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HomeMy WebLinkAbout4641�%t GI` fin? 119 ley Zeet- �� 5'rC✓��1 �r� rye=mclC G" �c�7�o �-✓,ems APPEALS BOARD MEMBERS Gerard P. Goehringer, Chairman James Dinizio, Jr. Lydia A. Tortora Lora S. Collins George Horning BOARD OF APPEALS TOWN OF SOUTHOLD Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 ZBA Fax (516) 765-9064 Telephone (516) 765-1809 FINDINGS, DELIBERATIONS AND DETERMINATION ADOPTED AT REGULAR MEETING OF DECEMBER 10, 1998 Appl. No. 4641 — MARY LOU WICKHAM 1000-109-7-10.3 STREET & LOCALITY: 1535 New Suffolk Avenue, Cutchogue DATE OF PUBLIC HEARING: December 10, 1998 REQUEST MADE BY APPLICANT: This is a request under Article III, Section 100-30A.2B and 100-31B, subsections 14a -d of the Southold Town Zoning Code (amended 2-7-95). Applicant -owner is requesting an Accessory Bed and Breakfast, in her residence, with up to two (2) bedrooms for lodging and serving of breakfast to not more than four (4) casual, transient roomers. PROPERTY DESCRIPTION: This property is 39,600 sq. ft. in size, and is situated along the westerly side of New Suffolk Road, Cutchogue with 180 ft. lot width and lot depth of 222 ft. The property is improved with a single-family dwelling, two small sheds, a barn, and a garage as shown on the survey prepared July 28, 1976 by Roderick VanTuyl, P.C. REASONS FOR BOARD ACTION, DESCRIBED BELOW: 1) This use as requested is reasonable in relation to the District in which is located, adjacent use districts, and nearby and adjacent residential uses. 2) The Special Exception use is an accessory use and will not prevent the orderly and reasonable use of adjacent properties and the use has adequate parking and available open space. 3) This accessory use will not prevent orderly and reasonable uses proposed or existing in adjacent use districts. Page 2 — Appl. No. 4641 (Wickham) Re: B & B/1000-109-7-10.3 ZBA Meeting of December 10, 1998 4) No evidence has been submitted to show that the safety, health, welfare, comfort, convenience, order of the town would be adversely affected. 5) this zoning use is authorized by the Zoning Code subject to a Special Exception review and approval by the Board of Appeals and a Certificate for occupancy from the Building Inspector; 6) no adverse conditions were found after considering items listed under Section 100-263 and 100-264 of the Zoning Code. BOARD ACTION/RESOLUTION: On motion by Member Dinizio, seconded by Chairman Goehringer, it was RESOLVED, to GRANT the application for an Accessory Bed and Breakfast Use as described above, SUBJECT TO THE FOLLOWING CONDITIONS: 1) Two (2) parking spaces, for this bed and breakfast use, shall be on-site (on applicant's property). 2) There shall be no backing out of vehicles onto New Suffolk Road. 3) There shall be compliance at all times with the zoning code, and other laws and regulations applicable to this use. 4) Applicant -Owner shall obtain a Certificate from the Building Department for occupancy as a new Accessory Bed and Breakfast in her residence. VOTE OF THE BOARD: Ayes: Members Gerard P. Goehringer (Chairman), James Dinizio, Jr., Lydia A. Tortora, and Lora Collins. This resolution was duly ado ted (4-0). (Member Horning of Fishers Island was absent during this deurm 'on.), �� 1000-109-7-10.3 GERARD P. GOEHRINGER, Cl Approved for Filing 12/15/98 NOTICE OF PUBLIC HEARINGS SOUTHOLD TOWN BOARD OF APPEALS THURSDAY, DECEMBER 10 1998 NOTICE IS HEREBY GIVEN, pursuant to Section 267 of the Town Law and the Code of the Town of Southold, the following application will be held for public hearing by the SOUTHOLD TOWN BOARD OF APPEALS, at the Southold Town Hall, 53095 Main Road, Southold, New York 11971, on THURSDAY, DECEMBER 10, 1998 at the time noted below (or as soon thereafter as possible): 8:30 p.m. Appl. No. 4641— MARY LOU WICKHAM, Owner, requesting approval of a proposed Bed and Breakfast in accordance with Article III, Section 100-31B(14) of the Zoning Code, for the renting of not more than three rooms for lodging, and serving of breakfast to not more than six casual and transient roomers, subordinate and incidental to the principal single-family dwelling use of the owner as resident of property known as 1535 New Suffolk kA , Djttchogue, NY; County Tax Map Parcel 1000-109-7-10.3. The Board of Appeals will at said time and place hear any and all persons or representatives desiring to be heard in the above applications or desiring to submit written statements before the end of each hearing. Each 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 765-1809. Dated: November 24, 1998. BY ORDER OF THE SOUTHOLD TOWN BOARD OF APPEALS GERARD P. GOEHRINGER CHAIRMAN By Linda Kowalski LEGALNOTICE a than tion to an cessed land,Tovn;ofSouthold, Suffolk 1 Excepi County, New York. Zone: R-120 Relates Residential. for gro r ---� a than tion to an unde7ArticleXXIV Section 100- a 244B (ref. 100-2321- comer lots) ............................................. as to insufficient rear yard for Public proposed dwelling at 12355 New 1C y SuffolkAvenue,C atchogute,Ny; 10000.116.2-5. BARBARA A SCHNEtOER ---+8:30 p.m. Appl. No.'4641- NOTARY PUBLIC, State of New York MARYLOUWICKFIAMOwner, No. 4806M requesting appproval of o pro- Qualified in Suffolk C posed Bed_ and Breakfast in ac- Commission Expires era 666 nnrdanr .. with ArticleIIi. Section for the renting of not i three iooms for lodl serving ofbreakfastto than six casual and as as all .ATC W cau mi -i wy. . govember27,1998 BYORDEROFTBE SOUTHOLDTOWN BOARDOFAPPEALS RARDP.GOEERINR q ByLindaICowalsld. I p 5 1X-1213/98(392) Y;Parcc V 1000 -53 -4 - p.m. Appl. No. 4624SE 5- LAUREL LBXS (Re - from 10115/98). Special ion for Golf Course and . Activities, and Variance uid sign. Sts Main Road, W;1000-126-7-1;125-3- LK nd 17;125-4-21 and 24.1; K ss p.mAppLNo.4635-DR HIA- H. ICKES AND '-ing duly sworn, says that TTECLAYTON. Thisis at for a variance under coordinator, of the TRAV- QiA,Section 100-30A.3 upon the Building, : public newspaper printed :)esAugust28,1998No- ( County; and that the no- Jisapptaval for aBuild- nit oplaceanaccessory nexed is a printed copy, slued in an area other ) said Traveler Watchman rear yard, at 160 West id 531 Madison Avenue, rsSNY,PaicelID 100042- ................................. weeks p.m. Appl. No. 4637- 1 AND LAURIE ncing on t e . f......... iY. Thisisa stfora eunderArticle Sec- QQ , CC. 19.' a 0-33, based upon the Inspector's September Notice of Disapproval [ding Permitapplication, ruct accessory garage in other than the rear Yazd: n of Property: Heathulie this.. da of y Fishers Island Town of 3 Parc1000.9-6.2.•...... pp. p.m. Appl. No. 4593- •••••••••• . ,19...L unde7ArticleXXIV Section 100- a 244B (ref. 100-2321- comer lots) ............................................. as to insufficient rear yard for Public proposed dwelling at 12355 New 1C y SuffolkAvenue,C atchogute,Ny; 10000.116.2-5. BARBARA A SCHNEtOER ---+8:30 p.m. Appl. No.'4641- NOTARY PUBLIC, State of New York MARYLOUWICKFIAMOwner, No. 4806M requesting appproval of o pro- Qualified in Suffolk C posed Bed_ and Breakfast in ac- Commission Expires era 666 nnrdanr .. with ArticleIIi. Section for the renting of not i three iooms for lodl serving ofbreakfastto than six casual and as as all .ATC W cau mi -i wy. . govember27,1998 BYORDEROFTBE SOUTHOLDTOWN BOARDOFAPPEALS RARDP.GOEERINR q ByLindaICowalsld. I p 5 1X-1213/98(392) Town H211, 53095 Main Road ren Z Fax (516) 765-1823 P. O. Box 1179 p Telephone (516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD APPLICATION FOR ACCESSORY BED AND BREAKFAST Please attach the following items when submitting this application: 1. Floor plan showing the location and number of guest rooms, smoke detectors, sizes of exits and egress - windows and doors; 2. Application fee. ($100.00 initial fee, $50.00 annual renewal). Note: A permit for a Bed and Breakfast will be issued only after owner has obtained and complied with a Special Exception for a Bed and Breakfast from the Zoning Board of Appeals, and after the Building Inspector has inspected the property and has found same to be in compliance. Note: A Budding Permit and Certificate of Occupancy shall be required for any structural alterations. STATE OF NEW YORK) COUNTY OF SUFFOLK) I, V�iGL)AAAI , owner of property identifiedS ` as Suffolk County Tax Map 11000- Opc) -1 10,3 , a/k/a House # L%535 De located in G�ryc lc� F-- Town of Southold, County of Suffolk, State of New York, hereby agree to abide by the conditions and requirements of the Zoning Code bf the Town of Southold and aU other applicable laws, rules and regulations pertaining to Bed and Breakfast facilities, and hereby give consent for the Building Inspector of the Town of Southold to inspect the budding and premises. Please contact a}Q��gc_ g � at (516) 2B4 - 41%a to make an arrangements for on-site inspections. Sworn to before me this day of,,. 19qg'. O ner's Signature —Zi� oEeor�oerr ota Public "PditSt8*dN"Ydk --------------------------------------- No.02D0WW78•SuRoAttU!L0tl� --------------- tcm m ss arrE pkafebmmrftz .. For Office Use Only: B & B Permit Application #BB- ZBA Reference '} SCTM #1000 - Zone District: ( } Inspection Fee $100.00 Nonrefundable ( )Annual Renewal Fee $50.00 ( } Approved Building Permit # C.O. # BB Permit issued: TOWN OF SOUTHOLD, NEW YORK APPLICATION FOR SPECIAL EXCEPTION Application No. Date Filed: TO THE ZONING BOARD OF APPEALS, SOUTHOLD, NEW YORK: I (we), �QOmLCO to kmwAM of 15351i>rSJ�JFGc�L11�Q� si ence, ouse o. an Street kffCtSrC11o��1� � Na 511 1344180 am e a e, ipCodee,, telephone TTum r hereby apply to THE ZONING BOARD OF APPEALS for a SPECIAL EXCEPTION in accordance with the ZONING ORDINANCE, ARTICLE , SECTION , SUBSECTION for the below -described property for the following uses and purposes (and as shown on the attachedplan drawn to scale): QEOoUUsUo�Jsz: X535 S\i�l�JS_1G�cUC�QO To Be_ Nr, e \\a6 A C34S3 A. Statement of Ownership and Interest. se s Lot(s) 10.3 , which is not M4 on a subdivision Map (Filed , "Map of " Filed Mapes--, and has beenapp roved y t e Southold Town Panning Board on NJIa as a [Minor] [Major] Subdivision). The above-described property was acquired by the owner on cicC la, 19n9 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: 1.1b5 E) nS L\M-V� O -Vo 2-3 Q�olnS 2. F-V-0'q��4LSa L• Pk- P 3. (3k B Cvo6v-.L ksq c_ �-o i2f= ASS�� io CcMM�t��R\ C. The property which is the subject of this application is zoned and and [✓] is consistent with the use(s) described in the Certificate of Occupancy being furnished herewith. L ] is not consistent with the Certificate of Occupancy being furnished herewith for the following reason(s): [ ] is vacant land. COUNTY OF SUFFOLK) STATE OF NEW YORK] ss.: \ (Signature) Sworn to before me this 450 day of Rhk , 191f. ear wesasnrdwa. 282(revr 2/6f86) No.O�StO*� TOWN OF SOUTHOLD, NEW YORK�i 1cr racidrnq + APPLICATION FOR1�MTION (tis+ 6-FwA44) NOV 1.8 1998 Application No. Date Filed: TO THE ZONING BOARD OF APPEALS, SOUTHOTD, N"W YO" I (We) , _ Ct\QP� of 1—J35 Ni�U2�� —(Resi ence, House No. and Street 4t$o C�e.4n � -�s�,V am et, tate, Zip Code, e ep one um er hereby apply to THE ZONING BOARD OF APPEALS for a SPECIAL EXCEPTION in accordance with the ZONING ORDINANCE, ARTICLE , SECTION , SUBSECTION for the below -described property for the following uses and purposes (and as shown on the attached plan drawn to scale): Tc) B�_- mme wNb �1 12�412� A. Statement of Ownership and Interest. own as is(are) the owner's) (House'No., Street, Hamlet) identified on the SUttoll< County Tax Maps as District 1000, Section '109, Block Lot(s) %0.5 which is not (M on a subdivision Map (Filed > "Map of " Filed Map No. , and has been approved by the Southold Town Planning Board on NJA as a [Minor] [Major] Subdivision). The above-described property was acquired by the owner on Io h�9 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: l, 5 � ?> �S 2- 2. lEs y�4L 3. PSS$ C. The property which is the subject of this application is zoned and [✓] is consistent with the .use(s) described in the Certificate of Occupancy being furnished herewith. [ ] is not consistent with the Certificate of Occupancy being furnished herewith for the following reason(s): [ ] is vacant land. COUNTY OF SUFFOLK) STATE OF NEW YORK) ss.: Sworn to before me this 0"— day of R of 1 c) ZB2 (rev. 2/6/86) NoWy pubre, SW d.NWyat No. 02D04829478 • Suft C=* Co- ^'se`.^n Expires FebruatY28..2A9Pe-> APPEALS BOARD MEMBERS Gerard P. Goehringer, Chairman James Dinizio, Jr. Lydia A. Tortora Lora S. Collins George Horning Mrs. Mary Lou Wickham 1535 New Suffolk Avenue Cutchogue, NY 11935 BOARD OF APPEALS TOWN OF SOUTHOLD December 18, 1998 Re: Appl. No. 46431— Special Exception (B&B) Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 ZBA Fax (516) 765-9064 Telephone (516) 765-1809 Dear Mrs. Wickham: Enclosed please find a copy of the Appeals Board determination rendered at our December 10 1998 Meeting. A copy has been furnished to the Building Department it permanent records. Please contact the Building Department with theeAccessoryB02) Bed for the p the premises directly for issuance of a Certificate to Occupy and Breakfast Use. We wish you and your family the best during the Holidays. Very truly yours, Gerard P. Goehringer Chairman 12/18/98 Copy of Decision to: Building Department Page 11 -Hearing T4.::�_scripts December 10, 1998 -Board of Appeals 9:29 P.M. - Appl . No. 4641 - MARY LOU WICKHAM Owner, requesting approval of a proposed Bed & Breakfast in accordance with Article III, Section 100-31B(14) of the Zoning Code, for the renting of not more than three rooms for lodging, and serving of breakfast to not more than six casual and transient roomers, subordinate and incidental to the principal single-family dwelling use of the owner as resident of 1535 New Suffolk Rd., Cutchogue; 1000-109-7-10.3. CHAIRMAN GOEHRINGER: I have a copy of the survey indicating the house in its position, the access to the Suffolk Community Road and we had a grand tour of this very beautiful dwelling in our inspection and I have a copy of the Suffolk County Tax Map indicating this and surrounding" properties in the area. I think you have gotten my voice just about when it's about ready to quit Ms. Wickham. It's such a pleasure again to have you here and we thank you very much for the tour. It was very, very, just enlightening. What would you like to tell us? MS. WICKHAM: I would like to tell you that my name is Mary Lou Wickham. That I hope you will approve my application here this evening. ' When my husband and I bought that property about 22 years ago, as you and some people here in the room even may be familiar with that house at that time that it was in implorable condition. We had done a lot of work on it and I would have to say from almost the' very beginning it was a hope, a dream, that perhaps some day it would be a Bed & Breakfast because it is so admirably suited to it and it is such a beautiful home that I wish I would share it. J think it's very well suited for the purpose that we would like to use it. The parking is very good. The drive is very good. The house is laid out very well. Are there any questions that I could answer for you? CHAIRMAN GOEHRINGER: The parking plan itself were you going to submit something to us? Oh, and we need some green cards. Do we need green cards? Yes, good. MS. WICKHAM: Yes, I have green cards for you. CHAIRMAN GOEHRINGER: Wonderful. MS. WICKHAM: OK. CHAIRMAN GOEHRINGER: Thank you. MS. WICKHAM: And, I think this probably shows a little bit, it is the same plan that you have. I have one for each of you if you'd like to see it. It shows a little bit better how the drive and the parking would - CHAIRMAN GOEHRINGER: Would you be parking adjacent to the shed areas? Page 12 -Hearing TI.-uscripts ` December 10, 1998 -Board of Appeals MS. WICKHAM: Adjacent to that two car garage that's in the back. CHAIRMAN GOEHRINGER: In the back? MS. WICKHAM: Yes. CHAIRMAN GOEHRINGER: OK. So, approximately more than 40,000 is where the, is where the number 40, 000 in reference to - MS. WICKHAM: No, over, over here, it says - CHAIRMAN GOEHRINGER: Oh, right up in there? Oh, OK, good MS. WICKHAM: That our lot is north. CHAIRMAN GOEHRINGER: Parking space, oh, I'm sorry. MS. WICKHAM: Right, that is not a building, that's a believe it or not, a parking lot. CHAIRMAN GOEHRINGER: Oh good, great, great. MEMBER TORTORA: Poor guy. CHAIRMAN GOEHRINGER: No, well, that's what happens when you just a - MEMBER TORTORA: You're getting tired here. CHAIRMAN GOEHRINGER: Yes, I guess I am. OK, and a, there is no, there's no change? It's strictly going to stay with the two bedrooms that you had showed us, right? MS. WICKHAM: Yes. CHAIRMAN GOEHRINGER: Any further questions Mrs. Tortora? MEMBER TORTORA: No, it's a beautiful home, it's a beautiful place, significant parking plan. CHAIRMAN GOEHRINGER: Ms. Collins? MEMBER COLLINS: No questions. CHAIRMAN GOEHRINGER: Mr. Dinizio? MEMBER DINIZIO: None. CHAIRMAN GOEHRINGER: While you're standing there is there anybody else would like to speak for? MR. KELLY: It's different being on this side for once. My name is Tim Kelly. My wife Mona and I own the house at 1650 New Suffolk Road which is across the street and just to the south of this Page 13 -Hearing 2 ranscripts December 10, 1998 -Board of Appeals property. You've all been there. You've seen it, it's absolutely gorgeous. I've told them I get to look at your house, you unfortunately have to look at mine. They have done incredible work in this house which again makes me green with envy. I think this would be a great use for the house. They're wonderful neighbors. They've done great things for the property. I hope you vote yes, thank you. CHAIRMAN GOEHRINGER: Thank you. Anybody else like to speak. Hearing no further comment I'll make a motion closing the hearing reserving decision until later. MEMBER TORTORA: Second. Motion carried. See Minutes for Resolution. End of hearing. ALTMATIOM m A Q 10 116pilm 0 A VIOLATION Of 6IL710N FM OF M HIV TOS SU SMAMW LAM. • COI.! 0MU Mri11W MOT M. M WD ML WQ" kV D SIAL W SMIOSMD RM MUM NOT M CowO roMAVALDWCO►%' •S G U AMM V>ONCAnD WCON SNA/ 01, N 0 PWASID, AIDO: $a" TOI THIN MAW^ dOYMAIM AL AGV roDNO DOTiTY110M usrw INION, . . to ADO GIN" say Ab NNS A U4 ro ADm1DNu .6rmrt101u a SI. IL A ^_ ow1el, /� F• L AIVD 5C/R VEYEO F02 JOLN �S V1//CK/- i�11i1 . CUrCHOGVE ' :S M. Z.� rowN 'op' SOUTNQINNO, N. Y- -z N.lI*4Z'10 - O a S N ,Q . d� to N 40.074 9N.,1 • z v .5 ' Roderick gran Tuy/, P c• - LIGeH s -rd Land' Sure 6006 -short, N. Y. i � Qinvrdsd Julj-ZB, 1976 7 tt L.3 t ' NO STAMPS REQUIRED CONS. LESS THAN $100. 0 DISTRICT 1000 SECTION 109.00 3LOCK 07.00 j0T 010.001 f Sa.od.,d N: Y. B. T.U. Fotm 8007 Bargain and Sale Deed, with Covenan( aSaimt Grantor's Acts—Individual or Corporation (Single Sheet) SULT YOUR LAWYER ®EiORE SIGNING THIS INSTRUPIAN'., IS INSTRUMENT SHOULD 6E USED BY LAWYERS ONLY. IRER' THIS INDENTURE, made the 10th day of December , nineteen hundred and seventy-nine BETWEEN JOHN WICKHAM, residing at 10 (no number) Main Road Cutchogue, New York. 11935 party of the first part, and JOHN L. WICKHAM and MARY LOU WICKHAM, his wife, both rest ing at 11752 Harford Road Glen Arm, Maryland 21057 party of the second part, WITNFSSETK that the party of the first part, in consideration of ten dollars and other valuable consideration paid by the party of the second part, does hereby grant and release unto the party of the second part, the heirs or successors and assigns of the party of the second part forever, ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being nBthx at Cutchogue, Town of Southold, Suffolk County, New York, bounded and described as follows: BEGINNING at a point on the easterly line of New Suffolk Road at the northwesterly corner of the premises herein described and the southwesterly corner of land of William Beebe; running thence along said land of Beebe two (2) courses: [1) North 790 191 East 200.0 feet to a monument; thence [21 North 110 421 10" West 25.0 feet to an iron pipe and the southwesterly corner of land of Teresko; running thence along said land North 781 511 20" East 22.03 feet; thence along land of John Wickham, John L. Wickham and Thomas H. Wickham two (2) courses and distances: [1) South 110 421 10" East.201.23 feet; thence South 780 171 50" West 222.0 feet to the easterly line of New Suffolk Road; thence along said easterly line North 110 421 10" West 180.0 feet to the point or place of BEGINNING. 07-4 Tiff 1 TOGETHER with all right, title and interest, if any, of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof ; TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises; TO HAVE AND TO HOLD the premises herein granted unto the party of the second part, the heirs or successors and assigns of the party of the second part forever. AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby the said premises have been encumbered in any way whatever, except as aforesaid. AND the party of the first part, in compliance with Section 13 of the Lien Law, covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consid- eration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose. The word "party" shall be construed as if it read "parties" whenever the sense of this indenture so requires. IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above written. IN PRESENCE OF: I ec.r_. -----( 20648 JAN 241980 TRANSFER TAX SUFFOLK COUNTY J§An Wickham 4 r A rlftrlCi4'Si of . SUFFOLK go' fTATE OF NEW YORK, COUNTY OF On the Iday of December 19 79, before me On day of personall;- a JOHN WICKHAM Pers __ came to me kpown to be the individual described' in and who executed the foregoing instrument, and acknowledged that executed the same. ABIGAIL A. WICKHAM Notary Pub!ic, Sr,.te of New York No. 52--,;-12371 Q -a!ified in 5!::!olk County Ter -n Expires March 30, 1981 Sar 19 , before me to me known to be the individual described in and who executed the foregoing instrument, and acknowledged that executed the same. STATE OF NEW YORK, COUNTY OF Sar STATE OF NEW YORK, COUNTY OF as% On the day of 19 , before me On the day of 19 before me personally came personally came to me known, who, being by me duly sworn, did depose and ,the subscribing witness to the foregoing instrument, with say that he resides at No. whom I am personally acquainted, who, being by me duly that he is the sworn, did depose and say that he resides at No. , of that he knows , the corporation described in and which executed the foregoing instrument; that he to be the individual knows the seal of said corporation; that the seal affixed described in and who executed the foregoing instrument; to said instrument is such corporate seal; that it was so that he, said subscribing witness, was present and saw affixed by order of the board of directors of said corpora- execute the same; and that he, said witness, tion, and that he signed h dame thereto by like order. at the same time subscribed h name as witness thereto. Bargain 8111 #ele 39erb yyy SECTION WITH COVENANT ACAINST GRANTOR'S Aers BLOCK TITLE No. LOT \ COUNTY OR TOWN JOHN WICKHAM TO , JOHN L. WICKHAM and {\/p MARY LOU WICKHAM �4 / RETURN BY MAIL TO: STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS 1 �i Distributed by )WICKHAM, WICKHAM & BRESSLER, P.C. � SECURITY TITLE AND GUARANTY COM ' PO BOX 1424PANY MAIN ROAD MATTITUCK, NEW YORK 11952 I:NARTERED 1928 ST IN N6W YORK Zip No. u O WE ZZ.o3 o ZS,O O � N N 40,OW :s. f. o . b i � .10/iI'r � • Neo . • � 1-�ous� h h z rso.o .IAOOwM A71 MICH O. ADDII70. 10 IM .uM s A TTD{ATIO1 a UCNN FM Or M OM MW TSTATI MAIM LAW. _ .. COM Or nal YAM Aur NOT MArD+a M MND SMMon DC.D SIAL a WWSM SM MAM NOT ■ 00HUDUED TO ■ A TALD ILIN "0..'.. *A%MMM WDICA .M N[TDON MALL UN OMT TO TN: 09:40s, NM WIMN M %MVV M TC@ALLD, M.D a N4 KM W 10 M TOY COWAM, dQVMA100AL AGOCT AK l - l laM- IION UITM NJL01( AND TO M AWOMU Or M L&MG "Tl- TNTIpI OOMAMW AD', ` !, NYICAM 10 ADM" 1NSTIMD US10vWI OwNwh' MAP Of LAND SURVEYED Foe JOHN 'A T CurcROGVE 7bWN OF' SO[ITNQLO, N. Y. oV, Ma�b#ed Jar,. IS,'/9749 Roderic* Vdo Tay/, R C. Grsetn/bor�, N. Y. _ Amassed July Z6, 1976 QiM.NW� AIIWIION w Aomlo„ p aA lU.Mr 4 A r1gA1N7N d UCYM n" Of IM r.w IOr RAU rocA4oN LAW. .. . oole arum TOIrR wv Not Iwoo rN IA.a rwvnorl •c•p au a rJOIIm tw sNMI rnr r colaolr. ro r A ru>o rcu ctrl.• •*W`. 7 OMA&N4L •OCAIM x113011 WAu uAl OIl7 TO 11L' ILJS � Mt WK. TIG URY1, 4 1afAlW, N.9 O: NJ P:NAII 10 RII • _ ' IO.•!0 .4 NI O3IID M.LION, ANpAK a M AUJOW OF IM Wm&Q wIF N IYIN>ra GUA AWW A. WIrA113 fO ACrTMMU •4Tffa w3awa MAP OF LAND SuR v&YEO FOR WICK",41W •A T S 11'4ZVOOE. " Z.W.iZZI • CurcHosuE • rows► •ate' .50ar' O&D, N. v. ZZ.a o • 1. !1.4Z'10 - O BAQN . to N 40,074 �l 'John L • iq/ � Wickham � � V � � 1-�ouS� � •� N, it -max • io ~'Niwe • • dv .• Ma�b�bsei . �4h. I6, 1976 .. voderick W.7 ny/, PC. � [.iGens�d Lane Sur h G>•3rBn�iort, N. Y. Amended July Z8,/976 . E.ise�' _ '. _ �. .. -tit, pine �fcc,..v-cc,rn. vJ ►n�cw.. MeaS�xe nnen�. � X72 �cc3coccv�.. W�+�ac� mec�,SvPe mks - 3o X 7� 1-4 4----i...--, IDA' IC ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Zoning Board of Appeals FROM: Elizabeth A. Neville DATED: November 18 1998 RE: Zoning Appeal No. 4641 - Mary Lou Wickham Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 Transmitted herewith is Zoning Board Of Appeals Application 4641 - Mary Lou Wickham - Also included is ZBA Questionnaire, Applicant Transactional Disclosure Form, Application For Accessory Bed And Breakfast, Short Environmental Assessment Form, Copy of Survey, Copy of Deed and Certificate Of Occupancy For Nonconforming Premises. ELIZABETH A. NEVILLE, TOWN CLERK RECEIPT 71552 Town of Southold Southold, New York 11971 Phone: 516-765-1800 DATE19 19 �CEIVED OF: FOR: ❑CASH ,❑.CHECKV7 7 BY. - TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the j Land Pre C.O. H- Z•16454 Q Building(s) /_7 Use(s) Date- December 2, 1987 located at 1530 New Suffolk Ave. Cutchogue Street Hamlet shown on County tax map as District 1000, Section 109 , Block 07 , Lot 10.3 , does(not) conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area; front yard set -back. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming 21X Land Building(s) Q Use(s) existed on the effective date the present Building Zone Code of the Town of Southold, and may be continued pursuant to and subject to the applicable provisions of said Code. IT IS FURTHER CERTIFIED that, based upon information presented to the Building Inspector's Office, the occupancy and use for which this Certificate is issued is as follows: Property contains a 2 story, familv. wood framed dwelling, with attached porch and all situated in the A -Residential Agricultural zone, with access to w Suffolk Road: a town maintained highwa The Certificate is issued to John L. Wickham & wife LM LCL.)lst)yuc1 M (owner, XdXX9dX99XZ9AXXt) of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N/A NOTICE IS HEREBY GIVEN that the owner of the above premises HAS NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec- tor to determine if the premises comply with all applicable codes and ordinances, other than the Building Zone Code, and therefore, no such inspection has been conducted. This Certificate, therefore, does not, and is not intended to certify that the premises comply with all other applicable codes and regulations. Building Inspector QUESTIONNAIRE FOR FILING,WITH YOUR Z.H.A. APPLICATION A. Please disclose the names of the owner(s) and any other individuals (and entities) having a•financial interest in the subject premises and a description of their interests: (Separate sheet may be attached.) B. Is the subject premises listed on the real estate market for sale or being shown to prospective buyers? { } Yes {.,/I No. (If Yes, please attach copy of•"conditions" of sale.) C. Are there any proposals to change or alter land contours? { } Yes { No D. 1. Are there any areas which contain wetland grasses? MO 2. Are the wetland areas shown on the map submitted with this application? A30 3. Is the property bulkheaded 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? (U(A E. Is there a depression or sloping elevation near the area of proposed construction'at'or below five feet above mean sea level? MIR (Ifnot 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?If none exist, please state "none." G. Db you have any construction taking place at this time concerning your premises? lug- If yes, please submit a copy of your building permit and map as approved by the Building Department. If none, please state. H. Do you or any co-owner also own other land close to this parcel? 1 V_-5 If yes, please explain where or submit copi„Qs of deeds. C\Ll ®�\�11�Q,M� �r�\� ��\�l C�lfl,��►tJT� . ��Q��iJ� 1. Please -Tis” t��l�\�1L\�AMS present use or operations conducted at this parcel and use Authori ed Signature and Date 3/87, 10/901k Al"P1,1CANT TRANS11CTI:ONA1. DISC1.0SURR 1701H 's Code of Ethics rollibi is conn of town officers and em to ees. is to provide information which ssible conflicts of interest and action is.necessary to avoid same YOUR NAMR2 (Last name, first dame, middle initial, l.I1tl.P_.MS you are applyiiiq in the name or someone else or other enLlty, such as a compnny. If no, in(ll.cnte the other person's or company's name.) NATURE Or APPI.ICATION . ( Check all that apply. ) Tax grievance Var. lance Change of zone Approval of plat Exemption from plat or orr1r-1nl map Other. ✓ (If "'Other," name the activity.) � C32€ uG(aSr Do you personally (or through your company, spoucre, nibt.inq, parent, or child) have a relationship with :any officer or employee of the Town of Southold7 "nelablonrahip" includes by blood, marriage, or biAnlness interest:. "11unineen interest" means a bunbienrt, Itic.l.udirttt a pnrt:nerslrip, .1.11 which Lite town officer or employee has even a' partial ownership of (or employment; by) a corporation in which the gown officer or employee ownrs more than 5% of: the shares.. YES NO If you answered "YES, ". comptete Lite -balance of LMs 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 appllcant;) and the town officer or employee. 1 i ther check the appropriate line A) through 1)) and/or describe in the spare provided. The town officer or employee or h1s or her spouse, s1bl..lnq, parent, or child is (check a1.1 Llin l; apply)r A) the owner or greater thnn 5% of the sharers or the corporate shack or the app.l.icnriL (when Lhe npp.l.i.c:rtrl; Is a corporation); i3) the legal or benerl.cial owner of any interest in a noncorporate entity (when the applicant in not a corporattott); C) an officer, director, partner., or employee of I -Ain applicant;; or the actual applicant. OrsCaIPTION OF 111', ,A'f.T.ONS311JP S11bnll.t'l;ed this day of _1.999 Sl.dnatur.e i' r. I n I; n n rrr e._ DANIEL PRUDENCE HESTON 50-791/214 1535 NEW SUFFOLK RD. 1126026861 177 CUTCHOGUE, NY 11935 DATE !I 17 2 PAY TO THE ORDER OF IZX > O _ rn 0O fi NORTH wx FORK !� !~ DOLLARS BANK —I/,,— CUTCHOGUE, NY 11935 ��� MEMO �_�ICO�o''1 1:0 2 140 79 1 21:um 1 1 26••1 — 0 268P,av 1u' 0 1 7 7 ZZ.d3 1•4z'Jo-r.` o z'o O O m N c ' 10 1 ' Q � Y7 • N n ZZ.d3 1•4z'Jo-r.` o z'o O O m N c ' 1/0 "F. ... Z". Z,5 au,D>cs � N 40,074 s. f. Wickham io Ko�s� Ft h N.1/ 0 4z.l0I, W. NJE V1I 1 ..AOOK=W AIII.ATTOM o. ADD I TO OR SGSMT 0 A .IOLATgM a, PCM" 770/ O. M NEW TOS[ /GTI NOCADW LAW. , 0010 Of INS SOIyIS AW NOT 7LAIL1IO M WD SLGYITOIY RLD IIAL 04 OPOS" SGL SMALL NOT SS COPOAISSD TO ■ A LAUD Tull COI'.'' OLNGMTILS raCAr.O MS9011 WALL SU. OMY To TM: 431N. 101 WHIM TIO SUlrn 0 R.ASTD. N9 a MJ KMU To M MTS CONIAKT, ;OVWA AAL AGVICT AN We" PaRTOTIOM WrID wuOIK AM TOM AISg1.LL p M Loom Pati. RROLL GRMMOTSI ASS NOT TIAMTTGIU t0 ADDITIONAL PaT001 OSNO." oW7o►. MAP OF LAND doe vEYEo FOA JOPN sf. WICK14AM AT - - CUTCHOCUE TbWN 'OP' SoUTNQe.O, N. Y. 1 Malb�fd�J . �Qh. %6, 1996 ,tPodarick Wn rayl, PC. --- - /l�ilt1-t2r /k.... �iceas�d Land sur'�y G�'aen�iort, Al. Y. Amansed Jiily Z8. /976 � N 1/0 "F. ... Z". Z,5 au,D>cs � N 40,074 s. f. Wickham io Ko�s� Ft h N.1/ 0 4z.l0I, W. NJE V1I 1 ..AOOK=W AIII.ATTOM o. ADD I TO OR SGSMT 0 A .IOLATgM a, PCM" 770/ O. M NEW TOS[ /GTI NOCADW LAW. , 0010 Of INS SOIyIS AW NOT 7LAIL1IO M WD SLGYITOIY RLD IIAL 04 OPOS" SGL SMALL NOT SS COPOAISSD TO ■ A LAUD Tull COI'.'' OLNGMTILS raCAr.O MS9011 WALL SU. OMY To TM: 431N. 101 WHIM TIO SUlrn 0 R.ASTD. N9 a MJ KMU To M MTS CONIAKT, ;OVWA AAL AGVICT AN We" PaRTOTIOM WrID wuOIK AM TOM AISg1.LL p M Loom Pati. RROLL GRMMOTSI ASS NOT TIAMTTGIU t0 ADDITIONAL PaT001 OSNO." oW7o►. MAP OF LAND doe vEYEo FOA JOPN sf. WICK14AM AT - - CUTCHOCUE TbWN 'OP' SoUTNQe.O, N. Y. 1 Malb�fd�J . �Qh. %6, 1996 ,tPodarick Wn rayl, PC. --- - /l�ilt1-t2r /k.... �iceas�d Land sur'�y G�'aen�iort, Al. Y. Amansed Jiily Z8. /976 The N.Y.S. Environmental Quality'- Review Act requires submission Of this fora, and an environmental review will be wiae by this L)oard before any action is taken. SHORT C`TVIRON:IENTAL ASSESSMENT FORM INSTRUCTIONS: (a) In order to answer the questions in this short EAE it is assumed that the preoare'r will use currently available information concerning the project and the likely impacts of the action. It is not expected that additional studies, research or other investigations will be undertaken. (b) I£ any question has been answered Yes the project may be sig- nificant and completed Environmental Assessment Form is necessary. (c) If all questions have been answered No it is likely that the project is not significant. (d) Environmental Assessment 1. Will project result in a large physical change to the project site or physically'alter more than 10 acres of land? -/ Yes NO 2. Will there be a major change to any unique or unusual land form on the site? I/ _Yes v No 3. Will project alter or have a large effect on an existing body of water? Yes -INo 4. Will project have a potentially large impact on groundwater quality? Yes No ' S. Will project significantly effect drainage flow on adjacent sites? _Yes I-INo G. Will project affect any threatened or endangered plant or animal species? ✓ Yes No 7. Will project result in a major adverse effect on air quality? Yes ✓-No 8. Will project have a major effect on visual char- acter of the community or scenic views or vistas known to be important to the community? Yes `/M, 9. Will project adversely impact any site or struct- ure of historic, pre -historic, or paleontological importance or any site designated as a critical en1vircnmental area by a local agency? Yes -,IN. 10. Will project have a'major effect on existing or future recreational opportunities? Yes /No 11. Will project result in major traffic problems or cause a major effect to existing transportation systems? _Yes _/ No 12. Will project regularly cause objectionable odors, noise, glare, vibration, or electrical disturb- ance as a result of the project's operation? ' Yes ✓ No 13. Will project have any impact on public health or safety? -1/_Yes �No 14. Will project affect the existing community by directly causing a growth in permanent popula- tion of more than 5 percent over a one-year period or have a major negative effect on the Yes I/ No. character of the community or neighborhood? 15. Is there public controversy concerning the project? —Yes _ _Yes ✓ No Preparer's Signature: �{�-\_ Representing: Date: i' $ '9$ 'ZIIA 4/75 0 W NO STAMPS REQUIRED CONS. LESS THAN $100. DISTRICT 1000 SECTION 109.00 MOCK 07.00 •:OT 010.001 p ,'y3•S� i standard NA. B. T. U. I mot 1007 Bargain and Sale Deed. with Covenant against Grantor'. Acta—Individual or Corporation (Sitgle Shaw) CONSSULT YOUR LAWYER REiCRE SIOhINO THIS INSTRUI`ENT—THIS INSTRUMENT SHOULD aE USED BY LAWYERS ONLI nf11S768P_r-E486 THIS 1NDENTUR6, made the 10th day of December , nineteen hundred and seventy—nine BETWEEN JOHN WICKHAM, residing at 0 (no number) Main Road Cutchogue, New York. 11935 party of the fi-t pans and JOHN L. WICKHAM and MARY LOU WICKHAM, his wife, both residing at 11752 Harford Road Glen Arm, Maryland 21057 Party of the second part, WITNFSSE K that the party of the first part, in consideration of ten dollars and other valuable consideration paid by the party of the second part, does hereby grant and release unto the party of the second part, the heirs or successors and assigns of the party of the second part forever, ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, Situate, lying and beingiit}pft at Cutchogue, Town of Southold, Suffolk County, New York, bounded and described as follows: ' BEGINNING at a point on the easterly line of New Suffolk Road at the northwesterly corner of the premises herein described and the southwesterly corner of land of William Beebe; running thence along said land of Beebe two (2) courses: [1) North 790 19' East 200.0 feet to a monument; thence [2) North 110 42' 10" West 25.0 feet to an iron pipe and the southwesterly corner of land of Teresko; 22.03 feet; running thence along said land North 78° 51' 20" East thence along land of John Wickham, John L. Wickham and Thomas H. Wickham two (2) courses and distances: [1) South 110 42' 10" East -201.23 feet; thence South 780 17' 50" West 222.0 feet to the easterly line of New Suffolk Road; thence along said easterly line North 1111 42' 10" West 180.0 feet to the point or place of BEGINNING. 17b f i I TOGETHER with all right, title and interest, if any, of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof; TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises; TO HAVE AND TO HOLD the premises herein granted unto the party of the second part, the heirs or successors and assigns of the party of the second part forever. AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby the said premises have been encumbered in any way whatever, except as aforesaid. AND the party of the first part, in compliance with Section 13 of the Lien Law, covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consid- eration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose. The word "party" shall be construed as if it read "parties" whenever the sense of this indenture so requires. IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above written. In Pmmzxcz OF: 20648 RML rS CAM JAN 2 41980 TRANSFER FAX SUFFOLK . COUNTY V U_ - Ccs.« ` e_ J n Wickham QUESTIONNAIRE FOR FILING WITH YOUR Z.B.A. APPLICATION A. Please disclose the names of th individuals (and entities) having a subject premises and a description (Separate sheet may be attached.) e owner(s) and any other -financial interest in the of their interests: B. Is the subject premises listed on the real estate market for =•sale or being shown to prospective buyers? { ) Yes ( /1 No. (If Yes, please attach copy of "conditions" of sale.) C. Are there any proposals to change or alter land contours? ( ) Yes {.I No D. 1. Are there any areas which contain wetland grasses? Mo 2. Are the wetland areas shown on the map submitted with this application? No 3. Is the property bulkheaded'between the wetlands area and the upland building area? D30 4. If your property contains wetlands or pond areas, have you contacted the Office of the Town Trustees for its determination of jurisdiction? N(A E. Is there a depression or sloping elevation near the area of proposed construction at or below five feet above mean sea level? NIR (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? —W If none exist, please state "none." G. Db you have any construction taking place at this time concerning your premises? NOOE- If yes, please submit a copy of your building permit and map as approved by the Building Department. If none, please state. H. Do you or any co-owner also own other land close to this parcel? 1��5 If yes, please explain where or submit copies of deeds. �q� d�N O� l��C�L�1SlT2M �Afl j�►c�� . GAQM�Ai�� I. Please_s"Ttfll�l�\e�A�`RS present use or operations conducted at this parcel �. and proposed use �i� . i?sy GAS Authori ed Signature and Date 3/87, 10/901k 0 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the LU Land Pre C.O. #--Z-16454 Q Building(s) F7 Use(s) Date- December 2, 19 located at 1530 New Suffolk Ave. Cutchogue Street Hamlet shown on County tax map as District 1000, Section 109 , Block 07 , Lot 10.3 , does(not) conform to the present Building Zone Code of the Town of Southold for the following reasons: sufficient total area: front vard set -back. On the basis of information presented to the Building Inspector' Office, it has been determined that the above nonconforming 2D Land / 7 Building(s) Q Use(s) existed on the effective date the present Building Zone Code of the Town of Southold, and may be continued pursuant to and subject to the applicable provisions of said Code. IT IS FURTHER CERTIFIED that, based upon information presented t, the Building Inspector's Office, the occupancy and use for which this Certificate is issued is as follows: Property contains a 2 story, one family, wood framed dwelling, with attached porch and all situated in the A -Residential Agricultural zone, with access to New Suffolk Road: a town maintained hiehway. The Certificate is issued to John L. Wickham & wife,MAWLC0k VV4k1'U (owner, 1KKX99X9XX$9XXXt) of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N/A NOTICE IS HEREBY GIVEN that the owner of the above premises HAS NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec for to determine if the premises comply with all applicable codes and ordinances, other than the Building Zone Code, and therefore, no such inspection has been conducted. This Certificate, therefore, does not and is not intended to certify that the premises comply with all othe applicable codes and regulations. 1 Building Inspector 4 ANaOtUW A{fOAOOa a ADCap., �$ 10 an UAM . A Yb01AMM d O •M MCWN nor Of a. 04W roes LTA" MOoCALOM MW. . COIe or gma aAYre K" 1101 KAWC 10 .. LwD mYnors .CA r1AL o. WK)S of Leu MALL e1Or 9 COra+O M bMA VALD MA OW. . -AeAMM OaCATM XWOM MAa ruw COW ro M: Au,x, 1w w1 or t1a sOLW, • FWALa1, NO A IM "" ro as 14 aa1 COWAM. ,iOYWJUMu AC4h'Cr AK ro >NGUAM s a 13 L04" ror1 (� wtn1L owwam An xor tsALWUAsu v b ADMIO Al rolavyMm ot W WOMq •d+as, �j MAP OF ,LAND SURVEYED FOQ V1/Ail GUTCNOGUE ZdW. Z41 ThwH o.,r souTNot-o, M. � ZZ.03 0 1. I1 UVI0' ams N m N �oJ07q ^; t John L • Neu ,r• : As 180.0 _ Roderick t/0/J TLtf/, P. C. - �i4ens°d Land sur'�� 6'r0e .1hort, N. Y. Am wlded July 28. /976 Gc�t' . . . . _ . . . _ . . . . XT V UWtn�u3 Mea�SuceMeAh 30 X 7.2` - - - . . . a 4 Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD APPLICATION FOR ACCESSORY BED AND BREAKFAST Please, attach the following items when submitting this application: 1. Floor plan showing the location and number of guest rooms, smoke detectors, sizes of exits and egress - windows and doors; 2. Application fee. ($100.00 initial fee, $50.00 annual renewal) . Note: A permit for a Bed and Breakfast will be issued only after owner has obtained and complied with a Special Exception for a Bed and Breakfast from the Zoning Board of Appeals, and after the Building Inspector has inspected the property and has found same to be in compliance. Note: A Building Permit and Certificate of Occupancy shall be required for any structural alterations. STATE OF NEW YORK) COUNTY OF SUFFOLK) I, \ 1\W_m1 y \\Cy )m owner of property identified as Suffolk County Tax Map 11000- \per -�- 10,3 , a/k/a House # 1535_Q 5W' located in Town of Southold, County of'Suffolk,_ State of New York, hereby agree to abide by the conditions and requirements of the Zoning Code bf the Town of Southold and all other applicable laws, rules and regulations pertaining to Bed and Breakfast facilities, and hereby give consent for the Building Inspector of the Town of Southold to inspect the building and premises. mlcl�1.d3 lsJlC�W(a� Please contact PQ p I� ��,g- � at ( 516) a34 - A i $y to make an arrangements for on-site inspections. Sworn to before me this day of NaAX^6t , 19 q. OEBORAN 001Y 4otar�yPub�ffc Notary Pic, SW of NewYoak ----------------------t,�trmes.5torrE�aesf�briraIrf�s X=k---------------- Permit Application 011- ZBA Reference # O per's Signature For Office Use Only: B & B SCTM 41000 - Zone District: { } Inspection Fee $100.00 Nonrefundable { } Approved Building Permit # { )Annual Renewal Fee $50.00 C. 0. # r, T3 n___.:. r__......3 M The M.Y.S. Environmental Quality .-Review Act reauires submission of this fora, and an environmental review will Lie wdae Ly tnia .,card before any action is taken. SHORT EYVIRONMENTAL ASSESSMENT FORM INSTRUCTIons : (a) In order to answer the questions in this short EAF it is assumed that the preparer will use currently.available information concerning the project and the likely impacts of the action. It is not expected that additional studies, research or other investigations will be undertaken. (b) If any question has been answered Yes the project may be siq- nificant and completed Environmental Assessment Form is necessary. (c) If all questions have been answered No it is likely that the project is not significant. (d) Environmental Assessment 1. Will project result in a large physical change to the project site or physically alter more than 10 acres of land? Yes `/NO 2. Will there be a major change to any unique or / unusual land form on the site? _Yes ✓ No 3. Will project alter or have a large effect on an existing body of water? _Yes 111No 4. Will project have a potentially large impact on groundwater quality? _Yes No S. Will project significantly effect drainage flow on adjacent sites? Yes I-INo S. Will project affect any threatened or endangered plant or animal species? _Yes ✓ No 7. Will project result in a major adverse effect on air ✓•No quality? Yes B. Will project have a major effect on visual char- acter of the community or scenic views or vistas known to be important to the community? -/No Yes 9. Will project adversely impact any site or struct- ure of historic, pre -historic, or paleontological importance or any site designated as a critical enkrirenmental area by a local agency? Yes %/No 10. Will project have a major effect on existing or future recreational opportunities? _Yes -INo 11. Will project result in major traffic problems or • cause a major effect to existing transportation systems? ✓ _Yes No 12. Will project regularly cause objectionable odors, noise, glare, vibration, or electrical disturb- ance as a result of the project's operation? _Yes -/No 13. Will -project have any impact on public health or safety? _Yes No 14. Will project affect the existing community by directly causing a growth in permanent Popula- tion of more than 5 percent over a one-year period or have a major negative effect on the Yes 11NO. character of the community or neighborhood? 15. Is there public controversy concerning the I project? ��.�� -_._Yes ✓ No preparer's Signature: Representing: iV�Nr=� Date: _ZSA 9/75