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HomeMy WebLinkAbout3757 JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD December 19, 1988 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 FAX (S16} 765-1823 TELEPHONE (516) 765-1801 Mr. John Chorbor 25 Oaria Drive Poughkeepsie, New York 12603 Dear Mr. Chorbor: Transmitted herewith is a check in the amount of $150.00, which sum presents your filing fee for an application to the Board of Appeals, which application was withdrawn bv you on November 28, 1988. Very truly yours, Judith T. Terry Southold Town Clerk Enclosure cc: Bd. of Appeals~'/ JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1 179 Southold, New York 11971 FAX (516) 765-1823 TELEPHONE (516) 765-1801 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON DECEMBER 13, 1988: RESOLVED that the Town Board of the Town of Southold hereby authorizes a refund of $150.00 to John Chorbor, which sum represents a filing fee for an application to the Board of Appeals, which application was withdrawn by the applicant. December 16, 1988 25 Daria Drive Poughkeepsie, NY 12603 November 28, 1988 Zoning Board of Appeals Town of Southold Town Hall 53095 Main Road Southold, NY 11971 Dear Sirs: Reference is made to parcel of land., Fisher's Island from George Lamb to John/Mary Chobor. On July 15, 1988 check was issued to Town of Southold for the amount of $150.00 for a hearing with the ZBA on above mentioned parcel. We tried to satisfy and comply with your wishes regarding single and separate ownership (parcel was purchased separately from adjoining piece from two different parties). For some unexplained reason this does not meet with your criteria and as determined by your Town Attorney, a hearing was not scheduled. Please refund the amount of $150. since we cannot pursue this any further. APPEALS BOARD MEMBERS GERARD P. GOEHRINGER. CRAIRMAN CHARLES GRIGONIS, JR. SERGE DOYEN, JR. JOSEPH H. SAWlCKI JAMES DiNIZiO, JR. INTER-DEPARTMENTAL MEMORANDUM FROM: DATE: SUBJECT: Judith T. Terry, Town Clerk Jerry Goehringer, Chairman, Board of Appeals December 9, 1988 Appeal No. 3757 - Property of George H. Lamb Request by Applicant, John Chobor, for Refund The applicant, Mr. John Chobor, concerning the above premises has requested a refund of the $150.00 filing fee paid on July 20, 1988. Attached are copies of letters sent by the Board of Appeals to the applicant requesting additional information, and indicating that upon receipt, the matter WOuld then be calendared for a public hearing. At the present time, the requested title search (back to 1957), survey of the property with proposed dwelling location, and executed consent form from the current owner have not been received; and a hearing has not been calendared or advertised. Questions also had arisen concerning the validity of the existence of the parcel, which appears to be for sale to the Chobors (see Z.B.A. letter attached). There have been referrals to the Town Attorney's office for reviews, as well as a few telephone conversations between both offices and the applicant and his attorney. Based upon the above efforts to proceed with this file, the Board of Appeals does not feel they are in a position to judge the merits for refunding the $150.00 filing fee, and therefore it was left for the discretion of the Town Board. 25 Daria Drive Poughkeepsie, NY 12603 November 28, 1988 ....... ~ Appeals Town of Southold Town Hall 53095 Main Road Southold, NY 11971 Dear Sirs: Reference is made to parcel of land, Fisher's Island from George Lamb to John/Mary Chobor. On July 15, 1988 check was issued to Town of Southold for the amount of $150.00 for a hearing with the ZBA on above mentioned parcel. We tried to satisfy and comply with your wishes regarding single and separate ownership (parcel was purchased separately from adjoining piece from two different parties). For some unexplained reason this does not meet with your criteria and as determined by your Town Attorney, a hearing was not scheduled. Please refund the amount of $150. since we cannot pursue this any further. Sincerely, Jdhn Chobor ~ Southold MAIN ROAD-STATE ROAD Town Board of Appeals SOIJTHOLD, L.I., N.Y. TELEPHONE (516) 765-1809 APPEALS BOARD MEMBERS GERARO P. GOEHRINGER, CHAIRMAN CHARLES GRIGONIS, JR. SERGE DOYEN, JR. August 30, 1988 Mr. and Mrs. John C. Chobor, Jr. 25 Daria Drive Poughkeepsie, NY 12603 Re: Appeal No. 3757 - Variance (Front and Sides) Dear Mr. and Mrs. Chobor: Transmitted for your information is a copy of our Town Attorney's letter which indicates that it appears that both the subject parcel (22.1) and the abutting parcel, now 22.2, merged in common ownership of the Lambs. It is urged that a single-and-separate title search and certification be furnished back to 1957, which would include the years of the ownership of the Lambs. Please furnish the above together with the items mentioned in our August 5, 1988 letter, and the Board will be in a position to advertise this matter for the next available calendar for a public hearing. Yours very t~ul~ ~ / GERARD P. GOEHRINGER ~' CHAIRMAN lk Enclosure JAMES A. SCHONDEBARE TOWN A~rORNEY ROBERT H. BERNTSSON ASSISTANT TOWN ATTORNEY OFFICE OF THE TOWN ATTORNEY TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box l 179 Southold, New York 11971 TELEPHONE (516) 765-1939 FROM: DATE: REF: Board of Appeals James A. $chondebare. Town Attorney August 18, 1988 Appeal No. 3757- John C. Chobor/George H. Lamb, Tax Map No. 1000-9-4-22.1 (Fishers Island) With regard to your memo of August 8, 1988, I have reviewed the material. I note that the "Single and Separate" ownership report does not state that the property has been in single and separate ownership since 1957, but rather since July 6, 1976, at which time Amy A. Lamb conveyed out part of the parcel to Joan A. Chaves. What is missing from the material is the deed from J. William Strueck, Jr., et al, to Raymond A. Lamb and Amy A. Lamb, his wife, which according to the chain of title reports covers both parcel 22.1 and 22.2. Why, also, is there another deed to the Lambs from the Fishers Island Farms, Inc., covering the same parcel 22.17 In any event, it appears that both parcel 22.1 and 22.2 merged during the ownership of the Lambs, and was split by Amy Lamb's deed to Joan Chaves in 1976. Hence, that is the reason the single and separate ownership reports state ownership only from July 6, 1976. /~---7 JAS:jas APPEALS BOARD MEMBERS GERARD P. GOEHRtNGER, CHAIRMAN CHARLES GRIGONIS, JR. SERGE DOYEN, JR. JOSEPH ~AWICKI: FROM: DATE: SUBJECT: Southold Town Board of Appeals MAIN ROAD-STATE ROAD 25 BOLITHOLD, L.I., N.Y. 11971 TELEPHONE (516) 765-1809 James A. Schondebare, Town Attorney Board of Appeals August 8, 1988 Appeal No. 3757 - John C. Chobor/George H. Lamb Property ID No. 1000-9-4-22.1 (Fishers Island) Recently, we received an Appeal for a Variance for insufficient front and side yard setbacks of a proposed dwelling structure upon the above-described parcel. It is our understanding that the applicants, Mr. and Mrs. John Chobor, have an interest in acquiring the parcel from Mr. George Lamb, who may not be available for questionning during the public hearing. It is also our understanding that the applicants do not have a contract of sale or other document confirming their interest, although we have requested a written authorization from the owner authorizing the Chobors to make Shese applications to the Town. We are attaching copies of the entire file for your review and respectfully request your legal advice and opinion with refer- ence to the accuracy of the "single-and-separate title search" and previous merger with Lot 22.2 (now of J.A. Chaves, previously of Raymond and Amy Lamb). There appear to have been two Estates involved, that of Raymond and then of Amy. The Board would like to be assured that the parcel is a "single-and-separate" lot prior to advertising the hearing concerning the setbacks for a dwelling. If you feel additional information is needed before proceeding, please let us know. Thank you for your assistance. APPEALS BOARD MEMBERS GERARD P. GOEHRINGER, CHAIRMAN CHARLES GRIGONIS, JR. SERGE DOYEN, JR. Southoid Town Board of Appeals MAIN RrlAO- STATE ROAD "~S SOUTHOLO. L.I., N.Y. llg?l TELEPHONE (516) 765-1809 August 5, 1988 Mr. and Mrs. John C. Chobor, Jr. 25 Daria Drive Poughkeepsie, NY 12603 Re: Appeal No. 3757 - Variances Dear Mr. and Mrs. Chobor: This letter will acknowledge receipt of your recent application pending before the Board of Appeals. The Board members will be conducting environmental and other reviews necessary by State and local laws prior to advertising your application for a public hearing. We are at this time requesting a review of the documents submitted in your behalf through the Office of our Town Attorney in order to determine whether or not additional documents should be submitted at this preliminary stage, and you will be kept up-to-date. In the interim, please have the following information prepared by the current owner, or his authorized agent, and furnished through the office of your attorney as early as possible: (a) Z.B.A. Questionnaire - paragraphs #8 through 11 must be answered or explained in writing, to be returned with copies of any contract of sale or other document pending and in effect.{The record presently shows that George H. Lamb is the current owner, acquired 1/27/83 from Susan L. Lamb as Executor of the Estate of Amy L. Lanf0.} (b) written consent by the current owner giving you authorization to make applications concerning this property. Attached for completion with attachment(s) is the Z.B.A. Questionnaire (to be returned). Also attached is a copy of our Z.B.A. Instruction Sheet, Item ~8, which indicates that four original prints of a survey (certified to scale), etc. must be Page 2 - Appeal No. 3757 To: Mr. and Mrs. John C. Chobor, Jr. Re: Premises of George H. Lamb 1000-009-04-22.1 (Fishers Island August 5, 1988 submitted as part of the application. Please be sure to include setbacks of proposed structure(s) from all property lines, steps, driveway and on-site parking, square footage and percentage of lot coverage by structures, and square footage of lot area. Upon receipt of the above and input from the Office of the Town Attorney, the Board should be in a position to advertise this matter for the next available calendar for a public hearing. lk Enclosures (2) GERARD P. GOEHRINGER CHAIRMAN APPEALS BOARD MEMBERS GERARD P. GOEHRINGER, CHAIRMAN CHARLES GRIGONIS, JR. SERGE DOYEN, JR. JOSEPH H. SAWlCKi Southold Town Board of Appeals MAIN ROAD- STATE ROAD 25 $OUTHOLD, L.I., N.Y. TELEPHONE (516) 765-1809 August 30, 1988 Mr. and Mrs. John C. Chobor, Jr. 25 Daria Drive Poughkeepsie, NY 12603 Re: Appeal No. 3757 - Variance (Front and Sides) Dear Mr. and Mrs. Chobor: Transmitted for your information is a copy of our Town Attorney's letter which indicates that it appears that both the subject parcel (22.1) and the abutting parcel, now 22.2, merged in common ownership of the Lambs. It is urged that a single-and-separate title search and certification be furnished back to 1957, which would include the years of the ownership of the Lambs. Please furnish the above together with the items mentioned in our August 5, 1988 letter, and the Board will be in a position to advertise this matter for the next available calendar for a public hearing. Yours very t~ul]~ GERARD P. GOEHRINGER CHAIRMAN lk Enclosure JAMES A. SCHONDEBARE TOWN AI~FORNEY ROBERT H. BERNTSSON ASSISTANT TOWN ATTORNEY OFFICE OF THE TOWN ATTORNEY TOWN OF $OUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York ! 1971 TELEPHONE (516) 765-1939 FROM: DATE: REF: Board of Appeals James A. Schondebare. Town Attorney August 18, 1988 Appeal No. 3757- John C. Chobor/George H. Map No. 1000-9-4-22.1 (Fishers Island) Lamb, Tax With regard to your memo of August 8, 1988, I have reviewed the material. I note that the "Single and Separate" ownership report does not state that the property has been in single and separate ownership since 1957, but rather since July 6, 1976, at which time Amy A. Lamb conveyed out part of the parcel to Joan A. Chaves. What is missing from the material is the deed from J. William Strueck, Jr., et al, to Raymond A. Lamb and Amy A. Lamb, his wife, which according to the chain of title reports covers both parcel 22.1 and 22.2. Why, also, is there another deed to the Lambs from the Fishers Island Farms, Inc., covering the same parcel 22.17 In any event, it appears that both parcel 22.1 and 22.2 merged during the ownership of the Lambs, and was split by Amy Lamb's deed to Joan Chaves in 1976. Hence, that is the reason the single and separate ownership reports state ownership only from July 6, 1976. JAS: j as APPEALS BOARD MEMBERS GERARD P. GOEHRINGER, CHAIRMAN CHARLES GRIGONIS, JR, SERGE DOYEN, JR. JOSEPH ~J~(~A..WlCKI FROM: DATE: SUBJECT: Southold Town Board of Appeals MAIN RE]AD- STATE ROAD 25 BRUTHC~LD, L.I., N.Y. 11971 TELEPHONE (516) 765-1809 James A. Schondebare, Town Attorney Board of Appeals August 8, 1988 Appeal No. 3757 - John C. Chobor/George H. Lamb Property ID No. 1000-9-4-22.1 (Fishers Island) Recently, we received an Appeal for a Variance for insufficient front and side yard setbacks of a proposed dwelling structure upon the above-described parcel. It is our understanding that the applicants, Mr. and Mrs. John Chobor, have an interest in acquiring the parcel from Mr. George Lamb, who may not be available for questionning during the public hearing. It is also our understanding that the applicants do not have a contract of sale or other document confirming their interest, although we have requested a written authorization from the owner authorizing the Chobors to make these applications to the Town. We are attaching copies of the entire file for your review and respeotfully request your legal advice and opinion with refer- ence to the accuracy of the "single-and-separate title search" and previous merger with Lot 22.2 (now of J.A. Chaves, previously of Raymond and Amy Lamb). There appear to have been two Estates involved, that of Raymond and then of Amy. The Board would like to be assured that the parcel is a "single-and-separate" lot prior to advertising the hearing concerning the setbacks for a dwelling. If you feel additional information is needed before proceeding, please let us know. Thank you for your assistance. Southold Town Board of Appeals ~ TELEPHONE (516) 765-1809 APPEALS BOARD MEMBERS GERARD P, GOEHRINGER, CHAIRMAN CHARLES GRIGONIS, JR. SERGE DOYEN, JR. JOSEPH H. SAWICKI August 5, 1988 Mr. and Mrs. John C. Chobor, 25 Daria Drive Poughkeepsie, NY 12603 Jr. Re: Appeal No. 3757 - Variances Dear Mr. and Mrs. Chobor: This letter will acknowledge receipt of your recent application pending before the Board of Appeals. The Board members will be conducting environmental and other reviews necessary by State and local laws prior to advertising your application for a public hearing. We are at this time requesting a review of the documents submitted in your behalf through the Office of our Town Attorney in order to determine whether or not additional documents should be submitted at this preliminary stage, and you will be kept up-to-date. In the interim, please have the following information prepared by the current owner, or his authorized agent, and furnished through the office of your attorney as early as possible: (a) Z.B.A. Questionnaire - paragraphs #8 through 11 must be answered or explained in writing, to be returned with copies of any contract of sale or other document pending and in effect.{The record presently shows that George H. Lamb is the current owner, acquired 1/27/83 from Susan L. Lamb as Executor of the Estate of Amy L. Lamb.} (b) written consent by the current owner giving you authorization to make applications concerning this property. Attached for completion with attachment(s) is the Z.B.A. Questionnaire (to be returned). Also attached is a copy of our Z.B.A. Instruction Sheet, Item #8, which indicates that four original prints of a survey (certified to scale), etc. must be Page 2 - Appeal No. 3757 To: Mr. and Mrs. John C. Chobor, Jr. Re: Premises of George H. Lamb 1000-009-04-22.1 (Fishers Island) August 5, 1988 submitted as part of the application. Please be sure to include setbacks of proposed structure(s) from all property lines, steps, driveway and on-site parking, square footage and percentage of lot coverage by structures, and square footage of lot area. Upon receipt of the above and input from the Office of the Town Attorney, the Board should be in a position to advertise this matter for the next available calendar for a public hearing. lk Enclosures (2) Yours.very GERARD P. GOEHRINGER CHAIRMAN QUESTIONNAIRE TO BE COMPLETED AND SUBMITTED ~q[Tlt YOUR APPLICATION l.()~lS 'PO THE BOARD OF APPEALS Please complete, sign and return to the Office of the Board of Appeals with your completed application forms. If "Yes" is answered to any questions below, please be sure to depict these areas on your survey (or certified sketch), to scale, and submit other supporting documenta- tion. 1. Are there any proposals to change or alter land contours? Yes No 2.a)Are there any areas which contuin wetland grasses? (Attached is a list of the wetland grasses defined by ~ Town Code, Ch. 97 for your reference.) Yes b)Are there any areas open to a waterway without bulkhead? Yes 3. Are there existing structures at or below ground level, ~ such as patios, foundations, etc? ~ No 4. Are there any existing or proposed fences, cDncrete barriers, decks, otc? ~No Be If project is proposed for an accessory building or structure, is total height at more than 18 feet above average ground level? State total: ft. Yes No If project is proposed for principal building or structure, is total height at more than 35 feet above average ground ~-~vel? State total: ft. Yes 7. Are there other premises under your ownership abutting ~ this parcel? If yes, please submit copy of deed. Yes 8. Are there any building permits pending on this parcel (or abutting land under your ownership, if any)? Yes No State Permit # and Nature: Do state whether or not applications are pending concerning these premises before any other department or agency (State, Town, County, Village, etc.): Planning Board Town Board Town Trustees County Health Department Village of Greenport N.Y.S.D.E.C. Other Yes No Yes No Yes No Yes No Yes No Yes No Yes No 10. Is premises pending a sale or conveyance? If yes, please submit copy of names or pu~rchasers and conditions of sale. (from contract) Yes No 11. Is new construction proposed in the area of contours at 5 feet or less as exists? Yes No 12. If new construction is proposed in an area within 75 feet of wetland grasses, or land area at an eleva- tion of five feet or less above mean sea level, have you made application to the Town Trustees for an inspection for possible waiver or permit under the requirements of Ch. 97 of the Town Code? Yes 13. Please list present use or operations conducted upon the subject property at this time ~o~ and proposed ~/~ ~/~ ~/~,~ Please submit photographs ~or the record. I certify that the above statements are true and are being submitted for reliance by the Board of Appeals in considering my application. Signa~u~/~Proper~y ~wner) (Authorized Agent) 1/88 WETLANDS [Amended 8-26-7(; I)y L.L. No. 2-1976; 3-26- 85 by L.L. No. 6-1985]: A. TIDAL WETLANDS: (1) All lands generally covered or intermittently cnv. ered with. or which bord,r on. thlal waters, or lands lying beneath tidal waters, which at mean low title are covered by tidal waters to a maximum depth of five (5) feet. inctnding but not limited to banks. bogs, salt marsh, swamps, meadows, flats or other low lying lands subject to tidal aetkm: (2) All banks, bogs. meadows, flats and tidal marsh subject to such tides and upon which grows or may grow some ar any of thc following: salt bay, black grass, saltworts, sea lavender, tall cordgrass, high bush, cattails, groundsel, marshmallow and low march cordgrass; ami/or (3) All land immediately adjacent to a tidal wetland as defined in Subsection A(2) and lying within seven- ty-five (75) feet lamlward Of the most landward edge of such a tidal wetland. FRESIIWATER WETI,ANDS: (1) "Freshwater e lands as defined m Art:cio 2,1. Ti. w t ..... tie 1, § 24-0107. Subdivisions l(a) to l(d) inclusive. of the Environmental Conse?vation Law of the State of New York: and (2) All land immediately adjacent to a "freshwater wet- !and," as defined in Subsection 13(1) and lying with- in seventy-five (75) feet landward of thc most land- ward edge of a "h'eshwater wetland." ( 9705 z-:a- sa D~e. EIVED _/,~/..~ /O/~ .~ TOWN OF SOUTHOLD, NEW YORK JULA~A~OM DEC.S,ON O~ BU,LD,.~ Sadl~dd Te~m Clerk TO THE ZONING'BOARD OF APPEALS, TOWN OF SOUTHOLD, N. Y. (We) ..,~..~..~..~..:G~..~..~.~,....~:.....~..~2.~...~. ............ of ..,2-,~....J~..~.'..~...~..~..(..d~'.: ..................................... Name of ~,ppellont Street and Number ............... ........... .......... ...... .E.EBY A.PEAL TO Municipahty ~tate THE ZONING BOARD OF APPEALS FROM THE DECISION OF THE BUILDING INSPECTOR ON APPLICATION FOR PERMIT NO ..................................... DATED ...................................................... WHEREBY THE BUILDING INSPECTOR DENIED TO ................ ................................ Name of Applicant for permit ........................ ~ ............................ . ..~ ................... !.:l ......................... Street and Number Mumcipality Sf6te ('~) PERMIT TO USE ( ) PERMIT FOR OCCUPANCY ( ) 1. LOCATION OF THE PROPERTY 6./~.~.~.. ~/~4F~...~'. ........... .~..~/*.~.~..,~Z~..~?.,....~...'~.: ...... Street /Hamlet / Use District on Zoni~ '~/~p District 1000 Section ~ Block/Lot~,/C rrent .................................................................................. u Owner Mop No. Lot No. Prior Owner 2. PROVISION (S) OF THE ZONING ORDINANCE APPEALED (Indicate the Article Section, Sub- section and Paragraph of the Zoning Ordinance by number. Do not quote the Ordinance.) Article _~' Section /O0-gl 3. TYPE OF APPEAL Appeal is made herewith for (please check apprOpriate bOx) ('~) A VARIANCE to the Zoning Ordinance or Zoning Mop ( ) A VARIANCE due to lack of access (State of New York Town Law Chap. 62 Cons. Laws Art. 16 Sec, 280A Subsection 3 () 4. PREVIOUS APPEAL A previous appeal (has) (has not) been made with respect to this decision of the Building Inspector or with respect to this property. Such appeal was ( ) request for o special permit ( ) request for a variance and was made in Appeal No ................................. Dated ...................................................................... REASON FOR APPEAL ( ) A Variance to Section 280A Subsection 3 ()~) A Variance to the Zoning Ordinance ( ) is requested for the reason that /~6/,,~,~ff ~ ~,~d~-,~ ~ -.J~,~ "~f,~ ~,,~,'///~'~' Porto ~,~! (Continue on other side) REASON FOR APPEAL Continued 1. STRICT APPLICATION OF THE ORDINANCE would produce practical difficu, lti~ or u.nneces- /,,,,,,,,~'/,, x,.;., ~,-~ _.C.;-,,2,,,,,..,.'~ z..,,,,: ,,2~,,,,~,,,,,,-, 2. The hardship created is UNIQUE and is not shared by oil properties alike in the immediate vicinity of this property and in this use district because 3 The Variance would observe the spirit of the Ordinance and WOULD NOT CHANGE THE CHARACTER OF THE DISTRICT because~/~/?/~/~/~/./#~ ~/~' STATE O~ ~EW YOR~< / ,~ ) ss ................ ...... COUNTY OE.~"~/~r~X.-- ) ~tur~ .............................. / // N - L_INOA J. COOleR mary Public, State of New YoI~ .~.. No, 4822563, Suffolk Couqty ~ BOARD OF APPEALS, TOWN OF SOUTHOLD In~the~,~tter OT the Petition of ~-~ ~ to the Board of Appeals of the Town of Southold TO: NOTICE TO ADJACENT PROPERTY OWNER YOU ARE HEREBY GIVEN NOTICE: 1. Tha~L~t~ intention of the undersigned to petition the Board of Appeals of the Town of Southold to request a~(Special Exception) (Special Permit) (Other) ). 2. That the proRer[y which is the subject of the Petition is located adjacent to your property and is des- cribed as follows: I~J/~ /)~t~Jl~6' '~z/~ /~/',~,v~, ~.~. 3. That the property which is the subiect, of such Petition is located in the following zoning district: "R" 4. That by such Petition, the undersigned will request the following relief: 5. That the provisions of the Southold Town Zoning Code applicable to the relief sought by the under- signed are Article Sectic~ 6. That within five days from the date hereof, a written Petition requesting the relief specified above will be filed in the Southold Town Clerk's Office at Main Road, Southold, New York and you may then and the~e examine the same during regular office hours. (516) 765-1809. 7. That before the relief sought may be granted, a public hearing must be held on the matter by the Board of Appeals; that a notice of such hearing must be published at least five days prior to the date of such hearing in the Suffolk Times and in the Long Island Traveler-Mattituck Watchman, newspapers published in the Town of Southold and designated for the publication of such notices; that you or your representative have the right to appear and be heard at such hearing. Dated: Owners ' s: ' Post Office Address Tel. No. (C//¢/) ~.'/~ ~ [Copy of sketch or plan purposes.] showing proposal to be -~4~L'a ~e~fe~r. ~,e~-n v e n i ence p 933 161 ~68 RECEIPT FOR cERTIFIED MAIL i See ~everse) PROOF OF MAILING OF NOTICF ATTACH CERTIFIED MAIL RECEIPTS P 933 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COV£RA(;E PROVIDED NOT FOR INTERNATIONAl MAll (See Reverse) tED MAIL iSee E STATE OF NEW YORK ) COUNTY OF SUFFOLK) ~J~'a~ ff~,~e~. ~'.~ . being duly sworn, de poses and says that on the /5 day of /o~" , 19 ~'~' , deponent mailed a true copy of the Notice set forth on the re- verse si~e Hereof, directed to each of the above-named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the addresses of said persons as shown on the currenLassessment roll of the Tow.n of Southold; that said Notices were mailed at the United States Post Of- rice at .~'r~e/~ ~:~.-r/)~.~w'~,- ; that said Notices were mailed to each of said persons by (certified) (registered) mail. Sworn t.~efgre me this day of L/~ ~..~ , Notary Public UNDA J. ~ N~ ~ S~ T~m ~ir~ (This side does not have to be comp]eted on form transmitted to adjoining property owners.) FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ ... A..~...~ '-- £/..~.-n4~.. ~...~4~.... ..... PLEASE TAKE NOTICE that your application dated ~ .~.. ............. 19 .~t~~. for permit to construct.. 4t.....r~-~.....~ ................. at Location of Property h3[ts'~)qo~ ....... /V~'~"'Streat 'Ham/e~ County Tax Map No. 1000 Section ..... q ...... Block ...... q ...... Lot .t~. ~..'...~.... Subdivision ................. Filed Map No ................. Lot No ............. , .... is returned herewith and disapproved on the following grounds . ~.~. ~ . Building Inspector RV 1/80 PROJECT I.D. NUMBER 617.21 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) SEQR 3. PROJECT LOCATION; ' oo n, 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc., or provide map) 5' IS P~NeOwSED AC~'[~N~x p an sion ~] M odificat ionlalt eratlon 6. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: Initially · ! -~ acres Ultimately acres 8. WIL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? ~Yes [] NO If No. describe briefly 9. WHA IS PRESENT LAND USE iN ViCiNITY OF PROJECT? ~Residential [] Industrial [] Commercial [] Agriculture [] Park/Forest/Open space [] Other Describe; 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDtNG, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL. STATE OR LOCAL)? , [] Yes ~No If yes, list agency(s) and permit/approvals 17. DOES ANY AS~S~EECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVALS. [] Yes ~No If yes, list agency name and permit/approval 12. AS A RESULT OF ROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQU RE MODIFICATION~ [] Yes ~o I CERTIFY THAT THE INFORMATION PROVIOED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: ~/~'~ ~?~)'~/~ ~' Dale: Signature: ~,~ ~/ If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER I (Continued on reverse side) The N.Y.S. Environmental Quality Review Act requires submission of this form, and an environmental review will be made by this board before any action is taken. SHORT ENVIRONMENTAL ASSESSMENT FORM INSTRUCTIONS: (a) In order ko answer the questions in this short EAF it is assumed that the preparer will use currently available information concerning the project and the likely impacts of the action. It is not expected that additional studies, research or other investigations will be undertaken. (b) If any question has been answered Yes the project may be sig- nificant and completed Environmental Assessment Form is necessary. (c) If all questions have been answered No it is likely that the project is not significant. (d) Environmental Assessment 1. Will project result in a large physical change to the project site or physically alter more than 10 acres of land? ~es 2. Will there be a major change to any unique or ~N unusual land form on the site? Yes o 3. Will project alter or have a large effect on an existing body of water? Yes 4. Will project have a potentially large impact on groundwater quality? Yes 5. Will project significantly effect drainage flow on adjacent sites? Yes ~/No 6. Will project affect any threatened or endangered ~No plant or animal species? Yes 7. Will project result in a major adverse effect on air quality? Yes 8. Will project have a major effect on visual char- acter of the community or scenic views or vistas known to be important to the community? Yes No 9. Will project adversely impact any site or struct- ure of historic, pre-historic, or paleontological importance or any site designated as a critical envirc~mental area by a local agency? Yes~/NO 10. Will project have a major effect on existing or future recreational opportunities? Yes 11. Will project result in major traffic problems or cause a major effect to existing transportation systems? Yes ~/No 12. Will project regularly cause objectionable odors, noise, glare, vibration, or electrical disturb- ance as a result of the project's operation? Yes ~/No 13. Will project have any impact on public health / or safety? __Yes ~ 14. Will project affect the existing community by directly causing a growth in permanent popula- tion of more than 5 percent over a one-year Yes ~/No period or have a major negative effect on the ~ charact~ of the community or neighborhood? 15. Is there public controversy concerning the project? Yes ~No Preparer's Signature: Representing: Date: ZBA ~/75 HA~