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Z NSF 1.) PLAN OF PROPERTY TO BE CONVEYED TO FREDERIC R. PRATT; SAPPHO 0- O p Z
R. MASON GOSS ROAD; FISHERS ISLAND, N.Y.; SCALE: 1"=40 FT; CHANDLER & PALMER, O w
`L ENGR'S; NOV. 1964 w -7 O Z
� m = z�i 2.) PLAN OF MANSION HOUSE COTTAGE SITES; FISHERS ISLAND, N.Y.; O t^ CI_
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HEREON. ANY EXTENSION OF THE USE BEYOND THE PURPOSED AGREED TO
BETWEEN THE CLIENT AND THE SURVEYOR EXCEEDS THE SCOPE OF THE
e • �" ENGAGEMENT.
'� �f 2.) IT IS A VIOLATION OF THE STATE EDUCATION LAW FOR ANY PERSON,
N 3765.81 N 3747.55 �'� UNLESS ACTING UNDER THE DIRECTION OF A LICENSED LAND SURVEYOR, TO
W 2669.63 W 2594.04 IRON ALTER AN ITEM IN ANY WAY.
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8 pp' ) ,,,, ; 4.) COORDINATE DISTANCES ARE MEASURED FROM U.S. COAST AND GEODETIC
ON THIS AREA 5 CONCRETE TANK -- I M '' "� SURVEY TRIANGULATION STATION "PROS" z >
SEE AGREEMENT J` IRON
LIBER 11946 i�
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Z o.w'\ 1000, SECTION 006, BLOCK 5, LOT 7; SECTION 009, BLOCK 1, LOTS 9.1 & O 0 m
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QUALITY CONTROL CERTIFICATION
GROUP REVIEWED DATE KEVIN E. GRANT & W 2349.05 N/F £ N 3560.80 SF SQUARE FEET � 0 w Q = o W
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m o o
PROJECT MANAGER "r
SURVEY g.yZ. I VALARIE J. KINKADE
DATE: 12/05/2005
EWRONMEWAL
CMS 50 25 0 50
STRUCTUM SCALE: 1 " = 50'
ARCHRECiURAL GRAPHIC SCALE IN FEET
FILE F SHEET: 1 OF 1
MAILING ADDRESS:
PLANNING BOARD MEMBERS *OF SU!/Ty P.O. Box 1179
JERILYN B.WOODHOUSE O� Old Southold, NY 11971
Chair OFFICE LOCATION:
KENNETH L.EDWARDS Town Hall Annex
MARTIN H.SIDOR �pQ 54375 State Route 25
GEORGE D.SOLOMON ��� (cor. Main Rd. &Youngs Ave.)
JOSEPH L.TOWNSEND CQUffm� Southold, NY
Telephone: 631 765-1938
Fax: 631 765-3136
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
June 12, 2007
Ms. Lauren Stiles
Twomey, Latham, Shea, Kelley, et al.
P.O. Box 9398
Riverhead, NY 11901-9398
Re: Proposed Lot Line Change for the properties of Parker and Shillo
Located at the terminus of Sappho Road, north of Central Avenue, on Fishers Island
SCTM#1000-6-5-7 & 12.4 Zoning Districts: R-80
Dear Ms. Stiles:
The Southold Town Planning Board, at a meeting held on Monday, June 11, 2007,
adopted the following resolution:
WHEREAS, this proposal is for a lot line change that will transfer 4,183 sq. ft. from
SCTM#1000-6-5-7 (Parcel 1) to SCTM#1000-6-5-12.4 (Parcel 2) where, following the
lot line change, Parcel 1 will equal 2.3 acres and Parcel 2 will equal .68 acre in the R-80
Zoning District; and
WHEREAS, an application for a re-subdivision was submitted to the Southold Town
Planning Board on December 15, 2006, including the map prepared by CME Associates
Engineering, Land Surveying & Architecture, PLLC, dated August 2, 2006; and
WHEREAS, the resulting lot line does not create or increase any nonconformities; and
WHEREAS, on February 12, 2007, the Southold Town Planning Board granted
conditional final approval on the map prepared by CME Associates Engineering, Land
Surveying & Architecture, PLLC, dated August 2, 2006; and
WHEREAS, on May 24, 2007, the applicant submitted copies of the new deeds that
reflect the lot line change; be it therefore
RESOLVED, that the Southold Town Planning Board hereby grants final approval on
the map prepared by CME Associates Engineering, Land Surveying & Architecture,
PLLC dated August 2, 2006, and authorizes the Chairperson to endorse the maps.
wf
f
Parker/Shillo Lot Line Change Page Two June 12, 2007
Copies of the signed map are enclosed for your records.
If you have any questions, please contact this office.
Very truly yours,
aerilyn�IBIVWI oo/d h o u s
Chairperson
Enc.
cc: Fishers Island Development Corporation (w/map)
Building Department (w/map)
Assessors Office (w/map)
s
T', .,'IMEY, LATHAM, SHEA, Km x,
DUBIN & QUARTARARO LLP
Attorneys at Law
OF COUNSEL
THOMAS A.TWOMEY,JR. Mailing Address Location KENNETH P.LAVALLE
STEPHEN B.LATHAM Post Office BOX 9398 33 West Second Street . .'.gOAN C.HATFIELD A
JOHN F.SHEA,III Riverhead Riverhead PHILIP D.NYKAMP
CHRISTOPHER D.KELLEY '" 'Now York 11901-9398 New York 11901-9398. LAURA I.SGUAZZIN
DAVID M.DUBINO
JAY P.OUARTARAROt CYRUS G.DOLCE,JR.¢-
PETER M.MOTT - - Telephone: 631.727.2180 LISA A.AZZATO+
JANICE L.SNEAD ••- '• ` Facsimile:631.727.1767 KATHRYN DALLI
JANE DIG IACOMO � ,,
DANIEL G.WAN[t
MARTIN D.FINNEGANo - JENNIFER A.ANDALORO
ANNE MARIE GOODALE WWW.suffolklaw.com KELLY E.KINIRONS
BRYAN C.VAN COTT• - PATRICK B.FIFE
.44 LAUREN E.STILES
I,
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Attn: Anthony Trezza Senior Planner x r----
Southold Town Planning Board
Southold Town Hall MAY 2 4 200
P.O. Box 1179
Southold,NY 11971-0959 -
Re: Re-Subdivision Application—Parker/Shillo to _o-n--Fishers Island;
Lots 1000-6-5-7 and 1000-6-5-12.4
Dear Mr. Trezza:
This office represents Mr. &Mrs. Parker in the above referenced lot line
modification/minor re-subdivision proceeding.
As you may recall, the Planning Board adopted a Conditional Final Approval of
the proposed re-subdivision on February 12, 2007, the condition being that the new deed
was to be filed with the Suffolk County Clerk and a copy submitted to the Planning
Board office. I have enclosed a photocopy of the Conditional Final Approval for your
convenience.
We have filed the deeds with the County Clerk and enclose a copy herein for the
Town Is records. Please let this letter serve as a request for Final Approval form the
Planning Board and an endorsement of the final surveys we previously provided. If you
need additional documentation from our office to finalize this approval, please let me
know.
Thank you very much for your assistance with this matter.
Very truly yours,
Lauren E. Stiles
20 MAIN STREET 51 HILL STREET 105 ROUTE 112,FL 1S 400 TOWNLINE ROAD 56340 MAIN ROAD,P.O.BOX 325
EAST HAMPTON,NY 11937 SOUTHAMPTON,NY 11968 PORT JEFFERSON STA.,NY 11776 HAUPPAUGE,NY 11788 SOUTHOLD,NY 11971
631.324.1200 631.287.0090 631.928.4400 631.265.1414 631.765.2300
• t.
I IIIIIII IIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII Ilil IIII
(IIIII IIIII IIIII(III(III
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/DDD Recorded: 04/20/2007
Number of Pages: 3 At: 02 :21:20 PM
Receipt Number : 07-0039351
TRANSFER TAX NUMBER: 06-30785 LIBER: D00012501
PAGE: 940
District: Section: Block: Lot:
1000 006 .00 05 . 00 007 .002
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $30, 000 .00
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $9. 00 NO Handling $5 . 00 NO
COE $5. 00 NO NYS SRCHG $15. 00 NO
EA-CTY $5.00 NO EA-STATE $165 .00 NO
TP-584 $5.00 NO Cert.Copies $0 .00 NO
RPT $30 .00 NO SCTM $0 . 00 NO
Transfer tax $120 .00 NO Comm.Pres $0 . 00 NO
Fees Paid $359 .00
TRANSFER TAX NUMBER: 06-30785
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
,se be advised this document x ie public record. Remove Social,S. ;rity Number(s)prior to recording.
0[2]
RECORDED
Number of pages _i i0 Apr- '40 02:'21:20 PM
TORRENS JUDITH A. PA SCALE
CLERK OF
Serial# SUFFOLK COUNTY
L C?�i00125_i1
Certificate# P 940
DT# 06-307 5
Prior Ctf.#
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing,Stamps
3 FEES
Page/Filing Fee Mortgage Amt.
1. Basic Tax
Handling 5. 00 2. Additional Tax
TP-584 Sub Total
Notation Spec./Assit.
or
EA-52 17 (County) Sub Total Spec. /Add.
EA-5217 (State) TOT. MTG.TAX
R.P.T.S.A. �, Dual Town Dual County
Held for Appointment
Comm. of Ed. 5. 00 M. : Transfer Tax
Affidavit = 9��L� - Mansion Tax
�'�Ha tNvsY�`��"
�IOO� The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other Grand Total J If NO, see appropriate tax clause on
page# of this instrument.
SL 0
4 D. 07011939 1000 o0600 0500 007002 P!G%71v 12 5 Community Preservation Fund.
T
Real Pr R BSI A Consideration Amount $
Tax Ser
Agen 7-APR-00
CPF Tax Due ---
Verifica
Improved
Vacant Land L
6
Satisfactions/Discharges/Releases List Property Owners Mailing Address,
.RECORD.-&RETURN TD•TO: _.
John F. Shea; Esq: D
T
Twomey, Latham, Shea, TD
Dubin & Quartararo, LLP
P.O. Box 9398
Riverhead, NY 11901 7 Title Company Information
Co.Name /V
Tilde#
8 Suffolk County Recording & Endorsement Pale
This page forms part of the attached Deed made by:
(SPECIFY TYPE OF INSTRUMENT)
Thomas J. Shillo The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
_ . I
TO hip_o -
- n'the Towns f Southold
Ellen McCance Parker In the VILLAGE '
Fisher's Island
or HAMLET of
BOXES 6 THRU S MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(over)
Form 8002*5-89-20M--Bargain and Sale Deed,with Covenant against Grantor's Acts--Individual or
Corporation. (single,sheet)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT=-THIS
INSTRUMENT SHOULD BE USED BY LAWYERS ONLY.
THIS INDENTURE, made the 1c)day of March,2007
BETWEEN
I b�
THOMAS J. SHILLO, residing at Sappho Road, Fisher's Island, New York 06390
party of the first part,and
ELLEN McCANCE PARKER, residing at Sappho Road, Fisher's Island;New York 06390,
party of the second part,
WITNESSETH, that the party of the first.'-part, in consideration of'Ten Dollars and other
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 Fisher's Island in the Town of Southold, County of Suffolk,
State of New York,more particularly bounded and described as follows:
BEGINNING at a point at the Southerly corner of land now or formerly of Ellen McCance Parker,
said point being located 4,012.87 feet North of a point which is 2,486.85 feet West of a
monument marking the United States Coast and Geodetic Survey Station"PROS"and
THENCE Running North 73°25'30"East 15.05 feet to a monument;
THENCE North 54°16'00"East 150.08 feet to a point;
THENCE South 05°56'13"West 40.91 feet to a point;
THENCE South 56°00'06"West 126.14 feet to a point;
THENCE North 54°53'47"West 33.54 feet to the point of BEGINNING.
BEING AND INTENDED TO BE a portion of same premises conveyed to Thomas J. Shillo
by an Executors Deed from the United States Trust Company of New York as Executor of the Last
Will and Testament of Pauline D. Webel, dated January 4, 2006, recorded February 15, 2006, in
Liber 12436, page 046 in the Suffolk County Clerk's Office, the Grantor herein being the same
described as the Grantee in said Deed.
TAX MAP TOGETHER with all right, title and interest, if any, of the party of the first part in and to any
DESIGNATION 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
Dist.: 1000 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.
Sec.: 006.00
AND the party of the first part covenants that the party of the first part has not done or suffered
Blk.: 05.00 anything whereby the said premises have been encumbered in any way whatever, except as
aforesaid.
Lot: p/o AND the party of the first part,in compliance with Section 13 of the Lien Law,covenants that the
007.000 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:
HOMAS J. '3ILLO
• USE ACKNOWLEDGMENT FORM BELOW WITHIN NEW YORK STATE USE ACKNOWLEDGMENT FORM BELOW WITHIN NEW YORK STATE
ONLY: ONLY:
State of New York, County of-Tus- I ss: State of New York, County of Suffolk} ss:
On the day of March, in the year 2007; before me, On the day of , in the year ' , before me, the
the undersigned, personally appeared THOMAS J. undersigned, personally appeared
SHILLO, personally known to me or proved to me on personally known to me or proved to me'on the basis of
the basis of satisfactory evidence to be the individual satisfactory evidence to be the individual whose name is
whose mame is subscribed to the within instrument and subscribed to the within instrument and acknowledged to
acknowledged to me that he executed the same in his me that she executed the same in her capacity, and that
capacity,and that by his signature on the instrument, the by her signature on the instrument, the individual, or the
individual, or the person upon behalf of which the person upon behalf of which the individual acted,
individual acted,executed the instrument. r t! executed the instrument.
MIGNAIL RO®ERT8
Natant'P',ikA0.State of Now VM ..,.. ,�
No.31-4732348
Qualified in New York County _
Commission Expires June 30,2009` -
ACKNOWLEDGMENT FORM FOR USE WITHIN NEW YORE STATE ONLY: ACKNOWLEDGMENT FORM FOR USE OUTSIDE NEW YORK STATE ONLY:
fNew York Subscribing Witness Acknowledgment Certificate} fOut of State or Foreign General Acknowledgment Certificate}
State of New York, County of } ss: ..............} ss:
................................................
(Complete Venue with State,Country,Province or Municipality)
On the day of in the year ,
before me,the undersigned,personally appeared
, On the day of in the year ,
the subscribing witness to the foregoing instrument, before me,the undersigned,personally appeared
with whom I am personally acquainted, who, being by
me duly sworn, did depose and say that he/she/they personally known to me or proved to me on the basis of
reside(s)in satisfactory evidence to be the individual(s) whose
name(s) is (are) subscribed to the within instrument and
(If the place of residence is in a city, include the street acknowledged to me that he/she/they executed the same
and street number, if any, thereof); that he/she/they in his/her/their capacity(ies), that by his/her/their
know(s) signature(s) on the instrument, the individual(s), or the
person upon behalf of which the individual(s) acted,
to be the individual described in and who executed the executed the instrument, and that such individual made
foregoing instrument; that said subscribing witness was such appearance before the undersigned in the
present and saw said
(Insert the city or other political subdivision and the state or country or
execute the same;and that said witness at the same time other place the acknowiedgirnennt was taken.)
subscribed his/her/their name(s)as a witness thereto.
BARGAIN and SALE DEED - DISTRICT: 1000
WITH COVENANTS AGAINST GRANTOR'S ACTS
Title No. SECTION: 006.00
THOMAS J. SHILLO BLOCK: 05.00
TO LOT: p/o 007.000
ELLEN MCCANCE PARKER COUNTY OR TOWN: Town of Southold
TAX BILLING ADDRESS: Ellen McCance Parker,
P.O. Box 426,Fisher's Island,NY 06390
RETURN BY MAIL TO:
John F. Shea, Esq.
Twomey,Latham,Shea,Kelley,
Dubin &Quartararo, LLP
West Second Street
P.O. Box 9398
Riverhead,NY 11901
RESERVE THIS SPACE FOR USE OF RECORDING OFFICE
MAILING ADDRESS:
PLANNING BOARD MEMBERS *QF SO(/ly P.O. Box 1179
JERILYN B.WOODHOUSE ��Vv Ol0 Southold, NY 11971
Chair
OFFICE LOCATION:
KENNETH L.EDWARDS Town Hall Annex
MARTIN H.SIDOR 0 54375 State Route 25
GEORGE D.SOLOMON Q� (cor. Main Rd. &Youngs Ave.)
JOSEPH L.TOWNSEND AAUNV, Southold, NY
Telephone: 631 765-1938
Fax: 631 765-3136
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
February 13, 2007
Nis. Lauren Stiles
Twomey, Latham, Shea, Kelley, Dubin & Quartararo, LLP
PO Box 9398
Riverhead, NY 11901-9398
Re: Lot Line Change for the properties of Parker and Shillo
Located at the terminus of Sappho Road, north of Central Avenue on Fishers Island.
SCTM#1000-6-5-7 & 12.4 Zoning Districts: R-80
Dear Ms. Stiles:
The Southold Town Planning Board, at a meeting held on Monday, February 12, 2007,
adopted the following resolutions:
WHEREAS, this proposal is for a lot line change that will transfer 4,183 square feet from
SCTM#1000-6-5-7 (parcel 1) to SCTM#1000-6-5-12.4 (parcel 2) where, following the lot
line change, parcel. 1 will equal 2.3 acres and parcel 2 will equal .68 acre in the R-80
Zoning District; and
WHEREAS, an application for a re-subdivision was submitted to the Southold Town
Planning Board on December 15, 2006, including the map prepared by CME Associates
Engineering, Land Surveying & Architecture, PLLC dated August 2, 2006; and
WHEREAS, the resulting lot line does not create or increase any non conformities; and
WHEREAS, the Southold Town Planning Board reviewed this application at their work
session on January 22, 2007 and determined that the project will not have a significant
environmental effect or make future planning of the affected parcels more difficult or
impossible; be it therefore
RESOLVED, the Southold Town Planning Board, acting under the State Environmental
Quality Review Act pursuant to 6 NYCRR Part 617, Section 617.7, do an uncoordinated
review of this Unlisted Action. The Planning Board establishes itself as lead agency,
and as lead agency, makes a determination of non-significance and grants a Negative
Declaration; and be it further
Parker & Shillo Lot Line Page Two February 13, 2007
RESOLVED, that the Southold Town Planning Board hereby waive the public hearing
for this project; and be it further
RESOLVED, the Southold Town Planning Board grant Conditional Final Approval on
the map prepared by CME Associates Engineering, Land Surveying & Architecture,
PLLC dated August 2, 2006, subject to the following condition:
the filing of new deeds with the Office of the Suffolk County Clerk pertaining to the
lot line change and, upon filing, submission of a copy to this office.
This condition must be met within six (6) months of the resolution unless an extension of
time is requested by the applicant and granted by the Planning Board. Upon fulfillment
of the condition, the Planning Board will issue final approval and authorize the
Chairperson to endorse the final surveys.
A copy of the Negative Declaration is enclosed for your records.
Very truly yours,
Jerilyn B. Woodhouse
Chairperson
Enc.
cc: Fishers Island Development Corporation
MAILING ADDRESS:
PLANNING BOARD MEMBERS *Qf SO P.O. Box 1179
JERILYN B.WOODHOUSE �4 y�lO Southold, NY 11971
Chair
OFFICE LOCATION:
KENNETH L.EDWARDS N Town Hall Annex
MARTIN H.SIDOR 54375 State Route 25
GEORGE D.SOLOMON (cor.Main Rd. &Youngs Ave.)
JOSEPH L.TOWNSEND l��'QUN�� Southold, NY
Telephone: 631 765-19 38
Fax: 631 765-3136
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
February 13, 2007
Ms. Lauren Stiles
Twomey, Latham, Shea, Kelley, Dubin & Quartararo, LLP
PO Box 9398
Riverhead, NY 11901-9398
Re: Lot Line Change for the properties of Parker and Shillo
Located at the terminus of Sappho Road, north of Central Avenue on Fishers Island.
SCTM#1000-6-5-7 & 12.4 Zoning Districts: R-80
Dear Ms. Stiles:
The Southold Town Planning Board, at a meeting held on Monday, February 12, 2007,
adopted the following resolutions:
WHEREAS, this proposal is for a lot line change that will transfer 4,183 square feet from
SCTM#1000-6-5-7 (parcel 1) to SCTM#1000-6-5-12.4 (parcel 2) where, following the lot
line change, parcel. 1 will equal 2.3 acres and parcel 2 will equal .68 acre in the R-80
Zoning District; and
WHEREAS, an application for a re-subdivision was submitted to the Southold Town
Planning Board on December 15, 2006, including the map prepared by CME Associates
Engineering, Land Surveying & Architecture, PLLC dated August 2, 2006; and
WHEREAS, the resulting lot line does not create or increase any non conformities; and
WHEREAS, the Southold Town Planning Board reviewed this application at their work
session on January 22, 2007 and determined that the project will not have a significant
environmental effect or make future planning of the affected parcels more difficult or
impossible; be it therefore
RESOLVED, the Southold Town Planning Board, acting under the State Environmental
Quality Review Act pursuant to 6 NYCRR Part 617, Section 617.7, do an uncoordinated
review of this Unlisted Action. The Planning Board establishes itself as lead agency,
and as lead agency, makes a determination of non-significance and grants a Negative
Declaration; and be it further
Parker & Shillo Lot Line Page Two February 13, 2007
RESOLVED, that the Southold Town Planning Board hereby waive the public hearing
for this project; and be it further
RESOLVED, the Southold Town Planning Board grant Conditional Final Approval on
the map prepared by CME Associates Engineering, Land Surveying & Architecture,
PLLC dated August 2, 2006, subject to the following condition:
the filing of new deeds with the Office of the Suffolk County Clerk pertaining to the
lot line change and, upon filing, submission of a copy to this office.
This condition must be met within six (6) months of the resolution unless an extension of
time is requested by the applicant and granted by the Planning Board. Upon fulfillment
of the condition, the Planning Board will issue final approval and authorize the
Chairperson to endorse the final surveys.
A copy of the Negative Declaration is enclosed for your records.
Very truly yours,
Jerilyn B. Woodhouse
Chairperson
Enc.
cc: Fishers Island Development Corporation
MAILING ADDRESS:
PLANNING BOARD MEMBERS *QF SOUTy P.O. Box 1179
JERILYN B.WOODHOUSE h�� Old Southold,NY 11971
Chair
OFFICE LOCATION:
KENNETH L.EDWARDS N �r Town Hall Annex
MARTIN H.SIDOR 54375 State Route 25
GEORGE D.SOLOMON Ql (cor.Main Rd. &Youngs Ave.)
JOSEPH L.TOWNSEND yCOUffm� Southold, NY
Telephone: 631 765-1938
Fax: 631 765-3136
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
State Environmental Quality Review
NEGATIVE DECLARATION
Notice of Determination Non-Significant
February 12, 2007
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: Parker/Shillo Lot Line Change
SCTM#: 1000-6-5-7 & 12.4
Location: Located at the terminus of Sappho Road, north of Central Avenue
on Fishers Island.
SEQR Status: Type I ( )
Unlisted (X)
Conditioned Negative Declaration: Yes ( )
No (X)
Description of Action: This proposal is for a lot line change that will transfer 4,183
square feet from SCTM#1000-6-5-7 (parcel 1) to SCTM#1000-6-5-12.4 (parcel 2)
where, following the lot line change, parcel 1 will equal 2.3 acres and parcel 2 will equal
.68 acre in the R-80 Zoning District.
Reasons Supporting This Determination:
An Environmental Assessment Form has been submitted and reviewed and it was
determined that no significant adverse effects to the environment were likely to occur
should the project be implemented as planned.
Parker-Shillo Page Two Fi-. .,-ary 12, 2007
The determination was based upon the following:
No substantial adverse change in existing air quality, ground or surface water quality or
quantity, traffic or noise levels, no substantial increase in solid waste production, potential
of erosion, flooding, leaching or drainage problems will occur as a result of this action.
There are no new residential lots being created and therefore no impacts are expected to
occur.
No significant removal or destruction of large quantities of vegetation or fauna, no
substantial interference with the movement of any resident or migratory fish or wildlife
species, no significant impacts on a significant habitat area, no substantial adverse impacts
on a threatened or endangered species of animal or plant or the habitat of such a species,
and no other significant adverse impacts to natural resources will occur.
The proposed action is not in a material conflict with a community's current plans or
goals as officially approved or adopted.
The proposed action will not impair the character or quality of important historical,
archaeological, architectural, or aesthetic resources or of existing community or
neighborhood character.
No major change in the use of either the quantity or type of energy will occur.
No creation of a hazard to human health will occur.
The proposed action will not cause a substantial change in the use, or intensity of use,
of land including agricultural, open space or recreational resources, or in its capacity to
support existing uses.
Based upon such, no significant adverse impacts to the environment are expected to
occur should the project be implemented as planned.
For Further Information:
Contact Person: Anthony Trezza, Senior Planner
Address: Southold Town Planning Board
Telephone Number: (631) 765-1938
enc.
cc: Applicant/Agent
Town Clerk
1_*- :'JMEY, LATHAM, SHEA, KE'�, `.Y, &T
DUBIN & QUARTARARO LLP
Attorneys at Law
THOMAS A.TWOMEY.JR. Mailing Address Location of COUNSEL
STEPHEN B.LATHAM Post Office BOX 9398 33 West Second Street KENNETH P.LAVALLE
JOHN F.SHEA,III Riverhead Riverhead JOAN C.HATFIELD A
CHRISTOPHER D. KELLEY New York 11901-9398 New York 1 1 901-9398 LAURA I.SGUAZZIN A
DAVID M.DUBINO
JAY P.QUARTARAROt BRYAN C.VAN COTT•
PETER M.MOTT Telephone:631.727.2180 CYRUS G.DOLCE,JR.4-
JANICE L.SNEAD Facsimile:631.727.1767 LISA A.AZZATO+
JANE DiGIACOMO KATHRYN DALLI
PHILIP D.NYKAMP DANIEL G.WANI t
MARTIN D. FINNEGANo www.suffolklaw.com JENNIFER A.ANDALORO
ANNE MARIE GOODALE KELLY E.KINIRONS
• - s -F:i^s -,,.5�.�`�SP.IN TAXATION t
LLS M.INNSATE PLANNING O
r�• � ... } NY&CT BARS p
Decem f� r� �!^ ;NV„NJ,&PA BARS
r'' lS ll '1`{P(j) IIl'I�� ,1 •y NY&NJ BARS
'�' `J I III V',PC.,,GA,&FL BARS+
D '---�'--"""—"' V,NJ,CT,&FL BARS
Attn: Anthony Trezza, Senior Planner
Southold Town Planning Board I DEC 1 5 2006
Southold Town Hall
P.O. Box 1179 ,.___
Southold,NY 11971-0959 Suu1,1iv,u .n
Re: Re-Subdivision Application—ParkerlShillodo.ts..ort�E'j
Lots 1000-6-5-7 and 1000-6-5-12.4
Dear Sirs:
Please accept this packet as a Re-Subdivision(Lot Line Modification) Application
for the Parker/Shillo parcels located on Fisher's Island. Included herein is:
1. $500 check qade payable to the Town of Southold for the Application
Fee;
2. a completed Re-Subdivision Application form;
3. Authorization Letter for this law firm to act on behalf of the applicant;
4. Owner Authorization from the neighboring property owner to proceed
with this application;
5. a copy of the property deed for each involved parcel;
6. completed Short EAF;
7. six(6) copies of the Re-Subdivision Plan which shows the existing and
proposed lot line configurations and lot areas; and,
8. Applicant/Agent/Representative Transactional Disclosure Form
Please contact me if there are any questions or concerns regarding this
application. Thank you for your assistance with this matter.
Sincer ly,
Lauren Stiles
Law Clerk
Encls.
20 MAIN STREET 51 HILL STREET 105 ROUTE 112,FL 1 S 400 TOWNLINE ROAD 56340 MAIN ROAD,P.O.BOX 325
EAST HAMPTON,NY 11937 SOUTHAMPTON,NY 11968 PORT JEFFERSON STA.,NY 11776 HAUPPAUGE,NY 11788 SOUTHOLD, NY 11971
631.324.1200 631.287.0090 631.928.4400 631.265.1414 631.765.2300
fIIIIIIIIlII1lIIIlllll11111IIIIIIIIII11111IIIIlIIIIIIII .
Ifllll111llllllllllllfl it
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/DDD Recorded: 02/15/2006
i Number of Pages: 7 At: 11:35:21 AN
Receipt Number : 06-0015812
TRANSFER TAX NEMMER: 05-27540 LIBER: D00012436
PAGE: 046
District: Section: Block: Lot:
1000 009.00 01.00 009.002
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $625,000.00
Received the Following Fees For Above Instrument
Exempt Exempt i
Page/Filing $21.00 NO Handling $5.00 NO
COE $5.00 NO NYS SRCHG $15.00 NO
EA-CTY $5.00 NO EA-STATE $165.00 NO
TP-584 $5.00 NO Cert.Copies $0.00 NO
RPT $70.00 NO SCTM $0.00 NO
Transfer tax $0.00 NO Comm.Pres $11,000.00 NO
Fees Paid $11,291.00
TRANSFER TAX NUMBER: 05-27540
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A HILL
2 RECORDED t
20D6'Feb 15 11:35:21 AM
Number of pages CLERK OF
TORRENS SUFFOLK COUNTY
L DOM12436
P 046 j
Serial N DT# 05-27540
Certificate d
i Prior Cif.H
Deed/Mortgage Instrument Deed/Mortgage Tax Slamp Recording Filing Stamps.
FEES !!
Page/Filing Fee Mortgage Amt. l I
t
Handling t.Basic Tax
i
TP-584 � 2.Additional Tax ,
Notation Sub Total
GA-52 17(County) Sub Total SpecJAssit
Or
FA-5217(State) rF Spec./Add.
TTItP.T.S A. ,gym /f TOT.MTG.TAX I:
Dual Town Dual County p
Comm.of Ed. S O� " Held for Apportionment
�����
Affidavit �+ a Transfer Tax •
Certified Copy Mansion Tax
/ The property covered by this mortgage a or
Reg.Copy will be improved by,a one or two family
Sub Total do dwelling holy.
Other
Q / YES' or NO
GRAND TOTAL a 1 ''IfNO,see appropriate tax clause on page 9 '
/n of lhi
S Real Property Tax Service Agency Verification /1 t 6 1 Commu i Preservation Fund '
06003U3 Consideration Amount
A I..nL
r..�
• 1000 00900 0100 009002 CPF Tax Due. S 5- ;
Stamp P•T• S1000 00900 0100 009001 RCWA A 1000 00600 0500 007000
fate AN Initials Vacant
Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO:
TD
TD
s Title Company Information
��, • ���`3 Co.Name
Title N t ire
i 91 Suffolk County Recording & Endorsement Page
.•Ihis page ronns part'orthe attachtxl made by:
(SPECIFY TYPE OF INSTRUMENT)
The premises herein is situated in
V-A SUFFOLK COUNTY,NEW YORK.
TO In the TownsWp of�S��i
5 In the VILLAGE
or HAMLET of
BOXES 7 TI•TRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
EXECUTOR'S DEED
THIS INDENTURE,made as of January 4,2006,
BETWEEN ,
UNITED STATES TRUST COMPANY OF NEW YORK. a corporation having its
principal place of business at 114 West 47'h Street,New York,New York 10036,as executor of
the Last Will and Testament of Pauline D. Webel, a/k/a Pauline Dodge, f/k/a/ Pauline Dodge
Pratt,late of 1089 Cedar Swamp Road,Glen Head,New York 11545,who died on the 21n day
of October, 2003, party of the first pan, said will being probated in the Nassau County
Surrogates Court on October 30,2003 as file no.330413,and
THOMAS J. SHILLO, having an address at P.O. Box 202. Fishers Island, New York
06390,party of the second pan, qG M:er.e,4a a nlnris,g
too I evoa d„1ct6, tJ-a yn+a..ced L2 ,
WITNFSSETH,that the party of the first pan,to whom letters testamentary were issued
by the Surrogate's Court,Nassau County,New York on November 26,2003 and by virtue of the
power and authority given in and by said last will and testament, and/or by Article 11 of the
Estates, Powers and Trusts Law, in consideration of Six Hundred Twenty-Five Thousand and
00/100 Dollars($625,000.00)paid by the party of the second part,does hereby grant and release
unto the party of the second pan, the distributces or successors and assigns of the party of the
second pan forever,
ALL that certain plot, piece or parcel of land, with the buildings and improvements
thereon erected, situate, lying and being at Fishers Island, in the Town of Southold, County of
SulTolk and State of New York,being bounded and described as follows:
District 1000,Section 009.00,Block 01.00,Lots 009.001 and 009.002
BEGINNING at an iron pipe at the most Southerly comer of the herein described tract at
land now or formerly of Fisher Island Utility Company,said point being 3560.80 feet North of a
point which is 2349.05 feet West of a monument marking the U.S.Coast and Geodetic Survey
Triangulation Station"PROS",and
THENCE RUNNING North 06 degrees 31 minutes 20 seconds East, 76.15 feet to an
iron;
THENCE North 19 degrees 42 minutes 50 seconds East, 149.00 feet to an iron; i
THENCE North 41 degrees 18 minutes 20 seconds East, 103.24 feet to an iron;
THENCE North 17 degrees 45 minutes 25 seconds West, 108.76 feet;
THENCE South 64 degrees 32 minutes 50 seconds West,456.96 feet;
THENCE South 28 degrees 39 minutes 30 seconds East, 105.31 feet;
THENCE South 55 degrees 28 minutes 30 seconds East, 108.91 feet;
THENCE along lands now or formerly of Jennifer Miller, South 73 degrees 48 minutes
30 seconds East,97.20 feet;
TIIENCE along lands now or formerly of Kevin E.Grant and Valerie J.Kinkade,South
76 degrees 28 minutes 30 seconds East,70.08 feet;and South 70 degrees 39 minutes 24 seconds
East,20.01 feet,to the point of BEGINNING.
TOGETHER WITH a right of way for use as a roadway over a strip of land twelve(12)
feet in width,running from the Southwesterly end of Sappho Road,across lands now or formerly
of Fishers Island Farms,,Inc.to the Northwesterly line of premises acquired by Frederic R. Pratt
from West End Land Company,Inc.by deed recorded in Liber 5709 Page 95,said right of way I
being specifically bounded and described as follows:
1328210.1
6032574.2
BEGINNING at a point at the Southwesterly end of Sappho Road, said point being i
4184.95 feet North of a point which is 2305.62 feet West of said"PROS"monument;and
THENCE running South 54 degrees 16 minutes to 00 seconds West,50.00 feet:
THENCE South 12 degrees 30 minutes 00 seconds West, about 58.00 feet to the
Northwesterly line of premises conveyed to Frederic R.Pratt by West End Land Company,Inc.;
I
THENCE North 54 degrees 16 minutes 00 seconds East, along said lands acquired by
Frederic R.Pratt about 19.00 feet;
THENCE North 12 degrees 30 minutes 00 seconds East,about 38.00 feet;
THENCE North 54 degrees 18 minutes 00 seconds East,about 50.00 feet,to said Sappho
Road line;
THENCE along said road line North 56 degrees 25 minutes 00 seconds East,about 12.50
feet to the point of BEGINNING.
I
SUBJECT to the following covenants and restrictions which shall run with the land:
1. The above described premises and any buildings erected or to be erected thereon shall I
be used for residential purposes only,and shall not be used for any commercial use or purpose
whatsoever, except however the premises or any part thereof may be rented for residential
purposes only.
2. The buildings erected or to be erected on the above described premises shall be '
limited to two one-family residences and accompanying garages. I
AND
I
District 1000,Section 006.00,Block 05.00,Lot 007.000 `
ALL that certain plot, piece or parcel of land, with the buildings and improvements
thereon erected, situate, lying and being at Fishers Island, in the Town of Southold,County of
Suffolk,State of New York,being bounded and described as follows.
BEGINNING at a stone monument on the Southeasterly line of Sappho Road, said
monument being 4167A6 feet North of a point which is 2263.54 feet West of another monument
marking the U.S.Coast and Geodetic Survey Triangulation Station"PROS"and
THENCE running along said Sappho Road line North 60 degrees 49 minutes 30 seconds
East.104.72 feet to an iron;
THENCE South 27 degrees 15 minutes 00 seconds East, 108.05 feet to an iron;
THENCE South 15 degrees 03 minutes 00 seconds West, 117.23 feet;
THENCE South 64 degrees 32 minutes 50 seconds West,570.96 feet;
THENCE North 02 degrees 35 minutes 55 seconds West, 192.55 feet;
THENCE North 73 degrees 25 minutes 30 seconds East,214.88 feet to a monument;
THENCE North 54 degrees 16 minutes 00 seconds East, 257.34 feet to the point of
BEGINNING.
SUBJECT to two (2) certain rights of way ten (10) feet in width reserved in favor of
Fishers Island Electric Corporation and in favor of Fishers Island Telephone Corporation for the ,
installation,maintenance and repair of overhead and/or underground electrical and/or telephone
lines,the center lines of said rights of way being described as follows:
1328210.1 2 ,
i .
1. BEGINNING at a point on the Northwesterly line of the above described tract,said
point being 414170 feet North of a point which is 2299.34 feet West of said"PROS"monument
and thence running South 48 degrees 23 minutes 40 seconds East about 194 feet;
2. BEGINNING at a point on the center line of the above described right of way, said
point being 4043.27 feet North of a point which is 2184.52 feet West of said"PROS'monument
and thence running north 33 degrees 45 minutes 50 seconds East about 105 feet.
SUBJECT further to a certain right of way ten(10) feet in width reserved in favor of
Fishers Island Farms,Inc.for the installation,maintenance,repair or replacement of the present
existing water lines or pipes, running across the Easterly end of the above described premises,
and running Southeasterly from Sappho Road and along,or approximately along and parallel to
lands now or formerly of Wallace Calney.
Being and intended to be the same premises as conveyed by Frederick R. Pratt by deed
from Fishers Island Farms,Inc.,a domestic corporation,dated February 20,1965 and recorded in
the Suffolk County Cleric's Office on March 3, 1965 in Liber 5709 Page 99,as to Parcel 1;and
by deed from Wcst End Land Company, Inc.,a domestic corporation,dated February 23, 1965
and recorded in the Suffolk County Clerk's Office on March 3,1965 in Liber 5709 Page 95,as to
Parcel It.
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 also all the estate which the said decedent had
at the time of decedent's death in said premises,and also the estate therein,which the party of
the first part has or has power to convey or dispose of,whether individually,or by virtue of said
will or otherwise.
TO HAVE AND TO HOLD the premises herein granted unto the party of the second
part,the distributees or successors and assigns of the party of the second part forever.
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 to read "parties' whenever the sense of this
indenture so requires.
i
1328210.1 3
IN WITNESS WHEREOF, the party of the first part has duly executed this dLcd the
day and year first above written.
UNITED STATES TRUST COMPANY OF NEW
YORK,as Executor of the Last Will and Testament
of Pauline .Webcl
By: _
Roger W.Kummert
Vice President
l`
V
1328210.1 4
STATE OF NEW YORK )
lata„ri�vtn[�ss.:
COUNTY OF 1/
On the day of ae cc (1 e.- in the year 2005 before me the
undersigned, a Notary Public in and for said State, personally appeared Roger W. Kurnmert,
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 he executed the
same in his capacity, and that by his signature on the instrument,the individual, or the person
upon behalf of which the individual acted,executed the instrument.
ra
Mnt�oVs00� Notary Public
(Notarial Seal)
.dl
1
I
1329210.1 5
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TIUNBRRItTAX CLLRK OF
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Geed/Mongage Inurument Deed/Monsoge Tax Slamp 17Recording/Filing Slampa
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llandlins _.-,.,�_ I.[hale Tax
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t Dual Town Dual County
Comm.of Rd. .�,,.�.. �tt(2_, "', Bold for Apportlooment
c Amdavit a Transfer Tax
Conllledcopy ._._,.�- Mansionl'ax
The property covered by this mortgage li or
Reg.Copy will be Improved by a one or two famlly
Sub Taal dwolling only.
Other —
or NO_
I f N0,wetsp pro�prlile taxciaueo on pogo N
{ GRAND TOTAL -. of lhla lmiruntertl.
h Rohl I n Tax Service Agency Verification 6 Coninitinity 11rosorvntiun Fund
Dist. Section 11 lack 1,01 Consideration Amount S _-O-
1000 may-• C11I1'1'nx Utto f N/A
Init � (NBW NUMB R) A��IV� acant I.nnd._I_
7 SRIlahctlonslglechargedRolearos I.1a Property Owners Malibtg Add 'p 10
} BRCORD&RRTURN TOi MAY 26 M
LARK i VOLTS 9998 COMMUNITY U
MAIN RD PAURAVATION
r P 0 BOX 973 FUND ✓
CUTCHOCU6 NY 11935-0973
k
t>
s Titlo Cnm an Information
Co.Name N/A
1,11116 N N/A _...
Suffolk County Recording & Endorsement Page
'Ibis page Ionm part ortho attmkd AVed made by:
z; Thomas McCanae, Jr. and his wits, (SpCCIFY'[YPLOI lN51KUMLN'I')
p rrancins J. Worthies as Trustees of 'Iha prcinlsos heroin Is situated in '
i the Fishers Island Kisidence Trust under
a 1lurWenj dated April 17. 1923 SUITOLKCOUKIY,NEW Y01%
f.
pp In the Towrultip of Southold
ilen McConce Parker In the VILLAGE:
t or Fishers Island
i, r
BOXES S 111RU 9 MUST BE TYPED OR PRIMED IN FLACK INK ONLY I'W OR'1'O REC'ORD1N0 OR FILING.
z: Page I of 3 ( )
Tom list 11fi1 A416—IrAl"WI&I woorpm1we.461mg
ill ULT Inset.LAVA M w wm*0"061*"VM 161, MTWJM r$MO"NUI' AWV V&Vs
N.Y.S.
ROTATE TIOUMVIN111111116 made the 20th day of May 010dan hurAlw MA ninety-nine
BIER
STAMPS 1197INUM
- -- IWLIUM AUL des ULd Aare`
17- 12,111, residing at 26 Cliffwood Street, Lenox, Massachusetts 01240.5196
party of the Arm part,And residing at 171 San Marcos Avenue,
San Francisco, California 94116
party of the HWA put,
Wn?CIUTK that the patty 61 the Ant Cm In considemion of Tom Dollars slid other valuable consideration
Pala by the party of the umd Pal 64►;grant and release unto the party of the woorld part,the hairs
or sucaulo"AAA Assigns of the"of the asiow pert forever,
ALL thm amain plot.pleze aaI WAMb4bWM4neNapostlele
lying=I Wag 4wilitim at utho1i; County of Suffolk and
State at Now York, being bounded and described as; followso
BIGINNING, at a point located at the southerly corner of the heroin
described tract, said point being located 4012.17 test north at a point
which is 2414.85 feet west of a monument marking the U.N. Coast and
Geodetic survey Triangulation Station "PROS" and thence running North 420
111 130 West 14.83 set to a points thence North 320 Ill' 010 Sant 30.62
feet to a pointi thence South 20 351 200 last 97.59 feet to the point of
BEGINNING.
BRING AND INTENDED TO DR part of the same promises conveyed to the
party of the first part by dead dated April 21, 1995 and recorded In the
Suffolk County Clerk's Office an June 28, 1915 in Libor 11720 Page 962.
The above described property containing 1,252 square feet will be
added to and merged with the adjoining parcel owned by the party of the
second part by dead dated July 16, 1903 and recorded in the Suffolk County
Clerk's Office an October 4, 1992 in Libor 11646 Page 647 (SCTM #1000-
004.00-05.00-012.000) .
TAX NAP
NATION
1000 ToGMTHRIt with Q ilght,title and Interest,if Arty,of the party of the Ant )aft Ill and to any attests and
"Ida ahtitting the above descillIed Promises to the center lines thereof i TOGEA HR with the appuriona"Is
006.00 rKI&II the estate and rights of the party of the Orot part In and to said missel TO HAVIr AND TO
04OLD the Promises heroin gfeffled unto The party of the Wend part,IN Prf or sunessofs,and Assigns of
i. 03.00 the party of the wond Pert forever,
ill?P/O AND the party of lite AfIt part tovfn4nts that the party of the Arst part hall not done of suffered anything
3.004 whereby the said prolillus have been oneumbend In Any way whatever,eKcqR as Aforesaid,-
AND The Polly of file first pert.In tompliance,with Se&W 13 of the Ll#n Law,covenants that the pany,of
the Ant Pan will realva the tonsidomflon for this conveyance and will hold the right to yerelve mob conow-
grallon as a trust fund to be Applied Aist for the orpm of paying the cost of the Improvemt Mid will apply pp_y
the she' to the payment of the cost of the improvement before using any pert of the total of the sarn W
any Other Purpose.
The word"Party"shall be construed As It It fad"parties"whfnsvor the unto of this Indenture to requires.
IN WITNUS WHLVMFI the party of the gist part hall duly executed this dead the day and year first do"
written.
IN FulaNcs oft
Somas Mccencst Jr., as Trustee
to' 410A,L"
Trancins is Iftcancoo an Trustee
PESO I fit I
n-nnsos ..tiw... ., .;... ,.M3.,. • . .. ... . ,• ,�,,,ry„ �.n-.•r..,y_. .,4"l
g�f
1tifAn�►aa� V 01 BIRKS As, na"eN t lOU 6 a DERI t m
On the 1bVA.day of NOY 11 before ma On the 10l"A"day of May ,bsfors me
personally came THOMAS MoUNCE, JR. personally Game FRANCINE J. MCCANCE
to me known to be the Individwt described In and who to me known to be the Indivlduaf described In and who
executed the (ongoing Instrument, and acknowlsdg stru ed that executed the foregoing inment, and acknowledgd that e
he exacuted thhee am she exesuted thhee Was.
4. geed
tart' Public tart' PUbl1Q
t3�la�awV tliowblwMowblrAl
In.—
h4'CedloUtba MalYalsrMM • .'
ATATs 01 NW VO4K COUNTY of an ITATI O/NIW YORK COUNTY O/ all
On the day of 19 , before me On the day of 19 , 6fore me
personally ame personally came
to me known,who,beln�by me duly sworn,did depose and the subscribing soleness to the foretoing Instrument, wllh
soy that he resides at o, whom I am personally acquainted, who being by me duly
sworn,did depose lam soy that ht nsldes at No,
that he 1e the I of that he knows
the corpratlon described
In and which executed the forgoIag Instrument;that he to be the Indlvlduah
knows the seal of sold cotpomilont that-the sesl affixed described in and who executed the foregoing IMtrumentt
to sold instrument Is such ccrporate scat; that It wag so that he, said subscribing wholas, was Present and saw
affixed by order of the board of directors of laid corpora• execute the same;and that he+said witness,
don. and that he#speed h name thereto by like order, at the tame time subscribed h name as Mlltaeee thereto.
WIIN CUYaNAHT A INialilGa#f 1M'r ACIs tICTION
TITLa No. stM
LOT
THOMAS MoCANCE, JR. and his wile, V RAN CINE J. COUNTY OR TOWN
WARR, as Trustees of the 111HRRS ISLAND
RRSIDRNCR TRUST under Atresoent datod April 17s 1995 TAX BILLING ADDRtaa
TO
iLLEN MoCANCE PARKER AN000 Al AM"N rdw TO OW&WO C YOW
AI TURN BY MAIL TOi
nwarwu
LARK i VOLTS ESQS
Oun,h,N►, MAIN ROAD
r P o BOX 973
CUTCHOOUE NY 11935-0973
TICOR TITS BUARANT66 :M N.•
Pats 3 of 3
i
APPLICANT/AGENT/REPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The puMose of
this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is
necessary to avoid same. `,�,1,� '
YOUR NAME: 1.( G �w S ,c�� ZVI
(Last name,first name,ipidche initial,unless you a ap ing in the name of
someone else or other entity,such as a company.If so,indicate.the.other
person's or company's name.)
LOCD
i
NAME OF APPLICATION: (Check all that apply.)
Ln
Tax grievance Building LUg
Variance Trustee
Change of Zone Coastal Erosion
Approval of plat Mooring
ption from plat or official map Planning
then
(If"Other',name the activity.) �S�U:t��Stty. (Lt �—ram
Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship.with!any officer or employee
of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business,
including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation
in which the town officer or employee owns more than 5%of the shares.
YES NO
If you answered"YES",complete the balance of this form and date and sign where indicated.
Name of person employed by the Town of Southold
Title or position of that person
Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check
the appropriate line A)through D)and/or describe in the space provided.
The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply):
A)the owner of greater than 5%of the shares of the corporate stock of the applicant
(when the applicant is a corporation);
B)the legal or beneficial owner of any interest in a non-corporate entity(when the
applicant is not a corporation);
C)an officer,director,partner,or employee of the applicant;or
D)the actual applicant.
DESCRIPTION OF RELATIONSHIP
Submitted this day of 200 6
Signature c
Print Name /�Gt/Ve✓L_ �L
Form TS 1 Y
M
4
r
:F
-S' r
su
r
r
4
I'
MAILING
PLANNING BOARD MEMBERS O��S�FFU(,f-coG P.O. BoxDDRESS:
JERILYN B.WOODHOUSE ®� y� Southold, NY 11971
Chair y
_ .OFFICE LOCATION:
RICHARD CAGGIANO • Town Hall Annex
WILLIAM J.CREMERS ?f�l �a0 54375 State Route 25
KENNETH L.EDWARDS (cor. Main Rd. &Youngs Ave.)
MARTIN H.SIDOR Southold, NY
Telephone: 631 765-1938
Fax: 631 765-3136
PLANNING BOARD O'I+' �+- � £ � 4 �:is� t Krf fN F •
TOWN OF SOUTHOLD
f
Application for Re-Subdivision/Lot Line
Modification
APPLICATION IS HEREBY MADE to the Town o£SoutholdPlnning Boar-d= f3hh ' wu:.�
proposed RE-SUBDIVISION described herein: �..�._._....__.
1. Origins';Subdivision Name Mansion House Cottage Sites (1949)
2. Suffolk County Tax Map # 1000-6-5-7 and 1000-6-5-12.4
3. Hamlet Fisher's Island
4. Street Location Sappho Road
5. Acreage of Site Approx. .1 acres (4,183 sq. ft. +/-)
6. Zoning District R-80
7. Date of Submission November 30, 2006
8. Please provide the names, addresses and phone numbers for the following
people:
Applicant: Ellen McLance Parker
P. 0. Box:--426
Fisher's Island, NY 06390
Agent: Lauren Stiles (631-727-2180)
Twomey, Latham, Shea, Kelley Dubin & Quartararo, LLP
� f
33 West Second Street (P. 0. Box 9398)
Riverhead, NY 11901
Property Owner(s): Thomas J. Shillo
P. 0. Box 161
Fisher's Island, NY 06390
Surveyor: Richard H_ Strouse (888-291-3227)
CME Associates
110 Br6adway
Norwich, CT 06281
Engineer: N/A
Attorney: John F. Shea, Esq. (631-727-2180)
Twomey, Latham, Shea, Kelley, Dubin & Quartararo, LLP
33 West sanorid R reet(P n- Box 9398)
Riverhead, NY 11901
9. Briefly describe the proposed lot line change and state reason(s) for requesting same.
Applicant and owner are neighbors, They have entered into an option
contract which allows Ms. Parker to purchase a lawn area of approximately
.1 acre.^from Mr. Shillo, that is adjacent to her property. Before
doing so, they need to obtain a lot line modification_
10. DOES THE PROPOSED MODIFICATION:
Affect the street layout in the original subdivision? No
Affect any area reserved for public use? No
Diminish the size of any lot? Yes, Mr. Shillo's lot will be
diminished by .1 acre, but it
will still conf6rm to R-80
dimensional requirements.
t
Create an additional building lot? No
Create a nonconforming lot? Na
Require a variance from the Zoning Board of Appeals? No
Impact the future planning of the subject properties? No
11. Application completed by [ ] owner [X] 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 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 i
STRUCUTRES 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 � G Date 11/3o1o6` ,,- /!:o
Southold Town Planning Board Application Authorization
Authorization
I E W-�In !"`CCAALL Y-QIPI residing at YwR AO,
VZSVRi{ S TSlA^A N\A 0 6,S9 0 do hereby authorize the
law firm of Twomey, Latham, Shea, Kelley, Dubin & Quartararo, LLP to apply for a re-
subdivision (lot line modification) from the Southold Planning Board on my behalf.
Applicant's Signature
Southold Town Planning Board Application Authorization
Owner Authorization
I,Thomas Shillo, owner of Suffolk County tax map parcels 1000-6-5-7, 1.000-9-1-9.1 and
1000-9-1-9.2, do hereby grant permission to Ellen McCance Parker, of Sappho Road,
Fisher's Island, NY, to apply for a re-subdivision (lot line modification)from the
Southold Town Planning Board, with respect to said tax map numbers, in accordance
with the attached survey map.
Thomas Ilo, Owner
Sworn to before me this
day of November, 2006
s
ROXANNE SPAULDING
NOTARY PUBLIC,STATE OF NEW YORK
No.01 SP6113942_
QUALIFIED IN S011 UI K COUNTY
MY COMMISSION[XIIIHI S AUG.9,200
617.20
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/SPONSOR 2. PROJECT NAME
IIan Pax kL0ke"0- Sk-k\0 Lai- U-ne-f AUMUAM
3. PROJECT LOCATION:
Municipality k o- t �EX 3SV�C7`C� County
4. PRECISE LOCATION(Street address and road intersections,prominent landmarks,etc.,or provide map)
�,� P k•o �-off� ly--t�s�P�S Ss , �
5. PROPOSED ACTION IS:
New Expansion 1�Modification/alteration
6. DESCRIBE PROJECT BRIEFLY:
11 (t G4,rt� gee k �0 Move- ` ►� l o-�- l.t�n� dcA®„ IQQ,
s , t !�/ULA P.vl(�sr PG`�' 4-v x, Y L1183 . �.
7. AMOUNT OF LAND AFFECTED:
Initially < I acres Ultimately < acres
8. WILL PRgPQGED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS?
Yes ❑ No If No,describe briefly
9. WHAT IS P ESENT LAND USE IN VICINITY OF PROJECT?
WHAT
❑ Industrial Commercial []Agriculture Park/Forest/Open Space Other- - '� h
Describe:
j '
'
10. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING,NOW OR ULTIMATELY FROMIANY�?,,.T'EkR�GOVERNMENTAL AGENCY Yry
(FEDERAL,STATE OR CAL)? v1„ 20v6 1
Yes OR
If Yes,list agency(s)name and permittapprovals:
a �%d
- P
11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
Yes 1/No If Yes,list agency(s)name and permit/approvals:
-
12. AS A RESULT OF PRO OSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION?
Yes MNo
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Applicant/sponsorname: we ,- p &)wviDate:
Signature:
-6-, 4 t1e.zLVt�1f1C3/4�� ` ^Q Al pa.�PCA
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 'j
}Reset
PART II - IMPACT ASSESSMENT, be completed by Lead Agency)
- A. DOES ACTION EXCEED ANY TYPE I 1".--'3)HOLD IN 6 NYCRR,PART 617.4? If yes,coorainaie the review process and use the FULL EAR
Yes ACTION
B. 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 pattern,solid waste production or disposal,
potential for erosion,drainage or flooding problems? Explain briefly:
N 0
C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly:
C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly:
No
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:
NO
C5. Growth,subsequent development,or related activities likely to be induced by the proposed action?Explain briefly:
N �
C6. Long term,short term,cumulative,or other effects not identified in C1-05? Explain briefly:
I.r O
C7. Other impacts(including changes in use of either quantity or type of energy)) Explain briefly:
No
D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL
ENVIRONMENTAL AREA(CEA)?
Yes �No If Yes,explain briefly:
E. IS THERE,OR IS HERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS?
Yes HEXNo 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. If question D of Part II was checked
yes,the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA.
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 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)
� rs�
1r _)
PART II- IMPACT ASSESSMENT To be completed by Lead Agency)
A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617.4? If yes,coordinate the review process and use the FULL EAF.
Yes .11 No
B. 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 pattern,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:
C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly:
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:
C5. Growth,subsequent development,or related activities likely to be induced by the proposed action?Explain briefly:
C6. Long term,short term,cumulative,or other effects not identified in C1-05? Explain briefly:
C7. Other impacts(including changes in use of either quantity or type of energy)? Explain briefly:
D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL
ENVIRONMENTAL AREA(CEA)?
Yes ElNo If Yes,explain briefly:
E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS?
Yes F1 No 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. If question D of Part II was checked
yes,the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA.
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 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)
Reset
Town Of Southold
P.O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Date: 01/25/07 Receipt#: 58844
Transaction(s): Reference Subtotal
1 1 Application Fees 6-5-7 & $500.00
Check#: 58844 Total Paid: $500.00
JAN 2 6 2007 -
IuV;C L. '..s.ia;:rt hiiK t:
Name: Twomey, Latham Shea & Kelley
P O Box 398
Riverhead, NY 11901
Clerk ID: LINDAC Internal ID:6-5-7&12.4
MAILING ADDRESS:
PLANNING BOARD MEMBERS �pF SO!/ry P.O. Box 1179
JERILYN B.WOODHOUSE �0� Old Southold, NY 11971
Chair OFFICE LOCATION:
KENNETH L.EDWARDS cn Town Hall Annex
MARTIN H.SIDOR G �. 54375 State Route 25
GEORGE D.SOLOMON ��� (cor.Main Rd. &Youngs Ave.)
JOSEPH L.TOWNSEND 0,0UNTI, Southold, NY
Telephone: 631 765-1938
Fax: 631 765-3136
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
MEMORANDUM
To: Elizabeth Neville, Town Clerk
From: Planning Department
Date: January 24, 2007
Re: Checks
Enclosed herewith are the checks listed. Please return a receipt to us.
Thank you.
Project Name & Type Tax Map # Amount Date of
Check
Parker/Shillo Subdiv. 6-5-7& 12.4 $500 app fee 11/30/06
Brokaw, Bennett subdiv. 113-7-1.1 $7,000 P&P 1/8/07
Brokaw, Bennett subdiv. 113-7-1.1 $500 app fee 1/8/07
Grigonis Conserv. Sub. 55-1-5.1 & 55- $1,550 sketch 1/11/07
2-8.5 fee
LR
enc.