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HomeMy WebLinkAbout1000-70.-10-61.1 & 62.1 OFFICE LpCATION: ~~OF SO(/jyO MAILING ADDRESS: Town Hali Annex ti~ ~O P.O. Box 1179 54375 State Route 25 ~ # Southold, NY 11971 (cor. Main Rd. & Youngs Ave.) Telephone: 631 765-1938 Southold, NY 11971 ~ ~ ~p~ Fax: 631 765-3136 ~'~~~UWn,~~ LOCAL WATERFRONT REVITALIZATION PROGRAM T04VN OF SOUTHOLD MEMORANDUM To: Leslie Weisman, Chair Members of the Zoning Board of Appeals From: Mark Terry, Principal Planner LWRP Coordinator Date: June 27, 2013 Re: Coastal Consistency Review for ZBA File M. -KEVIN GALLAGHER and DOROTHY GALLAGHER #6662 SCTM#1000-1000-70-10-61.1 & 62.1 A site inspection was conducted on June 27, 2013. A Wetlands Permit was granted for a single family residence in 1998 by the Board of Trustees and has since expired. The plans submitted in this application are the same as those submitted to the Board of Trustees. M. - KEVIN GALLAGHER and DOROTHY GALi.AGHER #6662 -This is a request for a Waiver of Merger under Article II, Section 280-10A, to unmerge land identified as SCTM #1000-70-10-61.1, based on the Building Inspector's January 9, 2013, updated March 21, 2013 Notice of Disapproval, which states adjoining conforming or nonconforming lots held in common ownership shall merge until the total lot size conforms to the current bulk schedule (minimum 40,000 square feet in this R-40 Residential Zone District) this lot is merged with lot 1000-70-10-62.1, located at: 1800 Park Way and 40 Beachwood (adj. to Goose Creek) Southold, NY. SCTM#'s 1000-70-10-61.1 & 62.1 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my determination that the proposed action is CONSISTENT with the below listed LWRP polices and therefore CONSISTENT with the LWRP provided the Board requires the following best management practices to further the below listed policies. Policy 6.3 Protect and restore tidal and freshwater wetlands. This parcel is sensitive with a tidal wetland occurring in the south. Wetlands were delineated in 1997 and an update may be required to determine area of buildable lands. Note, that a catch basin is located in Park Wav north of the parcel that is not shown on the survey prepared by Nathan Taft Corwin III last revised May 23. 2000. The catch basin should be added. Pursuant to Chapter 268, the Southold Town Zoning Board of Appeals shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Jennifer Andaloro, Assistant Town Attorney ~~-j~,~ ~ Ottice Location: hO~~OF SO(/Tyolo Mailing Address: Town Annex /First Floor, Capital One Bank # ~ 53095 Main Road 54375 Main Road (at Youngs Avenue) ~ P.O. Box 1 179 Southold, NY 11971 ~ • ~O Southold, NY 1 1 97 1-095 9 o~d00UMy h[[p://southold[own.northfork.ne[ BOARD OF APPEALS o TOWN OF SOUTHOLD S Tel. (631) 76~ 2~~ (63xx1)// 765-9064 Mark Terry, Principal Planner ~ MAY 1 0 2013 LWRP Coordinator ~ ~ j ~ Planning Board Office ~ N~ r ' - ~ - Town of Southold ~ ~ ~ ~ Town Hall Annex Southold, NY 11971 ~ Re: ZBA File Ref. No. #6662 1000-70-10-61.1 & 62.1 ~ _o~ Dear Mark: Q'(' We have received an application for Waiver of lot merger. A copy of the Building Inspector's Notice of Disapproval under Chapter 280 (Zoning Code), and survey map, project description form, are attached for your reference. Your written evaluation with recommendations for this proposal, as required under the Code procedures of LWRP Section 268-SD is requested within 30 days of receipt of this letter. Thank you. Very truly yours, ^11J'\ 1 Leslie K. Weisman Chairp n ^ ~ By: Encls. FORM NO. 3 TOWN OF SOUTHOLD ('P BUILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date: January 9, 2013 Updated: March 21, 2013 TO: Kevin Gallagher for Dorothy Gallagher P O Box 25 Southold, NY l 1971-0025 Please take notice that your application dated January 2, 2013 For merger determination at Location of property 1800 Parkway, Southold, NY Tax Map No. 1000 -Section 70 Block 10 Lot 61.1 Is returned herewith and disapproved on the following grounds: The subject lot 70-] 0-61.1 and lot 70-10-62.1 have merged pursuant to Article II, Section 280-] 0(A) which states: "Mercer. A nonwnfonninc lot shall merge with an adjacent conforming or nonconforminc lot which has been held in common ownership with the first tot at any time after Julv 1, 1983. An adjacent lot is one which abuts with parcel for a common course of fifty(501 feet or more in distance. 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D. 70 r p ~ f+Ae FOIi PEl.NO.~ _~l / ~ \Z x7° sia sEE SEC NO J; / ? ~~`Mg"s ss II D9 .r 1.~_ ~ ~85, 6g l f 203 xs.a -I ~11 1 Naxm ,qua D: - ~ - m t + Im ~ b1 w IM1CN LINE 'a 61?~ :o ~g~l~11..,V w ~ _ aobrt J. ~ ry m q.~ •s NOTICE COUNTY OF SUFFOLK © x $OUTNOLO SECTION NO "'a"^"°^~~Fm ly Real Property Tax Service Agenq r w~wuro~~.«. w6rlwa.,E ® mo f wucEn m~ coumcmOfN..NUe.N.,,e0t M 70 " +ooo ~n.ewreNn ux rte.+ce.~Ner P ~ rmc+xo PROPERTY MAP TOWN OF SOUTHOLD 6UILDING PLI2M11 AYPLICA I ION CIIEC'KL: RUILDINC DEPARTMENT uo yon b,we nr neee n,a rouewing, before aPPly~ TOWN HALL board ofbeahh SOU7l10LU, NY 11977 Jxc¢of bullJing Glans TEL; (6}I) 765-I R02 t•lmmin3 board approval- fAX: (631) 765-9502 tiurvcy _ _ _ SoulhulJT'mvn.Norlh Eork.nct PERMIT NO. Check: Il(~ sror torn. N.V ti. U.F.C. l'ru91LCs C9_App000tlon _ _ Flood Nermil Examined ?U Single$Separvre Somt-Wafer Assesxmem Form Conrad: Approve0_ .'_0 Mall io'.~ (1,p nl~apprnved arc_t~9/~~f~- ~aX35 ~a1rrNOr-p_u9 F.vpo-alm, , m Ouilding lnspeaor I JAN - 2 2013 pLICATION FOIi RIiILI71N0 PERMIT - Uate_ .ZII_ rn:~~.~,n ~.n~.a~n INSTItl1CTIONS a. This applicafmn MI iSl be cnnrplemh filled in by Icprwriier or in inh ;md s~uhmiued m the building Inspecmnrith amp erplana, aanmte pmt nlan w s<a le. r-ee aeer~Ming .n senedn2. h. Plot plan showing location of lot and of build logs wt premises. vel;nlonshlp m aA,ioluing premises or public cacao of vi cas. and wamrwaes. c. The work covered by Ihi. xVPlieution mny not he commenced bofore isuance of building Pernfi. d. Upon approval of ILIs appllcatlon, the Bulling Impcaor will isuc a bolding Permit to the eppbeam. Such a pernli shall be kept nn the prent'nses avallnblc (nr InspecGnn ihmughow the wor6. c. No hullding shall he nsupiml or usttl in whole ur in p:m Imp nny purywc ,rbai so ewer omit the building Inapecev owes n CeniOcare of Occupancy- f Every building permit shad I csplre if nc~ eorh anthoriad h;u uoi ; ommenced :J~hin C months lifter the dam al stance or has nut been completed withlu 18 mun[ho Gain such Jade. II no Tuning :nucnJmm~ts orother regulations uffedinp J pnipeny have been enacmd in the 'mtenm. the building Inspeaur moy authorize, In writing, the aetma'mn of the permit for un adduion sir months-Thcrcabrr. a oar permit shall he ierpiired. APPLICATION IS III'It I:BY MADC mr the building Uupanmeni for the issuance of a build log Permit pwsuam m the bu Ilding Zone Onlhtencc of nc~ l wvn of Southold, Su (folk toasty, No. 1'ot l._ uuJ other applicable haws. Ordinances or Reeularinns, lonhe eoupnwGon of huildings, aJdiGons_ nr olrecations nr for removal or demolition as herein described. Thv epplicanl agrees w comph Ith al I uppl Icablc Inrn, onlinanres. hui Idinp ooJe. hnuaing code, and regulauonA and to admit Autllorl2l'd inspenors on premises and in baildnig f..r necesrin mspecti,nt.. (Signnhire ufapPicum or name da coin^ratoi0 ~.0..,_1~.n X.2f Sol,rHat~_ //97 f Malllnc nddress ofappliuntl / Stole w'hethcr applicam is or+nov_ lessee, agent urchltect_ cng'mecr_ general mntrntlur. electrician. plumber or builJci _DwNCR _ _ Name of owner o(picmrscs 'Ga~f~ - pAS onthe tus roll t'lerest deed) II npplicunt is a corporation. .dgnauve al dal} nulhnrizcd alTmcr (Name and title of corporate off cer) F3uilders License No. Plumbers License No. Electricians License No. Other Trade's License No. I. Iu anon o{land on which proposed work will bz done: / ~~'DO Pnr dti -Solo k_ House Number Street ~ Hamlet County Tax Map No- 1000 Section 6 /'~_.131ock~Q Lor ~ ~ , Subdivision filed Map No. Lot 2. Stare existing use and occupancy of premises and intended use and occupancy of proposed wnsvuction: a. Existing use and oecupancy_ y_ b. Intended use and occupmtcy .(C~~(' r,}~~1_n~.~ 3. Nature of work (check which applicable): New Huilding Addition _ _ Ntemtion Repair Removal Demolition Other Work (Description) 4. Estimated Cost_ Fee (To be paid on filing this application) 5. Ifdwelling number of dwelling units Number of dwelling units on each Floor If garage, number of cars 5. If business, commercial or mixed occupancy, specify nature and extern oC each type of use. 7. Dimensions ofexisting structures, ifany: From Rcar Depth Height Number of Stories Dimensions of same structure with alterations or additions. Front Rear Depth Height Number of Stories 3. Dimensions of entire new construction: Front Near Depth Height Number of Stories Size of loC Front Rear Deptlt I O. Date o(Purehnse Name of h'onnerOwtter I I - Zone or use Aistricl in which pranises me sintered 12. Does proposed construction violate any zoning law, ordinance or mgulation? YGS. NO 13. Will lo[ be re-graded? YF.S_ NO Will excess fill he removed Il'om pranises? YES_ NO_ 14 Names of Owner nCpremisw_ Addre=a _ Phone NO.____ Nome of Architect Address Phone No Nome of Contractor Address Phone No. I c o. Is this properly within 100 feet of n tidal wetland or a IYeshwmcr wetlond?'YES N4) _ _ _ IF YGS, SOOTHOLD "TOWN TRUST68S & D.F_C PICI2MITS YIAY 6G REQUIRIiU. b. Is' This properly within 300 feet ofa tidal wetlond' * }'FS _ NO_ * IP YGS, D.E.C. PGRhilTS MA1' RF RGQL'IRGD- 14 Provide survey, to seale_ with accurate loundntion plan and dislanees to property lines- U- Ifelevation at any point on property is at 10 leer or belo~t. must provide lopngraphical Jma on survey. I R. Art there any covenants ¢nd res'lrictions with rasped m this property'?' YES _ NO IF YES, PROVIDE A COPY. SPATE OF NE W VORK) SS: _Ol1NTV Oyu} beLm_t dri, c w dept!ti-and mps that (s)he i~ the appl tenor (Name of individuvl sighing conu'acp above mined. JONNIE n. BUNm Notarv PtAlic, Srelu W New Yark S)He is the _ Fla. e;BW61840W _ (Convector. Agent Corporate Uniceq em-) Cr,m.maiw ,_zn~z9~lo If said owner or owners, vnd is duly vuthori ed to perform or here pedornied the said work and to make and file this application: hat all statements contained in this application are ante m the best of his knowledge and belief, and that the work will be mrformed in the manner set forth in the application fled therewith. rn to before me this >w rx _ _ day o tul4 - 20 ~ _ ~ NotaryPubllc Signature o(Appli nt For Office Use Only Fee: $ Date Assigned7ZBA File # Filed by: Office Notes: _ _ WAIVER TO UNMERGE PROPERTY APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS THIS APPLICATION IS BASED ON THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED_January 9, 2013 WHEREBY THE BUILDING INSPECTOR DENIED AN APPLICATION DATED _ under Town Code Chapter 280 (Zoning), Article II, Section 280-] 0_foc ? Building Permit ? Permit for As-Built Construction ? Certificate of Occupancy ? Pre-Certificate of Occupancy ? Other waiver of merger Owner of Parcel for Waiver: _Dorothy Gallagher Owner of Adjacent Parcel: Kevin & Doroth~eher, his wife Note: If applicant is nat the owner, state if applicant is owner s attorney, agent, architect, builder, contract vendee, etc. Mailing Address: _10800 S. Ocean Drive, Jensen Beach, Florida 34957 Telephone No: 786-2135 FaxJEmail Agent for Owner: Patricia C. Moore Address:51020 Main Road, Southold NY 11971 Telephone No: _765-4330 Fax/Email: gcmoorelCa~optonline.net Please specify who you wish correspondence to be mailed to, from the above: ? Owner, or 8 Authorized Representative I (we), Kevin & Dorothy Gallagher, request that the Zoning Board of Appeals waiver the merger and recognize the original lot lines under the provisions of Article II, Sections 280-9, 280-10, 280-11 of the Southold Town Zoning Code, for the purpose of to un- merge Suffolk County Tax Map District 1000, Section 70 Block 10 Lot 61.1 containing 22,192 square feet located at 1800 Street Parkway Southold (Lot #11 in Map of Southwood No. 21411, to be unmerged from District 1000 Section 70 Block_10 Lot 62.1 containing 14,764.95 square feet, located at 40 Beachwood Lane, Southold. The property is located in the RR=40 Residential Zone District. The vacant lot to be un-merged was originally Lot 11 in the filed subdivision of "Map of Southwood", Approved by the Southold Town Board and tiled on November 24, 1953 with the Suffolk County Clerk as map No. 2141. The original lot was approximately 85' x 50', however, prior to DEC and Trustees jurisdiction in 1977, Goose Creek was dredged and the spoils were added to several creek front lots, including Lot 10 (adjacent) ,Lot 11, and Lot 12(adjacent)...making the lots on the filed map larger and equal in size to the other lots in the subdivision. The lots in the Southwood subdivision are recognized lots. The Town Board placed a note on the map requiring Lot 10 to be enlarged by deed, as described properties. The adjacent land was acquired and added to the lots. The lot has historically been treated and maintained as a separate and independent residential lots since the date of its original creation. The lot to be un-merged has not been transferred to an unrelated person or entity since the time the merger was effected. Lot 62.1 (House Parcel) Kevin & Dorothy Gallagher purchased the house on May 5, 1994. The house is known as 40 Beachwood Lane. On November 21,1995 Kevin & Dorothy placed the house in Dorothy Gallagher's name for estate planning. In November 4, 2004 Dorothy Gallagher placed the house back in both Kevin and Dorothy Gallagher's name. Lot 61.1 (vacant lot) was purchased by Dorothy Gallagher in 2000 from George & Mary Mayer, who had owned the lot since 1977 as a separate lot. This application is an alternative to that provided for under other Town Code provisions available for an area variance. Merger occurred between 2000 and 2004 when Dorothy was the common owner of both the vacant lot and the house parcel. Mr. Gallagher cashed out his pension to purchase the lot. Mr. And Mrs. Gallagher are now retired and living off of Social Security, they need to sell the lot as they had planned when they purchased this property. They continue to live in their Southold house in the summer and wish to continue to live here. The purchaser's attorney reviewed the single and separate search and discovered the period of common ownership between 2000 and 2004. The sale of the lot has been indefinitely placed on hold until the waiver of merger is approved. APPLICANT'S REASONS: (1) The waiver would recognize a lot that is comparable in size to a majority of the improved lots in the neighborhood because: Southwood Subdivision contains similarly sized lots of 20,000 sq.ft., this is a densely populated area of similarly sized parcels. In the 70's some of the waterfront subdivision lots along Goose Creek were expanded as was required by the Town Board and noted on the map; The Building Department recognized these lots as "described parcels". Please note the language on the building permit for the house which describes the property as a "described parcel". The original lot lines of the subdivision was made larger. Prior owner (George and Mary Mayer and Isabella Foster) only owned this vacant lot, no other adjoining lots, and maintained the property as single & separate. The Gallaghers purchased the parcel by separate deed. Mr. And Mrs. Gallagher live in Florida and were not aware that lots could not be placed in the same name. The two parcels have different addresses; The vacant lot address is Parkway and the House is 40 Beachwood. The properties receive separate tax bills and the house on 62.1 is centrally located on the lot since 1977 (building permit #9547 and C.O.); a building permit was issued in 1990 for a deck (building permit #18918 and C.O.). The lot to be recognized is similarly sized to the neighboring lots in Southwood subdivision. The surrounding community was developed from the 1960's to the present day. (2) The waiver would recognize a lot that is vacant and has historically been treated and maintained as a separate and independent residential lot since the date of its original creation because: Each lot has a separate address and Mr. And Mrs. Gallagher purchased two separate parcels. The owners have prepared a survey with all the regulatory requirements, they had negotiated to sell the lot, but the single and separate prepared by the prospective purchaser found that the lot and house had merged at one point when the properties were owned by the Gallaghers. Thereafter, the properties were again placed in separate name. (3) The proposed waiver and recognition will not create an adverse impact on the physical or environmental conditions in the neighborhood or district because: A proposed house and proposed sanitary on the lot have been designed to conform to the regulatory standards of the Trustees, Health Department and DEC. Please check one or more of the following that apply to the lot to be unmerged: C This lot was formerly approved by the Southold Town Planning Board on (attach copy). This lot was approved or shown on a map approved by the Southold Town Board during 1 (attach copy). _ 1 Page 3 -APPLICATION FOR WAIVER OF MERGER ZBA # ? A search of Town records found no approvals or other action by the Town of Southold, except for Application # in the Year (please attac''h`L copy). A search of Town records found a Certificate of Occupancy was issued "YC~ for a dwelling or other purpose on SCTM Lot (please attach copy). (Attach additional sheets if needed). Owner (farce ~Vn-~-r«s' ~orn,to bef e me trhis ~~+/~I ~ day of ~lCU1 C h ~u'-~,~0 y Pu lie ' BETSY A. PE ~ ~x1~,~C ~L Notary Public, State of New York ~ `r No. 01 PE6130636 uJ'-^^ ~ Qualified in Suffolk Coun~ Commission Expires July 18, ~ owner (Parcel Sworn`,to l~efore;fne thls~"~ s day ofl~(~i L L-` , 20~ ---~~~I Z~~ ~ L, No)ay~ublic i BETSY A. PERKINS Notary Public, State of New York No.O1PE613063B Qualified in Suffolk Cour~y ~ ~ zsA 3izolz Commission Expires July 18,~'~ %',13- - n n ~ I I v ~ ~ ~ q ~ ~ i S' ~ c ~ ) i ~ ~p ' p pMAV ®®O~~F99 ~~jj~~qq ~ ~ ~ ~ SOO ~J~~~VN~®LJ n _ ~ ro ~ e •Y py7I ac SOUTHOLD L IFL [ p.~ TOWN O=`OOJTHO~D~NV _ 41I ) I. ~ ~ 5.. ' i -a°"~ . Z ` n w IV ~ ct' Il~lr 1 e ~ o Q 4 ~ _ J f _ ~ ~ ~ ° °.e ~ .3 ~o r_..... 4 _ ~ 1° . ° I~ y ~ D y za si ~ \ ~(I e - a 6 ~ 3' j ~ ' ` vlf i^ C C C ~ ~ .av. K~. ¢ t .s+~~ a y .u. yq v c. h./ v. o F ' v vo. T..ti~ • 5'~' n(4/17+a v..rc ra .-i....c.. of ..w~i.... ~ ..c.. s.... ~.~..a a..~i. T. .y. i.~ J _ r~ ~ S3~hff ~ j V~ t ,r uW. o. e~. ~ ...,..,~„m _ Kevin & Dorothy Gallagher 10800 S. Ocean Drive Jensen Beach, FL 34957 March 6, 2013 Patricia C. Moore 51020 Main Road Southold NY 11971 Dear Ms. Moore: We, Kevin & Dorothy Gallagher, as owners of property known as 40 Beachwood Lane (sctm: 1000-70-10-62.1) and 1800 Parkway, Southold, New York (sctm: 1000-70-10-61.1) hereby authorize you to act as our agent regarding any and all applications with the Town of Southold Zoning Board of Appeals and any other agencies. We consent to and support the application to modify the ZBA decision # 6550 to permit the Bingham residence to continue with their construction. Very truly yours, Kevin Gallagher Dorothy Ga[ her Board of Zoning Appeals Application AUTHORIZATION (Where the Applicant is not the Owner) t~C; ~ rr r~ residin at L fir` f~ ~,Ca ~ - C~CF'rdNt .Jx ~vK~ (Print property owner's name (Mailing Address) ~ a , "J ~.t~,`-x-v, ~ ~ac~- , 'r.~ ` do hereby authorize ~ -f'"c 'ir r C xcL ~ M~ ~ Oc-~,~- (Agent) tp apply for variance(s) on my behalf from the Southold Zoning Board of Appeals. ,i u (Owner's 'nature) ~ ~ ~J ~s:~C~.. 1~- -tro , . (Prin Owner's Name) APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the Dart of town officers and emnfovees. 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. ~ ~ ~ YOUR NAME : IC ,f1 n ~~'F1+--~ r~~'``XU-~`^ (Last name, first name, middle initial, unless you a applying in then a of someone else or other entity, such as a company. If so, indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other (activity) =l,inrr o 71,lM,KS¢~t~ Planning Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than S% of the shares. YES NO If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe [he relationship between yourself (the applicant/agenUrepresentative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The [own officer or employee or his or her spouse, sibling, parent, or child is (check all that apply) _ A) the owner of greater that 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation) B) the legal or beneecial owner of any interest in anon-corporate entity (when the applicant is not a corporation) C) an otlicer, director, partner, or employee of the applicant; or D) the actual applicant DESCRIPTION OF RELATIONSHIP ~Su,~b~mitted this day of MCirr~~ , 20 ~ 3 S~iga~ure~.. ~~.~.r ~ ~ ~.o...~`~' t~ ~ n P Print Name 4c,.. e~ - c%~ ~ ~ - ~'~C,c~l,ve t AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the oarl of town officers and employees. The purpose of this form is to provide information which can alert the town of possible conlicts of interest and allow it to take whatever action is necessary to avoid same. L YOUR NAME • ~c~'S Y ~L C E'~ 0"y`~. (Last name, first name, middle initial, unless you are applying in the name of mmeone else or other enhty, such as a company. If so, indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other (activity) ln~~Ct,U1t_ h'I Y~.t-tiS,C.ti Planning Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5"/° of the shares. YES NO If you answered "YES", complete the balance of [his form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself (the applicant/agent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town atTicer or employee or his or her spouse, sibling, parent, or child is (check all that apply) A) the owner of greater that 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation) B) the legal or beneficial owner of any interest in anon-corporate entity (when the applicant is not a corporation) C) an offlceq directoq partner, or employee of the applicant; or _D) the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this day_ , 20 I Signature , l _"~~Z Print Name ~ fir/ M {wlgY M w(114r tlIe/Nti (IM~a Mq•m,~ W riw PINE NECK ROAD WI„~" IN M AM Pn Mu4M MaY •bLq n.( «rM («I\r IM HYw a,YIN•\ FLgY(iq M N ~pf Y4l (MMY f1 IM ItyMNY V I+1 IIMp1 NMfYM I.rr VYIIlr1 YarL1a ~r~ ••Pl.IC4HT+~~ i~ 1 i}~~, ul ~ '1„ ' r p~N. ~ 7t Y'~ r • ~ r ~ , r K \ i ~ i b. I ~.p g~ACNW~p SANE f r~~. .1r b ~o/ (4~aa• r • . '+h''b " ~ ,~,h Lai - lL/{p '+,r o ~ARDpF ~ ~ V . '~9~~ ~ °y~,a ~ Apps At ~ S rp~g rya 4a~ ,f° 'P,ro try .qtrs. IMI M IIIrI rll~ I/Yr k / r 2orwwra 4rrF»ro.wra'nvrnscav '~.'a:_lr.~,,llw p+IMr ~ Q ~q A(FOIN tkrQthrfOF rMC Ci FRY0V 3ErF0~~L' C\\ ]Yy.[„]` . _e ~ ~ 0,{~ 1tXNr1'OWAW.N,e~RSUnLFM4 NI/ J C ~9 r Ifp,MWfNr 1 O. ItM ~ a•'iroiooHer~ii.rwrsr,l '~L+r Ca~`stt 'µ•~~•I•'~i"~r11 ADVANTAGE AB~TRACT CORP. • Ch~FFi(' •a' TITLE k ~ ~ i S' ~l~ ' TOUNO l YQUN3 III ' Ida auanoa" •rLNVe. ence"t~n. Hrw •oee I eYern W. teUNa ~ ~ HOw+"e n, reUN6 ' MON.w/,It tM,«M+YY \\M •JM.Itl1 • "W,,./. N.. Mt. 4F M. Ni11 'r. \,l.b.«Il n .n•4« «•.4«Y " SURVEY FOR: ,tad 4rA '"M. ••«wun„+w««- ROtlERT P. F{SNFA,JR.9 NORSE ' .Nr r r. w put ry. r rr n. M w nrvNu « (y.r rw`r nn "r SOUTNOlO o w to Yaww•"Hi.~=i••+~hw re4n Or 8bUTNOi.O , Nt WrM...1•rY,r.Nr • «w., w %:.'.i o,aru BUFIOLK CO., N. Y. _ Mrlrn rrY.a i"Y 40r f99.9,1990 '90.0049 :S'd T00'°N BZ.Oi £6'VI »4 ~0N l31 _ _ ~ -t.:~ Y/+Cy'v c.. < -D ,4'; f•'~ A BOARD ppgpp~a'.S ..i. y 1 H~1 • m ~~t O y :c 4 .cN~~. Y i;t ~ mss. ~ ~L.T.f 4 ` ~ t .t Q/. st 'a r ~~i y~~ ~Y l Y nr AI' mi w 1 w h S y„cy y ~ n~nrh j'lhf'r ' _ RCN daCA ~ ~ rr, ~ ~ . . ~ ra.,~ o S 1 Hr _i v ww21s. ~ ~~P /)pvSP w U ~ s.,. ? 2V~-$ XOUS£ . ..le 4r ~ 'M Apr 1\ V i 4 t ,tt ~ a~ Q c~ `pe .q,4,~q To ~ dd~ A,y ~ C OAF ~ti .S'PFCJ" J'e{'~rCnced• ~~,e~ L ~ Ta ,v G. Y• J - ~ 0 O ( ~ 1107 ~ 1 1 \ / y :A yr4r• ~ ~ ~ ~ QQ / I . >V x`` I r r.: ~ ~ r7 Q lie r'//Io - ~?~'L~J . Fidelity National Title INSURANCE SERVICES, LLC TITLE NO: F13-7404-90104A District: 1000 Section: 070.00 Block:10.00 Lot: 061.001 Town of Southold, New York Gentlemen: FIDELITY NATIONAL TITLE INSURANCE SERVICES, LLC hereby certifies to the TOWN OF SOUTHOLD that it has searched the records of the Suffolk County Clerk for deeds affecting the captioned property and properties immediately adjoining and finds: SEE ATTACHED And the records of the Suffolk County Clerk and/or Suffolk County Registrar disclose no other further conveyance of any of the foregoing lots other than as set forth. FIDELITY NATIONAL TITLE INSURANCE SERVICES, LLC certifies that the above-captioned property has been in single and separate ownership by As to Lot 062.001: Dorothy Gallagher (Liber 12094 page 513) and his/her predecessors in title since prior to 4/1/1957 except as follows: (see attached chains of title). No searches have been made other than as expressly stated above. The Company's liability under this Certificate shall only be to the party to whom it is certified and such liability shall under no circumstances exceed theamount ofTwenty-Five Thousands Dollars ($25,000.00) and no policy of title insurance can be issued based upon the information contained in the Certificate. 24 Commerce Drive • Riverhead, New York 11901 • (631) 727-0600 • Fax: (631) 727-0606 " Fidelity National Title INSURANCE SERVICES, LLC Dated: April 9, 2013 FIDELITY IONAL TITLE IN CE SERVICES, LLC ALEXANDRA A. BOSSUNG Sworn to before me this 9th y of April , 201 Not ublic ORi1CE N. PHfLLIPS Notary Public, State of Nero York No. 4729041 Qual'fied in Suffolk CauMv wmmsssion Expires Nov.30, 0 24 Commerce Drive • Riverhead, New York 11901 • (631) 727-0600 • Fax: (631) 727-0606 Fidelity National Title INSURANCE SERVICES, LLC TITLE NO.F13-7404-90104A STATE; OF NEW YORK) ss: COUNTY OF SUFFOLK) 1 Alexandra A. Bossung, being duly sworn deposes and says: That he/she has had a search made of the records of the County Clerk of Suffolk County with reference to an application for a variance affecting the following premises: SC'fM:1000-070.00-10.00-061.001 That the said records indicate the fallowing chains of title as to premises and adjoining lots since priortn April 1, 195?. SiA3JEC'I' PREYIISES: 1000-(170.00-10.00-061.001 Lighthouse Farms Inc. Decd To Dated: 6/26}1953 Vv'illiam IL Kelynack Recorded: 6:'29/1953 Libec 3538 page 38 (All lots and described parcels) William K. Kelynack Deed To Dated: 8x`22}1959 Joseph A. Krupski Recorded: 5129}1961 Liber: 4943 page 36 (All lots and described parcels) FIDELITY NA'FI TITLE INSURA RVICES. LLC - - - _ -~`~S~ ALEXA DRA A. BO33-b'~TL~ Sworn to before me this 9th ay of April, 20 ] 3 BRUCE N. PSittIl?S Note Public -°~taryPuhlic,StatsoFNewY~f; tk.4729041 Ouaf'r0ee in SuNoek Countr~ Ccmmissicn fxpi2s Nov. 34, 24 Commerce Drive • Riverhead, M1en York 11.901 • (631) 727-0600 • Fax: (631) 727-0606 Fidelity National Title ' INSORANCE SERVICES, LLC Joseph Kntpski Deed To Dated: 12! L 0/ 1964 Joseph 1\•Ieringolo,Jaseph Fusaro Recorded: 12/14/1964 Richard Princeipi and Michae] Confoiti Libor: 5669 page 451 (All lots and described parcels) Joseph Nlcringolo,Joscph Pusaro Dced Richard Principi and Michael Conforti Dated: 3/1 211 9 7 1 fo Recordul: 3/ I l 971 Dolores Principi Liber: 6938 page 192 Dolores Principi Decd To Dated: 2/1 /1977 Carnrela Priuaipi Recorded: 217% 1077 Gilda Principi, as joint tenants Libec 3]37 page 360 Carmela Principi Dccd (iilda Principi Date<I: I / 12/ 197R to Recorded: 7/16!1978 George Mayer and Mary Mayer, his wite Liher: 8376 page 149 Isabella Foster George Mayer and D4ary Mayer, his wife lleed Isabella Foster Dated: 6/30/1995 to Recorded: 9/1/1995 George Mayer attd Maty Mayer, his wife Liber: 11739 page 393 FIDI;L[~ 'ATIONAL T INSURANCC SERVICES, LLC _ (.PJ 1lGUlsZ- _ ALE~iANDRA A. E4 UNG Sworn to before me this 9th ay of April; 2013 BRUCE N. PHiLl1PS NotaiyPublic,StateaFNawt'wic Notvy.~'ub]ic - - No-4729041 George Mayer Qualfied in Suffolk~~ Deeci Commission Explras Nov.30,10~ 24 Commerce Delve • 12iverhead, Nee• York 11901 •1(631) 727-OGOU • l+as: (631) 727-II60fi Fidelity National Title INSURANCE SERVICES, LLC George Mayer Deed Mary Mayer, his wife Dated: 9/26/2000 To Kecorded: 1/4/2001 Dorothy Gallagher Liber: 12094 page 513 Last Deed of record WEST: 1000-070.00-10.00-050.001 Lighthouse Farms Inc. Deed To llated: 6/26/1953 \Villiam II. Kclynack Kecorded: 6/29/1953 Liber: 3533 page 38 (All lots and described parcels) William K. Kclynack Deed l.o Dated: 8%2211959 Joseph A. Krupski Recorded: 5/29/1961 Liber: 4993 page 36 (All lots and described parcels) Joseph Krupski Deed L o Dated: 12/ 10/ 1964 Joseph Merhigolo,.loscph Fusaro Kecorded: 12/14!1964 Kichard Princcipi and Michae] Conforti Liber: 5669 page 451 (All lots and described pazcels) FIDELITY IONAL TITLE r NCE S)RVICES, LLC - - ~ ALEXANDRA A. BOSSING Sworn to before me this 9th y ofApril, 20 3 E43t1 PL PFplLIPS Notar} Public - _ Noiaro ~ 4 ~~Mew'd4rk (<ualifi~ in Suffolk Commission Excites 14ov.;i0, 0 /f~ 24 Commerce lltive • Riverhead, New fork 11901 • (631) 727-0600 • Fas: (631) 727-0606 J1' Fidelity National Title , INSiI12ANCF, SBRVICES, LLC Joseph Merurgolo, Joseph Fusaro Deed Richazd Privcipi and Michael Conforti Dated: 1(11(1972 To Recorded: 1/]9/1972 Edward A. Lademann, Jr. Liber: 7090 page 194 Charlotte M. Lademann, his wife Edwazd A, l.adenn:um, .(r. Deed Charlotte NI. Lademam~, his wife Dated: 7,9/1979 "['o Recorded: 7111 979 Nancy W. 1-lilbig Liber: 8(56 page 344 Nancy Hilbig Deed To Dated: 2,~ 13/2010 Nauc~~ W. Heisner (fik.~a Nancy lk%. Hilbigj Recorded: 2/23/2010 Robert I. Heisner Liber: 12617 page 141 Nancy W. Heisner (f'kia savoy W. Hilbig) Deed Robert 1. Heisner, being mvried to each other Dated: 1Ii15l2012 I'o Recorded: 12/11,''2012 Nancy W. Heisner Liber: 12714 page 271 Note: Last lleed of record 3/16/2013 FIDELl"I'Y NATI d I. TITLE INSUR N SEKVICES. LLC LEXANDRA A. BOS UNG Sw~om to before me this 9th d y of April, 2013 otay ublic BRUCE M PRItLIPS Notary Public, State of Near 1bri; Quaifie~d in Sufi~olglCpuntNy G~mmiasion Ext~rea Nur.3U,?0l~ 24 Commerce Drive • 12iverhead, New fork 119(11 • (631) 727-0000 • Fax: (631) 727-0606 Fidelity National Title INSURANCE SERVICES, LLC EAST: 1000-070.00-10.00-062.001 Lighthouse Fanns Inc. Deed To Dated: 6/26(1953 William H. Kelynack Recorded: 6!29/1953 Liber: 3538 page 38 (All lots and described parcels) Vdilliam K. Kelynack Deed To Dated: 3!22/1959 Joseph A. Krupski Recorded: Sf29/1961 Liber: 4993 page 36 (Lots ]0 to 14 and more including described premises. Pan of "1'ax hots 50.1, fi1.l, 62.1 and G3.2} Joseph Krupski Deed To Dated: 12i 10/1964 Joseph Meringolo,Joseph Fusaro Recorded: 12/14/1964 Richard Princcipi and Michael Conforti Liber: 5669 page 451 (Lots 10 to 14 and more including described premises. Part of Tax Lots 50. L 61.1, 62.1 and 63?) FIDELITY ON:1L TITLE IN CE SERVICES, LLC ALEXANDRA A. OSSi.'NG Sworn to before me this 9th day of April, 2013 Notary ublic 3RUCE N. PHILLIPS fdotary Public, State of New Yot# No. 4729(!41 Qualified ig5utfolp Caunr,~ G~nmission Exlnms Noe. 3~J, di~ 24 Commerce Drive • Riverhead, New York 11901 • (631) 727-0600 • Fas: (631) 727-060G i Fidelity National Title INSURANCE SERVICES, LLC Joseph Meringolo, Joseph Pttsaro Deed Richard Prineipi and Michael Conforti Dated: 8l12,~1971 "['o Recorded: 8/18/1971 Michael Conforti Liber: 6988 page 186 Frances Conforti; his wife (Tax Lot062.001j Michael Conforti Deed Frances Conforti. his write llated: 6/2 611 0 7 2 To Recorded: 6/30/1972 Christopher J. Conforti Liber: 71 R8 page 497 Christopher J. Conforti Deed To Dated: 10/14,1077 Alfred Sch~a=artz Recorded: 10I27i 197 7 Rita Schwartz, his wife Liber: 5332 page 302 Alfred Schwartz Deed Rita Schwartz, his wife Dated: 6/17/1981 To Recorded: 6;211198] Barbara P~adcr Punch Liber: 9022 page 536 Barbara Rader Punch Deed To Dated: 7,'1211985 Robert P. Fisher, 7r. Recorded: 8129/1985 Noreen Q. Fisher, his wife Liber: 9862 page 507 FIDELITY i NAL TITLE iNS E SERVICES, LLC ALEXANDR4 A. BOSSi?NG Sworn to before me this 9th y of April, 2013 Notary P lie 5Rt1Cc N. PHIWPS (torah ilk 472~904~ fl~v (NsaNB®d in,Su}Fdk Count Canr~:isstir~ fxpares lNm;. 3U, _U?'~ 24 Commene Drive • Riverhead, New York 11901 • (631) 727-0600 • Fax: (G31) 727-000G Fidelity National Title INSURANCE SERVICES, LLC Kobert P. Fisher, Jr. Deed Noreen Q. Fisher, his wife Dated: 4/5/1994 `1'o Recorded: 4/]2/1994 Kevin Gallagher Liber: 11672 page ] 65 Dorothy Gallagher, his wife Kevin Gallagher Deed llorothy Gallagher llated: 11/21/199.5 To Recorded: 1!4!1996 Dorotlrv Gallagher Liber: 1176 page 975 Dorothy Gallagher Deed To Dated: 11/4/2004 Kevin E. Gallagher Recorded: 1]/171204 Dorothy Gallagher, his ~~~ifc Liber: 12355 page 289 NOTE: Last Deed of record :VORTII: Beachwood Lane SOUTH: Goose Creek FIDELITY . ` ONAL TITLF, iN U NCE SERVICES, LLC 2a5 _ ALEXANDRA A. BOSSUNG Sworn to before me this 9th ay of April, 2013 BROCE f4, PPdLLiPS Notary P blic !'dowry Public, ~ of New k~ Ne.4729041 3u2{i5u! in Sulfdk Cmrrrt• Camr.!issien Expires Nmr. 30, ~ ty-_ 24 Commerce Drive • Rig erhead, Nea~ York 11901 • (631) 727-0600 • Faa: (631) 727-0606 I11111111111IIIIIIIIIIIIIIIIIIII1111111111IIIIII111IIII 11111111111111111111 I I I I SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDINq PAgE Type of Instrument: DEEDS/DDD Recordads 01/04/2001 Number of Pages: 4 At: 09:27:21 AM TRANSFER TAX NUMB$R: 00-21461 LIBER: 000012094 PAGE: 513 District: Section: Blocks Lot: 1000 070.00 10.00 061.001 EXANINBD AND CHARGED A9 FOLL04PS Deed Amount: $150,000.00 Received the Following Feea For Above Instrument Exempt Exempt Page/Filing $12.00 NO Handling $5.00 NO COE $5.00 NO BA-CTY $5.00 NO EA-STATE $25.00 NO TP-584 $5.00 NO Cert.Copiea $0.00 NO RPT $15.00 NO BCTM $0.00 NO Transfer tax $600.00 NO Comm.Praa $1,500.00 NO Fees Paid $2,172.00 TRAN9PER TAB NUMBER: 00-21461 THIS PAGE IS A PART OF THB INSTRIII~NT Edward P.ROmaine County Clerk, Suffolk County A 2R1-vaJ.OY ?~1Tl.1uu 601 • .,pa,gE~R~(y'~ 1-i~ • urvs.a..atx..e.,..... w'--e.~..o.i1.+.a..,~..r.ux .a rANSULT YOUR IAWYt4 B[JORE SIGNING~TNAIS DnTRUMFNT-THIS iNST0.VMarT SHOULD of USED eY IAWYE0.5 ONLY S~ TFDS INDENTURE, maJc on o''°-~} SePtanber o~? 0 00 I[1001 / I1E7'7VEEN v GE011GE MgYER and MPRY MFLYF32, his wife, both residing at 16 Ooolfdge Oxtrt, Palm toast, Florida S~r. party of t1u lint port, aDd KH 1XYd07ffY f7+[,fItQB•R, residing at 90 Beadttbod lane, Southold, New York and B i~ ~r party of tho Ecoond port, M/~, WTCNFSSE7'H. thoL the party of the Sret pert, in eoneidere4an of One FatEdrai Fifty Thousand (5150,000.00)---------------------------do8en, Imvful money o[ the United 81a1a1 pail by the party of tho eormtd port, does hereby groat and rclmm unto the patty of the axocd part, the heirs or rurreasors and axigne of dLe pony o[ dre xcuoJ part [orevtt, ALI. shot mrLnin plot, pieoo or pawl of Imd.'wkh the huildinga and iaLprovemenb theroon <teNed eitueeq lying and Lring m ~`TOwn of Southold, Oounty of Suffolk and State of t7ew York, known and designated as I~ot Number Eleven (711 as shorn on a certain nap entitled "t9ap of Soarthwval Iqt Nos. 1-53 SrLClt>.sive" made fran actual surveys wtgrleted October 1, 1953, by Otto W. Van 7uy1 6 Son, ISoerlsed Land Strrveyora, Greenport, New York, and which said map was filed in the Suffolk Coturty Clerk's Office on ttovetaber 29, 1953, as Map No. 2141, and also that portion of a described parcel lying betT. can the _ southwesterly line of Uot 11. aid the line of Goose Creek, between the southeasterly line of Lot 10' as, ~ext~lded tv Goose CYeefc and the stzrtheasterly lies of Int 11 as extxrded to Goose (Peek, which said descriptive parcel, when taken together are trore particularly bounded and described as follwa: BDGIfAIING at a point on the westerly side of Park Way where the seine is intersected by the dtvitdfng line of lots 70 and ti, said point also being distant 1,592.75 feet along said westerly side of Park Way frvo the southerly end of a cw.ve which ooEmLects the westerly side of Park Way with the southerly side of Pine Neck Poad; RU1ttfIIfG 44Q~N(~ southerly and southeasterly along Perk Way and along the are of a curve beariyg to the left, having a radius of 727,28 feet, a length of 90.00 feet to the dividing line of lots 11 and 72 and lard now or formerly of Galagher; Tf1EN(~ alrxty said lard South 32 degrees 03 Eeinutes 20 semTds t,'est, 219.87 feet to the Mean High Water Mark of Goose Creek; THFN(E along said High Water Mark, North 55 degrees 48 nLinutes 08 seconds West 90.92 feet; Tt@NCE still aloTg said Mears High Water Mark, North 23 degrees t8 minutes 10 semrds West, 20.61 feet; 7'1¢NCE still along said Mean Fllqh Water Mark, North 02 degrees 11 minutes 04 secoEtda East, 83.88 feet to land now or fornlesly of Hilblg; THFTICE along said land North 39 degrees 30 minutes 00 sE:mnds 180.50 feet to the westerly side of Park Way at the point or place of i47GZMdING. Being and Snterrled to be the same premises as conveyed to the party of the first part by deed dated 6/70/95 aLd recorded in the Office of the Clerk of the Qamty of Suffolk mT 9/1/95 in Ilber 11739 page 898. • ~ 70CETHER with all right, Btle and inromt, ft any, o! thn perty o! tha fist part in sad to say etroeb and roads abutting she above dr_vibad premum to Ibe anicr Iinm thereof, TOGETHER with the appurtmenm cod eH tfm mtata and rights of the party of rho Ent part in end to raid prcmfem, TO HAVE AND TO HOLD eLc ptrmiam herein granted unm tha perty of the ncmad pan, the heire or suxcsson and aeeigns of tLe party of tbo second part totevor. AND the party of the firer part coaenanu that the party of tha fiat pert hna not done or auHcred anyda3ng whrrcby thn acid prcmi:m Love been inoutnbtrcd in any wuy whetcwcr, exoepi as etormeld. AND ha psrtp of the 5r+_! par. i!a compUunae wlda Srctlun !3 of the Lira Lew, wrea-ts tLat !L~ pariy of the first port will roeeive tLa wnsidemtiou for this conveyance and will hold tha right W receive rurh conafd. arulion m n irv+t fund io be epp6ad fiat tot rho purpox of paying the toe! of the iroprorcrocut end will apply the same firer to tLe peymrnt of rho <oet of the improvement befom using any part of tha total of the soma foe am othar purpose. 'Iho amrd "party" ehull Le construed ae it It road "parties° whenever thu srnm u1 this iadentun• ,•o regains. IN WITNESS WHEREOF, the potty of rho tint part has duly aecutnl thin davit the doy and year fine shore wrhtga. /~?Goc31~ yya~s~-~i 1N vitESE%CE OY: - .I r /yl OQ 5~/ 5'S~,S-~~-d eCKNnwlED6YF+rf IN NEW YORK BTaT6 (nPE ]aoN NCgIOWEFDt1NENr BT SUBSCILBDIQ VIIrNEaStFLt Statr of Ncw York, Caun1Y of es.: Slolc of I s+. ('ounty or ` ~ 9/ /00 before mc, Ihr unJcr<ipnYJ. pen pally appearcJ On hrkre mc, the undenigncd. personally appeurcJ ~ , pttsonally Nnrnvn ro me or pnwsll to me un the bni+of vlh(at- Iarc rvnhnn• 4. be Ilu• inJividuollel whnd• nunc(s) i+(arc) the suhv'rihing witnecVUl to Ihr Gsn gr,ing invmmenl, wish subxribN to dlr within iminwrnl and u4nowhafityl to nK lhm whom 1 :nu (~rsonally xyu]inl d, who, being by me July In+ahdday t]ccv1N the ion* in AiYhrrMcir c]pacilyfinl. :warn, Jid depw and say Ihm hc(shdlhq' Msidc(sl in ri/'rn. and deal b)' Ilixdlcr/dn'Ir >ipulUrc(sl EYI I)K ImINnAT1I, dle hldF pLxr rg n'.n('mr n rn a r Nr. inrrwl' ILr Nn\+ u•el nn\r nughr. viJual(sl. or U+c pnvm opal Mhalf of wh>'h Ilc imliviJuallel i/ant nun,yl. nrltJ. c]nvtN OIe iroWmcnL N:xrlwe,uN nR ..JlgMirrul arllnrgLngfn4Nrnr1 Thal he/shHdxy LnawlK) 4CMNOw1EDOMlM OOramf NEW TOnR arhlB pIR ]Wid $WlC of F1oLlda Cwmy of /~/q~PQ ~ ss : robs the imliriduul(a) Jesrnhd in anJ ss11o elceukd dIe forc- gning ir15 Wnnm1: 1ha1 wid wbscribinp wilmes(csl waN tNrrc) On Sept . r 2000be(ore mu. Iht umknignrJ, present anJ saw said persalally apptoml GEORGE MAYER and MARY MAYER tutUlc the same; utnl that sail wilm't+(ezl al the stmr limo subscriMd hivheglheir rolnrlsl as E witness(es) dlurcla pLmon]Ily knsvm ro nsr +x vn! ro n • drc basix of wu- (OgrxwnWWAr.'YMS.Orr.L,.r.r.;ryryPJUN,I,.o-adwN.wa,w.' latlury evideOnc In het IOd1Y1dUa)(YI Whxc narllt(]71](a1r) •rnnwrtnnlsrlegegln..YMpqrVN1(K Alld lllal ald whs\nbing subrvibed to Use wilhln inmwocnt aM ocGwwlc+liscd 41 rtw: whnaue+l nssdc LW'II ap(~•]ralur befom 11n: umlrrsignN in IhM hJxhHUny usavleJ the same in hIa/heplhcir tupachy(iesl. unJ lhnt 7'Y higher/Nxir sign]IUretxlnn Oxs insrtulm:m, dst ink- 1 viduallsL or the person upm behalf of which dIC individualls) avsl, ensvtnl Ihr inshunnv4 arM dmt wth inJividwl male such appcaram<beforc the umknigncdm u/rmn.r+gl,gl., .gigLrm.,rs wu,v+rt..,.L~c,..,m Iwo r.RJlnfYlfvhL,ianq aN.qu:.u rvNV.a.aL.r ran\'grns.I• ' Trl\ nu r?mya / l nrri ufin~flrhl !1? i~yr lN4',F+~^`^~w~ ~ ~~EPIiANIE M. BERNMAR wstin COµ++syppN t CC776072 ~ruaw pIpIRFS NOV 1L. 2002 snna rpvF,MAU Np~AQY 3~RrgBin RnD ~atc 39crD 070.00 Mrnl 0„srKnwr AcnlKn Ccssroe's A< B(ACI: 070.00 Trrl~ No. /~/L7 ~ QD$foZ "S ~ Q7 spT 067.001 COON?1'OR 70WN Suffolk TO 17ETORN BY MAIL 70: NATIONAL LAND TENURE COMR4NY, L.L.C. ~~'~b 99a Lenin Avrmre • Sulu 131 • CnrJeo Ury. NY 11310 ~n Ox aS Y Y O V ° 19>1z-ao g)a K tIS d hF,(1Z 10000 ? 5 A1R110J ;IIOljR; `o d0 Y.Pfl1~ a~sEUOa'd OarM3 n 17tl I7 :LZ+60 h0 '>Ef 101Y. Oi021073L a K A. • itbF ~ Isle ~ MI \ rl ~~•~r Ti ''t ` -u etraa ~M tiawMatlNlataN~lt a~ wlaaaOtFM~ nrla7atte7 UMM/M rA /p laytlt~.~7 :.q, unf~2 nrt5A7 .1ui~! 4 77d CiOf]fRJIIY. ode the ~'ry sl Jnly , niatsea fmana and Siyhty-!iw r 1tY~11 BNt111>t ><71DB71 1'ITlCi residlnq at 40 )teeinrood Lana. ~ ~ t1 ~ Bontbo2d, New Yar! 11971 AEC y is t ~ REAL STA7E' `i~~ 40fd sus ~ ~ ~ / ~ h p. osc. 0. rruw~:=eerax pary o1 t1r fine pre, and lOni1'~/lIWY/aad ~/1IBMli(. his ~x . both yeti wU disq at ]34 8aiot Jaha's 11aw, Brooklyn, law Yuck 12117 C~ ~ prey J ~ .eeaea iw+. Y 7iI7l~1E!17. thu the 1•srty al the fire part, io rnatlddurlao of 'sa=L ~ POR'1Y-071i ~ Yi00i>1MD >1MD 710y'7a (8341.000.D0)-.•---------____..-_-,._~~., doCln, hafd mrur d the lJnited Statn. trill • ~ the parry d the record ;nrt, does here6r recent and rxlrtae tmfo !bt party of the r tend part. the hrirs a anantora and asairns o! the (arty d the seconJ part (messy, All. that certain plw, pax or panel a( hod, with the hailditga and improrcmtnb J.:rttrn eratcd. siteate, bar and beiY In 7aat Ot 8ontholde Conaty O! 8utiolk asd Stain o! Aev York, intottra and dttigaaled Y l.ot ]poe l1, ae ahottn oa a certain sap entitled. "Nap of Boathrpal,LOtt 1-33 Lwlneiw• arts. troa aoWal wrwys caspleted Octo2»s la 1953 by Otto lf, i~ayl aced Ban, Lioeaaed 8,~•+' Laced Burwyors, 0sssnparte Nttr fork. aced which reap tae tiled in the Ostia of the Clerk o! !ba County o! Snltolk on NOVenbsr 21, 1953, as Map 710. 1141, tnget7rz with a desorlbed parcel lying en the alR! Sonthorly side qt Lot 1]a tail Lt>t 31 and datrribed pa;.:yl athea taken together are lwunded and derxibad aaeordirgly u tollaret 3- ~ ~G7]Qi71G ti a point :~n the Bontbweterly side of Park Nap, said point t~~v~r bsiag where the division liw between Lots 11 aced 1.1 an raid sap iater- IM~M'.\tThi\ sects the said Ronthwetarly tide o! Lark Naya aced tree raid pout o! t„ 1000 beglnninga running thenp Sontheaettrlp aleag the 8ontbtteabrlp tide o! la:k lay, on an arc o! a ensue bearing to the lest whose ratline u D~O.00 127.28 lest a distances of BS.O !ea•t t0 land now or tosmeriy o! Barry w: 10.00 tmd Dorothy Xaspt trnaainq tbenc• Bomb 19 d•+gceu 42 aianbs 35 ascaods Nett altaaq the last lwatianata !.aced ]07.57 teat sore or les? to the t„, appzoziaata high water lark o: Ooop Creeks rntmiaq the7lce !n a general 06].001 thsteriy tlirocti,a altnq the npp~saciaate high eater lark of Oow9 Csk harlag a tie liar of Nartb 71 degrees OS slmtttt that 110.]7 seat to lead now ar• lta-aeriy o! Carssls asd Oilda Priccipi r rnmirq thtsaa alaeq the atorntaid lead llolcth 31 tltgreta 03 acianttt 10 teceads seat ]29.07 feet ato¢e or sue to the eaatbulestorly sLSt o! 7tark Nay at !be point ar place o! bagiaalaq. NITa all of tbs right, title sad latareatait arya of the parts o! the first part 0L, ice, aced to ehs land render the waters c.! Ocoee Creek. - 671ID pawiaes btiog tr•:awn as aced by tbg ttst at7drerse 40 Beeeiwtod Laate, Boottwld, M.Y. 11971 »eN-.r,r r~~7 l 'S..n'~Y eiu L..i~. I.n d. ^t .'"f.z :'~5.. TOt~l~t with°ul Att+l. tMk6ilA'hMafM, II aM: el'thr dlny d the !ht part Ia and b atry errata fnQ~ ~ , toady s the a47et 4taaf!ad oreadsa to the tenter 1Fon IlKnof. 'i'OC671fE!! wilt) U< spponenasces ad ah the ante aed ripfi'i of thr pony of for fun pn in a°d to said predra, TCs yIAVE APID 'CEO NOLL the prtmiru herdn gaoled nnto the party of the second pan. tht tdrr w stveaans and aasipts of tm parry of the said pan lonxr. I 1• ' J ~ 1.. AyiD ,be parry of r11r first part covctuats tbu t.a prty o! tht Rrn part hts not dote or wRncd anyttoq whereby tm said pratlisa haer teen Enctanbrni in ane way whattrcr, txrcpt u afaretaid. MQ the pony td tfu firu p,rt. in canplianct with Seuba IS slf the 13en 4w, wtalules,hU the parry of the first paA will eeceive tr,e mnsidta;lwl Iw thb t°n.eyanee and win mrd the ri~Ut to reairc such consid- cntias u atrust fwd to be applied fuse for the Icryoae of pryw( the net of the impronertun a°d wW apply ,fie rant lust b the ~aytnevt of the cwt of Ilse imps +rn°eai 6tfore °uq nay ptrt of the lanl of the ntoe for any atLer pmpwe. 7Te word "party" stun m oomtmd as if it rud "parries" whmaer the aaue o! this iade+twe ao regtdreL ~ II11piy}4Yilpl~NEOE, the parry a the prat part hu iuly tataued tms drtd tlx day ad yta fire shore wriMs lx nature a: IPfUwwtP 1 ~ ~ PV~f1 r ~I ImF s~~ ~i?.i:'^irl`.~L•YI1P.2~1V'„yW' yiy'4-2 J.. iY._ Sw. ~"'n . i N flwlt~7 `N .ll~~~~~~ 1 ~ R~ A~ ~e~ .w ~~~Y~~*M ~1 1 QU ~/lra.dy at Jh1X b ~3. b.lara tw. OE tha dry d L9 • ftfr.a tat ~ M=lWl~ R~Q1R t'1J1~ Pal u.t :I b a laaww b k tk biiri~ld ~ i ad wb .e s laa.e b M to iadi.idl>at drxslbod is aad who eaeawel Ibe mtr+~lat, awl xlaowldld dat aa.cwtel Me / iaasaueot, sad aduewled~ei tSri aba nwaiei eiai~e eeca~ed tLe rae~ ~ 1 susnn stun H "ter A~e~~a.;5 rwt fi~^acp Aeblta 'j Owlifitl a ~ p~ Ff; i L?'.'.: ro z ~ ~n a ww ~+af, ewirt? or awn a rww cool, cow+rr a Ow Ik dg at 19 . before ~ Oo dr daT d 1:+ .Mtge lee ptro+.a/ otse .wrauW eawe b m faaw4 wbo. 41 x drd7 r.arq dd dtpote aad the sabtedbia~ witlltu to tM totetoiat iattrnawal. with .aY dm k rc+idn ae Tio. whom 1 m perwlwtlp xgoainted. wb0. 6dn! py me doy . .worw, dW.depooe ood +ry tlnt 4 reAdn u No. tl»t k u the . of tbK fn4owt . the ootpotuioE delerPoed is sad r?ieL the iorA„ev! !"-'!'°x': ~ ~!s l0 6t Y.it ifl~YldYl taaw. the ant d raid mtpaation; l6at the rat a6aod d.rotlai is Ead wio eweadrd tfw ire~obr iaatlw~ut; >a fid iottEamt i. toeh aorpaale wl; t4st k rm a Ult bark w/raiEBa[ whoa.. waa peeaew aw/ alw a£a.eJ by alder d Ne bard of dredon of add m~poea• e=oeme the.aole• aed tlrt h4 wid wiarr~ taw, seL tLl k aiEad 6 mme thereao b~ !ke ~efriw. a7 tk mle lime w6eut3ed h erie a wftaere t11naM. J W F zr~ i ~ -oo 1; ~ ~ W..1 a J!. m - nJ . .7 Yw+r..•:1J~ ~tt >fitt)t AG110N 07n0.00 nnE ~lll (,~Vl~1'AI'/i A~ = ~~tANIMT ACIt K«•Y O~y.OO -~YY-~~.~ ~~d ws 062.OG1 >I~~Ai~ it>1D~ tttlCB atn+rY a rown 8nliolle tAx elutt+c AuuttESs ro ' le0fftit f±7fTi1i1'l, aa0 0. lFJisR a.ey.aA,Awwwanwrmro.mt+l.cowwn ~ nraw m to ' A~~ ` fhfDfE RHA 4f0~ ~ J71?,R ~ ~iz9 a a i T S: S t al~~{' ~*e. IAalleafrrrELL1/1TXa:at~a.~raautara d/i0"urrr?rfl~Yari~1/dY/, ~ oautarna+staanwwaa~rwnrrrwr+~irrr=n~MnMarrrt«ia~sMuadwuwrrr~awr.' lltw (OOlMI~M14 riada tM , day d Fsu_ Mnatoan hon6ed and eighty-one F- Alfred schvartz and Rita Schvartz, hie wife, both -esidinq at 40 Beechwod Sane, Southold, IJY i - Oarfl' d M /trM Wrl and .L Barbara Rader Punch, residing at 8 Eaet 4[ith Street, weV York, D'Y 32:381 SR~~~ 5~ F:'J1L ESTATE JUN ^f )991 1r.tt+d waeeaafr•'• 7RAi~;,FER TAX p rN11~fiE1iL that a~ wrty d tM nna w . ~n oartdwcdon d S1iFFOLK _--______"------'Tr'a: DOLLARS (510.00)---- Q)l)NTY--_--- ddNra, larrhi afarrp dA,a UriMd Stataa P~ ~ A try ttw CMt/ d 1M aacand Ddn. doss M*aM WK and nlawa udo iM HM d tlw auond MK tlra ha4w w 'S rK:o~aort and naiprr for 1M Wnl' d M aaconA DM lorwn. A• ALL ttW nrtai7r dd. oNa a D+rp1 d Nnd, rriN fM Duddinyr an0 impovrnarMt IMreon aractad, rJtwta, h'?q andbaugineM Town of Southold, County of Suffolk and state of _aev York, 'a :m~T, and designated t9 lot No. 17 as ahovn on a certain map entitled u "+au of :outhvood, !pis t-53 inclusive" male from acbal aucveya c.xnplrt eri C~ctobe_' 1, 19:J lty •?tta W. l'an Tuyl and-Son, Lice iseri Land cur:e}vrs, t:reen;x:rt, !:ev York, and which map was filed in the Oftiee _ ~ of the Clerk of the _ounty of Suffolk on Nover~ber 24, 1953 as Map No. Vi 2.41, together with a described parcel lying on the s»therly side of - ~ ~ot 1?, said Lot12 and described parcel vhen taken together are bounded•~ ana descrite3 as foliov=: - at a point on the ~_svoster.ly side of 1•a:k Way, said paortt r~cry vher~ thr division line between tats 11 and 12 on said map „a inte,sects the said sotithvester?.y side of i•ark Way, ar.3 fYOm said xint of. begirnina; P.U:^.itiG TH3::ct. southaaatarly along the south- er vc:cerly ride of park ::ay, on an arc of a airve bearing to the left, ,:hose rad.us is 127.26 feet a 3istanre of 85.0 feot to land ~+ov or ~_`~-:n~rly :.i harry and Dorothy E<amp; RUhTING THENCE south 1'.1 42' 35" ve~c along the last mentioned land 207.57 feet more or less, to the ..'Y, iruximalb high eater mark of Goose Creek: RUNNING TNE.CF. in a 3a W a:a.e::,! ve~stcrly direction along the apprgximate hig~ vatee mark of :o_sc :'reec having t~.e line of Sorth 71 OS' vest :;0.27 feet to land nov ot =orrrerly :•f Car:neia and Gilds °rincipi: PUNNING TEtEt1CC along the afor?said land north 03" ZO" east 219.87 feet more or less 1 ! co the souchveaterly site of nark Way at the point or ;dace or 5 t:v. 2i:_RG :.""L ::2TLRPJIIII T? BS the same premises conveyed to the Fatty of the first .art by deed made by :uristopher J. Conforti, zec'd. in Tiber { E332 cp 302, in ehe Suffolk county clerk's Jffice. ~ SUtaIEC!' to ll) any state of farts an accurate sun• /might shoe; (2) ~j com~enants, rostra aiona, easements, agreements, reservations, and zoning reculations of recrord, if any: (3) mo>4jage hctd by the Riverhead ; Savings Bank, darr:d 4!5/76, rrc'd. 4/1?/78, liter 614E mp17E, which tL.•:.a ay oaf the second pert agrees to assume, and to that end, joins thr rx<cution and acA~.ouJedgement of this instrvmer,t. ,h Together etch all of the right, title and interest, Sf`_ any, of tt,e party of the First part of, in, and to the land render 'a ~ j, the eaters of Goose =reek. ~d r". ,~i TOQEIN9{ wiM ap ripens, tMe •nd imsrat. it •nr. d me wiry d tM flra put to sna a ury •tresu •ed road. +Wthq tlr •Eov dewibad prsrrryp to the center IInN tMred, 7OOE11M){srM MeePWrtoruncN •rd ¦IlMeexflte•ndripht•dtMpertydtMflmtpwtinrM foaMdpramNN. 10?l?Yf AID TO NOID Uw premNM Main ynntsd wim do pMy d tM second pert tM Min d euoces•ors .r.r.rPw a eM pMty a Me raoend pen kr.yer. `ii ~~J `31 a :5 ArtoNeprmaM.Rrwwnwven,msm.t rhewrrvathenr!twrtnN not dons or rfioredupMlnpwhereOyMe e•id prenien have e•m hkvmeerM in eny wry •irhetewr, ertapl w etoraNW. AID tlee perlfrattNflre4per; in comp7irnoe.NM SMbn /3 dM/ Lien Lew,covenmbMMMe pettydMel'nppM wA reoai.+Ure rnrWdereCanfor Mil conveyncn end will hddthedphtto recMvseuch conaldentlongr Innf hrd mWeplied RrrelorlMpwpoNCep.yhptMcortdtMimprovunNtaMwHl pply thelemeflmmMspeymerV ' d dre awt a the Improvernera aebre ugnp eny wrt d Ms tool a Me NrtN for My oMer ptupote. TM wor'1 "party" ehM M tWfpnled N H it read "penlN" WhMlryer Ms lenN d Mb Iridendtte N requhM. ; v ¦1 ,tMpmydtASflrnpMhndulymewfedM4deeddNdryendyMrflmabovewtitgn. ~i r;, ~J,16 i~~._ 1~ .jy,.. ~ Al std Sc wa s : V , ~ r......~ Rita Scbwart _ Barbara Rader coach _ Y S!`X 1ttr~A~~S3ci S?AlE Oi HtMI YOIIIC, COUNiY Of Suf[olk w: STAIE Of HEW YOIIK, COUHIY Of Sui folk _ Mf'-3,; On dN '~11~• daY d 19E1 bton nw On M9 ~•fY~i daY cl HR/, bMoia Mt.~.n DaraanatY tMr10 pMwtWly uma 7 :.tired Scnvartz [iarbara Rader Punch ao tw? btoww b b aha in6vldual tNao oad Fn Rid wb to rna known W b tb Ittaridual daacrlbad Ml and vRa ax<atMad dN f iMrurnanL and acknovAcdpad axaanW tA~~torapulnt Imtrumam, and admowt odtod tfuE he et~aatna ~ ~ that she aawtad F-~ 1 :.A rJri Ya1t tK1TARU~It •::rdl4vfak l~ - •••$'AbM1 ~q Itt. J:. ~\J..n 5u11W 00. ranwuro.• 6r~.n 9a. Nil Comm.w:,. E.r~.e, 'Aa,rh 70. 19gy >I'M S~A1i OI NL~ YOitiL. COII/I1f-iY OF StII+FOLt( w.l o~ p. taa J» of ~wx.~ , nm~K^*undted and eightyrone ~ ~ ~i 1LL.R mt ,-Rr:oNil.' IYtM J rw Rita Schwartz w ax <ru+r u~ h the md:.:~::.i d•':nlr! in and wlw.f:amcd tAe (orreoinE mstrummt, and sekrovl• ~ tllt tdsad thal she .+r:~• E t6. v-v ~ At rlOlat~ Y ~ ~ ~ ~ ~t.w:'. Y • ~ :ait MIM'. kaaat No.,.t~aw~un',at~kelat~~ -t"~lk'~"`-' area Nr sYrc:.,c:,a~ws~w qk.. „rle~ko:. oaa fw.+,+w. Ew.n wyd. 70. 1 _ _ Y . , ~y}D iatgidu ttpd $Eds $erA aECran tlr L1a~ttr>ant ~aYtM Onlwbr'a ~ ,l t KOCIE ~',~u{.. TC T32f11_984 T EOl N COI+r.'7Y OI1 TOwN of Southold \lfred Schwartz, et ux .;K a„rua•aq,aaM ~ tL.'I!! k URA VCE tETlMlII tY WIL TO ;_y` Barbara Rader lunch Daniel J. Brownstein, Beq. ~;4; tr.anaaa~talw.YM 98 cutter Mill Road ~~pa~,r„ Great Neck, t.Y 11021 arwowaM Lp M? d~ 3~i1 :L, . ~o : , 9i B r-~••` r a~; . . ~ ~ Zed 2t.'~ h5 ~ ~173~ X898 ` non a~s. eeNRY oy ~'/A~.~~ e/Afl Ol nefa Yess, el7tseyr t» a, On tM.t~~if day of ~~u..riJ 15f~, Mlon m. On IM ~ day of ~u,~t. Id~J , Mlon In. ~ pnendly cum p+nend~ ame •F~.7 v40ofpproro l' to mr Annwn le i Indfr ud deletl6d In and who lu me lulnwn le be Ihr IndlrlJu¦15 deeoribed In eed who need l~nl IA. f.trRolnp Inawmen4 enJ ¦otulowirdeed that e¦~KU~lel thr (on~lolnP In¦trumml, end eoknowldpd IhN W~. e¦eeute,l tlhwe wme. S e¦+euteJ N• wm. ~JD • ~ c (~l r.~ owl n eNOi~s~e~~"s"~ ' wnolw oryarltl, ~"r 30 OPAlhMgl. t017 w+w.aAtl+l.r.¦¦ , w ern er new rlyslh elllsen a ul On IM Jey of l9 , Mfen Irv On the day of 19 , Mlon rn¦ per+onepy a¦me prrwnAly telm j lu m. ?nera wha Mtn by me duly ¦wom, dIJ depae and IM WEwribinp wimew le IA¦ lan`eMl InNmlmnL rllh i •¦y Iha M r«Idn et Prw rhom 1 ¦m p¦Iwlndly ¦oqu¦Inld, wAa e~eM m. duly i tA¦t M h the t ¦wem. did depow enJ ay tlnl ho r~ldw.l~a of IA¦t M ?now¦ 1 1 tM eoepontien deeerlbed In ¦nJ whlcA .¦eevleJ tM lore+oln~ IneYUmwltl IA¦t M to M the IndHiduel ' hnur¦ tM w¦1 0l wld terpentloM IMt IM wd ¦A'ieed drecrlMd In end who aecuted IM bneolne Inglvlmelt ~ to MW IMIrY11W11 V eneA e¦rper¦u Nell IAN II we¦ eo IMt M, wld wbler{bloc wllnee¦, wa pn¦¦nl and ¦ew ¦Fi¦eJ br order e1 the Mad of dinelon et uW oorpew nreul+ IAe camel end IMI he, uld whner, ,Inn, ¦nJ Ih+t M rljmd h n+m. IMMO by Ilb ordn. H Ihr r¦me tlmr ¦uberlMd h nerve u wiNw tArrMw LDIS7' IG'c'J ~stdsln sob !sU Attb atccnoe 70 tine Cotee •un Ce• m cousrronloon suttolk IYIr• • 'ro , IIIC.~Y eli'e'V11N ~Y YAIL 1'01 /RLDIWI, NRANRP b RO!lRT6, P. C, L 370 Noter Perkvey - NeuppwRe, Nev Yor4 117E8 ap n.. ~p77gr V/Ck, CAJc ~ 1 {t Q ~~1 T , QUESTIONNAIRE FOR FILING WITH YOUR ZBA APPLICATION A. Is the subject premises listed on the real estate market for sale? Yes No B. Are there any proposals to change or alter land contours? ~No Yes please explain on attached sheet. C. 1.) Are there areas that contain sand or wetland grasses? YPS 2.) Are those areas shown on the survey submitted with this application?,__~~__ 3.) Is the property bulk headed between the wetlands area and the upland budding areal d,~ 4.) if your property contains wetlands or pond areas, have you contacted the Office of the Town trustees for its determination ofjurisdiction? Please confirm status of your inquiry or application with the Trustees: and if issued, please attach copies of permit with conditions and approved survey. D. Is there a depression or sloping elevation near the area of proposed construction at or below five feet above mean sea level? c: E. Are there any patios, concrete barriers, bulkheads or fences that exist that are not shown on the survey [hat you are submitting? N v Please show area of the structures on a diagram if any exist or state none on the above line. F. Do you have any construction taking place at this time concerning your premises? ti If yes, please submit a copy of your building permit and survey as approved by the Building Department and please describe: G. Please attach all pre-certi£cates of occupancy and certificates of occupancy for the subject premises. If any are lacking, please apply to the Building De artment to either obtain them or to obtain an Amended Notice of Disapproval. fJ tip.. ~ . fS H. Do you or any co-owner also own other land adjoining or close to this parcel? t S If yes, please label the proximity of your lands on your survey. I. Please list present use or operations conducted at this parcel t`IoU'a~ and the proposed use . (cx: existing single family, proposed: same with garage, pool ar other) A razed signature and Date AGRICULTURAL DATA STATEMENT ZONING BOARD OF APPEALS TOWN OF SOUTHOLD WHEN TO USE THI5 FORM: This form must be completed by tke applicant for any special use permit, site plan approval, use variance, area variance or subdivision approval on property within an agricultural dtsbict OR within 500 feet of a farm operation located in an agricuhurat district All applications requiring an agricultural data statement must be referred to the Su, jj'olk County Department of Planning i» nccordance with Section 239m and 239n of the General Municipal Law. 1. Name of Applicant: ~ f Ctrl ~ 1~ ~ ~ 2. Address of Applicant / O p0 5 (~~rwn / ~ ,M i ~1er9.~~ t~a<-.E~ 3. Name of Land Owner (if other than Applicant): ~'A~ 4. Address of Land Owner: 5. Description of Proposed Project: Wrz ll~ fVler't~r_ ~.~°~f ^'D~ ZO~D Gt-"'d 200 6. Location of Property: (road and Tax map/~_` ll- ~ / number) 1 Qmd ~O /~CatWppcE Sptc{f°to~d 7. Is the parcel within 500 fee[ o a farm operation? { }Yes { } No l7- t•O - LPc~. g. Is this parcel actively farmed? { }Yes { } No 9. Name and addresses of any owner(s) of land within [he agricultural district containing active farm operations. Suffolk County Tax Lot numbers will be provided to you by the Zoning Board Staff, it is your responsibility to obtain the current names and mailing addresses from the Town Assessor's Office (765-1937) or from the Real Properly Tax Office located in Riverhead. NAME and ADDRESS 1. 2. 3. 4. 5. 6. (Piease use the back of this page if there are additional property owners) Signature o p ican[ Date Note: 1. The local Board will solicit comments from the owners of land identified above ut order to consider dte effect of the proposed action on their farts operation. Solicitations will be made by supplying a copy of this statement. 2, Comments returned to the local Board will be taken into consideration as part as the overall review of this application. 3. Copies of the completed Agricultural Data Statemem shall be sent by applicant to the property owners identified above. The cost for mailing shall be paid by the Applicant at the time [he application is submitted for review. 817.211 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART 1-PROJECT INFORMATION To be com feted b A Iicant or Pro ect S nsor L 1A"PPLICANTISPONj~SOR p t _ 2. PROJECT NAME 'y(~Q.u tVv ~ ~L/O~`fs}"Rs. ~SLu-l.~cb '/E r^ I,U Q. v~.a YYtL ?L`j~/ 3. PROJECT LOCATION: 'I ~p [I~ ~{~[C.f'~VV'cF-~ Avid ~ ~t4~'rWr'<..t~ Munidpatiry S~L'1"lilo `G~ CountY 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc., or provide map) 5. PROPOSED ACTION IS: ~1/.l5iti'7>_l~ b1"S New ~ Expansion ~ Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: • ~`v-wirr~~~ G'r-~rvr'~>V`..~'~ ts1 4.<~JCtcetl'f ~XiTCr1S C~wti~ Z. i?C'C? TO ~ca?~{ 7. AMOUNT OF LAND AFFECTED. Initialty 1 acres Ultimately 1 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTftfCT10NS7 Yes ~ Ne It No, tlescribe briefly t c S V - ~ L°.-c-AIL I'S}C'?'IS , 5 Lt~q~T_i 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? Residential ~ Industrial ~ Commercial ~ Agriculture ~ ParWFOresVOpen Space ~ Other Des ibe: ~ car ~~e,;.:-j-{~wr~cc!c, M~ 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATEIOR LOCAL)? Yes 17~I No If Yes, list agency(s) name and permiVapprovals: 11. DOES ANV ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? Yes No If Ves, list agency(s) name and penniVapprovals: C' . ~ (-z-r !^o-u.~ e-9 PtiN 1 c,Y i0a-crr..,~' 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? Yes No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO7HE BEST OF MY KNOWLEDGE ApplicanVsponsorriame: Date: 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 PART II -IMPACT ASSESSMENT To be corn leted b Lead A enc A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL EAF. Yes ~ No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative dedaragon may be superseded by another irwoWed agency. Yes ~ No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surtace or grountlwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain bdefly. C3. Vegetation or fauna, fish, shelifsh or wildlife species, significant habRats, or threatened or entlangeretl species? Explain bdefly: C4. A community s existing plans or goals as otfidally adopted, or a change in use or intenstty of use of lantl or other natural resources? Explain briefly. C5. Growth, subsequent development, or related acfivities likely to be induced by the proposed acton? Explain briefly: C6. Long term, short tens, cumulative, or other effects not identified in C1-C5? Explain briefly: C7. Other impacts (including changes in use of either quantity or type of energy)? Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)7 Yes ~ No If Yes, explain briefly; E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? Yes ~ No I(Yes, explain bdefly: PART Ill -DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: Foreach adverse efect identified above, determine whether it is substantial,large, importantor otherwise signifcant. Each effect should be assessed in connegion with Rs (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question D of Part II was checked yes, the determination of significance must evaluate [he potential impact of the proposed action on the environmental characteristics of the CEA. Check mis boxifyou have fdendged one or more poteniialylarge or significant adverse impacts which MAV occur. Then proceetl tlirectry to the FUL EAF and/or prepare a positive dedaratlon. Check this boxifyou have determined. based on the intormationantl anatysls above and anysupporting tlocumentation,that the proposed action WlL NO7 result in any significant adverse environmental impads AND provide, on attachments as necessary, [he reasons supporting this determination Name o Lead Agency Date rgrt ar ype Name o Responsi a Otficer in Lead Agency Title o Responsible O cer Signature of Responsible O cer n Lead Agency ignature of Reparer (If di Brent from responsible officer :i FOSM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. , Certificate Of Occupancy No... ?083. June 23 , 19. 78 Date THIS CERTIFIES that the building located at Beachwood Lane . , Street Map No. ?141 12 + described property Block No. ..........Lot No conforms substantially to the Application for Building Permit heretofore filed in this office dated ....^lovomber . 11 19.77 pursuant to which Building Permit No... g54~~ dated ....No•~ember ..14 19 was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is PRIVATT' QPSl FAMILY D[trEI,LiNC Dr. & P,?rs. ?'lfred Schwartz The certificate is issued to (owner, P~'e`~3p~ of the aforesaid building. Suffolk County Department of Health Approval 7-50-163 UNDERWRITERS CERTIFICATE No. fending HOUSE NUMBER Beachwood Lane Street Southold, P1ev~ York Building Inspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19118 Date JUNE 7, 1990 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 40,BEACHWOOD LANE SOUTHOLO, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 070 Block 10 Lot 62.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 26, 1990 pursuant to which Building Permit No. 18918-Z dated MARCH 29, 1990 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ALTERATION & ADDITION TO EXISTING DECK ON ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT & NOREEN FISHER (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO._ N/A PLUMBERS CERTIFICATION DATED N/A - Bui ding Inspector Rev. 1/81 TOWN OF SOUTHOLD PROPERTY RECORD C,A?RD ~ ~ - 70-io- t STREET VILLAGE DIST. SUB. LOT ~ OWNER ~ ~i ~i ~e0f 1~ E ACR. I _FO~~ QNE~ ~ ~ ~ l N ~ _ F~nr~~iPi~r/' Q~U S,t/ W F TYPE OF BUILDING tES. !SEAS. ~ VL. FARM COMM. CB. ICS. Mkt. Value LAND IMP TOTAL DATE ~ REMARKS r~AR / e ~ 1JA?CC ~ Su b y f i'y .I~PIC / 3 0 ~ / 3 o d /a 7 ~ ~ fy.h R J, ~ s ~P P S/87 v, i ~.iYC, - --To C ; rA X3T • /C ( 'Y r l iflobie I, ~ FRONTAGE ON WATER Joodland FRONTAGE ON ROAD ~5'~ i}~ D ~ i ~ leadowltmd ~ 'I ' DEPTH ~S~ /~';,r,C,. ~ z93 ---III, I BULKHEAD / ~ 1 J louse Plot ~ - ,,.a I - COLOR TRIM I I I I II ~~i ii i~ ii, I~ II, I ~ I I i ~ ~ i-~ I ~ I I I ~ I i I ~ 1- ~ I I I _I i ~ I j' ~ I ~ I ~ ' I ~~I ~ i I i ~ i _ i 1. Bldg. ~ ~ ~ I ~ i xtersion I i I I -i- I xtension i I ! ! I I xtension I Foundation Both ~ ' Dinette ~ orch Basement Floors K, orch ~ Ext. Walls ! ~ Interior Finish LR. reezewoy Fire Place Heat DR. arage (Type Roof Rooms lst Floor BR. OY10 Recreation Room Rooms 2nd Floor FIN. B • B• j Dormer ~ Drivewoy ~ rtal I ~ f, l ` _ ~ ` s _i ~ _ /o _ ~ _ ~ TOWN OF SOUTHOLD PROPERTY ,~F~ORD CARD WNER ~ STREET ~ VILLAGE DIST. SUB. LOT ( ~ I / ~G (C~ DO .r,,;, Y,~sne ' FORMER OW ERKBv`irtAL~ro`f(ti ' ~ , r~ .lri ? I r ~'ler #~ii~t9 ~ Ef/. ~c~.~...:. Q ~ ~~13 ~ :w~-xk~~e~ .r_q,. , rf -Fr PCa' Sc~havrr ? } ry, ~ ~ f S y~~ /rte W TYPE OF BUILDING ~ ieli.2 ~ Corv ~a.t ~ d (Jh ~ •~(Y'C1..<l.~"..~ ~.t..~~! /-e B~~ 2E~/ ~ ~ ~ / SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS ~ ~m ~a7~~.lae~S 7-0~ ~s .aRce ~3 o a . ~ o d 2/~ ~ j, ~r'~ ~ ` / 70 o S o 3 a a ~ / / de w d w ~ ~ ~o a oa, / a--p 7L aU ~ 9 crv / / ~ ,var Anlec ~a ,sup ~._BJ,Ta -f ~I 97 A aoo.- - t Cv lair ra ~-T _ iy Sl, ?ART,ZYc.~~ ~ ..f$S6/.9a rsc o v 79 Lrc~ w 3c o ~ ~ - ~ ~ S L ao 0 9/,T ~u c d- 9az z flG. Sc e H ~~1tY_2 ~3c~~ f^. 7C~~1 a-2P ~ z i~f '~>-~oen tr---°2 e~,v~ ~ ~ ~r~l-L Z /lo.~ r`i 5~r « liar ~3~~ac~; /NT - ~P~=2 3C~ 1 ~ - InStr I 1 Tn~~Y~c~, ~i~ rr L Z~ s-L 1/510 75- G Gr' h.4r ~ ' l~ ~flD~ 12~ S~~ ~a G ~r i, "illable ~ FRONTAGE ON WATER Voodland FRONTAGE ON ROAD S" ~ / 7 0 0 I Aeadowland ~ DF~' .5 r r ?a @. CY"~ D louse Plot ! BULKHEAD ?~50 'otal 1V 1 I ai is I I I . I . ®lOH1nOS ~~Q„f._.~~ ~Q?-oG cr , I J COLOR /y,y ~ TRIM ~ / ~ I ~ ~ ~ ~ - - ,J'` ~ ~ - ?w+_ _ a I , i i < K ~ I ~ i / ~ _ 1 ~ ~ I b J t R' II z + ,J u 5 x a' I i d ~ x_ ~ - ~ ~ J ~ 6 v_ a ° I I ~ M. Bld i /J' y G S Y i g' ' 2 x"9 S= i 0 - i ~ ~ ~ i Extension , ~-z o a X z Extension ~ ~n<> 2 ~ 1 ~b r"k ~ J i z Sr Foundation j?~~ Both y Dinette ~ Porch • Basement !'ti Floors ~ w~~ K. ,~U Ext. Walls Interior Finish s~, LR. Breezewa Fire Place ~y, Heat ~ DR. Garage i 13 Type Roof ~ ~ Rooms 1st Floor BR. Z2 ~ ~ ~2~ ~ ~ Fb?.-' Patio Recreation Room Rooms 2nd Floor FIN. B O. B. Dormer Driveway , Total 7~r ~ ~ I I ~d'_""~'a~.:' ..t: Id ®F SOUTH®!® _ DWNER STREET VILLAGE DISTRICT SUB. LOT 1 + / r.' =ORMER OWNER N E ACREAGE 9 L Sc w F ~ 3 S W TYPE OF BUILDING ES. ~j~Z„ SEAS. VL. ~ FARM COMM. IND. CB. MISC. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS-T ' SC r A9ToF%~ iprrL .N "`+C. 8.11 l' SO c~ SD c? 2 / 7 ~3~ SiP ~ ,3a aeo - _ .~o , ~ iy a~Fi - ~ _ ~ 6r wru~~+~'z.c~wr / ~ S8.f6/, AsJ,.,~.~MT9 esa S'o-o ~Za ~ ~ ~~~8 i i~'~~a4i so ~ ~azs~~! A ~~-~~,~,e1a-+a~~~ l~~ r~~ ~ 7 o~a ~ ~ ~ i~~~ 7 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD _ "illable 1 BULKHEAD 'illable 2 DOCK "illable 3 Voodland wampland ',rushlond louse Plot \ - 'otol l l/~..d ~ t' ` ~.J I?A'' l I J lY ~ ;f! //('J~ r° 4. +'1^~' `T , I 'i I~ , I i ' I I ~ ~ ~ I I...i-.I ~ i IL.yTw-. ~~--i--! I ~ , ~ ~ i ~ ~I M. Bldg. ' _ i I Foundction ~ ~ Both i , i 1 - - - T Extension I Basement I Floors I - - ~ ~ Extension li ~ ~ Ext. Walls Interior Finish I _Extension _ ~ ~Fire Place ~i ~ Heot - ~ Porch', Roof T e YP I I r Porch ~ Rooms 1st Floor Breezewa ~~i ~~Patio ~ I Rooms 2nd Floor Y ~ - ' - - -r Goroge Z ~ ~ ~ % _,_~E., ~ vJ~ ~60~ Driveway ~ ~ Dormer O. B. i L I i i ~ i 57REE7 ADDRE55 40 BEECH1YOOD LANE o ~ \ ~ ~ N N ~ `~V a Vf~~/~~/~~1 ~~(1~ ~ N a O Iq~ \ ' •V V ~ M IL ~ ~ Q ^ ~ ~ A. 1'e~ N~ + x~ \Fr, 1' <p7. ~ SURVEY OF PROPERTY ~ ~ ~ \ AT SOUTHOLD ~ TOWN OF SOUTHOLD ® ,Q . ~ SUFFOLK COUNTY, N. Y. ~ sooo-7o-io-szi ~z" ~S 0~ ~ ~ ~ s=zo• '"~~r f !1?~,~ ~ p 5EP7EAIBER 27, 2007 N 4 ory + ~ # Q~ . ~ry ~ ~ a a ~ ~ ~~J{y 9~ F ,4,. a^ '~s~ _ t /a .q~ x~x x ` ~x ~ 1I3 F X y y \ ,~u'°"+un RECEIVECk ~,y "~""~w~ "~a,,,h, MAY 8 2013 BOARD 7? ~ ~ OF APPEALS `fir ~ 4 25' d SIB Q- 2C G8^5012 W ~'$6T - kN LOT NUMBERS REFER TO 'MAP OF SOUTHWOOD° ww FILED IN THE SUFFOLK COUNTY CLERKS OFFICE aOOS~ ON NOVEMBER 24,~~~ a~N-W r AE NO. 2141. 'r` ~C. Mc'T• ~x ~ ~ Yt ~ ~~a~,e ~ v:. e~ ATO 11E LI ESQ. FT. ~,c ~ `'1~, so., Jr' N. Y. S. UC. NO. 49618 LAbD ANY ALTERARON OR AOD/TION iO 7N/S SUR4EY /S A VIOLARON CONIC YORS, P.C. OF SECRGN 72090E THE NfW YORK STA 7E EDUCARON LAW. 631) 765-5020 FAX (631) 765-7797 EXCEPT AS PER SECTION 7209-SUBDINSIIXJ 2 ALL CERTIFICARONS p, 0. BOX 909 ELENA PONS REFERENCED TO NG. VD. o~ HEREON ARE VALID FQP 7NIS MAP AND COPIES THERELI~ QVLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF TFIE SUR1fYOR 1230 TRAVELER STREET 99-103 • =WETLAND FLAG INIOSE SIGNATURE APPEARS HEREON. SOUTHOLD, N. Y. 11971 I pINE NECK RoAD CD CD / / / pROPOSED RELOCATION TO ~ SET~I / / / 6 / / / 'd AREA DATA % LOT COVERAGE DESCRIPTION AREA (UPLANDS ON L") WETLANDS AREA 3,060.00 sq. ft. TO ~E LINE) TOTAL LOT AREA 19,769.95 sq. fi. TOTAL UPLAND AREA 16,709.95 sq. ff. HOUSE 1,304.00 sq. ff. 7.80~ TEST HOLE DATA (TEST ROLE DUG BY McDGNALD GEOSCIENGE ON SEPTEMeER 22, 1997 AT 3:54 pm) ~ I I MAY 23, SURVEY OF PROPERTY SITUA TED A T PINE NECK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C, TAX No. 1000-70-10-61.1 SCALE 1"--20' OCTOBER 21, 1997 FEBRUARY 21, 1997 REVISED GRADING PLAN & ADDED LOT COVERAGES MARCH 4, 1998 SET LATH FOR D.E.C. MAY 17, 1999 ADDED ADJACENT WELL & CESSPOOL LOCATIONS SEPTEMBER 9, 1999 ADDED ADJACENT WELL LOCATION DECEMBER 15, 1999 REVISED AS PER S.C.D.H.S. NOTICE 2000 REVISED PROPOSED SEPTIC SYSTEM & ADDED WELL RELOCATIONS 14' AREA = 19,769.95 sq, ff. (TO TIE LINE) 0.454 oc. CERTIFIED TO: OEORGE MAYER BE%Ctt~o°D NOTES: 1. ELEVATIONS ARE REFERENCED TO N.G,V.D. 1929 DATUM EXISTING ELEVATIONS ARE SHOWN THUS:~ EXISTING CONTOUR LINES ARE SHOWN THUS: PROPOSEB ELEVATIONS ARE SHOWN THUS: ~ PROPOSEB CONTOUR LINES ARE SHOWN THUS: 2. LOT NUMBERS SHOWN THUS: £OT(~ REFER TO "MAP OF SOUTHWOOD" FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON NOVEMBER 24, 1955 AS FILE No. 2141 IF SILT IN THE LEACHING POOL AREA IS EXCAVATED AND REPLACED WITH CLEAN PROPOSED EXPANSION POOL ~ PROPOSED LEACHING POOL PROPOSED SEPTIC TANK FOUND, IT MUST BE SAND. 4. THIS PROPERTY IS IN FLOOD ZONE A4 (EL 8) AS SHOWN ON FLOOD INSURANCE RATE MAP COMMUNITY-PANEL No. 360815 0078 F ZONE A4 (EL 8): AREAS OF IO0-YEAR FLOOD; BASE FLOOD ELEVATIONS AND FLOOD HAZARD FACTORS DETERMINED. 5. ZONING USE DISTRICT: R-40 HOUSE PROPOSED SEPTIC SYSTEM DETAIL POOL LFJ~HING POOL MAY 0 3 2013 ~OARD OF AppEALS L C 50467 Nathan Taft Corwin III Land Surveyor Successor To: Stanle=y J. Isoksen, Jr. L,S, Josep6 A, Ingegno LS. PHONE (630727-2090 F=x (631)727-1727 97-428CR