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HomeMy WebLinkAbout1000-128.-2-6 OFFICE LOCATION: ®��®F so, r�OI MAILING ADDRESS: Town Hall Annex O P.O.Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) cra ` - G Telephone: 631 765-1938 Southold, NY 11971 ®lyCOUNT`I LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Leslie Weisman, Chair Members of the Zoning Board of Appeals From: Mark Terry, Principal Planner LWRP Coordinator Date July 26, 2016 Re: Coastal Consistency Review for ZBA File Ref WILLIAM FROEHLICH #6974 SCTM# 1000-128-2-6 WILLIAM FROEHLICH #6974 - Request for Variances from Article III, Section 280-15C, D & F and the Building Inspector's April 21, 2016, amended June 13, 2016 Notice of Disapproval based on an application for building permit to construct an accessory garage, at; 1) proposed accessory garage located in the front yard on a water front property at less than the code required side yard setback of 20 feet, 2) exceeding the maximum permitted 750 square feet in total size, 3) proposed dormers to be installed on accessory garage exceeding 40% of the roof width, located at: 6130 Peconic Bay Boulevard, (adj. to Great Peconic Bay) Laurel, NY. SCTM#1000-128-2-6 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the action is CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP. The proposal is not discordant with the existing neighborhood character and will not result in moderate to large impacts to the natural resources of the area. Stormwater shall be controlled pursuant to Chapter 236 Stomwater Management of the Town Code. Pursuant to Chapter 268, the Southold Town Zoning Board of Appeals shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: William Duffy, Town Attorney BOARD MEMBERS ®� S® Southold Town Hall Leslie Kanes Weisman,Chairperson h®�� U�/y®. 53095 Main-Road P.O.Box 1179 Southold,NY 11971-0959' Eric Dantes Office Location: Gerard P.Goehringer Town Annex/First Floor,Capital One Bank George Horning_ 54375 Main Road(at-Youngs Avenue) Kenneth Schneider ®lac®UNT11 Southold,NY 11971 http://southoldtown.northfork.net D ZONING BOARD OF APPEALS TOWN OF SOUTHOLD J7- E Tel.(631)765-1809•Fax (631)765-9064 ld Town Board June 13, 2016 'Mark Terry, Principal Planner LWRP Coordinator Planning Board Office Town of Southold Town Hall Annex Southold,NY 11971 .Re: ZBA File Ref. No. # 6974 FROEHLICH, William Dear Mark: We have received an application to construct an accessory garage. A -copy of the Building Inspector's Notice of Disapproval under Chapter 280 (Zoning-"Code), and survey map,project description form, are attached for your reference. Your written evaluation with recommendations for this proposal, as required under the Code procedures of LWRP Section 268-5D is requested within 30 days of receipt of this letter. Thank you. Very truly yours, Leslie K. Weisman Chairpe on !J By: g � ��,�� .•`v'}',2. 'i 't,; r 7 a,y,. - ' :y._ .i 7 =" .-. ':_q r 3.- 'Y' ,z,i. „`4.,'Is. �'+� }' �<'.':*,. ''",.s`.�y'µG. F�, a. Revlslons \ 10-02-00 \ 10-13.00 07-09-01 LIN SEE SEC NO 126 08-10-07 N 273 B00 MATCH _�_____ � Q , -o\ P6,2 \ FOR PCL NO SEE SEC NO ivy 125-04-024 23 r , FOR PCL NO zWI �,� � � 8 �9� rs ,•° � �g SEE SEC NO 13A(c)$o� 125-04-024 25 B 2 7A(c) 9 1 9 O 0 7 e\ e $ 1 e r Poi'' /s 72b % v m ° I � •$ 790 / 7s �� N 1 s m .r° � ��' a � a� O w, 4 73 's FOR FOR PCL NO `b�.y S 1) SEE SEC NO T.,3 �/ \ I 125-0402423 fi 20 / OC s, 9 I 8 9 I8 SEE INSERT'A' 9 8 10srls P w° zo lb /V�G 2 wi I21 c,4 l� y1 r'n i6 221 23 2" w 11A q 14 24 I 1A RECREATIONAR PI fi'P ,'� I a' 1 8° 11A ) 1 1A U 40 125- S JI °,;� I °604 / I 1 �12� I_�25 ✓8 � �/ / _ R A FOR PCL NI y 'd 5 SEE SEC N 127-03-0120� I 27 1 1A(c) g/ sV 24 \ QI I > ( 18A C) \ esu d' \$ 26 m 2 c 10 2 8\�a/� sz � e' 14A(c) ,.� '� \ r„ ° \ OP 12 8 , /gym A, - `444'"" ��p• �• � ��/ b ° 9 22 21 14 �b 8/ 15 °' r q6. 16A(c) .y'S" u—s auvao°eanes FORM NO. 3 TOWN OF SOUTHOLD __ 7 BUILDING DEPARTMENT SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL DATE: April 21, 2016 AMENDED: May 12, 2016 TO: William Froehlich 6130 Peconic Bay Blvd Laurel,NY 11949 Please take notice that your application dated April 15, 2016 For permit for construction of an accessM garage at Location of property 6130 Peconic Bay Blvd., Laurel,NY County Tax Map No. 1000—Section 128 Block 2 Lot 6 Is returned herewith and disapproved on the following grounds: The proposed construction on this nonconforming 21,907 square foot parcel in the R-40 District is not permitted pursuant to The proposed construction is not permitted pursuant to Section 280-15F which states', "In the case of a waterfront parcel accessory buildings and structures may be located in the front yard, provided that such buildings and structures meet the front-yard setback requirements set forth by this code and the side yard setback requirements for accessory buildings in Subsection B..." On lots measuring between 20,000 and 39,999 the proposed structure requires a minimum side yard setback of 20 feet. Furthermore the proposed construction is not permitted pursuant to Section 280-15C.,which states that such buildings shall not exceed 750 square feet in total size Following the�roposed construction the accessory garage will have a total size of 1032 square feet. Section 280-15D states, "Dormers are permitted on accessory buildings up to 40%of the roof width." The proposed dormers exceed the 40%limit. This Notice of ' approval was a ended after the applicant removed the proposed "living space" from r d accessory gar ge and removed the proposed additions and alterations to the gle fami dwe ing f m th application. ------ --------- -------- ----------- ----Authorized-Sign ure - ---- - - - --— - - ---- ----- ---- -- - --- - --- Note to Applicant: Any change or deviation to the above referenced application may require further review by the Southold Town Building Department. Cc: File, ZBA „ Fee:$ Filed By: Assignment No. APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS AREA VARIANCE ,+ �� House No.&1 30 Street T�IN!C,5&TE Rhinlet LA UIZE L SCTM 1000 Section/M Block Z Lot(s) CP Lot'Size211 q00 Zone l!"-40 I(WE)APPEAL THE WRITTEN DETERMINATION OYTHE BUILDING INSPECTOR DATED APM 1 J, 01j BASED ON SURVEY/SITE PLAN DATED AP/V/L Z010 OwnerN: 'W1 LL/ AM FODEHLI CM Mailing Address• ! ��� i �' � bi.v � : LA �. Ay 206314-0 V1 n G WAI� jCOH Telephone: —max: Email: NOTE:In addition to the above,please complete below if application is signed by applicant's attorney,agent, architect,builder,contract vendee,etc.and name of person who agent represents: Name of Representative: El LGe N 5A kJ 0 for(e�`Owner( )Other: Address: U-5 D VA N�S_FO K IZ� CAHL064()0 lel I Telephone:ly31 Qq3 r) 2: Email: Please check to specify who you wish correspondence to be mailed to,from the above names: ( )Applicant/Owner(s), (;Authorized Representative, ( )Other Name/Address below: 'WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN "/� DATEDA e`L8 ZDI�J and DENIED AN APPLICATION DATED ��i�L `�'OR: ( uilding Permit ( ) Certificate of Occupancy ( )Pre-Certificate of Occupancy ( ) Change of Use ( )Permit for As-Built Construction ( )Other: Provision of the Zoning Ordinance Appealed. (Indicate Article,Section Subsect}-�}�of Zoning Ordinance by numbers.Do not quote the code.) 6�i �s�J� Article: Section: Z�J O—t� Subsection: Type of Appeal. An Appeal is made for: , (VA Variance to the Zoning Code or Zoning Map. ( )A Variance due to lack of access required by New York Town Law-Section 280-A. ( )Interpretation of the Town Code,Article Section - ( -)-Reversal or -- - - A prior appeal( )has, ( as not been made at any time with respect to this property, UNDER Appeal No(s). Year(s). . (Please be sure to research before completing this question or call our office for assistance) Name of Owner: ZBA File# Name of Owner: ZBA File# REASONS FOR APPEAL (Please be specific, additional sheets may be used with preparer's signature notarized): 1.An undesirable change will not be produced in the CHARACTER of the neighbor or a detriment to nearby properties if granted,because: H095 , P o"61G d0 '�Nf 4AVE c� rA�,I �_C vD ACCE,G<&Pe� T5' DO OAC11010Q 2.The benefit sought by the applicant CANNOmeachieved by some method feasible for the applicant to pursue,other than an area variance,because: 15 w 3.The amount of relief requested is not substantial because: ge A04F V-am WAD 4.The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: K)C' W& f. /L-IDI&IU .cti, 1 .11 r+jApj 5.Has the alleged difficulty been self created? { } Yes,or KNo Why: Are there any Covenants or Restrictions concerning this land? XNo { } Yes(please furnish a copy) This is the MINIMUM that is necessary and adequate,and at the same ' e press d pro t the character of the neighborhood and the health,safety and welfare of ommu Z ignatur of Applicant or Authoriz Agent (Agent m submit wntten Authorization m Owner) Sworntobefore me this day of J Ok)e 20_� Notary Public Eileen Haynie Notary public,State of New York No.01NA4916018 Commission Expires Jo f t t 2®/13 APPLICANT'S PROJECT DESCRIPTION APPLICANT: W//I/l " � ���' DATE PREPARED:-. U nP 1 1.For Demolition of Existing Building Areas q Please describe areas being removed: e H.New Construction Areas(New Dwelling or New Additions/Extensions): Dimensions of first floor extension: 24. o Dimensions of new second floor: , 6 1/ ,C / D Dimensions of floor above second level: A1,6 A/ Height(from finished ground to top of ridge): , Is basement or lowest floor area being constricted?If yes,please provide height(above ground)measured from natural existing grade to first floor: � �h III.Proposed Construction Description(Alterations or Structural Changes) (Attach extra sheet if necessary). Please describe building areas: _ 7 Number of Floors and General Characteristics BEFORE Alterations: ,6r r-yzee �' �Vz�il�/ c,fi e49 41 r Number of Floors and Changes WITH Alterations: IV.Calculations of building areas and lot coverage(from surveyor): Existing square footage of buildings on your pro erty: /1 6 M ;:2G Proposed increase of building coverage: Square footage of your lot: l 5 Percentage of coverage of your lot by building area: V.Purpose of New Construction: i O 50/1,1) d 43,0 `fir ado � LP/7-/oP 6-17)12A 4 E (4,1-> LjV& VI.Please describe the land contours (flat,slope %,heavily wooded,marsh area,etc.) on your land and how it relates to the dif cuullty in me ting the code requirement(s): Please submit 8 sets of photos,labeled to show different angles of yard areas after staking corners for new construction,and photos of building area to be altered with yard view. 4/2012 QUESTIONNAIRE FOR FILING WITH YOUR ZBA APPLICATION A. Is the subject premise listed on the real estate market for sale? Yes ✓ No B. Are Pere any proposals to change or alter land contours? No Yes please explain on attached sheet. C. 1.)Are there areas that contain sand or wetland grasses? /Yb 2.)Are those areas shown on the survey submitted with this application? 3.)Is the property bulk headed between the wetlands area and the upland building area? 4.)If your property contains wetlands or pond areas,have ou contacted the Office of the Town trustees for its determination of jurisdiction?/W2 Please confirm status of your inquiry or application with the Trustees: and if issued,please attach copies of permit with conditions and approved survey. D. Is there a depression or sloping elevation near the area of proposed construction at or below five feet above mean sea level? /V® E. Are there any patios, concrete barriers,bulkheads r fences that exist that are not shown on the survey that you are submitting? /O Please show area of the structures on a diagram if any exist or state none on the above line. F. Do you have any construction taking place at this time concerning your premises?410 If yes,please submit a copy of your building permit and survey as approved by the Building Department and please describe: G. Please attach all pre-certificates of occupancy and certificates of occupancy for the subject premises. If any are lacking,please apply to the Building Department to either obtain them or to obtain'an Amended Notice of Disapproval. H. Do you or any co-owner also own other land adjoining or close to this parcel? 'Y-CJ If yes,please label the proximity of your lands on your survey. I. Please list present use or operations conducted at this parcel 2-e'5 1 ^ FiVA4.6 and the proposed use 64 PZr4 ai E l�� �L —p M (ex:existing single family,proposed.same with garage,pool or o Aut orized sig re and Date AGRICULTURAL DATA STATEMENT ZONING BOARD OF APPEALS TOWN OF SOUTHOLD WHEN TO'USE THIS FORM: This form must be completed by the applicant for any special use permit, site plan approval,use variance,area variance or subdivision approval on property within an agricultural district OR within 500 feet of a farm operation located in an agricultural.district. All applications requiring an agricultural data statement must be referred to the Suffolk County Department of Planning in accordance with Section 239m and 239n of the General Municipal Law. 1. Name of Applicant: 1r1!L!_1 AAd 2. Address of Applicant: 3. Name of Land Owner(if othe���Apli�t : �! , 4. Address of Land Owner: 5. Description of Proposed p/ Project: p>=,-1A� b 6 AC1 o4 e 6. Location of Propertyroad and Tax map 16� number) Ct)%3 ; Ic./! �1J LrIVI�Gf"/� 7. Is the parcel within 500 feet of a farm operation? { } Yes o 8. Is this parcel actively farmed? { ) Yes let'lgo 9. Name and addresses of any owner(s)of land within the agricultural district containing active farm operations. Suffolk County Tax Lot numbers will be provided to you by the Zoning Board Staff,it is your responsibility to obtain the current names and mailing addresses from the Town Assessor's Office (765-1937)or from the Real Property Tax Office located in Riverhead. NAME and ADDRESS 1. 2. 3. 4. 5. 6. (Please use the back o page if there are addition roperty owners) r �v 8 2�/lam S ature of pllant Date Note: 1.The local Board will solicit comments from the owners of land identified above in order to consider the effect of the proposed action on their farm operation. Solicitations will be made by supplying a copy of this statement. 2.Comments returned to the local Board will be taken into consideration as part as the overall review of this application. 3.Copies of the completed Agricultural Data Statement shall be sent by applicant to the property owners identified _______above. The-cost-for mailing-shall be-paid-by-the Applicant at the_time the_application-is submitted_for_review.__-__ 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part l -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information I currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part l -Project and Sponsor Information N- L&LfA " 7LYZ E 1 is Name of Action or Project: 6,4» n Z� E' Project Location(describe,and attach a location map): Co l�I> f� CDIV C ALV LA O L, &/r Brief Description of Proposed Action:,„© _ 8L>ic-4-D A LV 17 TZAM 6 C&kJEJU J/ 43.0 ' X �_r.0 ' 0A rA ZY E' w`T.{ JVeAIfF Wig Name of Applicant or Sponsor: Telephone: d f w//-L in ty i F-A* L'f Cly E-Mail:' � 1e W Address: City/PO: � U� State: Zip.Code:�L l' � ` q T? 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? , If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: 3.a.Total acreage of the site of the proposed action? es b.Total acreage to be physically disturbed? es c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 4. Check all land uses that occur on,adjoining and near the proposed action. ❑ Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial Residential(suburban) ❑Forest ❑Agriculture ❑A uatic_ _❑ Other s eci_ ❑Parkland Page l of 4 5. Is the proposed'action, NO YES N/A a.A permitted use under the zoning regulations? b.Consistent with the adopted comprehensive plan? 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? b.Is the proposed action located in an archeological sensitive area? 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑Shoreline ❑Forest ❑A cultural/grasslands ❑Early mid-successional ❑ Wetland ❑Urban Qk4uburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? 16.Is the project site located in the 100 year flood plain? NO J YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a.Will storm water discharges flow to adjacent properties? 11i0❑YES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑-NO-11 YES K29 6'Y U O d �� Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: } / 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO I YES completed)for hazardous waste? If Yes,describe: I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE ,,,QQ l s� Applicant/sponsor name: (''d ) &dlffl Date: �/1/� / Signature: E/LES N 49X/-775/�� Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" s... ,<;:,•,-r- No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed•action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? 9: Will thje proposed action result in an adverse change to natural resources(e.g waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Name of Lead Agency Date Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer -Signature--of Responsible-Officer--in-Lead-Agency-----Signature of-P-reparer-(ifdifferent from=Responsible-Officer-)——�-- Page 4 of 4 Board of Zoning Appeals Application AUTHORIZATION (Where the Applicant is not the Owner) residing at J (Print property owner's /name) (Mailing Address) do hereby authorize El L-EeIV � � _ — (Agent) to apply for variance(s) on my behalf from the Southold Zoning Bo d of Appeals. (O er's Signature) (Print O er's Name) AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: l (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship" includes by blood,marriage,or business interest."Business interest"means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. /' YES NO 1/ . If No,sign and date below.If Yes,complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee. Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation) B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation) C)an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP D , Submitted this day of ,-20j_ Signature CONS`TANCE LISOWY Print Name ���� �✓ � NOTARY PUBLIC-STATE OF NEW YORK NO.01 L19110900 OUALIFIEO IN SUFFOLK COUNTY MY COMMISSION EXPIRES 08.01.2020 APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. y� / / YOURNAME • Aj /��/�Q/� / /C�l� U .(Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business interest"means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If No,sign and date below.If YES,complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee. Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 5%of the shares of the corporate stock,of the applicant(when the applicant is a corporation) B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation) C)an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this Lf da o l(0 Signature Print Na Eileen Haynie Notary Public,State of New York No.01 HA4916018 Commission Expires I / 2!�/� Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes",then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# The Application has been submitted to(check appropriate response): Town Board Planning Dept. 0 Building Dept. 0 Board of Trustees 0 1. Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital 0 construction,planning activity,agency regulation,land transaction) (b) Financial assistance(e.g.grant, loan,subsidy) (c) Permit, approval, license,certification: Nature and extent of action: _ f n ,i`�e a a l�C t`�b �l - Z Boit-z� � �- � 1 � � � -- - - - - - Location of action: �P r D �E- co X) 1 r✓ uq TD LAO CSL 1 r Site acreage: CR I , GI 6q V Present land use: i I� � I Present zoning classification: —4 D 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: 1 1 (a) Name of applicant: W I L -tt -4 �(�� ua i- (b) Mailing address: &/50 FtCtVI C U DVb tiqu)e r.:., & f &/K /I q 46 L_ ' (c) Telephone number:Area Code 514— 05_8q (d) Application number, if any: Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes ❑ No)� If yes,which state or federal agency? DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space,makes efficient use of infrastructure, makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies;Page 2 for evaluation criteria. ©Yes ❑ No ❑ (Not Applicable-please explain) Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria - - ❑-- Yes ❑ No N4 -(Not Applicable Attach additional sheets if necessary Policy-3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria MIOYes 0 No E (Not Applicable—please explain) Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria Yes No E (Not Applicable—please explain) Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria Yes E No 0 (Not Applicable—please explain) Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. Ycs -No of A li-able-- lease ex lain - T - - -- --_- -� PP P P ) Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. See Section III—Policies Pages; 34 through 38 for evaluation criteria. ❑ Yes ❑ No[(Not Applicable—please explain) Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No Rll(Not Applicable—please explain) PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies;Pages 38 through 46 for evaluation criteria. ❑ Ye� No Applicable—please explain) ) Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. M4Yes ❑ No ❑ (Not Applicable—please explain) Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies;Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No Not Applicable—please explain Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 forevaluation criteria. ❑ Yes El No U Not Applicable—please explain Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No Not Applicable—please explain V Town of Southold Annex 2/14/2013 54375 Main Road Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 361.45 Date: 2/14/2013 THIS CERTIFIES that the structure(s)located at: 6130 Great Peconic Bay Blvd, Laurel SCTM#: 473889 Sec/Block/Lot: 128.-2-6 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 36145 dated 2/14/2013 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame one family dwelling with two enclosed porches and attached one cargarage.* The certificate is issued to Parsons, James&Parsons, Patrick (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. A sizedignature BUILDING-DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 6130 Great Peconic Bay Blvd,Laurel SUFF.CO.TAX MAP NO.: 128.-2-6 SUBDIVISION: NAME OF OWNER(S): Parsons,James&Parsons,Patrick OCCUPANCY: ADMITTED BY:`John DeReeder SOURCE OF REQUEST: Parsons,'James&Parsons,Patrick DATE: 2/14/2013 DWELLING:, #STORIES: 1.5 #,EXITS: 2 FOUNDATION: wood posts CELLAR: CRAWL SPACE: BATHROOM(S): 2 TOILET ROOM(S): UTH.ITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: I GARAGE: one car DOMESTIC HOTWATER: YES TYPE HEATER:_ Nael Grid AIR—CONDITIONING: TYPE HEAT: oil WARM AIR: X HOT WATER: #BEDROOMS: 3 #KITCHENS—:—] BASEMENT TYPE: OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: GARYF DATE OF INSPECTION: 1/30/2013 TIME START: 9:30 END: 10:30 Farm No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-I302 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Finaf survey ofproperty with accurate location of all buildings,property lines,streets,and unusual natural or topographic features. 2. Final Approval from Health Dept.of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of I%lead. 5. Commercial building,industrial building,Multiple residences and similar buildings and installations,a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9,1957)non-conforming uses,or buildings and"pre-existing"land uses: 1_ Accurate survey of property showing all property lines,streets,building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C_ Fees I. Certi Ficate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00, Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $(00.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00,Commercial SI 5.00 Date. Q 2 3 New Construction: t Old or Pre-existing Building: (check one) Location of Property: . 1 Greg+ ���{ a House No. Street " r Hamlet Owner or Owners of Property: �{n+ C� ���i- LjS-� - Suffolk County Tax Map No 1000,Section 2$ Block 0 Z Lot Subdivision Filed Map. Lot: Permit No. - Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted:S_ Applicant Signature CONSENT TO INSPECTION �-8z'Jgs A the undersigned,i �� _ - do(es)hereby state: Owner(s)Nttme(s) TUat the undersigned(is)( 'the wner(s)of the prermses in the Town of Southold,located G c,�-� 1g,1eJ Z Ler, ,,. which isshown and-designated-on the Suffolk qqmVNi Map as'Distric_t 1000, Section 1 '2-2> 'Block ®2- )Lot c That the undersigned(has)(have)filed,or cause to be filed, an a plication in the Southold Town Building pector's O��fff'ice for thefollowing: 4P - G.. Irk That the undersigned do(es)hereby give consent to the Building Inspectors of the_- Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said,premises comply with all of the laws,ordinances,rules and regulations of the Town of Southold. The undersigned,in consentiffto such inspections,-do(es)so with the knowledge and understandiiag that any information obtained in the conduct of such inspections may be used in.subsequent prosecutions for violations of the laws,ordinances,rules or regulations of the Town of Southold. Dated: �Vl. � tures t Name) (Print Name) LOT AREA = 21,911 SQ. FT NOW OR FORMERLY STALZER "E FMM S 19'23'50"E Y SAY A 424.48' (TO BULKHEAD) °, °b AVE, r0 2'Ns i I 0 2'E polo ,c1 �• split rail lanae overhead utillty�nea FC ti — — _ pOl° wd picket fence 0.9'E �] 0.5'E r FC ^r t1.3'S ` 0.9'E ri 1.5'E rPole r^ to �7 , \ 2 O O rr' p R1 A° _ wd landing 'O w �O \6 — dirt drvewoy 284.0' 10 ID'x4' �j G � gyFpp— — — — — — — — � 3.9'E ZE O" k0M overhead utility wing pole pole 17'E h N 19'58'20"W / 403.27' (TO BULKHEAD) d NOW OR FORMERLY VENTEAU M"MM(Olt ogcmowst SHOWN NOtEDN FROM THE S11131C1lIRf:9 m TW PRoMN LWO OX sae A WOMIC P W0%ANO USE NO iHE11F M NIX NIT JOB No. 13-12 FILE No. 940 F \ ST1DM 1a OMCE W UtEM OM ar 1'1710ES,MN"WWW PODIA PRIM K MTra AaN,Aeon oN To ox.D eos oR ANr omm omam im. SURVEYED FOR WILLIAM & ANNE FROEHLICH \ / IgUM11014M ALMOON OR AMOON TO THIS SM&Y 6 A VIOIAWN a'SWIM 7200 or THE WN mar STATE 0XICAT)aN LAY. MMW=00NY,10 HUSON*ALL RUM ONLY TO 1HE P0180N FOR WHOM T11E g*M IS PAMM.ANO ON NO 1["F TO THE MIA COMPANY,0"Vae ffAL SITUATED AT MATTITUCK AGOICY ANO LDC M rRmuROM LISIED w1ea6 AND TO 7NE Assaf®OF THE \ "�^� °~M AN NOT MW001°eE TO AMOK�nIM TOWN OF SOUTHOLD, SUFFOLK COUNTY, N.Y. Cara OF Tru agl,,tn.MAP Nor RMIM TK OM1°sulMMS Near SEAL OR SCALE 1" = 40' DATE 1-17-2013 DAM=SEAL 91*1 Nor R CMMW TO BE A VAM Mg COPT. FILED MAP No DATE CERTIFIED ONLY TO: TAX MAP No.(REF ONLY) 1000-128-2-6 DISK 2013 WILLIAM & ANNE FROEHLICH STERLING NATIONAL BANK HAROLD F. TRANCHON JR. P.C. THE SECURITY TITLE GUARANTEE CORPORATION LAND SURVEYOR !� OF BALTIMORE SCTIC, INCORPORATED P.O. BOX 616 (f / 1866 WADING RIVER-MANOR RD. WADING RIVER, THE oSSrEwcE OF R1aHr a wrs "°OR we►cMrs �G -QcC F��.-cl*`�• ;�_Llc. NEW YORK, 11792 OF RELORO.W ANY.Not%MN WNor OLVARMO 8992 631-929-4695 ROLD F. TRANCHON JR. PENN. LIC.. No.No. 215-E i LOCATION: (number&street) (municipality) SUBDIVISION: IVIAP NO.: LOT(S): NAME OF OWNER(S): OCCUPANCY: (type) (owner-tenant) ADMITTED BY: acQ"-A' ACCOMPANIED BY: KEY AVAILABLE: SUFF.CO.TAX MAP NO.1000- SOURCE OF REQUEST: DATE: DWELLING TYPE OF CONSTRUCTIONQ: "" I"',` #STORIES: ( #EXITS: - FOUNDATION:_ t� 7dJ<<S BASEMENT: CRAWL SPACE: #OF BEDROOMS: IST FLR: 2ND FLR:�_ 3RD FLR: �— BATHROOM(S): TOILET ROOM(S): UTILITY ROOM: PORCH TYPE: DECK,TYPE: -�' PATIO,TYPE: �- BREEZEWAY: ' FIREPLACE: 0Yt GARAGE: C_lt/E_ � DOMESTIC HOTW�ATEER: i-- TYPE HEATER: i l ��AIRCONDITIONING: TYPE HEAT: Ok- JWARM AIR: HOTWATER: #OF KITCHENS: A(_� FINISHED BASEMENT: YES NO OTHER: ACCESSORY STRUCTURES /A_../Lst_ GARAGE,TYPE OF CONST.: STORAGE,TYPE CONST.: SWIMMING POOL: GUEST,TYPE CONST: OTHER: - -- - - - - - - - - - - - -- - - VIOLATIONS: CHAPTER 144&N Y.STATE UNIFORM FIRE PREVENTION&BUILDING CODE LOCATION ESCRIPTION ART. SEC. cl.) REMARKS. �\ INSPECTED BY: `�/J'C� DATE OF INSPECTION: ! 13 TIME START: END: t1'z>�y-0 COLOR IAAq_;_�..• ;s';:�;, roti,,. .,, lry' � I 41� „1)� 1V T7Y _ TRIM 4'�Fx' ':d % :x '2;.'°�,.•�+<' .,xF:B»x '1'?'• et�.k-^�� p� 'c"S'�'r'. e 7�-7,77'o Vn 01Z M \ Mrd? I' 1 t�b "F�;•�'�"'•y�,ti�k 1�itixa;,�.c,.}�,,�''.�;iy�"k ,��rh�.7`,� y-yl ,, ` t1�. 1 ,y,•*,'.v,�ilw,;��'"'� rk�`''1�:i�,t�'�t'.'"'',�"1;?�' � ,��, ''y<,.,.� a M. Bldg. 3 �_ /P Foundation Bath t , Dinette Extension a'` `i'� ''�'I` 3--- -="" v Basement Floors / � K.YD Extension Ext. Walls Interior Finish s LR. Extension Fire Place / Heat / V DR. Type Roof Rooms 1st Floor BR. Porch f/j, �F �y, p y� �� Recreation Room Rooms 2nd Floor FIN. B. Porch Dormer Breezeway I Driveway L. Garage ,�:r ,(`., Patio 0: B. ,Total --- TOWN OF SOUTHOLD PROPERTY- RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT Ro e, crw) C, zs, ACR. FORMER OWNER! iL E S 72,L S cc WTYPE OF BUILDING ),;. 77- 11 LES.,? SEAS. VL. FARM d6MM.()CB. ' MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS <j ?1410 41 Ze �/),A ,l ,511,51,siq- L l97i) ,o.3to- Ki'r0 4 u�r -I-z) r -k 3f)0 AGE BUILDING CONDITION FS-L h PQr/,pn!5 4 NEW NORMAL BELOW ABOVE 14 ,P f — FARM Acre Value Per Value Acre Fillable I "Illable 'iflable Voodland wompland FRONTAGE ON WATER ;rushland FRONTAGE ON ROAD louse Plot' DEPTH BULKHEAD otal DOCK Laurel Laurel Links Country P " - i Ct_ub " 6130 Peconcl r Bay Blv[I f a https://www.mapquest.com/search/resuIts7page=0&centerOnR...0%20Peconic%20Bay%20BIvd,%20Laurel,%20NY%2011948-1907 5/31/16,12:55 PM Page 2 of 2 < rrg4",K r a w• mein AD -Y.4 i• 'v N S ' I 1 - � V-4 �I Lam-, :�r •�, .,. � �' 1 r 7- 1 i t V $ s, t I / \X`` \� I I 5° FF i q I • L-; � � I Jf it �� �� ��-J!--4-� a ' ,ell 6 I FQe$Mlc"90-WILLIAM FRDENLIGFf h, F coN,GY,WY5wD t1w��+-. 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Uu T----- - tZ r �Cvs �T AL2 I- r- T �t�W 2.92 573 j.33 TW20'� 2 T? 4.73 ?,-?1 0650 lD'7 j lis CRld5, -7,4I 4,Z•f{rW 210aoZ Cc,25 12 OCr (o�2 17 03 C)�T1.Of*, UNFINISHeD 1jW2G'�o 3,1� o o x .m�cvr_ 1,3 4.3 1,3 N � Inc Ileo` _4�,----• - � Fr--y 2•d' � I ------------ i -O N - 9- ---- --- '- ---- - < O" - -�--- MR$HR5 bvILLIA.M I-CoeHLICL4 6aI-3O PS CGwic-r�`f 15LVD L&,O,--._f! 6ANrORa l T-r cz.r? C,_^�$14G,e -�F3 t'"yc 24.", 1 Condon Engmeering PL i Eileen Santora - Residential Designer 1755 5igsbee Road•Mattituck,NY 11952 i 631-734-2794 - Cutchogue, NY 631-298-1986 �'� �j SURVEY OF PROPERTY SITUATE LAUREL TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000- 128-02-06 SCALE 1 "=30' A� AUGUST 10, 2015 APRIL 8, 2016 PROPOSED GARAGE AREA = 21 ,907 sq. ft. 0 0.503 ac. •a Qpm % \G(c� .��` /I , o //ff„(( LEGEND PROPOSED FUTURE SOY. EXPANSION POOL • PROPOSED 8' DIA. X 8' DEEP LEACHING POOL p�Z �[ �� �Q'��'� • NUS PROPOSED 1,500 GALLON SEPTIC TANK / \ LIN 0- .4 J'p osa 0\ PQ 4. 4 �s l.0 ° • e -1 LP C7� A� l4 `OD N ^aP yFq • oz- ° 4� 2 ` 4 \N Q)q 2�2 WODGpMP �� 71 0 �o • a � 2AU 68 �� 9 ITSCA .Z A . -• \ pp\E 9C •• Z +�� Sod,E o £ GPRpG • F a• s� \g.5' ENCS c \ \\3Lr c3 N� I w I � : Z. oN' a y 0 a w o UNAUTHORIZED ALTERATION OR ADDITION • o� 326� TO THIS SURVEY IS A VIOLATION OF fN'o w 55 SECTION 72D9 OF THE NEW YORK STATE �NPORGN EDUCATION LAW. THE COPIES LAND SURVEYOR'S S� MAP NOT RING INKED SEAL OR �� CEPS �N \ NG. TO BOSSED BE A VALDLTRUELCOPYT BE CONSIDERED CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND BSE •Lo TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD, IF A poi o00 ��43 ANY, NOT SHOWN ARE NOT GUARANTEED. O� \ y`O 0S• OQ�s PREPARED IN ACCORDANCE WITH THE MINIMUM NO SjE� NCO 0o Pg STANDARDS FOR TITLE SURVEYS AS ESTABLISHED By K Q BY THE L.I.A.L.S. AND APPROVED,AND.ADQFTED (� X000 QEF MFpO M�� FOR SUCH USE BY THE NEW YDRATE L7fN W 0 9E \G ooQ gv � TITLE ASSOCIATION. ,� 11 C' P";o# � 1 oor' wa C rol Y 7',,, ""✓��'7 v (� _,_.N: S. Lic. No. 50467 Nathan Taft Corwin III Land Surveyor Successor To: Stanley J. Isaksen, Jr. L.S. Joseph A. Ingegno L.S. Title Surveys — Subdivisions — Site Plans — Construction Layout PHONE (631)727-2090 Fax (631)727-1727 OFFICES LOCATED AT MAILING ADDRESS 1586 Main Road P.O. Box 16 Jamesport, New York 11947 Jamesport, New York 11947