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Home My WebLink About3982COPY FOR YOUR INFORMATION JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON NOVEMBER 27. 1990: RESOLVED that the Town Board of the Town of Southold hereby authorizes a refund of $150.00 to Henry B. Faucon, which sum represents the filing fee for a variance application to the Board of Appeals which was filed on October 15, 1990, and was determined to be unnecessary following actual measurements of the property line and adjacent property, all in accordance with the recommendation of the Board of Appeals. ~- Judith T. Terry Southold Town Clerk November 29, 1990 APPEALS BOARD MEMBERS Gerard P. Goehringer, Chairman Charles Grigonis, Jr. Serge Doyen, Jr. Joseph H. Sawicki James Dinizio, Jr. Telephone (516) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD SCOTT L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 INTER-DEPARTMENT MEMORANDUM TO: FROM: DATE: SUBJECT: Southold Town Board Jerry Goehringer, ZBA Chairman November 26, 1990 Appeal Application No. 3982 - Faucon It is recommended that the $150.00 filing fee be refunded concerning the variance filed on October 15, 1990 by Mr. and Mrs. Faucon. At the time of the filing the variance application, Mr. and Mrs. Faucon were not able to verify the setback of their adjoining house, which is the only house within 300 feet. Our office immediately contacted the builder, who would be representing the Faucons in the variance application. Our secretary asked Mr. Dohrman, the builder, to bring in the measurements for established setbacks of house(s] within 300 feet (as per Section 100-230), and on October 31, 1990, Mr. Dohrman and our secretary both met with the Building Inspectors to ascertain whether a variance was needed since the adjoining house was also the same front yard setback as that proposed in the permit application. The Building Department agreed to accept Mr. Dohrman's Affidavit with sketch as to the established setback of existing house(s) within 300 feet (Section 100-230), and the Notice of Disapproval was withdrawn. It is our recommendation that the applicants be refunded their $150.00 filing fee since if the above information was made available prior to the issuance of the Notice of Disapproval, no variance would have been necessary. lk Box 602 gouthold, NY 11971 November 21, 1990 Il 2 3 Zoning Board Of Appeals Town Of Southold Main Rd. gouthold, NY 11971 Dear Chairman: I am requesting your assistance in obtaining a refund of the $150.00 fee paid to the Town Clerk on October 15, 1990 because of events as follows: September 28 - Our contractor filed application with the Building Department on our behalf for a Permit to add ten feet onto our existing dwelling (enlarging a downstairs bedroom for medical reasons). October 12 - Our contractor received a Notice Of Disapproval on grounds of an assumed need for Zoning Board of Appeals approval. October 15 - I filed a completed application with the Appeals Board, delivering it and our personal check for $150.00 to the Town Clerk, as instructed. November ?, 1990 - Our Building Permit was issued, following actual meassurement of and review of existing relationship to our property line and adjacent property. Because no Appeals Board hearing procedure was utilized, I have been instructed to forward this written requemt to you for refund of the $150.00 fee submitted on October 15, 1990~ I thank you for your assistance and look for your early response. Yours truly, Henry B.~Faucon APPEALS BOARD MEMBERS Gerard P. Goehringer, Chairman Charles Grigonis, Jr. Serge Doyen, Jr. Joseph H. Sawicki James Dinizio, Jr. Telephone (516) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD SCOFF L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 INTER-DEPARTMENT MEMORANDUM FROM: DATE: SUBJECT: Southold Town Board Jerry Goehringer, ZBA Chairman November 26, 1990 Appeal Application No. 3982 - Faucon It is recommended that the $150.00 filing fee be refunded concerning the variknce filed on October 15, 1990 by Mr. and Mrs. Faucon. At the time of the filing the variance application, Mr. and Mrs. Faucon were not able to verify the setback of their adjoining house, which is the only house within 300 feet. Our office immediately contacted the builder, who would be representing the Faucons in the variance application. Our secretary asked Mr. Dohrman, the builder, to bring in the measurements for established setbacks of house(s) within 300 feet (as per Section i00-230), and on October 31, 1990, Mr. Dohrman and our secretary both met with the Building Inspectors to ascertain whether a variance was needed since the adjoining house was also the same front yard setback as that proposed in the permit application. The Building Department agreed to accept Mr. Dohrman's Affidavit with sketch as to the established setback of existing house(s) within 300 feet (Section 100-230), and the Notice of Disapproval was withdrawn. It is our recommendation that the applicants be refunded their $150.00 filing fee since if the above information was made available prior to the issuance of the Notice of Disapproval, no variance would have been necessary. lk P. O. Box 602 Southold, NY 11971 November 21, 1990 Zoning Board Of Appeals Town Of Southold Main Rd. Southold, NY 11971 Dear Chairman: I am requesting your assistance in obtaining a refund of the $150.00 fee paid to the Town Clerk on October 15, 1990 because of events as follows: September 28 - Our contractor filed application with the Building Department on our behalf for a Permit to add ten feet onto our existing dwelling (enlarging a downstairs bedroom for medical October 12 - Our contractor received a Notice Of Disapproval on grounds of an assumed need for Zoning Board of Appeals approval. October 15 - I filed a completed application with the Appeals Board, delivering it and our personal check for $150.00 to the Town Clerk, as instructed. November 7, 1990 - Our Building Permit was issued, following actual n~assurement of and review of existing relationship to our property line and adjacent property. Because no Appeals Board hearing procedure was utilised, I have been instructed to forward this written request to you for refund of the $150.00 fee submitted on October 15, 1990. I thank you for your assistance and look for your early response. Yours truly, Henry B,~Faucon tV~$? I0 70.00' $.55o1§ 50 ti, M A I N ROA O 70.00" ($.R. ZS) MAP OF DESCRIBED PROPERTY AT SOUTHO£D TOWN OF SOUTHOI D SUFFOLK CO.,tV.Y. JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD P.O. Box 1179 Southold, New York 11971 FAX (516) 765-1823 TELEPHONE (516) 765-1801 TO: FROM: DATE: RE: SOUTHOLD TOWN ZONING BOARD OF APPEALS JUDITH T. TERRY, SOUTHOLD TOWN CLERK OCTOBER 15, 1990 ZONING APPEAL NO. 3982 - PETER DOHRMAN A/C H.B. FAUCON Transmitted is application for a variance submitted by PETER DOHRMAN a/c H. B. FAUCON together with notification to adjacent property owners; Notice of Diapproval from the Building Department; short environmental assessment form; and Zoning Board of Appeals Questionnaire Form, and survey map of property. Judith T. Terry Southold Town Clerk REASON FOR APPEAL Continued 1. STRICT APPLICATION OF '[I~.tOJ~IIi~E would produce practical difficulties or unn~es- sa~ HARDSHIP becau~ of th~f a first floor~ sufficient room to ac~o~o~el~e o~ers. The plan to expand an existing room at the~ front~ ms affordable to the o~ers, any other first floor addition would be substantially more costly. The plan as applied for is also esthetically mere in keeping with the style of the house 2. The hordship created is UNIQUE and is not shared by all properties alike in the immediate vicinity of this property and in this use district because the existing houSe is smaller than most in the area and is occupied by the owners. 3. The /oriance would observe the spirit of the Ordinance and WOULD NOT CHANGE THE CHARACJkR OF THE DISTRICT because other houses and businesses in the immediate neighborhood are much closer to the roa~ than the house in question will be after the addition STATE OF NEW YORK ) ) COUNTY OF~Fr--ot~t- ) SS Signature Sworn to this / ~- ~ ~ -- day of .~..%.."~...i~.~'~_ .... 19 ('~ - Notary Public HEL-~E D. HOtIN~ I4ote~ Pub#o, State of N~w Yodt (~uatitled In ~d~olk County Comnd~o. F. xph~ A~ey 22, 10./-~ APPEAL TO THE ZONI NG BOARD OF APPEALS, TOWN O~ ~O~, I~1. y. Seutheld Town Ch~ H.B. Faucon -f 4692 Main Road 1, (We) .................................................................. u ................ ~,. ......................................................... Name of Appellant Street and Number Sou~hold NY ......................................................................................................................... HEREBY APPEAL TO Municipality State THE ZONING BOARD OF APPEALS FROM THE DECISION OF THE BUILDING INSPECTOR ON APPLICATION FOR PERMIT NO ..................................... DATED ...................................................... WHEREBY THE BUILDING INSPECTOR DENIED TO Peter Dohrman a/c H.B. Faucon Name of Applicant for permit of 1150 Smith Road Peconic New York Street and Number Municipality State ( ) PERMIT TO USE ( ) PERMIT FOR OCCUPANCY (x) Permit to add on to existing one family dwelling 1. LOCATION OF THE PROPERTY ...~..2..~....~..~.~..n....~.o.~...d..;.....~..o..~.~.~o...Z..~. .................................... Street /Hamlet / Use District on Zoning Mop District lO00 Section069 BlockOSLotl6 ~ ~ H.B Faucon ........................................................................... uurren~ 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 ];TI Section 100-~2 3. TYPE OF APPEAL Appeal is mode herewith for (please check appropriate box) (×) A VARIANCE to the Zoning Ordinance or Zoning Map ( ) 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 Appea! No ................................. Dated ............................. , ........................................ REASON FOR APPEAL ( ) A Variance to Section 280A Subsection 3 (x) A Variance to the Zoning Ordinance ( ) is requested for the reason that l~orm ZB1 (Continue on other side) FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date ..(~..~ I D 19 .~. O To .I. ~ ..... ,. I%, .~-..o.,~.~,~.,,, ~..t~o~,.;,...~...~..... ~ ~.~;..~ ......... PLEASE TAKE NOTICE that your application dated ...,~;~c~. .~-~..L).M......-)..'~ .... .. 199.q.. °"~'~' · ' '0~' ' ' "~' '°' "~-' 'K' ~f4'~. - 0TOg -~ ~t-~. · ~eT~..~ .... at for permit to Location of Property...~. (o.C~& ~- ~Ct,~ s,,~ ~~.~. ....... ~-~ .~. ........ . ...... House No. Street Hamlet County Tax Map No. I000 Section .... .(~..~..~. .... Block ....~b.~';.~ ...... Lot ././~:; ......... Subdivision ................. Filed Map No. ~ ............... Lot No .................. is returned herewith and disapproved on the following grounds .~.. ~..~...'~...~.~ .L .t~..'..~.-.~- ~.~....~. ~......~...c.~...~... ~ ~.,..,.,~.,~.~.~ · ........................... ...... ................................... ..... '" iiiii Buxldzng Inspector RV 1/80 The N.Y.S. Environmental Quality Review Act requires thxs boa~ of th~s form, and an environmental review will be made by submissi n before any action is taken. SHORT ENVIRONMENTAL ASSESSMENT FO~-! INSTRUCTIONS: (a) In--order ~o answer the questions in this short E~ 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 l0 acres of land? Yes /NO 2. Will there be a major change to any unique or unusual land form on the site? Yes ~No 3. Will project alter or have a large effect on an existing body of water? Yes ~/No 4. Will project have a potentially large, impact on groundwater quality? Yes _~o 5. Will project significantly effect drainage flow on adjacent sites? ~Yes .~No 6. Will project affect any threatened or endangered ~ plant or animal species? Yes 7. Will project result in a major adverse effect on ~o 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? 9. Will project adversely impact any site or struct- ure of historic, pre-historic, or paleontological 15. Preparer' s Signature: Representing: ZBA ~/75 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 il. Will project result in major traffic problems or cause a major effect to existing transportation · systems? ~Yes 12. Will project regularly cause objectionable odors, noise, glare, vibration, or electrical disturb- ance as a result of the project's operation? ~Yes 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 period or have a major negative effect on the charact~-~ of the community or neighborhood? Is there public controversy Concerning the project? · I'" P~O:IECT I.D. NUMBER 617.: Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only P_ART I--PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLIC T/SPONSOR 2. I PRQJ CTNAME 3. PROJECT LOCATION: 4. PRECISE LOCATION {Street address and road tntersect!o~ns, prominent landmarks, etc., or provide map) SEQR 5. IS PROPOSED ACTIO'ION.:: [2] New ~Exoanslon [] Modi float ionlalteratlon 6. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres S. WILL PROPOSED ACTION COMPLY WITH EXISTING zONING OR OTHER EXISTING LAND USE RESTRICTIONS? Yes IVlNo It' NO. ~escribe brielly 9. WHAT IS PRESENT ~ND USE IN VICINITY OF PROJECT? ~Reside.tial ~ Industrial ?~ommetcia, ~gr[cultute [] Park/Forest/Open space [] Othe¢ 10. DOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? / [] Yes ~'No I! yes, list agency(s) and permit/approvals t t. DOES ANY ASP CT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL~ [] Yes ~No If ye~, list agency name and permitlappxoval ' 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MOD F CATtON? [] Yes [] No CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 (Continbed on reverse side) QUESTIONNAIRE FOR FILING WITH YOUR Z.B.A. APPLICATION r,rT,,,. ', 5 990 A. Please disclose the names of the owner(s) and any other individuals (and entities) having a financial interest in the subject premises and a description of their interests: (S.eparate sheet may be attached. } B. Is the subject premises listed on the real estate market for sale or being shown to prospective buyers? { } Yes {V} No. (If Yes, please attach copy of "conditions" of sale.) Are } Yes 1. 2. 3. 4. there any proposals to change or alter land contours? No Are there any areas which contain wetland grasses? Are the wetland areas shown on the map submitted with this application? Is the property bulkheaded between the wetlands area and the upland building area? If your property contains wetlands or pond areas, have you contacted the Office of the Town Trustees for its determination of jurisdiction? E. Is there a depression or sloping elevation near the area of proposed construction at or below five feet above mean sea level? ~ (If not applicable, state "N.A.") F. Are there any patios, concrete barriers, bulkheads or fences which exist and are not shown on the survey map that you are submitting? ~_ If none exist, please state "none." G. Do you have any construction taking place at this time concerning your premises? L]O If yes, please submit a copy of your building permit and map as approved by the Building Department. If none, please state. H. Do yo~,or any co-owner also own other land close to this parcel? ~/~_% If yes, please explain where or submit copies of deeds. ~¢~e~ ~~ ?~¥~ I. Please li~ present use or operations conducted at this parcel ~C~c~ and proposed use' ~-~_ Authorized Signature and Date 3/87, 10/901k § 97-13 WETLANDS § 97-13 TOWN -- The Town of Southold. TRUSTEES -- The Board of Trustees of the Town of Southold. [Added 6-5-84 by L.L. No. 6-1984] WETLANDS [Amended 8-26-76 by L.L. N®. 2-1976; 3-26- 85 by L.L. No. 6-1985]: {IDAL WETLANDS: (1) All lands generally covered or intermittently cov- ered with, or which border on, tidal waters, or lands lying beneath tidal waters, which at mean low tide are covered by tidal waters to a maximum depth of five (5) feet, including but not limited to banks, bogs, salt marsh, swamps, meadows, fiats or other low lying lands subject to tidal action; (2) All banks, bogs, meadows, fiats and tidal marsh subject to such tides and upon which grows or may grow some or any of the following:, salt hay, black grass, saltworts, sea lavender, tall cordgrass, high bush. cattails, groundsel, marshmallow and low march cordgrass; and/or (3) All land immediately adjacent to a tidal wetland as defined in Subsection A(2) and lying within seven- ty-five (75) feet landward of the most landward edge of such a tidal wetland. Bo FRESHWATER WETLANDS: (1) "Freshwater wetlands" as defined in Article 24, Ti- tle 1, § 24-0107, Subdivisions l(a) to l(d) inclusive, of the Environmental Conservation Law of the State of New York; and (2) All land immediately adjacent to a 'freshwater wet- land." as defined in Subsection B(1) and lying with- in seventy-five (75) feet landward of the most land- ward edge of a "freshwater wetland? 9705 z-zs.ss '~ A-C A~C R -80 R.~80, A-C .CD ~) COUNTY OF SUFFOLK IT~'"OF $OUTHOLD Real Properly Tax Service Agenc¥l,~L~eeF ---- 069 TOWN OF SOOTH )LD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT ACR. - FORMER OWNER '~ N~--~ T i~) _. ~_/c~(~ ~' E,~(~ ~ i.~ ~ Z.~ ~ e~ 0.4~o S ~ W - ~PE OF BUILDING ~ S~S. VL. FARM CO~. CB. Mics. Mkt. Value ~ND IMP. TOTAL DATE R~RKS AGE ' BUILDING CONDITION N~ NOR~L BELOW ABOVE FA~ Acre V~lue Per V~lue Ac re Tillable FRONTAGE ON WATE~ W~land FRONTAGE ON ROAD . / ~ ~ ' ~ ~ ~ u -~ ~ ~ ~ Meadowland DEPTH / ~ ~ ~ House P~ ~ BULKH~D Total D~K COLOR M. Bldg. Extension Extension Extension Porch Porch Breezeway Patio Total /! Dormer Foundation Basement Type Roof Recreation Room Ifl~eriorFinish I~ ~-~ JLR. Heat Rooms 2nd Floor . Driveway STATE OF NEW YORK ........ R E A L COU~!TY - SUFFOLK C R 0 S S R E F E R E N C E L TOWN OF SOUTHOLD PARCEL ~NTiFICATION SW~S - 473889 PARCEL ID R DG N A M E Y CK - - - 1988 - - LAND TOTk 69.'£91~2 1,300 60° -4-1 o3 6o.-&-1.4 69. -4-2.2 60.-4-2.3 69. -&-3 69. -4-4 69. -4-5 69. -4-6 69_ -&~-7 6o. -4-8.1 C QW KNOBLOCH KcVIN C RS CASTELLI MARIO & CAROL 1,300 .... c '-s o-- z~ L-6 C H--'Z E'V % N ~-~-~-'-~ 00 9 C RP GRALTON GERALD M & WF 1,400 12~7 C SL HASS HELMUT 700 5,0 C TH HASS HELMUT 600 C QQ ~O'TH ENTERPRISES INC 800 11~1 C RJ SUFFOLK COUNTY 3~700 17,7 ........ C-S(:-'MANNINO' ~HE~-~ ~700 C SV KRUPSKI ALBERT J SR & 500 C TO GUILD ~Y~AN 1.go0 C VD WESNOFSKE EUGENE L & W ~&O0 C VZ T~PL~I~-~R~E-E & WF 1,400 C RR BURNS ROOERT JR & CATH 1,800 1,: '~PW ~O-ROS K [~S T E PHE'N- J- 5,$0~0 ~',' C RI DOROSKI STEPHEN J 400 CPU TOWN OF SOUTHOLD 600 C QN PFIFF-E-RLi-NG--FR~EDER ICK 1,400 C SV BAIZ CHRISTIAN F III 3,500 ~-~S---COR'NE~L JoSEPH--C~WF I ,500 C TL WRIGHT CHARLES W & NAN 800 ................ ~C~'OE~HUNT--'MICHAE~ & P~MEL~A ............. -4-~90D C UX ~ARVIN EDGAR & ~RLENE 700 69.-4-9.1 C VW SEPENOSKI JOHN B JR 2,000 69.-4-q.2 ................... C - W ~-E P E~O's K ~ ~-0' H N~ ~R ............... 2~000 69o-4-10.1 C PZ 9URNS ROgERT JR 1,900 - 69.-4-10.3 ' ~9.-4-11 69.-&-1 3 -- 69. -4-1 4 69.-5-1 --69.-5-2 6q. -5 -4.1 69. 69. -S-6 .... 69.-5-? 60. -5-8 69. -5-10 69. -~--11--1 69.-5-12.1 69 ~---5--13.2 69.-5-13.3 - 69~=5'= 1 69.-5-14 --6'9. -5--1 C VQ SWENKOSKI ~ET-ER~F & DE Z,~{~O C PT IRWIN JOSEPH W & JUDIT SO0 C~R~ K~ O-S~T' H E O~ 0 R~ 6-00 C SB MORAELLON ANDRE & WF ?OO ........... C TQ ~'ARLSON A'~YHUR-G ............ 1,~'00" CUM YOUNG RANDY J & WF 1,100 C SR SM[TH EDWIN A & WF 3~000 ~- V~T'O W N-~¢"~OUT MOC~ 700 2, z, 2, 69.-5-16 ~6O.--5-1 69.~6--1 69. -6-~ ~69~ -6-~ 69. -6 -4 '----69. -6- S 69. -6 -6 ~6o.-6-7 -- 69. -6-7.1 ----69. -6-9.3 69. -6-9.4 ~-6o.-6_10 c u 800 C WL RASTEGAR JOHN ASSOC ~ 17,100 18. -C--~K'~AHM--RO~E'-~RICHRRD f~O0 'T. C RD BOGOVIC PETER ~ WF 600 C-~'g GOEOSMI-YH-~LFRE~ H 900 C SP GOLDSMITH HENRY A 1,500 .......................... ~T~S-~THOCD PARK~DI~T ................ ~'S00 ....... C UB NEWBOLD ROBERT & WF 600 C-OU~AZ~C~I- STEPHAN~A 1,500 C VQ ZA~ECKI STEPHANIA 1,000 1 C-YU-C~TAP-ANO SA[VATORE'&'-J ~;~O0- C ZQ CATAPANO SALVATORE S U 2.000 10 - PAGE TOTALS - SI"PARCEL$ -(ACTIVE)' II I ,,4~,o;-.C;,.,, ~. k-),,,~ BOARD OF APPEALS, TOWN OF SOUTHOLD In the Matter or the Petition of to the Board of Appeals of the Town of Southold : TO: IOCT I 5 19° it NOTICE TO ADJACENT PROPERTY OWNER YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to petition the Board of Appeals of the Town of Southold to request ~pecial Exception) (Special Permit) (Other) [c±r¢le choice] ~)2 That the ro err which is the sub ct of the Petition i loc ted ad'acen ' · P P Y I~--/ L~ _,ca/ I t to your property ano is des- crib~ed~sfollows: /--X~/~.:z~c~/'~7~ ~. ~ ~,~,~T/~/a/ /~/ /' //~/ That the property which is the subject of such Petition is located in the following zoning district: That h~ such Peli6on, 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 ~ Section / 0 o - ,3 ~ [ ] Section 280-A, New York Town Law for approval of access over right(s)-of-way~ 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 ma), then and there examine the same during regular office hours. (516) 7~5-1809. 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 suc'h 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: / ~ --/.5-- ~ ~ Petitioner Owne rs' Name s: Henr. , Post,Office Address ' ' ~ ~O, ~o~ ~o ~ [Copy of sketch or plan purposes.] showing proposal to be ~I~:¥ ~'i' ~: at ached for'c6nven:ence NAME PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS ADDRESS ~ Poslage Date and Address of TOTAL Poslage and F P 271 446 460 RI=CFNpT FOR CI=RTIF'I£O MAIL (See Reverse) P 271 446 461 RECEIPT FOR CERTIFIED MAIL NO iNSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) Street and NO P 0. State and ZIP CoOe Postage Special Delivery Fee Restncted Deliver~ Re,urn Recellt~wing ta~vl;~n Postmark or Dat~ STATE OF NEW YORK ) COUNTY OF SUFFOLK) SS.; , being duly sworn, depos['s and says that on the ~5-'~' ~lay of ~ ~"?~ .19 C/O . deponent mailed a true copy of the Notice set forth on the re- verse side 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 current assessment roll of the Town of Somhold; that said Notices were maTled at the United States Post d ; that said Notices were mailed to each of said persons by .) (registered) mail. Sworn to before me this day of ~,,19 Notary Public (This side does not have to be completed on form transmitted to adjoining property owners.)