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HomeMy WebLinkAbout4929 ;ate 3o �kX Svc AST n cci2 oe1 s '7 FR/m/-7-PAL .._ 5 D ?L Y-t/` b/ "bel7/DRl - 14-ga Lgarza-tc ? - a s-t9-d C •r .•. 'APPEALS BOARD MEMBERS .oil OFFOfr COG% Southold Town Hall Gerard P. Goehringer, Chairman p y`: 53095 Main Road James Dinizio, Jr. Ny Z P.O. Box 1179 Lydia A. Tortora P Southold, New York 11971 Lora S. Collins ` •�' c ,r ZBA Fax (631) 765-9064 George Horning �'}Ol tad. Telephone (631) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF APRIL 19, 2001 Appl. No. 4929 —GRACE CANTONE Location of Property: 2305 Park Ave, MattituckParcel 1000-123-3-21 Date of Public Hearing: April 5, 2001 FINDINGS OF FACT PROPERTY FACTS/DESCRIPTION: Applicant's property is located along the north side of the Park Lane and Bungalow Lane in Mattituck. The lot consists of 35,862 sq. ft. in area. The property is improved with a one-story trailer and accessory frame garage as shown on the survey map prepared by Anthony W. Lewandowski, L.S. dated October 2, 2000. BASIS OF APPEAL: Building Inspector's Notice of Disapproval dated January 23, 2001 denying an application dated November 9, 2000 for a permit to construct addition to existing dwelling. The reason for the disapproval is that the project is proposed with a front yard setback of 34 feet on Park Avenue frontage. AREA VARIANCE RELIEF REQUESTED: Applicant requests a variance for a proposed addition, which reduces the front yard setback from the existing 37.4 feet to 34 feet at its closest point. The addition is more particularly shown on the applicant's survey prepared October 22, 1999 by Peconic Surveyors, P.C. REASON FOR BOARD ACTION: On the basis of testimony presented, materials submitted, and personal inspection, the Board makes the following findings: 1. Grant of the area variance will not be a detriment to nearby properties. Applicant's property contains two front yards on Park Avenue and Bungalow Lane. The existing dwelling and proposed addition are diagonal to both streets, creating a small (approximately 20 square foot) triangular area of the proposed addition which overlaps into the required front yard area. The proposed addition is in keeping with the line and overall appearance of the existing dwelling and others in the neighborhood. Grant of the variance will not produce an undesirable change in the character of the neighborhood. 2. The benefit sought by applicant cannot be achieved by some method, feasible for appellant to pursue, other than an area variance because the property contains two front yards and a small corner of the addition juts into one of the required front yard areas. If the addition were relocated to the northwest corner of the dwelling, a side yard variance would be required. The property is also a waterfront lot, subject to environmental restrictions which limit alternative locations on the waterfront side. There are no other feasible locations on the property which would not require a variance for the proposed addition. 3. The granted area variance is not substantial and represents a 3.4 ft. increase (for a total area of It Page 2—April 19, 2001 ZBA Appl. No. 4929—G. Cantone Re: 1000-123-3-21 at Mattituck 20 square feet) in the existing front yard setback of 37.4 feet. 4. The difficulty has not been self-created and relates to the physical and environmental constraints of the lot. 5. The proposed variance will not have adverse effect or impact on the physical or environmental conditions in the neighborhood or district because the proposed addition does not encroach into the property's environmentally restricted areas. RESOLUTION/ACTION: On motion by Member Collins, seconded by Member Dinizio, it was RESOLVED, to APPROVE the variance, as applied for. VOTE OF THE BOARD: AYES: Members Goehringer (Chairman), Tortora, Collins. (Member Dinizio left the room for a brief period and was abse • ing this res ution.) This Resolution was duly adopted (4-0). GERARD P. GOEHRI GER CH4MAN ked //1 � y NOTICE OF PUBLIC HEARING SOUTHOLD TOWN BOARD OF APPEALS THURSDAY, APRIL 5, 2001 NOTICE IS HEREBY GIVEN, pursuant to Section 267 of the Town Law and Chapter 100 (Zoning), Code of the Town of Southold, the following application will be heard at a public hearing by the SOUTHOLD TOWN BOARD OF APPEALS at the Town Hall, 53095 Main Road, Southold, New York 11971, on THURSDAY, APRIL 5, 2001, at the time noted below (or as soon thereafter as possible): 7:50 p.m. Appl. No. 4929 — GRACE CANTONE. Applicant requests a variance under Article XXIV, Section 100-2448, based on the Building Department's January 23,2001 Notice of Disapproval for a proposed addition to dwelling which will have a setback at less than 40 feet from Park Avenue front property line. Location of Property: Corner of 2305 Park Avenue and Bungalow Lane, Mattituck; 1000-123-3-21. The Board of Appeals will hear all persons, or their representative, desiring to be heard at the hearing, or desiring to submit written statements before the conclusion of the above hearing. This hearing will not start earlier than designated. Files are available for review during regular Town Hall business hours (8-4 p.m.). If you have questions, please do not hesitate to call (631) 765-1809. Dated: March 8, 2001. GERARD P. GOEHRINGER, CHAIRMAN SOUTHOLD TOWN BOARD OF APPEALS Town Hall 53095 Main Road P.O. Box 1179 Southold, NY 11971-0959 FORM NO. 3 © E n , to � ' lit it TOWN OF SOUTHOLD ai2 3200i F BUILDING DEPARTMENT ' SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL DATE; January 23, 2001 TO Thomas Ludlow A/C Cantone Box 781 Mattituck NY 11952 Please take notice that your application dated November 9, 2000 For permit for addition to existing one family dwelling at Location of property 2305 Park Ave Mattituck County Tax Map No. 1000 - Section 123 Block 3 Lot 21 Subdivision Filed Map# Lot# Is returned herewith and disapproved on the following grounds proposed construction, on lot 35,862 sq ft;not permitted pursuant to Article XXIV Section 100-244B which requires a minimum front yard setback of 40 (forty) feet; Project shown with front yard setback of34 (thirty four) feet on Park Ave frontage Y-AILASTLA-.49-- Authoriz c Signature BOARD OF HEALTH ' - FORM NO. 1 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY BUILDING DEPARTMENT CHECK TOWN HALL `SEPTIC FORM SOUTHOLD, N.Y. 11971 DEC .. .. . . .,. . . a TEL: 765-1802 TRUSTEES NOTIFY: CALL Examined , 29.... MAIL TO- Approved / , . Permit No. Disapproved a/c .1316 a- 1_ pp \- (Building Inspector) it APPLICATION FOR.BUILDING PERMIT.. Date.l/"t" ,2Cc.Q. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plotplan sharing locationof lot and of buildings on prainses, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector Trill issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout 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. APPLI(ATICN IS HEREBY MATE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing cod- and ' regulations, andto admit authorized inspectors on premises and in building f nec'essaryy ins ions- • c -rt -___J•:!.• (Signature of applicant, or name, if a corporation) 8,0?‹.8,0?‹. 78 I m gin (L K ((�� K. 1.1. 1552- (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build Nate of owner of premises S`.A CG--- '—s U-CO (as on the tax roll or latest deed) / If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) a4 1c> Builders License Nu 4A.t_ Plumbers Lirens No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done Haase.Number Street 415110 Haslet enmity Tax Map No. 1000 . Section ....it ock ..03 bei-;411.b•'—u. > i"'a Subdivision Filed Map-No. %'`` .,w + Ivt f .-- 2. State existing use and occupancy of premises and intended.� use and of proposed construction: a. Existing use and occupancy ...5.t&.c.4-6 S C-'1 sF \ DaNCeir, ' b. Intended use and occupancy ....Q1N.41--eEi r1 t As: 1',.�t (�:' v t�.,,t` � Repair Removal Demolition Other Work.- A1']i lT-'t , ( /l0`' i (Description) Estimated Cost ..q(2.0fee (to be paid on filing this application) If dwelling, amber of dwelling units / flutter of dwelling units on each floor If garage, umber of cars. . JA444 If business, mmrercial or mixed occupancy, specify nature and extent of each type of Ise Dimensions o/fting structures, if any: Front E3 Rear ....... Depth Height / Number of Stories r Dimensions of sqm5 structure with alter5ions or additions: . Front 7 Rear 7 Depth -5101 Height LL Nutter of Stories .� Dimensions of entire new construction: Front /5 Rear /" 6 Depth Height .70 timber of Stories / Size of lot: Front 07. Via` Rear .1,;../. (9-0 Depth ° Date of Purchase N` Nate of Pourer Owner Zone or use district in which premises are situated Does proposed construction violate any zoning law, ordinance or regulation: Will lot be regraded NC_) Will excess fill be removed from premises: YES CtA) Nacos. of Owner of premises Crbar,G....l,N la?9s=7-... Address 6a X. 3 0e4rt en . Phone No.l - 135 1- I cn YnNN£U�✓3 btr,oi Mame of Architect Address Phone N . p, Nate of Contractor-1-g). Ci l -euOL -13 Address ev4_7iie..co .Th IU<.;-. ._...Phone it �{5L Is this property within 300 feet of a tidal wetland? * YES -FA NO *IF YES, SOUD101D 11M4 11d1SIEES PE MIT MAY BE •+o' < PLOT DIAGRAM Locate clearly and distinctlyall buildings, whether existing or proposed, and indicate all set-back dimensions: mproperty lines. Give street and block rather or description accordingto deed, and show street names and indicate ther interior or corner lot. Sir TE-91-14 l iTSUV-A/0t lr or NEW YOltK SS —114 QI CV)YA ....Mt t..LS?.DI Ilia4) being duly sworn, deposes and-says thatbe is the applicant me of individual signing contract) ve tlamed, ��Q /'�j' is the _...C On v 1 2 ''CJ Q (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly. authorized to perform or have performed the said work and to makeand file this l.ication; that all statements contained in this application are true to the best of his knowledge and belief, and_ :. t the work will be performed in the manner set forth in the application filed therewith. rn to beore are this 5? day ofovf 7i cn:20oQ btary Public, 1 ��1 di, �" 411 ' .YPUBUC.StateofNewvo* (Signature of Applicant) No.01 ST8008173.Suffoik County Term ExpiresJune 8,20S?2-- For Office Use Only: Fee$ %'ln.. a,•dg. xn4 ` Assigned No.iya TOWN of SOUTH D, NEW YORK APPEAL FROM DECISION OF BUILDING INSPECTOR DATE OF BUILDING INSPECTOR'S DECISION APPEALED: I-0Q-oi ) TO THE ZONING BOARD OF APPEALS: I (We) "t tkr1A5 PA (Appellant) ` c3) of t ..I"(!�4T�.1Yac (Tel # t�+3i—aur— dry -bag HEREBY APPEAL THE DECISION OF THE BUILDING INSPECTOR DATED ..i WHE EBY THE BUILDING INSPECTOR DENIED AN APPLICATION DATED ) 1—et—4) FOR: ( Permit to Build ( ) Permit for Occupancy ( ) Permit to Use ( ) Permit for As-Built ( ) Other. 1. Location of Property 2305 ?A RAC AVE- net A` (VcJC Zone District 1000 Section.17,13...BIockA3..Lot(s) "7- I Current Owner. 4 t..cac� 2. Provision of the Zoning Ordinance Appealed. (Indicate Article, Section, Subsection and para ra h of Zoning Ordnance by numbers. Do not quote the law.) ArticleX V Section 100- 244 Sub-Section 3. Type of Appeal. Appeal is made herewith for ( . A Variance to the Zoning Ordinance or Zoning Map ( ) A Variance due to lack of access as required by New York Town Law Chap. 62,Cons. Laws Art. 16, Section 280-A. ( ) Interpretation of Article, Section 100- ( ) Reversal or Other: 4. Previous Appeal. A previous appeal (has) (has not) been made with respect to this property or with respect to this decision of the Building Inspector (Appeal # Year ). 1.1114 REASONS FOR APPEAL(Additional sheets may be used with applicant's sianatureL AREA VARIANCE REASONS: (1) An undesirable change will not be produced in the CHARACTER of the neighborhood or a detriment to nearby properties, if granted, because: 1-4c Etuo 'y ac f3ucc- ,,o "111-IC co t c.,1rota 'waw.-. IIs' *' aEPim 'v' 1i'M ' i4f 5-avuaO'^a Homer C.:a-fogit vatic) Faa FAIL AS S` ig1.1✓ jSf L&. Tj-tt c"IO1c Fs -rti E. pct.,* w aicH CACRe=SNUL417; 1 RiaiE-F 45 'k'tniSs vWu Vie) of 6+ss ar3.` Lots', �[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: wr p Ftour -nor IZru icc '7f ? Tic C►-► tk,frci s .IL) 11-It V►Crs4LPLA1J U...j Li 6 t- INItreCTS 5A. � :tr¶4act4 wCYNAAM � k.ale,, AL kitau0° t(Rei%u pmsl isn. C �;le L.(3) The amount of relief requested is not substantial because: ()Lam nil E9Pe-0s<kal An '5ezluAte 'izoST",a.cl41; i ; jcxslW kyr cacH` � G sr8Acs. i S oluti -rtf N) A `—leer (4) The variance-will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: 71-1E- f(Zopc,•s AO Ca Iicol iZ cPJ 1-11g i CtPDuND AND IS fvov- O.JCltoric44 e i� 'Sd Ali/ MV a (3'0Ai6i` kl- 0O �ic>r+jS i (5) Has the alleged difficulty been self-created? (YtQ es, or ( ) No. 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. ( ) Check this box if USE VARIANCE STANDARDS ompleted and attached. Swo to beforne this a� (Signature of Appellant or Authorized Agent) day of . .. � 1 200 ). (Agent must submit Authorization from Owner) v 4 Notary Public LYNDA M.BOHN TBA App ./00 NOTARY PUBLIC,State of New York No.01806020932 Qualified in Suffolk CounW Tenn Expires March 8,20(14 #t Et"1/4 rag r uaz" Appeal Application, Continued BOARD OF APPEALS : TOWN OF SOUTHOLD COUNTY OF SUFFOLK:STATE OF NEW YORK x Application of Appeal Application (Continued) Property ID# REASONS FOR USE VARIANCE X Continuation of Appeal Application for a Use Variance (when applicable): For Each and Every"Permitted'Use under the Zoning Regulations for the Particular District Where the Protect is Located (please consult your attorney before completing): (1) The applicant CANNOT realize a REASONABLE RETURN because: (2)The HARDSHIP relates to the property and does not apply to a substantial portion of the district or neighborhood because: (3) The relief requested will not alter the essential CHARACTER of the neighborhood because: (4)Has the alleged difficulty been self-created? ( ) Yes, or ( No. (5)This Is the MINIMUM that is necessary and adequate, and at the same time will preserve and protect the character of the neighborhood and the health, safety, and welfare of the community because: (6) The spirit of the zoning ordinance will be observed. (7) The public safety and welfare will be secured and substantial justice done. (Signature of Appellant or Authorized Agent) Sworn to before me this day of 20 . (Notary Public) ZBA App 08/00 (---- -. /- -s, 4 , s.. 2 1., , , , . /a-v-0 3 TOWN OF SOUTHOLD PROPERTY RECORD CARD -77 -S- -2/ OWNER STREET 230 CZ.; VILLAGE DISTRICT SUB. LOT . ciraCe... R. Can-tont 4 . , 1\4arict. Elena. Safits* qie.) IDo4-6 Oct--c- .. FORMER OWNER N E ACREAGE '4),(4 /147-7-1.- es„c<..L / S W r, TYPE OF BUILDING 6: f9rnofien, Pan.4 ante —go r r VSLAAA,. 0.-(j7 U.] t ft.-",--32-- L./ RES. g , d SEAS. VL. FARM COMM. 1 IND. CB. MISC. '' LAND IMP. TOTAL DATE REMARKS ,ek 1 Cr 0 0 —5 0 0 0 3 tic° 0 ia//1/9/a- L I. I al I 109145- 14r none- :.,..f. .-1-42 Co n-t4tx, 0(-tar • c2arocc. . '. go o 4 5 0 c) v• Li/I-tilt), S g act/ /e//6 /7.5, : :t k...5F : AGE BUJILDING-CONDThOlf--':' NEW NORMAL BELOW - ABOVE /4- 61-, i , 2 i i k___ C? i 7, -- 1,2/3 5 Farm Acre Value Per Acre , Value TR/jci N G L L: 0 Al fd A P Tillable 1 ' 3 / & .c‘c-ft' iii/g7/X 2 Tillable 2 ' ‘ Tillable 3 - \ Woodland Swampland ii Brushland ifek", ."'"• e-", .--. — i House Plot — Total , '.,' • 415.;$'7,417,07ter4 tV t.tS r :'tilt 41th 4;r•4,..4,0.07,41ririliNePet . 1 -”;,:rit,-1;;,-;11:4414,.a;‘11,,IntaltWOL-iir,t.:-.)-.! retettl'Air .I‘0',`,,,,,,:X 1.:,V',Y,i::;j.:,&-Le-;:..-'.I:'.;.:,.i,_12^':--.‘,,,4..,-:a.-a:,!.!,.:.r',)P.-r..'.at:.-)',l•-7:-P4ia-g1a1i,.,,n.6,A,7.I4,1Artcp;i-14,i,1e1,i,,Ci,I-1A4cg,,.ii2.ii„,1,W1/4*,r-l1afr4i.A,li0.Vkj..ri4't,A—','0I,i,.A11(0:4,14,.,,4,,”,.,.e,tis.l1l1sfr:i-t:17o::z4Zo.iitolviI,c.‘,-N,,-s.1•'1i„.1.I,44aIe1rl,',-P,.:,'0'.-,:,1':4u'Ve4:S-i;7-t.7;tsti,2ee1ti4o..As,.,.'.•:::1.-:,,a,i:44:•‘s.r-.,9A,1),4-4i0...40.ti*.,1,.,1v1?ir1,.,,;:,;•1 .1 1 1M1I111IrI1m1I11M1.tI1Ei1r1IM1.rM11.I.MEin.MuO.M1.E.MMlaE1111E _11_O.Mi M :7 I !i • III, In".11 Inallilla . 11111111.0.11.111.111111.1.11 , MEE i. III II I_-- n-AM _ :11 11. . . • o _ .... M. Bldg. 2_ (.( y 3 6 : 6 (7 1 Foundation 1 c— g , Bath , / Extension / C.- K 11.,-. ,,- ) 6 k Basement I 1 i Floors W , HI0 ,-/ I p / Extension 3Pc 5 3 0,-7 Ext. Walls Ce/t4 .c) , 1 Interior Finish /.O 3 )-- - , r 1 /(2 C Extension Fire Place /I/0 Heat 0 I ( n 14 °/,‘ i DI°c (( Porch ii. x /Or Attic Porch Rooms 1st Noor ,S---- Breezeway Patio Rooms 2nd Floor Garage /1 ,,C D_ U _ a ?g / x A g eway Q / ,.. (., i ,n--, 1 , , i SURVEY OF PROPERTY AT MATTITUCK TOWN OF SOUTHOLD I DEEP SUFFOLK COUNTY , N . Y. 94, j, HQCE CREEK ate.-1 -03-� ,, o , N Scale 1" = 40' an $ G�R�� m� o- , 7 se*. Oct. 22, 1997 � %� f �� Dec 'L', ,” e (//2„p a.,Acc, fi a .f fo.rti 1u)t1 la 11 Q� • AlF / ?94ems %,-- 69' > �¢ N 4• E x> c'pe ,,' r oy '4) ;.... .. ._ t. �� ti` $�^ :m QAC A X11 ns` tXe`/` "ie \ ry O ♦ \ 1„0. n b U,. 7 STY, .0 Gj , Pi T s^ R. HSE . r . t N g .-OSx., . ea .. ., az' istic A 1 zoic,! p'p° VLACKTOP = ly �. . 4, 0„,‘„E„,,y ^+ ., • G� 4,m.piozocijs C. ...f.„ :,._ OP 1 �O'Y �� 5 �•' W• AREA=35862 sq. ft. (1 ANV to tie line <4. P PRK . CERTIFIED TO+ / GRACE R. CANTON MARIA ELENA SANTIGATE I ` i �Aa pr Me11,p j�on0 ZONES X20^1 GIRM � �° 5tt q, Gge+ 82C+ f `gyp . A'JA. 99 5 - NY.= s: t ornoH To Tfxs suaveY IS A wa.Ana+ / er I _a � 310/03 �r �lry°SXgJ� M1Jrr d .$. I£. b0. 49618 MO-7 E > '+ . 7 ALL C WICATKX4S ' 4 °A 040, W 3 .:. A- ,litEig SEAL Ot § YOR ,,4,�. +1 vim' w � w - ilt10/64) a) COUNTY OF SUFFOLK r 1_7NNrA .J'4��^ \/ r;\ AtfIL ROBERT J. GAFFNEY SUFFOLK COUNTY EXECUTIVE THOMAS ISLES, AICP DEPARTMENT OF PLANNING DIRECTOR OF PLANNING June 4, 2001 Town of Southold Zoning Board of Appeals 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) Benjamin, Vallo 4786 Tirado, Leonard 4913 Alessi, Leo &Virginia 4922 Kerbs, Jon C. 4926A Canton, Grace 4929 Schriber(Joh& Ross (Jane) 4930 Leddy, John 4931 Hokanson, Richard 4932 Soto, John 4933 Corrazini, Paul 4934 Kontokosta, E.M. 4935 Cichanowicz, Frank 4940 Gallagher, Eileen 4941 Tirado, Leonard 4946 Kohs, Daniel and Mary Alice 4947 Wilke, William 4951 Very truly yours, Thomas Isles Director of Planning S/s Gerald G. Newman LOCATION MAILING ADDRESS H LEE DENNISON BLDG, -4TH FLOOR ■ P 0 BOX 6I 00 • (5 16) 653-5190 100 VETERANS MEMORIAL HIGHWAY HAUPPAUGE, NY I 1788-0099 TELECOPIER(5 16) 853-4044 JX APPEALS BOARD MEMBERS ogieIP uFFO� S deoSouthold Town Hall • Gerard P. Goehringer, Chairman ;'� 1'J�` 53095 Main Road James Dinizio,Jr. y P.O. Box 1179 Lydia A. Tortora • ^� �� Southold,New York 11971 Lora S. Collins ` y�10 . t�p�,�� ZBA Fax(631)765-9064 George Horning = � 4i S ," Telephone(631)765-1809 ' . ..Welt BOARD OF APPEALS TOWN OF SOUTHOLD May 25, 2001 Mr. Gerald G. Newman, Chief Planner Suffolk County Department of Planning P.O. Box 6100 Hauppauge, NY 11788-0099 Dear Mr. Newman: Please find enclosed the following application, with related documents for review pursuant to Article XIV of the Suffolk County Administrative Code: Appl. No. 4929 - Owner or Applicant: Grace Cantone Action Requested: Addition, approved front yard variance Park Ave. & Bungalow La, Mattituck Within 500 feet of: ( ) State or County Road ( ) Waterway (Bay, Sound, or Estuary) ( ) Boundary of Existing or Proposed County, State, Federal land. If any other information is needed, please do not hesitate to call us. Thank you. Very truly yours, - Gerard P. Goehringer, Chairman By: Enclosures APPEALS BOARD MEMBERS poil FO/�► = t 1,o' Oe Southold Town Hall Gerard P Goehringer, Chairman ,�� y� : 53095 Main Road James Dinizio,Jr. ; y P.O. Box 1179 Lydia A. Tortora p 47.$ Southold,New York 11971 Lora S. Collins '* ®. 1 ZBA Fax(631) 765-9064 George Horning 1 4s 4:,„. Telephone(631)765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD To: Suffolk County Department of Planning Pursuant to Article XIV of the Suffolk County Administrative Code, the Board of Appeals of the Town of Southold, New York, hereby refers the following to the Suffolk County Department of Planning: Appl. #4931 —John Leddv/Front yard setback variance for an addition: Within 500 feet of: ( ) State or County Road ( X ) Waterway (Bay, Sound, or Estuary) Cutchogue Harbor Appl. #4922 — Leo & Virginia Alessi/Front yard variance for garage. Within 500 feet of: ( ) State or County Road ( X ) Waterway (Bay, Sound, or Estuary) Cedar Beach Harbor Appl. #4946 — Leonardo Tirado/Denial of Fence Height Variance, Cutchogue Within 500 feet of: ( ) State or County Road ( X ) Waterway (Bay, Sound, or Estuary) Little Peconic Bay ( ) Boundary of Existing or Proposed County, State, Federal land. Appl. #4913 — Leonardo Tirado/Frontward variance for pool at Cutchogue. Within 500 feet of: ( X ) Little Peconic Bay. Appl. #4934 — Paul J. Corazzini/Rear yard variance for new building. Within 500 feet of: ( X ) State or County Road S.R. 25, Greenport ( ) Waterway (Bay, Sound, or Estuary) Appl. #4932 — Richard Hokanson/Lot coverage variance for porch (new dwelling), Southold. Within 500 feet of: ( ) State or County Road ( X ) Waterway (Bay, Sound, or Estuary) Appl. #4933 — John Soto/Front yard variance for swimming pool at Cutchogue. Within 500 feet of: ( ) State or County Road X ate' ay (Bay, Sound, or Estuary) Appl. #4929 — Grace Cantone/Fr€ tvard variance for addition at Mattituck. Within 500 feet of a Water, (Bay, Sound, or Estuary) Page 2—May 14, 2001 -- To: Suffolk County Dept. of Planning Re: Suffolk County Charter Referrals Appl. #4935 — E. M. Kontokosta/Bluff setback variance for pool at Greenport. Within 500 feet of L.I. Sound. Appl. #4930— J. Schriber/J. Ross/Front yard variance for addition and pergola. Within 500 feet of Cutchogue Harbor, New Suffolk. Appl. #4947 — Daniel Kohs. Side yard variance for addition at Southold. Within 500 feet Of Waterway at Laughing Waters. Appl. #4941 — E. Gallagher. Front yard variances for addition at Southold. Within 500 feet of Waterway at Laughing Waters. Appl. #4940 — Frank Cichanowicz. Side yard variance for pool location. Within 500 feet of Waterway at Hall's Creek, Mattituck. Appl. #4951 —W. Wilke. Bulkhead setback variance for deck addition. Within 500 feet of Waterway at Jockey Creek, Southold. Appl. #4870 —V:' Beniamin. Sidevard variance for as built deck. Within 500 feet of L.I. Sound, Orient. (Previous denial under#4786 (3/2/00). Copies of related documents are enclosed for your review and file. If any additional information or documentation is necessary, please call,us at 765-1809. Thank you. Dated: May 14, 2001. _ a Gerard P. Goehringer, Chairman By: APPEALS BOARD MEMBERS �,o•/g11FF0(�c Off' OG Southold Town Hall Gerard P. Goehringer, Chairman �/ � y1; 53095 Main Road James Dinizio,Jr. y Z P.O. Box 1179 Lydia A.Tortora Oft? Southold,New York 11971 Lora S. Collins .0ZBA Fax(516) 765-9064 George Horning = Oljig ��•'�� Telephone(516)765-1809 ... .0 BOARD OF APPEALS TOWN OF SOUTHOLD April 26, 2001 Mr. Thomas Ludlow P. O. Box 781 Mattituck, NY 11952 Re: Appl. No. 4929 —Variance Request Dear Mr. Ludlow: Enclosed please find a copy of the Appeals Board's determination rendered at our April 19, 2001. Please be sure to return to the Building Department to submit any other documentation before commencing construction activities. A copy of this decision was furnished today to the Building Department for their permanent records. Very truly yours, GERARD P. GOEHRINGER CHAIRMAN Enclosure Copy of Decision to: Building Department r .. , -I., - -- , _ .- . . -•••- ' - - - , — . —. •t ' . . ' ... : ) • . ._. • . . . ., • _ . . . . . . , 1 . . -'' . , , . . . , SURVEY OF, PROPERTY . , . , . AT M A TTI TUCK . . . , . TOWN OF SOUTHOLD , . .. , , --DE'EP riirli SUFFOLK COUNTY , N . Y.' . :,4` .....,...E - . . , 1000,-1203- 21 CR , _ , s"•<10...56 ''‘...—;,,- . •-.._- ...--. . ,N . , , 40 0 40 .. . •ao 120 , -3- ,• , - NN - . 111 MI BINI!!1•1 1111•11110 -----__ „ CA \ .:.• , ,,, --:—.—' .,_.......:Z-----,.......____ , . —1(. .> , s. v •,:' - ' . 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HSE 1„, ..4- 0 _ _ ______ . . . _ . -.. ..z 1-^,'72N't 0-e-Agaol, ri P '' ' • ,,, . - , , . •allift . , . ••, , . • , P' Aei, _ . (.7 BLACKTOP \ 3 i'0,'•1' ' - - ' , ' • --';',)-,'-•117,-•(,:,,, -,-- - :.-' - ,-, N . : ' _ ' ' - . - . . . , ' - ' . ., ,• . - - • 4, „..)? DRIVEWAY _.... .. - _ ;-•_. - _ ' . . . , <0 `—•0,4, - t."21 '''' ---; ---. '' , ,.,.. ,. . - - J . , , , „ . . . . , . 10 - + - ' iS:c2.,.. , • `.... 10 S,O ... . ,,•. ,._ , .., _... .,. • , , , , „ , , ,-..• , . .52,50 •, , . ,, . ' * .• . N... - _,.. 12. _ . . , , . , , . . • . N. 5: - _. ,f .1.. - . _ AREA35862-- sq. ft. . , .. - \\- , .„ .::-__ ' .. _....., . , . . . , , . . . , . , • , ,-, ,, . . . , to -tie line N. , „ .. , , . . , _ . . • ., 44/ . , • • . ' . . .- . • - .• .• s ' „ • IP'11 5 ‘& .. ' ' -....-;.7”- • . . • . .' •• , •. . , • . , • ,. . • ' • -, , ._. •, _ ' . . • ..., ' ' - ' ' 's`.CT:.:\::',r4,. 1• M .E.1. NEpy... )... -• ,,. • '" , • ,. .,•• . . • . . • -'. 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'1•9618 , ., , - • , MAY 4, 1998 • . , ANY,-,,A,I,TRAjloN-OR ADDITION TO,THIS SURVEY IS A VIOLATION ,„- , , ' ' PECO --".111r4TE274.77S,,P:C. - ..4.,,/,-, ..., • ' • 4,1'.F 5ECTION 7209' OF-THE NEW YORK STATE EDUCATION LAW, . • . 'E)CCEPT, ',,t,S,PER•SECTION 7209,SUEONtION-2. , ALL CERTIFICATIONS (510'765 — 5020' . P. 0. BOX 909 CONTOUR LINES ARE REFERENCED TO MG.V.D., .PEREDI•V.ARE VAUD„FOR THIS MAP AND COPIES THEREOF ONLY IF :tAID'MAP:OR COPIES BEAR THE,IMPRESSED SEAL OF THE SURVEYOR 123a TRAVELER STREET ' . ' , SOUTHOLD. N.Y. 11971 . , , _1 WHOSE.SGNATURE APPEARS HEREON. - . _ __ __- ,_ _ _ _• - - -- -... -- _ __-_ - __ _____ 0" 014. os =alEI:YZt ETIVA 1 VILME 4. *<• rTowr111A1),,E5309:51+Mair ogd ''TOWNrCLERK y IPC.O EBox111r7,9 REGISTRAR OF VITAL-STATISTICS `8outhol'd,I viiYoik?1t1971 MARRIAGE-OFFICER 1,4413 � 1i �`��1+, Wax:(631)77.65`.16145 RECORDS,MANAGEMENT.OFFICER 41, '1T-elephone;(631)i7.65_T800 .-FREEDOMCOE INFORMATION;OFFICER so i- 0 D11'FICE1OF HITE MOWN7 CLERK ;TOWN'"OFSOUTHOLD TO: Southold Town Zoning Board of Appeals FROM: Elizabeth A.Neville, Southold Town Clerk DATED: February 1, 2001 RE: Zoning Appeal No. 4929 Transmitted herewith is Zoning Appeal No. 4929 Grace R. Cantone (Thomas Ludlow) for a variance. Also included is: ZBA Questionnaire; Transactional Disclosure Form; Notice of Disapproval dated January 23, 2001; copy of BD application, property card: letter of Non-Jurisdiction— Tidal Wetlands Act, letter of authorization; survey and plans. 6101 Co New York State Del tment of Environmental Conservation SV Division of Environmental Permits, Region One iv Building 40-SUNY, Stony Brook, New York 11790-2356 4 Phone: (631) 444-0365 • FAX: (631) 444-0360 YEARS Website:www.dec.state.ny.us John P.Cahill Commissioner Letter of Non-Jurisdiction- Tidal Wetlands Act Grace Cantone April 7, 2000 58 Kennelworth Road Mineola,NY 11501 Re: Cantone Property, Park Avenue, Mattituck SCTM# 100-123-03-21 Application# 1-4738-02599/00001 • Dear Ms..Cantone: • Based on the information you have submitted,the New York State Department of Environmental Conservation has determined that: The property landward of the 10 foot elevation contour as shown on the survey prepared by John T. Metzger dated 10/22/97, last revised 10/22/99, is beyond the jurisdiction of Article 25 (Tidal Wetlands). Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 661)no permit is required under the Tidal Wetlands Act. Please be advised,however,that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary,as indicated above,without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project(i.e. a 15'to 20'wide construction area)or erecting a temporary fence, barrier, or hay bale berm. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Sincerely, j9//2--- - Mark C. Carrara Permit Administrator cc: BMHP T. Ludlow, Ludlow Homes //��r.,�►�.K:TAts File CENSUS 2000 RR PART OF THE COUNT MA PARI[DI LA C( N11l Jan 25 01 05: 38a SANTIGATE 516-298-8875 p. 1 Grace R. Cantone 58 Kenilworth Road Mineola, NY 11501 January 24, 2001 To whom it may concern, I, Grace R.Cantone, authorize Thomas Ludlow of Ludlow Homes to act as my agent with regard to the permitting process necessary for improvements to the property located at 2305 Park Ave, Mattituck, NY(tax map no. 1000-123.-03-21). Should you have any questions, please feel free to call me at 516-746-7352. Thank you for your assistance. Sincerely, Grace R. Cantone . • 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 attac ed. ) c 2 C r�i 6N B. Is the subject premises listed on the real estate market for sale or being shown to prospective buyers? ( ) yes } No. (If Yes, please attach copy of "conditions" of sale.) {. Are Yes there any proposals to change or alter land contours? } D. 1. Are there any areas which contain wetland grasses? !J(..) 2. Are the wetland are shown on the map submitted with this application? N0 3 . Is the property bulkheaded 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 of jurisdiction? E. Is there a depression or sloping elevation near the area of proposed construction at or below five feet above mean sea level? NC). (If not applicable, state "N.A.") F. Are there any patios, concrete barriers, bulkheads or fences which exist and arp not shown on the survey map that you are - -submitting? ()OtJL If none exist, please state 'Inane.u. . G. Do you have any construction taking place at this time concerning your premises? ki0 If yes, please submit a copy of your building penuit 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? MO If yes, please explain where or submit copies • of deeds. I. Please list present use or operations conducted at this :4- parcel SIN LE FiAl.(V 1 L RES'cD J and proposed use _ ' 9� 1: 00ir 0 Au .• • ed. gnature and Date . 3/87, 10/901 .1r1- ,43,".i,i,a+;tE,l:_;7`Y,d`''''(Ern•', t..c4 -"i" ;I,' ,�I.Jy Lye i .,N_.;'-'7,,,,"y. I, %�4'. ,'%-rte • ;` ,r, �,.'4_: °I...i",-' t APPLICANT `' "'�-' : ) _ - TRANSACTIONAL DISCLOSURE :s e 4 , v,. - FORM .1,,•,$-'-t ;4,' ;I't;-,?'•The`'Town• of Soi�thold ' s Code of Ethics prohibits conflicts of ;r;i- , ; _ ' . ;..,-d"�',� nt'ere'st°'oai -t'he' part of"-town officers and employees. The {\`'---'.'.:-: :?,,,T„-t-„A ','+•. `;putTiose`,'of:"this form is -to 'provide information which can s,r _; ;;��t,a°alert-'the town'-of possible conflicts of interest and allow t.'/:‘' -;',' .n,''',`,'r-46it' to,'-taike 'whatever action is necessary to avoid same. r - , s(;'. `'sip`,.' t''`' , , `11''''''.'‘ ::','',1 �'°` AHE: ' -=CJD L ) a MA . Oil "'J�,. '•'� �' ' (L:ast name, first name, middle ' rt'>`r , unless ,ft '_ ;w,s- , ; = '- • you:Tare applying in the name of 'someone else or 1' "�+ ;`,,a;-,• other entity, such as a company. If so, indicate ;> ;,r' *-)1b<<;�r' , : ,the: other person's or company's name. ) )-t' -"'"=,`rNATURE•'OF'�APPLICATION: 1,?-::,,-- `,�: ,,�;,�.xkr;-',-�`J (Check all that apply. ) i,,•-. ~:t,,,,,,o ,74,-,;, .-o»_,`,•-,.: 7•;v ,, ,•e ,•_- '!,.•1 ` ° :::-:`,-Max` grievant . , `-f ? :,�-r, ;Variance" ri Pu; I ,fi=�;,'-,;`Change';of -zone" r -'' =._,'' f'Approval -of plat t; .,e,0, _.,�4:''Exemption.'from; plat or official map - :',-4,- *'''- 'Other, ' - ;5` `L= ';P1T ' a (If "Other,'" name the activity . ) Vit;;' - '''',,.'0 -, ' .- . _ ' .'i' ..,.-•' - ,'-Do youersonall (or through your company, spouse, sibling, Y=' ,n,°y� ' ' 'S; parent,por.° child) have a relationship with any officer or �„ ,4f 1,;j':::-;�`,temployee-'of the' Town Southold? "Relationship”-srY. of;• t ? Relationship includes ,,;. ; ', ';,'..',, , .t,. b blood' 'ma ',�• • ';_ '� ,;� �' Y", ,,' rri[age, or business "Business •,,,,, interest. ;r;,.i • >`r? ,'V: FOR BOARD AND STA.,FF Updated New Information NOTICE OF PUBLIC HEARING SOUTHOLD TOWN BOARD OF APPEALS THURSDAY, APRIL 5, 2001 NOTICE IS HEREBY GIVEN, pursuant to Section 267 of the Town Law and Chapter 100 (Zoning), Code of the Town of Southold, the following application will be heard at a public hearing by the SOUTHOLD TOWN BOARD OF APPEALS at the Town Hall, 53095 Main Road, Southold, New York 11971, on THURSDAY, APRIL 5, 2001, at the time noted below (or as soon thereafter as possible): 7:50 p.m. Appl. No. 4929 — GRACE CANTONE. Applicant requests a variance under Article XXIV, Section 100-244B, based on the Building Department's January 23, 2001 Notice of Disapproval for a proposed addition to dwelling which will have a setback at less than 40 feet from Park Avenue front property line. Location of Property: Corner of 2305 Park Avenue and Bungalow Lane, Mattituck; 1000-123-3-21. The Board of Appeals will hear all persons, or their representative, desiring to be heard at the hearing, or desiring to submit written statements before the conclusion of the above hearing. This hearing will not start earlier than designated. Files are available for review during regular Town Hall business hours (8-4 p.m.). If you have questions, please do not hesitate to call (631) 765-1809. Dated: March 8, 2001. GERARD P. GOEHRINGER, CHAIRMAN SOUTHOLD TOWN BOARD OF APPEALS Town Hall 53095 Main Road P.O. Box 1179 Southold, NY 11971-0959 - STATE OF NEW YORK) - )SS: - COUNTY OF SUFFOLK) O -4r€ C of Mattituck,' in said county, being duly sworn, says that he/she is Principal • clerk of THE SUFFOLK TIMES,a weekly newspaper,pub- ' lished 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 pub- ; ilq (� - lished in said Newspaper once each week 1 for 1 weeks successively, commencing on the day of jU.CiS c h 20 Alk . CHRISTINA Tof BER i New Notary Public,State of New York �� No 01WE6034554 y.t .--- Qualified �� ', Qualified in Suffolk County c • .. . E .ues December 13, a Princi• 1 Clerk <.,S__, -R,I"am,5�E"Wsn'r �'t(ci-z'eR;''^r'E-=e.l�,-'.'1='e'.,.?_.•3;q"t a.tTc.�.;y•;mr',.`€-`;;,,.-r�an: nfe1-bS�d;w,cgzcta.,lreoi,yNrtrr"•ci�,t�-tis_,�`'`eif±A]srEi... i, .''x' s«^.•'Sx�g4; S•�T`. S}n a`ya• } t = I„+`''_ ' '.;'- ''-y", -'FG:' AND IiAURE . ." 0HN7c50-p.m: Appl.No.4929-GRACE:i. 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Ame.f,' ap " as � - ��u'-'-1,-,,,,---,k,-,' a�.�, -,,if 1. Ea ; ._` ."..i.1:71';',1`,"--,,.,'",.'61'q' 4aa,7,aroa+a. - ” •a` ` t '� �a�„'i'z-1„s,.�t+<Pf ` 85"'Boiseu,Avenu ,Southolcl •- a. `sTtmtil^ ahnd? donotr' 'CoprIi�t # � rC # 4��1Q00 w227, snf '.me "� e:.' 3dcodY^teq, 0-i=ti -1= 4= � � �f'.x4�" � " ''t•AT Noz,4918"= x -, fhitorlot.s, o,nanng'590.s4tx, yB;xSpc.. A, No3G= Nif-,,t-` CkFRMAN ThissaJreue «-,Location Pr;perty;•60105 MaiiitA .PHONY VIVONA liIca 'i€fporya,Yri ceine&AtiJcg;� ".''pmae�ob:�o;l . �d •l 5634� " e�l�StsYaIICe� l�� ,*ti1,Pelx� -K:Se do 100-32:o� os� � a-nei 'ded,d„Azita :4f`1R58 ” y:. -_Y - m� 01o` v8V0;_ �OaS6 �� ��4c�hsecnd_dwtellm asea Prclpal, " az7?2k)lpaMA�„�(P;i4, ,v494 . ttifilu�t �eprt2enzeu ya�w ; b� dn �Pa� . " t ` cMICH :g(ORA A,Appcant- 'ZooNo�ce+x,o- ' pprovrBtL`Amri' li.gsP, c Q'�an. edarIs '-i , e�,, tsas, nio`, ss;;-_d .-G * l :Ii ::L:� L;'n: s":,-,-1, „ „,if ?ot=tAdwelngAlso recfuesteisla, • gueso ,.;aanI .•;4 . ccesso `soagebiuldin aon � ._w= cauaV-hes :4iiigiftfathe ety ,Scn 0073ane � r:the`..d, 1a oc-a�cD;4t15,,Creeentiane ,I.- dwryRgaovthu.r oder" 318=y �1g;MDs . � ,s� :�cmber'g7-�asano0,,� bhe; each8�ns; ;, x,ion. 3SeetirE ei�t; nB(ow2. -. 5-f � i`3h0*i�n t�pPyafora"`yI at ` �`ce: . 0,24 -4. �.��.� -„ •�12S07es" O,_ Ono�Proptty:. -,Pf_odad" n �d��;alez;antr;";' '0Try -�A`fz � No. k3 ��.-0m t; 140 'anrd1393bMddl` Rod,.; n,3>exiFxngdw.It"twhich eed4_.�t1Ht ` . ^RK I ; i_ :a tFchtoh0100=1»83 "i f tin.Co,dimia o-t r212ori �x`Ap a~n:a us !4t4iade � ' . . -. ¢4 . .5-0 A iiRo f4 .. �:',;z. Lac4ipj ey' �0w= a�nc �- e.IIISehon�10032,Fibr �nD ANDER O ,(Owner:ga,l" : rBaYv e � Oad;° 0 hod100hn.t"lie,*r40pa no�ua340: ':;r9 .%HU AD4-APPlc _ ,5� r_ ,,;Tj ro:4 � ?,, .i f;g.� rt� vpf, Nf200tAien�ed4oUc �s: Q�s q.uests;y-arnceandr;Art� � 7300pmn pi 434k-_Wri-x' rovaKf,s6..tPakihe-elb""da� ,,,i- - 4-;, ap 4 , as - a44a.e=� RENS'' O A7 ,,N3CtPi.Sillcif;aetnt = ,1,.x a,arlshwn60 l5l »om't-d � .on,1 239 A1, e 1 • T:._ " :aen :`lpr4P7e:s[de„' m- , ,- r rBiu1d;1i tkii,1i5'1- eemx.b{e: •''� st 'il*.i41iedotieA ,��fronp�pectyl�omine .Othtf , 20',_200Noticeof Dippopvlf"Vr4.u� 0dia$�"pte nen4O'ec� acApe�pS34 " thwxlo' ar ” `Appicns popo atew "'dellig i--1NbiofDisapprovalyr ghOIL r l1-rST1ya $1, -a ' nwn . •a8 -A .- tss: -a„ `sf , t k+f �4,, 7 % OFFICE OF ZONING BOARD OF APPEALS 53095 Main Road Southold, NY 11971 (631) 765-1809 fax (631) 765-9064 March 9, 2001 Re: Chapter 58— Public Notice for Thursday, April 5, 2001 Hearings Dear Sir or Madam: Please find enclosed a copy of the Legal Notice describing the recent application. The Notice will be published in the next issue of the Suffolk Times. Pursuant to Chapter 58 of the Southold Town Code (copy enclosed), formal notice of your application and hearing must be now mailed with a map or sketch showing the construction area or variance being considered. Send the enclosed Notice CERTIFIED MAIL, RETURN RECEIPT REQUESTED, on Monday, March 26th, or sooner, including a copy of a map showing your project area, to all owners of land (vacant or improved) surrounding yours, including land across any street or right-of-way that borders your property. Use the current addresses shown on the assessment rolls maintained by the Town Assessors' Office (765-1937) or the County Real Property Office in Riverhead. If you know of another address for a neighbor, you may want to send the notice to that address as well. By April 2nd, please submit to our office your Affidavit of Mailing (copy enclosed) with parcel numbers noted for each, and return it with the white receipts postmarked by the Post Office. Later, when the green signature cards are returned to you by the Post Office, please mail or deliver them to us (but not later than the date of the hearing). If any signature card is not returned, please advise the Board at the hearing. When picking up the sign, a $15 check will be requested for each sign as a deposit. If you already have a sign and stand and only need the laminated printout for the face of the sign, a deposit is not necessary and we can mail or fax it to you. Please post the Town's official poster/sign no later than March 29, 2001. Securely place the sign on your property facing the street, no 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 furnished for each front yard.) The sign(s) must remain in place for at least seven (7) days, and should remain posted through the day of the hearing. If you need a replacement sign, please contact us. After the signs have been in place for seven (7) days, please submit your Affidavit of Posting to us for the permanent file. Within 20 days after the hearing, the sign and stand should be returned to us. The$15 deposit will then be returned to you. If the sign and stand are not returned within this 20-day period, the deposit will be non-refundable. If you do not meet the deadlines stated in this letter, please contact us promptly. Thank you for your cooperation. Very truly yours, ZBA Board Members and Staff Enclosures - ZONING BOARD OF APPEALS TOWN OF SOUTHOLD:NEW YORK x In the Matter of the Application of AFFIDAVIT 7-Zs-P\ - LAML--(5,--, OF SIGN (Name of Applicant) POSTING Regarding Posting of Sign upon Applicant's Land Identified as 1000- y`Z.? -c - 2,I -----x COUNTY OF SUFFOLK) STATE OF NEW YORK) I, 11 141- -45.. (A, Luf:), residing at i 0'j 01-6—` Q L-C '�U , 1 v1e- , New York, being duly sworn, depose and say that: On the 2 3 day of m A,2.4,0 , 200k , 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 da,s prior to the date of the subject hearing date, which hem_✓',,g d_ = , as - •�: (Signatur' ,,,re:..-- �� Sworn to bef a me this ! day o 200't,. NOT LYNDA M. BOHN laid Ai ', � Li" ARY PUBLIC,State of New York m No.01806020932N" re.tary Public) Term Qualified s Marcin h 8,20 t5 *near the entrance or driveway entrance of my property, as the area most visible to passersby. I V 1 ZONING BOARD OF APPEALS TOWN OF SOUTHOLD:NEW YORK x In the Matter of the Application of AFFIDAVIT G—(Cts OF (Name of Applicants) MAILINGS CTM Parcel #1000- - - COUNTY OF SUFFOLK) STATE OF NEW YORK) I, , (GAS rn + L-�'pl,-0w residing at )05 01--C" tom, � dY1 Ami I v C1(_. , New York, being duly sworn, depose and say that: { On the 2-1 day of rtn049-4k4 , 200 I, I personally mailed at the United States Post Office in SouTIA oLo , New York, by CERTIFIED MAIL, RETURN RECEIPT REQUESTED, a true copy of the attached Legal Notice in prepaid envelopes addressed to current owners shown on the current • assessment roll verified from the official records on file with the (4) Assessors, or ( ) County Real Property Office cOvTh SLC) , for every property which abuts and is across a public or private street, or vehicular '•h way of record, surrounding the applicant's propel y. (Signature) Sworn to before me this 23 day of /71')/9-e--9---17/ , 200 / ELIZABETH A STATHIS C� NOTARY NewYork nty • y�/ No.01ST6008173,Suffolk County Term Expires June 8,20122— /V Notary 0.[22— /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. • .r: • / II II - II _ II II � C NjS1 „, • ^rjU 3 N ISI CIVV D t ' 4:;' .-T v' -) kNS' "Vb ) k00c3 ( i 9 kAot DrNVI pj j '">(1-7- 9 cmj_g N►v9 2LIQ1 ANiN, t\IN ' 2t1V -71"-V v6 Q [ 19 5 N- 13 ri) ' kAA Pr's_I_A_d r4-3-tre t -:747aQ,. le) COr, ri xatahrn9 ck7c) NIV1-D 0.-1 SENDER: COMPLETE THIS SECTION 11111 ■ Complete items 1,2,and 3.Also complete A Received by le-.e Print -ally) B. Dat:of D:eery item 4 if Restricted Delivery is desired. / Or- 3 36 0) - • Print your name and address on the reverse ; so that we can return the card to you. Sig-ature ■ Attach this card to the back of the mailpiece, 0 Agent - or on the front if space permits. _ ,1 0 Addressee D. Is delivery address different from item 19 0 Yes 1 1. Article Addressed to If YES,enter delivery address below. El No 06mist 1 Pte'' . Lbws-i- Igit Ln • 1 b ws-F a t LQ ii I 3 Service Type tttiii lei ete Q IO • Registered ❑Return Receipt for Merchandise' I ..... 0 Insured Mail 0 C.O.D. 4/-"=",•1216:1`,., 4 Restricted Delivery?(Extra Fee) ❑Yes 2. Articcllle Nt�tnbter(Copy,from service label) J4.44I lin' :t ; ; ;;11 t; :i i; PS ForrD 381111 �uiy 1999 Domsti ec Return Receipt 102595-00-M-0952 UNITED STATES POSTAL SERVIC ..R S F '''----w •-•• 'rgt-Class MaiI 4\ ` —. - -^• "Post'age'•8r•Fees Raid co — ..._-.:a -Permit-No.-.G.-1.0-- R„s; • Sender: Please prig r e, address,grad ZIR±9.-in-#+his-bex-•_.._.----- Lvd toLO Fame- . Pogoy 781 `' r'�''�..' ,,f s.'S 3iti11titlit ii m iitiiuS{liilittlitiltitinitilttititiittii zigniNSfejoirilai4faiglimigoillffekritoliril:Ji*IM-rfAlFziggitifitelfeltY10411,14:1- • Complete items 1,2,and 3.Also complete A. Received by(Please Pnnt Clearly) B. D•te of D- ivery item 4 if Restricted Delivery is desired. 3 c7 o • Print your name and address on the reverse C. Si:nature t / so that we can return the card to you. NI Attach this card to the back of the mailpiece, 0 Agent or on the front if space permits. X b/ Addressee D. I •elivery a. cii ere; em 1? 0 Yes 1. Article Addressed to If YES,enter delivery address below: 0 No -er).:11) MI"! t le& me, °LILL Oi 3. Service Type Registered 0 Return Receipt for Merchandise 0 Insured Mail 0 C.0 D. • - 4. Restricted Delivery?(Extra Fee) 0 Yes 2 Article Number(Copy from service label) : :: • : .: : : ; . • • . , . •. •• • • • ; ' •• • • ; ;: PS Forin 881;1,146'40901 I 1),6,rill stic Return Receipt 102595-00-M-0952 UNITED STATES POSTAL SE ~ICE,^;D ,d _ Firs't-Class Mail .rev .� Postage&Fees Paid c� SNI _ ----- _-�- `',USPS-- >"-__- z �� �-�--'`Permit-No.G 10 " ) 27 !at'.R r� • Sender: Pleasem: ii3t me, address and ' ' rttris-box Puapule) .AIM anujil»girirr:16k9z ir[.lA- COMPLETE THIS SECTION ON DELIVERY • Complete items 1,2,and 3.Also complete A Received oy(Pleaser t Clea' ), B Dat.of Del ery item 4 if Restricted Delivery is desired. War- L O � r(ot I 3 (97 0 I • Print your name and address on the reverse so that we can return the card to you. C. Signature • Attach this card to the back of the mailpiece, X_ /(G�� _;/ , ni, ,`rQ ❑Agent or on the front if space permits. cv �u�`'tti❑Addressee D. Is delivery address•ifferent from item 1? ❑Yes 1. Article Addressed to• If YES,enter delivery address below: ❑ No lnoi�.. Ori"ol% mane a`u v 00 Por k I`I u Q 3 ervviiJeType / 1 1 I✓1 V ) 1952_, E Registered Mail ❑ Express Mail /vegistered ❑ Return Receipt for Merchandise ❑ Insured Mail 0 C O.D 4. Restricted Delivery?(Extra Fee) 0 Yes 2. Article Number(Copy from service label) tti ; , 6! i : t t ' t r ! t f S t ! t t l t 1 4 1 i ! i i l i 1 ,, , i ! PS Form'3,81 July 1999 'Domestic Return Receipt 102595-00-M-0952 S 1 1i[! 1H I i I i i i',1 ! t a l 9 t UNITED STATES POSTAL SERVICE 111 First-Class Mail Postage&Fees Paid USPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • odLby, PoDY-Y :3I mce- .-v&k_ 9JV :Al ID - COMPLETE THIS SECTION rKyIuIJi*l4Iil:11:1414014TOJr.P/74>.1ri4:1• • Complete items 1,2,and 3.Also complete A Received by(Please Print Clearly) B Date of Delivery item 4 if Restricted Delivery is desired. g _ _d • Print your name and address on the reverse so that we can return the card to you. C. Sign-lure ■ Attach this card to the back of the mailpiece, `, �G7/ I=1 Agent or on the front if space permits. v ❑Addressee P. Is delivery address different from item 1? ❑Yes 1 Article Addressed to: If YES,enter delivery address below. ❑ No I 19101401 0-tee 1 Ors ez 16q)0 r) 2 D E Isi-D gel. %_ U:pp_v- nl Cfa i`►�, 3. Service Type O//)(V �3 Certified Mail El Express Mail I Registered 0 Return Receipt for Merchandise El Insured Mail ❑ C O.D 4 Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number(Copy from service label) . , „ i 7 , PS Form 3811,July 1999 Domestic Return Receipt _ 102595-00-M-0952 UNITED STATES POSTAL SERVICE 111111 First-Class Mail Postage&Fees Paid USPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • LUCK loO -1-LYYles pD&&x 7S1 ) 19SZ. ='.�. -�,� �°w L i,,,li,,,iii,i,,,J,i,,,i,Jii„,i,,,JL,i,,,,i1J►,i,,,,Jli,,,J1 -"LilU ": COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete items 1,2,and 3 Also complete A Received by(Please Pn Clearly) B. Date of Delivery 011/012)n item 4 if Restricted Delivery is desired Lo Cis+ 3-30-0 • Print your name and address on the reverse so that we can return the card to you. C. Signatu • Attach this card to the back of the mailpiece, l v)0iI=1 Agent or on the front if space permits. El Addressee D. Is delivery address different from item 1? ❑Yes 1 Article Addressed toII `'- If YES,enter delivery address below. ❑ No '1,1'. . 4.$ OOC�rzp �.J n�L:C � � � � )0,(i 1 Y n'� cvc, 1 3 Service Type ��� v..4 certified Mail 0 Expre M 'ff� I I-76Q Registered 0 Returr�t el�ooav ercl ise / CC✓✓ ❑ Insured Mail ❑C.O.D,On FF® p 4. Restricted Delivery?(Extra Fee) P ❑Ye�s'1��,/ 2. Article Number(Copy from service label) \ z i.4 y 1 ! H i 1 • l r ;1 ..� i �, , . f , I � rr t � � . sr r , PS Form 3811,July 1999 Domestic Return Receipt i i 102595.00-M-0952 UNITED STATES POSTAL SERVICE 101 1 First-Class Mail Postage&Fees Paid USPS , Permit No G-10 • Sender: Please print your name, address, and ZIP+4 in this box • LO d ?tom -gimes pbspy -78J v Mail ) -1-L) ki,— tIo _-‘,\s). CD o©� 0 -�-�=�-�'° •� � 1 II 1111 1 I 1 II` II � II' 1 111 li c\-..,917...7:...H..\,-;/R��w ._ L:: set en : tot fit t itnini it tett hl net tit :1V1•14C •lr. d • COMPLETE THIS S •. •► • ■ Complete items 1,2,and 3:Also complete A Received by se Print learly) B ate of Delivery 4 if Restricted Delivery is desired. Ikr���.Q,jt Ire 111 j- 24 • Print your name and address on the reverse LL so that we can return the card to you. C. Si nat re ,o / • Attach this card to the back of the mailpiece, X /� ff �I//�j ' Agent or on the front if space permits. / ///yyyJJJAy L /��({��(/i�Gi ❑Addressee D. Is delivery address different from item 1? 0 Yes 1. Article Addressed to. If YES,enter delivery address below. 0 No evd,©Lp h kob eil Cho DnJGtWarr>°n K ' (niche al F, 1 ns4 IDI Par r q _ I 3l Service Type ���JL_ RSCertified Mail 0 Express Mail OL? Ni- 1 bE 8 /❑ Registered 0 Return Receipt for Merchandise 0 Insured Mail 0 C O D 4. Restricted Delivery?(Extra Fee) 0 Yes - 2. Articir"---'-- '^ -`- — — — ii ; ii ; ii i i I ii i iii i i t ii ii i i i i i , , PS Forli 1595.00-M-0952 1 —J UNITED STATES POSTAL SERVICE 1111 First-Class Mail Postage&Fees Paid USPS Permit No G-10 • Sender: Please print your name, address, and ZIP+4 in this box • Lodi s Po $DX ] CYl�fh`-fvcIL. LW H932 - k b :• I MPLETE THIS SECTION •A!• • • • ' "g• • Complete items 1,2,and 3 Also complete A Received by(Please Print Cle-rly) B Date of -livery item 4 if Restricted Delivery is desired. z "/ /Lc) O • Print your name and address on the reverse so that we can return the card to you. C Signature • Attach this card to the back of the mailpiece, X / �%''% ❑Agent or on the front if space permits. Addressee D Is delivery address different from item 1? ❑Yes 1 Article Addressed to: If YES,enter delivery address below. ❑ No j-114e.GLO aw 0 S \"14614" 1 45 auki Lo La Liv, �;i;1—\-1C-1(.*) ) �, 11 Z 3 Se eType { •1 f t i i 1'. Iv. J� 2-Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise El Insured Mail 0 C.O.D. 4 Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number(Copy from service label) ii I1 i i i 1 r Iia ' li. II Via cll { I }: t PS Form 3811,July 1999 Domestic Return Receipt 102595-00-M-0952 UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 ° Sender: Please print your name, address, and ZIP+4 in this box • 1 aNil L.V0L.C.Y1/4.N fcsk fl 1 rv1 Amt -1-'11/4)CV-- Nr N H '5 2- :isq-:. 0::y L„ll,,,ill,I,„I,i,„i,lil,„I,„11„I,,,,Ili„i,u„lil,,,il K.34:111UI4'ldt/_11U:3_X•34I2 Domestic Mail Onl •No Insurance Covera•e Provided WiTEM•IMITal tc I=1 qi.orrukAsK t. UNIT ID: 0971 1-r1 Po r Certifi:d Fee MEM I Postmark m Return Receipt Fee' F-' (Endorsement Re:,fired) o • .4 Clerk: KKN0 O Restricted Delivery (Endorsement Require• ■ _ - 03/23/01 Ej Total Postage&Fees fU ru Name(Please Print Clearly)(To be completed by mailer) -.(WW1 Loi,-' p- Street,Apt.No.•or PO Box No. lr aox City,State,ZIP rv1,a r 1 Uc,1t Nru, 119 5 Certified Mail Provides: ■A mailing receipt •A unique identifier for your mailpiece n A signature upon delivery •A record of delivery kept by the Postal Service for two years Important Reminders: n Certified Mail may ONLY be combined with First-Class Mail or Pnonty Mail. s Certified Mail is not available for any class of international mail. • NO INSURANCE COVERAGE IS PROVIDED with Certified Mail For valuables,please consider Insured or Registered Mail •For an additional fee,a Return Receipt may be requested to provide proof of delivery To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee Endorse mailpiece"Return Receipt Requested" To receive a fee waiver for a duplicate return receipt,a USPS postmark on your Certified Mail receipt is required. ■For ash additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". •If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,July 1999 (Reverse) 102595-99-M-1938 Mitmorinwrinter (Domestic Mail Only; No Insurance Covera.e Provided- O a mssa rt: r- N 416r;o hi n ri e rei I us.9 4034 UNIT IU: 0971 L Lr1 ,e Ie ee 90 10 0 Postmark m Ret rn Receipt Fee Here mi (Endo menilliegyke.., . 11 Clerk: KKaera CI Restric-d DAIBIS/�.� ee I] (endors: ent Required) 03/23/01 D Total Pos•, F'b=.__,+_ Il_I Na a(Pleasel PSa -• 0• e ompleted mailer) m tJl Or 1- I(1-) p- Street,Apy No,or pQBox No. Ir i, City,Sta L ,ck, JJL 1)45 Certified Mail Provides: ■A mailing receipt •A unique identifier for your mailpiece •A signature upon delivery •A record of delivery kept by the Postal Service for two years Important Reminders: •Certified Mail may ONLY be combined with First-Class Mail or Prionty Mail. •Certified Mail is not available for any class of international mail. • NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. w For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS postmark on your Certified Mail receipt is required. •For an additional fee, delivery may be restricted to the addressee or addressee's authonzed agent Advise the clerk or mark the mailpiece with the endorsement"Restncted Delivery". •If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,July 1999 (Reverse) 102398-99-M-1938 f MIE-111:EMF:11:1-7-ru K- DMA Domestic Mail Onl •No Insurance Covera•e Provide. r9 [ Yts 113 PaM c 3 0763-k calm o 1 r i 0.34 UNIT Il: 0971 - Ln Posta = IIJ C � 1 OC® A,x.90 i_nCD 1 1.10 Postmark m Retur Recei•t Fee FARO ci (Endors= entRequired) g Clerk: FKlltRO Restric d D:1 s=u II-e. 3 200 @ D (Endors ment)':. d) 3.7 03/23/01 D Total Po tag & ees $ lL _ RJ Name(please +,A," -"r-arl)- •Tt mpleted by mailer) Ill V %r: - p- Street,Apt.jYQ.;or Pq Qo6Y. / �. PO lL�,(j(.J N City,State,Zrn a 'i\�/ v J q 2 r Certified Mail Provides: ■A mailing receipt •A unique identifier for your mailpiece •A signature upon delivery •A record of delivery kept by the Postal Service for two years Important Reminders: is Certified Mail may ONLY be combined with First-Class Mail or Pnonty Mail •Certified Mail is not available for any class of international mail • NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■For an additional fee,a Return Receipt may be requested to provide proof of delivery To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee Endorse mailpiece"Return Receipt Requested" To receive a fee waiver for a duplicate return receipt,a USPS postmark on your Certified Mail receipt is required ■For an additional fee, delivery may be restncted to the addressee or addressee's authonzed agent Advise the clerk or mark the mailpiece with the endorsement"Restncted Delivery" ■If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,July 1999 (Reverse) 102595-99-M-1938 V.$..•. - Y.]'AI.c - CERTIFIED MAIL.RE 0341:71 1 Domes is tat on • "o insurance. ore -•- Pr•r •-• r7J Willi RI co caul } moi,` - 661 , 0.34 UNIT III: 0 971 117 Postage $ R ��®L b , 1.90 u-1 � 1..,0 Postmark fT I (cp Re Rept Fed KHPw0 � (Fsnt Requerec) GIpY{�:e K (�(1O Re ryeo (En q d03/23/01 0 To e&Fees r7.1 rU Name -r-' -esfy),eT$ completed by mailer) o , a` Q-^ Streef,�Cpt©.;orOP x'ox7 1 �' ffrr,, .(vim Ji '^ NN ��/J r1=1, city,s.t- ztP- , _Lock_ U P J 7 )I !G 6 D—., Certified Mail Provides: ■A mailing receipt ■A unique identifier for'your mailpiece ■A signature upon delivery •A record of delivery kept by the Postal Service for two years important Reminders: •Certified Mail may ONLY be combined with First-Class Mail or Pnonty Mail. •Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. •For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS postmark on your Certified Mail receipt is required. •For an additional fee, delivery may be restricted to the addressee or addressee's authonzed agent Advise the clerk or mark the mailpiece with the endorsement"Restncted Delivery". •If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,July 1999 (Reverse) 102595-99-M-1938 IMMTITUNIVIEWRW-44P-2 Domestic Mail On! •No Insurance Covera•e Provide rO hitt ar, .43 MAGAF` 1A�Nr 5- 4.34 UNIT ID: 0971 Posta dPe H®(® j�— f n Ce ie a 4. 0 ▪1 • ,J Postmark m Return •eceipt Fee Hem (Endorsem•nt Rephpt 3 2001 Clerk: KKQORO 1=1 Restncted'elivery fee O (Endorseme t Requ -d) ;141 03/23/01 I= Total Postag'• rtl • flJ Narpe(Plea$ Pre, Int -- r^ (To ompleted by mailer) m (/ c��(•JJ{LCA, �\ /�� 0- Streett.No.•or PO Box No. N city,st rr iC.P'CI l / ck_ U 7 ` I q52._ �..�- .� .. - - - ot. n •IF Certified Mail Provides: T is A mailing receipt •A unique identifier for your mailpiece •A signature upon delivery s A record of delivery kept by the Postal Service for two years Important Reminders: •Certified Mail may ONLY be combined with First-Class Mail or Pnonty Mail. ■Certified Mail is not available for any class of international mail. • NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. •For an additional fee,a Return Receipt may be requested to provide proof of delivery.lb obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS postmark on your Certified Mail receipt is required in For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent Advise the clerk or mark the mailpiece with the endorsement"Restncted Delivery" tf Ha postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail IMPORTANT:Save this receipt and present it when making an inquiry. • PS Form 3800,July 1999 (Reverse) 102595-99-M-1938 .US.Po taI'S-a CERTIFIED M_' (Domestic Mail Onl • . •• Insurance Covera•e Provided— 0.34 UNIT IU: 0971 u7 Posta.- `\•� '7- 90 Ce•i® CO 1.50 Postmark rn Retur;`ec Fee (Endorse ientRequired) c� �UO� Clerks KKH�?W0 1 Restncte'.Deli t;j1 iv. 2 eD ` O (Endorsent • i \ 3,7 03/23/01 p Total Pos�:e$Fe \y„. I 'I U Name Please • •%r ':�ty) e mpleted by mailer) 1-1-1 telovi, u— Street,Apt.No.;or PO Box No. U / l�?52 �, City,Sta +621, Certified Mail Provides: ■A mailing receipt •A unique identifier for your macipiece •A signature upon delivery ■A record of delivery kept by the Postal Service for two years Important Reminders: in Certified Mail may ONLY be combined with First-Class Mail or Prionty Mad. ■Certified=Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. •For an additional fee,a Return Receipt may be requested to provide proof of delivery. co obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS postmark on your Certified Mail receipt is required. •For an additional fee, delivery may be restncted to the addressee or addressee's authonzed agent.Advise the clerk or mark the mailpiece with the endorsement"Restncted Delivery". .i If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,July 1999 (Reverse) 102595-99-M-1938 r YF1R1ae1te- Domestic Mail Onl •No Insurance Covera•e Provided Er w M:37 i[i {? atMI I t1 34 UPlIT Ino 0971 Lii Postage $ , .7' � Certified F 1'90 Lb A 1.50 Postmark f1I Reture (Endorsemn. Glerl n KK1b0 Restrict;•Delivery Fee l (Endors=mentRequired) .. A 2.00'3°• 03/23/01 0 Total•astatAes IL Ill Nam (P ase r t Clearly)(T' 'e •m•leted by mailer) m / c 1GO Er Stree NA• Bo# 1 Er NCity,, e, 1-+4 ( \y I j(]�2 PS Form 3800,Jul lJ••• J `• v r r t Certified Mail Provides: •A mailing receipt a A unique identifier for your mailpiece s A signature upon delivery s A record of delivery kept by the Postal Service for two years Important Reminders: •Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. a Certified Mail is not available for any class of international mail. • NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail •For an sydditional fee,a Return Receipt may be requested to provide proof of delivery To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS postmark on your Certified Mail receipt is required. or For an additional fee, delivery may be restricted to the addressee or addressee's authonzed agent Advise the clerk or mark the mailpiece with the endorsement"Restncted Delivery". .a If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. 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