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0 � ELIZABETH A.NEVILLE 11110 Gy Town Hall, 53095 Main Road TOWN CLERK o _. P.O. Box 1179 H Z ' Southold,New York 11971 REGISTRAR OF VITAL STATISTICS *' 1% Fax(631) 765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER Jo1 $ ',.'1 Telephone(631) 765-1800 '1 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 262 OF 2003 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON APRIL 22,2003: RESOLVED that the Town Board of the Town of Southold hereby authorizes a partial refund of$325.00 to A. & S. Villani as they have withdrawn their application#5208 as of April 15, 2003 from the Zoning Board of Appeals. Elizabeth A. Neville cf :,, Southold Town Clerk AP,1 1003 ZONImo ® APPEAL S ,iii,... APPEALS.BOARD MEMBERS J ��oI'�►.''StfFO �� ���A ' OGy•A Southold Town Hall Lydia A.Tortora, Chairwoman c :c 53095 Main Road Gerard P. Goehringer ti Z ; P.O. Box 1179 v George Horning O .F��� Southold,New York 11971-0959 (-)\ Ruth D. Oliva = ?1� a0�' ZBA Fax(631)765-9064 1 Vincent Orlando = �;•' Telephone(631) 765-1809 � ,' http://southoldtown.northfork.net BOARD OF APPEALS TOWN OF SOUTHOLD MEMORANDUM TO: Elizabeth Neville, Town Clerk FROM: Lydia A. Tortora, ZBA Chairwoman DATE: April 15, 2003 SUBJECT: Requests for Refund (Partial) The following applicant has submitted a request for (partial) refund regarding an application submissions to the Board of Appeals. The amount noted below is recommended, partially to cover the processing of the application, and the remainder which may be applied toward any refund that your Department allows. Thank you. Appl. No. 5208 —A. and S. Villani. Refund Recommended: $325 (out of$400 paid 8/9/02). Reason for Withdrawing: Personal to the Applicant (reason not given). Encl: (2) cc: Accounting Department J/�lam 4.4L/cit'4°41 Alex A. Villani �e•-, a.519 Stephanie Villani Salt Water Enterprises P.O. Box 956 Mattituck,NY 11952 9.1311 ee. (631) 298-4036 /////6 January 23, 2003 Southold Town Zoning Board of Appeals Town Hall Main Road Southold, NY 11971 0 Re: Application for Variance To Whom It May Concern: Please remove our application for a variance before the Zoning Board. We have changed our plans and no longer will need to appear before the board. If possible,we would appreciate the return of our$400.00 filing fee,which may be sent to the above address. Thank you for your consideration. If you need to contact us for any reason, please call us at 631-298-4036. Sincerely, OGGC-K- VILLRIA41 Alex and Stephanie Villani , • • •�,• , 0 ELIZABETH A.NEVILLE Ols°'0, O*4 Town Hall, 53095 Main Road TOWN CLERK o - P.O. Box 1179 ySouthold, New York 11971 REGISTRAR OF VITAL STATISTICS Oy, '* �*`'��� Fax (631) 765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER \_ j *soli Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER _ ���� southoldtown.northfork.net '•. ..,#, OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Zoning Board of Appeals FROM: Elizabeth A. Neville DATED: August 12, 2002 RE: Zoning Appeal No. 5208 Transmitted herewith is Zoning Appeals No. 5208—Alex Villani-Zoning Board of Appeals application for special exception. Also included is an applicant transactional disclosure form, ZBA questionnaire, Accessory Apartment questionnaire,building permit application, notice of disapproval, survey, and picture. APPEALS BOARD MEMBERS �'l®S���04 111/. �jy ;• Southold Town Hall Lydia A. Tortora, Chairwoman 53095 Main Road Gerard P. Goehringer y Z ; P.O. Box 1179 George Horning ;O . �� Southold,New York 11971-0959 Ruth D. Oliva =�*'® 4".\-6/ ZBA Fax(631)765-9064 Vincent Orlando =_ 4".\-6/* *too Telephone(631) 765-1809 http://southoldtown.northfork.net BOARD OF APPEALS TOWN OF SOUTHOLD MEMORANDUM TO: Elizabeth Neville, Town Clerk FROM: Lydia A. Tortora, ZBA Chairwoman DATE: April 15, 2003 SUBJECT: Requests for Refunds (Partial) The following applicants have submitted requests for (partial) refunds regarding their application submissions to the Board of Appeals. The amounts noted below are recommended, partially to cover the processing of the applications, and the remainder which may be applied toward any refund that your Department allows. Thank you. Appl. No. 5208 —A. and S. Villani. Refund Recommended: $325 (out of$400 paid 8/9/02). Reason for Withdrawing: Personal to the Applicant (reason not given). Encl: (2) cc: Accounting Department I— L ! 62,44.07. ou-AD -FroTt3 ‘ itc6A4 l Alex A. Villani Stephanie Villani Salt Water Enterprises P.O. Box 956 Mattituck,NY 11952 At" (631) 298-4036 n P V January 23, 2003 Southold Town Zoning Board of Appeals Town Hall Main Road \\ �� �r Southold, NY 11971 ' JAN 2. 8 Re: Application for Variance ,1 t To Whom It May Concern: ----- - "`� Please remove our application for a variance before the Zoning Board. We have changed our plans and no longer will need to appear before the board. If possible,we would appreciate the return of our$400.00 filing fee,which may be sent to the above address. Thank you for your consideration. If you need to contact us for any reason,please call us at 631-298-4036. Sincerely, 'AI .). ek Alex and Stephanie.Villani A 5)/ AN110 Alex A. Villani Stephanie Villani Salt Water Enterprises P.O. Box 956 Mattituck,NY 11952 (631) 298-4036 /// ! /r:�----- ..� ,' / I! October 22, 2002 7_/://,8 / / / ', 6 �,•... ,/r! l/r Southold Town Zoning Board of Appeals Southold,NY Re: Application for Variance November 14, 2002 meeting To Whom It May Concern: Please remove our application for a variance before the Zoning Board, We have changed our plans and no longer will need to appear before the board. - If possible,we would appreciate the return of our$400.00 filing fee,which may be sent to the above address. Thank you for your consideration. If you need to contact us for any reason,please call us at 631-298-4036. Sincerely, / 4,itt / I , 01 ()-6 Alex and Stephanie Villani „ APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS (D�� J C)v For Office Use Only Fee:$ Filed By. Date Assigned/Assignment No. 5--aCf-:3 ' Office Notes: Parcel Location: House No.RW Street (3retkik- v IIHamlet SCTM 1000 Section 0 6 Block Lot(s)20. t,Lot Size 2.3 a” ane District k go I (WE) APPEAL HEiWRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED: g I Applicant/Owner(s): A I )c \j Ilan ' 14e V l 1(a n i Mailing fru 2O X I C lv ) t�/ ILLI I V Uk J U 6 l 633 Address: Telephone: 2_9 `t0 3 6 NOTE: If applicant is not the owner,state if applicant is owners attorney,agent,at chitect,builder,contract vendee,etc. Authorized Representative: j) t2O rail/ D© Address: 90 SOX I ) & i ) atik)(10,4 NL) a1 9 3 Telephone: 73 — (e, q Please specify who you wish correspondence to be mailed to, from the above listed names: Applicant/Owner(s) ❑ Authorized Representative ❑ Other: WHEREBY THE BUILDING INSPECTOR DENIED AN APPLICATION DATED 8)z I o p- FOR: Building Permit El Certificate of Occupancy ❑ Pre-Certificate of Occupancy ❑ Change of Use ❑ Permit for As-Built Construction Other: Provision of the Zoning Ordinance Appealed. Indicate Article, Section, Subsection and paragraph of Zoning Ordinance by numbers. Do not quotepe code. Article Section 100- I M-Subsection Type of Appeal. An Appeal is made for: Ifi,A Variance to the Zoning Code or Zoning Map. ❑ A Variance due to lack of access required by New York Town Law-Section 280-A. ❑Interpretation of the Town Code, Article Section ❑Reversal or Other A prior appeal❑ has"l\has not been made with respect to this property UNDER Appeal No. Year Page 2 of 3 - Appeal Application Part A: AREA VARIANCE REASONS (attach extra sheet as needed): (1) An undesirable change will not be produced in the CHARACTER of the neighborhood or a detriment to nearby properties, if granted, because: o. \Nooc 2 , "5 czcAax- aid v It 6e- l7( en'vai - .. u 5c 5 y a w r Fa m.; l9 ��� as ri►Aa l/ reS(-61.0c e . (2) The benefit sought by the applicant CANNOT be Ochieved'by some method feasible for the applicant to pursue, other than an area variance, because:��LGid S I W� — Poe, 'VD FirancA �.t Cone 01)1S , 1 eAd eA l y �� W+1h OS on 001 piropy, $f11( wwiv� I o�i n Irl sc71Ae radia i-em-C2 (3) The amount of relief requested is not substantial because: �nle \Noire=p[a nn1 ,�� 19(m)d a 3—c 4-� &alb-�c.c-e Gvr�yv � v\la- \&1 .[d t .- fD o �,Q a Loa-\4 St-ory -to ifs (4) The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: Ste_ 4. I (5) Has the variance been self-created? ()() Yes, or ( ) No. If not, is the construction existing, as built? ( ) Yes, or ( ) No. (6) Additional information about the surrounding topography and building areas that relate to the difficulty in meeting the code requirements: (attach extra sheet as needed) 0 0 C..AA —,COP G' Pry This is the MINIMUM that is necessary and adequate, and at the same time preserves and protects the character of the neighborhood and the health, safety, and welfare of the community. ( ) Check this box and complete PART B, Questions on next page to apply USE VARIANCE STANDARDS. (Please consult your attorne Othe* is •le•se proceed to the signature and notary area below. i Signature of Appellant or Authorized Agent Sworn to before me this lI (Agent must submit Authorization from Owner) day.•f 00 tos (No ry Public) LYNDA M.BOHN ZBA App 9/30/02 NOTARY PUBLIC,State of New York No.01606020932 Qualified in Suffolk Cou Term Expires March 8,20 Qa-- t 1 r Page 3 of 3 - Appeal Application Part B: REASONS FOR USE VARIANCE (If requested): For Each and Every Permitted Use under the Zoning Regulations for the Particular District Where the Project is Located (please consult your attorney before completing): 1. Applicant cannot realize a reasonable return for each and every permitted use under the zoning regulations for the particular district where the property is located, demonstrated by competent financial evidence. The applicant CANNOT realize a REASONABLE RETURN because: (describe on a separate sheet). pit) Q) (A.R.0 Pf f 2. The alleged hardship relating to the property is unique because: €(43 wp,ki 0:94.1 4.1 t:--( m I;rvk B g 62 s 1-6 f 1 v i; TUrA a c q R idck To )J L' t 1 }( F-Ptv-) 63 c liits xi OF ice-' Ntg4 (.6 PF- 1-) 0 N.C. )-1 Ri- pf2,4711At'RA,4. 3. The alleged hardship does not apply to a substantial portion of the district or neighborhood because: Cc3Wr > j_ ' d -U - teroOO);P U�)- lyi 4. The request will not alter the essential character of the neighborhood because: Cot.) FlN c0 o1-tR wC)o(;:;)A D WOrKeC1 5. The alleged hardship has not been self-created because: ,,, 6. This is the minimum relief necessary, while at the same time preserving and protecting the character of the neighborhood, and the health, safety and welfare of the community. (Please explain on a separate sheet if necessary.) 7. The spirit of the ordinance will be observed, public safety and welfare will be secured, and substantial justice will be done because: (Please explain on a separate sheet if necessary.) L Lc'a;6a.L`k ,p‘ i 1-1 6\WMBQc .5ric _D RLi(' (-iZOOtat;D (7-o R._ ( ) Check this box and complete PART A, Questions on previous page to apply AREA VARIANCE STANDARDS. (Please consult your attorney.) Otherwise, please proceed to the signature and notary area below. # . ( . 1I d) , Signature of Appellant or Authorized Agent Sworn to b or e this ZAent must submit Authorization from Owner) day of Li. *4 .,A002---A LYNDq M g0 M RY PUBLIC, State oNNew Yo �- No. 01606020g82 York Ota Public) Term salified in Suffolk County ZBA App 9/30/02 Expires March 8,20 Q 3 1 •, 1 m PROJECT DESCRIPTION (Please include,with Z.B.A. Application) Applicant(s) A-fel A- , v 1 l (alb. , I. If building is existing and alterations/additions/renovations are proposed A. Please give the dimensions and overall square footage of extensions beyond Tsang building Dimensions/size. f1 t-{-V re.cc r- £2) dip 214 Square footage: 1(70 ET, B. Please give the dimensions and square footage of new proposed foundation areas which do not extend beyond the existing building: Dimensions/size: il Square footage: " II If_land is vacant: Please give dimensions and overall square footage of new construction. Dimension/size. F-1(1)111- 142_1 � e -( Lf2) Gill 2-Li I Square footage: {Q( 6- S4 FT , Height. z_ S n'eS III. Purpose and use of new construction requested in this application. e_/otpa t YiP4YIt IV. Additional information about the surrounding contours or nearby buildings that relate to the difficulty in meeting the code requirement(s): =c�,�, t` l y ti c( S 5 0(1) o C r-l'{-pkedWO kid (7.e, /1`ecu,r (NI a-4 n Ino ut-5 V Please submit seven (7)photos/sets after staking corners of the proposed new construction 7/02 Please note: Further changes, after submitting the above information, must be placed in writing and may require a new Notice of Disapproval to show changes to the initial plans If additional time is needed, please contact our office, or please check with Building Department (765-1802) or Appeals Department (765-1809) if you are not sure. Thank you. APPLICANT TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of Town officers and employees. The purpose of this form is to provide information which can alert the Town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same YOUR NAME: V l l ant Mc A , Ne) (Last name, first name, middle initial, unless you are ap ying in the name of someone else or other entity, such as a company If so, indicate the other person or company name) NATURE OF APPLICATION: (Check all that apply)' Tax Grievance Variance E/ 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 Town of Southold? "Relationship" includes by blood, marriage, or business interest "Business interest" means a business, including a partnership, in which the Town officer or employee has even a partial ownership of (or employment by) a corporation in which the Town officer or employee owns more than 5% of the shares YES NO If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold. Title or position of that person. Describe that relationship between yourself (the applicant) and the Town officer or employee. Either check the appropriate line A through D (below) and/or describe the relationship in the space provided The Town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); C) an officer, director, partner, or employee of the applicant; or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this day of Signature: Print Name. l ;., i 14-16-4(2187)—Text 12 PROJECT 1.0.NUMBER 617.21 SEQR . Appendix C • State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I—PROJECT INFORMATION (To be completed by Applicant or Project sponsor) I 1. APPU T/SPONSOR 2. PROJECT NAME �� V id1I 4 ; -z c ' i1 '64nm ' 3. PROJECT LOCATION: r� rn I Municipality I-7 3 C ��rca_k_co r Rd ,)County ' I rAt�L(C I 1A, D 1 (K 4. PRECISE LOCATION(Street alarm and road intersections,prominent landmarks,eta,or provide mull [ r 6 5. IS P POSED ACTION: iNew 0 Espana:ft 0 Modification/alteration 6. OE RISE PROJECT BRIEFLY: - 1 59 -et(e 5-arctoparet,r -rneiit • 7. AMOUNT OWN()AFFECTEk 2 initially L 3 acres Ultimately acres e. WILL PROPOSFlit D ACTION COMPLY WITH EXISTING ZONING OA OTHER EXISTING LANG USE RESTRICTIONS? ❑yes No It Ne.d ,1escrtbe briefly Gc/5v0/4-01c414- IM L{;1— p t4,, 7(— becrc 15(1 k rem`V h(th Or. OCC 0p 6iA1CJ 9. WHAT IS PRESENT LAND USEIIN VICINITY OF PROJECT? A Residential 0 Industrial 0 Commercial0 0 Agriculture 0 Park/ForesUOpen space Other se • be: • 10. DOES ACTION INVOLVE A PE MIT APPROVAL.OR FUNDING,NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL. STATE OR LOCAL)? 0 Yes y4 No it yes,list agency(s)and permit/approvals 11. ODES ANY AECT OF THEAC'I.;N HAVE A CURRENTLY VALID PERMIT OR APPROVAL? 0 Yes • If ycr.,11st agency name and permit/approval r 12. AS A RESULT OF PROPOSED9l(i;TION EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? ❑Yes ❑No f\}N rl ]li I (t _1(.. CERTIFYIMATTHE INFORMATION PROVIDEIID ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicani/sponsor name: 4tAft ( an11 Il pate: Signature: If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment • OVER • i . ...a. OFFICE OF BOARD OF APPEALS —' Southold Town Hall 53095 Main Road Southold, NY 11971 765-1809 tel. 765-9064 ZEA fax. ******************IMiY kI**********************k*A* *1**#r*******YhiF,kk,kik******k,4fM t«* ****** REPLY FORM Dated: 10--a--.9 ier24)-(< ) TO: Q L ,4_ 4,64,- ��d (Your application is incomplete for the reasons noted below. ( ) It is requested that the following be forwarded as soon as possible (within about 7 days, if feasible). The advertising deadline is 22 days before the meeting date and the information is necessary for review and advertising purposes. You may forward the information by fax at 765- 9064, however, please send the original by mail. Thank you. 14) The appeal was not filed within 60 days o the decision of the Building Inspector. 0 (p-) Missing information -please see missing information checked below. Please submit all the documentation, together with information noted below. If you have any questions, please call us at 765-1809. Thank you. Information requested: ( ) Notice of Disapproval issued by the Building Inspector after his/her review of this • particular project map. ( ) Check payable to the Town of Southold totaling $ ( ) Signature and notary public information are needed. ( ) An original and six prints of the map were not included. (Preparer's name and date of preparation to be shown.) ( ) Setbacks must be shown for the subject building to all property lines, with preparer's name. ( ) Six(6) sets of a diagram showing the doors, number of stories, and average height (from natural grade). ( ) Ownership Search back to April 23, 1957 for the subject parcel and all adjoining parcels, certified by a title insurance company, and insuring the Town for$25,000. ( ) Copies of all current deeds and tax bills of the parcels back to V) Ot frr, bd ems► —B/-oaL:� ��•_�r, . / � OFFICE OF BOARD OF APPEALS Southold Town Hall 53095 Main Road Southold, NY 11971 765-1809 tel. 765-9064 ZBA fax. *****A*k*******A****A AAA Ak*k*Mr**Irk**il***A* *A*iFiF***kk*********************id(*fele**A*********irk** REPLY FORM Dated: •20-rl---6 / TO: Q 020 cf (Your application is incomplete for the reasons noted below. ( ) It is requested that the following be forwarded as soon as possible (within about 7 days, if feasible). The advertising deadline is 22 days before the meeting date and the information is necessary for review and advertising purposes. You may forward the information by fax at 765- 9064, however, please send the original by mail. Thank you. NI) The appeal was not filed within 60 days o the decision of the Building Inspector. 0 (4) Missing information -please see missing information checked below. Please submit all the documentation, together with information noted below. If you have any questions, please call us at 765-1809. Thank you. Information requested: —`' ( ) Notice of Disapproval issued by the Building Inspector after his/her review of this • particular project map. ( ) Check payable to the Town of Southold totaling $ ( ) Signature and notary public information are needed. ( ) An original and six prints of the map were not included. (Preparer's name and date of preparation to be shown.) ( ) Setbacks must be shown for the subject building to all property lines, with preparer's name. ( ) Six (6) sets of a diagram showing the doors, number of stories, and average height (from natural grade). ( ) Ownership Search back to April 23, 1957 for the subject parcel and all adjoining parcels, certified by a title insurance company, and insuring the Town for$25,000. ( ) Copies of all current deeds and tax bills of the parcels back to p4 Ot hp,,) 3/--oa _, - , It ita - cLC-P--2 y 4aQ-CL440 3 e- ett--•)�cc.�-Q� . ' .�c�-� —mac�e � '' to / C tritC /117 fj-j-14 * C4)416121-L112 TOWN OF SOUTHOLD, NEW YORK ACCESSORY APARTMENT APPLICATION FOR SPECIAL EXCEPTION Application No. Date Filed: TO THE ZONING BOARD OF APPEALS, SOUTHOLD, NEW YORK: • I (We) , 11iev an -9-e fllaYtI V1,1 kii I of .H5O5 Ores-F MI 11 House No. and Street M +vc Hamlet State, Zip Code)I I CI,c9 hereby apply to THE ZONING BOARD OF APPEALS for a SPECIAL EXCEPTION in accordance with the ZONING ORDINANCE, ARTICLE . , SECTION /op— 3/ , , SUBSECTION for the below-described property for the following uses and purposes: 6a e/afar-i e i f a37{ "hew n k o vis e rag 6 h WI way ) be (4..Sd py"y owner's PorvtiJj ohl . a. �� GLov�s , S cu,rr& $ F 285-70 - as shown on the attached plan drawn to scale. A. Statement of Ownership and Interest. A ex and S ' #kcvie 1/'llani .s (are) the owner(s) .f pro.-rty known an. re erre. o as G ejai a:- I pOW 4 0C4- House GeHouse No. , Street, Ha let identified on the S olk County Tax Maps as District 1000, Section jet , Block g Lot 20.4 , which • (is not) on a subdivision map (Filed "Map of .Subdi✓i$ion Sunsefi Knol/S " Filed Map No. g - e2 The above-described property was acquired by the owner onril r B. The applicant alleges that the approval of this exception would be in harmony with the intent and purpose of said zoning ordinance and that the proposed use conforms to the standards prescribed therefor in said ordinance and would not be detrimental to property or persons in the neighborhood for the following reasons: !)s •e 15 by owners 1 Fuji y villy, as i1 eft. n-eS d-eA4 odec2 .3 acres, 'aye aP�o��� s p -fvaf £' -h f' use . C. In addition to meeting the standards prescribed by the zoning ordinance, the following requirements will be met: 1 . The accessory apartment will be located only in the principal building. 2. The owner of the existing dwelling will occupy one of the dwelling units as the owner's principal residence. The other dwelling unit which is part of this application shall be leased for year-round occupancy, evidenced by a written lease for a term of one or more years, which will be filed annually. 3. The existing one-family dwelling shall contain not less than sixteen-hundred (1 ,600) sq. ft. of livable floor area. (continued on page two) • t � Application for Special Exception Page Two (continued) C. 4. The accessary apartment shall contain not less than four-hundred fifty (450) square feet of livable floor area. 5. The accessory apartment shall not exceed forty (40%) percent of livable floor area of the existing dwelling unit. 6. A minimum of three off-street (on-site) parking spaces shall be provided as shown on the attached plan. 7. Not more than one (1 ) accessory apartment will be on this parcel . 8. The accessory apartment will meet the requirements of a dwelling unit as defined in Section 100-13 of the Zoning-Code. 9. The exterior entry to the accessory apartment has not changed the existing exterior appearance of a one-family dwelling. 10. All exterior alterations to the existing building, except for access to the apartment, is made on the existing foundation as shown on the attached plans. 11 . I understand that the Certificate of Occupancy will terminate upon the transfer of title or upon the owner ceasing to occupy one of the dwelling units as the owner' s principal residence; and -that in the event of the owner's demise, the occupant of the accessory apartment may continue in occupancy until a new owner shall occupy the balance of the dwelling or one (1 ) year from date of said demise, whichever shall first occur. 12. This conversion shall be subject to inspection of the Building Inspector and Renewal of Certificate of Occupancy annually. 13. The existing building which is converted to permit this accessory apartment has been in existence and has a valid Certificate of Occupancy,' i,ssued prior to January 1 , 1984, and attached hereto. 14. The existing building, together with this accessory apartment, shall comply • with all other requirements of Chapter 100 of the Town Code of the Town of Southold. 15. This conversion for the accessory apartment shall comply with all other rules and regulations of the New York State Construction Code and other applicable codes. R-- &D D. The property which is the subject of this application is zoned and [ ] has not changed since the issuance of the Certificate of Occupancy attached. [ ] has changed or received additional building permits, and Certificates of Occupancy for these changes are attached or will be furnished. COUNTY OF SUFFOLK) STATE OF NEW YORK) ss. ' (Signature) Sworn to before me this day of , 19 (Notary Public) ZB5 2/6./86 . • • APPEALS BOARD MEMBERS ,)4,,, IFFO[,S-COG, p'� n Southold Town Gerard P. Goehringer. Chairman Hall Serge Doyen. Jr. • . =` 53095 Main Road = P.O. Box 1179 James D ,Jr. O •• r Southold,New York 11971 Robert A. Villa • y�0 ,�!-,007Fax(516) 765-1823 Lydia A.Tortora 1r �` Telephone(516) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD • QUESTIONNAI-RE (Accessary Apartmen)r Bed and Breakfast with Owner-Occupancy 1 Names of Individuals or Parties Having an Interest in the Subject Premises and a descriptiontheir of Interests . 41X and S' ko, - V/lam o uo hire Name of the Apr 4c, t( s) and his/her Residence: Alex a� �.�,,�'e l/�'/lam ' J .55e5 vices/A1/Re� /I/1R7f ,c,� Names of Current Residents/Occupants of the Subject Premises: No,v primal/?,( residoi. ce f/h.o ' Gonsh-u.Ckon Current Occupants are: (please check one or more boxes) ( } Tenants with Written Lease { } Tenants without Written Lease { } Current Owner (. } Contract Vendees • ( ✓T Proposed Occupants4Residents under the Subject Application ( } esi en s NOTE: By not check nts one ormoreof the above, it is assumed that the current Occupare without a written lease, 4 not tenants with a written or inhrut vended are not current owners, are not under the vendees, are not proposed Occupants/Residents residence. SubjectApplication, and/or have a different Is the subject premises listed on the real estate market for sale being shown to prospective buyers? ( } Yes 4,1 No. Authorized Signature and Date 3 Car Garages with Apartments Plan #A310C 3 Car Garage/Studio - Gable Style $89 42'-0" fix,, 11 1 LIIIIIiuII `�. ern:d_- r/t, Y' ,hers Qi.---cA ���! �. �� ` f� N/ Air -:.^ I, l � i wise i* ig �,,� `�,/...14;i='i , 'lrze^ �.. �"'""1 Garage ir_Iuw3dC�-..i: I[is�i iiir�Arrrsri;�\w f 24'x36' 4,=1�iyi�':��'w �iii ur-41.114-2M41- 7,'�- ` --.. ----ill,-; - + I �-• P ........w.;.............,,,,„„17.r- Ill f / 1st. Floor(851 st) ry l u,l 1. 3 I•ia.�'' `III `I gm 7-1 3I �,l16 :'._.i—,�I� sammoimmou i , 17-2" 17'-4" -:• •. • u+ -�-_•— •% ••�t' .4:Bed Rini-- m I Living , :,::ter .`'•�J ..fiT;. ;:<..Z zN ;wIsiu;; ri:;' ,;L; , r • 1,. ............... 4, 0 • SURVEY OF LOT 2 SUBDIVISION MAP FOR N ANTHONY DRIIS 5$ HELEN DRIS sFILED MAP T�N�Fr SITUATE: MATTITUGK W e` E /oyd TORI :SOUTHOLD <-f:, SUFFOLK GOMTY, NY s 'o, s, SURVEYED 03-15-01 SR0- I AMENDED 02-01-02, 03-IG-02, 104-23-02,05-02-02, 05-31-02, 01-01-02 i SUFFOLK COUNTY TAX LOT# 1000 - 106 - 8 - 20.6 # 1 SUFFOLK COUNTY DEPT. OF HEALTH Lot ... m # RIO - 02 - 0034 VsojC) I - \ 0- -- CERTIFIED TO: .---�a— ALEX A. VILLANI °' STEPHANIE VILLANI w�ad,e`e COMMONWEALTH LAND TITLE 3 I INSURANCE COMPANY a °, septic not _ 0 .., °� dwelling in this area r•"��p .Q o °\ S88°47'00"E °'° well in basement s N -Cl c 9-: EL=54 - In---° o--° 2� r O o ---��. \ 680.72' �' Test Hole �� q N \ /°tea Di EL=43 ��; i From tv C�D m l S. W N \ v FeeaG °o° Filed Mop �' �o�°�+,t -- R)w �� h dark 0 0 O O o�y°� / "� brown 5 0, a' A p— I loam N °� 24' a` \ greyish 0 6 ' N3m�c O own �' ��• silty clay z 6 O °m ' b Proposed C� grey % Lot # 2 �W . clay 7 5 ' 'g. i �W Test q ti. Hole 0 p ' va m o' 42' ,it5kk / • ^ / �` qr — 1� g 0-0 , Proposed v' d W connect to Tx en m t ry Dwelling y' {y existln9 public,ya �� W ter O i �— 48' ®�� cy• sandy W 60 -- 39 Proposed Septic 9- remove any unsuitable material and backFill / 0, W - 9 •n EL=52 • ry with clean material Q GROUND WATER20 N88°47'00"W 295.17' - / W • •. �� �� brow9h CD gC O CI.0 r`y 3' - clayey 0 3 N72 / o/ sand p• �, •"ao°slice °� , c I 25' Q-76 9 0 QQif r_ o' �o �� {Y c 9 O o brown s ZS °aa•�°6•P' J�� sand arse 0 0 • C 3.68' j N%, 31 9 90 Lot �� S. dWellln EL=44• g vacant public wa er 'Unauthorized Siteroticn cr addition to a sowed mop beor29 0 licensed land surveyor's seal is o violation of section 1202 sub-dMsicm 2 of the New Ycrk State Ed...ton Low- • ,ef 0'i. NEI,"-- i e-),r = m•ked�lthe�fro�thl or glha lof and thissurvey Y``7ir/ _ stomped seal shall berconsidered to be vabd true NOTES: or�.`�.0 G. Ey4� `� hap,es t i� � Gertiry'notions indicated hereon csignify that this �rvey os prepared in occcrdan Ith elle ex ■ ' O ,;J \ bytheNew York StatCade of ie Associationce for aSurveys Profess•onall MONUMENT yto the person for whom the survey is prepared _ Land Surveyors Said certifications shall run only 1 a , and on his behalf to the title company governmen- tal % '(`'.-.4.' I� ossig and lancing nein InS listed hereon and It l I��i1 o the on oasgnot t of the lancing o i00umnan c°limon- 1 �Q M ' tions are not tronsfaroblo to odditicnol Institutions 6. -_-...--.MA `l ' �T �i SURVEYOR TT AREA = 23645 ACRES SOUTHOLD TOWN ZONE R 80 ,`/�F1%S� 50202SJQJI�• �►�, �,�1 C. ����`�� LAND `' ® ��®� •�� LANDS 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 GRAPHIC SCALE I = 60 RIVERHEAD,N.Y. 11901 369-8288 Fax 369-8287 REF.-\\Hp server\d\PROS\01-123E.pro lnaem b.91.4eAH VA,serverWVi+OSbl-i ya • 3 ,. 1 FORM NO. 3 NOTICE OF DISAPPROVAL DATE: July 31, 2002 TO: Alexander and Stephine Villani PO Box 956 Mattituck,NY 11952 Please take notice that your application dated July 29, 2002 For permit for construction of a garage addition with an apartment above at Location of property: 735 Breakwater Road, Mattituck,NY County Tax Map No. 1000 - Section 106 Block 8 Lot 20.6 Is returned herewith and disapproved on the following grounds: The construction is not permitted pursuant to Article III, Section 100-31A, which states, "In A-C, R-80, R-120, R-200 and R-400 Districts, no building or premises shall be used and no building or part of a building shall be erected or altered which is arranged, intended or designed to be used, in whole or in part, for any uses except the following:" "A. Permitted uses." "One-family detached dwellings, not to exceed one dwelling on each lot." T•- . . .osed construction . - .'tutes a second dwelling. • o -. gna •e Note to Applicant: Any change or deviation to the above referenced application, may require further review by the Southold Town Building Department. CC: file, Z.B.A. 9 TOWN OF SOUTHOLD BUILDING P]" •IIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you nave or need the following,before applying? TOWN HALL Board of Health _ SOUTHOLD, NY 11971 3 sets of Building Plans TEL: (63,1) 765-1802 • - • Planning Board approval FAX: (631)-765-9502 Survey PERMIT NO. Check Septic Form N.Y.S.D.E.C. ' - Trustees Examined ,20 Contact: • Approved ,20 Mail to: j r p Disapproved a/c .7 / Phone: 2_1 8'" 40 3 en Expiration ,20 ipAse _ . Bui d i : Inspector �,/ 'r - JJJL77 7 , ' { APPLICATION FOR BUILDING PERMIT I , ! Jul_ 2 9 2o;1 „✓' ' q I' '.�.. , - r _i' Date J I 20 D Z __." -,r___:_. } a INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 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 areas, and waterways. 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 will issue a Building Permit to the applicant Such a 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 what so ever until the Building Inspector issues a Certificate of Occupancy f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing,the extension of the permit for an 'addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE 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 code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections V 2.),, b (Signature of applicant or name, if a corporation) Po boy Is-4 MA.- fock- Nl Y (Mailing address of applicant) 119SZ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder 0(A) ne r ax4 e—rza. ( c-o r\-- -f-o r Name of owner of premises A j-e_K A- . V[ I I an i (As on the tax roll or latest deed) if applicant is a corpor%" n, signature of duly_authorized officer ir (Name and titllee f corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on w h proposed wor will be done: 7-3 5- mea.k v\ra- er- (2_oa �P M c ' -Fuc k House Number Street Hamlet i'fi w•, County Tax Map No. 1000 Section 1 0�D Block L"o, ;��,., Subdivision S AOF }<_yl D Ii$ Filed Map No. 5 Lot' P '. (Name) `-f� `f� .�, S�, mon - J 2. State existing use and occupancy of premises and intended"use and occupancy of proposed construction: , • - a. Existing use and occupancy Vacet. i+ 14 n d b. Intended use and occupancy e RV\6►-� ) i"F (VUR-+rn en t O CD1\r edin6 / i-\All v4ay 3. Nature of work (check which applicable): New Building ✓ Addition Alteration' Repair Removal Demolition Other Work (Description) 4. Estimated Cost go � ° C d Fee (To be paid on filing this application) 5 If dwelling, number of dwelling units I Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. N 7 Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front 4a' Rear i-P-1 Depth oa LI I Height Number of Stories --7 I �� ! S 9 Size of lot Front I Rear I I Depth 10C I 10. Date of PurchaseZOO 1 Name of Former Owner e (Py\ Prl 3 cti I 1 Zone or use district in which premises are situated 12 Does proposed construction violate any zoning law, ordinance or regulation? YES NO 4------ 13. t13. Will lot he re-graded? YES NO Will excess fill be removed from premises'? YES NO 14 Names of Owner of premises' A. ( �lan 1 AddressP0-6 95k Ma-G'44-ione No. 2-95- 4034 Name of Architect Des,&-n 1--VD rn e5 Addressl l Cdmig 2t5 DT-7 Phone No 570 - 75 2— 1 DO) Name of Contractor ,�(P� A A . \4 )1 1 Address I oo w1S rG P Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * IF YES. SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS• COUNTY OF ) AIf )( N. \A' nani being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the O(A)nr at eA .e r-el.I f 1-GC ci—v ( o tr ctor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to be re me this o?61 day of /\, 206D_ , )i) AI. ii-- 9 , ( 7, Notary"Public Signature of Applicant V. W,�T NOTARY PUBLI1ANETC,STEScateof New York No.52-46633485 Coptic ed in Suffolk County 0n EIrrs Nov.30,200 D-- ', i • DCC) - --_ ;PC) , ( TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET ‘--1 ' 3 VILLAGE DIST. SUB. LOT it Gip � � ACR. RE A S � ciF6 O - C fije mloorZ-L.(6ComV % ' -Zvi-r.5) TYPE OF BLD. '�l OY - G� PROP. CLASS HCl e/er ,rrs _3// LAND IMP TOTALDATE l (:)C ` _ {h"-1 )o c , o c.- 21Kr() 27/0/01- 770 o©-- \L,v-15 4 61/3 ` ,� � --t/io 1 o - L i all 7,0 Q01 - . ._►C] /ion t # €.c 4'/2iq 066 FRONTAGE ON WATER TILLABLE 1' FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT I I.9-4--`c" 1'1-Oo • I TOTAL 20 - c • _. - „ -;o.. , - _ __ " --.- - r -- -- - .-.nom+-� (�1` _� cg \� O��' 9Z 7e, C ���� •m 1' b ,�. am • .e. va *, `Y a RD. +w � TOWN OF 2 a° A (49.5') �,A3\ 10 C �/ a 2. egt 1xo non O y1 ton 3 V ISS O7:00: �yQ o0j'e3 N 8 ay Z�8 1 a 8.po9 e 3 4 ? 10A ss �_-w,__ 19.9A(c) ��V s 'e .G. �O qv,o Bp W` 9 a^ 2 100 1w (50') a�/^ >* . e. a�' ® ' aye o a9e WOR g EASt RD' .31 / so 06X33Geo 'r ,>~ `�6) '„ ae .s�7 g 2 A1�) 46 w-� 4' .4 � .0 % 1 �. J In sa, a R84A(c)•aa'itq3-11mz v° ss�� utirlikrte.-: O�G �• N N Tr 432 um DR. 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T4. -�" A.p a y y o s m U O St Q9 1 - 33 a 35 2 n° y 5a a`)• tb d+" 0 lil'�'`s 20.4 .0,, un 04., >. $0 00') � ltio s ' 40 1p • m �' ee a u, su ti - e "n 1'0 s aa, ,P° $ 20.7 1 .\. 2.2A x see za .e, I I 1m 17 , '(0 +4` 55� 5o YP''S� iorib, 5 R 6 5 4.7 " zra D c 116652+ w W Z1Alc) F a^ . /A' S 39 .iA ,( 5 PLd n 20.3 o a 6.1 at m 4.8 AyO. ,w .y0' pv Ygg.' y` y6 4 W. ,n' ep0 19 O m 3.OA(C) g 4 no no at BATHER « A \15'�Y� .,`! bn '4` '�• R $ m+ 8 0 zv SELAH SLA. (50'1 m "II \ +` sos w ,2, 11 \vm '\ so m tU 1113 'pr •y1 'S9 w sa, ' " 4.5 `j9 us a° o \ \Y �1 er qa\c. ^ Id el° g`<S�" 'pC 20.2 m y 4.4 5 4.3 ° R\ 1 m I. 9,/'. S r +lam`- 0 19 1.8:1 os r ''. 6°-50 a. 3 r '3 6 y1Alc) a1s Re w $ 1.2 1.3 16.� BIa ,,,";44//,,,,,,p y, ,v /q"L/.:.GT m, `A,. ,Ie a * ,50�S, 5oald 7.8 cn no yBAlc) ''• S.BAIc) a 2.lAlc) \�5 /.�'wae�Po fi'/�u.'y 20 11 2.1A1c) / 11 y 1• L1, s� 8.1 m S/'r0/ o./3 3 v- ✓ O,Q a�,. 2.6812":4 Afc) / Go / n ( (A° pt+ ,w 'saem a �'h /ta / ! 0:0%, � 3 1.4 R ,•'.6- •‘?etai 6.,Pa / titi•�• s. 47.2 g 7.7 zn 3.2A1c) w 14.2 % � 0 Po,� 6//fie/Sd 6'7, %•r'�pI lsAi Se °b s 0 1.LI(c) s S.OAIc) , S ry / A ro 4i I FOR PSECEN N0. a �, c`2 7'6 " 2.6AfC) W b $ 0�/ / 4. �/0 /// 3' 11 w L24 )` SEE SEC.N0. \ ¢.� as ,ss sa000 S ."47/,'..\,:. a/ A6 y1 105-01-003,1 z 'l" x LSA(cl 5.5 2 :L,114,9.,1 s /d \Noiney�'�- 2.OAIc) ,• ' SOPS a A „ - wSg as 8.3iri '?, ,) 1. 61P1m1 7� 2.6A(G 3E" u, " 21.1 ^¢' S°\/° a _y,a/ ��\ 3X \`3'�/.i 24.2s/moo/, ,$���" \�'+ c9'�g 5I•lA(c) W F 3 2.OAld1.BA24.1 }`• \3?b e'A\ '�\\ ..sae � JaF.N s' vd ar 5 12A1c1 5.1 0 ,Sz.10Alc) S.OAIc (30'S09 'si � \�\AFidaoP�4 a zv ::".:„.A..:\:;:,,,,,,8.4 3.2A 2.OAldL9Ale) 30 ,ee • 5A A} 'w 3 3 asFrgy;8,' 6 ) •7O;S�16• .y iy ,L +y Pt6\ 7,10 A 10, F ee o 6 2�yi' { 'Qs S tr 53.3 ��a 4 as azo di 2,4.0. v lax ? ,4 ,,PIG .`L.ti 20• y�� \ x FOR PARCEL N0. ra 1 1 �� ye 26• 2t A 46 \\\a\No.aA SEE SEC.N0. FOR PARCEL N0. 251 ALOA(c) w 5 L0A(d F , pan a=IaSEE SEC.N0. 3.2A(c) 1"$ �, a 14 W111: 1wLaE 4tG 20• \ d�Fw' 1< 105-01-006.2 Mp1C '@ N 265,200 3 :; ( '§. 113-02-001.1 $$ e,e asan s un: \W 0 s'''2.5,4kN 265,200 8 $ 0'8 3 17 tC 3 �' 5„e' �. S MATCH z LINE 4¢ MATCH z LINE m 1 452.2 A(c) 4 - 1? 170ue 13 q� 1w m 0 �R\ ,•gz �, @ w` 0• 5./31,`: - \,, _________,___ ' SEE SEC. • N0.113 ,p* •n� an & `',a an 1ss 7Aye rC 26e ,,y 91`./•' .:VO"� ^�' v. '7'' 4' w SEE SEC o Na113 • y ti COUNTY OF SUFFOLK © KSOUTHOLD SECTION NO yy'y >� L Property or Rt Urn SiLAvlelan Lot No. GA, Bbtlt LhJT SNwI Dlatrlct Lln° --SCH Hydras}Ole'trlci Lon --H-- UNLESS DRAWN OTHERNISE, ALL PROPERTIES LONG ISLAND 0919 100 TORN OF ARE WITHIN THE FOLLOWING DISTRICTS• NOTICE , `'�tj�;: E SOUND 106 8-- SCHDOL 9 SERER 000 MAINTENANCE,ALTERATION,SALE OR ,••"�o ....�" Real Property Tax Service Agency Y iso VILLAGE OF 6,...„:' E Denotes tomoOmer -�- s bd Rolan1.4/1360.11. (21) ewe O Tat Mem UUB -P Refuse Ltietrkt DISTRIBUTION OF ANY PORTION OF THE �)` �, County Center Riverhead,N Y 11901 105 T':v 1 G SaEANalan Lot UM - Deed DGmiuion a Water Olarict Uro --R-- Me}orlod0letrlet Ltrn -HST-- FIRE 30 HYDRANT • `,.' • 107 PARK ae RE US SUFFOLK COUNTY TAX MAP IS PROHIBITED ;j(,I M F( N Stream/se.. '�` Sand Dlmmelan to Ca�nh Uno �- Lldrt Dlafrlcf Line -_L-_ Aobdoc Dlefricf l6e-_p-_ i PARK 71 REFUSE SCALE IN FEET• D Panel No 23 -� Deed den 121 A(dl or 12.1A Tom ww --- Pus metrInt Una --P-- lastevater detrlrt Len-WW-- AMBULANCE WASTEWATER WITHOUT WRITTEN PERMISSION OF THE `.,....'Y'®� `" 200 0 20o 400 A DISTRICT NO 1000 [ }' Wanted Area 12.1 Mc) --'-- REAL PROPERTY TAX SERVICE AGENCY. • P 112 113% : 114 PROPERTY MAP A YWaOa Una Sealer DIa}rlct Low -S-- C , W 'ZCONVERSION DATE. Auo 28,Ms a v lkh / - sl�-c=) /56"-.� -(>20.-6 - _-- ,ia s�-- ------------- - -- - Fp ,/ �®t �1'Ff®(,het® ELIZABETH A.NEVILLE "��may° Gy`; Town Hall, 53095 Main Road TOWN CLERK % ® P.O. Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Vas Fax(631) 765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER `���®� $',,•'1 Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER _ ,r��� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Zoning Board of Appeals FROM: Elizabeth A. Neville DATED: August 12, 2002 RE: Zoning Appeal No. 5208 Transmitted herewith is Zoning Appeals No. 5208—Alex Villani-Zoning Board of Appeals application for special exception. Also included is an applicant transactional disclosure form, ZBA questionnaire,Accessory Apartment questionnaire,building permit application,notice of disapproval, survey, and picture. a _ I APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS r I I For Office Use Only Fee:$ Filed By: m!'• v t``a--,M. Date Assigned/Assignment No. .O Office Notes: I II Parcel Location: House No.17:W Street 8161.fr---MOHamlet Ait - 1 f l/(,f'— SCTM 1000 Section O 6 Block Lot(s)20. kot Size 2.3 a'' ie District k go I (WE) APPEAL HE TRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED: O O g-- Applicant/Owner(s): A Ie_)c V I 1(arig Addresings: Po 20 x 5-42 L�/ ILL�"I u Ck AV 11 l J Z Address: I,� Telephone: 2_9 8" 14-03 NOTE: If applicant is not the owner,state if applicant�� is owner'swnattorney,agent,architect,builder,contract vendee,etc. Authorized Representative: 1)e 2 a► z- l Do Address: (� £ c,'ho skit.) 1 113 S— Telephone: 73 iiUa Please specify who you wish correspondence tb be mailed to, from the above listed names: i)cApplicant/Owner(s) ❑ Authorized Representative ❑ Other: WHEREBY THE BUILDING INSPECTOR DENIED AN APPLICATION DATED g)z/ o a— FOR: ABuiiding Permit ❑ Certificate of Occupancy ❑ Pre-Certificate of Occupancy ❑ Change of Use ❑ Permit for As-Built Construction Other: Provision of the Zoning Ordinance Appealed. Indicate Article, Section, Subsection and paragraph of Zoning Ordinance by numbers. Do not quotepe code. Article - Section 100- I i4 Subsection Type of Appeal. An Appeal is made for: lkA Variance to the Zoning Code or Zoning Map. ❑ A Variance due to lack of access required by New York Town Law-Section 280-A. ❑Interpretation of the Town Code,Article Section ❑ Reversal or Other A prior appeal❑ has*as not been made with respect to this property UNDER Appeal No. _ Year Page 2 of 3 - Appeal Application Part A: AREA VARIANCE REASONS (attach extra sheet as needed): (1) An undesirable change will not be produced in the CHARACTER of the neighborhood or a detriment to nearby properties, if granted, because: .,-6A l d irvgl S on o Vv o o d_ X 2 , 3 ct.Gr2. e a iN� h� I f p n`cg uSe 15 y Q ON 4 F�Ali lye &inkyy'' as rimay restd&nce • (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: Doi -ro f=i rtar eAtO e nee-rn S , °r &tderl y r &tat i\f ° cltioc c S fp with US on oor poDpeAtty, tOhi1c S1- ll scW in c. • (3) The amount of relief requested is not substantial because: VJ ()Lannito bwflct a 3—CEvi �c ccGe GLrty j v�la� Wattd �;(ce fo ct acecoi--.4( sl- / to if, (4) The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: 5-ce It I (5) Has the variance been self-created? (() Yes, or ( ) No. If not, is the construction existing, as built? ( ) Yes, or ( ) No. (6) Additional information about the surrounding topography and building areas that relate to the difficulty in meeting the code requirements: (attach extra sheet as needed) qJ e0 ,c tAKz;, IP i o P o�Gth i'i-3--1 This is the MINIMUM that is necessary and adequate, and at the same time preserves and protects the character of the neighborhood and the health, safety, and welfare of the community. ( ) Check this box and complete PART B, Questions on next page to apply USE VARIANCE STANDARDS. (Please consult your attorne Othe is- •le se proceed to the signature and notary area below. I ( , b �1 Signature of Appellant or Authorized Agent Sworn to before me this l 1 (Agent must submit Authorization from Owner) day.•fJ- 00 (No .ry Public) LYNDA M.BOHN ZBAApp9/30/02 NOTARY PUBLIC,State of New York No.01806020932 Qualified in Suffolk CounV Term Expires March 8,20 a— • • Page 3 of 3 - Appeal Application Part 8: REASONS FOR USE VARIANCE (if requested): For Each and Every Permitted Use under the Zoning Regulations for the Particular District Where the Project is Located (please consult your attorney before completing): 1. Applicant cannot realize a reasonable return for each and every permitted use under the zoning regulations for the particular district where the property is located, demonstrated by competent financial evidence. The applicant CANNOT realize a REASONABLE RETURN because: (describe on a separate sheet).po Q E co.R.t EA Pl t—e� 2. The alleged hardship relating to the property is unique because: kGP FA '1112-'( peo-lvk 1.31 s 1-9flvi; N A F kcat.4RS R LA,V. 1 0 1.1 L k wall 12fr —'u- cJ is a; cis ice-' 0)4 4 Cb. 0E- t-> i PLC. 0151z3r7:4 ►,'Rte 3. The alleged hardship does not apply to a substantial portion of the district or neighborhood because: , 4. The request will not alter the essential character of the neighborhood because: (COP F1 co 70 o - R. e�e,��� D rgg `1 5. The alleged hardship has not been self-created because: .1 i �- CRt Br c a);cp,ot S1; D F jae'Rfji- oga- t fATI NJS 6. This is the minimum relief necessary, while at the same time preserving and protecting the character of the neighborhood, and the health, safety and welfare of the community. (Please explain on a separate sheet if necessary.) C.,10-4*Y‘c- i r:, k L fro--r c/API S L: 7. The spirit of the ordinance will be observed, public safety and welfare will be secured, and substantial justice will be done because: (Please explain on a separate sheet if necessary.) A L Piorn -i PewM�)..f'2s wive-D egb0i0AD a R. ( ) Check this box and complete PART A, Questions on previous page to apply AREA VARIANCE STANDARDS. (Please consult your attorney.) Otherwise, please proceed to the signature and notary area below. t J • (LcL Signature of Appellant or Authorized Agent Sworn to b or e this ,/ (Agent must submit Authorization from Owner) day of Q. . ., 00� NO LY(VDA M. BO ��� TARP P(1gZiC State oN No• 01 Bp602093 New York ota Public) TQ salified in Suffolk Count ZBA App 9/30/02 Expires March 8,20 PROJECT DESCRIPTION (Please include with Z.B.A. Application) Applicant(s)• tk('1?i 1( A-- , V 1 l((/� ,I(1 I. If building is existing and alterations/additions/renovations are proposed: A. Please give the dimensions and overall square footage of extensions beyond e,isting building. Dimensions/size: I Ybl'l 42.) rear (-4-2_1 01.12 til. 21 Square footage: Ivo ` t FT, B. Please give the dimensions and square footage of new proposed foundation areas which do not extend beyond the existing building: Dimensions/size: /1 J P Square footage: " II. If land is vacant: Please give dimensions and overall square footage of new construction: � Dimension/size: fin{- 14V re_our t-{-2' OLQ p 'l 2-14 Square footage: JQoS- 5T PT , Height: 2 Slip rCeS III. Purpose and use of new construction requested in this application: e-( G artrn.e4clt IV. Additional information about the surrounding contours or nearby buildings that relate to the difficulty in meeting the code requirement(s): -raw ( {V G CCAS 5 0 cur /&pc 41-04, GOO IA id he- n€a,1 he cur loin V V. Please submit seven (7)photos/sets after staking corners of the proposed new construction. 7/02 Please note: Further changes, after submitting the above information, must be placed in writing and may require a new Notice of Disapproval to show changes to the initial plans If additional time is needed, please contact our office, or please check with Building Department (765-1802) or Appeals Department (765-1809) if you are not sure. Thank you. 1 1 APPLICANT TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of Town officers and employees. The purpose of this form is to provide information, which can alert the Town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same YOUR NAME: V t a n( Ak A , ( S tu4( (Last name, first name, middle initial, unless you are ap ying in the name of someone else or other entity, such as a company If so, indicate the other person or company 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 Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business, including a partnership, in which the Town officer or employee has even a partial ownership of (or employment by) a corporation in which the Town officer or employee owns more than 5% of the shares YES NO If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold. Title or position of that person. Describe that relationship between yourself (the applicant) and the Town officer or employee. Either check the appropriate line A through D (below) and/or describe the relationship in the space provided. The Town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); C) an officer, director, partner, or employee of the applicant; or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day of Signature. Print Name: • 1416.4(2/871—Text 12 PROJECT 1.0.NUMBER 617.21 SEQR Appendix C • State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I—PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLI VI!! y r. I 2. P ROJECT NAME ( / V I I nlI iffadtrYwn-r PROJECT LOCATION: Municipality 1 ✓5— g,-„ kw r (24.1county Ut: 1 hLL ) Sur L'K t/Count 4. PRECISE LOCATION(Street address and road intersections.prominent landm rks,etc..or provide map) S. IS P POSED ACTION: New 0 Exoanslon 0 Modification/alteration 6. DE RISE PROJECT BRIEFLY: 7. AMOUNT OF /ANO AFFECTED Initially TL 3 acres Ultimately 2 acres 8. WILL PROPOS 0 ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? ❑Yes No It No,describe briefly a Cce,/C ao aA ( nL l.,64,17 b&-P rc (q o OCcop aihcj 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? Z4 Residential 0 Industrial 0 Commercial 0 Agriculture 0 Park/Forest/Open space 0 Other ee . be: 10. DOES ACTION INVOLVE A PERMIT APPROVAL OR FUNDING.NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL STATE OR LOCAL)?.$ 0 Yes 11 No If yes,list agency(s)and perm,Uaoprovals 11. COES ANY A ECT OF THE ACTI:.V HAVE A CURRENTLY VAUD PERMIT OR APPROVAL? ❑Yes If ye:,list agency name and permtUapprovai - 12. AS A RESULT OF PROPOSED ACTIO EXISTING PERMIT/APPROVAL REOUIRE MODIFICATION? ❑Yes ❑No I CERTIFY THAT ITHE \INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: _ : 1-e_ _ 4 t �( 11 air 111 pate. Signa lure: It the action is in the Coastal Area. and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment • OVER 1 3 Car Garages with Apartments - - . - Plan #A310C 3 Car Garage/Studio - Gable Style $89 42.-0" -i.,,,,.�_-mss.. : ' i� \�� ��\ - -C: `iposo...,taioi'efk '.��Illf /mac o (I I/rd/ 'l I//1,1 fir MVOMT 1� Ct < ::,�. ,.�r�.. „ r..��;ra.; Garage -*IJ/�����,.�.1,...ii� gfile.� � .[/1 24x36 riie�G:��iirsiiisi.L/.I IL/1M /,i/l��iiA„ �-'—,. ij ,.,.Pj1�_LS 1,M L.jtiu�-a-1.1 t1 i '° litm��I 1st Floor(851 sfl i. r.l 1 - _ .�.n�i 7`t� w � *111 i F i�9=�� 17-2" 17-4" , 11111.0111111 ;',-;-:.----..',:••,,..--:.::•-:•:-_: ..., ;:.:.:; Z ..`u ..... BedRm l Living�a, ;W i,; - ".j.,,. is A41._,;:ti.:= v.Fc `„;,iy,.... ;:e..;. 138x14 13'8x17' =_ ;. •: '. !i-,74,.1%;j Ci e- f ...�.':.`\',a t'iti n,,..' u..:..: _. N I� Litortogit, Eat! Copyright 1994 -Andrew Sheldon 2nd. Floor(759 st) A covered entry and enclosed stair leads up to a full one-bedroom apartment in this three-car version. The kitchen features larger counter space, with a counter separating the kitchen and eating area. I SURVEY OF LOl 2 {_ . SUBDIVISION MAP FOR N ANTHONY IDRI5 54 HELEN DRI5 W e s E 87;4,FILED MAP #8qc E�. SITUATE: MATTITUGK , \ I ko yd TOWN: SOUTHOLD SUFFOLK COUNTY, NY S �, s SURVEYED 03-15-OI v-, AMENDED 02-0-1-02, 03-IG-02, 04-23-02,05-02-02, 05-31-02, 07-01-02 SUFFOLK COUNTY TAX LOT# 1000 - 106 - 8 - 20.6 pn SUFFOLK COUNTY DEPT. OF HEALTH Lot # 1 \ �� # RIO - 02 - 0034 0 CERTIFIED TO: °'°oo,o ALEX A. VILLANI °/ STEPHANIE VILLAN 1 °Hn`° COMMONWEALTH LAND TITLE INSURANCE COMPANY o septic not = ryp;/ c' o — dwelling In this area r.• ��0 �' a /°/° well in basement Q ��t 9: EL=54 __- 'o\°,. S88°47'00"E /°/°/° .z°°D ryN� O 680.72' • �' • (�/ Test Hole �� \ - °/ °/ °/ EL=43 from tV�� N \ eFg00 l _— '. Filed Map �' o \ w° 0 0' 0 -l9 O °/°/° .,„A&t'� brown 5 O V /\ /Lot 2 ° w clay y 0 15' 'g, �W�_ Test clay 7 5 $ \ .').,� -W- Hole kl o / ,£ 0-0 Proposed v_ It W connect V. toe'--_____1 ,,b8. /� brown l� -'m tv Dwelling G. WsHny w ``••' yy ester Ci ' 3 9 Proposed Septic 44,1•0 W 60. O remove any unsuitable N material and bockrIll / 0 W ,c .5- with dean material 2 9 D EL=52 • / �_W . :I OO Ul GROUND N88 47 00 W c WATER 20 ' O 7 1/ 295.17' °�, `T N720/0, \ / °�o I °so a 25 9 ,, encs oo�/ o`��•FO /r� W. brown 9• • c O ,c ^� , Goatee, °s • . . 253.68, rN.00i' 31' 9 9 O Lot 3nag J ', ¢ public welwaer - EL=44 v+; vacant . ' •Unauthorized alteration or addition to a survey • mop bearog o licensed land surveyor's seal Is a - I violation of section 7200 sub-division 2,of the New York State Education Los' o„: /'� 'Only copies from the original of this survey ,�/ 00� N NLIv �_ marked nith and original of the laid seveyorb • \ r�p = stomped seal shall be considered to be valid tree �� ., G. E/-/ ' copies t.".. ,.'1.. •LertIfIcations nddcated hereon signify that this �/yurvey nos prepared in accordance with the ex- NOTES: �,�� •�� •(r ''. ..1, IstS9 Cade of Practice for Land Surveys adopted '� `O � (1� by the Nen York State Association of Professional Lord■ MONUMENT C } J_% t °y`,far velem thglcs tlrcn°5 shall run only 7i person y pvepmmren and on his behalf to the title cowpony ga y `M,0:. % tel agency and lancing institution listed hereon and lk /� h��i1 , to the osre.d andtenma ntldution lLertutbns ASTAKE � o.', O i transferable • p AREA = 2.3645 ACRES ` • ti 502 �/, 13=-TLE ' l 1 '�' It I' •�C/,,, J� , �I�t�J �o �r��JE._d I")�.S L:.•Ill. f1 i�,!l � `SJ� 11h �.-d 1 ��I I��Iy. SOUTHOLD TOWN ZONE R 80 •• • •SFO LAND.." 6 EAST MAIN STREET N.Y.S.LIC.NO. 50202 GRAPHIC SCALE 1"= 60' - RIVERHEAD,N.Y. 11901 limn 369-8288 Fax 369-8287 REF.-\\Hp server\d\PROS\01-123E.pro 1 I • ) • TOWNOF ( ON ; f SOUTHOLD, NEW YORK ACCESSORY APARTMENT APPLICATION FOR SPECIAL EXCEPTION Application No. 56428 Va Date Filed: Oviv TO THE ZONING BOARD OF APPEALS, SOUTHOLD, NEW YORK: .1 ) I (We) , Aki anot -SIel Q 014n)LIof 5505. VVes+ Ml II I ,1 House No. and Street AIV I Icic-9 (Ham et, State, Zip Code) hereby apply to THE ZONING BOARD OF APPEALS for a SPECIAL EXCEPTION in accordance with the ZONING ORDINANCE, ARTICLE , SECTION /00- 31A , SUBSECTION for the below-described property for the following uses and purposes: cacu a-r- e�,� G�- & fa /4/0--in o S / J 6 �inviee -llway ) be bt.c d � y ©Goner's kov,Sc ,�S curee l u��-�� ( A46,1K y 17 4t. 2E57c2 l- as shown on the attached plan drawn to scale. A. Statement of Ownership and Interest.A ex and S '/�LV)Ie 1Allam a's (are) the owners) f property known an. re erre. o as �� P_akwekg Koad /(/(�-{fj¢ticK my louse No. , Street, Hamlet) identified on the S olk County Tax Maps as District 1000, Section 1016 , Block I , Lot 20..6 , which � (is not) on a subdivision map (Filed . Map of Su-hdi✓!'Sias Sunse-f Kno//S . " Filed Map No. _51 L9$' The above-described property was acquired by the owner onr L r B. The applicant alleges that the approval of this exception would be in harmony with the intent and purpose of said zoning ordinance and that the proposed use conforms to the standards prescribed therefor in said ordinance and would not be detrimental to property or persons in the neighborhood for the following reasons: Vs /5 by owner-Si F 'i y ofl , asloP-irYieure fusid-e.A4ct 2 vSeoode2 .3acres, /ar9e aP�n��y / pe4.va k x, u PA ICIs use. C. In addition to meeting the standards prescribed by the zoning ordinance, the following requirements will be met: 1 . The accessory apartment will be located only in the principal building. 2. The owner of the existing dwelling will occupy one of the dwelling units as the owner's principal residence. The other dwelling unit which is part of this application shall be leased for year-round occupancy, evidenced by a written lease for a term of one or more years, which'will be filed annually. 3. The existing one-family dwelling shall contain not less than sixteen-hundred (1 ,600) sq. ft. of livable floor area. (continued on page two) Application for Special Exception l Page Two (continued) C. 4.- , The accessory, apartment shall contain, not .less than four-hundred fifty (450)' square feet of livable floor area. 5. The accessory apartment shall not exceed forty (40%) percent of livable floor area of the existing dwelling unit. ' ' 6. A minimum of three off-street (on-site) parking spaces shall be provided as shown on the attached plan. _ 7. Not more than one, (1 ) accessory apartment_will be on this parcel . 8. The accessory apartment will meet the requirements of a dwelling unit as defined in Section 100-13 of the Zoning Code. 9. The exterior entry to the accessory apartment has not changed the existing exterior appearance ',of a one-family dwelling. 10. All exterior alterations to the existing building, 'except for •access to the apartment, is made on the existing foundation as shown on the attached plans. - ` ' 11 . I understand that the Certificate of Occupancy will -terminate upon the transfer of title or upon the owner ceasing to occupy one of the dwelling units as the owner' s principal residence; and that -in the event of 'the owner's demise, the occupant of the accessory apartment may continue in occupancy until a new owner shall occupy the balance of the dwelling or one (1 ) year from date of said demise, whichever shall first occur. 12., ' This conversion shall be subject, to inspection of the Building Inspector and Renewal of` Certificate of Occupancy annually. 13. The existing building which is converted to permit this accessory apartment has been in existence and has a valid\ Certificate of:Occupancy i;ssued prior to January 1 , 1984, and attached hereto. 14. The existing building, together with this accessory apartment, shall comply with all other requirements of Chapter 100 of the Town Code of the Town of Southold. 15. This conversion for the accessory apartment shall comply with all other rules and regulations of the New York State Construction Code and other applicable codes. nn p� D. The property which is the subject of this application is zoned K- D) and [ ] has not changed since the issu•ahce 'of the�'Certificate of`Occupancy attached. '[ ] 'has changed or received additional building permits, and Certificates of Occupancy for these changes are attached or will bei furnished. , /: 6\1\ COUNTY OF SUFFOLK) , STATE OF NEW YORK) (Si nature) Sworn to before me this Wit- day of [to e-4 , 9 ,ic, - (Notar Publ . ) • LINDA J.CQOFtl ZB5 2/6J86 Notary Putsl6c6,Staeoofdap to; _ • too. �o2a December � � Teem 1 FORM NO. 3 • NOTICE OF DISAPPROVAL DATE: July 31, 2002 TO: Alexander and Stephine Villani PO Box 956 Mattituck,NY 11952 Please take notice that your application dated July 29, 2002 For permit for construction of a garage addition with an apartment above at Location of property: 735 Breakwater Road, Mattituck,NY County Tax Map No. 1000 - Section 106 Block 8 Lot 20.6 Is returned herewith and disapproved on the following grounds: The construction is not permitted pursuant to Article III, Section 100-31A, which states, "In A-C, R-80,R-120, R-200 and R-400 Districts, no building or premises shall be used and no building or part of a building shall be erected or altered which is arranged, intended or designed to be used, in whole or in part, for any uses except the following:" "A. Permitted uses." "One-family detached dwellings,not to exceed one dwelling on each lot." t: 41LJ.osed constructio_ -,:,...'tutes a second dwelling_ I - % -. gnat-4 e Note to Applicant: Any change or deviation to the above referenced application, may require further review by the Southold Town Building Department. CC: file, Z.B.A. ( Fc4 - I S FORM NO. 3 NOTICE OF DISAPPROVAL \\\\\l'i --` DATE: July-3172002 TO: Alexander and Stephine Villani PO Box 956 Mattituck,NY 11952 Please take notice that your application dated July 29, 2002 For permit for construction of a garage addition with an apartment above at Location of property: 735 Breakwater Road,Mattituck,NY County Tax Map No. 1000 - Section 106 Block 8 Lot 20.6 Is returned herewith and disapproved on the following grounds: The construction is not permitted pursuant to Article III, Section 100-31A,which states, "In A-C, R-80, R-120, R-200 and R-400 Districts, no building or premises shall be used and no building or part of a building shall be erected or altered which is arranged, intended or designed to be used, in whole or in part, for any uses except the following:" "A. Permitted uses." "One-family detached dwellings,not to exceed one dwelling on each lot." The .ro.osed co ,014 • •, stitutes a second dwelling. r t ignature Note to Applicant: Any change or deviation to the above referenced application, may require further review by the Southold Town Building Department. CC: file, Z.B.A. TOWN OF SOUTHOLD BUILDING PE T APPLICATION CHECKLIST BUILDING DEPARTMENT Do you AMP need the following,before applying? 110 TOWN HALL , Board of Health SOUTHOLD,NY 11971 3 sets of Building Plans TEL: (631) 76,;',P-IM2 • Planning Board approval FAX: (631)765-9502 Survey PERMIT NO. Check Septic Form N.Y.S.D.E.0 " Trustees Examined ,20 Contact: Approved ,20 Mail to: Disapproved a/c7; -z Phone: 2_1 8'— 140 3 b Expiration- ,20 � p nn _ Ir Bui di : Inspector y ir:' I-7 t` ` ^ ` I APPLICATION FOR BUILDING PERMIT t .. _; __. ___. _ i / Date V 1 , 20 D Z �._.._..� "_ r,,,, r} INSTRUCTIONS a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 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 areas, and waterways. 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 will issue a Building Permit to the applicant. Such a 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 what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date If no zoning amendments or other regulations affecting the property'have been enacted in the interim, the Building Inspector may authorize, in writing,the extension of the permit for an 'addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE 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 code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspectionsble La1 ` L (Signature of applicant or name,if a corporation) po box Is-4 MA.-N i NY (Mailing address of applicant) i I 152._ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder OW ne r ctArk.d e rtt, ( co11-1-r c f o r Name of owner of premises A I.e-x A- . \f 11 an i . (As on the tax roll or latest deed) If applicant is a corpor signature of duly.authorized officer ir (Name and titllee f corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on w h proposed wor will be done: R M a'13C rea.k v\fa. - r� cK House Number Street Hamlet County Tax Map No. 1000 Section i 0 6 Block g ,,,,.,%.,,,,,,,,-,'',(2D a' Subdivision Sin;' k KA D(1.5 Filed Map No. 5Lot•'• p '-f� `fF� .--,Let" •-fie= 'sun (Name) • 2. State existinguse and occu of premises and intended use arid-oZ -pancy of proposed construction: , P Y a. Existing use and occupancy VaC&rrl` I Q n b. Intended use and occupancy e RPG ) F clia+rn e n t owl col nechh6' 3. Nature of work (check which applicable): New Building ✓ Addition Alteration' Repair Removal Demolition Other Work (Description) 4. Estimated Cost g o 0 00 Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units I Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. /VA- 7 Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories S. Dimensions of entire new construction: Front 4 a' Rear t-P-1 Depth 0.Li I Height Number of Stories - —7 II G I 1 9 Size of lot: Front 2_0 I Rear ) S I 1 Depth b D 10. Date of Purchase Att 2,001 Name of Former Owner -H- ..t ex Pr, 5 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES GOD 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES 60)-----.-' �rlescA. '(ll�ni •L�,� 14. Names of Owner of premises Address��� 9.� Ma�7hone No. 29 5- 4-036 Name of Architect pe.�►�i-n ft rn es Address)) adoi MIS Pr) Phone No 57o - 75 2- 100 Name of Contractor ,Ate* A . V 11 owl t Address B too S b o rG PA" Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES N * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ) A -e k-. VI' ) 1 a n1 being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the Dv)(ler &r e�r-a( f yuc-zt ( o tr ctor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application, that all statements contained in this application are true to the best of his knowledge and belief, and that the work will be performed in the manner set forth in the application filed therewith. Sworn tobe remethis o(/ day of /\, 206 D_ it 1 (j-kt-' , _ , . Notary Public , . • - • ' ' Signature of Applicant ,. • 1ANETV.STEWART NOTARY PUBLIC6$tate of New York No.Sr-� 334R5 . Dualrfled in Sufak County Comrrr.'ssion Fires Nov.30,20 0D— APPLICANT TRANSACTIONAL DISCLOSURE FORM The Town of Southold ' s Code of Ethics prohibits conflicts of interest on the part of town officers and employees . The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same . YOUR NAME: V Io 1 kje) A .) o Y✓1 V 1' ! Icni S. 1 r1Le. (Last namh , first naifie , middle initial; uiil. s you are applying in the name of someone else or other entity , such as a company . If so , indicate the other person ' s or company ' s name . ) 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 Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. YES NO If you answered "YES, " complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself ( the applicant ) and the town officer or employee . Either check the appropriate line A) through D) and/or describe in the space provided . The town officer or employee or his or her spouse , sibling, parent , or child is (check all that apply ) : A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation ) ; B) the legal or beneficial owner of any interest in a noncorporate entity (when the applicant is nob a corporation ) ; C) an officer , director , partner , or employee of the applicant ; or D) the actual applicant . - DESCRIPTION OF RELATIONSHIP Submitted is day of signature TV:9S'• Print name - • 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 s e4Ltnie. y beatt ched. ) , c and VI Ifaii I Nlorf-a jee: snmar d , a,e ,r,• Imp, . B. Is the sub ' - t �i e►AFFa/0 NY /cf2.clp Bale being shown pre i es listed on the real estate market for { No. (If Yes,oprospective buyers? { } Yes please attach copy of "conditions" of sale. ) C. Are there a y proposals to change or alter land contours? { } Yes 04-No D. 1. Are there any areas which contain wetland grasses? NO 2. Are the wetland areasown on the map submitted with this application? /1I 3 . Is the property bulkh aded between the wetlands area and the upland building area? NO 4. If your property contains wetlands or pond areas, have you contacted the Office of the Town Trustees for its determination of jurisdiction? /up- E. Is there a depression or sloping elevation near the area of proposed construction at or below five feet above mean sea level? A/D (If not applicable, state "N.A. ") F. Are there any patios, concrete barriers, bulkheads or •fences which exist and are not shown on the survey map that you are submitting? NOH If none existplease state "none. " G. Do you have any construc ion taking concerning your premises? yes If yes,place pleaseat submitths time of your building permit and map as approved yia copy Department. If none, PProved by the Building please state. H. Do you or any co-owner also own other land close to this parcel? Are) If yes, please explain where or submit copies of deeds. I. Please list p .ese t u .e or oper tions conducted at this parcel P1, VIA, L- ' /000. ,06. proposed use S' g2,0•6 and • •.. .i•• I ✓ Pr is; - - -See. bk./'/O,1' 0 / 1 _ JJ aA V a Aut'nrized ignature and Date 3/87, l0/901k i • • APPEALS BOARD MEMBERS S • ' HO �'CO�y� Gerard P. Goehrin¢er. Chairman �� . Gym` Southold Town Hall -� 53095 Main Road Serge Doyen. Jr. U' r P.O.Box 1179 James Doyen., Jr. o Robert A Villa y, Orn Southold, New York 11971 Fax(516) 765-1823 Lydia A.Tortora ••=7°,1 �' Telephone(516) 765-1809 dF BOARD OF APPEALS ., TOWN OF SOUTHOLD • QUESTIONNAIRE _ (:Accessory AAartment der Bed and Breakfast with Owner-Occupancy ! ' Names of Individuals or Parties Having an Interest Subject Premises in the and a description of their Interests: (,ex and gefkaAliz- VII o 1.017er,S) Name of the Am is t( s) and his/her Residence: l SS e5 1/1�e.�f All RIJ /1/1a-,�y/ric,� Names of Current Residents/Occupants of the Subject Premises: No Ne, — p res i oon. ce dn4 censlyz,ickon Current Occupants are: (please check one or more boxes) { } Tenants with Written Lease ( } Tenants without Written Lease /0k- ( } Current Owner { } Contract Vendees ( ✓V Proposed OccupantsOesidents under the Subject Application • { } esi en s NOTE: By not checking one or more of the above, it is assumed that the current Occupants are not tenants with a written or without a written lease, are not current owners, are not contract vendees, are not proposed Occupants/Residents under the Subject Application, and/or have a -fern residence. different Is the subject premises listed on the real estate market for sale - being shown to prospective buyers? { } Yes ( No. IV ' I 1 (r f 1 ... Aut7 orized 'ignature and Date / TOWN OF SOUTHOLD BUILDING PER ''APPLICATION CHECKLIST BUILDING DEPARTMENT i Do you ha j or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 3 sets of Building Plans TEL: (631;) 765-1802 - Planning Board approval FAX: (631)-765-9502 Survey PERMIT NO. Check Septic Form N.Y.S.D.E.C. ' - Trustees Examined ,20 Contact: 0;i Approved ,20 Mail to: Disapproved a/c I rPhone: 2 / g- '40 3 4 Expiration ,20 kIIIILO v Bui di • Inspector 'HIb r___. �1 II `'F ! t,I APPLICATION FOR BUILDING PERMIT r! JUL 2 9 Poo? 7i q __ ___.- 1 i J Datelj 1 , 20 0 Z ,----__L._:_:._:_ r;,,r i INSTRUCTIONS a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 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 areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d.Uponipproval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a 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 what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property-have been enacted in the interim, the Building Inspector may authorize, in writing,the extension of the permit for an 'addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE 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 code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections n i `^-�l Yom+ JL1 (Signature of applicant or name,if a corporation) Po- oY 's7 Mii4f ci NY (Mailing address of applicant) t I e c'� State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Oct ne r c /eAnc-rtt ( c o n-I- c.--f-o r Name of owner of premises A l-e,x A . V( fl an i ' (As on the tax roll or latest deed) If applicant is a corpor% n, signature of duly.authorized officer (Name and titllee f corporate officer) Builders License No. Plumbers License No. _ Electricians License No. Other Trade's License No. 1. Location of land on w -1 proposed wor will be done: 173,E re, .k v\ia. er- (2-®u.�P Al a-1-1-i +vc,K House Number Street Hamlet ap County Tax Map No. 1000 Section 1 't b "" O•�. 1L � Block ;:.�, .'I,o�',: �,�` Subdivision S &ri KYl D[� Filed Map No. Lot", p � �f�Y;,;;.� fie;' ion (Name) ' s , 2. State existing use and occupancy of premises and intended"ase and occupancy of proposed construction: a. Existing use and occupancy \OICCt,n± 14.n d b. Intended use and occupancy 6-1-4- )----: ) iZ+rn ent NAA co h rlethl &' . / 1-Nall Way 3. Nature of work (check which applicable): New Building ✓ Addition Alteratio Repair Removal Demolition Other Work (Description) 4. Estimated Cost 90 1 0 cc Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units I Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. (VA- 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions.of entire new construction: Front 4 as' Rear i+P-' Depth 2 9 I Height Number of Stories II 1 9. Size of lot: Front 2_0 t Rear ) S I J Depth b D I 10. Date of Purchase AAtt ZOO 1 Name of Former Owner -+6(e_JA P I, 3 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES (NOD 1------- ' 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO 14. Names of Owner of premiseseg As.-Vi »``" Addressl2°. 95b Mf ri1 hone No. 2-9 5- 4030 Name of Architect pest G-h lit)r t eS Address)) �vJ4 rZS £f Phone No 570 - 75 2.— 100 Name of Contractor A'te*- A A . Vi )1 a - t Address1•51°°1Y15 b u me IA Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES 0 * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ) A ' p-.. VI' , l o1 n i being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the 0G ver I ai eAl&r-L1,( opinfc- z ' ( o tr ctor,Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief, and that the work will be performed in the manner set forth in the application filed therewith. Sworn to bre me this o?"J day of `‘, 206 D.- ‘110, , t p , (a_ _ __ c , , . . ' of Notary Pubh SignatureApplicant 1ANETY.STEWART , NOTARY PUBLIC,State of New York � No.52-466334R5 ' COn1fTt'tnCd IR$U1fOtk , ' ssion&fres Nov.30,200 d--- 1 SURLY ,OF LOT 2 • SUBDIVISION MAP FOR N ANTHONY DRIIS�4 HELEN DRIS , ✓ i....,----. sr. A , FILED MAP #Scic1SITUATE: MTTITUG W �� E ' 1/V/• -\, kogd TOVINo SOUTHOLD -'P.‘ SUFFOLK SUFFOLK COUNTY, NY S - \,),,9 SURVEYED 03-15-01 Q � AMENDED 02-07-02, 03-IG-02, 04-23-02,05-02-02, 05-31-02, 01-01-02 SUFFOLK COUNTY TAX LOT# 1000 - 106 - 8 - 20.6 3- 1 .0' SUFFOLK COUNTY DEPT. OF HEALTH Lot 1 , m �ro # RIO - 02 - 0034 o-ui \ CERTIFIED TO ALEX A VILLANI STEPHANIE VILLANI law° COMMONWEALTH LAND TITLE INSURANCE COMPANY 7'. _ , septic not Oi: fl /°/ dwelling in this area � � S88°47'00"E well in basement ik- o o �, \ 680.72' �' Test Hole `� \ °/°/ ry N .o °/ EL-43 Filed Map \\ ,,,,,e ,,,,c,,_- --- -- — -- �. 0 0 0 't' .0 /°'° ' bran O °_°—O,�° 24• / ' N n ° 6 a c o nCD si cloy Q o \ §. b y /Proposed / �N� I C ,1 _@,[{ ,� DrNewoy / 9fey 2 o er1 ' Lot -YB- a f ; / - o to �S -' l/ Test cloy 7 5 , \ N ' t 41' /�''L $ Hole�o 0 42 / gh / / �Y q " Proposed V Proposed-, W connect to (V/ p-- brown4 -m 0.0 N Dwellln9 .e,, __W exlstln Publl / • \ cs°nd O 48• p _W"later C ® / r 3'C Proposed Septic — - N 60• c remove any unsuitable / iP S O- " material and backfill % W� Q j - O •n EL-52 • with clean material GROUND 20 N88°47'00"W 295.17' / W CQ- U clayey • / �`3 FA'"� woo,, N c" 25. c " is O A. e ke72 103n/1 T cef. /�- o- O vuFr�Y \ m, 4, . •-V 903 • brown s `° - - 2 ot, °h p. J,`� sand os • 53.68, 3° eV- 31 0 9 O I ��{{ t��y c7s°7; 6�®� !T Y�f t • dwellingEL=44 gr' public wafer - vacant -- / mcr d° c,Nei+Ycri 5(ce Eorc°.cn urvoJ �`�r /•` "_ C<e�cs�'h an'°ri�in�cf 5 and svr'v euc-s i I i`L�,��f i!°mpetl s 'F II to consd5re°.c be vci 1 vuse NOTES: ,�����Ci Ey4C`�P0 feeutlMaot,',ne eed aems egr yth,,- 11 J' rreF°�ed�n° °�den fe ween.n ,tma Lcde c tice Fer�0nd s ay-°d°ptatl �O - �it_o�d�s�.�.�c-ss steed c��ur°co.��z 51wii n MONUMENT14 4e �rl � tc Nap 1 i+M1°m the sire^eyed \. I � L^agency°ted end rg mst.tcn ted Hare°nm°^° QL-Ns assignees cr Lhe lend ng nst fiLcn Lerlific0 L1STAKE I i ►4 � °ran°t tr°nsfar°le t°°ddtena nst..t°ns 4 I <.� =iy $;(7` I, , Iiy ii, iia �',I [D , l , IiiAREA = 2.3645 ACRES <,' f' ! 'I a ..� I, - y. �:' +, o' a jI t.'a. l SOUTHOLD TOWN ZONE R SO 1 6 EAST MAIN STREET N.Y.S LIC.NO. 50202 GRAPHIC SCALE I"= 60' a ••- - RIVERHEAD,N.Y. 11901 MI =I .• •111111111111•111111111•111 369-8288 Fax 369-8287 REF.-\\Hp server\d\PROS\01-123E.pro 7/1/2002 10 31,a6AM .0 3e.,./.1305,01 12334,0 • Ain Of Southold '.0 Box 1179 oouthold, NY 11971 L * * * RECEIPT * * * Date: 08/09/02 Receipt#: 1379 Transaction(s): Subtotal 1 Application Fees $400.00 Check#: 1379 Total Paid: $400.00 Name: Villani,Alexander A Po Box 956 Mattituck, NY 11952 Clerk ID: LYNDAB Internal ID:61326 • 414 i I I ITeirir a Allillies al,. II gill , Ilk elki,,, 3. I 3.,,,1,rem3 allatib. re:a 4 ge 4,7 7 rigiezt I me RIZ l4:1 Ii A..41#1M 1 ill i I , 4 Kr--kg 'ill - . "•07-;111='2 „......4011111100 - d I J111 j -- 11, • #7( .i11.11. .• I J. . 1 t u - -- --1 k......1 r - 0 1 • si f I 08—ti /lo'..• -..,.,1 ce # I , on i ,0i Iii 1 1,._ 41.r*AL o) 11 '''"1,,, "..410 ,,,,•,,, ? f! 1 . I 1 I m Willeir!„),,iltikkilli I . itk,- \.•_, / [- I., q ,...JIII \- ] toil, 8, -„, wils... ., „:.,.........,,....„:„...,,, , ii ,..... .1 suueala , t. Ai i Norunivvu 1111111 1 1 1 All f . i 40,01"' 1 I PAL k--- -1 II. " TN .61 it _- alllimatria P:1 - if r--- Iro/• '"' '' fuktei, , * ,,, ____ , 2.-2,.„it lift reNi79411 1 _11 • I f---1 „ I - iri if , 4 gilt klit 'i-7J I lov,i / r/4,, , n. * „ . t,,.. ,.. „.. ,,, ,.,....... 1.11111/ i k t•ligiv I.iii.,Air 1 • . '7111 ..T i II/ 1 F 'i 4 , .1 . . , eel' 411‘.. 44:1 IIMMIldill 1 ' Ve4,48jar&t,. 0I___ —V \,_.. 1 .. it !).1527401 ,”s' •_ i-----11.11 ) 1,.it• ,a4/...-, aiiri ii $47,417. Aft vi I?M. I , , 4 t . - ' ,---'1 : I 1 1 * ' , Al I iriP # I ' I ' I ' . ,‘ (7 .,. illig 08 . i 1 , , 18Hial 1 H, _ \\ k I I . I , , ,,vtaatlytt ,wit 1 1 ‘, ., .r ...... _....... ... ., , . . . _ i .i, . 1, ,...-, ___ OFFICE OF BOARD OF APPEALS i, Southold Town Hall 53095 Main Road Southold, NY 11971 765-1809 tel. 765-9064 ZBA fax. ****** M*******A AA*********** AAA****F** AAA ***t************ ****** A****A***** REPLY FORM Dated: /J0-11-D TO: 0. of J ljjaa,,e_t- -�02�f Your application is incomplete for the reasons noted below. ( ) It is requested that the following be forwarded as soon as possible (within about 7 days, if feasible). The advertising deadline is 22 days before the meeting date and the information is necessary for review and advertising purposes. You may forward the information by fax at 765- 9064, however, please send the original by mail. Thank you. NI) The appeal was not filed within 60 days o the decision of the Building Inspector. Q '' � • (b Missing information - please see missing information checked below. Please submit all the documentation, together with information noted below. If you have any questions, please call us at 765-1809. Thank you. Information requested: ( ) Notice of Disapproval issued by the Building Inspector after his/her review of this • particular project map. ( ) Check payable to the Town of Southold totaling $ ( ) Signature and notary public information are needed. ( ) An original and six prints of the map were not included. (Preparer's name,and date of preparation to be shown.) ( ) Setbacks must be shown for the subject building to all property lines, with preparer's name. ( ) Six (6) sets of a diagram showing the doors, number of stories, and average height (from natural grade). ( ) Ownership Search back to April 23, 1957 for the subject parcel and all adjoining parcels, certified by a title insurance company, and insuring the Town for$25,000. - ( ) Copies of all current deeds and tax bills of the parcels back to p4 Otf ` erase hI2 MI 7-3/--Da n • (YRA- '117ply Q/7 ()..a" /hz S gal /ti-17-o Z to/ ,74'(,),G FOR OFFICIAL USE ONLY CHECKLIST FOR NEW PROJECTS °-" / LABEL APPL# ✓ ASSESSORS CARD•(7 COPIES) NAMEy� CTY. TAXMAP (7COPIES + 1) CTM# _ ! -0of� I/ � INDEX CARD (ATTACH OLD) TOWN Yim, tv , LIST ALPHA BOOK `` V RESEARCH ALPHA COPY PRIORS V SIX COPIES INSPECTION PACKETS COMPLETE • REF: UPDATED NEW INFORMATION Niti.witej #4911Q 2 . / atahli tt aC. �. TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET ` 35 VILLAGE DIST. SUB- LOT ) 3124/YHt' Laia,CltrL74:' 4 kle--Pilanie"-- „6.1/1Q_A_ GO(:)4(." 1. 3.1 Ma/7i/V--6(ee ACR. RE A S F6 8 .5qo - per miDor Z.-co!) colar-- TYPE OF BLD. 4 Ov.S` /4-/- -5 PROP. CLASS LAND IMP TOTAL DATE �C: -` �` ° { Cid if r� 1 � �._ l< 5',,\: '-)E3t7f, ,���+ �� s� �F�=:�_ JL �.� _� • .2.10a 9qt rid 2,070/- t_tail7 61o0-- L 6 4 ors , ��- -� - Lia _0(0 - l _ 1��c r_ (Axr...- *Pig,066 c FRONTAGE ON WATER TILLABLE ` FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT I CY& «o 1400 /\ I TOTAL 26)