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SITE PLAN USE DETERMINATION Southold Town
Planning Board
Initial Deterinina—bon
1.
Date Sent:. ���-•�
Dater
Project Name:
Project Address: -V-
Count -
Zoning District: -�
a. Suffolk Y Tax Map No•
Request"
lication and supporting documentation a�to
(Note: Copy of IuIlldirtsgould be submitted.)
-proposed use or uses " w
-Initial
Determination as to whether use is permitted: '..
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.
' �- :
dZ
s to whether site plan is require
Initial-Determination a
artment (P.D.) Referral: �
Planning Dep
/ Date of Comment:__
P.D. Date Received: 1---
Come ts:
p
Signature of Planning
De . Staff Reviewer
1� rl l 1 t rCl'"ItC"I�at on
Date:___--/ --- -W--
oi,naiitrP of Riiildina In-qnp(,tor _.
South ld Town.E6annincj Board Work Session -.. May 18 X015 - Page 3
�_Proiect Name: A & S Southold Oil Corp SCTM#; 1000-70-7-4 J
Location; 49670 NYS Route 25, Southold 1
_e. _ .__ _ .. ._ ® . .. . .. . .
Description: This Amended Site Plan is for the construction of a 1,568 sq. ft. canopy
pursuant to ZBA File #6757 to cover the existing fuel pumps on 0.3 acres
in the General Business (B) Zoning District.
11 .. .
Status New Application
..
rt
Attachments Staff Rep r completeness
Action Review o
Discussion:
❖ A Local Law in relation to Amendments to Chapter 280, Zoning, in connection
with Transient Rental Properties
❖ Site Plan Use Determination (SPUD) Reviews:
o Caselnova Farm Buildings, SCTM#1000-18-3-9.9, NYS Route 25, Orient
o Heron Harbor Restaurant, SCTM#1000-56-6-3.4, 61600 Route 25,
Southold
❖ Draft CPF memo to Town Board
TOWN OF SOUTHOLD !D E G RE 101 k# E j BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT 1N 1 Y you have or need the following,before applying?
TOWN HALL v Board of Health
SOUTHOLD,NY 11971 Soulho Tows- 4 sets of Building Plans
TEL:(631)765-1802 Panning Board Planning Board approval
FAX:(631)765-9502 Spey
SoutholdTown.NorthFork.net PERMIT NO. Cheek-
Septic
heckSeptic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined ,20 Single&Separate
Storm-water Assessment Form
Contact:
Approved .20 Mailto: Charles R. Cuddy
Disapproved a/c PO Box 1547, Riverhead NY 11901
Phone(631)369-8200
Expiration .20
® Building Inspector
- 1?'IIATION FOR BUILDING PERMIT
QPM 13 2053 Date April 8 2015
INSTRUCTIONS
a.Tris application IvIUSfi be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans,accurate plot plan to scale.Fee according to schedule.
b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or
areas,and waterways.
o.The work covered by this application may not be commenced before issuance of Building Permit.
d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant.Such a permit
shall be kept on the premises available for inspection throughout the work.
e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
£Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the
property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an
addition six months.Thereafter,a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold,Suffolk County,New York,and other applicable Laws,Ordinances or
Regulations,for the construction of buildings,additions,or alterations or for removal or demolition as herein described.The
applicant agrees to comply with all applicable laws,ordinances,building code,housing code,and regulations,and to admit
authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant or e,:f o.-oration)
PO Box 479, Orient, NY 11957
(Mailing address of applicant)
State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder
Owner
Name of owner of premises Ralph and Catherine Caselnova
(As on the tax roll or latest deed)
If applicant is a corporation,signature of duly authorized officer
N/A
(Name and title of corporate officer)
Builders License No. N/A
Plumbers License No. NIA
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
Main Road Orient
House Number Street Hamlet
t _
County Tax Map No. 1000 Section 18 Block 03 Lot 9.9
Subdivision Ralph & Catherir Caselnova Filed Map No._'",60 Lot 1
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ngriz.,,t t„r^l Li tb 2 gartten sberls
b. Intended use and occupancy agricultural cith 2 garden sheds
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work 8 x 12' and 12' X 18' sheds
(Description)
4. Estimated Cost Fee
(To be paid on filing this application)
5. If dwelling,number of dwelling units N/A Number of dwelling units on each floor N/A
If garage, number of cars N/A
6. If business,commercial or mixed occupancy,specify nature and extent of each type of use. N/A
7. Dimensions of existing structures,if any:Front Rear Depth
Height . Number of Stories N/A
Dimensions of same structure with alterations or additions: Front N/A Rear
Depth Height Number of Stories
8. Dimensions of entire new construction:Front Rear Depth
Height Number of Stories
9. Size oflot:Front 493,225 sq.ft. Rear Depth
10.Date of Purchase 1999 Name of Former Owner Scott Kaufman
11.Zone or use district in which premises are situated R-80
12.Does proposed construction violate any zoning law,ordinance or regulation?YES NO x
13.Will lot be re-graded?YES NO x Will excess fill be removed from premises?YES NO—x
14.Names of Owner of premises X4=eddresS PO .Box 4.79 Phone No.
Name of Architect Caselnova Address Orient, NY Phone No
Name of Contractor Address Phone No.
15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?*YES NO x
*IF YES,SOUTHOLD TOWN TRUSTEES&D.E.C.PERMITS MAY BE REQUIRED.
b.Is this property within 300 feet of a tidal wetland?*YES NO—_
*IF YES,D.E.C.PERMITS MAY BE REQUIRED.
16.Provide survey,to scale,with accurate foundation plan and distances to property lines.
17.If elevation at any point on property is at 10 feet or below,must provide topographical data on survey.
18.Are there any covenants and restrictions with respect to this property?*YES x NO
*IF YES,PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF SUFFOLK)
Charles R. Cuddy being duly swom,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the Agent
(Contractor,Agent,Corporate Officer,etc.)
of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application;
that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn to before me this
8th day of April 20 15
IWONA KODYM
Notary Public,State of New York
0,({j�jy'-Q_ No. 01 KC6088386
Otialifted Suffolk CountyNotary Publi Commission Expires March 3,2019 Signature oApplican f