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Home My WebLink About1000-9.-5-14 & 16.1 \ Drawing Copyr.g"P 201 WEST STREET OpiF \� Mo,,V r g y�9 k AV w F 7 33 Wilbur Cross Way,Mansfield,CT 00265 J SITE 101 East Piver Drive,1st Floor _ / East Hartford,CT Of-108 860-885-1055 1 www.chacompanies.com m J� / 2� 10. / W \POLE k0 w \ #376 \ \\ �y� LOT LINE MODIFICATION PREPARED FOR: MON. O C� (FOUND) a'� S. �T 9�� qr SAINT JOHNS EPISCOPAL �h h� %P �� G 9�FtiGF CHURCH FISHERS ISLAND NNp" % �` \\ NIF 644 ORIENTAL AVENUE F \ FISHERS ISLAND N 2378.14 FISHERS OWEN POL W 1972.66 NIF o, '9L LIVING TRUST LOCATION MAP SCALE 1 to=400' NEW YORK MUNICIPAL WATER #128 JOHN'S EPISCOPAL URCH ?� \\ ON SITE SEWAGE •��, ISTING AREA=41,132E �9 • DISPOSAL SYSTEMS PR OSED AREA=31,246E S.� S TM 1000-009-5-14 0/ MAP REFERENCES �1 POL ti \#377 \ 1. "SURVEY MAP PROPERTY TO BE CONVEYED TO DANIEL M. FISHER-OWEN AND SUSAN A. FISHER-OWENS, 265 CRESENT AVENUE, �0 FISHERS ISLAND, NEW YORK" DATE: 08/30/2016, SCALE: 1"=30', \ SHEET 1 OF 1, PROJECT 2016817 BY CME ASSOCIATES�Sp� RETAINING WALL APPRENGINEERING, LAND SURVEYING AND ARCHITECTURE, PLLC. eO�EXISTING SEPTIC �o COTTAGE AREA NOTES S (FOUND) s'�, I e) oo a�� 1. THIS SURVEY WAS PREPARED FOR THE PARTIES AND PURPOSE -- POLE 51 O �a'h� o� �6h 6�9'�0)� \\ PURPOSED AGREINDICATED ON. ANY ED TO BETWEEN EXTENSION THE CL ENT AND BEYOND THE POLE OF NE �51.93 #129 ti ?s Qo ti O soG� F EXCEEDS THE SCOPE OF THE ENGAGEMENT. FT •S , ti O PROPOSED / O S EXISTING F o,Q LOT LINE APPROX. 2. IT IS A VIOLATION OF THE STATE EDUCATION LAW FOR ANY RESIDENCE Q 00 e" � SEPTIC � PERSON, UNLESS ACTING UNDER THE DIRECTION OF A LICENSED FF `�>, ��P AREA (FO)UND) \\ LAND SURVEYOR, TO ALTER AN ITEM IN ANY WAY. � 9� '9 �r9, Op •.�• >, EXISTING WOOD 3. ONLY COPIES OF THIS SURVEY MARKED WITH THE LAND 107 / h� FriST� ��o* �o COTTAGE DECK ,�o s // ARESUR THE PRODUCT TOFETHE AND AN LAND UIRINAL VEYORME3OSSED OR INK SEAL y`�'FO SAND S�Q� rF,66 C:o o \\ 4. COORDINATE DISTANCES ARE MEASURED FROM U.S. COAST AND ��lv �'9i koh ^pry \G� ap GEODETIC SURVEY TRIANGULATION STATION "PROS" IT IS A 1AOIJ7ION OF LACY FOR ANY PERSON,UNLESS THEY Ate LIGHT ACTING UNDER THE DIRECTION OF A LICENSED PROFESSIONAL / 4j'S• �, ENGINQR,ARCHTECT,LKOSCAPE ARCJLITECT OY LAND p,N POLE PAVED _ —— 5. SITE IS IN THE TOWN OF SOUTHOLD, COUNTY OF SUFFOLK TAX "Am\&OR Tn ALTER AN ITEM IN ANY WAY.IF AN I1EM 6EARINO THE MON. DRIVEWAY _ STAMP OF A UCMSED PROFESSIONAL IS ALTERED,IM ALTEPING (FOUND MAP 100t~. SECTION 9., BLOCK 7, LOT 9.1/9.2. ENGINEER,AFvfinECT,LANDSCAPE ARCH;TECT OR LAND V ) ACV p� SUR*-YCR SHAM STAMP 711E DOCUMENT AND M.UDE THE 'y NOTATION"ALTERED W FOLLOWED 8Y THEIR 9GNATUM.THE y'OAP 's ��• EXISTINGLOT LINE 1`k_ 6. SITE IS LOCATED IN ZONING DISTRICT R-40. w' DATE°F 5"�"A'or niiEE ALTANRERATION. "x°EscRIPn°" #1130 \\ �� s �� I.PIPE WOOD oo. ` 7. LOCATION OF SUBSURFACE UTILITIES SHOWN HEREON ARE > (FOUND) APPROXIMATE AND ADDITIONAL UTILITIES MAY EXIST THAT ARE NOT o g9' ANDSCAPED '- LANDING RAILINGS SHOWN ON THIS PLAN. LOCATIONS ARE COMPILED FROM UTILITY AREA O� JBLDR. HEDGEROW CONCRETE RUN � 80.00' PLANS OF RECORD AND DIG-SAFE FIELD MARKINGS. RIM AND INVERT STONE WALL OFF GUTTER N 8T18 40 E INFORMATION HAS BEEN COMPILED AND FIELD VERIFIED WHERE POSSIBLE. THIS INFORMATION IS NOT TO BE USED FOR \ CONSTRUCTION. BRICKMO 0— OUND) PATI NIF 8. OWNER / APPLICANT: PIERPON c TREELINE SPLIT RAIL FENCE PEQUOT LAND AND MONUMENT "Oi` BULKHEA N PROPERTY L.LC OOD HANDRAI MUNICIPAL WATER9. SITES ARE SERVICED BY MUNICIPAL WATER AND ON SITE SEWAGE \ WL' �' � \ �' ` ON SITE SEWAGE DISPOSAL SYSTEMS. 48'S9'13" E I , 0—� 3o.9s' o DISPOSAL SYSTEMS � s CONC STEPS Co CHURICH NG o FLAG POLE m N. (FOUND) ?+ C, WINDOW WELL — NIF N 80'38'2(I" E 0.94E ACRES -3'x3' PAD ST. JOHN'S EPISCOPAL CHURCH 44.41' — \ o I BL E STONE EXISTING AREA=54,457E S.F. ---- _ [, [�rmi(]WMD WAL PROPOSED AREA=64,343E S.F. Zo ��• SCTM 1000-009-5-16.1 � DEC 2 3 2025 STWOOD OO HAONE DNIDRA WCOOD LANDING PROPERTY LINE — — ABUTTERS LINE SOUTHOLD1iJWN o WOOD HANDRAIL W//HANDRAIL EDGE OF PAVEMENT PLANNING BOARD EDGE OF GRAVEL ------------------- \ METAL HANDRAIL BRICK W/ALK STONE WALL o�occ I- RETAINING WALL G � STONE LANDING CF Rq�y/T No. Submiitall�,evision App'd.l By Dal.. o Oc F RFC N NOW OR FORMERLY NIF -- --__. -- -_-- (A B/T A q� + NIF UTILITY POLE -�- Z 0 GLEN NORTON & BOUNDARY POINT ® - ---------- ___ 1.25E ACRES FtiT G P MERESTONE i d�' RqN/TF R �o $ MUNICIPAL WATER ON SITE SEWAGE /� DISPOSAL SYSTEMS _ 0 _j a0.72E ACRESco LU __ -�.------ \ `' EXISTING \ �'c� #020 of o \ / RE.-SUBDIVISION \ Ar °°V. w MAP 0 1.�48f ACRES \ s ��•22' // r EXISTING AND PROPOSED LOT AREAS Designed 6y: Drawn By: Checked By: i LOT EXISTING PROPOSED = NH cB z 1000-009-5-14 0.94t ACRES 0.72t ACRES \ Issue Date: Project No: Scale: i (41,132t S.F.) (31,246t S.F.) 8/1/2025 101794 1"=30' 1000-009-5-16.1 1.25t ACRES 1.48t ACRES Dr"awi ng No.: PROPOSED (54,457f S.F.) (64,343f S.F.) 30 15 0 30 GRAPHIC SCALE IN FEET SHEET 1 OF 1 KEY MAP' SCALE 1 "=100' Uki MIIT,,pp!''yw"ems tiP I'�w )Wm II',w'Mmm ru, OFFICE LOCATION: MAILING ADDRESS. S: P.O. Box 117" Town Hall Annex 54375 State .cut 25 �" � Southold, 11971 Telephone: 631 765-1938 Southold, NY ,N www.southoldtown.ny.gov { M 4 III I J PLANNING BOARD OFFICE T O WET OF S O T..TH O a.D July 14, 2026 Mr. Stephen L. Ham, Bs 106 Longview Road Southampton, NY 119+68 Re Public Hearing St. John's Episcopal church Resubdivision 806 Oriental Avenue, Fishers Island SCTM#1000-9.- -14 & 16.1 Gear Mr. Ham. A Public Hearing was held by the Southold Town Planning Board on Monday, July 13, 2026 regarding the ,above-referenced application. The Public Hearing was closed. If you have any questions regarding the information contained in this resolution, please contact the Planning Board Office. Respectfully, A "LA ill James H. Rich Ill Chairman MATTHEWS & HAM ATTORNEYS AND COUNSELORS AT LAW 106 Longview Road SOUTHAMPTON,NEW YORx 11968 PHILIP B.MATTHEWS 631-283-2400 (1912-1992) FACSIMILE 031-287-1076 STEPHEN L.HAM,III EMAIL STEVEHAM190@GMAIL.COM -OF COUNSEL- BAEBARA T.HAM a July 10, 2026 F rocC w, �10 Ms. Jessica Michaelis SOUTHOLD TOWN Southold Town Planning Department P. O. Box 1179 Southold, NY 11971 Re: Lot Line Modification for St. John's Episcopal Church Fishers Island (SCTM Nos.1 000-009.00-05.00-014.000 & 01 .901) Dear Jessica: In accordance with your request and in connection with the public hearing of the referenced lot line change application that has been scheduled for July 13, 1 have enclosed the original executed Affidavit of Posting signed by Andrew R.Ahrens which I had emailed to you this morning. Please file the enclosed as necessary. Thank you for your attention to this matter. Sincerely, L r _. Stephen L. Ham, III Enclosure AFFIDAVIT OF POSTING This is to serve notice that I personally posted the property known as 664, 666, 668 & 806 ORIENTAL AVENUE, FISHERS ISLAND, TOWN OF SOUTHOLD SCTM GIs 1000-009.00-05.00-014.000 & 1.000-009.00-05.00-016.001 by placing the Town's official poster notice(s) within 10 feet of the front property line facing the street(s) where it can be easily seen, and that I have checked to be sure the poster has remained in place for seven days prior to the date of the public hearing on - - JULY 13, 2026. �. ; ree �rr t��; e-o�ers-of-rco -�f..�v ...ai o ANDREW R. AHRENS Your Name (print) Signature 386 WINTHROP DRIVE - #718, FISHERS ISLAND, NY 06390 Address JULY 7 2026 Date Subscribed and Sworn to Before Me this ,7 day of July, 2026 Notary Kblic JASON W.011,19ified in Suffolk Colintv �FEt_iv,a ,.w+«•«•* ar arr ssaP"Ok,County NoUIr^y Pub ic,-State of NowYpF� w` r" M`aaad rpr� "0at �et�Ea w 1`a df W'ra &�6 1RE fa(k" 4ar4 " "d,C ••••. rtin , N1,rd'J;(pNDR6350454 klycommdssbnExpire.AR vaa a6m Yg , � " 1 My LneaaesNiCwmem r07,20 ,,�`'!PLEA$1 F*URN THIS AFFIDAVIT, CERTIFIED MAIL RECEIPTS & GREEN RETURN ,EC91R ARDS BY. 12:00 noon Fri. 7/10126 d�aMl2tYr 4w{r,•�� Re: Saint John's Episcopal Resubdivision SCTM#: 1000-9.-5-14 & 16.1 Date of Public Hearing: Monday, JUN 13, 2026 5:00 p.m. MATTHEWS & HAM ATTORNEYS AND COUNSELORS AT LAW "?ie(veivv Sivitetw 106 Longview Road SOUTHAMPTON,NEW YORH 119e8 PHILIF B.MATTHEWS 631-2Y83-2400 (1912-1992) FACSIMILE 031-287-1076 STEFHEN L.HAM,III EMAIL STEVEHAM190@GMAIL.COM -OF COUNSEL - BABBAEA T.HAM July 7, 2026 Ms. Jessica Michaelis Southold Town Planning Department P. O. Box 1179 S6urHOLL Southold, NY 11971 PLANNNG WART Re: Lot Line Modification for St. John's Episcopal Church Fishers Island SCIM Nos,10 0-009.00-06.0 -014.000 & 0 6.001 Dear Jessica: In connection with the public hearing of the referenced lot line change application that has been scheduled for July 13, 1 have enclosed an original executed Affidavit of Mailing signed by me. Attached to the latter Affidavit are a copy of the Notice to Adjacent Property Owners, two sheets listing the owners of the nineteen properties to be notified, and the original certified or registered mail receipts along with the eleven green signed return receipt cards. Please file the enclosed as necessary. Thank you for your attention to this matter. Sincerely, Stephen L. Ham, III Enclosures ............. ................. A.Si ature or as n*( 'rin; 1 dress on the reverse tivolp it�)�24Nr , , 13 A to th t do 14 rn1he card to you. X gent • 4-1 Addromm 10 Attach this card to the Ack of the mailpiece, 7B. ' Wedlay(PrinledIvame) C_ te f"_D_1P__Y o on the front if space permits, e 1.Article Addressed to: D.Is delivery addresstedidffer�emnt:fro�m—Wrt�rn�7'—YP_'-� Zinnia Hill LLC If YES,enter delivery address below: []No c/o Katharine Stevens PO BOX 595 - Fishers Island, NY 06390 0 Adul 3. ServS Ic.ature Restricted Delivery 0 Typo E)Priority Mail ExpreRestricted ss@ i t Signature 0 Reg Wered Mall istered Mail t ign rm ,JU 9402 7785 2152 2348 46 rciihified Mall@) De livery a,uy 0 Certified Mali Restricted Delivery 0 Signature Confirmation- El Coileert on Delivery 0 Signature Confirmation 2.Article Number(Transfer from service labe# ❑�olsol an DeWory Restricted Delivery Restricted Delivery .-._.,_..,ail r016 Llulu 0000 9192 9804 Q Restricted Delivery PS Form 811,July 2020 PSN 7530-02-pp0-9053 ni Return Receipt ww Print your name and address on the reverse 0 Agent so that we can return the card to you. 0 Addressee r>tl Attach this card to the back of the mailpiece, a.Recaivdd rT ed Na r b)" Date of or on the front if space permits. 6' '6Tlvw� Y(A 1.Article Addressed to; D.Is Wray address different from item 1 0 yes Lillie Ahman If Y S,ante, dT""tow: [3 No PO BOX 84 Vulca n Ave Fishers Island, NY 06390 3 Service Type 0 Priority Mall Express@ duj....tu Registered Wpm 11 Jill III ❑ Udu,1 na 13 Signature Restricted Delivery 13 Registered Mall Restroiled Certified Malle 9590 9402 7785 2152 2348 22 11 Certified Mail Restricted Delivery .sigmary .Coriffinnation'm 0 collect an D alive ry E3 Signature Confirmation 2.Article Number(Tunster from service label) 0 Collect 0 nail Do livery Restricted Delivery Restricted Delivery I——m 7018 0040 0000 9192 9828I Nail Restricted Delivery PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt mmmmmffimm a"On a• COmpl A I :!ns 1 2,and 3. A.Signs to ..... ...... • Print your name and address on the reverse 13 Agent so that we can return the card to you. 0 Addresses •Attach this card to the back of the mallplece, ved an Date of Delivery ....—or on the front if spaceCa permits. s. 1.Article Addressed to: D.Is alivery a s t K6 eI Rom 12 0 Yes Walsh Park Benevolent Corp If ES,ante a1y rite low. 0 No PO BOX 684 Fisher. Island, NY 06390 �3 Service Type 1:1 Priority Mail Express* Signature 0 Registered Mall- .U,111 S:glnah-Restricted Delivery 13 RM%Merad Mail Restricted Certified Maft vary 9590 9402 7785 2152 2347 85 0 Certified Mall Restricted Delivery 13 Signature Confirmation- El Collect on Delivery 0 Signature Confirmation 2.Article Number(Transfer from service labd) 11 Collect on Delivery Restricted Delivery Restricted Delivery ---d Mall 7018 0040 0000 9192 9866 1 Mall Restricted Delivery 50p) PS Form 3811,July 2020 PSN 7530-02-00D-9053 Domestic Return Receipt * Compildi It and 3. A.sign to to Print your na nd address on the reverse 13 Agent ad that we6� rn the card to you. k A 41 ❑Addr2seqR_ * c cthe mailpiece, NC.Date of Deliveryta fros ce ermfts. ............1. Artle Addressed to: a dell ry ass ifferent Its 17 0 yes If YES,enter defivIr Ims belo L3 No F I Utilities Co Inc PO BOX 604 Fishers Island, NY 06390 IIIIIIIIIIIIII 3. S.rviceType El Priority Mail Expressb 0 Adult Signature 1:1 Registered Mal 111111111111111 loll 111111111111 u "nature Restricted Delivery 13 Re Mall"Restricted egistered =d'1`f!d 1431:0 De very 9590 9402 7785 2152 2347 78 0 Certified Mal Restricted Delivery 0 Signature Conflanation- 11 Collect an Delivery [3 Signature Confirmation 2.Article Number(Transfer from service label) 0 Collect on Delivery Restricted Delivery Restricted Delivery etl Mali 7018 0040 0000 9192 9873 ed Mail Restricted Delivery Ps Form 3811,July 2020 PSN 7630-02-000-9053 Domestic Return Receipt ............ ......- ........---------- *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, 0 Al" 10 Attach this card to the back of the mallpleoe S.R d Pr Name) 0.pate of ol or on the front if—SRSRtl --i Arilicle'Addressed to: D.Is delivery address different from item 1? [3 yes I If YES,enter delivery address below: E3 No Pel Land & Property LLC c/o Robert G. Warden 370 Park Ave PO BOX 5 New York, NY 10022 3. Service Type 0 Priority Mall Express®0 Adult Signature ❑13 Registered Mall- Vidult Signature Restricted Delivery E3 He C. otstal Mal Restricted rtifted Will Do very 9590 9402 7785 2152 2348 91 0 Certified Mail Restricted Delivery 13 Signature cordim,auooTM+ 'Collect n"Zry 0 Signal Confirmation 2.Article Number—(ref.,from service C.�::.t On Dl y.Restricted Delivery Restricted Delivery 7018 1830 0002 0062 2161 PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt I Z rse ent —,--so that we can return the card to you. l wt Attach this card to the back of the piece, Delivery 1Artic a Addressedtk 1? Yes F I Telephone Corp If YE en delivery addressbalouJ No PO BOX 604 Fishers Island, NY 06390 4ag Exisl 0 Adult Sig ature 0 Rol Malfr- 11111 IN 11111111111111111111 Vdult Signature Restricted Delivery 0 Do Wered Mail Restricted Ca )? rlified Mal 0 'very 9590 9402 7785 2152 2348 77 El Certified Mall Restricted Delivery 0 Slgnatvre ConilrmatlonTM 0 Collect on Delivery 0 Signature Confirmation 2.Article Number(ftrisier fromeorvill tabel) 11 Collect on Delivery Restricted Delivery Restricted Delivery 7018 0040 0000 9192 9774 Restricted Delivery Ps Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt a complete" 1,2,and 3. A.ftriature, It Printy n *'And address on the reverse x CMAgent al the card to you.so that rmee- 2 Attach this card to the back of the mailplece, Received y(Printed N a C.D to f Delivery 0 .is front ifspace ei prmts. ............----...........— z .--a Addressed to: D.Is Aveq add"diff from item 1? 0 Yes If YES,enter delivery address below: 0 No Stephanie Hall -PO- BOX 373 Fishers Island, NY 06390 3 Service lype Q Priority M411 Expresse ❑Adult Signature 13 Registered Mall Signature Restricted Delivery 0 Registered Mail Restricted Soliberliffed Malle Delivery 9590 9402 7785 2152 2348 60 0 Cortfified Mail Restricted Delivery El Signature Confirmatiol 0 Collect on Dollvely El Signature Confirmation 2.Article Number(Transfer from service taboo t on Delivery Residded Delivery Restricted Delivery 7018 0040 0000 9192 9781 r V iV Restricted Delivery PS Form 3811,July 2020 PSN 7530-02-D00-9063 Domestic Return Recall lig MM'OM I I i ' 2 and 3. A.Signature 0 Cl n 0-ital I address on the reverse P1 t ."ent 0 Pdrit you'name A. reverse x 0 Addressee Sey that vae 0 n the aid to you. 9 SC 0 Attach this card to the back of the mallpiece, B. ved by(Printed Name) Delivery or on the front if space permits. 7 1.Article Addressed to: D.Is delivery address different from item if 0 Yes Bunting G L 1990 Del Trt If YES,enter delivery address below., [3 No 217 International Cir Hunt Valley, MD 21030 3. Service Type IJ Priority Mall Express® 0 Adult Signature 0 Registered Mall- Wult Signature Restricted Delivery 1301 maid rfirled Mal a '�rd Mall Restricted 9590 9402 7785 2152 2348 53 0 Ceffified Mal:Restricted Delivery 0 Signature Confirmal 0 Collect on Delivery 0 Signature Confirmation 2.Article Number(Transfer from service taboo 0 Collect"on Delivery Restricted Delivery Restricted Delivery 7018 0040 0000 9192 9798 Restricted Delivery PS Form 3811,July 2020 PSN 7530.02-000-9053 Domestic Return piwllerpt N Complete ito-ms 1,2,and 3. '� Slgr ature to Print your name and address on the reverse X /'r Agent so that we can return the card to you. ❑Addressee "-ich this card to the back of the mailpiece, S, ved b ( Tinted Name) C. Date of Deliv ry _o on the front if space permits. ^ o 1. Article Addressed to: _ D. Is deliveik address different from item 1? 0 Yes If YES,enter delivery address below: ❑No Patricia Norton 396 Alpine Avenue Fishers Island, NY 06390 II III Jill I II 11111111111111111111111111111111111111 I El❑Adulpresa t 3 nature gnature e Restricted Delivery 13 Registered Mallvm ar Priority Mai IN Restricted 9590 9402 7785 2152 2349 21 ❑Certified Mall Restricted Delivery ❑Sfqnatvm Confirmation'" ❑Collect on Delivery ❑Wonaturuta confitmotlon 2. Article Number(transfer from service label) El Collect on Delivery Restricted Delivery Reste DeUvery 7 018 1830 0002 0062 2185 Iq lai&Restricted Delivery PS Form 3811,July 2020 PSN 7530-02-000-9053 _w...... Domestic Return Receipt . • • , Complete items 1,2,and 3. A. "nature y ❑Agent 'Addressee Print your name and address on the reverse )U� alv�-kl so that we can return the card to you. e Attach this card to the back of the mailpiece, 13,11 Received by t in ''^tr , Date of Delivery or on the front if space permits. " �. 1. Article Addressed to: D. Is deliv ad ss different from itt 1? '�P Yes If YEa to delivery address 'o : ej No I Lhr-sry r0 BOX '366 "ishers Island, NY 06390 � 3. Service Type �� k'doafty Moo l xaw'� II III III III 11 1II �II II�I1I II III I I II III 0iltSigriskure ❑Registered Mailaa" ❑Adult Slg/m a lle Restricted Darivary ❑R l tstreyW Mall Restricted 9590 9402 7785 2152 2349 45 t�ormw Wified Mataail Restricted Denvaty ❑signal re ConfirmationTM ❑Collect on Delivery ❑Signature Confirmation 2. Article Number(8ansfer from service label) ❑Collect on Delivery Restricted Delivery Restricted Delivery n 1— wi nail 7 018 1830 0002 0062 2208 Restricted Delivery PS Form 3811,July 2020 PSN 7 530-02-000 9053 Domestic Return Receipt • Complete items 1,2,and 3. A. Sign u aI 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, lved by y n"ted Name) C. D)at o D;Hve 1. or on a Addressed to ace permits, D l _ Is delivery address different from item 1? ❑Yes If YES,enter delivery address below: ❑No Our Lady of Grace RC Ch PO BOX 425 Fishers Island, NY 06390 II I I I I III III II II I I I I II I II I I II 3�dult Service Type ❑Priority Mail Expresso Signature ❑Registered MaiT"+dult Signature Restricted Delivery ❑Registered MallRestricted ertlfied Mail® Delivery 9590 9402 7785 2152 2349 52 ❑Certified Mail Restricted Delivery ❑Signature ConffrmationTm _ ❑Collect on Delivery ❑Signature Confirmation 2.-Art1ele Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery Restricted Delivery -i Mail 7 018 1830 0002 0062 2 215 DMOal:Restricted Delivery PS Form 3811.JuIV 2020 PSN 7530-02-000-9053 Domestic Return Receipt Submission Without a Cover Letter ® (ZLR0dI D JULI () 2026 SOUTHOLD TOWN S�Cphej\ � PLA�YNId Ca SO V D Name: Project Title: JL-)h�L �j�-LSCO 1� � ' 9--c SCTM#: 1000 - `1 - 57- IL4 Date: -,-I I t (7,ez 6 Details of Submission: C-("kr-A-A FAfj PLANNING BOARD TOWN OF SOUTHOLD: STATE OF NEW YORK --------------.._- _------------------------------------- In the Matter of the Application of X ST. JOHN'S EPISCOPAL CHURCH FISHERS ISLAND AFFIDAVIT OF S.C.T.M. Nos.1000-009.00-05.00- MAILING 014.000 & 016.001 COUNTY OF SUFFOLK�.),...__..�.__.�_,,____ _..___-_.._®.._�,.. STATE OF NEW YORK ) ss.: I, STEPHEN L. HAM, III, having an office at 106 Longview Road, Southampton, New York, being duly sworn, depose and say that: On the 26rd day of June, 2026, 1 personally mailed at the United States Post Office in Southampton, New York, by CERTIFIED MAIL, RETURN RECEIPT REQUESTED, all of the receipts and eleven of the green cards of which are attached, a true copy of the attached Notice of Public Dearing in prepaid envelopes addressed to the current owners of record, as shown on the current assessment roll verified from the official records on file with the Assessors Office of the Town of Southold,of eve ry y whlich abuts and every property which its across a public or private street, or vehiculari right-of-way of record, surrounding the applicants' properly. Stephen L. Ham, III Sworn to before me this 7th day of July, 2026 4 G Notary Public, State of New York BARB'ARAT HAM Notary Public state of New york No 619,59 Qua n Suffolk County Commission Expires August 15, 20 46 Y AFFIDAVIT OF POSTING This is to serve notice that I personally posted the property known as 664, 666, 668 & 806 ORIENTAL AVENUE, FISHERS ISLAND, TOWN OF SOUTHOLD SCTM #s 1000-009.00-05.00-014.000 & 1000-009.00-05.00-016.001 by placing the Town's official poster notice(s) within 10 feet of the front property line facing the street(s) where it can be easily seen, and that I have checked to be sure the poster has remained in place for seven days prior to the date of the public hearing on inn 13, 2026. . . . � eee� t�nd-- �tt-� , arm,. ANDREW R. AHRENS Your Name (print) —4j, Signature 386 WINTHROP DRIVE - #718, FISHERS ISLAND, NY 06390 Address Jura 7 2026 Date Subscribed and Sworn to Before Me this day of July, 2026 Notary iblic -JASON W,D,--LNA QA 1d T'G� .,j,7ak c C),«atV . w w.x a rug" r ax6n C twnty NOtar+y 6'uYaP c.S'44P of N41W q CrYevo YcvIt '@'� k� N 01rP.0 , a479rj d�a"�"��rra��s�5wasbfa'xcstWora¢rf,er4kP,d�Gfi$ ".a '' •`�PLE µ L�RN TRJS A1= T C RT i E A R� �IR'T & GR N RETURN ARdS 12:00 noon ri. B1 Q126 1C#ck:Fk**#Yrk***#yc:He*ynk�k'k#********#icrYt*itYe it*Yr*Ye*ie7ctic**:k#:F****irk**t*1r kic*ar%^k%h*k***:FktickFit**:kik*i[e 1tr{nMFth* Re: Saint John's Episcopal Resubdivision SCTM#: 1000-9.-5-14 & 16.1 Date of Public Hearing: Monday, Julv 112026, 5:00 .m. �6+rrrrl,yr((Z „fir Fri%I%a a r�av +,.."... //ii r:,l' ,h, � niun,4 :..,r., 11�r"iV�'y+��'G�a?r,��'lA%�rrtda+ 'E ': I✓/ ul„ I .M� d�Jr rr Orel lrlr �,� v".� �/'��;� �� t�r1ly,�f �,r� fit',:yh, ol,"r. 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M ii+, r rd� t � 70 f ml arr✓ r � 'N/ e l7 c rr ✓ ru dd�m�oa U�p4�.VVq r��Fd i^��r�' r�� nx�UC 1 af�9G`�r+uJ�N��r��/��✓ "r I� ? `r r�I ru � / 1� '"'p,+rU� '" r x }u w."yU,"�y. '� r u"N�l°rrr 9r r ✓x rm r r ra r i Wr im"xi""rir I'k rT �i : FL 34 2 7!!� ^wces're�.� il p � � ,xr ;� F� � � a r .I;SA-8 0 r EiraS u os,chxkba, a "a k 1� i yQQ❑R�tvn Recalpt ll s&opy). - r1 r 9 ❑Ranun Reed pt(clae.roruc) 1 6 O -,. w� darxf O ❑cefrfiedhdalResi ted cceNey 9q.�&,dl;� .,�f rRismr p ❑Adult Wgralure Required - 7.1 Y ❑Adult Slgnalum Restrlcted Oellvary 0 Postage ^ $LI 73 _ '1 Y11ilP st geand're s _. i�d 23/2,026 cc ra p 1 FL 34275 "�x"..�. ;r PCIMIP11t,items 1,2,and 3, A Stgnatture t Print your name artd addrms on the reverse X so that we can return the card to you. gent ❑Agent y , Attach this card to the back of the mai'Ipiece,, S. Re ad! Name) C. Date of Delivery or on the front if space permits, 1., Article Addressed to: D.Is del ivefyaddress different froth them 1? 0 Yes. Pequot Land & Property LLC Ir YES,enter delivery address below., 0No C/o Robert G. Warden 370 Park Ave PO BOX 5 New York, NY. 10022 II II I I I I ''IIII I I II 13 Service Type . ._ � Mail Mal mti ® d II I I II III �� ue s Adult Slarrawre dolt Sdgnzpt rre ifr�tdoled Delivery ❑R tste d Mall Restricts 9590 9402 7785 2152 2348 91 ry ❑c r;e a Mall Restricted Delivery ❑s al e confdrtrrcilol ❑Collect on Delivery ❑Signature Confirmation er1830 � f f00020 Collect on Delivery Restricted Delivery Restricted Delivery 2. Artr'.7 018 18 30 r �� ) �°0 2 0 2 0 0�6 2 2161 oil Restricted pelivery PS Form 3811,JulY 2020 PSN 7530-02-000-9053 Domestic Return Receipt 1 ra �. p 2,and 3. a A,� �' III tl Ccm ke Srgr9a"lD,a �' nd address on the reverse Attach this car ®Agent Print your na" 11 'Print we can return the card to you. ° =� Addresser to the back of the mailpiece, 0 ei'ved troy to Date of Delivery 1. Article the front if space permits. c;, f or cl th dressed to: D. Is delay a ress different from item 1 .. . ? Yr^� F I Telephone Corp If Y ante delivery address beiouor: No PO BOX 604 Fishers Island, NY 06390l i I I I II i-i dultSignature II I! � II N IiI, ra Adult '� ...�„ o R its i�t� 3. Service Type ressS7 9590 gull Signature RestriMed Dellvery ❑Re Fates Me�rrRestr sled 85 2152 2348 77 i Certrtted Mo¢firvery C7 CedfiTed iii# ricte,d Dritllvory ❑Signature Confirmation- 9402 7 .-i —ic a �.- t"i colle'A on Deiive ❑Signature Confirmation 2. AglacteNt�rtt„ter{YrensCrfrcrtt,�ertyrdeta,ta� �f co lleet on DeNVM Rmxstricterl DePrfwery Restricted delivery 7 018 0040 0000 9192 9774 Restricted Delivery PS Form 3811 July 2020 PSN 7530 o2-00 -...m.mm 0 9D53 mmm Domestic Return Receipt Wi e Complete Items 1;2,and 3. A. 3lgnrt rtr Print your name and address on the reverse r ❑Agent so that we can return the card to you. o Addressed to Attach this card to the back of the mailpiece, c v I ff' re'tarf a e' r b ate of Delivery or on the front if space permits. 1. Article Addressed to: D. Is alive avid dRlf terra Clear 1?�01'Yes Walsh Park Benevolent Corp If lr ,Cent cd i eryaddre9s*a8owv: C]No PO BOX 684 Fishers Island, NY 06390 'W" FttC II I I 3. Service"type My Mai Drpresi II III II I I II it I I IiIII II II I I III C3 Adult® Ifed Signature ❑Peg Meure Restricted Delivery" ❑Registered Mall Restricted 9590 9402 7785 2152 2347 85 vatV *Certi�lied Mali Rested Delivery Q Signature Confirmation-^ *Ca'lit on Delivr,"ry' ❑Signature Confirmation 2, Arfide Nt mjt r�i"rarlsfer frsrm set v8ca dot s . rt Collect cart Delivery Restricted Delivery Restricted Delivery 7018 0040 0000 9192 9866 dMaid r Mail Restricted Delivery PS Form 3 811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt Complete items 1,2,and 3. A. Sign re Print your I,arawand address on the reverse ❑Agent so that we crt�ts h the card to you. nb a C7 Ad¢tresa a M Attach this d td,ttr the back of the mallpiece, d q rlratced° C. Date of Delivery or on the front if space peemits 1. Article Addressed to: O„js deliveryad!re.e. different d"ro,rat fte 1? i Yes F I Utilities Co Inc f14YES,enter^delivery ad"Sbelo7d,, [INo pp , PO BOX 604 a Fishers Island, NY 06390 ❑�� n�� 3.Adervice pType ❑ o S Adult Signature ❑Pe�lskered MaTIA,Sult Sgra9m Restricted Delivery ❑fiCagispered N keq q ResNrNctsd 9590 9402 7785 2152 2347 78 13 Certil d Mail Res Delivery ❑Sgnature Confl=allonl a ❑Collect,on De6ivarl ❑Signalute C onfirml 2 AdWe Numb r ff"ws(er kom servlca.Tar en ❑ Ilect on Defiveuy Resttcted DoWery, Restricted DellIvery 7 018 0040 0000 9192 9 8 d 1I Restricted Delivery PS Form 3811.July 2020 PSN 7530-02-000-9053 Domestic Return Receipt d l� Complete' 1,2,and 3. A. SNgnaturo Nnt'ycl rind address on the reverse 17 Agent so that.Wla,d Tel lftro the card to you. X w xl fressee Attach this card to the back of the mailpiece, »Received y(Printed fye e) C.D to of Deltvmy to front if space permits. Hddressed to: D. Ill liven addr divelent from item 1? T es Stephanie Hall If YES,enter delivery address below: ❑No -PO BOX 373 Fishers Island, NY 06390 II I I ❑3 Service Type ❑ ape ss� Adult Signature ❑Registered Milrm Adult Sfgnpura Restricted Delivery I I'll 111111111111111111111111111111 Reglstciod Mall Restricted 9590 9402 7785 2152 2348 60 o Certified Mail Restricted Delivery ❑S WO 0ignature confirmationl ❑Collect on Delivery ❑Signature Confirmation 2. Article Number(Transfer from service fatae✓I) ❑collect on Delivery Restricted Delivery Restricted Delivery 7 018 0040 DODO 9192 9 7 81 ui Restricted Delivery PS Form 3'81 ,July2 020 PSN 7530-02-000-9053 Domestic Return Receipt p • Complete items 1,2,and 3. A.� ,nature• ❑Agent Print your name and address on the reverse �jhk µ Addressee that we can return the card to you. in Attach this card to the back of the mailpiece, B. Received bytes 1 ut� , Date of Delivery or on the front if Space,permits. p p ' 1. Article Addressed to: D. Is deft ed4riss different from tt;m 1? l Yes �_ If YES nter"ddliveq address bettvw I No I Library z0 BOX 3-66 ishers Island, NY 06390 P II 3.Mot SfiinalService Type _ PM915togad Mai norlty Mall IG aressSY I I II III �� II I if ICI II I I I II III Adull Sigtt��t�utr Restricted Delivery ❑RLI,15Wred Mall Restricted 9590 9402 7785 2152 2349 45 t art need Mao R ldcted Delivery ❑Del s atu a contirmatiorP ❑Cotgeol on t�eggvrsay ❑Signature Confirmation 2. Article Number(Transfer frtrrtt Servacra fa el) ❑Collect on oulivery Restricted Do5wv ry Restricted Delivery ...-_ -.__._. .. _.-.�_. .,.._m,,,, a .... m nAl&Anil. 7 018 1830 0002 0062 2208 lestricted Delivery Domestic Return Receipt r Complete items 1,2,and 3. A, Ign Print your name and address on the reverse "'" ❑Agent so that we can return the card to you, E2 A idr;es;see 9 Attach B. ReceStM I' ed v Date of Delivery P P ailpiece, s card 1. Article thefro t•Ifs ace permits, r orr on thelfron {o the back of them ed D. Is d i iverit address different from item 17;, 0 Yes Lillie Ahman If YES„ente� Gue addre tel= ;❑No PO BOX 84 *, f Vulcan Ave �„? Fishers Island, NY 06390 Mom� '' � I I I I I IL I I I I I Service Type El Prior ity Mail Express®0Adult Signature Signature Restricted Delivery ry ®Deg Mat Restrict edWcertift WHO eflVe 9590 9402 7785 2152 2348 22 ❑certified Mail Restritied Delivery ❑signature contirmatron7m ❑Collect on Delivery ❑Signature Confirmation 2._Article Number(Transfer from service label), ❑Collect on Delgver Restricted Delivery Restricted Delivery ),_ ra r oil a Mail 018 0 0 4 _ 0000 919 2 9828 Wl Restrlcted Delivery PS Form � 3811,Ju1y2020 PSN7530-02-000 9053 Yµ Domestic Return Receipt Complete items 1,2,and 3. A Sign u e 11 Print your name and address on the reverse 1�Agent so that we can return the card to you. 1 Addressee P permits, _. Piece, C' e) C. Dat o D Ilve r Orton the ach lfrontf so ace the bk of the mail piece,_.._� a IvserS b rru�ded�Na�� " 1. Article Addressed to: D. Is delivery : ress different from it Ve 12 Yes If YES,enter delivery address below: ❑No Our Lady of Grace RC Ch PO BOX 425 Fishers Island, NY 06390 3.I`I II II I I I I I I I ❑ Service wp Priority Mail iPs0 d ultsgnare o Reria� m It Signature Restricted Delivery ❑Rerurd Mali Restrict ed u sgn9590 9402 7785 2152 2349 52 Certified Mail Restricted Delivery El Signature Confim,ationW ❑Collect on Delivery ❑Signature Confirmation 2• Article Number service lab e8) ❑Collect on Delivery Restricted Delivery Restricted Delivery 7 018 1830 0002 0062 2 215 Mall Restricted Delivery iia) PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt i ® iw, I'�V e6mple'te items ,r;2,and 3. r ,� � A. Signature, i 4nt,your-name nd address on the reverse X o -lk�ent sdthat We earl r�tum the card to you. xr. ! ) )Addressee or on the front if space permits. B. Re rvev� rinted dI� f Delivery P P � f 1 M is Attach this card to the back of the mat 1. Article Addressed to: D. Is delivery address different from item 11 0'Yes Bunting G L 1990 Desc Trt If YES,enter delivery address below: ❑No 217 International Cir Hunt Valley, ND 21030 3. Service❑Adult Signature ❑priority Mall Express® ❑Adult Signature ❑Registered MafiTM l I 0 AdUlt Si MOD rs Restricted Delivery ❑R%stg d Mail Restricted ey 9590 9402 7785 2152 2348 53 ❑CeMfged Mad Restricted Delivery ❑Signature ConfirmatlonTm ❑Cal on DeSlvM ❑Signature Confirmation 2. Article Number p(t�nsfer fro n service~label) CoYlwct on Delivery Restricted Delivery Restricted Delivery 7 018 0040 0000 9192 9798 1 Restricted Delivery k n m o 111 Complete i#ems 1,2,and 3. A Signature Print yourname and address on the reverse so that we can return the card to you. X ✓ % " ®AI�Agent ch this card to the back of the mailpiece, ) ) � of Dellv on the front if space permits, � '+ B. ecelvptt b rlrnted Name C.Data D. Is d'elive address different from item 1? C3 Yes Patricia Norton If YES,enter delivery address below: ❑No 396 Alpine Avenue Fishers Island, NY 06390 II I'I I N I 1 I Id II111 I 1'Il I I I III II [5 service TypeCl pharl Marl FxPr s t adult SuTnatuve tC Registered r'mtWVN I l daatt Signatuna Reatra'cted Dmdnv 10st Rc ored Mallflestdcled 9590 9402 7785 2152 2349 21 ri�rtitied Melrt De very �iC Certified Mall RasrrOV4 Mroo6y 0319nature CdiafkmaaltanT'a fl Conlect otr Delivery 0 Signature Confirmation 2. YtVpe 'umtttrw 7"r�nsder•€fault Agrylic�dip D Collect an Dell Restricted Delivery Ra�sCdcted Deliver/ 1$ 1830 0 2 0062 218 5 IeII Restricted Delivery PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt � t a,ld 3. A Si attire t y�l dress on the rave �elit so that°we ,aim i rit�h e card to you. Addressee di Attach this card to the tick of the maiipiece, B, eived by(Printed Name) �te f Deilip ry or on th e front if space permits. / 1. Article Addressed to: � D. Is delivery address different from item 17 " i Y Zinnia Hill LLC If YES,enter delivery address below: ❑No c/o Katharine Stevens Po Box 595 Fishers Island, NY 06390 3.�fl116iI11 II 11111 111111111111111111 d utl Exprel 6vS"ratice�e Restricted Delivery ❑Rr i�4iMallRestricted _ dU 9402 7785 2152 2348 46 ;gudlirl MaJ10 Dalr ry CI Certified Mall Restricted Delivery ❑Signature ConflrmationTM ❑Collect on Delivery ❑Signature Confirmation Article Number(Transfer from service bbei) ❑Collect on Delivery Restricted Delivery Restricted Delivery �.......-....,.Mail r __.1a�uu-jLj 00[]0 9192 9804 'ail Restricted Delivery PS PDrm 381 ,Jtlly 2020 PSN 7530-02-000-9053 Domestic Retum Receipt 1. PB Resolution setting..the heaning — This is your copy of the I Planning Board resolution that set the public hearing. 2. List of ad,Jacent ��rc��erty wIn,e,,ors to This is the list of the adjacent property owners that you must mail the notice of hearing to. These notices must be mailed by certified mail, with return receipt. 10, le 3. N otice to ad'cicellnt vrovertv ,owners and co, s of the tax, m►a Ww .................... W 496 ima, s — These are the documents that must be mailed to the adjacent property owners (certified w/ return receipt). Some applicants like to include a cover letter, but a cover letter is not a requirement. 4, 4. Affidavit of Poting-- This affidavit must be signed,, notarized and returned to the planning department by July 10th with the certified mail receipts and any green cards that you have received. 5. Southold Town Code rellated, to Public Hearings — This is just a copy of the Southold Town Code related to public hearings for your record. MI 6. Zoom'Instructipans — This is a copy of the zoom instruction for the public meeting for your record. One of these is included in the "notice to adjacent property owners". Feel free to call me with any questions. Jessica Michaelis, Planning Board Secretary 631-765-1938, jessicam@southoldtownny.gov OFFICE LOCATION: NIA:ILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State;Route 25 Southold NY 11971 (cor.Main:Rd. &Youngs Ave. Southold, NY q Telephone: 631 765-1938 wvvw.southoldtownn.y.gov Um c u T I, �1� � �, ' PLANNING BOARD OFFICE TOWN OF SOUTHOLD June 2, 2026 Mr. Stephen L. Ham, Esq. 38 Nugent Street Southampton, NY 11968 Re: SEQRA Classification &. Set Hearing St. John's Episcopal Church Resubdivision 806 Oriental Avenue, Fishers Island SCTM#1000-9.-- -14 & 15.1 Dear Mr. Ham.- The following resolutions were adopted at a meeting of the Southold Town Planning Board on Monday, June 1, 2020: WHEREAS, this proposed resubdivision application is to transfer ± 9,886 sq. ft. from SCTM#1000-9.-5-14 to SCTM#1000-9.-5-10.1 resulting in the decrease of SCTM#1000- 9.-5-14 from ± 41,132 sq. ft. to ± 31,246 sq. ft. and the increase of SCTM#1000-9.-5- 10.1 from ± 54,457sq. ft. to ± 54,343 sq. ft. in the R-40 Zoning District, Fishers Island; and WHEREAS, the Southold Town Planning Board, pursuant to State Environmental Quality Review Act (SEQRA) 5 NYCRR, Part 617, has determined that the proposed action is a Type 11 Action under SEQRA according to 017.5(c)(10) "granting of individual setback and lot line variances and adjustments"; and RESOLVED, that the Southold Town Planning Board has determined that this proposed action is a Type 11 Action under SEQRA as described above; and be it further RESOLVED, that the Southold Town Planning Board sets Monday, July 13, 2025 at 5:00 p.m. for a Public Hearing on plan entitled "Lot Line Modification for Saint John's Episcopal Church Fishers Island," prepared by Craig P. Bigger, Licensed Land Surveyor, dated August 1, 2025. St. John's Eptarn Resubdivis,to,n P June 2, 20,26 The public hearing packet regarding the Town's notification procedure and the sign & post will need to be picked up at the Planning Board Office at the Southold Town Annex when you are contacted to do so. Please return the Affidavit of Postinq/Mailin,E1. inc luded in the P,acket aloe gwith the certified mailing receipts AND the signed green return receipt cards before 12:00 noon on FridayJul 10, 202 . The siqn and the post, need to be returned V to the Planninq Board Office after thePubl"ic heari ran is closed. If you have any questions regarding i the information contained in this resolution, please contact the Planning Board Office. Respectfully, '0V James H. Rich III Chairman 9.-4-22.2 ' 9.-5-13 * 9.-2-5 0 Zinnia Hill LLC Fisher-Owens Living Trt F I Utilities Co Inc c/o Katharine Stevens 321 Warren Dr PO BOX 604 PO BOX 595 San Francisco,CA 94131 Fishers Island,NY 06390 Fishers Island,NY 06390 9.-5-1 01jjl 9.-7-11.1 9.-5-3 Stephanie Hall Our Lady of Grace RC Ch F I Telephone Corp PO BOX 373 PO BOX 425 PO BOX 604 Fishers Island,NY 06390 Fishers Island,NY 06390 Fishers Island,NY 06390 9.4-17 (w 9.-2-9 o 9.-7-9.1 '10 Creek Capital LLC Christine Rogan Christopher Briggs 180 Water St Apt 810 PO BOX#24 222 Martellago Dr New York,NY 10038 264 Crescent Ave PO BOX#24 North Venice,FL 34275 Fishers Island,NY 06390 9.4-18 9.-5-17 9.-5-9 255 Oriental LLC Patricia Norton Catherine Peishoff I Hudson St Fl 6 396 Alpine Ave 1525 Richard Dr New York,NY 10013 Fishers Island,NY 06390 West Chester,PA 19380 9.4-19 9.-5-11.1 1J1 I ch,I"I Pequot Land&Property LLC Lillie Ahman StJohn's E' copa 0 X5 PO BOX 84 P(O-)'BO, 5051 c/o Robert G Warden Vulcan Ave PO BOX 84 leis rs Island,NY 0,6390 370 Park Ave PO,BOX 5 PO BOX 5 Fishers Island,NY 06390 New York,NY 10022 9.-5-16.1 9.4-23 jib, 9.-2-8.1 6 St Sohns fi,.icopal Church Bunting G L 1990 Dese Trt Walsh Prk Benevolent Corp 1`1013 505 2 t 7 International Cir PO BOX 684 Fi ers Island,NY 06390 Hunt Valley,MD 21030 Fishers Island,NY 06390 9.-7-10 9.4-22.1 9.-5-12 F I Library Zinnia Hill LLC Catherine Peishoff PO BOX 366 c/o,Katharine Stevens 1525 Richard Dr Fishers Island,NY 06390 PO BOX 595 West Chester,PA 19380 Fishers Island,NY 06390 Southold Town Planning Board Notice, to Adjacent r erg rs, You are hereby given notice: 1. That the undersigned has applied to the Planning Board of the Town of Southold for a Resubdivision; 2. That the property which is the subject of the application is located adjacent to your property and is described as follows: SCTM# 1000-9.-5-14 & 16.1; 3. That the property which is the subject of this application is located in the R-40 Zoning District; 4. This proposed resubdivision application is to transfer ± 9,886 sq. ft. from SCTM#1 000-9.-5-14 to SCTM#1 000-9.-5-16.1 resulting in the decrease of SCTM#1 000-9.-5-14 from ± 41,132 sq. ft. to ± 31,246 sq. ft. and the increase of SCTM#1 000-9.-5-16.1 from ± 54,457sq. ft. to ± 64,343 sq. ft. in the R-40 Zoning District. 5. That the files pertaining to this application are open for your information during normal business days between the hours of 8 a.m. and 4 p.m. in the Planning department located in the Town Hall Annex, on the corner of Youngs Ave. & NYS Rte. 25, Southold (2nd Fl. Former Capital One Bank). If you have any questions, you can call the Planning Board Office at (631) 765-1938 or by send an e-mail message to: JessicaM so L.11111 old town nv,.,,-q ov. 6. That a public hearing will be held on the matter by the Planning Board on Monday,J91_y 113, 2026 at 5.00 P.M. at the Southold Town Annex Basement Room, 54375 NYS Route 25, Southold and virtually via the Zoom online platform; that a notice of such hearing will be published at least five days prior to the date of such hearing in The Suffolk Times published in the town of Southold; that you or your representative have the right to appear and be heard at such hearing. It is not necessary to attend this hearing to participate. Written comments received prior to the public hearing date are acceptable. Written comments may rl be submitted via letter or email to: Jessic, thoidtow .aM@sou , ,11 Petitioner/Owner Name: St. John's Episcopal Church Fishers Island Date: 6/2/2026 , AILING ADDRESS. OFFICE LOCATION:I N: �� ' � '7 P.O.Box 1.1.79 l Southold, tY 1.1.971-0959 Town .l Annex 54375 State Route 25 C4 Telephone:631-765-1938 www.southoldtownny.gov cor. Main Rd.&Youngs Ave. �M Al mk I N'% Southold, Y PLANNING G BOARD OFFICE TOWN OF SOUTHOLD PLANNING BOARD PUBLIC MEETING Monday, July 13, 2026 5:00 p.m. Options for public attendance: • In person: Location: Southold Town Hall, Main Road, Southold. or • To join via computer: https://us06web.zoom.us/j/82389130980?pwd=Ri KYb4Kbbd btaoj Kb3foaT4u6Oyro3.1 Or Online at the website zoomm , click "Join a Meeting" and enter the Meeting ID: 823 8913 0980 Password: 377516 • Join by telephone: Call 1(646) 558-8656 Enter Meeting ID ,and password when prompted (same as above) R= 0517-00 I s t `_, x cTg a 4'` 93 afr23-Oa 40M) --. 2_1 A(c) $ aP- T 11 24-a0 �. y$ 4Y L S 2 05-16.03 1 s 12-1 3-04 _ , . a6-08-a5 .,$s { ,- x 3AVE- T' 2 CA 01 23-0't _ f ISLAND PEOPLES a „< 04 11-07 ' s£ PROJECT r a _ a a� � s t4 10-05-07 { (� 1 i 139 s _ - �- - - � - 4 11-19-06 - 31. 52A(d) t 17A 13-3 £; 01-21 03 6.3A(c) 2q _ T JOHNs 7,1A I -25 7 01 25-12 € � s - 07-24-12 _ F r s A'. 03-26-15 04-16-15 ' - - i 2 FIRE- � (2 - 4-16 2 51-03-16 INSERTA4 g a 12.1 12-20-23 (} f 2-1 3 R FISHERS ISLAND 3 4A(c) ' _ state 1`=tOY 4� 2,7A(c) 2 4A(c) 6 4 UNION CHAPEL g F TO 21. 71 15.1 t 22 r _ _ 4;a 23A - 1-3A _ F - r _ . _ _ 15 _ �# A(c) n $g e1 BA _ 4 827&5 z g a # 1 f ' 3.7A{c) _ g- 4� H LEEFERGusON _ a u MUSELIMINC 17A 16 14 16 �� AL 3 — _ 1 .$ ' 1.3A(c) 15 14,2 g 1 - f 0 � 6 {} E CA% r 2.3A() _ �� 13 � g � ) � 10 - WE _ 12 A(c)32 _ 3 i5,6 16 r i1 1 s R A ik} 9 LADY OF s 54 g 3 _ 91 Ae �j - {G 1 s A _ 3_ S'< - Per.<€t 4 z _s Y 3, g 25 a � � F t 4-SA afii _ � 1 lAft e _ 132 8 - A g8 - � .4 _ - r a g 1.6A g _g` 8q 3281 ��, r+V"f 22.1 '_ g �✓ 293{j _e' € 7.t SEE SEC_NO 13a A>�T 1.9A ' Ac 13,3 .r 0'J 2.0A c5 t,QA{c) _ R! 5 6.1 - _ _12 CK > s f� 222 , 252 1 8.1 n M57RCT NO \ 3.4A g r 14A 3.3A(c) -P 84 18A �. w _ - \j R F* g a _ f�= 1 298 4 23 ',_ _s a 32A(c) 3CA f 7 a L 16 � - _ 5.6A f -' 135 N. a 2.1 26,1 4 2 3A(c) v 2 $erg- _ x e, - 2 27.5 r e 29629 ' 24A ' N ¢# 27 6 � 7 13 715 _ �. -_ 22 P rs 31 ,- a 4.3A 27A &.i ti� 2 7 s 2.1 2 3A 44.6A{c} I - � =s1 1 6A(c) F- a , ell r s- _ 3 - g 32 01 i off, — 1.3A 72 7.1 z ai a - - F 01 1.5A 2 P= AVE 93}E E `` 1.3A } x a s,1 s > r 10) 1 a - m L"LE`aS GR+:YN O:tgRWSt AILFi.ain ES 'f- - 4z:.. CY0—W -.. ---_ ---. -_. _ - _ --_ ARE WnHin TrC=oLLOWM VISTcr`TS: K«x pro as, NUTIGE K TRicTto 1000 �k� 23 COUNTY{}E SUFF(}�K Q ate SECTION NO E aoL�——e�n—— AMBULAW-E�j+fj}e_ —— e�x.no m ffam $= 121A(d)or 12tA{ _ (M:ttN,.eT+lA.rdCE-ALhREaTIOt+L SALE OR Y @ a•i`� t G FIRE 27 T_r_— _----nT s — '° R-1 qua Lm_m< —— --—= ce�,�cetsw 121 Atct _ = Real S#}�}�F'!`y Tax CI`Z SCf,`1.�?eIl � DISTRIBUTION OF ANY PORTION OF THE ` TON1N OF ) /'�/"�i J -. P S c1<' Lj(j£E th'>tiF d2 L IYATER -- .,..-_W �-.z 3 I m � g�'s� _ { �t u� )s�,t�r.� c au� E. 30 Center Drift:Werfacrtj.AY 11901 _ SUFFOLK OCUNTY TAX MAP IS PROHEITED' � it N s REfllSE RS R -_ ------. -� __ —— " a s _�� OF THE _ ' ro- iE { Q SEl4LR '.1.;STEY:ATCR �,-.>„-� {21} s-�l�J��. Ei. wo tc� Q �o aTo ?P e NrTTkfOUT WRITTEN PERFSSStaN _- VILLAGE o rs 3 — REAL PROPERTY TAX SERVICE PGENCY a t £a AFFIDAVIT CIF POSTING This is to serve notice that I personally posted the property known as by placing the Town's official poster notice(s) within 10 feet of the front property line facing the street(s) where it can be easily seen, and that I have checked to be sure the poster has remained in place for seven days prior to the date of the public hearing on wpp� I have sent notices, by certified mail — return receipt, the receipts and green return receipt cards of which are attached, to the owners of record of every property which abuts and every property which is across on Your Name (print) ............ Signature Address ........... Date Notary Public PL EA SE RE TURN THIS A FFIDA VI T,, CERTIFIED MAIL RECEIPTS & GREEN RETURN RECEIPT CARDS BY.- '012:00 noon, Fri., 7/10/26 Re: Saint John's Eplisco a p I esubdivision SCTM#: 1000-9.-5-14 & 16.1 Date of Public Hearing: I-00 P,.m Monday, July' 13�,.2026. 5,0 is 7/18/24, 1:49 PM Town of Southold, NY Public Hearings, Notice of Town of Southold, NY Thursday July 18, 2024 har%ter 55. Public Hearings, Notice of P [HISTORY:Adopted by the Town Board of the Town of Southold 12-27-1995 by L.L. No. 25-1995,,, Amendments noted where applicable.] § TT-1 . Providing notice of public hearings. [Amended 6-3-2003 by L.L. No. 12-2003] Whenever the Code calls for a public hearing this section shall apply. Upon determining that an application or petition is complete, the board or commission reviewing the same shall fix a time and place for a public hearing thereon. Notice relating to a public hearing on an application or petition shall be provided as follows: A. Town responsibility for publication of notice. The reviewing board or commission shall cause a notice giving the time, date, place and nature of the hearing to be published in the official newspaper within the period prescribed by law. B. Applicant or petitioner responsibility for posting and mailing notice. An application or petition, initiated, proposed or requested by an applicant or petitioner, other than a Town board or commission, shall also be subject to additional notice requirements set forth below: (1) The applicant or petitioner is required to erect the sign provided by the Town, which shall be prominently displayed on the premises facing each public or private street which the property involved in the application or petition abuts, giving notice of the application or petition, the nature of the approval sought thereby and the time and place of the public hearing thereon. The sign shall be set back not more than 10 feet from the property line. The sign shall be displayed for a period of not less than sseven days immediately preceding the date of the public hearing,, The applicant, petitioner or his/heir agent, shall file an affidavit that s/he has complied with this provision prior to commencement of the public hearing. (2) The applicant or petitioner is required to send notice to the owners of record of every property which abuts and every property which is across from any public or private street from the property included in the application or petition. Such notice shall be made by certified mail, return receipt requested, posted at least seven days prior to the date of the initial public hearing on the application or petition and addressed to the owners at the addresses listed for them on the local assessment roll. The notice shall include description of the street location and area of the subject property, nature of relief or approval involved, and date, time and place of hearing. The applicant, petitioner or agent shall file an affidavit that s/he has complied with this provision prior to commencement of the public hearing. 5T-2. Vid oco n r n i for pu blic meeti ngs. [Added 6-21-2022 by L.L. No. 6-2022] The Town Board of the Town of Southold hereby authorizes members of the Town Board and all members of the Town's public bodies to participate in meetings using videoconferencing technology in a manner consistent with Public Officers Law § 103-a and the Town's videoconferencing policy adopted by the Town Board. r-nrn/nrinf/.qnnAc;9?n, , MAILING ADDRESS: OFFICE LOCATION: �� P.O.Box 1179 ' ,. Southold,NBC 11971-0959 Town ball Anne 4 54375 State Route 25 Telephone:631-765-1938 a www.southoldtownny.gov +cor�.Main .d. a't".Youngs Ave.) � t Southold NY �� "� �; PLANNING BOARD OFFICE TOWN OF SOUTHOLD PLANNING BOARD PUBLIC MEETING Monday, July 13, 2026 5:00 p.m. Options for public attendance. In person: Location: Southold Town Hall, Main Road, Southold. or To join via computer https://u s06we b zoom-u s/j/823891 30980?pwd=Ri KYb4 Kb bd btaoj Kb3foaT4u6Oyro3.1 Or online at the website z+oom.us, click "Join a Meeting" and enter the Meeting ID: 823 8913 0980 Password: 377516 • Join by telephone: Call 1(646) 558-8656 Enter Meeting ID and password when prompted (same as above) OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY Telephone: 631 765-1938 www.southoldtownny.gov CoU PLANNING BOARD OFFICE TOWN OF SOUTHOLD June 2, 2026 Mr. Stephen L. Ham, Esq. 38 Nugent Street Southampton, NY 11968 Re: SEQRA Classification & Set Hearing St. John's Episcopal Church Resubdivision 806 Oriental Avenue, Fishers Island SCTM#1000-9.-5-14 & 16.1 Dear Mr. Ham:. The following resolutions were adopted at a meeting of the Southold Town Planning Board on Monday, June 1, 2026: WHEREAS, this proposed resubdivision application is to transfer ± 9,886 sq. ft. from SCTM#1000-9.-5-14 to SCTM#1000-9.-5-16.1 resulting in the decrease of SCTM#1000- 9.-5-14 from ± 41,132 sq. ft. to ± 31,246 sq. ft. and the increase of SCTM#1000-9.-5- 16.1 from ± 54,457sq. ft. to ± 64,343 sq. ft. in the R-40 Zoning District, Fishers Island; and WHEREAS, the Southold Town Planning Board, pursuant to State Environmental Quality Review Act (SEQRA) 6 NYCRR, Part 617, has determined that the proposed action is a Type II Action under SEQRA according to 617.5(c)(16) "granting of individual setback and lot line variances and adjustments"; and RESOLVED, that the Southold Town Planning Board has determined that this proposed action is a Type II Action under SEQRA as described above; and be it further RESOLVED, that the Southold Town Planning Board sets Monday, July 13, 2026 at 5:00 p.m. for a Public Hearing on plan entitled "Lot Line Modification for Saint John's Episcopal Church Fishers Island," prepared by Craig P. Bigger, Licensed Land Surveyor, dated August 1, 2025. St. John's E isco aI Resubdivision Page 2 June 2,2026 The public hearing packet regarding the Town's notification procedure and the sign & post will need to be picked up at the Planning Board Office at the Southold Town Annex when you are contacted to do so. Please return the Affidavit of Posting/Mailing, included in the packet, along with the certified mailing receipts AND the signed green return receipt cards before 12:00 noon on Friday, July 10, 2026. The sign and the post need to be returned to the Planning Board Office after the public hearing is closed. If you have any questions regarding the information contained in this resolution, please contact the Planning Board Office. Respectfully, James H. Rich III Chairman Southold Town Planning Board Work Session — May 18. 2026 — Page 3 Project Name: T I Old Town Farm Standard Subdivision SCTM#: I 1000-78--l-10-23 Location- 12355 Main Bayview Road, Southold Description: This proposal is for the standard subdivision of a 17.46-acre parcel into 5 lots, where Lot 1 through 3 are 0.8 acres, Lot 4 is 1 acre, and Lot 5 is 13.68 acres including a 3-acre development area, 10.6 acres of open -space in the R-40 Zoning, District. Status- Conditional Preliminary Plat Approval Action: I Review for Final Plat Completeness Attachments: I Staff Report Prcject Name, Karras Standard Subdivision SCTM#—: I— 1000-69.4-11 Location: 2765 Ackerly Pond Lane, Southold Description= This proposal is for a clustered four-lot standard subdivision of 9.2 acres, where Lot 1 is 6.05 acres inclusive of 3.2 acres of open space, and Lots 2 through 4 are 1 acre in the A-C Zoning District. -Status: New Application Action" Review for Completeness Attachments. Staff Report Project Name: Saint John's Episcopal SCTM#: 1000-9.-5-14 & 16.1 Resubdivision Location: 664 & 806' 0'riental Avenue, Fishers Island Description- This proposed resubdivision application is to transfer± 9,886 sq. ft. from SCTM#1 000-9.-5-14 to SCTM#1 000-9.-5-16.1 resulting in the decrease of SCTM#1000-9.-5-14 from ± 41,132 sq. ft. to ± 31,246 sq. ft. and the increase of SCTM#1 000-9.-5-16.1 from ± 54,457sq. ft. to ± 64,343 sq. ft. in the R-40 Zoning District. Status.* New Application Action: _,-Review for Completeness Attachments'. Staff Report Discussion: ❖ SPUD (Site Plan Use Determination): 0 Church of the Redeemer, 13225 Sound Ave., Mattituck, SCTM#1000-141.-4-27 0 53995 Route 25 LLCI 53995 Route 25, Southold, SCTM#1 000-61.-1-20 * Hardy Building Use Change, 13520 Route 25, Mattituck, SCTM#1000-114.-11-5 Southold Planning Department Staff Report Subdivision Application Work Session Review Date May 18, 2026 Prepared By: Brian Cummings I. Application Information Project Title: St. John's Episcopal Church Re-subdivision Applicant: St. John's Episcopal Church Date of Submission, December 23, 2025 Tax Map Number: 1000-9.-5-14 & 1000-9.-5-16.1 Project Location: 806 Oriental Avenue Hamlet: Fishers Island Zoning District: R-40 11. Description of Project Type of Subdivision: Resubdivision Acreage of Project Site: 0.94ac and 1.25ac This proposed resubdivision application is to transfer± 9,886 sq. ft. from SCTM#1 000-9.-5-14 to SCTM#1 000-9.-5-16.1 resulting in the decrease of SCTM#1 000-9.-5-14 from ± 41,132 sq. ft. to ± 31,246 sq. ft. and the increase of SCTM#1000-9.-5-16.1 from ± 54,457sq. ft. to ± 64,343 sq. ft. in the General Business Zoning District, Fishers Island. Ill. Status New Application IV. Action to review 0 Completeness * Waivers of Requirements 0 SEQRA and LWRP Exemptions V. Completeness Review Purpose of this resubdivision is to relocate the property line so that one of the existing residences on tax lot 14 will ultimately be located within the boundary lines of tax lot 16.1. The Lighthouse Works, Inc. is in contract to acquire lot 14 and for St. John's to reacquire the residence they call the Shire Cottage. Accordingly, in order to accomplish the reacquisition of a portion of tax lot 14, there is the need for Planning Board approval as well as the granting of several variances by the Zoning Board of Appeals (ZBA). Page 2 On March 26, 2026, the Planning Board issued the following comments to the ZBA: 1. Area VaNance / Relief from §280-18: The applicant is requesting relief from §280-18, which requires that all buildings and premises in the R-40 Zoning District conform to the Town's Bulk Schedule. The proposal involves a lot line modification between two existing parcels owned by St. John's Episcopal Church on Fishers Island, which would result in nonconformities related to minimum lot area, lot depth, and required side yard setbacks, as well as the presence of a second principal structure on a parcel that does not meet the minimum lot size. In considering this request, the Planning Board notes that the total amount of land and existing development on the site will remain unchanged, and the proposal does not introduce any new or intensified use. The Board also recognizes the unique geographic and historic context of Fishers Island, where development patterns often reflect long-standing lot configurations and structures that predate current zoning requirements. The subject properties include historically significant buildings dating back to the late 19th century, and the proposed lot line change aims to better align property boundaries with these existing conditions. The requested relief is driven by a reconfiguration of property boundaries to facilitate the sale of one parcel and the retention of an existing cottage, which can only be achieved through the proposed lot line adjustment. 0 2. or rehensive Plan Consiste The Planning Board notes that the proposed lot line adjustment is consistent with the Town of Southold Comprehensive Plan's goals and vision. The Town seeks to preserve its extraordinary history and community character while supporting thoughtful, site-specific solutions that maintain existing structures and land uses. Both St. John's Episcopal Church (1881) and the associated Hans C. Hansen House (circa 1870s) are recognized cultural resources and identified in the Town's Comprehensive Survey of Historic Resources (SPLIA, 1988) as being of regional importance. Chapter 5, Goal 2 of the Comprehensive Plan emphasizes the protection and management of the Town's historic and architectural resources, and Objective 2.2(E) specifically notes the Town's intent to encourage preservation by providing appropriate zoning flexibility for historic structures. The requested relief would allow the Church to realign property boundaries to better reflect existing site conditions without altering or expanding historic buildings, thereby supporting the preservation of these cultural assets in a manner consistent with the Comprehensive Plan's stated objectives. Page 3 3. Recommendation from PB to ZBA: Given that the proposal does not increase density or intensity of use, and primarily relates to existing, pre-existing conditions on a fixed land area, the Planning Board views this as a site-specific circumstance. Any approval should be carefully conditioned to reflect these unique factors and to avoid establishing a broader precedent. Based on the foregoing, the Planning Board offers no objection to the requested relief, subject to the Zoning Board of Appeals' determination that the required findings for area variances can be met. The following able shows the requirements for Re-subdivision Completeness: 1 Required Submitted Cover Letter Yes Re-Subdivision Application Form Yes Authorization Letters Yes Transaction Disclosure Form Yes Property Deed(s) Yes Copies of Easements, C&Rs Yes Proof the parcel meets Lot Yes Recognition Certificates of Occupancy Yes Short Env. Assessment Form Yes Application Fee Yes - $500 6 Copies of the Re-subdivision Plan Yes inclusive of the following: Existing and proposed acreage for each lot; Existing and proposed lot configuration for each lot; Existing lot lines shown with dashed lines and proposed lot lines with solid lines. Draft Deeds inclusive of the Yes statement: "The Southold Town Planning Board approved of this Resubdivision by resolution on (insert approval date) . Schedule with legal description of Yes Resubdivision LWRP Consistency Form Yes — Exem.pj from LWRP review The followinq table shows the technical requirements for a Re-subdivision Plan-, Page 4 Required Submitted Key/Leqend Yes Existing & Proposed lot lines Yes Table with existing and proposed Yes acreage Existing and proposed N/A improvements Name of Project ____.._Yes Name of all roperty owners Yes Name, address, seal and license Yes number of NYS license surveyor or engineer preparing the plan i North arrow Yes .Tax map numbers Yes All utilities, available and proposed Yes Zoning District Yes; R40 zone Existing easements and C.&R's Yes including liber and page number Distance to nearest existing, or Yes platted streets, intersections, or other public ways within or immediately adjacent to the lots Location of wetlands, recharge N/A areas, flood-prone areas (as shown on the FEIVIA Flood Maps) and the Coastal Erosion Hazard Area line Suffolk County Department of Health Services The Planning Board, pursuant to §240-50 of the Town Code, has the authority to waive certain requirements in the subdivision review process; and, with reference to the policy adopted by the Planning Board on February 14, 2011 , the proposed re-subdivision meets criteria two of the policy, which states, The following applications for lot line modifications (re-subdivisions) are eligible for a decision from the Southold Planning Board prior to receiving approval by the Suffolk County Department of Health Services (SCDHS): (2) The transfer of land between two or more parcels, all of which are currently developed and can produce legal certificates of occupancy, which results in no new development potential. * The proposal will not increase density. * Health Department Approval may be required to be in conformance with the Suffolk County Sanitary Code. Page 5 The Planning Board shall formally waive the requirement for SCDHS approval by resolution prior to their decision resolution. The following language shall also be included in every Planning Board decision resolution containing the waiver of the requirement for SCDHS approval: Please note, the Southold Town Planning Board, in waiving the requirement for SCDHS approval prior to their own approval, is simply waiving a technical requirement of final plat approval under the Town Code and makes no representations as to whether SCDHS approval is required. SCDHS approval of this lot line change is necessary to be in compliance with the Suffolk County Sanitary Code, and to be eligible for future sale, construction or VI. Waivers Pursuant to Town Code §240-56 Waivers of Certain Provisions, the Planning Board may waive certain elements of the subdivision review §240-56 Waivers of certain provisions. "The Planning Board shall have the authority to modify or waive, subject to appropriate conditions, any provision of these subdivision regulations, if in its judgment they are not requisite in the interest of the public health, safety and general welfare, except where such authority would be contrary to other ordinances or state law.11 After reviewing the information submitted for this application, it is recommended that the Planning Board waive the following requirements and steps of the subdivision review process, as they are they are not requisite in the interest of the public health, safety and general welfare: a. Sketch Plan - Article V b. Existing Resources Site Analysis Plan (ERSAP) - §240-10 (A) c. Yield Plan - §240-10 (B) d. Primary & Secondary Conservation Area Plan - §240-10 (C) e. Preliminary Plat - Article VI f. Preliminary and Final Public Hearings - §240-19 (C-2) The recommendation to waive the above-listed provisions of subdivision is justified by the reasons listed below: 1. The proposed re-subdivision will not add additional density and is a transfer of land between two parcels, both of which are currently Page 6 developed and have produced legal certificates of occupancy, which results in no new development potential. VIL SEQRA Pursuant to State Environmental Quality Review Act (SEQRA) 6 NYCRR, Part 617.5(c)(16), the proposed action is a Type 11 Action under SEQRA. Vill. LWRP The application is EXEMPT from review by the LWRP IX. Items to consider 1. Accept the resubdivision application as complete for review as detailed above. 2. Classify the action as Type 11 under SEQRA as detailed above 3. Set the public hearing for July 13, 2026, at the June 1, 2026 Public Meeting. SV MATTHEWS & HAM P13114L I MC ATTORNEYS AND COUNSELORS AT LAW 38 NUGENT STREET SOUTH&MPToN, NEW YoRx 11068 DEC 2 3 2025 PHILIP B.MATTHEWS 631-283-2400 SOUTHOLD TOWN (1912-1992) r PLANNING BOARD FACSIMILE 631-287-1076 STEPHENL,HAM,III EMAIL STEVE HAM 19 0@ GM.AIL.G0M -OF COUNSEL- December 20, 2025 BARBARAT.HAm BY UPS Ms. Heather M. Lanza, Planning Director Southold Town Planning Department 54375 Main Road Southold, NY 11971 Re: Application of St. John's Episcopal Church Fishers Island (SCTM Nos. 1000-009-00-05-00-014.000 & 016.00 Dear Heather: On behalf of St. John's Episcopal Church Fishers Island, I am applying for approval of a lot line modification involving the relocation of the division line between the referenced parcels so that one of the residences on tax lot 14 will ultimately be located within the boundary lines of tax lot 16.1. As you know, last April you met with representatives of St. John's and The Lighthouse Works, Inc. Those parties are now in contract for Lighthouse Works to acquire tax lot 14 and for St. John's to reacquire the residence they call the Shire Cottage. Accordingly, in o rd e r to accomplish the reacquisition of a portion of tax lot 14, there is a need for Planning Board approval as well as the granting of several variances by the Zoning Board for which I am applying simultaneously. In connection with this lot line modification application, I have enclosed the following- 1. Application for Re-Subdivision (Lot Line Modification), signed by me as agent. 2. Letter of authorization, dated December 19, 2025, signed on behalf of St. John's by its Senior Warden authorizing me as its agent in connection with this application. 3. Applicant Transactional Disclosure Form, signed on behalf of St. John's by its Senior Warden. 4. Photocopy of the last deed of record to SCTM No. 1000-9-5-14 (recorded on March 19, 2012 in Liber 12688 page 080) and photocopies of the last deeds of record to what is now SCTM No. 1000-9-5-16.1,the parcel with the main church building having been acquired by deed recorded on September 11, 1890 in Liber 334 at pages 271- Ms. Heather Lanza Page 2 December 20, 2025 274 and an adjoining cemetery parcel now merged having been acquired by deed recorded on December 6, 1965 in Liber 5871 page 539. 5. Photocopies of Pre-Existing Certificate of Occupancy No. 35250, together with Inspection Reports and marked copy of 1970 survey (covering the main dwelling and two cottages on tax lot#14) and Certificate of Occupancy No. Z-5907 with its Building Permit No. 5274 Z (covering addition to existing dwelling (East cottage)). 6. Instruments containing covenants and restrictions recorded in Liber 320 page 379, Liber 321 page 159 and Liber 5871 page 539. 7. Short Environmental Assessment Form, signed by me as authorized agent. 8. LWRP Consistency Assessment Form (first two pages), signed by me as authorized agent. 9. Six prints of a map, entitled "Lot Line Modification Prepared For Saint Johns Episcopal Church Fishers Island",dated August 1,2025,showing existing conditions as well as the existing and proposed lot configurations and areas. 10. Form of the deed that will be used to implement the lot line modification, anticipating that The Lighthouse Works, Inc. will be the owner of tax lot 14 at the time of transfer. (I note your sample deed no longer requires a map depiction of the change so I have not added a Schedule C.) 11, My check to the Town of Southold in the amount of the $500 fee. Please note that the two parcels that are the subject of this lot line change satisfy Lot Recognition standard A (1) of Zoning Code Section 280-9 as being identical to lots created prior to June 30, 1983 and satisfying Bulk Schedule AA to the Code. I acknowledge that Planning Board approval is subject to the Board of Appeals granting variances for lot area, lot depth, setbacks and a second use, but please have your staff look over the enclosed documents at your earliest convenience and let me know if you will require any further information, documentation or payments before you can commence or continue your review process once the required variances are granted. Thank you for your attention to this matter. Sincerely, Stephen L. Ham, III Enclosures o��SUFFO[4-cOG DEC 2 3 2025 y x SOUTHOLD TOWN Pi1A14N1kG BOARD SOUTHOLD PLANNING DEPARTMENT Re-subdivision (Lot Line Modification) Application Form APPLICATION IS HEREBY MADE to the Town of Southold Planning Board for the proposed RE-SUBDIVISION described herein: Section Two, Map of Lots of Fishers Island Embracing 1. Original Subdivision Name the Highland Range between The Great Harbor and the Atlantic Shore filed September 23, I$78 as Map No.339 2. Suffolk County Tax Map # (include all tax map parcels involved) 1000-009.00-05.00-014.000 and 1000-009.00-05.00-016.001 3. Hamlet Fishers Island 4. Street Location 664, 666, 668 & 806 Oriental Avenue 5. Acreage of Site 2.20 +/- acres 6. Zoning District R-40 7. Date of Submission December 20, 2025 8. Please provide the names, addresses and phone numbers for the following people: Applicant: St. John's Episcopal Church Fishers Island 846 Oriental Avenue - #505 Fishers Island. NY 06390 c/o Matthews & Ham (631) 283-2400 Re-Subdivision Application Form 8. (eonfinue(l) Please provide the names, addresses and phone numbers for the following peoples.- Agent: Stephen L. Ham, III, Esq. Matthews & Ham- 3-9 Niipe : re- fi Southam2 tou, NY 11968 (631) 283--2400 Property Owner(s): St. John's Episcopal Church Fishers Island co Matthews & Ham „ 38 -Nugent tr et Southampton. NY 11968 (631) 283-2400 Suri�eyor: Craig Bigger, PLS CHA Solutions, Inc* 400 Capital Boulevard - Suite 301 Rocky LT-0-6067 0 (860) 213-5535 Ef ngineer: Pete Parent, PE 'HA_Sblj s-3 Tncs 400 Capital Boulevard -- Suite 301 Rocky Hill 06067 (860) 885-1052 Attorney: Stephen L. Ham, III, Esq. Mattbews & _Ham 38 Nugent Street S ou:t h amp t on_-_NY 11968 (631) 283-2400 9. Briefly describe the proposed lot line change and state reason(s) for requesting same. St. John's Episcopal. Church Fishers Island, the owner of both tax lot 14 and tax lot 16.1� proposes to sell tax lot 14 to Lighthouse Works, Inc. but desires to retain one of the residences on tax lot 14 which it has contracted to reacquire upon approval of this lot line modification. A 93,886 sq. foot portion of tax lot 14 containing that residence will be added to and merged with tax lot 16.1 upon approval. If Lighthouse Works, Inc. acquires tax lot 14 prior to approval of this application, it will join in this application.. (It is anticipated that the closing of the sale of tax lot 14 will occur prior to the approval of this application.) 2 R -SttbAlisio11 Appllcatlo1 Form 10,DOES THE PROPOSED MODIFICATION (a) Affect the street layout in the original subdivision? No (b) Affect any area reserved for public use? NO (c) Diminish the size of any lot? YES (d) Create an additional building lot? NO (e) Create a nonconforming lot? YES (f) Require a variance from the Zoning Board of Appeals? YES (a) Impact the future planning of the subject properties? NO 11. Does the parcel(s) meet the Lot Recognition standard in Town Code §280-9 Lot Recognition? Yes x . No . if"yes", explain how: The subject parcels were created prior to June 30, 1983 and conformed to Bulk Schedule AA. 12.Does this application meet the standard in § 240-57. waiver. dustnieritof property lines to waive the subdivision process? If so, please provide the name and date of the original subdivision. Section 240-57 is not ,applicable pdmwft. 13. Application completed by [ ] owner [y] agent [ ] other Upon submitting a completed application, the Planning Board will review the proposal and determine if the project is eligible for a waiver of subdivision review pursuant to Town Code § 240-57. Waiver, adiustment of Vi -tv lines. If the application meets the criteria for a waiver, the modification may be authorized by the Planning Board by resolution and no further review will be required. If the proposed lot line modification will create substandard lot sizes, lot widths or make existing structures nonconforming with respect to setbacks, the applicant will not be able to receive Planning Board approval without first obtaining relief from the Zoning Board of Appeals. Signature of Preparer L Date December 20_, 2025 Stephen L. Ham, III, authorized agent 3 IBC'.-, ubdivisim Applicatioi?Form ST.. JOHN'S EPISCOPAL CHURCH FISHERS ISLAND 806 On"ental Avenue -#505 Fishers Wand, New York 06390 Demmber 2025 Planning Board Town of Southold P-0. Box 1179 54375 Main Road Southold, NY 11971 Re: Application for Lot Line Modification at Premises at Fishers Island (S.C.T.M. Nos. 1000-009.00-05.00-014.000 & 016,001) Dear Bbard Members-, The undersigned, the owner of premises situate at 664, 666 & 668 Oriental Avenue and 806 Oriental Avenues Fishers Island, New York (SCTIVI Nos. 1000 009-00- 05.00-014.00 & 0 16.00 1), h eireby a uth orizes Ste phen L. H am, I I I of Matthews& Ham, 38 Nugent Street, Southampton, New York 11968, to act* as its agent in making such applications to your Board and in taking any and all incidental acbons in rega rd thereto, including with limitation, completing and oxecuthq the required forms, g'iv'tn'g any required notices and appearing at any public hearings, as he shall deem necessary or advisable in order to obtain approval of the proposed lot line modification relating to the referenced premises in accordance with the Re-Subdivision Map prepared for the undersigned by CIAA, dated August 1, 2025, as the same may be revised from time to titre_ Verytruly yours, T. JOHN'S EPISCOPAL CHURCH FISHERS ISLAND By Thom' as W. . ohnson, Senior Warden Southold Applicant Transaefio-nal Disclosure Form The ToNNm of SO fold's Code of Ethics prohibits conflicts of interest on the part of town o l`li ceiN aad employees, The pulse of this f'onn is, to provide infnmiatioll which call alert the town of possible confI j cts of i ntemst and allow it to to ko whatev.er action is ncoes sa to a-void same. Your Namr,- _S T._ .T N f S EPISCM WIRCH Fl HERS 'ISLAND Las, r First.t.middle initi�l moil ss_vort are Xi ling in fire Inane q f so Leone ctse or onccr eij(it s such as a �f vtj, Nature of App licatic-m: (Check all chat apply) Subdivision or Fie-subdiv'ision x Site Plan Other(Plcase name other acci vity) Do you persona ly(or through your company,spo�u�c,sibling,parent or ch rld k have a rclatx6nship with any officer ol, emplovec of the Town of Southold" `Rehirionship a acl adc� marriage by blood* or business intcres C. "B usi ncss interest mca ns a business+ iiic tuding a partnership, i n Which tl'e tow',officer or employee c.even a partl-l ovwmership Of(or emplo)rment by)a corporz�.iolx 'in whicb the to%vn officer or cn�ployco o%,-ns moN than 5$1'?of tbc shares Yes No X If you arlswered`-Y s"coitipiete the ha-lance of this forn'1 altd date end st9t1 wbero indicated. N srn-c of the person cnrploycd by the'1 oxim of Southold Tit]c or po-sitson of xhat person —� IN:scrite die rctitioM-hip botween your-�el f(the app Ii pant)and the to,%m otfrc r or-emplo gee. Ei th r.check-ibe, appropriate lino A thmu.O-i D andlur dcscri in Lbc space provided. The row-n o ocr OF cmPloyoc or his or her souse,;sj blin s�-i?gent or chi 1 d is f check al l th-It apple: A. the owncr of grc ti;r Oran 511'of tliw shares of the corprate stook of t1he ap li nt(when the applicant is'a r;orporation): p B, the IC ' I or bonefiol al owncr c)f any i 11 Cord in a nanc€�rpornte entity(when Lhc applicant IS not corporation); '. offlicer,director, partner or ernployeo of the appl heath;or 1), the actual applicant Iescn ption of R lath-oaush its: T ° t SAL CHURCH FISHERS ISLAND By ate f Pr3rnt Name Thomas W. J ohrt s o n Town of Southold IRM�IM 0 WM 10 LWRP C ONSISTENCY AS SESSMENT FORM DE C 2 3 2 0 2 5 SOUTHOLD TOWN A. INSTRUCTIONS PANNINGOARD 41 1 All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, -policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C. on this form is answered "yes", then the proposed action may affect the achievement of the LINERP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LVW policy standards and conditions it shall not be Lindertaken. A copy of the LVVRP 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#s ino -009.00 - 05*00 - 014,000 & 016,001 The Application has been submitted to (check appropriate response): Town Board r Planning Dept. Building Dept. Board of Trustees I Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction,,planning activity, agency regulation,land transaction) (b) Financial assistance(e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: ChAnge in boundary line between two parcels owned by the applicant, one improved with three residences and the other improved with a church building, so as to separate one of the residences and combine its parcel with the Darcel on which the parcel containing the church building. Purpose is to allow the sale of the parcel with the three residences and the reacquisition of one of the residences. Location of action:— 664, 666, 668 & 806 Oriental Avenue, Fishers Island Site acreage: 2.20 +/- acres Present land use: R-40 single-family residential with pre-existing residences& church Present zoning classification: R-40 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, ST. JOHN'S EPISCOPAL CHURCH FISHERS ISLAND - Stephen L. Ham, III, authorized agent (b) Mailing address: c/o Matthews & Ham, 38 NLigent Street, Southampton, NY 11968 (c) Telephone number: Area Code ( (631) 283-2400 (d) Application number,if any: Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes No If yes,which state or federal agencyO, 0--wo- 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 111—Policies; Page 2 for evaluation criteria. Yes No Not Applicable 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 13 Yes No Not Applicable 617.20 � I& Appendix B Short Environmental Assessment Form 2 3 20Z� SOUTHOLD TOWN Pt PtA BOARD Instructions for Complet DECF_ rMING Part I-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 I 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. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency; attach additional pages as necessary to supplement any item. Part 1 -Project and Sponsor Information Name of Action or Project: ST. JOHN'S EPISCOPAL CHURCH FISHERS ISLAND LOT LINE MODIFICATION Project Location(describe, and attach a location map): 014.000 and016.0011 664, 666, 668 & 806 ORIENTAL AVENUE, FISHERS ISLAND (SCTM Vs 1000-009-00-05.00-/ Brief Description of Proposed Action, transfer of 9,886 sq. ft. from tax lot 14 to tax lot 16.1 so as to locate one of three dwellings on tax lot 14 to tax lot 16.1. Name of Applicant or Sponsor: Telephone: (631) 283-2400 St. John' s Episcopal Church Fishers Island E-Mail: stevehaml90@gmail.com Address: c/o Matthews & Ham 38 Nugent Street City/PO: Southampton State-. NY Zip Code: 11968 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 X 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 perm it oi-annro val _ Town of Southold -Zoning Board oF:;__appeals (varinna$q) Suffolk County Department of Health Services ("realty subdivision") 3.a.Total acreage of the site of the proposed action? 2.20 + acres b.Total acreage to be physically disturbed? z0 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 2.20 +/- acres 4. Check all land uses that occur on,adjoining and near the proposed action. o Urban K Rural(non-agriculture) El Industrial 0 Commercial 1:1 Residential(suburban) 1:1 Forest El Agriculture 0 Aquatic aOther(specify): Residential (rural)_ 0 Parkland Church Page 1 of 4 5. Is the proposed action., NO YES N/A a.A p ennitted use under the zoning regulations? X l I b.Consistent with the adopted comprehensive pan? X, predominant character of the existing 6. Is the proposed action consistent with the p g built or natural N4 YES landscape? X e site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO [_YES 7. Is th p p If Yes,identify: FaLshers Island X 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? X �I 9.Does the proposed action meet or exceed the state energy code requirements? Na — YES If the proposed action will exceed requirements,describe design features and technologies: X 10. will the ro osed action connect to an existing public/private water supply? No YES proposed X If No,describe method for providing potable water: 11 ill the proposed action connect to existing wastewater utilities? No t YES .W p p g If No,describe method for providing wastewater treatment: private on site se tic X 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic N4 YES Places? x b.Is the proposed action located in an archeological sensitive area? X 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? X 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: 11 Shoreline C3 Forest Cl Agricultural/grasslands 0 Early inid-successional 11 wetland CI Urban L7 Suburban X Rural 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? NQ YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? Na Y V,S If Yes, X a.will storm water discharges flow to adjacent properties? ]NO Cl YES '1 ton�n water discharges be directed to established conveyance systems(runoff and ston-n drains)? b.Will s g Y If Yes,briefly describe: [0 Na 0 YES L Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoundment of — NO YES ' water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,exp lain purpose and size: X 19.Has the site of the proposed action or an adj oining property been the location of an active or closed NO YES solid waste management facility? X If Yes,,describe: L 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? X If Yes,,describe: I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE I s land Applicant/sponsor name: St. John's Episcopal Church Figi-h—ers/ Date: Decembe-r 202D aw_�_ Signature: I., %@_tL Stephen L. Ham, III, authorized agent 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 infonnation contained in Part I 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 I 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 enei-gy conservation or renewable energy opportunities'_� 7. Will the proposed action impact existing: a.public l private water supplies? b.public t 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 No,,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answerect"'nioderatc to large inipact 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. 1-7 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. 0 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 F l F N F 1 1 i I !� 1 SUFFOL'R COUNTY CLERK{ RECORDS OFFICE RECORDING PAGE r Type of Instrument! DEED Recorded: 03/19/Z01.20 3;4 5:�►7 Fri Number of Pages: 4 At: { N Receipt 1�7 er 12-0032116 268$ TAX NUMBERS 1 1'+1�I.r 4 6 7 .i.�i i+�R� iJ TRANSFER PAGE. 080 mistrict: ..Section: )Block: Lot 1000 009.00 05.00 014.000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $340,000.00 'n Fees For .Above Instrument � Received the Following R Exempt Exempt Page/Filing $20.00 NO Handling $20.00 NO SRCHG $15.00 NO coy $�.Oo �� Nxs _ 5 0 0 NO FaA--STATE $125.0►0 NO f EA-cTY $ , TP�-584 $5.00 NO Notation $0.00 NO x $0.00 NO "T $30.00 NO Curt.Cap es Transfer tax $1.,360.00 NO Comm.Pre's $3,800.00 NO Fees Paid $5,385.00 TRANSFER TAX DER: 11-16467 i F THIS .PAGE IS A FART OF THE INS TR� THIS IS NOT A BILL JUDITH A. PASCALE County- Clerk, Suffolk County a 6 1 i i M i 1 f t I f ! T WE2] Number of p�gCs • R ECOMD 1 2012 14ar 19 03:451 57 F14 JUDITH A. PASCPLE THIS document will be public .t1EPX of r record:Please remove all SUFFr�tK MUM 688 Social Security Numbers �'D P 11fi0 080 prior-to recarding. _ _ DTI 11R1 4S? Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES � s Mortgage Amt- Page1Filing Fee, 1. Basic Tax 00 2. Additional Tax r Handling - Sub Total 'I'P 584 SpeeJAssit. Notation or EA-52 l7(County) Sub Total Spec./Add. — - TOT.MTG.:OAK -- EA.-5217{Stag} Dual Town_Dual County R.P.T.S.A. {• i4611d for Appain4fncnt Comm.of Ed. S. 04 �, .� — • _ Mansion Tax Affidavit i ' Tbc property coveted by this mortgage is Certified Copy _ `, or vrill be improved by a one or two j5. 00 family dwelling only. 3'�YS Surcharge' Sub Total — yFS________, or NO Other If NO,see appropriate tax clause on Grand Total �� - ' page of this instrument. loos oo�o0 0500 01.d000 - Des[. 0 )00 5 Community preservation Fund too P T , R Consideration Amount$ - Real Pmperty EMIC 1I Tax Service 15-FAt- Agency CPF Tax D-ae S _ `' OC . Verification Sadsfacdons/DischargeAdeases Ust Propwy Owners Mailing Address i a RECORD RFTU TO: VD �rnt I�.� d 1 L. NAM III, ESQ. i STEPS - i >• MATTHEWS & HAM TD 3$ NUGENT STREET SOUTHAMPTON I NY 11968 TD Mail to:Judlth A.Pascale,Suffolk County Clark 7 -fltle Company Informla tion 310 Center Drive,Riverhead,NY 11901 Co.Name CHICAGO TITLE www.suffolk-Oountyny.gov/clerk Title# C12-7474-1 L 706 Suffolk Count . Recording & Endorsement Pa This page forms part of the attached made by. (SPECIFY TYPE OF INSTRUMENT) --PETER W. RCCAN, individually,. and PETER The premisesherein is situated in TRUSTEE UTD- }. 0? 92 SUFFOLK COUNTYt NEW YORK. TO In the TOWN of SOUTHOLD ST. JOHN"S EPISCOPAL CHURCH, FISHERS ISLANa � In the VILLAGE FISHERi S ISLAND 1 a` or HAMLET of ' BOXES 6 THRU 8 I++1iUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. op • BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S + • ACTS(INDIVIDUAL OR CORPORATION) STANDARD NYBTU FORM 8007 CAUTION.*71JIS AOREEMENTSHOULD BE FREPARW I&Y AN A7TOMEY AND REVIEWED BY ATTORNEYS FOR SELLER AND PURCH46SER BEMRzS[rjNM. T171S INDENTURE,made the �4 day of A*.�kAArLf 2012 Z., between P ETE R W.ROGANv J a d I vj d u ajjy„and rMR W.ROGAN,TRUSTEE TJTD 01/07192 r es I d I n g at 2616 Cove Cay D rive,Apt.703.,Clearwgder3,Florida 3376 0 party of the first part,and ST.JOHNIS EPISCOPAL CHURCH,FISHERS ISLAND 505 Oriental Avenue,P.O.Box 505,Fishers Island,NY 06390 party of the second part, VITNESSETH,that the party of the FiTs i part inr,onsidcration of Tcn Dollars and otbtr lawful consideration,lawrul moi�cy ofthe United Staics,paid by the party of the second part,does hereby grant and arty 0 f the second part rcleasc unto the party of the scc�ond part,the heirs ors=ctssars and-assigns of 1ht p forever, ALL that racrta i 11 plot,piece or paseel of land,with the btLi Idi ngs and i inprovcm tn I s theT con erected, s Y situate,lying and bcing at Fhhcrs Island,Town of Southold,Coun tY Of Suffolk and tate of New ork. SEE SCHEDULE`A'ATTACKED HERETO AND MADE A-PART HEREOF Being and intended to be the same premises conveyed to the party of the first part by deed dated M$11996,recorded 8/2211996 in 11ber 11788 cp 751. TOGETHER with all right,title and interest,if any,of the party of the first part in and to any streets and roads abutting the above deseCibed premises to the center lines thereof,, TOGETHER with the appurtenances and all the estate and rights of the party of the first pad in and to said premises, TO M VE AND TO HOLD the premises heroin granted unto the party of the second part,the heirs or successors and assigns of the-party of the second part forever. AND the party of the First part,covcnants that the party of the first part has not&nc or suffered anything whereby the said premises havc icon cncurnbercd in-any Wily whatever,except as arore�aid. .1fND the party of the first part,in compliance with Section 13 of the Ticn Lary,covenants that the Party of x he first pad will receive the consideration fol-Lhis cOnveYance and will b ol d the night to M=ive such considtration as a trust fund io be applied rwst for 6c purpose of paying[he cost of(ho improvernent and will apply flit m-ne first to the paymcrit of the cost of the improve meat before using any part or the total orthe same for any other purpose. The word"Party"shall be construed as if it read"pw-ties"whenever the sense or this indenture so requires. IN WITIVEYS WHEREOF,the party of the first part has duty executed this deed the day and year first above-writlen, Peter W.Rog-au Ij A;u 40 04 4f T-ru tPe 4- NYSBA Pxsidwtial Rail Estate Fonw on HoWocso 19m) Copyright Cn*ve DrycJopn=t + STATE OF FLORIDA SS.. C 0 UN. TY,OF c� } in the year 2012,before me,the undersigned personally appcarcd On the. ( i peter W.R-o gan,pe 7annl I y 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 acknowl rdgcd to-me that he executed the samo in his capneity,that by his signature on the i ns iru=,ot,the indi vid u 1.c,r the person upon behalf of whiob the individual acted,executed ft instrument,and that such indi-widual made such r.-ppearancc before the undersigned i n th r. 0 00 fi 8:LL Oiq'� UVOL EMFUE&Mupht 2014 NOTARTTO]KIC /X Am 1A,0 DEED Tj tee Section 009.00 Block 05-00 ROGAN Lot 014.000 County or Town SULK To ST. JO174'S- EPISCOPAL CHURCH Return IN Mail To: Stephen L.Ham,111,Esq. 38 Nugent Street Southampton,,NY 11968 Reserve This Space For Use Of Record it"Oftiee t NYSBA RvUtn6d Real ESUIC Fonm CM HotDocsV(9/00) Capyiijbi CWoO Devcloprmnt Chicago Title Insurance Company TITLE NO.C12-7474-11706SUFF SCHEDULE A (Description) Amended 03107112 f land situate, lying and being on Ftsbers Island,Town of Southold, County of ALL that cerlain plot, piece or parcel o Suffolk and State of New York, known and designated as Lois 1, 2 and 3 as shown on a certain map entitled,, "Section Two) Map of Lots of Fishers Island Embracings the Highland Range between The Great Harbor and the Atlantic Shore" 9 as Map No.339-said lots when taken and filed ill the office of the Suffolk County Clerk's Office on 18 September 23 7 together are more particularly bounded and described as follows: BEGINNING at the carer formed by the intersection of the northerly side of Oriental Avenue%Ylth the easterly side of Crescent Avenue- said point also bring located 2378.14 feet Nor of a point which is1972.66 feet Wcst of ftMnument Y marking the United States Coast and geodetic Survey Triang I tion Station"PROS", Running Thence from said point or place of beginning along the easterly side of Crescent Avenue North 50 degrees 01 minutes 40 seconds East, 136.53 feet; 275.83 feet to the division line between Lots 3 and4([and Running Thence,South 47 degrees 13 Minutes DO seconds East, nc)w or formerly of St.John's Episcopal Church); Running Thence along said division line South-45 degrees 20-minutes 40 seconds West, 144.39 feet to the northerly side of Oriental Avenue-, Running Thence along the northerly side of Oriental Avenue the following two courses and distances; 1)North 49 degrees 05 minutes3O seconds West, 193.04 feet;and 2)North 38 degrees 02 minutes 50 seconds West,94.87 feet to the point or place of BEGINNING. THE POLICY TO HE ISSUED tinder this commitment mrill insure the title to such buildings and improvements on the premises which by imp constitute real properly. -FOR CON VE YA NCING ONLY.Together with all the right, title and inn crest of-the party of the first part,of in and to I h e land lying in the street in front of and ai,oining said premises. SCHEDULEA-1(Description) Rev.(03104) A f P rl A dp^ .a� Ab b"i r } w 19 1 r• * •� d 14 t J 44 �- a s 'E' 1' 1• `. f` " { 62 j , F •� 000, -�Ox4z.T1 At,,,Awwal_ /b F , r r r 7 rp 5 .� �# :•� �`#,,,, . ��;,�fi� ��r � � / r •{�-�{`fir„{��!'! -ti70t'� Cli eyl .. f i a■ T ... i p � ,•. ' lip�• ''` ' C ", 7 O"aG cif` A ! ' goo pr i r0 I p Orr h �}f 1 I At� 1 • .�.. 5 273 10 1 L r 1 • . 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Y-j .. - '' 's '`.a,a,l`= �.r r ;•4 ..- r .. _ 4' .. 1�ti' .,i ' • , Y f t i`F J• #:r*' �olf -T6wn-o#Southold Annex--. 0 54375 Main Road , Southolds New York 11971 PRE ENjSTING CERTIFICATE OF OCCUP' ANCY No: 35250 Date: 10/412011 THIS CERTIFIES thgt the stxuetwe(s)located at: Montauk Ave SCTN.I#: 473889 SeelBiocldLot: 9.-5-14 ' Subdivision: Filed Map No, Lot No. . conforms substantially to the irequireix mts for a bunt prior to APRIL 91 1957 p+unvant to which CERTIFICATE OF OCCUPANCY NUMBER Z. 35M dated 10/4C201.l eras iss�.ed and conforms to ali the re riements of the applicable rods` n p� p ions of the law. The occupancy for which this certificate is issued is: 1A1N w E].LFNG,,ogle-I`a-jii ty dot 6lino Nvi t)i c yeretj y Tcli un ire shed baseL Ycnt and attached i*1�E BEDROOM COTTAGE.one i31i1iI W-S011al-COLta L, P 5 274 addiI ion /O i5 9�7 TWO BEDROOM COTTAGE-.'one rgm'j scasonal c g e. The certificate is issued to Rogan,Peter of the mores aid`bui iding, SUFFOLK COTJNTY DEPARTMENT of HEALTH APPROVAL EEECTMCAL CER.T 'ICATE No. PLU ERS CERTMCA.TION DAYED► *PLEASE SEE ATT.ACHBD INSPECTION REPORT. - y Autho Sign Aur + BUILDING DEP.AR7MF.,,HT TOWN OR SQLTrHOLI7► HOUSING ING CODE INSPECTION REPORT - L TIQbi: O.NTAUK AVE FISHIRM ISLANb svar�zvrsrcx�: -- 7� E S} HOW OF CMSR W PETER W ROC ?w 'TRUSTEE OCCUPAIRCT; ONE FAMILY DWELLING PETER W ROGAN TRUSTEE MACETTED BY: REAL EM%TE AGENT A.CCC*WANT}3D BY: M3X AVA.XL nBTZ-. ._ SUM CO. TAX KttP No.: 9.-5-14 SOflB.M OF R E3Sr: MYSTIC ISLF. F.BALTY YXA. B- 34 04 li 'x'M 01? 0 ; WOOD F RyAML _ � ST�O1�tI$S: 2.0 FxzlS: 4 VOUNDAT ON: STONE .t._ �.. CETJ AR: 7 5 t MAVIL SPACE.. 2 5 t mu.Kr RDOH(S)= 1.0 UT ELcrx ROM is) RORcH TX COVERED WOOD. DECK TYI?R: PATIO s: Bttm?=wAY; PWRI E.ACB; 1 Q7kVJ .`8: ,ATTACHED ' Q,�.�C T . : YRS TYPE l.[FMTRR= OIL TYES BRAT." H= WATER AAUt AM.. - OTMMZ I KITCHEN, 5 B"QD R0014S ON SSCUND FLOi?R ACCESSORY 9'mvc l=S AGE, TYPH OF COWST_: STMAGB, TYPE CGNSr. POOL-. -- Gam, T m LWONST., VIQLATIONS: CHAPTER 4.5 N,Y. $T.ATE VNIFORM FIRE PFIWBNTION & BUILMNe CODE ' WCATIOP 4r ,• .r '�'i :� Aar. . S C.- I, 1 I- � I I I I I i I � I RE : MA124 a lP� Iii:PECii) 1 OFF. BY-. DATE CM =NSP Mog; 0 9 t 2 3 l 13. ROB14RT T.IM$ START: ENb! ° BUILDING DEPMTMENT ._ TOW OF S013TI40LD HOUSMG CODE INSPHCTION PWORT LOCATIt x_ MONTAUK AVE f l-SHER-5 ISLAND 31vxsxom MAP NO. NA B Og 0 (S): -PETER W FOCA!J TWST:�E OCCMANt'-'•Y: I rAf4XLY SEASONAL COTTAGL PETER W ROGAN TRUSTRE! BY: ROAL ESTAat AGENT ACCONEIA DIED BY: XRY =AXL,sL u z SUF . CO. = Imp no_: OtMCB OF 08M.- MYSTIC ISLE RlL-kL,Y -- LyKTB: DWELLING: TYPE o» QS•TRtI TICBq: WOAD FRAME _ # SI'ORIBS: 1^0 It Ma=S: 3 BOt t Trao: s ar .'H tc - C RLLA$: 5 0!k CTLtML spAcs_ 50 v TWZL 100kSt LST FM.: 42ND Fes;, b 3RD 1.0 soxLxT Rom(s)_ _ LITT RCKAJ(s); PORCH zYPR: DUCK rATs: yea ems: RRRBZmmX: F3mEPLj1C,8: GARS: DOKRSP.CC H07'Krl'Y'KK= YES TYPE HShTRR-. F-LECI.RIC _ A gL'03RDal=CNjNG: Z XTZ : NONE RAM AIR: I XXICKE4, ACCESSORY STRUCTURES GARWH, T -OF G��I'.: STORAOB, 'x yrz LVNST_; . VIOLATIONS: CHAPTER 45 N.Y. STATE LWIpORM FIRE PR.tVENT_toN & BUT�ZZNG CODE t s ` AR - SEC C f � I � J � 1 � 9 M � l � � r ��axs rNSPsCTED, 7[L ME: = am INSF9CrxoH: TIM START: T Via" �aor: f• 41.4 F i. BUILDnIG DEPARTMENT TOWN UE SOUTHOLD T3CUST &l COD19 ndpbcrioN RZPORT MONTAIW AVE Fl,SRgn ISLAND MUM Cam' OW)MR (S): PATER W lZMAN TRUSTV3E 0CCU2AW Y*. 1 FAMILY S$ASONA.4 COTTAo,E� PETER W ROGAN TRUSTEE AbHITTD RY: REAL ESTATEGE:'i' AC1C{7"AsIRDY': -.._.. XRY A`V "Llg: SU". CO. TAX HAP Do.; 9.-5 3.4 :0IIRC76 DF PRQU=-. MYSTIC lSGP, REALTY R_ 10 04 1I Dw�tx.�.rrc TYM 0P mkt I CM1: WOOD FRAKEE T0'm RC}msz 1ST FIB,_: fl 21Lri PM-: 0 3RD PLA.: 0 BA c c(S): 1.0 TOILET ROM(S): 0.0.0 Lrrf ROM(S); PORCE TYPRt DEXX TxPX: PAT10 TM: bCK9S2MC Nn'.L�f'r='SR: YES T PR IMAT$R.: EUECTRLC �t�RL77C},�IUI'IC I s O'MlW t Z BEDROWSO 1 KTTCREM ACCESSORY STRUCTURES: Gam. TYRS OF-C''CHSr.; S"3�C7RAGE, % PS VZOLATIdNS.. CHAPTEPL 4S N.Y. STATE MUPO'RM PIKE PREY}nT.TON Sc S"UXr,D=r, CODE I ART. ScC. � l M i E � I � I � I � I � r � tS� BY' � rim cu THs xcu 0 9 2 3 11 i a a - a • r y a eF r a F 7 1 R NO • 04 a . J , Pb ' s � a Nib • 4 �`� i' 4 V; WdNI %. do j Ie ' . e } e y*la ' � e = e 1 �e r �e a r� a�,� FOB NYo. 4 Fawn Q=k1s +ce southoid, No 1, CertifiCate Of Occupancy No. Z�9-07 Date T11IS CERTIFIES that the ding located at . •�rio atal . �1r �A.a��.� Y�.+a L.t Map No. �. ... . . , mock Xo, ► . �, , . , .dot N0.=, conforms substgnt 11Y to the App11eation for 13uilding Permit hP.retaf ar •�.ed is this office dates . , . . . . . . ,a ...�, ► .;t.. . .. � 19, 70j pumlant to ivhich]Building Permit dates s ' � isstxedf and +eOrtfarnz - s to an of �e xe+qu�. - meats of the applicable provisions 4f the.ZCLW, � � 4 +�l�oact��c�-for w�.Gh hs certificate is issued is . AdrAL.t q.PAq .-rmtly.. - The certificate cate is-issued to .p, t r* of the aforesaid (owner, s or tenant)btuld�g. i Suffalk County Department of Health Approval �• Y . Y 11 F 1 LT�MERWI ERS CERTIFICATE No. pAnd + • a i L • a r • • L Y • } + HoIIS-E NUMBER * 41 led IS r • • + - • i • • a , i ! r , I a i � # Y . Y Y . f i • a � 1?1ec 6 r . f �t 5 F t i { , ""M Now 2 7 TOWN OF SOUTHOLD .. BUILDING b9PARTMENT TOWN CLIRWS OFFICE SOUTH OLD, N. Y. . BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 5274 Z Date . r Permission is hereby granted to; •r►rra..■i.■..r{ a ... ar..A►&s.aa.r1/fa...iilf4fl*.1.alaa/f l��.iil ��Is �eN■r.f.s.•Nf•i.aaf+\\sl-.a.aar■■..r.. 4iaf`alAawa � lt•►Ylilii4 { to �.a�a **��....��i�l�y� e\ ��ri.�a aliaa\litf.+ar■►ias..►arrl.eAfra.�.lar...a.ff... afa■.......a.as.■■ase a"..ra.r•■a•a1.a■.aea,boa..6T1.Ron/e ar,l►a.a..be to ra aa.■a.■a.r am?faa.a../.I.ar.af.a.sea led....@.■a\aaar.la.,1\I.t a.►a a re r..Dow ra..rra%r...■ d (it premises locatad 4t f.s.•r..e�rr.rfrrIDr-te+'4a �•• ?e*Gq f'�a�.�.:■.s ■. .a..aaaar.r.a,ai 1! its flaker. s• 7� ...a.rs./Las.. .a...e..raa..as.■a..areas■.a....a......■......a..rr....r... a ■..r•r...r..aa..a.asfa.rasa./..�..\aa.e.fr.sae.fll111/a\raaallllfa►1.160111{1111 alad...raarala.aaa..s....■a..raa..■... .r. ......ra��F.a.sa.•..,}r►.■.raaa...r.. t pursum* to application dated ........ar........faaa..,a..l+. a �f i,�,......,.+ �� and approyW by the Building Inspector, � S ■Fee -..�dtr�r0.r....►.... 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AIL 3, hS_2 F wjs '•,�].. r■•,sti4 n1P" r- '' rS ks + 4�f.'iJ; �■Vk 4 �' l`.0 S`� taAFti1 tq L , -.r .T S l; 1 T5-j 1,.' ?St' �i 4-1::•!r '?. f.. ►.,,-. + - ..i -t` :1.•.�' - ''�1�IIIT)�y'•1 r+4Nr;fir•t..- -i',; J },■.Tri- 5 - rL ••J'-¢*.V''.ha' y�l's'� �.S v 4=f,t R�)..f,._.�J�r,+ +r_ ,+.I - • _ I 6 +, L r'r 11`'�'a '*Iyr� ■.-I+ �.I�.k. ri�•''['+ ,} t•I •,=_'. ' I ,1 L. 1 r..�ON 9'i,J` -'1 _:r'3i' ".� Yr. 1. IJF Lr ' r 7 y.4p r- r5'+1 t} [, �a•`F• f '4 i { .:fir. L*tlr4r.�� ,r r F• 4..; A �� t !-.��reJ,r}•.�{,��_ {. ..lV uYt3+I.Fi'1.''y 'y�+`�`•1,- k.-.'.+.'_; , {+_yyF fir ,y1tt}';�37.„..if ,s - �, +}•`a, *': r. I }' }.r .■ t�'4•y'li i'j y, r� e', CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY NOTE:IT IS ANTICIPATED THAT THE LIGHTHOUSE WORKS,ING. WILL BE THE OWNER OF THE PARCEL TO BE TRANSFERRED TO EFFECT THE LOT LINE MODIFICATION AT THE TIME OF APPROVAL; IF ST.JOHN'S EPISCOPAL CHURCH FISHERS ISLAND CONTINUES TO BE THE OWNER AT SUCH TIME THEN IT WILL BE NAMED AS PARTY OF THE FIRST PART HEREUNDER THIS INDENTURE,made the day of ,two thousand twenty-six, THE LIGHTHOUSE WORKS,INC.,a New York not-for-profit corporation,3 Hound Lane-#385, Fishers Island, New York 06390, party of the first part, and ST.JOHN'S EPISCOPAL CHURCH FISHERS ISLAND, 806 Oriental Avenue-#505, Fishers Island, New York 06390, party of the second part, WITNESSETH, that the party of the first part, in consideration of Ten Dollars and other good and valuable consideration paid by the party of the second part,does hereby grant and release unto the party of the second part, the heirs or successors and assigns of the party of the second part forever, All that certain plot,piece or parcel of land,with the buildings and improvements thereon erected,situate,lying and being at Fishers Island,Town of Southold,County of Suffolk and State of New York,being bounded and described as set forth on Schedule A attached hereto. BEING AND INTENDED TO BE a portion of the same premises conveyed to the party of the first part by deed from the party of the second part,dated and recorded in the Office of the Suffolk County Clerk on in Liber at page This conveyance of the premises described on Schedule A hereto was approved by the Planning Board of the Town of Southold by resolution adopted on ,2026. By accepting this deed,the party of the second part acknowledges and agrees that the premises conveyed hereby(being a part of SCTM No. 1000-009.00-05.00- 014.000)shall merge with and become a part of the premises of the party of the second part adjoining the premises conveyed hereby on the south and east(formerly SCTM No. 1000-009.00-05.00-016.001)and shall not,except as so merged with such remaining premises,constitute a separate building site under applicable laws,ordinances, rules and regulations.A perimeter description of said merged parcel is set forth on Schedule B hereto. TOGETHER with all right, title and interest, if any, of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof;TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises;TO HAVE AND TO HOLD the premises herein granted unto the party of the second part, the heirs or successors and assigns of the party of the second part forever. AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby the said premises have been encumbered in any way whatever,except as aforesaid. AND the party of the first part, in compliance with Section 13 of the Lien Law,covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose.The word"party"shall be construed as if it read"parties"whenever the sense of this indenture so requires. IN WITNESS WHEREOF,the party of the first part has duly executed this deed the day and year first above written. IN PRESENCE OF: THE LIGHTHOUSE WORKS,INC. By Nate Malinowski,Executive Director Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantor's Acts—Uniform Acknowledgment TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York,County of Suffolk ss.: State of New York,County of ss.: On the day of in the year 2026 before me,the On the day of in the year undersigned,personally appeared before me,the undersigned,personally appeared Nate Malinowski personally known to me or proved to me on the basis of personally known to me or proved to me on the basis of satisfactory evidence to be the individuals whose names are satisfactory evidence to be the individuals whose names are subscribed to the within instrument and acknowledged to me that subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacities, and he/she/they executed the same in his/her/their capacities, and that by their signatures on the instrument,the individuals,or the that by their signatures on the instrument,the individuals,or the person upon behalf of which the individuals acted,executed the person upon behalf of which the individuals acted,executed the instrument. instrument. Notary Public Notary Public (signature and office of individual taking acknowledgment) (signature and office of individual taking acknowledgment) TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State of ;County of ss.: On the day of in the year before me,the undersigned,personally appeared personally 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 she executed the same in her capacity,and that by her signature on the instrument, the individual,or the person upon behalf of which the individual acted,executed the instrument,and that such individual made such appearance before the undersigned in the in the State of Notary Public BARGAIN AND SALE DEED DISTRICT 1000 WITH COVENANT AGAINST GRANTOR'S ACTS SECTION 009.00 BLOCK 05.00 Title No. LOT p/o 014.000 COUNTY OR TOWN SUFFOLK-SOUTHOLD STREET ADDRESS 668 Oriental Avenue THE LIGHTHOUSE WORKS,INC. Fishers Island, NY 06390 TO ST.JOHN'S EPISCOPAL CHURCH FISHERS ISLAND RETURN BY MAIL TO: STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS Distributed by RESERVE THIS SPACE FOR USE OF RECORDING OFFICE SCHEDULE A TO DEED Party of the First Part: THE LIGHTHOUSE WORKS, INC. Party of the Second Part: ST. JOHN'S EPISCOPAL CHURCH FISHERS ISLAND Deed Dated: , 2026 All that certain plot, piece or parcel of land,with the buildings and improvements thereon erected,situate,lying and being at Fishers Island,Town of Southold,Suffolk County,State of New York, bounded and described as follows: BEGINNING at a point on the northeasterly corner of the hereinafter described parcel, which said point is situate the following two courses and distances from the corner formed by the intersection of the northerly side of Oriental Avenue with the easterly side of Crescent Avenue, the point on said corner being located 2378.14 feet North of a point which is 1972.66 West of a monument marking the United States Coast and Geodetic Survey Triangulation Station"PROS": (1) North 50 degrees 01 minutes 40 seconds East, 136.53 feet, and (2) South 47 degrees 13 minutes 00 seconds East, 212.91 feet; and from said point of beginning RUNNING THENCE South 47 degrees 13 minutes 07 seconds East, 62.92 feet; THENCE South 45 degrees 20 minutes 40 seconds West, 144.39 feet to the northerly side of Oriental Avenue, THENCE along the northerly side of Oriental Avenue North 49 degrees 05 minutes 30 seconds West, 67.49 feet; THENCE the following two(2)courses and distances: (1)North 40 degrees 54 minutes 30 seconds East, 53.32 feet; and (2) North 50 degrees 33 minutes 54 seconds East, 94.03 feet to the point or place of BEGINNING. SCHEDULE B TO DEED Party of the First Part: THE LIGHTHOUSE WORKS, INC. Party of the Second Part: ST. JOHN'S EPISCOPAL CHURCH FISHERS ISLAND Deed Dated: , 2026 Perimeter Description of Merged Parcel All that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being on Fishers Island, Town of Southold, County of Suffolk County, State of New York, being more particularly bounded and described as follows: BEGINNING at a point on the northeasterly corner of the hereinafter described parcel, which said point is situate the following two courses and distances from the corner formed by the intersection of the northerly side of Oriental Avenue with the easterly side of Crescent Avenue, the point on said corner being located 2378.14 feet North of a point which is 1972.66 West of a monument marking the United States Coast and Geodetic Survey Triangulation Station "PROS": (1) North 50 degrees 01 minutes 40 seconds East, 136.53 feet, and (2) South 47 degrees 13 minutes 00 seconds East, 212.91 feet; and from said point of beginning RUNNING THENCE South 47 degrees 13 minutes 07 seconds East, 62.92 feet to a monument; THENCE South 47 degrees 13 minutes 00 seconds East, 134.00 feet to a point; THENCE North 87 degrees 18 minutes 40 seconds East, 80.00 feet to a point; THENCE South 09 degrees 21 minutes 40 seconds East, 91.17 feet to a point; THENCE North 80 degrees 38 minutes 20 seconds East, 44.41 feet to a point; THENCE South 09 degrees 21 minutes 40 seconds East, 135.00 feet to a point on the northerly side of Alpine Avenue; THENCE along the northerly side of Alpine Avenue the following two (2) courses and distances: (1) South 71 degrees 22 minutes 30 seconds West, 45.00 feet to a point; and (2) North 62 degrees 53 minutes 45 seconds West, 263.80 feet to a point on the northeasterly side of Oriental Avenue; THENCE along the northeasterly side of Oriental Avenue the following three (3) courses and distances: (1) North 38 degrees 48 minutes 12 seconds West, 96.89 feet to a monument; (2) North 48 degrees 59 minutes 13 seconds West, 30.99 feet to a monument; and (3) North 49 degrees 05 minutes 30 seconds West, 67.49 feet to a point; THENCE North 40 degrees 54 minutes 30 seconds East, 53.32 feet to a point; THENCE North 50 degrees 33 minutes 54 seconds East, 94.03 feet to the point or place of BEGINNING. OFFICE LOCATION: ' MAILING ADDRESS Town Hall Annex � F.O. Box 1179 54375 State Route 25 Southold,NY 11971 (cor.Main Rd.&Youngs Ave.) Telephone: 631-7fi -1938 Southold,NY ► 4 www.southoldtowvnny.gov 4 rt '"frr a•' r PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Accounting From: Planning Department Date: December 23, 2025 Re: Check Please deposit the attached check into B691: Deferred Revenue. Fee is for a Lot Line Change Application not yet accepted by the Planning Board. Thank you. Type Project Name & T e Tax Ma # Amount Check Date& Number p St John's Episcopal Church 9.-5-14 & 10.1 $500-00 12/20/2025 - #5220 Resubdivision Mathews & Ham CEW Att. Presubmission Materials svbpr- ?L3 H L__-,I G C M C MJE C�IE C WIN Q TOWN OF SOUTHOLD NOV 10 2025 BUILDING DEPARTMENT SOUTHOLG'i OWN NOTICE OF DISAPPROVAL PLANNING BOARD DATE:November 7,2025 TO: Stephen L. Ham,Esq. (St.John's Episcopal Church) 38 Nugent Street Southampton,NY 11968 Please take notice that your application dated September 10,2025: For a permit: for a lot lire change at: Location of property:664& 806 Oriental Avenue,-*sh rs Island,NY County Tax Map No. 1000—Section 9 Block 5 Lot 14 & 16.1 Is returned herewith and disapproved on the following grounds: The proposed lot line chance on this con fogn in 41 1 2 so.ft. lot in the R-40 District lot 14 and this confor€n in 54,457 sq.ft. lot in the R-40 District(lot 16.1).is not permitted pursuant to Article 111. Section 280-1 ,_Nybjch states; No building or premises shall be used and no bu i ldan or 12art thereof shall be erected or altered i,n the R-40.District unless the same conforms to the requirements of ffie Bulk Schedule and of the parking Schedule,%with the sane force and effect as if such regulations were set forth herein in fill. Proposed. arcel 10 0-•9.- -14-Bulk Schedule re uires a minimum lot size of40.000 s uare feet agd lot depth of 175 feet. Following Foliowing the proposed lot line change this arcel will be non-confonniri� measurin 3l 2 s uare feet with a lot del2Ih of 13 .53 feet. Proposed parcel 10 0=9.- -1 .1-Bulk schedule requires a.minunurn lot depth of 175 feet. Following the proposed lot line chap a this arcel w ill be iron-conform irr with a lot de thf 147.3 feet. In addition,the proposed lot line chance is not permitted pursuant to the Bulk Schedule w1i lch_requires a minimum side yard setback of 15 feet. The lot line change will result 1n one exlstln c��ta eon lot l4 and�r�e existrn cotta e on lot 16.1 to both have in in inium side yard setbacks of 13.7 feet. Furtherrnore the lot line change is not emi tied as it will result in an existing cotta a bein cated from lot 14 to the newly proposed lot 16.1 (64.343 sq. f . constituting as a second use on this lot. Bulk Schedule re Mires 40,000 sq.for eac_huse. Lastly,the proposed lot line change requires approval fi-om the Southold Town Planning 13oard. Authoriz'etzgnvure Note to Applicant: Any change or deviation to the above referenced application,may require further review by the Southold Town Building Department. CC:ZBA, Planning,file