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1000-102.-6-22
t , i� = a i , U. log 'j •yrs '. r ik a I S�•A41 in Z00. s1:•"�F NP r 1\'$� 1s ze6���` • AS_ ��i,,:act' ✓ v -s$� S 7"..,. ,;� G3G��QdCCi 'Z.ELEVATTQv R5 2EFEQ V MEA,N 5EIN -eVEL, j' MAY 19 2025 • �"�— s,. ...i�<<:,; •�":aye '�',f'.�i"t`y��' - �:���.'C�`'�.�'7c�i; .�.:�'. SOUTHOLD TOWN PLANNING BOARD y� -Y ao caL rliltnA eo e E — Izs 'mrAalff° ''� Y^li••II�� '1%a:11r'� t alb J yt V .� 7t -• t Y PRa.I :o• 10 P?,G, 4D I rzra NPR aib I R-80 7 R-40 A•,C "�` �, 6 10 ulrb►omh o L. -AIT-.•.M b-18" IT .--�' 1 !0 9_MH Ih rfi".l ... ' 21 \ eD SAN .5.` *J/sores vi.1G7-- = _-_ 1 +�i S W 0 I I ��y.rrrr / at`ROT LApg 20 I`', �3 , \ ..� y t 14.4 zCtRCAOGIIr ak isN'naoR Tclft�lcX44 O LP + -- tFip eT¢APi-6' . '= 0 SITE �,' i.� t 416 LOCATION MAP J O 4 0O L�.1-T L 1�3; Ct✓x 1'�r�c� r'L,a+.rre—ta t� 7P�+`I�Pt.,/�,-rrGn ) ERRr4 IGi=i: :IAr+i�__ �cr Mc•l WA-r-lz t: •LTA 1 '� 1 o Splp3g/a VaLJ I �iA .—. II hRVlp.T �•� T� P .I Fo .a. E-A- %*40J tY e=j&0efL F7FLeYjWlok • ; � I Z. tL 1L 'b E Q a I 13 NDr1IALT wlnM1ll+e coti�p i _ a ' r +AFrphIA,.T lys a couA�� 15 rwc '■3 '��I-l�r:IJ r t aC 1 N , r r..17C7 H a .G, 6 f i a' 1 nor �T�—G . 1 - •F"o.-e�Y•pr 12 CdIGRcTa Cwkb, 9 H-B o 3 0PC � -I-- - 10 LANDSCAPING PLAN MOAT a t1� •:+L7'•• ,t auafD�a +oNjliy�a+ei�H STR&>: . 3 2 . v 1•.: 2C' n190 art__C/o-9F-cc/ Imw r6z, LEGEND r ' t••+•n tee 7e niulit,Calm r r�.•.yi., 1 I, , pr ,per yO0 f .ti• • aAe bnYyy La..,r. �r. �`-�S ®r'LA44L-i .�+-1*G:-r AREA MAP 1a .: 1oQ' caiJc , rL1RD rhP�tJ.1� �- =A+ to d '2+'+•? T— a. n+•: _,nt•..,• it dRStr,r rtar,r a IM •'_'w•'a G•G•C G1T• /✓� f RtiR1�b.Gt�r�RH/='L►AY "`ff° twlo� qww 7VSLCHWYt(1PkU��lur cER3 ],i. =%tea %* •11 CAI.wj%w T_ 4 L1'TIL-ry0:.-s L50 V�D ; o� �. F DEG•88 p8D Q• L r Lc.►wnla ritN/4 �U���*URF d r TPry.V.l1- GDMP6C�MtG UJ.e.r4Nei3 �— MAY 1.9 2025 s+� ,•� me,1 o,,,�.l E rx.�rN �►:.;, __� ► ��L.� CURBING DETAIL . t3P+. e�,_� A.1 �_, -�,�"��,^;;a„ a SOUTHOLD TOWN - LIST OF LAND OWNERS PLANNING BOARD SITE DATA 1-112' : 1'-0• � _ o __- �a �. INOE7t OWNER Use Te><Hopi PICOO-102-3-21 '�} 1_ar1 ITT�ftar '�'+� 2 GUTCHOGVH FIRE DI6rRICT PAµe1NU AMEA ..--� Omer Habolt ttolabm �Jk+ -Igy,J et .=.e}(ig ''t �,g' Sh11 TH, YILLIAH .. .. R _... 2600 Ruth Dioadr ea 119H �n� F19d. 6 t :1 ESTAU9ANTIDFF3CE/RH6ID8RCR Hettituckr NY 11931 f,+'�'+ 11 1 `•* �I,� q.ry•-IVP V aa,5 - �j ' 1 r i Y[CKHAH9 FRU17 FARM FRU 17 STAND Er FARM 'dOnlagr Ramlet 8ie:tbeta j�j �D '�., .�5,, - v yea ,,� q/ r, AI.•M1P, 3NTHCNY L uF DyP1Ct L RMCLDFMK aeilding Aawt 3.300 ". Vt. Y yhyt8bta•N •�} �Q ., nTa, 04.5 9t �jCIl-'kl..l •II• ��QQ 0 YIvKXANB FRUIT FARM FARh I Lot ACeAt I0t000 sq. Pt. •60 gmp�a qjpg t•AF'h, -i d - 7 F•LEST, EVELYN S. Dllpoxar It / tP RESIDENCE eiW,Plant Tnllaa flea eoney hyr t•1 _ Proted No. ry E tGRCOr FH1L1! M YF DAEtL �Oder;Ck Vten 1aay1, 0leeDporti l0T 7. 1 �• I itA qr ay,M 9+•e1.•V• OrauvnOy �I/ �`• 1 .I N r 'nrP 8 9_ YICKHANS FRUIT FARM FARM Dat�i Hein Hei LMVtl pQ�•r?J hprprw�@p * , � CheckedBy:'- LC UIXA.IN, 'Li NA W AND RESIDENCE rummage or, - _ OCC9IPAFJCit S{R Lest Coverages 16% PWAdBIMo �p1�,rP Q `y , ~JyrgF sa�_�.--r '7kp7`,s� •••' ,3,� a' USta• '�3'1/r'jo 31 PSRNY.••.ACQIIELI NS ART BTUDID/fiALLH1Y ALL PLUAEIkH11ANRF8 USE IS URLA'LYFIJL F' p 1 rS ,�,6. •� 'N_ / fi'15-�• � �P?� ••� I V. C� LE ORLOWSKI, H. AL88AT RESIDENCE r magm Yrt{TH9UTCERTIFICliTE 4 "e, a oF000MANCY t3 0 + .saes+ - "�- '- --- Vb.1) 13 AEATILJ.t DAVID & LYDIA REOIDONOC —_•• ••.• 1 J-Lb tC c•�v,� I go•cq 1a s yam, ZaeA' e.a. Sheet Title 14 RF7, PROP3iR7tH5 TRAVEL OFFrCR ••--•-•--• J grOIIINSltpNT'Rt ' YiD A$QBTED .Z• Z - 39 LAWS, RICHARD ._-••, - OFF t-a--'.• _— A.. RrtwlJ A.2rM R_F. gl0iper 2 0 space m.f. 1H V 9P.e MAJ7t d_L 4 C4RgAgJ•JI,) �CJ.�-�j'V Fl`•1J�IG8 �''�'ht, gN g SITE i ^P) A E eR �w .-Ctim _ d o 'ia wf3 iL�ee oR..e+rzo i4'P A'onFY 9!A AM DEPARTr e p 4. yi DATA LD COI.GATB DBSitd•! GROUP CONVENIENCE S70RB 'Pohl tpapea reaoit:e, - 16 Ceti 766•IAD:A api Ni• ffI AEN Xi ! s -1:17"w � 49' Aa0S 7c• Total epaeee provide, tdtdtevts>7 ... _- •-- ._... .._—. QA3 R11thWplf.INytq�Ct,OAS •-+f 17 xtlLtJi 881tVIC8 STA7:OHr INC. SERVICE 8-.ATION 0NLWC0NMVfiEMRf I FAUNDATttui . "AT,EOUA D FORPoRo 30 ALBRECHT, DAYID, H, EgB R811Ia01011 QSR7jw-w0FOftwPmCy 2wx LNDAIK SQlQaWINWATeR 3114S R4tIo9Nawt1 .1 1R I •GUTP'NOtiUH SCHOOL O.ErRFGT SCHOOL SUFFt,1'BISMOCANMW A Fmm. • i••ONRTFNCSVIN r LAY OUT. GRADING, & UT_ILITES PLAN SheeINO, �.U.�zR o ) ea t70MruE.ru,LU - 20 LISIENQKY, JOSEPH, J. Raf IDENCB Area of Leadeanpiagt w5� 8R. Ft. µL CONm"PON :Jinn MEET a 4A w Ti£ RECUIRHdEXTS OF THE NY 1• :, 20, i 13 DRFAT 111MRPRISM, INC. aPPICIi ♦ATHLETIC C1NTIR Poremntnae of Site LandacspAtdt 98.9 X --WG COMST4v7111 N L GN6Pm I ` ��_ l FOCAR7Y. J0.HH3 RE8IDENCB MOES. W. RFSPON$3tp Fill I--7Z'Inl t� =lyQ, E�21;C-. OESION OH CONSUTA.I ION FRR/,Ci'y r -.-y-- _ Gp 3(•_ 1. ►t1iCP��28 DLgjHM. JOBEPH. P. VACANT/PA9f1 Agx10 eL31J6gL�'C Tarb-lie 40W TJTC1RaSt ie aot tie iatrmtipn of the Appla_eant to usti �dI 7 -GLf _II.Is1i7P the 1►ttic ar ►m pr�pneed 3aiildinO for SturetTe. _ .SITE DRAINAGE DATA PRAaa a GRATE JOWMANE1 araee_L MIXa.ea 10T,TILE PIPE loci? :p R liallelag usel 3,200 01. Tb. 9atali -"�\-•f �. +`"'-�— urdroldgin Boast IV �I.l OROVT P PIP e , Lot Areat 20.000 Sq. Ft. �+.L ppL�'�BTj.I a __ 1LQ-- n s _- , 1/ yr•�•.aNr Desiga Mort Allowed Dry Stec. I ~-- ' 1,4Ea<y 4-- -`•; C Ern x ` AR.-P09.0 ' 0.03 M/Sq•Ft. of Building Floor Area I ���11I I a K , 1_q.flb0.03 S 3,200 Oq.lrt. -96 APb total. YIL MIS POPE 11 CCme Rt{31 roil sRa2�=j uxw Noo°a WALL�, i r. r- . L_-- J PLATE FOR 113EWITH JOCDeaINED SEWER � 1 6PD/AOnR w 96/.49- 213.33 QPD/Acre. I rf70• - - a s e -- ■ } s - Suss Fro Septic C"acit7 Bartaired - Design Flow X2. 96 6PD X2■ - I-s•a sIx Q`�"d 192 0M. �' 1 : .' ;.. • .' • li s' f.1o' a' I:r- W 0..�--� t^ / mac. .'. ,. . Z /f -.,•,•..3••°- .•I 3'.°' RTaT•� may- epbio Canoiti' Provided . M a. (9•_7- tiffs a 4•-6awz>rrls) PLAN TARChing I}Pool Asia aegaised - 301 go. 5 Minas AIDTA 141HT` ` r SECTION ^ � ! •� -� �� BGALts I.w�i � y t r•t p Ron N&Ma ,f _ "- cr�r�I� cyTc-! Ids I►J Q Contributing Vol of l" VOI.Ree 110 8�.•V- 0 sq. Ft. II■in!■11 Runoff Vo1.RtvF. w t 0 • ,afD■ wraa Cart. Iia1.-alal>CR,arboe Ca./6. ll1 _ .o..we.n wwnnw.m Roof 3.310 591.E Rousing 1.0 951.8 " LMKU w`°a PaIIl010at 11r120 1.863.7 n.ptait 1.0 1.6113.7 _T TOTAL VLLM Rf Un me 2,409.3 ao.ft. I Y J. VOLD103 "OvIb"r 6 Rings.• 121 Dn Y Sr 89' ` I Iaai�oV V 0 S a 5 0 4.6 C7.s0. ■ 3,027.6 L91.ft. 1 �i �.- roQ r p e„Tuae TOTAL VOLWdr P10VIDmt 8,027.E t'n.lt. ue•,r Wlrrr = I b0"7 r�.aw�islnaF�.ca = V li0®Tiavt6a�ago /1 Q NMI. satah baoin ow ar tomes 1 Boom= R `t/ a apti° Votes cover - 9B1694 Hula by Neenah Foundry cc y 1 :y �®®� Apprnv,M wdn■t -paints Ellanl.. , 7� 1 ®!hamOVENS = Z 2. All,precast psodtCtil t0 be as per Carlson Precast _ 1�► I a ^ U :OO. or equal rlbh the following nata:ial specsI �, . � Mims D MADE eonoratitatrangt3 4020 P82 26 tape Caveat AMC _ 150 , r'•.'•.� Z r _ - �- Aggregates AOIX 0 - 33 ti .1J . aIa II • Water Para potable -•• 7 iu"•r bu L o' I� oV•_ST a' leturanaed Otea2a mrmaw.ern rt t.DQ 1 R e Leam. -d + Reber, ABTH A -613 grad©40 nmao1MaMir Ii Aim A Nttionsg Elsa Eabriaa basic s alas NEIGHBORING WELLS AND SEPTIC SYSTEMS I,3,r 1` S. All connections betwayn cateb basics and leeching _ r•'- 3 \ _� ,..na vaa:.mxmiT pools to be 12- die. reiufarcwd concrete pipe in , pl�v,se G2gJKIt�CV v G.ICri \\\ a meordatim with %SIT*■p■nifinatinn e76-A24. 1a=80�-0 /I..I�T60. we L "PHLL WT�TO IS 11- M—„ Rose RRr,.wIW �-a Z. IM m wN90\.alwTw 4. All dsala pipes frets dttrttapeats to by 4" P40 asmph In nultivZd donatobioar there drain plea "all he iadreaae to 6- M. - S. Top of all Alto=drain pipes met be,located ` f'` e ► O L Q y �f P, 5 f�'I� T.41.1 K- T,f P• L�Ac}.IIt, f� ' y._6. WiOiaao belvw rludobod grade. a o 6. septic tank. leaching pools, catch having, and C ��'''L•'� BC..w..8 •rota: +star supply to confora with Suffolk e■vnty =w •4 a h. T�P6.-, CPS Y/P gA.b GbTlF 9b..� ° Depot. of Health slarvioav standards. p aw I Vscy"7 I�`� aa0•� I�.IV. qe•R "'. [E0��I LI- r MAY 19 21�`'5 �,� l.= ACCESS • OPtNFN6 SOUTF{OLDTOv:N o,w `~� ela�ro ,.o� SETTS FT PLANNING BOA`i0 �— o Zwr2,r+1-'le .�..,.d_..�. Il q Cl�7a��IJ6 _j r2. ra L ty'ak d>t+a Jnl PF PF �1 Ju.l�t,l4 Pl�.o�yyaaay •tf2�tm --- by r •rY� --7- ¢t1pv.�Fl E>IC e t=,I'm R P 1•flr/tTlo+•la `b4-(-? F4olect No. A17 TYPICAL DOME ✓+�41iI ltr:M1Y slur N.T.S. try Ea t } ,% 2 ` brawn Ely: Jr ---- �' t l OIL_T/ v-,.ip � a r•. I�b�� � � �b��l,Js cheat ev: •rig LR 6 rrv - Date, 6E SOLID OONf IuE�k 3caler�4�^4`a esneer Tnle: t m ad t'/F`8 `l � 9ep.4 N rE Si *a� ��' v �8� Egli; m. t � F Ium7 SITE mw I ® ®-10 l smawdF DRAINAGE 17 I�aT1, a 0014CfJ1 R , 0:61V I YoR 49'tt�.a/I R S= SUFF=mium BOAR MIXT 0'4FLLT4 SETT= a ZL,SS• 4oL.Lr t�mlu,FAEFAMM;, IW F00 9 S YOR M R!d+�B i�%r-fer9 43 P.r la! tAGCbS A 0 eg�p8e•I�I�IG0 Sot loos .•.J Ilpgreeaf W Lanithrted 17:I� SEPTIC SYSTEM & DRAINAGE PLAN ) `L. Sheet No. �+.I r 01OLl--I-h-0 t` Yoe-lam n 971 r 1 II/�I �j� •�•7- a � ,�I� �I x 1 H.0.8ti 4a,��0/ O to Go jW �+-1 7-FBI,.I� •t'-]Q I r'•1 I+f/p �j`�"Ci�7�I L, 11�1 CJ Tn t%., Symd m,E x,-j IT be t.a Tisch ag we I 1a .: YO' .lo' v 1.� , r��,tmmnmA"r,Wool xd o .Y9 tF ILa Belimus Ella hG as rob WIs PILE x 'aEM tot BCSIJ:EIM+t1 SFRyiY$ MAY 19 2025 ZEN DESIGN SOUTHOLD TOWN 1250 EVERGREEN DRIVE PLANNING BOARD CUTONE.63,NY .11935 6W9 PHONE:63L513.6589 NEW SIDING, EXT TRIM,WINDOWS&DOORS. atnae pone em wpyd{Maa and an eumpt tocopyd�t protectionsat'erohttwbmtswD anewSlMd elm ceoadgn Aa,>,a uaa o.maated oeumeer sssoend k�oww "� • ILLJ � mtlw emn(emem and eompoalebnotepeas erW ehmente of i \ nwteedonmeedo Outhrottimtted tome werN' ee wet de9rji Underwc�Oretedle41nmv1�mlRd nb0 M Ume plmq we*w home m reeenteq cen bgab mwtt In Memasadonal comWctlommq WNWOE 1QNNUC1:1 El w rmrutwy 4 T` NO. ISSUE DATE 01 PERMIT SEf 09.24.24 02 REV 1 iL13.24 y ,. 4_t, ` � ,'�4. •' � �. - � UED FOR CONSTRUCTION 0 20.25 _ 05 ISS an - 06 PLANNING BOARD 05.0825 St O O O - EXISTING PLANTINGS AT NEW PLANTER BOX ENTRANCE/EXIT#1-NORTH NEW PLANTER BOX NORTH OF PROPERTY SHORE WINDOW INC. "SRED ARC, S.Nlcyo N ,• Z t y sT 0444'S OF Ns 0 0 0 NORTH SHORE WINDOW INC. 28970 MAIN ROAD CUTCHOGUE,NY 11935 NEW BALCONY SCALE 1/8°-1'-0" DATE 05.08.25 ON DRAWN BY. Z.E.N. ^' WEST LEVATION NEW PLANTER BOX � NEW PLANTER BOX ORTHEELEVAT ON ENTRANCE/EXIT-PROPOSED SECOND FLOOR OFFICE TENANT Am4 MAY 19 2025 SOUTHOLD TOWN PLANNING BOARD ZEN DESIGN 1250 EVERGREEN DRIVE CUTCHOGUE,NY 11935 PHONE 631.5i3.6589 NEW SIDING,EXT TRIM, WINDOWS&DOORS. lbW Plan ancoa7tptatenauveebjeatocompW - Pmtedlen es en'enitltedurYvotc'uMe�5aa.107 o}tfto CopyrlOn Act,17 USO,es�nMtW MamD�r 3990 and Iaroan .. mAtdnenhMWotm°oot ln*dtothe nAdofm"w ENTRANCE/EXIT- r atedlonlnat Includes but cmnp Mtet eotMorereerormmwee `,i mtheerrenennemantoataodtlonofked entelem OaM PROPOSED SECOND t�h=Such M1� �m� wak or M then W bWi ft ra do¢ab nvdt In°n cesfetlon of cmutrudton or—tlo wine DE=NL/ormartery FLOOR OFFICE TENANT �'"°"'"'°"`°g"°�16N1M ti • r�:, �� NO. ISSUE DATE ❑ 01 PERMIT SET 09.24.24 02 REV i 1113.24 03 REV 2 11XX.24 04 REV 3 12.08.24 CONSTRUCTION ISSUED 05 SS FOR 02.20.25 ••. I U N --vac i r` = % 06 PLANNING BOARD 05.08.25 I j 1'• o o I - 0 ENTRANCE/EXIT#2-NORTH NEW STORAGE NEW PLANTER BOX EXISTING PLANTINGS AT SHORE WINDOW INC. ENTRANCE NORTH OF PROPERTY gERED ARC S.Nicy, lo N� Z l i LEZI i E .0444'1 qrF OF NE.N ,�o _ NORTH SHORE EE WINDOW INC. NEW BALCONY 28970 MAIN ROAD CUTCHOGUE,NY 11935 —Hvic—� I I SCALE 1/8e-1'-0" i I i I DATE: 05.08.25 DRAWN BY: Z.E.N. NEW PLANTER BOX EAST ELEVATION SOUTH ELEVATION A=5 14'-7" 14'-7" 8'-11" 7'-11" 20'-0" Q�� � 7 , -- MAY 1 9 2025 MFCH/CLEANING FlFi-H41:J cJ�l,IL"' 1:11"'i;'I S EOHESS STAIR PLANNING BOARD PRINCIPAL PRINCIPALBFEAK III OFFlCEI OFFlCE2 RID 'PANIRY BATHROOM O O 1 O O RECEPTION DESK A LrIDI C1111,1711111 N ; ZEN DESIGN PROPOSED OFFICE Erg t PLOYEES _ 8-5-0 POST OFFICE BOX 88 DESKS CUTCHOGUE, NY 11935 DESKS DESK2 DESK3 DESKd ® PHONE: 631.513.6589 ' 0 U K O P Rl 0 0S'D S E C 0 F:l D These plans are copyrighted and are subject to copyright protection as an"architectural work"under Sec.102 of the FLOOR (� :!'I(�f^ E71 h! �' Copyright Act,17 U.S.O.as amended December 1990 and known v t_ C f_ 1—[ f-� as Architectural Works Copyright Protection Act of 1990.The protection includes but is not limited to the overall form as well as the arrangement and composition of spaces and elements of design.Under such protection,unauthorized use of these plans, work or home represented,can legally result in the cessation of construction or buildings being seized and/or monetary compensation to ZEN DESIGN LLC. NO. ISSUE DATE S. 50 0 09'20°E 200"01 01 PERMIT SET 09.24.24 02 REV 1 XX.XX.25 03 REV 2 11.13.24 O I r 05 REV 3 11.18.24 I I 06 IFC 12.08.24 - 6 _ 07 PLANNING BOARD 05.08.25 - r �EXISTIP,G CONIFEROUS PLANTINGS - 1 I 5 16 - w I _-- I g Ln c7 NEW MASONRY CURB W/WOOD - Z• I EXISTING TYP.9 x 19 PARKING SPOT NEW WOOD PLANTER BOX NEW MASONRY STOOP&STEP PLANTER BOX u� 15 ENTRANCE/EXIT- I I I a PROPOSED SECOND I < FLOOR OFFICE TENANT Ji 0 I 14 _ j 3 - - . t7 0 0 o INVENTORY z p LOADING ENTRANCE g(�RD ARC,S,i x UP - i D1 `o NORTH SHORE ��� ��.( E.Nt T� - w WINDOW INC. Q V� �0 n� I EXISTING ASPHALT PARKING LOT r NQ ;� O 13 h- I ENTRANCE/EXIT#1- c� _ NORTH SHORE � 4 on WINDOW INC. SHOW R00",4 FLOOR 9T� y0 ENTRANCE/EXIT 412- r OF NE'N U I EXISTING ASPHALT PARKING LOT (NO ISLES) NORTH SHORE WINDOW INC. 12 .�•- Lu 1FD a ® 1 MAl E Hr FEMAI F HC ( ® - BATHROOM BATHROOM � N ' a V = o 0 11 M NORTH SHORE Ln� - -- w EXISTING TYP.9 x 19 PARKING SPOT i WINDOW INC. 10 I 28970 MAIN ROAD - 7 � -- - CUTCHOGUE, NY 11935 (2)8 x 9 HANDICAPPED PARKING ua 2 I W SCTM# 1000 - 102 -6 -22 = NEW WOOD PLANTER BOX _ O O SCALE: '-0" - I 1? 9 1 �. DATE: 05.08.25 a I 4x8 TRASH ENCLOSURE - o N DRAWN BY: Z.E.N.N - �� - " 8 I z w - N. 50 ° 09'20"E 200.0 SITE PLAN I" I'I 1 V G I EI T SITE DA [ A,: ASPHALT WEARING COURSE REQUIRED#OF TAX NIAP: 1000-102-6-22 TYPE OF USE(PER 280-78) FLOOR AREA REQUIRED PROVIDED OWNER: NORTH SHORE WINDOW INC ASPHALT BASE COURSE PARKIN SPACES NORTH SHORE WINDOW INC- GROUP (M) MERCANTILE 78 HORSEBLQCK ROAD, UNIT 12 GRAVEL YAPHANK, NY 11980 WHOLESALE BUSINESS, INCLUDING J1PER1,000SQFT 3,000 SQFT I ZONING: HAMLET BUSINESS LUMBER AND OTHER BUILDING OF GROSS FLOOR (GROSS) 3 3 PRODUCTS AREA BUILDING AREA: 3,000 SQFT al 14 LOT AREA: 19,689 SQFT PROPOSED SECOND FLOOR ACCESSORY OFFICE TENANT- GROUP (B) BUSINESS PERCENT o� U�J EL 0 OFFICE, BUSINESS,GOVERNMENTAL 1 PER 100 SQFT I LOT COVERAGE: 15.2% &PROFESSIONAL EXCEPT OF OFFICE FLOOR 1,800 SQ FT 18 13 CURB DETAIL PHYSICIANS OR DENTISTS AREA N Michaelis, Jessica From:Cerezo, Mara Sent:Friday, June 27, 2025 12:43 PM To:Zackery Nicholson Cc:Michaelis, Jessica Subject:RE: Site Plan Review – North Shore Windows at Cutchogue Hardware Hi Zack, Thank you again for your patience as we’ve been working through the review. To help us move forward, please provide the following information and materials: 1. Letter of Intent Please include a brief narrative describing: The proposed business model, including operations in both the showroom and second-floor office space Whether the showroom will be open to the public, by appointment only, or trade-focused The number of employees expected on-site for both showroom and offices. Hours of operation This will help us properly evaluate parking needs and overall site use. 2. Updated Site Survey Please provide a current, stamped site survey prepared by a licensed land surveyor that includes: o Property boundaries o Existing structures, driveways, parking, and walkways o Location of the on-site well and sanitary system o Location and details of all on-site and nearby utilities and infrastructure, including water supply, electrical service, cable and telephone installations, transformers, fire wells, fire hydrants, and any alternative water and sewage systems. 3. Water Supply Since the site is not served by public water, please indicate the location of the on-site well on the updated site plan or survey. Provide documentation of the existing well’s approval and compliance with SCDHS requirements or clarify if the site will be connected to public water. 4. Sanitary System A sanitary feasibility letter was submitted, but the existing septic system location is not shown on the survey or site plan. Please update the plans to show the existing system and any proposed septic replacements. The Planning Board requires proof of compliance with Suffolk County Department of Health Services (SCDHS) standards. 5. Lighting No exterior lighting details have been provided. If lighting is proposed, please submit fixture types, locations, mounting heights, and photometric data as applicable. Please confirm compliance with the Town Code Chapter 172 lighting standards Please feel free to reach out if you have any questions while preparing these materials. We appreciate your cooperation and look forward to reviewing your updated submission. Best regards, Mara --------------------------- Mara Cerezo, Planner Southold Town Planning Department 1 sVuF Submission Without a Cover Letter P 15e b` MT 6( ice G C�C�CI��D MAY 19 2025 Name: 7, a G I� �,� N I cK0 SOUTHOLD TOWN L NIIINc s D Project Title: k o,,-� CO- C v -��(�o g u-C, 4a^d c vo t r-� SCTM#: 1000 - 10 2 , — (o Z Date: 51 I q 17,5- Details of Submission: A r'KLrJeJ San ;+ci,-y/ Fe a s{hi.1 `+( Cq . o -p G'� c s�j�prQ fig, e 4rm 5 G G4"1 d n,PI l.! ( 5 CI a.)9 V r-� �'✓'� �EE�[EEWFEa SOUTH OLD PLANNING BOARD MAY ,1 2 SITE PLAN APPLICATION FORM SOUTHOLD TOWN iite Plan Name and Location Site Plan Name: ,North Shore Window Inc. Application Date: 05 / 01 / 25 Suffolk County Tax Map#1000- 102 - 6 - 22 Other SCTM#s Street Address: 28970 Main Rd- Cutchogue Hamlet: wwwwwwwwwwwww_ �� Distance to nearest intersection: _ +-100' to Intersection of De of Lane & Main Rd Type of Site Plan: New XAmended Residential Zoning District Hamlet Business _w Owners/Agent Contact Information Please list name„ inqilh _ar i��av and, lay�a number car the er . lc below: Property Owner- Daren McEvoy _ mm Street 19 Inlet View Path City East Moriches state New.YorkZip 11940 Home Telephone 516.835.7235 Otheramm Applicant-North Shore Window Inc. �w__w street 78 Horseblock Road - Unit 12 City Ya hank state New York Zip 11980 Home Telephone 631-676.4800 Other ......... Applicant's Agent or Representative: Contact Person(s)* ;`acke E.wC is.hol o b. R - e'"I :I I D si n ww. Street PO Box 88 City Cutcho ue _ state New York _?ip 11935 Office Telephone 631 .513.6589 Other + M *Unless otherwise requested, correspondence will be sent only to the contact person noted here. Site Plan Application Form 211812010 Site Data Proposed construction type: New X—Modification of Existing Structure Agricultural .45 Acres ......�w ................_,Change of use Property total acreage or square footage: 19&9Q SF ac./sq. ft. Site Plan build-out acreage or square footage: 3,200 SF Byjldingffootprint Unchanged) 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_XN_. If"yes', explain(and attach any necessary documentation—title report, subdivision approval, etc.) ............. Building Department Notice of Disapproval Date: 01/-25-/25— 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: Merchantile Building w/Bsmnt=Storage, Ground R=Merchantile, Second FI=Storage List all proposed property uses: Merchantile Building wl Bsrnnt=StoTge, Ground FItMerchantile, Second Fl=Office Other accessory uses: N/A ...... Existing lot coverage: 16 % Proposed lot coverage: 16 % Gross floor area of existing structure(s), 5032 sq. ft. Gross floor area of proposed structure(s): 5032 Parking Space Data: #of existing spaces: 16 #of proposed spaces: 16 Loading Berth: Yes _Nof�' Landscaping Details: Existing landscape coverage: 20 % Proposed landscape coverage: 24% ............. Wetlands: Is this property within 500' of a wetland area? Yes No X Maybe ........................ .................. 1, the undersigned, certify that all the above information is true. Signature of Preparers Date: 05.01.25 2 Site Plan Application Form 211812010 NORTH S TAR May 16, 2025 7PLANWNG'EOARD a North Shore Window,Inc. MAY202 98 Horseblock Road,#12 TOWN Yaphank, NY 11980 i?,E Sanitary Feasibility Analysis 28970 Main Rd,Cutchogue, NY 11935 To Whom it May Concern, North Star Engineering, PLLC, conducted an evaluation of the allowable and proposed sanitary flows at 28970 Main Rd, Cutchogue, NY 11935 (SCTM #: 1000-102-6-22) (the Site) in accordance with Suffolk County Health Department Services (SCDHS) standards. EXRKfTINTOr CO I ONS: The project site is located at 28970 Main Rd, Cutchogue, Town of Southold, NY 11935 (SCTM #: 1000-102-6-22) and is currently developed with a two-story commercial building. Based on the previous SCDHS approval for the Site, dated December 28, 1990,the property is 20,000 SF (0.459 acres) in size. The subject property is in Groundwater Management Zone IV (4), which has an allowable sanitary flow rate of 600 gallons per day per acre (gpd/acre). Utilizing the gross lot area of 0.459 acres, the permitted sanitary flow would be 275A gallons per day (gpd) (0.459 acres x 600 gpd/acre = 275.4 gpd). However, the Site is shown as a single and separate parcel on the 1981 Suffolk County Tax Maps.As such,the property has an as-of-right allowable hydraulic flow of 300 gpd. Based on the previous SCDHS approval for the Site, dated December 28, 1990,the existing septic system is located on the northwest corner of the Site and consists of a 900 gal septic tank and one (1) 8-foot diameter by 12-foot effective depth leaching pool.The existing commercial building use is"dry retail',which has an existing sanitary flow of 96 gpd. North Star Engineering submitted a water verification request to the Suffolk County Water Authority (SCWA)to verify if the Site and all neighboring properties within 150-feet are connected to public water. The SCWA determined that the Site and the property located at 28700 Main Road, Cutchogue(SCTM#: 1000-102-6-20.002),are not connected to public water.Based on the previous SCDHS approval for the Site, dated December 28, 1990, the existing onsite well is located on the northeast corner of the property. r.. 11 STAR PROPOSED CONDITIONS: For the proposed building use, two options were initially evaluated in relation to the allowable sanitary flow for the Site (300 gpd). The first option is to maintain the first floor as dry retail and convert the entirety of the second floor to office space.The second option is to maintain the first floor as dry retail and convert the entirety of the second floor to an apartment. The proposed sanitary flows associated with each option are detailed below. Option#1 Gross Floor Area of 1" Floor = 3,220 sf Proposed Use = Dry Retail (0.03 gpd/sf) 3,220 sf x 0.03 gpd/sf = 96.60 gpd Gross Floor Area of 2nd Floor = 2,158 sf Proposed Use = Office (0.06 gpd/sf) 2,158 sf x 0.06 gpd/sf = 129.48 gpd Total Proposed Flow = 96.60 gpd + 129.48 gpd = 226.08 gpd 226.08 gpd < 300 gpd allowable flow for single and separate parcel 2"d Floor Office Space = Acceptable. Option#2 Gross Floor Area of 1It Floor = 3,220 sf Proposed Use = Dry Retail (0.03 gpd/sf) 3,220 sf x 0.03 gpd/sf= 96.60 gpd Gross Floor Area of 2"d Floor = 2,158 sf Proposed Use = Apartment greater than 1,200 sf= 300 gpd/unit Total Proposed Flow = 96.60 gpd + 300 gpd = 396.6 gpd 396.6 gpd > 300 gpd allowable flow for single and separate parcel 2"d Floor Apartment(>1,200 sf)would not be acceptable without a Transfer of Development Rights (TDR). Since an apartment greater than 1,200 sf would put the Site over its allowable flow of 300 gpd, a third option was evaluated to determine the maximum size for a second floor apartment,with the remainder of the second floor being used for dry retail.This option is detailed below. z STAR R f (.J I ICI I f: IR I NJ Option#3 Gross Floor Area of 1"Floor= 3,220 sf Proposed Use = Dry Retail (0.03 gpd/sf) 3,220 sf x 0.03 gpd/sf= 96.60 gpd Gross Floor Area of 2"d Floor= 2,158 sf Proposed Use: Apartment of 600 sf= 150 gpd/unit& Dry Retail for the remaining 1,558 sf(0.03 gpd/sf) 150 gpd + (1,558 sf x 0.03 gpd/sf) = 196.74 gpd Total Proposed Flow= 96.60 gpd + 196.74 gpd = 293.34 gpd 293.34 gpd < 300 gpd allowable flow for single and separate parcel 2"d Floor Apartment(600 sf) = Acceptable. Options 1 and 3 would result in proposed sanitary flows that are within the as-of-right allowable flow for the Site. Option 2 would exceed the as-of-right allowable flow for the Site and would require a variance from the SCDHS Board of Review (BOR) and the purchase TDR credits. At a minimum, the amount of TDR Credits that would be required in order to proceed with Option 2, are detailed below.Additional credits may be required at the discretion of the BOR.The BOR would likely require an I/A OWTS to be installed for Option 2. TDR Credits�e uir d for Option 2: Proposed Flow = 396.6 gpd Allowable Flow = 300 gpd Excess Flow = 396.6 gpd—300 gpd = 96.6 gpd 1 TDR Credit = 300 gpd/credit TDR Credits Required = 96.6 gpd/300 gpd/credit= 0.322 Credits SCDHS APPLICATION REQUIREMENTS: The existing septic system consists of a 900 gal septic tank and one (1) 8-foot diameter by 12-foot effective depth leaching pool. Based on the previous SCDHS approval, the existing system is properly sized for Options 1 and 3. However,the system could only be certified for continued use if it is in good structural condition and there are no new site features encroaching into the separation distance requirements as compared to the previous SCDHS approval. In 2021,the SCDHS updated their standards for commercial applications to require the installation of Innovative and Alternative Onsite Wastewater Treatment Systems (I/A OWTS) for "New Other Construction Projects". The SCDHS defines a "New Other Construction Project" as any change of use, building addition, or increase in sanitary flow that requires the installation of new sewage 3 . . STAR * wo / mscn / ua disposal facilities.After discussions with eSCDHS reviewer,we are confident that the installation of anI/AOVVTS will only be required inthe event that the existing septic tank cannot be certified for continued use. Should an application be made to the SCDHS Office of Wastewater Management,they will require that the Site be connected to public water. N8XTSl'EP8: If you wish to proceed with a formal application to the SCDHS, North Star Engineering will perform o certification inspection to confirm that the existing sanitary structures are properly sized, are precast concrete,and are in good structural condition.The sanitary system will need to be pumped out and measured by a cesspool company at the time of inspection and the covers on the sanitary structures will need to be exposed.If the existing system is determined to be acceptable, a formal plan set will be prepared for submission to the SCDHS. The plans will depict the proposed water line location. An updated site survey will be required in order to prepare the sanitary plans. The survey will need to include the locations of all existing utilities(i.e.electric,gas, drainage, etc.). Please feel free to contact us if you have any questions regarding this sanitary analysis. Regards, ^ 7*/�(�.2��� &wm^xa Maggie F.Vevrica' PE Sarah M. Q.[hunchiU' PE mvavhca@northmarpUccom schunchiU@northstorpUczom (516)761'3826 (516) 521'7712 4 FORM NO.3 MAY 19 2025 TOWN OF SOUTHOLD SOUTHOLD TOWN BUILDING DEPARTMENT pLaNrcgs SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL DATE:April 25,2025 �b TO: 28970 Main Rd LLC 78-12 Horseblock Rd APR 2 5 2025 Yaphank,NY, 11980 SOUTHOLD Town PLANNING BOARD Please take notice that your amended application dated March 13,2025: For permit to: to construct second-go second-goly alterations to an existing commercial building to change the use_fMM stompte to offic at: Location of property: 28970 Main R utcho ue NY County Tax Map No. 1000—Section 102 Block 6 Lot 22 Is returned herewith and disapproved on the following grounds: Pursuant to Article XXIII,aection 2W 127 the prMsed use re wires site plan a roval from the, Squthold'rown Planning rd You may now apply to the Planning Board directly. 4Al2ro,tj Anted Signature Note to Applicant:Any change or deviation to the above referenced application, may require further review by the Southold Town Building Department. CC:file,Planning Board APPLICANT'S AFFIDAVIT APPLICANT'S AFFIDAVIT STATE OF NEW YORK COUNTY OF SUFFOLK `w_ i ..._....... being duly sworn, deposes and says that he resides at ;.�.�`� the . �...._.m_kwkwkwwwww.__ in State of New York, and that he is the owner of property located at 28970w Main Rd,w.Cutche ue , SCTM#_,1000-102-6„-22 _._m...> or that he is the c . at ,l ( h of the ( ,(...o (Title)µµµµµµµ w_.__._._........ (Specify wl er Partnership or Corp)- wwwwww_------------------..----_.m-..w-wwww_ and said Corporation is the owner of the above property, which is hereby making a Site Plan application; that there are not existing structures or improvements on the land which are not shown on the Site Plan; that the title to the entire parcel, including all rights-of-way,has been clearly established and is shown on said Plan; that no part of the Plan infringes upon any duly filed plan which has not been abandoned both as to lots and as to roads; that he has examined all rules and regulations adopted by the Planning Board for the filing of Site Plans and will comply with same; that the plans submitted, as approved, will not be alter or changed in any manner without the approval of the Planning Board; and that the actual physical improvements will be installe ifi strict accor lance with the plan as approved by the Planning Board. Signed ,� -� Owner Signed _. ................... _........_............ _.w_.l_� (Partner or Corporate Officer Title) Sworn to me this w day of ._.r k...... Linda McLean Notary Public, ,state of New York ... herd. No. OI MC617 2 0 kualifla�l in Suffolk Cc> nt otarM.. I u ..w . . _ww..............................................Mm .w wwww_ Commission Expires 09/2712 w27 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: NO1t,r1.....5.h—QLQ...V.V1.1"—dQ_W I Il-wwwwwww_.--- 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- 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_____ _ww.._ w. 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 _20 Signature- Print Narne Disclosure Form (-/ KIV'411 (511411114('� WINNOW 78 Horseblock Road, Unit 12 Yaphank, NY 11980 631.676.4800 1 Office April 29, 2025 I, Daren McEvoy, President of North Shore Window, Inc. &owner of the property identified as SCTM# 1000- 102-6-22 in Cutchogue, NY, hereby authorize Zackery E. Nicholson, RA ZEN Design (631) 513.6589 to act as my agent and handle all necessary work involved with the site plan application process for this property with the Southold Planning Board. Signature. Sworn before me this day of 20 " Notary Public Linda McLean Notary Public, State of New York Reg. No. 01 MC6173290 Qualified in Suffolk County Commission Expires 08/27/2027 NORTH SHORE WINDOW INC.COM RRIDGFHAMPTON • YAPHANK • WFSTHAMPTON i. P Town of Southold ���� LWRP CONSISTENCY ASSESSMENT FORM MAY 1 025 SOUTHOLD TOWN PLANNING BOARD 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. pro osed ..,,actio will t v luated a i i cant beneficial and adverse effects a al orr the coastal area(Ali Lc i—clud ref Southold Tow n,), 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- sunnorting 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# 102 PROJECT NAME North Shore Window Inc The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board 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: C ?a. 2-n I -QL! %4 >_ 1 !G .. 1"t M �" r W Q use - Office space. Location of action: 28970 Main Rd - Cutcho ue, NY 11935 Site acreage:IT 19,690 S F..=wIT.45 Acres _..w.w...... ...m.._....wwww._._ ..... Present land use: Mercantile Present zoning classification: Hamlet Business 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: North Shore Window Inc (b) Mailing address:78 Horseblock Rd - Unit 12 - Yaphank, NY 11980 (c) Telephone number: Area Code( ) ial-1w "6.44 f 1............_. . (d) Application number, if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ NoX If yes,which state or federal agency?..M...... 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 OAST 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. Oyes ❑ No ❑ Not Applicable Our mormsed renovation and ada tive reuse of this building fosters a paftern of development in Southold that enhances communit character and reserves o en s ace. l transformin the ex'rstin commercial space, we convert the second floor from vacant storage into rentable office space for a local business thereby reducing the need for new construction elsewhere and minimizin the carbon foot tint of our nei hborhood. Additionally, we will enhance the building's exterior bv incomoratina desi n details that reflect and reserve local aesthetics ensurin that our ro"ect all ns with the communit "s character while making efficient use of existin infrastructure. 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 ❑ NoX Not Applicable 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 XYes ❑ No ❑ Not Applicable x Cigar rp osed renovati(In n ads tive reuse of this building, will enh�,nge this . -existing-cm.. -extedor.. nth 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 $through 16 for evaluation criteria E] Yes ❑ NoX Not Applicable 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 F]Yes ❑ No XNot Applicable 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. El Yes [:] No XNot Applicable 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. xYes ❑ No❑ Not Applicable Our ro osed renovation and ada tine reuse of this buiidin transforms an existin commercials ace oonvertin� the second fioor from vacant st�ra nto rentable .-ne* r nnri, 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. F] Yes ❑ No X Not Applicable 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❑ NoJX Not Applicable 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 ❑ NoXNot Applicable 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. Fl Yes ❑ NoX Not Applicable 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. E] Yes ❑ NoxNot Applicable 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 X Not Applicable PREPARED BY Zack@ E. Nicholson RA TITLI A Ent DATE 05.01 .25 Amended on 811105 Full Environmental Assessment Form d UWIMIID Part I -Project and Setting IIY 1 Instructions for Completing Part 1 SOt1THOL0 TOWN PLANNING BOARD Part 1 is to be completed by the applicant or project sponsor. Responses become part of the application for approval or funding, are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information;indicate whether missing information does not exist, or is not reasonably available to the sponsor;and,when possible,generally describe work or studies which would be necessary to update or fully develop that information. Applicants/sponsors must complete all items in Sections A&B. In Sections C,D&E,most items contain an initial question that must be answered either"Yes"or"No". If the answer to the initial question is"Yes",complete the sub-questions that follow. If the answer to the initial question is"No",proceed to the next question. Section F allows the project sponsor to identify and attach any additional information. Section G requires the name and signature of the applicant or project sponsor to verify that the information contained in Part lis accurate and complete. A.Project and Applicant/Sponsor Information. Name of Action or Project: North Shore Window Inc-Proposed Second Floor change of use Project Location(describe,and attach a general location map): 28970 Main Road-Cutchogue,NY 11935 Brief Description of Proposed Action(include purpose or need): Change the Use of an Existing Second Floor space.Existing Use is Storage,Proposed Use is a second building tenant Office space. Name of Applicant/Sponsor: Telephone:631.513.6589 Zackery E.Nicholson,RA-ZEN Design E-Mail: ZENicholson.ARCH@vgmail.com Address:PO Box 88 City/PO:Cutchogue State:New York Zip Code:11935 Project Contact(if not same as sponsor;give name and title/role): Telephone: E-Mail: Address: City/PO: State: Zip Code: Property Owner (if not same as sponsor): Telephone: North Shore Window Inc E-Mail: Address: 78 Horseblock Road,Unit 12 City/PO: Yaphank State: New York Zip Code:11980 Page 1 of 13 B.Government Approvals B.Government Approvals,Funding,or Sponsorship. ("Funding"includes grants,loans,tax relief,and any other forms of financial assistance.) Government Entity If Yes:Identify Agency and Approval(s) Application Date Required (Actual or projected) a.City Council,Town Board, ❑Yes❑No or Village Board of Trustees b.City,Town or Village ®Yes❑No Planning Board May 2025 Planning Board or Commission c.City,Town or ❑Yes❑No Village Zoning Board of Appeals d.Other local agencies ®Yes❑No Health Department June 2025 e.County agencies ❑Yes❑No f.Regional agencies ❑Yes❑No g.State agencies ❑Yes❑No h.Federal agencies ❑Yes❑No i. Coastal Resources. i. Is the project site within a Coastal Area,or the waterfront area of a Designated Inland Waterway? ❑YesmNo U. Is the project site located in a community with an approved Local Waterfront Revitalization Program? ❑YesmNo iii. Is the project site within a Coastal Erosion Hazard Area? ❑YesmNo C.Planning and Zoning CA.Planning and zoning actions. Will administrative or legislative adoption,or amendment of a plan,local law,ordinance,rule or regulation be the mYes❑No only approval(s)which must be granted to enable the proposed action to proceed? • If Yes,complete sections C,F and G. • If No,proceed to question C.2 and complete all remaining sections and questions in Part 1 C.2.Adopted land use plans. a.Do any municipally-adopted (city,town,village or county)comprehensive land use plan(s)include the site ❑Yes®No where the proposed action would be located? If Yes,does the comprehensive plan include specific recommendations for the site where the proposed action ❑YesmNo would be located? b.Is the site of the proposed action within any local or regional special planning district(for example:Greenway; ❑YesmNo Brownfield Opportunity Area(BOA);designated State or Federal heritage area;watershed management plan; or other?) If Yes,identify the plan(s): c. Is the proposed action located wholly or partially within an area listed in an adopted municipal open space plan, ❑Yes®No or an adopted municipal farmland protection plan? If Yes,identify the plan(s): Page 2 of 13 C.3. Zoning a. Is the site of the proposed action located in a municipality with an adopted zoning law or ordinance. ®Yes❑No If Yes,what is the zoning classification(s)including any applicable overlay district? Hamlet Business b. Is the use permitted or allowed by a special or conditional use permit? ®Yes❑No c.Is a zoning change requested as part of the proposed action? ❑Yes®No If Yes, i. What is the proposed new zoning for the site? CA.Existing community services. a.In what school district is the project site located? MattitucCutchoue b.What police or other public protection forces serve the project site? Southold Town Police c.Which fire protection and emergency medical services serve the project site? Cutcho ue Fire Dept. d.What parks serve the project site? N/A D.Project Details "'Out..Proposed and Potential Development a.What" s lie general nature of the proposed action(e.g.,residential,industrial,commercial,recreational;if mixed,includ gal( compon n b.a.Total acreage oft site of the proposed action? acres b.Total acreage to be plahic all disturbed? _ _. acres .M c.Total acreage(project site any contiguous properties)owned or controlled by the applicant o pro ject sponsor? acres oo� c.Is the proposed action an expansion of a&e ;isting project or use? `" ❑Yes❑No L If Yes,what is the approximate percentage""bf"the proposed expansion and ide the units(e.g.,acres,miles,housing units, square feet)? % Units:, d.Is the proposed action a subdivision,or does it include "sobdivision. ®Yes❑No If Yes, i.Purpose or type of subdivision?(e.g.,residential,industrial, ercial if mixed,specify types) ii. Is a cluster/conservation layout proposed? ❑Yes❑No iii.Number of lots proposed? iv. Minimum and maximum proposed lot size "'`"v�llinimum Maximurtw e.Will the proposed action be construct c i^tt multiple phases? OYesONo L If No,anticipated period of cons Lion: mo ii. If Yes: �e"lo w Total number of 46s'anticipated • Anticipated co nencement date of phase 1 (including demolition) month �yea • Anticipa completion date of final phase month _wear �m 0 Cene al y describe connections or relationships among phases,including any contingencies where progress"bf�p"pe phase may �t'tttainc timing or duration of future phases: ........... � " Page 3 of 13 N ,Does the project include new residential uses? [3Yds0No ties,show numbers of units proposed. One Family Two Family Three Family Multiple Family flour or more Initial.0ase At coanplon of all phas!L ............. _w...ww_._._._.w. g.Does the prop °red action include new non-residential construction(including expansions)? Yes❑No If Yes, i.Total number of structures_w ii. Dimensions(in fe et' al'largest proposed structure: height; width; and lengt' iii. Approximate extent o: uilding space to be heated or cooled: _ square feet h.Does the proposed action i .tide construction or other activities that will result in the impoundment any ❑Yes❑No liquids,such as creation of a* ter supply,reservoir,pond,lake,waste lagoon or other storage? If Yes, i. Purpose of the impoundment: . U. If a water impoundment,the pa incip source of the water: Ground water urface water streams[30ther specify: I fother—than water,identify the type of i uaaiie7(i�containec liquids and their sottrc ......m ..................... ...__................ _.._.._.......................... __............... __------w...ww-- �p iv. Approximate size of the proposed impoundm t, Volume: lion gallons;surface area: acres v. Dimensions of the proposed dam or impaauadin structure: ltci length vi. Construction method/materials for the proposed%�or impounding struct •(e.g.,earth fill,rock,wood,concrete): _._w.._............. .._ _ ............. _...._._w_...w_ " _..�,....------ww_w..._.www.- .M.M.M.M.M.M.M...M.M.M.M...._......_.M.__m . . .. w....w...._..M.m_.M....M.m_.M_ M...... .. D.2. Project Operations a.Does the proposed action include any excavation,mining,or d ng,during construction,operations,or both? Yes No (Not including general site preparation,grading or installation o tilities or foundations where all excavated materials will remain onsite) 1 If Yes: i.What is the purpose of the excavation or dredging? _ _ U.How much material(including rock,earth, s=tc.) „ d to removed from the site?mNWpppp• Volume(specify tons or cubic yards): • Over what duration of time? _iii. Describe nature and characteristics of materi i to be excavated or dredged,and" �ns to use,manage or dispose of them. .......__...._......_ _._ _w w _. _kww_.w..... .w .................. ............... ........ ._.........w..................... w.._..m.m -_m_._.m... iv. Will there be onsite dewatering or pr essing of excavated materials? Yes No If yes,describe. v. What is the total area to be dr ged or excavated? µ Y_�w �_ _ µ. y ores W W W �W^^^^ vi. What is the maximum area be worked at anyone time?..... es via. What would be the maxi. m depth of excavation or dredging? feet: viii.Will the excavation re ire blasting? ❑Yes❑No ix. Summarize site recl a ation goals and plan:.. ....... �._.� .....�......._ b.Would the roposed action cause or result in alteration of,increase or decrease in size of,or encroachment es Nei into an -xisting wetland,waterbody,shoreline,beach or adjacent area? If Yes: is ld tify the wetland or waterbody which would be affected(by name,water index number,wetland map number or geogralil�t,c Zescription): _........ -- . ---------------------------- ----....--_._---—.—.—----------- w............................_._. �w_............... . ..... Page 4 of 13 ii;Describe how the proposed action would affect that waterbody or wetland,e.g.excavation,fill,placement of structures,or w alteration of channels,banks and shorelines. Indicate extent of activities,alterations and additions in square feet or acres: �.. ... .. www........... ... w_.___...ww.www.w.w....-............w_ _..... _.wwwwww.w.wwwww.w.www... .._.w_,_.._.._ w.www._..wwwww.._._w.w.w.w.w.w..........., _.....w_. Will the 1 posed action cause or result in disturbance to bottom sediments? (�es If Yes,desc be: _ iv. Will the prop" ed action cause or result in the destruction or removal of aquatic vegetation? _ Yes❑No If Yes: • acres of aqua vegetation proposed to be removed: __wwwwwwwwwww_w w.w w w_ w ww_w• expected acreal ;.ofaquatic vegetation remaining after project completion:, _..... ,_.__.............. .................. � • purpose of proposo,,,removal(e.g.beach clearing,invasive species control,boat access): M ._._._._._._._. ._._._...._............ ... ..._ —,./.............................. __w__w.._m _...._.................w_. • proposed method of plt removal: _ _ i`Tl ..... • if chemical/herbicide tre ent will be used,specify product(s): ........__..__.......................................................................... ......................................_....... ..........w.......................... v.Describe an proposed reclaznatibt/miti ation following disturbance: pq ----------- SIN g g c.Will the proposed action use,or create a jew demand for water? ❑Yes o If Yes: i.Total anticipated water usage/demand per : allon s/day ii.Will the proposed action obtain water from%sexisting public water supply? ❑Yes❑No If Yes: • Name of district or service area: _ • Does the existing public water supply have cap zity to serve the pr osal? ❑Yes[--]No • Is the project site in the existing district? ❑Yes❑No • Is expansion of the district needed? µ„ ❑Yes[-]No • Do existing lines serve the project site? Cl Yes❑No X. Will line extension within an existing district be necessary to, ply the project? ❑Yes❑No If Yes: • Describe extensions or capacity expansions proposed to serve project: m _._m...ww._._._....... ..................................... _............................................ _..... .......... • Source(s)of supply for the district: w iv.Is a new water supply district or service area pro sed to be formed to servproject site? ❑Yes❑No If,Yes: • Applicant/sponsor for new district: • Date application submitted or antic4 ed: P p source(s) Y district _.._...._... .. ................ _. ..................................._.........._ -.._... _._....re • Proposed source s o supplyWed, v. If a public water supply will not be describe plans to provide water supply for the roje�'t _. ...................................................__.................................._..._.....__ .._.......... .. .........�...._....................w..._..............._..�............�. __.........................__..........................._....._..............................�.._.._..._.. ..._._. vi.If water supply will be from wel (public or private),what is the maximum pumping capacit gallons/minute. d.Will the proposed action gen sate liquid wastes? ❑Yes❑No If Yes: , i. Total anticipated liquid rite generation per day: w ww ww.........._ gallons/day ii.Nature of liquid was �to be generated(e.g.,sanitary wastewater,industrial;if combination,describe al'��mponents and approximate vol.ur s or proportions of each): ....._ww------ww...-..._www_ww._www - _� .. .. �..�..W................ .... .........._ X.'Will she pro scd action use any w existing public astewater treatment facilities? Yes❑No If N • N , e of wastewater treatment plant to be used: • ame of district: • Does the existing wastewater treatment plant have capacity to serve the project? ❑Yes o Is the project site in the existing district? ❑YesN • Is expansion of the district needed? ❑Yes❑No Page 5 of 13 Do existing sewer lines serve the project site? [' Yes®No Will a line extension within an existing district be necessary to serve the project? QYesE]No If Yes: m„ • Describe extensions or capacity expansions proposed to serve this project: ....._,,,—__www._..........-._w_w_.__www_w_. ww......w........ ............... .......... ..._..._..._. ._..n............ � _. iv. Will a ne astewater(sewage)treatment district be formed to serve the project site? 'es❑No If Yes: pp � p nsor for new district: ............._...ww..._........www.._w_..........._..........ww.....www_w....www............... ._ _..... _...__.. ...... ....... . _.www. ........ • AlicaM s o • Date • What p subrrutted or anticipated: w_ . s the r _ __ .... ...._..__ eiv ing water for the wastewater discharge? for the project,incl,u °w� r r v. If public facilities wall ,ot be used,describe plans to provide wastewater treatmentp j , " specifying proposed receiving water(name aclassification if surface discharge or describe subsurface disposal plans): vi. Describe aWiplans or designs t apture,recycle or reuse liquid waste: -WW WWww IT _......... .:.............. ............._.._ _.w_...M........_... e.Will the proposed action disturb more th�a one acre and create stormwater runoff,eith from new point ❑Yes❑No sources(i.e.ditches,pipes,swales,curbs,g tars or other concentrated flows of storwrater)or non-point source(i.e.sheet flow)during construction ost construction? If Yes: i.How much impervious surface will the project cr to in relation to total size project parcel? Square feet or acres(impervio surface) Square feet or acres(parcel size)` U. Describe types of new point sources. _ _w .._._......._._. ..www._ .w iii. Where will the stormwater runoff be directed(i.e.on-site or►w 'ter management facility/structures,adjacent properties, .mm .M.- groundwater,on-site surface water or off-site surface waters). ...............www.,..._.......................................... ._._w......._w_-...................� ........... ............. � ww_._.ww_.........._........................-._................-__www _w.w------------m .mmmmmm .......______._........._.... • If to surface waters identify receiving water bodie "or weal; - ' dsw. ..._..............................-.�._.... ........................ ___.....___ mm�.WWWWW Ww�.�.........._www...wwwwww�.ww.w...._.._..._.._.._... _www............m...._..�..�.....m...wwm...-.�,__ww.........._..._.......................... ................._ ......... ..........._.. • Will stormwater runoff flow to adjacent pr roes? ❑Yes❑No iv.Does the proposed plan minimize impervious s face-s,use pervious materials collect and re-use stormwater? ❑Yes❑No f. Does the proposed action include,or will it eon-site,one or more sources of air i lions,including fuel OYes�No combustion,waste incineration,or other p cesses or operations? If Yes,identify: i.Mobile sources during project opera. n (e.g.,heavy equipment,fleet or delivery vehicle at. Stationa sources Burin cc'nst ca t-ion..e. ower en_... ................_.............................._......................................._�.....__.. .....,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,............................. _._.,. �ry g,.w r ( g.,p g eration,structural heating,batch plant; crshers) ..w....w._.ww..._...___.��....ww....�..www_wwwwww.w_ww.ww_. _ww.—....ww.ww_w.ww. www..�.w.ww_...ww........_.._..___..............._..................____..._.._...._.........�..�._.__._.w.__.wwww...._"° � ... ... _. . iii. Stationary sources during t> erations{e.g.,process emissions,large boilers,electric generation) g.Will any air emission ros named in D.2.f(above),require a NY State Air Registration,Air Facility it, ❑Yes❑No or Federal Clean Air ct Title IV or Title V Permit? If Yes: i. Is the project sit ocated in an Air quality non-attainment area? (Area routinely or periodically fails to meet ❑Yes❑No ambient air q it standards for all or some parts of the year) ii. In addition emissions as calculated in the application,the project will generate: • Tons/year(short tons)of Carbon Dioxide(CO2) • Tons/year(short tons)of Nitrous Oxide(N20) • —Tons/year(short tons)of Perfluorocarbons(PFCs) Tons/year(short tons)of Sulfur Hexafluoride(SF6) _...w.w..ww..Tons/year(short tons)of Carbon Dioxide equivalent of Hydroflourocarbons(HFCs) " * _... 1"onslyear(short tons)of Hazardous Air Pollutants(HAPs) Page 6 of 13 l4.Will the proposed action generate or emit methane(including,but not limited to,sewage treatment plants, DYesnNo lndfills,composting facilities)? If Yr. i. E to methane generation in tons/year(metric): _ ii. Descri any methane capture,control or elimination measures included in project design(e.g.,combustion to getic.rate eat or electricity „ arias ): � ... �,r.ww_._wwww_ww_ ol i.Will the propose "a tion result in the release of air pollutants from open-air operations or processes,such as / OYes❑No quarry or landfill op tioaas? If Yes:Describe cperatio and nature of emissions(e.g.,diesel exhaust,rock particulates/dust): _...................................................... ..._.._.._............................_._............_._w ___,.,m ._ .._ ._.........__m w_._._,...... ._.,_.._.....__.._..._._ ......... ... j.Will the proposed action result in ^ ubstantial increase in traffic above present levels or gener -substantial ❑Yes❑No new demand for transportation facilii s or services? If Yes: i. When is the peak traffic expected(C hec ll that apply): ❑Morning f yr as g ❑Weekend ❑Randomly between hours of ' o ii. For commercial activities only,projected nuns Zr of truck trips/day and type semi trailers and dump trucks): �....._ iii. Parking ces: Existing iv.Does thesproposed action include shared use parking ,� � Net increase/decrease � ❑Yes❑No Y p g v. If the proposed action includes any modification of existing ,creation of new roads or change in existing access,describe: vc. Are public/private transportation services)or fa cilitie............_..w_ . .m..._...m.............._.�.___._�__............_._...._..�...�......._...........wwwww wwwwww....wwww._.................. _...__ .............�._._..s ava le v�^iilaiaa'h mile of the proposed site? ❑Yes❑No vii Will the proposed action include access to public traaaspa r ation or aac ammodations for use of hybrid,electric ❑Yes❑No or other alternative fueled vehicles? viii.Will the proposed action include plans for pedesti or bicycle accommo tions for connections to existing ❑Yes❑No pedestrian or bicycle routes? k.Will the proposed action(for commercial r industrial projects only)generate new or ditional demand f[3Yes No for energy? If Yes: i. Estimate annual electricity dea"nodduring operation of the proposed action: ii.Anticipated sources/suppli s of electricity for the project(e.g.,on-site combustion,on-site rcnewai° via grid/local utility,or other): iii.Will the proposed Lion require a new,or an upgrade,to an existing substation? _ , E]YesnNo 1.Hours of OperUtion, Answer all items which apply. i.During C; nstruction: ii. During Operations: onday-Friday: M Monday-Friday: • Saturday: � ^Saturday: Sunday: +► Sunday: • Holidays:_w_w_.____ Holidays: _w_... _. .. Page 7 of 13 °fin.Will the proposed action produce noise that will exceed existing ambient noise levels during construction, O Yes❑No operation,or both? If y is Pro "de details including sources,time of day and duration: ° .._................__._...... ...................__..................... __w_..w _...w_._. _....._.__..... w_._. aa. Will the p� sed action remove existing natural barriers that could act as a noise barrier or screen? ❑ es ONo Describe: ._�._ ,....�_.............................................._.wwww................._._.__._. �...... n.Will the proposed t:i.on have outdoor lighting? ❑Yes❑No If yes: �� i. Describe source(s), locton(s'),height of fixture(s),direction/aim,and proximity to nearest occupied st tures: ii. Will proposed action remove isting natural barriers that could act aspa light barrier or screen? 0 Yes 'No Describe: _._. _...................._.._._._w ..www_.w.. ._M_.._...._.w.w................ww__............._....... ...................__....................__ _m ......w .._ ............__.._............_......._.. w.....................w_... __....._....._......._w _.._.._.._..._......__._.......�...... .._.._ o. Does the proposed action have the pot(; dal to produce odors for more than one hour pe( ay" ❑Yes❑No If Yes,describe possible sources,potent ir' frequency and duration of odor emissions and proximity to nearest occupied structures: .ww m _...... _-.w.-.._..._--- ._..._.._... _....._wwwww_ .........................m. m__ . ._.. ..._.......w._._., N..,...._.._______.ww_.._.._.._.__.._... ...................... . �._.. ...w_.._._...w_ ...�_�.. _... p.Will the proposed action include any bulk storage of (^troleu(n(c(ambinedapacity of over 1,100 gallons) El Yes❑No or chemical products 185 gallons in above ground stoma or any/.ar)iu t'in underground storage? If Yes: i. Product(s)to be stored._w ......................_._._........w............... .: U. Volume(s) per unit time __. {e.g.,month, _._..........................._...._.......................wwww_._......_...._...._...._.wwww .....................wwww_.._...... wwww.. iii. Generally,describe the proposed storage facilities: ` q.Will the proposed action(commercial,industrial and r ational proje only)use pesticides(i.e.,herbicides, (�Yes ❑No insecticides)during construction or operation? If Yes: i.Describe proposed treatment(s): —._.........M..._...M_M._....._----_m.....----�----. _ .m._.......... _...w_......_..___............................._.�. __................_....................................�............._....................._M......... .... �_............._ ....M.M.M._M..w._m._. m ..M.�._ _�.M.M.. m.�... ........ .............................. . _. ii.Will the roW used action use minte wwww��Pest 1 lanagementPractices? m m uMMm -AM M ry ry M mM 0 Yes QNo r.Will the proposed action(commerc` I or industrial projects only)involve or require the mans: meat or disposal ❑ Yes []No of solid waste(excluding hazard s materials)? If Yes: i. Describe any solid waste( /to be generated during construction or operation of the facility: " * Construction- ...... �..... . ._._._ ...................._.._... tons per (unit of time) w Operation: . tons per (unit of time) ii. Describe any pr�als,for on-site minimization,recycling or reuse of materials to avoid disposal as solid�te: Constructi _m-mm_, ..----------.__. _._..................__ _.-_.._a_......._..........._....._.._............ 71, Operation w........... __ ........ iii.P'ropos disposal methods/facilities for solid waste generated on-site: ..............w...._ « `onstrraction; Operation: ._ ._..........._____ _ .W�..w.__ _w_ _.__._. mm _w_._. _._......._._........................... ..... ..........~......~..~. ....... ...................._..M....... ...M._m....... .......................___._.........__._._. _......................................................... _..._._._._......._.__......................................._w.ww_w. ._._..._.._._.............._...... _...._m_.w.wwww_ Page 8 of 13 Does the proposed action include construction or modification of a solid waste management facility? ❑Yes No "es: i. ' ype of management or handling of waste proposed for the site(e.g.,recycling or transfer station,composting,landfill,or 6�berdisposal activities):.__...__._.._..... ........ �._........... w _x....�.�... �.a......_................... ii. An4qipated rate of disposal/processing: � ........... + _ _ Tons/month,if transfer or other non-combustionithermal treatment,or ...... Tons/hour,if combustion or thermal treatment W. If landfill, ticipated site life: years t.Will the proposed�action at the site involve the commercial generation,treatment,storage,or disposal of hazardo�s❑YesnNo waste? If Yes: 11 i.Name(s)of all hazard4ls wastes or constituents to be generated,handled or managed at facility:.w __ ......w w. ,. _.......___.............. ....�...................,�. ...........www_www.....—.�.._....ww... ..w_...... .. .�..._ ... _ ...m._w.wwwwwwwwwwwwwwwwwww.....�.....�wwwwww.._wwwww.w._wwww .. .._.....�. .. .. ......_��.........�... aa. Generally describe proceser activities involving hazardous wastes or constituents: W. Specify amount to be handled or g erated tons/month iv.Describe any proposals for on-site rut `artiwra ie>n,recycling or reuse of hazardous const'6en1s: _..........w....w....._...................__...........__................_........._._....._......... V. Will any hazardous wastes be disposed at an fisting offsite hazardous waste f ,ity� Yes No If Yes:provide name and location of facility: If No:describe proposed management of any liazardous�waaste7whilc:h:will no a sent to a hazardous waste facility: w _. _. ......wwwwwww.......... �..- _..................... ._....wwwwwwww....w.......... ._.......... � ....... w......wwww.wwww._..w-............. .._..w..� .........._....ww.w.w_......w__ w_www_. _mow ..........._ _ _......_.ww....w.wwww_wwwwwww........_ __ �.............W......� E.Site and Setting of Proposed Action E.1.Land uses on and surrounding the project site a.Existing land uses. i. Check all uses that occur on,adjoining and near the ject site. ❑ Urban ❑ Industrial ❑ Commercial ❑ 'Res' ential(suburban) Rural(non-farm) ❑ Forest ❑ Agriculture ❑ Aquatic ❑ t er(specify): ii. If mix of uses,generally describe: w...., .._....__........................................... .......................................................: _._._._._.................................................................._._._._._._............................._ b.Land uses and covertypes on the projec ite. Land use or Current Aveage Alter Change Covertype Acrea e Proje t,Completion (Acres • Roads,buildings,and other 1) ed or impervious surfaces • Forested • Meadows,grasslands r brushlands(moron- a ricultural,inclutl" abandoned agricultural) • Agricultural (includes ac tiv orchards,field,greenhouse etc.) • Surface wa r features (lakes, ds,streams,rivers,etc.) • Wetla (freshwater or tidal) • Nc vegetated(bare rock,earth or fill) • thcr Describe:_www_mow._......—._._..... ............_._....�................. .�. Page 9 of 13 Is the project site presently used by members of the community for public recreation? Yes No If Yes:explain: d.A there any facilities serving children,the elderly,people with disabilities(e.g.,schools,hospitals,licensed [:]Yeses day `ae centers,or group homes)within 1500 feet of the project site? If Yes, i, ldentify"Iac ilhies: __. e.Does the project si d�arnand contain an existing dam? 7 Yes❑'l�lo If Yes: • Dam height: feet a. Dimensions of the impoundment:._._._._................._._..._._.ww....._._._._.ww_. ......._._._._.w_._..www..........ww._ • Dam length: feet * Surface area: acres • Volume impounded: gallons OR acre-feet ii. Dam's existing hazard classih'catio w W. Provide date and summarize results 4,last inspection: wwwww wwwww- ww...._ wwwwwwwww� __wwww._...........wwww._w. _. _.......—.......... f.Has the project site ever been used as a municip ,commercial or industrial soli aste management facility, ❑Yes❑No or does the project site adjoin property which is ra w,or was at one time,use as a solid waste management facility? If Yes: L Has the facility been formally closed? ❑Yes❑ No • If yes,cite sources/documentation:..www ii.Describe the location of the project site relative to the bouaries 'the solid waste management facility: W. e y p to p �_w^m �...._................._...............w.......wm.w_.....�..� .............. .................._.... W. Descnbe an develo ment constraints due to the nor soli waste ct�vzt�cs: mmmw _.....�. w... _. _. .. g.Have hazardous wastes been generated,treated and/opdisposod of at the s' e,or does the project site adjoin ❑Yes❑No property which is now or was at one time used to c a imercially treat,store aAPr dispose of hazardous waste? If Yes: i.Describe waste(s)handled and waste nianagejWent activities,including approxii to time when activities occurred: h. Potential contamination history. 14 , ere been a reported spill at the proposed project,�c,or have any OYesO No remedial actions been conducted a9 r adjacent to the proposed site? If Yes: i. Is any portion of the site liste on the NYSDEC Spills Incidents database or Environmental S 4N, ❑Yes❑No Remediation database? C,l ck all that apply: , ❑ Yes—Spills Incident•database Provide DEC ID number(s) . ❑ Yes—Environmen Site Remediation database Provide DEC ID number(s): _w ..._ ❑ Neither database U. If site has been s al lect of RCRA corrective activities,describe control measures: _ www.wwww_......._ m m mmm mmmmmmw w w mmmmmmm m ........................____._.............._._......... wwwww__ wwwwwwwwwwwwww_---------------_------------ ------ ------....._._._----- ..—......__wwwwwww ......._..........................._.......... _.. ....... ..� .._...._........_..._............_.._...........__..._..................w _w_w.wwwww_wwwww_w__...._w...------------------ .�.--- ..........._w............._...._.....................ww_._. ........ W. the pect within 2000 feet of any site in the NYSDEC Environmental Site Remediation database? esCNo If yes,pry de DEC ID number(s) iv. If s to(i), (ii)or(iii)above,describe current status of site(s): Page 10 of 13 v. Is the project site subject to an institutional control limiting property uses? [:]Yc.s❑No « If yes,DEC site ID number ... .,............ _.........ww......_ Describe the type of institutional control(e.g.,deed restriction or easement): Describe any use limitations: + escribc any engineering controls: ___ __....... _...... __ 0 4 "il the project affect the institutional or engineering controls in place? ❑ s�]'itiN'o « I xpti'n: w_www__ 71- E.2. Natural Resourceg qn or Near Project Site a.What is the average dept to bedrock on the project site? w feet b.Are there bedrock outcropphTps on the project site? QYcsONo If Yes,what proportion of the sit; is comprised of bedrock outcroppings? %, c.Predominant soil type(s)present oii,�roject site: ._._-- ww. ._w. .w _. _._._._w. w� __..._.................................... % .... % .._...................-.........-/o d.What is the average depth to the water tab la,,on the project site? Average: ..............._ feet e.Drainage status of project site soils:M Well D' fined: %o'rvite ❑ Moderate Well Drained: �°/ fsite ❑ Poorly Draia d0 of site £Approximate proportion of proposed action site with sl)aes: Q 0-10%: %of site ❑ 10-1.50 : %of site NwN11 1. / or greater: _www_mmm %of site g.Are there any unique geologic features on the project site? n Yes❑No If Yes,describe: h.Surface water features. i. Does any portion of the project site contain wetland., r other waterbodiesacluding streams,rivers, ❑Yes❑No ponds or lakes)? ii. Do any wetlands or other waterbodies adjoin th project site? ❑Yes❑No If Yes to either i or ii,continue. If No,skip to h,� .i. w, iii. Are any of the wetlands or waterbodies within or adjoining the project site regulate by any federal, ❑Yes❑No state or local agency? iv. For each identified regulated wettan td waterbody on the project site,provide the fold ing information: N Streams: Name .................. Cla"' ification _N • Lakes or Ponds:/Narne Classy "cation _w___..w_..._........................ a Wetlands: Approxi ate Size.. ..Wetland No.(if DEC)v. Are any of the above wlisted in the most recent compilation of NYS water quality-impa.i ❑Yes[3No waterbodies? If yes,name of impaired4ater body/bodies and basis for listing as impaired: i.Is the project sit an a designated Floodway? n❑Yes[]No j.Is the projec site in the 100-year Floodplain? Yes❑No k.Is the paw sect site in the 500-year Floodplain? ® ,QNo 1.Is project site located over,or immediately adjoining,a primary,principal or sole source aquifer? [ Yes o If Yth Name of aquifer: __._. ......... .__..._.........-_.................. ....... _._._. . w Page 11 of 13 r. Identify the predominant wildlife species that occupy or use the protect site: ............ ._ww w w. .... ..._........ m_m_____ . k ...ww .,.... .......................,...........ate._ ,..,................,.,......................... ........,...,....... .......,.,.........................w.. �uuuuuuuwww wvuw..u...w.www. ........... ......................... ..............�,....,.. ,................ ,....................w...........................,..,........................«................a............................,., ...�.....mm....w..............F.,..,..,....,.,.............,,,,,......mm......mm....,..�.......... .�................................._..,... n.Does f4 project site contain a designated significant natural community? E]Ye, No If Yes: i. Describe�hR habitat/community(composition,function,and basis for designation): H. Source(s)of de ription or evaluation: W. Extent of commttt'ty/habitat: • Currently: m ............................................................._ acres a Following comple 'on of project as proposed: acres o Gain or loss(indicat +or-): acres o.Does project site contain any sp 'wies of plant or animal that is listed by the federal government NYS as ElYesE]'No endangered or threatened,or does contain any areas identified as habitat for an endangered tthreatened species? If Yes: i. Species and listing(endangered or three tt .__m_....._ .._. ......_._.............._..,...__ . �...__. ...... _......... .ww__w _... . ._.................._._............................... _m _.._.. ------ ..._.......__...........__........._........... _.._................................................. -..w_........._..w_ __ p. Does the project site contain any species of plant animal that is listed by as rare,or as a species of Yes�No special concern? \ IfYes: _.ww._�._... __w....ww........ i. Species and listing: r� ww......ww..wwww....ww..._ww..ww..wwwwwwwww.....wwww.wwwwwww..ww........._..._.__.._..__...._v...........wvwvwv_.wv.._._....- q.Is the project site or adjoining area currently used for'huntir ,trapp g,fishing or shell fishing? ❑Yes❑No If yes,give a brief description of how the proposed action naffect the se: E.3. Designated Public Resources On or Near Pr ect Site a. Is the project site,or any portion of it,located" a designated agricultural district`epprtified pursuant to ❑YesD,,To Agriculture and Markets Law,Article 2 - ,Section 303 and 304? If Yes, provide county plus district name/n ber: b.Are agricultural lands consisting of l,ihly productive soils present? ®Yes❑No i. If Yes:acreage(s)on project site" _ _ U. Source(s)of soil rating(s): c. Does the project site ccntai all or part of,or is it substantially contiguous to,a registered'National ❑Yes❑No Natural Landmark? If Yes: i. Nature of the natu landmark: ❑Biological Community ❑ Geological Feature ii. Provide brief description of landmark,including values behind designation and approximate size/extent: \......................... w -ww..........--.v_..ww...._. ..www._......wwwww.... _......................................m—.-.-...-._.—ww.w.wwwwwwwww.wwwwwww._.._.—m.M-----..-......ww--------- _ .. w...v��...... www d.IsVasis iject site located in or does it adjoin a state listed Critical Environmental Area? []'fie �]No If Y i. ame: it for designation:. ii. Designating agency and date: _w...... Page 12 of 13 Roes the project site contain,or is it substantially contiguous to,a building,archaeological site,or district 0 Yes❑No",,,,,"' o" , "rc ,Whio,is listed on the National or State Register of Historic Places,or that has been determined by the Commissioner of the S Offic `4, Parks,Recreation and Historic Preservation to be eligible for listing on the State Register of Historic Places? If Yes: ° L Nature of hist" i archaeological resource: ❑Archaeological Site ❑Historic Building or District ii. Name: iii. Brief description of attrt s on which listing is based: ° f.Is the project site,or any portion of t 41 sated in or adjacent to an area designated as sen ' ' e for ❑Yes®No archaeological sites on the NY State lz ^*Preservation Office(SHPO)archaeolo 6i site inventory? g.Have additional archaeological or historic site(s)'„ r,esources been identifie the project site? []Yes[]No If Yes: i.Describe possible resource(s): ' d. Basis for identification: h.Is the project site within fives miles of any officially d ,ipated and pu li ly accessible federal,state,or local ❑Yes❑No scenic or aesthetic resource? If Yes: i. Identify resource: ........................_www ii. Nature of,or basis for,designation( .g.,established highway overlook,state or local paid Mate historic trail or scenic byway, etc.): NI ............ ....... w._ wwwww.._. ... ._._._._..w......................ww......._............................_....ww.... iii. Distance between project„ trd'resource: miles. N1,1111, i. Is the project site to at'ed within a designated river corridor under the Wild,Scenic and Recreational Rivt ,, Q Yes❑No Program 6 PI.I666? , If Yes: " i. ldentify""jlte name of the river and its designation: iiijs '6c activity consistent with development restrictions contained in 6NYCRR Part 666? ❑Yes F.Additional Information Attach any additional information which may be needed to clarify your project. If you have identified any adverse impacts which could be associated with your proposal,please describe those impacts plus any measures which you propose to avoid or minimize them. G. Verification I certify that the information provided is true to the best of my knowledge. Applicant/Sponsor Name Zackery E.Nicholson, RA M ZEN Design Date 05.08.25 � S'igytature ._............................................._..............._......._....._.._..._............................_....................._._...............................__.a__ _mm_w._ Title Project Architect __,. _�� _........_ .. PRINT FORM Page 13 of 13 p P , I IIIII�III 111 IIII IIII IIII IIIII III III IIII II 111111II I �� III I � SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument•• DEED Recorded: 09/06/2024 Number of Pages: 4 At: 12:50:20 PM Receipt Number : 24-0111488 TRANSFER TAX NUMBER: 24-04527 LIBER: D00013263 PAGE: 146 District: Section: Block: Lot: 1000 102.00 06.00 022.000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $1,100,000.00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $20.00 NO Handling $20.00 NO COE $5.00 NO NYS SRCHG $15.00 NO EA-CTY $5.00 NO EA-STATE $250.00 NO TP-584 $5.00 NO Notation $0.00 NO Cert.Copies $0.00 NO RPT $200.00 NO Transfer tax $4,400.00 NO Mansion Tax $11,000.00 NO Comm.Pre s $22,500.00 NO Comm.Pres Fund $18,000.00 NO Comm.Housing Fund $4,500.00 NO Fees Paid $38,420.40 TRANSFER TAX NUMBER: 24-04527 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL VINCENT PULEO County Clerk, Suffolk County 1 I RECORDED Numberof pages 2024 Sep 06 12:50:20 PM VINCENT PULEO CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00013263 Social SecurityNumbers P 146 UTR 24-04527 prior to recording. Deed/Mortgage Instrument Deed!Mortgage Tax Stamp Recording!Filing Stamps FEES Mortgage Amt, Page!Filing Fee 1.Basic Tax Handling 20. 00 2. Additional Tax " TP-584 ,4. M Sub Total....._,,,_ Spec./Assn. Notation or E :-5217(County) _ „. Sub Total �1 Spec./Add, EA-5217(S'talw . . TOT.MTG_TAX Dual Town Dual County R.P.T.S.A. Held for Appointment Comm.of Ed_ 5. 00 Transfer Tax Affidavit + Mansion Tax ' Certified Co .r"" The property covered by this mortgage is Copy or will be improved by a one or two NYS Surcharge 1„1g,() �{t.1 family dwelling only. Sub Total /- YES orNO Other ...ww. .. Grand Total � If NO,see appropriate tax clause on ge is ins ument 24032418 1000 10200 0600 022000 Dis,tr" i0o 5 Community Preservation Fund OP�MWHSA Real Proper I I I Consideration Amount$ Tax Service Agency CPF Tax Due $ Verificatior. :Improved !� 6atis ct'ionsPDischargesrReleases List Property Ow ainers ing Address RECORD 8 RETURN TO: Vacant Land TD CHRISTOPHER GRAZIANO ESQ TD 43 IRELAND PLACE AMITYVILLE,NY 11701 TD Mail to: Vincent Puleo,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name CLEAR ABSTRACT SERVICES INC. www.suffolkcountyny.gov/clerk Title# CAS24-2908 B Suffolk ounty Recording & Enaorsernent Page This page forms part of the attached DEED made by: (SPECIFY TYPE OF INSTRUMENT) ROBERT J.MOLCHAN AND MARY-ELLEN MOLCHAN The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of SOUTHOLD 28970 MAIN ROAD LLC IntheVILLAGE or HAMLET of BOXES 6 THRU 8 MUST 8E TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. v BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS STANDARD NYBTU FORM m7 CAUTION:THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND PURCHASER BEFORE SIGNING. THIS INDENTURE,made the 14th day of August,2024,between Robert J.Molchan and Mary-Ellen Molchan residingat '740 l ( h Rork 1j9,I)r °-c AlY //93Z party of the first part,and 28970 Main Road LLC residing at W-12 f/�rSthlock 2eJ, )/plank 11 Y 11geo party of the second part, WITNESSETH,that the party of the first part,in consideration of TEN DOLLARS($10.00)AND OTHER GOOD AND VALUABLE CONSIDERATION,paid by the party of the second part,does hereby grant and release unto the party of the second part,the heirs or successors and assigns of the party of the second part forever, ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected, situate,lying and being in the SEE SCHEDULE"A"ANNEXED HERETO AND MADE A PART HEREOF BEING AND INTENDED TO BE the same premises conveyed to the parties of the first part herein by Deed from Robert J.Molchan,dated 04/06/2006 and recorded on 05/16/2006 in the Office of the Clerk of the County of as described in Liber 12450,page 278. SAID PREMISES BEING known as 28970 Main Road,Cutchague,NY 11935 TOGETHER with all right,title and interest,if any,of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof, TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises, TO HAVEAND TO HOLD the premises herein granted unto the party of the second part,the heirs or successors and assigns of the party of the second part forever. AND the party of the first part, covenants that the party of the first part has not done or suffered anything whereby the said premises have been encumbered in any way whatever,except as aforesaid. AND the party of the first part,in compliance with Section 13 of the Lien Law,covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose. The word"party"shall be construed as if it read"parties"whenever the sense of this indenture so requires. IN WITNESS WHEREOF,the party of the first part has duly executed this deed the day and year first above written. Ro ert J.Mq'l-an _ .__. ..—. ... Mary-Ellen Motchan CLEAR ABSTRACT SERVICES INC. as Agent for AmTrust Title Insurance Company SCHEDULE A Title Number: CAS24-2908 Legal Description ALL that certain plot, piece or parcel of land,with the buildings and improvements thereon erected, situate,lying and being at Cutchogue,Town of Southold, Suffolk County,New York,bounded and described as follows:. BEGINNING at a monument in the southeasterly side of Main Road(Rt. 25)where the northeasterly corner of land conveyed to Anthony Blados and Jane,his wife,by Deed recorded in Liber 5825 Page 176. intersects same; RUNNING THENCE North 29 degrees 44 minutes 00 seconds East along Main Road, 100.00 feet to a monument and land now or formerly of Henry L.Fleet; RUNNING THENCE South 50 degrees 09 minutes 20 seconds East along said land, 200.00 feet to a monument; RUNNING THENCE South 29 degrees 44 minutes 00 seconds West,still along said land, 100.00 feet to a monument and land of said Blados; RUNNING THENCE North 50 degrees 09 minutes 20 seconds West along said land of Blados, 200.00 feet to the southeasterly side of Main Road at the point or place of BEGINNING. For Information Only: PREMISES known as 28970 Main Road,Cutchogue,New York 11935 Tax Map Identifier#: 1000-102.00-06.00-022.000 Schedule A Page 2 of 2 Acknowledgment STATE OF NEW YORK ) ss.: COUNTY OF SUFFOLK ) On the M 444` day of August in the year 2024 before me,the undersigned,personally appeared Robert J.Molchan and Mary-Ellen Molchan personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s)is(are)subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s)acted,executed the instrument. (signature and office of individual taking acknowledgment) PEWN NOTARY pUSUC,9TAT8 OF NNW YORK Rogistraton No,01DEM31143 Quallfied to Suftk tY C,omoijaskm Evites June io, C! TITLE NO: CAS24-290? BARGAIN AND SALE DEED DISTRICT 1000 WITH COVENANTS AGAINST GRANTOR'S ACTS SECTION 102.00 BLOCK 06.00 Robert J.Molchan and Mary-Ellen Molchan LOT 022.000 COUNTY Suffolk TO 28970 Main Road LLC RETURN RECORDED DOCUMENT TO: Chris Graziano,Esq 43 Ireland Place AMITYVILLE,NY 11701 WMIJCTTONS(1F•52174OF4NS):wwar.orpe.eltlb.ny.us R COUNTY USE ONLY M"Ylmlt MIS Depw"Ont of 'at.awls Code TaxaUan and Finance Cl Date Deed R.eorded - j Office Of Rail PIO wm TapsSmices /� /� RP-5217-PDF Ca.Book ��12.. . 4 C4 Fade Rai PMV0V Tmmbr Repon(tM08 PROPERTY INFORMATION t•Fra"ty 28970 Mall load Locaft •a14hr�eeF� *a7tl'u."4aat� CuLctog_c 11935 •ar•ao am vuWL trta>s 2.Sunr :8970 M&Ln Road J,LC Need LW oa ". r+rst a+w -W NAVCaroerlw raa^awro S'Tsa Kfcge where future Tax Bi rn to be see A11d O 7 dlw tMn bnw addmsKe bottom d bAll ,Ap M•M/CWrM 1 Ksr bare P9lrh:4are.hpaMrC taraw e'At! zpcmk • the MWAW aTAa (�T*WPW of a .. chock No Bay ❑ Roo tromeks tr ad Ow Ono 1 d d Perarr pg ❑Pet d a Per 44,vwft Sawd wth as Mt Aixholaf OW Osed 0.P4r •mrJrr� \ utrr (7R loper 0.46 e6SlLdnlaatAePl�wtweaRAliretlferTrelsle ❑ 31119 aCFwaeetA W ooktMagr ❑ Moichaa Robert J. It.Seller .-As"wweco+r+r.� rrw,rh.rL Nwm Moichan )(ary-Eiler_ LAW UMrrmwmv roar we •7.educt tie Ckomlp m wtdoh atlet aaataa 't,remmalrowtho Chock dw boaolt bear me their 1ppy: we at towopertydNmdwofesla RO wftoTYPOaCaodarn m ❑ F.Commerdal t.Now CoabudonanaVlownLwW ❑ IGA.PrMany Lonsad u%W a+Aykuknl Dleda rppildleYilO lhethsaopegrlobw ING l MA tL Cheri one a otaw Nsss as m tranehf A.Sde Be- , taldvra a Falrwr IltsiM s a1.SesCentract0sta 04/08/202: B totmem Raltered Comomalmor Sueltnew c.onadr BrrYwe h tens Sete •12 Dell of sewrtanaw 0 8/1q/2 02 4 D.Buyer or seer is emw,nwe Agency a Lardrp lneaulon E Oaod Type ad 1Neweay aBrpea errl see(Speoiy OelOwI F Ses al Frm2WW or lass ten Fee Interest(Sperry BBW 113.Pdl rile Prke 1,100,00:'.,00 G.MprAest Chmts In rmpehr Bsaesel ramble Vism earl Sam Dee. H.Sda d Busrrss b erdrdsd m Sda F41ra •Fue Sek Prlos b tlrstald smous w d rot the PaPwq fndrdnp polwnd elapeq. 1 tx w Ltwmr F@=m AReang See Pdes(Spafy Below) This prymmt aey be ln.ti larn d nth otlw properly stood;a ttw saelaaptm d j Nd s molttpoes or other ablpenrm)Fasew roteldto Me nasrem edele dobrarl orml. Caseengp an Cerrditlorc ta.ard0uatdaroaluead n no eluG17#c- of c- �, t to ow 040 ASSESWENT t+o Meal F'lr o Aaetttenrett Rid mid Tax W IL Year of Awwaaed Roll had whM Info dlon dbn(YY1 24 "17.Tote Ava asd V w 10,100 •1t.Praps Cues 4F..0 - ,w 4st.Schad nubtntlame MaLLLltuck CSD `AL Tea Mep ldantftr(s)lRotl Idampler(s)pf mere Nan raw,awmh Wrest wb addleonal _G3.CC/t1d.00/G.'.�.GCG tC'mttytYwtataadaaebrnaaudemrdlm o"Odollom mom me cwmd14etwbwdefay W sad . m eodlu 001heskarpolsaywWd tbbs al faolwatt tAeklrltnapMk th baw„pollNwaanMra wtatd at kwuet' /'l�iA��r�} Srw�Crerrxkrtkearrra•eat 70.rrbtlC.weaq aeadew�ewowesnlowimarawrwww,eawsm !/1 a. ngtlt�raenetrtareM'Co••earal.Nwaaa'w wtsraldee"ramdamkrdrr�Yero+sby YM�•.. aeM�e marw.weVnmrelnee.awsrrwln�•d.Ttwwpaa drwlra ( es.lmt eaywtuar uA' BYYERSIGtlA�H 20970 Nair. Road i,:rt: All ^+A „auayu rlC�os w�rwer.w�a SWERIAMMM •aa w.•tw aaTa '"A""lra�` •er�erMrrL i '"1"1,.,"X OA t'Yaa. •KIaC •lr aCi Gray lan6 vh=ill Vat WA* :rs ana: p (63_) 264-0600 Ar�•roa IMCW reraaW Y¢,wrewa a OFFICE LOCATION: 7 MAILING ADDRESS Town Hall Annex mow` ",a P.O. Box 1179 54375 State Route 25 � Southold,NY 11971 (cor.Main Rd.&Youngs Ave.) Telephone: 631-765-1938 Southold,NY aC, www.southoldtownny.gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Accounting From: Planning Department Date: May 19, 2025 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. &Type Tax Map # Amount Check Date/No....... MmM* Applicant/Project Name ...................... .... �..............____....... __ - �__....._ ................ ............ ................... North Shore Windows at Cutchogue 102.-6-22 $250.00 5/18/2025 -#173 Hardware Site Plan Zackery Nicholson CEW Aft. Presubmission Materials APR - 8 ,i L ZEN DESIGN 1250 EVERGREEN DRIVE C 42"HIGH GUARD RAIL. UTCHOGUE,NY 11935 Town of so* UfllG;(l 4"MAX CABLE SPACING PHONE:631.513.6589 BRACKET LAG BOLTED TO DOUBLE RIM JOIST 2x10 LEDGER•LAG BOLTED TO SOLID BLOCKING IN WALL These dens are oOPynghtea and ere sublect to coprd9 Prot— es en'archhectu rag wo*'unaer Sec.102 of t Copyright A..17 U.9.0.as amended December 1990 and V as Archft-ureI Works Copyright Prutedlon Act of 1990. 1 2x5 Pro. ion Includes but Is rot limited to the avarall form as C`= as the arrangement and compostWn of specws and ebmea design Under such protecllon.unauthertred use of these p work or home represented,can leggy resua In the bossed, const—Ion or buildings being sacred and/or monetary, comperlsatbn to ZLTI DESIGN LLC, NO. ISSUE D 01 PERMIT SET 09.2� BRACKET LAG 02 REV 1 11.1: 14'•1' 14'-7 1,/2- 14'-7 1/2" 8'•111/2- 7'-10 1/2" 19-413/4" BOLTED TO SOLID 03 REV 2 11.1E �._— ___ ___--_ -_ •. ---_. — _ .• .• .. •. - _-- • BLOCKING IN WALL 04 REV 3 12.0E BALCONY DETAIL 05 REV 4 03X- r 2a 2c 2F __ 06 REV 5 04.0� FlRE RATED WALLS MECH/CLEANING INSIDE EGRESS STAIR 171 SUPPLIES PRINCIPAL PRI., BREAK OFFlCEI OFc ROOM/PANTRY \ FlRE RATEDjBATHR RECDES ON APR 1 4 2025 �/ ���/// iSOUTHOLD TOWN 3-0,c" I PLANNING BOARD � I • CONFERENCE i OFFICE SPACE § i EDz1 L__——__———FURTHEST PATH OF TRAVEL<700'— FULLY SPRINKLERED F. SIRED AC p o DESKS DESK2 DESK DESK- DESKS E.NI N� Z I a zc m 2E sT 0 4 4 4 S'B 1T`c yO OF NEN NORTH SHORE WINDOW INC. 28970 MAIN ROAD CUTCHOGUE.NY 11935 WALL TYPE LEGEND SYMBOL LEGEND ■ IIIIIm0m0wmm01 2 HR FIRE SEPARATE WALL SCALE: 1/B" ACCESSORY OFFICE-GROUP (B) BUSINESS EMERGENCY LIGHT DATE: 04.4 SQUARE FEET OCCUPANCYLOAD SPACE FF FACTOR OCCUPANCY LOAD EXISTING STUD WALLS PORTABLE FIRE EXIT DRAWN BY: Z. SECOND FLOOR OFFICE SPACE 2050 SF 150 GROSS 14 PERSONS F.E.0 EXTINGUISHER SIGN 14 TOTAL PERSONS NEW KNEE WALLS SM TABLE 2902.1 MINIMUM NUMBER OF REQUIRED PLUMBING FIXTURES NEW STUD WALLS SMOKE/CO2 DETECTOR SECOND FLOOR PLA ACCESSORY OFFICE-GROUP(B) BUSINESS DESCRIPTION WATER CLOSETS LAVATORIES PROVIDED MILLWORK&BUILT INS 1 WATER CLOSET \ 1 PER 500 MALE \I SECOND FLOOR OFFICE 1 PER 750 FEMALE 1 PER 750 PROVIDED MEETS REQUIREMENTS �I —A ,: NEW DOOR EXISTING DOOR I , CLEAR W J 1 HIRJ 9 V RGItI HII\ FLOOR TOILET SPACE PAPER J4 flax 7! � 79 MIN 3R MAX ll � �MfN 17 MIN -i _ ZEN DE 6 MAX TOE CLEARANCE . l://�� .•1 KNEE CLEARANCE R MM 17 R 7.2111 00 1250 EVERGF +9 uA 1-1CUiCHOGUE, 4R MlN +7 MIN DEPTH � PHO'"'031 SIDE WALL OF � STANDARD S7A4C AT LAVA HANDICAP ANSI DETAILS) Tka�p�"'"`°pold protecUon as an•mcnMeclord Cq APLAct.;7"Slo,m a",, NOT 70 SCALE m ArthMecloml Wart WPldo NEW LEDGER LAGGED TO CONC. R ;�; , STAIR DETAIL FLOOR. -k.r be nprax aww _ work orfwmo rorynyilnvd,coo Y Wm4r,Pftq paeaeaeaSo.I.Z cnpl/on toL ElN0. ISSI 01 PERMIT SI NEW SHORTER RISE 03 REV DEEPER RUN STAIRS 04 REV 05 REV 4 ® I UP - — JJ I - - - - - - `,� - - - - - - ;1' 13 2025 } } OIL TANK p ggy� 93 S UNFINISHED 3 p EIASEMENT I 12 ® I STORAGE ® FULLS SPRIN 70LER ED 3 MECHANICAL ROOP+1 £1� D VIIALL TYPE LEGEND 1 s m z _• 2 HR FIRE SEPARATE WALL 4 :a I� EXIST.FOUNDATION WALL sq 044 O F I EXISTING STUD WALLS } ° NEW STUD WALLS NORTH WINDO _ 28970 M{ ELEC.PANEL SHELVES SHELVES 11 CUTCHOGUE SYMBOL LEGEND SCALE: NEW SHORTER RISE �` ,� EMERGENCY LIGHT DEEPER RUN STAIRS L� DATE: PORTABLE FIRE EXIT DRAWN BY: F.E.(g EXTINGUISHER SIGN 1 Sj�l SMOKE/CO2 DETECTOR •El FLvOR NEW DOOR EXISTING DOOR SPACE bQLIAHt Fttl UGGUYAIVI:T LVHU I OCCUPANCY LOAD NORTH SHORE WINDOW INC-GROUP(M) MERCANTILE _ FF FACTOR MERCANTILE 1920 SF 60 GROSS 32 PERSONS DESCRIPTION WATER CLOSETS LAVATORIES PROVIDED 2 WATER CLOSETS f�•of`oR I BASEMENT ACCESSORY STORAGE(S•1) 2700 SF 300 GROSS 9 PERSONS FIRST FLOOR SHOW ROOM 1 PER 500 MALE 1 PER 750 PROVIDED MEETS 1 PER 750 FEMALE REQUIREMENTS e!. M e - 4 -'- s' = ; ZEN DI �..,--�r-,r f-.r-�.r-ter-.F--r--.�.-�.--.. -r-�.• —- . SECOND FLOOR y SEE A-3 FOR ACCESSORY OFFICE CALCS. 1250 EVERGi O S 3 `•• BASEMENT STORAGE y CUiCHOGUE, PHA`--631 r-= ^" isrrtaua BATHROOM/UTILITY 159 - 0 PERSONS FIXED FURNITURE 58 - 0 PERSONS SECOND FLOOR SEE A-3 FOR ACCESSORY OFFICE CALCS. AWTOTAL PERSONS tear.Nana ere coyprtynrap eASE.yEa•r protection n en•ard+n vctvaJ CppptbrtA I.17110.ae Amen RISER GRglyy .a a d,n Includ veaw coat In S proLecUonlp— but Is not Ym xx ono.r+anYement end romper Cic> '.`,u'Y irF aar �1 L`J gndpr.t�a.wcnacNxttan,ar � ��.. reprka nem.r.pra.ntne can r NEW SIDE ENTRANCE VESTIBULE mpernellen to2 eaniwcUpne.—tnµno t2]2k12#EdOEH 43)2.42 L4LHEADER t21 2.12 I#A047A V2Y'2s8 HE,ApER oo FOR EMPLOYEES k � COFFEE BAR l 1� NO. ISS �J F 01 PERMIT S NEW SHORTER RISE oz REV ( N ' DEEPER RUN!STAIRS 03 REV N ' 04 REV 3 OS REV 4 CONFERENCE l TABLE t O ' l DN 'WT` FAS.3 J f.-. _ SHOW ROOM FLOOR NO ISLES) FULLY SRRINKLERED 3OxB 3-Ox6-8 ".. WALL TYPE LEGEND - - .15+tLE N�. �v �� 4 3A1?I Cu3t� Ii BATWVW z T ID in a 0 a A 2 HR FIRE SEPARATE WALLco � I � z 1 EXISTING STUD WALLS a t:t axis f1.:A0ER •:217,10 HEADER mil' 04,4 ' ® U O NEW STUD WALLS op I („ ® MILLWORK&BUILT INS NORTH e � - - WINDC Cvl R {2j 2x12 HEADER a!2t12 H ADER 28970 M. CUTCHOGU! _ YMEGL LEGEND GLASS RAILING SCALE: NEW SHORTER RISE EMERGENCY LIGHT � DATE: — DEEPER RUN STAIRS PORTABLE FIRE EXIT DRAWN BY: F.E•(o EXTINGUISHER SIGN [i] LAYER 516"iYP X GYPSUM ; �xg"LAYER SHFEIROCX $fVl. SiV1OI�E/ CO2 DETECTOR FIRS" LL 2X4 SIUOS 2X4 SIUOS • __ ..—-- ---�—(J)LAYERS 518••TYP X GYPSUM , [11 LAYER 518"IYP X GYPSUM UL- U408 2 HOUR RA LED WALL SEPARA AON 1 R WAL PA 17 FIRE SEPARATION DETAIL FIRE SEPARATION DETAIL } 1"=1'-0" 1 u=1'-o" NEW DOOR EXISTING DOOR FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL DATE: April 25,2025 TO: 28970 Main Rd LLC IN,E2(Kt, 70.n W 1 E DD 78-12 Horseblock Rd APR 2 5 2025 Yaphank,NY, 11980 f" SOUTHOLD TOWN KAMM BOARL__ Please take notice that your amended application dated March 13,2025: For permit to: to construct second-stor alterations to iq exis i han-.—...............................—....y.. --...j..n2,comtnerctal buildinpiQihma- the use from stoL4,&q.!q offices at: Location of property: 2 89_70 Main.Rqad.,_ 119 gg N Y County Tax Map No. 1000—Section 102 Block 6 Lot 22 Is returned herewith and disapproved on the following grounds: Pursuant to Article XXIII,Section 280-_127 the K osed use requires site p an a I roval from the po Southold Town Plannin ............. You may now apply to the Planning Board directly. Ato-o—elzed Signature Note to Applicant: Any change or deviation to the above referenced application, may require further review by the Southold Town Building Department. CC: file,Planning Board MIMCCK.E. MID FOR INTERNAL USE ONL APR 1 Y 7C) SITE P�USE DETERMINATION �,P�.�i Initial Determination / 25 Date Sent: 11 / 25 Date. �j I� --11 1 Project Name; Project Address: County Tax a No.: 1000 Suffolk C _ Zoning District �_.. _._ ,. . w...Mw.... .._.., r_..._....... Y p �Ztof- ...... Request _. �____.. .... .. . ... ..._�.. _....�.�....._..�....,.�.��_�.�.._a._..use or should s .i m.w. _.. d (Note:VPY of Building Permit Application and supporting documentation as to proposed u be submitted.) Initial Determination as to whether use is permitted', -.. .......... ........ Initial Determination as tow __... ..^whether site plan is required Signature of ilding Inspector .�� � _�. ,��m, �. ,.....���w, ........_.�..........._ Planning Department (P.D.) 'JJ ate o comment: P.D. Date Received: ��� a� gqgq � q ry y Comments:_..... _ - m�.. ....m_._.�._._. Signature of Plan nin ' ept" Staff Reviewer Final Determination Date: _J�- ._........w. Decisionm.�_,..�..w�__..��_..��_�.. ..��....._M�_w ..._ ..._.���. ._........_ ,. . ,� ���. ....�...�_... ..._w._.�_�..�..w..�._.. �__..�µ._.�.,..,_.�. _� .��. Signature of Building Inspector FOR INTERNAL USE ONLY SITE PLAN USE DETERMINATION ���i..�0ir..�rOWN PL.AN'MNG BOARD Initial DelegLMination .�.. 2-5 DateSent: Li 25 Date: �� .... ._. ... .. ...w_�_.... _. .__......._._..�..� .� ffl Project Name: .. _ _......".. ... w Project Address; ..._. — .. _.t?�.. .. Count T 0 - _� Zoning District.. Suffolk y ax M p _ .... _.. .- w w..." _..... .m Request: "� = _w_w__.. .. __._................ __ m.o r uses should z J (Note:Irn-V.-ich , of Building Permit Application and supporting documentation as to proposed use be submitted.) Initial Determination as to whether use is permitted: Initial Determination as to whether site plan is require Signure of ilding insp ector. ..... w._....ww........ ....._..._...._., P.D.) Planning Department ( Referra "�• �._..__.m._.....� .._......_ M......�....._..�.._., Date of Comment: P.D. Date Received: Comments; __. ..._r.�.�...._.. .._...._.____..__. ..�.� ._._ _ . ._._� ._.. _._._.__ w._,_. �.�_ _._� ._...w� _,�.... ..._........ Signature of Planning ept. Staff Reviewer Final Deteat"ion Date: �_ ....�w...."."".�.. -.�_.."..._._. Dec..l..sion,� .��.�_. �.�.,._µ,_._.�w�...��_...µ .._... M�..�..�...._.�..�...._w....� .�...__.._.. ._�.�. .�.__.......�.. ,._....��.�....X.�..." ... �_.�.__� Signature of Building Inspector TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 Ottp : www. o t1 Idtownn .pro u Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. Building inspector.—A .. .,... c"1= 2 6 ' Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. TONYNT Date:09.24.24 OWNER(S)OF PROPERTY: Name:North Shore Window Inca � _-� TSCTIM# 1000-102-6-22 Project Address:28970 Main Rd, Cutchogue, NY 11935 Phone#:631 .676.4800 Email:darenm@NORTHSHOREWINDOWINC.COM&nidcb@NORTHSHOREWINDOWINC.COM Mailing Address:78 Horseblock Road, Unit 12 Yaphank, NY 11980 CONTACT PERSON: - .. ...-�...__. __.mmm..._ .. � ._...�....,..,.-_..... - .- - �...... Name:Zackery E. Nicholson, RA Mailing Address: 1250 Evergreen Drive - Cutchogue, NY 11935 Phone#:631.513.6589 Email:ZENicholson.Arch@gmail.com DESIGN PROFESSIONAL INFORMATION: � M^ Name:Zackery E. Nicholson, RA Mailing Address:1250 Evergreen Drive - Cutchogue, NY 11935 Phone#:631.513.6589 Email:ZENicholson.Archggmail.com CONTRACTOR INFORMATION: Name:TBD Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition Alteration ❑Repair ❑Demolition �- Estimated Cost of Project: ❑Other 200DOO Will the lot be re-graded? ❑Yes RNo Will excess fill be removed from premises? ❑Yes ... No 1 PROPERTY INFORMATION Existing use of property:MERCANTILE --GROUP M Intended use of property:MERCANTILE - GROUP M Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to HB this property? ❑Yes *No IF YES, PROVIDE A COPY. M Che:,;;k Box.After Reading: The owner/contractor/design professional Is responsible for all drainage and storm water Issues as provided by Chapter Z36 of the Town code. APPLICATION 15 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,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 buildingls)for necessary Inspections.False statements made herein are p o pursuant to Section Z10.45 of the New York State Penal Law. punishable as a Class A misdemeanor�.-,�. .,.��.�....,�......�-��.�......w� �.��.,......�... �.,... Application Submitted By(print name):Zackery E. Nicholson, RA WAuthorized Agent El Owner Signature of Applicant: Date: ZG, Z V STATE OF NEW YORK) COUNTY OF j' ( - being duly sworn, deposes and says that(s)he is the applicant (Name of in °grid al signing contract)above named, (S)he is the (Contracto ,Agent, orporate Officer,etc.) of said owner or owners, and is duly authorized to p 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/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this f-�h c - day of� C 20�— ' ry public TRACEY L. DWYER NOTARY PUBLIC STATE OF NEW YOWL L PC L III I „-OWNER ,,.U.. ),I C ) ... ( . N OQ_ALIFIF_D IN SUFFOLK COUNTY (Where the applicant is not the owner) Com"SSION EXPIRES JUNE 30, I Nicholas Bohlen residing at 35795 Main Rd - Cutchogue, NY 11935 do hereby authorize Zackery E. Nicholson, RA to apply on my behalf to the Town of Southold Building Department for approval as described herein. 09.24.24 Owner's Signature Date Nicholas Bohlen Print Owner's Name 2