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HomeMy WebLinkAbout7225 -4 � , ,4wet , �, �� b ' , cif `r -G �7 e � � I • f i CA P), E CHECK BOXES AS COMPLETED ( ) Tape this formAc ( ) Pull ZBA copy of > o DQ 0 ( ) Check file boxes CD Q- CL 0 � � N M � I ( ) Assign next num y outside of file fol o ( ) 'Date stamp entir _ O file number m �" -° �' 3Xo0o � z o ( ) Hole punch entir `�. ' ' =; =7 00 v 0 CD(before sending 1 3 Q.o rn ( ) Create new inde o o 0 ( ) Print contact info '0') �I 0 o ( ),Prepare transmit CD ( ) Send original ap rn to Town Clerk o ( ) Note inside file fi and tape to insid ( ) Copy County Tax _n neighbors and At M ( ) Make 7 copies ar, j ( ) Do mailing label 4 N U1 i, ' - COPI A-At qW w , BOARD MEMBERS Southold Town Hall Leslie Kanes Weisman,Chairperson �`�®f ®U��® 53095 Main Road•P.O.Box 1179 �® �® Southold,NY 11971-0959 Patricia Acampora Office Location: Eric Dantes Town Annex/First Floor Robert Lehnert,Jr. 54375 Main Road(at Youngs Avenue) Nicholas Planamentol�O � Southold,NY 11971 9 http://southoldtownny.gov ZONING BOARD OF APPEALS RECEIVED TOWN OF SOUTHOLD & F46 6 0 9-.s& Rm Tel.(631) 765-1809•Fax(631)765-9064 (� JAN 1 0 2018 • FINDINGS,DELIBERATIONS AND DETERMINATION �• Z l� X.�, MEETING OF JANUARY 3,2019 god hold Town Clerk ZBA FILE: #7225 NAME OF APPLICANT: Deborah Ostrosky PROPERTY LOCATION: 1260 Koke Drive, Southold,NY SCTM: 1000-87-5-17 SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions, without further steps under SEQRA. SUFFOLK COUNTY ADMINISTRATIVE-CODE: This application was referred as required under the Suffolk County Administrative Code Sections A 14-14 to 23, and the Suffolk County Department of Planning issued its reply dated September 14, 2018 stating that this application is considered a matter for local determination as there appears to be no significant county-wide or inter-community impact. LWRP DETERMINATION: The relief, permit, or interpretation requested in this application is listed under the Minor Actions exempt list and is not subject to review under Chapter 268. PROPERTY FACTS/DESCRIPTION: The subject, non-conforming 12,875 square feet, .296 acre rectangular parcel, located in the R-40 Zoning District measures 125 feet along Koke Drive with a southern lot line of 103 feet shared with a residential neighbor, an eastern lot line measuring 125 along a narrow and developed lot abutting Cove at Southold (also known as The Cove condominiums) and returning 103 feet along a second residential neighbor to the north. The parcel is improved with a one-story wood-frame house with an attached deck, outdoor shower, storage bins and a stoop along with a detached, wood-frame garage with planters and associated timber curbed gravel driveway as shown on the survey by John T. Metzger, Licensed Land Surveyor and dated April 24, 2018. BASIS OF APPLICATION: Request for a Variance from Article 111, Section 280-13A and the Building Inspector's August 9, 2018, Notice of Disapproval based on an application for a building permit to make additions and alterations to an existing accessory building, at: 1) more than the code permitted one dwelling on each lot; the proposed construction constitutes a second dwelling unit in the accessory building; at: 1260 Koke Drive, Southold, NY. SCTM#1000-87-5-17. RELIEF REQUESTED: The applicant requests a variance to convert an existing accessory garage second floor unfinished attic to a finished and conditioned workshop of approximately 300 square feet including a half bathroom consisting of toilet, sink and linen closet. The applicant proposes to extend an existing dormer by 2.9 feet on both ends of the roof to improve ceiling height at a widened and improved access stair, the bathroom addition and to accommodate additional linen and storage closets. Page 2,January 3,2019 #7225, Ostrosky SCTM No. 1000-87-5-17 ADDITIONAL INFORMATION: The Town of Southold Building Department interprets this application as being a second dwelling unit. The applicant and her agent spoke at the public hearing. A letter of opposition was received prior to the public hearing sent by a neighbor residing at The Cove; the author and another neighbor spoke publicly against this application. ZBA appeal #3712 was issued February 9, 1988 granting alternative relief for additions and alterations to the rear of the residence. Certificate of Occupancy#Z6610 was issued August 4, 1975 for the accessory single car garage building with unfinished second floor attic storage. Inspections by members of the Zoning Board of Appeals showed that the subject accessory garage is currently being used as a personal workshop by the applicant with second floor storage. FINDINGS OF FACT/REASONS FOR BOARD ACTION: The Zoning Board of Appeals held a public hearing on this application on December 6,2018, at which time written and oral evidence were presented. Based upon all testimony, documentation, personal inspection of the property and surrounding neighborhood, and other evidence,the Zoning Board finds the following facts to be true and relevant and makes the following findings: 1. Town Law 4267-b(2)(b)(1). The applicant can realize a reasonable return for each and every permitted use under the zoning regulations for the particular district where the property is located. Moreover, the applicant and their agent did not submit any financial evidence to support their hardship necessitating the need for a second residence in the R-40 Zoning District. The applicant is able to apply to the Town of Southold Building Department for a permit to add, by Code, a half bath and/or a workshop to the existing accessory structure. 2. Town Law §267-b(2)(b)(2). The hardship is not unique to the property and it does not apply to a substantial portion of the district or neighborhood. Second dwelling units are not common to this single family residential neighborhood. 3. Town Law &267-b(2)(b)(3). The requested use variance, if granted, will alter the essential character of the neighborhood. Koke Drive is a private, unpaved narrow Right of Way, functioning as a loop, and servicing approximately 20 homes located off of Main Bayview Road, an important residential thoroughfare for the Hog Neck peninsula community. The immediate neighborhood consists of a variety of house sizes, styles and designs the majority of which are developed on non-conforming lots few of which have substantial accessory structures and some of which are located on Corey Creek. Additionally,the `practical' neighbor to the east, behind the subject, is a 33 unit high-density, residential condominium community, The Cove. The existing garage has stood since 1975, including a large dormer. The proposed changes to the existing roof structure, while modest, along with interior alterations will not be discernable from the roadway or visible to any neighbors. However, they will alter the character of the neighborhood and will increase noise as a result of the additional mechanicals located outside and in close proximity to neighbors. 4. Town Law §267-b(2)(b)(4) The alleged hardship has been self-created. The applicant purchased the parcel after the Zoning Code was in effect and it is presumed that the applicant had actual or constructive knowledge of the limitations on the use of the parcel under the Zoning Code in effect prior to or at the time of purchase. 5. Town Law §267-b. Grant of this use variance is not the minimum action necessary and adequate to address the unnecessary hardship not proven by the applicant, and at the same time preserve and protect the character of the neighborhood and the health, safety and welfare of the community. Page 3,January 3,2019 #7225, Ostrosky SCTM No. 1000-87-5-17 RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 267-B, motion was offered by Member Planamento, seconded by Member Acampora, and duly carried, to DENY the Use Variance as applied for, Vote of the Board: Ayes: Members Weisman(Chairperson),Dantes,Acampora,Planamento and Lehnert. This Resolution was duly adopted(5-0). , 2"/k'UW h""""- Leslie Kanes Weisman Chairperson Approved for filing �' / /2018 SURVEY OF PROPERTY AT BA YVMW TOWN OF SOUTHOLD SUFFOLK COUNTY. MY. fARr,E,1VEn 1000-87—OS 17 SCALE` 1= 30' f �o►u ® AML 24y 2018 WELL ZONING BOAR OF APP S �WELL,N�7 340'f KOKE DRIVE - x(30') FLOLIC WATM IN 5TREET q.EL.31.8' ,EL.26.8, N2556'50"E EOP 125.00' EOP EOP ;r owm UP IPE MD7 70f EL27.4' EL3\1.2' 25'* 24'* r1 —385.00' O.A.— w ,r ATFL � Oi I � TIMBER CURB O `� o • 1 ZEST HOLE DATA GRAVEL DRIVEWAY CA p CA YFDONALD STONE PATIO TIMBER CURB A C- r 3/3/IOId m < O O 32.3' a EL Sao' DARK WOMN LdW OL ZE W! RMBER n1 Wt�LE N DWELLING �• N DWELLING Wim' W+ BJPOIMV fXAYEY SAND SC oEc DECK n M PUBLIC WATER 1 1 ' 1 N/O/F ri YOUNC7 22.5' 23.9' 1 STM. FR. 1 HOUSE VAGANT FF EL 29.4 16.0' 1 1 iV 24.5' _ 2.6' N ON Y BIN TIMBER Q I I O w TIMBER M STOOP w PALE SWIMNTNE SAND SP C 1 40.3' WNTo' N GARAGE TAv A NK PF'OP. N v ' !7, LOOSE STONE 24.5' 1 NOTE NO WATER EN=#MWMMBER nMBER 1 PLANTER KEY Y PIPE N/O/F 125.00 EL22.55'D REaAR PI 22.9 D' S25 056'50"W 56 50 W — ® VAGANT - - - - - - - - - - - - - STAKE uP BT" = MST HOLE cla' • PIPE ■ = MONUMENT WO/F - MEMAND FLAG COVE AT 50UTF KX0 -U�T– U77UTY POKE PUDLIC WATER OWIA= WA7ER ME7ERof Nr WY I am familiar with th,e STANDARDS FOR APPROVAL AND CONSTRUCTION OF �' - SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES ` and will abide by the conditions set forth therein and on the permit to y� construct. The location of wells and cesspools shown hereon are from field observations and or from data obtained from others. s UC. NO. 49618 ANY ALTERATION OR ADDITION TO THl5 5URVEY 15 A VIOLATION S. P.0 OF 5ECTION 72a90F THE NEW YORK STATE EDUCATION LAW. AREA=12,875 sq.ft. (6 -.X&-5U20 FAX (631) 765-1797 EXCEPT A5 PER 5ECTION 7209-5U150IV15ION 2. ALL CERTIFICATIONS HEREON ARE VALID FOR TH15 MAP AND COPIE5 THEREOF ONLY lF ; P.O. BOX 909 q 5AID MAP OR GOPIE5 BEAR THE IMPRE5560 SEAL SOU7HO0LD,OF THE 5URVEYOR 1230 7 R STREETLl -113N.YN11971 ' I I REVISIONS: Permit Set 2/9/18 Add toDormer 3/16/18 Enlar ed Bath 30 18 Et\1ED REScheck Software Version 4.6.4 _. ci Compliance Certificate y�?RJIi�G ��7.Af;L�Or APPEALS Project Ostrosky Studio above Garage Energy Code: 2015 IECC Location: Cutchogue, New York Construction Type: Single-family Project Type: New Construction Conditioned Floor Area: 0 ft2 Glazing Area 5% o Climate Zone: 4 (5572 HDD) Permit Date: Permit Number: O oo° po 0 0 ° oo • o ° ° Construction Site: Owner/Agent: Designer/Contractor: p o 1260 Koke Drive Cutchogue, NY % iV p o p�o 0 0 o Compliance: 0.0%Better Than Code Maximum UA: 59 Your UA: 59 Maximum SHGC: 0.40 Your SHGC: 0.30 V O ° o The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. 1-4 • o o po 0 o It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. .a o 0 40 0 I` '� ``i' ` F x • ' 4° a Q Q ' •° ° o Envelope Assemblies ct yG +V ° =, .° to �� ,�--► O o - a Ceiling 1: Flat Ceiling or Scissor Truss 234 30.0 OA 0.035 8 O Ceiling 2: Cathedral Ceiling 207 36.0 0.0 0.029 6 O Wall 1:Wood Frame, 16"o.c. 406 23.0 0.0 0.055 21 cl ct Window 1:Vinyl/Fiberglass Frame:Double Pane 23 0.320 7 '~ \ SHGC: 0.30 Wall 2:Wood Frame, 16"o.c. 94 19.0 0.0 0.060 6 xNt'' Floor 1:All-Wood oist/Truss:Over Unconditioned Space 225 19.0 0.0 0.047 11 i \ /I. y� x Compliance Statement: The proposed building design described here is consistent with the building plans„specifications, and other calculations submitted with the permit application.The proposed building has been designed to meet the 2015 IECC requirements in REScheck Version 4.6.4 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. fpm, rLJ Name-Title Signature Date LlEl0 r o 1:1 � Y7Y Project Title: Ostrosky Studio above Garage Report date: 03/16/18 Data filename: C:\PROJECTS_2\MKS Architect\MKS_0118_050_KokePlace\Ostrosky Garage.rck Pagel of 1 rA !-•-I OSTROSKY RESIDENCE U WORK SHOP ABOVE U 0 CODE ANALYSIS ENERGY NOTES NOTE: OCCUPANCY: Residential Single Family Detached 1. Calculations are valid up to 5999 degree days. This project complies with the 2015 International Residential Code(IRC),the GENERAL CONSTRUCTION NOTES: CODE REFERENCES: 2016 NYS Supplement to the Uniform Code,the 2015 International Energy 1. All work shall conform to the requirements of the New York State Building Code; REFERENCE STANDARDS: 2. Certified conformance for Zone 118, Conservation Code IEC the 20'16 NYS Suplement to the Ener Code, all work shall also conform to the requirements of any other Codes and authorities FOUNDATION SYSTEMS: Shall conform with Code sections and TAbles International Residential Building Code(2015) the 2015 Wood Frame Construction Manual FCM 2015), NFPA standard having jurisdiction, The Contractor shall obtain and arrange for all required permits, ', � ) ar8401.4, 8401.4.1, 8402.2, 8404.1 AND 8408.1 THRU 408.3 LIST OF DRAWINGS Wood Frame Construction Manual AF PA(2015) 3.Wood framed floors,walls and ceilings shall have an approved 70, "the National Electric Code",and the Zoning Code of the Town of Southold inspection, certificates and tests. Al GENERAL NOTES, CODE REFERENCES Climate Zone:11B vapor barrier(permeance rating of 1.0 perm) installed on the ASPHALT ROOF SHINGLE NOTES ANCHOR BOLT SIZE AND SPACING: %"0 CM 35"O.C. A2 EXISTING PLAN $ ELEVATIONS � Degree Days:5750 "warm in winter" side of thermal insulation. 2. All foundations shall rest on undisturbed soil of 1 T.S.F. bearing capacity; A3 PROP05ED PLANS, SECTIONS m N 1. Asphalt roof shingles shall have self-sealing strips or shall be contractor shall have the level of acceptable bearing strata verified In the field. PROTECTION AGAINST DECAY: Refer to Section R319 A4 NAILING SCHEDULE, NOTES, CONNECTOR DETAILS, PLUMBING RISER 6 °v DESIGN LOADS: 4.Windows and sliding doors shall have a max,air infiltration interlocking and shall comply with the requirements of ASTM D-225 LrI Roof. 20 psf ground snow load ratingof 0.3 GFM per square foot of window area. Swinging or D-346, installed in accordance with sect. r 905.2 M p q 9 9 3. Concrete has been designed In accordance with ACI 318-14"Building Code PROTECTION AGAINST TERMITES: Refer to Section 8320 � � M o Basic Wind Speed:130 mph doors shall have a max, air Infiltration rate of 0.5 CFM per Requirements for Structural Concrete".All concrete work shall conform to O Uplift:31 psf square foot of door area. 2.All fasteners for asphalt roof shingles shall be galvanized steel, requirements and recommendations of "Specifications for Structural comply p 5 BUILDING PLAN REVIEW NOTE: p g g FLOOR SYSTEM: Shall con I with Choper Dead Loads:10 psf stainless, aluminum, or copper roofing nails. Fasteners shall be Town of Southold Plans Examiner shall review the enclosed document for minimum pp g Concrete for Buildings" (fc"c 3000 psi);All exposed slabs,and steps shall be Cd v Lo 5. Skylight shafts shall have a minimum insulation value of R-19. minimum 12 gage shanked with a minimum 3/8"dia. head, and of sufficient 3500 psi air-entrained. Reinforcing steel shall conform to ASTM A-815 Grade WALL BRACING SYSTEM: Shall comply with Sections R602.8, 602.10, acceptable plan submittal requirements of the Town of Southold as specified in the �o � 00 Table R301,4 length to penetrate through the roofing materials and the sheathing. 60 R602.10.10, 9613.2,AND R613.3 Building and/or Residential Code of the State of New York. This review does not o 17 Minimum Uniformly Distributed Live Loads 6. Garages-front, sides, doors, interior shall have max. U=.40 guarantee compliance with that code. That responsibility is guaranteed under the seal M In Pounds pier Square Foot 3.Asphalt roof shingles shall have the minimum number of fasteners as WINDOW ANCHORAGE: Shall comply with Section R613,5 and signature of the State of New York licensed design professional of record. That U (' p q ) p g 4. All framing members shall be Hem-Fir#2 (Fb=850 psi); provide(2)2 x 8 u> 7.All fireplaces shall be provided with a damper for outside required by the manufacturer. header over all wall openings, unless otherwise noted. seal and signature has been interpreted as an attestation that to the best of theIt Use Live Loads combustion air 150-200 CFM. All flues shall have tight seated WINDOW MULLIONS:Shall comply with Section R613.6 licensees belief and information,the work in the document is: 00 a, v Exterior Balconies 60 damper with a max. air leakage of 20 CFM, All fireplaces 4. For normal applications, asphalt roof shingles shall be secured to the 5. Micro-lam girders (ML)shall be laminated veneer lumber with E=2,000,000 "Accurate .0 W Decks 6O shall have tight-fitting non-combustible doors. roof with no less than four(4)fasteners per strip shingle or two(2) PSI. Fb=2,800 PSI, as manufactured by TRUS-JOIST McMILLAN. EXTERIOR WALL COVERING: Shall comply with Section R702.1, 8703.1, "Conforms with governing codes applicable at the time of submission fasteners per individual shingle. R703.4 Refer to Table R703.4 for weather-resistant Siding Attachment Passenger Vehicle Garages 50 8.The Contractor shall submit the design, size and type of6. Double frame around all openings, under parallel walls and under bathtubs. Provide and Minimum Thickness. Refer to Table R703.5.2 for Wood Shakes or "Conforms with reasonable standards of practice and with the view to the Attic without storage 10 mechanical systems which will be used, in sufficient detail,as 5.Asphalt strip shingles shall have a minimum of six(6)fasteners per Simpson hanger connections at all flush structural load bearing conditions. Shingles. safeguard of life,health, property,g required by the Building Department. shingle where the eave is 20 feet or higher above grade or where the p g g g p p rty,and public welfare is the responsibility Attic with storage 20 base wind speed is 120 mph or greater. 7. All concrete block shall conform to ASTM C90, Mortar shall be type"M„ FOAM SIDING BACKER BOARD: Shall comply with 8314,2.5 of the licensee. Rooms other than sleeping rooms 40 9.All thermostats shall be adjustable from 55 degrees to 85 degrees Fahrenheit. SAFETY GLASS REQUIREMENTS 8. All steel work shall conform to the re uirements of the RISC"S ecifications for ROOF/CEILING CONSTRUCTION: Shall comply with 9801.4 and Sleeping Rooms 30 q p AFPA/WFCM 2001 Refer to Rafter Span Tables 8802.5.1(1)and(2). � Stairs 4'0 10.All ducts and pipes shall be insulated aDesign, Fabrication and Erection of Structural Steel for Buildings". Steel shall s required by code. SAFETY GLASS REQUIRED AT THE FOLLOWING LOCATIONS: U Guards and handrails 200 conform to ASTM a-572 (GRADE 50)and A-501. ROOF ASSEMBLIES: Shall comply with Section R902, 8903 and 8904. 0 11. HVAC Contractor shall verify heat loss calculations. 1. Any glazing in any door type. U) DEFLECTION LIMITS: 9. All electrical work shall conform to local NEC,and Underwriters Laboratory ROOF SLOPE: Shall comply with Section 8905.2.2E � Rafters with no finished ceiling attached: L/180 12.All cellar and/or basement doors shall be insulated. 2. Glazing in any walls enclosing a shower,tub,a sauna or steam room requirements. -!e ASPHALT SHINGLES: Shall be secured to the roof with not less than 4 N Floors: V360 10. Pre-fabricated fire laces and flues shall be UL approved. ( ) E•'-' 13.The Engineer certifies that to the best of his knowledge, 3 Any windows within 24"of a door". p pp fasteners per strip shingle or(2)fasteners per individual shingle(8905.2.6) Belief, and professional judgement that the plans are in 11. Install smoke detectors and carbon monoxide detectors in accordance with all WINDOW NOTE FOR LOCATIONS WITHIN compliance with the Energy Conservation Construction Code 4. Any individual pane of glass with an area greater than 9.0 sq.ft.where the INTERIOR FINISHES AND MATERIALS: Shall conform to the fire spread bottom is less than 18"above the adjacent finish floor within 36" of the window. state and local code requirements. ONE MILE OF SHORELINE of New York State. (August,2007) and smoke-density requirements of Section 8315. •A- . �,y U 12. The Contractor shall verify all existing conditions re starting construction an dibefoiid c",' D ~; .; Cn All new windows and glass doors shall meet the requirements of S. Glazing in walls of spas, hot tubs or indoor pools within 5'-0" of the water INSULATION AND VAPOR BARRIERS: Shall be fire rated per Section 'i� the large missile test of ASTM 1996 and or ASTM E 1986 shall notify the engineer of any ambiguities or discrepancies before proceeding with S ?� g 6. Glazing In stairways and landings within 3'-O"horizontal) of a walking surface". the work. If any questions arise before or during construction as to the Intent or X16' N r y, OR g g y g the contractor shall call the Architect Mark Schwartz, details of the drawings, The contractor shall provide pre-cut}�s" plywood panels to coverGYPSUM BOARD: Shall conform to Section R702.3. the glazed openings shall pre-drill edges at 12"o.c. to accept "THE REQUIREMENT DOES NOT APPLY IF THE BOTTOM EDGE OF THE at(631)734-4185 for clarification and/or instructions. If the contractor fails to 2-1/2"#8 wood screws and provide adequate number of screws GLASS IS MORE THA 60"ABOVE THE FLOOR. follow the above procedure, he shall assume all responsibility for the MAINTAIN MINIMUM CLEARANCES TO THE BATHROOM FIXTURES: consequences of his actions and/or decisions. '' for fastening. Refer to Section 8307. ti �•; 13.The owner shall arrange for supervision of the construction work to ensure z��` 0 CLIMATIC AND GEOGRAPHIC DESIGN CRITERIA TABLE 8301.2 (1) STAIR LANDING: Shall comply with section 8311.5.4 -+�s �ZZ3� .� '� compliance with the contract documents. 0fr ty � - WIND DESIGN SUBJECT TO DAMAGE FROM GROUND SEISMIC WINTER ICE BARRIER MEAN STAIRWAY: Shall comply with Section R311.5 FLOOD AIR FREEZING 14.When using ACQ pressure treated lumber all nails, screws, sill plates and wind SPEED TOPOGRAPHIC SPECIAL WIND WIND-BORNE DESIGN WEATHERING FROST LINE TERMITE DESIGN UNDERLAYMENT ANNUAL HANDRAILS:Shall comply with Section 8311.5.6 SNOW LOAD EFFECTS REGION DEBRIS ZONE DEPTH HAZARDS INDEX straps must be hot dipped galvanized or stainless steel fasteners. DRAWN: JM/MS CATEGORY TEMP UI M SCALE: AS NOTED Ibe/ft2 MPH "F °F 15.Per r302.13 code, new floor joists at basements only(not crawl spaces): unless PROVIDE TRUSS SIGN IN ACCORDANCE WITH JOB#: using 2x dimensional lumber or microlam joists,1/2" sheetrock must be installed on PART 1265 OF NYS CODE MODERATE TO underside of joists(wood-i joists or steel joists).TJI flak jacket to be used in 20 130 YES NO NO B SEVERE 3'-O" ��, 11 YES NO 452 52,70 SHEET NUMBER: H place of standard TJI wood-is for exception to code requirement(no sheetrock). - PERMIT SET 4-2-18 REVISIONS: Permit Set 2/9/18 Add toDormer 3/16/18 Enlar ed Bath 373-91-9- 15-11" 3 115-11" EXISTING DORMER EXIST EXIST i - - - - - - - - — - - -- - -- - - - - — - - -- - -- - --- - E]I UNFINISHED ATTIC UNFINISHED ATTIC Q CEILING CEILING SLS OPE SLOPE ILilt-] � EY I I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 LEXIST �&—J, L--j I'L—J.L—J Li—L i i i i i i EXIST - N i ONEW c� 2 2X6CT @ 48"o.c. EXISTING FRONT ELEVATION EXISTING RIGHT SIDE ELEVATION O SCole:l/4".1'-O" 2 2X6RRZ 2X6RR @ 24"O.C. @ 241, 00 O.G. X63 a� Q • I UNFINISHED ATTIC UNFINISHED ATTIC I -- - -- ---- - ----- ----- - - -- - _ — { DN C E I N I I S O E — — — — — — — — — — — — — — — — — —— — — — — —— — —— — — — — — EXISTING GARAGE 2nd FLOOR PLAN 2 Scale:1/4" .1'-0" W bfJ U EXISTING REAR ELEVATION EXISTING LEFT SIDE ELEVATION (To remain unchanged) 3 Scale:1/4".1'-0" 4 Scale:114,.1'-O" LINE OF ►{ EXISTING DORMER ABOVE i 10, I o m2X(5RR 'v 2XroRRI cv @ 24" O.C.� o xw Lo cc I w v UNFINISHED GARAGE I \\ \ � U EP \\ CA w a� CONCRETE I UNFINISHED ATTIC UNFINISHED ATTIC \\ LEDGE UP Em� U)U 24,-8„ UNFINISHED ARAGE � H �,AEX15TING GARAGE FLOOR PLAN ale:1/4".1'-O" x EXI5TING SECTION 'A' DRAWN: JM/MS SCALE: AS NOTED Grs �t;k JOB#: SHEET NUMBER: REVISIONS: Permit Set 2/9/18 Add toDormer 3/16/18 Enlar ed Bath 37717- 80 180 CFM MECH. EXHAUST FAN TO EXTERIOR EXISTING WINDOW 5-4" 4" 2'-O" - - - - - - - - - -- - - - -TO REMAIN - - - _ NEW 2 X 8 RR @ 16"O.C. PITCH TO MATCH EXISTING I 2.01 R-30 BATT INSULATION IN CEILING I r O i bl p Y I CEILING `r -' m EMJV 2 X 6 R f(g) LIN p ,e yjINSULATION: SPRAY FOAM \ SLS OPE 1() l�9 109 \\ 6-6.5 PER INCH 55' R-36 ALL'OF, - - - - -- - - - - O O Q KMOL NSW WALL ty C OSET EBL FRAMINGO }P \ \ CLO "' O = I I �Icv 1RpUND STAIR I EXISTING WALL a NEW BATH, w I I o IPE1�}I G TO BE REMOVED \ �' R-19 BATT INSULATION u- _ CI i INSULATION:SPRAY FOAM I RKSHOP CLO I I D3 1668 AT KNEE WALL O O I \\ R-6.5 PER INCH 3.5"= R-23 I 13- x23'-s"IRR ; I I \ I NEW 6-0" 11 A o:210 Sq Ft O w I I HIGH KNEE Natural Light. 9%>or= 6% WALL W( I I Ventilation: 9%>or=4% Egress: 2.30>or=5.7 Sq Ft R-19 BATT INSULATION EAVES 13'-10" IN FLOOR ABOVE GARAGE 10 I EXIST 2 X 6 RR �; X I I XIST 2 X 6 RR EXISTINGI @ 24"O.G. N I I 9 24 O.G. l9 N N OVERHEAD 'v IST(2) 2 X 6 CT DOOR TRACK I LINE OF 6' 4 OZ CEILING u I Co I HEIGHT � � I EXIST WALL TO � � •o IS UNFINHE ARAGE i i I,� BE REMOVED- __ _ _ �I � N U CEILING (( •'J SLOPE 4 10 — 4'-11— — �� I rA I LINE OF I •r�►�T�� I GARAGED I hr-1 DOOR BELOW L nl G1 m EW2XGRR � p � 0 ct 1 A I @ 24"O.G. riQ — — — — — — — — — — — B PROPOSED SECTIONS PROPOSED SECTION C — — — — — Scale:1/4"c 1'-O" -Scale:1/4" =1'-0" 2 PROPOSED GARAGE 2nd FLOOR PLAN h-� 21'-5" PROPOSED DORf"'IER INDICATES EXISTING WALLS TO REMAIN EXTEND EXISTING DORMER 2-9" 1'-G" 2'-9" 15-11" EXISTING DORMIER ADD TO ADD TO DORMER DORMER = _ __ _= _= INDICATES EXISTING WALLS TO BE REMOVED -- - INDICATES NEW WALLS INDICATES KE DETECTORS, ALL OF WHICH MUST O BE INTERCONNECTED THROUGHOUT E BUILDING AS El F I 1 I U I I IPER SECT. 1060.10 OF THE N.Y.S. BUILDING CODE.777-71-7 N EXIST EXIST EXIST ,EXIST 4� 7-i O INDICATES HARD-WIRED CARBON MONOXIDE Q - DETECTOR � � 4J - - - - , ) -------------_----- D" LT J Lj EXIST 11'-10" EXIST LINE OF I o DORMER I r-4 v 4 v u PROPOSED FRONT ELEVATION PROPOSED RIGHT SIDE ELEVATION ABOVE I o 1 5cale:1/4" .1'-0" 2 Scale:1/4".1'-O" v 1 I 0 � r2x . ,.v I � F 0 011.1 EXTEND EXISTING DORMER 2'-9" m 2 X 6 RR 2 X 6 RR I , cv LID 24"O.G. @ 12"O.G. X -- -- a I u M - - UNFINISHED GARAGE I I `" o w LINE OF WALL E� ABOVE LINE OF OVERHEAD GARAGE DOOR(VIF) � I CONCRETE EXIST - I LEDGE in U - _- --_-- - m - - - - -8fi= -- - - „ EXISTING STAIR TO 8E REMOVED TOP OF SLAB TO LOFT FIN FLOOR AND REPLACED HEIGHT:1O6" 2� 24'-8" WITH NEW STAIR 14 STEPSI FYTI I I I HIM I I TREAD:1O" 1%¢�T" 4y U RISER: 70/1,5 g �./ PROPOSED GARAGE FLOOR PLAN n e yy. y F I L L Scale:114".1'-0" `* J r F TyTy N� , DOOR SCHEDULE DOOR DOOR SIZE DOOR ROUGH OPENING DESCRIPTION MANUFACTURER MFG # SQ' FT' U-VAL CLEAR REMARKS QTY DRAWN: JM/MS PROPOSED REAR ELEVATION 4 LEFT SIDE ELEVATION (To remain unchainged) TAG GLASS OPENING SCALE: AS NOTED 3 Scale:1/4" .1'-O" Scale:1/4".1'-0" Dl 2'-6"X 6'-8" INSULATED STEEL DOOR AT ENTRANCE TO 1 JOB#: ART STUDIO SHEET NUMBER: D2 PR 2068 BI-FOLD PAIR OF BI-FOLD DOORS AT NEW CLOSET 1 D3 1'-6"X 6-8" BI-FOLD STANDARD BI-FOLD DOOR AT NEW CLOSETS 2 D4 2'-0"X 0-8" BI-FOLD STANDARD BI-FOLD DOOR AT BATHROOM 1 A-3 REVISIONS: Permit Set 2/9/18 NAILING NOTES Add Wormer 3 16 1 NAILING SCHEDULE (EXPOSURE "B") Enlarged Bath 3/30/18 NUMBER OF NUMBER OF 1. NAILING REQUIREMENTS ARE BASED ON WALL SHEATHING NAILED rd' ON CENTER AT THE PANEL JOINT DESCRIPTION COMMON NAILS BOX NAILS NAIL SPACING EDGE. IF WALL SHEATHING 15 NAILED 3" ON CENTER AT THE PANEL EDGE TO OBTAIN HIGHER SHEAR CAPACITIES, NAILING REQUIREMENTS FOR STRUCTURAL MEMBERS SHALL BE DOUBLED, ROOF FRAMING OR ALTERNATE CONNECTORS, SUCH AS SHEAR PLATES, SHALL BE USED TO MAINTAIN THE LOAD PATH. RAFTER TO TOP PLATE (TOE-NAILED) 4 -8d 3 - 10d PER RAFTER 2, WHEN WALL SHEATHING 15 CONTINUOUS OVER CONNECTED MEMBERS, THE TABULATED NUMBER CEILING JOIST TO TOP PLATE (TOE-NAILED) 4 -8d 3 -10d PER JOIST OF NAILS SHALL BE PERMITTED TO BE REDUCED TO 1 - 16d PER FOOT. CEILING JOIST TO PARALLEL RAFTER(FACE-NAILED) 3. CORROSION RESISTANT 11 GAGE ROOFING NAILS AND 16 GAGE STAPLES ARE PERMITTED; CHECK RAFTER SLOPE: 3:12 (HEEL JOINT) 22 -16d 22 -40d IBC FOR ADDITIONAL REQUIREMENTS, 4:12 17-16d 17 - 40d 5:12 14 -16d 14 - 40d EACH LAP 4. ALL QUANTITIES ARE BASED ON 16" OG SPACING FOR RAFTERS, JOISTS AND 57UD5. 7:12 10 -16d 10 -40d 9:12 AND GREATER 8 -16d 8 -40d 3. FOR ROOF SHEATHING WITHIN 4 FEET OF THE PERIMETER EDGE OF THE ROOF, INCLUDING CEILING JOIST LAPS OVER PARTITION (FACE-NAILED) 4 FEET ON EACH SIDE OF THE ROOF PEAK, THE 4 FOOT PERIMETER EDGE ZONE ATTACHMENT RAFTER SLOPE: 3:12 22 -16d 22 - 40d REQUIREMENTS SHALL BE USED. 4:12 17 -16d 17 -40d 5:12 14 -16d 14 -40d EACH LAP 6. FOR WALL SHEATHING WITHIN 4 FEET OF THE CORNERS, THE 4 FOOT EDGE ZONES ATTACHMENT 7:12 10 - 16d 10 -40d REQUIREMENTS SHALL BE USED. 9:12 AND GREATER 8 - 16d 8 -40d COLLAR TIE TO RAFTER (FACE-NAILED) RAFTER SLOPE: 3:12 7- 10d 7-12d O 4:12 6 - 10d 6 - 12d • 5:12 5 - 10d 4 -12d PER TIE rA • 6:12 AND GREATER 4 -10d 4 -12d •r•-+ CONTINUOUS RIDGE VENT (8)8d NAILS @ 1"f O.G. BLOCKING TO RAFTER(TOE-NAILED) 2 -8d 2 -10d EACH END CONTINUOUS RIDGE VENT 03 1A 7=p, SIMPSON 0520 @ 16"O.C. RIDGE TENSION STRAP 0 RIM BOARD TO RAFTER (END-MAILED) 2 - 16d 3 -16d EACH END (8)8d NAILS EA. SIDE 1� SIMPSON C52o @ 16"o.c. �-' ••� RIDGE B20 CA EAM (SEE PLAN FOR SIZE) (6)8d NAILS EACH SIDE STRAP @ 16SIMPSON SO.C. �-t WALL FRAMING ROOF RAFTERS(SEE RAFTER(SEE PLAN •Q v a PLAN FOR SIZE FOR SIZE) (8)8d NAILS @ 1";O.C. ct TOP PLATE TO TOP PLATEFAtCE-NAILED) 2 -16d 1 2 -16d 1 PER FOOT 4J ( ^ SIMPSON L-60 H TOP PLATES AT INTERSECTIOI`JS (FACE-NAILED) 4-16d 5 - 16d JOINTS -EACH SIDE EACH SIDE OF RIDGE BEAM (SEE r•--+ EACH RAFTER PLAN FOR SIZE) Q� o STUD TO STUD (FACE-NAILED)I 2 -16d 2 - 16d 24" O.C. RIDGE DETAIL AT RIDGE TENSION LOAD PATH / FLOOR CATHEDRAL CEILING STRAP DETAIL FRAMING DETAIL HEADER TO HEADER (FACE-NAILED) 16d 16d 16" OC ALONG EDGES IN ACCORDANCE WITH 3.2.5.1. 2001 WWF ALTERNATE IN LIEU OF COLLAR TIES TOP OR BOTTOM PLATE TO STUD (END-NAILED) 3 -16d 2 -40d PER STUD BOTTOM PLATE TO FLOOR JOIST, BANDJOIST, ENDJO15T OR 2 -16d 1,2 2 -16d 1,2 PER FOOT SIMPSON H2 A SIMPSON H210 HANGER @ 16" y2,0 LAG BOLTS @ 16"O.C. BLOCKING (FACE-NAILED) HURRICANE CLIPS @ 16"O.G. FLOOR FRAMING — a� J015T TO SILL, TOP PLATE OR GIRDER(TOE-NAILED) 4 -8d 4 -10d PER JOIST U BRIDGING TO JOIST(TOE-NAILIED) 2 -8d 2 - 10d EACH END ^ Y"o LAG BOLTS @ 16" • --+ H • BLOCKING TO JOIST (TOE-NAILED) 2 - 8d 2 -10d EACH END SIMPSON H-3 HURRICANE CLIP @ 16" BLOCKING TO SILL OR TOP PLATE (TOE-NAILED) 3 -16d 4 -16d EACH BLOCK RIDGE / TOP PLATE AC4 EACH SIDE CONNECTION DETAIL SIMPSON U210 * -.-o • LEDGER STRIP TO BEAM (FACE-NAILED) 3 -16d 4 -16d EACH JOIST HANGER @ 16" O � JOIST ON LEDGER TO BEAM (TOE-NAILED) 3 -8d 3 -10d PER JOIST PORCH/RAFTER/GIRDER U CONNECTION DETAIL cnO BAND JOIST TO JOIST (END-NAILED) 3 - 16d 4 -16d PER JOIST BAND J015T TO SILL OR TOP PLATE (TOE-NAILED) 2 - 16d 2 - 16d PER FOOT ROOF SHEATHING 4" THRU VENT-� STRUCTURAL PANELS: PANEL INTERMEDIATE EDGES SUPPORTS 0 INTERIOR ZONE 5 8d 10d 4" 6" M N PERIMETER EDGE ZONE 5 8d 10d 4" 4,. 4"5. 2'V. F, 1y" 1k, v rn M o GABLE ENDWALL RAKE WITH ILOOKOUT BLOCK 8d 10d 4" 4" d ��" p v w 2 CEILING SH EATHING V. a� GYPSUM WALLBOARD5d COOLERS 5d COOLERS 7' EDGE/10" FIELD - SECOND FLOOR 2" I F.A•I" u M WALL SHEATHING o W STRUCTURAL PANELS/HARDBOARD PANEL INTERMEDIATEHOUSE TRAP EDGES SUPPORTS C'O'—i 4" X.H.C.I, DRAIN LINE j— � INTERIOR ZONE 6 8d 10d 6" 12" TO SEPTIC SYSTEM 4 EDGE ZONE 6 8d 10d 6., 61, PLUMBING RISER DIAGRAM FIBERBOARD PANELS: r NO SCALE 7/16" 6d 3 - 3" EDGE/6" FIELD OU 25/32" 8d 3 - 3" EDGE/6" FIELD to NOTES: Cn GYPSUM WALLBOARD 5d COOLERS 5d COOLERS 7EDGE/10" FIELD 1.ABOVE GRADE DRAIN PIPES TO BE PVC SCHEDULE 40 2. BELOW GRADE DRAIN PIPES TO BE CAST IRON N PARTICLE BOARD PANELS 8d 8d SEE MANUFACTURER 3. WATER SUPPLY PIPING SHALL BE COPPER(ASTM B-42) FLOOR SHEATHING 4.ALL PIPING TO BE SUPPORTED IN ACCORDANCE WITH SECTION P2603(IRC) x STRUCTURAL PANELS: �4 1" OR LESS 8d 10d 6" EDGE/12" FIELD GREATER'THAN 1" 10d 16d 6" EDGE /6" FIELD DRAWN: JM MS SCALE:AS NOTED JOB#: SHEET NUMBER: 1 1 6VNTY OF SUFFOLK t RECEIVED SSP --,,,Steven Bellone' ZONING BOARD OF APPEALS SUFFOLK COUNTY EXECUTIVE ; Department of Economic Development and Planning Theresa Ward Division of Planning Deputy County Executive and Commissioner and Environment September 14, 2018 Town of Southold Zoning Board of Appeals 53095 Main Road P.O. Box 1179 Southold,NY 11971-0959 Attn: Leslie Weisman Dear Ms. Weisman: Pursuant to the requirements of Sections A14-14 thru A 14-25 of the Suffolk County Administrative Code, the following application submitted to the Suffolk County Planning Commission is to be a matter for local determination as there appears to be no significant county-wide or inter-community impacts. A decision of local determination should not be construed as either an approval or disapproval. Applicant Municipal File Number Ostrosky, Deborah #7225 Hans, Siobhan #7228 Cheung (Chun Y.) and McLeod(Kevin S.) #7230/ Very truly yours, Sarah Lansdale Director of Planning Theodore R. Klein Principal Planner TRK/cd H.LEE DENNISON BLDG ■ 100 VETERANS MEMORIAL HWY,lith FI ■ P.O.BOX 6100 ■ HAUPPAUGE,NY 11788-0099 ■(631)853-5191 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD,N.Y. -72Q5 NOTICE OF DISAPPROVAL DATE: April 23, 2018 AMENDED &RENEWED: August 9, 2018 TO: Mark Schwartz(Ostrosky) PO Box 933 Cutchogue,NY 11935 Please take notice that your permit application dated April 16, 2018 For permit to make additions and alterations to an existing accessory building at , Location of property 1260 Koke Drive, Southold,NY Wvvw County Tax Map No. 1000-Section 87 Block 5 Lot 17 AUG 13 2018 Is returned herewith and disapproved on the following grounds: BONING B0,4t2D 0F APpE.,1L.S The as built construction is not permitted pursuant to Article III, Section 208-13.A.,"Permitted Uses." "(1)One-family detached dwellings,not to exceed one dwelling on each lot." The proposed construction constitutes a second dwelling unit in the accessory building_ This Notice of Disapproval was amended on August 9, 2018 to remove the need for a variance under 280-15D after a& e in the code. --------- -------I'-- ------ Authori ature 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. .�1 APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALCEYVE®�/ AREA VARIANCE AUG 13 2018 House No./260 Street kokE PRIL46 Hamlet jr OZA ZONING BOARD D OF APPEALS SCTM 1000 Section_C?7 Block_5Lot(s) /? Lot Size 12,87-5' Zone 9C–4 I(WE)APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED 41z31& BASED ON SURVEY/SITE PLAN DATED Arl�0 Owner(s): 2EHORA6? MrA0,7 CY Mailing Address: rDdCF b,P/I/,�. S'Dliy�t MY //97! Telephone- ax: 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: AfIC61.4Z k'/1N CjC_ for WOwner( )Other: Address: P O. BdSC /94-7_ YOUN 'T I VO4a A/- !� .4/27 TelephoneLTZ 6666 FO Fax: Email: HdC//'9.4CeZ A I/ fllzd%V. N � Please check to specify who you wish correspondence to be mailed to,from the above names: ( )Applicant/Owner(s), �0 Authorized Representative, ( ) Other Name/Address below: WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE MAN DATED and DENIED AN APPLICATION DATED / FOR:_ Building Permit ( ) Certificate of Occupancy ( )Pre-Certificate"of Occupancy ( )Change of Use ( )Permit for As-Built Construction O Other: Provision of the Zoning Ordinance Appealed. (Indicate Article,Section,Subsection of Zoning Ordinance by numbers.Do not quote the code.) Article: Section: -We Subsection: Type of Appeal. An Appeal is made for: (W A_V_ariance_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 O Reversal or Other A prior appeal V has, ( )has not been made at any time with respect to this proper ,UNDER Appeal No(s). /2 Year(s). . (Please be sure to research before completing this question or call our officefor assistance) Name of Owner- ZBA File# t tl_ 7 �� i REASONS FOR APPEAL (Please be specific, additional sheets may be used with preparer s���EgVE® signature notarized): AUG 13 209$ 1.An undesirable change will not beproduced in the CHARACTER of the neighbor or a detriment to nearby y� properties if granted,because: GA/tAG.� /S/� Ti��Y C� �lU � �pE� .4WP 2WPA'Z, .4,r UNFIiV/S'N4D A r 6C. COV VZ,6**y/04/ OC /N76XIO2 ZN�°�[. �'0 GvOtZ�cS't>v� wv 11zI�i�i't> y,Vs'Ala WAv&,g . �/DNN& 2 T Ta �����.�s,,�� ��E�UST��/��1/G 1�oeM,�p`� �G/UGLl�� NgoT P��o�I�U�,E UND,�57�eA8L,� 2.The benefit soug'litbAythe�pTcail�CAWTT be ach�vedbysbm-ftt'e'F64df9i�forthe applicant to pursue, other than an area variance,because: 7NZ 15XIJ'7116 AACOWS 1W 6WZ)/ P44 4E- 7'0 CR4470,4 44,WR '` 0RJ7'AC5 . 17yW P-Pd/WrY CAN�I/e9-i4-CC©/'��A.Q9 AP101 YA01,rW C. P,65-74- CIVW Jr10UC1TIRU5S 3.The amount of relief requested is not substantial because: �p �`� B�IV O 7 96 114 01N 6; IS IN A CIVA/1645 71'0 y7Ve —""06Pr'1W1A1r. 4.The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: ?Zo��RAdo ,059 GIVI ' 76 F%;. .EXI-P "/N(7 Po,eflE/Z /S' '1//A01Z 4AIP a111-6a A;NVIIz �iv,�L 4N,4,0V Z;9r,6 A,,C70C7- 0A/ M.45- ^O'S/C41. COAVOp71atiS.11V 7W4 VOO.IWodv 5.Has the alleged difficulty been self-created? �d Yes,or { }No Why: Are there any Covenants or Restrictions concerning this land? )<No { } Yes(please furnish a copy) This is the MINIMUM that is necessary and adequate,and at the same time preserve and protect the character of the neighborhood and the health,safety and welfare of the community. Sign tore of Applicant or Authorized Agent (Agent must submit written Authorization from Owner) Swo to before me this �day of _20 dA=eq Notary Public TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK NO.01DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2P.6D, APPLICANT'S PROJECT DESCRIPTION APPLICANT: _1�llCNAEL Q_ A:�JA& Ck DATE PREPARED: RECEIM 1. For Demolition of Existing Building Areas Please describe areas being removed: Al p�F AUG 2Q1� II.New Construction Areas(New Dwelling or New Additions/Extensions): Dimensions of first floor extension: NIA Dimensions of new second floor: ;& !!ttXe Dimensions of floor above second level: A669 Height(from finished ground to top of ridge): / '!�AO"A V&. Is basement or lowest floor area being constructed?If yes,please provide height(above ground) measured from natural existing grade to first floor:—A/0 j6AQ5 —geA1D' III.Proposed Construction Description(Alterations or Structural Changes) (Attach extra sheet if necessary).Please describe building areas: Number of Floors and General Characteristics BEFORE Alterations:�"LUO fZ� % lj�GoO/Z Number of Floors and Changes WITH Alterations: IV.Calculations of building areas and lot coverage(from surveyor): Existing square footage of buildings on your property: Proposed increase of building coverage: AICA14 Square footage of your lot: zz 675: Percentage of coverage of your lot by building area: 2,F rQ 70- V.Purpose of New Construction: TD .4e,,�V 629 6wAIexF VI. Please describe the land contours (flat,slope%,heavily wooded, marsh area,etc.) on your land and how it relates to the difficulty in meeting the code requirement(s): <57 PRO Please submit S 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 RECEIVE® FOR FILING WITH YOUR ZBA APPLICATION A. Is the subject premises listed on the real estate market for sale? AUG 13 2018 Yes --)�—No ZONING BOARD OF APPEALS B. Are there any proposals to change or alter land contours? No —y—Yes please explain on attached sheet. C. 1.) Are there areas that contain sand or wetland grasses? I� 2.)Are those areas shown on the survey submitted with this application? Al D 3.) Is the property bulk headed between the wetlands area and the upland building area? &a 4.) If your property contains wetlands or pond areas, have you contacted the Office of the Town trustees for its determination of jurisdiction? IVO Please confirm status of your inquiry or application with the Trustees: AZ/A 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? IV D E. Are there any patios, concrete barriers,bulkheads or fences that exist that are not shown on the survey that you are submitting?__AJjQ_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? A10 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. ,3'�A P 09,66 H. Do you or any co-owner also own other land adjoining or close to this parcel?_/SIO If yes, please label the proximity of your lands on your survey. I. Please list present use or operations conducted at this parcel L YIA/L�� 62;0V1--��-4V1—&A —and the proposed use �S'/J� /js//r/,4L f7' G�tf9ILY u/AG/�l2AG� (ex: existing single family,proposed: same with garage, pool or other) Authorized signature and Date o g�EFO(k��� Southold Town Board ofAppeals MAIN ROAD- STATE ROAD 25 SOUTHOLD, L.I., N.Y. lCM"f C_D TELEPHONE(5h�1 765.180913 ry qg ACTION OF THE ZONING BOARD OF APPEALS Appeal No. 3712- ZONING BOARD OF APPEALS Application Dated February 9, 1988 TO: Mr. Garrett A. Strang, R.A. [Appellant(s)] as Agent for MR. ROBERT CLEMENS Main Road, Box 1412 Southold, NY 11971 At a Meeting of the Zoning Board of Appeals held on April 7, 1988, the above appeal was considered, and the action indicated below was taken on your [X] Request for Variance Due to Lack of Access to Property New York Town Law, Section 280—a [ 1 Request for Special Exception under the Zoning Ordinance Article , Section [X] Request for Variance to the Zoning Ordinance Article III , Section 100-31 , Bulk Schedule [ ] Request for Application of ROBERT CLEMENS for Variances: (a) to the Zoning Ordinance, Article I ec ion 0-31 , Bulk Schedule, for permission to construct additions to dwelling with an insufficient rearyard set- back from the easterly property line, and (b) for approval of access pursuant to New York Town Law, Section 280-a over a private right-of-way extending off the south side of Main Bayview Road, Southold, NY; County Tax Map Parcel No. 1000-87-5-17. WHEREAS, a public hearing was held and concluded on March 17 , 1988 in the Matter of the Application of ROBERT CLEMENS under Appl . No. 3712, and WHEREAS, at said hearing all those who desired to be heard were heard and their testimony recorded; and WHEREAS, the Board has carefully considered all testimony and documentation submitted concerning this application; and WHEREAS, the Board Members have personally viewed and are familiar with the premises in question, its present zoning, and the surrounding areas; and WHEREAS, the Board made the following findings of fact: 1 . The premises in question contains a total area of approxi- mately 13,000 sq. ft. with 125± ft. frontage along the east side of "Koke Drive," a private right-of-way, in the Hamlet of Southold, Town of Southold , and more particularly identified on the Suffolk County Tax Maps as District 1000, Section 87 , Block 5, Lot 17. 2. The subject premises is improved with a single-family, one-story frame dwelling set back 34.5 feet from the front property line, 46 ft. from the southerly side property line , 36t feet from the easterly rear property line, and accessory 24 ft. x 24 ft. garage, all as depicted by Drawing No. SP-1 prepared by Garrett A. Strang, Architect, dated January 29, 1988. 3. By this application, appellant requests: (a) relief for the proposed construction of a-26 ft. x 20 ft. addition at the rear of the dwelling with a proposed setback at 15 feet (CONTINUED ON PAGE TWO) DATED: April 7, 1988. CHAIRMAN, SOUTHOLD TOWN ZONING BOARD OF APPEALS Form ZB4 (rev. 12/81) Page 2 - Appl . No. 3012• Matter of ROBERT CLEMENS RECEIVED Decision Rendered April 7 , 1988 AUG 13 2018 from the rear property line, and (b) approval of accessZONING BOARD OF APPEALS over Koke Drive, a private right-of-way, extending off the south side of Main Bayview Road approximately 365 feet in length. 4. Article III , Section 100-31 , Bulk Schedule, of the Zoning Code requires a minimum rearyard setback at 35 feet. The amount of relief requested by this application is 20 feet, or 57%. 5. Also shown on the plan is a proposed 15 ft. x 32 ft. addition at the southerly end of the dwelling, and stairway, which do not fall under the jurisdiction of this Board. 6. For the record it is noted that the right-of-way in question is in need of minor repairs, and this Board makes the recommendations for improvements (as noted below). 7. Also noted for the record is the fact that the Town Board on May 6, 1958, established this area along "Koke Drive" (formerly owned by Alexander W. and Frederick C. Koke) as an Open Development Area pursuant to the provisions of Section 280-A of New York Town Law. The map approved by the Town Board appears to encompass the entire right-of-way extending from "Koke Drive" to and including the westerly portion now referred to as "Corey Creek Road. " (See survey prepared by Otto W. VanTuyl & Son revised April 30, 1958 for the Koke Estate. ) 8. In considering this application, the Board finds that the relief requested for the rearyard setback is not the minimal necessary, being a variance of 57%. 9. In granting alternative relief herein, the Board also finds : (a) there will be no substantial change in the immediate area or detriment to adjoining properties; (b) the circumstances of the property are unique; (c) there is no other method feasible for appellant to pursue other than a variance; (d) the alternative relief is not substantial in relation to the requirements; (e) the practical difficulties are sufficient; (f) in view of all the above factors, the interests of justice will be served. Accordingly, on motion by Mr. Grigonis, seconded by Mr. Douglass , it was RESOLVED, to APPROVE alternative relief for the proposed construction of addition at the rear of existing dwelling and APPROVE access over this private right-of-way, as applied and subject to the following conditions: 1 . That the rearyard setback be not less than 19 feet (rather than the 15 feet applied) ; 2. In the event that the applicant/property owner (and the adjoining property owners along this right-of-way) improve this right-of-way, that the following minimum standards shall apply: Page 3 - ANo. x- ROB Matter of ROBERT CLEMEEMENS Decision Rendered April 7 , 1988 RECEIVED AUG 13 2018 (a) that the right-of-way be re-graded to a width of 12 feet and length of approximately 390 feet to ZONINGr3OHRD OF APPEALS the premises in question; (b) that two inches [2"] of stone blend be placed on the surface. Vote of the Board: Ayes: Messrs. Goehringer, Douglass , Grigonis and Sawicki . (Member Doyen of Fishers Island was absent. ) This resolution was duly adopted. 1 k GERARD P. GOEHRINGER, CHAIRMAN April 26 , 1988 RECEIVED AND FILED BY T1--E SOUTIiOLD TOW711 CLL11K DATE HOUR q!q,�, Town Clerk, Town of SoutLold FORM NO. 4 RE EIV D TOWN OF SOUTHOLD AUG 13 2018 BUILDING DEPARTMENT Town Clerk's Office ZONING BOARD OF APPEALS Southold, N. Y. Certificate Of Occupancy No.25237. . . . . . . Date . . . . . . . . . . j1me. . .29. . . . . .. 19. .73 THIS CERTIFIES that the building located at . . . . .R-0,W, .VE. .Bayview• Reset Map No. 41oke. . . . . . . Block No. Xx . . . . . . .Lot No,XXX. . . .$oAt.hQ jd. . .N. ..- conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . . .OG t. . .2©., 19. 67 pursuant to which Building Permit No. 36.932 . . dated . . . . . . . . . . . .Oe t• . . .31 • •, 19-67., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . .Private- one- family. dwelling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . iiobert .Clemens• • • • • • • •Owner• • . • • • • . I . . . . . . . . . . . . . . . . of the aforesaid building. (owner, lessee or tenant) Suffolk County Department of Health Approval . . . .F0. . .Z7. . .19*. . .W -Yilla UNDERWRITERS CERTIFICATE No. . . .pending. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HOUSF NU'.1 BF R. . . . .7720. . . .street. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ivf, BLId ling Invector 1 �' I FORM NO. 4 TOWN OF SOUTHOLD RECEIVED BUILDING DEPARTMENT Office of the Building Inspector AUG 1 7 1� Town Hall Southold, N.Y. ZONING BOARD OF APPEALS CERTIFICATE OF OCCUPANCY No 218389 Date SEPT. 20, 1989 THIS CERTIFIES that the building ADDITION Location of Property 455 R.O.W. OFF MAIN BAYVIEW RD. SOUTHOLD House Ido. Street Hamlet County Tax Map No. 1000 Section 087 Block 05 Lot 17 Subdivision Filed Map No. Lot No. ` conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 17, 1988 pursuant to which Building Permit No. 171472 dated JUNE 21, 1988 was issued, and conforms to all of the requirements of the applicable provisions of.the law. The occupancy for which this certificate is issued is AN ADDITION (INCLUDING DECK) AS PERMITTED BY Z.B.A. *3605 The certificate is issued to ROBERT J. CLEMENS (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N073570 MAY 25, 1989 PLUMBERS CERTIFICATION DATED_ M. _DAWSON PLUMBING 9/18/89 / Building Inspector Rev. 1/81 � Fal� Town of Southold 4/24/2018 P.O.Box 1179 RECEIVE® iii I}1 i 53095 Main Rd ° mss AUG 13 Z018 G Southold,New York 11971 ZONING BOARD OF APPEALS CERTIFICATE OF OCCUPANCY No: 18389 Date: 9/20/1989 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 1260 Koke Drive, Southold SCTM#: 473889 Sec/Block/Lot: 87.-5-17 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/17/1988 pursuant to which Building Permit No. 17147 dated 6/21/1988 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: an addition(including deckl as pemitted by ZBA#3712. 4/24/2018 corrected for address and.ZBA number only. The certificate is issued to Robert J.Clemens of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. N073570 5/25/1989 PLUMBERS CERTIFICATION DATED 9/18/1989 M awson lumbing T tl ri .ed Signature FORM NO. 4 TOWN OF SOUTHOLD 44,'j�p��� BUILDING DEPARTMENT RECB1uE4� Office of the Building Inspector Town Hall AUG � ; r Southold, N.Y. ZONING BOARD O�APA CERTIFICATE OF OCCUPANCY No Z18389 Date SEPT. 20, 1989 THIS CERTIFIES that the building ADDITION Location of Property. 455 R.O.W. OFF MAIN BAYVIEW RD. SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 087 Block 05 Lot 17 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 17, 1988 pursuant to which Building Permit No. 17147Z dated _JUNE 21, 1988 was issued, and conforms to all of the requirements of the applicable provisions of.the law. The occupancy for which this certificate is issued is AN ADDITION (INCLUDING DECK) AS PERMITTED BY Z.B.A. #3605 The certificate is issued to ROBERT J. CLEMENS (owner, XXXXXXXXXXXXXXXX) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N073570 MAY 25, 1989 PLUMBERS CERTIFICATION DATED M. DAWSON PLUMBING 9/18/89 Building Inspector Rev. 1/81 FORM NO.$ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT RECEIVEp (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ZONING BOARD OF APPEALS N° 4225 Z Date ............................A r ....4......... 19..0. Permission is hereby granted to: o�c3aia*3Lt�-• 4�• i g•&•Ce e-tl�e ion Cwpr AA ftbtftaiiinlii ........ ttka3.d..................................................... .........................................................I...................... to ...............BuUd...rte,r... .............................. ........................................................................................................................... .................................... atpremises located at ...................RIS... ..,Dtf. ................. ..................................................agut.Aq.?A.......................................................................................... pursuant to application dated ....................................p0b........I........ 19..." and approved by the Building Inspector. Fee $....5,,M.......... ........ ... ..... . ...... .................. Building Inspector FORM NO. S TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. G RECEIVED Certificate Of Occupancy SEP i 12or ZONING BOARD OF APPEALS No. 26610 . . . . . Date . . . . . . . . . . . . . . .Aye. . . . . . h . ., 19. .?5 THIS CERTIFIES that the building located at S/a.Bay�dgv. ReadStreet Map No.Bok& .O.D.A sBlock No. . . .x=. . .Lot No. X=. . . Southold• • N.Y.• • • • . . . . conforms substantially to the Application for Building Permit heretofore fixed in this office dated . . . . . . . . . . . .Fob. . . . . 1., 19.69. pursuant to which Building Permit No. 422-"Z . dated . . . . . . . . . April . A. . . ., 19.60, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .Private. .garaga .C unfinishe .2nd .floor). . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . .$obart. 016men$ . . . . . . .Wner . . . . . . . . . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval X r ftl . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. .N r R•. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HOUSE NUMBER . . .7720. . . . . . . Street Lay*iew. Road• • • • • • • • • • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . Building Inspecto )" FORM .NO. 1 TOVM OF SOUTHOLD C p41vQ�'. T o y1fi6 BUILDING DEPARTMENT SEP TOWN .CLE WS OFFICE SOUTHOLD. N.Y. ,p.Q¢s�v►+1 " ARD OF ARd��r� ot Examined . . . .. . 1. . .. ., 190 Application No. . .. L..$ Approved . .. . . .. . .. . .. . .. . .. .119 . . . . Permit No. 1 ti S -. .. . Disapproved a/c It . . . . . . . . . . .. . . . . . . . . .. . . .... . . . . .. . . . . . . . . .. . . . . .. . . . .. . . .... .. 0 � . .. ... . . . . ..i7, -,(Bulding .ctor). .. . . .. f = a ! 7 f:� x APPLICATION FOR BUILDING PERMIT�-U c,}d..;r„ 4,, Date. _, . . . b. . . .. . . . . . .. . . .. ... 196q. 4 INSTRUCTIONS a. This application must be completely fillets in by typewriter or in ink ,and submitted in duplicate to the Building Inspector. b. Plot plan showing location of loot and of buildings on premises, relationship to adjoining premises or public Z- streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. c. The work covered by this application may not be commenced before issuance of Building Permit. `- d. Upon approval of this application, the Building In spector will issue a Building Permit to the applicant. Such permit shall be kept ;on the premises available for inspection throughout the progress of the work. e. No building shall be occupied or used in whole t;r in pant for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspect=. . x APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Sautho ld•,Suffolk County,New York,and other applicable Laws, Ordinances or Regulations, for the constructidn of buildings, additions or alterations, or for removal or demo- lition, as herein described. The applicant agrees to comply with all -applicable laws, ordinances, building code, housing code, and regulations. (Signature,of applicant, or,.name if a corporation) SO(�THOL. .. .. ...... .. . r (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder .. .Co.N r.`r"aT:oR . .. . . . . . . . . . . .. . . . . .. . . .. .. . . .. .. . . . . .. .. . . . . . .. . . .. .. .. .. .. .. . . . . .. .. . . . Name-of,owner of premises .- Fcmecw" .. .G.w,-MMxC. . . . . .. . . . . .. . . . . .. .. . . . . .. . . . . .. . . .. . . . . .. .. . . . If applicant is a corporate, signature of d authorize d officer. Name and title of corporate officer) 1. Location :of land on which proposed work will b done. Map No. . . . .. . . . . . . .. . . . Lot No. . . . . .... . . .. . / - ?y a-o mow+ Y - 7z.V•w• Street and Number olX1 H. �.R�. . ftt�V� i2.. ,.".Qt1 ..�Y c.clf11�.. .. . . . S44�TF14L0. .. .... ... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction. a. Existing use and occupancy . .. .CAQ#46�). . . .. . . . ... .. .. .. .. . . .. . . . ... . .. .. . . .... .... .. . .... b. Intended use -and occupancy . .�A�.ACtiE. . . . .�. .. .. .... . .. >•?4 . .... .. . . .. !' ': . .. �` +-ANA ..,E 3. Nature of work (check which applicable): New Building . .. .... . Addition ...... . . Alteration ....... Repair ..... . ... Removal . ... . .. . Demolition . . . . . ... Other Work (Describe) .G►P&C- ,'Z .. .... ... . 4. Estimated Cost . . .. . . . . . °� . .. .. .. . ... .Fee . . ur'. ..... .. .. .. .. .. .. (to be paid on filing this appli } 5. If dwelling, number of dwelling units . .. . . .. . . .Number of dwelling units on each floor . . ... . . If garage, number of cars . .... . ..... . . . .... . . . . . . . . . . . . . .. .. .. .. .. . . .... . . .. .... . .RECEIVER.. .. .. .. . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ... ...... .. .. . 7. Dimensions of existing structures, if any: Front.. .. ... Rear . .. .. . .. . .... Ixgk a.?Olt..... . Height ... .... .. .. .... . Number of Stories ..:. : ::.. . . ...... .... .. .... ... . .... .. .... ...... .. .... .. . Dimensions of same structure with alterations-or additions: Front ..... .. ...ZQNINR�RP.Q�APPJEAI S.- Depth . . . .. . .6. .. .. . . . Height . .. .. . ...... .... Number of Stories . . .......... . . ...... . S. Dimensions of entire new construction: Front . .. Alf . . .. .. . . . Rear . . . 2.'}. .. .. . Depth .�.... . . . Height .. . .f.0'... .. . Number of Stories .1.. .. .... . . . . . .. .. .. .. .. .. .. ....... . . .. . . .... .... .. .... .. .. . . . 9. Size of bot: Front .. ..... . ...... . . Rear . .. . .. . . . . .. . . . Depth .. .. . . .. .. .. ... 10. Date of Purchase .. .... . . . . . . . . . . . . .. . . . . .. .. .. .Name of Farmer Owner . ... . ...... ... . . .... .... . . ... 11. Zane or use district in which premises are situated. . n. . . .. . .. .... .... .... .... . 12. Does proposed construction violate any zoning law,ordinance or regulation? . "D.. ........ ... .. ... 13, Name of Owner of Premises7Sa3eer. .G're mwr"Address .,:IQc.IMo'—D.,A4... Phone Nol�ao?.:zf Name of Architect . ...... . . ..... .. .... ........ .Address . . . ..... . .... ..., ..... Phone No. . ...... .. . . Name of Contractor Gcu w.rnn CM-.31 kC.... . .Address . ��oc� :iG►.1'J.�.►�i: :.. Phone No.76s.:. ,- ?3 PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions 3. from property lines. Give street and block number or description according to deed, and show street names and u indicate whether interior or corner lot. T yousir .a 4 I f�i21 V r41r-- 'moo w.D STATE OF NEW YORK, )S.S. COUNTY OF ... . ... .. .. .. .) . ...A 1 Fr�j ex z P ..G 4?1.4-xrll.�t:r)qT*. . .. .. .. .. .. . . .. .. . being duly sworn, deposes and says'that'he is the appli- (Name of individual signing application) cant above named. He is the . . . .CAME .. .. .4r ?V:G='.... . .. ......... .. ... ..... .... .. ...... .... . . ... (Contractor, agent, corporate officer, etc.) of said owner or*wners, and is duly authorized to perform or,have perbormed.the said work and to make and file this application; that all statements oontaincd in this application are true to the best of his knowledge and belief;and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this . ...'i'7 . . .. ... day of ..�.... . . 196 . . �-�. . "�. .. . . .. .. . .. ... ...... Notary Public, . . . County (Signture of applicant) 04-.A. • ELI ETH A tf OW rfE �NoR52-8125850 AY PUBLIC, tSuffolkate of NCOQV Term bpires March 30, 19M RECEIVED AGRICULTURAL DATA STATEMENT ZONING BOARD OF APPEALS AUG 13 2018 TOWN OF SOUTHOLD ZONING BOARD OF APPEALS 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: 0,e�/7/ 055�G13'IC� 2. Address of Applicant: d9tin enL-A PEIVA, XQQZVQiQ, AIV /1971 3. Name of Land Owner(if other than Applicant): 4. Address of Land Owner: 5. Description of Proposed Project: CDA/VI,C� OAU pE .4 r77 446AIZ C7A,& 0 LUoLZ,�J)'Oe rv/ jz �.���- �Xr4W lz �. �1 tel»"rr� Zr 8"» 6. Location of Property: (road and Tax map number) 1260 U,Q/IA�5; J'Ou7J&y .Al,y. 7. Is the parcel within 500 feet of a farmop ae it on? { }Yes g No r 8. Is this parcel actively farmed? { } Yes tp�No 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 of this page if there are additional property owners) Signature of Applicant 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. l 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1-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 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. R E C E tEj� 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. AUG 13- 2018 Part 1-Project and Sponsor Information ZONING BOARD OF APPEAL Name of Action or Project: ®sTC•v Project Location(describe,and attach a location map). Brief Description of Proposed Action. COAL V,rl2,_ Z VP',=Z 6012 i9N�IAI/5A0,0A777C •�•g01/,� �i9�i9G� Name of Applicant or Sponsor: Telephone: &ICAMIL E-Ma' Address: City/PO: State: Zip Code: SDUAl,Y 11971 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? 0-2 95 acres b.Total acreage to be physically disturbed? O acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial residential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? 1/ b.Consistent with the adopted comprehensive plan? AUG '� ?'j�� 6. Is the proposed action consistent with the predominant character of the ONING BxisWin iAt aI NO YES landscape? y 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: y 8. a. Will the proposed action result in a substantial increase in traffic above present levels? NO YES y b.Are public transportation service(s)available at or near the site of the proposed action? X 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: co-M UUC1wo S�'�N-VT, iV 6� CODS 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: >e X 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: W__2T/_ -"V/Z}" X 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? �p b.Is the proposed action located in an archeological sensitive area? 1� 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 ❑ Agricultural/grasslands ❑ Early mid-successional ❑ Wetland ❑Urban )4 Suburban 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? X 16.Is the project site located in the 100 year flood plain? NO 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? ❑NO ❑ YES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO ❑YES Page 2 of 4 L RECEIVEt 0 47 18.Does the proposed action include construction or other activities that result in the�i'inpoun 2'e'nt of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: ZONING BOARD 0P 4PD9:AJ_4 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: X 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: X I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: C L C1G Date: C�>0 a/d Signature: a 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?" 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 the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 RECEIVED AUG 1 t;10 No,or Moderate small to large ZONING BOARD OF APPEALS 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 Preparer(if different from Responsible Officer) Page 4 of 4 RECEIVED AUG A -i ?.�1$ Board of Zoning Appeals Application ZONING BOARD OF APPEALS AUTHORIZATION (Where the Applicant is not the Owner) 1, 0,1'30,424/,/ C�S'lkY�.S.fC� residing at (Print property owner's name) (Mailing Address) 11 t7l do hereby authorize/f/CN.4EL .4 Z5:!/�l�Q C1� (Agent) , to apply for variance(s) on my behalf from.the Southold Zoning Board of Appeals. (Owner's Signature) fJ�Bod�� 6o.5rRosk y (Print Owner's Name) r 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. RECEIVED YOUR NAME: OS`/ OS.C'Y PjEeQ, /.1f1 (Last name,first name,middle initial,unless you are applying in the name of someone else or other e0iit ,' u&H k company.If so,indicate the other person's or company's name.) ZONING BOARD OF APPEALS TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit X 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 ofj56utliold?"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 X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/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 day of (J 20 1O Signature /: $ Print Name O 1 AGENT/REPRESENTATIVE RECEIVED TRANSACTIONAL DISCLOSURE FORM AUG .13 2018 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 il'faj'lakatever action is necessary to avoid same. ` 'mEALS YOUR NAME : kJ-&d= (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 X/ 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 X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/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— 16 day oof,4U&,20_18_ Signature Print Name Town of Southold RECEIVED LWRP CONSISTENCY ASSESSMENT FORM AUG 13 2018 A. INSTRUCTIONS ZONING BOARD OF APPEALS 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 malting 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 malting 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# ,'I -_--ZZ The Application has been submitted to (check appropriate response): Town Board 0 Planning Dept. 0 Building Dept. Sd Board of Trustees 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) 0 (b) Financial assistance(e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: NZ Ind Nature and extent of action: Comyogr D ORM9Z FSM �S" /�" ro 2/ -5: r Location of action: A26 D ZO e.6 DRI oer DO u7b)O44 RECEIVED Site acreage: OyG 13 2 0 18 Present land use: ��I'11�L�N7`AI— -T rY4 8/�IIAZ� /-U1%NGBOARD OF APPEALS Present zoning classification: R-4O 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: VEOWI RA)V (25- -ROSZ)e (b) Mailing address: 1260 "E 17,P/VC-, -r&RJ- 1= A Y 11,971 (c) Telephone number: Area Code (d) Application number, if any: Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes 1:1 No Ln 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 W Not Applicable GV& 925 A10 C G o A1e r A4eZc4&j!E >d POUCY / 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 2 Not Applicable ,v0 r &B?ZICA" rV ROUCy z Attach additional sheets if necessary AUG 13 2018 Policy 3. Enhance visual quality and protect scenic resources througLigutNtheCJF6WfiFd 9"old. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria Yes 7 No ® Not Applicable 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 7 No Not Applicable Q/Oi" Aez4f C,¢BZj5 y°'D ?Qycy 4 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 11 Yes 0 No Not Applicable A167- R,&ZCA,&j5 rO POLIcY -5- Attach 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. Not Applicable Yes [] No' &C97- 46OZ&AAA5 0 POLI c I Attach additional sheets if necessary RECEIVED Policy 7. Protect and 'improve air quality in the Town of Southold. See LWRP Sect�VGII}i -&,Uicies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ NoR Not Applicable ZONING BOARD OF APPEALS GRc�,45 >AIG p/Zb85RZY 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 M Not Applicable D �' (� 04H&MI T 6P r6t1,Q AAA155RAM2 .I'.T OR25,0 0-8 U —je—D DN RR QeACTY 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. ❑ Yer-1 NoX Not Applicable .V G 21' X460—KI C4AEC rc POUCY 9 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. ❑ Yes ❑ No 9 Not Applicable LCL'i� AUG 19 44 ZONING BOARD eF APPEALS 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 W Not Applicable AloT AP/VQW-4,!E d RO CX Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No® Not Applicable 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 Noy' ,4P0c cAffl, �D Poi/Cy /3 Created on 512510511:20 AM RECEIVED AUG 13 ?018 ZONING BOARD OF APPEALS Legend OSTROSKY RESIDENCE M'r Write a description for your map. �� 3 �I i 1260 Koke Dr g ��. P ,Polla Marcia HD k ! F 7� .' F -�a 3 s ry •� x � �r� *.� `•.. ate, „x< <� � �_. yt d -y- < 4 •,y�4. .3.. f^. �M�"w"'i-. pri A ,.., 'T ry k. V t ' r n 4, y # x � ry t � '� Yd tx¢} � •^.tic ra��r 4..'. ll a �t s , l�F f.,. � ��c ,� "5 ��� •d�fr� 1�k3 •K t 1,, , - `, ®;, TOWN OF�.-SOU,THOLD: • PRO-PERTY,.',,RECORD CARD j u,1 �� ..- „a `F OWNER: � STREET C<rr//..' y)) VILLAGE�:'' DIST. SUB. LOT " ` •fir r'.G� FORMER IVNERd, S6h �-D,��`v iP �E A l0. le _/�' w , 'JfJr}s)is- + uta✓.y °°+ `�' °`` ', S W TYPE OF BUILDING ' /'t/ f�j`o+•' :e...' �.v»�"V SYS' ° /n '(A {`Y +' tf° tt ;RE` SEAS. VL. FARM COMM. CB. MISC. Mkt. Value ! . LAND IMP. TOTAL DATE REMARKS J Mrd r a o �G a0�� %� x/67 lPA"7 Poe b r' Z6, tel'Ute O 6 '7 A U '► �1 � z .° 3 �` ass'' a;//tr e� S .s-� ,'`f 1• ;• _ • --AGE •�.�.,� � B I N O I��<� (p o'2/ —6'�N�'' — QG�e'�•D►'1 l�i n �n� c.�e�1°cl .�[:`�.�a'�277�' c� FARM Acr,g, Value Per Valu Acre Tillable 1 •� �• Q a .�b ((.4'1 Y s(i/] 1 I Z l�i �� Tillable 27ra o Tillable 3 Woodland Swampland N FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot DEPTH 3 BULKHEAD Total DOCK f - 4, 4- ► MENNEN ONMEMEM ■■■■■■■ ■ I■■■■■■■■■■�!■■■■■■■ ■■■■■■ ■ I■■■®!'l ■®©C"�■■■■■■■ ■■■■■■■ ■■I■■■■■■■■■■■■■■■■■ ■■■■■■■ ■II■■■■■M■■■■■■■■■■■ 0 No ■■■■■■■■■■®■■ Foundation • E � fBaseme a Ext. Walls Fire Place ®®TypeFloor '���= Recreation Room •un r a ® • - O • Q i DWELLING WELL 340'+ KOKE DRIVE - (30') l'IJBL_IC WATER IN STREET i EOP . EEL.31.8' EEL26.8' N25056'50"E 125.0° EOP EOP QWM UP - - D. MD - - - EL z7.4 °- 125± 2, 170'± � o w ° e9TM 385.00' O.A. 0 6 v 7 Gid TIMBER CURB m r 0 W GRAVEL DRNEWAY p -T-,- TIMBER CURB c c colic. v` OSTONE PAT10 O 0 32.3' usEx nla WO/F OIL nH V taw QUEEN®./ DECK � � � ' DWELLING PUBLIC WATER �r SAW SO N/O/FSHOWRs - YOUNG, 22.5 23.9• 1 STY. m 4 VACANT FF EL 29.4' 16.0' iv 2 2.8' G) D r N nYBER Q Q I wnYBER r7 W > N FFE&4AV SP 1 STY. FR. ;n p D 1� t•5 \,\ 0 40.3' I� o N GARAGE N O 0 a`4a BIY PROK UG O R9 LU OSE STONE 24.5' n J4 Twem PIPE FN°' S25'S6'50"W WO/F 125.00 EFE MD —n — — — EI_22.s' KMINCiAM - - - - VACANT - - - - - - - - - c�P WO/F COVE AT SOUTHO -o FLMIC WATER the STANDARDS FOR APPROVAL AND CONSTRUCTION OF r •'ff.'s w/• r , L is ! L F 3 l� V RECEIVED LONI f is (3)ostrosky Residence ,.f Taken July 28,2018 Looking NW sa 1 i x (4)Ostrosky Residence Taken July 28, 2018 Looking SSW r � fi Sr 't. v GA T- w (5)Otrosky Residence Taken July 28,2018 Looking North �,.: Viz` •Y' - • i (6)Ostrosky Rresidence Taken July 28,2018 Looking East OFFOL�►c ELIZABETH A.NEVILLE,MMC ��0 ®Gy Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 Cos Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631)765-6145 MARRIAGE OFFICER ,fi �`. Telephone(631)765-1800 RECORDS,MANAGEMENT OFFICER �Q( �`, www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Zoning Board of Appeals FROM: Elizabeth A. Neville DATED: August 22, 2018 RE: Zoning Appeal No. 7225 Transmitted herewith is Zoning Appeals No. 7225 for Deborah Ostrosky: The Application to the Southold Town Zoning Board of Appeals Applicant's Project Description Questionnaire Agricultural Data Statement _Short Environmental Assessment Form Applicant/Owner Transactional Disclosure Form(s) �Agent/Representative Transactional Disclosure Form(s) �LWRP Consistency Assessment Form Notice(s) of Disapproval Board of Zoning Appeals Application Authorization �Certificate(s) of Occupancy Findings, Deliberations and Determination Meeting(s) Action of the Board of Appeals Photos Correspondence- Copy of Deed(s) Building Permit(s) Property Record Cards) Survey/Site Plan, /_Maps- S+-voSlc,, JtST dy%ce_ Drawings Misc. Building Dept. forms (Certificate of Compliance, Housing Code Inspection, ect.) Misc. Paperwork- Town of Southold P.0 Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 08/22/18 Receipt#: 247688 Quantity Transactions Reference Subtotal 1 ZBA Application Fees 7225 $500.00 Total Paid: $50000 Notes: Payment Type Amount Paid By CK#5192 $500.00 Ostrosky, Deborah Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Ostrosky, Deborah 1260 Koke Dr Southold, NY 11971 Clerk ID: JENNIFER Internal ID:7225 J BOARD MEMBERS ®� S®� Southold Town Hall Leslie Kanes Weisman,Chairperson �`` ��® 53095 Main Road•P.O.Box 1179 �® �® Southold,NY 11971-0959 Patricia Acampora Office Location: Eric Dantes Town Annex/First Floor, Robert Lehnert,Jr. O a� 54375 Main Road(at Youngs Avenue) Nicholas PlanamentoCom Southold,NY 11971 9 http://southoldtownny.gov ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel.(631)765-1809•Fax(631) 765-9064 LEGAL NOTICE SOUTHOLD TOWN ZONING BOARD OF APPEALS THURSDAY, DECEMBER 6, 2018 PUBLIC HEARING NOTICE IS HEREBY GIVEN, pursuant to Section 267 of the Town Law and Town Code Chapter 280 (Zoning), Town of Southold, the following public hearing will be held by the SOUTHOLD TOWN ZONING BOARD OF APPEALS at the Town Hall, 53095 Main Road, Southold, New York 11971-0959, on THURSDAY, DECEMBER 6, 2018. 10:15 A.M. - DEBORAH OSTROSKY #7225 — Request for a Variance from Article III, Section 280-13A and the Building Inspector's August 9, 2018, Notice of Disapproval based on an application for a building permit to make additions and alterations to an existing accessory building, at: 1) more than the code permitted one dwelling on each lot; the proposed construction constitutes a second dwelling unit in the accessory building; at: 1260 Koke Drive, Southold, NY. SCTM#1000-87-5-17. The Board of Appeals will hear all persons, or their representatives, desiring to be heard at each hearing, and/or desiring to submit written statements before the conclusion of each hearing. Each hearing will not start earlier than designated above. Files are available for review during regular business hours and prior to the day of the hearing. If you have questions, please contact our office at (631) 765-1809, or by email: kimf@southo/dtownny.gov. Dated: November 15, 2018 ZONING BOARD OF APPEALS LESLIE KANES WEISMAN, CHAIRPERSON By: Kim E. Fuentes 54375 Main Road (Office Location) 53095 Main Road (Mailing/USPS) P.O. Box 1179 Southold, NY 11971-0959 TfPESET: Mon Nov 19 12:51:05 EST 2018 • an existing single family dwelling,at: 1)lo- southoldtownny.gov LEGAL NOTICE cated less than the code required mmimum Dated.November 15,2018 SOUTHOLD TOWN ZONING BOARD side yard setback of 15 feet;2)located less ZONING BOARD OF APPEALS OF APPEALS than the code required minimum combined LESLIE K A N E S W E I S M A N, THURSDAY,DECEMBER 6,2018 side yard setback of 35 feet, at: 2125 Pine CHAIRPERSON PUBLIC HEARINGS Tree Road,(Adj to Little Creek)Cutchogue, BY.Kim E Fuentes NOTICE IS HEREBY GIVEN,pursuant to NY.SCTM#1000-98-1-13. 54375 Main Road(Office Location) Section 267 of the Town Law and Town Code 11:15 A.M.-JANE SMERGLIA#7220— 53095 Main Road(Mailing/LISPS) Chapter 280(Zoning),Town of Southold,the Request for a Variance from Article MR, P.O Box 1179 following public hearings will be held by the Section 280-124 and the Building Inspector's Southold,NY 11971-0959 SOUTHOLD TOWN ZONING BOARD OF July 23,2018,Notice of Disapproval based on 2286580 APPEALS at the Town Hall, 53095 Main an application for a building permit to con- Road, P.O. Box 1179, Southold,New York struct additions and alterations to an existing 11971-0959,on THURSDAY,DECEMBER single family dwelling,at;1)located less than 6,2018. the code required minimum front yard set- 9:30 A.M. - ANTHONY PIROZZI, JR. back of 35 feet,at-225 Sigsbee Road,Mat- #7216—Request for a Variance from Article tituck,NY SCTM#1000-143-2-5. XXIII,Section 280-124 and the Building In- 1:00 P.M. - MMC REALTY 2 FAMILY spector's July 16, 2018, Notice of Disap- LIMITED PARTNERSHIP #7221 — Re- proval based on an application for a building quest for a Variance from Article III,Section permit to construct deck addition to existing 280-13A and the Building Inspector's June single family dwelling,at;1)located less than 12,2018,Notice of Disapproval based on an the code required minimum combined side application to legalize"as built"alterations to yard setback of 35 feet;at:1769 Smith Road, an accessory building, at; 1)more than the (Adj to Hog Neck Bay) Peconic, NY. code permitted one dwelling on each lot;the SCTM#1000-98-4-20. proposed construction constitutes a second 9:45 A.M. - CINTHIA THORP. #7218— dwelling unit in the accessory building;at: Request for Variances from Article MR, 7625 Nassau Point Road, (Adj. to Little Section 280-124 and the Building Inspector's Peconic Bay) Cutchogue, NY SCTM# June 29,2018,Notice of Disapproval based 1000-118-4-4. on an application for a building permit to 1:15 P.M.DAVID AND DIANE NELSON construct additions and alterations to an exist- #7223—Request for a Variance from Article ing single family dwelling,at;1)located less XXIII,Section 280-123 and the Building In- than the code required minimum side yard spector's June 25, 2018, Notice of Disap- setback of 10 feet,2) located less than the proval based on an application for a building code required minimum combined side yard permit to make additions and alterations to an setback of 25 feet;at:120 South Lane,(Adj to existing seasonal cottage, at; 1) a non- Orient Harbor) East Marion, NY. conforming building containing a non- SCI'M#1000-37-6-3.4. conforming use shall not be enlarged,recon- 10:00 A.M.-MICHAEL AND COLLEEN structed,structurally altered or moved,unless LOGRANDE#7224—Request for Variances such building is changed to a conforming use; from Article III, Section 280-15 and the at: 65490 Route 25, (aka Sage Boulevard, Building Inspector's July 6,2018,Notice of Breezy Shores Cottage#24,Adj,to Shelter Disapproval based on an application for a Island Sound)Greenport,NY.SCTM#1000- building permit to demolish an existing single 53-5-12.6. family dwelling and accessory barn and build 1:30 P.M - 1855 DEPOT LANE,LLC., a new single family dwelling and accessory BRUCE BROWNAWELL AND ANNE garage,at; 1) existing accessory garage lo- MCELROY#7226SE—Applicants request a cated in other than the code required rear yard; Special Exception under Article III Section 2) proposed accessory garage partially lo- 280-13B(14).The Applicants are the owners catedinother than thecoderequired rear yard;_ _.requesting authorization to,establishan Ac- at- 550 Fleetwood Road, Cutchogue, NY. cessory Bed and Breakfast,accessory and in- SCfM#1000-137-5-1. cidental to the residential occupancy in this 10:15 A.M - DEBORAH OSTROSKY single-family dwelling, with three(3)bed- #7225—Request for a Variance from Article rooms for lodging and serving of breakfast to III,Section 280-13A and the Building Inspec- the B&B casual,transient roomers.Located tor's August 9,2018,Notice of Disapproval at: 1855 Depot Lane, Cutchogue, NY based on an application for a building permit SC7M#1000-102-1-9.1. to make additions and alterations to an exist- 1:45 P.M.-TRACY PECK AND DAVID ing accessory building,at: 1)more than the CORBETT#7209—(Adjourned from No- code permitted one dwelling on each lot,the vember 1,2018)Request for a Variance from proposed construction constitutes a second Article XXIII, Section 280-124 and the dwelling unit in the accessory building; at- Building Inspector's June 25,2018,Amended 1260 Koke Drive, Southold, NY. July 20,2018,Notice of Disapproval based on SCFM#1000-87-5-17. an application for a building permit to demol- 10:45 A.M. - ANDREW AND LINDA ish an existing single family dwelling and TOGA#7219—Request for a Variance from construct a new single family dwelling,at;1) Article XXIII, Section 280-124 and the located less than the code required minimum Building Inspector's May 16,2018,Amended front yard setback of 35 feet;located at:1305 August 1,2018,Notice of Disapproval based Sigsbee Road, Mattituck, NY. SCTM No. on an application for a building permit to 1000-144-2-6. construct additions and alterations to an exist- The Board of Appeals will hear all persons ing single family dwelling,at;1)located less or their representatives,desiring to be heard at than the code required minimum rear yard each hearing,and/or desiring to submit writ- ` setback of 50 feet;at:2425 Mill Creek Drive, ten statements before the conclusion of each (Adj.to Arshamomaque Pond)Southold,NY. hearing.Each hearing will SCI'M#1000-51-6-40 not start earlier than designated above.Files 11:00 A.M.-RICHARD AND SIOBHAN are available for review during regular busi- HANS#7228—Request for Variances from ness hours and Article XXIII, Section,280-124-and the priortothe day of the hearing.If you have Building Inspector's August 9,2018,Notice questions,please contact our office at,(631) of Disapproval based on an application to 765-1809, or by email: KimF@ legalize an"as built"deck addition attached to -5 ZbidiNG BOARD OF APPEALS MAILING ADDRESS and PLACE OF HEARINGS: 53095 Main Road, Town Hall Building, P.O. Box 1179 Southold, NY 11971-0959 (631) 765-1809 Fax 765-9064 LOCATION OF ZBA OFFICE: Town Hall Annex at North Fork Bank Building, 1st Floor 54375 Main Road and Youngs Avenue, Southold a/ website: http://southtown.northfork.net November 5, 2018 Re: Town Code Chapter 55 -Public Notices for Thursday, December 6, 2018 Hearing - --- -- -- ---- ---- ------ ---- -- --- --- ---- ------ --- - - --- -- --------- ---- -- ------ Dear Sir or Madam: Please find enclosed a copy of the Legal Notice describing your recent application. The Notice will be published in the next issue of The Suffolk Times. 1) Before November 19th: Please send the enclosed Legal Notice, with both a Cover Letter including your telephone number and a copy of your Survey or Site Plan (filed with this application) which shows the new construction area or other request, by CERTIFIED MAIL, RETURN RECEIPT REQUESTED, to all owners of property (tax map with property numbers enclosed), vacant or improved, which abuts and any property which is across from any public or private street. Use the current owner name and addresses shown on the assessment rolls maintained by the Southold Town Assessors' Office, or Real Property Office at the County Center, Riverhead. If you know of another address for a neighbor, you may want to send the notice to that address as well. If any letter is returned to you undeliverable, you are requested to make other attempts to obtain a mailing address or to deliver the letter to the current owner, to the best of your ability, and to confirm how arrangements were made in either a written statement, or during the hearing, providing the returned letter to us as soon as possible; AND not later than November 26th: Please either mail or deliver to our office your Affidavit of Mailing (form enclosed) with parcel numbers, names and addresses noted, along with the green/white receipts postmarked by the Post Office. When the green signature cards are returned to you later by the Post Office, please mail or deliver them to us before the scheduled hearing. If any envelope is returned "undeliverable", please advise this office as soon as possible. If any signature card is not returned, please advise the Board during the hearing and provide the card (when available). These will be kept in the permanent record as proof of all Notices. 2) Not Later November 28th: Please make arrangements to place the enclosed Poster on a signboard such as cardboard, plywood or other material, posting it at the subject property seven (7) days (or more) prior to hearing. (It is the applicant/agents responsibility to maintain sign until Public Hearing) Securely place the sign on your property facing the street, not more than 10 feet from the front property line bordering the street. If you border more than one street or roadway, an extra sign is supplied for posting on both front yards. Please deliver or mail your Affidavit of Posting for receipt by our office before December 4, 2018. If you are not able to meet the deadlines stated in this letter, please contact us promptly. Thank you for your cooperation. (PLEASE DISPLAY YOUR HOUSE NUMBER ALWAYS). Very truly yours, Zoning Appeals Board and Staff Ends. TIi. E uF H EHR' I1+It� The following application will be heard by the, Southold Town Board of Appeals at Town Hall , 53095 Main Road, Southold : NAME : OSTROSKY, DEBORAH #7225 SCTM # EE 1000-87-5- 17 ' VARIANCE : ACCESSORY BUILDING CONSTITUES SECOND DWELLING UNIT 1-- 'kEQUESTE ADDITIONS & ALTERATIONS TO EXISTING ACCY. BLDG . SATE : THURS. , DEC. 612018 10: 75AM Af you are interested in this project, you may review the file(s) prior to the .fearing during normal business days between 8 AM and 3 PM. ZONING BOARD OF APPEALS-TOWN OF SOUTHOLD (631 ) 765-1809 J TOWN OF SOUTHOLD ZONING BOARD OF APPEALS SOUTHOLD., NEW YORK AFFIDAVIT OF In the Matter of the Application of MAILINGS (Name of Applicants) SCTM Parcel# 1000= CP7— ,5"- /7 COUNTY OF SUFFOLK STATE OF NEW YORK L 111C�X Z A �/f'�1i4 CSC residing at � 0. e0e /047 rOUTXzML/ NY 119/1 New York, being duly sworn, deposes and says that. Oa the ,j*day of Af 0 V , 2018, Z personally mailed at the United States Post.Office in J (zr,6? ,p - ,New York, by CERTIFIED MAIL, RETURN RECEIPT REQUESTED, a true copy of tho attached Legal Notice in Prepaid envelopes addressed to current propertyowners shown on the current assessment roll verified from the official records on filewith the{ }Assessors,or( ) County Ileal Property Office for every property which abuts and is across a public or private street, or.vehicular right-of=way of record, suirouriding the-applicant's property_ (Signature) Swom td before me this day of Npy.�ry"b , 201$ TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK411n Ph a j - r 1- 44,441 NO.o1DW6306900 QUALIFIED IN SUFFOLK COUNTY VtaryRublic) COMMISSION EXPIRES JUNE 30,2j?2; 4 PLEASE list on the back of this Affidavit or on a sheet of paper, the lot numbers next -to the owner names and addresses for which notices were mailed. Thank you. s- ,� A 77-X WE �Isrs Aq-911 UIAZZWO 'E THIS SECTION TION ON DELIVERY ■ Complete items 1,2,and 3:y"1A Sig t le Print your name and address on the reverse X _ ❑Agent so that we can return the card to you. 13 Addressee ■ Attach this card to the back of the mailpiece, B b d! a G Date of Delivery or on the front if space permits. ,+® CG✓�Coo ��� 1. Article Addressed to: D. I d livery address different from ite' ❑Yes ES,enter eery address belowa ❑No v Aly 10128 l IIIIilillIIIIIII IIIIIIII IIIIII IIIIIIIII IIIIII ❑Adult Service Restrlcte �eli�very 11RPriority Mail ged al-ssO ertified Mail@ Registered Mail Restricted 9590 9402 3554 7305 7820 25 Delivery ❑Certified Mail Restricted Delivery /�@eturn Receipt for ❑Collect on Delivery etrchandise 2.-Article Number(Transferfrom service-label) d Collect on Delivery Restricted Delivery ❑Signature ConfirmationTm ' 17 1450 0001 9334 2809 11 Insured Mail ❑11Insured Ma I Restricted Delivery Restricted Deliverture y; (over$500) Ps Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt .SENDIEMCOMPLETE • .MP'LETE THIS;SECTION DIV DELIVERY ■ Complete items 1,"'i,'and 3. A. ign ure ■ Print your name and address on the reverse /� Agent so that we can return the card to you. C Addressee ■ Attach this card to the back of the mailpiece, B. R ceived by(Printed Name) C. Date of Delivery or on the front if space permits. I. Article Addressed to: D. Is delivery-address different from item 1? ❑Yes If YES'enter delvery address below: ❑No l plu e1n (-Z- NOV 14 2018 t "'Cb 3. Servidb,Ty6 p, El Priority Mad Ex ress@ III 111111 IIII III I II I IIII I II I I I I II I I III f I I I I III ❑Adult Signature ElRegis Registered MailTm ❑Adult Signature Restricted Delivery �]Registered Mail Restricted 9590 9402 3554 7305 7820 63 �riifled Mad® pelivery 13 Certified Mail Restricted Delivery 9tetum Receipt for ❑Collect on Delivery Merchandise 2. Artic_I_e_Number(transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation'^ - 13 Insured Mad 13 Signature Confirmation 7 1450 0001 9334 2847 7 ❑Insured Mad Restricted Delivery Restricted Delivery (over$500) Ps Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt ' v i TOWN OF SOUTHOLD ZONING $OA1tD OF APPEALS SOUTHOLD, NEW YORK AFFIDAVIT OF In the Matter of the Application of POSTING (Name of Applicants) Regarding-Posting of Sign upon Applicant's Land Identified as SCTM Parcel 91000- P7- .6'-- /7 COUNTY OF SUFFOLK) STATE OF NEW YORK) [jam ,- residing at fl OX !097 ,COfJT d YV V, //971 ,New York, being duly sworn,depose and say that: On the T Jr- day of -No)/. , 2018, I personally placed the Town's Official Poster, with the date of hearing and-nature of my application noted thereon, securely upon my property, located ten(10) feet or closer from the street or.right-of- way(driveway entrance)—facing the street or facing each street or right-of-way entrance,* and that I hereby confirm that the Poster has remained.in place for seven(7)days prior to the .date of the subject hearing date, which hearing date was shown to be L?�=c, Zol f �Jf (Signature) Sworn to before me this C-ONNI=D. BUNCH J� Da of� 201 Notary Public,State of Nov York Y No. 01 SU6185050 Qualified in Suffolk County Conimi cion Expires April 14,2V-4-0 (Notary Public)* * near the entrance or driveway entrance of my property, as the area most visible to passerby. THIS SECTIO UN ON DELIVERY ! Complete items't,- hand 3. A. signature • Print your name and address on the reverse so that we can return the card to you. X 1�Agent �^�` ❑Addressee ■ Attach this card to the back of the mailpiece B. Received by(Printed Name) C. at of Ive or on the front if space permits. ^� iv a�lAraased trU"' " ' r f i' I"I �,VO D. Is delivery address different from item l? 13 Yes KURT& JULIA If YES,enter delivery address below: 5101 HIGHWAY AIA-APT 201 ❑No VERO BEACH, FL 32963-1118 ' 3, Service Type IIIIII IIII III 1II l Jill 1111111111111111111111' ❑Adult Signature El RegistMail Exre ered ed Ma pITM ss® 9590 9402 3554 7305 7823 77 ❑Adult Signature Restricted Delivery", ❑Registered Mail Restricted, bCCertfied Mao - pel very '�j Certified Mail Restricted Delivery 15 Return Receipt for 13 Collect on Merchandise Article Nnmher(Transfer from service/.bell-_- _ Q Collect on Delivery Restricted Delivery 0 Signature ContirmationTM —A-K--P-0 01 9 3 3 4 2 71 ❑Insured Mail ❑Signature Confirmation ❑Insured Mail Restricted Delivery Restricted Delivery —I (over$500) Domestic Return Receipt SECTIONSENDER: COMPLETE THIS; .MPLETETHIS SECTION ON DELIVERY ■ Complete items 1,2,and 3. A. ure N Print your name and address on the reverse X D Agent so that we can return the card to you. 13Addressee ■ Attach this card to the back of the mailpiece, B. ceived by Orrinfed Name) C.Date of Delivery or on the front if space permits. VV 1. Article Addressed to: Is delivery address different from item 1? ❑Yes If YES,enter delivery address below: p No 55' N/Z?oiv Av,E. GAe0,54V 07Y; /v Y 111111111 II I 1I III 1l l l Jill l II I I II II I I I I I III 3, Service Type ❑RegiPrionty Md MaiIT ess® ❑ Adult Signature El Registered MaiITM ❑,,.1,�`duIt Signature Restricted Delivery ElRegistered Mail Restricted 9590 9402 3554 7305 7821 79 Crhfied Mad® Delivery ❑Certified Mail Restricted Delivery Return Receipt for ❑Collect on Delivery Merchandise 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTl ❑Insured Mail g� `g ❑Signature Confirmation .17 1450 0001119 pl'�lil ` �_d 11111 1 1 9�J) "plpAQpIt1T)1). Restricted Delivery PS Form 3811,MY2015 PSN 7530-02-000-9053 Domestic Return Receipt i THIS SECTION . ON DELIVERY ■ Complete items 1,2,and 3. A. Signature ■ Print your name and address on the reverse1 �(,, 17 Agent so that we can return the card to you. y` � i"� ❑Addressee ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name C,Date of Delivery or on the front if space permits. ��r�n l✓�, iY�t / !/-17—t g 1. Article Addressed to: D. Is delivery address diffailkint from item 1? ❑Yes I.64R P,VY I—IV/,)b 7,z 7- If YES,enter delivery address below: ❑No cr- POR7- J71-477 •Y Ili 1111111111 Ill Ill l II i rill I II I II Il IIIA Ill 3, Service Type ❑Priority Mad Expresso ❑Adult Signature 11 Registered Madre 4�duIt Signature Restricted Delivery 13Registered Mail Restricted 9590 9402 3554 7305 7821 31 Aerhfied Mail0 Delivery 1:1 Certified Mail Restricted Delivery fQ Return Recelpt for ❑Collect on Delivery 'Merchandise 2. Article Numb_er(Transfer from service labeO ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation"m 1,7 1450 0001 9334 2 915 13❑Insured Mail ❑Signature Confirmation Insured Mail Restricted Delivery Restricted Delivery (over$500) PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt r R-0 v .Zeor -Y V746 1 . S'GUTV_a y, 9�� 87 //?7/ �pq j-VO;rVC40 Al,Y // 970 1675 Al V• N Y 1 Z2 ze5,-!p ?7, /0 "Y A-049Y 16044-7r --7 8 X' 77 IVAAIC e ;x 71-1 M A e,Y, 0.2-Y A7 R- A- Zz M 17'j-,'oV7,71V67-t,-W /Y 117, � , A1 -4 2- 7A z-41vvy 1114z NY &771 97, J-1- 4 22 OR WARP Al4e.4POW RO 44,rr W.1U1.MO,(4 A,01 115-9k -AN7-1-1O1VYee-R, - 66 5 /,�.�, .4 or15 ., 61Z r 17 7% 6470 1 14-h Y NX 0 9 6,71 J TYC W N-Y. ZI z XI)l LI F71 71 71 - N14'6 ).5 27 1 4 7 17,—47 I�Wj N.Y. 11776 V % vi A CO2141 A41 2'C'44 17 Ir F NY .11?7,1 - - - -- -- --- -- --- -- - - -- ---- - --- _-- - ----- - - - - - -- - ---- -- -- ------ — -- — - 74 . v /1721 61N1r2 9 IVY 11?71 XA1 eTL i i Postal , -- U.S. Postal.Service"' CERTIFI ®nJ jlrCERTIFIED e ■ ■ /. �Ln Domestic ru - I i7� , I m "mom' For delivery inforination,visit our website at Mvw.usos.co ths`� Certified Mall Fee � 11q,P M 0971 m Certified Mail Fee Extra Services&Fees(checkbo>y addles ado 77 qm- $ $�•4r `� a' f1g777 ❑Return Receipt(hardcopy) $ Y V r ; Extra SBtVICes&Fees(check box add fee L dpp,(� r3 ❑Return Receipt(electronic) $ � �} Strrl rk r'� ❑Return Receipt(hardcopy) $ .,f���,�,— !' 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Only lr-1 � nly � I� • �m Certified Mall Fee �, ti la i Certified Mad Fee w M $ 0971 jtr $ °' 0971 Extra Services&Fees(checkbox add fee a om.W 9 �Y 17 7 ) �a Services&Fees(chackbox,add fee p �);I � , 77 r-� ❑Return Receipt(hardcepy) $— •may.-,lrrtr—, I / ��3 i,..1 11 Return $ JAP leit J l Q ❑Return Receipt(electronic) $ v�. G �� �. 1 Q ❑Return Receipt(elecronic) Q ❑Certified Mail Restdcted Delivery $ 111 3m- P He ' Q ❑Certified Mall Reelected Delivery $ `- ark p OS !Q ❑Adult Signature Required $ - � Q ❑Adult Signature Required $ ry®�O H re 1 ❑Adult Signature Restricted.eery$ , �`��t ` po❑st8due Signature Restricted Delivery$ ,o•� eI 4• i Q Postage 1 f g j I� Ln $ S / jam- $ $11.50 Vp /J r-I TOtal Postage and FW.70 1 ���[ � )r-9 9 Total Postage and Fe@s r%. $ M1 $ $6.70 '�.M� � /y1/2018 ),qSent To S ntTp Q NNS --;�� ;Q [1,P1STu ------- - -- (� Street an pt. o.,of Pb&ox o. - M1 at andAp.Xf ® Box ------------- City State,71 +46�•L7LYf/ (/�L�/� 1`I C�(--------------- Cit) State Z%P+ �C/1 [-__C - MY Ino Us. Postal • / I ! CERTIFIED , ■ o wCEST. 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"-- �- ---��?____-052M _( G Cdy,State,ZIP+46 rr Q.r / bo T I :., ., --w -- '� Cdy,-State,ZI +4 'U.S. PoMalSekvice'";- U.S. Postal Service" MAILo RECEIPT, © RECEIPT m �. sCERTIFIE, Imo' Domestic I rl pr lT' 1J1FLJ GA 4 �I TP Y= 1 i tt � P F � L .. 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P— X i_ -- f /�Z�NY_, -------------------------------- ONIry a� +® Il p4'Gtl C� �il/��"_? State,ZIP+4® 4 U /�0 • :ee a ee eee•e, - - :ee a ee eee•e - - --- ---- - -- -- — - - - -� ■ . I Postal p RECEIPT CERTIFIED ■ © ' j� omestia MaI Only- M to. Only rU idEYOitf 8 I? I rw r M Certified Mall Fee " �-rq NEW O�14I " gra` , m $3.45 ��~�0971 I m Certified Mail Fee $3.4S �( Q�,1 p^ $ ^•a�f 9 77 m � '� Extra Services&Fees(check box,add fee gip rpp ) ''� te) ! j � ❑Return Receipt(hardcepy) $ 4a ti•r Extra Servlces&Fees(checkbox,add tea gspp:lgadd ❑Return Receipt(electronic) /�> ❑Return Receipt(hardcopy) $ ii�tUU e�.�rll,�� 7 $ �(I l� -i L Pos ark j} P Stmar ❑Certified Mail Restricted Delivery $ S ❑RetumRecelpt(eleciromc) $ E140� 9t /fit I l— ®, fe e ❑Certified Mad Restricted Delivery $ - _ Here ❑Adult Signature Required $ CI ge �� - El Adult Signature ResMctedDelivery$�1 11 " �"+ CI []Adult Signature Required $ ICI Adult Signature Restricted Delivery$ F Posta e �6 E3 Postage $0.50 1��� ��'°` r \ h•p 3( - Total Postage and Fees �e�201 "� $ 1'111011 - 2018 , a $5.70 r-qTotal Postage and F$e 71� k N Sento,{, fii [�- L To Streets pt. o.,orPjz�,A#A -_- -" CI and 11 orP o No. C' Q' I .66;$tate,ZiP+4®u , // o o/l ---------_----- ivy o1,1 State,ZIP+ ® / A/ 1/ /VJ :ee a ee ere•e. I :ee 1 e e eee•e• _ — I Postal Service■ e CERTIFIED MAIILORECEIPT — Domestic Mail Only Ir • • I 43 ' - • •IruI rU , _ - f �- 50 � ��\17 I m certified Matl Fee 1 F7- I .� \ � $3.4� I m Certifled Mail Fee $ 4S p / j a- $ o , ),- 77 {I Extra Services&Fee (check box,add fee UP-1A9 0 Extra Servlces&Fees(checkbox,add lea @pproedete 'ep � .I $ L1e lL'r fJ!©Z POStm '�, ❑Return Receipt(hardcoP� ❑Return Receipt(hardcopy) $ r+ ❑Return Receipt(electronic) $ ie POStr�lr I r ❑Return Receipt(electronic) J 11 re CI y $ _ /r�N i Certified Mall Restricted Delivery $ (Fier, " i [3carhfled Mail Restricted Deliv Y P G r) e` j CI ❑Adult Signature Required $ ' ,J ]C3 ❑Adutt Signature Required $ rat ❑Adult Signature Restricted Delivery$ 'i ❑Adult Signature Restricted Delivery$ �� ICI Postage C3 Postage ,Ln 0 $II.r?l a i$ I ��' $, $0. 02 U Total Postage and Foes Total postage and5.7Qb.7t1 Nr9 $ City;-StI Sent A fWE., _,—O� :�Cl ojx BoxN Vo. oP-- NetiDid P1N ;FPO o O y,�IP+ ---! C_SeG v � I e e eee•e' _- :e e a e o eee•e _I TIA 1 U.S. Postal Service' _ — Postal ServiceCERTIFIED'MAILP RECEIPT f T 1 Domestic mail only 11� DomesticMail only., }r ru 1 N s0 kk 141 171• t.• �' .501 TIP N M certfied Mad Fee $3 45 0971 �rn � ,Certified Mall Fee $��45 �,,'' -'`�.` x:1971 m $ 77 $ �) --- 6�C�\ 77 Extra Servlces&Fees(checkbox,add The Extra SBNICBS&Fees(check box,add fee ❑Return Receipt(hardcopy) $ �• $ a Ptj3t t rk', j ❑ReWm Receipt(hardtop» I P ]0 Return Receipt(electronic) $ s t: ❑Return Recelpt(electronic) $ J ❑CeMied Mall Restricted Delivery $ er j iHer !CI ❑Adutt Signature Required $ A 0 ❑Certified Mail Restricted Delivery $ e O ❑Adutt Signature Requlred $ t ,�- �Q 4 []Adult Signature Restricted Delivery$ ( 70 ❑Adult Signature Reslncted Delivery'$ +CI postage e I r postage,Ln - $Ia.So711- • ��� I2C118 r r i /2018 Total Postage and Fees $ $b.7U � Total Postage end Fees $ $5.71 Sent To 1` Sent To .Cf�� � NG �Q lv �i{[- N ri --------------------------------------- �� Street anti t ,or P Box 7Vo: ��J(o /�/ p �p C3 Sheet andA-pt 11(o r P B moo/ I:_0_A ^_-1__6 u--- --- -� jr- y.�Q/� VV__30 ------------------ i to IP �)�/ /(� --fir_-------------- �� Ciry S fe Z,a4®•a 1 "' Cfry,State,ZIP+4`• �/ ...... 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Postal• nly Ln ru ruUp E Imo- � ; 'N ' M 7�__ d rallee $3.4� !m Certified Mad Fee $3.45 971 m ,,�97 m $ .� q 7y 7 Er ervices&Fees(checkbow add fee�s p /ate) t CCa 7 Ir Extra Services&Fees(check bay add fee ete� �� 3�� eturn Receipt(hardcopy) $ it i rJll b — ❑Return Receipt(hardcopy) $ .- a ❑Return Receipt(electronic) $_ ��1_((� ( °• Postmark rq ❑Return Receipt(electronic) $ Rmar ❑Certified Mail Restricted Delivery So � �� � Certified Mall Restricted Delivery $ (Here; $tl r C3 ❑Adult Signature Required ry $___o-,-L � ` 6 1� ❑Adult Signature Required $ • f a'v-oLT— t.� i El Adult Signature Restricted DeWery$ ® O �® []Adult Signature Restneted Delivery$ Postage $0.50 ��F`� l o Ln $stage $0.50 r 6? �✓ " Total Postage and Fees 1 �l� i1Q Total Postage and Fees -S 11�5��i '= $ $6.70 $ $6.70 r%• Sent T r`- Sent To �/ L-Aspz�--T.�11_ r-- rq - O Street andApt o PO Sax No. - l T�L � O Street an pt.No.-or P6 ox O 6 0 ����` - 11T/1f?�Y_sG _D11 -------- P City,State,ZIP ®� B.rZ,3S --- i ,I Cdy,State,ZIP+oar v �D N Y 97 NOR PS Fo m 3800,April 2015 PSN 7530-62-000-9047 See Reverse for Instructions Postal • TM —— TM Postal, CERTIFIED p RECEIPT ■ , . ■ ru N Domestic Mail Only Ln Domestic • nly ru For delivery rl_) information, • . • delivery • website at www.u9pS.comOi M Certified Mall Fee $3.45 �v f T 0971 , I m Certified Mail Fee $3.45 0971 $ c� Er Extra services&Fees(checkbo>4 addtea �pp `') 77 $ 77 ❑Return Recelpt(hardcopy) $ W•, �j �,�- i I Ir Extra Services&Fees(check bow add fee �. rte ,t ❑Return Receipt(habDopy) $ ❑Return Receipt(electronic) $ € '/ n�0 �-' �P2 ❑Certified Mail Restricted Delivery $-� G� H-g am-- I ❑Return Receipt(electronic) $ 1 I' (f�' ' ark C3 s Certified Ma)1 Restricted Delivery $ / ee�are C3 []Adult Signature Required $ i € ®� H. � []Adult Signature Required $� �}t�,lu 1 Postage Signature Restricted Delivery$ i1. � 1 ❑Adult Signature Restricted Delivery$ �G� �v I u1 $i.�.50 � � 111 p Postage a l Total Postage and F�gs 11%p`% t€18 in $ $0'S0 l r� $ Y b..70 Total Postage and Fees 70 ` FtJ 1 rl' Sent To j�� C t $ �'b l C3 -__________CAA!!_4 yl/_J 'e— i r- Sent To - I t � /Ll c C Street andApt No.,or PO Box No. D Streit ant% t Moir PO t3ox Apo. 4ic _1? 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Only For delivery information,Alt our website at Www.usps.com"..N co NE G y L U iM Certified Mall Fee m;�- � � 83.45 C 11 1 (1\971 M Certified Mail Fee $ 45 -1971 I M $ 7 n m 77 M $ ep 7 I Extra Services&Fees(check box,add lEr Extra Services&Fe (check box,add fee to) ® 1� ❑Return Receipt(hardcopy) 1 ❑Return Receipt(hardcopy) $ 1 I �CJ., (�)` 3 ❑Return Receipt(electronic) $ 1'- _ POStm - 10 ❑Return Receipt(electronic) $ Cpo� ` ❑Certified Mail Restricted Delivery $ - t Here U) ry a_' SHeie tai �C3 ❑Adult Signature Required $ 7 1 ❑Certified Mall Restricted Delivery $�} - --� ❑Adult Signature Requtred $ '`_.__'t t ❑Adult Signature Restricted Delivery$ i []Adult Signature Restricted Delivery Q Postage $0.SO \� Lr) Postage $jJ 5G G 018 $ ■ 2 rl Total Postage and F t--i Total Postage and Fees $ �'7G $ $6.70 tea Sent To r-qSent To O ♦' �j �2/----- -- 5-1,NA�l_�--A Oeay------------------- U2 N_-/� `� � - Street and 4r.No.,10, [:3 lL r � $ireet andApt o. or Po ox o. --------1-----�� -- --------�-`---i_��7---------------------------- " Ciry ----- I-- -- ��----- � Crty,State,ZIP+4 'V A' PS Form 3900,Apyll-201 5 PSN 7530-1 02- 009047, See Reverse�for Instructions 11 1 1, 111•, - _I - - � I ■ . 11I ■ e — I s ■ ITI I• • iru ru Imo,IIUEr •pp n• ■� tl DO IY M $rtified Mall Fee $�• 5 c tit"'® / Ig71 m Certified °" f �r- Io-. $ 0471 Extra Services Receipt &Fees(check bwy add fee agggpfon-te) �q 77 I Extra Seryices&Fees(checkboz add fee o 77 ❑Return Receipt(hardcopy) $ i_ P to I 11 Return Receipt ab . O ❑Return Receipt(electronic) $ I I d 7 i r-R P lh copy) $ �i{,1• � � p ❑Certified Mall Restricted Delivery $--- V `�J �i9S afk 0 ❑Return Receipt(electronic) $ n H e C3 ❑Certified Mail Restricted Delivery $ •i__st® Postmark C3 ❑AdukSignatureRequired $ C3 ❑AdultSlgnatureRequlred , $ !\ Here ❑Adult Signature Restricted Delivery$ �. .1 ITAdultsignature Restricted Delivery$ Postage p r ul $0. t{i . ' ��� � Postage < $ $0.50 � Total Postage and fees.7�1 ��1�j�15/2Q1$ ' 1 Total Postage and'go. 11)5 1�ij115f 011ai $ �b Y6.70 / Sent To Sent T a .rte r`- SCitrtye,eSt taante,AZpIPt+4�oCrp1 Box aonAe � f1,oT ----- 'l�./�Sj[l� --------- p -PDO __ p ----9 - :le •. 1 ee eel•. - . . •• G� ry co A © ®CDs � I. • C3 I s cr o •- - • • o -o - • J(Erru - FOf ; VFEPO! 8TAy r° :r I � :1 � l m M Certified Mad Fee .45 0g?1 m Certified Mad Fee $3.45 0471 Extra Services&Fees(checkbox,add fee ate) 77 Fxtre SeNlces&Fees(check box,add fee ,d' -; }�'a � 77 ❑Retum Recelpt(hardcopy) $ r.9 ❑Return Receipt(hardcopy) $ 0 E]Return Receipt(electronic) $ $0.00 Postmark � ❑Return Recelpt(electronic) $ '. )?A ark C-3 ❑Certified Mail Restricted Delivery $ •e n Here 0 ❑Certified Mail Restricted Delivery $ G +� g e C3 Adult Signature Required $ t� Adult Signature Required ❑ $ •• 8 []Adult Signature Restricted Delivery$ ��'V V ❑Adult Signature Restricted Delivery$ I J L0 9 Postage C3 Postage EM Ln $0.50 $I].50 = $ = $ �. 11/ /201$ ra Total Postage and Fees 11/05/2018 I� Total Postage and$6 e 70 U�PS $ $6.70 ►`- $ ent To y� N 1O Seng—cl�T L �T --T �s�--------------- J /Y_ 1`S Street"endA t or O Box7vo. Stre tan p o.,or P,�ozC '` s 1 /gam Crry---ate,ZIP+4®- - - - ---------------�-------------,------------- i Cdty,State,ZIP+4®-- � -'- ------------ ------- --- S I :11 1 IT. - :e1 1 11 111•I _ ,I I I( i SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY f ■ Complete items 1,2,and 3. A. SNL-el� 1 ■ Print your name and address on the reverse X Agent so that we can return the card to you. Addressee ■ Attach this card to the back of the mailpiecet Received by(Printed Name) C. Date of Delivery i or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes If YES,enter delivery address below: ❑No 1�i2�VCJs'9' A-UC� 1 + 1,14Al2.9 a-,4 3.II I IIIIII III III I II I(III I II I I I II II I I Ili I I I 11 Adul [I Priority Mail UpreSsO Service Sign Signature eRestricted Delivery 13e Registered Mail Restricted j 9590 9402 3554 7305 7821 55 ry ft iffed Mail Restricted Delivery 1"etu Raceipt for Q Collect on Delivery Merchandlse� ( 2. Article_NumbeC�ransf@r flofri Se NIGe-label) ❑Collect on Delivery Restricted Delivery Signature Cortfitmation""- ❑Insured Mail ❑Signature Confirmation 017 14 5 D 0 01 9 3 3 4 2 9 3 9� ❑Insured Mail Restricted Delivery Restricted Delivery over$500) — PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt � A COMPLETESENDER: COMPLETE THIS SECTION SECTIONON DELIVERY j ■ Complete items 1,2,and 3. A. Signatur I ■ Print your name and address on the reverseX E313 Addressee Agent 1 so that we can return the card to you. � I 1 ■ Attach this card to the back of the mailpiecer B. Received by(Printed e) C. Date of Delivery or on the front if space permits. 1. Article Addressed to: D. is delivery address different from item 1? ❑Yes i + N) If YES,enter delivery address below: [3 No Cr J S ',97 0 N.>1 Ll 97i j Il l illlll(III III I II I(III I II I I I I II II I I I III I I III ❑Adu3. ressO lt Signature revice eRestricted Delivery ❑Registered MMailRestricted 9590 9402 3554 7305 7821 17 ertified Mall6 iT1 Certified Mail Restricted Delivery AReturn Receipt for Q Collect on Delivery Merchandise' 2. Articlg Number(Transfer from service fabeQ' ❑Collect on Delivery Restricted Delivery ❑Signature Conffrmation"m $, ❑insud Mall ❑Signature Confirmation .7 1450 01 9 3 3 4 2 8 9 2 ❑Insured Mad Restricted Delivery Restricted Delivery over$500) PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt }' ; SENDER: 1 •N ECTION ON DELIVERY { ■ Complete items 1,2,and 3. A. Signat S ■ Print your name and address on the reverseX E3Agent J so that we can return the card to you. ❑Addressee J ■ Attach this card to the back of the maiipiece, B. Received by(Printed Name) C. Date of Delivery i 1 or on the front if space permits. I 1. Article Addressed to: D. Is delivery address different-from"item 1? ❑Yes If YES,enter dell �a�darii giBe�oQu ❑No SOF Q ,y�ppoGv CT v yov*lap,AlY 1I s �\`'`�i . IIIIIIIII(III II I I II I IIII I II I I I I II I I I II II I I I III 13❑Adult Signature gRestricted Delivery Registered MaiMail ?rMess® e ry ❑Registered Mail Restricted 9590 9402 3554 7305 7821 93 ertified Mail® Delivery Certified Mail Restricted Delivery �0 Retum Receipt for p Collect on Delivery erchandise` ❑Collect on Delivery Restricted Delivery O Signature ConfirmationT^� 7 017 1450 0001 9 3 3 4 118 5 ❑insured Mail 13 Signature Confirmation ❑Insured Mail Restricted Delivery Restricted Delivery (over$500) j PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt 9 _ A COMPLETE SECTION ,1 COMPLETE THIS SECTIONON ■ Complete items 1,2,and 3. ■ Print your name and address on the,reverse Agent so that we can return the card to you. ■ Attach this card to the back of the maiipiece, y(Printed Name) C. Date of Delivery *Isdelive ed b or on the front,if space permits. 11. Article Addressed to: //D�t 0 f'�'jQ/IlCJ/V,� , r� ry er f D Yes , AA17P A/Y �/ o No CO/>P o� F &5r HFAVOW 67: MOW_1 -PO 1�&D NY//?7/ (I I I 3. Service IIIIIIIII IIII IIIIII I IIII 11111111111 IIIIIIII III ❑Adult, ig ture ❑Registered Mail Expresse dult Signature Restricted Delivery9 stered Mail 9590 9402 3554 7305 7820 87 ified MailO �❑ppeveRegistered Mail Restricted ❑Certified Mail Restricted Delivery �Ftetum Receipt for ❑Collect on Delivery Merchandise i-2_Article,Number(fransrer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConflrmationTm it 7 14 5 0 0 ❑Insured Mail ❑Signature Confirmation ` 1 9 3 3 4 2 B b_1 ❑Insured Mail Restricted Delivery Restricted Delivery- (over$500) PS Form 3811,JUIy 2015PSN 7530-02-000-9053 Domestic Return Receipt SENDER: COMPLETE-THIS SEC li TfON •CMP • ON DELIVERY ■ Complete items 1,2,and 3. A. Sismatu17 re i ■ Print your name and address on the reverse so that we can return the card to you. X 0 Agent ■ Attach this card to the back of the maiipiece, B. Received by(Printed Name Addressee Or on the front if space permits. J C. Date of Delivery 1. Article Addressed to: 6^ i J D. Is delivery address different from item 1? ❑Yes s �,��C•, ,/fix � 1,iU�-�� 1f YES,enter delivery addressbeloW: C3 No Gv /� V Sas' Ha,00w cr. 3.4 s I 5-411 P- 40120, NY //?7/ i i II IIIIiII IIII IIIIII I IIII I III III IIIIIIIIIIIII I III I ervice Type ult Signature El Priority Mail ExPressO 9590 9402 3554 7305 7823 60 ult Signature Restricted Delivery ❑Registered MaiITm rtified Made ry ❑Registered Mail Restricted tified Mail Restricted Delivery Delivery lect on Delivery ry WRetum Receipt for —nrtlnJo Numliar_rfransfeGfI0I2SeryiCndise e�lf ❑Collect on Delivery Restricted Delivery ❑Signature MerchConfirmation- i :7 1450 id Q p 1 9334 12 g 4 ❑Insured Mail ❑Signature Confirmation I ❑Insured Mail Restricted Delivery Restricted Delivery- PS Form 3811,July 2015 PSN 7530-02-000-9053 (over$50o) Domestic Return Receipt i I; COMPLETE • COON ON DELIVERY ■ Complete items 1,2,and 3. A. Sign Ire ■ Print your`name and address on the reverse X G 13Agent so that we can return the card to you. El Addressee i ■ Attach this card to the back of the maiipiece, B. Received by(Printe Name) C. Date of Delivery or on the front if space permits. I. Article Addressed to: D. Is delivery address d• e%0 frb' I I? 0 Yes � / If YES,enter deliv iy a s AN 7AI 0�`� �n/j// Ge( t p No OX s`o v�yo� ivy d ?71 s t '' IIIIIIIII IIII III I II I IIII I II I I I I II IIII II I II I III 0-Adul3. Service S Signature Delive ❑Registered Mail ��T"'essO 9590 9402 3554 7305 7823 22 nertified Mail® ry ❑Registered Mall Restricted Delivery ❑Certified Mail Restricted Delivery U153etum Receipt for ❑Collect on Delivery Merchandise —9 Article Number_1Transferfn7m_Seryice/abe0 ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation- 7 14 5 01:1Insured Mail ❑Signature Confirmation D 01 9 3 3 4 2 7 7 9� ❑Insured Mad Restricted Delivery Restricted Delivery ; (over$500) PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt e!- • • 'cdmPLETE THIS SECTIONON• r - ■ Complete items 1,2,and 3. A. Signature j ■ Print your name and address on the reverse ❑Agent so that we can return the card to you. ❑Addressee ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Dat of D71r- 1. live 1 or on the front if space permits. .��/S �`R� O7 Article Addressed to: D. Is delivery address different from item 1? ❑Yes f if YES,enter delivery address below p No �VJ A,Y fK�i� -73-5 Hi5AM-IJ Cr. Whr'1 YOVMaP, iv.y 11971 1 11 IIIIIIIII'llIIIIIIIIIIII IIIIII IIllIIIII )IIII ❑AdultSignaturee ❑RegisteredM pmeiss® Adult Signature Restricted Delivery Cl Registered Mail Restricted •�/� 9590 9402 3554 7305 782124 red Mail® Delivery ❑Certified Mail Restricted Delivery 06Retum Receipt for ❑Collect on Delivery Merchandise l 2. Article Number(Transfer from service fabeq ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTm I ❑Insured Mail ❑Signature Confirmation 0 17 1450 0 0 01 9 3 3 4 2 9 0 8 ❑Insured Mail Restricted Delivery Restricted Delivery- (over$500) 1 PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt e1 SECTIONSENDER:,CWPLUTE THIS • . . DELIVERY ■ Complete'Items 1,2,and 3. A. Signature ■=Print your name and address on the reverse X 13 Agent so that we can return the card to you. ❑Addressee 1 ■ Attach this card to the back of the mailpiece, B Receiv y(Printed Name) C.'Date of Delivery or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes 7-le a X W 7—,477,4 PH Y If YES,enter delivery address below: ❑No 0 009 • 2.S' � 86� s� r II�IIIIIIIIIIIIIIIIIIIIII 111111 IIIIIIIIII IIIII 13 Service e rn3SS®re ❑RegisteredM81TM E3 Adult Restricted Delivery ! ❑Registered Mail Restricted 9590 9402 3554 7305 7820 94 Wertified Mail(9 Delivery i ❑Certified Mail Restricted Delivery 'etum Receipt for " 11 Collect on Delivery Merchandise i —!)—Artic a-N'umber_Cfransfer from seNiCe iatieq ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation°" ❑Insured Mail ❑Signature Confirmation ;14.50 001.11 9 3 3 4= .2 8 7 8: Insured Mail Restricted Delivery Restricted Delivery (over$500)' PS Form 3811,JuIj 2015 PSN 7530-02-000-9053 Domestic Return Receipt 1, i •MF;LETE THIS SECTION COMPLiETE • ON • ■ Complete items 1,2,and 3. A. Signature ❑Agent - ■ Print your name and address on the reverse X M, ❑Addressee so that we can return the card to you. ■ Attach this card to the back of the mailpiece;,, B.Received by(Printed Name C. Date of Delivery or on the front if space permits. ;;t -,, m 13-e G�� 1. Article Addressed to: `"�4 D.Is delivery address i err% Q Yes f If YES,enter del' dress bel �G p No r-0 rn p o. $ox ?q'00R3 C7571 01. 03. � ! ��I III II IIII ill I II II I I II 'I I I II II I IIID II III Service uPriority e[3 di Siignatrre ❑Regis rd Ml— ❑A � nur Restricted Delivery 1RRegtered MailRestricted8 alle 9590 9402 3554 7305 7821 48 ❑Certified Mail Restricted Delivery , petuemryRecelptfor t -❑Collect on Delivery Merchandise 2. Article Number(Transfer1rom service label) �]Collect on Delivery Restricted Delivery ❑Signature Confirmation" 0 Insured Mail ❑Signature ConfirmationJ 17 1450 0 0 01. 933-4- 2 9 2 2 1 ❑insured Mail Restricted Delivery. i' = Restricted Delivery (over$500) Pb Form 381 T,July 2015 PSN 7530=02-000-9053 Domestic Return Receipt ° SEN • • ON •MPLETETHIS SECTION ON '■ Complete items 1,2,and 3. A.�naure1 � ' � Print your name and address on the reverse X D Agent f" So that we can return the card to you. ❑Addressee i ■ Attach this card to the back of the mailpiece, B. Recgiv by rin`tte� e) C. Da of D live (� { or on the front if space permits. Ca{ ' — � ` 1. Article Addressed to: D. Is delivery address different from item Yes ORE �y„����Z If YES,enter delivery address below: ❑NO 4,yNN ,E - _ B3 5`7 ftisT. � 6p N y, N.Y. 100221 III 111111 ISI III I II I IIII I II I I I I II I II I II I I II III ❑JAdu�dui"Sgn tureice eRestricted Delivery 17 RegistEl ered Mail Restricted 9590 9402 3554 7305 7822 16erhfied Mail@ Delivery ❑Certified Mail Restricted Delivery Return Receipt for ❑Collect on Delivery Merchandise h_e.tl�io Mr,mhe�nreOsfer from`4ervice iabeQ ❑Collect on Delivery Restricted Delivery 0 Signature Confirmarorim j ❑Insured Mail ❑Signature Confirmation j r7, 1450 011111 :9334',12 0 8 ❑ nsured Mail Restricted Delivery Restricted Delivery, (over$500)' e.= PS Form 3811,July 2015 PSN 7530-02-000-9053 :f::: Domestic Return Receipt E� SECTIONSENDEFWPLETE THIS •MP"EMS SECTION ON DELIVERY ■ Complete items 1,2,and 3. A. Signature ■ Print your name and address on the reverse X ❑Agent so that we can return the card to you. C' Addressee I ■ Attach this card to the back of the mailpiece, B, eceived y(Printed N e) C. ate of Delivery I or on the front if space permits. '1. Article Addressed to: � D.Js delivery address different No P,4v/AP If YES,enter delivery address 13N ,� + NOV 7 2018 � I 3. Service Type ❑Priority Mail Express® II I IIIIII IIII III I II I IIII I II I I I I II IIIII II III III ❑Adult Signature ❑Registered MaiITM KAdult Signature Restricted Delivery ❑Registered Mail Restricted 9590 9402 3554 7305 7823 46 rt,fied Mail® pehvery \ pp l ❑Certified Mail Restricted Delivery a'Retum Receiptfor ❑Collect on Delivery Merchandise 2. Article Number(Transfer rom selVl_Ca labe0 ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationT" [ ❑Insured Mail Q Signature Conflrmtion 17 1450 0001 9 3 3 4 2 7 9 3� ❑Insured Mail Restricted Delivery Restricted Delivery (over$500) PS Form 3811,July 2015 PSN 7539-02-000-49053 Domestic Return Receipt I CTUIS OMPLETE SECTION COMPLETE '( ■ Pomplete items 1,2,and 3. PB nature ? ■ Print your name and address on the reverse i so that we can return the card to you.■ Attach this card to the back of the mailpiece, Y(Printed Namesseeeived b ) rDate of Delivery [ or on the front if space permits. I. Article Addressed to: I j D.Is delivery address ifferent from item 1? -Yes-! /i^7 1-4�N HC C, }0� If YES,enter � ivery addles below: ❑No i j /[/`+/s7 ,TJ � 400 /t/"raw G7: A172 .r0611VC o, Iv y II I IIIIII IIII I�I 1111 IIII 1111111111111111111111 3. Service❑Adult Sign tures 0 El❑RegisteMail red Maiprmess® dult Signature Restricted Delivery {7 gegisted Mail Restdcted 9590 9402 3554 7305 7822 23 rtifled Mails Delivery Q Certified Mail Restricted Delivery �Retum Receiptfor [ ❑Collect on Delivery Merchandise 9_Artrcle Numher_fTransfer_from service label) Cl Collect on Delivery Restricted Delivery ❑Signature ConfirmationTM 1450 0001 ❑Insured Mail ❑Signature confirmation ' 9 3 3 4 1215 ❑Insured Mail Restricted Delivery Restricted Delivery [ (over$500) PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt �4 -II COMPLETETHIS SECTION COMPLETE SECTIONON. ■ Complete.items 1,2,and 3. 1 A. ' ' na re ■ Print your name and address on the,reverse X pp'���` (�/'� so that we can return the card to you. ,W"C 13 Agent ❑Addressee ■ Attach this card to the back of the mailpiece, B• Re ' d by(Printed Name) C.'Date of Delivery or on the front if space permits. 1. Article Addressed to: t � D. Is delivery a g, iv i $ m item 1? 0 Yes I 41 •. C7,Q/Z C/�L�LL�� If YES,enter'd is ad re IoW: [3 No [ jpz. 86)e /D G 0w — [ { s01)T1la Y //97/ ~Of� II I IIIIII IIII IIII III IN 1111111111111111111 III Service Type Adult duct SSignature gnture Restricted Delivery U❑Registered egiseredlMa�il- 9590 9402 3554 7305 7822 47 Mr 9590 Mall® � d Mall R@stncted� Delivery j ❑Certified Mail Restricted Delivery �(gtum Receipt for -2_Article Numtier_ITransfer_from c rvj,aA ahan ❑Collect on Delive0 Collect on ry Restricted Delivery I❑SMMignature Confirmation*" ' ❑Insured Mad ❑Signature �f1D.f_l1.93�4 1��1 Confirmation � .❑-reaura-d-Mall.RaMrlt3arl-�eliv=�. Restdcted�elive,v SEN • COMPLETE • c6m�LETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3. A Signature ■ Print your name and address on the reverse X ant i so'that we can return the card to you. D Ad7. dressee ■ Attach this card to the back of the mailpiece, B. Re eived by(P- d N me) C. Date of'D ivery j 1 or on the front if space permits. fig' G 1. Article Addressed to: is delivery address different from item 1? Ye If YES,enter delivery address below: p No 42� 1'®v7'yQW. MY !19?/ � [ 3. II I IIIIII IIII III I II i IIII I II I I I I IIIIIIIIIIIIIII El❑Adult Service g tureeRestricted Delivery Q Regis13 tered MaiMail lRestrricted 9590 9402 3554 7305 7823 08 ,fled Made Delivery ❑Certified Mail Restricted Delivery Y�Return Recelptfor ❑Collect on Delivery Merchandise [ __2.-Article.Number_l- nsferfrom service labell ❑Collect on Delivery Restricted Delivery ❑Signature Confinnationlm j 017 1450 Of 01 9 3 3 4 2 7 5 5 I El Insured Qsvry ion ❑ d Mail Restrcted Delivery Restricted Delivery $500) j PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt r i7T .•�.� r COMPLETE THIS SECTION ON D? ■ Complete items 1,2,and 3. A. Signature - ■ Print your name and address on the reverse X , E3 Agent so that we can return the card to you. CCC��� E3 Addressee 11111Attach this card to the back of the mailpiece, B.Received by(Printed Wine) C. Dat of D ivery j or on the front if space permits. I`r r) U J r'�<C i f n f y 1. Article Addressed to: D.is delivery address different from iteYes M�LJ V V7— m 1?If YES,enter delivery address below: ❑No C NOD Al •� S. Service Type ❑Prionty Mail Express® j r� II I IIIIII I'll III I II I IIII I ll II I I II II l II I IIII III 13 Adult Signature E3 Registered Me I jITM �ertt Signatu Mailr Restricted Delivery A Reveryred Med Restricted 9590 9402 3554 7305 7821 86 ❑Certified Mail Restricted Delivery j�ewm Recelptfor ❑Collect on Delivery Merchandise _2_Article_NumbeLfTransfer from_SeIViCE_labe0- ❑Collect on Delivery Restricted Delivery EI Signature Confirmation*"' i --i ❑Insured Mad ❑Signature Confirmation 1 7 017 1450 0001 9334 2 9 6 0 I ❑(over dMail Restricted Delivery Restricted Delivery _PS Form 3811,July'2015 PSN 7530-02-00b-9053 Domestic Return Receipt i ej COMPLETE •N COMPLETE THIS SECTIONON DELIVERY ■ Complete items 1,2,and 3. A. Signature '^ ■ Print your name and address on the reverse-"� X Agent so that we can return the card to you. 13 Addressee B. Received by(Printed Name) C.Date of Delivery ■ Attach this card to the back of the mailpiecet or on the front if space permits. 1. Article Addressed to:,. D. Is delivery address different from item 1? ❑Yes j f If YES,enter delivery address below: ❑No j AVNA l.UlovD P4 79 AI-X'glaY; � 1� . i i II I I�I11111111111,1: 111111111111111 Service a13 eMail IrIIII IIIIII 13gtregis �Adult Rest&ted Delivery 13 ReMail Restcted 9590 9402 3554 7305 7822 78. "; 15�Gertified Maile Delivery ❑Certified Mail Restricted Delivery netum Recelptfor p Collect on Delivery erchandise' I El Collect on Delivery Restricted Delivery O Signature CorlfirmationTm> ..O Insured Mad:5 : ❑Signature Confirmation 1'4 0� ��fj �L:a` '�{- ?,i Restricted Delivery 1 i ❑Insure R atricted-Deifvery: rY over$500) �W$�aSrtMby02100b-9053'' ' Domestic Return Receipt COMPLET&THIS SECTION • • ON DELIVERY ■ Completb items T,2'8rtd'3. A. Signature��� i ■ Print your name and address on the reverse X E3 Agent~ l so that we can return the card to you. ❑Addressee ■ Attach this card to the back of the mailpiece B. Receiv (Printed Name) C. Dat Delivery or on the front if space permits. A1 1. Article Addressed to: D. Is delivery address different from item 17 tANe If YES,enter delivery address below: No �ovG�ar/jiZAe p Pip rr 9 13 Y NY /D C)/i ePriority Mall�igit111111111111 IIII Ilial IIIIIIIIIIIIIIIIIIIIIIIIIII usnatreRestrictedDelivery 11 RegisteredRegistered 9590 9402 3554 7305 7823 91 ❑crtified ' Mall® ,Delivery 13 Certified Ml Restricted Delivery $Return Receipt for ❑Collect on Delivery Merchandise 2._Article_Number_frransferhom Service laben, �� ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTM ❑Insured Mall, ❑Signature Confirmation �t7 14 S 0 !0 0 01 9 3'3 4 '12 6 0 i ❑Insured Mail Restricted Deliveryl I Restricted Delivery (over$500) PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt 1 4', _COMPLETE -- •N COMPLETE THIS SECTIONON DELIVERY ■ ComploA,items 1,2,and 3. A. Sig re ■"P,rint'. UeQAme and address on the reverse X 13 Agent k F �� 13 Addressee so thaf we can return the card to you. I ■ Attach this card to the back of the mailpiece- _ B. Receiv d 6y Tinted(kame) C.,Datj of D vgr� or on the front if space permits. 1. Article Addressed to: .?= ;D. is delivery address different from item 17 P WS jPC �j �� y����r•y��/U(�� '_ < If YES,enter delivery address below: p No S:G�.. ,:ICY. / ^ W/ �•1--�Y-� ;J; AsDT�, AL 3414/ 3. , ?7 II III I IIII II I II I IIII I II I I I I II IIIII I I II I III ❑��4dui"S sntuureice eRestricted Delivery ❑RegisteredOrlority M Mail Restricted 9590 9402 3554 7305 7823 15 �C lied Mail® Delivery ❑Certified Meq Restricted Delivery 91jetum Receipt for EI Collect on Delivery Merchandise' _2.Arti p Number(Transfer from zgnqk&j laben�� ❑Collect on Delivery Restricted Delivery O Signature Confirmation.+ ❑Insured Mail Signature Confirmation 137" 1.450 013,01 ,9334 :2762 ❑Insured Mail Restricted Delivery Restricted Delivery (over$500) j PS Form 2811,July 2015 PSN 7530-02-000-9053 ,0Dbmestic Return Receipt — � JER: COMPLETE THIS SECTIONIWLETE THIS SECTIONON DELIVERY ■ Complete items 1,2;and 3. A. SI ature ■ Print your name and address on the,reverse x ❑Agent so that we can return the card to you. 13 Addressee I ■ Attach this card to the back of the mailpiece, B ived by rioted Name) C. Date of Delivery or on the front if space permits. 1. Article Addressed to: D. Is elivery address different from item 1? ❑Yes / yt if YES,enter delivery address below ❑No 44 ws iV v 11747 a/ II I IIIIII I'll III I I I IIII I II I I I I II I II I I VIII III 3. Service Type ❑Priority Mail Exp® ress Adult Signature ❑Registered Mailfirm 11 \ 13-Adult-Adult Signature Restricted Delivery ❑Registered Mad Restrictgd� 9590 9402 3554 7305 7822 85 C'Gertfied Mail@ ehvery O Certified Mall Restricted Delivery Ietm Recelptfor ; ' ❑Collect on Delivery Merchandise 2. Article NUmtfer(Transfer from service labe9 ❑Collect on Delivery Restricted Delivery 1:1 Signature ConfinnationTM' ❑Insured Mail 13 Signature Confirmation ❑Insured Mali Restricted Delivery Restricted Delivery- .7 _1450 .0001. 9334. 2731 :• , (over$5oo) PS Form 3811,July 2015-PSN 7530-02-000-9053 Domestic Return Receipt •MPL��TE THIS SECTION COMPLETE • ON DELIVERY ■ Complete items 1,2,and 3. A Signature ■ Print your name and address on the reverseX ent i so that we can return the card to you. of ressee ■ Attach this card to the back of the itlailpiece, B ceivd b (Frio ed a C, e f Deli ery or on the front if space permits. V d N)`n 1. Article Addressed to: D. Is delivery address different from it m 1? Yes ! A If YES,enter delivery address b ow: No geW 949 sOUr1DtO, A Y 1/X71 3.i ll I IIIIII IIII III I II I IIII I II I I I I II VIII I II I I III 113:1 AduIlS Signature 11e ❑Pears Mail Express® + Registered Mallr"r Signature Restricted Delivery ❑Registered Mad Restricted 9590 9402 3554 7305 7823 39 erNfled Mail® Delivery ! 13 Certified Mail Restricted Delivery XRetm Regiatfor ❑Collect on Delivery Merchandise 2. Article Number(Transfer from service fabeq ❑Collect on Delivery Restricted Delivery 0 Signature Confirmation- 1450 onfirmation- 14 5 0 01101 9334 2786 ❑ d El MaSignature Confirmation ❑Insured Mali Restricted Delivery Restricted Delivery j (over$500)' PS Form 3811,Ju1v2015 PSN 7530-02-000-9053 Domestic Return Receipt is i ECTION ON DELIVEW SENDER: • SECTION 0 COMPLETE THIS S ■ Complete•items 1,2,and 3. A. Signature E3 Agent i ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. B. eeeived by(Printed lame),,; C.Date of Deli ery ■ Attach this card to the back of the mailpiece, _ or on the front if space permits. I. Article Addressed to: - :D. Is delivery address different from item 1? [3 es if YES,enter delivery address below: \ (3 No i/e,ZV/AI 01 ` 7 ,��llJ�iQII.S V)" ly Y III I Il I IIII I ll I I I I II I II I I I I II I III II I IIIIII III 3.13 pe 13 Prionty Mail Restricted iritBgRegistered ❑ dulsignature DI very_ -0 Regst d Mail Certifed WHO Delivery 9590 9402 3554 7305 7822 09 p Certified Mail Restricted Delivery %Mein Receipt for ❑Collect on Delivery ❑Signature Confinnation'M ❑Collect on Delivery Restricted Delivery g 2.Article Numt1or_ITransfer_from service labe0--- ❑insured Mail ❑Signature Confirmation ❑Insured Mail Restricted Delivery Restricted Delivery 7 1480 0001 9334 1192 (over$500) ,'Ps Form 3811,July 2015PSN 7530-02-000-9053 Domestic Return Receipt r I; COMPLETEON •MPLETE THIS SECTION ON DELIVERY A. Sig re ■ Complg�ttems 1,2,and 3. i r ■ Print you bbtrfe and address on the reverse r /` 13 Agent E3 Addressee so that we can return the card to you. ■ Attach this card to the back of the mailpiece, B. R ceived by( nted C. Date of elivery i or on the front if space permits. Ce) ' 1. Article Addressed to: D. Is delivery address different from item 1? Yes GpIf YES,enter delivery address below: ❑No,E,PZOG i i ZZ D�CHi�Pl� I-10APOW AP I ;QOA/ Al y, 115% II I IIIIII IIII II I!I I IIII I II I I I I II I I III III II III 3. Service e o Adult Signature 11 13Registered MalI eSs(3� i Adult Signature Restricted Delivery ❑Registered Mall Restricted 9590 9402 3554 7305 7820 70 r�Cemfled Mail® Delivery i ❑Certified Mail Restricted Delivery iRf Helm Reoelptfor Q Collect on Delivery Merchandise -n;+;,ie hi,,,,,I—rr—., q Collect on Delivery Restricted Delivery O Signature Confirmation- 13 j L 7 =14 5 0 D 01'.`9 3 3,4 2 B 5 4 insured Mall ❑Signatre Conflrmaflon ' ' ❑InsuPed'Mall RestrictedDelivery;'' Restricted on (over$500) li PS Form 3811,July 2015 PSN 7530-02-00b-9053 Domestic Return Receipt i • • COMPLETE THIS SECTIONON ■ Complete items 1,2,and 3. A Signature ■ Print your name and address on the reverse X /, Agent � c so that we can return the card to you. , [�( ❑Addressee I UUUU } ■ Attach this card to the back of the mailpiece, B. ReSe�ed (Printed Name) C. bate of Delivery f or on the front if space permits. f 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes ( 4-A/ y 4-4 YORA: c U If YES,enter delivery address below: [3 No rcvrrs� z,�8 .fig" � 7 � J II I'IIIII(III III I I l(III I II(III II I II Ill I l II III Service e0 Priority Registered i El Adult Registered Adult Signature Delivery El Ml Restricted j 9590 9402 3554 7305 7822 54rtified Mail® pelivery I ❑Cemed Mail Restricted Delivery .EL'Retum Receipt for I ❑Collect on Delivery Merchandise f El Collect on Delivery Restricted Delivery 0 SignatureConfinnationTr" i 2 Article Number(Transfer from service lab' ❑Insured Mali ❑signature Confirmation ;1 7®17 14 5 0 0 0 01 9 3 3 4 12 5 3'j ❑hover$51)0) Restricted Delivery Restricted Delivery i, PS Form'381'1','Ju(y20i5 PSN'7530-02`--Odd-9053 Domestic Return Receipt ; SEN DER: ° •MPL E*TE THIS SECTION COMPLETE • ON DELIVERY ■ Complete items 1,2,and 3. A. Sig tura ■ Print your name and address on the reverse XS ❑Agent so that we can return the card to you. Addressee ■ Attach this card to the back of the-mailpiece, B Received by rdwe N e) C.Date ofIDelivery I or on the front if-space permits. 1. Article Addressed to: D. Is delivery address diffe m item 1? ❑Yes 4 If YES,enter delivery address below: ❑No ('Ak76Z_ IOL iNG��? C7 78 r' wy ,19�/ 11 3, Service Type d Priority Mail Expresso II I IIIIII I'll lII I Il I(Ill l Il I I I I Il I Il Ill II I I Ill ❑Adult Signature ❑Registered Mallm l Ej Adult Signature Restricted Delivery ❑Registered Mail Restricted i 9590 9402 3554 7305 7822 92 erhfied Mail® Delivery I l ❑ itified Mail Restricted Delivery I Retum Receipt for + erehandise ❑Collect on Delivery 2. Article Number(Transfer from service labeq ❑Collect on Delivery Restricted Delivery 0 Signature ConfirmationTm ❑Insured Mail ❑Signature Confirmation 7 ❑insured Mall Restricted Delivery Restricted Delivery 1450 000-1 933-4 2748 (over$500) PS Form 3811.JUIy 2015 PSN 7530-02-000-9053 Domestic Return Receipt t COMPLETE •N COMPLETE THIS SECTIONON DELIVERY ! ■ Complete items 1,2,and 3. A. Signature ■ Print your name and address on the reverse ❑ gent , so that we can return the card to you. X Addressee I ■ Attach this card to the back of the mailpiece, B. R eived by(Printed Name) eate of Delivery or on the front if space permits. A+•.f L-,5 I [-7,0"t O j 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes �ll 1 �O � If YES,enter delivery address below: Q No i I ,4 /7 6 oo HtA C7. IIN17-29 , R _F0V�r1&4 NY 1,/97/ 3. i 1 ' I j Il I IlI'I I'll lII I II (III l Il l l I I lI Il l I III I l I Ill El❑ duiice Type 11 Priority Mail Express@ tlSiSignature urre Restricted Delivery ❑Registered Mall R stricted i 9590 9402 3554 7305 7821 62 13 �ifed Mall Restricted Delivery Delivery eceipt for ❑Collecton'Delivery Merchandise _j 2. Article_NumtIerffransfer-from service_la6en ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation*"' ❑Insured Mail ❑Signature Confirmation 1017r -1450 0001 9334 2946-7 ❑Insured Mall Restricted Delivery Restricted Delivery _ (over$500) PS Form 3811,July 2015-PSN 7530-02-000-9053 Domestic Return Receipt - �I BOARD MEMBERS _. Of SOu jSouthold Town Hall Leslie Kanes Weisman,Chairperson tiO�� ry�l0 53095 Main Road•P.O.Box 1179 Southold,NY 11971-0959 Patricia Acampora Office Location: Eric Dantes CA Town Annex/First Floor,Capital One Bank Robert Lehnert,Jr. � • COQ 54375 Main Road(at Youngs Avenue) Nicholas Planamento OIiYC�U Southold,NY 11971 http://southoldtownny.gov ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel.(631) 765-1809•Fax(631)765-9064 August 21, 2018 Ms. Sarah Lansdale, Director Suffolk County Department of Planning P.O. Box 6100 Hauppauge, NY 11788-0099 Dear Ms. Lansdale: Please find enclosed the following application with related documents for review pursuant to Article XIV of the Suffolk County Administrative Code: ZBA File #7225 Owner/Applicant: Ostrosky, Deborah Action Requested: Make additions and alterations to an existing accessory building. Within 500 feet of: ( ) State or County Road (X) Waterway (Bay, Sound, or Estuary) ( ) Boundary of Existing or Proposed County, State, Federal land. ( ) Boundary of Agricultural District ( ) Boundary of any Village or Town If any other information is needed, please do not hesitate to call us. Thank you. Very truly yours, Leslie K. Weisman ZBA Chai person By: Encls. Survey/Site Plan: Peconic Surveyors, P.C, dated April 24, 2018 BOARD MEMBERS Southold Town Hall Leslie Kanes Weisman,Chairperson *0f SO yO53095 Main Road•P.O.Box 1179 !�Dantes Office Southold,NYI1971-0959 Patricia ra Oce Location: Eric antes CP Town Annex/First Floor, Robert Lehnert,Jr. ape 54375 Main Road(at Youngs Avenue) Nicholas Planamento �l,Y�,O Southold,NY 11971 htip://southoldtownny.gov ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel.(631)765-1809•Fax,(631)765-9064 January 9, 2019 Michael Kimack P.O. Box 1047 Southold,NY 11971 Re: ZBA Appeal No. 7225 Ostrosky, 1260 Koke Drive, Southold SCTM No. 1000-87-5-17 Dear Mr. Kimack; Enclosed is a copy of the Zoning Board's January 3, 2019 determination filed with the Town Clerk regarding your application. Y uentes Board Assistant Encl. cc: Building Department I f /,No;eG �4(N I BA V/FW 'fkTGi 4SfEs EN ,a 193 Oo�O ra 13 n a a r )I,�,�, I r� 8 2 p• ,sa �a,''14 _ 792 R �� A%jV BqYVIEw e s^ 1st. ' R \� d m w' m =18'38 q_ 6r 123 16 '^18„ F >e8 D (E 36A(c) \ ,� ,�1-a d/m/'. ..\ 8 0� 18.IA(c ^17 ^ 11p 17 26 84A d 1� FOR UNITS / I --� �S, R• $ § SEE SEC 08701 , 'ro R THE COVE AT SOUTHOLD TOWN OF SOUTHOLD � e (COMMONAREA) NN�M'AIERWAI ¢ 11.4 10 _/ 1.7A(cL it 96 4A(c) / / ? � � 32 _ 31 ` &: � ,� 3 ® J 8 3A(c) 30 ..li (^ 4 O I 29 ? 1 28 I I� 627 7 I 26 1 8 71{E COVE AT SOUTHI FOR COMMON AREA R I 61 I y SEE SEC.NO. 1 8 l ( 087-05-026 10 t 20 19 113 17 COREY f ) I I ! y i 11 III I N316182 I f5 76 We 079 TOWN OF SOUTHOLD SECTION NO •J I 1. . NUAGEOF 087 I ! 133 DISTRICT NO 1000 PROPERTY MAP a :f°7wr?'v X" "vS.S^^9 �L�a. e .' `£ .I'#• ;4;,y.�»' 1y �--G,Fa