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NOTICE
NOTICE IS HEREBY G1V-
EN, pursuant toSection 267of COUNTY OF SUFFOLK
the Town Law and the Code of ss:
the Town of Southold, the fol- STATE OF NEW YORK
lowing public hearings will be
held by the SOUTHOLD
TOWN BOARD OF APPEALS
at the Southold Town Hall, Patricia Wood, being duly sworn, says that she is the
Main Road, Southold, NY ata Editor, of THE LONG ISLAND TRAVELER-WATCHMAN,
Regular Meeting commencing a public newspaper printed at Southold, in Suffolk County;
at 7:30 p.m. on THURSDAY,
JULY 18, 1985, and as follows: and that the notice of which the annexed is a printed copy,
7:30 p.m. JOSEPH AND has been published in said Long Island Traveler-Watchman
ARLENE LESTINGI- Hearing once each week for . . . . . . . . . . . . . . . . . . .1� . . . . . . weeks
to be reconvened. Permission
to locate garage in frontyard
area. 1150 Sound D r i v e, successively, commencing on the
Greenport.
7:35 p.m. SOCRATES AND
DAPHNE SPIRAKIS- Vari- day of . . . ., ?-, . . . . . .. 19 : . . . . i
ance to the Zoning Ordinance, — j
Article IU, Section 100-31,
\ :� . . . . . . . . . . . .
Bulk Schedule,for approval of . . . . . . . . . . . . . . . . . . .
a garage addition to dwelling
constructed with an insuffi-
cient setback from the norther-
.5
ly siileyard area at premises
identified as 500 Teepee Trail, Sworn to before me this . . . . . . . . . . . . . . . . . . . . , day of
at "Nunnakoma Waters,"
l
Southold, NY; County Tax - `4j, , . , , . , , , , 19 .'
. . . . .
Map parcel No. 1000-82-02-23. . . . . . . . . .
7:40 p.m. JOHN AND LOR-
RAINE FABRY- Variance to
the Zoning Ordinance, Article
XI, Section 100-119.2 for per- �/� . . A
mission to construct deck addi- . . . . . . . . . . . . . . . . . ." "" . . . . . . . . . . . . . . . . . . . . . . . .
tion to dwelling with an insuf. Notary Public
ficient setback from existing BARBARA FORBiiS
identified as 37000 Deephole
h(ghwater mark premises Notary Public, State of New York Drive, Mattituck, NY; county No. 4806846Qualified in Suffolk County
Tax Map Parcel No. 1000.115-
17-007. Commission Expires March 30, 19
7:45 p.m.ROBERT N.KEN-
NEY Variance to the Zoning
Ordinance, Article III, Section
100-31,Bulk Schedule,for per-
mission to construct deck addi-
tion to dwelling with an insuf-
ficient rearyard setback at pre-
mises identified as 2320 Gil-
lette Drive, East Marion, NY;
Marion Manor Subdivision,
Filed Map 2038, Lot 11; Coun.
ty Tax Map Parcel No. 1000-
38-02-024.
7:55 p.m. R.L. BERGEN
OIL CO.,INC.-Variance to the
Zoning Ordinance, Article VI,
Section 100-60 (100-80(C)[21)
for permission to erect detach-
ed ground sign,the lower edge
of which is proposed to be less
than four feet above ground.
Premises zoned "C`-Light" In.
dustrial and identified as 9275
Main Road, Mattituck, NY;
County Tax Map Parcel No.
1000-122-06-12.
8:00 p.m.SOUTHLAND Corp.
(7-11)- Variance to the Zoning
Ordinance, Article XI, Section
100-119.1(a) for permission to
construct fence in excess of
height limitations in frontyard
area at premises identified at
56480 Main Road, Southold,
NY; County Tax Map Parcel
No. 1000-62-03-37. (B-1 Busi-
ness Zoning District).
8:05 p.m. JOHN F. MAR-
IN- Variance to the Zoning
Ordinance, Article 81, Section
100-32 for permission to erect
radio antenna tower in excess
of height limitations for acces-
sory structures at premises
identified as 815 Old Shipyard
lane, Southold, NY; Founders
omes Subdivision Lots 104
nd 105; County Tax Map
arcel No. 1000-64-05-19.
8:10 p.m. COMMUNITY
C TIAN FELLOWSHIP,
INC.- Special Exception to the
Zoning Ordinance, Article III,
Section 100-30(B)[2) for per-
mission to establish and locate
church for worship in this
"A-80" Residential and Agri-
cultural Zonine District. Loca-
tion of Premises: 11565 C.R.
48(a/k/a 11565 Wickham Av-
enue), Mattituck, NY; County
Tax Map Parcel No. 1000-108-
01-003.
The Board of Appeals will
hear at said time and place all
persons desiring to be heard in
each of the above matters.
Written comments may also be
submitted prior to the conclu-
sion of the hearing in question.
(tel. 765-1809 or 1802).
Dated: June 27, 1985.
BY ORDER OF THE
SOUTHOLD TOWN
BOARD OF APPEALS
GERARD P.GOEHRINGER -
CHAIRMAN
r
,jilts,.111; ,1085
prior to the conclusion of the
Legal Notices hearing in question. (Tel. 765- STATE OF NEW YORK 1
1809 or 1602). ) SS:
Dated:June 27, 1985.
LEGAL NOTICE BY ORDER OF COUNTY OF SUFFOLK )
NOTICE IS HEREBY GIVEN, THE SOUTHOLD TOWN
Pursuant to Section 267 of the BOARD OF APPEALS
Town Law and the Code of the GERARD P.GOEHRINGER ANNA LEKKAS of Greenport, in
Town of Southold,the following CHAIRMAN
public hearings will be held by 1TJyi1-4958 said County, being duly sworn, says that he/she is
the SOUTHOLD TOWN Principal Clerk of THE SUFFOLK TIMES, a Weekly
BOARD OF APPEALS at the
Southold Town Hall,Main Road, Newspaper, published at Greenport, in the Town
Southold,NY at a Regular Meet- of Southold. County of Suffolk and State of New
ing commencing at 7:30 p.m.on
THURSDAY, JULY 18, 1985, York, and that the Notice of which the annexed is
and as follows:
7:30 p.m.JOSEPH AND AR- a printed copy, has been regularly published in
LENE LESTINGI—Hearing to said Newspaper once each week for nnA
be reconvened.Permission to lo- weeks successively, commencing on the 1_
1150 garage in frontyen July t9 85
area.
1150 Sound Drive,Greenport. day Of
7:35 p.m. SOCRATES AND
DAPHNE SPIRAKIS — Vari-
ance to the Zoning Ordinance, .�
Article III,Section 100-31,Bulk 4✓
Schedule,for approval of a ger-
age addition to dwelling con- Principal Clerk
strutted with an insufficient set-
back from the northerly sideyard
area at Premises identifies a- Sworn to before me this 9" ANN Pd. ABATE
500 Teepee Trail, at Nun- �j�ggY PUBIC,Statf New Yon
nakoma Waters,"Southold,NY; day of Jul y f 4'y'1P County N,- 'Chic[g;)
County Tax Map Parcel No. /1 ierrr. Er, rce
1000.82-02-23. ( /�/[//—, ('�� 0 ,h!;�r,:!i 39.
7:40 p.m. JOHN AND LOR. a, - j /�'/
RAINE FABRY—Variance to /5/11/
the Zoning Ordinance, Article
XI,Section 100-119.2 for permis-
sion to construct deck addition to
dwelling with an insufficient act-
back from existing highwater
mark at premises identified as
3700 Deephole Drive,Mattituck,
NY;County Tax Map Parcel No.
1000-115-17-007.
7:45 p.m. ROBERT N.KEN.
NEY —Variance to the Zoning
Ordinance, Article III, Section
100-31, Bulk Schedule, for per-
mission to construct deck addi-
tion to dwelling with an insuffi-
cient rearyard setback at prem-
ises identified as 2320 Gillette
Drive,East Marion,NY;Marion
Manor Subdivision, Filed Map
2038, Lot 11; County Tax Map
Parcel No. 1000.38-02-024.
7:55 p.m.R.L.BERGEN OIL
CO.,INC.—Variance to the Zon-
ing Ordinance, Article VI, Sec-
tion 100-60 (100-80(C)[21) for
Permission to erect detached
ground sign, the lower edge of
which is Proposed to be less than
four feet above ground.Premises
zoned "C-Light" Industrial and
identified as 9275 Main Road,
Mattituck,NY;County Tax Map
Parcel No. 1000-122-06-12.
8:00 p.m. SOUTHLAND
CORP.(7-11)—Variance to the
Zoning Ordinance, Article XI,
Section 100-119.1(a)for permis-
sion to construct fence in excess
of height limitations in frontyard
area at premises identified as
56480 Main Road,Southold,NY;
County Tax Map Parcel No.
1000-62-03-37. (B-1 Business
Zoning District).
,8:05 P.M.JOHN F.MARTIN'
— Variance to the Zoning Ordi-
nance,Article III,Section 100-32
for Permission to erect radio an-
tenna tower in excess of height
limitations for accessory struc-
tures at premises identified as
815 Old Shipyard Lane, South-
old, NY; Founders Homes Sub-
division Lot, 104 and 105;
County Tax Map Parcel No.
1000-64-05-19.
8:10 P.M. COMMUNITY
CHRISTIAN FELLOWSHIP,
INC.—Special Exception to the
Zoning Ordinance, Article III,
Section 100-30(B)[21 for permis-
sion to establish and locate
church for worship in this"A-80"
Residential and Agricultural
Zoning District. Location of
Premises: 11565 C.R. 48 (a/k/a
11565 Wickham Avenue), Mat-
tituck,NY;County Tax Map Par-
cel No. 1000-108-01-003.
The Board of Appeals will hear
at said time and place all persons
desiring to be heard in each of
the above matters.Written com-
ments may also be submitted
o��FFotk�o�
z �
Southold Town Board of Appeals
MAIN ROAD - STATE ROAD Z5 SOUTHOLD, L.I., N.Y. 11971
TELEPHONE (516) 765-1809
ACTION OF THE ZONING BOARD OF APPEALS
Appeal No. 3376
Application Dated June 21 , 1985 (Public Hearing July 18 , 1985 )
TO: Mr. John F. Martin
.:'�APPellant (s) ]
Old Shipyard Lane
Southold , NY 11971
. .4 `,';;8:'sl?1;`.'^.dk'.•v`. ..t�w..,�., «v Vic..s'`J,':F-�; ..p 1':�:
At a Meeting of the Zoning Board of Appeals held on August 8 , 1985 ,
the above appeal was considered, and the action indicated below was taken
on your [ ] Request for. .Variance Due to Lack of Access to Property
New. York Town Law,, Section 280-a
[ ] Request for Special Exception under the Zoning Ordinance
Article ;' Section'
[X ] Request for Variance to the Zoning Ordinance
.Article III , Section 100-32
[ ] Request for
..Appl;`ication of 'JOHN F: MARTIN - Variance to the Zoning Oidi
nance , Article III , ''Section 100-732 for permission to erect radio
antenna tower in excess of height limitations'. for accessory struc-
tures at• premises identified as -•815 Old Shipyard Lane , Southold , NY;
Founders Homes Subdivision Lots , 104 and 105 ; County .Tax Map . Par.cel
.No . 1000-64-.05-19 .
WHEREAS ; - -a public hearing was held and' concluded on July 18 , 1985 ,
in .the Matter of the Application of JOHN F. MARTIN , Appeal.' No . 3376 ; and
WHEREAS , the board members have considered all testimony and
documentation entered into the record in this matter , and it is noted
that there has - been no opposition entered concerning this appeal appli -
cation ; and
WHEREAS, the board members are personally familiar with the
premises in question and the surrounding properties ; . and
WHEREAS , the board made the following findings of-fact:
- 1, ,. By this application , appellant requests a variance from
the height requirements of Articl.e ._III , Section .100-32 , rfor permission
to erect a 71 -foot high radio tower and 10 ' high_ antenna , ,for a total
height of 81- feet for private, amateur use . -
2 . The radio antenna-tower is proposed to be located in the
rearyard area approximately ,100 feet from the rear property line and
approximately 85 feet from the southerly side property. line .and 65
feet from the northerly side property line , and a distance of approxi -
mately 20 feet west of the existing driveway area .
3. The parcel in question is improved with a one-family dwelling
with breezeway and attached garage, and is identified on. the Suffolk
County Tax Maps as District . 1000., Section 64 , Block 05 , Lot 19.., The
parcel has an area of approximately . 75 of an acre , and has an
average width of 150 feet .
(CONTINUED ON PAGE. TWO)
DATED: August '13 ,. '1985. CHAIRMAN, SOUTHOLD TOWN ZONING BOARD
OF APPEALS
Form. ZB4 (rev. 12/81)
Page 2 - Appeal No . 3376
Matter of JOHN F. MARTIN
Decision Rendered August 8 , 1985
4 . Although the board members agree that there is no alter-
native for the appellant to pursue other than a variance ; it is one
of.- the concerns of the board. that the antenna-tower be placed in such
.a position that it would not be able to fall onto neighboring property
or causing other detriment to� adjacent properties .
5 . It is the position of the board that the variance be
granted provided that if .the antenna-tower is erected at a
maximum height of .81 feet, that same_ be a distance of, .at,- 1 east.:8i, f.Qe-t from the rear and side property, lines . . -, _. : 3 . :,::
In considering this. appeal , the board has found that this
proposal should be granted as conditionally noted below since :
_(1 ) the. relief. .requested w.i,l.l not be detrimental to adjoin.ing..
properties _,.i f .the tower i s, 1_ocated at the :di stances requi red
hereunder ; (2 ) there - wi.l l be no substantial' change i.ni the
character of this district; (3 ) the relief_ requested will not
cause a-substantial effect of any increased population density;
(4) the circumstances are unique ; (5 ) the difficulty cannot
be obviated by some method feasible to appellant._ .to pursue
other than variance .
Accordingly, on motion by Mr . Grigonis, seconded by
Mr. . Dou.gl ass, - i_t was . -
RESOLVED, that a variance for permission to construct .1' .'
antenna-tower* at a maximum height of 81. feet in the rearyard
area applied under Appeal.• No . 3376 ; 'i n- the Matter of'..the_ Ap.p.l i ca- ,.':
tion of 'JOHN 'F. MARTIN, BE AND HEREBY 'IS 'APPROVED' 'SUBJECT. TO`.THE
FOLLOWING CONDITIONS :
That the antenna-tower not exceed 81 feet in height and.
be located - no closer than 81 feet to the rear property. line;,and,;
be centered from the' side property. lines ; , or.."i n the.._.event' the '„',,r.
antenna-tower does not exceed 71' feet in height; therhtit sha.l.T�':':;
be located no closer than 71 feet. to the rear property line '_and.; ,
be ..centered from 'the side property. lines (minimum of .71_.' distance ) ;
2 . Th'at there be no major adverse interferences with neigh-
boring receptions ; _
3 . That this project is subject to .a.11 other federal or
other agency jurisdiction as maybe ap:plica,ble .
Vote of .the Board : Ayes : Messrs . Goehringer,. 'Grigonis ,
Doyen, Dou.gl.ass and Sawicki . This resolution was adopted 'by
unanimous vote of all the members .
000
lk GERARD P . GOEHRINGER, CITAIRMAN
August 135 1985
y
NOTICE IS HEREBY GIVEN , pursuant to Section 267 of the Town
Law and the Code of the Town of Southold , the following public
hearings will be held by the SOUTHOLD TOWN BOARD OF APPEALS at
the Southold Town Hall , Main Road , Southold, NY at a Regular Meeting
commencing at 7 : 30 p .m. on THURSDAY , JULY 18 , 1985 , and as follows :
7 : 30 p .m. JOSEPH AND ARLENE LESTINGI - Hearing to be reconvened .
Permission to locate garage in 'frontyard area . 1150 Sound Drive ,
Greenport .
7 : 35 p .m. SOCRATES AND DAPHNE SPIRAKIS - Variance to the Zoning
Ordinance , Article III , Section 100-31 , Bulk Schedule , for approvaT of
a garage addition. to dwelling `corstructed with an insufficient setback
from the northerly sideyard area at premises identified as 500 Teepee
Trail , at; "Nunnakoma Waters.,." Southold , NY ; County Tax Map Parcel
No . 1000-82-02-23 .
7 : 40 p .m. JOHN AND LORRAINE FABRY - .Variance,. to the Zoning
Ordinance , Article XI , Section 100-119 . 2 for permission to construct
deck addition to dwelling with an insufficient setback from existing
highwater mark at premises identified as . 37.00 Deephole Drive , Matti -
tuck , NY ; County Tax Map Parcel No . 1000-115-17-007 .
7 : 45 p .m. ROBERT N . KENNEY - Variance to the Zoning Ordinance ,
Article III , Section 100-31 , Bulk Schedule , for permission to con-
struct deck addition to dwelling with an insufficient rearyard
setback at premises identified as 2320 Gillette Drive , East Marion ,
NY ; Marion Manor Subdivision , Filed Map 2038 , Lot 11 ; County Tax
Map Parcel No . 1000-38-02-024.
7 : 55 p .m . : R . L . BERGEN OIL CO . , INC . - Variance to the Zoning
Ordinance , Article VI , Section 100 '60 (100780 (.C ).�2] ) for permission to erect
detached ground sign , the lower edge of which ais- proposed to be
less than four feet above ground . Premises zoned "C-Light" Indus-
trial and identified as 9275 Main Road , Mattituck , NY ; County Tax
Map Parcel No . 1000-122-06-12 .
8 : 00 p .m. SOUTHLAND CORP . (7-11 ) - Variance to the Zoning Ordinance,
Article XI , Section 100-119 . 1 (a ) for permission to construct fence
in excess of height limitations in frontyard area at premises iden-
tified as 56480 Main Road , Southold , NY ; County Tax Map Parcel
No . 1000-62-03-37 . (B-1 Business Zoning District ) .
8 : 05 p .m. JOHN F . MARTIN - Variance to the Zoning Ordinance ,
fHomesi� Subdivi §i6n . Lots
ticle III , Section 100-32 for permiss.i_on. to erect radio antenna
wer in excess df height limitations for accessory structures at
emises identified as 815 Old "Shipyard Lane , Southold , NY ; Founders
104 and 105 ; County Tax Map Parcel No .
00-64-05-19.
k
x
Page 2 - Legal Notice of . Hearings
Regular Meeting of July 18, 1985
Southold .Town Board of Appeals
8 : 10 p .m. COMMUNITY CHRISTIAN FELLOWSHIP ; INC . - Special
Exception to the Zoning Ordinance ; Article III , Section 100-30 ( B ) [2]
for permission to establish and locate church for worship in this
"A-80" Residential and Agricultural Zoning District . Location of
Premises : 11565 C . R . 48 (a/k/a 11565�` Wic.kham - Avenue ) , Mattituck ,
NY ; County Tax Map Parcel No . 1000- 108-01 -003 .
The Board of Appeals will hear at said time and place all
persons desiring to be heard in .each of'. the above matters. . Written
comments may also submitted prior to the conclusion of the hearing
t
in question . . (Tel . 765- 1809 or 1802 ) .
Dated : June 27 , 1985 . BY . ORDER ,OF THE SOUTHOLD, TOWN
BOARD OF APPEALS
GERARD P . GOEHRINGER.
CHAIRMAN
---------------------------- -----------------J------- -----------------x
Instructions to newspapers :
Please publish once , to wit : THURSDAY , JULY 11 , 1985 and forward
7 - affidavits of publication to : Board of Appeals , Main Road ,
Southold , NY 1.1971 .
--------------------------------------------------=------------.--------x
Copies to the following on or about 7/8/85 :
Mr. David Kapell as agent for Lesti'ngi
Mr . and Mrs . Socrates Spirakis , 139.'Stratford Avenue , Garden . City , NY 11530
Mr . John DeReeder , as agent
Mr . and Mrs . John Fabry , 73-23 53rd Road , Maspetf , NY 11378
Mr . Robert N . Kenney , 2320 Gillette- Drive , - Box 392 ; East Marion 11939
Mr . Dale M. Bergen , .Pres . , R . L . Bergen Oil Co . , Inc . , 9275 Main Road ,
Mattituck , NY 11952
Thomas J . Osborne , Esq . as attorney for Southland Corp . ( 7-11 ).
Esseks ; Hefter , Cuddy & Angel ; 108 East Main St . , Box 279 , Riverhead
Mr . John F. Martin , 815 Old Shipyard Lane , Southold ; , NY 11571
Mr . Carl, Daniel Reiter , Jr . as agent for C.ommuni.ty Christian Fellowship ,
Inc . , 7980 Wickham Avenue (a/k/a , 11565 C . R . 48 ) , Mattituck , NY 11952
P .O . Box 780 , Mattituck , NY 11952
FORM NO.3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD,N.Y.
NOTICE OF DISAPPROVAL
_ Date . . UN,G . . . . . ... . . . . . . . ., 19
To . . . T.... . . . . /-/,41,;77 A A�T
PLEASE TAKE NOTICE that your application dated . . . n/ . . .J?. . . . . . . . .. 19 -
for permit to Qp. , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at
Location of Property Q.�-� . . . . . O[ lJ .��11��)!� _�r.4.. . . . . .
House No. -street Hamlet
County Tax Map No. 1000 Section . . . 0. . .� . . . . Block . . . . . . . . . . Lot 9. . . . . . .
Subdivisio�v,ec4w�14s: 4'S�F'iled Map No. . . . . . . . . . . . . . . . . Lot No.
is returned herewith and disapproved on the following grounds
ar
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .i. . . . . . . . . . . .
. . . . . . . . Building� � � � � � � �Inspector
RV -1/80
I
FORM NO. tf
TOWN OF SOUTHOLD II
BUILDING DEPARTMENT
I TOWN HALL
I SOUTHOLD, N.Y. 11.971 I'
I TEL.: 765 1802
I
� ,
Examined . . . . . . . . . . . . . . . .. 19 . . . j R eI c,e'i y'e'd . . . . . . . . . , 1 9 . . .
Approved . . . . . . . . . . . . . . . .. 19 . . . Perm It No. . , i . . . . . II .I
Disapproved a/c . . . . . . . . . . . . . . . . . . . . . i . . . . .
I
I I I
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .I '. .'. . i 1 i iI iI III 'II i
Byilding Inspdctor)
APPLICATIONIFOR BUDDING PERMIT;
I. ;C II Date l':'I, 19
r I INSfTRUCTI(hNS,
I' I'
a. This application must be completely filled inlb.y typewriter orin'ink and'submitted to'Ithe Building inspector, with 3
sets of plans, accurate plot plan to scale. Feelaccording to schedulel'.'I,
b. Plot plan showing location of lot and of buildings on'prey�ises',''relatioiiship'I,to adjoining premises or public streets
or areas, and giving a detailed description ofl layout)of property,)n�ust,lbe drawn onll the ''di'agram which is part of this appli-
cation. I I
c. The work cored by this application xnay,not be commended before issuance of Building Permit.
d. Upon approval of this application, the Building,Ihspector,Iv�ill issued a Building Permit,to the applicant. Such permit
shall be kept on the premises available for inspectionithroughout thie work.
e. No building shall be occupied or used in whole or in part,for any Ipurppse whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector. I I,
II I ,
APPLICATION IS HEREBY MADE to the Building.Department for the issuari¢e of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, 'New'York, a Id otherlapplicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations,'or,for removal lot,demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinanges, building' code[ housing'code, and regulations, and to
admit authorized inspectors on premises and in building for neces'sa it ectiohs.
I . . . . . . . . . . .
I' Si natur of a licant r`name'if a corporation)( g e•, pp, q p )
l� (Mailing, ad,didss of applicant)
State whether applicant is owner, lessee agent, architect enm6er', a era) contractor, e'1 ctrician lumber or builder.
pP � g � a
b, g, n , I , -electrician,� p
. . . . . . . . . . . . . . . . . '. . . . . 4 . . ! . .�.,.•. . . . . ''. . ail 'I . . . . . . . . . . . . . . . . .
Name Of owner of premises (as on the tax'roll of ,Iate$i deed) ''i11
I , I
If applicant is a corporation, signature of duly;authoi-iz'ed'officer,'
I l
I i I 'I ,
(Name and title of corporate officer)
I'I 'I
I � i I
Builder's License No.
Plumber's License No. . . . . . . . . . . . . . . . . . .'
Electrician's License No. . . .'.'
Other Trade's License No. . . . . . . . . . . . . .
l. Location of land on which proposed work Iwill be done. . .
l-louse Number q Street y IlHarlilet'
County Tax Ma No;.� .Ii .
Lot 1000 Section Blhck
Subdivision .'. 'Filtp . „L o.t.
(Name) �l'
2. State existing use and occupancy of premises and intended use Iand occupancy ol''proposed construction:
I
a. Existing use and occupancy . . . .
b. Intended use and occupancy
I
3. Nature of work (check which a___cable):, New �uilding�+ !�,q�wa, ,,Ad41L1on Alteration . . Aa
Repair .. . . . . . Reoval
Demolition. . . . r . . . . . . . . Other Work . . . . . . . . . . . . .
' i
II 1 I (Description)
4. Estimated Cost . . . . . . 1 I Fee
5 .
r r I I a l Ito be paid on filing this application)
S. if dwelling,number of dwellin units
Number of dwelling'units on each floor . . . . . . . .
If garage,number,of cars
6. If business,`commerciaT o' r,rnixed,oceupancy,',I specify naturg anal extent of each type of use .
7. Dimensions of e'x I'' i . . . . . . . . . . . . . . . . . . . .
s ons istinglstructu�es,if any: Front I .'". :. .I�:I.I: .I 12e!ai . . . ,' . . . . . . . . . . Depth . . . . . . . . . . . . .
Height' I. .'. . i Nu briber of Stories . ' . . L .I'' .I .I ! : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Dimensions of same structure with alteration's or,additions':,Front ! . ... . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . .
Depth Height .'I:'. .;I a.I I ' Number of Stories . . . . . . . . . . . . . . . . . . . . .
I S. Dimensipns of entire hew construction: Front :':I .''I . . .I,I.I I Rear
I, a . . . . . . . . . . . . Depth . . . . . ... . . . . . . .
Height : Nu' :h'e, c+
g , of Stones . :I. . . .•. .I.
9. Size of lot: Front, l'., ! li 'I ! Rear I . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10. Date f Pu ! rl :I. epth . . . . . . . . . . . . . . . . . . . .
o rchas I Nariie df Former Owner
11. Tone or,use district iri,whiI�h premise�s'are situateld . . : . . .LI I ' ' ' ' • '
12. Does proposed construction vielate'any zoning 1<hvl, ordinance Qr regulation: . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
I
13. *ill lot'be regraded' :I .'' '1 Wili excess fill be removed
from premises: Yes N
14. Zame of Owner,of pr�rnise$ '., I:,. . I.I: . . Address I. . . . : Phone No.
ame of Architect li :,� I . . . Address . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . .
I'daAne of Contractor ,I• I Address I J.,I• ; . . . ... . . . . . . . .Phone No. . . . . . . . . . .
PLOT DIAL RANI
Locate clearly and distinctly a4'''buildings; whether existing,of;proposed, and,indicate all set-back dimensions fror
property) lines. Give street a4blocknuniber or description accordirig'to de6d, and show street names and indicate whethc.
interior of corder lot.
I
14 .I
I .
—I1-'
' Ill•I'41. II �„ •IIII I I,r' I "I' 'loll 'f , I I I I
' I =.•.�—'_-_��1' Fes.."--r_"i I,�,`..r� I � I
I ,
I
III'
' I ''l_• � f �I � I I I I I .
- `� � .4`. •'I ,�I 'I � III' I � \� ' I ' I I i � I ' _
� I III ' •1 , , I ' i I III
STATE OF NEW YORI�, � (''
COUNTY OF U
• • • • • • • • •, •I: . . . . . being duly sworn, deposes and says that he is the applican
(Name of individual signingcontract) 1
above named.
_
I i I I I
He is the : . . . '. . . . . . . . . . 60 ti' ' l
(Co tractor; agent,,cgrporate officer, etc.)
of said owner,or owners, anld is dull'authorized to perform or,have performed the said work and to make and file thif'
application; that all statements,contained, in this application are,true to the best of'his knowledge and belief;and that the
work will be performed in the manner set forth in the application,filed therewith.
Sworn to before me this I '
. . . . . ./`CCam. . . . . .day ofI� .0 �!K . . .i. . , 19 OF �
Notary Public . . . . . . . l ,
' •,%;�.r "lv. County I
I UNOA J.COOPER : . . . :?,. . . . . . . . . . . . . . . . . . . . . . . . .
NOTARY PUBLIC,State of New York
(Signature of applicant)
No.4822563.Suffolk 6ourr
'Torrr Expires March 30.119W
_
' ^
TOWN OF SOU77HOLD, NEW YORK
APPEAL FROM DECISION OF BUILDING INSPECTOR APPEAL 3 3 /P
DATE ..�.� ...... .L.,..—'
. —
TO THE ZDN|NGBOARD OF.APPEALS, TOWN'OF SDUTH{�LD'N. Y..
John F. Martin� 815 Old Lane1' (We) ----------------------of ---....'�--..���.���._.--.-------.^_
Non�e of /�oouUon� S�aatond Nun�bar
..................&cut-hn3d.-----.~--------..---- —. —.---.HERE8Y APPEAL TO
Municipality State
THE ZONING BOARD OF /\PPB\B FROM THE DECISION OF THE BUILDING INSPECTOR ON
APPLICATION FOR PERMIT N[\ ------------ DATED ......................................................
WHEREBY THE BUILDING INSPECTOR DENIED TO
................ .............
Nome of Applicant for permit
of 815 Old Lana Southold N.Y.
~^^^^^~'^^^^—'--^^----------~^^^—^^—^^^^^^^^^—^^—^--'--
Straatond Nunnber Muni cipo|ity State
( ) PERMIT TO USE
( } PERMIT FOR-OCCUPANCY
(X)
Permit for accessou tower
815 Old Shipyard Lane
Street Use District on Zoning Ma"p" '
__V64_.^_______,,...______..UI�___.
Nap No. Lot No.
2. PROVISION (S) OF THE ZONING ORDINANCE APPEALED (indicate the /\/fido Section, 3ub+
sectiori and Ponzg'nzph of the Zoning Ordinance by number. Do not quote the C)ndinonca.)
Art.III sect. 100-32
`
3. TYPE OF APPEAL Appeal is made herewith for
( }[) /\ VARIANCE to the Zoning Ordinance or Zoning AAop
( ) /\ VARIANCE due to lack of access (State of' New York Town Low Chop. 62 Cons. Lows
'
/\,t. 16 Sec. 280/\ Subsection 3
~ 4. PREVIOUS APPEAL /\ previous appeal (has) been made with respect tothis decision
of the Building Inspector or with respect to this property.
Such appeal was ( ) request for special permit
( ) request for o variance
and was made in Appeal No. ----------'Do+ad .................... .................................................
REASON FOR APPEAL
< ) /\ Variance to Section 280A Subsection 3
(][ ) A Variance to the Zoning Ordinance
( )
is requested for the reason that proposed structure exceeds height permitted. by statute
and proposed location
Form zoz
(Continue on other side)
`
'
REASON FOR APPEAL Continued
1. STRICT APPLICATION OF THE ORDINANCE would produce practical difficulties or unneces-
sary HARDSHIP because The 18 ft. height limit would not allow for good radio wave
propogation. The height of the tower and antenna's are directly .proportional
to the signals recieved and, transmitted,
wee—€er s�ipj;ort ing the- towax e
2. The hardship created is UNIQUE and is not shared by all properties alike in the immediate
vicinity of this property and in this use district because Their are no other amateur radio-
stations in the vicinity.
3. The Variance would observe the spirit of the Ordinance and 'WOULD. NOT CHANGE THE
CHARACTER OF THE DISTRICT because I am not changing .the basic appearance of the
property.
STATE OF NEW YORK ) V
ss ........... ...... .. .- .x:......... �......... ..
COUNTY OF ).- Signature
Sworn to this ............ .�<° .................... day of.. .. ........... •• 19 �!
f#ELEN K.DE VOE
. ..l.. .. ................................ ..... ..... ...............
NOTAP,,Y PUBS IC, State of Neu York
Notary Public No.4707878, 5uffa!k Caunfy
C. Term Expires Nhdi 30, 19fff
TOWN OF SOUTHOLD PROPERTY R C S. CAR 11-2-9
OWNER STREET VILLAGE DISTRICT SUB. LOT
9 1,7
FORMER OWNER N E ACREAGE j7z
s
S W TYPE OF BUILDING
_RES. FAR I ! IMISC. IEst. Mkt. Value. 1
LAND IMP. TOTAL DATE REMARKS
o / is ) 1
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE FRONTAGE ON WATER
Farm Acre Value Per Acre Value FRONTAGE ON ROAD �s k 1 ei-0
Tillable 1 BULKHEAD
Tillable 2 DOCK
Tillable. 3
Woodland
Swampland
Brushland
House Plot
t
Total
r
r
South o ld.•T-o.Wn Toard of A ea1s,
MAIN ROAD STATE ROAD •25 SOUTHOLD .LA.,, N.Y_.' 11971 '.
TELEPHONE (516):765-1809
APPEALS BOARD-`- June 2 7 , T 98 5
MEMBERS
.GERARD P. GOEHRINGER CHAIRMAN '' 'S.E.Q.R.A
CHARLES GRIGONIS, JR.
SERGE DOYEN, JR.. NEGATIVE ENVIRONMENTAL DECLARATION
ROBERT J. DOUGLASS•'
JOSEPH H. SAWICKI Notice of Determination of Non-Significance
APPEAL NO. : 3376
PROJECT NAME: John Martin
This notice is issued pursuant to Part 617 of the implementing
regulations pertaining to Article 8 of the N.Y.S. Environmental
Quality Review Act of the Environmental Conservation Law and Local
Law #44-4 of the Town of Southold.
This board determines the within project not to have a signifi-
cant adverse effect on the environment for the reasons indicated
below.
Please take further notice that this declaration should not be
considered a determination made for any other department or agency
which may also have an application pending for the same or ' similar.
project.
TYPE OF ACTION: [ ] Type II [XA. Unlisted [ ]
DESCRIPTION OF ACTION: permission to erect an antenna exceeding
height permit by statute
LOCATION OF PROJECT:. Town of Southold, County of Suffolk, more
particularly known as: Old Shipyard La.ne., Southold
REASON(S) SUPPORTING THIS DETERMINATION:
(1) An Environmental Assessment in the short form has been
submitted which indicates that no significant adverse effects to
the environment are likely to occur should this project be imple-
mented as planned;
(2)
FOR FURTHER INFORMATION, PLEASE CONTACT: Linda Kowalski; Secretary,
Southold Town Board of .Appeals,._ Town Hall, Southold, NY 11971; tel. . 516-
765-1809 or 1802.
Copies -of this notice sent to the applicant or his agent and posted
on the Town Clerk Bulletin Board.
�o��FFo��oG
_{ Southold Town Board of Appeals
MAIN ROAD - STATE ROAD 25 SOUTHOLD, L.I.. N.Y. 11971
TELEPHONE (516) 765-1809
ACTION OF THE ZONING BOARD OF APPEALS
Appeal No. 3376
Application Dated June 21 , 1985 (Public Hearing July 18 , 1985)
TO: Mr . John F Martin [Appellant (s) ]
Old Shipyard Lane
Southold , NY 11971
At a Meeting of the Zoning Board of Appeals held on August 8 , 1985 ,
the above appeal was considered, and the action indicated below was taken
on your [ ] Request for. ,Variance Due to Lack of.. Access to Property
New York Town .Law,, Section 280-a
[ ] Request for Special Exception under the Zoning Ordinance
Article Section'
[X ] Request for Variance to the Zoning Ordinance
Article III Section 100-32
[ Request for
Appl`ication. of JOHN F. MARTIN - .Variance to the Zoning Ordi -
nance , Article III , "Section - for permission to erect radio
antenna tower in excess of height.:limitationsjor, accessory ,struc-
tures atpremises identified as ;815 Old Shipyard Lane., Southold , NY;
Founders Homes Subdivision Lots ` 104 and 105 ; County , Tax Map . Par,cel
.No . 1.000-64-05-19 .
WHEREAS , la public hearing was held and concluded on July 18 , 1985 ,
in .the Matter. of . the Application of JOHN F. MARTIN , Appeal ' No . 3376 ; and
WHEREAS, the board members have considered all testimony and
documentation entered into the record in this matter , and it is noted
that there has been- no opposition entered concerning this appeal appli -
cation ; and
WHEREAS, the board members are personally familiar with the
premises in question and the surrounding properties ; . and -
WHEREAS, the board made the following findings of fact: .
1.. By this application ; appellant requests a variance from
the height requirements of Article ._I.II , Section 100'32 , ,-for permission
to erect a 71 -foot high radio tower and 10 ' high_ antenna ; ,for a total
height of 81-. feet for private, amateur use .
2 . The radio antenna-tower is- proposed to be located in the
rearyard area approximately !100 feet from the rear property line and
approximately 85 feet from. the .s_outherly side property. line and 65
feet from the northerly side property line , and a distance of approxi -
mately 20 feet west of the existing driveway area.
3. The parcel in question is improved with a one-family dwelling
with breezeway. and attached garage, and is identified on., the , Suffo,l k
County Tax Maps as District 1000., Section 64 , Block 05 , Lot 1.9._, , T,he
parcel has an area of approximately . 75 of an acre ,, -and has an
average width of 150 feet .
(CONTINUED ON 'PAGE. -TWO)
DATED: August. 13 ,. 1985 • CHAIRMAN, SOUTHOLD TOWN ZONING BOARD
OF APPEALS
Form ZB4 (rev. 12/81)
Page 2 - Appeal No . 3376
Matter of JOHN F. MARTIN
Decision Rendered August 8, 1985
4 . Although the board members agree that there is no alter-
native for the appellant to pursue other than- a variance , it is one
of the concerns of the board- that the antenna-tower be placed in such
a position that it would not be able to fall onto neighboring property
or causing other detriment to- adjacent properties .
5 . It `is the position of the board that the variance be
granted provided that if .the antenna-tower is erected at a
maximum height of .81 feet, that same be a distance of. .at• 1 east
81c f.�e-t from the rear and side property, lines . .
In considering this appeal , the board has found that this
proposal should be granted as conditional'ly ' note.d below since
_(I the the relief .requested w.i.11 not . be detrimental. to. adjoining :
properties __i f .the tower is. 1_ocated at the distances req.ui red ..__ .
hereunder ; _(2 ) there will be no . substanti al' change i.w, the
character of this district; (3 ) the relief. requested will not
cause a .substantial effect of any increased population density;
(4) the circumstances are unique ; (5 ) the difficulty cannot
be obviated by some method feasible to appellant._ .to pursue
other than variance .
Accordingly, on motion by Mr. Grigonis , seconded by
Mr. Dou.glass., it . was -. -
RESOLVED, that a variance for permission to construct-"
antenna-tower at a maximum height of 81. feet in the rearyard
area applied- under Appeal No . 3376 , 'in. the Matter of•-.the_ Ap.pl i ca- ;;
tion of JOHN *F: MARTIN; "BE-AND HEREBY ' IS .APPROVED •SUBJECT. _TO THE
FOLLOWING CONDITIONS :
1` That the antenna-tower , not exceed 81 feet in height, and,
be located - no closer than 8.1 feet . to the rear_..property• line-,and
be centered from the side • property. .l i nes ; . or"i_n the. event' the '„`,,^,
antenna-tower does not exceed 71 :feet in he'i ght, theta;_ i t sha.l l: . .'•"
be located no closer than 71 feet. to the rear- property, line _and., ,
be _.centered from the side property. l i nes (minimum of _71_.` distance ) ;
2 . That there be no major adverse interferences with neigh-
boring receptions ;
3 . That this project is subject to ,a.11 other federal or
other agency jurisdiction as maybe applicable .
Vote of .the Board : Ayes : Messrs . Goehringer,_ Grigonis,
Doyen, Dou.gl-ass and Sawicki . This resp-1 uti on was adopted 'by
unanimous vote of all the members .
lk GERARD P . GOEHRINGER, C AIRMAN
August 13 , 1985
0
Southold Town Board of Appeals
MAIN ROAD - STATE: ROAD 25 SOUTHOLD, L.I., . N.Y. 11971
TELEPHONE (516) 765-1809 '
APPEALS BOARD
MEMBERS
GERARD P. GOEHRINGER, CHAIRMAN
CHARLES GRIGONIS, JR.
SERGE DOYEN, JR.
ROBERT J. DOUGLASS
JOSEPH H. SAWICKI
August 13 , 1985
Mr . John F. Martin
Old Shipyard Lane
Southold , NY 11971
Re : Appeal No . 3376
Dear Sir:
Attached herewith is a copy of the formal findings and deter-
mination recently rendered and filed this date with the Office of
the' Town Clerk concerning your application.
In the event your application has been approved, please be sure
to return to the Building Department for approval of any new construc-
tion in writing, or for other documents as may be applicable.
If you have any questions, please do not hesitate to call either
our office (765-1809) or that of the building inspector (765-1802) .
Yours very truly,
GERARD P. GOEHRINGER
CHAIRMAN
Enclosure 6*7I�nda F. Kowals�i a
Copy of Decision to Secretary
Building Department
04
ro
vi
Ck-
x
AY "
Tower to be appox 51 ft. high with antenna rotor support appox. 10 additional
feet. Supported at the base with appox A/¢ of a yard of concrete and bolted
with a support bracket to the roof peak of the garage.
QB
' � C
�J-'
—r
cf.
07
_�S
Ln Southold Town ® r is
® MAIN ROAD - STATE ROAD 25 SOUTHOLD, L.I., N.Y. 11971
TELEPHONE (516) 765-1809
APPEALS BOARD
MEMBERS
GERARD P. GOEHRINGER, CHAIRMAN
CHARLES GRIGONIS, JR.
SERGE DOYEN, JR.
ROBERT J. DOUGLASS
JOSEPH H. SAWICKI
TO WHOM IT MAY CONCERN:
Please find enclosed herewith copy of the Legal Notice
as published in the local and official newspapers of the
Town of Southold , to wit , L. I. Traveler-Watchman, Inc . and
Suffolk Weekly Times , Inc. indicating the time and date of
your recent application with the Board of Appeals.
Someone should appear in behalf of the applicant at
the public hearing in the event there are questions from
board members or persons in the audience.
If you have any questions, please do not hesitate to
call our secretary, Linda Kowalski , at 765-1809 (or if no
answer , 765-1802) , or Barbara Rudder .
Yours very truly ,
for
GERARD P. GOEHRINGER
CHAIRMAN
lk
Enclosure
TOWN OF SOUTHOLD, NEW YORK
APPEAL FROM DECISION OF BUILDING INSPECTOR APPEAL NO.3374
DATE 1
TO THE ZONING BOARD OF APPEALS, TOWN OF SOUTHOLD, N. Y.
1, (We) . .John..F...Martin...................................of ...81 ..Q].4�..5# RY. .: e .......:....::::::....:......
Name of Appellant Street and Number
Southold N.Y.
............ ............................................................................... ............................HEREBY APPEAL TO
. Municipality State
THE ZONING BOARD OF APPEALS FROM THE DECISION OF THE BUILDING INSPECTOR ON
APPLICATION FOR PERMIT NO. .................................... DATED ......................................................
WHEREBY THE BUILDING INSPECTOR DENIED TO
John: F• ATaxtin
.................................................................................
Name of Applicant for permit
of
.hilyaxd..Lane....Southold. N.Y........................................................
Street and Number Municipality State
( ) PERMIT TO USE
( ) PERMIT FOR OCCUPANCY
( X) Permit for accessory tower
1. LOCATION OF THE PROPERTY ....8],S...Old ..Sk1iRYA:S�..1a411e..................................Z....................
Street Use District on oning Map
064 019
.........................:..,....................................................
/Vlap No. Lot No.
2. PROVISION (S) OF THE ZONING ORDINANCE APPEALED (Indicate the Article Section, Sub-
section and Paragraph of the Zoning Ordinance by number. Do not quote the Ordinance.)
—At !I! seet. 100-32
3. TYPE OF APPEAL Appeal is made herewith for
( X) A VARIANCE to the Zoning Ordinance or Zoning Map
( ) A VARIANCE due to lack of "access (State of New York Town Low Chap. 62 Cons. Law_ s
Art. 16 Sec. 280A Subsection 3
4. PREVIOUS APPEAL A previous appeal (has) qEs no been made with respect to this decision
of the Building Inspector or with respect to this property.
Such appeal was ( ) request for a special permit
( ) request for a variance
and was made in Appeal No. ................................Dated ......................................................................
REASON FOR APPEAL
( ) A Variance to Section 280A Subsection 3
(X ) A Variance to the Zoning Ordinance
is requested for the reason that proposed structure exceeds height permitted by statute
and proposed location.
Form ZB1 (Continue on other side)
REASON FOR APPEAL Continued
1. STRICT APPLICATION OF THE'ORDINANCE would produce practical difficulties or unneces-
sary HARDSHIP. because The 18 ft, height limit would. .not allow. for good radio wave
propagation. The height of the tower and antenna's are -directly proportional
to the signals recieved and transmitted.
c
for M
2. The hardship created is UNIQUE and is not shared by all properties alike in the immediate
vicinity of this property and in this use district because Their axe no; .other amateur radio .
stations in the vicinity.
3. The Variance would observe the spirit of the Ordinance and WOULD NOT CHANGE THE
CHARACTER OF THE DISTRICT because T am not changing the basic appearance of the
property.
STATE OF NEW YORK
ss .... . .mil... ... ..........
COUNTY OF ) Sign. ure
Sworn to this ..............02./.! .................. day of......:........... . ....... ................ 1985-
HEIL i(. i Vf
............................. ...... NOTARY Fi%LIC.S!,,;e o flew YorR
Notary Public Na,4707878, Sgffo!k Couo';y
Teifif ExpKin March 30, ;kg7
0
u' 'T Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
JUDITH T.TERRY TELEPHONE
TowN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE, OF THE TOWN CLERK
TOWN OF SOUTHOLD
June 21 , 1985
'"o: Southold Town Zoning Board of Appeals
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is Zoning Appeal No. 3376 application
of 'John' F : Martin for a variance. Also included is
Notice to Adjacent Property Owners; copy of application for
a building permit; Building Department ' s Notice of
Disapproval; letter relative to N.Y.S . Tidal Wetlands
Land-Use; and plans .
Judith T. Terr7erk
Southold Town
BOARD OF APPEALS, TOWN OF SOUTHOLD �
In the Matter or the Petition of
John F. Martin. NOTICE.
TO
to the Board of Appeals of the Town of Southold ADJACENT
TO: PROPERTY OWNER
Town Clerk,
Southold N.3'. 11971
YOU ARE HEREBY GIVEN NOTICE:
1. That it is the intention of the undersigned to petition the Board of Appeals of the Town of Southold
to request a (Variance) (Special Exception) (Special Permit) (Other) [circle choice]
2. That the property which is the subject of the Petition is located adjacent to your property and is des-
cribed as follows:
3.^That the property which is the subject of such Petition is located in the following zoning district:
ResidentiTLI
4. That by such Petition, the undersigned will request the following relief: lieight a 3eeatien .
variance for amateur radio tower
5. That the provisions of the Southold Town Zoning Code applicable to the relief sought by the under-
signed are Article TTT Section 180 32
[ ] Section 280-A, New York Town Law for approval of access over right(s)-of-way.
6. That within five days from the date hereof, a written Petition requesting the relief specified above will
be filed in the Southold Town Clerk's Office at Main Road Southold, New York and you may then and there
examine the same during regular office hours. (516) 7E;5-1809.
7. That before the relief sought may be granted, a public hearing must be held on the matter by the
Board of Appeals; that a notice of such hearing must be published at least five days prior to the-date of such .
hearing in the.Suffolk Times and in the Long Island Traveler-Matti tuck Watchman, newspapers published in the
Town of Southold and designated for the publication of such notices; that you or your representative have the
right to appear and be heard at such hearing.
Dated: 6 21 85
John F. Martin
Petitioner
Owners ' Names : John F. Martin
Post Office Address
Old Shipyard Lane
Southold N.Y. .11971
;z
PROOF OF MAILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
NAME ADDRESS
1
l
STATE OF NEW YORK )
COUNTY OF SUFFOLK ) ss.:
►' residing at e s DAL k'I d LL
being,duly.sworn, deposes and says that on the _A day
of 'Q U.rNf 19 5 , deponent mailed a:true copy of the Notice,sct forth on the re-
verse side hereof, directed to each of the above-named persons at the addresses set opposite their respective
names;that the addresses set*opposite the names of said persons are the addresses of said persons as shown on
the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Of-
fice ; that said Notices were mailed to each of said persons by
certified (registered) mail.
V�
Sworn to before me this
day of � 19 � HELEN K.DE VOE
NOTARY PUBLIC,State of Neav York
No.4707878,Suffolk Count r
Term Expires March 30, l91/
Notary Public
(This side does not have to be completed on form transmitted to adjoining
property owners.. )
r
QUESTIONNAIRE TO BE COMPLETED AND FILED WITH APPLICATION TO THE Z.B.A.
The New York State Tidal Wetlands and Use Regulations, 6 NYCRR, Part 661, requires
an application to the N.Y.S. Department of Environmental Conservation, Environmental
Analysis Unit, Building 40, S.U.N.Y., Stony Brook, NY 11794, (tel. 516-751-790.0), if
you have checked Box #1 and/or Box #6 below: Please either call their office or
pet-sonally visit them at their Stony Brook office for instructions and application -
forms. Once you have received written notification of approva please provide our
office with a copy. (with the conditions) as early as possible in order that we may,
continue processing your Z.B.A. application.
[ ] I. Waterfront without bulkheading
[ ] 2. Waterfront with bulkheading in good condition
[ ] the full length of the property
[ ) at least 100' in length
[ ] 3. Not located within 300' of waterfront or wetlands area
[ J 4. May be located within 300' of waterfront or wetlands area; however,
the following structure separates my property from this environmental
area:
[ ] 50' existing road
( ] existing structures
[ ] bluff area more than 10' in elevation above mean
sea level
[><] 5. This proposed addition/expansion of an existing building will be more
than 75' from the landward edge of tidal wetlands/waterfront areas;.
[ ] 6. This proposed addition/expansion of an existing building will NOT be
more than 75' from the landward edge of tidal wetlands/waterfront
area.
[ ] 7•
Please be aware that any and all subdivisions and new dwellings will also require an
application to the N.Y.S. . Department of Environmental Conservation for their review
and approval..,.. If you are able to provide them with recent photographs of the
project and wetland areas, it would help expedite the processing of your applica-
tion.
This questionnaire is made to explain the requirements of this State Law and to
prevent any unnecessary delays in processing your application(s) .
I0/Rif 4
QUEST'.ONNAIRE TO BE COMPLETED AND FILED WITH APPLICATION TO THE Z.B.A.
The New York State Tidal Wetlands and Use Regulations, G NYCRR, Part 6G1, requires
an application to the N .Y.S. Department of Environmental Conservation, Environmental
Analysis Unit, Building 40, S.U.N.Y. , Stony Brook, NY 117911, (tel. 516-751-7900) , if
you have checked Box #il and/or Box #6 below, Please either call their office or
personally visit them at their Stony Brook office for instructions and application
forms. Once you have received written notification of approva please provide our
office with a copy (with the conditions) as early as possible in order that we may
continue processing your Z.B.A. application.
[ ] 1. Waterfront without bulkheading
[ ] 2. Waterfront with bulkheading in good condition
[ ] the full length of the property
( ] at least 100' in length
[ ] 3. Not located within 300' of waterfrc,r►t or wetlands area
[ ] 4. May be located within 300' of waterfront or wetlands area; however,
the following structure separates ray property from this environmental
area:
[ ] 50' existing road
[ ] existing structures
[ ] bluff area more than 10' in elevation above mean
sea level
�-) 5. This proposed addition/expansion of an existing building will be more
than 75' from the landward edge of tidal wetlands/waterfront areas.
[ ) 6. This proposed addition/expansion of an existing building will NOT be
more than 75' from the landward edge of tidal wetlands/waterfront
area.
[ ] 7•
:Please be aware that any and all subdivisions and new dwellings will also require an
application to the N.Y.S. Department of Environmental Conservation for their review
and approval. If you are able to provide them with recent photographs of the
project and wetland areas, it would help expedite the processing of your applica-
tion.
This questionnaire is made to explain the requirements of this State Law and to
prevent any unnecessary delays in processing your applications) .
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