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J 1. _ ,. f .,,,w, .y .. , •+r.,.� ,. a.„ ..., %• w«• r N. �..., ♦:,ad,-1da»,+....,.. .:.rnr>-,gym x 4s n.^,r x^N+t^ e:.,.i>:x+nMY"nx••l -..w w.« .e4u.n+;:n.„, a.....:.,_, ^. -. -I .. -., .:.. „ ,. :?,""'.. .:aA"C'". »,+rww+,Lywr+w~5.x,an.wm # sb,rvmm�w:.r,...n'^w.a«..er .r, r. .n - ,._ .�,. 'i :. �: s 5 >� i OANNING BOARD MEMBERS y� SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman. ; " .�.. '', Supervisor George Ritchie Latham, Jr. •y'e "' � : f Richard G. Ward s 7 Town Hall, 53095 Main Road Mark S. McDonald ' P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 - SOUTHOLD TOWN PLANNING BOARD MINUTES NOVEMBER 13 , 1990 Present were: Bennett Orlowski, Jr. , Chairman f . G. Richie Latham 'Mark McDonald Valerie Scopaz, Town Planner Melissa Spiro, Planner . Holly Perrone _.. Jane Rousseau Absent were: Richard Ward Kenneth Edwards (Absent due to weather) Mr. Orlowski: Good evening, I would like to call this- meeting to order. First order of business at 7: 30 p.m. is the public hearing of Franklyn Born - This proposed lot-line change is to add 4,323 square feet from a 2. 097 acre parcel to a 2. 098 acre parcel in Peconic. SCTM # 1000-55-2-25. 2 & 25.3 . We have proof of publication in the local papers and at this time everything is in -order for a final hearing. I ' ll ask if there are any objections to this subdivision? Hearing none, are there any endorsements of this subdivision? Hearing none,, is there _. anyone out there neither pro nor con but may have information pertaining to this subdivision that may be of interest to the board? Hearing none, any questions from the board? Board: No questions. Mr. Orlowski: Hearing none, I ' ll declare this hearing closed. Does the board have any pleasure on this? Mr. McDonald: Mr. Chairman, I would like to make the following s motion, • Y PLANNING BOARD 2 NOVEMBER 13 , 1990 WHEREAS, Franklyn J. Born is the owner of the property known and designated as SCTM # 1000-55-25 . 2 & 25.3 , located at the south side of North Road, west of Mount Beulah Road, and east of Youngs Avenue in Southold; and WHEREAS, this lot-line change, to be known as Proposed Lot-Line change for Franklyn J. Born, is for a lot-line change adding a 4. 232 square foot parcel to a 2. 098 acre parcel; and WHEREAS, the Southold Town Planning Board, pursuant to the State Environmental Quality Review Act, (Article 8) , Part 617, declared itself Lead Agency and issued a Negative Declaration on October 22, 1990; and WHEREAS, a .final public hearing was closed on said subdivision application at the Town Hall, Southold, New York on November 13 , 1990; and WHEREAS, ,all the requirements of the Subdivision Regulations of the Town of Southold have been -met; and be it therefore, RESOLVED, .that the Southold Town Planning Board approve and_ authorize the Chairman to endorse the final survey dated September 26, 1990. Mr. Latham: Second. Mr. Orlowski: Motion made and seconded. Any questions on the motion? All those in favor? Ayes: Mr. Latham, Mr. McDonald, Mr. Orlowski. Mr. Orlowski: Opposed? So ordered. (Chairman endorsed maps. ) Mr. Orlowski: 7 : 35 p.m. - Joel D. Lauber - This lot-line change is to add 4,916 square feet to lot 7, and 4,916 square feet to lot 8. This property is located at 4090 Orchard Street in Orient. SCTM # 1000-27-3-3.7 & 3 . 8. We have proof of Publication in both papers. Everything is set for a final hearing at this time. I ' ll ask if there are any objections to this lot line change? Hearing none, are there any endorsements of this lot line change? Mr. Donald McAery - Attorney for the applicant. I would respectfully request that the application be approved. Mr. Orlowski: Any other endorsements? Hearing none, any �l questions from the board? PLANNING BOARD MEMBERS '4`°' �'� , �.y '�' � SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman Supervisor George Ritchie Latham, Jr. t Richard G. Ward Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards Southold, New York 11971 PLANNING BOARD OFFICE Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 November 14, 1990 Franklyn Born 31 Homestead Drive Coram, New York 11727 RE: Proposed Lot-line change Franklyn J. Born SCTM# 1000-55-2-25. 2, 25.3 Dear Mr. Born: The following took place at the meeting of the Southold Town Planning Board on Tuesday, November 13 , 1990. The final public hearing, which was held at 7:30 P.M. , was closed. The following resolution was adopted: WHEREAS, Franklyn J. Born is the owner of the property known and designated as SCTM#1000-55-2-25.2 & 25.3 , located at the south side of North Road, west of .Mount Beulah Road, and east of Youngs Avenue in Southold; and WHEREAS, this Lot-line change, to be known as Proposed Lot-line change for Franklyn J. Born, is for a lot-line change adding a 4,232 square foot parcel to a 2. 098 acre parcel; and WHEREAS, the Southold Town Planning Board, pursuant to the State Environmental Quality Review Act, (Article 8) , Part 617, declared itself Lead Agency and issued a Negative Declaration on October 22, 1990; and WHEREAS, 'a final public hearing was closed on said subdivision application at the Town Hall, Southold, New York on November 13 , 1990; and WHEREAS, all the requirements of the Subdivision Regulations of the Town of Southold have been met; and Page 2 Franklyn Born be it therefore, RESOLVED, that the Southold Town Planning Board approve and authorize the Chairman to endorse the final survey dated September 26, 1990. Enclosed please find a copy of the map which was endorsed by the Chairman. Please contact this office if you have any questions regarding the above.. Very truly yours, Bennett Orlowski, Jr. Chairman Encl. cc: Victor Lessard, Principal Building Inspector Charles Watts, Assessors Office r- ; PLANNING BOARD MEMBERS SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman %P.�' - s:F, Supervisor George Ritchie Latham, Jr. Richard G. Ward �_� Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 October 23 , 1990 Franklin Born 31 Homestead Drive Coram, New York 11727 RE: Proposed lot-line change Franklin Born SCTM#1000-55-2-25.3 ,,. 2 Dear Mr. Born: The following resolutions were adopted by the Southold Town Planning Board at a meeting held on Monday, October 22, 1990. RESOLVED that the Southold Town Planning Board, acting under the State Environmental Quality Review Act, do an uncoordinated review of this unlisted action. The Planning Board established itself as Lead Agency, and as Lead Agency makes a determination of non-significance and grants a Negative Declaration. RESOLVED that the Southold Town Planning Board set Tuesday, November 13 , 1990 at 7:30 P.M. for a final public hearing on the maps dated September 26, 1990. Enclosed please find a copy of the Negative Declaration for your records. Very truly yours, i Bennett Orlowski, Jr. Chairman Encl. PLANNING BOARD MEMBERS SCOTT L. HARRIS Bennett Orlowski Jr. Chairman " �< i;s>a+ �� Supervisor George Ritchie Latham, Jr. Richard G. Ward d Town Flail, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 State Environmental Quality Review NEGATIVE DECLARATION Notice of Determination of Non-Significance October 23, 1990 This notice is issued pursuant to Part 617 of the implementing regulations pertaining to Article 8 (State Environmental Quality Review Act) of the Environmental Law. The Southold Town Planning Board, as lead agency, has determined that the proposed action described below will not have a significant effect on the environment and a Draft Environmental Impact Statement will not be prepared. Name of Action: Proposed lot-line change Franklin Born SCTM#: 1000-55-2-25.2 & 25. 3 Location: South side of North Road, west of Mount Buelah Road, and east of Youngs Avenue. SEQR Status: Type I ( ) Unlisted ( X) Conditioned Negative Declaration: Yes ( ) No (X ) Description of Action: Lot-line change adding 4,232 square foot parcel to 2. 098 acre parcel. Cl Page 2 Franklin Born SEQR Negative Declaration Con't. Reasons Supporting This Determination: An Environmental assessment has been submitted, reviewed and it has determined that no significant adverse effects to the environment were likely to occur should the project be implemented as planned. Further Information: Contact Person: Robert G. Kassner Address: Planning Board Telephone Number: (516) 765-1938 cc: Judith Terry, Town Clerk Building Department Applicant PLANNING BOARD MEMBERS r7l SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman Supervisor George Ritchie Latham, Jr. '` Richard G. Ward `'- Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 October 10,1990 Franklin Born 31 Homestead Drive Coram, NY 11727 RE: Franklin Born Proposed Lot Line Change SCTM# 1000-55-2-25. 2,25. 3 Dear Mr. Born: The Planning Board has reviewed your application. The Board requests that you submit an affidavit that upon approval, part of lot number two ( 2) will be merged with lot number three ( 3 ) . A sample copy is enclosed for your use. Upon receipt of the affidavit, the Planning Board will proceed with its review. If you have any questions or require further assistance please contact this office. Very truly yours, Bennett Orlowski Jr. (( Chairman Encl. October 16, 1990 Re: Franklyn Born Proposed Lot; Line Change SCTM# 1000-55-2-25. 2, 25.3 To the Planning Board of the Town of Southold I, Franklyn Born, being duly sworn, depose and say: That; I am the owner of an improved parcel of land in Southold, New York which is a part; of certain lands shown on a map of a Minor Subdivision for Franklyn Born filed in the Suffolk County Clerk' s office on September 4, 1987 as tax map number #1000-055-2-25, and which was deeded to me by deed dated August 28, 1987 recored September 4., 1987 in Liber 7385 page 255. That I agree to merge the approximate 5000 square foot corner parcel triangle 66 X 128^'X" 144 from lot 2 to lot 3 if the Planning Board approves the lot line change, as shown on survey map drawn by R. Van Tuyl, P.C. of Greenport and submitted with application for a lot line change. Fr nklyn rn Sworn to before me this �� day of 1990 G Z�JA RYY� Nohry Public.State of Now York No.4904776 Qualified in$�ffolk unty Commi�eion Expi Notary Public co—ly C—I IDI;TRICTNO. 1000 — I Riverhead,L.I.,Now York PROPERTY MAP N k7. Z-79 12-el u— I It at NORTH SEE SIC No ,I 2.41A(G) 'Zf J4 a.. 3.1 A0 T 3.1 A(.1 J7,J7 .09 at OF & SOUTHOLD 4 Er N ".0 In 31 zga A) 'IaAle) A a n� N 14 2 OA(111 IS GA SAW IIN 1-11 NO SEE C NO— 2.3 to. ... ... 03-025 It ..C. z LINE All. Z LIRE SEE SEC NO.063 ...CI. Legend KEY W COUNTY OF SUFFOLK TOWKOF SOUTHOLD SECTION NO. �",d— 114, P*.,".'�'--'L.1,- Z I...I... ---- :i_—:1., 0.'-- D- R. PILLAGE OF.1c.AEL 8•A �F Real Property Tax Service Agency 055 �p I...... w L. C—ly Center DISTRICT W. 1000 R ,A, 4......_......... D.1-1 L... P— A, I Riverhead,L.L,New York PROPERTY MAP C.— D.1— ,4 cl, 4-, ,- foj111'1d1'-1 y ► z'4�: �I kro t - �C•� for ap _ so�, O� ... 0� zs bL ELF L i i , nor %% do s off` S.90 39 v? SriO Div sTo,, .O p. �F� y �[' 6 5 '1�� / N �T MONUMEN T SUBDIVISION MAP FLED/N THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON✓UNE, N0.5599. C) NEW y,O O`, � REVISIONS YOUNG 8t YO ' G JUNE 23, 1971 400 OSTRANDER AVENUE, RIVER ryW;.YO.RK ` y J U LY 8 1971 1 ALDEN W.YOUNG oo HOWA72D W. CSL1 G OATTIIMORIZEDIS 15 RATIOAOR OPTION APRIL 7, 1976 PROFESSIONAL ENGINEER AND cFSJ l CTION 7209 OF THE NEW YORK STATE LAND SURVEYOR, N.Y.S. LIC. NO,12844 �•i� w 1 S3 UCATION LAW. SURVEY FOR: PIES OF THIS SURVEY MAP NOT BEARING. E LAND SURVEYOR'S UKED SEAL Ot '' FR_ A/V -BOSSED SEAL SHALL NOT U CONSIDERED ?BE A VAUD TRUE COPY. LOTS 29 a "L ffW, /749 ACRES AT BAYf/E`W" UARANTEES INDICATED HEREON SHALL RUN i'_-"'�. ' NLY TO THE PERSON FOR WHOM THE SURVEY S PREPARED,AND ON HIS BEHALF TO THE AT GUARANTEED TO: ��- ITLE COMPANY,GOVERNMENTAL AGENCY AND BAY V I E W NORTH FORK BANK 8 TRUST CO. ENDING INSTITUTION USTW HEREON,AND GUARANTEED TI TLE DIVISION OF U THE ASSIGNEES OF THE MENDING.TTRANSFERABLE NSFER TOWN of SOUTH 0 L D AMER/CAN T/TLE INSURANCE CO. - UTION.GUARANTEES ARE NOT TRANSFtRAKE ,.•, O ADDITIONAL INSTITUTIONS OR SUYSLI]~ W SUFFOLK CO., N.Y. B o SCALE: D II,= 60' ATE: NO, APR. 2391971 • 71-162 A 4TaUN a)r ?tap pa.MUlraa ata.Aaa.. aa♦ s 213 6 Arr.uy� Appeal No. ,» Dated MaY 5. 1976 ACTION OF THE ZONING BOARD OF APPEALS OF THE TOWN OF SOUTHOLD To Franklin Born Leeward Drive Appellant Southold, N. y. at a meeting of the Zoning Board of Appeals on May 20, 1976 was considered and the action indicated below was taken on your the appeal �.: (X) Request for variance due to :ack u: ,;r�.;,., to property : ( ) Request for a special exception under the Zoning Ordinance (� Request for a variance to the Zoning Ordinance 1. SPECIAL EXCEPTION. By resolution of the Board it was determined that a special exception ( ) be granted ( ) be denied pursuant to Article .................... Section ...... Subsection .......... paragraph of the Zoning Ordinance and the decision of the Building Inspector k g P ( ) be reversed-,_( -.,-) be confirmed because 10:05 P.M. (E.D.S.T. ) L upon application of Franklin Born,Leeward Drive, Southold; New York (Gary F. Olsen, Esq.) , for a 3 variance in accordance with the Zoning Ordinance., Article III, Section 100-30 and Bulk Schedule and permission for approval of access, Section 280A Town Law, to construct two dwellings on altered lots. Fee paid ^15.00. Location of property: Leeward Drive, Southold, Map of Leeward Acres, Lots 29 and 30 . 2. VARIANCE. By resolution of the Board it was determined that (a) Strict application of the Ordinance (would) (would not) produce practical difficulties or unnecessary hardship because SEE REVERSE (b) The hardship created (is) (is not) unique and (would) (would not) be shared; by all properties alike in the immediate vicinity of this property and in the same use district because SEE REVERSE (c) The variance (does) (does not) observe the spirit of the Ordinance an(! (would)' (would not) change the character of the district because SEE REVERSE and therefore, it was further deterrined that the requested variance ( ) be granted ( ) be denied and that the previous decisions of the Buildir.;, Inspector ( ) be confirmed ( ) be reversed. SEE REVERSE i - FORM ZB4 ZONING BOARD OF APPEALS Marjorie McI?:-r-iott, Secretary z }. .�.,sc-�� •-,-..r+c,u+¢+i• - �s'.�,e+",- as j After investigation and inspection the Board finds that applicant requests permission to construct two dwellings on altered lots and also requests' approval of access for Lots 29 and 30 , Ilia-, of Leeward Acres, Southold. The findings of the Board are that this proposal would improve the appearance of the area and serve the coi-=unity better. The Board agrees with the reasonii:: of,' the applicant. The L oard finds that strict application of the Ordinance . would produce practical difficulties or unnecessary hardship; the hardship created is unique and would not be shared by all properties alike in the im-nediate vicinity of this property and in the same use district; and the variance will not change the character cf the neighborhood, and will observe the spirit of the Ordinance. THEREFORE IT f•dF,S R—ESOLVED, Tianklin Born, Leeward Drive, Southold, New York be GRANTED permission to construct two dwellings on altered lots and be GRANTED approval of access for Lots 29 and 30 , Map of Leeward Acres, Southold, New York, as applied for. Vote of "the Board: Ayes:- :Messrs: Gillispie, Bergen, Gricgonis, Hulse , Dayen. • THIS LOT LINE CHANGE BETWEEN igokpj 4, N IS LOCATED ON O. Ma-ram" ' IN -CzA A SCTM# 1000=.Jr-s--a - LOT LINE CHANGE Complete application received Application reviewed at work session - o-S-9D , .` oK oK IMFlO. Applicant advised of necessary revisions �oo•� oK Revised submission received InF01 1oKO. Lead Agency Coordination f SEQRA determination Sent to County Planning Commission InjoK L IIIFQ. o K Review of SCPC report Draft Covenants and Restrictions received IMFO` oK Draft Covenants and Restrictions reviewed ItlFb. oK Filed Covenants and Restrictions received Final Public Hearing -fo Approval of Lot Line -with conditions Endorsement of Lot Line ms 1/1/90 BORN REALTY CO. Franklyn J. Born Lic. Real Estate Broker ,off September 24, 1990 Southold Town Planning Board Town Hall Southold, New York 11971 Re: Lot line change on approved minor subdivision, Old North Rd, -Southold Dear Sir: The enclosed application for a lot line change on my approved minor subdivision is due to fact I would like to avoid having to cut down special trees to put in driveway to lot #.3, which I also own. Said trees are presently acting to give an element of privacy to owner to the east and I prefer not to disturb them, so wish to redirect the driveway to the west on an angle into my lot #3. To do .so would require" I change the lot line taking a triangular piece of land approximately one eighth of an acre off Lot #2, which I own and deeding it to Lot #3 which I own also. Thank you for your kind consideration of this request. I can be reached at 516-765-4048 in the morning and 516-732- 2532 in the afternoon. Respectfully yours Frank Bbrn FB:ga enclosures P.S. The Suffolk County tax map numbers are section-4 055-2-25.2 and 25.3 GLORIA J.A , _ NohrY Public,State of NetY No.4904776 � � 2 $ Commission Expires folk Co ty NOTARY 31 Homestead Drive, Coram, L.I., N.Y. 11727 516-732-2532 APPLICATION FOR APPROVAL OF PLAT To the Planning Board of the Town of Southold: The undersigned applicant hereby applies for (tentative) (final) approval of a subdivision plat in accordance with Article 16 of the Town Law and the Rules and Regulations of the Southold Town Planning Board, and represents and states as follows: 1. The applicant is the owner of record of the land under application. (If the applicant is not the owner of record of the land under application, the applicant shall state his interest in said land under application.) M lovdR,2. The name of the subdivisionfis e . .. .. �fq.y✓ L.�.v�.. .. ..J. .�. . .U.�, .. . .. . . . .. .. . . .. .. .. .. . . .. .. .. .... .. .. . . . .. . . ... . . .. . . .. .. . . . . .. .. . . .. . . .. . . .. . . .. . . . . . . . . . .. . . . . . . . . 3. The entire land under application is described in Schedule "A" hereto annexed. (Copy of deed suggested.) 4. The land is held by the applicant under deeds recorded in Suffolk County Clerk's office as follows: Liber . .... .. .. . . .. . . . . .. . . .. . Page . . . .. . . .. . . . . .. .. .. .. . On . . . .. . . . . . . . . .. . . . . . . . Liber . ... . .. . . . . .. . . .. .... ... Page . . . .. . . .. . . . . . . . . . . . . . On . .. .. . . .. .. . . .. . . . . . . . Liber . .. .. .. . . .. . . .. .. .. . . . . . Page . .. .. .. .. .. .. . . . . . . .. . On . .. .. .. .. . . .. .. . . .. .. . Liber . .. .. .. . . .. .. . . . . .... .. . Page . .. .. . . . . . . . . .. . . .. .. . On . .. .... .. .. . . .. . . . .. . . .Liber . .. .. .. .. .. ...... ....... Page .. On . . . .. .. . . .. . . .. . . ... . . as devised under the Last Will and Testament of . . . . . .. .. .. . . . . .. . . .. .. .. .. .. .. .. . . .. . . or as distributee . .. . . .. .. .. .. .... ...... .. . . .. .. . . . . . . .. .. . . .. .. .. . . .. .... .. ....... .. ... . . . . . . .. . . .. .. .. .. .. .. . . .. . . .. .... ............... . . . . . . . . . .. . . .. .. .. .. . . .. .. .. ... . . ... .... . . .. .. . 5. The area of the land is 0. .t. acres. 6. All taxes which are liens on the land at the date hereof have been paid except A 0 v!� . . . .. . . . . . . . . . . .. . . . . . . .. . . .. .. . . . .. . . . . .. . . . .. . . . . . . . . . . . . . . . . . . . . .. . . .. .. .. .. . . . . . . . .. . . . . . . . 7. The land is encumbered by . .. . . .. . . .. .. .. ,E. . . .. . . . . .. .. .. . . .. . . . ... . . .. . .. . . . . mortgage (s) as follows: (a) Mortgage recorded in LiberPage in original amount of $. . . .. .. . . . . .. . unpaid amount $ . . . .. . . . . . . . . . . . . . .. . held by . . . .. . . . . . . . . .. .. . . . . . .... . . . .... . . . address . . . .. .... .. . . . .. .. . . . . . . . . . . . . . . .. . . . . . . .. . . .. .. . . . . . . . . . . . . . . . . . (b) Mortgage recorded in Liber . .. .. .. .. Page . . . . . . . . . . . .. . . . .. . . . . . in original amount of . . . .. . . .. . . .. . unpaid amount $. .. . . . . . . . . .. .. . . .. . . . held by . . . .. .. .. .. .. . . .... . .. . .. .. .. .. .. .. . address . . . ..... . ... . . .. . . . . . . . . . . . . . .. .. . . . . . . .. .. . . .... . . .. . . .. . . . . . . (c) Mortgage recorded in Liber . . . .. .. . . . . . . . Page . . . . . . . .. . . .. .. . in original amount of . .. .. . . . . .. . . . unpaid amount $. . . . . . . . . .. . . .. . . . . . . . held by . . . .. . . .. .. . . .. ... . . . . ... .. .. .. .. .... . . .. .. . address . . . . . . . . . . . . . .. . . . . . . . . . . .. . . .. . . .. . . .. . . . . . . . . . . . .. . ... . 8..There are no other encumbrances or liens against the land except . . . .. .. .. . .. .. .. . . .. . . .. .. .. . . . . . . . . . . .. . . .. .. . . .. . . . . . . .. . . . . . . .. . . .. .. .. .. .. .... . . . . ... ........ 9. The land lies in the following zoning use districts af- tl.4.4 . .. .. . . . . ... . . .. . . .. .. .. . . .. .. . . .. . . . . .. . . .. .. . . .. . . .. . . .. .. . . .. . . . . . . . . .. .. .. ... .. .. . . . ... . . . . . . 10. No part of the land lies under water whether tide water, stream, pond water or otherwise, ex- 10 cept . .. . . .. ... . ..-... . . . .. . . .. .. .. . . ... . . . . . . .. . . . . .. . . . . .. . . .. . . . . .. . . . .. .. . . . .. . . .. . 11. The applicant shall at his expense install all required public improvements. 12. The land (does) (does ) lie in a Water District or Water Supply District. Name of Dis- trict, if within a District, is . . . . . . . . . . . .. .. . . .. . . . . .. . . .. .. . . . . . . .. . . . . .. . . . . . . . . . . .. . . . . . 13. Water mains will be laid by . . . .. . .kV.A. W .f.. . . .. . . .. . . . . . . . . .. . . . . . . .. . . . . . .. . . . . .. . . and (a) (no) charge will be made for installing said mains. 14. Electric lines and standards will be installed by . .. . . . . . . .. . . .. .. .. .. . . .. .. . .. . • •• •• • • •. . . . . . . .. .. .. . .. . . . . . . . . . and (a) (no) charge will be made for installing said lines. 15. Gas mains will be installed by . .. . . . . . No .£-.. . . .. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . and (a) (no) charge will be made for installing said mains. 16. If streets shown on the plat are claimed by the applicant to be existing public streets in the Suffolk County Highway system, annex Schedule "B" hereto, to show same. 17. If streets shown on the plat are claimed by the applicant to be existing public streets in the Town of Southold Highway system, annex Schedule "C" hereto to show same. 18. There are no existing buildings or structures on the land which are not located and shown on the plat. 19. Where the plat shows proposed streets which are extensions of streets on adjoining sub- division maps heretofore filed, there are no reserve strips at the end of the streets on said existing maps at their conjunctions with the proposed streets. 20. In the course of these proceedings, the applicant will offer proof of title as required by Sec. 335 of the Real Property Law. 21. Submit a copy of proposed deed for lots showi.,ig. all restrictions, covenants, etc. Annex Schedule "D". 22. The applicant estimates that the cost of grading and required public improvements will be $. . . .. .. .. . as itemized in Schedule "E" hereto annexed and requests that the maturity of the Performance Bond be fixed at . .. .. .. .. . . . . . years. The Performance Bond will be written by a licensed surety company unless otherwise shown on Schedule "F". DATE . . . .. .. . . .. 19A.0 . .. .. . . . ......6.QAk'? L (Name of Applicant) By . .. . ,� . .. .. . .. . 40 (Signature and Title) (Address) STATE OF NEW YORK, COUNTY OF . . . _.-:r3K_NP®.`.. .. .. .. . . . . .. ss V,) On the . .. . .;LA.. .`. . . . . day of. . .. . . . . .. . . .1 19.9 Q. ., before me personally came ..s�.. ."S40'K'k... .. . . .. . . . to me known to be the individual described in and who executed the foregoing instrument, and acknowledged that . . . . executed the same. Notary Public,State of New York . . . . . . . . . . . . . . .. . . . . . . .. ..No:4%47.76 .... . . .. . . Notary Public Qualified in Suffolk Cou�mvv� Commission Expires,; STATE OF NEW YORK, COUNTY OF . . . .. . . . . . . . . . . .. .. . . . . . . .. . ss: On the . .. . . . . . . .. . . .. . day . .. . . .. .. .. . of . . . . . . . . . . . . . .. 19. .. . . .. before me personally came . . . . . . . . . . . . . . . . . . . . . . . . . . to me known, who being by me duly sworn did de- poseand say that . .. .. .. .. .. . resides at No. . .. .. .. . . .. .. . . . . . . . . . . . . . . .. . . .. .. .. . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . that . . . .. . . . . .. . . . . . . .. . . . . . . . is the . .. . . . . .. . . .. . . . . . . .. . . .. .. . of . . . .. .. . . . . .. . . .. . . . . .. . . .. . . . . . . . . . . . . .. . . . . .. . . .. .. .. . . .. ... . . . . .. . . . . . . the corporation described in and which executed the foregoing instrument; that . .. .. .. . . .. . knows the seal of said corporation; that the seal affixed by order of the board of directors of said corporation. and that . . . . . . . .. . . . signed . .. .. .. .. . . . . . name thereto by like order. . .. . . . . .. .. . . .. . . . . . . .. .. . . . . .. . .. . . . ... .. ... . Notary Public P�LA NIN RD TO_ ': 0 'SOiJ ,HQLD SGFFOLK-.00 1 TY '•;11 :y1 ��v Southold, N.Y. 11971 (516) 765-1933 QUESTIONNAIRE TO BE COMPLETED AND SUBMITTED WITH YOUR APPLICATIONS Er)pmS TO THE PLANNING BOARD Please complete, sign and return to the Office of the -Planning Board with your completed applications forms. If your answer to any of the following questions is Yes , please indicate these on your guaranteed survey or submit other appropriate evidence: 1. Are there any wetland grasses on this parcel? Yes (Attached is a list- o-f the wetland grasses defined G by the Town Code, Chapter - 97, for your reference) 2. Are there -any other premises (nder your ownershi abutting this parcel? P�41c1i_L h iA g_cf'Ly Sa No 3. Are there any building permits pending on/ this parcel? Yes i o 4. Are- there any other. applications pending concerning this property before - any other department. or agency? (Town . , State, County, etc. ) Yes S. Is there any application pending before any other agency with regard to a different project on this parcel? Yes No 6.. Was this property the subject of any prior application to the Planning Board? Cdh.inr6�Sit�01�IS/o�/) Yes No 7. Does this property have a valid certificate Of occupancy, if yes please submit .a copy of same Yes No I certify that , the above statements are true and % ill be relied on by the Planning Board -.in considering this application. Si nature or ro ert� i ( D. g p P •wne r authorised agent date Attachment to questionnaire for::-the Planning Board STATE OF NEW YORK, COUNTY OF SUFFOLK, ss : On the 25 day of ,�`, 19q(?, before me personally z-X, to me known to be the individual described in- and who executed the foregoing instrume and acknowledged that 'r.-e_ executed the same. - Notary Public rY u io. tate of New York 904776 Qualified oin Suffolk Coun Commission Expires 14.1fi•h(2187)—Text 12 PROJECT I.D.NUMBER 617.21 SEQF Appendix C .State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I—PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT/SPONS�K 6 J' PROJECT NAME 3. PROJECT LOCATION: Munlclpallty • -�— County S �� L d. PRECISE LOCATION(Street address and road intersections, prominent landmarks,etc.,or provide map) Cw`o Stffnf-rpm, 4rl0 EA-wl C-� 1 5. IS PROPOSED ACTION: ❑New ❑Expansion odificatlon/alteration 6. DESCRIBE PROJECT BRIEFLY: $o fA5 hlflt + o f+,,iJ :E_ +0 c—, (,t Y)0wK) S�J �(Z L -f:?,LsL �' I 7. AMOUNT OF LAND AFFECTED: Initially 113, acre Ultimately �I?� B� acre 8. WILL PROPOSED A ION COMPLY W H EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? Yes ❑No If No,describe briefly C9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? Residential ❑Industrial ❑Commercial ❑Agriculture ❑Park/Forest/Open space ❑Other escnbe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STATE OR LOCAL)? IkYes ❑No If yes,list agency(s)and permit/approvals S''a ►' d t< +1 w rJ ti i l(_ Avg !�€ 11. DOES ANY ASPECT OF THE ACTIC:N HAVE A CURRENTLY VALID PERMIT OR APPROVAL? Xyes ❑No If yes,list agency name and permit/approval 12. AS RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? Yes ❑No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Iv Date: Ll Signature: , If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 PART II—ENVIRONA. FAL ASSESSMENT (To be completed by ncy) ❑Yes �No - A. DOES ACTION EXCE-_ JY TYPE I THRESHOLD IN 6 NYCRR, PART 617.12? If yes,coordinate the review process and use the FULL EAF. S. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative declaration may be superseded by another involved agency. ❑Yes No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten, If legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid waste production or disposal, potential for erosion,drainage or flooding problems?Explain briefly: C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character? Explain briefly: Al/v O C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly:pppp C4. A community's existing plans or goals as officially adopted,or a change in use or Intensity of use of land or other natural resources?Explain briefly. A C5. Growth,subsequent development,or related activities likely to be induced by the proposed action?Explain briefly. /V o C6. Long term,short term,cumulative,or other effects not identified in C1-05? Explain briefly. /V 0 C7. Other impacts(including changes in use of either quantity or type of energy)? Explain briefly. /V0 D. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑Yes o If Yes, explain briefly PART III—DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,important or otherwise significant: Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse Impacts have been identified and adequately addressed. ❑ Check this box if you have identified one or more potentially large or significant adverse impacts Which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. 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 AND provide on attachments as necessary, the reasons supporting this determination: Name ur Lead Agrncy Pnnt or type Name of Responsible Urficer in Lead Agency rule of Responsible Officer Signature of Responsible Officer m Lead Agency Signiture or Preparertll drrferent trom responsible otncer) F Date 2 a Southold Town Planning Board Town Hall Southold, New York 11971 Re: Gentlemen: The following statements are offered for your consideration in the review of the above-mentioned minor subdivision and its referral "fo the Suffolk County Planning Commission: (1) No grading, other than foundation excavation for a residential building is. proposed. (2) No new roads are proposed and no changes will be made in the grades of the existing roads . (3). No new drainage structures or alteration of existing structures are proposed. Yours truly, i ,�� 28 1999 LOT-LINE CHANGE The followingiA tems are to be shown on the survey for a lot'. -line=change: ( ) Key map. ( ) District, section, block and lot number from tax map, scale and north arrow. ( ) Name of subdivision map, if lot is part of a filed subdivision. Also, show the liber and page number of filed map. ( ) Name and address of the owners of record. ( ) Name and address of the person preparing the map (certified •engineer,land surveyor, architect. ) including original seal and signature. ( ) Property descriptions, dimensions, bearings, square footage of the properties being changed, square footage of the land being transfered. The existing and proposed surveyed boundary lines of both properties must be shown -on' one piece of paper. ( ) Areas subject to flooding, including wetlands. ( ) Existing buildings and site improvements, (i.e. fences, hedges) . ( ) Indicate the existing lot line (dotted line) with the bearings and distance and the proposed lot line (solid line) with the new bearing and distance. ( ) Location and name of existing streets or right-of-ways adjacent to the property. ( ) Existing spot grades. The following information is to be submitted with the `application for a lot-line change: (.. ) -Written and signed letter, notorized, by owners of properties in question approving of the change and reasons for the change. Affidavit that upon approval the property will be merged. ( ) Any existing covenants applying to either of the properties. ( ) Form letter regarding drainage, roads, and grading, see attached. ( ) Short Environmental Assessment form, Part I , see attached. ( ) Application, three pages, last page notorized, see attached. ( ) Fifty (50) dollars filing fee. ( ) Questionnaire. ( ) Eight copies of the survey* * Each of which must bear the original seal and signature of the surveyor or engineer who prepared the survey. (Photostatic copies are not acceptable. ) Additional copies may be requested by the Planning Board, if needed. Amended June 1988 r Town Hall, 53095 Main Road P.O. Box 1179 � - °2- Southold,New York 11971 TELEPHONE f (516)765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM TO: All applicants to the Planning Board FROM: Bennett Orlowski, Jr. , Chairman RE: Correspondence to Planning Board Office DATE: August 15, 1988 The Planning Board office processes a large volume of correspondence every day. You can help us process this mail (and ultimately your application! ) in a more efficient manner by doing the following: 1. Submiting cover letters with all materials. The cover letter should state: A) the name of the• project and ,b) the Suffolk County Tax Map number of"the property. c) the reason for -the submission of the material. d) a telephone number where you can be reached during normal office hours. 2. Submitting only complete applications Keeping track of items submitted under separate cover takes up a disproportionate amount of staff time and space. Keep in mind that complete applications are given immediate attention. Incomplete applications are likely to be returned. Thank you for your cooperation. jd - r A ' PLrUMNI{SIG.B;OARD T0W24 ;0 ,'SOU_ 'LD S OFFO:,KyC O L,�l�IT1' Southold, N.Y. 11971 (516) 765-1933 NOTE: 'Due to the shortage of staff and increasing workload we ask that all maps submitted and revisions thereta are to be folded. Any rolled or unfolded maps will i -L i not be accepted. Thank you for your. cooperation. 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