HomeMy WebLinkAbout4580____ � ,
�/L,6 �,e i r/
,�a i 1'i> � , ,
APPEALS BOARD MEMBERS
Gerard P. Goehringer, Chairman
James Dinizio, Jr.
Lydia A. Tortora
Lora S. Collins
George Horning
SUFF014-COGy
C2
Go =
• 4
BOARD OF APPEALS
TOWN OF SOUTHOLD
Southold Town Hall
53095 Main Road
P.O. Box 1179
Southold, New York 11971
ZBA Fax (516) 765-9064
Telephone (516) 765-1809
FINDINGS, DELIBERATIONS AND DETERMINATION
REGULAR MEETING OF JUNE 23, 1998
Appl. No. 4580 - ALBERT RATTI PARCEL 1000-114-7-8
STREET & LOCALITY: 420 LESTER ROAD, MATTITUCK
DATE OF PUBLIC HEARING: June 11, 1998
PROPERTY FACTS/ DESCRIPTION:
The above -identified property is located on the east side of a
private road known as Lester Road, which extends off the north side
of Westphalia Road, Mattituck. This parcel consists of 26,088 sq.
ft. (.59 acre) and is improved with a one-story/two-story frame
house and two accessory buildings, all as shown on the January 31,
1998 survey map prepared by Philipp A. Hattemer, Jr., Surveyor.
BASIS OF APPEAL: Building Inspector's May 19, 1998 Action of
Disapproval which reads as follows:
"...the nonconforming building containing a conforming use
which has been damaged by fire or other causes to the extent
of more than fifty (50%) percent of its fair value shall not be
repaired or rebuilt unless such a building is made substantially
to conform to the height and yard requirements of the Bulk
Schedule (Article XXIV, Section 100-242). Under Article XXIV,
Section 100-244, nonconforming lots require 40' front yard
setbacks. The existing building encroaches on the front yard
setback by +- 4 ft. The applicant is requesting an additional 3
feet for the new construction. With this, the new construction
encroaches 7+- feet on the front yard setback."
AREA VARIANCE RELIEF REQUESTED BY APPLICANT:
The variance requested by applicant is to reconstruct the dwelling
recently destroy by fire with a reduction in the front yard setback
to 33.4 feet at the closest point to the private right-of-way (to the
north).
(Note: The new step area at the front of the dwelling has been
modified by the applicants to show a size of 5' x 6', or 30 sq. ft.
pursuant to Section 100-13 under exclusions for building area.)
REASONS FOR BOARD ACTION:
Applicant's home was destroyed by fire. Applicant wishes to rebuild
on the existing foundation, and to extend the front of the house
three feet beyond the foundation on supporting pilings.
t
Page 2 - June 23, 1998
Southold Town Board of Appeals
• Appl. No. 4580: 1000-114-7-8 (Ratti)
On the basis of testimony presented and personal inspection,
the Board makes the following findings:
(1) The
house faces
a private right-of-way that terminates
shortly after it
passes the
property. The property is
wooded and
the house is screened from
the road by trees. Other
houses along
the road have
similar setbacks. In view of these
factors, the
granting of the
requested variance will not produce an undesirable
change in the
character
of the neighborhood or
detriment to
neighboring properties.
(2) Rebuilding on the existing foundation is the most efficient
and economical approach for applicant to take. Increasing the
setback to conform to the 40 -foot requirement would substantially
increase the cost.
(3) In light of the location of the property near the end of an
unpaved private road, and the wooded character of the property,
the requested variance for a 33 -foot setback is not substantial.
(4) The requested variance will not have an adverse effect or
impact on physical or environmental conditions in the neighborhood.
The Board concludes that the following action is the minimum
necessary and adequate to enable applicant to reconstruct the house
while also preserving and protecting the character of the
neighborhood and the health, safety and welfare of the community.
RESOLUTION/ACTION: On motion by Member Collins, seconded by
Chairman Goehringer, it was
RESOLVED, to GRANT the variance as applied for.
VOTE OF THE BOARD: AYES: MEMBERS GOEHRINGER, DINIZIO,
TORTORA, HORNING, and COLLINS. This Resolution was duly
ado -,ted (5-0).
114-7-8 (Ratti)
xz-
RARD P. GOER NGER, CHAIRMAN
Approved for Filing
° ChIVED AND FILED B f
SOU-111-OLDTOW14 CLE3K
DATE_ 4-2?/"F HOiTR 3:&OP%
Town Clerk, Town of Southold
I
LEGAL NOTICE
SOUTHOLD'TOWN BOARD OF APPEALS
THURSDAY, JUNE 11, 1998
NOTICE IS HEREBY GIVEN, pursuant to Section 267 of the Town
Law and the Code of the Town of Southold, the following application will
be held for public hearing by the SOUTHOLD TOWN BOARD OF
APPEALS, at the Southold Town Hall,, 53095 Main Road, Southold, New
York 11971; on THURSDAY, JUNE 11, 1998 at the time noted below (or
as soon thereafter as possible):
7:20 p.m. Appl. No. 4580 - ALBERT AND JANICE RATTI.
This is a variance request under Article XXIV, Section 100-242
(100-244), based upon the Building Inspector's May 19, 1998 Notice of
Disapproval, disapproving a building permit application to reconstruct
dwelling which
was damaged
more
than
50e by fire, and proposed to be
rebuilt with an
insufficient
front
yard
setback. Location of Property:
420 Lesters Road, Mattituek; 1000-114-7-8.
The Board of Appeals will at said time and place hear any and all
persons or representatives desiring to be heard in the above applications
or desiring to submit written statements before the end of each hearing.
The hearing will not start earlier than designated. The file is
available for review during regular Town Hall business hours (8-4
p.m.). If you have questions, please do not hesitate to call 765-1809.
Dated: May 20, 1998. BY ORDER OF THE SOUTHOLD
TOWN BOARD OF APPEALS
GERARD P. GOEHRINGER, Chairman
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARPiIENT
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
DATE: . hay _1.9,_ 1998 .........
To Albert Ratti'.. _
Private Rd. X22 4 Westphalia Rd. (420 Lesters Rd.)
Mattituck
PLEASE TARE NOTICE that your application dated .... Maya .......... 19.98
for permit to ,recgnstruct,a_fire ......... at:
Location of Property ..... 420..._.......cJ.QSteXS.R4Sd.............Aattituck .
House No. Street Hamlet
County Tax Map No. 1000 - Section ._!!4 ...... BLOCK .... ...... LOT ..........
Subdivision ............................... Filed Map No. ......... Lot No. .......
is returned herewith and disapproved on the following grounds that the nonconforming
building.contain ng a conforming use which has been damaged b� fire or other causes....
_to_the_extent of more than fifty.percent,(50%)-of its fair.value shall nqt Ae regained.,
_or_reb........... such building is made substantially to_confoffi,to he Height,and yard
requirements of the Bulk Schedule (Article R%IV, Section 100-242). Under Article'%%IV,
Section 100-244, non -conforming lots require 40' €ront yard setbacks. The existing
building encroaches on the front yard setback by +/- 4 feet. The applicant is
re uestia an additional 3 feet for the new construction. With this the new constructic
4. .g. ............................................ ...... .. •........
encroaches +/- 7 feet on the front yard setback.
Action regu re�_by,the_Zoning_Board_of appeals_________________________________________
.V.4........
BUILDING INSPECTOR
RV 1/80
i
�. '; RU OF HEALTH .
j
FORM NO. I Er OF PLANS'
_ f TOWN OF SOUTI1014D SURVEY ........................
BUILALNG DEPARTMENT CHECK .........................
�IICa.DEPl TOWN HALL. SEPTIC FORM ...................
SOUTHOLD, N,Y. 11971
TEL: 765-1802 NOTIFY-7/;?-021,,,1-
CALL
OTIFY; 7/;?- 021,,,1- X79 ^ah
CALL"
Examined............ 19.... MAIL 11TO �jI �� �
Approved .................. 19.... Permit No. ................ .J.:�l. , CDza41� . S!e...
. ,. ..
Disapproved a/c ...............................
.....................
(Wilding Inspector)
APPLICATION FOR BUILDING PERMIT ) qq
Date . 1, ...... , L9 (.�.'.
INSTRUCTIONS
a. 'Ibis application must be completely filled in by fyl)Lwriter,or in ink and admitted to the Building Inspector wi
3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan: showing location of lot and of buildings on premises, relationship to adjoining premises or public
streets or r.:reas,.and giving a detailed description of layout of property must be drawn on thediagram vlrich is partof
this application.
c. 'Hie work covered by this application may not be cmmenced before issuance of Building Permit.
d. Upon approval.of this application, the Building Inspector wil) issue a Building Permit totheapplicant. Such
permit shall bekept on thepremises available .for inspection throi mt the work.
e. No building shall be occupied or used in Whole or in part for any purpose whatever until a Certificate of
Occupancy shall have been granted by the Building Inspector.
APPIACAIT(N IS HEREBY MADE to. the Building Department for Live issuance of a Building. Permit pursuant to the
Building Zone Ordinance of the Tam of Southold, Suffolk County, New York, and other applicable laws, Ordinances or
Regulations, for the construction ofbuildings, additions or alterations, or for removal or demolition, as herein
described. The applicant agrees to comply with all applicable laws, ordinances, building code,'. housing code, and
regulations,iadd to admit authorized inspectors of premises and in building for necessary inspections.
......... ......
(Signature of applicant, or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plua*r or Wilde
42. .w..................................................................................................
Nam of owner of premises ....,11.? ..........................................
(as on the tax roil or latest deed)
If applicant is a corporation, signature of duly authorized officer.
.........................................................
(Nam and title of corporate officer)
Wilders License No . .........................
Phrbers License No.
Electricians License No . .....................
Other Trade's License No . .................... ,,f
I. location of land on whidd proposed work will be d xde, �. DPUf' !.. cr�� (,. � £ �..1,: �l .f .............
.....: % t9 `� ............................
House amber Street
HamletCounty Tax Map No. .1000 Section ....11 tc....... Block .._....7 ...... Lot .....LI
Subdivision ...................................... .... ....................... Filed Map No. ......... ,..... Lot
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ........ 5��� 1L�.... 5 7T y`t�...,IUKM4!1-ap ......................
b. Intecdeci use and occupancy .......... 11.7%1? :.. �! !,LY....��1`� �F 4!)�. ..... .:.........
3. l:uure of work (dseck .Aiidi appli.:aule). New Building ....:..... Addition . Alteration ..........
Itelwir ............ Removal ............. lleirslition ............ Other Work
pp scsrptlpn)._
fee.......................
(to be paid of filing this application)
5. if ckwelliirg, nsdser of dwelling nudLm
ts ........... Umber of, dhwelling runts on each floor ................
ifgarage, i■nber of cars .......0 ............................
6. if imtsiness, mmercialIor mimsf ocngiancy, specify mwre and extent of eaydit-�4
-type /�oo,((f use ......................
%. Diltienalons of existing structures, if any: Front.... !? ,. Rear ...��lS./�/..Depth ...22.........
Ik:ight ......)M■dser of Stories ... z— ..............
Minensions of sane structure with alterations or additions: Front ............... Rear ...............
Depth ..................... lleilott .................... [miser of Stories ...........
gg
S. Ilinensioss of entire new construction: Front ..aS�?,.......... Rear .....V ....... Depth ...�r .o ...
Nei0it.......................... lknber of Stories .....................
9. Size of lot: Front :................... Rear .................... Depth ....................
10. hate of Purciase .... 4'!.7G......... Nam of Fonrer (Ater ... g-, !-X ek&<.................
11. Zone or use district in utitch premises are situated ...........................................
12.. Poes proposed construction violate any zoning law, ordinance or regulation.: .... .......
13. Will lot Ise regraded .......fv b . Willexcess fill be removed frompremises:YDS V9
/?z /oYGz
14. Mases of Owner of premises ,��4...keb,'........... Address %���.`rvtf!�fi �l1.......... Phone No a2.`'& 19�r
Nagle of Arcntect ................... ............... Address ............................... I'liose
Natne of Contractor ................... .................. Address ..........._..................HiooeNo. .............
15. Is this property within 300 feet.of a tidal wetlands? * YES .......... 1Jf)
*IE YCS, SMnC[D 1CA,T31fi1SITliS FEtiOT HAY Be Iiq1IRED.
PLOT pIAGIIAN,
locate clearly and distinctly, all buildings, rAietlier existing or proposed, .and indicate all set -hack dimensions
from prolerty,:lines., Give street mid block nnber or description ,according to Gleed, and. s4ow street,nanes and indicaCe
uiietlier interior or corner lot.
i SI'A'Ili (M' N1J Y(MiC,
SS
(XIJNIY (tl
'
..L.. ... ......... Will, duly sworn,delxises and says that he is the applirtint
(Nsne of hidividual. signing contract)
alxive tirnrxl, to
lie is the .... f—/ ........... ........ ............................ .._...... .................•
(C-intractor, agent, -corporate officer, etc.)
of said owner or owners, and in dilly, authorized to..,perfona or ludve performed. the said work: avid Lo_make and file this
alnslicatioo; that all staLeten[s contained in this application are true to the best of his knswledge.nnl lselief;.adld..
lhaL the work will be. performed in the Wenner set forth in the application filed therewitli.
Sworn Lo before we this
`......_ ......clay of ..... 19./.. Y..
O
Notary Riblic .,......... '.,. .......
�-
HELENE D.HORNE (Silnature of Applicant)
Not-ry Public. State o; Newyork
No.4951354
Cltsafified in Suffolk County
Commission Expires May '22, 19
MAY t 1 1998
jt ss��// , 3ggj� P((; l!-��y�f�ii�{{
TOWN OF S011TIfOL-b.�'�N>VTBYiYQW
APPEAL FROM DECISION: OF BUILDING; INSPECTOR
APPEAL
TO TI IE ZONING BOARD OF APPEALS, TOWN OF SOUTI TOLD, N. Y.
1, Iwo) a���-�:':����,®:..&l............. at...�.��f.:3.�..i..�.��...1��?.�..:.... .......... ��1,3
Name of Appellant Street andel Number
............. {`.! ° ! ���C? ..HEREBY APPEAL TO
Munictpaluy Stato
TUE ZONING BOARD OF APPEALS FROM TI(E DECISION OF THE BUILDING INSPECTOR Ot-i
APPLICATION FOR PERMIT NO. — ......................... ....... DATED .................... ................... ...............
WHEREBY THE BUILDING INSPECTOR DENIED TO
...............
Name of Applicant for permit
of
Street and Number Municipality Stowe
( ) PERMIT TO USE
( ) PERMIT FOR OCCUPANCY
I. LOCATION OF THE PROPERTY
Street /Ilanliet Use •District. on Zoning Mop
District 1000 -Section Block Lote� —�
_ ....._.. .:..... .� _ ...........:..(!..:..Current Oviner PitioeY E �. t RiJ
Mop No. Lot No. Prior Own'e r
2. PROVISION (5) OF THE ZONING ORDINANCE APPEALED (Indicate the Article Section, Sub.
section and Paragraph of the Zoning Ordinance by number. Do not quote the Ordinance.)
tlrticle>cy// Section
3. TYPE OF APPEAL Appeal is made herewith for (please check appropriate box)
(-.,'-)'A VARIANCE to the Zoning Ordinance or Zoning Map
( } A VARIANCE due to lock of access (State of New York Town Law Chop. 62 Cons. Lows
Art, 16 Sec. 280A Subsection 3
4. PREVIOUS APPEAL A previous appeal -(lees) qEnDbeen made with respect to this decision
of the Building Inspector or with respect to this properly.
Such appeal was ( ) request for a special permit
( ) request for a variance
and was mode in Appeal No.................................Dated.............................r.......................
REASON FOR APPEAL
(i/�A Variance to Section 280A Subsection 3
( ) A Variance to the Zoning Ordinance
( )
is requested for the reason that g
�ir� Vva �•�c�:1,S�- t�i�ti,. i�3� jwa�-..�--�rcra..}-
P_(^ t.-�..c:."�a•S� l)'�iA rifA-\ ¢ CA -j i'Fd.1\ l
i-oa s�Y°*' 4
Form Z111 i8 (Continue on other side)
4
KLP_-u VJ. ruK aKzAytimituY.l.G uyj x (LO De cOmpieLea Dy appiicanz):
Do not use these standards for "use variance" or "special
exception_" (Also attach sheets if necessary, with signatures.)
1. An undesirable change will NOT be produced in the character of
the neighborhood or a detriment to nearby properties, if 9ranted
3...BECAUSE: o"i.dia•ai\ `rreq�rae..c1. w'�,e.�j�..rcyh�.s. ) ).G9O
r 6`k.7' 11�lapa-� •f''��ie 2.�.. ��w r:T-C—A'`;Llkry ie, ire `�i, ir"
CGP &wAi\a�lh�v vr�F�is 6 l�agr �0*,eS o'nV-f�i^_VJ ter toTc
rcm,\0roVV-_ j Vwe, We. Vko_i,_-\a to�\'hvVse- ih�� 5aw.eS��le_
2. The benefit sought by the applicant CANNOT be achieved by some
method, feasible for the applicant to pursue, other than an area
variance BECAUSE: h ii
c e i r—S �w oi"ca. VX C, a'��dF �t'0VN t.3�e.iv, tA--
3. The amount of relief requested is not substantial BECAUSE
T�- 1S o-01 30,J W\uret
4. The variance will NOT have an adverse effect or impact on the
physical or environmental conditions in the neighborhood or district
BEiCAUSE _ \v0vV\k W04 P_�'Ye,C`"�-' vhf 9.wit�rov.vr�¢t�� b�tr.vtiS�
5. Has the alleged difficulty been self-created?
( )/�
es.
6. This is the minimum that is necessary and adequate, and at the
same time preserve and protect the character of the neighborhood and
the health, safety and welfare of the community.
STATE OF NEW YORK)
COUNTY OF SUFFOLK)
Sworn to before me this /F
must attach written consent from owner.
of 19��
\ 1 r
Notary Public
V
JOYCE M.WILKINS
X XX"Y 2`tY22YYXY YY Notary Public, Slate Of N"I York
No. 4952246, Suffolk County
cxtl ci form.:a�; temp Ta EKpiresJune 12,99-' �,
1
9
f
DISE. SUB.
WNER I I FRIET
Kd
,.,,/
-7._
a.
9
VILLAGE
DISE. SUB.
WNER I I FRIET
Kd
ORMER OVyNER c
/
E
ACR.
W. /
a .r
TYPE OF BUILDING
VL
FARM
COMM. CB. MISC. Mkt. Value fQ4 ca
LAND
IMP,
TOTAL
DATE
REMARKS
z OZ -7
1300
/6 A7- cue a14a
12L 3 rC
AGE
BUILDING CONDITION
IEW
NORMAL
BELOW ABOVE
ARM
Acre
Value Per
Acre
Value
R 1 � .1� n -, c-1 ri ci I
l `'j
Ilable 1
Ilable 2
lable 3
mdland
11e -r/ F Lo
ampland
FRONTAGE ON WATER
/QY fr. ..
00 A.r Lro
ishland
FRONTAGE ON ROAD
t
)use Plot
DEPTH
.i ..►
BULKHEAD
d,,4-
9
�
1. t��
i `'.
�
�� �
�
�Y
r
ti �F
- �N
sY
r
..
q
I�
n
1
:1,�
��.
+1
l._.. :.4'
r
�
!_
....._�
..a
...
..
;
t
�
{6,IWa
�� ,•__
_
�
tlY
��. ..
y
•
•A�
w �. ���W;
n �
L'i'
FieOAT-SieP Afea,
el « n OT eKCCJ
s')c �•a m e e "-
code e
-//9/98
N.
W
3 �
0�
N
fb
Z
14
N/F JOSEPH a ADELAIDE AVIGNON
h/
0
5 44 3540..E
u;
�v
3 '
4 , \/ in
s
3 n' r
10 4' 70.
o�
v skE 19 O
O 0
o k
oQ �
'v
al O 59 ACRE
AREA s 26p88 s
Poo
J O to
W N N 40° lot 00 W
Q RRIL ffNcE 0.2•`N 1
E 130.00
_N 59°37 3
3 -N48°45` 10`sE 103.38
a 2 _ 35° 07' 30%1 E 100-00
l N
lu N
O
0
It;
a�
169 571
BERT a MARY HAWKINS
N' F R 0
W
C6
0
0.
3
0
N
QD
to
0
N
ESTPHA
LIA ROAD-
UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 SUBDIVISION 2 OF THE NEW YORK STATE EDUCATION LAW
COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY
CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION
LISTED HEREON AND TO THE ASSIGNEES OF THE LENDING INSTITUTION CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS
EASEMENTS AND, OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE, THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY
LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR ANY OTHER IMPROVEMENT
PUBLIC WATER AVAILABLE ❑ WELL WATER ® INDIVIDUAL SANITARY SYSTEM SANITARY SEWER COLLECTION SYSTEM AVAILABLE ❑
ELEVATIONS TO DATUM OFFSETS To F OUNDATION UTILITY EASEMENTS IF ANY NOT SHOWN U S STD MEASURE
SURVEY OF:
DESCRIBED PROPERTY- _ CERTIFIED TO:-4LBERT-RAT T-1
S.C. TAX MAP: - 10 0 0 - 114 - 7 - 8
SITUATEDAT: MATTITUCK , TOWN OF-SOUTH_OL0_
SUFFOLK COUNTY, N.Y.
CU COPYRIGHT 1998 BY
PHILIPP A. HATTEMER JR. LAND SURVEYOR
EAST PATCHOGUE, N.Y. TEL. 286- 2112 411 l(
FAX. 286 - 3808
M SCALE:—' u -_20' _ FILE NO __9 2 4 _ DATE '31 JAN 9__8____
ROAa,: Ao4j—,,,As //^-SAY `ico --- ---- NYS LIC NO 47412 --
rAl
to
10 4' 70.
o�
v skE 19 O
O 0
o k
oQ �
'v
al O 59 ACRE
AREA s 26p88 s
Poo
J O to
W N N 40° lot 00 W
Q RRIL ffNcE 0.2•`N 1
E 130.00
_N 59°37 3
3 -N48°45` 10`sE 103.38
a 2 _ 35° 07' 30%1 E 100-00
l N
lu N
O
0
It;
a�
169 571
BERT a MARY HAWKINS
N' F R 0
W
C6
0
0.
3
0
N
QD
to
0
N
ESTPHA
LIA ROAD-
UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 SUBDIVISION 2 OF THE NEW YORK STATE EDUCATION LAW
COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY
CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION
LISTED HEREON AND TO THE ASSIGNEES OF THE LENDING INSTITUTION CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS
EASEMENTS AND, OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE, THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY
LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR ANY OTHER IMPROVEMENT
PUBLIC WATER AVAILABLE ❑ WELL WATER ® INDIVIDUAL SANITARY SYSTEM SANITARY SEWER COLLECTION SYSTEM AVAILABLE ❑
ELEVATIONS TO DATUM OFFSETS To F OUNDATION UTILITY EASEMENTS IF ANY NOT SHOWN U S STD MEASURE
SURVEY OF:
DESCRIBED PROPERTY- _ CERTIFIED TO:-4LBERT-RAT T-1
S.C. TAX MAP: - 10 0 0 - 114 - 7 - 8
SITUATEDAT: MATTITUCK , TOWN OF-SOUTH_OL0_
SUFFOLK COUNTY, N.Y.
CU COPYRIGHT 1998 BY
PHILIPP A. HATTEMER JR. LAND SURVEYOR
EAST PATCHOGUE, N.Y. TEL. 286- 2112 411 l(
FAX. 286 - 3808
M SCALE:—' u -_20' _ FILE NO __9 2 4 _ DATE '31 JAN 9__8____
ROAa,: Ao4j—,,,As //^-SAY `ico --- ---- NYS LIC NO 47412 --
rAl
Ab
k
DEPARTMENT OF PLANNING
Town of Southold
Zoning Board of Appeals
-- COUNTY OF SUFFOLK
ROBERT J. GAFFNEY
SUFFOLK COUNTY EXECUTIVE
July 9, 1998
JUL r 4 1'
STEPHEN M. JONES, A.I.C.P.
DIRECTOR OF PLANNING
Pursuant to the requirements of Sections A 14-14 to 23 of the Suffolk County Administrative Code,
the following application(s) submitted to the Suffolk County Planning Commission is/are considered
to be a matter for local determination as there appears to be no significant county -wide or
inter -community impact(s). A decision of local determination should not be construed as either an
approval or a disapproval.
Applicant(s) Municipal File Number(s)
Riverhead Building Supply
4547
Pliaconis, Christopher
4559
Shank, Robert and Ann*
4560
Segrete, Dominick
4568
Frazzitta, Joseph*
4570
Millis, Walter
4571
Chatpar, Prem* *
4574
Gaston, Frank
4575
Snyder, Charles
4576
ZYcaffi-, Albert and Janice
4580
*Alternative relief appears warranted
*With the understanding that the garage will not be used for sleeping quarters.
GGN:cc
CM 11 CCVONINGVONING\WORKINGkLDSW UL\SH4547.JUL
LOCATION
H. LEE DENNISON BLDG. - 47H FLOOR ■
100 VETERANS MEMORIAL HIGHWAY
Very truly yours,
Stephen M. Jones
Director of Planning
S/s Gerald G. Newman
Chief Planner
MAILING ADDRESS
P. O. BOX 6100 ■ (5 1 6) 853-5190
HAUPPAUGE, NY 1 1 788-0099 TELECOPIER (516) 853-4044
co
W Z
J.
oy��l
OFFICE OF
BOARD OF APPEALS
53095 Main ' Road.
Southold, NY 11971
(1-516) 765-1809 tel.
(1-516) 765-1823 fax
Pursuant to Article XIV of the Suffolk County Adni ni c:-rat1Ve Code, The
Board of Ar mals of the Town of Southold, New Yoric, heresy refers the following
to -the Suffolk County PImming C'mm ssd_m:
xx Variance from the Zoning Code, Article xxiv Section 100-242
Variance from Determination of Southold Town Building Inspector
Special Exception, Article , Section
Special Permit
Appeal N o : 4580 Applicant: Albert and Janice Ratti
Location of 'Affected Land: 420 Lesters Road, Mattituck, ICY
County Tax Map Item No.: 1000.114-7-8
Within 500 feet of:
Town or Village Boundary Line
xx Body of Water (Bay, Sound or Estuary)
State or County Road, Parkway, Highway, Thruway
Boundary of Existing or Proposed County, State or Federally Owned Land
Boundary of Existing or Proposed County, State or Federal Park or other
Recreation Area
Existing or Proposed Right -of -Way of any Stream or Drainage Channel Owned by
the County or for which the County has established Channel Lines, or
Within One Mile of a Nuclear Power Plant
Within One Mile of an Airport
Comments: Applicant is requesting permission.. to rpennstrtict dwelling_____—
damaged by fire , more than 50% and rebuild with an insufficient front yard
setback
Copies or own tile add re ated documents enclosed for your review-.----
Dated:
RECEIPT FOR COPY OF DECISION
THIS WILL CONFIRM THAT I HAVE RECEIVED, IN PERSON, A COPY
OF THE ZONIN BOARD'S DETERMINATION RENDERED AT ITS
MEETING OF i t Y REGARDING MY
APPLICATION, d I hereby waive a separate mailing of same.
TE RECEIVED: \'-� � V
SIGNED IN BEHALF OF APPLI
BOARD OF APPEALS:TOWN OF SOUTHOLD
-----------------------------------x
In the Matter of the Application
of AFFIDAVIT OF MAILING AND POSTING
(Name of Applicants)
------------------------------------x
COUNTY OF SUFFOLK)
STATE OF NEW YORK)
I �llbr� �c..�ce residing at ���(3 ��aeY• ��eX,►`%`� 1��AGZ
New York, being duly sworn, depose and say that:
1) On the Z� day of '�vi .91998 , I personally mailed,
by certified mail, return receir requested, a true copy of the
attached Legal Notice, addressed to each of the following named
persons at the addresses set opposite their respective names, that
the addresses listed below are those shown on the current assess-
ment rolls of the Town of Southold; that said Notices were mailed at
the United States Post Office to each name below certified mail,
return receipt requested attach post office receipts here):
Name of Surrounding Property Owner Mailing Address
1 � Li
t* iy_�_�
2) _,,,,• On the day of 199 , I personally postgdd the
subject property iden led as District 1000, Section W4 ,
Block Lot _, by placing the Towns official poster
ten (1) feet, or closer, from the property line facing the street or
facing the right-of-way, and that I have checked to be sure the
poster has remained in lace for seven full days prior to the subject
hearing date, which is i ve_- 19
Sworn to be re me this ✓� ti
1/1, day of % 19C.
L0W
No�,rk public
**Please return to the office of
(Town Hall hours are 8 - 4 p.m.)
JOYCE M. ILKINS
Notary Public. State of New York
No. 4952246, Suffolk Coun
Term Expires June 119
2,
the Board of Appeals when completed.
Thank you.
r
§ 58-1 NOTICE OF PUBLIC HEARING § 58-1
Chapter 58
NOTICE OF PUBLIC HEARING
§58-1. Providing notice of public hearings.
[HISTORY: Adopted by the Town Board of the Town of
Southold 12-27-1995 as L.I.. No. 25-1995. Amendments
noted where applicable.]
§ 58-1. Providing notice of public hearings.
Whenever the Code calls for a public hearing, this section
shall apply. Upon determining that an application is complete,
the board or commission reviewing the same shall fix a time
and place for a public hearing thereon. The board or commission
reviewing an application shall provide for the giving of notice:
A. By causing a notice giving the time, date, place and
nature of the hearing to be published in the official
newspaper within the period prescribed by law.
B. By requiring the applicant to erect the sign provided by
the town, which shall be prominently displayed on the
premises facing each public or private street which the
property involved in the application abuts, giving notice
of the application, the nature of the approval sought
thereby and the time and place of the public hearing
thereon. The sign shall be set back not more than ten
(10) feet from the property line. The sign shall be
displayed for a period of not less than seven (7) days
immediately preceding the date of the public hearing.
The applicant or his/her agent shall file an affidavit that
s/he has complied with this provision.
C. By requiring the applicant to send notice to the owners
of record of every property which abuts and every
property which is across from any public or private street
§ 58-1 SOUTHOLD CODE 458-1
from the property included in the application. Such
notice shall be made by certified mail, return th d to
requested, posted at least seven (7) days p
of the initial public hearing on the application and
addressed W the owners at the addresses listed Cor them
on the local assessment roll. The applicant or agent shall
file an affidavit that stile has complied with this
provision.
RIVERHEAD BUILDING
PPLY CO.. (Re -opened as
MBoar Resolution adopted
May 19,1998). This is a variance
request based upon the Building
Inspector's January 2, 1998 No-
tice of Disapproval which reads
as follows: '.. 1) the proposed
structure being located in an LIO
District is permitted to have a
maximum of 60 feet of frontage
on one street. The proposed
buildingg is roxirnately 115 ft.
facing Rt. 25. Pursuant to Article
XIII, Section 100-133C; 2)
When fences are located in or
along side and rear yards, they
shall not exceed 6'/z feet in
height, pursuant to 100-231 B..."
Location of Property: 74610 and
74500 Main Road, Greenport,
NY; 1000-46-1-1 and 2. 1, com-
bined as a single lot.
6:05 p.m. Appl. No. 4568-
DOMIMCK SEGRETE. This
is a vanance request un er the
Zoning Code, Article XXII, Sec-
tion 100-239.4B, based upon the
Building Inspector's April 9,
1998 Notice of Disapproval, dis-
approving a building permit ap-
plication for an inground pool
and deck addition due to'its pro-
posed.location within 75 feet
from the bulkhead, concrete
wall, rip rap or similar structure,
at 4000 Wunneweta Road,
Nassau Point Club Properties,
Cutchogue, NY; 1000-111-14-
22.1.
6:10p.m. Appl.' No. 4569-
FRANK KROPF. This is a
variance request under Zoning
Code Article III, Section 100-33,
based upon the Building
Inspector's April 8,1998 Notice
of Disapproval, disapproving a
building permit application for
an addition which will create a
non -conformity in that the exist-
ing garage will not be located in
the rear yard at 1820 Marlene
Lane, Laurel, NY; 1000-144-2-
33.
6:15 p.m. Appl. No. 4570 -
JOSEPH FRAZZITTA. This
is a variance request un er the
Zoning Code, Article XXIII,
Section 100-239AB for permis-
sion to construct deck addition
with gazebo at a setback of less
than 75 feet from the bulkhead
at 1420 Inlet Way at Cedar
Beach, Southold, NY; 1000-92-
1-6.
6:20 p.m. Appl No. 4572 -
NICHOLAS METHVAN.
is is a variancerectuest under
the Zoning Code, Article XXiV,
Section 100-244B, based uppon
the Building Inspector's Apri116,
1998 and April 19,1998 Notices
of Disapproval, disapproving a
buildingpermit application for a
deck and addition which will
exceed the allowable lot cover-
age of 20% for this nonconform-
ing lot. Location of Property:
1630 Theresa Drive, Mattituc ,
NY; 1000-115-14-3; also known
as Lot 6; Deep Hole Creek Es=
tates.
6:25pp.m Apppl. No. 4574=
PREM CHATPAR. This is a
variance request under the Zon-
ing Code Article XXIII, Section .
100-239.413 based upon the
Building Inspector's March 10,
1998 and January 6,1997 disaapp-
provingg a building permit appli-
cationfor a proposed (two-story)
addition to dwelling and pro-
posed accessory garage location
which ale proposed within 75
feet of a bulkhead, concrete wall,
or similar*ructure. Applicant's
February 7, 1998 Affidavit states
the proposed use of garage to be
for occuf0ble space" intended'
as a•fa{nil room, library/study
with wet -bar facility. Another
January '6, ,1997 Notice of Dis-
approvpA ii garding this site was
issued disapproving a proposed
guest ani3ex in proposed acces-
sort' garage, Article III, Section
100-31 B(13). Location of Prop-
erty; 680 Midway : Road,
Southold, NY; 1000-90-2=9.1;
Cedar Beach Park, Lot 111 -112 -
part of 144 (as a single parcel).
6.40p m. Appl. No. 4575-
FRANK GASTON . This is a
variance request under the Zon-
ing Code Article XXIII; Section
100-239AB based upon the
Building Inspector's August 20,
1997 Notice of Disapproval (up-
dated 5/7/98), disapproving a
building pennIt application for a
deck addition to dwelling with a
setback at less than 75 feet from
a bulkhead, concrete wall, or
similar structure, at 1875
Bayview Avenue, Greenport,
NY; 1000-52-5-5.
6:45 p.m. Appl. No. 4571 -
WALTER MILLIS. This is a
variance request under the Zon-
ing Code Article IIIA, Section
100-30A.3, based upon the
Building Inspector's April 14,
1998 Notice of Disapproval, dis-
approving a building permit ap-
plication to remove existing shed
and replace with accessory ga-
rage, which will exceed allow-
able lot coverage of 20% at 1800
(a/k/a 1875) Village Lane, Ori-
ent, NY; 10000-24-2-22.
6:50 p.m. Appl. No: 4576-
CHARLES D. SNYDER. This
is a variance request under the
Zoning Code, Article IIIA, Sec-
tion 100-30A.4, based upon the
Building Inspector's May 8,1998
Notice of Disapproval, disap-
proving a building permit appli-
cation for an accessory garage
due to its proposed location in an
area other than the rear yard at
704 Wiggins Lane, Greenport -
1000 -35-4-28.24 (formerly
CTM Lot 19).
6:55 p.m. Appl. No. 4577 -
CARL AND LYNN
FRITS HER. This is a vari-
ance request under Article based
upon the Building Inspector's
May 8, 1998 Notice of Disap-
proval, disapproving a building
permit. application for a new
single-family dwelling withpro-
posed front yard setbacks of less
than 50 feet. Location of Prop-
erty: 135 Pine Tree Court, and
along Pine Court Extension (a/
k/a Private Roads), Cutchogue,
NY; 1000-98-1-7.15.
7:10 p.m. Appl. No. 4578 -
STEPHEN AND ANGELA
PUTZI. This is a variance re-
quest under Article IIIA, Section
100-30A.4, based upon the
Building Inspector's April 28,
1998 Notice of Disapproval, dis-
approving a building permit ap-
plication to construct addition to
an existing accessory garage in
a front yard location at 2575 (a/
k/a 2500) Lighthouse Road and
Soundview Avenue, Southold,
NY; 1000-50-3-6.
7:15 pm. App1. No. 4579-
EDWA)ftD AND
I LATKA. This is a request)
fora aSpecial xception to estab-
lish Accessory Apartment Use in
the principal building of the
owner -applicants as provided
under Article III, Section 100-
31B-13 (formerly 100-31B-14)
of the Zoning Code. Location Or
Property:. 260 Cedar Summit
Road, Southold, NY; 1000-78-9-
29 (Bayside Terrace).
7:20 p m. AppI..,No. 4580-
ALBERT AND' JANICE
RATTI. Th, is a variance re-
quest under Article XXIV, Sec-
tion 100-242 (100-244); based
upon the Building Inspector's
May 19, 1998 Notice of Disap-
proval, disapproving a building
permit application to reconstruct
dwelling which was damaged
more than 50% by fire, and pro -
LEGAL NOTICE
SOUTHOLD TOWN
BOARD OF APPEALS'
NOTICE IS HEREBY .
GIVEN, pursuant to Section 267
of the Town Law and the Code
of the Town of Southold, the
following applications will be
held for ppublic hearings by the
SOUTHOLD-TOWN BOARD
OF APPEALS, at the Southold
Town Hall; 53095 Main Road,
Southold, New York 171997
THURSDAY, JUNE 11
as noted below (orassoon there-
after as possible): ..
5:45p.m.North Sho454acht
Sales, App o
COUNTY OF SUFFOLK
STATE OF NEW YORK ss:
Patricia C. Lollot, being duly sworn, says that
she is the Production Coordinator, of the TRAV-
ELER WATCHMAN, a public newspaper printed
at Southold, in Suffolk County; and that the no-
tice of which the annexed is a printed copy,
has been published in said Traveler Watchman
once each week for
.............................................. .....................weeks
successively, commencing on the ...2--F .......
Qv
dayo ...................................... ........ ,19..
Sworn to before me this .......... 2�...... day of
...........
Notary Public
BARBARA A SCHNEIDER
NOTARY PUBLIC, State of New York
No. 4806846
Qualified in Suffolk Cour
Commission Expires P 3/ V
posed to be rebuilt withan in-
sufficient front yard setback.
Location of Property: -420
Lesters Road, Mattituck; 1000-
114-74.
7:30 p.m. A pNNo. QWNER:
. Boo
TIN E
on o party: ound
Avenue, Mattitack, NY; County
Parcel #1000-141-3-44. This is
a request for Interpretation and(
being ths principal use on the lot
is required to have a rearard
setback of 70 feet pursuantro-
to
Art. XIV, 100-142, 3) the p
posed tower is requiredto be lo -
sated at least one -hundred (10
)
feet from the nearest
unit pursuant to Article XV ,
Section 100-162C.3...'will at
The Board of Appeals
said time and place hear any and
all persons or representatives
or Variances based upon the
Building Inspector's Februa
ry
18,1998 Noticeof Disapproval,
disapproving a building permit
application to construct a tower
for telecommunications use, for
the following reason: l) the pro-
posedtelecommunications tower
m located on a nonconform-
ing lot in an LI District is not
permitted according to Section
100-16513; 2) the proposed tower
desiring to be heard in the above
appli ttns�mentsdes�be ore the
to sub-
mit written
end of each hearin
heanrig wrilfnot start ear-
Thelier than designated. The file is;
available for review during regu
larTown Hall business hours (8-
4 p.m.). If you have questions,
call 7 5-
please do not hesitate
1809.
Dated: May 20, 1998
BY ORDER OF TIiF
SOUTHOLD TOWN BOARS
OF APPS'
GERARD P. GOEH�G.ma
L
OFFICE OF
BOARD OF APPEALS
53095 Main Road
Southold, NY 11971
(1-516) 765-1809 tel. (1-516) 765-9064 fax.
++++++++++++++++++++++++++++++++++++++.++++.+++++++++++++++++++++++++++++++-
May 20, 1998
Re: ZBA Application
Hearing Date: Thursday, June 11, 1998
Dear Sir or Madam:
Q11
For your records, please find enclosed a copy of the Legal Notice
describing the time, date and place of the public hearing regarding your
application. (Our department will arrange for publication in the official
newspaper: L.I. Traveler, Southold.)
Town Code Chapter 58, requires that the applicant send "NOTICE
GIVING THE TIME, DATE, PLACE AND NATURE OF THE HEARING." Please
send a copy of a map showing the proposed project area, together with a
cover letter with your name and address to the "OWNERS shown on the
local assessment roll for every property which abuts and is across from any
public or private street from the applicant's property." These mailings
must be by CERTIFIED MAIL, RETURN RECEIPT REQUESTED, within five
(5) days of receiving this letter. This will allow for the green signature
cards to be returned to you, and then submitted to us for the official.
(If the green signature cards are not received by the hearing date, a delay
is possible before receiving action by the Board.)
Please be sure to:
• rL -_
1. -Return the Affidavit of Mailing to us when the certified mail
receipts are postmarked on the day of mailing, attaching a written list
signed by the person verifying the same from the Assessors' Assessment
Roll, which lists all the lot numbers and owners' names, current addresses
from on the local assessment rolls, and the date the listing was obtained
from the Assessors' Office.
2. Place the enclosed Poster in the location described by Ch. 58 of
the Code, within 10 feet of the front property line facing the street, for a
time period of not less than seven days. The sign must be posted not later
than June 3rd.
3. Return a completed Affidavit of Posting by the hearing date.
4. Return the green signature cards at or before the hearing.
y Page 2 - Instruction Le,.,,—,
Meeting of April 16, 1998
Southold Town Board of Appeals
Please call if you have any questions. Thank you.
Very truly yours,
Gerard P. Goehringer
Chairman
by Linda Kowalski
Enclosures (Notice, Two Affidavits, and Sign)
AS400/txt1k/1nag.98/app1.1n
w�
FFd,qA1.5--r,A&CrWC441AIa '
NOTICE OF HEARING
NOTICE IS HEREBY GIVEN that a public hearing will be held by the
SOUTHOLD TOWN BOARD OF APPEALS at the Town Hall, 53095 Main Road,
Southold, New York, concerning this property.
OWNER(S) OF RECORD:
,I)[ 8 EeT 4 rPA11C,6
DATE OF PUBLIC HEARING:
i'o�dxles,, J;//6 //j /frr
7*L2to Pohe
If you have an interest in this project, you are invited to view the Town file(s)
which are available for inspection prior to the day of the hearintg during normal
business days between the hours of 8 a.m. and 4 p.m.
BOARD OF APPEALS 9TOWN OF SOUTHOLD e (516) 765-1809
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Zoning Board of Appeals
FROM: Office of the Town Clerk
DATE: May 21, 1998
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
MAY 2 7 "ani
� d 4 ZiSA
R.0
YIELPL�
RE: ZONING APPEAL APPL. NO. 4580 - ALBERT & JANICE RATTI
Transmitted herewith is ZONING APPEAL APPL. NO. 4580 - ALBERT 8
JANICE RATTI together with the Reasons for Area Variance Only, the
Notice of Disapproval from the Building Department, the Zoning Board of
Appeals' Questionnaire, the Applicant Transactional Disclosure Form,
the Application for Building Permit, Town of Southold Property Record
Card and a copy of the Survey Map.
Elizabeth A. Neville
Southold Town Clerk
y�
O
y
1
x
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Zoning Board of Appeals
FROM: Office of the Town Clerk
DATE: May 21, 1998
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
MAY 2 7 "ani
� d 4 ZiSA
R.0
YIELPL�
RE: ZONING APPEAL APPL. NO. 4580 - ALBERT & JANICE RATTI
Transmitted herewith is ZONING APPEAL APPL. NO. 4580 - ALBERT 8
JANICE RATTI together with the Reasons for Area Variance Only, the
Notice of Disapproval from the Building Department, the Zoning Board of
Appeals' Questionnaire, the Applicant Transactional Disclosure Form,
the Application for Building Permit, Town of Southold Property Record
Card and a copy of the Survey Map.
Elizabeth A. Neville
Southold Town Clerk
QUESTIONNAIRE
FOR FILING WITH YOUR Z.B.A. APPLICATION
A. Please disclose the names of the owner(s) and any other
individuals (and entities) having a financial interest in the
subject premises and a description of their interests:
Separate sheet may be attached.)
ose h 1 A&rcY• �a
p r
B. Is the subject premises listed on the real estate market for
sale or being shown to prospective buyers? { } Yes
(t;T No. (If Yes, Pleas P attach copy Of "conditions" of sale.)
C. Are there Any proposals to change = alter land contours?
{ } Yes No
D. 1. Are there any areas which contain wetland grasses? KC)_
2. Are the wetland areas shown on the map submitted with
this application? h o_
3. Is the property bulkheaded between the wetlands area and
the upland building area? h p
4. If your property contains wetlands or pond areas, have
you contacted the Office of the Tow
o Trustees for its
determination of jurisdiction? KHk.
E. Is there a depression or sloping elevation near the area of
proposed construction at or below five feet above mean sea
level? - in (If not applicable, state "N.A.")
F. Are there any patios, concrete barriers, bulkheads or fenrp-n
which exist and are not shown on the survey map that you are
submitting? _VN t%_ If none exist, please state "none."
G. Do you have any construction taking place at this time
concerning your premises? r% --n If yes, please submit a copy
of your building permit and map as approved by the Building
Department. If none, please state.
H. Do you or any co-owner also own other land close to this
parcel? nom_ If yes, please explain where or submit copies
of deeds.
I. Please list preseb �4 �'t use �r operations conducted at this
parcel d$s �1-r0rt_ and
proposed use
tnorizdd-Signature and Ddte
3V87, 10/901k
APPLICANT
TRANSACTIONAL DISCLOSURE FORM
e Town of Southold's Code of Ethics prohibits conflicts of
terest on the pari; of town officers and employees. The
rpose of this form is to provide information which can
ert the town of possible conflicts of interest and allow
to take whatever action is necessary to avoid same_._
YOi1R NAHR2 \\(1.� It -h\ . YT J�(�l �� ci�_,
(Last name; first name, middle i
you are applying in the name of
other entity, such as a company.
'the other person's or company's
nitial, unless
someone else or
If so, indicate
name.)
NATURE OF APPLICATION: (Check all that apply.)
Tax grievance
Variance �—
Change of zone
Approval of plat
Exemption from plat or official map
Other
(If "Other," name the activity.)
Do you personally (or through your company, spouse, sibling,
parent, or child) have a relationship with any officer or
employee of the Tovn 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 ovns more than 5% of the
shares..
YES NO f/'
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 (tile applicant)
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 tier 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
noncorporate 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 RELATIONS111P
Submitted this day oft K4199.r
Signature
Print name aA,vvk RGANi
rh
MATO
c'2: �
A5VA.
VVT
oer
slop I spi
'Cot , A k iX,VUb
:joy sypi
VIA
r-ILA5,414 qh
Flo
it r
AJ
(s tj PAY
fj� NEW YD
0:32,254-1
OFESS
MATO
c'2: �
A5VA.
VVT
oer
slop I spi
'Cot , A k iX,VUb
:joy sypi
VIA
r-ILA5,414 qh
Flo
it r
AJ
(s tj PAY
fj� NEW YD
0:32,254-1
OFESS
IOU
'
7 9Z Adz
NJ
. IT
is
rl W
SAW
I
c Y, 3
4. loll
IF
vv
.i3F c Y _
oft
C- m R N;7 a L03
C
AgA
.... . ... ..
-rf(T SCR LIN
L o Pt, h K
k1gr OF ove Ij
y.
To)
-Y c ii
16
colOr
e
11.a
'A T e t4
C0.6v)L
It
U) T I
SY
i i
K f 'rN
Pox
,Vl