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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
File No ................................
...~.~.~...,.~. ~...~ ....
· ,~~.-, ,,,~..,..,q, :~;. ! .~.~.~. ......
~s~ ~ ~o~cE ~:~o~,~ ... ~.~: ~. ..... ,~ ~.~..
for pe~it to ~. ~.'~... ~m., .~~...q~ ~ .......... at
County Tax Map No. 1000 Section .... ~.¢~ ...... Block ..... ~; ...... ~t ...4 2 ........
Subdivision ................. Filed Map No ................. Lot No ........... ; ......
is returned ~rewith and disapproved on the following grounds ................
~'~? :???' ~ '*: >'' '~'~' '~' ~ '~'' D' x.. ~..p...,o~....~...~. ~ .~. ,..~...~..~..~
Building Inspector
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
×amined ................ , 19...
Received ........... ,19...
pproved ................ , I9... Permit No ............
isapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. This apphcation must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
,s 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 appll-
ion.
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
fll 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
dl have been granted by the Building Inspedtor.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
~ilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
:gulations, for the construction of buildings, additions or alterations, or for removal or demolition, as heroin described.
.e applicant agrees to comply with all applicable laws, ordinances, building code, hou~sing code, and regu~.ations, and to
mit authorized inspectors on premises and in building for necessatyfin.si~ecfigns.
........ ..
~Signature of applicant, or name, if a corporation)
ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
sane ofownerofpremises .k.~. ~.~.... .Qt~../~..('(..D~-..~ O. . ..
(as on the tax roll or latest deed)
applicant 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 ......................
Location of land on which proposed work will be done .................
q<'.. o.. h :e .......................::. ...................
House Number Street Hamlet
' ~"'" nty Tax Map No. 1000 Section ...~.~../. ........... Block .~?..'...' .......... Lot./.7 ...............
..................................... Filed Map No ............... Lot ...............
(Name)
use and occupancy of premises and intended use and occupancy of proposed construction:
'and occupancy ..
3. N~tffre of work (check which app, "le): New Building .... ' ...... 'Addit;- ",. ........ Alteration ..........
' Repair ~ Remova~.: ............ Demolition ' Other Work .
(Description)
4. Estimated Cost ...................................... Fee ......................................
'*' (to be paid on ~ing 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 .....................
if any F Re D pth
7. Dimensions of existing structures, : rent ............... ar .............. e ...............
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 .....
0. DateofPurchase )~.'-ii~'}~ i"' Rear ...................... Depth ........ :._. ............
............ Name of Former Owner ~q~zAc.',
1. Zone or use district in which premises are situated .....................................................
2. Does proposed construction violate any zoning law, ordinance or regulation: ................................
3. W~ll lot be regraded ....~'?. ..................... Will excess fill be removed from premises: Yes No
4. NameofOwnerofprem~sest.~,~0g,.~.~d.U-~.~f~..Address b~?p.L't.e,.~O.~.P.,.~,. PhoneNo. 7;'%'~:-
Name of Architect ........................... Address ................... Phone No ................
Name of Contractor .......................... Addres~ ................... Phone No ................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from
roperty lines. Give street and block number or description according to deed, and show street names and indicate whether
~terior or corner lot.
,~ ? c. z ?
'ATE OF NEW YORK, S.S
)UNTY OF ........ ...~... .... .
............................................... being duly sworn, deposes and says that he is the applicant
(Name of individual signing con~t.~a~t)
ave named.
is the .........................................................................................
(Contractor, agent, corporate officer, etc.)
said owner or owners, and is duly authorized to perform or have performed the said work and to make and file tiffs
)lication; that all statements contained in this application are true to the best of his knowledge and belief; and that the
rk will be performed in the manner set forth in the application filed therewith,
orn to before me this
......... ..... ...........
County</
TOWN OF SOUTHOLD, NEW YORK
APPEAL FROM DECISION OF BUILDING INSPECTOR APPEAL NO.
TO THE ZONING BOARD OF APPEALS, TOWN OF SOUTHOLD, N. Y.
Name of Appellar~t Street and Number
~LL-~.'.L---~ ...................... ..~....:i.~..: ............ HEREBY APPEAL TO
Municipolity 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 . _~.~ ......~.....D..~0......~....~.. ........ ~C~. ~. ~..~ .............. ..~,.:..~..: ......................
Street and Number Municipality State
' ) PERMIT TO USE
~ ) PERMIT FOR OCCUPANCY
( )
,. LOCATION OF THE PROPERT* ....... ........
Street Use District on Zoning Map
.... .......................... ................
Mop No. Lot No.
2. PROVISION (S) OF THE ZONING ORDINANCE APPEALED (Indicate the Article Section, Sub-
section .aha Paragraph of the Zoning Ordinance by number. Do not quote the Ordinance.)
3 TYPE OF APPEAL Appea[ is moae herewith for
~) A VARIANCE to the Zoning Ordinance or Zoning Map
A VARIANCE due to lack of access 'State of New York Town _aw Chap. 62 Cons Laws
Art. 16 Sec. 280A Subsection 3
4. PREVIOUS APPEAL A Drevious appeal (has) h~ not, been mode with respect to this decision
of ~ne Building inspector or with respect to this property.
Such appeo[ was f request for a special permit
( ) request for c variance
and was made in Appeal No ................................. Dated ..................................................................
REASON FOR APPEAL
( ) A Variance to Section 280A Subsection
( ~ A Variance ~o the Zoning Ordinance
is requested for the reason that (~-.j~
Form
(Continue on other side)
REASON FOR APPEAL Continued
1. STRICT APPLICATION OF THE ORDINANCE would produce practical difficulties or unneces-
sary HARDSHIP because ~ ~-~.~ _~b~-- ~O~ ~ ~:~C~c_r~_~_ '~r~
2. The hardship created is UNIQUE and is not shared by a[J prope~es aiike in the immediate
vicinity of this property and in this use district because ~'~ O~O-D~.6'~('~ ~ ~.-~r~ ! .~z~.~!~'z'~,
3. Tine Variance would observe the spirit Of the Ordinance and WOULD NOT CHANGE THE
CHARACTER OF THE DISTRICT because (~D~j~J~_~- b ~,~~ ~ t.~_z~ ~
COUNTY OF ~U~'~-c3b[(~) -~ Signature
Sworn to this .............................................. day of ...... ~Z.~..~.~:- ............................... ~9~~
.................................... ~<V'~L~ ,C ~.~1 ,-~'~
Notary Pubhc N ~m~a. ::- ' e ~ ,~rew Yo~k
Term c p res March 3~,~] ~
FORMER OWNER
RESt/~/0 SEAS, VL.
LAND IMP.
~00
TO%AL
OF SOUTHO~DPROPERTY~CO~D CArD ;>'/~ ~/
SUB. LOT
ACR.
, O, GDO
~UILDfNG
FARM COMM. CB. MICS. Mkt, Value
DATE RE~RKS ~ ~ - Cz:T
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre
Value Per Vdue
Ac re
T
Tillable
Woodland
Meadowland
FRONTAGE ON WATER
House Plot
FRONTAGE ON ROAD
DEPTH
BULKHEAD
Total DOCK
COLOR
M. Bldg.
E×ten,sion
Extension
Extension
Porch
Porch
Patio
Total
Fire Place
,¢r~J. ,-.~ ~ '~ Type Roof
Room
~j~rmer
' Dinette~
, [interior Finish iP/'~
[ Heat J ,,
]Rooms 1st Floor j
j Rooms 2nd Floor ~ FiN,
&o
CRIMINAL sUMMONS
STATE OF NEW YORK :
sUFFOLK
{grin;ina[ ummmm
ANDREW FOHR I'.~OL B --~
670 Ho].den Avenuo
Shee: Addre~ ~ ~ q ~ [i
Cutcho0u~ NY xx a,_~:. ....
' d m this Court charging you, as a Defendant,
YOU ARE HEREEY NOTIP1ED that an Accusatmy instrument ~as ueen file
~ain~ainin~ 2 one f~ily detached dwelling, Reconstructin~
with the offense of.
buildi ,g w/o a Building permit and failure to com~ly with order to
..... ~mn~i~?=] g=_8/k_ ..... a-~ pcr--~e~ i~&t-~'
in v~olafion of Section ~O~-~, ~~:=
o~ thc _ _~ O~ T~ gF ~'I{OL~ .................. Law of the $tate o[ New York.
YOU ARE THEREFORE DIRECTED to appear personally be{ore this Court at ~g~'g~ H~
~[]F~.K .... County, N.Y. on_ FIida3._ ,the _ ~a day
.......... fore
of ~ --~~ .......19 ~ ~%at .~ 9 :~~o'clock in the noon
{c~ arraignmenl upon the Accusatory instrument above menlioned.
UPON YOUR FAILURE TO APPEAR AS ABOVE DIRECTED A WARRANT
MAY BE ISSUED FOR YODR ARREST
SOtJ'UtOLD ..... N.Y.
Dated at: February 8, 1985 ........... 19x_'_x ......... /?/9 --/ /
......... - ................ ~ / X[A , ../.~ ~3
............ $.,,~il,~:--dustice ' '
FREDERICK J- ~DESCH~, so~THOLD TOWN
JU ST ~ CE'
JUSTICE COURT OF TOWN OF SOUTHOLD
COUNTY OF SUFFOLK : STATE OF NEW YORK
THE PEOPLE OF THE STATE OF NEW YORK
against
ANDREW C. FOHRKOLB,
Defendant.
INFORMATION
Docket No.
ACCUSATION
BE IT KNOWN THAT by this Information, CURTIS W. HORTON, a
Building Inspector of the Town of Southold as Complainant herein,
accuses ANDREW C. FOHRKOLB, the above named defendant residing
at 670 Holden Avenue, Cutchogue, New York, with violations of:
Count #1:
Count #2:
Count #3:
Section 100-30A(1) of the Code of the
Town of Southold (Maintaining two (2)
one-family detached dwellings on a
single lot).
Section 100-141 of the Code of the
Town of Southold (Reconstructing a
building without a Building Permit).
Section 100-145 of the Code of the
Town of Southold (Failure to Comply
with Order to Remedy Violation dated
December 10, 1984).
FACTS
On or
Inspector
Andrew C.
Mattituck, Town of Southold, New York
about December 10, 1984, Curtis W. Horton, as Building
of the Town of Southold inspected the premises owned by
Fohrkolb on the northwesterly corner of Lipco Road,
(Suffolk County Tax Map
Designation: District 1000, Section 141.00, Block 03.00, Lot
017.00) and found defendant had: reconstructed and structurally
altered a building located on the northerly portion of the premi-
ses into a one-family dwelling by installing a new roof, plumbing
and electrical service as well as erecting an addition on the
rear of the existing building all without obtaining a Building
Permit from the Building Department of the Town of Southold
contrary to the provisions of the Code of the Town of Southold in
such case made and provided.
On or about December 10, 1984,
Inspector of the Town of Southold
Curtis W. Horton, as Building
issued an Order to Remedy
Violation notifying the defendant to comply with the Southold
Town Code and to remedy the above conditions contained in the
Order to Remedy Violation on or before the 24th day of December,
1984. On January 30, 1985, Curtis W. Horton, as Building Inspec-
tor inspected the premises and found defendant was still main-
taining two, one-family dwellings on his property; the defendant
had not obtained a Building Permit for the reconstruction and
structural alteration of the building located on the northerly
portion of his property contrary to the provisions of the
Order to Remedy Violation and the provisions of the Code of the
Town of Southold in such case made and provided.
The above allegations of fact are made by the Complainant
herein on direct knowledge and upon information and belief with
the sources of the Complainant's information and the grounds for
his
Inspector of the Town of Southold.
WHEREFORE, Complainant prays a
directing the defendant, ANDREW C.
this Court.
belief being facts contained in the files of the Building
Sworn to before me this
~ day of Febr,9~ry, 1985
Town Jus~e'
Town of ~outhold
Suffolk County, New York
criminal summons be issued
FOHRKOLB, to appear before
~urtis W. Hort'on, C6m~lalSant
Building Inspector
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
April 30, 1985
Mr. Andrew C. Fohrk~lb
670 Nolden Avenue
Cutchogue, New York 11935
Dear Mr. Fohrkolb:
Receipt is hereby acknowledged of your letter of
April 15, 1985.
The Notice of Disapproval dated February 14, 1985,
stands as written. You may consider this my official
interpretation pursuant to the Southold Town Zoning
Code. ~
Very truly yours,
Curtis W. Horton
Building Inspector
CWH:cb
AFFIDAVIT
STATE OF NEW YORK
COUNTY OF SUFFOLK
Emma Parker being duly sworn deposes and says:
That I am 35 years of age and I reside in the second floor apartment in the
house owned by Andrew Fohrkolb on the northwest corner of the intersection of Sound
Avenue and Lipco Road, Mattituck, New York.
While I have only lived in this apartment since June or July of 1980, I have
known the property since 1969 or 1970 when I first met my husband who lived two
houses away.
The small cottage in the rear of the premises has had someone living in it for
as far baek as I can remember.
I know that for about a year back around 1974, 1975, or 1976 the cottage
was being lived in by a minister, his wife, and their two sons.
There were a number of other people who lived there both before and after
the minister, but [ do not know their names.
When I moved into my present apartment in 1980, a friend of my mother's by
the name of Joseph Hamilton was living in this cottage. In the summer of 1982 he
went down south to go to his mother's funeral, but then he died before he ever got back
to New Yorl(. Shortly after that his sisters came and took all of his belongings.
Later that year some seasonal workers from Agway lived there.
when the cold weather came.
They lefl
The only person to live there after that was Andrew Fohrkolb's son who lived
there for several months last summer.
I also know that Dolly Lawson, who is a little older than I am, was born
that cottage and lived there as a small child. Iler maiden name was Doily Funn.
The longest time that i have ever known that cottage to be vacant was since
Andrew Fohrkolb's son moved out last year and Andrew Fohrkolb began to fix it up.
Prior to that it was almost always occupied.
( ' Emma Parker
Sworn to before me this
FR[O W. KAiCIN, JR.
ROTARY pUBLIC, State o! Hew
Res]dine In Suffolk Coufl~l
N~. 52.7135315
/~?
0 ~- t_up
._/.
AFFIDAVIT
STATE OF NEW YORK
COUNTY OF SUFFOLK
Emma Parker being duly sworn deposes and says:
That I am 35 years of age and I reside in the second floor apartment in the
house owned by Andrew Fohrkolb on the northwest corner of the intersection of Sound
Avenue and Lipco Road, Mattituck, New York.
While I have only lived in this apartment since June or July of 1980, I have
known the property since 1969 or 1970 when I first met my husband who lived two
houses away.
The small cottage in the rear of the premises has had someone living in it for
as far back as I can remember.
I know that for about a year back around 1974, 1975, or 1976 the cottage
was being lived in by a minister, his wife, and their two sons.
There were a number of other people who lived there both before and after
the minister, but I do not know their names.
When I moved into my present apartment in 1980, a friend of my mother's by
the name of Joseph Hamilton was living in this cottage. In the summer of 1982 he
went down south to go to his mother's funeral, but then he died before he ever got back
to New York. Shortly after that his sisters came and took all of his belongings.
PHILIP J. OFRIAS, JR.
ATTORNEy AT LAW
737 ROANOKE~ AVENUE
Later that year some seasonal workers from Agway lived there. They left
when the cold weather came.
The only person to live there after that was Andrew Fohrkolb's son who lived
there for several months last summer.
I also know that Dolly Lawson, who is a little older than I am, was born in
that cottage and lived there as a small child, tler maiden name was Dolly Funn.
The longest time that I have ever known that cottage to be vacant was since
Andrew Fohrkolb's son moved out last year and Andrew FohrkoIb began to fix it up.
Prior to that it was almost always occupied.
Sworn to before me this
FRED W. KAELIN, JR.
ROTARY PUBLIC, State of New Yo~
ResTding Iff Sutfoll~ County
fiD. 52-71353]5 ~
STATE OF NF,¥ YORK
COUNTY OF SiJFFOLK
Andrev T. Fohrkolb being duly sworn deposes and says:
1. Thit I am 20 years old and reside with my father, Andrew C. Fohrko{b,
at Holden Aven~e, Cutehogue, New York.
2. Th t sometime during July, 1984, my father and I removed all the materiali
that my father had stored in the cottage on th(-~ rear of his property on Lipco Road!
in Mattituck, N.~w York.
3. W~ then fixed up the main part of the cottage, and I lived in the main
part while we ~ontinued to work on the rear part of the building.
4. It ~vasi probably the early part of October, 1984 that ! decided to go back
home and live ~ith.. my father in Cutchogue. I wou}d estimate that my total time living
in that cottage in 1984 was approximately three months.
Andrew T. Fohrkolb
PItlLIP 'J. OFRIA8, ,,III.
April 15, 1985
Southold Town Building Department
Town Hall
Southold, New York 11971
Re: Andrew Fohrkolb (Building Permit for Non-Conforming Cottage)
File No. X-6439
Gentlemen:
With respect to the above matter I have enelosed herewith the following affidavits
and signed statements attesting to the non-conforming use of the sraail cottage to
the rear of the premises situated on Sound Avenue, Mattituek, New York where
same intersects with Lipco Road:
2.
3.
4.
5.
Affidavit of Emma Parker, sworn to April 2, 1985
Affidavit of Andrew T. Fohrkolb sworn to April 8, 1985
Signed statement of Mamie Funn dated February 14, 1985
Affidavit of Charles Flippen sworn to February 14, 1985
Written statement by Walter Williams dated February 14, 1985
I have also enclosed my client's cheek payable to the Southold Town Building
Department in the sum of $50.00 to cover the fee for the building permit requested
by application dated and filed with the Building Department on February 14, 1985.
I would appreciate it if you would please issue the appropriate building permit and
forward it directly to my office.
Thank you very much.
Si neerely,
Philip J. Ofrias, Jr.
. ANDREW
PJO:jos
eno.
cc: Andrew Fohrkolb
PItlLIP J. OFRIAS~ JR.
April 15, 1985
Southold Town Building Department
Town Hall
Southold, New York 11971
Re: Andrew Fohrkolb (Building Permit for Non-Conforming Cottage)
File No. x-8439
Gentlemen:
With respect to the above matter ! have enclosed herewith the following affidavits
and signed statements attesting to the non-conforming use of the small cottage to
the rear of the premises situated on Sound Avenue, Mattituek, New York where
same intersects with Lipeo Road:
2.
3.
4.
5.
Affidavit of Emma Parker, sworn to April 2, 1985
Affidavit of Andrew T. Fohrkolb sworn to April 8, 1985
Signed statement of Mamie Funn dated February 14, 1985
Affidavit of Charles Flippen sworn to February 14, 1985
Written statement by Walter Williams dated February 14, 1985
I have also enelo~d my client's cheek payable to the Southold Town Building
Department in the sum of $50.00 to cover the fee for the building permit requested
by application dated and filed with the Building Department on February 14, 1985.
I would appreciate it if you would please issue the appropriate building permit and
forward it directly to my office.
Thank you very much.
Sincerely,
Philip J. Ofrias, Jr.
PJO:jos
erie.
cc: Andrew Fohrkolb
JUSTICE COURT OF TOWN OF SOUTHOLD
COUNTY OF SUFFOLK : STATE OF NEW YORK
THE PEOPLE OF~TH]~ STATE OF NEW YORK
ANDREW C. FOHRKOLB,
Defendan t.
ACCUSATION
INFORMATION
Docket No.
BE IT KNOWN THAT by this Information, CURTIS W. HORTON, a
Building InsPector of the Town of Southold as Complainant herein,
accuses ANDREW Co. FOHRKOLB, the above named defendant residing
at 670 Holden Avenue,'Cutchogue, New York, with violations of:
Count
Count #2:'
Count
Section 100-30A(1) of the Code of the
Town of Southold (Maintaining two (2)
one-family detached dwellings on a
single lot).
Section 100-141 of the Code of the
Town of Southold (Reconstructing a
building without a Building Permit).
Section 100-145 of the Code of the
TOWn.of Southold (Failure to Com~ly
with Order to Remedy Violation dated
December 10, 1984).
FACTS
On or about December 10, 1984, Curtis W. Horton, as Building
Inspector of the Town of Southold inspected the premises owned by
Andrew C. Fohrkolb on the northwesterly corner of Lipco Road,
Mattituck, Town of Southold, New ~ork (Suffolk County Tax Map
Designation: District 1000, Section 141.00, Block 03.00, Lot
017.00) and found defendant had: altered, reconstructed, and
converted a building located on the northerly portion of the
premises into a 0ne-fa~ilY dwelling by installing a new roof,
win4ows, 4oors, insD19~ion, sheetrock, plumbing and electricity
as well as putting an addition on the rear of the dwelling all
without obtaining a ~ulldi"g Permit from the Building Department
of the Town of southol4 al~ contrary to the provisions of the
Code of the Town of 8outhold in such case made and provided.
ON or about December 10, 1984, Curtis W. Horton, as Building
Inspector of the Town of Southold issued an Order to Remedy
Violation notifying the defendant to comply with the Southold
Town Code and to remedy the above conditions contained in the .
Order to Remedy Violation on or before the 24th day of December,
1984. On January 30, 1985, Curtis W. Horton, as Building Inspec-
tor inspected the premises and found defendant was still main-
raining two, one-family dwellings on his'property; the defendant
had not obtained a Building Permit for the alteration, recon-
struction and conversion of the building located on the.northerly
portion of h~s property all contrary to the provisions of the
Order to Remedy Violation and the provisions of the Code of the
town of Southold in such case made and provided.
The above allegations of fact are made by the Complainant
herein on direct knowledge and upon information and belief with
the sources of the Complainant's information and the grounds for
his belief being facts contained in the files of the Building
Inspector of the Town of Southold.
WHEREFORE, Complainant prays a criminal summons be issued
directing the defendant, ANDREW C. FOHRKOLB, to appear before this
Court.
Sworn to before me this
day of February, 1985
Curtis W.
Building
Horton, Complainant
Inspector
Town Justice
Town of Southold
Suffolk County, New York
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
April 30, 1985
Mr. Andrew C. Fohrk6lb
670 HoYden Avenue
Cutchogue, New York 11935
Dear Mr. Fohrkolb:
Receipt is hereby acknowledged of your letter of
April 15, 1985.
The Notice of Disapproval dated February 14, 1985,
stands as written. You may consider this my official
interpretation pursuant to the Southold Town Zoning
Code.
Very truly yours,
Curtis W. Horton
Building Inspector
CWH:cb
FORM
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
ORDER TO REMEDY VIOLATION
Date August 7
........................................................ , 19..8.~..
TO Andrew C. Fohrkolb
(owner or authorized agent of owner)
(address of owner or authorized agent of owner)
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ordinance
Ch-100
Other Applicable Laws, Ordinances'or Regulations ............................................
at premises hereinafter described in that ....9.qg..U,g~T~g~...9.:[...~..~.~.$.~.c].~.c~..D.9...~.~.O...*....~.~. ....
(state character of violation)
been issued. XIV-100-144-A(1).
in violation of ........................................................................................................................................
(State section or paragraph of applicable law, ordinance or regulation)
YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the
8th
conditions above mentioned fbrthwith on or before the ......................................................................
day of ................... ..A..u..g...U..S...t. ................... ;, 19...8...5..
The premises to which this ORDER TO REMEDY VIOLATION refers are situated at
........ ~,2.,~.....I.~ipg.q..l~.~.,.~..i'ta.t.t~it-,~g.~.,...~.~...County of Suffolk, New York.
Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law
may constitute an offense punishable by fine or imprisonment or both.
FORM NO. 5
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
ORDER TO REMEDY VIOLATION
August 7
Dote ........................................................ ~ 19..~.~..
lO Andrew C. Fohrkolb
(owner or authorized agent of owner)
670 Holden Ave., Cutchogue, NY 11935
PLEASE TAKE NOTICE there exists a violation of:
Ch-100
Zoning Ordinonce ............................................
Other Applicable Laws, Ordinances'or Regulations ............................................
at premises hereinafter described in that . .Q~.~.~.~Tt.q~..q.~ ~ ~.U.~-.~.:~D.C~..D.Q...~.~.O...'.....h.~..~, ....
(state character of violation)
..... .'.......X...z..V...%0...0. ..................................................................................
in violation of ...................................... ~ .... . ...................................
(State section or paragraph of opp ,cob e ow, ordnance or ragu ohon)
YOU ARE THEREFORE DIRECTED AND ORDERED to comp. ly with the law and to remedy the
8th
conditions above mentioned fbrthwith on or before the ......................................................................
August 19 85
day of ...................................................... , ........
The premises to which this ORDER TO REMEDY VIOLATION refers are situated at
....... ~.~..5.....~.~.Q...~.~.,.,,..~.~.~.~.~.C.~.,...~].~...County of Suffolk, New York.
Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law
may constitute an offense punishable by fine or imprisonment or both.
Building Inspector
FORM NO. 5
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
ORDER TO REMEDY VIOLATION
( w ~er O' aurnor.'zed age of ow er)
(address at owner or authorized agen~f owner)
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ordinance .........
Other Applicable Laws, Ordinances'or Regulations ............................................
at premises hereinafter described in that
· / ~ - ~.-~- (spa;l~'~h"Erac~Yof vjolatioD~ '
.......
................... .......................................................
in violation of .....v- ,..,'~"~w~ ..................................................................................................
(Stot~ section o~' I~ar~graph of applicable law, ordinance or regulation)
YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the
conditions above mentioned fbrthwith on or before the .......... ~.,..,,,..~.,, .....................
day of .......
The premises to which this ORDER TO REMEDY VIOLATION refers are situated at
........ [.~-..~,.,..~',.~..~..'~.~.....County of Suffolk, New York.
allure to remedy the conditions afore.~Td and to comply with the applicable provisions of law
may constitute an offense punishable by fine or imprisonment or both.
Building Inspector
FORM NO. 5
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
ORDER TO REMEDY VIOLATION
December 10
Date ........................................................ , 197.~ ....
Andrew C. Fohrkolb
(owner or authorized agent of owner)
6'70 Holden Avenue Cutchogue, N.Y. 11935
(address of owner or authorized agent of owner)
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ordinance · "'C"h' · :' r'l" '0' 'Q .........................
Other Applicable Lows, Ordinances'or Regulations ............................................
at premises hereinafter described in that Bu± ~.d ~ ............... l~.~.~,~(state~ ¢.o.O.~character t, ~.~.c.J;~.d....an.d.of violation) ................
restored, no building ~ermit Only. ..o..~.e..d...w..e..]~..~.~ ~.~,~.~.fi.c~....,.~..~ ......... ~ ....
each lot. · · ...............................
in violation of ......X..Z..V.....1..,O.~.-...1..zt.1./.~.~-]~..-..1..OQ::~'g"-'A'(' 1.11 .................................................................
(State section or paragraph of applicable law, ordinance or regulation)
YOU ARE THEREFORE DIRECTED AND ORDERED to comply.with the Iow ond to remedy the
conditions above mentioned forthwith on or before the 24 th
December 19~fl ....
day of .................................................
The premises to which this ORDER TO REMEDY VIOLATION refers ore situated 0t
125 LIFCO Road M~b'tituck, N.Y.' ~- -
........................................................................ :.~unry of Suffolk, New York.
Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law
may constitute on offense punishable by fine or imprisonment or both.
Stop all work.
Building Inspector
FORM NO. S
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
ORDER TO REMEDY VIOLATION
Date ...........
[owner or authorizea agent or ownerl
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ordinance
Other Applicable Laws, Ordinances'or Regulations ............................................
at premises hereinafter described in that ...~.~.,~..~
-- ~ate charact, er;~f vidlation)~
in v~atio'n of ~..~.~.,~..~../.. ........ ~i.-....../~...~...'~....~..,.~..,.~...~...~...~f.,,/)
't~ se~:tion or poragraph of appl~~dinance or regulationl
!
YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the
conditions above mentioned forthwith on or before the ............. ..~.......~... ...........................................
..............
The premises to which this OR)DE.P, T.~EMEDY VIOLATION refers are situated at
./.'.~-..~.......~...~.....P..C.~.'......~.c~'~..~.......County of Suffolk, New York
Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law
may constitute an offense punishable by fine or imprisonment or bath.
/
STATE OF NEI~ YORK
COUNTY OF S~jFFOLK
Andre~ T. Fohrkolb being duly sworn deposes and says:
1. That I am 20 years old and reside with my father, Andrew C. Fohrkolb
at Holden Avenue, Cutchogue, New York.
2. That sometime during July, 1984, my father and I removed all the materia
that my father ihad stored in the cottage on th~? rear of his property on Lipco Road
in Mattituek, N~w York.
3. We then fixed up the main part of the cottage, and I lived in the main
part while we ~ontinued to work on the rear part of the building.
4. It was probably the early part of October, 1984 that I decided to go back
home and live v['}th my father in Cutchogue. I would estimate that my total time living
in that cottage in 1984 was approximately three months.
Andrew ?. Fohrkolb
Sworn .to before me this
=Notar~ Public
FRED W. KAI~LI~{,
fiD. 52-71, 5315
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN ItALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
April 30, 1985
Mr. Andrew C. Fohrk61b
670 HoYden Avenue
Cutchogue, New York 11935
Dear Mr. Fohrkolb:
Receipt is hereby acknowledged of your letter of
April 15, 1985.
The Notice of Disapproval dated February 14, 1985,
stands as written. You may consider this my official
interpretation pursuant to the Southold Town Zoning
Code.
Very truly yours,
Curtis W. Horton
Building Inspector
CWH:cb
FOEM NO. ~
TOWN OF SOUTNOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
$OUTHOLD, N. Y.
ORDER TO REMEDY VIOLATION
December 10 19~..~ ....
Date ..................... '
Andrew C Fohrkolb
TO ............. : '~ ....................................
(owner or authorized agent of owner)
Holden A~enue Cutchogue, N.Y. 11935
.................................................
"'i~'~';;t';s"o'~-'~;'~'~;] or authorized agent of owner)
PLEASE TAKE NOTICE there exists a violation of;
Ch -10Q .......
Zoning Ordinance .........
Other Applicable Laws, Ordinances'or Regulations ....................................
at premises hereinafter described in that B u i 1 d ~D~...b.e~,~t] ..~..e c.~,~.t,.~j.g.,t,.e.d...al3.d. ................
............. (state character of violation)
restored no buildin permit Only. one dwel~..i..n.g .{~.]~.~,.~.~.~.~.,..,.~.,Q ......... : ....
each. lo.t_: ....................................................................................................................................
in violation of ......X.,Z.~....1.,.0..0..-...1..4.,.1/..I.,~;,]~ .-.J .0 g...:.~.Q.=A J..1.3..). ...................................... ; ......................
(State section or paragraph of applicable law, ordinance or regumtion)
YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the
conditions above mentioned forthwith on or before the 2~th
December
day of ...... ' ...................... , 19~h ....
The premises to which this ORDER TO REMEDY VIOLATION refers are situated at
125 LIPCO Road, M~t?.it.u..c.~.!....N..;..Y..;..~.Codnty of Suffolk, New York. ~
Failure to remedy the conditions aforesaid and to comply with the applicable provisions of Iow
may constitute an offense punishable by fine or imprisonment or both.
Stop all work.
Building Inspector
· * ri
April 15, 1985
8outhold Town Build Department
Town Hall I
Southold, New York 111971 .
Re: Andrew Fohrkolb (Building Permit for Non-Conforming Cottage)
Pile No. X-64~9
Gentlemen: l
With respect to the bore matter I have enelcx~ed herewith the following affidavits
and signed statements attesting to the non-conforming use of the small cottage to
the rear of the premises situated on SoUnd Avenue, Mattituek, New York where
Same lntersaets witt Lipeo Road:
1. Affidavxt Iof Emma Parker, sworn to April 2, 1985
2. Affidavit/of Andrew T. Fohrkolb sworn to April 8, 1985
3. Signed st& ement of Mamie Funn dated February 14, 1985
4. Affidavit of Charles Flippen sworn to February 14, 1985
5. Written s atement by Walter Williams dated February 14, 1985
I have also enelosel my client's eheek payable to the Southold Town Building
Department in the s~
by application dated
I would appreciate i'
forward it directly '
Thank you very mue
Sincerely,
Philip J. Ofrlas, Jr.
PJO:jos
ene.
ce: Andrew Pohrk~
n of $50.00 to rover the fee for the building permit requested
and filed with the Building Dephrtment on February t4, 1985.
if you would please issue the appropriate building permit nnd
my of flee.
TOWN OF '~oUTHOLD /
April 29, 1985
Southold Town Buildin~ Department
Town Hall
Southold, New York 11971
Re: Andrew Fohrkolb (Building Permit for Non-Conforming Cottage)
Pile No. X-6439
Gentlemen:
With respect to the above matter and for purpose of identification I have enclosed
herewith a copy of the letter dated April 15, 1985, sent to your office on that day.
Inasmuch as two weeks have gone by I would appreciate it if you would please
attempt to expedite the issuance of the requested building permit.
Thank you very much.
Philip J. Ofrias, Jr.
PJO:jos
ce: Andrew Pohrkolb
! ,
APPEALS BOARD
MEMBERS
GERARD P. GOEHRINGER, CHAIRMAN
CHARLES GRIGONIS, JR.
SERGE OOYEN, JR.
ROBERT J, DOUGLASS
JOSEPH H. SAWICKI
Southold Town Board o£ Appeals
MAIN RnAD- BTATE RnAD 25 E~nUTHr'ILD, L.I., N.Y. 119'71
TELEPHONE (516) 765-1809
October 29, 1985
Helen J. Rosenblum, Esq.
737 Roanoke Avenue
Riverhead, NY ll901
Re: Appeal No. 3411 - Andrew C. Fohrkolb (Variance)
Dear Ms. Rosenblum:
At a Regular Meeting held October 24, 1985, the Board
of Appeals reviewed the above application and requested the
following additional information to be furnished prior to
field inspections and advertising this matter for public
hearing:
(1) Three copies of the floor plans of the subject
building and all other structures showing the uses, square
footage as presently exist, and plan showing the proposed
repairs and changes by the variance application;
(2) Copy of a Certificate of Use and/or occupancy of
the land and buildings existing on the subject property
from the building inspector, or other document indicating
the present legal use(s) of the premises and its buildings.
If the above documents are submitted by November 14th,
it is expected that the public hearing would be held about
the 5th of December, 1985. A copy of the notice of hearings
as published in the Long Island Traveler-Watchman, Inc. and
Suffolk Times, Inc. will be sent to you as confirmation when
available.
Please feel free to call at any time if you have any
questions.
lk
cc: Building Department
Yours very truly,
CHAIRMAN
JUDITH T. TERRY
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
September 30,
1985
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
TELEPHONE
(516) 765-1801
To: Southold Town Zoning Board of Appeals
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is Zoning Appeal No. 3411 application o£
Andrew C. Fohrkolb for a variance. Also included is Notice to
Adjacent Property Owners; Notice oS Disapproval from the Building
Department; Short Environmental Assessment FormI letter relative
to N.Y.S. Tidal Wetlands Land-Use; and survey.
Judith T. Terry//
Southold Town Clerk
TOWN OF SOUTHOLD, NEW YORK
APPEAL FROM DECISION OF BUILDING INSPECTOR APPEAL NO. ~ ~//
DATE. ~r
' ...........
1, (We) ..... ~...~.[2~.......~..:..~.~...~....~...~..~.....of .....~.....~.....!.~.......~....~....1~....~..~....~..~.~ ................ Name of Appellant Street and Number
....... ~...~..J.~.~ ............................................................ ..k)..:..~ ............ HEREB* 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 .... b .~...!...~......~.....~...~........~.....~... :......~7~.~._(~.~.~..~.. ........... ..~)....~....~... ....................
Street and Number Municipality State
PERMIT TO USE
PERMIT FOR OCCUPANCY
( )
Street Use District on Zoning Map
.... .L~.O.~.....-..L.q....! ....................... L.-/:.. ..................
Mop No, Lot No.
2. PROVISION (S) OF THE ZONING ORDINANCE APPEALED (Indicate the Article Section, Sub-
section and Paragraph of the Zoning Ordinanceby number. Do not quote the Ordinance.)
3. TYPE OF APPEAL Appeal is made herewith for
~ ) A VARIANCE to the Zoning Ordinance or Zoning Map
( ) A VARIANCE due to lack of access (State of New York Town Low Chap. 62 Cons. Laws
Art. 16 Sec. 280A Subsection 3
4. PREVIOUS APPEAL A previous appeal (has) (h~s 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
( ) A Variance to the Zoning Ordinance
is requested for the reason that
¢x~t~fi ~od ',s -z_
Form ZB1 (Continue on other side)
REASON FOR APPEAL
Continued
1. STRICT APPLICATION OF THE ORDINANCE would produce practical difficulties or unneces-
sary HARDSHIP because b~h ~J,[b/~°-~ ~g)6 b~'--~ L~ ~~ ~
2. The hardship created is UNIQUE and is not shared by oil properties alike in the immediate
vicinity of this property and in this use district because ~ 2J~ L~ {'~ I//,4~,;fi~
3. The Variance would observe the spirit of the Ordinance and WOULD NOT CHANGE THE
C AR^CTER OF THE D STR CT because
STATE OF NEW YORK )
)
COUNTY OF ~L,cFFZO~IC, )
SS
Signature
Sworn to this .............................................. day ..............................
.................................. ~ '/'¢CrrA~¥'Pi.:9~ hZ, ~-,'o~e of ~eMw York
Notary Public Term Expires March 30,
BOARD OF APPEALS, TOWN OF SOUTHOLD
In the Matter or the Petition of
to the Board of Appeals of the Town of Southold
YOU ARE HEREBY GIVEN NOTICE:
NOTICE
TO
ADJACENT
PROPERTY OWNER
1. Thr~t ;t i¢ th..e,,intention of the undersigned to petition the Board of Appeals of the Town of Southold
to request ~,,~Variance])(Special Exception) (Special Permit) (Other) [circle choice]
).
2. That the property which is the subiect of the Petition is located adiacent to your property and is des-
cribed as follows:
3. That the property which is the subject of such Petition is located in the following zoning district:
4. That by such Petition, the undersigned will request the following relief: % ~/~L~_
, f J ~
$. That the provisions of the Southold Town Zonine Code aoolicable to the relief sought by the under-
signed are Article '~ Section I~)0'~0 ~..~_l ~
[ ] Section 280-A, New York Town Law for approval of access over right(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 Southold Town Clerk's Office at Main Road, Southold, New York and you ma), then and there
examine the same during regular office hours. (516) 765-1809.
HELEN J. ROSENBLUM
NOTARY PUSl lC, $'e~e o~ New York
No.4~ 99~,~5 - ~,~f~,k Courl$~
erin I--xo.r_3 vorch 30, Ig.~Q
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: ~L/. ~..~ J~,,~" ~~/_~/~~~
Owners'Names: ~bl~L~ d-. ~C)¢J~CO/-.-6
Post Office Address (31:~-C) ~L-l)~ 1~/E.)~1~:~
_ei ,,~ rmJll I
PROOF OF MAILING OF NOTICF
ATTACH CERTIFIED MAIL RECEIPTS
ADDRESS
P S~=q 75[3
REOEIPT FOR CERTIFIED MAIL
NO INSURANCE COVERAGE PROVIDED
NOT FOR iNTERNATIONAL MAIL
(See Reverse)
~tr~t and No. ~h
P.O., Stats and ZIP Code
Postage
TOIAL P°stage and Fees
Postmark or Date
STATE OF NEW YORK )
COUNTY OF SUFFOLK)
, being duly sworn, deposes and says that oh' the ~..~.-F~ day
of ~'~_.~c~f ,,~ ~ ,19 ~ , deponent mailed a true copy of the Notice set forth on the re-
verse side hereof, directed 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 curren~assessment roll of the Town of Soulhold; that said Notices were mailed at the United States Post Of-
fice at ~-L~ ~ ~ ; that said Notices were mailed to each of said persons by
(certified) (registered) mail.
Sworn to.~efo~e me this ~_ _
day of
Notary Public
(This side does not have to be completed on form transmitted to adjoining
property owners.)
BOARD OF APPEALS, TOWN OF SOUTHOLD
In the Matter or the Petition of
to the Board of Appeals of the Town of Sou[hold
YOU ARE HEREBY GIVEN NOTICE:
NOTICE
TO
ADJACENT
PROPERTY OWNER
1. Th~ intention of the undersigned to petition the Board of Appeals of the Town of Southold
to request a{(Variance)~Special Exception)(Special Permit} (Other) [circle choice]
).
2. That the property which is the subject of the Petition is located adjacent to your property and is des-
cribed as follows:
3. That the property which is the subject of such Petition is located in the following zoning district:
4. That by such Petition, the undersigned will request the following relief; ~ /Viff~/~
signed areS' That the prov~of the Southold~le ~ ~ ~ ~T°wn Z°ning C°de a~3able t° the relief s°ught bY the under'[ O ~ ~ I ~ ~
[ ] Section 280-A, ~w York Town Law for approval of access over right(s)-of-wa~.
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-~809.
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.
HELEN J. ROSENBLUM
NOTARY PUBLIC, State of New York
No.4809655 - Suffolk Cou
Term Expires March 30, 19...~
Owners 'Names: ~'~'-<:~0 ~--~'
Post Office Address (0'-~)
NAME
PROOF OF MAILING OF NOTICF
ATTACH CERTIFIED MAIL RECEIPTS
ADDRESS
P 529 751 700
R~=C£~PT FOR C£RTU=~£D ~A~L
N0 ~NSURAN~ ~0V~A~ PROVI0~D
NOT FOR INTERNATIONAL MAIL
(See Reverse)
Street and No.
P.O., State and ZiP C~e
Postage
Special DeHve~ Fee
Restricted Del~ve~ Fee
Re~urn Receipt Showing
to whom and Date Delivered
Return r~eipt showing to whom
Date, and Address of Delive~
TOTAL Postage and Fees
Postmark or Date
STATE OF NEW YORK )
COUNTY OF SUFFOLK ) ss.:
, being duly sworn, dep~sos and saYs that ~n the qJt~'h day
of (~)C~ ~ ,19 ~, deponent mailed a true copy of the Notice set forth on the re-
verse side hereof, directed 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 .~ t~.L~f] ; that said Notices were mailed to each of said persons by
(certified) (registered) mail.
Sworn to b~(~ke,~e,[h~is.) ,1~(~
Notary Public
00NNA M LESSAR0
(This side does not have to be completed on form transmitted to adjoinfng
property owners.)
SENDER: Complets items l.2.3,nd4.
Registered D Insured
Certified ~ COD
Express Mall
DAT~ DELIVERED.
l'he N.Y.S. Lnvironmentd) Qua)ity Review Act requires suo-
mission of this m, and an environmental r~m~iew will be
made by this bo before any actior~ is take~
S~ORT ~sv~o~m~7~ ASS~SS~T ~
(a) In order to answer the questions in this shor: ~AF is is aseume~ that
preparer will use currently available ~fo~%~on conce~in~ :ha proJec% and
l~ely ~c%s of ~he action, ~% is not e~ec%ed :~ additional s:udie~ research
or other investigations w~l be ~derta~en,
(b) If any ~ues~ion has been answere~ Yes the proJec~ ~y be si~ifican= and
completed Envirom=en%al Assessment Fo~ is necessar%.
(c) If all questions ~ve ~een answered No i= is l~ely ~ =his projec~ is
nc~ s~gnifican~.
(d) ~virom~enta% Assessment
1. W~I project res~% in a large physical c~mnge
to the project site or physically alter more
:~n 10 acres of land? · · · , , · · · Yes ~ No
2. Will :here be a ~Jor change to any ~lque or
unusual lan~ fo~ fo~d on =he si%e? · Yes ~
3. W~I project alter or ~vm ~ larg~ effect on
an existing b,dy of wa%er? , , ~ ~ . . Yes %.
&. W~I proJec% have a potentially large ~ on
~o~d~ter quality? , , . , , , . , Yes No
). W~I project sl~lficantly effect dra~a~ ~
o~ adjacent sitee? , , , , , , . , Yes ~ No
6, Will project affect any %~eatened or endanEered
plant or anal species? · · , , · · , Yes ~ No
7, W~I p~ojsct reset in a major adverse effect on
air quality? ........ Yes
8. W~l proJec~ have a major effect on visual
ac%er of ~he co,unity or scenic views or vis%as
kn~ ~o be ~por~an~ %o ~he community? , . . -- Yes ~ No
9. Will proJec: adversely ~pac% any site or st~c~
ute of historic, pre-his~oric, or paleontological
importance or any site demi~ated as a critical
enviro~en~l area by a local agancy? . . . -- Yes----~ No
10. W~I project ~ve a ~Jor effect on exis%~g or
future recreational oppor%~i%ies? . , Yes
11. Will project result In ~Jor ~raffic problems or
cause a ~Jor effec~ to existing transports:ion
Yes No
12. Will proJec~ reg~arly cause objectionable ~ors,
noiseo glaroo vibration, or electrical distur~
anco a~ a rest% of the project's operation? , Yes--% No
13. Will proJec~ have any impac% on public health or
Yes ~ ,,
%ion of mo~e ~nan ~ pe~cen~ over a
pe~io~ or have a ma~or negative effec~ on ~he
15. Is there public controversy concernlnt the project? , Yes ~ . No
' OUEST!ONNAIRE TO BE COMPLETED AND FILED WITH APPLICATION TO THE Z.B.A.
The t~ew York State Tidal Wetlands and Use Regulations, 6 NYCRR, Part 661, requires
an application to the N.Y.S. Department of Environmental Conservation, Environmental
Analysis Unit, 13uilding 40, S.U.N.Y., Stony [3rook, NY 11794, (tel. 516-751.-7900), if
you have checked Box #1 and/or Box#6 below. Please either call their office or
personally visit them at their Stony Brook office for instructions and application
forms. Ortce you have received written notification of approva please provide our
office with a copy (with the conditions) as early as possible in order that we may
continue processing your Z.B.A. application.
I ] I.
[ ] 2.
[x~X/] 3.
I ] 4.
[ ] 5,
[ ]
[ ] 7.
Waterfront without bulkheading
Waterfront with bulkheading in good co~ditio~t
[ ] the full length of the property
[ ] at least 100' in length
Not located within 300~ of waterfront or wetlands area
May be located within 300' of waterfront or wetlands area; I]owever,
the following structure separates [.ay property from this environ~:~ental
area:
[ ] 50' existing road
[ ] existing structures
[ ] bluff area more than 10' in elevation above mean
sea level
This proposed addition/expansion of an existing building will be more
than 75' from the landward edge of tidal wetlands/waterfront areas.
This proposed addition/expansion of an existing building will NOT be
more than 75' front the landwar¢l edge of tidal wetlands/waterfro~tt
area.
Please be aware that any and all subdivisions and new dwellings will also require an
application to the N.Y.5. Department of Environmental Conservation for their review
and approval. If you are able to provide them with recent photograpit$ of the
project and wetland areas, it would help expedite the processing of your applica-
tion.
This questionnaire is made to explain the requirements of this State ~..aw and to
prewnt any unnecessary delays in processing your application(s).
10/831k