have a currently vapid perm t or approval? ( ) YES (v,~lO If Yes, list agency(s) and permit/approvals: 12 As a result of proposed action, will existing permit/approval require modification? I( ) YES ( ~,~""f~O If Yes, list agency(s) and permit/approvals: / certify that the information provided above is true to the best of my kn, owledge Applicant/Sponsor Name: ~Z*~,l~ ~'~ Date' If the act'~n~in///~/' ' '/~t~e ~o~ta A~. and you are astate agency, complete the Coastal Assessment Form before proceeding with thia assessment ~ goaN~ACTIONAL DISCLOSURE F APPLICOE TO OWNER, CONTRACT VENDE~I) AGENT: The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of Town officers and employees. The purpose of this form is to provide information, which can alert the Town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. (Last name, first ~~t;~.-~ , mitial~ are avvl¥in~ i, ;h',~'iF_T_f' '"' other entity, such as a company. If so, indicate the other person or company name.) NATURE OF APPLICATION: (Check all that apply.) Variance Special Exception -- *Other Approval or Exemption from plat or official map Change of Zone Tax Grievance *If"Other" name 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? "Relationshi ' includes b blood marri~ss interest." '- __ "Business interest" means a business ~h the~Town office ........ ,-cmmn a ~. ~' r or em lo ee has even a at,.iai ownershi of or m ~1o ee owns more than 5% fth YES~ NO ~ e If you ans~vered "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 that relationship between yourself (the applicant, agent or contract vendee) and the Town officer or employee. Either check the appropriate line A tN'Gush D (below) and/or describe the relationship in the space provided. The Town officer or employee or his or her, spouse, sibling, pareut, or child is (check all that apply): A) the owner of greater than 5% o£ the shares of the corporate stock of the applicant (when the applicant is a corporation); ~ B) the legal or beneficial Owner of any interest in a non-coq0orate entity (when the applicant is not a corporatiou); C) an officer, director, partner, or employee of the applicant; or D) the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this ~ 7 day of /LY'CrO Z. OOg Signature:~:~",'~ ~4~ Print NarKeb//~J7?. . .~.._ /-. ~ . North Fork Permil Permit Expediters To: From; Town of Southold Zoning Board of Appeals Town Hall Annex Southold, NY 11971 North Fork Permits William Gorman PO Box 1447 Mattimck, NY 11952 Date: November 17, 2008 Re: Dana and Michael Me)ran SCTM# 1000-141-01-31 Area Variance To whom it may concern: Dana and Michael Me)ran are proposing to construct an addition with a second floor to their existing house. The proposed construction will increase the degree of non-conformity for the front yard setback. As the property sits on the comer of Yoongs Avenue and Pine Street, the comer lot has two front yards and, necessarily, an increased burden in meeting the setback requirements. The front yard facing Pine Street does and will continue to meet the required setback of 35'. The front yard facing Youngs Avenue will decrease from the existing setback of 24.1' to a proposed setback of 14.8'. There exists a 12' lawn buffer between the property line and the road which would give an actual distance of 26.1' from the pavement to the proposed structure. Many of the houses on Youngs Avenue and Pine Street share this setback issue~notably, the houses directly across the street on both Youngs and Pine, and we feel the proposed coustmctioo would be in keeping with the character oftha neighborhood. Pursuant to Article III, Section 280-122A and 124, we are requesting a front yard setback variance on Youngs Avenue and an increase in the degree of noo-conformity therein. Thank you for consideration, Authorized Representative for Dana and Michael Me)ran RO. Box 1447, Mattituck, New York 11952 631-445-1461 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork. net Examined ,20 Approved. 20 Disapproved a/c~ t / Expiration ,20 BUILDING PERl[~F APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans PERMIT NO. Check Building Inspector APPLICATION FOR BUILDING PERMIT Date ,20___ INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance o f Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose'what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months fi-om such date. If no zonthg amendments or other regulations affecting the property have been enacted th the interim, the Building Inspector may authorize, in writing, the extension of the penmt for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Deperlment for the issuance ora Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, homing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, ifa corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor Name of owner of premises ~ ~Q_.k&'~0k.Y~k (As on the tax roll or latest deed If applicant is a corporation, signature of duly authorized officer electrician, plumber or builder (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. x-. I. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section /d// Block Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use.and oq&upancy of proposed construction: a. Existing use and occupancy '~I'~'~A~ ~k~t~/ t,- -- ,t ' I b. lntended use and occupancy 5113~10.. ,-- ~/~m~lC/. , .... D,L~II]~ 3. Nature of work (check which applicable): New Building. Addition ~ Alteration Repair Removal Demo t on mcr Work 4. Estimated Cost ~\('~ ~ Fcc ~ (To be paid on filing[tl~ieJ~l~pJ3 OF AP~EALSJ 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cam 6. If business, commercial or mixed occupancy, spocify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front ~l~ Rear ~_(t~, ~ Depth Height ~ Number of Stories ~ Dimensions of same structure with alterations or additions: Front Depth Height 8. Dimensions ofcotirc new construction: Front Height Number of Stories 9. Size oflot: Front ~bO Rear ~..00t lO. DateofPurchase 5~t ~OIJI Number of Stories Rear Depth Name of Former Owner l 1. Zone or use district in which premises are situated Rear .Depth 12. Does proposed construction violate any zoning law, ordinance or regulation? YES __ NO V/ 13. Will lot be re-graded? YES __ NO ~/Will excess fill be removed from premises? YES,v/NO 14. Names of Owner ofpremises~Address t~) ~'~ Phone No. ~ Name of Architect L ' Address 'Z.{~O ~)~,( ~ , Phone No ~L~--~- Name of Contractor~_4X')2~g~.9,LjJ~{['~,tD~Address .~~._Phone No. ~l-_~O$q- '-)11~ 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland. YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this properly within 300 feet ora tidal wetland? * YES__ NO__ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES__ NO ~/ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF __) being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have per formed the said work and to make and t-fie this application; that all statements contained th this application are tree to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn-to before me this ,.~ ~ ~ ,~' ~ Yct o, °%cram \ . - ~ ~ ~bl~ ~ d New YoA Not~ Public , Upal ~ m.S~dk ~un~ .~ Signa~e of A~ic~t ~omm~ss on ~p~r~ Ju y 28, 2~ /~ From: Michael Meyran 280 Youngs Avenue Mattituck, NY 11952 Date: November 17, 2008 To whom it may concern, William Gorman of North Fork Permits is authorized to act as my representative and/or agent for all Building, Planning and Zoning processes in the Town of Southold. Sincerely, ~/~/b/t/ v~/iVl¥c~el Meyran OWNER ~REET .~ ~/~ VILLAGE DIST. -. FORMER OWNER , , - _ · N ACR. ~/0 ~ S~S. VL. U FARM CO~. CB. MICS. Mkt. Value ~ND IM~. TOTAL - DATE R~RKS AGE BUILDIN6 CONDITION N ~ NO~AL BELOW ABOVE FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER Wo~land FRONTAGE ON ROAD /~ Meadowla~d DEPTH / ~ ~ , House Plot BULKH~D COLOR u.~ ~ ~ 'T-E- TRiM "~ M. Bldg. Exten,sion Extension Extension Breezeway Garage Patio O. Bo Total Foundation Basement Ext. Walls Fire Place Type Roof Recreation Room Dormer /z~ c/ z L_ Bath Floors Interior Finish Heat Rooms ist Floor Rooms 2nd Floor Driveway LR. DR. BR. FIN. B ELIZABETH A. NEVILLE, RMC, CMC TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: FROM: DATED: RE: Southold Town Zoning Board of Appeals Elizabeth A. Neville November 19, 2008 Zoning Appeal No. 6251 Transmitted herewith is Zoning Appeals No. 6251 of William Gorman for Dana & Michael Meyran- the Application to the Southold Town Zoning Board of Appeals. Also enclosed is the Applicant's Project Description, Questionnaire, LWRP Consistency Assessment Form, Short Environmental Assessment Form, Transactional Disclosure Form, Cover Letter from North Fork Permits (William Gorman) Explaining need for Appeal, Notice of Disapproval from Building Department Dated November 6, 2008, Copy of Building Department Application With Disapproval Dated November 6, 2008, Authorization Letter from Michael Meyran to William Gorman of North Fork Permits to Represent them in this Matter, Copy of Property Record Card (Both Sides), 2 Surveys Showing Existing & Proposed Construction Dated November 12, 2008 Prepared by Nathan Taft Corwin III, 4 Pages of Engineer Plans Showing Elevations & Floor Plans Dated February 10, 2007 Prepared James J. Deerkoski. ZBA TO TOWN CLERK TRANSMITTAL SHEET (Filing of Application and Check for Processing) DATE: 11/18/08 ZBA # NAME CHECK # AMOUNT TC DATE STAMP R ECEIVED MEYRAN, Dana & 1039 $400.00 6251 Michael h~{V 1 8 2008 SOUtnc,ici Town Clerk $400.00 By__ Thank 'ou. Town Of Southold P.O Box 1179 Southold, NY 11971 Date: 11/18/08 * * * RECEIPT * * * Receipt~: 30669 Transaction(s): 1 1 Application Fees Reference Subtotal 6251 $400.00 Check#: 1039 Total Paid: $40Q00 Name: North, Fork Permits P O Box 1447 Mattituck, NY 11952 Clerk ID: CAROLH internal ID: 6251 Office Location: Town Annex/First Floor, North Fork Bank 54375 Main Road (at Youngs Avenue) Southold, NY 11971 Mailing Address: 53095 Main Road P.O. Box 1179 Southold, NY 11971-0959 http://southoldtown.northfork.net BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809 Fax (631) 765-9064 LEGAL NOTICE SOUTHOLD TOWN ZONING BOARD OF APPEALS THURSDAY, FEBRUARY 19, 2009 PUBLIC HEARING NOTICE IS HEREBY GIVEN, pursuant to Section 267 of the Town Law and Town Code Chapter 280 (Zoning), Town of Southold, the following public hearing will be held by the SOUTHOLD TOWN ZONING BOARD OF APPEALS at the Town Hall, 53095 Main Road, P.O. Box 1179, Southold, New York 11971-0959, on THURSDAY~ FEBRUARY 19, 2009: 11:00 A.M. MICHAEL and DANA MEYRAN #6251. Request for a Variance under Sections 280- 122A and 280-124, based on the applicant's request for a building permit and the Building Inspector's November 6, 2008 Notice of Disapproval under Zoning Code Interpretation #5039 (Application by R. Walz), concerning proposed reconstruction of a dwelling in a location which will increase in the degree of nonconformance at less than 35 feet from the code-required minimum front yard setback, at 280 Youngs Avenue, Mattituck; CTM 1000-141-1-31. The Board of Appeals will hear all persons, or their representatives, desiring to be heard at each hearing, and/or desiring to submit written statements before the conclusion of each hearing. Each hearing will not start earlier than designated above. Files are available for review during regular business hours and prior to the day of the hearing. If you have questions, please do not hesitate to contact our office at (631) 765-1809, or by email: Linda. Kowalski@Town. Southold.ny.us. Dated: January 28, 2009. ZONING BOARD OF APPEALS GERARD P. GOEHRINGER, CHAIRMAN BY LINDA KOWALSKI 54375 Main Road (Office Location) 53095 Main Road (Mailing/USPS) P.O. Box 1179 Southold, NY 11971-0959 ZONING BOARD OF APPEALS MAILING ADDRESS and PLACE OF HEARINGS: 53095 Main Road, Town Hall Building, P.O. Box 1179 Southold, NY 11971-0959 (631) 765-1809 Fax 765-9064 LOCATION OF ZBA OFFICE: Town Hall Annex at North Fork Bank Building, 1st Floor 54375 Main Road and Youngs Avenue, Southold website: http://southtown.northfork.net JanuaryS,, 2009 Re: Town Code Chapter 55 - Public Notices for Thursday, February 19, 2009 Hearing Dear Sir or Madam: Please find enclosed a copy of the Legal Notice describing your recent application. The Notice will be published in the next issue of the Times Review newspaper. 1) Before February 1st Please send the enclosed Legal Notice, with both a Cover Letter including your telephone number and a copy of your Survey or Site Plan (filed with this application) which shows the new conStruction area or other request, by CERTIFIED MAIL, RETURN RECEIPT REQUESTED, to al_JI owners of property (tax map with property numbers enclosed), vacant or improved, which abuts and any property which is across from any public or private street. Use the current owner name and addresses shown on the assessment rolls maintained by the Town Assessors' Office located at Southold Town Hall, or Real Property Office at the County Center, Riverhead. If you know of another address for a neighbor, you may want to send the notice to that address as well. If any letter is returned to you undeliverable, you are requested to make other attempts to obtain a mailinq address or to deliver the letter to the current owner, to the best of your ability, and to confirm how arrangements were made in either a written statement, or during the hearinq, providinq the returned letter to us as soon as possible; AND not later than February 9th: Please either mail or deliver to our office your Affidavit of Mailinq (form enclosed) with parcel numbers, names and addresses noted, and furnish it to our office with the white receipts postmarked by the Post Office. When the green signature cards are returned to you by the Post Office, please mail or deliver them to us before the scheduled hearing. If any signature card is not returned, please advise the Board during the hearing and provide the card (when available). These will be kept in the permanent record as proof of all Notices. 2) Not Later February otb: Please make arrangements to place the enclosed Poster on a signboard such as cardboard, plywood or other material, posting it at your property for seven (7) days (or more)until the hearing is held. Securely place the sign on your property facing the street, no more than 10 feet from the front property line bordering the street. If you border more than one street or roadway, an extra sign is available for the additional front yard. Please deliver or mail your Affidavit of Postinq for receipt by our office before February 16, 2009. If you are not able to meet the deadlines stated in this letter, please contact us promptly. Thank you for your cooperation. (PLEASE DISPLAY YOUR HOUSE NUMBER ALWAYS). Very truly yours, Zoning Appeals Board and Staff EnOs. STATE OF NEW YORK) ) SS: COUNTY OF SUFFOLK) Karen Kine of Mattituck, in said county, being duly sworn, says that she is Principal Clerk of THE SUFFOLK TIMES, a weekly newspaper, published at Mattituck, in the Town of Southold, County of Suffolk and State of New York, and that the Notice of which the annexed is a printed copy, has been regularly published in said Newspaper once each week for I week(s), successively, commencing on the 5th day of February, 2009. ~ ~/~/~ Principal Clerk Sworn to before me this day of ~--~"~ 2009. LEGAL NOTICE SOUTHOLD TOWN ZONING BOARD OF APPEALS THURSDAY, FEBRUARY 19, 12 and 280-124, based on the Building Inspector's amended October 10, 2008 Notice of Disapproval and the owner's request for a building permit to con- struct a new single~family dwelling and a new accessory building proposed with a nohconforming use (after demolition of the existing dwelling and existing nonconforming accessory b~silding). The reasons for disapproving the buitding permit application are that: (1) the proposed single-family dwell lng will be less than 15 feet on a single side yard; (2) the proposed single-family dwefl- lng will be less than 35 feet for total side yard setbacks; (3) the proposed dwelling at less than 75 feet from the bulkhead adjacent to Great Peconic Bay; (4) a new accessory building is pro~- posed with (nonconforming) habitable space, and permitted uses are gmited to single-family detached dwellings, not to exceed one dwelling on each lot. CHRISTINA VOLINSKI NOTARY PUBLiC-STATE OF NEW YORK No. O1-VO6105050 Qualified in Suffolk County 9'.40 A.M. PHYLLIS KAUFER # 6240 Request for a Variance raider Section 28~-15c~ baled on the Building Inspector's October 6. 2008 Notice of Disapproval concerning a proposed two- story accessory garage which will exceed the code limitation of 750 square feet. Location of Proper~y: 3175 Nassau P~lnt Road. Cutchogue: ~ 100~-104-13-12. 1'.30 P.M. LLOYD KAPLAN # 6221 (carryover, penffmg, alternative plan or other information from applicant). Swimmmg pool at less than 40 feet bom front line adjacent to street, (2) lot cov- erage exceeding 20% code limitation on this 14.679 square feet of land area adjacent to the Long Island Sound. at 105 Soundview Avenue.~outhold: CTM 2~0 I~.M. ~IOPE SCHNEIDER # 6215 (carryover, pending alternative plan or other information from appli- cant). New dwelling on 4.914 square feet of buildabla area. at 1960 Mill Lane (Goldsmiths Inlet), Southold; CfM 67-7- 11 and Variances to incre~xe the degree of rear yard setback nonconformity less than 35 feet. (2) to increase the degree of ~tde yard setbacks at less than 10 feet and less than 25 feet combined, (3) less than 75 feet from the imlkbea6. (4) ex~ ceeding the code limitation of 20% lot coverage. 2.30 P.M. DIANE and HENRY HOBBS ~6247. Request for a Variance under Sections 28~-I22A and 28ll-124. based on the Building Inspector's Sep- tember 24. 2008 Notice of Disapproval and ZBA #5039 fZoning Code Inter- pretation in the Matter of R. WaLzl The Building Inspector states that the pro- posed alterations and additions to the existing single-family dwelling will con- stltute an increase in the degree of non- conformance at less than 40 feet from the code-required minimum front yard setback, at 800 Sterling Road adjacent to a freshwater pond, Cutchogue; CTM The Board of Appeals will hear all persons, or their representatives, desir- ing to be heard at each hearing, and/or desiring to submit wfitteg statements before the conclusion o~ each hegr- inc. Each hearing xyill not start earlier than designated above. Files are avail- able for review a~arlng regular business hburs and prior to the day of the hear- ing. If you have questions, please do not hesitate to contact our offic~ at (631) : 765-1809, or by email: Linda. Kowalski@ · Tow n.S otlt hold.ny, us. Dated: February 2, 2009. ZONING BOARD OF APPEALS GERARD P. GOEHRINGER, CHAIRMAN BY LINDA KOWALSKI 54375 Main Road (Office Location) 53095 Main Road (Mailing/USPS) Southold, NY 11971-0959 9~177-1T 2/5 NOTICE OF HEARING The following application will be heard by the Southold Town Board of Appeals at Town Hall, 53095 Main Road, Southold: NAME MEYRAN, D. & M. #6251 MAP # 141-1-31 VARIANCE SETBACK REQUEST RECONSTRUCT DWELLING DATE: THURS, FEB 19, 2009, 11:00 AM If you are interested in this pro!ect, you may review the file(s) prior to the hearing during normal bus~ness days between 8 AM and 3 PM. ZONING BOARD-TOWN OF SOUTHOLD 765-1809 ZONING BOARD OF APPEALS TOWN OF SOUTHOLD: NEW YORK In the Matter of the Application of ' O~amepf Applicants) COLTNTY OF SUFFOLK) STATE OF NEW YORK) I _4z73~ J? /~, New York, being duly sworn, depose and say that: On the~/~°L.day of~,~__.~, I personally mailed at the United States Post Office in tOn~c-'V-C'( ~ C~/---~.__New York, by CERTIFIED MALL, RETURN RECEIPT REQUESTED, a tree copy of the attached Legal Notice in prepaid envelopes addressed to current owne~r~hown on the current assessment rolt verified from the official records on file with the fO-Assessors, or ( ) County Real Property Office . .., for every property which abuts and is across a public or priv}~e street, or vehicular right-of~way of record, surrounding the applicant's property. Sworn to before me this day of , (Notary Public) VICK TOTH Nolar~ Public. State of New York No 01106190696 Qua ified in Suffolk COunty Commission EXpires July 28, 201 ~ PLEASE list, on the back of this Affidavit or on a sheet of paler the lot numbers next to the owner names and addresses for which notices were mailed. Thank you. - -. m po~ta~ $ $0A2 0952 Cerafied F~ *,2·10 06 r-I Return ReCeipt Fee (Endorsement Required) Restdoted Dellvew Fee (EndorSement Required) r-q nj *2.20 *0.00 Total Postage & Foes ~,-AFt:~ Stephen Chomicki o,~oBox~.. 315 Pine St. Mattituck, NY 11952 postmark 02/03/2009 ru Postage nj Cedified Fee Retum Recep Fee (Endorsement Required) nj 'i o F~;~ Victor & Barbara Rutkowski ! r.- t~rF;%~;~ 500 Youngs Ave. ~ ~ Mattituck, NY 13.952 $ $0.~2 O952 $2.70 06 Postmark $2.20 He= $ $5.32 02/03/20O9 Postage Certified F~e $2. '~0 (~ Postmark Return Re~e[pt Fee ~l~t Required) $2,20 Here [i5 Younss Ave. Mattituck, NY 11952 Postage Ceddied Fee Return Receipt Fee (Endorsement Required) Restdctad Oelively Fee (Endorsement Required) Total Postage & Fees $2.10 06 Postmark $2.~ He,e $5.3~ 0~-/03/2(X)9 lSentTo John & Catherine Mrakovicich ~F~-~',~'~m~7 .... 9-38 121 St. "'"] or PO Box NO. . College Point, NY 11356 Postage Certified Fee Return Receipt Fee (Endorsement Required) Restricted Dellve~ Fee (Endorsement Required) Total Postage & Fees ~.42 0952 $2.?0 06 Postmark $5.32 O2/03120O9 tS~.~ro Robert & Elise Passeggio ] ~FF~[~/F~:~;,:- 36 Sheridan Ave. ' ........ 1 or PO Box No. ~ ZONING BOARD OF APPEALS TOWN OF SOUTHOLD: NEW YORK In the Matter of the Application of ~ame of Applicants) Regarding Posting of Sign upon Applicant's Land Identified as 2ooo-1QI - I gl COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF SIGN POSTING ~) _'~. I=~~, New York, being duly sworn, depose and say that: On the / day of Iporsona"yplac. theTo 'so c a, Poster, with the date of hearing and nature of my application noted thereon, securely upon my property, located ten (10) fi' ' · eet or closer from the street or right-of-way (driveway entrance) - facing the street or facing each street or right-of-way entrance;* and that ? I hereby confirm th'it the Poster has remained in place for seven days prior to th'at date of the subject heating date, which hearing date xvas si}oval to be Sworn to before me this t/~ day of ~-f~{~ ,200q (Notary Public) ~1081 milt Notary Public. State of New York No. 01T06190696 Qualified in Suffolk County t Commission Expires July 28, 20 ~.~_ *near the entrance or driveway entrance of my property, as the area most visible to passersby. · Complate items 1~ 2, and $. Abo complate · pflT~your neme sod addres~ on the reveree · Attsoh this {~u'd to the back of the maJJpisoe, Victor & Barbara Rutkowski 500 Youngs Ave. Mattituck, NY 11952 [] Addressee C. Da~ of Delivery [] r-1 Registered- ~ _r-I Ream Receipt for Merchendlse 2. AlticleNumber 7006 2150 0004 2218 3894 · Complete items 1, 2, ~d 3. Also complete item 4 if Restricted Detivery is desired. · Print your name and address on the reverse so that we can retum the card to you. · Attach this card to the back of the mailplece, or on the front if space permits. D. is delh~7 address dtlferent fTom itan 17 If YES, enter detively addres~ betow: Addressee [] No William Fabb 115 Youngs Ave. Mattituck, NY 11952 [] Certmed Mail [] Express [] Registered [] Retum Receipt for Memhandlse [] Insured Mail [] C.O.D. ~ 2. A~ole Number 7006 2150 0004 2218 3931 · Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. · Print your name and address on the reveme so that we can return the card to you. · Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article hr :~'essed to: Stephen Chomicki 315 Pine St. Mattituck, NY 11952 A. Signature B. Received by ( Printed Name) D. Is delivery address different from item 1 ? [] Yes If YES, enter delivery address below: 3. Service Type [] Ce~ifled Mail [] Express Mail [] Registered [] Return Receipt for Memhandise [] Insured Mai[ [] C.O.D. 4. Restrtcted Delivery? (Ex/fa F-~e) [] Yes 2' A~lcle Number 7006 2150 0004 2218 3900 PS Form 3811, February 2004 Dew.eric Retum Recaipt ttem 4 if ReStnc~u ~_~,=~ on the reverse · ~.,you, ?~~ to ~:,, ,~, ~th~ ~'~. ~ ~ ~e ~,P,~ ~ A~ th~ ~ ~o __~. - ~on~e~s~ ~ ..... [~yes r~ No Robert & Etise passeggio 13 F. xpress 36 Sheridan Ave, ~ Hewiett, NY 1:[557 [:] Registered r'l Return Receipt for Merchandise r'l trouped M~I ~ C.O.D. ~ v~ ....... ~. ?DD~ E~]~5[ juu~ .... ~ ~2u04 :PSF I 3 FOR PCL. NO. SEE SEC. NO. S.1 . % N 261,400 -Z 77 .~®