Loading...
HomeMy WebLinkAbout3823APPEALS BOARD MEMBERS GERARD P. GOEHR[NGER, CHAIRMAN CHARLES GRIGONIS, JR. SERGE DOYEN, JR. JOSEPH H. SAWlCK[ JAMES DINITIO, JR. Southold Town Board of Appeals MAIN ROAD-STATE ROAD 25 SOUTHOLD, L.I., N.Y. 11971 TELEPHONE (516) 765-1809 ACTION OF THE BOARD OF APPEALS Appeal No. 3823: Application of THOMAS THOMPSON for a Variance to the Zoning Ordinance, Article III, Section 100-32 and Bulk Schedule for approval of existing swimming pool with deck areas which will have an insufficient rear yard setback when attached by a raised deck to the rear of the existing dwelling. Zone District: Agricultural-Conservation (A-C). Location of Property: 2980 Bridge Lane, Cutchogue, NY; Lot #10 on Map of Ismar Acres (Approved March 13, 1973); County Tax Map District 1000, Section 85, Block 2, Lot 22. WHEREAS, a public hearing was held and concluded on March 9, 1989 in the Matter of the Application of THOMAS THOMPSON under Appeal No. 3823; and WHEREAS, at said hearing all those who desired to be heard were heard and their testimony recorded; and WHEREAS, the Board has carefully Considered all testimony and documentation submitted concerning this application; and WHEREAS, the Board Members have personally viewed and are familiar with the premises in question, its present zoning, and the surrounding areas; and WHEREAS, the Board made the following findings of fact: 1. The premises in question is located along the easterly side of Bridge Lane, in the Hamlet of Peconic, Town of Southold, and is identified on the Suffolk County Tax Maps as District 1000, Section 85, Block 2, Lot 22. 2. The subject premises is a described parcel of land containing a total area of 41,585 sq. ft., lot frontage of 135.0 feet, and lot depth of 326+- feet, and is improved with a single-family, two-story frame house and accessory inground swimmingpool with decks and fence enclosure, all as sketched on survey dated February 3, 1984 (of Roderick'VanTuyl, P.C.). Page 2 - Appeal No. 3823 Matter of THOMAS THOMPSON Decision Rendered March 9, 1989 3. By this application, appellants request a variance from Article III, Section 100-32, and Bulk Schedule of the Zoning Code, for approval of the construction of raised deck between the existing pool decks and dwelling, thereby changing the status of the entire pool construction from accessory to part of the principal structure. 4. Article III, Section 100-32(B){1,2 & 4}, and Column ii of the Bulk Schedule, of the Zoning Code requires a minimum rearyard setback at 50 feet. The dwelling without decks is shown to be set back at 96+- feet from the rear property line (see original survey, without pool and deck construction, prepared by Roderick VanTuyl, P.C.). 5. By Building Permit No. 16534Z, approval was granted by the Building Department authorizing construction of accessory pool construction in the rear yard area with a setback at 50+- feet, exclusive of fence enclosure and decks. It does not appear that any reference was made as to proposed decks or step areas from the dwelling to the pool, although this type of construction is very common within the Town of Southold. 6. The amount of relief requested by this application is 15 feet from the current zoning code, effectuated on or about January 22, 1989, Section 100-32B (1,2 and/or 4). The zoning requirement prior to January 22, 1989, required a minimum rear yard setback for a principal structure at not less than 50 feet under Column A-40 of the Bulk Schedule, and Section 100-31. 7. In considering this application, the Board also finds and determines: (a) there is no other alternative available for appellants to pursue other than a variance; (b) the variance requested is uniquely related to the property and will not alter the essential character of the neighborhood; (c) the variance requested is the minimal necessary to afford relief and is not substantial; (d) the variance will not in turn be adverse to the safety, health, welfare, comfort, convenience or order of the town, or be adverse to neighboring properties; (e) in view of all of the above factors, the Page 3 - Appeal No. 3823 Matter of THOMAS THOMPSON Decision Rendered March 9, 1989 interests of justice will be served by granting the relief, as requested and conditionally noted below. Accordingly, on motion by Mr. Dinizio, seconded by Mr. Goehringer and Mr. Sawicki, it was RESOLVED, to GRANT the relief requested for construction of deck between the rear of existing dwelling structure and the existing swimmingpool construction, as shown on the sketch submitted for consideration under Appeal No. 3823 in the Matter of the Application of THOMAS THOMPSON. Vote of the Board: Ayes: Messrs. Goehringer, Grigonis, Doyen, Sawicki, and Dinizio. This resolution was duly adopted. lk ~,,.~,~a~~ ~, - S th Id To d lApp Is ~~~ ouo wn Boar o ea TELEPHONE (516) 765 1809 APPEALS BOARD MEMBERS GERARD P. GO£HRINGEE, CHAIRMAN CHARLES GRIGONI$, JR. SERGE DOYEN, JR. JOSEPH H. SAWICKI NOTICE OF HEARINGS JAMES DINIZIO, JR. NOTICE IS HEREBY GIVEN, pursuant to Section 267 of the Town Law and the Code of the Town of Southold, the following hearings will be held by the SOUTHOLD TOWN BOARD OF APPEALS at a Regular Meeting, at the Southold Town Hall, Main Road, Southold, NY 11971, on THURSDAY, MARCH 9, 1989, at the following times: 7:30 p.m. Appl. No. 3826 - GLADYS W. HOWELL. Variance to the Zoning Ordinance, Article VII, Section 100-71 for approval of conversion of existing accessory building for dwelling use, accessory to the main dwelling structure, in this Residential-Office (RO) Zone District. Location of Property: 51470 Main Road, Southold, NY; County Tax Map District 1000, Section 70, Block 2, Lot 2. 7:35 p.m. Appl. No. 3825 - SUSAN A. FORBES. Variance to the Zoning Ordinance, Article III, Section 100-31, and Article XXIV, Section 100-244 for approval of open deck addition with an insufficient front yard setback. Lot area of premises is nonconforming at approximately 11,300 sq. ft. in this R-80 Zone District. Page 2 - Notice of Hearings Southold Town Board of Appeals Regular Meeting of March 9, 1989 7:40 p.m. Appl. No. 33813 SHELDON HILLS as Trustee for Barterama Corp. Employees Profit Sharing Trust. Variances to the Zoning Ordinance, Article III, Section 100-32C and Column iii of the Bulk Schedule, for permission to reduce side yards to less than the required 20 and 25 feet, and less than the total 45 feet for both sideyards, on this 2+ acre vacant parcel. Zone District: R-80. Location of Property: Private Right-of-Way referred to as Private Road #11 (also referred to as Aldrich Lane Extension), extending off the north side of Sound Avenue, Mattituck, NY; County Tax Map District 1000, Section 112, Block 1, Lot 12; Southold Town Planning Board Approved Set-Off Map March 4, 1985. 7:45 p.m. Appl. No. 3828 - ROSEMARy SULLIVAN. Variances to the Zoning Ordinance, Article III-A, Section I00-32A for permission to construct 10' by 14' addition (replacing existing deck) with an insufficient rearyard setback and in excess of the maximum 20% lot coverage requirement. Zone District: R-40. Location of Property: 5365 Peconic Bay Boulevard, Laurel, NY; County Tax Map District 1000, Section 128, Block 1, Lot 11. Page 3 - Notice of Hearings Southold Town Board of Appeals Regular Meeting of March 9, 1989 :50 p.m. Appl. No. 3823 - THOMAS THOMPSON. Variance to the Zoning Ordinance, Article III, Section 100-32, and Bulk Schedule, for approval of existing swimmingpool with deck areas which will have an insufficient rearyard setback when attached by a raised deck to the rear of the existing dwelling. Zone District: Agricultural-Conservation (A-C). Location of Property: 2890 Bridge Lane, Cutchogue, NY; Lot #10 on Map of Ismar Acres (Approved March 13, 1973); County Tax Map District 1000, Section 85, Block 2, Lot 22. ~ 7:55 p.m. Appl. No. 3830 - REV. CHARLES BELL. Variances to the Zoning Ordinance, Article III-A, Section 100-32A, and Bulk Schedule, for permission to construct addition at rear of existing dwelling with an insufficient rearyard setback. Zone District: R-40. Location of Property: 1330 Donna Drive, Mattituck, NY; Lot #32, Deep Hole Creek Estates; County Tax Map District 1000, Section 115, Block 15, Lot 15. Page 4 - Notice of Hearings Southold Town Board of Appeals Regular Meeting of March 9, 1989 8:00 p.m. Appl. No. 3814 - RYCK KOKE. Variance to the Zoning Ordinance, Article III-A, Section 100-32A, for approval of swimming pool with fence enclosure in the side yard area. Zone District: R-40. Location of Property: 245 Kimberly Lane, Southold, NY; Paradise By the Bay Subdivision Lot No. 2; County Tax Map District 1000, Section 70, Block 13, Lot 20.2. 8:10 p.m. Appl. No. 3824 - NICK AND KATIE NICKOLAUS. Variance to the Zoning Ordinance, Article III, Section 100-33 (previously 100-32) for permission to locate accessory building in an area other than the required rear yard. Zone District: R-80. Location of Property: 17555 Soundview Avenue, Southold, NY; County Tax Map District 1000, Section 51, Block 1, Lot 2. 8:15 p.m. Appl. No. 3811 - RICHARD AND JANET SCHLUMPF. Variances: (a) to the Zoning Ordinance, Article III-A, Section 100-32A for permission to construct principal building with an insufficient front yard setback, and (b) pursuant to New York Town Law, Section 280-a for approval of access over private right-of-way referred to as Silkworth Road extending from the east side of Westphalia Avenue (Road), Mattituck, NY. Zone District: Pleasant; Lot 12. R-40. Location of Property: Lot #1, Map of Point County Tax Map District 1000, Section 113, Block 9, Page 5 - Notice of Hearings Southold Town Board of Appeals Regular Meeting of March 9, 1989 8:20 p.m. Appl. No. 3785 - RAYMOND F. NINE, PAMELA NINE AND CHARLES ZAHRA. Special Exception to the Zoning Ordinance, Article III-A, Section 100-3iA(B) for permission to establish "Bed and Breakfast Use," 'an owner-occupied building, other than a hotel, where lodging and breakfast is provided for not more than six casual, transient roomers, and renting of not more than three rooms,' in conjunction with owner-occupancy as a single-family dwelling use. Location of Property: North Side of New Suffolk Avenue,-Mattituck, NY; County Tax Map District 1000, Section 114, Block 11, Lot 20. Zone District: R-40. 8:30 p.m. Appl. No. 3829 - FRED RENGANESCI and BARBARA REITER as Applicants for a Reversal of a Determination by Building Inspector to Grant Building Permit No. 17508-Z dated October 6, 1988 concerning a proposed "steel building for indoor storage of boats" to be located at premises referred to as "MATT-A-MAR,,, now or formerly owned by Wickham Road Marina, Inc. Zone District: Marine (M-II). {Previous Zone District: B-Light Business}. Application was filed citing the Page 6 - Notice of Hearings Southold Town Board of Appeals Regular Meeting of March 9, 1989 prior Zoning Code, Article VI, Sections 100-60 and 100-61, and Article XIV. New Zoning Code citations refer to Sections 100-121 and 100-122, and Article XXVII provisions for this M-II Zone District. West Side of Wickham Avenue, Mattituck, District 1000, for the same or similar Property Location: NY; County Tax Map Section 114, Block 3, Lot 1. The Board of Appeals will at said time and place hear any and all persons or representatives desiring to be heard in each of the above matters. Written comments may also be submitted prior to the conclusion of the subject hearing. Each hearing will not start before the time allotted. For more information, please call 765-1809. Dated: February 9, 1989. BY ORDER OF THE SOUTHOLD TOWN BOARD OF APPEALS GERARD P. GOEHRINGER CHAIRF~LN By Linda Kowalski Copies to the following on or about February 17, 1989: Suffolk Times, Inc. L.I. Traveler-Watchman Town Clerk Bulletin Board (Main Lobby)ZBA Office Bulletin Board ZBA Board Members (with file copies) ZBA Individual Files Mr. Gary Williams, PO Box 1415, Southold, NY 11971 (for Howell) Ms. Susan A. Forbes, Box 802, Orient, NY 11957 Mr. Kenneth Hills, Mountain Home Builders, Inc. 24 South Court, Roslyn Heights, NY 11577, (for S. Hills) Mark Finne General Carpentry, 1370 Lighthouse Road, Southold, NY 11971 (for Rosemary Sullivan; for Rev. C. Bell) Mr. Thomas Thompson, 2890 Bridge Lane, Cutchogue, NY 11935 Page 7 - Notice of Hearings Southold Town Board of Appeals Regular Meeting - March 9, 1989 Copies to the following on or about 2/17/89 (continued): Rudolph H. Bruer, Esq., Main Road, Southold, NY 11971 (for R. Koke) Mr. and Mrs. Nick Nickolaus, 30 Buttonwood Drive, Dix Hills, NY 11746 Southold Pools, Inc., Box 539, Southold, NY 11971 (for Nickolaus) Karen J. Stretz, Esq., Wickham, Wickham & Bressler, P.C., Main Road, Box 1424, Mattituck, NY 11952 (for Schlumpf) Daniel C. Ross, Esq. or Eric J. Bressler, Esq., Wickham, Wickham and Bressler, P.C., Main Road, Box 1424, Mattituck 11952 (for Nine and Zahra) Mr. Raymond F. Nine, New Suffolk Avenue, Mattituck 11952 Ms. Pamela Nine, New Suffolk Avenue, Mattituck 11952 Mr. Charles Zahra, Box 1137, Mattituck, NY 11952 Mr. and Mrs. John DeReeder, New Suffolk Ave, Mattituck 11952 Harold and Ernest Wilsberg, Box 1429, Mattituck 11952 (as adjacent property owners) Daniel C. Ross, Esq., Wickham, Wickham & Bressler, P.C., Main Road, P.O. Box 1424, Mattituck, NY 11952 (for Renganesci ~. and Reiter) in the Matter of Matt-A-Mar Permit ~17508Z Wickham Road Marina, Inc. c/o Marr-A-Mar Marina P.O. Box 1235, Mattituck, NY 11952 Matt-A-Mar Marina, Box 1235, Mattituck, NY 11952 Mr. Victor Lessard, Principal Building Inspector James A. Schondebare, Town Attorney Robert H. Berntsson, Assistant Town Attorney FORM NO, 3 TO,TN OF SOUTItOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD. N.Y. NOTICE OF DISAPPROVAL Date .... / ./~./. ~. ............... , , ~ .r. t. . PLEASE TAKE NOTICE that your application dated . ~/_/ 0O .~ ~ h~; ~o: ........... ' s~ioJ ................ County Tax Map ~o. 1000 Section ..... ~... mock ...... ~ ......Lot ..... ~ .~... Subdivision ................. Filed Map No ................. Lot No ........ ' .......... is returned herewith and disapproved following grounds · .~...~..~..~.~~ .... ~- · -.~~-.. ~...~~/.~.~.~ ..... ..... ~il~g Inspector RV 1/80 IWFW~. ~D .ev3U .0,~'~..../..~ .... 19 '.7. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N,Y, 11971 TEL,: 765-1802 pproved .q~..~. · .~"~. · · ./..~. 1~7. Permit No./. .6. ~..~..~..-~.. / isapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received ........... ,~9... Date ......... a. This application must be completely filled in by typewriter or in ink arid submitted to the Building Inspector, with 3 :ts 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 : areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ~tion.. : 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 issued a Building Permit to the applicant. Such permit ~all be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy aall have been granted by the Building Inspector. APPLICATION IS HEREBY MA*DE to the Building Department t;or the issuance of a Building Permit pursuant to the .uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws. Ordinances or egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. 'lie applicant agrees to comply .with all applicable laws, ordinances, building code, housing code, and regulations, and to dmit authorized inspectors on premises and in building for necessary i~spections. · ...h/...~v..(~. ~. y. . .*. . . :,~> ~" 3,. '4./3.%'.:. .......... ~Signature of applicant, o_r name, if a corporation) (ma:[l±ng address of appl±cant) ';tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......... C. >. . . , .p.6. . . .................................................... :,Jame of owner of prenfises - .'~.~...~...h~..~. ..... .~ff.c)../.9.'~./f:~.~.i// ................................. (as on the tax roll or latest deed) ff appiic~is a corporat/on, siv. v, ature of dul~ authorized officer. Bui, ' r's icens :.. Plumber's License No ......................... Electrician's License No../~. O. ,/)~..9..%?.~!../~ .2.~.' ~/"~-Y ( Q~ ............................ ~ear .................. Depth ...... 10. Date of Purchase ............................. Name of Former Owner .......................... 1 I. Zone or use district in which premises are situated.. ./'?/.~, 12. Does proposed construction violate any zoning law, ordinance or regulation. . 4/0 . 13.?l lot ?e..regrad? ...... ~.0.....~.. ....... ; ...... Will excess fill be removed from ' · - 14. marne Ol Uwner o/premises .L/re'ut -.3c ~ ^dj f,.,. ~,, .... premises. Yes ( ........... v ...... ,-muress . . ¼4 t vitalS- Phnm, Name of Architect . ?~i ' ' "' '-' ' '"' ................ Address ......... .......... Phone No.. Name or Contractor ./.~ ¢./pp. 7.. 2..S..O/.v.3 ......Address ../~/~..~...F~...a~. .... Phone No. 15. Is this property located withinl.00 feet of a tidal wetland? * Yes ''5" No . ..... · If yes, Southold Town Trustees Permit may be required. ' " ..... ... PLOT DIAGRAM ~ ' '' ; :;~ ':'~ "::: '-' Lochte clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dh'nensions property lines. Give street and block number or description according to deed, and show street names and indicate whet interior or corner lot. STATE OF NEW YORK, COUNtrY OF... S.S (Name of individual signing contract) ........ above named. being duly sworn, deposes and says that he is the applic. Itc is the (Contractor, 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 application; that all statements contained in this application are true to the best of his knowledge and belief;and that work will be performed in tile manner set forth in the application filed therewith. Sworn to before me this ' ' ......... day of ~ .................... ,19 . NotawPublic, .~.~( ~ ~ County ~~ t ~TA~ PUflIIC. ~te ~ ~w Y~ No. 47078~8 Su~o k~ · · - ~'" ~",~ ~,,~, ~o'.~ ? ..... ~ ......... ~" ';~'~ ......... ~ {~n~ of appHca: JAN APPEAL FRO~ D~C~S~ON O~ BUiLDiNG ~NSPECTOR Southol~ Town TO THE ZONING BOARD OF APPEALS, TOWN OF SOUTHOLD, N. Y. APPEAL NO. .... Name of Appellor~t./ Street ~d Number .~..U...~..C~,~.~../~.P---.- ....................................................... .~.:/..:.. .......... HEREBY APPEAL TO / Municipality State THE ZONING BOARD OF APPEALS FROM THE DECISION OF THE BUILDING INSPECTOR ON APPLICATION FOR PERMIT NO ..................................... DATED ...................................................... WHEREBY THE BUILDING INSPECTOR DENIED TO ...... ................ Name of Applicant/~or permit of ........ ............... Street and Number / Municipality / State ( ) PERMIT TO USE ( ~,/~'ERMIT FOR OCCUPANCY ( ) 1. LOCATION OF THE PROPERTY ...~..~..~..~...~,~:.~./~..~%-...~.~/.~......~..U..~-.~/~'.,° .............. Street ,~Hamlet / Use District e~ Zoning Map ..................................................................................District 1000 Section Block,R Lot ~,...~. urrent 0wner ~A~ ~ rr?, D?r,~) , '*~,,~,,o ~-~. _ Map No.~7,~' Lot No. Prior Owner 2. PROVISION (S) OF THE ZONING ORDINANCE APPEALED (Indicate the Article Section, Sub- section and Paragraph of the Zoning Ordinance by number. Do not quote the Ordinance.) Article T/T-, Section /~...a ~.3 I 3.. ~,,y, PE OF APPEAL Appeal is made herewith for (please check appropriate box) ( ~ A VARIANCE to the Zoning Ordinance or Zoning Map ( ) A VARIANCE due to lack of access (State of New York Town Law Chop. 62 Cons. Lows Art. 16 Sec. 280A Subsection 3 () 4. PREVIOUS APPEAL A previous appeal (has) (has not) been made with respect to this decision of the Building Inspector or with respect to this property. Such appeal was ( ) request for a special permit ( ) request for a variance and was made in Appeal No ................................. Dated ...................................................................... REASON FOR APPEAL ( ) A Variance to Section 280A Subsection 3 (1~ A Variance to the Zoning Ordinance ( ) the reason that is requested for // Form ZB1 (Continue on other side) REASON FOR APPEAL Continu~:~ sary HARDSHIP because STRICT APPLICATION OF THE ORDINANCE would produce practical difficulties or unneces- 2. The hardship created is UNIQUE and is not shared by all properties alike in the immediate vicinity of this property and in this use district because CHARACTER OF THE DISTRICT because The Variance would observe the spirit of the Ordinance and WOULD NOT CHANGE THE STATE OF NEW YORK COUNTY OF~ ~btc SS Sworn to this ELIZABETH ANN NE~ILLE Notary PuMio, ~me of New No. B2.e12Mr~ SuftMk CoU~ Term EN~me Omalw al. leC~ TOWN OF SOUTHOLD PROPERT~RECORD CARD FORMER OWNER N E S W TYPE OF BUILDING RES. .~/~, SEAS. VL. (~ FARM CO~M. CB. MICS. Mkt. Value qll~e , " FR~TAGE ON WATER V~I~ FRONTAGE ~ ROAD / Z~ ' A~ DE~H I~ P~ BULKH~D '~1 -!!- .........~ , .... . ........... ~I~,- - . . ....................... -. _ ~__~_~ _~ ......... - ~ .... / / ~4~ g~8 ' ~.'~o ~.~8t , , ~ ~, --- I --~ ~'~:~J ~ . ~:- K. , j~ ~ ~ ~F~ FIN. B APPEALS BOARD MEMBERS GERARD P. GOEHRINGER, CHAIRMAN CHARLES GRIGONIS, JR. SERGE DOYEN, JR. JOSEPH H. SAWlCKI JAMES DINIZIO, JR. Southold Town Board of Appeals MAIN ROAD- STATE ROAD 25 SOUTHOLD, L.I., N.Y. llg?l TELEPHONE (516) 765 1809 March 15, 1989 Mr. Thomas Thompson Bridge Lane Cutchogue, NY 11935 Re: Appeal No. 3823 - Variance Dear Tom: Transmitted herewith for your perusal and file is a copy of the determination recently rendered by the Board of Appeals in the above matter. Copies of this decision have also been furnished to the Building Department Office to update their files. Please be sure to return to the Building Department and other appropriate agencies/departments for other approvals or documents which may be necessary. Yours very truly, GERARD P. GOEHRINGER CHAIRMAN By Linda Kowalski Enclosure Copy of Decision to: Office of the Building Inspectors Column No. i District A-C iii iv v Vi vii ix X Reaiden~-'uau Unit Where Community 2-Family Detached ~ See text of chapter and Density and Minimum Lot Size Schedule~ for applicable districts. ~ Except one-bedroom or studio in multiple dwelling may have six hundred (600) square feet. Minimum fl~or a~a may be reduced up to two hundred (2~) for moderato- and/or Iower-c~zt dwellings. ~ Except one-~clrcom or studio in multiple dwelling may have six hundred (600) square feet- 2 - 25 - 89 lONG ISLAND ~~ SOUND A-C FI-80 R-80 R--80 R-80 ~IOUG~ -4. s. s4 ~4 oo E. ~vo . ~o.~.9 TO LOM,$ LAHE ~' I r'"4,,, T .h'iL../t '" Jl 1,4 H. · Southold Town Board of Appeals MAIN ROAD- STATE ROAD ~B5 BOUTHOLD, L.I., N.Y. llg?l TELEPHONE (516) 765-1809 APPEALSSOARD March 9, 1989 MEMBERS GERARD P. GOEHRINGER, CHAIRMAN S .E .Q .R .A. CHARLES GRIGONIS, JR, SERGE DOYEN, JR. NEGATIVE ENVIRONMENTAL DECLARATION JOSEPH H. SAWICKI JAMES DINIZIO, JR. Notice of Determination of Non-Significance APPEAL NO.: 3823 PROJECT NAME: THOMAS THOMPSON This notice is issued pursuant to Part 617 of the implementing regulations pertaining to Article 8 of the N.Y.S. Environmental Quality Review Act of the Environmental Conservation Law and Local Law #44-4 of the Town of Southold. This board determines the within project not to have a signifi- cant adverse effect on the environment fo~ the reasons indicated below. Please take further notice that this declaration should not be considered a determination made for any other department or agency which may also have an application pending for the same or similar project. TYPE OF ACTION: IX] Type II [ ] Unlisted [ ] DESCRIPTION OF ACTION: Approval' of existing swimmingpool with deck areas which will have an insufficient rearyard setback when attached by a raised deck to the rear of the existing dwelling LOCATION OF PROJECT: Town of Southold, County of, Suffolk, more particularly knQwn as: 2890 Bridge Lane, ~utchogDe, NY 1000-85-2-22 REASON(S) SUPPORTING THIS DETERMINATION: (1) An Environmental Assessment in the short form has been submitted which indicates that no sighificant adverse effects to the environment are likely to occur should this project be imple- mented as planned; (2) The relief requested is a setback variance as regulated by Section 617.13, 6 NYCRR, SEQRA FOR FURTHER INFORMATION, PLEASE CONTACT: Linda Kowalski, Southold Town Board of Appeats,.Town Hall, Southold, NY 11971; 765-1809 or 1802. Copies of this notice sent to the applicant or his agent on the Town Clerk Bulletin Board. mc Secretary, tel. 516- and posted APPEALS BOARD MEMBERS GERARD P. GOEHRINGER, CHAIRMAN CHARLES GRIGONIS, JR. SERGE DOYEN, JR. JOSEPH H. SAWICK[ JAMES DINIZ[O, JR. TO WHOM IT MAY CONCERN: Enclosed herewith as confirmation of the time, date and place of the public hearing concerning your recent application is a copy of the Legal Notice, as published in the Long Island Traveler-Watchman, Inc. and Suffolk Times, Inc. Please have someone appear in your behalf at the time specified in the event there are questions brought up during the same and in order to prevent a delay in the processing of your application. Your public hearing will not start before the time allotted in the attached Legal Notice. Please feel free to call our office prior to the hearing date if you have any questions or wish to update your file. Yours very truly, GERARD P. GOEHRINGER CHAIRMAN ~OTICE OF HEARINGS N(~TICE IS HEREBY GIVEN, pursuant to Section 267 of the Town Law and the Code of the Town of Southold, the following hearings will be held by the SOUTHOLD TOWN BOARD OF APPEALS at a Regular Meeting, at the Southold Town Hall, Main Road, Southold, NY 11971, on THURSDAY, MARCH 9, 1989, at the following times: :50 l~m~ 'Appl. No. 382~'"'~ OMAS THOMPSON. lance to the Zoning Ordi- ce, Article III, Section -32, and Bulk Schedule, for royal of existing swimming I with deck areas which will COUNTY OF SUFFOLK STATE OF NEW YORK SS: Patricia Wood, being duly sworn, says that she is the Editor, of THE LONG ISLAND TRAVELER-WATCHMAN, a public newspaper printed at Southold, in Suffolk County; and that the notice of which the annexed is a printed copy, has been published in said Long Island Traveler-Watchman once each week for ..................... /'~ .... weeks successive'v, commencing on the ......... ...... Legal Notices ' ' ,'~ t-,~t~Zou~Or~ance, Art{del]X. SectionSI, Block'~ ~ ~ ~ T : ~ ' ' ~ {~ious Z~e ~Stfio: B-~ ,'-.'. ~ 1~32A f~issi~ ~:15 p.m. A1 ~o. 3811 ~ Bu~s}.A~fi~w~ ~s~ct 10' ~. 14' addifi~ RICHARD Aa~ I A N E T .: ~ ~e ~ ~g C~e, A~c ~, ~ f~ ~ ~ ;, ~ Bay ~a~, ~ ~ ~ ~ SO~O~ ~ ~ ~ant Coun~?T~ MaP Dist~ct 1~, Se~f~n~a~ss ~O~DOF~aa~ ?]' ~I~,BI~ I,~ I1, ~ ~~-~Y~ : ~tfitock, NY; ~ty Tax M; M~[,~T~ }~/ ?:50 p.m. Appl. No. 382~ M~~II~I,m ~+ [~O~O~N.V~m east side of Westph~ Argue ~1. ~DAY, M~ 9, 1989, m ~ ~g O~. A~ele · e f~o~g ~es: ~ 1~32, ~d 7:30 p.m. A~I. No. 3826 ~ f~ ~ of ~g ~ 1~71 f~ ~,~ ~ ~ :' f~ dw~g me, a~ ~ the ~ ~~ (A~ m~dw~~. ~ ~ ~: 51470 ~ ~ua, ~; ~ ~10 ~ Map of ~ A~s (A~mved Ma~ 13, R~d, ~d, ~; C~ty T~ 1~3); ~ T~ M~ District ~p ~ I~. ~ 7~ B~ ~ ~ ~ 7:55 p.m. A~L 'N~ 7:35 p.m. A~I. No. 38~ ~ SUS~ A. FO~. V~ m ~ 1~31, md ~ ~, S~ I~ f~ ~,~ of ~ ~ y~ ~ ~ a~ ~ ~ ~ ~ ~t ~a~ ~. P~: N~ Si~ ~ New S~ ' non-confonnlng at approximately . 11.300 sq. fi. in this R-80 Zone ' Dialer. 7:40 p.m. AppL No. 33813 SHELDON H]]~LS as Tastee for Barterama Corp. Employees Profit Sharing Tmsc Variances to the ing Ordinance. Ardd~ HI, Section I00-32C and Column i~ of the Bulk . Schedule, for permisslo~ to reduce and 25 fee~ and le~s than the total 45 feet for be~ sideya~da, on this 2+ ac~ vacant I~m:el. Zone District: R~ The Bo~d of Appceis will ~t s~ R-40. Location of Pr~ony: Lot #1, '- timc and place hear any and all ~,~ Map of Point Pleasant; County Tax sons or representatives d~iring to: Map District 1000, Sectte~ 113, heard in each of the above matte, Block 9, LOt 12. ,~ Wri~zm~ commenta may also be m~ 8:20 p.m. Appl. No. 3785 -- mittedpriorto~heonncluslen oftl RAYMOND F. NI~E, P.~vIELA subjectheadng.~hheatingwilln NINE A~D CHARLES ZAHRA. start before ~he time allotted. Special E~ceptiou to the Zoning Or- ' mom information, please call 76 dlnance, Article ~I-A, Section 100- 1809. 31A(B) for pemtisslOU to establish = 'Dated: Febnmy 9, 1989. "Bed and B~.al~as~ Usa," 'an owner. :: BY ORDER OFTI . occupied building, o~e~thanshotel, .:: '..SOUTHOLDTOWNBOAR ~ where lodging and breakfast is Ix'°': · : : ' OF APPEAl REV. CHARLP-~ BELL V&dances ~: vided for no~ mor~ than slx cn~ual,: '. GERARD P. OOEHRING: to the Zu~ng Ordinan~, Anicl~ 111-.~ transient roamers, and renting of not ' :~ CHAIRM.a A, Section 100-32A and Bulk:: .more~manthteeroems,'incoujunc. ~i ByLindaKow,l~ Sd~dule, fo~ pennisslon to c~msm~ Uon wi~ owner-occupancy as m sin- 6197- ITF23 addition at ~ar of existing dv~lling Fie-family dwelling use. Locatio~ of ~ ..... 80, Locati~u of Property: Private 't: 13, L~ 20.2. Right-of-Way re~ened toas PHvate 8:10 p.m. AppL No. 3824 Road #11 (also ~fen'ed to as Aldridt MCK AN]) RAT]]{ I~ICKOLAUS. Lane Extensie~), extending off the Variance to the Z~nlng Ordinance, no~ side of Sound Avenue, Ma~- Article HI Section 100 I~: .,~. ~-.,. m~ ~,~ % ~.o~ =! .~ D~i~' R;80 1~'~*4e~ ~¢ ~i.,. : V:45 p.tn. Appl. No. 3828 -- "MATT-A-MAR," nowor fotmedy; ha[dost-working J,. ,;:: ClaSSifieds O[.e in J' Suffolk Tunes/] :!, N Beview "J · · .. ~,: ! ......... Z~ne District: R-40. Location of Argue, Mattlmck, NY; County. Tax. Pr~eny: 1330 Donna Drive, Maui- Map District 1000, Se~tlon I 14, tuck, NY; LOt ~2, l)eep Hole Creek Block 11, Lot 20. Zone Disulc~ R- Estates; County T~t Map District 40. 1000, Se~inu liS, Block 15, LOt 15. 8:30 p.m. Appl. No. 3829 8:00 p.m. Appl. No. 3814 -- ~ FRED RENGANESCI AND BAR- RYCK KOKE. Variance to the Zou- = BARA PELTER as Applicants for a lng Otdinanc~ Aflicle m-A, Sectiou~ . :'~ Reversal of a Determination by 100-32A, for approval of SWinmm{ng :. Btli]din8 .~sp~:tof to ~-f~qt pool with fence enclmure in ~e side ~- Penult N~ 17508-Z dated Octo~r ~. yard area. Zoue Dimict: R-40. Loea. ~.= ' 1988 ¢onmmln{ · p~,.m, osad 'stee,l ri~ of l~y: 245 Kimbedy Lane, ~ ~' beilding for indeo~ storage of boats Sonthotd, NY; Paradise By ~he Ba)~~ ~- to be Iocau~d at {mmtise~ ~efen~i te Subdivisle~ LO~ No. 2; Cotmty Tax~: > ~'MaP Disui~ 1009, SeaionTO, B!~ork' ' owned by Wickham Road Marina, FOUNDATION { 1 FOUNDATION I 2nd 2. ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [~J~FINAL ~-~E~? DATE INSPECTOR s. 54 14o,) a. 120.00 NOT~. ' ~'~OT klO',.% I~EFE.r2 TO' ,:49:5' CO. HEAL.TH DEPT. APPROVAL H. eL NO. 13,-.'50-i4-Z OF INT ' .... ~ kGE DISPOSAL ;;TH INFORMATION FOR BUILI)IN(; DEP:',RT~,IENT WE ARE IN THE PROCESS OF ISSUING A CERTIFICATE OF COMPLIANCE FOR THE ELECTRICAL INSTALLATION AS COVERED IN A_.~.~PPLiCATiON FILED WITH OUR TOWN OF SOUTHOLD TOWN Of SOUYHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 ~PPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION .-~..."iooOLD OR PRE-EXISTING BUILDING ...... v-~CANT LAND Permit No ........... Date of Permit .......... Applicant ................... Health Dept. Approval .................. Underwriters Approval .............. Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate ................ Fee Submitted: rev. 10/14/88 TOWN OF Sou'rHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No_ 1653~ Z Permission is hereby granted to: .... ........... ........ ~.~....~..~ ........................................... ~ .....~.~:.....~.:~.:....!.!...~.~..~ ....... at''~'Premises ................................... located at ...~......~.~'""; ....... ............... ~.~..~: ................................................................................... ...... ~46,,,~ ................. · ...................................................................................................................................... County Tox Map No. 1000 Section ...... ,Q~..~..~..~.. ..... Block ....... .~....~.. ...... Lot No.......~.....,~-~,. .......... pursuant to oppficotion dated .... (~...~?.~..../,...1~. .............. , 19~'..~., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 Exa~ ~. Approved .Q · .~'..~. · .'~'../. X.., 19~. 7. Permit No. ~ ~ ~...~. ~.-~. / FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL COUTHOLD, N.Y. 11971 TEL.: 765-1802 Disapproved a/c ..................................... ................................. i'".:: .... '.."--~',/~ · .L). :v~..~ .C:J...~..~...~...~.. ...... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received ........... ,19... /o/~.~, ~.? Date .................. 19 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation.. : 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 issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MA~E 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 i~spections. . . .~.:...~.~.//.z..v.. :.~...,r..<,q.s,~, ........... ~Signature of applicant, or name, !~fa corporation) · ~.9.:..~ ~...q.~Y,...5./~..~4../~.../f.(¥ .... · .~.~>.~:~ ~ ~: ........... ,c:-. . .,Y.-.~. . ..//. ~,:..z. (mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........ ff.~...z~.. ~.~.....c. ~d...~.. ~c.: .~. ,~ .................................................... Name of owner of premises ..... -...~'...~...]~. · ......~d~. · · -~. · .~.~.O. ~. ................................. (as on the tax roll or latest deed) If~n'~i~. ayth°rized °fficer' · //r' · ' '(~n¥ ~fi 'titi~ of cutpurse ~M'ncer) · - Builder's License No....5~.... :.. Plumber's License No... ...................... Electrician's License No../~..O ~ ./~....~...~.2..~r'~/~¢ Q, '~ Other Trade's License No ...................... 1. Location of land on which proposed work will be done. ~ I ~¢~- //~/nd~-~ C .~. T..~../~..~ ~.~-.. ....o2..g./..0..: .......... tt r/,,.,.~ ~. ~...z.~,~.. .......... .o...~z.c../?'.o. ~.a,~ ................. House Number Street Hamlet County Tax Map No. I000 Section ..... ~..~.'~. ...... Block ...... ~. .......... Lot ..... ~--~..~ ........ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: £ s / O.. ~."Z~.. . T/. ,~ c a. Existing use and occupancy ............ ~. ................................................... b Intended use and occupancy ........ 3. Nature of work (check which ap able): New Building .. Ad .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work.. ~ .... , ...... . .~'~.~. ~)O i (Description) 4. Estimated Cost .............. : .Q.Q ............... Fee ...................................... (to be paid on ffding this application) 5. If dwelling, number of dwelling units ............... 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 .................... 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 ............... Rear ............... Depth ................ Height ............... Number of Stories .................................................. 9. Size of lot: Front ...................... Rear ...................... Depth ...................... 10. Date of Purchase ............................. Name of Former Owner ............................. 11. Zone or use district in which premises are situated ........... ~r~.~. {.~..~.;,y..~../.f~. ......................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..../17.O. .......................... 13. Will lot be regraded ...... fi{./) .................. Will excess fill be removed from premises: Ye . 14. Name of Owner of premises .... ~../~...~.~.J.q .~. .... Address ...~...% ~-.6././zp~/ffff... Phone No ........ ~ ...... Name of Architect . Name of Contractor ~."i '~"/~'~'~717~ ~.' ~ ~: i .... Address ................... Phone No. .................... Address.. ~..~f'f~...Z'~.. .... Phone No. i 15. Is this property located withinl.O0 feet of a tidal wetland? * Yes ..... No ..... · * If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM ' .... L0chte clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF ................. S.S ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ......................................................................................... (Contractor, 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 before me this ........................ day of... ~ ......... , 19 .~. N0*n~umtc, stm~nmy~t ..................... :...( ........ '-, 1~37078~.q, ,~,lk ~nt'/¢~ i7' . r ' (~nal~ of applicant) I~m ,rc,x~tes Ma~h 30, HI ,n~ .JUDITH T. TERRY To: From: Dated: January 25, 1989 Transmitted herewith is Zoning Appeal NO. Thomas Thompson OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Southold Town Zoning Board of Appeals Judith T. Terry, Southold Town Clerk 3823 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 TELEPHONE (516) 765-1801 · application of for a variance. Also included is: Notification to Adjacent Property Owners; Short Environmental Assessment Form; letter relative to NYS Tidal Wetlands Land Use; Notice:of: Disapproval from the Building Department; survey of property; and any other attachments relative to this application. Judith T. Terry Southold Town Clerk QUESTIO:~NAIRE TO BE COMPLETED AND SUB~'~[TTED ~'~TI[ YOUR APPL£CA'F[ON L"Oi~.IS '['0 'i'llE BOARD ~I:' APPEALS Please complete, sign and return to the Office of the Board of Appeals with your completed application forms. If "Yes" is answered to any questions below, please be sure to depict these areas on your survey (or certified sketch), to scale, and submit other supporting documenta- tion. / 1. Are there any proposals to change or alter land contours? Yes ~/ 2.a)Are there any areas which Contain wetland grasses? (Attached is a list of the wetland grasses defined by Town Code, Ch. 97 for your reference.) Yes b)Are there any areas open to a waterway without bulkhead? Yes 3. Are there existing structures at or below ground level, such as patios, foundations, etc? Yes ~ 4. Are there any existing or proposed fences, concrete barriers, decks, etc? Yes N~ Se If project is proposed for an accessory building or structure, is total height at more than 18 feet above average ground level? State total: ~ ft. Yes Se If project is proposed for principal building or structure, is total height at more than 35 feet above average ground level? State total: ' ~ ft. Yes 7. Are there other premises under your ownership abutting this parcel? If yes, please submit copy of deed. Yes e Are there any building permits pending on this parcel (or abutting land under your ownership, if any)? State Permit ~ and Nature: Yes ~ o 10. 11. Do state whether or not applications are pending concerning these premises before any other department or agency (State, Town, County, Village, etc.): Planning Board Town Board Town Trustees County Health Department Village of Greenport N.Y.S.D.E.C. Other Is premises pending a sale or conveyance? If yes, please submit copy of names or purchasers and conditions of sale. (from co. ntract) Is new construction proposed in the area of contours at 5 feet or less as exists? Yes Yes Yes Yes Yes j Yes 12. If new construction is proposed in an area within 75 feet of wetland grasses, or land area at an eleva- tion of five feet or less above mean sea level, have you made app$ication to the Town Trustees for an 'inspection for possible waiver or permit under the requirements of Ch. 97 of the Town Code? Yes ~o 13. Please list present use or opera,one icondqcte~ upon the subject property at this time ~$ \d ~'~-~ and proposed Please submit photographs ~or the record. I certify t~at the abov~ statements are true and are being submitted for reliance/the Boar~o~ Appeals in considering my application. Cigna:ute '{¥~operny bWh~ (Auznorize~ Agent) " 1/8 8 WETLANDs [Amended H-26-71; hy L.L. No. 2-1970; ."I-26- 85 hy L.~ So. 6-19$5]: A. TIDAL W~ETI.ASDS: (1) All la~s generally covervd or h~termittently ered w~th o~ wi ich bord,,r on, tidal wab~r~t, or lands ' lying beneath tidal waters, which at mean Io~v title are covered by tidal water~ ton maximnm depth of five (5) feet, including but not limited to banks. bogs, salt marsh, swami~s, men( ows flats or other low lying land~ subject to tidal aCtinn: (2) All banks, bogs, meadow~, flats nnd tidal marsh subject ~ such tides and Upon which grows or may grow some or any of tbe following: salt hay, black grass, saltwort, sea lavender, tall cord~rass, h~gh bush, cattails, groundsel, marshmallow and Iow march cordgrass; ami/or (3) All land immediately adjacent to a tidal wetland as defined in Subsection Al2) and lying within seven. fy-f/ye (75) feet landward of the most landward edge of such a tidal wetland. FRESHWATER WETLANI)S: (1) "Freshwa~r wet/ands" as defined in Article 2,1, Ti- tle 1, ~ 24-0107, Subdivisions l(a) ~ fid) inclusive, of the Environmen~l Conservation ~w of the Sta~ of New York; and (2) All land immediately ad.incest to a "freshwater wet- land," as defined in in Subsection l~(1) and lying ~vith- seventy-five (75) feet landward of the most land- ward edge of a "fr6shxvater Wetland" 9705 IPROJECT LD. NUMBER 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) APPLI PONSOR 2. PROJECT NAME · 3. PROJECT LOCATION: ~_ ~ t~. [ ~ /~r~. / / 4. PRECISE LOCATION (Street address and roa~ intersection~,~rominenl landmarks, etc, or 13rovide map) SEQR Ed Expansion [] Modificationlaiteration IS PROPOS D ACTION: [3ESCRIBE PROJECT BRIEFLY' Initially acres Ultimately acres 8. WILL PROPOSED ACT N COMPLY WITH ~]STING ZONING OR OTHER ~IST[NG LAND USE RESTRICTIONS7 ~ Yes ~ If NO, describe briefly WHAT~HAT/P~ PRESENT LAND USE IN VICINITY OF PROJECT? ~ g~Residential [] Industrial ~'"] Commercial [] Agriculture [] Park/Forest/Open space [] Other Descnbe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAl STATE OR LOCAL)? / [] Yes [~No If yes, list agency(s) and permit/approvals 11. D S ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL'7. ~ [] NO If ye~, list agency name and permitlapprovai 12. AS A RESULT Or.~F/,,,,,~OPOBED ACTION WILL EXISTING ~[~RMIT/APPROVAL REQUIRE MODIFICATION? [] Yes I_~No If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment side) OVER 1 (Continued on reverse The N.Y.S. Environmental Quality Review Act requires submission of this form, and an environmental review will be made by th~s board before any action is taken. SHORT ENVIRONMENTAL 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 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 2. Will there be a major change to any unique or unusual land form on the site? Yes 3. Will project alter or have a large effect on an existing body of water? Yes 4. Will project have a potentially large, impact on groundwater quality? Yes ~No 5. Will project significantly effect drainage flow ~o on adjacent sites? ~Yes 6. Will project affect any threatened or endangered plant or animal species? .___Yes 7. Will project result in a major adverse effect on air quality? Yes 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 9. Will project adversely impact any site or struct- u=e of historic, pre-historic, or paleontologicu~ importance or any site designated as a critical envircamental area by a local agency? Yes ~o 10. Will project have a major effect on existing or future recreational opportunities? Yes ~ ll. Will project result in major traffic problems or cause a major effect to existing transportation systems? ~Yes t'WNO 12. Will project regularly cause objectionable odors, noise, glare, vibration, or electrical disturb- ance as a result of the project's operation? ~Yes t/No 13. Will project have any impact on public health 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 Yes ~ period or have a major negative effect on the charact~ of the community or neighborhood? 15. Is there public controversy COncerning the FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD. N.Y. 11971 TEL.; 765-1802 Examined.. Approved ................. 19... Permit No ............ SURVEY '' CttECK SEPTIC FORH ...... NOTIFY CALL (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date a. This application must be completely filled in by typewriter orin ink and submitted to the Building Inspector, ~vith 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 stree or areas, and ,,' ' cation. ~,~vmo a detailed description of layout of property must be drawn on the diagram which is part of th. is appl c. The work covered by tl-ds application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. shall be kept on the premises available for inspection throu2Aaout the work. Such perm: e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupanc shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described The ·applicant a,,rees to comply with all a--''--~' . . vvncame daws, ordinances, bu lng code, housi g code, and regulations, and tc (?igna t ure °'£ ap.~li~t, ~, ]?a' c~co~tyn') ~.'' · - . .... _ . (Mailing ad,ess of applicant')' ~tate whether applicant is owner, lessee a~e,~t ~: ..... V , o --, ,~.,,~ct, engineer, general contractor, electrician, plumber or builder ......... : :0CA;;.: .................... ' ....... .... (as on the tax roll lot latest deed) ............... ~appncant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ...... . .......... Plumber's License No. Electrician's License No. Other Trade's License No. 1. Location of land on which p~roposed work will be done. · . ~...6. .... ~..~>. ~ (~.~ ~6 ~~4,~ V:(i ............. l~t~;e Number '( \ ......... ~[re~;":TM: .......... 'it ............... x.j ^ . ~-. \,, ~ Hamlet .............. Count>, ra× mp No. ~000 Sectio, . . .0. 5L~ ........ : B' ock 'q /Iq Subdivision ' ' ' ' ~ ........ . .... Lot .... ................ (~4'a;1;~) ................ Eilcd Map No. ':2"' '::::2:.77::' - " "' ' ........ ..... :,':'"'"" ......... ' ,.,.,.~,~.,.,~o~,.~ ..... /~:.,.l.~.:.A~.l... :;7: .... :';"7 ..................... .......... ~/0.0. .0. ....................... 3. Nature of work (check which appl ~le): New Building ' ·. Add Repair Removal ........ Alteration ......... ............................ Demolition .............. Other Work .............. ~ (Description) 4. Estimat ost ......... Fee ........... '~" ' (to be paid on filing this application) 5 Ifd . · welling, number of dwelling units ............... Number of dwelling units on each floor... If garage, number of cars ........................... · ......... 6 If ................................ · ify typ .............. business· commercial or mixed occupancy, spec nature and extent o f each e of use ........ · ~t~menszons of existing structures, if any: Front ............... Rear ............... Depth ...... eight ............... Number of Stories .................... ' ........ Dimensions of same structure with alterations or additions: Front ................ Rear .... Depth .... · ........ ight ...... .................. He ...................... Number of Stories.. . 8. Dimensions of entire new construction: Front ............... Rear ............... De th ....... Height ............... Number of Stories .............. : ................... P. i ....... 9. Size of lot: F ................ root ...................... Rear ...................... Depth ................. I0. Date of Purchase ............................. Name of Former Owner 11. Zone or use district in which premises are situated ............................. Does proposed Construction violate .................. 12. any zoning law, ordinance or regulation: . 13. Will lot be re~raded .......... ' .............................. ................... Will excess fill be removed from premises: Yes No 14. Name of O~vner of premises .................... Address ................... Phone No. Name of Architect .............. · ........ ............. Address ................... Phone No ................ Name of Contractor ' - · · - ......... Address ................... Phone No ............ i... 15.Is this property located within':lO0-'feet of a tidal wetland? ~YES .... lqO .... ' ~If yes, Southold Town Trustees Permit may be required· ,.. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property Lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF ...... S.S ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. lle is the (Contractor, 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 knowled'ge and belief; and that the Work will be performed in the manner set forth in thc application Iilcd therewith. Sworn to before mc this ................. ..... ......... . ? .................... H£LEN g. DE VOE - ~/'~' ..... ~ (Signature of applicant) NOTARY PUBUC, State of New York No. 47078711, Suffolk Countyc ~7 Term Expires Ma~ch ~0, 19 o/ FORM NO. 4 ..' TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z ~ 22,66 .......... Date ... O.a?. c..h..1.5, t..1.9.8. 4. ............. 19... THIS CERTIFIES that the building 0 n~..£ ~m.~.~ ~'..d.w.e.L..1.i.n.g ......................... Lane · . Location of Property . .2 ~ 9 ~0· .B..r .i.d.g e~ C u t ¢ h o g u e House No. ' ................................ Street I~l~amle t County Tax Map No. 1000 Section .0.85 ........ Block ...... .2 ........ Lot ..... .2.2. ..... -.. ~- Subdivision.· .~.ar0~.r..A..c r.e.s. ............... Filed Map No. 5.8. 7. .2 .... Lot No...1.0. ......... conforms substantially to the Application for Building Permit heretofore fried in this office dated ·.. 5.e.2'~,..1.~ ......... 19 .8.3. pnrsuant to which Building Permit No. l 25.9.5 ~ .............. ' dated .54 P.~.... 1 ¢ .................. 1~.3. ., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ·...o.n e. f.a~ ~-y. Aw..e~.l.~..ns ...................................................... The certificate is issued to ... Th.c~mas..~hO~n~o.s,~ ...................................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ... J ~.--.~ 9r.q.z~ ............................ UNDERWRITERS CERTIFICATE NO ........... i~.6.~.q· .0.0.2. .............................. Building Inspector Rev. 1/81 LONG ISLAND SOU, R-80 B-BO R-80 jR-SO R-80 lill:)OtqiC P. It~UI~ICl ami I~DWIO~]ITTPIKI. r~ltdlng at (Do n~ni)er) Mstn Road. Peco~ke, New York ........... TIE. N a~d OOJlO0 ($10.00) ............... · ~11 · chain link fence be permitted. 5. ~ f~ ~try, ui~ll or ltvemt~k a~ be ke~ ~ laid We~ ~ 6. No house ~afl~rl, travel traiterl or utt~ty t~ileri i~ll be ke~ ~ said p~m~es e~ept wi~ mn enc}~ 7. ~e p~e and s~c~tca~l of ei~ ~w dwe~g to ~ c~ ~ ~e premtses lhlll be approved by Imido~ P. ~u~ I~ He. ag ~u~. and ~a~l~ a~ ~ ~ ~y L ~ ar.d may b~ ~ by attire for ~a Richard F. Lark. Main Road - P.O. Cuteho~ue, New Yeek x~ ff'C~. ~.~( .O~A'k~....~.~ ....IY ~ .~. .O..e~.' .~....]..~..., 19~.'1. Permit No./. .~. ~..~..~..~. / pproved isapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD. N.Y. 11971 TEL.: 765-1802 INSTRUCTIONS Received ........... ,19... a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ;ts 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 r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ~tion.. ·: 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 issued a Building Permit to the applicant. Such permit .tall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy aall have been granted by the Building Inspector. APPLICATION IS HEREBY MA~E to the Building Department ~or the issuance of a Building Permit pursuant to the .uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws. Ordinances or Legulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. 'he applicant agrees to comply .with all applicable laws, ordinances, building code, housing code, and regulations, and to dmit authorized inspectors on premises and in building for necessary i~spections. - .... //.:...~.v.&4 Y....~...s.~.W 3..&t~ .%. Signature of applicant, or if a corporation) na.,me, /.' /v (mailing address of applicant) ' ~tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......... c.: .................................................... Name of owner of premises ...... :...~...~...P~.. ..... .~ff.C).../'~...~.,..~.Q/tf ................................. (as on the tax roll or latest deed) Ifapi31ic is a corpora 'on, si itu of dui authorized officer ,77'' "(Name and title of corpor~c(f~'er) . Builder's License No....~.... :'.. ?..~..~-...'i//J/-~7'---! Pl~umber's License No ......................... Electrician's License No.. Other Trade's License No ...................... I 0~£ /v'/,- L.t i c 17o ( Location of land on which proposed work will be done ............................. ~.. r .................. ...~.~ ~ 9.: .......... ~ ~.~.~: ~5..¢.~¢2 .......... (.q!T.q (~:/: :(d; ................. House Number Street Hamlet County Tax Map No, I000 Section ............. Block ................ Lot ................ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............ ff. E.~../../~.. ~2.~..././. ~ .C. .................................... b~ Intended use and or ~ncy ..................· . .~..~-'~' r.?.4.~d...~.~'/~f~ · .~./..~..~... . .~.~ ~ ................. Repair Rem'c'vai ~. .............. Demolition ............ Other Work ............ ~ ~ O (~ ~ ' .... (Descriptiot 4 Estimated Cost ' ' ' ' Fee . 5. If dwelling number of dwelling units Number (to be paid on filing this application) If garage hum bet of cars ............... of dwelling units on each floor 6 If business commercial or mixed ' ' ' occupancy specify nature and extent of each type of use 7 Dimensions of existing structures if any: FrOnt Rear Depth ' ' Height Number of Stories ' ' Dimensions of same structure with alterations or additions: Front ................. Rear'. ' ' · ......... Number of Stories ......... 8. Dimensions of entire new construction: Front ............... Rear ........... .... Depth ............ 9 ~tieight ............... Number of Stories ................. · ze o ot: Front ..................... Rear ....... 10. Date of Pt,rchase .... ' ....... . .......... 11 Z dj t i ......................... Name of Former Owner ......... · one or use stric n wliich premises are situated .......... ~t-'.~. {.~--~'.)-(~/'t~ ................. 12. Does proposed construction violate any zoning law, ordinance or regulation...../~.O. .............. 13. Will lot be regraded ...... /~.0. ~ ............... Will excess fill be ..... 14. Name of Owner of premises . '-I#c~ ~?b,.,~d ... /v ~ ~'en~oved from premises: Yes ' ' ' ................. auaress ...~.~. t ~/(Q6~(d'Z~... Phone No ........... ' Name of Architect ...... -'~' ' · y,'/ .............. Address ...... Name&Contractor /~.../.ck/~[7l~ 0~'1S.~' ,~, ' ',: ' :,'--L:--: .... PhoneNo ........... 15. Is this property locat~,;'-',~,:~;[','f-' '; ..... ,saute.ss..: [?.q.l.~..~/"~..~.....Phone No . · If ~e~ c~-~: ~ ~ ~ ~'"~"/.uO zeet or a t~da/ wetland? * yeo ~'~ ' ' ........ wn Trustees Permit may be required. '~' ~ ........ '. Lochte clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions fi property lines. Give street and block number or description according to deed, and show interior or corner lot. street names and indicate whet STATE OF NEW YORK, COUNTy OF. . .... S.S .................... being duly sworn, deposes and says that he is the applic. (Name of individual signing contract) He is the l (Contractor, 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 application; that all statements contained in this application are true to the best of his knowledge and belief; and that work will be performed in the manner set forth in the application filed therewith.. .... ; , Sworn to before me this ........... day of... .~. ........ . 19 .~7.. Notary Public, . Z... J~ .~. ........ County ' '" (t~)gnal~:n~ of apphca: ////'~"2~/~'//' TOWN OF SOUTH~D, N~ YORK APPEL FROM DECISION OF BUILDING INSPE~OR SouthoH To~ ~r~ TO THE ZONING BOARD OF APPEALS, TOWN OF SOUTHOLD, N. Y. Name of Appellon~ Street ~ Number .~....&4....~..C~t~'.~../Z.E-. ....................................................... ~..':/:.. .......... HEREBY APPEAL TO / Municipality State THE ZONING BOARD OF APPEALS FROM THE DECISION OF THE BUILDING INSPECTOR ON APPLICATION FOR PERMIT NO ..................................... DATED ...................................................... WHEREBY THE BUILDING INSPECTOR DENIED TO Name of Applicant/for permit of ........ _ -- _ ............... Street and Number / Munici~ --Mun'cipality /State ( ) PERMIT TO USE ( ,.,~"~ERMIT FOR OCCUPANCY ( ) 1. LOCATION OF THE PROPERTY ...~..~.. ,~..~...~._,Z.~/~,~,...,~,.~,~/.~.....~.,U,,~,r,~'.~_. .............. Street ~amle¢ / U~ District ~ Zoning ~...]~..~.~ ......... ~,]~.~..~.?.,~urrent mner ~ n ~ ?z~m ,. ~n Map No.~ Lot No. Prior Owner ' 2. PROVISION (S) OF THE ZONING ORDINANCE APPEALED (Indicate the Article Section, Sub- section and Paragraph of the Zoning Ordinance by number. Do not quote the Ordinance.) Article i/iT- Section /~ -.3 I 3.: T~E OF APPEAL Appeal is mode herewith for (please check appropriate box) ( ~ A VARIANCE to the Zoning Ordinance or Zoning Map ( ) A VARIANCE due to lack of access (State of New York Town Law Chap. 62 Cons. Laws Art. 16 Sec. 280A Subsection 3 () 4. PREVIOUS APPEAL A previous appeal (has) (has not) been made with respect to this decision of the Building Inspector or with respect to this property. Such appeal was ( ) request for a special permit ( ) request for a variance and was made in Appea! No ................................. Dated ...................................................................... REASON FOR APPEAL ( ) A Variance to Section 280A Subsection 3 (i,~ A Variance to the Zoning Ordinance ( ) is requested for the reason that ! ~ ~' Ct t' Fo~n ZB1 (Continue on other side) BOARD OF APPEALS, TOWN OF SOUTHOLD In the Matter or the Petition of : to the Board of Appeals of the Town of Southold : NOTICE TO ADJACENT PROPERTY OWNER YOU ARE HEREBY GIVEN NOTICE: 1. Th.~e intention of the undersigned to petition the Board of Appeals of the Town of Southold to request a ('V~ (Special Exception) (Special Permit) (Other) [circle choice] L 2. That the property which is the subject of the Petition is located ad acent to your property and s des- cribed as follows: /1/O .~7"~/~ ."~/1~c~/ z~-~.,'j~./~o/..-~/? .~ ~ 3. Tl~,t the prol~erty wflich-is t~e subject of such Petition is located in the following zoning district: 4. That h~ such Pelition, the u~qder6igned ~vill reouest the,followine relief: 5. That the provisions of the Southold Town Zoning Code applicable ~o the relief sought by the under- signed are ~ticle ~ ~on / ~ O - 3 ) [ ] ~i0n g~O-A, New Yu, k T~n Law for appr0va] 0f access ove~ ~ght(s)-0f-way. 6. That within five days from the date hereof, a written Petition requesting the relief s~cified above will be filed in the Southold Town Clerk's Office at Main Road, Southold, New York and you may then and there examine the same during regular office hours. (516) 765-1809. 7. That before the relief sought may be granted, a public hearing must be held on the matter by the Board of Appeals; that a notice of such hearing must be published at least five days prior to the date of such hearing in the Suffolk Times and in the Long Island Traveler-Mattituck Watchman, newspapers published in the Town of Southold and designated for the publication of such notices; that you or your representative have the right to appear and be heard at such hearing. Dated: ~J//~/~, ~ ~/ / /~/~ Petitioner 7 Owners ' Names: Post Office Address P, Tel. ~o. [Copy of sketch or plan showing proposal to be attached for convenience purposes.] NAM~ PROOF OF MAILING OF NOTICF ATTACH CERTIFIED MAIL RECEIPTS ADDRESS rr~c O~<~ S86~ aunr 008C tujo~,~d I STATE OF NEW YORK COUNTY OF SUFFOLK SS.: _~-~ c,~, e ri ¼ 11% 5 being duly sworn, aeposes ana says that on tlle~q~'~- day of ~-~a r,~o-f~ ~ , 19 ~ , deponent mailed a true copy of the Notice set forth on the re- verse side hereof, direc~ted to each of the above-named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the addresses of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Of- fice at ~_ c~u~ !~ ; that said Notices were mailed to each of said persons by lce__rtifi.e.d) (registered) mail. Sworn to before me this day of ~-~a_~r'~, . 19~ Notary Public L1NDA F. KOWALSKt Commission £xpJres~'~u .30, (This side does not have to be completed on form transmitted to adjoining property owners.) BOARD OF APPEALS, TOWN OF SOUTHOLD In the Matter ol the Petition of : / : to the Board of Appeals of the Town of Southold : NOTICE TO ADJACENT PROPERTY OWNER YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to petition the Board of Appeals of the Town of Southold to request a ~ (Special Exception) (Special Permit) Other) [circle choice] I. 2. That the property which is the subject of the Petition is located adjacent to your property and is des- cribed as follows: ','~n ?~,~,, r~ ~'.,,=, ~ , ~-~ ~- . . 3. Tha~ t~ property ~ic~ is th~ subject of such Petition is located in ~he followin~ zonin~ district: 4. That by suchjPetition, [rhe u.dersigned wj~, request the f~ollowi~g relief: 5. That the provisions of [he Soulhold Town ZoninB Code applicable ~o lhe relief sought by [he under- signed are ~cle ~ ~c~on /oo -)/ [ ] Section 280-A, New York Town Law for approval of access ove~ ~Jght(s)-of-way. 6. That within five days from the date hereof, a written Petition requesting the relief specified above will be filed in the Southoid Town Clerk's Office at Main Road Southold, New York and you may then and there examine the same during regular office hours. (516) 7~5-1809. 7. That before the relief sought may be granted, a public hearing must be held on the matter by the Board of Appeals; that a notice of such hearing must be published at least five days prior to the date of such hearing in the Suffolk Times and in the Long Island Traveler-Mattituck Watchman, newspapers published in the Town of Southold and designated for the publication of such notices; that you or your representative have the right to appear and be heard at such hearing. Dated: Petitioner Owners ' Names: Post Office Address [Copy of sketch or plan showing proposal to be attached for convenience purposes,] NAME PROOF OF MAI~IN~ OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS ADDRESS STATE OF NEW YORK ) COUNTY OF SUFFOLK) Ss.: ~_~ ,-t'x:~ ~c~ ~ ~. r being duly sworn, deposes an~ says that on the of ~ r~ f'~ . 19 ~_~, deponent mailed a true copy of the Notice set forth on the re- verse side hereof, dire)cted to each of the above-named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the addresses of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Of- flee at (registered) mail. Sworn to before me this ~'~ day 9f ~o~'t~ , 19 ~q , Notary Public ; that said Notices were mailed to each of said persons by L1NDA F. KOWALSKI Commission Expires N/~,/30 (This side does not have to be completed on form transmitted to adjoining property owners.) f 3. 54__ 14 03 L. I h'l:..'N U r.4, E -~ ' 'At :x,~ i / , \ RO-DF.~CK VAN fUfbl~(~ _ LICENSED LAND SURVEYORS GREENPORT NEW YORK SUFFOLK CO. HEALTH DEPT APPROVAL STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT OF HEALTH SERVICES. APPLICANT SUFFOLK COUNTY DEPT. OF HEALTH SERVICES - FOR APPROVAL Of CONSTRUCTION ONLY DATE: H,S, REFINO. I B ~' ~' ' i'll2- APPROVED: SUFFOLK CO. TAX- ~i-A~- DE~NAT-IoN; - DIST. SECT BLOCK PCL ',oDD DSC ?- 2Z OWNERS ADDRESS: DEED: L1 ~ A P. TEST HOL~:STAMP ',~,xu'~' ~ F--~.Z i~A,-L--i i' Z-'