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S ,k rei bev', D2~ be~+ m. 5 (o l D?-ej m/1 /Zd . , Cul-ch O j LA ~z f a a~ o~cce~s~~ ago- 13 8 (t3 rl PH cEos~d us P 2~ ~3 Pesul~ 11~ ~L~ CSC ~ -nj rap N M~ Office Location: Of $OUTyolo Mailing Address: Town Annex /First Floor, Capital One Bank * 53095 Main Road 54375 Main Road (at Youngs Avenue) C02 P.O. Box 1179 Southold, NY 11971 G` a0 Southold, NY 11971-0959 UKN, http://southoldtown.northfork.net BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809 Fax (631) 765-9064 COVER SHEET WITH ZBA FILE STATUS OF FILE ZBA # (0 (p Name : ~S C LJ l b ~~~i 42-o b 2 ?f" Tax Map#: Location: (p~~Jr QrevtLYl Qe( G A(1/t0~'~ [ ] Refund issued : CANNOT activate or reactivate file (Applicant has withdrawn application). [ ~C ] NO REFUND DUE, based on time spent for Town to process application and hearings. [ X] Obsolete & expired; CANNOT reactivate this file: NEW APPLICATION NECESSARY: Extensive time has passed; Zoning Code changes are now in effect and this application expired. NOTE: Applicant may apply for a new application with Building Inspector for a new Notice of Disapproval and submit NEW application with all documents and current maps to ZBA, or modify plan to conform to the current code. This Town file based on applicant's previous year requests has expired. [ ] No forms to be scanned; FILE # VOID: APPLICATION RETURNED. (All forms were returned to applicant early in process, as requested by applicant.) BOARD MEMBERS Southold Town Hall Leslie Kanes Weisman, Chairperson Ur SOUTyo 53095 Main Road • P.O. Box 1179 ti0 lp Southold, NY 11971-0959 Eric Dantes * Office Location: Gerard P. Goehringer Town Annex /First Floor, Capital One Bank George Horning ell • ~O 54375 Main Road (at Youngs Avenue) Ken Schneider ~ycoualty Southold, NY 11971 http://southoldtown.northfork.net ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809 • Fax (631) 765-9064 VIA CERTIFIED October 18, 2013 Robert M. Schreiber 6175 Oregon Road Cutchogue, NY 11935 RE: Pending ZBA File#6610 Dear Mr. Schreiber: Your application has been dormant since December 6, 2012. The Zoning Board of Appeals is writing to inform you of their intent to close this application, unless within thirty (30) days of your receipt of this letter, you respond in writing of your intention to move forward. If you have any questions, please contact this office. Thank you for your prompt attention to this matter. Sincerely, Vicki Toth Board Assistant SUBDIVISION PLAN SUPPOLK COUNTY DEPARTMENT OF HEALTH MRVICES FOR ROBERT SGHRE I BER A` H q".M New Yo& k` ,~4 SITUATE: MATTITUGK ~W/~a Th6 i,wceNfydwdwpmpoed HWtyS"vidonm DeydepmW s F TOWN: SOUTHOLD RECEIVED A G with . mW of lob O apwd m me dims dR. Waar SRPllee and Sown6 D4pw7 Pa03W m~rtwnfo®ro ooomoctlm mdm7~ln~fieetnihe tlmeof w wnnedm and R Oh to Qp T QOtmib ,mif t to thm vaW he mg SUFFOLK GOUNTY, NY NOV 0 5 2ciz \ abd,IdWd.,dp® mWlsdlddyfiMJw16ftCCmvlyCkzk do SURVEYED II-I-7-Gig alB O ywofNhdd Co hheahy SIM f3rthCMing Of ihhmry 3y. 07 AMENDED 1o0.-24-00,10-30-00, BOARD Of APPEALS .Sq6.o~~ a~ w mwhichg6eedmemmtgVp inteOMmofde Ca ty Clotin y or O[Mysnuary Code. pwmm~of 0te Peblfe Hahh Lwmdlhe 9uRaSc i/ 11-21-00, OV-24-01, 02-05-02, /O„ mph ~ Dk 1, m )IDmv AmmOd tjutli"y I~ °Sept/ Fp„01m~h 0-7-02-02, 07-23-02, 01-12-04 pr SUFFOLK COUNTY TAX # q ° ~qCq e y T ` '9C e~y T of. 1000-85-1-4 v~ `QM weiiSN/Fq ve//g ~T F ohryi <Gi With:9,Q~ Qs/9/@on .r oq tho FPM a /SO op ~0 Bench/~/ /.U cs \ ~ \ iSC GERTIFIED TO: ROBERT SGHREIBER \ PEGONIG LAND TRUST \ A10 cer nnp ry -tVJ• i 5EFTIG 5Y5TEM DETAIL ~y~• NOT TO 50ALE A, 4I 04 aox eo eas acv owam nrm 'fi \ V , vr+nve " ve \ v ~ V ~00. Q04 q~ ,~fY ,Po,o~ m xwn ~ e .ITHC .lL arovelweAlanwafw^,xw ^Few 3 bhp \ \ e. e@~olILL^W,~N GCE^N MLLY sep~4S°4 \ \ \ h"orf°rgCgNTFhn \ \ \ "'>le oF. ~iF~ pro \ ` o yg tt D p nC0' i %Qiepe ~ ert~ \ \ °W ~iJ Or neJ \ \ \ ` c.. OP: ti ~ Re4ity j4il n~ YELL DETAIL yh m a Cb iD' not to 5r-ale O Water Q seal _ installed on pitltr e5 B56 unit o~'YI V, . Jo „a - i q ~ 0 ej m FINISHED GRADE 12 L~,r TYPIGAL PLOT PLAN not to Scale 4'-6" mm ~ ~oQ~ a 5 LON 132 GAL STORAGE A ~ "4w ~ : \ XQ TANK ROAD N'r~Q. ~ Quo Q~~a"~ 'oaee°~nbe A N _ IIw, J, Ssg~ ~~~h~ ,~~h~ ~~AO oaf N z S bs p c ti :w~ \Ob~3 vrcuvrvi rvn cF house EL 5GREEN 0 1p~ 5U3MERSIBLE yQ ryy1 PUMP 5 GALLONS O C =bd WELL WATER SUPPLY NOTES: 1 3os' a , 131 i L FOR INDIVIDUAL LOTS WHERE THE SALTWATER INTERFACE 15 ENCOUNTERED LE55 THAN 40 FEET BELOW THE WATER Well TABLE THE HELL 50REEN MAY BE INSTALLED AT A SHALLOWER DEPTH PROVIDED THAT THE TOP OF THE WELL 5GREEN 6 AT LEAST 10 FEET BELOW THE WATER TABLE AND THE HORIZONTAL SEPARATION BETWEEN THE WELL AND ALL LEACHING POOLS 15 AT LEAST 150 FEET. "I HEREBY CERTIFY THAT TH15 MAP AA5 MADE BY U5 FROM ACTUAL 5URVEY5 COMPLETED APRIL 15, 199Q, Q THAT ALL CONCRETE M0NIMENT5 SHOWN THUS, ¦ HEREON ACTUALLY EX15T AND THEIR P051TION5 CORRECTLY 5HOAN AND ALL DIMEN510NAL AND GEODETIC DETAIL5 ARE CORRECT ~y` pF NE 4g~~ QI JOHN G. E 5 N.Y P L.5 LAG so2o2 yQ~~C' Efl(~ ~~P~ THIS 15 TO CERTIFY THAT TH15 W13DIVW1510N PLAT HA5 BEEN APPROVED BY THE PLANNING BOARD OF THE TOM OF 50UTH0I.D 13Y TZE50LUTION DATED, "I HEREBY CERTIFY THAT THE WATER SUPPLY(5) AND/OR 5EWA6E * E 'rtp TF NOTES: DATE:------ ~Lhpirmpn's Slgmture OER NDER 015P05AL 5Y5TEM(5) FOR THI5 PROJECT WERE DE516WO 5Y ME OR UNDER MY DIRECTION. 8A5ED UPON A CAREFUL AND THDROWH STUDY ¦ MONUMENT OF THE PROPC OF THE SOIL SITE AND GROLNPAATER CONDITIONS,ALL LOT5, AS PROPO5ED, CONFORM TO THE 51.FFOLK COUNTY DEPARTMENT OF HEALTH F'1'S 50202 O PIPE 5ERVH 5ERVICE5 C0145TRUGTION STANDARDS IN EFFECT AS CF 70I5 DATE." Pp LAND SVP AREA = 41.40 AGRES REFERENCE DEED: L. 10473 P 231 SURVEY REFERENGED TO NY5PG5 - NAP '83 MIGHAI ELEVATIONS REFERENCE M5L NGVD29 MICHAEL D. MAPES N.Y.S.PP. LIG. xTO501 " SHEET 2 OF 5 .~....a w.~m.~~.. 1. p I~' a,i-'9 J~+ Mti~ i.M UNLESS NOTED OTHERWISE, ALL STRUGTURES SHOWN ON - - TH15 SURVEY ARE EXISTING. 6RAPHIG SCALE: 1"= 100' 6 P,A5P I AIN STREEE N.Y.S, IA C, NO, 502(12 A STATEMENT OF GOVENANTS AND RESTRICTIONS HA5 RIV13I HFAL), NN, 11901 369-$ 2S8 Fat 369-8287 BEEN FILED AT THE OFFICE OF THE CLERK OF SUFFOLK COUNTY IN LIBER 0012293 PACE 512 4 513. DiEF.CAUse,, Nolu YDeopbo 0QSN9Q8%99--272k.pro 92W2012129D GVhera\JOM1n\Drapbor\9p5\905\99-2T2k pro =5<naN A 55'-2 @• z Q N d FW- O µK~-lI N C ~ ~0zD O S~$ FLOOR PLAN SCALE: 2 6 of z 0 Z W EXI5TING DECK j N m WALL LEGEND: EX15TING BARN STRUCTURE P m TO REMAIN X G" CEDAR [ " X 6" CEDAR DECK BOARDS WALL TO BE REMOVED oN POOL HOUSE AREA: B K W 2"X G" FRAME, R-19 INSULATION m W/ I LAYER,' GYPSUM BOARD ON INTERIOR t FIRE RATED ON ~ O GARAGE SIDE 0 } = 0 3 m 2" X 4" INTERIOR STUD PARTIFION WITH I LAYER,' GYPSUM BOARD ON EACH SIDE VERIFY, MINIMUM 3-14" W o LVL HEADER ABOVE DOOR ED I, V U O 'ALL EXTERIOR WALLS EXISTING It REMAINING; K 19 INSULATION WITHIN 4'z" DRYWALL FINISH SIDE; ALLSHELV AUDVE FWGI GOGI I- 8'-10"PLATE HEIGHT T EXISTING CEILING k ROOF FRAME EX15TING TO TrAIN I III _ STRUCTURE TO REMAIN N ~ WASHER DRYER III 'MOISTURE ON ALL SURFACES WITHIN BATH, Accts l III III e~PSs o.wx e~pssi LU D.WX LAUNDRY* BAR AREAS LAUNDRY ROOM / i PROVIDE A FIRE RATED DRYWALL ON GARAGE WALL COMMON O 2- 2" X 8" H EADER5 ABOVE ALL 0 I III "al- ae WINDOWS k DOORS UNLESS 2868 z N G OO TO FINISHED SPACE z J 2os8 ! w _ I GIR T K TM ! OTHERWISE NOTED W 419 a~, ~q Oo m POOL STORAGE I w u VIII I o< r a f(B 9} CLOSET VIII III 0~R eqR GARAGE SPACE UNFINI5HED # IXISTING TO REMAIN Z o w VIII ! III o ~o 'nn u~ UJ 0 o VIII III X Q GUEST BATHROOM Tq F- III III Fwoc[ G W N x d6d FWDGC ~iS N N Z O III III PROVIDE 45 MINUTE 51 5H -K VINYL rAN, Tut N 'y IY FIRE RATED DOOR WITH 1 Alu a ELOpROE 60 III n ,L III SELF CLOSING HINGES zd6d s oweR; O° DOORSWEEP "V, " 2665 FIRE RATED DRYWALL ENC OS O III Oh III TOS DOWN ^ 6-0" INTO GARAGE AREA TO 5 131-5" WALL HEIGHT i a-m 2aa' z-a' z-a• 2 r-4 u2' 1 ~'Y RECEIVE') u z NOV 0 5 2012 U' TN seAA z~ BOAR') OPAPPEAjS m Z o DARN SPACE U C ' UNFINI5HED T EXISTING TO REMAIN Q U z G Q o (S N W ~f PAGE: 2 1 i ~ k~l t V1 V~ U.S. Postal Service,,., Mir, CERTIFIED MAIL,, RECEIPT C3 (Domestic Mail only,. I-q - - No Insurance Coverage Provided) D- M1 gg44 rq Postage $ C3 Certeietl Fee O Rehm Receipt Fee F O (Endorsement Required) a C3 Resmctetl Delivery Fee V G (EntlOrsement Required) Cpl C3 `C)°S .-0 TOtal Postage a Feee $ O rR - _ ~xfl k' O Srreet Apt Ido.: PAS M1 wPD f- a CdY , Z f4 14-0) I - SENDER: COMPLETE THIS SECTION COMPLETE THIS ,a . 35 SECTION . 31d, re ¦ Complete items 1, 2, and 3. Also complete A. =plate M Restricted Delivery Is desired. I! 0 Agent ¦ Print your name and address on the reverse x I!, - so that we can retum the card to you. 6) ' ¦ Attach this card to the back of the mallpleoe, tni or an the frond K space permits. D. Is delivery address difere it from 1 1. Article Addressed to: if YES, ender delvery address bebw: No i r7S-dr n 3. Service Type O Owtifled Mall 0 Fxgxess Mall O Registered O Rebum Receipt for Merchandise 9~° l7 lnerued Mall o C.O.D. 4. Restricted DeWery7(FNa Fee) 17 Yes 2. ArtldeNumb 7013 0600 0000 6174 7910 ,(llarrsier7iom serwoa w~ i PS FOM 3811, February 2004 Domestic Retum Receipt 10259eo24-1540 'i i 12/03/2012 10:25 631-8544 S C PLANING DEPO PAGE 02 COUNTY OF SUFFOLK V . C RECEIVED DEC 0 3 2012 3 BOARD OF APPEALS Steven Bellone SUFFOLK COUNTY EXECUTIVE Department of Economic Development and Planning Joanne Minieri Division of Planning Deputy County Executive and Commissioner and Environment November 29, 2012 Town of Southold ZBA 53095 Main Road PO Box 1179 Southold, NY 11971 Art: Leslie K. Weisman, Chair Dear Ms. Weisman: Pursuant to the requirements of Sections A14-14 thru A 14-25 ofthe Suffolk County Administrative Code, the following application submitted to the Suffolk County Planning Commission is to be a matter for local determination as there appears to be no significant county-wide or inter-community impacts. A decision of local determination should not be construed as either an approval or disapproval. Avolicant Municipal File Number Cholem, LLC 06608 Corazzini, Robert #6609 Schreiber, Robert 96610 DeVito, Daniel #6611 DiVello, John #6613 Very truly yours, Sarah Lansdale Director of Planning Theodore R. Klein Senior Planner TRK:mc H. LEE DENNISON BLDG ¦ 100 VETERANS MEMORIAL HWY, Mh FI ¦ P.O. BOX 5100 ¦ HAUPPAUGE, NY 11788-0099 ¦ (671) 9373191 M BOARD MEMBERS • ao f SOU • Southold Town Hall Leslie Kanes Weisman, Chairperson Ty0 53095 Main Road • P.O. Box 1179 fp Southold, NY 11971-0959 Gerard James P. Go P. Goe o, Jr. * Office Location: ger Q Town Annex /First Floor, Capital One Bank George Homing ~0 • i0 54375 Main Road (at Youngs Avenue) Ken Schneider Cow Southold, NY 11971 http://southoldtown.northfork.net 2 2 ~p ZONING BOARD OF APPEALS D 6 C LS U TOWN OF SOUTHOLD D Tel. (631) 765-1809 • Fax (631) 765-9064 NOV 2 0 2012 BLDG. DEPT. TOWN OF SOUTHOLD TO: SOUTHOLD TOWN BUILDING DEPARTMENT RE: VERIFICATION OF LIVABLE FLOOR AREA Special Exception Application RECEIVED d to establish an accessory apartment in an accessory structure ZBAApplication No.: # 6610 SCHREIBER, ROBERT NO 2 6 Date sent to Building: November 20. 2012 BOARD OF APPEALS Pursuant to Town Board Resolution No. 2011-353, effective April 26, 2011, the Office of the Zoning Board of Appeals is forwarding the above referenced application for verification of the livable floor area, per code Section 280-4, to be returned to this office within 14 days of receipt. FOR BUILDING DEPARTMENT USE Our office has reviewed the following documents provided in the above referenced application: Based upon the information listed above ? The livable floor area is determined to be GAL square feet and is conforming to Section 280-13B (13) (a) of the code The livable floor area is determined to be square feet and is not allowed pursuant to Section 280-13B(13)(a) of the code which states: "The accessory structure shall contain no less than 450 square feet and shall not exceed 750 square feet of livable floor area... The livable floor area cannot be verified. COMMENTS: Signature of reviewer Date: Adopted by the Board of'Appeals ; May 18. 2011 • RECEIVED TOWN OF SOUTHOLD ZONING BOARD OF APPEALS NOV Uti Yh" Phone(631)765-1809 (631) 765-9064 BOARD OF APPEALS APPLICATION FOR A SPECIAL EXCEPTION PERMIT FOR AN ACCESSORY APARTMENT IN AN ACCESSORY BUILDING Application No.: Date Filed: n Applicant(s) Name(s) rl• D onyiC ~I Applicant(s) Address Qo 30y 5'7'~U Pe[OKIc (House No., Street, Hamlet, Zip Code and mailing address if different[ from physical address) Applicant(s) phone number(s) 431- [ J `f O` I ]J/we are the owners of the subject property [ vj l am the agent for the property owner and my Letter of Authorization and Transactional Disclosure Form is attached. A. Statement of Ownership and Interest: Q *e V~ M . Sr h ~e i e V/ is (are) the owner(s) of the property known and referred to as 4115 0Keion 12 c1. aque i?~~5 House No. Str Hamlet Q Zip Code Identifecon the Suffolk Co ty Tax Maps as District 1000, Section R~ Block + Lot(s) J Lot Size Qone District as shown on the attached deed and survey The above-described property was acquired by the owner(s) on 1 ~ U I/we hereby apply to the Zoning Board of Appeals for a Special Exception Permit pursuant to Section §280-13B(13) of the Zoning Ordinance to establish an accessory apartment in an accessory building as shown on the attached survey/site plan and floor plan(s) B. Proiect Description: We WoLdd LiKe aclc( a 11 (~a~hwov?ti, (auv~dw~ Y-0 0 M a t_d '11 b eh to 0.h t/y.(s-Fy q l 4W pavkial Cohvc~io[n a Pool MjASC. ~jV1ilG~in~ ~eWvtif 3~9g3. C. The applicant alleges that the approval of this special exception would be in harmony with the intent and purpose of said zoning ordinance, and that the proposed use conforms to the standards prescribed therein and would not be detrimental to property or persons in the neighborhood for the following reasons: Je(t a(Wn CL h~ MW sfKInctUres heiny bu W ~1C f~CCCSSO?UI Qp V~VYlent iS illain a[~ "T eXiSflnJ hani• J • RECEIVED D. The applicant alleges that the following standards prescribed by Section §280- N0 U 13(B)(I3)(a)-(k) of the zoning ordinance will be met: BOARD OFAPPEALS a. The accessory apartment will be located in the accessory building. b. The owner of the premises shall occupy either the existing single-family dwelling or the accessory apartment in the detached accessory structure as the owners' principal residence. The other dwelling unit shall be occupied by a family member as defined in Section §280-4 of the code or a resident who is currently on Southold Town's Affordable Housing registry and is eligible for placement, evidenced by a written lease, for a term of one or more years. 110 The accessory apartment shall contain no less than 450 square feet and does not exceed 750 square feet of livable floor as defined in Section §280-4 of the code d. The accessory apartment will be located on one floor of the accessory building and will contain only one full bathroom. e. A minimum of three on-site parking spaces shall be provided as shown on the attached survey. f Not more than one (1) accessory apartment shall be permitted on this parcel g. No Bed and Breakfast facilities, as authorized by Section §280-13(B)(14) hereof shall be permitted in or on the premises for which an accessory apartment is authorized or exists. h. The accessory apartment will meet the requirements of a dwelling unit as defined in Section 280-4 of the Zoning Code. i. This conversion shall be subject to a building permit, inspection by the Building Inspector and Renewal of Certificate of Occupancy annually. j. The existing accessory building which is converted to permit this accessory apartment has been in existence and has a valid Certificate of Occupancy issued prior to January 1, 2008, and is attached hereto. k. The existing building, together with this accessory apartment, shall comply with all other requirements of Chapter §280 of the Town Code of the Town of Southold. 1. This conversion for the accessory apartment shall comply with all other rules and regulations of the New York State Construction Code and other applicable codes. E. The property which is the subject of this application (check all that apply): [ ] has not changed since the issuance of the attached Certificates of Occupancy [ ] has changed or received additional building permits. Certificates of Occupancy for these changes are attached or will be furnished [ ] has been the subject of a prior ZBA decision(s), copies are attached er Signat e j COUNTY OF SUFFOLK) ss.: STATE OF NEW YORK) Sworn to before me this day of 20 (Notary Public) VICKI TOTH Revised 0612011 Notary Public State of New York No.01f06190696 Qualified in Suffolk Count Commission Expire! lulu 28, 2 RECEIVED QUESTIONNAIRE NOV 0 1011 FOR FILING WITH YOUR ZBA APPLICATION A. Is the subject premiss listed on the real estate market for sale? BOARD OF APPEALS Yes ? No B. Are ere 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? 00 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 building area? 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 rep of proposed construction at or below five feet above mean sea lever UU E. Are there any patios, concrete barriers, bulkhead$ or fences that exist that are not shown on the survey that you are submitting? N 6 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? " eS If yes, please submit a copy of your building perR/] i~t and survey as ap roved by the Buildin Department and please describe: QOV~AI W PIVeKi 011 E~ (jA(r F00) ~N$C f Decv, G. Please attach all pre-certificates of occupancy and certificates of occupancy for the subject premises. If any are lacking, please apply to the Building Department to either obtain them or to obtain an Amended Notice of Disapproval. H. Do you or any co-owner also own other land adjoining or close to this parcel?_ Nye _i If yes, please I bel the proxim of your lands on your survey yKfldfn fi031 Lid acres En ~VDXN 1. Please list p55esent use or op rations conducted at this parcel SI h ( FAWN{ rtf5, Ue Vt 6L and the proposed use 5plvn r, VVITI'l tel. • Orn k• I h Lim • . (ex: existing single family, proposed: same with garage o o ther) AorlzAuth IZ I22--- nat a and Date PROJECT 10 NUMBER 617.20 SEAR APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW E SHORT ENVIRONMENTAL ASSESSMENT FORM RECEIVED for UNLISTED ACTIONS Only PART 1 - PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) N O V' 0 1. APPLICANT/jR 2. PROJE T NAME Ah Gl (Clbcv ~,yv, BOARD OF AP EALS 3:PROJECT L Municipality 4PRECISE LOanti Rued Inlmseellone. PirimfnaM Iaudlnarka etc -u prevltla map . 0uN 3S 5.IS PROPOSE~Eltpansiem tion7agera8on 6. DESCRIBE PROJECT BRIEFLY: tn5 R,avv~, has pool hoksc convcr-5i a 1(3. We Would lilt 11 Pool h0IASIC ft k unod~hcd Q,h acccssown gav~,nntK+ in ord(v 1~ inst~?ti bat1~vooms 7. AMOUNT OF LAND AFFECTED: tie Initially acres Ultimately :acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ? Yes ? No If no, describe briefly: - !9Z HAT AT IS PRESENT LAND USE IN VICINITY OF P OJECT? (Choose as many as apply.) Residential DIndustrial Commercial ~gricpltura Park/ Forest I Open Space El Other (describe) 1e. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FederaK State or Loral Eyes &10 If yes, list agency nsma and permit / approval: 11. DOE ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? &es F No If yes, list agency name and permit / approval: ~~L~~L.....J11111 16 Jd' PCVWw Somold own PerWlit# 31gq,5 - In 12. AS A E ULT OF PROPO D ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? as No I CE IFY THAT FORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / S S Name ate: Signature ' ' L e action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before Proceeding with this assessment RECEIVED MvU5201_1 p SDARD OFAPPEALS PART II - IMPACT ASSESSMENT To be completed tt Lead A enc A. GI-O-ElS ACTION CEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 If yea, coordinate the review process and use the FULL EAF. U Yes [1 No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative declaration may superseded by another Involved agency. Yes NO C.. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten. it Iagba) C1. Existing ak quality, surface or groundwater quality or quantity, noise levels, exiatin9 traffic: pattern, wild Waste potendal for erosion. drastage or good ms? lab bdq . _ pa prosuction or disposal, E C2. Agsgtetk, agrkutiuraL archaedlogi , historle, or omen natural oreullurai resonrtcas; or wmmlmgyor helghtiomood Chan ictet? Explain bdafiy; C3. Vegetal an.'or na, fist, shed a kegs species. NyilficanC lsf itata, ar threatened or ertdaraJere specles. Ekplainbdefly: C4. A commuelry'a exiatlrg plans or goals as adopted, or e charms ar use or Ma 'MY nsdyof hall of lied orbthar b=lue) resources? Explain bdeay. C5. Growth, sobsequem development, or :a s we-, Nkely W be dd¢ed b the" ro Y Po6,ed action7-Exptaln briefly: C6. Long term, short term, tuelolative;.or odreretfecta not Werdiged kr C1-C6? le n briefly: . CT. Otherim acts. includi the ,stn use W saner ea qr 1 ptenp_ Ex aIn M WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA CFA? a es.ex lainbdefi : ? Yes F-1 No E. IS THERE, OR IS THERE LIKELY TO BE. ROVERSY R KLATEOTO ~Al Yes aNo ENVIRON ENTALiMPACT3? El tl e tn: PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRLICMINS: Foreach adverse effect identified abov9, determine whether ltlssubstantial. le/ge,importantorolhwwiseaignfimnt. Each effect should be assessed in connection with its (a) selling (i.e. uncap (x rural); (b) probability of occurring: (e) duration: (d) Irreversibility: (e) geographic scope; and to 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 addressad. If question d of part g was checked yes, medetermination of significance mustevaluate the potential impactoftheproposedection onthe environmental characteristics of the CEA. Check misbox if you have identified one" more potentially large or si!!! acts which MAY occur, Then proceed directly to the FUL EAF and/or prepare a posaive declaration. Check this box If you have determined. based on the information anany supporting documentation, that the proposed acts WILL NOT result in any significant adverse environmental impacprovide. on ftachns nts as hoceassiry, the reasons w determination. ePort~nO thf Name of Lead Agency Date fit or ype arcs c espms a cer n ea ncy Tula of Responsible Officer Signature o Responsible icer in Lead Agency Signature of Pr ever ( erent rom responsible o r • • RECEIVED / O Nov (I :5 1pt? AGRICULTURAL DATA STATEMENT ZONING BOARD OF APPEALS ~DARB CFAPPEALS TOWN OF SOUTHOLD WHEN TO USE tHIS FORM: The form must be completed by the applicant for any speciad use permit, site plan approval, use variance, or subdivision approval on property within an agricultural district OR within 500 feet of a farm operation located in agricultural district All applications requiring an agricaftmi data statement must be referred to the Suffolk County Department of Planning in accordance with sections 239- m and 239-n of the General Municipal Law 1) Name of Applicant: 64 6o "Vl (i I ( 2) A d d r e s s of Applicant: 5 c c o h t 11 3) Name of Land Owrier (if other than applicant) : l l . b e 4) Address of Land Owner 175' Q 1~ h q 5 5) Description of Proposed Project: C¢ C I ~U SC . 6) Location of Property (road and tax map number): 7) Is the parcel within an agricultural district? ?No I~Yes If yes, Agricultural District Number 8) Is this parcel actively farmed? ?No dYes 9) Name and address of any owner(s) of land within the agricultural district containing active farm operation(s) located 500 feet of the boundary of the proposed project. (Information may be available through the Town Assessors Office, Town Hall location (765-1937) or from any public computer at the Town Hall locations by viewing the parcel numbers on the Town of Southold Real Property Tax System. Name and ddress 9s-I - 3 1. Q0I7G ? 611s ore oil Qd CU+cho wc, rq1105 1 2. 0 Gt t tent , i t- Dfay ( D AlYd AV 3 tJ. I o 168 3` V LA 0 v1S a. 0 0 5 W%4cVHill 11 Q ~I -112 s: an Wtn 0 V it o sql-s1 Avc rte r4y14Y 1D62-00 q~ 3 - S! I 6. lnah 4h ?D . k I AW. tr d'btc Almepi(OLS y Ivy 1062-6 Tlease use back side of page if more than six prope o s are identified.) The lot numbers may b o tained, in advance, when requested from the Office of the Planning Board at 765- 1938 the Zoning Bo of Appeals at 765-1809. IZ~ IZ Signa e o licant Date Note: 1. The local board will solicit comments from the owners of land identified above in order to consider the effect of the proposed action on their farm operation. Solicitation will be trade by supplying a copy of this statement. ! 2. Comments returned to the local board will be taken into consideration as part of the overall review of this application. 3. The clerk to the local board is responsible for sending copies of the completed Agricultural Data Statement to the property owners identified above. The cost for mailing shall be paid by the applicant at the time the application is submitted for review. Failure to pay at such time means the application is not complete and cannot be acted upon by the board. 1-14-09 RECE&E j) p O Nov o S ~0l APPLICANT/AGENT/REPRESENTATIVE BOARD OFAppEAIS TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees The Purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: D NOW I IRW I, (Last name, first name, middle initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other person's or company's name.) ` NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zane Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning (if"r cc. apat~MCV~~ (if "Other", name the activity.) Q 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,%oof the shares. YES NO V If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person _ Describe the relationship between yourself (the applicant/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 officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); B) the legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); C) an officer, director, partner, or employee of the applicant; or D) the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted t is I d W1~'2()0 ~y Signature Print Name Form TS l 011 vi L RECEIVED APPLICANT/OWNER NOV 0 5 101` TRANSACTIONAL DISCLOSURE FORM BOARD OF APPEALS The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees. The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. I/ YOUR NAME : Is (it y I , he?l- ~-1 (Last name, first name, middl initial, unless you are applying in the name 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) 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 V If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself (the applicant/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 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 beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation) C) an officer, director, partner, or employee of the applicant; or D) the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this 10day of , 20 ~ Signature / Print Name ~j ? • FORM NO. 4 • RECEIVED 6 / TOWN OF SOUTHOLD NO O ;r ~Q)j BUILDING DEPARTMENT Office of the Building Inspector BOARD OFgppEqLS Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z19470 Date OCT. 23, 1990 THIS CERTIFIES that the building ALTERATION Location of Property 6175 OREGON RD. CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 95 Block 01 Lot 04 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 14, 1990 pursuant to which Building Permit No. 18683Z dated _MARCH 16, 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 INSTALL SLIDING DOOR IN AN EXISTING ONE FAMILY DWELLING The certificate is issued to ROBERT SCHREIBER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N139261 JULY 6, 1990 PLUMBERS CERTIFICATION DATED N/A ild ng Inspector Rev. 1./81. RECEIVED6 TOWN OF SOUTHOLD BUILDING DEPARTMENT NOV TOWN CLERK'S OFFICE ° SOUTHOLD, NY BOARDOFAPPEALS BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit 37493 Date: 9/5/2012 Permission is hereby granted to: Schreiber, Robert - - - - - - - - 6175 Oreg-on_Rd - - - - Cutchogue, NY 11935 To: 'As Built', Additions & Alterations to an Accessory Structure; Partial Conversion of Barn to Pool House, Deck (55.2 X 18.3 Ft.), as applied for. At premises located at: 6175 Oregon Rd - - - - - - - - SCTM # 473889 - - - - - Sec/Block/Lot # 95.-1-4.3 - - Pursuant to application dated 9/512012 and approved by the Building Inspector. To expire on 317/2014. Fees: ALTERATION OF ACCESSORY BUILDINGS $1,544.80 CO - ADDITIONS TO ACCESSORY BUILDINGS $50.00 Total: $1,594.80 Building Inspector x'914 L_ i~ 5 kVr3 3~~~ r~ 4 rR RF99 4G:~ 3 ty" Mk i3! P, R 1 d q E ' a r- WAN , ~U - y.. . t -..r FOP i' t sHv_ 11MMUMP a `k,E r mrill 195.1-4-2 )i#ktl m #y!# ~E S S G Sahreibbr.Fioherk A64-Y r. 2013 ROatt'Yr 1 Paia~yHBa. Oregon Rd Latxt.5 4 0[1 axes tr9t.AY::1m z_J Parcel 9S "T3~4 a OMMI TttkY4.,ba)E,# r'$ , . kgg.. k n t..3 S BiE) 17 Deseti~tiatt- MMM Owrret(xj u Im~asIa ltrst(~ea 3t S .=-t Gig d u Site(1) es r56a9.T 1'1i€t ! Clt A itid ' { t AN MR, Streett sx Prek4ir 6se0 Jjal'Efaute Stt,(A : Past ura. No B t Its . 1l is +t - -mow..... Slaty de; "All L ~11s6t`?d&£ {peL#e: OtNttbtTts Awk-w q, w-jo, -M 01, Yom W, v on- TV U, Rey k k....... mG 6.a. 3x f_.G...... ? r er , s+ a +r ' .h`:, y r 0105H."' ` _ .ERR ~ `~1PS Yels~ 6~76la RECEWED Nov , BOARD OF APPEALS • FORM NO. 4 • ALCEIVEG J ~ 0 NUV 0!} 01C IWn TOWN OF SOUTHOLD BOARD OF APPEALS BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28516 Date: 06/13/02 THIS CERTIFIES that the building ACCESSORY Location of Property: 6175 OREGON RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473689 Section 95 Block 1 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 25, 2001 pursuant to which Building Permit No_ 27310-2 dated MAY 11, 2001 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 ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to ROBERT SCHREIBER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO 1040617 03/21/02 PLUMBERS CERTIFICATION DATED N/A or' ed S nature Rev. 1/81 • FORM NO. 4 • RECEIVED 1(l TOWN OF SOUTHOLD NIJV BUILDING DEPARTMENT Office of the Building Inspector 'BOARD OFAPPEALS Southold, Town Hal1Y. CERTIFICATE OF OCCUPANCY No Z19544 Date NOVEMBER 29, 1990 THIS CERTIFIES that the building ACCESSORY SATELLITE ANTENNA Location of Property 6175 OREGON ROAD CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 95 Block 01 Lot 04 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 31, 1988 pursuant to which Building Permit No. 168872 dated APRIL 13, 1988 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 ACCESSORY SATELLITE ANTENNA. The certificate is issued to ROBERT SCHREIBER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED_ N/A / Building Inspector Rev. 1/81 • FORM No. a RECEIVED 410 TOWN OF SOUTHOLD BUILDING DEPARTMENT NOV U tr Office of the Building Inspector Town Hall BOARD OF APPEALS Southold, N.Y. Certificate of Occupancy pecemt?or. 1f3 19 .•nt Date . . . . No.:l1 ~fi25......... . THIS CERTIFIES that the building • • • • • ' CutchoA;u - 6175. Grey+,on Road Street Hamlet Location of Property House iVo. r 01 ...........LOt.G04............ County Tax Map No. 1000 Section ..o2•' . . • .Block . . Subdivision . . . . . .Filed Map No. Y. . . . . . ..Lot No. . X conforms substantially to the Application for Building Permit heretofore filed in this office dated r 0 1 pursuant to which Building Permit No. 1 14 $ 7.......... . Uc.o r3 , II . dated 1J ove!1'Ue r . 30.... • 19 was issued, and conforms to all of the requirenten s of the applicable provisions of the law. The occupancy for which this certificate is issued is io. . .s.t.u. .d. . ~ . accessory buildin(C art The certificate is issued to ....?totem. ..Shcrr own she E~eenrtertam) of the aforesaid building. Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE NO........... . Building Inspector Rev. 1/81 0 0 RECEIVED` j NOV, 0 5 1017 9/12/12 BOARD OF APPEALS I, Robert Morris Schreiber hereby authorize Amy L. O'Donnell to act as an owner agent in regards to my property located at 6175 Oregon Rd. Cutchogue, NY 11935. The property is located in County Tax Map 1000 Section 95 Block 01 Lot 04, Lot 03, and Lot 02. Robe . Schreiber TOWN OF SOUTHOLD iOPERTY RECORD CARD /Coo - OWNER STREET VILLAGE DISTRICT SUB. LOT FORMER OWNER N E ACREAGE RECEIVED a. „ - S W TYPE OF BUILDING NI)u 1 ti' 0 G~-' ray, ~cd AChflT Wo rfia RES. SEAS. VL. FARM COMM. IND. CB. MISC. LAND IMP. TOTAL DATE REMARKS ~55Y - j-z)0 if 400 ; 60 o 00 - r I , 3oC, 3 v© ,2,d aGO / 17 7 \ AGE BUILDING CO I I 7j ~oG NEW NORMAL + BELOW ABOVE Farm Acre Value Per Acre Value •a.ble 1 a 0 - - - _ Tillable 2 ~/k~_Jr~~(t (9/~i» rna ~c~c Tillable 3 U /L-4-o C 2s~ QCyE5D - - Woodland "f1 n i - Swampland ) (7 [ ? - - - - - - Brushland - House Plot - n z 17 J U l~P D 4 e i 5 y_. - - - - TcTa'I I 3 0 RECENED NOv lli 01 { q _ BOARD OF APPFeI g v s~ 95.4-4.2 1/12 N-1-Y VLNL 1 i M. Bldg. I 4A 3S - ~D Foundation I Both Extension 1.3 sr 3 16,; 7 a S u ~e So Basement ~R Floors aKr~v nsion e o y S + i8 Ext. Walls SN`N Interior Finish p h 5J X1L' 11: ya/ Ro, SPr+Y?LY. w,a~~ ll E-*tension 7x ~r Fire Place Heart 7 x i S s /a S Porch - Attic 18172 Porch Rooms 1st Floor Breezeway, Rooms 2nd Floor ? r / S~N Ys+r ~I J O c 7~a 3= a/Gof ` 9 8 6G'~ 1.3 ! 1 a 6' - _ - _ •/wear r .PDD.v ' /k f lour E: ~.atrb _ st rv Q/C SNn ° Z ~ A.eCx 4nF ~ ~ wcK - }/ou/ run o r ( 4ECEiVED TOWN OF SOUTHOLD PROPERTY RECORD CARD NOV 0 OWNER STREET ! VILLAGE DIST. SUB. LO F *.MFR OWNER N E AC S W TYPE OF BUILDING ju, s s, t v L r:'~:~ R SEAS. VL FARM~ COMM. CB. MILS. Mkt. Value LAND IMP. TOTAL DATE REMARKS 77 6/ e~ - ,L 4`n,2 L i<li/ S,. fs 324 .Su'~ •Saun du~~w Ia ~C/i l^Ci.6er f' d5" Su:S `tcn,r "~Ck.n- ~ fi! ~Ctd - _5, 4 L- ' PD r P y -C c h2r Sc hr'e"her # 7! Z)IC~) L) I I 7 7 C; t2 S~D >v X1730 70 3/! 6'7-67 3 7°`Ylq4l720 -767 3 / 0! l' / / l rTp ~ l/ 7O-D 7M4 - _ J it dr," 73/D _ Eo+ S S 5 3Z.7. 7Q<_ IGYItH-0tY I+S''sth(Tillable a FRONTAGE ON WATER Woodland FRONTAGE ON ROAD ':5 or)' 3/1 /b -70 Meadowland DEPTH 1-4- Ef /U L/ House Plot 1 ,h BULKHEAD Total Optimum Aervice of Cablevision 1111 STEWAHTAVENUE BETHPAGE NY 11714-3581 Bill Payment CHANGE SERVICE REQUESTED Service for MR ROBERT SCHREIBER 6175 OREGON RD #BWNHGYM CUTCHOGUE NY 11935-1032 #PGHCICEGGBHPA7# Account Number AV 01 005499 43308B 20 A"5DGT I I I..I11.1.111,111.111111.111111,111rrIIIIIIIlilrrlll~Iirlllllllr r Date Amount r MR ROBERT SCHREIBER 6175 OREGON RD l/l None Due $183,09 CUTCHOGUE NY 11935-1032 4TCEIVED TURN OVER FOR PAYMENT BOARD OF APPEALS Page 1 of 2 No stamps? No problem! Optimum A simple and convenient way to pay your bill online. WINNER Appras to custanas who have n0tyst/ottsd 1*V blrprq: Account Summary _j Customer Service . Account Number Service for NnPOne,a fMrorw NumWre '07839.357720-01.2 MR ROBERT SCHREIBER ® Contact Cablevisbnanytime day or night 6175 OREGON RD 1-631-727-6300 CUTCHOGUE NY 11935-1032 Service Theft Hotline 1-800.291-8564 Billing Period 04/08/12-05/07/12 ~on9ne Products a Supponl Includes Payments Received By 04/02112 Go to www.optimum.net/MYAccount to pay your bill onllnel Find your channel lineup at WWW.optimum.nevsupport. Last Bill Balance $185.87 Written Correspondence Payments -Thank You! ®Cablevislon Remaining Balance $1 air ~ 6 Corporate Center Drive MeNllle, NY 11747 Current Charges - Due By None Due $783,09 Please do not write on this bill or send payments to this Total Amount Due $183.09 address. TOTAL MONTHLY SAVINGS: $5.00 Moving? Let us make it easy, visit us - 0onllne at w .optimum.com/moving or call us for special otters for movers. Account Detail Payments 03/22 Payment-Thank You _ 185.87 air OPtimum News & Information Total Payments - $185.87 cr - (q TV Your monthly charges are paid automatically because you 04/08 -05/07 10 Silver $82.95 set up your Optimum account to electronically transfer the (Includes Basic At $17.64) funds Tie amount wiOriNawn electronically may vary from 04/06 -05/07 HBO On Demand $495 the amount on your billing statement if you have made 04/08-05/07 Additional Outlet $150 recent changes to your account Premium Service Fee 04/08 -05/07 3 Cable Box(es) $20.85 Great Newel Now you can watch HBO on Demand in HD (At $6.71 each and 30 at no additional cost. Visit t0 TV Ch. 300. and remote(s) $0.24) New International Channel! 04108 -05/07 10 DVR Servis ice $21,90 The Israeli Network is now (At $10.95 each) available on Ch. 1118 for $14.951M. Choose from .04/08 -05/07 Taxes and Fees _5.99 programs like Israel's most popular, channels including 24/7, Total Cable Television/10 $138..14 - daily news, Jewish Religion, network broadcast programs in 0001 Hebrew and much more! To order call 800-562.4922. A On1Np 04/08 -05/07 Optimum Online $4495 digital cable box or CableCARD is required. (inch $5 multi-prod discount New Kids Channelsl Disney Junior (Ch. 126) and Disney Plus FREE unlimited access to Junior HD (Ch. 1261776) are now available In Family Cable Optimum WIR a Newsday.corm and 10 Value. Enjoy full time children's programming Total Optimum Online - $44 95 teachkg hestihy eating, INestyles, sociaVemotional Optimum A Arvice of Cablevision \ 1111111111IIIII11111Rill 111111111III11111111IIIII111111 Hill 11IIIN Account Number e 7 a 3 9 3 5 7 7 2 6 0 1 07839-357728-01-2 Please detach and return this top portion In the Last Bill Balance $185.87 provided envelope to the address below. Show Payments- Thank You $185.87 or this address In the return envelope window. r Remaining Balance $0.00 Current Charges $183.09 000.04-12 B-C Total Amount Due $183.09 _ Due Date Payment Enclosed None Due CABLEVISION PO BOX 9256 CHELSEA MA 02150-9256 Mail above portion with your payment. Page 2 of 2 PAYM_ENT_ INFORMATION: Optimum News & Information Authorization To Convert Your Check To An Electronic Funds Transfer Your FCC Community ID 11s NY 0186. By sending your check to us as payment, you autlxxlze us eliher to use information from your check to make a one-time electronic funds transfer Closed Captioning: For immediate closed captioning from your account or to process the payment as a check transaction. Issues, please contact us: 868-420.0777 (phone), - Payment Is due by the due date indicated on the front of your bill. 631.846-5349 (tax), optimum@mailea.custhelp.com (email). - Payments not received within 30 days may be sent to collections and Written closed captioning complaints should be sent to the within 60 days will incur a $8 late fee. You will receive written notice of service Interruption for non-payment, address on the front of your bill, attention Marian O'Hagan, - Payments can be made at no charge through our Automated Phone Manager, Shared Services, 631-846-5360 (phone), System by calling Customer Support. Follow the phone prompts to set up an 516.803-2040 (fax), _O_H_AG_A. l cablev-ision.con.. automated payment by check or credit card. Entering your Cablevlslon account number and zip code authorizes an ACH debit entry to your bank Optimum Stores: You may choose to pay your bill account that can only be revoked by calling Customer Support. online at www.Opbmum.neVMyAccount or at any of our - If your service Is Interrupted for non-payment, payment of the past due - Optimum Stores. To find your nearest Optimum Store and amount and applicable reconnection charges is required before service Is for store hours, go to WWW optimum neVstores, restored. Any service Interruption will affect Optimum TV and 10 TV, Optimum Online, and Optimum Voice services. Reconnection of service will To make changes to your account or pick up new be done on the next available appointment. equipment, you need to be an authorized user. This means - You are responsible for lost, damaged or unreturned equipment and will be that your name must be listed on be account, and to charged the full replacement fee (Digital Video Recorder - $265, Cable Box ensure account security, you will need to present a photo - $120, Turing Adapter - $140, Remote Control - $3.00, Smart Card - $75, ID. CableCARD - $40, Cable Modem -$100, Static IP Router - $299, Voice Enabled Modem - 4 port $100; 12 port $750, SIP Trunk Interface Device - Optimum Store Locations: $a your bank returns your check unpaid, you will Incur a $20 fee . Nassau County: BILLING INFORMATION: 1072 Old Northern Boulevard, Roslyn, NY 11576 - Billing errors must be reported within 30 days, in writing, detailing the error, 336 Ocean Avenue, Lynbrook, NY 11563 and sent to the Customer Support address on the front of your bill. We will 160 E. Sunrise Highway, Freeport, NY 11520 investigate and reply within 10 days. To avoid service interruption, you 595 South Broadway, Hicksville, NY 11801 should pay the undisputed portion of the bill. If you are not satisfied with our reply, you may write to The New York State Department of Public Service, Suffolk County: Three Empire State Plaza, Albany, NY 12223- 1350 or call 1-600-342-3377. 1144 Route 109, Lindenhurst, NY 11757 - You are billed each month in advance for the next month's services. 254 Old Country Road, Riverhead, NY 11901 Charges for On Demand/Pay Per View will appear on the next billing statement following 32 HIII Street, Southampton, NY 11868 your order. - On Demand/Pay Per View purchases are not subject to refund or credit. 11 Industrial Road, Port Jefferson Station, NY 11776 Use parental control features to avoid unwanted purchases. 1600 Motor Parkway, Hauppauge, NY 11788 - If your monthly account balance for On Demand/Pay Per View selections 1070 E. Jericho Turnpike, Huntington, NY 11743 exceeds $55 ($175 for customers In good standing after 90 days), we reserve the right to limit additional On Demand/Pay Per View orders. To find other locations where you can make a payment to - If any changes are made to your account during the month, partlal month your Cablevision account, contact any of the following: charges may apply. IPP - 877-PAY-AT-IPP (877-729-2847) - There Is an additional monthly charge for equipment, Including cable r Western Union (800)-354.0005, Option 5 boxes and remote controls. There Is also a monthly fee to access premium or www.westernunion.com or digital programming on additional TV sets In your home. Pay-O-Matic- 888-PAY-3773 (888.729-3773) - Your monthly bill Includes all government fees. These fees are a Checkfree Pay 800-676-6148 percentage of your total monthly cable Ulf paid to your state and local governments under the terms and agreements with them to provide cable - or www checkfreepa~com service. In addition, the Federal Communications Commission (FCC) Did you know that unless you secure your wireless router collects a small fee from every cable customer to cover the administrative costs related to cable regulation. others can see your home or business network and use SERVICE INFORMATION: your signal? Protect your important files, identity and Technical If you are having trouble with service: 1) Ensure your equipment prevent unauthorized access to your PC. Check the settings (TV and cable box, or cable modem) Is correctly plugged in. 2) For cable on your wireless router to be sure it is secure by referring to problems, check that your TV (and VCR, If attached) is tuned to Channel 3. the manual or Webslte for your router. Also visit 3) Check all cable connections for a secure fit. If you still have a problem, w_ww_o-ptirI r eVSupporVTutorials for a helpful video on call Customer Support and we will troubleshoot or send a technician. It no Wruleac 3enndty. _ cable-related problems are found, you may incur a charge for the technician BURTOS RELIABLE We "II Take Care of It." RECEWW 1515 Youngs Ave. • P.O. Box 696 • Southold, NY 11971 Tel: (631) 765-3767 • Far: (631) 765-1744 • www.burts.com 90ARD OF APPEALS SERVICE CONTRACT MR. ROBERT SCHREIBER ACCT# ANEW 6175 OREGON RD AMOUNT 162.88 CUTCHOGUE, NY 11935 9/05/12 D: 1 T:1 ADDRESS CORRECTION ? ? PLEASE ENTER AMOUNT PAID N THIS AREA DATE REF # DESCRIPTION AMOUNT To Ensure Proper Credit Please Detach Top Portion And Return With Payment 9/05/12 18876 SERVICE CONTRACT PLAN - A 149.95 THIS IS THE RENEWAL FOR YOUR ANNUAL HOME CARE PLAN. THANK YOU FOR CHOOSING BURT'S RELIABLE. MR. ROBERT SCHREIBER/6175 OREGON RD/./C N Y SALES TAX 12.93 < PLEASE PAY THIS AMOUNT > 162.88 ~i 113 /1P BuRTOS RELIABLE HEATING • AIR CONDITIONING • PLUMBING Home Heating Oil • Kerosene* Diesel WeW Take Care of If ' Tel: (631) 765-3767 • Fax.: (631) 765-1744 • wwwburts. com 1 authorize you to charge $ to my DISCOVER ? VISA ? MASTERCARD ? Account Number Exp. Date Authorized Signature Name(Print) Address City State Zip MAJOR CREDIT CARDS ACCEPTED BY PHONE OR IN PERSON xrs~~ E S i k ^ d t ' 4 I ?1S 1 iK 0. 4~ S f S 11 rd j . v f 4 d ~ k v n d' 77 N y., jC Y 1 LT7W w .y M ? i44 V ; ~ ~ ~ ah k a" ~ sN 1"4p~. ~Fsx3 '~4 ~ r va `~-e.,,,.~' 9 f ~ ' . 1 .r 4. „d ~ 4 e, ,n Q ` {gq 7 ~y'~, •~.,r 'i mot` la nJM i~ .ail ~T~ L , I 'yew yam. F. _mow 1 Y` t1l SO ` r} i4 y ; r RECEIVE[. an October 25, 12 BOARD OF APPEALS I Robert Morris Schreiber, property owner of 6175 Oregon Rd. Cutchogue, NY 11935 will rent my accessory apartment if granted to my son Bjorn Eric Schreiber annually for the sum of $1.00 per month. Zert k Schreiber ~o4~5~FF0(,y ~G • TOWN OF SOUTHOLD~U BUILDING DEPARTMENT y r TOWN CLERK'S OFFICEi EIS y~G~ yao SOUTHOLD, NY 'F BUILDING PERMIT BOAI4.) OF APt`_ p,k-t, (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit 37493 Date: 9/5/2012 Permission is hereby granted to: Schreiber, Robert 6175 Oregon Rd Cutchogue, NY 11935 To: 'As Built', Additions & Alterations to an Accessory Structure; Partial Conversion of Barn to Pool House, Deck (55.2 X 18.3 Ft.), as applied for. At premises located at: 6175 Oregon Rd SCTM # 473889 Sec/Block/Lot # 95.-1-4.3 Pursuant to application dated 9/5/2012 and approved by the Building Inspector. To expire on 3/712014. Fees: ALTERATION OF ACCESSORY BUILDINGS $1,544.80 CO - ADDITIONS TO ACCESSORY BUILDINGS $50.00 Total: $1,594.80 Bui ding Inspector RECEIVED DEED OF DEVELOPMENT RIGHTS NOV Q h 2012 BOARD OF APPEALS THIS INDENTURE, made this 15th day of April, 2002, BETWEEN Robert Schreiber, residing at 6175 Oregon Road, Cutchogue, New York, party of the first part, AND the TOWN OF SOUTHOLD, a municipal corporation having its office and principal place of business at 53095 Main Road (Route 25), Southold, Town of Southold, County of Suffolk and State of New York, party of the second part; WITNESSETH, that the party of the first part, in consideration of SIX HUNDRED FORTY-FIVE THOUSAND FOUR HUNDRED ($645,400.00) lawful money of the United States and other good and valuable consideration paid by the party of the second part, 6 DOES HEREBY GRANT AND RELEASE unto the party of the second part, its successors and assigns forever, THE DEVELOPMENT RIGHTS, by which is meant the permanent legal interest and right, as authorized by section 247 of the New York State General Municipal Law, as amended, to permit, require or restrict the use of the premises exclusively for agricultural production as that term is presently defined in Chapter 25 of the Town Code of the Town of Southold, and the right to prohibit or restrict the use of the premises and any structures thereon for any purpose other than agricultural production, to the property described as follows: 1 11, J-1N Y.111111 iu. Nl',!I- I n..a v ...I. a,.. A. L i....wJ. ln.,l + CONSULT YOUR LAWYER BEFORE SIONINO THIS, I,~~RVMENT 1Sf15 ANSTRUMENT SHOULD RE USED BY LAWYERS ONLY. 10473 K231 ` r l THIS INDENTURE, made the 30th day of October , nineteen hundred and eighty-seven LLPC BETWEEN SHERRY SCEIItEIBER, residing at P.O. Box 494, Nhin Street, New York 11975 RECEIVED S f~iA ~T s .glory r ~ ~ t~` , o NOV 0 5 M? 0 2 !7 BOARD OF APPEALS party of the first part, and ROBERT SCHREIBER, residing at 155 East 29th Street, New York, New York party of the second part, WITNESSETK that the party of the first part, in consideration of Ten Dollars and other valuable consideration paid by the party of the second part, does hereby grant and release unto the party of the second part, the heirs or successors and assigns of the party of the second part forever, all of her right, title andiiuntanrdetso ALL that certain plot, piece or parent of land, with the buildings and improvements thereon erected, situate, lyingand beingioohe at Mattituck, Town of Southold, County of Suffolk and State of r New York, being-bounded and described as follows:- BEGINNING at a point on the northwesterly side of Oregon Road where the same is intersected by the westerly side of land now or formerly of Tommasini and others, formerly of Rensselaer Moore, formerly of Session T. Keleski and from said point of beginning running thence along the northerly side of Oregon Road: 1) South 58 degrees 50 minutes West 452.33 feet; 2) South 51 degrees 51 minutes West 77.35 feet; thence along land now or. formerly of Bialicki (or Frank Bialeski) the following three courses: 1) North 33 degrees 07 minutes 50 seconds West 1373.05 feet; 2) North 33 degrees 14 minutes 50 seconds West 1471.0 feet; 3) North 32 degrees 48 minutes 10 seconds West 1292.11 feet to the high water mark of the Long Island \ Sound, thence northerly along said high water mark on a tie line along same, North 56 degrees 18 minutes 10 seconds East 463.61 feet; thence along said lands of Tommasini and others formerly of Rensselaer Moore, formerly Session T. Keleski, South n 33 degrees 58 minutes 30 seconds East4150 feet to the northwesterly side of Oregon 1``J1V1 I yl Road at the point or place of BEGINNING. E $ REL. t-J REAL ESTATE . 16441 NOV ig 1967 o x R iRSUFFOLLK AX O °o °o °o o COUNTY w C rn a o o o w TOGETHER with all right, tithe and interest, if any, of the party of the first par[ in and to any streets and roads abutting the above described prenuses to the center lines thereof; TOGETHER with the appurtenances c and all the estate and rights of the party of the first part in and to said premises; TO HAVE AND TO o.~ HOLD the premises herein granted unto the party of the second part, the heirs or successors and assigns of N u q the party of the second part forever. u o u 7 W 1 o 0 ~ n w a c AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby the said premises have been encumbered in any way whatever, except as aforesaid. AND the party of the first part, in compliance with Section 13 of the Lien Law, covenants that the party of. -..the first"part will receive the consideration for this conveyance and will hold the right to receive such consid- vration as a'trost fund to rip applied. first for the purpose of paying the cost of the improvement and will apply the same;fiFst to the payment of the cost of the improvement before using any part of the total of the sane for i 'any other purpose. The word "palfy"shall he construed as if it read "parties" whenever the sense of this indenture so requires. IN WITNESS WHEREOF, the party of the first part has duly "scaled this deed the day and year first above. ,written, IN F..SEN" F; / eiher, - JULIETTE A. KINSELIA the First Part N0~ 18 1987 c~k co Sulfelk Cminty JiECORD~t a 3 N 104573 Icy ..5t,..Jr, ^-F. os~n of taw rottz. m:,ar a • ? w STATE a IrW treltt6 CWJWT 00 On the 30thday of ( 19 97 before me On the day of i 19 before me peroonally one SHERR: SCHREIBER personally came to me known to be the individual deeeribed in are who te, me known to be the individual dmribed in aed who executed the foregoing instrument, and acknowledged thal eseru:ed the foregriv in5imrrent, and ack:ww9edgrd that she "muted the sanoc executed the same. / / /b aECEI `/VEIn®6 WWV Y Z~~~,,~, ~70 Y0~ - N 11V 11 h l01Z Shs.Nf'b~ March 30. t~ ' pa,n;arab'Sgs~rM i 30ARD OF APPEALS 1TATa Of OMW Ypt11(, COUAITV of s sTATT Of NOW YOM. cntrrerV esa On tho day of 19 Iclocc me On the :Sr: sal 19 hefine me personally eme personally came to me known, who, being by me duly swam. did depw and { the ,vbsoribing wimest u- farm ^g inorumerC with any that he reside, at so. w4vn I im personally A. h... bev¢, br me duly urn, did d:posc and say that he asides at Na. that he is the l of that he knows the corMntion drsnribed - in and which executed the foregoing imirt, pert: that he to be tht ndividuat knows the seal of said corporation: that the Baal affixed imribed in and why; exacted the foregoing :rs.rrieet; to said instrument is •uth corporate seal: that it w,ns so 'tha_ be. said `abserihinT witness. was prc,en', and caw affixed by order of the boa.d of dimtors of said execute !hr nne: and that he. ciid wavtss, tion, and that he signed h wee thereto by Lite or&,. At be suns time vibaaibtd 'n :aver as wit: r;s ;he;cio. } lv if MC fall tD at::::.. 91.00 \\P!1 (Vj~'eN T /1C\[\,I f:A NI~NS Y4'~ Tlna Nss. ntc~:c f.•1.C0 LOT M,4.000 Ca.NIT M-005OI of SiiFFRC SCI!4.i.IRF,i ?w-n Scuthhcld TO 80BSRT SCRR.EIE`.R - a.c..~,.... asI'CLw a- ¦e:s :n Pac is iaShncb. Oa Was YnelwTOaae.Y 09u aOSwMMt ta~<r. r.::Ae11 .i _ :Ir .e,wir y ERR ' "von Aveiuz - .,--r 7RlE6WRAtItEE- s. :4w Tar.: 7 NMYOW ATKntIeWrMa)T za :::Ja_ s c ~ e G 8 i !ea ws ? r kuH -r Town of Southold • P.O Box 1179 . Southold, NY 11971 * * * RECEIPT*** Date: 11108/12 Receipt#: 143234 Transaction(s): Reference Subtotal 1 1 ZBA Application Fees 6610 $500.00 Check#:5162 Total Paid: $500.00 Name: Schreiber, Robert 6175 Oregon Road Cutchogue, NY 11935 Clerk ID: CAROLH Internal ID: 6610 ~~gOFFO(,~c ELIZABETH A. NEVILLE, MMC h~0 ~Gy Town Hall, 53095 Main Road TOWN CLERK p P.O. Box 1179 rn Z Southold, New York 11971 REGISTRAR OF VITAL STATISTICS O Fax (631) 765-6145 MARRIAGE OFFICER Telephone (631) 765-1500 RECORDS OF MANAGEMENT OFFICER ! southoldtown northfork.net FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Zoning Board of Appeals FROM: Elizabeth A. Neville DATED: November 8, 2012 RE: Zoning Appeal No. 6610 Transmitted herewith is Zoning Appeals No. 6610 of Amy L. O'Donnell for Robert M. Schreiber- the Application for a Special Exception Permit for an Accessory Apartment in an Accessory Building to the Southold Town Zoning Board of Appeals. Also enclosed is the Questionnaire, Short Environmental Assessment Form, Agricultural Data Statement, Transactional Disclosure Form, Certificate of Occupancy No. Z19470 for Install Sliding Door in an Existing One Family Dwelling Dated October 23, 1990, Building Permit #37493 for `As Build' Additions & Alterations to an Accessory Structure Dated September 5, 2012, Copy of RPS Tax Roll Page, Copy of Certificate of Occupancy No. Z-28516 for Accessory In ground Swimming Pool with Fence Dated June 13, 2012, Copy of Certificate of Occupancy No. Z19544 for Accessory Satellite Antenna Dated November 29, 1990, Copy of Certificate of Occupancy No. #Z10825 for Accessory Building - Art Studio Dated December 18, 1981, Authorization Letter from Robert Morris Schreiber to Amy L. O'Donnell to Represent him in this Matter Dated September 12, 2012, Three Pages of Property Record Card, Bill from Cablevision, Oil Bill from Burt's Reliable, Two Pages of Photos of Proposed Apartment, Letter from Robert Morris Schreiber in Reference to Son Renting Accessory Apartment, Copy of Birth Registration Certificate for Bjorn Eric Schreiber, Copy of Building Permit No. 37493 for `As Built' Additions & Alterations to an Accessory Structure - Partial Conversion of Barn to Pool House Dated September 5, 2012, Copy of Deed of Development Rights for 6175 Oregon Road, Cutchogue Dated April 15, 2002, Two Pages of Deed Between Sherry Schreiber and Robert Schreiber Dated October 30, 1987, Floor Plan Showing Layout Dated August 10, 2012 Prepared by Nancy Dwyer, Design Consulting Inc., Copy of Survey Showing Property with Construction Dated January 12, 2004 Prepared by John C. Ehlers Land Surveyors. BOARD MEMBERS Southold Town Hall Leslie Kanes Weisman, Chairperson oF soUryo 53095 Main Road • P.O. Box 1179 Southold, NY 11971-0959 James Dinizio, Jr. .1(, * Office Location: Gerard P. Goehringer T Town Annex /First Floor, Capital One Bank George Horning • aa~O~ 54375 Main Road (at Youngs Avenue) Ken Schneider OlyOw Southold, NY 11971 http://southoldtown.northfork.net ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809 • Fax (631) 765-9064 LEGAL NOTICE SOUTHOLD TOWN ZONING BOARD OF APPEALS THURSDAY, DECEMBER 6, 2012 PUBLIC HEARING NOTICE IS HEREBY GIVEN, pursuant to Section 267 of the Town Law and Town Code Chapter 280 (Zoning), Town of Southold, the following public hearing will be held by the SOUTHOLD TOWN ZONING BOARD OF APPEALS at the Town Hall, 53095 Main Road, P.O. Box 1179, Southold, New York 11971-0959, on THURSDAY DECEMBER 6, 2012: 11:20 A.M. - ROBERT M. SCHREIBER - #6610 - Applicant requests a Special Exception under Article III, Section 280-13B(13). The Applicant is the owner requesting authorization to establish an Accessory Apartment in an accessory structure, located at; 6175 Oregon Road Cutchogue, NY. SCTM#1000-95-1-4.2 The Board of Appeals will hear all persons, or their representatives, desiring to be heard at each hearing, and/or desiring to submit written statements before the conclusion of each hearing. Each hearing will not start earlier than designated above. Files are available for review during regular business hours and prior to the day of the hearing. If you have questions, please contact our office at (631) 765-1809, or by email: Vicki TothoTown.Southold.nv.us Dated: November 9, 2012 ZONING BOARD OF APPEALS LESLIE KANES WEISMAN, CHAIRPERSON By: Vicki Toth 54375 Main Road (Office Location) 53095 Main Road (Mailing/USPS) P.O. Box 1179 Southold, NY 11971-0959 NOTICE OF HEARING The following application will be heard by the Southold Town Board of Appeals at Town Hall, 53095 Main Road, Southold: NAME: SCHREIBER, ROBERT # 6610 SCTM # : 1000-95-1-4.2 vaRiaNCe: SPECIAL EXCEPTION REQUEST: ACCY APT. IN ACCY BLDG. DATE: THURS., DEC. 6, 2012 11:20 AM If you are interested in this project, you may review the file(s) prior to the hearing during normal business days between 8 AM and 3 PM. ZONING BOARD OF APPEALS-TOWN OF SOUTHOLD 765-1809 0 0 ZONING BOARD OF APPEALS e W MAILING ADDRESS and PLACE OF HEARINGS: 53095 Main Road, Town Hall Building, P.O. Box 1179 Southold, NY 11971-0959 (631) 765-1809 Fax 765-9064 LOCATION OF ZBA OFFICE: Town Hall Annex at North Fork Bank Building, 1st Floor 54375 Main Road and Youngs Avenue, Southold website: http://southtown.northfork.net November 5, 2012 Re: Town Code Chapter 55 -Public Notices for Thursday,December 6, 2012 Hearing Dear Sir or Madam: Please find enclosed a copy of the Legal Notice describing your recent application. The Notice will be published in the next issue of the Times Review newspaper. 1) Before November 19th: Please send the enclosed Legal Notice, with both a Cover Letter including your telephone number and a copy of your Survey or Site Plan (filed with this application) which shows the new construction area or other request, by CERTIFIED MAIL, RETURN RECEIPT REQUESTED, to all owners of property (tax map with property numbers enclosed), vacant or improved, which abuts and any property which is across from any public or private street. Use the current owner name and addresses shown on the assessment rolls maintained by the Southold Town Assessors' Office, or Real Property Office at the County Center, Riverhead. If you know of another address for a neighbor, you may want to send the notice to that address as well. If any letter is returned to you undeliverable you are requested to make other attempts to obtain a mailing address or to deliver the letter to the current owner, to the best of your ability, and to confirm how arrangements were made in either a written statement or during the hearing, providing the returned letter to us as soon as possible AND not later than November 26th: Please either mail or deliver to our office your Affidavit of Mailing (form enclosed) with parcel numbers, names and addresses noted, along with the green/white receipts postmarked by the Post Office. When the green signature cards are returned to you later by the Post Office, please mail or deliver them to us before the scheduled hearing. If any envelope is returned "undeliverable", please advise this office as soon as possible. If any signature card is not returned, please advise the Board during the hearing and provide the card (when available). These will be kept in the permanent record as proof of all Notices. 2) Not Later November 28th: Please make arrangements to place the enclosed Poster on a signboard such as cardboard, plywood or other material, posting it at the subject property seven (7) days (or more) prior to hearing. (It is the applicant/agents responsibility to maintain sign until Public Hearing) Securely place the sign on your property facing the street, not more than 10 feet from the front property line bordering the street. If you border more than one street or roadway, an extra sign is supplied for posting on both front yards. Please deliver or mail your Affidavit of Posting for receipt by our office before December 4, 2012. If you are not able to meet the deadlines stated in this letter, please contact us promptly. Thank you for your cooperation. (PLEASE DISPLAY YOUR HOUSE NUMBER ALWAYS). Very truly yours, Zoning Appeals Board and Staff Ends. 1\~~ LY •r\~t/ l #10951 STATE OF NEW YORK) ) SS: COUNTY OF SUFFOLK) Karen Kine of Mattituck, in said county, being duly sworn, says that she is Principal Clerk of THE SUFFOLK TIMES, a weekly newspaper, published at Mattituck, in the Town of Southold, County of Suffolk and State of New York, and that the Notice of which the annexed is a printed copy, has been regularly published in said Newspaper once each week for 1 week(s), successfully commencing on the 29th day of November. 2012. Principal Clerk i Sworn to before me this day of 2012. 1L'00 A.M. - ROBERT CORAZZI- NI - #6609 - Request for Variance from LEGAL NOTICE Article III, Code Section 280-15 and j~ I SOUTHOLD TOWN the Building Inspector's July 27, 2012, ~11,~ I ZONING BOARD OF APPEALS updated November 1, 2012 Notice of 6tk THURSDAY DECEMBER 6, 2012 Disapproval based on a building permit CHRISTINA VOIINSKI PUBLIC HEARINGS application to construct an necessary ga- NOTARY PUBLIC-STATE OF NEW YORK NOTICE IS HEREBY GIVEN, pur- rage, at 1) more than the code required suant to Section 267 oftheTown Law and maximum square footage of 660 sq. ft. No. 01V06105050 Town Code Chapter 280(Zoning),Town on lots containing less than 20,000 sq. ft., 9UOIIfled In Suffolk County of Southold, the following public hear- located at: 33195 Main Road-Cutchogue, ings will be held by the SOUTHOLD NY. SCIM#lOQW-1-4 My Commission Expires February 28, 2016 TOWN ZONING BOARD OF AP- 11120 A.M. . _ R1#b$RT M. PEALS at the Town Hall, 53095 Main Sg~~f0f10.-- Applicant re- Road, P.O. Box 1179, Southold, New quests a Special Ewepdan ~rilsrArliUe York 11971-0959, ERR 6,959,2012: on THURSDAY DE- III, Seetiod28G138(13). ThrApplicant CEMBE 6.. 70*0 A-M -M1 A r ,.,t EMILY is the owner ra Accessory g rt ent n to KAVOURIAS #6606 - (adjourned from accessory ean Accessory Apartment in Ore- November 1, 2012) Request for Variance Bon Road Cstructure, le, NY. Sa[;(.T6175 OrM#1000e- from Article =11 Section 280.124 and lrlchogu NY. - the Building Inspector's October 2, 2012 95-1-4.2 Notice of Disapproval based on an apph ~i~--A-M_. _ DANIEL DEV!TO cation for building Request. for Variance from At permit for dwelling lling es tide' rp.ode Section 280-15 and the and alterations to an existing - a t )guildillg (mpomor,s November 2, 2012 i) ten than the code required front yard Notice of setback of 40.feet, both streets on this Aaa~pProval based on an ap- comer lot, located at 1240 Inlet Drive phpeboa tdx bUr'Wrng permit for an ac- The. Board of Appeals will hear all (corner Miriam Road) Mattituck, NY Deals) an-gourd pool and pool house; persons or their. representatives, desir- SCIM#1000-99-2=6 1) ikon other than the code permit- ing tole heard at each hearing, and/or IWO A_ M. DENTS • U2 NA led at ya(d.or rear yard on waterfront desiring to submit written statements LIPOVAC #6607 - Request. for Vatiaeo- pIOpertyI ledat 750 Paradise Point before the conclusion of each hearing, es from Article XXD1 Code Section 280- RaaA (adj. to Shelter Island Sound) Each hearing will not start earlier than 124, based on an application for building Southold, NY SC1M#1000-81-3-26.1 designated above. Files are available for permit the Building Inspector's Sep- ADL- review during regular business hours trmber it 4, 2012 Notice Inspector's Disapproval Request and prior to the day of the hearing. If regarding proposed accessory in-ground for Vanaa60s nailer Article III Sbetioa you have questions, please contact our swimming pool, at; 1) more than the 12W39 and the Building Inspector's office at, (631) 765-1809, or by email: code permitted maximum 20% lot env July 27, 2012, updated October 31, 2012 Vlckl.Toth@Tbwa.Southold nv us . erage; located at: 5220 Stillwater Avenue Notice of Disapproval based on an ap- Dated: November 16, 2012 Cutchogue, NY. SCIM#1000.137-2-14 Placation for building permit for a lot ZONING BOARD OF APPEALS A..-CHLOEM LLC #660# line change, at: Proposed Lot #32 - 1) LESLIE KANES WEISMAN,CHAIR- 10.40 M - Request for Special Exception per less than the code required minimum PERSON Article XJII Section 280-55B (1 & 5) lot size of 40,000 sq. @., 2) less than the BY: Vicki loth to operate a restaurant and fish market code required front yard setback of 50 54375 Main Road (Office Location) in a Marine II (MII) District. Located feet; located at 305 Hill Street (corner 53095 Main Road (MailingfUSPS) at: 64755 Route 25, Greenport, NY. Mary's Avenue) & 800 Wickham Av- P.O. Box 1179 SCIM#1000-56-0-22 enue (comer Hill Street) Mattituck, NY Southold, NY 11971.0959 SCTM#'s-1000-140-2-32 & 30 10.951-1T 11129 AF TOWN OF SOUTHOLD ZONING BOARD OF APPEALS / SOU)~0~LD, NEW ORK ~i b v j ~Y V, 0n44 iA AFFIDAVIT OF In the Matter of the Application of POSTING ~0^,A n' RECEIVED t(N'f (Name of Applicants) BOARD OF APPEALS Regarding Posting of Sign upon Applicant's Land Identified as SCTM Parcel 41000- COUNTY OF SUFFOLK) STATE OF NEW YORK) I,~ KJ 0 r ~ ` " ` residing at 1 New /York, being duly sworn, depose and say that: On the "-day of 1 0V • , 2017--, I personally placed the Town's Official Poster, with the date of hearing and nature of my application noted thereon, securely upon my property, located ten (10) feet or closer from the street or right-of- way (driveway entrance) - facing the street or facing each street or right-of-way entrance,* and that I hereby confirm that the Poster has remained in place for seven (7) days prior to t1V date of the subject hearing date, which hearing date was shown to be r-q Z v (Signa ure) Sworn to before me this 407 '.1 Day of /U&Vehr~ 2012, PETER F IWANYCKYJ Notary Public, State of New York No. 01 W 1 Qualified in Suffolk County Commission sion Expires ires 08 08/20/201+" ,I (Notary Public) i {II ';I * near the entrance or driveway entrance of my property, as the area most visible to passerby. 1 'j I 'I - DELIVER "1 :2 A¦ y s~ 1 )MPLETE THIS SECTION COMPLETE THIS SECTI 0 ° J ¦ Complete Items 1, 2, and 3. Also complete A. re m Print n 4 H Restricted addre is desired. x ~ 0 ~Adadresses 6 M ¦ PrIM your r name me and address on the reverse _ # so that we can return the card to you. B. Reosivedf6y (Prf ) I C cf Delivery ~ ill ¦ Attach this card to the back of the mailplece, 3E O rq or on the front If space permits. di: v ' D. Is delivery address different from term 1? ? Yes 0 ? ? to 7 1. Artice Addressed to: if YES, enter delvery address below: ? No c O award PazV,~- U 0C 6tAt/ tai ~ 0 S 3 /1 v 3Q 3. rips m ~a r y , p 15 Certiened mail Express Mail Registered Return Recei o ? ? Return Receipt for Merchandise r 0 Insured Mall [3 C.O.D. C3 C3 V 4. Restricted Delivery? (Extra Fee) 0 Yes N 2. ~ Nun 7011 3500 0000 8118 8315 a PS Forth 3811, February 2004 Domestic Return Receipt 1o2s9sm-wr1 0 m o ° « L° Q 0 '15 .9 s J _ SFNL)ER: COMPLETE THIS SECTION COVPU TE THIS SECTION ON DELIVERY O~ 5-l ~ v E oa ¦ Complete items 1, 2, and 3. Also complete ? Agent m 8 o Item 4 if Restricted Delivery Is desired. ? Adjr O ¦ Print your name and address on the reverse C. Date d so that we can ret urn the card to you. by M ¦ Attach this card to the back of the maiipiece, or on the front R space Permits. D b , different from item 1? ? Ybs i o 1. cle Addressed to: H YF~, enter delverry address below: ? No ¢ d t- woodmv6h ~~~At-L, Co . Y's z G f//~~ 1 r / I Q?? 0 4I - f / { V • l~ 1 3. Certified Mail Express Mail ti ELI ~J/ ,t O r t~ ? Replstared ? Return Receipt for M+ndlse [3 PO I p ~F s j~~ 1 Ineeed Mall [3 C.O.D. m 4. Restricted Delivery? (Extra Fee) ? Yes ~g§f E d 0 CO I d* a r-1 2. Arlld•Numbw 7011 3500 0000 8118 84641 ~ ° ° ? r=1 Mwmler from service IabeQ _ V ' Domestic Return Receipt 10259542-M-1 v a > O Ps Form 3811, February 2004 a T g a~ $ V C3 0 • • DELIVERY ¢ C3 SENDER: COMPLETE THIS SECTION 0 [1 r3 1C ai d rn ¦ Complete Items 1, 2, and 3. Also complete m Rem 4 R Restricted Delivery is desired. 'Ada erse ¦ Print your name and address on the rev r=I Mad Name) C. Of ery r l so that we can return the card to you. e. Received by ¦ Attach this card to the back of the mailpiece, ? or on the front if space Permits. D Is dellverY ads dryr,rerR from item 1 a T 6' 1. Article Addressed to: If YES, enter delivery address below: ? ° E Q 1/~ ~ VJ eY1 ~ g ~ ~ ~ a m € S 6Em.° 3~ai1 C3 Express Mail .q. Return eoelpt for Merchandise 2'l N q a?~ Ny ?oold ?IUaedM~1 ?C.D.D. m~ o -Y t 4. Restricted Delivery? (Fxfre Fee) ? Yes t 5 SI _ S a Z 1 --s 2. Article Number 7011 3500 0000 8118, ! 6 - o (rranster from service Jaw - 102595-02-M-1s+ In ¦ - - - ` PS Form 3811, February 2004 Domestic Return Receipt " TOWN OF SOUTHOLD ZONING BOARD OF APPEALS SOUTHOLD, NEW YORK AFFIDAVIT j OF In the Matter of the Application of MAILINGS 126b~,ya- KA ? (Name of Applicants) 'j SCTM Parcel # 1000- I COUNTY OF SUFFOLK l STATE OF NEW YORK I, 1 II Ivvl 0 residing at l E ~~LJ O~?) r'-"~-'' New York, being duly sworn, deposes and says that: On the a1 y of 436 6e 20 I personally mailed at the United c3 IRA States Post Office in V , New York, by CERTIFIED MAIL, RETURN RECEIPT REQ ESTED, a true copy of the attached Legal Notice in Prepaid envelopes addressed to current propertith wn on the ent assessment roll verified from the official records on file wisessors, r County Real Property Office for every property which abuts a public r ivate street, or vehicular right-of-way of record, surroundinnt'~prope (Sitg}na Sworn to before me this 9-;74 PETER F. fWANYCKYJ day of /UO Iem 20/7 Notary Publ0 ,State of New York " Qualified in Suffolk County Commission Expires 08/20/201 (Notary Public) PLEASE list on the back of this Affidavit or on a sheet of paper, the lot numbers next to the owner names and addresses for which notices were mailed. Thank you. U.S. Postal Servim. CERTIFIED MAIL. RECEIPT U.S. postal Service,r, CERTIFIED MAIL,, RECEIPT Q (Domestic 9 n, (Domestic Only; No insurance coverage Provided) m 7~7 m 1776 m Ka 7= , 1A US 41 postage $ $0.453 .p t~-T 11 Postage $ ow N j CD CenlgedFee $2.95 i NQ Z -0 Cenmed Fee $2.95 i v ° 2011 ° PostrnaAc ° Return Receipt Fee $2.35 Here ° Return Reoelp[ fee $2 f Hera O (Endorsement Required) O (Endorsement Raqulmd) ~a OV Z 1202 ° Pesldcted Delivery Fee ° Residpad Delivery Fee W -~+H ° (Endorsement Requued) S° (Endorsement Required) $5.']5 11/27/20IZ' ° $ f5. 11/27/2012 " 61'7 Total Postage & Fees tf7 Total Postage 8 Fees I ~ n ~.aU h-~V1 ~!!~o - - O-~ M /7l{ nt o - 13g N~L•_----- _ e-.-._`1 - o wee ~5 G ~I-- 3-- o,Po = ~r ! t-(----- - 1I in ° orPo Box NO ~ - - ~i1A~1 VV1 W \ 50 cyse( PW ~A (Al II VV :rr rr. MWE[land :rr rr. Postal Postal CERTIFIED MAIL,, RECEIPT CERTIFIED MAIL. RECEIPT ti _r (Domestic Mail Only,"No Insurance Coverage Provided) ru 1 (Domestic Mail Only; No Insurance Coverage Provided) _r m m ~ E r-3 F-1 $0.45 0%3 :a postage $ $0.45 0%3- - - ra postage $ ~ certified Fee $2.95 C3 certmeaFee $2.95 ° \ Posimar)c ° Return Receipt Fee f~ Po1! LsaM ° r 0 ° (Endorsemen / Here ((Endorsement Required) $2.35 NQV l Rehm RtecR equeip[ F ired) ee $2.351 ° ° Restricted Delivery Fee w.00 Res Uktetl Delivery Fee NOVZI ° (Endorsement Required) ° (Entlarsemam Requred) 2012 ~ rn ° ~ Total Postage & Fees $ 61l Total postage & Fees $ $5. 11/27/2012 m rTl s, eft To e Sant TO Us r~l Nah O~eVI e VG---- h.r r~i 1 - - - - - - C3 Strear, Apt N C:3 or PO e d ox NO. -PO-.---r/O P---- - Cll-___ 0!_:-~`:_O.' Stgg,(Z! K ~Vll`(l N lq"1------- Z w 3800, August rr. See Reverse for lm,trurticun, PS Form 3800, August 2006 S,e Rvve,se for low.dimus t D- 1776 I $o.asf rq Postage $ 94 ra m $2.95 Certified Fee Postmark ° $2.35 %(Wl7 2012 ° Rehm FiecelPui e re ° (Endorsement Req ) , ° Residmed Delivery Fee $0.00 O (Endorsement Required) 11/27t2 ° $ $5.75 Ill Total Postage 8 Fees !V! o... lea - °1 - - o c IMP r 1 0 0 Office Location: Of so~ryolo Mailing Address: Town Annex /First Floor, Capital One Bank 53095 Main Road 54375 Main Road (at Youngs Avenue) # P.O. Box 1179 Southold, NY 11971 • Southold, NY 11971-0959 i Ulm, http://southoldtown.northfork.net BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809 Fax (631) 765-9064 November 5, 2012 Mr. Thomas Isles, Director Suffolk County Department of Planning P.O. Box 6100 Hauppauge, NY 11788-0099 Dear Mr. Isles: Please find enclosed the following application with related documents for review pursuant to Article XIV of the Suffolk County Administrative Code: ZBA File #6610 Owner/Applicant : SCHREIBER, Robert M. Action Requested: Special Exception for an accessory apartment in an accessory building. Within 500 feet of: State or County Road ( ) Waterway (Bay, Sound, or Estuary) ( ) Boundary of Existing or Proposed County, State, Federal land. (X) Boundary of Agricultural District ( ) Boundary of any Village or Town If any other information is needed, please do not hesitate to call us. Thank you. Very truly yours, Leslie . eisman ZBA hai pers By: Encls. ao- q}a.g9 SEE SEC. NO. OY1 m-0!G8 n MATCH UNE 01-2298 - 27 -z FSESEi No . 08Z18B - tt 3 1-.1 C&2BW 19]A(c) t. Cbm-01 l e mnam r oa~a 11,3 oanz-0A 263(4 ,ax6P -0 -08 P 11-1501 10 -1x05 N 25.3Mc) ,z 2805 x31-05 1 0! O 8 03pS07 23.7A(c) a 5 12-1808 808 ,.2 m 83 \ ~ 51.aMc) 8.1 4? FOR PARCEL NO. SEE SEC. NO. 082 -003.2 82 1M 2 0 o ~ eA a w 5.2 23.]A 13 rRm of SOVrnwa 3z 34 pw[xrp,wrzf) 7.1 • ~ wxoFSOUrro,e z'M elovxexrmr.Xrs, 6 111 ~ e i a ,z.3Mq 1 t 55A ] 4~~5 e 4M " 52 31 TO~ 5Q4 M'GA v I o I' CO °S a ? ~C 4B .~q 3.2 ,SrGV 31 4 2 A "O 1.BA - O` mm(4 a3.u(q _O $ A ~i I O 3,5 B 12 41 I 13M4 Z I a 2M=) ~ ~ ~ ~ / ~ SGh e e ~~3 h~rf 2.DMc) c - 34 TC q,/ / A NAx J B.1 yy~ SECTION NO U~31~ 1 s 15-'-t-I 95 (z„ _ l -Sch 1~i l~r-r ciuv~C'~?- Xa PROPERTY MAP ~rr~ % `J - •J ` P