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PLANNING BOARD OFFICE TOWN OF SOUTHOLD February 9, 2021 Charles Cuddy, Esq. P.O. Box 1547 Riverhead, NY 11901 Re: Approval —Amended Site Plan for Peconic Landing Duplex Conversions (5) 1500 Brecknock Road, Greenport SCTM#1000-35.-1-25 Dear Mr. Cuddy: The following resolutions were adopted at a meeting of the Southold Town Planning Board on Monday, February 8, 2021: WHEREAS, this amended site plan is for the proposed conversion of five (5) existing 1- story single family dwellings (units 19, 20, 60, 68, 74) to two family dwellings with no expansion of living area and no basement, 4 parking stalls on a Hamlet Density (HD) and R-80 split zoned parcel totaling 143 acres; and WHEREAS, on December 26, 2019, Charles Cuddy, authorized agent, submitted an amended Site Plan Application for review; and WHEREAS, on January 13, 2020, the Planning Bound accepted the application as complete for review; and WHEREAS, the Southold Town Planning Board, pursuant to State Environmental Quality Review Act (SEQRA) 6 NYCRR, Part 617.5 (c), determined that the proposed action is a Type II Action as it falls within the following description for 6 NYCRR, Part 617.5(c)(7) construction or expansion of a primary or accessory/appurtenant, non- residential structure or facility involving less than 4,000 square feet of gross floor area and not involving a change in zoning or a use variance and consistent with local land use controls, but not radio communication or microwave transmission facilities; and Peconic Landing Duplex 5 Page 2 FebruaQ 9, 2021. WHEREAS, on January 28, 2020, the Planning Board, pursuant to Southold Town Code §280-131 C., distributed the application to the required agencies for their comments; and WHEREAS, on February 10, 2020, a Public Hearing was held and closed; and WHEREAS, on February 14, 2020, the Southold Town Code Enforcement officer verified that there were no open violations on the subject parcel; WHEREAS, on February 14, 2020, the Architectural Review Committee reviewed the proposed project and approved it as submitted; and WHEREAS, on February 21, 2020, the Southold Town Fire Inspector reviewed and determined that there was adequate fire protection and emergency access for the site; and WHEREAS, on February 24, 2020, the proposed action was determined a matter for local determination by the Suffolk County Planning Commission (SCPC); and WHEREAS, on March 17, 2020, in a state of emergency response to the COVID-19 public health pandemic, the Town of Southold closed its offices to non-essential employees including the Planning Department; and WHEREAS, on May 26, 2020, the Town of Southold re-opened its offices to non- essential employees at 50% capacity; and WHEREAS, on June 1, 2020, the Town of Southold Local Waterfront Revitalization Program Coordinator reviewed the proposed project and determined it to be exempt from the Southold Town LWRP policies; and WHEREAS, on July 1, 2020, the Southold Town Engineer reviewed the proposed application and determined that the application met the minimum requirements of Chapter 236 for Storm Water Management; and WHEREAS, on July 6, 2020, the Southold Town Planning Board determined that all applicable requirements of the Site Plan Regulations, Article XXIV, §280 — Site Plan Approval of the Town of Southold have been met with exception of approval from the Suffolk County Department of Health Services (SCDHS); and WHEREAS, on January 13, 2021, the Planning Board received the Suffolk County Department of Health Services (SCDHS) approval reference #C-20-0043 stating that the project does not require additional sewage disposal or water supply facilities; therefore be it RESOLVED, that the Southold Town Planning Board has determined that this proposed action is exempt from the policies of the Town of Southold Local Waterfront Revitalization Program; and be it further Peconic Lan in Du lex-i5_1 Pact Februa 9 202.1 RESOLVED, that the Southold Town Planning Board approves the Site Plan with one (1) condition to the plans entitled "Proposed Duplex Cottage for units 19, 20, 60, 68, 74)" prepared by Frank. B. Ryan Jr., R.A, dated July 30, 2019 and authorizes the Chairman to endorse the Site Plan after the condition below is met. Condition 1. Prior to endorsement of site plan, obtain a use certification from the Chief Building Inspector as required by Town Code. Please also note the following requirements in the Southold Town Code relating to Site Plans: 1. Any new lighting fixtures beyond those approved as part of the Lighting Plan must conform to the Code and may require Planning Board approval depending on their number, size, intensity and location. Fixtures shall be shielded so the light source is not visible from adjacent properties and roadways and shall focus and direct the light in such a manner as to contain the light and glare within property boundaries and conform to §172 of the Town Code. 2. All storm water run-off from grading, driveways and gravel areas must be contained on site. 3. Proposed storm water run-off containment systems must be inspected by the Town Engineer at the time of installation. Please call the Southold Town Engineer prior to beginning this work. 4. Approved Site Plans are valid for eighteen months from the date of approval, within which time all proposed work must be completed, unless the Planning Board grants an extension. 5. Any changes from the Approved Site Plan shall require Planning Board approval. 6. Prior to the issuance of a Certificate of Occupancy, the Planning Board must inspect the site to ensure it is in conformity with the Approved Site Plan, and issue a final site inspection approval letter. Should the site be found not in conformance with the Approved Site Plan, no Certificate of Occupancy may be issued unless the Planning Board approves the changes to the plan. A copy of the Approved Site Plan is enclosed for your records. One copy will also be sent to the Building Department and the Town Engineer/Highway Department. Peconic Landinc ux 5 � I�ebru ! + 1'.. If you have any questions regarding the above, please contact this office. Respectfully, t')a�a Donald J. Wilcenski Chairman Encl, cc: Building Dept. w/map Town Engineer w/map By signing this letter, the applicant acknowledges that there are Town Code requirements and conditions, including those listed above, that must be satisfied prior to the issuance of a Certificate of Occupancy. Print name: Applicant Signature: � &k4�1 Date: A6 �-�I OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 �� Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Telephone: 631 765-1938 Southold, NY www.southoldtownny.gov h PLANNING BOARD OFFICE TOWN OF SOUTHOLD September 13, 2022 Charles Cuddy, Esq. P.O. Box 1547 Riverhead, NY 11901 Re: Extension of Approval —Amended Site Plan for Peconic Landing Duplex Conversions (5) 1500 Brecknock Road, Greenport SCTM#1000-35.-1-25 Dear Mr. Cuddy: The following resolutions were adopted at a meeting of the Southold Town Planning Board on Monday, September 12, 2022: WHEREAS, this amended site plan is for the proposed conversion of five (5) existing 1- story single family dwellings (units 19, 20, 60, 68, 74) to two family dwellings with no expansion of living area and no basement, 4 parking stalls on a Hamlet Density (HD) and R-80 split zoned parcel totaling 143 acres; and WHEREAS, on February 8, 2021, the Southold Town Planning Board approved the Site Plan entitled "Proposed Duplex Cottage for units #19, 20, 60, 68, 74)" prepared by Frank B. Ryan Jr., R.A. dated July 30, 2019; and WHEREAS, on August 8, 2022, the site plan approval expired; and WHEREAS, on August 30, 2022, Charles Cuddy, authorized agent, submitted a request for approval extension to be considered by the Planning Board; and WHEREAS, at a Work Session held on September 12, 2022, the Planning Board reviewed the application and determined that the expired Site Plan was in compliance with current rules and regulations; be it therefore Peconic Landing Duplex 5 Page 2 Se ternber 13 2022 RESOLVED, that the Southold Town Planning Board grants an extension of approval for one (1) year to the plans entitled "Proposed Duplex Cottage for units #19, 20, 60, 68, 74)" prepared by Frank B. Ryan Jr., R.A. dated July 30, 2019. Please also note the following requirements in the Southold Town Code relating to Site Plans: 1. Any new lighting fixtures beyond those approved as part of the Lighting Plan must conform to the Code and may require Planning Board approval depending on their number, size, intensity and location. Fixtures shall be shielded so the light source is not visible from adjacent properties and roadways and shall focus and direct the light in such a manner as to contain the light and glare within property boundaries and conform to §172 of the Town Code. 2. All storm water run-off from grading, driveways and gravel areas must be contained on site. 3. Proposed storm water run-off containment systems must be inspected by the Town Engineer at the time of installation. Please call the Southold Town Engineer prior to beginning this work. 4. Approved Site Plans are valid for eighteen months from the date of approval, within which time all proposed work must be completed, unless the Planning Board grants an extension. 5. Any changes from the Approved Site Plan shall require Planning Board approval, 6. Prior to the issuance of a Certificate of Occupancy, the Planning Board must inspect the site to ensure it is in conformity with the Approved Site Plan, and issue a final site inspection approval letter. Should the site be found not in conformance with the Approved Site Plan, no Certificate of Occupancy may be issued unless the Planning Board approves the changes to the plan. If you have any questions regarding the above, please contact this office,. Respectfully,, c� �)DQ Donald J. Wilcenski Chairman Encl. Southold Town Planning Board "Utia"ork Session September 12 2022L—= P- 7-1-3 e 3 Pr�ect Name: The Orchards _. 7 1-3 Locate __. .... ........�..... �. et Orie�_�m.._.. w. ..� Orchard Description':" This proposal s for Clustered Standard Sub � �.�. ..�, Orient p p p division of a 13.3-acre parcel into five lots where Lot 1 = 9.33 acres including a 1.35 acre building envelope and 7.98 acres of preserved Open Space, Lot 2 = 0.99 acres, Lot 3= 1.14 acres, Lot 4= 0.92 and Lot 5= 0.92 acres in the R-80 Zoning District.�m tatus Conditional Sketch Approval Action:: _ Review Revised FEIS Attachments;­­­­me s Staff Repo! w -� �...�� Prost Name: C Wickham Road Offices I SCTM#: R06-1115 .. _ .. ._ .. .. existing q Location 12800 Route 25,_Mattitupckp Description: This site..,. accesso planis artmor the ent to a rine dconversion of le office t uct ae, o footprint sq. ft. accessory p principle expansion or basement, with four (4) parking stalls on 0.23 acres in the Hamlet Business Zoning district, Mattituck. Status Aooroved _ . Action _ Review for mApproval Extension & Final Site Inspection _. ff Reor...Attachments Sta....m„ ,.. Pro .... est Name.,.m.. . Gogins WCL_.. _ _..m. � --� liam . . Location: 13200 Route 25,±225 west of Wickham Avenue, Matttuck Description: This Site Plan is to convert an existing 2,187 sq. ft. single family dwelling to include two one-bedroom apartment units at 600 sq, ft. each and a 785 sq. ft, office pursuant to ZBA File #6677, Eight parking stalls are M _____proposed at 13200 NYS Rt. 25 Mattituck in the HB Zoningm District. Status: Review for A royal Ext Status: I Apmproved _ � ension & Final Site Inspection Attachments 1' Staff m LAttaq_.. Report......, is Lan Conversions 5 SCTM# 1000 3 .....,o ....e _� � g Duplex ...._....�w��... _._..�� .__ 5�1-25-25 Loc t o Name P205 Route 25, Greenport Description: This amended site plan is for the proposed conversion of five (5) existing 1-story single family dwellings (units #19, 20, 60, 68, 74) to two family dwellings with no expansion of living area and no basement, 4 parking stalls on a Hamlet Density (HD) and R-80 split zoned parcel totaling 143 acres. Status: [ Ap ed ..m. Action: LL Review for mApproval Extension Attachments: Staff Report Southold Planning Department Staff Report Site Plan Application Work Session — Request for Extension of Approval Date September 12, 2022 Prepared By: Brian Cummings I. Application Information Project Title: Peconic Landing Duplex Conversions (5 Units) Applicant: Peconic Landing at Southold, Inc. Date of Approval: February 8, 2021 Tax Map Number: 35.-1-25 Project Location: 1500 Brecknock Road (Unit#19, 20, 60, 68 & 74) Hamlet: Greenport Zoning District: Hamlet Density (HD) & R-80 II. Description of Project Type of Site Plan: Continuing Care Facility and Life Care Community Acreage of Project Site: ±143 acres Building Size 2840 sq. ft. — 3014 sq. ft. III: Analysis 1. Existing:1 — story dwellings varying in size between 2840 sq. ft. and 3014 sq. ft.; 2. Approved: convert interior of building to provide for two dwellings, no footprint expansion; Units @ 2,840 sq. ft. Units @ 3,014 s . ft. 19 20 60 68 74 3. Sanitary: approval from the Suffolk County Department of Health Services (SCDHS) remained outstanding. The proposed plan is to connect to the existing sewer connection to the Village of Greenport; sanitary flow and capacity has been verified. Staff: SCDHS Approval granted reference # C-20-0043 4. Timeline: - Approved February 2021, expired August 2022 1 - Request for approval extension submitted August 30, 2022: "As a result of Covid and financial concerns the conversions were not undertaken; however, Peconic Landing is planning to do so in the near future." V: Planning Board items to consider 1. The application remains consistent with all pertinent rules and regulations; 2. Accept the request for extension of site plan approval and set the application on the Planning Board's Public Meeting agenda for tonight, to extend the approval for one (1) year to September 2023, in order to execute building permits, complete on site construction and conduct a final site inspection. 2 - RECEIVED _........................ . 1.. __ _ . l CHARLES R.CUDDY ATTORNEY AT LAWa °� 445 GRIFFING AVENUE °�� � r°u3. Board RIVERHEAD,NEW YORK Mailing Address: TEL: (631)369-8200 P.O.Box 1547 FAX: (631)369-9080 Riverhead,NY 11901 E-mail: charlescuddy@optonline.net August 18, 2022 Brian Cummings, Town Planner Planning Department Town of Southold P.O. Box 1179 Southold,NY 11971 Re: Peconic Landing-duplex conversions (Unit#19,20, 60, 68 and 74) SCTM#1000-35-1-25 Dear Mr. Cummings: As you are aware,the Planning Board approved the conversion of cottages at Peconic Landing for units#19, 20, 60, 68 and 74. As a result of Covid and financial concerns the conversions were not undertaken.However,Peco iic I anding is planning to do so in the near 1iiture.Therefore,we request on beha( "of Peconic Larding that the Board grant an extension to allow applications to be made for the building permits at a later date. Thank you. Very truly yours, L"/ Charles R. Cuddy CRC:ik Enclosures v., Town Hall Annex ��1 �,, Telephone(631)765-1802 54375 Main Road h Fax(631)765-9502 P.O.Box 1179 �t � 1 t P, Southold,NY 11971-0959 1 g J BUILDING DEPARTMENT " 'CEIVED TOWN OF SOUTHOLD I 4 2021 �7 utnopd _Tovur-ii ........ MEMORANDUM P1..:ninoonpoard .............._._��..�. .-, �.._.................... _ TO: Donald J. Wilcenski, Planning Board Chairman FROM: Michael J. Verity, Chief Building Inspector DATE: March 4, 2021 REQUIREMENTS FOR SITE PLAN ELEMENTS& CERTIFICATION Project: Peconic Landzn Location: 1205 NYS Rt. 25 Units 19. 20, 60, 68. & 74 Green ort SCTM# 1000—Section 35- Block 1 —Lot 25 Date: July 30, 2019 Revised Date: 1. ALL BUILDINGS AND USES SHALL COMPLY WITH CHAPTERS 144 AND 280 OF THE SOUTHOLD TOWN CODE. 2. OFF STREET PARKING BY AUTHORITY OF THE PLANNING BOARD. 3. ALL FENCING, SCREENING AND LANDSCAPING BY AUTHORITY OF THE PLANNING BOARD. 4. THE PROPOSED USE Two-family dwelling IS A PERMITTED USE IN THIS HD DISTRICT AND IS SO CERTIFIED. Michael J. Ve 1y Chief Building Inspector Southold Town Town Plann�n� _ Work Session - F.ebruar, 8, 2021 — Page.2 na Board Project Name: 870 Love Lane Professional Office and SCTM#:i 1000-140-2-17 Apartment Location: 870 Love Lane, Mattituck Description: This proposed site plan is for the conversion of an existing two-story single family dwelling to a 1,430 sq. ft. Professional office on the first floor and 830 sq. ft. apartment on the second floor with nine parking stalls on 0.7 acres in the Residential Office (RO) Zoning District. Status: Pending Action: Approval Extension & Review for CO Attachments: Staff Report Project Name: Peconic Landing Duplex Conversions (5) SCTM#:j 1000-35-1-25 - Location: 1205 Route 25, Greenport Description: This amended site plan is for the proposed conversion of five (5) existing 1-story single family dwellings (units #19, 20, 60, 68, 74) to two family dwellings with no expansion of living area and no basement, 4 parking stalls on a Hamlet Density (HD) and R-80 split zoned parcel totaling 143 ! acres. Status: r Pending Action: Update & Review for Determination Attachments: Staff Report Project Name: Strong's Storage Buildings SCTM#: 1000-106-6-13.4 ........ Location: 3430 Mill Road, Mattituck Description: This site plan is for the proposed construction of two (2) buildings for boat storage, one at 52,500 sq. ft. and the other at 49,000 sq. ft., located on 32.6 acres in the Mll and R-80 Zoning Districts where there are 69,245 sq. ft. of existing boatyard buildings, Status-. Pending Action: SEQRA Final Scope Review Attachments: Staff Report Discussion: ❖ Draft Monthly Report for January Southold Planning Department Staff Report Site Plan Application Work Session — Update Date February 8, 2021 Prepared By: Brian Cummings I. Application Information Project Title: Peconic Landing Duplex Conversions (5 Units) Applicant: Peconic Landing at Southold, Inc. Date of Submission: December 20, 2019 Tax Map Number: 35.-1-25 Project Location: 1500 Brecknock Road (Unit #19, 20, 60, 68 & 74) Hamlet: Greenport Zoning District: Hamlet Density (HD) & R-80 ll. Description of Project Type of Site Plan: Continuing Care Facility and Life Care Community Acreage of Project Site: ±143 acres Building Size 2840 sq. ft. — 3014 sq. ft. III: Analysis 1. Existing:1 — story dwellings varying in size between 2840 sq. ft. and 3014 sq. ft.; 2. Proposed: convert interior of building to provide for two dwellings, no footprint expansion; . �m ..Units @...2.x..8.40 sq. ft....................Units @_3,,014 sq ft. . .. ...........,.... 19 20 ............ .._.. 60 68 74 3. Sanitary: approval from the Suffolk County Department of Health Services (SCDHS) remained outstanding. The proposed plan is to connect to the existing sewer connection to the Village of Greenport; sanitary flow and capacity has been verified. Staff: SCDHS Approval granted reference # C-20-0043 I V: Planning Board items to consider 1. With the approval from the Suffolk County Department of Health Services (SCDHS), all site plan requirements listed in §280-133 of the Town Code have been met and the application may be scheduled for a determination at tonight's public meeting with one (1) condition: a. Prior to the plan being endorsed, a use certification from the Building Department must be received. OFFICE LOCATION: ILING DRESS: r cz ,-.. Town Hall Annex SO P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) `9 d Southold, NY Telephone: 631 765-1938 www.southoldtownny.gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Michael J. Verity, Chief Building Inspector Damon Rallis, Building Permits Examiner From: Brian Cummings, Planner Date: February 3, 2021 Re: Use Certification Amended Site Plan for Peconic Landing Duplex (5) (Units 19, 20, 60, 68 & 74) 1205 Brecknock Road, Greenport SCTM#1000-35-1-25 The Planning Board has found this Site Plan Application suitable for determination pursuant to §280-131 F (1) and refers the application to you for final review and certification. This amended site plan is for the proposed conversion of five (5) existing 1-story single family dwellings (units #19, 20, 60, 68, 74) to two family dwellings with no expansion of living area and no basement, 4 parking stalls on a Hamlet Density (HD) and R-80 split zoned parcel totaling 143 acres. Your certification is requested at your earliest convenience. Thank you for your cooperation. Encls: Site Plan Application Site Plan Submission Without a. Cover LetterE. 1 L f owri P�a'irvdrig Board Sender: Subject: .C��d� Lao& lX CIS) SCTM#: 1000 - SS,- r Date: q 1 GJ Comments: ® �\ (Con) OFFICE LOCATION: 7,-ZZ".. ILI G DRESS: Town Hall Annex � soP.O. Box 1179 54375 State Route 25 ,�� ? Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) " Southold, NY Telephone: 631 765-1938 www.southoldtownny.gov COUNTI,� PLANNING BOARD OFFICE TOWN OF SOUTHOLD July 8, 2020 Charles R. Cuddy, Esq. P.O. Box 1547 Riverhead, NY 11901 Re: SEQR Amended Classification Peconic Landing Amended Duplex Conversions 1500 Brecknock Road, Greenport SCTM#1000-35.-1-25 Dear Mr. Cuddy: The following resolutions were adopted at a meeting of the Southold Town Planning Board on Monday, July 6, 2020: WHEREAS, this amended site plan is for the proposed conversion of five (5) existing 1- story single family dwellings (units 19, 20, 60, 68, 74) to two family dwellings with no expansion of living area and no basement, 4 parking stalls on a Hamlet Density (HD) and R-80 split zoned parcel totaling 143 acres; and WHEREAS, on January 13, 2020, the Southold Town Planning Board, pursuant to State Environmental Quality Review Act (SEQRA) 6 NYCRR, Part 617, classified the proposed action as an Unlisted Action; and WHEREAS, after further review of the application and with regard to 617.5(c)(7) of the SEQRA handbook, "construction or expansion of a primary or accessory/appurtenant, non-residential structure or facility involving less than 4,000 square feet of gross floor area and not involving a change in zoning or a use variance and consistent with local land use controls, but not radio communication or microwave transmission facilities" this action is a Type II action; and RESOLVED, that the Southold Town Planning Board has determined that this proposed action is an Type II action. under SEQRA as described above and therefore no further review is required. 20 Peconic Landwiwng Duplex Conversions Page 2 j.ILr1y 8�_ 0 If you have any questions regarding the information contained in this resolution, please contact the Planning Board Office. Respectfully, �)ao Donald J. Wilcenski Chairman Encl.. OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex rjF s P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) + , Southold, NY Telephone: 631 765-1938 www.southoldtow-xmy.gov OOUlm,� PLANNING BOARD OFFICE TOWN OF SOUTHOLD July 8, 2020 Charles R. Cuddy, Esq. P.O. Box 1547 Riverhead, NY 11901 Re: Amended Site Plan for Peconic Landing Duplex (x5) Unit# 19, 20, 60, 68 & 74, 1500 Brecknock Rd, Greenport SCTM#1000-35-1-25 Dear Mr. Cuddy: I am writing as a follow-up to the Work Session held on July 6, 2020 where the Planning Board reviewed the above-referenced Site Plan Application and required the following: • Obtain approval from the Suffolk County Department of Health Services (SCDHS) and provide one (1) print of the approved plan including the allowable flow for the site with the seal, stamp and signature of the SCDHS. If you have any questions regarding this Site Plan or its process, please do not hesitate to contact this office. Respectfully, Brian Cummings Planner Southold Town Planning Board Work Session — Jul 6 2020 — Page 2 Cam Project Name: Aldrich Lane Farm Labor j p SCTM#: ; 1000-120.-3-11.13 & k 11.14 Location: 5645 Aldrich Lane, Mattituck Description: This amended agricultural site plan is for a proposed 1,600 sq. ft. interior` second floor conversion of an existing storage area to a 10 person capacity Farm Labor camp within an existing 2-story 10,000 sq. ft. building for agricultural storage and office, no basement, located within a 5.0 acre reserve area (SCTM1000-120.-3-11.13) with existing accessory farm buildings attached to ±34.5 acres of farmland (SCTM1000-120.-3- 11.14) with Development Rights held by Southold Town in the AC Zoning District. Status;, _ _ _ e . _ _.. ... New Application„ A Action- Review for Completeness . . Attachments:111­1 Staff Report Peconic Landing Duplex Conversions (5) SCTM#: 1000-35-1-25 Name: Location: 1205 Route 25, Greenport e_ _ Description: This amended site plan is for the proposed conversion of five (5) existing 1-story single family dwellings (units #19, 20, 60, 68, 74) to two family dwellings with no expansion of living area and no basement, 4 parking stalls on a Hamlet Density (HD) and R-80 split zoned parcel totaling 143 acres. — Status: Pending _ _ Action: Referral Review Attachments: Staff Report Project name: Liebert Standard Subdivision SCTM#: 1000-54-3-14.8 Location: On the east side of Hortons Lane, +/- 100' southeast of Jennings Road, Southold _ . ..... _ _ .....--- Description: This proposal is for the standard subdivision of a 2.43-acre vacant lot into two lots, where Lot 1 equals 54,134 sq. ft. and Lot 2 equals 54,134 sq. ft. ' in the R-40 Zoning District. This parcel is located +/- 100' southeast of the intersection of Jennings Road and Hortons Lane, in Southold. 0 _ _ Status: I Conditional Preliminary Plat Approval Action: Review for Extension Attachments: Staff Report Project Name: Gonzalez Standard Subdivision SCTM#. 1000-27-1-9 Location: 2050 Platt Road, approximately 1,823' south of NYS Route 25, Orient ........... . .___ . . ._ ........111. 1 Description: This proposal is for the standard subdivision of a 4.29-acre parcel into two lots, where Lot 1 is 2.07 acres and Lot 2 is 2.22 acres in the R-80 Zoning District. This parcel is located on Platt Road, +/- 1,830' south of S.R. 25. Status: Conditional Final Plat Approval Action: Review for Extension Attachments: Staff Report Southold Planning Department Staff Report Site Plan Application Work Session — Referral Review Date July 6, 2020 Prepared By: Brian Cummings I. Application Information Project Title: Peconic Landing Duplex Conversions (5 Units) Applicant: Peconic Landing at Southold, Inc. Date of Submission: December 20, 2019 Tax Map Number: 35.-1-25 Project Location: 1500 Brecknock Road (Unit #19, 20, 60, 68 & 74) Hamlet: Greenport Zoning District: Hamlet Density (HD) & R-80 II. Description of Project Type of Site Plan: Continuing Care Facility and Life Care Community Acreage of Project Site: ±143 acres Building Size 2840 sq. ft. — 3014 sq. ft. III: Analysis Review Summar . this amended application for the conversion of five (5) existing single dwelling units to duplex units was distributed to agencies for referral comments, and held a public hearing with no comment. Below, we will review any comments received from outside agencies and staff analysis. 1. Existing:1 — story dwellings varying in size between 2840 sq. ft. and 3014 sq. ft.; 2. Proposed: convert interior of building to provide for two dwellings, no footprint expansion; Units@ 2,840 s ft Units 3,014 s ft q• 19 20 60 ........ �_ . .6.... 8 74 3. Parking: 2-family detached dwelling = 3 spaces per dwelling TOTAL Required = 3 parking stalls Provided = 4 each i 4. Exterior Lighting: none proposed. Applicant must provide documentation of any existing lighting on site and whether it meets the Town's requirements for exterior lighting. 5. Exterior Signage: none proposed 6. Sanitary: approval from the Suffolk County Department of Health Services (SCDHS) remains outstanding. The proposed plan is to connect to the existing sewer connection to the Village of Greenport; sanitary flow and capacity has been verified. 7. SEQRA: classified as an Unlisted action January 13, 2020. After further review of the proposed commercial site plan, it was determined that this action meets the definition as a Type II action under SEQRA pursuant to 617.5(c)(7) construction or expansion of a primary or accessory/appurtenant, non-residential structure or facility involving less than 4,000 square feet of gross floor area and not involving a change in zoning or a use variance and consistent with local land use controls, but not radio communication or microwave transmission facilities; 8. Public Hearing: held and closed February 10th , no comments or concerns; 9. Referrals: a. Greenport Fire District: Adequate fire access remains b. Town Engineer: No change to existing impervious area, adequate storm water management, erosion and sediment controls must be utilized during construction; c. LWRP The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, the proposed action is EXEMPT from the LWRP review pursuant to: § 268-3. Definitions. MINOR ACTIONS item 7" which states y IL Additions to an existing building or rebuilt residential structure which results in no net increase in ground area coverage, except where the parcel is located in a coastal erosion hazard area; The units are not located within the coastal erosion hazard area. Pursuant to Chapter 268, the Board shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. d. Fire Marshall Adequate Fire Access e. Village of Greenport Waste Management No change in flow, sufficient capacity exists; V: Planning Board items to consider 1. Accept the recommendation of the LWRP; 2. Request a use certification from the Building Department; 3. Provide exterior lighting information for the dwelling units pursuant to §172; 4. With exception of obtaining approval from the Suffolk County Department of Health Services (SCDHS), all site plan requirements listed in §280-133 of the Town Code have been met. SCOTT A. RUSSELL MICHAEL M. COLLINS, P.E. SUPERVISOR TOWN ENGINEER TOWN HALL - 53095 MAIN ROAD OF SOUTHOLD,NEW YORK 11971 Tel. (631)-765—1560 �o Fax. (631) 765—9015 �.EVpiIIjlvn "P.r ,a KAT (a OFFICE OF THE ENGINEER E TOWN OF SOUTHOLD ( .m...... Brian Cummings June 30, 2020i � al � ,� Southold Town Planning Department Nannr ng Board 54375 Main Road Southold, New York 11971 Re: Amended Site Plan for Peconic Landing Duplex (Units 19, 20, 60, 68 & 74) SCTM#: 1000 — 35. —01 —25 Dear Mr. Cummings: As per a request from your office, I have reviewed the Amended Site Plan for Peconic Landing Units 19, 20, 60, 68 & 74 prepared by The Golden Mean Group LLC, dated 7/30/19. The plan proposes the conversion of these existing 1-story single family dwellings to two family dwellings with no expansion of living area, no basement and 4 parking stalls. Based on my review I make the following comments: 1. The existing stormwater management system serving Peconic Landing has the capacity to handle the minimal increase in runoff due to the expansion of roof areas and asphalt surfaces. Therefore, the proposed renovation will not require additional drainage. 2. All site work must utilize dedicated concrete wash-out areas and perimeter silt controls as necessary to ensure that silt and debris from the construction does not impact the existing stormwater management system. If you have any questions regarding this review, please contact my office. Sinc :rel , Michael M. Collins, P.E. Town Engineer OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex + 4 P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 f Telephone: 631 765-1938 "4 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD Sub� MEMORANDUM ,........RECEIVED. To: Donald Wilcenski, Chair ��^w'",r Town of Southold Planning Board From: Mark Terry,Assistant Town Planning Director LWRP Coordinator Date: May 5, 2020 Re: Site Plan Peconic Landing Duplex Conversion(5) SCTM# 1000-35.-1-25 This amended site plan is for the proposed conversion of five(5)existing 1-story single family dwellings (units 19, 20, 60, 68, 74)to two family dwellings with no expansion of living area and no basement, 4 parking stalls on a Hamlet Density(HD)and R-80 split zoned parcel totaling 143 acres. The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program(LWRP)Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, the proposed action is EXEMPT from the LWRP review pursuant to: §268-3. Definitions. MINOR ACTIONS item "IT'which states H.Additions to an existing building or rebuilt residential structure which results in no net increase in ground area coverage, except where the parcel is located in a coastal erosion hazard area; The units are not located within the coastal erosion hazard area. Pursuant to Chapter 268,the Board shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Brian Cummings,Planner COUNTY OF SUFFOLK ZECEIVED r 4 1 I3 2 4 2 02"J"I Planning Board Steven Bellone SUFFOLK COUNTY EXECUTIVE Natalie Wright Department of Commissioner Economic Development and Planning February 20, 2020 Town of Southold 53095 Main Road P.O. Box 1179 Southold,NY 11971 Attn: Brian Cummings Dear Mr. Cummings: Pursuant to Section 23 91&In of the General Municipal Law,the following site plan which has been submitted to the Suffolk County Planning Commission is considered to be a matter for local determination as there appears to be no significant county-wide or inter-community impact(s). A decision of local determination should not be construed as either an approval or disapproval. Site Plan Address File No. Peconic Landing Duplex Conversions 1000 03500 0100 025000 N/ NOTE: Does not constitute acceptance of any zoning action(s) associated therewith before any other local regulatory board. Very truly yours, Sarah Lansdale Director of Planning idrewP 1^rejA�'n � iw " lanner Division of P';l/anning and Environment APF/cd H.LEE DENNISON BLDG m 100 VETERANS MEMORIAL HWY,11th FI w P.O.BOX 6100 a HAUPPAUGE,NY 11788-0099 0 (631)853-5191 From: Cummings, Brian A. Sent: Thursday, February 20, 2020 4:09 PM To: Michaelis,Jessica Subject: FW:Amended Site Plan for Peconic Landing duplex SCTM# 1000-35.-1-25 From: Easton, James Sent: Tuesday, February 18, 2020 4:01 PM To: Cummings, Brian A. Cc: Fisher, Robert Subject: Amended Site Plan for Peconic Landing duplex SCTM# 1000-35.-1-25 Bob and I have no comments for the amended site plan for the Peconic Landing duplex project, SCTM#1000-35.-1-25. James Easton � FFC Fire Marshal,Town of Southold J o,iisE2sotAtl,ioBdtowtin .gov (W) 631-765-1802 PR/UELfGEDANONNNTfNTNTIAI 041AINNffA'T/ON IMIRMNAW HYN901- This elects611ic mai/transrnrssioR is intended on/y far the use of the odlwduel ar entity to which it is eddresse and may contain confidential information beloNcdinp to the sender which is protected bypr1w1B§e: if you are not the intended reopaefll you are hereby natifled that any durloswv,copyqq distribution,ar the taking of any action in relianre on the contents of this information is strictly prohbtod if you have receryed this transmission in error,please notify the sender immedlately by e-mail and delete the aripi"nal message: 'S.l'Q)� cox x Elizabeth Thompson, Chairperson Town Hall Annex�� �� �;� Ronald McGreevy J' " 54375 Route 25 Stephen Geraci PO Box 1 179 Patricia Butler- Southold,NY 11971 Reynolds duPont, Jr., Fishers Island Liaison Fax(631)765-6641 Anne Surchin, Historic Preservation Telephone: (63 1) 765-1892 Commission Liaison www.southolcltoNvaiaty.gov �` Town of SoutholdIlk Architectural Review Committee Minutes February 6, 2020 at 4:OOp.m. Town Hall Annex Executive Board Room lDIan i n(t 'on i d Members Present: Ron... - McGreevy, Chairperson; Stephen Geraci; Anne Surchin; Bob Ghosio,Town Board Member; Brian Cummings,Town Planner; Elizabeth Cantrell,Secretary The minutes for the January 9, 2020 meeting were approved. Introduction: All applicants will give a presentation consisting of drawings, exterior materials samples and other information required by the Planning Department to the Committee. The Committee will ask questions and make suggestions as part of a general discussion with each applicant. Final recommendations from the ARC will be presented to the Planning Board in the ARC Meeting Minutes, and be made part of the Planning file for that application. The Planning Board will consider these recommendations,together with all comments from other agencies, and provide the applicant with a comprehensive written list of its requested revisions. Amended Application: • PECONIC LANDING DUPLEX CONVERSIONS(5) SCTM#1000-35-1-25 Town Planner Brian Cummings presented this amended site plan for the proposed conversion of five (5) existing 1-story single family dwellings (units#19, 20, 60, 68, 74)to two family dwellings with no expansion of living area and no basement,4 parking stalls on a Hamlet Density(HD) and R-80 split zoned parcel totaling 143 acres. The Committee approves the proposed project as it was submitted today with a recommendation. As there are entry doors proposed for each dwelling unit, somehow accessing the main entry door to the dwelling units not facing the street will leave the visitor in a state of confusion as to where the entrance is located for that particular unit. Some sort of accommodation should be made to direct pedestrian traffic to these entrances (signage, directional pathways, etc.). Motion made and seconded. All Ayes. Elizabeth Cantrell, A.R.C.......... Secretary From: Cummings, Brian A. Sent: Thursday, February 13, 2020 3:29 PM To: Michaelis, Jessica Cc: Palmeri, Allison Subject: FW: Peconic Landing Duplex Units 19,20,60,68, &74 TM# 35.-1-25 ............ . _. ,...m.�...,e.. .. _ _ , . .._ _ � - From: Baylinson, Lester „ Sent: Thursday, February 13, 2020 3:28 PM '„ �� Z IIIIIII) To: Cummings, Brian A. Cc: Silleck, Mary; Burke, John �(j r Subject: Peconic Landing Duplex Units 19,20,60,68, &74 TM# 35.-1-25 Hi Brian, No open violations at this time. H ani", OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex laSo P.O. Box 1179 54375 State Route 25 ,�" Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY Telephone: 631 765-1938 www.southoldtownny.gov COUNTY PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Elizabeth Thompson Chairperson Architectural Review Committee From: Brian Cummings, Plann�� Date: February 6, 2020 �''``-��� Re: Amended Site Plan for Peconic Landing Duplex. (Units 19, 20,. 60, 68 & 74) 1205 Brecknock Rd. #108 Thompson Blvd., ±75n/o Chickadee Ln'. & Thompson Blvd., Greenport SCTM#1000-35-1-25 The Planning Board refers this application to you for your information, comments, review, and certification, if applicable. This amended site plan is for the proposed conversion of five (5) existing 1-story single family dwellings (units #19, 20, 60, 68, 74) to two family dwellings with no expansion of living area and no basement, 4 parking stalls on a Hamlet Density (HD) and R-80 split zoned parcel totaling 143 acres. Thank you for your cooperation. Encls: Site Plan Application Site Plan OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex P.O.Box 1179 54375 State Route 25 �� �� Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) G Southold, NY Telephone: 631 765-1938 www.southoldtownny.gov OUM'� PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Michael J. Verity, Chief Building Inspector Damon Rallis, Building Permits Examiner From: Brian Cummings, Plann` Date: February 12, 2020 Re: Amended Site Plan'for Peconic Landing Duplex (Units 19, 20, 60, 68 & 74) 1205 Brecknock Road, Greenport SCTM#1000-35-1-25 The Planning Board refers this application to you for your information, comments, review, and certification, if applicable. This amended site plan is for the proposed conversion of five (5) existing 1-story single family dwellings (units #19, 20, 60, 68, 74) to two family dwellings with no expansion of living area and no basement, 4 parking stalls on a Hamlet Density (HD) and R-80 split zoned parcel totaling 143 acres. Thank you for your cooperation. Encls: Site Plan Site Plan Application OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex so P.O. Box 1179 54375 State Route 25 .�� ' Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) , 41 Southold, NY Telephone: 631 765-1938 www.southoldtownny.gov eou Ti PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Lester Baylinson, Code Enforcement Officer Robert Fisher, Fire Marshal James Easton, Fire Marshal From: Brian Cummings, Planner Date: February 12, 2020 Re Amended Site Plan for Peconic Landing Duplex (Units 19, 20, 60, 68 & 74) 1205 Brecknock Road, Greenport SCTM#1000-35-1-25 The Planning Board refers this application to you for your information, comments, review, and any violations on record, if applicable. This amended site plan is for the proposed conversion of five (5) existing 1-story single family dwellings (units #19, 20, 60, 68, 74) to two family dwellings with no expansion of living area and no basement, 4 parking stalls on a Hamlet Density (HD) and R-80 split zoned parcel totaling 143 acres. Thank you for your cooperation. Laserfiche: Planning, Applications, Site Plans, Pending, 1000-35.-1-25(2) OFFICE LOCATION: 2=11 MAILING ADDRESS: Town Hall Annex SO P.O.Box 1179 54375 State Route 25 �� 'w Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY Telephone: 631 765-1938 www.southoldtowuny.gov co WON � PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Michael Collins, Town Engineer From: Brian Cummings, Planne� February , 2020 Re: Amended Site I r Peconic LandingDuplex (Units 1 , 20, 6 , 68 & 7 ) Application Name: Peconic Landing Duplex (Units 19, 20, 60, 68 & 7 ) Tax Map Number: 1000-35-1-25 Location: 1205 Brecknock Road, Greenport Type of Application: Sketch Subdivision Map Preliminary Subdivision Map Final Subdivision Map Road Profiles Grading and Drainage Plans Other Site Plan Revised Site Plan Grading and Drainage Plans Other (AS BUILT) Project Description_: This amended site plan is for the proposed conversion of five (5) existing 1-story single family dwellings (units #19, 20, 60, 68, 74) to two family dwellings with no expansion of living area and no basement, 4 parking stalls on a Hamlet Density (HD) and R-80 split zoned parcel totaling 143 acres. Your comments are appreciated by March 3, 2020. Thank you for your cooperation. OFFICE LOCATION: . MAILING ADDRESS: Town Hall Annex rjf SC�� P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY ? Telephone: 631 765-1938 www.southoldtow-nny.gov irN PLANNING BOARD OFFICE TOWN OF SOUTHOLD February 12, 2020 Chief Greenport Fire Department P.O. Box 58 Greenport, NY 11944 Re: Request for Review: Amended Site Plan for Peconic Landing Duplex (Units 19, 20, 60, 68 & 74) 1205 Brecknock Road, Greenport SCTM#1000-35-1-25 Dear Chief: The enclosed Site Plan Application is being referred to you for your comment on matters of interest to the fire department, including fire department equipment access, emergency services, and any other issue that may be of concern or relevance to this application. This amended site plan is for the proposed conversion of five (5) existing 1-story single family dwellings (units #19, 20, 60, 68, 74) to two family dwellings with no expansion of living area and no basement, 4 parking stalls on a Hamlet Density (HD) and R-80 split zoned parcel totaling 143 acres. Please contact me at (631)765-1938 if you have any questions. Thank you for your cooperation. Respectfull Brian Cummings Planner Encls.: Site Plan Application Site Plan OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex 1 rjf 0 P.O. Box 1179 54375 State Route 25 �" ► + ' Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) +w. Southold, NY Telephone: 631 765-1938 www.southoldtownny.gov o m PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Mark Terry, LWRP Coordinator From: Brian Cummings, Planne(g) Date: February 12, 2020 Re: Amended Site Plan for Peconic Landing Duplex (Units 19, 20, 60, 68 & 74) 1205 Brecknock Road, Greenport SCTM#1000-35-1-25 The Planning Board refers this application to you for your information, comments, review, and certification, if applicable. The file is available at your convenience. This amended site plan is for the proposed conversion of five (5) existing 1-story single family dwellings (units #19, 20, 60, 68, 74) to two family dwellings with no expansion of living area and no basement, 4 parking stalls on a Hamlet Density (HD) and R-80 split zoned parcel totaling 143 acres. Thank you for your cooperation. OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex „soy P.O. Box 1179 54375 State Route 25 �� *� Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY Telephone: 631 765-1938 www.southoldtownny.gov to NN, rrI PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Suffolk. County Department of Health Services From: Brian Cummings, Plann Date: February 12, 2020 RE: Proposed Site Plan Application Review— • Request for Comments pursuant;to-Southold_Town Code §280-131 • SEQR Lead Agency Request , • Coordinated Review under SEQR The purpose of this request is to seek comments from your agency as part of the coordinated review under Article 8 (State Environmental Quality Review Act -SEQRA) of the Environmental Conservation Law and 6 NYCRR Part 617. Please provide the following, as applicable: 1. Comments or requirements the Planning Board should take into consideration while reviewing the proposed project; 2. Issues of concern you believe should be evaluated; 3. Your jurisdiction in the action described below; 4. Your interest in assuming the responsibilities of lead agency under SEQR. The lead agency will determine the need for an Environmental Impact Statement (EIS) on this project. Within thirty (30) days of the date of this letter, please respond in writing whether or not you have an interest in being lead agency. The following page contains information pertaining to the project under review. For further information, please feel free to contact this office. -2„— Peconic Landing Duplex Conversions (5) — Page 2 February 12, 202 0_ Planning Board Position: (x) This agency wishes to assume lead agency status for this action. ( ) This agency has no objection to your agency assuming lead agency status for this action. ( ) Other (see comments below) Comments: Project Name: Peconic Landing Duplex (Units 19, 20, 60, 68 & 74) Address: 1205 Brecknock Road, Greenport Tax Map #: 1000-35.-1-25 Requested Action: This amended site plan is for the proposed conversion of five (5) existing 1-story single family dwellings (units #19, 20, 60, 68, 74) to two family dwellings with no expansion of living area and no basement, 4 parking stalls on a Hamlet Density (HD) and R- 80 split zoned parcel totaling 143 acres. SEQRA Classification: ( ) Type I ( ) Type II (X) Unlisted Contact Person: Brian Cummings, Planner (631) 765-1938 Enclosures: • Site Plan Application Form • Site Plan(s) • Environmental Assessment Form 2 Appendix A - County Referral For Appendix A—Suffolk County Planning Commission Guidebook all' Municipality: SpL11hold TQ wn Hamlet: Gree ort Local Case Number: District: 1000 Section: 35 Block: 1 Lot: 25 Local Meeting Date: Application/Action Name: Peggnic La Du12JqX,ConveMi9ns15), Public Hearing: Yes No ._ .... _. r of Re A Ataan: Ferrel• SECIR f;efcrr�n ,r�enc . -� ---•�- Draft EIS Positive Declaration "" arania� Board oro New EAF Final EIS Negative Declaration Zoning Board of Appeals Expansion Lead Agency Findings Town Board/Village Board of Modification Draft Scope Trustees Brief description of application or proposed action This amended site plan is for the proposed conversion of five (5) existing 1-story single family dwellings (units #19, 20, 60, 68, 74) to two family dwellings with no expansion of living area and no basement, 4 parking stalls on a Hamlet Density (HD) and R-80 split zoned parcel totaling 143 acres. Type of Action Please check rappropnate box below if action is located within the Suffolk County Pine Barrens Zone, within one mile of a nuclear power plant or airport or within 500 feet of., A municipal boundary; The boundary of any existing or proposed county, state, or federal park or other recreation area; The right-of-way of any existing or proposed county or state road; An existing or proposed county drainage channel line; The Atlantic Ocean, Long Island Sound, any bay in Suffolk County or estuary of any of the foregoing bodies of water, The boundary of county, state,or federally owned land held or to be held for governmental use; The boundary of a farm located in an agricultural district. Comprehensive Plan (Adoption or Amendment) Subdivision Zoning Ordinance or Map (Adoption or Amendment) Use Variance Code Amendment Area Variance Official Map Special Use Permit/Exception/Conditional Use Moratorium Site Plan 4 Note:The above represents a summary of the required actions subject to ra fea'ral to the Suffolk.County Planning Commission. The provisions of GML and Laws of Suffolk County must be used to verify which actions are subject to referral and the related procedural requirements. Additional Application Information Action Previously Referred to Suffolk County Planning Commission Yes No 4(If yes, Date ) Adjacent Municipality Notified (see NYS GML 239 nn) Yes No N/A Located Within Long Island Pine Barrens Zone Yes No - Workforce/Affordable Housing Yes No N/A Energy Efficiency Yes No N/A Zoning Board of Appeals Approval Yes No N/A Suffolk County Department of Health Approval/Comments Yes No N/A New York State Dept.of Environmental Conservation Approval/Comments Yes No N/A New York State/Suffolk County Dept.of Public Works ApprovallComments Yes No N/A Suffolk County Sanitary Code Article 6,Groundwater Management Zone- I It III IV V VI VII VIII Contact Information Municipality Town of Southold Contact Name: Department/Agency: Plannin De arFavmnt _. Brian Cummings Phone Number: _631-765�•1938 Email Address:�aa�a�rsanaortirt�l i/tur a°s�autltcsld.axy aqa Applicant: Peconic Landing @ Southold,Inc. Contact:Charles Cuddy Name: reenDort. NY 631-369 8200 Applicant Address ,1500 BrecknockRoad_G,�mm OFFICE LOCATION: MAILING ADDRESS: Town Hall Annexso P.O. Box 1179 54375 State Route 25 �'� " Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) + ,✓ Southold, NY Telephone: 631 765-1938 www.southoldtownny.gov COUN PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Suffolk County Planning Commission From: Brian Cummings, Planne (!g, Date: February 12, 2020 RE: Site Plan Application Review— • Request for Comments;pursuant to General Municipal Law §239 (as a referral) and Southold Town Code §280-131 • SEQR Lead Agency Request • Coordinated Review under SEQR The purpose of this request is to seek comments from your agency, and also to determine lead agency and coordinate review under Article 8 (State Environmental Quality Review Act-SEQRA) of the Environmental Conservation Law and 6 NYCRR Part 617. Please provide the following, as applicable: 1. Comments or requirements the Planning Board should take into consideration while reviewing the proposed project; 2. Issues of concern you believe should be evaluated; 3. Your jurisdiction in the action described below; and 4. Your interest in assuming the responsibilities of lead agency under SEQR. The lead agency will determine the need for an Environmental Impact Statement (EIS) on this project. Within thirty (30) days of the date of this letter, please respond in writing whether or not you have an interest in being lead agency. The following page contains information pertaining to the project under review. For further information, please feel free to contact this office. Southold Referral & SEQR Coordination Page 2 February 12, 2020 Planning Board Position: (x) This agency wishes to assume lead agency status for this action. ( ) This agency has no objection to your agency assuming lead agency status for this action. ( ) Other (see comments below) Comments: Project Name: Peconic Landing Duplex (Units 19, 20, 60, 68 & 74) Address: 1205 Brecknock Road, Greenport Tax Map #: 1000-35.-1-25 Requested Action: This amended site plan is for the proposed conversion of five (5) existing 1-story single family dwellings (units #19, 20, 60, 68, 74) to two family dwellings with no expansion of living area and no basement, 4 parking stalls on a Hamlet Density (HD) and R-80 split zoned parcel totaling 143 acres. SEQRA Classification: ( ) Type I ( ) Type II (X) Unlisted Contact Person: Brian Cummings, Planner (631)765-1938 Enclosures: • Environmental Assessment Form • Site Plan Application Form • Site Plan(s) 2 OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex soP.O.Box 1179 54375 State Route 25 � Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) , Southold,NY Telephone: 631 765-1938 www.southoldtow-imy.gov : PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Scott A. Russell, Supervisor Members of the Town Board Elizabeth A. Neville, Town Clerk cc: Town Attorney From: Brian Cummings, Planne�b Date: February 12, 2020 Re: Amended Site Plan for Peconic Landing Duplex (Units 19, 20, 60, 68 & 74) 1205 Brecknock Road, Greenport SCTM#1000-35-1-25 The Planning Board refers this application to you for your information, comments, review, and a determination of jurisdiction, if applicable. This amended site plan is for the proposed conversion of five (5) existing 1-story single family dwellings (units #19, 20, 60, 68, 74) to two family dwellings with no expansion of living area and no basement, 4 parking stalls on a Hamlet Density (HD) and R-80 split zoned parcel totaling 143 acres. Thank you for your cooperation. Laserfiche: Planning, Applications, Site Plans, Pending, 1000-35.-1-25(2) OFFICE LOCATION: MAILING ADDRESS: Town Hall Annexe P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) d 1 , Southold, NY 4� MN" Telephone: 631 765-1938 7 www.southoldtownny.gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD February 11, 2020 Charles R. Cuddy, Esq. P.O. Box 1547 Riverhead, NY 11901 Re: Public Hearing - Peconic Landing Amended Duplex Conversions 1500 Brecknock Road, Greenport SCTM#1000-35.-1-25 Dear Mr. Cuddy: A Public Hearing was held by the Southold Town Planning Board on Monday, February 10, 2020 regarding the above-referenced application. The Public Hearing was closed. If you have any questions regarding the above, please contact this office. Respectfully, Donald J. Wilcenski Chairman �ub-F u CHARLES R.CUDDY i ... ATTORNEY AT LAW �� � � ��!� 445GRIFFINGAVENUE RIVERHEAD,NEW YORK ' R r�r0ir�g Boaro -d IM-a-ding AddTOK�1,; TEL (631)369-8200 P.O.Box 1547 FAX: (631)369-9080 Riverhead,NY 11901 E-mail: charlescuddy@optonline.net February 6, 2020 Planning Board Southold Town PO Box 1179 Southold,NY 11971 Re: Peconic Landing at Southold, Inc. & Pederson Subdivision Enclosed please find an Affidavits of Mailing and Posting along with the green/white receipts and the green signature cards for the hearing scheduled for February 10, 2020 for the above matters. Very truly yours, 2AZ )I Charles R. Cuddy CRC:ik Enclosures AFFIDAVIT OF POSTING This is to serve notice that I personally posted the property known as 1500 Brecknock Road, Greenport, NY 11944 by placing the Town's official poster notice(s) within 10 feet of the front property line facing the street(s) where it can be easily seen, and that I have checked to be sure the poster has remained in place for at least seven days prior to the date of the public hearing on 1/29/20 1 have sent notices by certified mail — return receipt, the receipts and green return receipt cards of which are attached, to the owners of record of every property which abuts and every property which is across on 1131Z,20 Charles R. Cuddy Your Name (print) Signature 445 Griffing Ave. Riverhead NY 11901 Address Date Notary Public MONA KODYM Notary Public, (,,,�f r1ew York M.�slifisd irr COUnty ommIssion Expi ''s feiarch 3, 2CP PLEASE RETURN THIS AFFIDAVIT, CERTIFIED MAIL RECEIPTS & GREEN RETURN RECEIPT CARDS BY. 12:00 noon, Fri., 2/7/20 Re: Peconic Landing Duplex Conversion (5) SCTM#s: 1000- 35.-1-25 Date of Public Hearing: Mo,nday, February 10 2020 6:01 p.m. u� wu au a �N m u ru a a.., Iru n �Jr k f1J t y f 11 f T tee•_ a�_. �a 1� do 9 M 1 a PJffr QMH sld ds� 7 rc _ I{ fli m R tt11rR a h�aa6km b rc !19Ci1 12 a karutro u'r� u aC a �q M ,,1r. +xrd�uR.z aid"R,h��wf.R;aw�h.u^ve�rsmza�C��r 6N�'G�rPav� m Ex1rRa�ar�z^a9cwauQP�.i�fl1,1.•fr.relr.4karnwrwr& Ram mY �� 0 o-�rwuan uIweirba QPRuxdaoll ) rl w�oRmuaire og cru QIr a N u oroD w R�_ m"0r, lnd rQ� rl Q Q�q ..11aBarturur 1tlarouamRmR Q�1a•PuuaurBe�p .—.-��� C3 �.QGer¢Iced!JWIIIIReW:uldedIr.dVery $ _ G1.�— Here � p Here ��� .. 1J w t •• #6Ac�ujjt-a atuu ua�a�r w rs�llr�®�r� $ h d C3 Ak d�rdl.Snig natum 8'Sw quill $. ..__ c R�,., p ciwu L $0.55 M 0 p L9 �a�unou�urr��aa�rra ��u uu@�k�uro�Wauo�u�u��lurcua au�auasR��Irma�re��au�sm�� C3 Postage e all m s� Q. ddaQ; ems._ d o— � o— 011,31/202,�J rd F9 M .9®I m 95 . . . m � 5ao�t Ir coP�"u Douglascoraxrc .. w rn Mcintosh ...._._...M.... . _.m..... 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JIVkAt';Mgnotaum 11 dW�m'U,ulrtvd ^m 0'�. �NN Q�O � �""AduOP as�rypnemti•.wumm ll�a ,au1lr�rk �; E3 2 0 �0k �a0 r, m .a�vq N Nipilt SiMig m4 ir„II&u�lirkAed Il)9111 of yr$ C3 N �to r p Floorage U-11.55 c� i ro U11 �� °- �... _.��_ 00 ,� 1/2020 0 � 611��1 9N20a� T1 '� w 1/ e �y.�._... �._._�. ,� �� 0 ,�, 1 as F paa � �and� � J m ._ m m95 ,a CDRP Acquisition and Mara emend � Costello Trust #1 at al _. ..__._a. _ _. ._ __..®__ ........, .._._._.__, ..,,,. O ,�rCfwa�tmsr"hr1�+��rF.d'ua.a.[aeP`"L"`�, :.54'yr. ...,_..._...,..,., O >«okra~aP3,Tmsd4 �9Zd.a"'�'4�„rtSiP "�'�dr.'k' I'a. I.. r%- .l ------------------------------ ------------- f� SQX--,- �l2 ._,._.... _.,_...o_ ----r---,-.'-----',,, __.m_.._..... Gr wCG��m •a b Ra6+Iwm,d +4, au ort, NY Green 11944 tl n d m,!VW • Complete items 1,2,and 3. A. Sifqn 5� X� 'And address on the reverse El Agent • Print your namiY '6 Vj 0 Addressee so that we can return the card to you. • Attach this card to the back of the mallplece, B Peceived b (Printed NamO Of t1i very or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from Item 1 Yes Com'W If YES,enter delivery address below: ❑No "EV11,61111"llo Trust #1 et al PO 2124 Greenport, NY 11944 3. Service Type 0 Prbrfty Mall Expras58 0 Adult Signature G Registered MahFm El Adult Signature Restricted Delivery 0 RrWered Mail Restdoted 0 Certified Mall® D Ze ry 9590 9402 5407 9189 3110 08 0 Certified Mall Restricted Delivery 11 Return Ref 0 Collect on Delivery Mamhandi 2. Article Number(Transfer from service label) 0 Collect on Delivery Restricted Delivery 0 SigndUfOj id Mail 0&gnahire cc Q '0 0 Q, 7018 3090 0001 3830 1767- W Mall Restricted Dellyery flo*kted 0)�' srol < -0 E )it 0 13 L=U M n 7S�O—rr;381—1,July 20-15 5-3002--0-00-9053 Domestic Rel 2? 2?'R E 21 iii 4-2 2 d 23 9)114 EH E oc cc 0 cc U)to 0: a) 11 El 0 0 110 E il 0 Signature. z • Complete items 1,2,and 3. ASig (D X • Print your name and address on the reverse so that we can return the card to you. 0) .'7 — I I (D C. n;;I 7B. Received by(Printed B ts • Attach this card to the back of the mailpiece, flame) or on the front if space permits. 'COO-ki (D M I 4,i -T—Article Addressed to: D. Is delivery address different CL 2CC 0 --a:�81 0 If YES,enter delivery address below: 0)0 Lu a).0 9 0 M SC Divis.-ion of Real Property L) -AVL 05 41:;Z�- Acquisition and Management CO-am 0 0 0 0 X ❑ <<0000. H Lee Dennison Building IC6000000[ PO Box-6100 Hauppauge, NY 11788-0099 LO 3. Service Type 0 Priority Mi T 9) 0 Adult Signature 0 Registerel > 2) 0) 0 U Adult Signature Restricted Delivery 4-) =i *w- cy) C3 -0 0 Certified Mall® [3 RDePiveieyref a) 0 E rn C� = >' 4) 1-9 ro 9 9590 9402 5407 9189 3110 15 0 Certified Mall Restricted Delivery 0 Return Re 0 z— c,) rn co 0 Collect on Delivery Marchand .2 -.5 'd- U) 0 Collect on Delivery Restricted Delivery 0 Signature 0-0 -Ir r, 2. Article Number(Transfer from service label) . (VO) ra 0 M co r-9 z mail 0 Signature CO a) a E3 U) 7018 3090 0001 3830 2283 Mall Restricted Delivery Restrictec 'a =0) W CL rn 1-4 cy) Ei (L 010) e C3 CO 100- C3 -Lf) PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Re . r- C:) CD Cy -0 �! Iq -Q) 'z m ca o 4-J LO C:':, E 20 E Cd r- 4J b C3 .2 0 02 'm Q) �'O P 'q Turn U) 1:41 0 CO C:, 00 r. 0) cr) • Complete items 1,2,and 3. A. Signature U Inn a) UO a) r-1 E C ID C_, r E 0 0 a 0) .2 E3 0 .91 8 o Q) 0 LL • Print your name and address on the reverse 0 W o Q� < &L so that we can return the card to you. U) • Attach this card to the back of the mailplece, B. Received by(Printed nr e C Da or on the front ifspace permits. - 77—) 1. ArticleAddressed to: D. �s delivery address different from item 17 13 Yes If YES,enter delivery address below: [j No William A. King Robert H. Turner 33 First Street Webster., MA 01570 3. Service Type 0 Priority Mail Express® 0 Adult Signature 0 Registered MallTM El Adult Signature Restricted Delivery 0 Registered Mall Restricted 0 Certified Mail® Dovery 9590 9402 5407 9189 31 1 0 77 0 Certified Mall Restricted Delivery 0 Return Receipt for ."" 13 Collect on Delivery Merchandise . Restricted r%.n11-t nn Delivery Re tricted Delivery 0 Signature ConfirmationTM 7018 3090 0001 3830 2818 0 Signature Confirmation Restricted Delivery Restricted Delivery ---- --- - -- - loverz5m PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt Notice to Adjacent Property Owners Peconic Landing Duplex 1205 Route 25, Units#19, 20, 60, 68&74, Greenport, NY SCTM#1000-35-1-25 1/1. 34..-4-.17- ,/2. 4...4.17-✓2. 3404-19.4 - SC 'b .P A ✓3. 350-1-24 --3F-MCC) ee-Q4y As c, ✓4. 35....1...27.2 - M. �ndeorN ✓5. 35.4-27.3 - T7. cirN 4c v/6. 350-2-1. - W,Kir, R:% ro e'' 1. 3.5.-2...4 -- J. d� w /8. 35..-.3.1. -10,C-Ie A. 35.-3-.1342 I TYPESET: Tue Jan 28 13:00:02 EST 2020 LEGAL NOTICE Notice of Public Hearing NOTICE IS HEREBY GIVEN that,pursu- ant to §276 of the Town Law, and Article XXIV of the Southold Town Code,a public hearing will be held by the Southold Town Planning Board, at the Town Hall, Main Road,Southold,New York,on the 10th day of February, 2020 on the question of the following: 6:01 p.m. Proposed Amended Site Plan for Peconic Landing Duplex Conversions(5),lo- cated at 1205 Route 25,Greenport,Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Number 1000-35-1-25 6:02 p.m. Proposed Amended Site Plan for Mattituck-Laurel Library (Parking Lot Ex- pansion), located at 13900 Route 25, Mat- tituck,1bwn of Southold,County of Suffolk, State of New York,Suffolk County Tax Map Number 1000-114-I1-2. 6:03 p.m. Proposed Standard Subdivision for Harold R.Reeve&Sons,Inc.,located at 1605 Wickham Avenue,on the n/s/o County Road 48,approximately 190' w/o Wickham Avenue, Mattituck, Town of Southold, County of Suffolk,State of New York.Suf- folk County Tax Map Number 1000-140-1-6 Dated: 1/22/2020 BY ORDER OF THE SOUTHOLD TOWN PLANNING BOARD Donald J.Wilcenski Chairman 2443830 #0002443830 STATE OF NEW YORK) )SS: COUNTY OF SUFFOLK) , _Kimberl_, Oersic __,_ of Mattituck, in said county, being duly sworn, says that she is Principal Clerk of TH U FF 1 `l I11 ES ,a weekly newspaper,published at Mattituck,in the Town of Southold,County of Suffolk and State of New York,and that the Notice of which the annexed is a printed copy, has been regularly published in said Newspaper once each week for 1 weeks(s), successfully commencing on 01/30/2020 Principal Clerk V Sworn to before me this_...., day of BhIMA,N"VBiA .fla:; NO DVV06M51050 Y� ;t,16°riidi a G i N'r;a�bdeR . fl�Prr5a 2?.2Q0 -61,0Z 10C Alnr palep j,p UeA�j q uejj Aq paiedaid ,,saBelloo x;gldn(j pasodoici,, palpluo sllun ;DA!j JOJ SUeld aliS aql 5uipj06aj BuPeDH oi:lqnd u .sol *Lu*d Lo:q ILI OZOZ l01* Ajenjqej AEPUO W Sl@s pjeog 6uluueld umoj_ ploL41noS eql leqI 'C13A-j0S31 jeqljnj jl aq pue :GAoqe paqposap se V-d03S japun uoiiov poisliun ue s, uolloe pesodoid siql leql peulwJGI@P seq pjeoe 6uluueld umo_L ploqlnoS aql JEWMA10STJ ajojejaqj j! aq Suolloe to Isil II @dA_L aql uO eljal!JO aql JO Aue 19,9w I! 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Application Information Project Title: Peconic Landing Duplex Conversions (5 Units) Applicant: Peconic Landing at Southold, Inc. Date of Submission: December 20, 2019 Tax Map Number: 35.-1-25 Project Location: 1500 Brecknock Road (Unit #19, 20, 60, 68 & 74) Hamlet: Greenport Zoning District: Hamlet Density (HD) & R-80 II. Description of Project Type of Site Plan: Continuing Care Facility and Life Care Community Acreage of Project Site: ±143 acres Building Size 2840 sq. ft. — 3014 sq. ft. III: Completeness Review See attached checklist for Site Plan Requirements. IV: Analysis 1. Existing:1 — story dwellings varying in size between 2840 sq. ft. and 3014 sq. ft.; 2. Proposed: convert interior of building to provide for two dwellings, no footprint expansion; .... Units @ 2,840 sq. ft. Units @ 3,014 sq. ft. 19 20 60 68 74 3. Parking: 2-family detached dwelling = 3 spaces per dwelling TOTAL Required = 3 parking stalls Provided = 4 each 1 4. Sanitary: the proposed plan is to connect to the existing sewer connection to the Village of Greenport; sanitary flow and capacity must be verified; 5. Exterior Lighting: none proposed. Applicant must provide documentation of any existing lighting on site and whether it meets the Town's requirements for exterior lighting. 6. Exterior Signage: none proposed V: Planning Board Items to Consider 1. Consider waiving the following key maps due to this application being for the conversion of existing buildings with no proposed expansion: a. Separate key map showing the locations, names and widths of all rights- of-way within 500' of the subject site; Staff: use aerials, GIS and site visit b. Separate key map showing all existing buildings and uses within 200' of the subject parcel and include key elements of those existing sites (e.g. buildings, curb cuts, parking area(s), landscaping, etc.). Staff: use aerials, GIS and site visit 2. It is recommended that the application be found complete and the review process to begin as specified below: a. At tonight's January 13, 2020 Public Meeting: i. Classify the action as Unlisted under SEQRA; ii. Set the public hearing for February 10, 2020; b. Refer the application to at least the following agencies: Greenport FD, Town Engineer, LWRP, Fire Marshall/Code Enforcement, Building Dept., Village of Greenport; Southold Planning Department Checklist for Site Plan Application Completeness - Section 280-133 Project Name: Peconic Landing Duplex Conversion of 5 Units Completed by: Brian Cummings Date: January 13, 2020 Received Comment A. Submission of a complete site plan application shall consist of: (1) A completed site plan application form. (2) The site plan review fee, as specified in Subsection B below. Editor's Note: See now § 280-138, Fee schedule for �l site plan applications. (3) A completed environmental assessment form. (4) Nine copies of the site plan. (5) Four copies of a property survey, certified by a licensed land surveyor. B. Standards. Site plan design shall include the following items: (1) Technical data: (a) The lot, block and section number of the property, taken from the latest tax records. (b) The name and address of the landowner on record: �l [1] The names and addresses of adjoining landowners. [2] The name and address of the applicant, if not the same as the landowner. (c) The name and address of the person, firm or organization preparing the map, sealed with the applicable New York State license seal and signature. (d) Date, graphic scale and North point, whether true or magnetic; if magnetic, show the date of reading. (e) A survey prepared by a licensed surveyor or civil engineer. The site plan may reference a land surveyor's map or base reference map. All distances shall be in feet and hundredths of a foot. All angles shall be given to the nearest 10 seconds or closer. The error of closure shall not exceed one in 10,000. (f) The locations, names and widths of all rights-of-way Waive: use GIS, within 500 feet of property lines. If none exist within 500 aerials, site visit feet of the subject property, indicate the distance to the X nearest intersection with a public street. (g) A separate key map showing location and owners of all Waive: use GIS, adjoining lands within 500 feet, as shown on the latest X aerials, site visit tax records, at a scale of one inch equals 100 feet. (h) The location, width and purpose of all existing and proposed easements, setbacks, reservations and areas dedicated to public use within or adjoining the property. (i) A complete outline of other existing easements, deed i Checklist for Site Plan Application Completeness Southold Planning Department restrictions or covenants applying to the property. (j) Existing zoning, including zone lines and dimensions. (k) Site plans drawn at the scale of one inch equals 20 feet. If all required information cannot be shown clearly on one plan, the information should be separated as follows: [1] Alignment and schedule plan. [2] Grading and drainage. [3] Landscaping. [4] Other, e.g., site utilities. (2) Natural features: Received Comment (a) Existing contours with intervals of two feet or less, referred to mean sea level as per United States Geological Survey datum. (b) Boundaries of any areas subject to flooding or stormwater overflows, tidal bays, saltwater marshes, beaches and all freshwater bodies, including wetlands N/A and intermittent streams, perimeter boundaries of shoreline bluffs, dunes and beaches. (c) The location of existing natural features, including but not limited to natural drainage swales, watercourses, wooded areas and wetlands, as defined by the New York State Department of Environmental Conservation and the Board of Trustees of Southold Town, marshes, ponds, dunes, bluffs, beaches, kettleholes, escarpments, wildlife habitats, flood hazard areas, erosion-prone areas and trees of six inches in diameter at a point three feet above the trunk base. (d) The location of any existing cultural and historical features within 500 feet of the property boundaries. N/A (3) Existing building structures and utilities: (a) The locations, dimensions and outlines of all buildings, as defined in § 280-4 of this chapter, and all uses of the site. (b) Paved areas, including parking areas, sidewalks and vehicular access between the site and public streets. (c) The locations, dimensions, grades and flow directions of any existing culverts, waterlines or sewage disposal systems, as well as other underground and aboveground utility poles and utility lines within and adjacent to the property. (d) The location and use of all buildings and structures, Waive: use GIS, including curbcuts, within 200 feet of the boundary of the X aerials, site visit subject property. 2 Checklist for Site Plan Application Completeness Southold Planning Department (4) Proposed construction: Received Comment (a) The location of proposed buildings or structural improvements, indicating setbacks from all property lines and horizontal distances from existing structures. (b) The location and design of all uses not requiring structures, such as off-street parking and loading areas and pedestrian circulation. (c) The location, direction, power level and time of use for any proposed outdoor lighting or public address X systems. (d) The location and plans for any outdoor signs must be in accordance with applicable sign regulations. N/A (e) The location and details of aprons, curbs, sidewalks, fencing (type and location), and grading, including existing and proposed topography with two-foot N/A contours (on site and 200 feet beyond the property line) and spot elevations for buildings and all structures, drainage calculations, details of drainage structures and watershed areas, where applicable. (f) Grading and drainage plans shall be based upon site stormwater retention, in conformance with Chapter 161, N/A Highway Specifications. (g) The location and listing of landscaping, buffering and street tree plans, including type, material, size, quantity and location. (h) The location of water and sewer mains, electrical service, cablevision and telephone installations, ground transformers, fire wells and fire hydrants and/or any alternate means of water supply and sewage disposal and treatment. (i) Building elevations for all facades and floor plans showing the proposed use of floor area. Notes: Site Plan Application elements waivers: § 280-133 C. Notwithstanding the foregoing, the Planning Board shall have the discretion to waive any or all of the requirements of this § 280-133 by resolution at a duly noticed public meeting, for those applications involving modifications to existing structures with no substantial change to the existing footprint, where the Planning Board determines that such modifications or any change in use will not require significant changes to existing major site design features, as well as applications involving uses strictly related to agriculture (but excepting retail winery operations), if it determines such requirements are not necessary to protect and maintain the public health, safety, or welfare and to further the objectives set forth in § 280-129. J Checklist for Site Plan Application Completeness OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex S0 P.O.Box 1179 54375 State Route 25Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) ' • Southold, NY Telephone: 631 765-1938 www.southoldtownny.gov cou PLANNING BOARD OFFICE TOWN OF SOUTHOLD January 15, 2020 Charles R. Cuddy, Esq. P.O. Box 1547 Riverhead, NY 11901 Re: Amended Site Plan for Peconic Landing Duplex (Units 19, 20, 60, 68 & 74) 1205 Brecknock Road, Greenport SCTM#1000-35-1-25 Dear Mr. Cuddy: I am writing as a follow-up to the Work Session held on January 13, 2020, where the Planning Board accepted the above-referenced Site Plan for review. The Planning Board, its Staff, Town Departments and relevant agencies will provide additional comments following full review. If you have any questions regarding this site plan or its process, please do not hesitate to call this office,. Respectfully, Brian Cummings Planner OFFICE LOCATION: s;r MAILING ADDRESS: Town Hall Annex P.O.Box 1179 54375 State Route 25 " " Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) Telephone: 631 765-1938 Southold,NY � � �a P �h wwwsoutholdtownny.gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD January 14, 2020 Charles R. Cuddy, Esq,. P.O. Box 1547 Riverhead, NY 11901 Re, SEQR Classification & Set Hearing Peconic Landing Amended Duplex Conversions 1500 Brecknock Road, Greenport SCTM#1000-35.-1-25 Dear Mr. Cuddy: The following resolutions were adopted at a meeting of the Southold Town Planning Board on Monday, January 13, 2020: WHEREAS, this amended site plan is for the proposed conversion of five (5) existing 1- story single family dwellings (units 19, 20, 60, 66, 74) to two family dwellings with no expansion of living area and no basement,„ 4 parking stalls on a Hamlet Density (HD) and R-80 split zoned parcel totaling 143 acres; and WHEREAS, the Southold Town Planning Board, pursuant to State Environmental Quality Review Act (SEQRA) 6 NYCRR, Part 617, has determined that the proposed action is an Unlisted Action as it does not meet any of the thresholds of a Type I Action, nor does it meet any of the criteria on the Type 11 list of actions; be it therefore RESOLVED, that the Southold Town Planning Board has determined that this proposed action is an Unlisted Action under SEQRA as described above; and be it further RESOLVED, that the Southold Town Planning Board sets Monday, February 10, 2020 at 6:..01 p.m. for a Public Hearing regarding the Site Plans for five units entitled "Proposed Duplex Cottages" prepared by Frank B. Ryan, Jr. dated July 30, 2019. Peconic, Landing Duplex Convers Page 2 January 14 ions 2020 The public hearing packet regarding the Town's notification procedure and the Sign & post will need to be picked up at the Planning Board Office at the Southold Town Annex when you are contacted to do so. Please return the Affidavit of Post,in included iru the acket, along with the certified mailin receiis AND thlle! sililllerl ''reen return receiDt cards before 12,00 I noon on F"rid Fed irly!gili''limf 7. 12020. The sic l p the fast need _to be returned d. to the PITLnn-in ublic�hean�nis�close� q Board_Office�after after If you have any questions regarding the information contained in this resolution, please contact the Planning Board Office. Respectfully, Donald J. Wilcenski Chairman Encl. Southold Town Planning Board Work Session — Janua 13 2020 — Page 2 Project Name: eve & Sons, Inc. SCTM#: i 1000-140-1-6 Standard Su u bdivision Location: 1605 Wickham Avenue, Mattituck Description., This proposal is for a Standard Subdivision of a 5.1 acre split-zoned parcel into 4 lots where Lots 1-3 equal 1 acre each in the R-40 Zoning District and Lot 4 equals 1.8 acres located in both the R-40 and LB Zoning Districts. s C Action, _ Ponditi at Pre limina Plat Approval Completeness, Set Public Hearing Final PI Co AttachmentsStaff Report ._ - _ Project Name; Strong's Storage Buildings SCTM#: � 1000-106-6-13.4 i __ ...ituck Description: This Site Plan is for the proposed construction of two (2) buildings for boat storage, one at 52,500 sq. ft. and the other at 49,000 sq. ft., located on 32.6 acres in the MII and R-80 Zoning Districts where there is 69,245 sq ft of existing boatyard buildings. Status Pendine -Action-:-- p U _ pdate ,and Completeness � Attachments: Staff Report LProject g p ( _)_ SCTM#: 1000-35-1-25 ocaton Name: P205 Ro to 25� GrD Duplex Conversions 5 Description; This amended site plane is for the proposed conversion o O g � f five 5 existing 1-story single family dwellings (units #19, 20, 60, 68, 74) to two family t dwellings with no expansion of living area and no basement, 4 parking stalls on a Hamlet Density (HD) and R-80 split zoned parcel totaling 143 4 acres. Status: New Application Acti Attaochments: Staff Completeness [['�� Project Name, Tenedios Barn & Greenhouse SCTM#: '� 1000-19-1-1.4 ........... Amended . 1 Location: 28410 Route 25, Orient _ . Description: This amended agricultural site plan is for the addition of a 60' x 24 (1,440, sq. ft.) greenhouse to a site where a one story 8,664 sq. ft. building to house livestock and store feed, supplies and farm equipment has 1 conditional approval from the Planning Board, on a 34.5 acre farm, of which 29.5 acres have development rights held by Southold Town and 5 acres have development rights intact (the greenhouse is located in the 5-' acre area and the barn is located in the 29.5-acre area) in the R-200 Zoning District. Status, Approved Action: Review for CO on the greenhouse Attachments: Staff Report 0'x CHARLES R.CUDDY 21019 RIVERHEAD,NIEW YORK R 0.:Box 1.547 FAX: (6 31)369-9080 Riveerbead, Y 11.901 E-mail: cbarl,,,sci..idcl.y@c)ptoriline.net December 20, 2019 Brian Cummings, Town Planner Planning Department Town of Southold P.O. Box 1179 Southold,NY 11971 Re: Peconic Landing-creation of duplex residence by dividing cottages 19, 20, 60, 68 and 74 Dear Mr. Cummings: We are now enclosing for five (5) duplex cottages at Peconic Landing the following: 1.Site plan alaplication for each cottage 2. Transaction Disclosure Form 3. Authorization Form 4. LWRP Consistency Assessment Forni 5. Elevation and floor plans for cottages 19, 20, 60, 68 and 74 Please note that there will be separate garage for each snit. Since there is no charge to the rnaJor site design leatrrres we respectfully rerltrest,pursuant to Section 280-133 C of the'town Code, that the Planning Board waive the remaining requirements of Section 280-1.33. Further,we regUest InnSuant to Sectitrn280-131(H) the Board waive the public hearing re uirenient and adopt a Resolution. approving the applications. Very truly yours, Charles R. Cuddy CRC:ik Enclosures cc: Heather Lanza, Planning Director VED RECEI SOUTHOLD PLANNING BOARD DEC 6 H � SITE PLAN APPLICATION FORM ISGb 3rd Site Plan Name and Location . i l r -- Site Plan Name: Life Care Community-Duplex Unit#19 Application Date: 12 / 1 / ._.._. 12019.,..._..._. Suffolk County Tax Map#1000- 35 - 01 - 25 Other SCTM#s N/A Street Address: 1500 Brecknock Road Hamlet: Greenport Distance to nearest intersection: 800 ft.-Main Street Type of Site Plan: New X Amended Residential Zoning District HD Owners/Agent Contact Information Please list naive, mailing rxo-ess, andphone number or the people below.- Property elow.Property Owner Peconic Landing at Southold, Inc. Street 1500_Brecknock Road _.........._,,,,,,,,,,,,,,,,,,,,,,,,,,,, City_ Greenport State NY ?jp_11944 Home Telephone 631-477-3800 Other Applicant same as owner Street City State m m........ ;dip i p ,.... ........ Other Home Telephone ..... _ wwwwwmw _...... ................... Applicant's Agent or Representative: Contact Person(s)* Charles R. Cuddy Street 445 Griffing Ave. City Riverhead State NY Zip 11901 Office Telephone 631-369-8200 _ Other *Unless otherwise requested, correspondence will be sent only to the contact person noted here. Site Plan Application Form 2/18/2010 Site Data Proposed construction type: New X Modification of Existing Structure Agricultural Change of use Property total acreage or square footage: 144 ac./s . . Site Plan build-out acreage or square footage: 2756 a@•/sq. ft. .� .. �..r Is there an existing or proposed Sale of Development Rights on the property? Yes No X If yes, explain;__ Does the parcel(s) meet the Lot Recognition standard in Town Code§280-9 Lot Recognition? Y X N_ If"yes", explain(and attach any necessary documentation—title report, subdivision approval, etc.) Previous site plan approval: sufficient !ield._availabl.e .„___ .......... ....... Building Department Notice of Disapproval Date: 1 11 / 12 /10 I Is an application to the Southold Town Zoning Board of Appeals required? Yes No X If yes, have you submitted an application to the ZBA? Yes No If yes, attach a copy of the application packet. Show all uses proposed and existing. Indicate which building will have which use. If more then one use is proposed per building, indicate square footage of floor area per use. List all existing property uses: Residential and Life Care List all proposed property uses: same as above Other accessory uses: N/A Existing lot coverage: as approved % Proposed lot coverage:. Same % Gross floor area of existing structure(s): 2840 sq. ft. Gross floor area of proposed structure(s): 2756 Space Data: #of existing_. ....._ Parking p ng spaces 1 #of proposed spaces: 2 Loading Berth: Yes No x as approve d Landscaping Details: Existing landscape coverage: /o Proposed landscape coverage:Same ° Wetlands: Is this property within 500' of a wetland area? Yes No X Maybe I, the undersigned, certify that all the above information is true. �k j Date: Signature of Preparer, ,���. �� ,. ” Site Plan Application Form 2/1812010 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL DATE: November 12, 2019 TO: Charles Cuddy(Peconic Landing) PO Box 1547 Riverhead, NY 11901 Please take notice that your request dated October 15, 2019 For permit to coi,wert 5, sitigl!p�taniil dApjjin XS to two-fanijly_dApflins at Location of property: 1205 Rotite 25.Cir jn,its #19, #20, #60, #6&_,t�741 County Tax Map No. 1000— Section 35 Block 1 Lot 215 Is returned herewith and disapproved on the following grounds: 1e.:proposed use in ffie Hamlet Den y, Sit _(,Ijl)j district rNuires site plan apprT dfi-0111 the SOLIthold Towii Planiii ----- ------ ---------- -S' --------------- Cc: File, planning, nature Southold Planning Department Applicant Transactional Disclosure Form The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees. The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. Your Name: Syron Robert J., President/CEO of Peconic Landing at Southold, Inc. Last,First,middle initial unless you are applying in the name of someone else or other entity,such as a company. if so, indicate the other person's or company's name. Nature of Application: (Check all that apply) Subdivision or Re-subdivision Site Plan X Other(Please name other activity) 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 X If you answered"Yes"complete the balance of this form and date and sign where indicated. Name of the person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant)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 noncorporate 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 o&C,2019 tl r Sig11aataarc Print Nameobert J. SV on Disclosure Form Peconic Landing at Southold, Inc. 1500 Brecknock Road Greenport,New York 11944 I, Robert J. Syron, President/CEO of Peconic Landing at Southold, Inc.,hereby authorize Charles R. Cuddy, Esq. to act as an agent on the property of SCTM#1000-35-01-25 in Greenport,NY, and handle all necessary work involved in the site plan process with the Southold Town Planning Board . Peconic Landing at Southold, Inc. By: Rof)ert J. Sy , President/CEO Sw ri,i to before me this l0�day of 2019. Notary Public ttiisOjj .Lt, r orYUblic"State of New York �� o.OiLA38155 ualffied s�j Stiffolk County px6Nrrrwbro 'uir 4„202 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1, All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. Aproposed action will be evaluated its to its si ng ili a��t. beneficial and adverse et ect ,,u on the coastal area(which includes allf Southold T awr7 3, If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus each answer must be explained in detaillisting both supporting and non- Supporting on-sn ronin 6cts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net),the Board of Trustees Office,the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 035 - 01 - 25 PROJECT NAME Peconic Landin -Du lex Residence The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board W Building Dept. ❑ Board of Trustees ❑ 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital construction, planning activity, agency regulation, land transaction) (b) Financial assistance(e.g. grant, loan, subsidy) �1 (c) Permit, approval, license, certification: Nature and extent of action: Refurbishing inside of cottage to convert it into two (2) residential units.. Location of action: 1500 Brecknock Road, Greenport, NY 11944 Site acreage: 144 acres Present land use: Continuing Care Community Present zoning classification: Hamlet Density (HD) 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: Peconic Landing at Southold, Inc. (b) Mailing address: 1500 Brecknock Road Greenport, NY 11944 (c) Telephone number: Area Code( ) 631-477-3800 (d) Application number, if any: Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes Nog If yes,which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED C AST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. Yes [:] No 0 Not Applicable This remodelinq of a cotta a relates to the interior only; it does,not change the exterior of the unit and grill not affect cQ-1 r ivnity character. ........ Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria Yes ❑ No 121 Not Applicable Changes to the interior of the cottage will not impact any historical or archaeological resources. adonal s.... ........ Attach diti .. �.... �,. beets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No Fv_1 Not Applicable Changes to the-in rior of a cott e.-will not have any bearjn ruv.*SU; I quality or .scenic re o ltom Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No ❑� Not Applicable Work on a cottage's interior is not related to flooding or erosion.. Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria "^�Yes No Not Applicable This site is sere _by public water and It is ubmitted that addition of a single residence ill not affect water quality or su I . Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section IH —Policies; Pages 22 through 32 for evaluation criteria. Yes [:] No Z Not Applicable This cottage conversion is not related to fish and wildlife habitats or wetlands. Attach additional sheels if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. Yes [—] No 0 Not Applicable Interior work on a residential cottage will not impact air quality. Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. Yes ❑ No 0 Not Applicable A minimum of solid waste will be created by a new resident and ill be a ro riatel dis eta of at the To+ n." .R. cvling #e.i:. No haardu _ e will be generate dL PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. Yes❑ No �/❑ Not Applicable Peconic Landing residents already have viewing access to Long Island Sound. This new residence will not change or impact recreational use or coastal waters or public lands. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. Yes ❑ No 0 Not Applicable Interior chances to a cottage have no relationship to water_dependent use Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑Yes ❑ No 2 Not Applicable The cotta eat Peconic Landin hasno connection to marine resources in the Sound....Ba or r Town waters.__. .... ............... ........m.... Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluation criteria. Yes L No "❑.. Not Applicable Again the cottage has nobearing on agricultural lands. ....... .......... Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. Yes [:1 No F] Not Applicable This cottag ...conyersrol .,.waGM have virtuallyri.o_eff ct on transport t on,en rgy sources or qMCgy .—ge e.rah ........ .... PREPARED BY TITLE �;, DATF/ "f.. Amended on 811105 i SOUT SOLD PLANNING BOARD U C 2 (r� 2 01`A SITE PLAN APPLICATION FORM P�ai°sr) ng Boa d Site Plan Name and Location � Site Plan Name: Life Care Community-Duplex Unit#20 Application Date: 12 / / 2019 Suffolk County Tax Map 91000- 35 - 01 - 25 Other SCTM#s N/A Street Address: 1500 Brecknock Road Hamlet: Greenport Distance to nearest intersection: 800 ft.-Main Street Type of Site Plan: New X Amended Residential Zoning District HD Owners/Agent:Contact Information Please list nwne, mailing aticIress, and phone number n- the people below: Property Owner Peconic Landing at Southold, Inc. Street 1500 Brecknock Road City Greenport State NY Zip 11944 Home Telepho¢le 631-477-3800 Other Applicant same as owner ....................................ww..... ....... . Street I Citi State zip Home Telephone Other Applicant's Agent or Representative: Contact Person(s)* Charles R. Cuddy Street 445 Grlfing Ave. City Riverhead State NY Zip 11901 Office Telephone 631-369-8200 Other *Unless otherwise requested, correspondence will be sent only to the contact person noted here. Sile Plan Application Form 2/18/2010 Site Data Proposed construction type: New X Modification of Existing Structure Agricultural T 01ange of use Property total acreage or square footage: 144 ac./s . Site Plan build-out acreage or square footage: 2756 _*Q-Jsq, ft. Is there an existing or proposed Sale of Development Rights on the property? Yes N No X If yes, explain:_, Does the parcel(s) meet the Lot Recognition standard in Town Code §280-9 Lot Recognition? Y X N If"yes", explain(and attach any necessary documentation—title report, subdivision approval, etc.) Previous site plan pp royal i d alabe Building Department Notice of Disapproval Date: 11 / 12 /1' ' is an application to the Southold Town Zoning Board of Appeals required? Yes No X If yes, have you submitted an application to the ZBA? Yes No If yes, attach a copy of the application packet. Show all uses proposed and existing. Indicate which building will have which use. If more then one use is proposed per building, indicate square footage of floor area per use. List all existing property uses: Residential and Life Care List all proposed property uses: same as above Other accessory uses: N/A Existing lot coverage: as approved % Proposed lot coverage: same % Gross floor area of existing structure(s): 2840 sq. ft. Gross floor area of proposed structure(s): 2756 Parking Space Data: #of existing spaces, 1 #ofprposed spaces 2 Lia AngBerth: Yesr� No as approved Landscaping Details: Existing landscape coverage: % Proposed landscape coverage same Wetlands: Is this property within 500' of a wetland area? Yes No X Maybe I, the undersigned, certify that all the above information is true. Signature of Preparers 4teiiIj J Dater_ 2 Site PlnnApplication Form 2%18/2010 Southold Planning Del2artment Applicant Transactional Disclosure Form The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees. The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. Your Name: Syron Robert J., President/CEO of'Peconic Landing at Southold, Inc. Last,First,middle initial unless you are applying in the name of someone else or other entity,such as a company. If so, indicate the other person's or company's name. Nature of Application: (Check all that apply) Subdivision or Re-subdivision Site Plan X Other(Please name other activity) 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 X If you answered"Yes"complete the balance of this form and date and sign where indicated. Name of the person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant)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 noncorporate 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 ofizL—.2019 Signature Print Name Robert ...,.S ftp n Disclosure Form Peconic Landing at Southold, Inc. 1500 Brecknock Road Greenport,New York 11944 I, Robert J. Syron, President/CEO of Peconic Landing at Southold, Inc., hereby authorize Charles R. Cuddy, Esq. to act as an agent on the property of SCTM#1000-35-01-25 in Greenport,NY, and handle all necessary work involved in the site plan process with the Southold Town Planning Board . Peconic Landing at Southold, Inc. By Ro rt J. Syron, t/C'EO Sword to before me this V0 day of , 2019. Notary Public Allison K Udth8M NotarY Publir,state of New York Reg.No.01 LA6380155 r aar Ri ied un St ptemper ,' 022 Ne terra Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Ercepl minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazzard Area. 1 Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A, pLopcs d acClon w�ilLb eVahl ted as to its significant b neli llal and adverse effects upgn the coastal area(which includes all of Sogthgld..1QMg1 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thuseach answer must be explained in detail! listing both supporting and non- supporting-facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be unde�rtal- n. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net),the Board of Trustees Office,the Planning Department, all local libraries and the Town Clerk's office, B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 035 - 01 - 25 PROJECT NAME Peconic Landing-Duplex Residence The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board 0 Building Dept. ❑ Board of Trustees ❑ 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital El construction, planning activity, agency regulation, land transaction) (b) Financial assistance(e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: V Nature and extent of action: Refurbishing inside of cottage to convert it into two (2) residential units. Location of action: 1500 Brecknock Road, Greenport, NY 11944 Site acreage: 144 acres Present land use: Continuing Care Community Present zoning classification: Hamlet Density (HD.) 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: Peconic Landing at Southold, Inc. (b) Mailing address: 1500 Brecknock Road Greenport, NY 11944 (c) Telephone number: Area Code( ) 631-477-3800 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ❑ No 2 if yes,which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. M Yes ❑ No [2 Not Applicable This remodeling of a cottage relates to the interior only-, it does not change the exterior of the unit and M not affect ,ernur it Iter. ._.... _..�......... Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria 1:1 Yes ❑ No ✓❑ Not Applicable g Changes to the interior of the cottage will not impact any historical or archaeological resources. � Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria Yes No 2 Not Applicable i.11tefior ref a ll..a t have any.. acing on y s- a Bali mor .enic mea — Attach additional sheets if ne ,.m cessary NATURAL COAST POLICI.ES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria El Yes 1:1 No Z Not Applicable „Work on a cottage's interior is not related to flooding or erosion.IT.. Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria to is served _.. Yes No Not Applicable Y — l r u lice vpr er and its a mit ed that q.d etion of a s�rigle residence °vyill.n t affect water quality or su I , Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III— Policies; Pages 22 through 32 for evaluation criteria. Yes ❑ No Z Not Applicable This cottage conversion is not related to fish and wildlife habitats or wetlands. Mach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. Yes No❑ Not Applicable Interior work on a residential cottage will not impact air quality. Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. 7 Yes ❑ No 0 Not Applicable A minimum of solid waste will be created b ...a new resident and will be app ropriat l IT spg�sed cif at the To vn s Rec . l g._ enter. l�lo. hazardous wase will be generate R ' —_ .... PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. Yes 4��II No W Not Applicable Peconic Landing residents already have viewing access to Long Island Sound. This new residence will not change or impact recreational use or coastal waters or public lands. _ _.. ...... ......... ------- Attach _._._Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. Yes No 0 Not Applicable Interior chap es to a cotta. a have no relationship to water dependent use Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. Yes 1:1 No 1Z Not Applicable The cottage at Pconic Landina has no connection to marine resourcesm in the Sound, Bay or Town waters. Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluation criteria. 1:1 Yes No 2] Not Applicable ,Again the calla a as no bearl on agricultural lands. _. . Attach additional shcets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. Yes F-1 No [2] Not Applicable This cotta. e canrarsior will hive vtuallr..om tfct onwtraportaon. enoro _surces or energy �g. aeali�n .... ... ...... .— PREPARED BY _ TITLE Amended „ .—._.. ..... �.... Amended on 8/1105 SOUT OLD PLANNING BOARD [)L C 2 620113 SITE PLAN APPLICATION FORM Zri h7 g I3oai'd Site Plan Name and Location " Site Plan Name: Life Care Community-Duplex Unit#60 Application Date 12 01 Suffolk County Tax Map#1000-_3_5--- 01 - 25 Other SCTM#s NIA Street Address: 1500 Brecknock Road Hamlet: Greenport Distance to nearest intersection: 800 ft. -Main Street Type of Site Plan: New X Amended_Residential Zoning District HD . Owners/Agent Contact Information Please list name, mailing at,/,dress,s andLLho e nzcmher��at the e�aale helnw.° Property Owner Beconif, Landing at... gthoW, Inc. �. Street 1500 Rr..e.Ck OCk Road ._...... .....�. CitY___f,m.enpQrt __State NY Zip 11944 Other Home Telephone 631-477-3800 ........_ Applicant same as applicant mme ... Street City .....State Home Telephone ... _Other .... ........ _ . Applicant's Agent or Representative: Contact Persons) Charles R. y Street 445 Griffinq Ave. City. ..........Riverhead .. .. .mmState NY _... .�„___—Zip 11901 Office Telephone 63-1-369-8200 _ Other * ... e_.. Unless otherwise requested, correspondence will be sent only to the p here. ....contact person noted Site PlanApplicalion Form 2%18/2010 Site Data Proposed construction type: New X Modification of Existing Structure Agricultural _ _ ,hatie of use Property total acreage or square footage: 144 ac./sift. Site Plan build-out acreage or square footage: 2259 _a@-/sq. ft. Is there an existing or proposed Sale of Development Rights on the property? Yes No If yes, explain:, Does the parcel(s) meet the Lot Recognition standard in Town Code §280-9 Lot Recognition? Y X N_ If"yes", explain(and attach any necessary documentation—title report, subdivision approval, etc.) -P-reviois.site4)1an-ap ro - , i tv°eId available Building Department Notice of Disapproval Date: 11 / 12 /19 Is an application to the Southold Town Zoning Board of Appeals required? Yes No X If yes, have you submitted an application to the ZBA? Yes No If yes, attach a copy of the application packet. Show all uses proposed and existing. Indicate which building will have which use. If more then one use is proposed per building, indicate square footage of floor area per use. List all existing property uses:_ Residential and Life Care List all proposed property uses same as above Other accessory uses: N/A Existing lot coverage: as approy dl/ Proposed lot coverage: same % Gross floor area of existing structure(s): 3014 scl. ft. Gross floor area of proposed structure(s).—2959 . p g �Yes No X 1'arl�ing Space Data: #of existing spaces: 1 #of proposed spaces: 2 Loading Berth: .—as....approved [LandscapingDetails: Existing landscape coverage', % Proposed 9���dscaITmmp e coverage:Same Wetlands: Is this property Yes No X Maybe within 500 of a wetland area? _ _ITmmm. I, the undersigned, certify that all the above information is true. Signature of Preparers ! gib" ate: -12 r ,Site Plan Application Form. 2/18/2010 " Southold Planning Department Applicant Transactional Disclosure Form The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees. The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. Your Name: Syron Robert J., PresidentlC, O of Peconic Landing at Southold, Inc. Last,First,middle initial unless you are applying in the name of someone else or other entity,such as a company. Ifso, indicate the other person's or company's name. Nature of Application: (Check all that apply) Subdivision or Re-subdivision Site Plan X Other(Please name other activity) 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 X If you answered"Yes"complete the balance of this form and date and sign where indicated. Name of the person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant)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 noncorporate 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_2019 Signature Print Narne Robert J. S'f ......�. Disclosure Form Peconic Landing at Southold, Inc. 1500 Brecknock Road Greenport,New York 11944 I, Robert J. Syron, President/CEO of Peconic Landing at Southold, Inc.,hereby authorize Charles R. Cuddy, Esq. to act as an agent on the property of SCTM#1000-35-01-25 in Greenport,NY, and handle all necessary work involved in the site plan process with the Southold Town Planning Board . Peconic Landing at Southold, Inc. By: Ro rt J. Syrot esident/CPO Sworn to before me this day of .. 2019. -" .4.0 m ohh✓ Notary Public NOmI ry PJbficl State of New Ybek 140.OiUW380155 �r r&t6t j in sr.Ram Count r7�,,,r'4i" tj,,s September4,20 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazzard Area. 2, Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action Neill be evaluated as tai its sigWfigga beneficial and tl ,verse effect .0 rl..the coastal area,(which includes all_of' o�athold�wnl. 3.. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus each answer must be explained-in detail listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net),the Board of Trustees Office,the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 035 - 01 _ 25 PROJECT NAME Peconic l_andin -Du lex Residence The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board 0 Building Dept. ❑ Board of Trustees ❑ 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity, agency regulation, land transaction) F] (b) Financial assistance(e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: ❑ Nature and extent of action: O res idential units. Refurbishing inside of cottage to convert it into two 2 Location of action: 1500 Brecknock Road, Greenport, NY 11944 Site acreage: 144 acres Present land use: Continuing Care Community Present zoning classification: Hamlet Density (HD) ., _ww 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name ofapplicant:�Peconic Landing at Southold, Inc. (b) Mailing address:, 1500 Brecknock Road Greenport, NY 11.944 (c) Telephone number: Area Code( )_§31-477-3800 (d) Application number, if any. Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes 0 No L if yes,which state or federal agency?_. C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. Yes 0 No 0 Not Applicable This remodeling of a_cotta a relates to the interior onl , it does notmmchangmme the exterior of theITunit and will not affect c a:CrlrOunity character. _. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria Yes ❑ No 2 Not Applicable Changes to the interior of the cottage will not impact any historical or archaeological resources. ..... .. ... ...,_ - Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III-Policies Pages 6 through 7 for evaluation criteria 0 Yes ❑ No F Not Applicable hanga to-tb interior...o , iB I� lalit cr scez r Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III-Policies Pages 8 through 16 for evaluation criteria Yes ❑ No 0 Not Applicable Work on a cottage's interior is not related to flooding or erosion Attach additional she if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III -Policies Pages 16 through 21 for evaluation criteria ❑ "ides o No 10 Not Applicable This site is. er re h ....public water and it is submitted' that addition of a single resi enewill fi sff ct water quality or supply. ._.._.......... _....... Attach additional shccts if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife habitats and wetlands. See LWRP Section III-Policies; Pages 22 through 32 for evaluation criteria. El Yes [] No Not Applicable This cottage conversion is not related to fish and wildlife habitats or wetlands. Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. Yes ❑ No Not Applicable Interior work on a residential cottage will not impact air quality. ...... _........ Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes 1:1 No ❑ Not Applicable A minimum of solid waste will be created by a new resident and will be appropriately disp,gsed of —the-otthe Town's l a yc it g a_n1e1 Colo ha of ? waste w' .�ba g n r ted. _.. PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ Yes❑ No 0 Not Applicable Peconic Landing residents already have viewing access to Long Island Sound. This new residence will not change or Impact recreational use or coastal waters or pubs .... . lic lands. �.... _.�.� ...._ —_... ............... Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes [:] No 2 Not Applicable Interior changes to a cotta a have no relationshi to water de endent use v Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary andpp Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑...1 Yes ❑ No 0 Not Applicable arine resources in the Sound. Boor Town The cottage„at Peconic Landing has no connection to m...„ waters. ........ Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No 0 Not Applicable Again the cotta e_ as no bea in on a r'cul#ural lands. ........ .... ..... _.. Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. Yes [:] No Not Applicable 1l cLon tran �tion. energy. rurces or 909( — Th� . otag coresnor 'si�l have vi_rtua �generAfin n .w...... _— ...... ...... I'll / ,. PREPARED BY_ Z� TITLE DATE” " e Amended on 811105 1. 0VEID SOUTHOLD PLANNING BOARD SITE PLAN APPLICATION FORM I Site Plan Name and I, cation Site Plan Name:.. Life Care Community-Duplex Unit#68 Application Date 1 2019� � � I'�„w_m Suffolk County Tax Map#1000-__3_5__- 01 - 25 Other SCTM#s N/A Street Address: 1500 Brecknock Road Hamlet; Greenport Distance to nearest intersection: 800 ft. -Main Street Type of Site Plan: New X Amended_Residential Zoning District HD Owners/Agent Contact Information Please list name, mailrrt alcle .ti, and l�grte numherlrt thePerlle below., Property Owner e 0ic Landing at Southold. Inc. �. Street.. 1500 Bre An ci- RnRd City-- eenit _State. NY —Zip 11944 Home Telephone 631477-3800 ..W Other Applicant__same as applicant Street y _. . Cit State, _.�......�... ..... Home TelephoneOther . ........ _. _.. Applicants Agent or Representative: Contact Person(s)*,Charles R. Cuddy Street 445 Griffins Ave. City Riverhead ,.....State NY -zip .11.901 Office Telephone 631-369-8200 __,Other_ *Unless otherwise re crested, correspondence will be sent only to the contact person noted here. . ........_. _._........ p .......... p.........._... ,Site Plan Application Form 2%18/2010 Site Data Proposed construction type: New X Modification of Existing Structure Agricultural Change of use Property total acreage or square footage: 144 ac./sift. Site Plan build-out acreage or square footage: -...?25.,9__ sq, ft. Is there an existing or proposed Sale of Development Rights on the pr .... operty? Yes No X If yes„ explain:_ Does the parcel(s) meet the Lot Recognition standard in Town Code §280-9 Lot Recognition? Y X N . If"yes", explain(and attach any necessary documentation—title report, subdivision approval, etc.) 12r us site r I n approval- sufficient-p Building Department Notice of Disapproval Date: 11 / 12 /19 Is an application to the Southold Town Zoning Board of Appeals required? Yes No X If yes, have you submitted an application to the ZBA? Yes_ No If yes, attach a copy of the application packet. Show all uses proposed and existing. Indicate which building will have which use. If more then one use is proposed per building, indicate square footage of floor area per use. List all existing property uses: Residential and Life Care List all proposed property uses: same as above Other accessory uses: ... N/A Existing lot coverage: as p rove /o Proposed lot coverage: same % Gross floor area of existing structure(s): 3014 sq, ft. Gross floor area of proposed structure(s):, 2959 a�Parking Space Data: .....of existing spaces —1�#�of proposed spaces 2 Loading Berth: ................. _ as approved [Landscaping Details: Existing landscape coverage: % proposed landscape coverage same Wetlands: Is this property within 500' of a wetland area? Yes_____No X Maybe I, the undersigned, certify that all the above information is true, � Signature of Preparer: � � �„�L Date:/ Site PlanApplicnlion Form 2/18/2010 Southold. Planning Applicant Transactional Disclosure Form The Town of Southold's Code of Ethics prohibits conflicts of interest m the part of town officers and employees. The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. Your Name: Sion Robert J., President/CEO of Peconic Landing at Southold, Inc. Last,First,middle initial unless you are applying in the name of someone else or other entity,such as a company. If so, indicate the other person's or company's name. Nat-Lire of Application: (Check all that apply) Subdivision or Re-subdivision Site Plan X Other(Please name other activity) 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 X If you answered"Yes"complete the balance of this form and date and sign where indicated. Name of the person employed by the Town of Southold _ Title or position of that person Describe the relationship between yourself(the applicant)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 noncorporate 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 1t4day of�( 2019 Signature Print Name Robert J. l"0 Disclosure Form Peconic Landing at Southold, Inc. 1500 Brecknock Road Greenport,New York 11944 I, Robert J. Syron, President/CEO of Peconic Landing at Southold, Inc.,hereby authorize Charles R. Cuddy, Esq. to act as an agent on the property of SCTM#1000-35-01-25 in Greenport,NY, and handle all necessary work involved in the site plan process with the Southold Town Planning Board . Peconic Landing at Southold, Inc. Robe I J. "yro „r entICEO Sworn to before me this j`-day of 2019. Notary Public WIAA" . °waw°ww tar)(PWA11,"Smote ref New 4` 0 Bey. . i�. (5 8 `€ Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action wwiII be evaluated as to its si r beneficial and adverse efl"ects upon the coastal ar ( hich includes all of Southold I 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be; explained in detit.i.l listitt both str )ortiti and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not b undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net),the Board of Trustees Office,the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 035 _ 01 _ 25 PROTECT NAME Peconic Landin -Du lex Residence The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board[Z Building Dept. ❑ Board of Trustees ❑ 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital construction, planning activity, agency regulation, land transaction) (b) Financial assistance(e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: g ' g residential units. Refurbishing inside of cotta a to convert it into two (2) Location of action: 1500 Brecknock Road, Greenport, NY 11944 Site acreage: 144 acres Present land uw Continuing Care Community Present zoning classification: Hamlet Density (HD) 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: Peconic Landing at Southold, Inc. mm ......... (b) Mailing address: 1500 Brecknock Road Greenport, NY 11944 (c) Telephone number: Area Code( ') 631-477-3800 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ❑ No 12 If yes,which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DL, 4VELOPE,Q COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. ❑Yes [:] No "`[ Not Applicable This remodplin of a cotta a relates to the interior onl • it does not chap a the exterior of the unit and will affect Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria El Yes ❑ No 2 Not Applicable Changes to the interior of the cottage will not impact any historical or archaeological resources. Attach additional sheets if necessa Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria Yes [:], No Not Applicable ,ha�tt� t� he intefie.�cf a cot�,oeot� o�. tl� scenic r .. .. Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria Yes ❑ No Z Not Applicable Cott e's interior nterior is not related to floodin or erosion. Work on a __.. __.. Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria El Yes E] No Z Not Applicable ftLs i e s hlic ter rrd it is submitted that additionIT.of a single re yid n wily r�o affec �.f� water quality or supply. Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. D Yes F� Nor-" NotLKJ Applicable This cottage conversion is not related to fish and wildlife habitats or wetlands. Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. Yes ❑ No ] Not Applicable Interior work on a residential cottage will not impact air quality. Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No 0 Not Applicable minimum of solid waste wall,be created b.y_,@ nevi! resident._and will be a r�o rat lye d'isposo l of at t e T h .'s Rec ijn.g . enter.N _ , ar 'ous . Wwill b_ tt tle : A.,w.... PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section IIT—Policies; Pages 38 through 46 for evaluation criteria. ❑ Yes❑ No Fv� Not Applicable Peconic Landing residents already have viewing access to Long Island Sound. This new residence p waters or public lands. will not chan a or im act recreational use or coastal Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. Yes ❑ No 7 Not Applicable Interior ohanges to a cotta a have no relationshi to watITer dependent use Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. Yes ❑ No 0 Not Applicable The cottage at Peconic Landing has no connection to marine resources in the Sound Bay....or Town waters Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluation criteria. D Yes ❑ No 21 Not Applicable Again the cot a ;e has no bearirt on a ri ultural lands ................ — ..... .. ............ Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. Yes ❑ No 0 Not Applicable Thi . ott e o versa n w l6' ha ,�rir"all °jp , ect on ;rans_ortab n,...nn ra sources or n rgy _ PREPARED BY _ ��� l 1".g ..........� 1 LI; DATE ......... Amended on 8111105 SSSS., R.EC' w � SOUTHOLD PLANNING BOARD 7 SITE PLAN APPLICATION FORM vdrti R yr y i fl rel) Site Plan Name and Location Site Plan Name. Life Care Community-Duplex Unit#74 Application Date: 12 ljj 2019 Suffolk County Tax Map#1000- 35 - 01 - 25 Other SCTM#s N/A Street Address: 1500 Brecknock Road Hamlet: Greenport Distance to nearest intersection: 800 ft. -Main Street Type g T e of Site Plan: New X Amended_Residential Zoning District HD OwnerslA ent Contact Information Please list ne,une, atnailhr address, numberjbi,the ae jle helow: Property Owner Peconic Landing at Southold, Inc. ...... Street,15000 Brecknock... ..............� City r nco State NY ,dip 11944 Home Telephone _881-477-8800 Other Applicant same as applicant Street City State Zip Home Telephone -.other .............. Applicants Agent or Representative: Contact Person(s)* Charles R. Cuddy Street 445 Griffing Ave, ....... _............ City Riverhead _- .. y__—State NY_ ",,-,Zip 11901 Office Telephone 081-859-8200 Other SSSS_ *Unless otherwise requested, correspondence will be sent only to the contact person noted here. .Site Plan Application Form 2%18/2010 Site Data Proposed construction type: New X Modification of Existing Structure Agricultural "hange of use Property total acreage or square footage: 144 ac./set—ft, Site Plan build-out acreage or square footage: _ 2756 e-/soh ft. ... . . Is there an existing or proposed Sale of Development Rights on the property? Yes No X If yes, explain: _ ..... — — Does the parcel(s) meet the Lot Recognition standard in Town Code §280-9 Lot Recognition? Y X N_ If"yes", explain(and attach any necessary documentation—title report, subdivision approval, etc.) Previ a1- st `'* leld....a.�laila ble Building Department Notice of Disapproval Date: 11 / 12 /19 Is an application to the Southold Town Zoning Board of Appeals required? Yes No X If yes, have you submitted an application to the ZBA? Yes No If yes, attach a copy of the application packet. Show all uses proposed and existing. Indicate which building will have which use. If more then one use is proposed per building, indicate square footage of floor area per use. List all existing property uses; Residential and Life Gare List all proposed property uses:_same as above Other accessory uses: N/A Existing lot coverage: as approved)/'o Proposed lot coverage: same % Gross floor area of existing structure(s): 2840 sq. ft. Gross floor area of proposed structure(s): 2756 Parking Space Data: #of existmg spaces: 1 #of pro—poserspaces Loading B�erth: Yes No_ as approoved Landscaping g Details: Existing landscape coverage: /o Proposed landscape coverage same % __..., Wetlands: Is this property within 500' of a wetland area? Yes No X Maybe I, the undersigned, certify that all the above information is true. Signature of Preparers Date: CA - ✓�� 2 Sile PlanApplicalion Form 2/18/2010 Southold l n iso a art e��� t � Applicant Transactional Disclosure Form The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees. The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. Your Name: Syron Robert J., President/CEO of Peconic Landing at Southold, Inc. Last,First,middle initial unless you are applying in the name of someone else or other entity,such as a.company. If so, indicate the other person's or company's name. Nature of Application: (Check all that apply) Subdivision or Re-subdivision Site Plan X Other(Please name other activity) 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 X If you answered"Yes"complete the balance of this form and date and sign where indicated. Name of the person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant)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 noncorporate 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 (D�day ofk201 s Signature Print Nanta.: Robert )A_y"Eqn Disclosure Form Peconic Landing at Southold, Inc. 1500 Brecknock Road Greenport,New York 11944 I, Robert J. Syron, President/CEO of Peconic Landing at Southold, Inc.,hereby authorize Charles R. Cuddy, Esq. to act as an agent on the property of SCTM#1000-35-01-25 in Greenport,NY, and handle all necessary work involved in the site plan process with the Southold Town Planning Board . Peconic Landing at Southold, Inc. By; ,� Ro rt J. Syron, ident/CEO Sw ro to before me this�day of b , 2019. A Notary Public $ of ry Public'Smote of New"Yolk 0 Na L 638 1 ss oru i ied in SL601k o Unt Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1, All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions inchiding Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 1 Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. Apposed action will be evaluated as to its „si r�i� ligant beneficial and adverse elf rt .. I��a� the coastal area(which includes,all of Southold Towji 3., If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus. each answer must: be exi2lained in detail listin&both supporting and non- supporting on-su ortin facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, n shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net),the Board of Trustees Office,the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 035 01 _ 25 PROJECT NAME Peconic Landin -Du lex Residence The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board[Z Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital construction, planning activity, agency regulation, land transaction) (b) Financial assistance(e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: 0 Nature and extent of action: Refurbishing inside of cottage to convert it into two (2) residential units. Location of action: 1500 Brecknock Road, Greenport, NY 11944 Site acreage: 144 acres Present land use: Continuing Care Community Present zoning classification: Hamlet Density (HD) 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: pp ho a Name of applicant: Peconic Landing at Southold, Inc.mm . (b) Mailing address; 1500 Brecknock Road _ww Greenport, NY 11944 (c) Telephone number: Area Code( ) 631-477-3800 (d) Application number, if any: Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes ❑ No 0 If yes,which state or federal agency?_.... C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED E COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. [:]Yes ❑ NoNot APplig cable - _ ......— .. This remodeling of a cotta a relates to the interior only; it does not change the exterior of the unit and wig0 ra� .fect co tit o fir. ....... ...- ... ........ ...... Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria I__] Yes ❑ No 2 Not Applicable g g p y g resources. Changes to the interior of the cottage will not impact an historical or archaeological .. —— ..... ..........m. ........ �..... Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria Yes NoF,/-] Not Applicable �: angel taa ,.interior rl.���i�iltwy... r scenic reso�.lrces._.�. m_ ...... Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III–Policies Pages 8 through 16 for evaluation criteria Yes 0 No 0 Not Applicable Work on a cottaae"s interior is not related to flooding or erosion Attach additional sheets if necess _...— A ary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria 1:1 YesEl No Z Not This ite is .r d lgv ter an ._it is submifted_.that addition- of a mingle residence,vill not aFct water gualit ry or sup.p y. Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section 1Il— Policies; Pages 22 through 32 for evaluation criteria. El Yes [:] NoZ Not Applicable This cottage conversion is not related to fish and wildlife habitats or wetlands. .. ....... Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. Yes ❑ No FV—] Not Applicable Interior work on a residential cottage will not impact air quality. ........ . Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. 1:1 Yes ❑ No [Z Not Applicable minimum of solid waste wi,lI be cre ted..._�_.a new resident and will be ap.�propriatNr�dispose caf at the TQw 's Recycling Qenter. N dous wa e--d.,. PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. �-�I 1 Yes No[21 Not Applicable Peconic Landing residents already have viewing access to Long Island Sound. This new residence __,.. ... will mnot chan a or impact recreational use or coastal waters or public lands. .....m IT Attach additional sheets if necessary ...,.. WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. Yes ❑ No 0 Not Applicable Interior chap es to a cotta a have no relationship to water de endent use Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No 0 Not Applicable The cotta eat Peconic Landing has no connection to marine resources in the Sound Saor Town waters. _...... Attach additional sheets if necessary — Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluation criteria. Yes ❑ No 21 Not Applicable ,gain the cottac e has no bearing on agricultural .lands. _....... Attach additional shects if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. Yes ❑ No Not Applicable his cottage_conversion..wil.l...h ve ArtUali no-effect,pn_tran sportation norms" sources or enen�. .... PREPARED BY TITLE DATE Amended on 81V05 OFFICE LOCATION: %z2= MAILING ADDRESS: Town Hall AnnexOF Sv P.O. Box 1179 54375 State Route 25 � ' Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) " + Telephone: 631 765-1938 Southold, NY www.southoldtowxuiy.gov ; A cuPm, PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Accounting From: Planning Department Date: December 26, 2019 Re: Check Please deposit the attached check into B691: Deferred Revenue. Fee is for a Site Plan Application not yet accepted by the Planning Board. Applicant/Project Name & Type � a p � Check����� Date/No. Tax Map # Amount Peconic Landing Duplex Unit mm $500.00 ..#19 35.-1-25 00 11/27/20199 #89961 m 8rw a a k an hlat�tba�al BO 1 : rr:4 61ree ' l Grcaau� ok, ,I ft0M a �� �' SOC N ��,;.t500 Brecknock Road, JA DI i �� %i� ff 944 r r ii/rr l i ...Fi ve d and 00/100 dollais as hundre Pay to the order of �Opp� a�tai a;Void After, Sb D.Y TWO q�x�Afi4Jkj �� h , x '- 1 /ra a ✓ /�f��i//�iia al//i/r % �i a l/ Town of Southold ... .... .. y Bel Southold; NY 11971 Is00000�8996 .ius 1:0 2 11,0 7 . ....080000941111 OFFICE LOCATION: M MAILING ADDRESS: Town Hall Annex �QF SO k P.O. Box 1179 54375 State Route 25 Southold, NY 11971 r,- (cor. Main Rd. &Youngs Ave.) Southold, NY r Telephone: 631 765-1938 www.southoldtownny.gov b�l cou b� PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Accounting From: Planning Department Date: December 26, 2019 Re: Check Please deposit the attached check into B691: Deferred Revenue. Fee is for a Site Plan Application not yet accepted by the Planning Board. ApplicantlPro'ec _.. t Name & Type Tax Map # Amount Check Date W /fVo. Pnit #2 _ 11/27/2019 econiLcag u lex-U035.-1-25 $500.00 #89963 e srld �R�raroa� p -qroe 01 ��� N � I�ecalc �at Southold, c ., 00I066 ISOO;Brecknack Road. e rim Greenport,NY4194477 7!777 TM A, . " / . , ,1.1 VP, b dollars �` v 00 i e hundre a � 00 Pay t0 the Ofd@r Of, . a / Vila lS Aft.,9D Days wCh SIGNATURES REQUIRED OVER 53° 000 00 i 0 / z b,- r 7 / Town of�'Southold r P.O.Box.1179 / Southold; NY,1197 1h �rm);.,Tvwj,�V � , ii'000008996 iii" 1:0 2 140666 7i: 0800009..w.�-� _.....�._.,A� OFFICE LOCATION: MAILING ADDRESS: Town Hall Annexof 5P.O. Box 1179 54375 State Route 25w + � `, Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) w Southold, NY Telephone: 631 765-1938 www.southoldtownny.gov �. OUNTV,�- PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Accounting From: Planning Department Date: December 26, 2019 Re: Check Please deposit the attached check into B691: Deferred Revenue. Fee is for a Site Plan Application not yet accepted by the Planning Board. Applicant/Pro ect Name & Applicant/Project Type Tax Map # Amount Check Date/No. Peconic Landin Du lex Unit #60 35.-1- � 11/27/20 g p 25 500.00 19 #89962 7- � 7777777, 8rid7 �yy,y��((yy} itµNO µa k I f T. dL.,ILq.I 1-roll 1reej f ;3 ;M; d4 J � f?r d% NIC cc nic,�ndin at Southold, tiKY ,x 1500"Brecknock`Road` 0000 9962 'Greenport, NY 11944 i, TM Fd+e; t�rud� r�tl G /100 olla S, /2019 Pay to the ortl" - er of ` TWO � �4NERE(]UIRCpOVER$3500000 � d�AAfieS 90 d r i Town of Southold 'CO P.O.Boz 1179. y Sout " ld ho11917-1 r. .., 9;HORIZED iSIGNATURE;S n 00000a 9 9 6 2u 'ONO 2-_2 1 ' L 4 0 6 6 6 7,i� 0130000 9 4 L 7 NNS 1-1--­­­ � ._.� ..-.�. w . . .._w.�..w, OFFICE LOCATION: P MAING Town Hall Annex 54375 State Route 25 � � ' ?, Southold, NY 11971 (Cor. Main Rd. &Youngs Ave.) Southold, NY Telephone: 631 765-1938 rp www.southoldtownny.gov � ., ou PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Accounting From: Planning Department Date: December 26, 2019 Re: Check Please deposit the attached check into B691: Deferred Revenue. Fee is for a Site Plan Application not yet accepted by the Planning Board. Applicant/Project Name & Type Tax Map # Amount Check D ate/No. Peconic Landing Duplex Unit #68 35.-1-25 $500.00 #89952 19 0 9 -Pe a i v oAp131r NY: 044 ccc; g,at��cuuo , e 00 0089966 , E 7 1,540 Brecknock Road o G '/''7Port, NY 11944 t i 11/27/2019 e ha n�dred ni M Odl 00bbrs ,* ****500:00 Pay to the order of $ b Vold A ftar 90 Days:. C A FN Etk OVER S35 000 00 i, i Town ofSouthold 0 P:0 RP,,,,/,,!17 n Southold; NY-1197"1 - - i STHORI F U SIGNATURE, 111100000899 S9un i:0 2 L40666 7i: 013000091, 17W, OFFICE LOCATION: OF.5 MAILING ADDRESS: Town Hall Annex • P.O. Box 1179 54375 State Route 25Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY b Telephone: 631 765-1938 www.southoldtownny.gov c4UNTY, : v� PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Accounting From: Planning Department Date: December 26, 2019 Re: Check Please deposit the attached check into B691: Deferred Revenue. Fee is for a Site Plan Application not yet accepted by the Planning Board. Applicant/Project Name & Type Tax Map # Amount Check Date/No. econi �. ng Dc Landiuplex Unit#74 35-1-25 $500.00 11/27/2019 P #89960 - _ 7777 , wi �r"�d a arvapla 4 tiona9 a��k , rorwt � t � - rt5tere6t idoraerg , 0 � 0000�oi " oliicL hig �o 0L; 15 Q arc&n IAN GreenporthTY 11944 11/27/2019,`7,k,/,'­ ...F 01100 dollars` r *** Q 77 7 ive'hundred and 0 ** ; **5fJ0 0 Pay to the order of 4rtalAfter 90ym �, 1dCbE& flNP44P9CB OVER$3600000 l 4 i Town of Southold P O.Bok 1179 Southold,,NY11 971 kyrjR04kJZE® SIGNATURE r 6 ?1: 0 8 0 0 0 0 9 4 �� 00000899G0