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n of Southold Certificate No. 3 -2025
Suffolk County,New York
SANITARY FLOW CREDIT CERTIFICATE
This is to certify that the entity & project identified below have met the Southold Town
Code requirements for Sanitary Flow Credits. This certificate may only be redeemed for
the number of credits, specified use and construction of the project listed below.
Entity Name: SMB Real Estate Services Inc.
Entity Address: 1050 Waterview Drive, Southold,, NY 11971
Project Name: SMB Real Estate Services Inc. (aka SMB Apartments)
Project Location: 56025 Main Road, Southold, NY 11971
Project Parcel(s): 1000-63.-3-26
Sending Parcel(s): 1000-55.-6-36.3
Number of Credits (300 gpd each): 2.78
Credit Use: Create 6 apartment 3 to be ke t affordable b followin Town re uirements for
communit housin rentals and leasin to tenants that are irtcte- li ible
Issue Date: November 19, 2025
Note: This certificate must be redeemed within two years of the issue date, or it will become
null and void, and the credits returned to the Southold Town Sanitary Flow Credit Bank.
Albert J. ru skis Town upervi or
Redeemed by SCDHS:
Signature:
Name:
Date:
Do not accept this certificate unless the raised seal of the issuing locality is affixed thereon..
Any Alteration Invalidates This Certificate
OFFICE LOCATION: MAILING ADDRESS
Town Hall Annex P.O. Box 1179
54375 State Route 25 Southold, NY 11971
P.O. Box 1179
(cor. Main Rd. & Youngs Ave.) Telephone: 631-765-1938
Southold, NY www.southoldtownny.gov
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
MEMORANDUM
To: Accounting
From: Planning Department
Date: November 18, 2025
Re: Check
Enclosed herewith is the check listed below. The check is a required fee for the portion
of the Sanitary Flow Credit Application being applied to a market-rate apartment, as
required by Town Code Section 117.
Thank you.
Check Date/No.
Amount
$6,360.00 11/17/2025 #535
SMB Real Estate Services
SCTM#1000-63.-3-26
JM
Enc(s).
, :� 'n �E
Submission Without a Cover Letter
05
SOUTHOLD TOWN
PLAIANING BOARD
Name: M aviC, SCAV I I
Project Title: "%mv, (weal EsAt4c
SCTM#: 1000 - (,Q 3 .—Z —2Co
Date: L t I [ S t25-
Details of Submission:
;&' 4 C¢ 3 Leo ,
�outit Flo u eon ,+
CC#: C25-57307
` COUNTY CLERK'S OFFICE
STATE OF NEW YORK
COUNTY OF SUFFOLK
The Clerk of the County of Suffolk and the Court of Record thereof do
hereby certify that I have compared the annexed with the original
DECLARATION
recorded in my office on 10/27/2025 under Liber D00013314 and Page 367 and,
that the same is a true copy thereof, and of the whole of such original.
In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County
and Court this 10/27/2025
SUFFOLK COUNTY CLERK
VINCENT PULED
SEAL
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DECLARATION Recorded: 10/27/2025
Number of Pages: 8 At: 09:51:22 AM
Receipt Number : 25-0138833
LIBER: D00013314
PAGE: 367
District: Section: Block: Lot:
1000 063.00 03.00 026.000
EXAMINED AND CHARGED AS FOLLOWS
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $40.00 NO Handling $20.00 NO
COE $5.00 NO NYS SRCHG $15.00 NO
TP-584 $0.00 NO Notation $0.00 NO
Cert.Copies $10.00 NO RPT $200.00 NO
Fees Paid $290.00
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
VINCENT PULEO
County Clerk, Suffolk County
1 2,
Number of pages RECORDED
2025 Oct 27 09:51:22 AM
VINCENT PULED
CLERK OF
This document will be public SUFFOLK COUNTY
record. Please remove all L D00013314
Social Security Numbers P 367
prior to recording.
Deed/Mortgage Instrument Deed Mortgage Tax Stamp Recording/Filing Stamps
31 FEES
Page/Filing Fee L4 Mortgage Amt.
1. Basic Tax
Handling 20. 00 2. Additional Tax
TP-584 Sub Total
Notation SpecJAssit.
or
EA-52 17(County) Sub Total 0 Spec./Add.
EA-5217(State) TOT.MTG.TAX
R.P.T.S.A. Dual Town—Dual County—
Held for Appointment
Comm.of Ed. 5. 00 Transfer Tax
Affidavit Mansion Tax
Certified Copy /0 — The property covered by this mortgage is
or will be improved by a one or two
NYS Surcharge 15. 00 2 0 family dwelling only.
Sub Total YES— or NO
Other2 Q a
Grand Total If NO,see appropriate tax clause on
page#—of.this instrument.
4 1 Dist. 5636879 1000 06300 0300 026000 5 Community Preservation Fund
Real Property f RPSA Consideration Amount$
Tax Service n "I'I"II"I"'(I�'�
Agency CPF Tax Due $
Verification
Improved
Satisfactions/Discharges/Releases List Property Owners Mailing Address
6 RECORD&RETURN TO: Vacant Land
0 TD
�di,C10
A
TD
47 t- TD
Mail to:Vincent Puleo, Suffolk County Clerk 7 Title Cam any Information
310 Center Drive, Riverhead, NY 11901 Co.Name
www.suffolkcountyny.gov/clerk Title#
8 Suffolk Count y Recording & Endorsement Page
This page forms part of the attached made by:
(SPECIFY TYPE OF INSTRUMENT)
�,)4 The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of >
In the VILLAGE
or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
M010C.10108kk (over)
DECLARATION OF COVENANTS.AND RESTRICTIONS
DECLARATION,made the 22 day of October,2025, by SMB Real Estate
Services Inc, with an address of 1050 Waterview Drive, Southold NY 11971,hereinafter
referred to as the Declarant.
WHEREAS,the Declarant is the owner of certain real property situate at located
at 56025 Main Road, Southold, SCTM# 1000-63:3-26 more particularly bounded and
described as set forth in Schedule "A" annexed hereto(the "Property"), and
WHEREAS,the Declarant has applied to the Town Board of the Town of
Southold("Town Board")for the transfer of 2.78 Sanitary Flow Credits from the
Southold Town Sanitary Flow Credit Bank to the Property.The credits are necessary to
satisfy the requirements of the Suffolk County Department of Health Services for the
proposed development of a building containing six apartments("the Project"),three of
which will be affordable, and ;,of 0,r W"
WHEREAS,in Resolution#2025-190,the Southold Town Board approved the
transfer of 2.78 sanitary flow credits from the Southold Town Sanitary Flow Credit Bank
for the Project; and
WHEREAS,pursuant to Southold Town Code Chapter 117 Transfer of Sanitary
Flow Credits,the recipient of sanitary flow credits must file covenants and restrictions in
the office of the Suffolk County Clerk to ensure that three of the dwelling units created
by the transferred credits remains affordable in perpetuity;and
WHEREAS,the Declarant has considered the foregoing and determined that the
same will be for the best interest of the Declarant and subsequent owners of the Property.
NOW,THEREFORE,THIS DECLARATION WITNESSETH:
That the Declarant, for the purposes of carrying out the intentions above expressed,
does hereby make known, admit,publish,covenant and agree that the said Property
described in Schedule "A" annexed hereto shall hereafter be subject to the following
covenants and restrictions,to wit:
1. Affordability: Three of the six apartments constructed as part of the Project shall
remain affordable in perpetuity and shall be leased only to eligible individuals
registered with the Town of Southold Housing Registry.
2. Administration: The leases shall be administered through the Town of Southold
pursuant to the provisions of Chapter 34,Housing Fund,and §§ 280-24 through 280-
31 of Chapter 280,Article VI"Affordable Housing (AHD)District",now, or as may
be amended.
3. Lease Price: The maximum lease price shall be set by resolution of the Town Board
as set forth in Town Code §280-30 now,or as may be amended.
4. Tenant Eligibility: The tenant of the apartment(the Tenant) shall be registered with
the Town of Southold Housing Registry and shall hold a Certificate of Eligibility
issued by the Town in accordance with the Town Code.
5. Lease Procedure: The owner of the Property (the Owner) shall submit a copy of the
proposed lease to the Town Clerk together with a written notice of its intent to enter
into the lease at least 14 days prior to the effective date of said lease in accordance
with§280-30 of the Town Code. The lease must be in writing, and must be for a
period of at least one year,but not more than two years. Owner shall not enter into
any lease without obtaining the prior written consent of the Town. Any lease entered
into without the approval of the Town shall be void.
6. Annual Reports: The Owner and Tenant shall comply with all reporting requirements
in Town Code §280-31,now,or as may be amended.
7. Perpetual covenants: These covenants and restrictions shall run with the land and
shall be binding upon the Declarant, its successors and assigns,and upon all persons
or entities claiming under it,and may not be waived, changed,modified,terminated,
revoked or amended by subsequent owners of the Property,unless and until approved
by a majority plus one vote of the Town Board of the Town of Southold or its
successor, following a public hearing.
8. Severability: If any section, subsection,paragraph,clause,phrase or provision of
these covenants and restrictions shall be adjudged by a court of competent jurisdiction
to be illegal,unlawful, invalid or held to be unconstitutional,the same shall not affect
the validity of these covenants as a whole or any other part or provision hereof other
than the part so adjudged to be illegal,unlawful,invalid,or unconstitutional.
9. Enforceability: The aforementioned Covenants are intended for the benefit of and
shall be enforceable by the Town of Southold, State of New York,by injunctive relief
or by any other remedy in equity or at law. If a Court of competent jurisdiction
determines that a violation of these covenants and restrictions has occurred,the
Declarant,or its successors and assigns,shall pay,either directly or by reimbursement
to the Town all reasonable attorney's fees,court costs, and other expenses incurred by
the Town in connection with any proceedings to enforce the provisions of the
covenants and restrictions set forth herein.The failure of said agencies or the Town of
Southold to enforce the same shall not be deemed to affect the validity of this
covenant nor to impose any liability whatsoever upon the Town of Southold or any
officer or employee thereof
10. The within Declaration is made subject to the provisions of all laws required by law
or by their provisions to be incorporated herein and made a part hereof, as though
fully set forth herein.
L
IN WITNESS WHEREOF,the DECLARANT above named has duly executed this
Declaration the day and year first above written.
DECLARANT:
SMB REAL ESTATE SERVICES INC.
B,
MARK SCHILL,President
STATE OF NEW YORK )
COUNTY OF SUFFOLK ) SS:
On this JL day of Q in the year 2025,before me personally appeared
MARK SCHILL,known to me or proved to me on the basis of satisfactory evidence to
be the individual whose name is subscribed to the within instrument and acknowledged to
me that he executed the same in his capacity and that by his signature on the instrument,
the individual,or the person upon behalf of which the individual acted,executed the
instrument.
NOTARY PUBLIC
MADISON MESSINA
Notary Public,State of New York
No.01 ME6370536
Qualified in Suffolk County Commission Expires February 05,2Q2W
SCHEDULE A
DESCRIPTION OF PROPERTY
All that certain plot,piece or parcel of land,situate, lying and being in the Town of
Southold, County of Suffolk, State of New York,bounded and described as follows:
BEGINNING at a point marked by an iron pipe on the northerly side of Main Road,
which is 329.70 feet easterly along said northerly line from its intersection with the
easterly line of Boisseau Avenue;
RUNNING THENCE along land now or formerly of Komskis,North 04 degrees 20
minutes 10 seconds West,a distance of 52.35 feet to a point marked by a pipe;
RUNNING THENCE still along land nor or formerly of Komekis,North 09 degrees 25
minutes 00 seconds West,a distance of 698.35 feet to land or Long Island Railroad;
RUNNING THENCE along land of Long Island Railroad,North 71 degrees 22 minutes
40 seconds East,a distance of 91.17 feet to land nor or formerly Lester M. Albertson and
wife;
RUNNING THENCE along said land now or formerly of Lester M.Albertson and wife,
South 09 degrees 25 minutes 00 seconds East,a distance of 777.39 feet to northerly line
of Main Road;
RUNNING THENCE along said northerly line of Main Road, South 87 degrees 59
minutes 50 seconds West,a distance of 95.44 feet to the point or place of BEGINNING.
b l+
Al RESOLUTION 2025-190
ADOPTED DOC ID: 21128
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO.2025-190 WAS
ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON
FEBRUARY 25,2025:
WHEREAS,the Town of Southold has established a Transfer of Sanitary Flow Credits Program
where by Sanitary Flow Credits can be transferred into a Sanitary Flow Credit Bank(SFC Bank)
from open space lands purchased by the Town of Southold;and
WHEREAS the SFC Bank currently has credits on deposit from lands purchased by the Town of
Southold that are located within the Southold School District; and
WHEREAS,the nearest sending parcel on the Town SFC Bank with available credits has been
identified as SCTM# 1000-55.-6-36.3 with 29.63 available credits;and
WHEREAS an application for transfer of Sanitary Flow Credits was filed by SMB Real Estate
Services Inc. seeking transfer of 2.78 credits from the SFC Bank to the property known as
SCTM# 1000-63.-3-26 located at 56025 Main Road, Southold,in the Southold School District;
and
WHEREAS the applicant seeks to utilize the credits on land in the Hamlet Business zoning
district to create six apartments,three of which are to be kept affordable by renting at the rates the
Town Board sets annually for community housing rentals, and leasing to tenants that are income-
eligible at the aforementioned property; and
WHEREAS the applicant seeks to utilize the credits on land within a designated receiving area
pursuant to Southold Town Code Chapter 117 Transfer of Sanitary Flow Credits;and
WHEREAS the Town Board held a public hearing on the action on February 25,2025,at which
time all persons were given the opportunity to be heard;and
WHEREAS this action is exempt from LWRP review,and
WHEREAS the Southold Town Planning Board,as Lead Agency pursuant to SEQRA for the
entire action including the site plan application made a determination of non-significance for the
proposed action and granted a Negative Declaration;now therefor be it
RESOLVED that the Town Board has evaluated the effects of the proposed transfer and finds
that the district contains adequate resources,environmental quality and public facilities,
including adequate transportation,water supply,waste disposal and fire protection, and further
finds that that there will be no significant environmentally damaging consequences and that such
development is compatible with the comprehensive planning efforts of the Town,and the Town
Board incorporates the report of the Planning Board in support of the application dated February
24,2025 and the report of the Building Department dated February 4,2025;and be it further
Resolution 2025-190 Board Meeting of February 25,2025
RESOLVED that the Town Board of the Town of Southold hereby transfers 2.78 sanitary flow
credits from the Town SFC Bank to SMB Real Estate Services Inc. for its development at 56025
Main Road, Southold,SCTM# 1000-63:3-26;and it is further
RESOLVED that 2.25 of the credits will be provided at no cost to the applicant for the portion of
the project that is to remain affordable,and 0.53 of the credits will be provided at a cost to the
applicant of$6,360 for the portion of the project that will be market-rate;and be it further
RESOLVED that upon issuance of the Sanitary Flow Credit Certificate,the Planning Department
shall enter this deduction of 2.78 sanitary flow credits from the Sanitary Flow Credit Log;and be
it further
RESOLVED that the applicant shall receive a Sanitary Flow Credit Certificate, which shall not
be signed by the Supervisor and released by the Town Clerk to the applicant until the following
conditions have been met:
1. The covenants and restrictions required by Town Code Section 117-11 have been
filed and such filing has been approved by the Town Attorney,and
2. The required fee for the portion of the SFC being applied to a market-rate apartment
has been paid to the Town;and it is further
RESOLVED that the Town Clerk shall forward this resolution to the Tax Assessors Office,the
Land Preservation Department,the Government Liaison and the Planning Department for
inclusion into the Town database and GIS system.
Denis Noncarrow
Southold Town Clerk
RESULT: ADOPTED [UNANIMOUS]
MOVER: Jill Doherty,Councilperson
SECONDER:Brian O.Mealy,Councilperson
AYES: Mealy,Doherty,Evans, Doroski,Krupski Jr
EXCUSED: Anne H. Smith
Updated:2/25/2025 2:11 PM by Lynda Rudder Page 2
RESOLUTION 2025-190
ADOPTED DOC ID: 21128
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2025-190 WAS
ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON
FEBRUARY 25, 2025:
WHEREAS, the Town of Southold has established a Transfer of Sanitary Flow Credits Program
where by Sanitary Flow Credits can be transferred into a Sanitary Flow Credit Bank (SFC Bank)
from open space lands purchased by the Town of Southold; and
WHEREAS the SFC Bank currently has credits on deposit from lands purchased by the Town of
Southold that are located within the Southold School District; and
WHEREAS, the nearest sending parcel on the Town SFC Bank with available credits has been
identified as SCTM# 1000-55.-6-36.3 with 29.63 available credits; and
WHEREAS an application for transfer of Sanitary Flow Credits was filed by SMB Real Estate
Services Inc. seeking transfer of 2.78 credits from the SFC Bank to the property known as
SCTM# 1000-63.-3-26 located at 56025 Main Road, Southold, in the Southold School District;
and
WHEREAS the applicant seeks to utilize the credits on land in the Hamlet Business zoning
district to create six apartments, three of which are to be kept affordable by renting at the rates the
Town Board sets annually for community housing rentals, and leasing to tenants that are income-
eligible at the aforementioned property; and
WHEREAS the applicant seeks to utilize the credits on land within a designated receiving area
pursuant to Southold Town Code Chapter 117 Transfer of Sanitary Flow Credits; and
WHEREAS the Town Board held a public hearing on the action on February 25, 2025, at which
time all persons were given the opportunity to be heard; and
WHEREAS this action is exempt from LWRP review, and
WHEREAS the Southold Town Planning Board, as Lead Agency pursuant to SEQRA for the
entire action including the site plan application made a determination of non-significance for the
proposed action and granted a Negative Declaration; now therefor be it
RESOLVED that the Town Board has evaluated the effects of the proposed transfer and finds
that the district contains adequate resources, environmental quality and public facilities,
including adequate transportation, water supply, waste disposal and fire protection, and further
finds that that there will be no significant environmentally damaging consequences and that such
development is compatible with the comprehensive planning efforts of the Town, and the Town
Board incorporates the report of the Planning Board in support of the application dated February
24, 2025 and the report of the Building Department dated February 4, 2025; and be it further
Resolution 2025-190 Board Meeting of February 25, 2025
RESOLVED that the Town Board of the Town of Southold hereby transfers 2.78 sanitary flow
credits from the Town SFC Bank to SMB Real Estate Services Inc. for its development at 56025
Main Road, Southold, SCTM# 1000-63.-3-26; and it is further
RESOLVED that 2.25 of the credits will be provided at no cost to the applicant for the portion of
the project that is to remain affordable, and 0.53 of the credits will be provided at a cost to the
applicant of $6,360 for the portion of the project that will be market-rate; and be it further
RESOLVED that upon issuance of the Sanitary Flow Credit Certificate, the Planning Department
shall enter this deduction of 2.78 sanitary flow credits from the Sanitary Flow Credit Log; and be
it further
RESOLVED that the applicant shall receive a Sanitary Flow Credit Certificate, which shall not
be signed by the Supervisor and released by the Town Clerk to the applicant until the following
conditions have been met:
1. The covenants and restrictions required by Town Code Section 117-11 have been
filed and such filing has been approved by the Town Attorney, and
2. The required fee for the portion of the SFC being applied to a market-rate apartment
has been paid to the Town; and it is further
RESOLVED that the Town Clerk shall forward this resolution to the Tax Assessors Office, the
Land Preservation Department, the Government Liaison and the Planning Department for
inclusion into the Town database and GIS system.
Denis Noncarrow
Southold Town Clerk
RESULT: ADOPTED \[UNANIMOUS\]
MOVER: Jill Doherty, Councilperson
SECONDER: Brian O. Mealy, Councilperson
AYES: Mealy, Doherty, Evans, Doroski, Krupski Jr
EXCUSED: Anne H. Smith
Updated: 2/25/2025 2:11 PM by Lynda Rudder Page 2
RESOLUTION 2025-144
ADOPTED DOC ID: 21079
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2025-144 WAS
ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON
FEBRUARY 4,2025:
RESOLVED that the Town Board of the Town of Southold will hold a public hearing on the
application of SMB Real Estate Services for the transfer of 2.78 Sanity Flow Credits at
the Southold Town Hall 5 095 Main Road Southold New York on the 25th day of
February,2025 at 7:00 .m., at which time all interested persons will be given an opportunity
to be heard. The applicant has requested the transfer of Sanitary Flow Credits in order to allow
for the construction of a new building with six apartments, with three being kept affordable, at
50625 Main Road, Southold,New York. The Town Planning Board, as Lead Agency,performed
a coordinated review of this Unlisted Action,pursuant to 6 NYCRR Part 617, Section 617.7 of
the State Environmental Quality Review Act (SEQRA),made a determination of non-
significance for the proposed action and granted a Negative Declaration. Reports from the
Planning Board and Building Department are hereby requested to be submitted prior to the
public hearing date.
Denis Nonearrow
Southold Town Clerk P6 i L i "'W i L3C'i M C
9 CC3- 1
RESULT: ADOPTED [UNANIMOUS]
MOVER: Brian O. Mealy, Councilperson
SECONDER:Louisa P. Evans, Councilperson SOUTHOLD TOWN
PLANNING BOARD
AYES: Mealy, Smith, Doherty, Evans, Doroski, Krupski Jr
3 - 7,-&
From: Lanza, Heather
Sent: Thursday, October 10, 2024 11:12 AM
To: Westermann, Caitlin
Cc: Michaelis,Jessica; Cerezo, Mara
Subject: [ p �.N01 ] -0.10.24.pdfB Apartments - confirm Sanitary Flow Credits needed
Attachments: HD
Incoming Mail ()
�, ..
From: Betsy Perkins<betsy@mooreattys.com>
-0uifioidT--O-
Sent:Thursday,October 10, 2024 10:51 AM Planning Board
To: Lanza, Heather<heather.lanza@town.southo Id.ny.us> 43 . 3 Z(p
Cc: Pat Moore (pcmoore@mooreattys.com) <pcmoore@mooreattys.com>; Cerezo, Mara
<marac@southoldtownny.gov>; Cummings, Brian A. <brian.cummings@town.southold.ny.us>; Michaelis,Jessica
<jessica.michaelis@town.southold.ny.us>; Madison Messina <madison@mooreattys.com>
Subject: [SPAM] - Re: SMB Apartments-confirm Sanitary Flow Credits needed
Good morning. Please see the attached SCHD NOI dated 10/10/24 which identifies the number of sanitary credits.
Please confirm this is sufficient for the Town Board resolution.
Many thanks.
Betsy Perkins.9 Paralegal
PLEASE REPLY TO ALL
.............• '- Mailing & Physical Address:
Moore Law Offices 51020 Main Road
William D. Moore, Esq. Southold NY 11971
631.765.4663 Fax Number:
Patricia C. Moore, Esq. 631.765.4643
631.765.4330 www.mooreatt s.com
On Mon, Oct 7, 2024 at 2:59 PM Lanza, Heather<heather.lanza town.southold.n ,us>wrote:
Hi Pat,
Just a reminder we need a confirmation of the number of sanitary flow credits needed for this project so we can
prepare for a Town Board resolution to set the hearing for them and get that process going.
Did this project get a SCDHS Board of Review approval?Do you have any other paperwork you can send to
use about this from SCDHS?
i
If you have their application number,we can call directly to find out.
We said at the meeting we had last week that we could use the old application you submitted to the Town
Clerk last October. I don't see that application in the Clerk's file. Can you please send a copy of it to us?Email
is fine.
Thanks.
Heather
Heather Lanza,AICP
Town Planning Director
Southold Town Planning
54375 State Route 25
P.O.Box 1179
Southold,New York 11971
Phone: (631)765-1938
E-mail: etc> at' l u . rta P. I C r a 1. c
2
COUNTY OF SUFFOLK
EDWARD P. ROMAINE
SUFFOLK COUNTY EXECUTIVE
DEPARTMENT OF HEALTH SERVICES GREGSON H. PIGOTT,MD,MPH
Commissioner
Eric Hanninen October 10, 2024
280 MAIN ST, SUITE 1 Notice#: 4
FARMINGDALE, NEW YORK 11735
56025 MAIN RD (ROUTE 25) Tax Map: 1000063000300026000
Record ID: C-24-0120
Nq_tice fr"c let A Icatlon
Eric Hanninen,
This office has reviewed your application for the above referenced project. The
following will be required prior to any further processing of the application for
approval to construct:
[1] Original Southold affordable housing credit certificate for 2.78 credits.
To avoid delays in the processing/approval of your application, paperwork and
documents should be submitted using the online pwN'. Electronic submission will
ensure priority processing.
Please note that alterations of surveys/plans must be made by a licensed design
professional or surveyor and be properly certified. Photocopies of documents and
penciled in corrections are not acceptable. Please do not hesitate to call (631) 852-
5700 with any questions.
Regards,
Blaise Ehrlich
Assistant Public Health Engineer
CC:
MARK SCHILL
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Planning Board
Southold Town Clerk
PPLICA TION FOR EXI SFER Or' SANITARY ITARY FLOW CREDITS
APPLICATION NAME:
S -F-,
(Name under which application shall be known)
SUFFOLK COUNTY TAX MAP NO.: 1000 -_O 3 .0 D - 3 _
District Block Lot
A. SUBMISSION INFORMATION:
Application is hereby made to the Southold Town Board for the transfer of a sanitary
flow credit pursuant to Chapter 87 of the Town Code.
B. GENERAL INFORMATION:
1. Name Of Applicant(s): i t `
Address: VieW dYl4e_
Telephone No. .
If the applicant does not own the property or is a contract vendee,prepare the
endorsement at the end of this form establishing owner's authorization of the
applicant's request. /
2. Is the applicant a contract vendee? Yes No
3. Is the applicant a corporation or partnership? Yes No
If yes, give the name and title of the responsible officer:
Name: Title: YeSI
Address: if different)
Telephone No.: - 2 -
SVA3 Re01 10 k SeYv'+yes ihC.
3. Landowner(s): "fide: ' i 't91
Address: It
Telephone No.: -
PROJECT DESCRIPTION: Multifamily dwelling
The owner wishes to build three (3) affordable/work force housing units at the
rear of the property. The proposed size of the dwelling units will provide housing for
families. As a small businessman, the owner is finding that his employees cannot find
places to live in Southold Town. The owner is proposing 6 dwelling units, three
designated affordable,with 3 sanitary credits from the Town Board.
The parcel is zoned HB. It is 91.17 in width and 698.35 in length. The Dwellings
are located behind the mixed use building on Main Road and are not visible from the
Main Road
4. Name of Attorney, or Agent authorized to represent the property owner and/or applicant:
Name: Y1 Title:
Name of Firm: F,
Address: 6JU20 Mnin 11
Telephone No.: - -
5. All communications with regard to this application shall be addressed to the following
person until further notice:
Name: Title: P Y 61 d co t
Address: fl
Telephone No.: ! i h-`2q- 4 no
C. SITE/PROJECT DATA:
1. Location of Property
2. Existing zoning district(s) H�R
Special Overlay District(s), if applicable
3. Lot area: (00OL-si sq. ft or acres ) YeS
4. Existing: Building Area 2 282 sq. ft. Lot coverage_J3_,5 b do
'PyOosed l obl sr-
5. Please attach a detailed typewritten description of the project,the proposed use and
operation thereof, including a detailed explanation of the design concept,the reason for
the particular design, objective of the developer or project sponsor,why the credit is
needed. /
6. Does property have an existing cesspool and/or septic tank? J Yes No
7. School District U%, �$
8. An appropriate Environmental Assessment Form(EAF)must be attached. All Unlisted
and Type I Actions require either a Short or Full EAF to be prepared.
D. I hereby depose and certify that all of the above statements of information, and all
statements And information contained in the supporting documents and drawings
attached hereto are true and correct.
APPLICANT'S SIGNATURE
Sworn before me this �
day of 8 C ,20 23
KYLEE S DEFRESE
4UarX�R�P 1BL1 NOTARY PUBLIC-STATE OF N9W YORK
No.01DEG.420156
Qualified in Suitolk i6dnty
MY Commission Expires 08-"26
E. APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE
FORM
The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of Town
officers and employees. The purpose of this form is to provide information which can alert the
Town of possible conflicts of interest and allow it to take whatever action is necessary to avoid
same.
YOUR NAME: .wwwwww_. �w_. w _....... ._�w_.. .. ! �.. �_. ._ .. rc
(Last name,first name,middle initial,unless you are applying in the name o
someone else or other entity, such as a company. If so, indicate the other
person's or company's name.)
NAME OF APPLICATION: (Check all that apply)
Tax grievance �.. Building ........
Variance Trustee _„
mm W�._._...................
Change of Zone .... Coastal Erasion
Approval of plat _._..�_._Me_ _ Mooring
Exemption from plat or Planning
official map
Other
(If"Other", name the activity) ww ,_. ___...........
Do you personally(or through your company, spouse, sibling,parent, or child)have a
relationship with any officer or employee of the Town of Southold? "Relationship"includes by
blood,marriage, or business interest. `Business interest"means a business, including a
partnership, in which the Town officer or employee has even a partial ownership of(or
employment by) a corporation in which the Town officer or employee owns more than 5% of the
shares. YES NO
If 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_.wwww_____..............
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):
the owner of greater than 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 JOU day of_u w 1-o e,7 .3
Signature
--—-------
Print Name M 6v
...................
PAjY7 C(A C 12100r-e-
AUTHORIZATION
(where the Applicant is not the Owner)
( .a (C
I,�_w .... ........ .. ._ .._.......�w.w.residing at. .w� ..... � '� .......�� :w . _ .
.......do hereby authorize
T
_._ - . ...._. :.... .. _..._...._. ._.........�.__ ._ ..._.... ...._.w_.............................m.__M__....
.
to apply for a transfer of sanitary flow credit on my behalf.
Owner's igratre:
LAW OFFICE OF PATRICIA C. MOORE
51020 MAIN ROAD
SOUTHOLD NY 11971
631.765.4330
MEMORANDUM
TO: Town Board
FROM:
PATRICIA C.MOORE PY;I:1
SUBJECT: Mailim Affidavit- SMB RE Service Inc.
DATE: October 13, 2023
CC:
COMMENT: Enclosed lease find:
1. Affidavit of Mailing
2. Postal Receipts
3. Mailing List
TOWN BOARD
TOWN OF SOUTHOLD: NEW YORK
In the Matter of the Application of
AFFIDAVIT
OF
SMB RE SERVICES INC
MAILING
Applicant's Land Identified as
1000-63.-3-26
COUNTY OF SUFFOLK)
STATE OF NEW YORK)
I, KYLEE DEFRESE, residing at Peconic, New York, being duly sworn, depose
and say that:
On the 12th Day of October, 2023, deponent mailed a true copy of the Notice set
forth in the Town Board Application, directed to each of the persons listed on the
attached list at the addresses set below their respective names; that the addresses set
below the names of said persons are the address of said persons as shown on the
current assessment roll of the Town of Southold; that said notices were mailed at the
United States Post Office at Southold, New York, that said Notices were mailed to each
of said persons by CERTIFIED MAIL.
Attached hereto is the white receipt post-marked by the Southold Post Office on
said date.
KYLEE DEFRESE
Sworn to before me
I his 3� day of C►ctobe 20 3
., �.
(No ublic) BETSYA PERKINS
Notary Public,State of New York
w" IJo.01 PE6130636
Oualifled In Suffolk Coi
Commission Expires July 1 8,n 5
7015 0640 0001 54E6 8571 7015 0640 0001 5426 8588 7015 0640 0001 5426 8595
7015 0640 0001 5426 8564
U LJ LJ LJ L-1
...........
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7015 0640 0001 5426 8557 7015 0640 0001 5426 8625 7018 0040 0000 4838 6247
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(D CL
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...........
SMB RE SERVICE INC.NEIGHBOR LIST
CACI nn Partners 40 0000 4838 6247
C o AnthonyCaci ppo 018 0 O..mm..
282 Ryder Road
Manhasset NY 11030
Sctm: 1000-63.-3-10
Mullen Realty LP 7015 0640 0001 5426 8557
PO Box 1408
Southold NY 11971
Sctm: 1000-62.-3-22.5
Mullen Realty LP
PO Box1408 7015 0640 0001 5426 8564
Southold NY 11971
Sctm: 1000-62.-3-11
Thomas J.McCarthy
46520 Route 48 7015 0640 0001 5426 8571
Southold NY 11971
Sctm: 1000-63.-3-9
Donna L. Dill PE
Managing Civil Engineer 7 015 0640 0001 5426 8588
Structures Department MTA LIRR
Hillside Main Complex
93-59 183`d Street
Hollis,NY 11423
Sctm: 1000-63.-3-3
1070 Boisseau Ave LLC
PO Box73 7015 0640 0001 5426 8595
Orient NY 11957
Sctm: 1000-63.-3-1.3 (AG)
700 Boisseau Ave Rty LLC
C/o Arthur W. Leudesdorf 7 015 0640 0001 5426 8625
700 Boisseau Avenue
Southold,NY 11971
Sctm: 1000-63.-3-2
FILE CG���,`Y`
wuwwrwwduu
ummuuou iu�mmom�.� ...�,.
IV
Sotithaild Town Clerk
APPLICATIONFOR TRANSFER OFSANITARYFLOW CREDITS
APPLICATION NAME:
seyvires
under which application all be known)
District lac of
A. SUBMISSION INFORMATION:
Applicationis herebye to the Southoldo the transfer of a sanitary
flow credit s to Chapter 87 of e,
B. GENERAL INFORMATION:
® Name Of is ( m gn
c. m Dyes°
Address: lnSn W n4 ` Y
Telephone No. .
f the applicant saes not own the property or is a contract vendee,prepare the
endorsement at the end of this form establishing owne e authorization of the
applicant's request.
2. Is the applicant a contract vendee? YesNo
. Is the applicant a corporation or partnership? Yes No
If yes, give the name and title of the responsibleofficer:
a eeTitle: PYeSidmi
e : if different),
Telephone No.: ..
I ict5 inc.
3. ers): tAnYK %rb,vj Title: Diesident
Address:TelephoneI i
4 ,
PROJECT DESCRIPTION: Multifamily dwelling
The owner wishes to build three(3) affordable/work force housing units at the
rear of the property. The proposed size of the dwelling units will provide housing for
families. As a small businessman, the owner is finding that his employees cannot find
places to live in Southold Town. The owner is proposing 6 dwelling units, three
designated affordable,with 3 sanitary credits from the Town Board.
The parcel is zoned ® It is 91.17 in width and 698.35 in length. The Dwellings
are located behind the mixed use building on Main Road and are not visible from the
Main Road
4. Name of Attorney, or Agent authorized to represent the property owner and/or applicant:
Name:-Daynn wul(' Title:_ pu
Name of Firm:. MDMe, I,otk Gnkio
Address: 15)n20 )1921
Telephone No.: i®® CAR- qUalp
5. All communications with regard to this application shall be addressed to the following
person until ftu-ther notice:
Name: Mof Title:_P d ent
Address: J'0_5!D Wnlj \)iew dyj Al_VE, SOW p1r), w 11Q'71
Telep hone No.: Kih-V_LdJ--4 11
C. SITE/PROJECT DATA:
1. Location of Property 5)6D2.v) Mmvi Pont]. Suidkto)d, mu
2. Existing zoning is
Special Overlay District(s), if applicable
3. Lotarea:_6 q01 sq. ftoracres 1. 5B cLar-S
4. Existing: Building Area 2,282 sq. ft. Lot cove rage 11. 5bdo
,pyome-d 1 *1
5. Please attach 'a detailed typewritten description of the project,the proposed use and
operation thereof, including a detailed explanation of the design concept,the reason for
the particular design, objective of the developer or project sponsor,why the credit is
needed.
6. Does property have an existing cesspool and/or septic tank? '/ Yes —No
7. School District Swil-Wold
8. An appropriate Environmental Assessment Form(EAF)must be attached. All Unlisted
and Type I Actions require either a Short or Full EAF to be prepared.
D. I hereby depose and certify that all of the above statements of information,and all
statements And information contained in the supporting documents and drawings
attached hereto are true and correct.
Sworn before me this 10 APPLICANT'S SIGNATURE
day of ACbA)P_V'
KYLEE S DEFRESE
ROTARY PUBLIt NOTARY PUBLIC-STATE OF NEW YORK
No.07 DE04201 56
QUafitied in Sullolk Couniq
My Commission Expires 0"VZ026
E. APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE
FORM
The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of Town
officers and employees. The purpose of this form is to provide information which can alert the
To of possible conflicts of interest and allow it totake whatever action is necessary to avoid
same.
<7
YOUR NAME: �J Vecd—[E�;��e-Elk V N( W
(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.)
NAME OF APPLICATION: (Check all that apply)
Tax grievance Building
Variance Trustee
Change of Zone Coastal Erosion
Approval of plat Mooring
Exemption from plat or Planning
official map
Other
(If"Other",name the activity)
Do you personally(or through your company, spouse, sibling,parent, or child)have a
relationship with any officer or employee of the To of Southold? "Relationship"includes by
blood,marriage, or business interest. "Business interest"means a business, including a
partnership, in which the To 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
If you answered "YES", complete the balance of this form and date and sign where indicated.
Name of person employed by the To of Southold
Title or position of that person
Describe the relationship between yourself(the applica:nt/agent/representative)and the Town
officer or employee. Either check the appropriate line A)through D) and/or describe in the space
provided.
The To officer or employee or his or her spouse, sibling,parent, or child is(check all that
apply):
A)the owner of greater than 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);
Q an officer, director,partner, or employee of the applicant; or
) the actual applicant.
DESCRIPTION OF RELATIONSHIP
Submitted this IW3—day cif_ ___.20
Signature,
Print Name M a11/J!L_ 'LU
r
AUTHORIZATION
(where the Applicant is not the Owner)
residing at
cc `�I'Lo.�t_.....__. ... :.._..._ .._... ....(_..( q_—( (.. . ._.._do hereby authorize
pez-;ty-i
to apply for a transfer of sanitary flaw credit on my behalf.
Owner's Signature:____,,_____-