HomeMy WebLinkAbout1000-96.-1-1.3 BOARD MEMBERS � � ��°���� ��� Southold Town Hall
53095 Main Road•P.O.Box 1179
Leslie K.anes Weisman,Chairperson
Southold,NY 11971-0959
Patricia Acampora Office Location.
Eric Dantes Town Annex/First Floor.
Robert Lehnert,Jr. 54375 Main Road at Youngs Avenue
Nicholas Planamento ° Southold,NY 11971
http://southoldtowmy.gov 1.
ZONING BOARD OF APPEALS
TOWN OF SOUTHOLB
0 3 2018
Tel.(631) 765-1809•Fax(631) 765-9064
OCT '
� °Id Town
MEMO Plannl Board
TO: Planningi Board
FROK, Leslie K. Weisman, ZBA Chairperson
DATE: October 2, 2018
SUBJECT: Request for Comments ZBA # 7239 s3 , LL
The ZBA is reviewing the following application. Enclosed are copies of Building
Department's Notice of Disapproval, ZBA application, current map on file. Your review
and comments are requested at this time.
The file is available for review of additional documentation at your convenience for
reference if needed.
A 11 PPLICANT #- ZBA# HEARING CODE DATE OF � PREPARER
ZONE DATE SECTION STAMPED of SURVEY
IST SURVEY/SITE
IPLAN
...S3S, LLC 1000-96- �72i9 February Article XV August 10, Kenneth H.
1-1.3 712019 Section 280- 2018 Beckman,
64A; Art XV, L.S.
Section 280-
64C
Thank you.
Ends.
RM NCB. 4,
FIT
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b
S47
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NOTICE CIF' DISAPPROVAL �
DATE'. 1
RENEWED B AME DED: .u` ust 101, 2011,
0
TO: S3S LLC
65 Comme
rce Drive
Cutchogue, NY 11935
Please take notice that your application dated May 4, 2018
om
For permit to oo t of a ldin r a self store os s at
Location.of property 5 �e� eree rive `utcho�,
County Tax Map No. 1000--Section Bloch 1 Lot 1.3
Is returned herewith and disapproved on the following grounds:
T - -'-
ons
Lm . V Betio,
his ro, used etruet L1 ore s riot e ttt�d. ors nt,to cio
44
u cs shale , e set back at lowst.
The ro ose nstr et.on not a. front a.r set' ac 2:hai d w � o eree rive f t
nv
M " -Section, C. t "a' r6c sham ho 'to s a to st c r that, �sinale
ce
t ctrc shall have morethan 60 in r yet f o�n oil o4e Meet.
. et of fnta
.�uf � a er of has are coin eto to oret a i ier
addition the roi �t r r s site fan:a pva gin the Southold,To a .n Bl oard,�
is 'o
Ar
n.
Authorized Signature
CC: fle, Z.B.A.., Plan .ng
Tote to Applicant: Any change
or deviation to the above referenced application may require
additional review from the Southold Town ruing Department*
hG
Fee:$ Filed By: Assi nt No,._...,
"PLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS
AREA VARL4NCE
House No. 65 -Street Commerce Drive Hamlet CutChogue
SCTM 1000 Section 96 Block I Lot(s) 1.3 Lot Size 1621 52 SJ.Zone Li
I(WE)APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR
DATED" 05/25/2018-BASED ON SURVEY/SITE PLAN DATED. March 2018
owner(s): 535 LLC
Mailing Address: 20 Pauline Drivel Sea Cliff, NY 11579
Telephone.-631-5,12-87,18 Fax: Email:
NOTE:In addition to the oe please complete below if application is signed by applicant's attorney,,agent;architect,
builder,contract vendee,etc,and name of person who agent represents:
Name of Representative*, for(X)Owner( )Other:
*, Ma Kas iia
Address:- 50 Commerce Drive, Cutchoggg,,NY 11935
-1elephone:631-734-21,77 Fax: 631-734-2178 Email:sales@northforkse,ifstorage.com
Please check to specify
.y who you wish correspondence to be mailed to,from the above names:
Applicant/Owner(s), (X)Authorized,Representative, O Other Name/Address below.
WEEREBY TIJE BUILDING INSPECTOR,REVIEWED SU: .VEY/SIB PLAN
DATED March 2018 and DENIED AN APPLICATION DATED FOR:
(x)Building Permit
Certificate of Occupancy Pre-Certificate of Occupancy
( )Change of Use
Permit for As-Built Construction
O
Other;
Provision of the Zoning Ordinance Appealed. (indicate Article,Section,Subsection of Zoning Ordinance by
numbers.Do not quote the code.)
Article: Section: Subsection:
Type of Appeal. An Appeal is made for:
O A Variance to the Zoning Code or Zoning Map.
( )A Variance due to lack of access required by New York Town Law-Section 280-A.
(x)Interpretation of the Town Code,Article XV Section 28,0L-Q4A -64C, 280-63
O , 280
Reversal or Other
p
A prior appeal has, (x)has not been made at "y Aime''with ect,to this roe ,
Appeal No(s). Year(s). (Please be sure to research before
com feting-this question or call our officefor assistance)
P -
Name of Owner: ZBA File#
L Um
REASONS FOR APPEAL (Please be specific,additional sheets may be used with preparer's
X%JV4
signature notarized):
1.An undesirable change will not be produced in the CHARACTER of the neighbor or a detniment to nearby
properties if granted,because:
The character of the lot conforms to Ll zoning.
2.The benefit sought by the applicant CANNOT be achieved by some method feasible for the applicant to pursue,
other than an area variance,because:
The Planning Board and Fire Marshall are both requiring setbacks that force an area variance to be
necessary.
3.The amount of relief requested is not substantial because:
The usage of the lot conforms to Ll zoning.
4.The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the
imp
neighborhood or district because:
Similar relief has been granted to the neighboring properties, 50 & 115 Commerce Drive.
Please see attached grants.
5.Has the alleged difficulty been self-created? Yes,or W No Why:
The Planning Dept and Fire Marshall require setbacks that require the variances needed.
Are there any Covenants or Restrictions concerning this land? No W Yes(please furnish a copy)
This is the MNB"that is necessary and adequate,and at the same time preserve and protect the character of the
i&borhood and the health,safety safety and welfare of the commun,
tYl-
(Agent must submit written Authorizatiron from Owner)
Swo a beforc me thIlis (Wy
of' J
Notazy Pub,
EVE L.GAV-SCHWAIMBORN
NOTARY PUBLIC.STATE OF NEW YORK
Registration No.0IGA6274028
Qualified in,S,ufffolk,County
Co mr,rdss1 Ire on,E xpi %. �Dec.24,20
APPLICANT'S PROJECT DESCRIPTION
APPLicANT: Martin Kos mynka DATE PREPARED: 06/08/2018
1.For Demolition of Existing Building Areas
Please describe areas being removed: N/A
U.New Construction Areas(New Dwelling or New Additions/Extensions):
Dimensions of first floor extension: N/A
Dimensions of new second floor:
Dimensions of floor above second level:
Height from finished ground to to of ridge):..,Qleg[span uilding:2?5',, caroort,buildinas: 101
Is basement or lowest floor area being constructed?If yes,please provide height(above ground)
measured from natural existing grade to first floor: NIA
M.Proposed Construction Description(Alterations or Structural Changes)
(Attach extra sheet if necessary).Please describe building areas.
.0
Number of Floors and General Characteristics BEFORE Alterations- N/A
Number of Floors and Changes WITH Alterations: N/A
IV.Calculations of building areas and lot coverage(from surveyor):
Existing square footage of buildings on your property: N/A
Proposed m* crease of bu,.t*ldjn' g coverage:_46 200
Squarefdotage of your lot- 1,62,852
Percentage of coverage of your lot by building area-.,46,2 0
V.Purpose of New Construction. The construction of 2 one story RV I carport buildings and a
n
1 1 sat-gry b il-din.c
V1.Please describe the land contours(flat,slope%,heavily wooded,marsh area,etc.)on your land
and how it relates to the difficulty in meeting the code requirement(s):
The propedy is at and not heavil ooded'or in marsh,are etc..The coritour of the land does
Y W _11 g.
-opt-relate.to-the d! 11y.Jm,m,!p,_tjn.,g th!pt, re girements
Please submit 8 sets of photos,labeled to show different angles of yard areas after staking corners
for new construction,and photos of building area to be altered with yard view.
4/2012
QUESTIONNAIRE
FOR FELING WITH YOUR ZBA APPLICATION
A. Is the subject premises listed on the real estate market for sale?
—Yes X -No
B. Are there any proposals to change or alter land contours?
X No Yes please explain on attached sheet.
C. 1.)Are there areas that contain sand or wetland grasses?, No -----
"?
2.)Are those areas shown on the survey submitted with this applicati on'.1.
3.)Is the property bulk headed between the wetlands area and the upland building
area?
4.)If your property contains wetlands or pond areas,have you contacted the Office of the Town
trustees for its determination ojurisdiction? Please confirm.status of your inquiry or
application with the Trustees: mmmmm and if issued,please attach
copies of permit with conditions and approved survey.
D. Is there a depression or sloping elevation near the area of proposed construction at or
below five feet above mean sea level? No
E. Are there any patios, concrete barriers,bulkheads or fences that exist that are not shown
on the survey that you are submitting? No Please show area of the structures on a diagram
if any exist or state none on the above line.
F. Do you have any construction taking place,at this time concerning your
premises? No If yes,please submit a copy of your building permit and survey as approved
by the Building Department and please
describe:
G. Please attach all pre-certificates of occupancy and certificates of occupancy for the
subject premises. If any are lacking,please apply to the Building Department to either obtain
them or to obtain an Amended Notice of Disapproval.
H. Do you or any co-owner also own other land adjoining or close to this parcel?-Yes If
yes,please label the proximity of your lands on your survey.
I. Please list present use or operations conducted at this parcel vacant parcel
and the proposed use Car, RV and pod storage
"ex: existing single family,proposed: same
with garage,pool or other)
OAutho Redd signature and Date
BOARD MEMBERS Southold Town Hall
Leslie Kanes Weisman,Chairperson 53095 Main Road*P.O.Box 1179
Southold,NY 11971-0959
Eric Dantes
.0
Gerard P.Goehringer Town Annex/First Floor,Capital One Bank
George Homing 54375 Main Road(at Youngs Avenue)
Kenneth Schneider Southold,NY 11971
http://southoldtown.northfork.net
RECEIVED
ZONING BOARD OF APPEALS
A TOWN OF SOUTHOLD
F 8 4 201,
Tel.(631)765-1809•Fax(631)765-9064
Soutbol�Town Clark
FINDINGS,DEL EBERATIONS AND DETERMINATION
MEETING OF JANUARY 22,1015
ZBA FILE: 6823 mm
NAME OF APPLICANT: 115 Commerce Drive,LLC 12232 Roses Brook Farm,LLC
PROPERTY LOCATION: 115 Commerce Drive(Depot Lane),Cutchogue,NY SCTM# 1000-96-01-1.2
R. DETERMIN�ATION': The Zoning Board of Appeals has visited the property under consideration in this
4_
application and determines that this review falls under the Type dH category of the State's List of Actions; without
further steps under SEQRA.
SUF"i"'OLK",CO TY ADMINISTRAT1VE C'ODE: This application was referred as required under the Suffolk
County Administrative Code Sections A 14-14 to 23, and the Suffolk County Department of planning issued its
reply dated'December 29, 2014 stating that this application is considered a matter for local determination as there
appears to be no significant county-wide or inter-community impact.
LW'RP,,,, DETERMINATT,ON,�, The relief, permit, or interpretation requested in this application is listed under the
Minor Actions exempt list and is not subject to review wider Chapter 268.
P ROPERTYFACTS/DES R IP TtON.-, Subject parcel is a conforming lot located in the LI zone district. It is
1C
improved with a two story metal building.. It has 48.56 feet of frontage on Commerce Drive, 513.60 feet along the
eastern property line, 173.70 feet on Depot Lane and 440.97 feet along the western property fine as shown on the
survey prepared by lCenneth H.Beckman,LS,dated October 1,2008, last revised I 1112/2014.
BASIS OV APPL1Q.A Request for Variance from -Article XV, Section 280-63 (Bulk Schedule) and the
Building Inspector's December 1, 2014 Notice of Dis
approval based on an application for building permit for
construction of an "as built" third floor conditioned space to an existing commercial building, at; 1)more than the
code permitted maximum two stories.
RELIE4 F REQ1JESTEJ): The applicant requests a variance to maintain the as-built"conditioned space" above the
caretakers apartment as a third story where the code permits the maximum of two stories, as shown on the
architectural plans prepared by David A.DiGiovanni, R.A., dated 1 ill 1/2013, sheet A-5 Attic Floor Plan and sheet
6 Elevations,and the as-bu ilt survey of property by Kenneth H.Beckman,L.S., last dated 11/12/2014
AD'D1'T1QN'AL INFORMATION: The subject parcel was granted variances in appeal #6259 to permit the
construction of a 1. 435 sq. ft. accessory apartment to be used by a watchman/employee of the storage business,
for security purposes within the subject public storage building, and to permit the subject storage building to have
75 feet ofroad frontage on Depot Lane, where the code permits a maximum of 60 feet of frontage. The proposed
as-built third story conditioned attic space with stairs was not shown on the approved plans. The applicant/owner
testified at the heating that he would like to use the 3 rd story attic space as a habitable home office in association
with the as built apartment. The Board of Appeals received comments from the Southold Town Planning Board on
page 3 of 3—ion tip ry 22,2025
ZDAMU—215 Cbmmarce Mve,LK/1232 Roses Brook Farm,LLC
SUMN1000-46-1-1.2
art.the above conditions he written into the Building Mspector"s Certificate of`Occupancy, -when issued.
Pursu-ant to Chapter 280-146(B) of the Code of t1re Town of Southold airy variance granted by the
Board of Appeals shall become nWI and-void where a Certificate of Occupancy has not been
procured, aod/ok-asubdivisioni inap has not been filed with the Stiffolk Couilty Cletk,withi&three
(3)years from the date such variance was gromted. The Board df Appeals may,opon written
request pn'or to the date of exp�'iration, graht ala extension not t6 exceed three(3) cousbautive one
(1) year terms.
Vote of the Board: Ayes:Members Weisman(Chairperson),Schneider,florning,Dames. (Absent was Member Goebringer).
This Resolution was duly adopted(4-0).
Ai
Leslie Kuefi Weiunan,Chairperson
Approved for filing/ /2015
MAILING ADDRESS:
P14ANNWGI30ARD IERS P.O..Box 1179
JER1LYN B.WO0DHOUSE Southold NY 11971
Chair
OMCE LOCA11ON:
Wr"IJAM J.C +;MERS AV Town,Hall Annex
KENNET;H L.ED WARDS 54 375 State Route 25
MARTIN H.BIDCIR (cor,ll�uin Rid.&Youngs Ave,)
G�E(3R.GB 11.8(JLCM0�1` Southold NY
Telephone:631 765-1938
Fax:' 631 765-3136
TOWN OF SOUTHOLD
September 1,2005
Mr.Martin Kosmynka,
PO Box 1270
Cucthope, NY 11935
Re: Proposed lite Plan for North ForkSelf Strogae
50 Comtne=eve,Cutchogue
SCTM# 1000-96-1-1.4
Dear Mr. Kos ynka,
This is • you,the ian, � 5
to � ��� ��hel r Session,on August� � to
reviewaccept-theo , e eDistrict n ,aio i •
�e tee�, r
Committee,
approval. Attached you will end�copy the'letter and
min
utes for your
records.
If there are any questions you can contact us at(631)765-193 8 between the hours of 8:00 a.m.
and 4:00 p.m.
,v
,Rest
em i
Senior Site Plan Reviewer
CC:file, attachment
o-w„„y+ e. v+jMYn E uauwrroca-Mrn urn. uum.yrnu orvwrvmwwwn ryni wammn ertmmmmmmmmmnimmmmii ups n. 1 m Ou
Cl 4r�
•• `
APPEALS BOARD MEMBERS " Southold T
Ruth D.Oliva,Chairwoman, 53 Min a
Gen d P. Goehrin,ger Southold,NY 11+971-�0959
Vmcent Orlando
James Dinizio,Jr. Town Annex►rFrrst Floor,North Fork Bank
Michael A.Simon 54375 Man Road(at Youngs Avenue)
Southold,NY 11971
http://southoldtown.northfork net 4
w
BOARD OF APPEALS h
TOWN OF SOUTHOLD44
9
Tel.(631)765-1809 Fax(631)7+65 9064
JAN 4 2006
w
FINDINGS, DELIBERATIONS AND DETE INA IO
MEETING OF DECEMBER 1,2005
ZB
File No.5779—MARTIN KOSMYNKA,,Contract Vendee (Tide Group,Curr�t
Property L
Corm ve,dutch "T'QR A „
'R I AT�GN: The Zonigg Board of Appeals has visited the property under consideration in this
ar-��,.tcation and determines that this review fads under the Type II category of the State's List of Actions,
without an adverse effect on the environment if the project is Implemented as planned.
F M, F ACC'r SC I PI 'N.-Th e applicant's 3.07 acre vacant site has 98 feet along Commerce Drive
(WlA` c)In,Cutchogoe,,and Is located in the Ught Industrial Zone District.
BABI RLI�C T Building Department's August 2, 2005 Notice of Disapproval, citing Section 100-
43D in its denial of an application for a building permit for an accessory apartment within a public storage
building is not permitted under the provisions of the zoning code for accessory uses.
FINDINGS QF FACT
Th ning Board of Appeals held a public hearing on this application on November 17, 2005 at which time
writt6n andoral evidence were presented., Based upon all testimony, documentation, personal inspection of
th
e property, and other evidence,,t Zoning o art s the Ballo in to b true r l v nt:
i L $T Thes sh to ad a 902 sq.ft.Apartment dwelling unit, next to
-the 7 o r �, w i in one,of a ropos ,ew buildings (building referred to.as, Phase 1)to be
welt for public storage,use in this,"Light,IndUstrial Zone District.
,SEASONSF: BG AD I * On the basis of testimony presented* materials submitted and personal
inspections',the Board makes the following findings:
1. Grant of the variance will not produce an undesirable change in the character of the neighborhood or a
detriment nearby t to properties. the (dwelling)
a � nt', nit will consista t a d is
square,
y y y p
proposedf e purpose e of real nc° arrow errn lc of a obllc areh use f c t this site.
-Access to e storage u nifts by t he public is available 4 hours a day y the emp s of the, warehouse
facility. If the variance were not approved, an employee would not be able to reside at the site as part of the
management and security of the public warehouse operations.
2. The benefit sought by the applicant foron-site living space for the manager of the public warehouse facility
cannot be achieved by some method,, feasible for they applicant to pursue, other than by approval from the
Zoning Board of Appeals for variance relief.
3. The variance granted hereln is substantial.
Town of Southold Annex
1/30/2015
P.O.Box 1179
54375 Main Road
Southol New York 11971
............
CERTIFICATE OF,OCCUPANCY
No: 37406 Date: 1/30/2015
THIS CERTIFIES that the building COMMERCIAL
Location of Property: 115 Commerce Dr,Cutchogue,
............
SCTM#: 473889 Sec/Block/Lot: 96.-1-1.2
Subdivision: Filed Map No. Lot No.
conforms substantially to th6 Application for Building Permit heretofore filed in this office dated
12/19/2013 pursuant to which Building Permit No. 38661 dated 3/3/2014
was issued,and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
LD L TO E CC E"SSORY OFFICE ET,4AJKE4,R IS
COMMERCIAL B'LW F SRA�GA
LE,STO, E,*.,, ACEZJ3A,
DECISION#682 ])AM, ,0 1-2,22,. and ZBA 01-5
The certificate is issued to I IS Camm.Dr.LLC/223 2 Roses Brook Rd F
(O"ER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL CIO-08-0012 12-22-2014
ELECTRICAL CERTIFICATE NO. 38661 12-01-2014
..........
PLUMBERS CERTIFICATION DATED 12-10-2014 Matfituck Plumbing
W" 0 Si ture
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z- 3 2184 Date: 02Z 06/07
THIS CERTIFIES that the building STORAGE BUILDING #2
Location of Property: 20345 CR 48 CU:C'CHOGUE
(.HOUSE NO:) (STREET) (HAMLET)
County Tax Map No- 4" 3, 89 Section 96 Block :I Lot 1.4
Subdivision
. Filed Map No. Lot NO.
conforms substantially to the Application for Building Permit heretofore
A
filed in this office dated JULY 6 2 4 0 6 pursuant to which
Building Permit No. 3 2 2 2 4-Z dated MLY 2 0 2006
was issued, and conforms to all of the requirements of the applicable y
provisions of the law. The occupancy for which this certificate is issued
is SELF STORAGE BUILDING #2 AS APPLIED FOR'.
The certificate is issued to KOS, LLC
(C WNER)
of the aforesaid building.
SU?FO R I, N ��� ` OF HE LTS APPROVAL N A
�z�CELECTRICAL CERTIFICATE NO. 3004 s 2 0 01 26
µ
PL ; CERTIFICATION DATED N A
ut, ori zed Signature
Rev. 1/81
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J1 7086
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GRANT OF EASEMM�+I'I"made this, "day of:�A, 2"between
�. a corporation having its principal
Mce,atzj!�-Q M-1 IA42:h]"im' -
-.4-K.0 e ei, referred
to as"Grantor")to'V'a RMON NEW YORK INC.(formerly known as New York.
Telephone Comp"A6 a corporation of the State of New York,,,having its primaipal
office at 140 West Street,New'York,New York and L.L.L.C.0.dba L..LP.A.,@ 175 E.
Old Country road,Hicksville,N.Y. (hereinafter referred to as "Grantee").
W IEREAS,the Grantor owns in fee a certain parcel of land situated(a DIST.
1000,SEC.096.00,BLit 01.00,LOT.001.000, County of Suffolk State of New"York,
as shown on EXIMIT*1 A",attached hereto and hereby made part of this Grant.
NOW,THEREFORE,WfFN'ESSETH:
FIRST:That for and in consideration of the sum of One Dollar(SLOO)Mi hand
paid by the Grantee to Grantor,the receipt of which is.hereby acknowledged,the
Grantor grants unto the Grantee,its successors and assigns,the right,privilege and
authority to construct,place,operate,replace,remove,repair and maintain service
lines,including buried cable,pedestals,conduits,manholes,poles and such
crossarms,guys,stubs,anchors,cables,wires and fixtures as the Grantee may from
time to time deem nemsa ry upon,over,under and along the said land and the
highways adjoining or upon said land,together with the right of ingress and egress to
exercise all of the rights herein granted and with the right to.trim any byes and roots
along said lines,as reasonably necessary,to keep the said facilities free and clear
w e�
from interference on said land and said highways.
SECOND:The exclusive and permanent right-of-way and easement above
described and herein conveyed is intended to prohibit the longitudinal or parallel
oceo;p I ofaaid easement strip by o including Grantor and to,probibi°t surface
or subsurface stretu or,otherwise ofetbers.,including Qrauor which might
damage or interfere h with t the operation,and,matutenauce of Grantee s,fcHits .
o ut"I prior ._�tt:en enit of G nteeo but%not ntended to prohibit crossing
of said Mcment strip so long,as such ossin do notlinterfere withor prohibit,the
full u ,of the
emenient hervin grautedL Grantor agrees with theciantee,on be,half of
hn"W' elf,his successors and assigns,and as a covenant running with the land,that the
grade existing at the time of execution of this grant of easement will remrai�n
undisturbed and as ne'lean ed.
D: The Grantor hereby grants unto the Grantee,its successors and
assigns the right to permit the attachment of the commumication►and electric service
d facilities i convey p
of other as and to couv to such other companies
an Interest in th,e rights granted under thisGrant*
*$a condition of • °, rant that tach corporation receiving this
Grant shall pay the,� t ofgnaMing adequately sill excavaltions m1adet
by,
r
corporation under the Grant, pay or repair any dam a ,.
tha or t
the cost to restore one.
a n to a t
1"f'l' �"� � �property,of the Grantor while,pl n l a`�Ci-reoo o � �r, g
maintaining,renewing
orremoving its fa `i d
shall save �' a` indemaity, e Grantor from any InJury to its per,ty,
employees or the ubfi w %gib may at,smy,timeoteur through e negligenct of t at
torp*ratiem,
o
IN Wl'T' '"S E Grantor has caused this instrument to be duty executed
undersea[the day and year firs#above written.
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STATEMENT OF COWLLANCE
1
`E: VJ107086
ONorth Fork Industrial ParV
Cutchoguej New York
Y have reviewed Verson New Yotii,Inc..(formerly known as New York
Telephone Company)proposal to provide service to the above,n6t+ed sub-
d`rvision,including the routing of their cables and fames across my property
(including joint burned arrangements with Udco)and hereby certify that 1 am
in full compliance with all necessary permits,filings,certifications,etc,.
including New York,Mate Department of Environmental Conservation and
Wetlands.
rt e
9
Act, C� P61
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W1,070,86
STATE OF NIEW YORK
SS..
j` COUNTY OF 9 vMVL4L--)
On tube � h he Yvar before me,the uodei�gned,�
Notary l� an a.id re � Personally
knownto we ov proved to,me on the basis of satisrutory a deu' to be the
jud vid u i s)whose name(s)is(are)subscribed to the within instrument,and
acknowledged to me that helshelthey executed the same in his/herttbeicr capacity,and
that by her/h,eir signature(s)on the instrument,the irndmdual(s),or the person
upon behalf of which the mi dividuai(s)actM,executed the instrument.
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Notary Public
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MAILING ADDRESS:
PLANNING BOARD: M]3ERS � P.U.Box 1179
DONALD J.wILCENSKI2 7
*00 °r - Southold, NY 11971
Chair
OFFICE LOCATION:
WILLIAM J.CREMERS Town Hall Annex
7 State Route 25
PIERCE RAF'FERTY 543'�
5 S
car.Main Rd. &Youngs Ave.)
JA�LiE H.RICH TII �� � � C g
MARTINI H.'SIDOR Southold;NY
U WON
o Telephone: 631 765-1938
Fax: 631 765-3136
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
May 7, 201
Mr. Martin Kosmynka
50 Commerce Drive
Cutchogue, NY 11935
Re: Amended Approval: Proposed Site Plan for North.Fork Self Storage Carport
Located at 50 Commerce Drive, +1--594' east of Depot Lane, Cutchogue
SCTM##1000-961-1.4 Zoning District: Light Industrial
Dear Mr. Kosmynka:
The following resolution was adopted at a meeting of the Southold Town Planning
Board on May 6, 2013:
WHEREAS, on December 12, 2011, site plan r val s rante for a proposed
addition of an 1,800 s.f. carport on the existing . acre o Fork, Self' Storage site in
Zoning District where four existing buildings total 53,425 s.f. The 4.0' x 45' carport
the Ll �+� g g g _
would be used as a staging area for customers to have temporary access to containers.
The carport is proposed to be built can an existing asphalt area; and
WHEREAS, on April 13 2013 the applicant submitted a revised site plan,,,proposing the
�p
p
a proved 40'x 45' carport to be enclosed on all sides for protection from the elements
for customers and„employees a.nd for the purpose of temporary customer access to-
mobile units; additionally, the bu ild ing is proposed to be decreased in height by ±6'; and
WHEREAS at a 'Work Session held on May 0, 2013, the Planning Board:reviewed the
revised ro osal and determined that the December 12, 2011 approval resolution be
p p
amended; therefore be it
r
RESOLVED that the Southold- Planning Board_grants, Approval to the proposal
for the addition of walls to the carport, as shown on the plan entitled "North Fork Self
Storage Plan, Details & Elevations A-2", prepared by DiGiovanni & Associates,
Arch itects, on February5 2013 and aut eristhe Chairman to endorse the re ferenced
plan after the fallowing condition is met:
1. The applicant shall obtain approval from the Southold Town Zoning Board of
Appeals (ZBA) for any variances required.
North Fork Self St,ora e, PIgge wo May 7.2....2,013
Please note the following requirements in the Southold Town Code relating to site
plans: 11
1. Any outdoor lighting shall be shielded so the light source is not visible from
adjacent properties and roadways. Lighting fixtures shall focus and direct the
light in such a manner as to contain the light and glare within property
boundaries.
2. All Storm water run-off from grading, driveways and gravel areas must be
contained on site.
3. Approved Site Plans are valid for eighteen months from the date of approval,
within which time allproposed work must be completed, unless the Planning
Board grants an extension.
4. Any changes from the Approved Site Plan shall require Planning Board
approval.
5. Prior to the issuance of,,.a Certificate of Occupancy, the Planning Board must
inspect the,site to ensure it is in conformity with the Approved Site Plan, and
issue a final site inspe* ction approval letter. Should the site be found not in
conformance with the Approved Site Plan, no Certificate of Occupancy may
be issued unless the Planning Board approves the changes to the plain.
A copy of the Approved Site Plan is enclosed for your records. One copy will also be
sent to the Building Department and the Town Engineer/Highway Department.
If you have any questions regarding the above, please contact this office.
Very truly yours,
Donald J. "*Ilcenski
Chairman
Encl.
cc: Building Dept. w/map
Town Engineer w/map
I LAMING ADDRESS:
p' G BOARD ME11ER P.O. Box 1179
DONALD J. .CENSRI
Southold,NY 11971
Chair OFFICE LOCATION:
WILLIAM J.C:REAMRS
Town Hall Annex
2
Mate Rou
te �
PiER.CE RA,F`�"'ERTY
54375
JAM E3 H.RICH III (cor.Main Rd. &Youngs Ave.)
n
MARTIN H.SIDOR Southold,NY
UN11,
Telephone: 631 765-1938
Fax: 631 765-3136
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
October 8, 2013
Mr. Martin Kosmynka
50 Commerce Drive
Cutchog ue, NY 11935
r rt
Re: A Plan for North,, Fork self to ag
Approved, Site � � � Corporate � Dr Cutcho ue
50 Co�rn�re rce Drive
� 5�9� she yCommerce
, DTM#1000 95
--1--1.4 Zoning District: 0ght Industrial
Dear Mr. Kosrnynka:
The P la i s f6und that,the requirerr ents of,the above-refe r,e�nced site plan
ed based twe� site lns ion,�s ma October 4w�13 and the orb
have been co plat
Session held o,n October 7 201 . The site is now,,,in conformance with theapproved site
. led "North Fork Self Storage e ' prepared �y �iGlio�vanni �Associates,,
�I�� entitled
Architects, dated February �6, 2013� and last revised April 10, 2013.
r
from the approved site Ian and approvals
This letter does not condone any changes fr pp p
from ether agencies; Planning Board approval is required prior to any significant
g g
changes to the site.
• � his site plan or its recess, do not hesitate
Please, if you have any questions regarding t p I
to call this office.
Very truly yours,
Donald J. Iilcenski
Chairman
cc: Planning Board
Heather Lanza,. Planning Director
Michael Verity, Chief wilding Inspector
Jamie Richter, Town Engineer
m
Town of Southold Annex 10/10/2013
"left
P.O.BOX 1179
54375 Main Road
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 36563 Date: 10/10/2013
THIS CERTIFIES that the building ACCESSORY
Location of Property: 50 Conuncrcc Dr, Cutcho gue,
11 A,
SCTM#: 473889 See/Block/Lot: 96.-1-1.4
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Perm t heretofore filed in this officed dated
2/14/2013 pursuant to which Building Permit No. 37833 dated 2/28/2013
was issued,ssued, and conforms to all of the requirements,,of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
accessg�ycam Z a BA#65 dated 11117111.
l ied, b 14.
The certificate is issued to KOS LLB"'
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37833 8n1l3
N�
PLUMBERS CERTIFICATION DATED
Aul� o ature,
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-33061 Date: 6/° 2
THIS CERTIF7ES that the building SELF STORAGE BUILDING
Location. of Property: 20345 CR 48 CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 96 Block 1 Lot 1.4
Subdivision Filed Map No. � Lot NO.
conforms substantially to the Application for Building Permit heretofore
o f4
. purlsu at to wrhi,.ch
filed in this office Yc�e dated C)CTOBER 1 2 0 C�7
u
HUilding Pexmi.t. No. 3 34,82-Z, dated. OCTOBER 231 2007
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is issued
is TWO STORY SELF-STORAGE►RAG;1 BUILDING (#4) AS APPLIED FOR,
The certificate is issued to RCVS LLC
(OWNER)
of the aforesaid building.
SUF 3LIC UNTY DRj? = OF 11RAIA P° N/A
HT C'TR:ICAL CERTIFICATE NO. 8639
A h orized Signature
Rev. 1/81
FORM NO 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32363 Date: 05 21/0T
TEIS CERTIFIES that the building FIRE PROTECTION SYSTEM
Location of Property: 20345 CR 48 CCTT'CHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No- 47,3889 Section 96 Block I Lot 1.4
Subdivision -Filed Map No.- Lot NO.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER. 1J.
2 0+0 6 pursuant to which
Ehi i ld i.ng Permit No. 3,24,9'5 Z dated NOVEM13ER 15 " o 0-6
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is issued
is INSTALLATION OF A FIRE ALARM PROTECTION S TEM AS APPLIED FOR..
The certificate is issued to KOS LLC
(OWNER)
of the aforesaid building._
SUFFOLK COUNTY DEPARTPUM, OF YM NTH APPROVAL NSA
BLECTR.ZC',AL CERTIFICATE NO. 3028799 04 2 4, 0
PMMER'S CERTIFICATION DATED N/A.
Authorized Signature
Rev. 1/81
FORM NO. 4 `
TOWN OF S OUTHO LD
BUILDING DEPARTMENT
Office of the Building inspector
Town Hall
Southold, N.Y.
t
CERTIFICATE OF OCCUPANCY
No: Z-32185 Date: 02/06/07
THIS CERTIFIES.TIF1 that the building STORAGE BUILDING #1
Location of Property: 20345 CR 48 CUTCHOGUE
I (HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473,889 Section 96 Block 1 � Lot 1.4
Subdi.vi.si.on. Filed Map No. Lot NO.
conforms substantially to the Application for Building Permit heretofore
, F
filed led in this office dated. JULY 60 2 0 0 6 pursuant to which
Building Permit No. 3 2 2 2 4-Z dated JULY 2 0 2
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is issued
i s SELF STORAGE G EUI LADING 3 AS APPLIED FOR.
The certificate is issued to KOS LLC
(OWNER)
of ;the aforesaid building.
sUFFOLK COUNNY DEPAARTbVR24r of REPiLaH APPROVAL
XI CRT RI CAL CERTIFICATE NU. 3004520
2 0
PLUMB13RS CERTIFICATION DATED N/A
.000
u°t or .zed Signature
a
Rev. 1/81
FORM NO. 4
TOWN OF 5OUTHOLLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32362 Date: 05/21/0?
THIS CERTIFIES that the building SELF STORAGE FACILITY
W
Location.' of Property: 20345 CR 48 CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 47,3889 Section 96 E l ock l Lot 1.4
Subdivision sion Filed Map No. Lot NO.
conforms substantially to the Application .for Building Permit heretofore
filed in this office dated JULY 6, 2006 pursuant to which
Building Permit No. 3 2 2 6 2-Z dated AUGUST 2 2006
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is issued
is SELF STORAGE FACILITY OFFICE APARTMENT AS APPLIED FOR,
PER. CONDITIONS OF ZBA #5779 DATED 12101105.
The certificate is issued to KO S ;PLC
(OWNER)
of the aforesaid bui lding.
SUFFOLK COUNTY DEPARTMENT OPEFAL APPRO'V"AL C 10-0'' -0 010 1 N,, 3 /0 6
ELECTRICAL CERTIFICATE NO. 3028799 2jL?4Z0,.,
PLUMBERS CERTIFICATION DATED 0 5/21. 0 7 BURTS RELIABLE INC O
Ate'llcrl.z ed Signature
P
Rev. 1/81
AGRICULTURAL DATA STATEMENT
ZONING BOARD OF APPEALS
TOWN OF SOUTHOLD
WHEN TO USE THIS FORM: This form must be completed by the applicant for any special use
permit, site plan approval,use variance, area variance or subdivision approval on property within
an agricultural district OR within 500 feet of a farm operation located in an agricultural district.
All applications requiring an agricultural data statement must be referred to the Suffolk County
";_"" 0 with Section 239m.and 239n of the General Municipal
Department of PI accordance W1
Law.
1. Name of Applicant: Martin Kosmynka
2. Address of Applicant: 50 Commerce Drive, Cutchoque,,, NY 11935
3. Name of Land Owner(if other than Applicant),: 535 LLC
4. Address of Land Owner: 20 Faiding Drive". ea Cliff, NY 11570
5. Description of Proposed Project",-,C,onstaction of"2 one sto!y Metal, st,,o,Me buildings
and 1 one story clearspan storage building.
6. Location of Property: (road and Tax map
number) CC mme co riv Cutol o ue NY 1 sCTM 1000-96-1-1.3
7. Is the parcel within 500 feet of a farm operan,on? W Yes No
8. Is this parcel actively farmed? (c} Yes I I No
9. Name and addresses of any owner(s)of land within the agricultural district containing',
active farm operations. Suffolk County Tax Lot numbers will be provided to you by the Zoning
Board Staff,it is your responsibility to obtain the current names and mailing addresses from the
Town Assessor's Office(765-1 37) or from the Real Property Tax Office located in Riverhead.
NAME and ADDRESS
1. John Kq ii, 95 Laurel Hill Road, NorthpqftNY 11768
2. Russell C. McCall, 20310 Middle Road, Cut, o u , NY 11768
3. Roses I Vi I nyard LLCl 8910 Middle Road, ,Cutc%,.hogue, NY 11768
4
D
5.
6.
P lease'us the bac. this page if there are additional property owners)
i ature 01f ppldcant Date
Note:
1. The local Board will solicit comments from the owners of land identified above in order to
consider the effect of the proposed action on their farm operation. Solicitations will be made by
supplying a copy of this statement.
2. Comments returned to the local Board will be taken into consideration as part as the overall
review of this application. 1
3. Copies of the completed Agricultural Data Statement shall be sent by applicant to the property
owners,identifled above. The cost for mailing shall be paid by the Applicant at the time the
application is submitted for review.
Full Environmental Assessment Form
Part I -.Project and Setting
Instructions for Completing Part I
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 I 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 o'n 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 project sponsor to verify that the information contained in
Part I is accurate and complete.
A.Project and Sponsor Information.
Name of Action or Project:
r0i
North Fork Self Storage#3
Project Location(describe,and attach a general location map):
65 Commerce Drive,Cutchogue,NY 11935
Brief Description of Proposed Action(include purpose or need):
Construction of a one story Clearspan building,2 one story metal storage buildings and 2 one story metal RV carport buidlings.
Name of Applicant/Sponsor: Telephone:631-734-2177
Martin Kosmunka
E-Mafl:sales@naothforkstorge.com
Address-:50 Commerce Drive
City/PO:Cutchogue State:NY Zip Code:11935
Project Contact(if not same as sponsor;give name and title/role): Telephone:
Same as applicant. E-Mail:
Address:
City/PO: State: Zip Code:
Property Owner (if not same as sponsor): Telephone:631-512-8718
535 LLC E-Mail:
Address:
20 Fairline Drive
owoowoN
City/PO: Sea Cliff State:NY Zip Codq 1579
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, E]YesONo
or'Village,Board of Trustees
b.City,Town or Village J2]YesE]No Town of Southold Planning Dept.approval
Planning Board or Commission
c.City Council,Town or J2JYesE1No Town of Southold Zoning Boards of Appeals
Village,Zonin Board of Appeals approval
d.Other local agencies Yes ONO
e.County agencies [:JYesONO
...........
f Regional agencies ,,[ Yes
......................
g.State agencies E]YesONO
.....................-
h.Federal agencies ElyesoNo
i. Coastal Resources.
i. Is the project site within a Coastal Area,,or the waterfront area of a Designated Inland Waterway? [1Yes PT4o
U. Is the project site located in a community with an approved Local Waterfront Revitalization Program? 0Yes0No
iii. Is the project site within a Coastal Erosion Hazard Area? [:]YesONo
C.Planning and Zoning
C.1.Planning and zoning fictions.
Will administrative or legislative adoption,,or amendment of a plan,local law,ordinance,rule or regulation be the 0 YeSONo
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 remamimig sections and questions in Part I
C.2.Adopted land use plans.
a.Do any municipally-ado-pted (City,town,village or county)comprehensive land use plan(s)include the site E:]YesONo
where the proposed action would be located?
If Yes,does the comprehensive plan*include specific recommendations for the site where the proposed action E:]YesONo
would be located?
b.Is the site of the proposed action within any local or regional special planning district(for example: Greenway OYesONo
Brownfield Opportunity Area(BOA);designated State or Federal heritage area;watershed inanagement 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, E]YesoNo
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. El Yes 0 No
If Yes,what is the zoning classification(s)including any applicable overlay district?
b. Is the use permitted or allowed by a special or conditional use permit? E1 Yes {No
c.Is a zoning change requested as part of the proposed action? El Yes FO 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? matfituck
b.What police or other public protection forces serve the project site
Suffolk County Police Dept.
c.Which fire protection and emergency medical services serve the project site?
Cutchogue
d.What parks serve the project site?
Causeway Beach District Park,Bay Avenue Park,Veterans Memorial Park
D.Project Details
D.1.Proposed and Potential Development
a.What is the general nature of the proposed action(e.g.,residential,industrial,commercial,recreational-if mixed,include all
components)?Commercial
b.a.Total acreage of the site of the proposed action.? 3.7385 acres
b.Total acreage to be physically disturbed? 2.722 acres
c.Total acreage(project site and any contiguous properties)owned
or controlled by the applicant or project sponsor? 7.888 acres
c.Is the proposed action an expansion of an existing project or use? Ye sO No
i.If Yes,what is the approximate percentage of the proposed expansion and identify the units(e.g.,acres,miles,housing units,
square feet)? % units: E]YesONo
d.Is the Proposed action a subdivision,or does it include a subdivision?
If Yes,
i.Purpose or type of subdivision?(e.g.,residential,industrial,commercial;if mixed,specify types)
.0
u.Is a cluster/conservation layout proposed? E]Yes ONo
ili.Number of lots proposed?
iv.Minimum and maximum proposed lot sizes? Minimum Maximum
e.Will proposed action be constructed in multiple phases? OYesE]No
i. If No,anticipated period of construction: months
11. If Yes:
0 Total number of phases anticipated 3
0 Anticipated commencement dat6 of phase I (*including demolition) 2 month 2019 year
0 Anticipated completion date of final phase 2 month 2021 year
0 Generally describe connections or relationships among phases,including any contingencies where progress of one phase may
determine tin-ling or duration of future phases:
Page 3 of 13
f Does the project include new residential uses? E1Yes 0No
If Yes,show numbers of units proposed.
One Family Two Family Three M,, ,,'.u1ft i i Fa mil four or more
............
Initial Phase
At completion
of all phases ............-..............
E]
g.Does the proposed action include new non-residential construction(including expansions)? EYes No
If Yes, 5
L Total number of structures 31 60' 225'ie
ff. Dimensions(in feet)of largest proposed structure: ''height-, width; and length.
RL Approximate extent of building space to be heated or cooled: 0 square feet
h.Does the proposed action include construction or other activities that will result in the impoundment o any E1 Yes
J0,No
liquids,such as creation of a water supply,reservoir,pond,lake,waste lagoon or other storage?
If Yes,,
i. Purpose of the impoundment: .......
ff. If a water impoundment,the principal source of the water: Ground water 0 Surface water streamsE]Other specify:
iii. If other than water,identify the type of impounded/contained liquids and their source.
iv.Approximate size of the proposed impoundment. Volume: million gallons;surface area: acres
v. Dimensions of the proposed dam or impounding structure: height; ,length
vi. Construction meth6d/materials for the proposed dam or impounding structure(e.g.,earth fill,rock,wood,concrete):
D.2. Project Operations
a.Does the proposed action include any excavation,mining,or dredging,during construction,operations,or both? []Yes10,No
(Not including general site preparation,grading or installation of utilities or foundations where all excavated
materials will remain onsite)
If Yes:
i.What is the purpose of the excavation or dredging?
ii.How much material(including rock,earth,sediments,etc.)is proposed to be removed from the site?
* Volume(specify tons or cubic yards):,
* Over what duration of time? —------
iff.Describe nature and characteristics of materials to be excavated or dredged,and plans to use,manage or dispose of them.
�U I " ]i4o"
iv.Will there be onsite dewatering or processing of excavated materials? Yes
If yes,describe.
v. What is the total area to be dredged or excavated? acres
A What is the maximum area to be worked at any one time? acres
vil.What would be the maximum depth of excavation or dredging? feet
v***. Will the excavation require blasting? ❑Y�esE]No
M
L-c. Summarize site reclamation goals and plan:
b.Would the proposed action cause or result in alteration of,*increase or decrease in size of,or encroathment [:]Yes,Ja,NNo
into any existing wetland,waterbody,shoreline,beach or adjacent area?
If Yes:
L Identify the wetland or waterbody which would be affected(by name,water index number,wetland map number or geographic
description):
Page 4 of 13
ii. Describe how the proposed action would affect that waterbody or wetland,e.g.excavation,fill,placement of structures,,or
alteration of channels,banks and shorelines. Indicate extent of activities,alterations and additions in square feet or acres:
W. Will proposed action cause or result in disturbance to bottom sediments.?
i E]YesE]No
If Yes,describe:
El
iv. Will proposed action cause or result in the destruction or removal of aquatic vegetation? YesE]No
If Yes:
acres of aquatic vegetation proposed to be removed:
expected acreage of aquatic vegetation remaining after pro j ect completion:
purpose of proposed removal(e.g.beach clearing,invasive species control,boat access):
0 proposed method of plant removal:
0 if chemical/herbicide treatment will be used,specify product(s):
v. Describe any proposed reclamation/mitigation following disturbance:
c Will.-the..proposed action use,or create a new demand for water? E]Yes ONo
i�Yes:
L Total anticipated water usage/demand per day: gallons/day
ii.Will the proposed action obtain water from an existing public water supply? E]Yes E]No
If Yes:
0 Name of district or service area:
0 Does the existing public water supply have capacity to serve the proposal? 0 YesEl No
Is the project site in the existing district? El YesEl No
0 Is expansion of the district needed? E]YesE]No
9 Do existing lines serve the project site? E]YesElNo
iii. Will line extension within an existing district be necessary to supply the project? E]Yes ONo
If Yes:
0 Describe extensions or capacity expansions proposed to serve this project:
0 Source(s)of supply for the district:
iv. Is a new water supply district or service area proposed to be formed to serve the project site? El Yes E]No
If,Yes:
Applicant/sponsor for new district:
• Date application submitted or anticipated:
• Proposed source(s)of supply for new district:
v. If a public water supply will not be used,describe plans to provide water supply for the project:
vi.If water supply will be from wells(public or private),maximum pumping capacity: gallons/minute.
d.Will the proposed action generate liquid wastes? O Yes ONo
If Yes:
L Total anticipated liquid waste generation per day: gallons/day
H.Nature of liquid wastes to be generated(e.g.,sanitary wastewater,industrial;if combination,describe all components and
approximate volumes or proportions of each):
iff. Will the proposed action use any existing public wastewater treatment facilities? E]Yes E]No
If Yes:
0 Name of wastewater treatment plant to be used:
• Name of district:
Does the existing wastewater treatment plant have capacity to serve the project? E]YesE]No
0 Is the project site in the existing district? E]Yes E]No
Is expansion of the district needed? E]Yes[3No
Page 5 of 13
Do existing sewer lines serve the project site? E]Yes[:]No
• Will line extension within an existing district be necessary to serve the project? FlYesE]No
If Yes:
o Describe extensions or capacity expansions proposed to serve this project:
iv. Will a new wastewater(sewage)treatment district be formed to serve the project site? E]YesE]No
If Yes:
Applicant/sponsor for new district:
Date application submitted or anticipated:
What is the receiving water for the wastewater discharge?
v. If public facilities will not be used,describe plans to provide wastewater treatment for the project,including specifying proposed
receiving water(name and classification if surface discharge,or describe subsurface disposal plans):
Vi. Describe any plans or designs to capture,recycle or reuse liquid waste: ............
e.Will the proposed action disturb more than one acre and create stormwater runoff,either from new point EYesE]No
sources(i.e.ditches,pipes,swales)curbs,gutters or other concentrated flows of stormwater)or non-point
source(i.e.sheet flow)during construction or post construction?
If Yes:
L How much impervious surface will the project create in relation to total size of project parcel?
Square feet or 3.420 acres(impervious surface)
Square feet or 3.738 acres(parcel size)
ii. Describe types of new point sourc&s. N/A
iii. Where will the stormwater runoff be directed(i.e.on-site stormwater management facility/structures,adjacent properties,
groundwater,on-site surface water or off-site surface waters)?
• If to surface waters,,identify receiving water bodies or wetlands:
N/A
• Will stormwater runoff flow to adjacent properties? E1YesJZNo,
iv. Does proposed plan mmiimize impervious surfaces,use pervious materials or collect and re-use stormwater? E YesE]No
f Does the proposed action include,or will it use on-site,one or more sources of air emissions,including fuel DYesiallo
Mg
combustion,waste incineration,or other processes or operations?
If Yes,identify:
i.Mobile sources during project operations(e.g.,heavy equipment,fleet or delivery vehicles)
ii. Stationary sources during construction(e.g.,power generation,structural heating,batch plant,crushers)
iii. Stationary sources during operations(e.g.,process emissions,large boilers,electric generation)
g. Will any air emission sources named in D.2.f(above),require a NY State Air Registration,Air Facility Permit, []YesENo
or Federal Clean Air Act Title IV or Title V Permit?
If Yes:
i. Is the project site located in an Air quality non-at ta"I'll ment,area? (Area routinely or periodically fails to meet [:]YesE]No
ambient air quality standards for all or some parts of the year)
ii. In addition to emissions as calculated in the application,the project will generate:
Tons4year(short tons)of Carbon Dioxide(CO2)
Tons/year(short tons)of Nitrous Oxide(N20)
Tons/y'ear(short tons)of Perfluorocarbons(PFCs)
Tons/year(short tons)of Sulfur Hexafluoride(SF6)
Tons y (short tons)of Carbon Dioxide equivalent of Hydroflourocarbons(BFCs)
• Tons/year(short tons)of Hazardous Air Pollutants(HAPs)
Page 6 of 13
b Will the proposed action generate or emit methane(including,but not limited to,sewage treatment plants, ❑YesRJNo
landfills,composting facilities)?
If Yes:
i. Estimate methane generation in tons/year(metric):
ii.Describe any methane capture,control or elimination measures included in project design(e.g.,combustion to generate heat or
electricity,flaring):
[J Yesia No
i.Will the proposed action result in the release of air pollutants from open-air operations or processes,such as
quarry or landfill operations?
If Yes:Describe operations and nature of emissions(e.g.,diesel exhaust,rock particulates/dust):
j.Will the proposed action result in a substantial increase in traffic above present levels or generate substantial E]'YesR, 1No
new demand for transportation facilities or services?
If Yes: [I Morning El Evening ]Weekend
i. When is the peak traffic expected(Check all that apply):
D Randomly between hours of to I IAL
ii.For commercial activities only,projected number of semi-trailer truck trips/day:
iii.Parking spaces.- ' Existing Proposed, Net increase/decrease
iv. Does the proposed action include any shared use parking.? E]Yes[-]No
v. If the proposed action includes any modification of existing roads,creation of new roads or change in existing access,describe:
Vi. Are public/private transportation service(s)or facilities available within%mile of the proposed site? [:]YesC]No
vii Will the proposed action include access to public transportation or accommodations for use of hybrid,electric E]YesE]No
or other alternative fueled vehicles?
viii.Will the proposed action include plans for pedestrian or bicycle accommodations for connections to existing E]YesONo
pedestrian or bicycle routes?
k.Will the proposed action(for commercial or industrial projects only)generate new or additional demand 0,Yes,[]No
for energy?
If Yes:
L Estimate annual electricity demand during operation of the proposed action:,
$500.00
U.Anticipated sources/suppliers of electricity for the project(e.g.,on-site combustion,on-site renewable,via grid/local utility,or
other):
Local utility during Phase I&Phase 2.On-site renewable electricity with solar panels.
0
iff.Will the proposed action require a new,or an upgrade to,an existing substation? []Yesp]No
1.Hours of operation. Answer all items which apply.
L During Construction: u. During Operations:
Monday-Friday:, 7:00 am-7:00 pm 0 Monday-Friday: 24 hours
0 Saturday: 0 Saturday: 24 hours
0 Sunday: 0 Sunday: 24 hours
10 Holidays: 0 Holidays: 24 hours
Mi
Page 7 of 13
m.Will the proposed action produce noise that will exceed existing ambient noise levels during construction, O Yes 0No
operation,or both?
If yes:
L Provide details including sources,time of day and duration:
Construction noise may exceed ambient noise levels.However,it will only occur between 7:00 am and 7:00 pm pursuant to Town Code Chapter 180-7.
ii. Will proposed action remove existing natural barriers that could act as a noise barrier or screen? Cl Yes ONO
Describe:
n.. Will the proposed action have outdoor lightine? 0 Yes El No
If yes:
i. Describe source(s),location(s),height of fixture(s),direction/aim,and proximity to nearest occupied structures:
All lighting will be at the lowest height and illiminance level necessary for safe use as per Town Code Chapter 172-5.
..........................
I'l- Will proposed action remove existing natural barriers that could act as a light barrier orscreen? El Yes 0 No
Describe:
o. Do 11 es the proposed action have the potential to produce odors for more than one hour per day? E]Yes®No
If Yes,describe possible sources,potential frequency and duration of odor emissions,and proximity to nearest
occupied structures:
Fp.Will the proposed action include any bulk storage of petroleum(combined capacity of over 1,100 gallons) [11Yes ONo
I or chemical products 185 gallons in above ground storage or any amount in underground storage?
If Yes:
i. Product(s)to be stored
U.Volume(s) per time (e.g.,,month,year)
iff. Generally describe proposed storage facilities:
proposed action(commercial,industrial and recreational projects only)use pesticides(i.e.,herbicides, El Yes ®No
g construction or operation?
des)dunin
If Y6s:
L Describe proposed treatment(s):
u.Will the proposed action use Inte ated Pest Mann emeat Practices? Eli Yes ONo
r.Will the proposed action(commercial or industrial projects only)involve or require the management or disposal El Yes ONO
of solid waste(excluding hazardous materials)?
If Yes:
i.Describe any solid waste(s)to be generated during construction or operation of the facility:
0 Construction: tons per (unit of time)
0 Operation tons per (unit of time)
U.Describe any proposals for on-site,mu"11' 1221tion,recycling or reuse of materials to avoid disposal as solid waste:
Construction:
• Operation:
iff. Proposed disposal methods/facilities for solid waste generated on-site:
Construction:
Operation:
Page 8 of 13
s.Does the proposed action include construction or modification of a solid waste management facility? E]'Yes 0 No
If Yes:
L Type of management or handling of waste proposed for the site(e.g.,recycling or transfer station,composting,landfill,or
other disposal activities):
il. Anticipated rate of disposal/processing:
Tons/month,if transfer or other non-combustion/thermal treatment,or
Tons/hour,if combustion or thermal treatment
iii. If landfill,anticip ated site life: years
t.Will proposed action at the site involve the commercial generation,treatment,storage,or disposal of hazardous ❑Yes E]No
waste?
If Yes:
L Name(s)of all hazardous wastes or constituents to be generated,handled or managed at facility:
H.Generally describe processes or activities involving hazardous wastes or constituents:
iii.Specify amount to be handled or generated tons/month
iv.Describe any proposals for on-site minimization,recycling or reuse of hazardous constituents:
v.Will any hazardous wastes be disposed at an existing offsite hazardous waste facility? Yes No
If Yes:provide name and location of facility:
If N. describe proposed management of any hazardous wastes which will not be sent to a hazardous waste facility:
There will be no hazardous wastes.
E.Site and Setting of Proposed Action
FEA.ILand uses on and-surrounding the project site
a.Existing land uses.
i. Check all uses that occur on,adjoining and near the project site.
El Urban D Industrial 0 Commercial Cl Residential(suburban) 0 Rural(non-farm)
[I Forest 0 Agriculture 0 Aquatic Other(specify):
ii. If mix of uses,generally describe:
b.Land uses and covertypes on the project site.
Land use or Current Acreage After Chan ge
Cov"e Acreage Project Completion (Acres
+0
Roads,buildings,and other paved or impervious 0.91 2.65 +11.74
surfaces 0.68 1.01 +0.33
• Forested
• Meadows,grasslands or brushlands(non- 2.15 0 -2.15
agricultural,including abandoned agricultural)
• Agricultural 0 0 0
(includes active orchards,field,greenhouse etc.)
Surface water features 0 0 0
(lakes,ponds,"streams,rivers,etc.) I I I
Wetlands(freshwater or tidal) 0 0 0
Non-vegetated(bare rock,earth or fill) 0 0 0
Other
Describe:Non fertilizer dependent vegetation 0 0.08 +0-08
Page 9 of 13
c. Is the project site presently used by members of the community for public recreation? El Yes[D No
i- If Yes:explain:
d. Are there any facilities serving children,the elderly,people with disabilities(e.g.,schools,hospitals,licensed 0YesWJNo
day care centers,or group homes)within 1500 feet of the project site?
If Yes,
i. Identify Facilities:
e.Does the project site contain an existing dam? [:]YesENo
If Yes:
i. Dimensions of the dam and impoundment:
Dam height: feet
Dam length: feet
Surface area: acres
• Volume impounded: gallons OR acre-feet
U. Dam's existing hazard classification:
W.Provide date and summarize results of last inspection:
f.Has the project site ever been used as a municipal,commercial or industrial solid waste management facility, [JYesKJNo
or does the project site adjoin property which is now,or was at one time,used as a solid waste management facility?
If Yes:
i. Has the facility been formally closed? []Yesr-1 No
0 If yes,cite sources/documentation:
R. Describe the location of the project site relative to the boundaries of the solid waste management facility:
W. Describe any development constraints due to the prior solid waste activities:
g.Have hazardous wastes been generated,treated and/or disposed of at the site,or does the project site adjoin [:]YesONo
property which is now or was at one time used to commercially treat,store and/or dispose of hazardous waste?
If Yes:
1. Describe waste(s)handled and waste management activities,including approximate time when activities occurred:
h. Potential contamination history. Has there been a reported spill at the proposed project site,or have any [3YesR1 No
remedial actions been conducted at or adjacent to the proposed site?
If Yes:
L Is any portion of the site listed on the NYSDEC Spills Incidents database or Environmental Site El YesE]No
Remediation database? Check all that apply:
D Yes—Spills Incidents database Provide DEC ID number(s).-
❑ Yes—Environmental Site Remediation database Provide DEC ID number(s):
Neither database
ii. If site has been subject of RCRA corrective activities,describe control measures:
W. Is the project 1.within 2000 feet of any site in the NYSDEC Environmental Site Rernediation database? nYes[:]No
If yes,provide DEC ID number(s):
iv. If yes to(i),(ii)or(U'*i)above,describe current status of site(s).,
Page 10 of 13
v. Is the project site subject to an institutional control limiting property uses? E]Yes[:]No
If yes,DEC site ID number:
Describe the type of institutional control(e.g.,deed restriction or easement):
Describe any use limitations: -- - ............
Describe any engineering controls: ....
• Will the project affect the institutional or engineering controls in place? DYesr]No
Explain:
E.2. Natural Resources On or Near Project Site
a.What is the average depth to bedrock on the project site? N/A feet
b.Are there bedrock outcroppings on the project site? Yes No
If Yes,what proportion of the site is comprised of bedrock outcroppings? %
c.Predominant soil type(s)present on project site: Ha Haven Loam 0-2%slopes 52.4%
PlB Plymouth Loamy Sand 3-8% 28.61%,
HaB Haven Loam 2-6%slopes 19.0%
d.What is the average depth to the water table on the project site? Average: 31,feet
e.Drainage status of project site soils:2 Well Drained: 100%of site
[:1 Moderately Well Drained: %of site
E] Poorly Drained %of site
........................
f.Approximate proportion of proposed action site with slopes: 0-10%: 100%of site
10-15%: -%of site
15%or greater: %of site
g.Are there any unique geologic features on the project site? 0 - -Ye s
If Yes,describe:
h.Surface water features.
i.Does any portion of the project site contain wetlands or other waterbodies(including streams,rivers, ]Yes0No
ponds or lakes)? E1YesRJNo
U. Do any wetlands or other waterbodies adjoin the project site.?
If Yes to either i or U,continue. If No,skip to E.2.i.
iii. Are any of the wetlands or waterbodies within or adjoining the project site regulated by any federal, El Yes E]No
state or local agency?
iv. For each identified regulated wetland and waterbody on the project site,provide the following information:
9 Streams-. Name Classification
0 Lakes or Ponds: Name Classification
0 Wetlands: Name Approximate Size
0 Wetland No.(if regulated by DEC)
v. Are any of the above water bodies listed in the most recent compilation of NYS water quality-impaired E]Yes Dqo
waterbodies?
If yes,name of impaired water body/bodies and basis for listing as impaired:
L Is the project site in a designated Floodway? E]Yes J?JN0-
j.Is the project site in the 100 year Floodplain? [:]Yes ENo
k.Is the project site in the 500 year Floodplain? E]Yes Oqo
1.Is the project site located over,or immediately adjoining,a primary,principal or sole source aquifer? 0Yes[3No
If Yes:
L Name of aquifer.Nassau Suffolk Sole Source Aquifier
Page 11 of 13
m. Identify the predominant wildlife species that occupy or use the project site:
Wild birds
Squirrel
n.Does the project site contain a designated significant natural community? E]YesONo
If Yes:
L Describe the habitat/community(composition,fimetion,and basis for designation): ...........
iL Source(s)of description or evaluation:
HL Extent of community/habitat:
• Currently: acres
Following completion of project as proposed: acres
• Gain or loss(indicate+or acres
o.Does project site contain any species of plant or animal that is listed by the federal government or NYS as n YesRJNo
endangered or threatened,or does it contain any areas identified as habitat for an endangered or threatened species?
p. Does the project site contain any species of plant or animal that is listed by NYS as rare,or as a species of YesONo
special concern?
..............
q.Is the project site or adjoining area currently used for hunting,trapping,fishing or shell fishing? E1YesRJNo
If yes,give a brief description of how the proposed action may affect that use:
E.3. Designated Public Resources On or Near Project Site
a.Is the project site,or any portion cif it,located in a designated agricultural district certified pursuant to []Yes To
Agriculture and Markets Law,Article 25-AA,Section 303 and 304?
If Yes, provide county plus district name/number:
wwwww
b.Are agricultural lands consisting of highly productive soils present? []Yes ENo
L If Yes:acreage(s)on project site?
H. Source(s)of soil rating(s): ..............................
c. Does the project site contain all or part of,or is it substantially contiguous to,a registered National FlYesONo
Natural Laxtidmark?
If Yes:
L Nature of the natural landmark: E]Biological Community E] Geological Feature
H. Provide brief description of landmark, *including values behind desi ation and approximate size/extent:
d.Is the project site located in or does it adjoin a state listed Critical Environmental Area? E]YesENo
If Yes:
i. CEA name:,
ii. Basis for designation:
iii. Designating agency and date:
Page 12 of 13
e. Does the project site contain,or is it substantially contiguous to,a building,archaeological site,or district YesO No
which is listed on,or has been nominated by the NYS Board of Historic Preservation for inclusion on,the
State or National Register of Historic Places?
If Yes:
i.Nature of historic/archaeological resource: El Archaeological Site F]Historic Building or District
N. Name:
iii. Brief description of attributes on which listing is based:
f.Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for [:]YesoNo
archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory?
---- -----------------
g.Have additional archaeological or historic site(s)or resources been identified on the project site? E]YesoNo
If Yes:
i.Describe possible resource(s)-:
ii. Basis for identification:
L
h.Is the project site within fives miles of any officially designated and publicly accessible federal,state,or local E]YesoNo
scenic or aesthetic resource?
If Yes:
L Identify resource: nnMMMMMMiL Nature of,or basis for,designation(e.g.,established highway overlook,state or local park,state historic trail or scenic byway,
etc.):
W. Distance between project and resource: miles.
i. Is the project site located within a designated river corridor under the Wild,Scenic and Recreational Rivers El Yes O N o
Program 6 NYCRR 666?
If Yes:
i. Identify the name of the river and its designation:, ...
iL Is the activity consistent with development restrictions contained in 6NYCRR Part 666? [:]Yes oNo
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.
V9
Date
Applim,idisponsor Nam,e
110,
S* t
Title
........ 1165
PRINT FORM Page 13 of 13
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ApftICANTit
TRANSACTIONAL D11, FORM
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" OUR SAME
i(WI name,ant asroe, id le lob ,aid you,ere a p " to the as me 'somomt else Or Other eaft,sack as a
company.1(jo,indicate tke other
TYPE OF APPLICATION (Check all that apply)
Tax grtevence Building Permit
Variance Trustee Permit
Change of zone coastal Erosion
Approval°of Plat Mooring
Other(activity)
'_"l-� 0 1 001 0110 MW Planning
Do you personally(or through your corny,Spouse,sibling,parent,or.chUd)have a relationship with any oWmer
or employee of the-Town of Southold?"Relationship"includes by blood.marrriago,or business interest."Business
Interest!.'means a,bursiness,Including a partnership,In w i �the town offleer or employee has evva a partial
owns mark than 5%of the
men#�i�y a co ration in whichwhich �a town officer oremployee
ownership of for eaa�plQy
shares'.
YES NO
If No,sign and date below.If YFA toloplete the balance ofihls form and date-and sign where Indleafead.
Name of person employed by the Town of Southold
Title or position of that persoa
Describe the rektionship between yourself(tie applicant) oattrep, n_ ti e)and the town officer or employee.
Either cheek the appropriate line A)through D)and/or describe In the space providede
The town officer or employee or his or her spouse,slbUu&parent or child is(check ail that apply)
A)the owner of
oater that 1r%afthe shares,of the eorporate stock of the applies at(x+hen the applicant Is a
B)the legal or bene ki owner of any interest in a noa4arrporat+e entity(when the applicant Is not torporadoo)
t
C)an officer,director,partner,or employee of We applicant;or
D)the actual appUcant
DESC UTION OF RELATIONSELEP
Submitted this C of
a
Signature
Print N,
n
APPLICANT/0
TRANSACTIONAL DISCLOSURE E0
The Town of Sauthald's Cede of Ethics-,,, o icis of Interest on the art of toga officers and of l The ose of
i'o�r to� ro . e for ion,which n alert the town of os�s°� � r r
ib'i'e conflicts of interest and allow�►t to take whatever action is
no g s, - to avoid-same,
YOUR NAME : Kosm nka, Martin T.
(Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a
company.If so,indicate the anther person's or company's name.)
TYPE OF APPLICATION:(Check all that apply)
Tag grievance Building Permit
Variance X Trustee Permit
Change of Zone g Coastal Erosion
Approval of flat Mooring
Other(activity) 11 Planning
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 person employed by the Town of Southold
Title or position of that person
r p y (» �...,
Describe the relationship between ou e I t lcantlagent/representative)and the town officer or employee.Either
check the appropriate line A)through D)and/or describe in the space provided.
The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply)
A)the owner of greater that 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 aanon-corporate entity(when the applicant Is not a corporation)
C)an officer,director,partner,or employee of the applicant;or
D)the actual applicant
DESCRIPTION OF RELATIONSHIP
Submitted this,s dal f 20
igna r
pu
�.-....�
Pant Na e
e
Town of Southold
,RP" ONSISTENCY ASSESSAWNT FORM
A. INSTRUCTIONS
1. All applicants for permits* including Town of Southold agencies, shall complete this CCAP 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
malaing a determination of consistency. *kept minor exempt actions including .buildin Permits
and other ministerial permits not located within the Coastal.Erosion Hazard.Area.
2. Before s e the questions in Section C, the preparer of this form should review the exempt
minor action list, policies and explanations of each policy contained in the Town of Southold Local
Waterfront Revitalization. Program. A proposed action will be evaluated as to its significant
beneficial and adverse effects upon the coastal area(which includes all of Southold Town).
3 If any question in Section C on this form is answered"yes", then the proposed action may affect the
achievement of the LWRP policy standards and conditions contained in the consistency review law.
Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a
de ; tion that it is consistent to the maximum extent practicable with the LW RP policy
standards and conditions. If an action cannot be certified as consistent with the LWRP policy
standards and conditions,it sball not be undertaken.
A 'y of the LWRI? is available in the following places: online at the Town of Southold's
website (southoldtown.no',rthfo,:rk.net)-l. the Board of Trustees Office, the Planning Department, all
local libraries and the Town Clerk's office.
B. DESCRIE TION OF SITE AND PROPOSED ACTION
SCT'M# 096 o , 1.3
The Application has been submitted to(check appropriate response):
Town Board Planning Dept 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 LJ
construction,planning activity,agency regulation,land transaction)
(b) Financial assistance(e.g. ant,loan,subsidy)
(c) hermit, approval,license,certification.:
Mature and extent of action:
Constsruction of 2 one story RV 1 car ort rr� aal story o buil�in�asand 1 one story
clears an storage buildin .
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Zoning Board of Appeals
Town Hall Annex Building
54375 Route ZS
PO Box 1179
Southold, NY 11971
Cha*person Leslie Weisman and board members:-
My name is Mark Schill. I 'am a property owner in North Fork
Industrial Park., lot 96-1-1.9. I have no issues with North Fork
Self Storage building on lot 96-1-1.3.
Sincerely, ._----------------. "
Mark Schill
i
Zoning Board' of Appeals
Town Hall Annex Building
54375 Route 25 f
PO Box 1179
Southold; NY,11971
Chairperson Leslie Weisman and board members:
It
My name is 0L� ��-� °�� '; I am apropertyowner in North Fork.,L
a
Industrial Park, lot 96-1-1.2- ' have, no issues with North Fork
Self Storage bui.1din on lot", 6-1-�..3.
Sincerely'.
t
Zoning Board of Appeals
Town Hall Annex Building
01
0
54375 Route 25
PO Box 1179
Southold,. NY 11971
Chairperson Leslie Weisman and board members:
My' name isAn o I am a property owner in, North Fork
Industrial Park, lot- 96-1-142- have no issues with North Fork
Self Storage building on lot 96-1-1*3*
Sincerely,
Zoning Board of Appeals
Town Hall Annex Building
54375 Route 25
PO Box 1179
Southold, NY 11971
Chairperson Leslie Weisman and board members:
My name is John Devello. I am a property owner in North Fork
Industrial Park, lot 96-1-13. I have no issues with North Fork
Self Storage building on lot 96-1-1.3.
Sincerely,
John Devello
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ARTICLES OF ORGANIZATION
OF
S3S, LLC
Under Section 203 of the :nited Liability Company Law of the State of New York
B'L,U,wo39
DRIII A,W"D�OW',N
FILEDBY
BLUMBERGEXCELSIOR,CORP 0RA,,Fll`)F'l,S,'F,,*RV ICES INC.
52 S 1 0,U'T H, P E,t ARL S T R E-4 BT 1,2 NDFLR
ALBANY,NY 12207
a
Aa
O
SM, LLC
Under Section 203 of the Linu'tcd Liabi ty Company La of the State of New York
UNDERSIGNED,THE being a natural person of at least e. een 1 gears of age aud acting as die ,
l n�i ed . c a (the; "C om .an y" h ,r � 'e fon d tinC er Section 3 of the
.g zer o the
Limited Li*abifity Company Law of the State of New York(the "L C L"), eel-t"fies that:
FIRST: The name of the Company is
S3S. C
e county within the State of New York 1n. ch the principal office of the Company
is to be located is SUFFOLK
eer tar f State s s agent Process
ga 13�p a e serve
The pos.
ofic a r wil,
o New 'York t
c tip ecru � �� roc Company served, n s
Secretary of State I's C/O SHANE SMITH,207 MO NTAUK,
11972.
FOURTH'; The Company shall be managed by one or more members.
y
IN WITNESS WHEREOF, I
have subscribed these Articles of Organization and de hereby affimi the
foregoing as true tinder penalties of peijury, this February 17,-200 .
Sharon Babala
Sole rgm*. er
c 'b BttimmbergExcel `zor C or,a e' erv,ties
52 South Pearl, Street,VdFloor
STATEME NT OF ORGANIZATION
OF
TRF.j SOLE ORGANIZER
OF
SS, LC
THE UNDERSIGNED ben 'the sote car : er of the within rimed limited liability company (the
11 Company farmed t zd.er Adele of the Limited Lab lr CompanyLaw of the State f' NeiYork
(LLCL),does hereby► state that:
I. The Articles of Orgaw.zation of e Company under" LLCL § 206 were fited by the
Department of State of the State of New York can 0 copy of the Articles of
Organization and the original receipt of the Department of State showing payment of the filing fee are
annexed,hereto.The same hereby is ordered led ith the Oper�, eerrxerg f` �°� �a� pa�z .
. t the time of`its fonnation,the Comparly had at least one mer ,►er, to wit:
SHAKE SMITH
7 MONTAUK HIGHWAY, P,0. BOX 480,S E ND NY 1197
. The sole r� �m er herein is neither a member or a.manager of the Company.
4. From tWs date hence, the nders geed,effective this date,has f ilfilled.the,duties as die sole
e C 'n accordance with the provisions set few m and.l ere i� relinquishes
es
organizer �
all further duties relating to the ergwit za ion and foTmation of the Company.
IN WITNESS WTIEREOF, I have made and subscribed this Statement of Organization,this
0 .
SHARON BAJ3ALA
Sole - izer
A, "'t)"w A
New York State.Department of State
Division of Corporations Biennial Statement ejoHling System
SUBMISSION CONFIRMATION
PLEASE PRINT FOR YOUR RECORDS
Thank you for bmifin your ienn*lal statement online. The biennial statement
submitted through the Biennial Statement e-Hiling System has been transmitted to
the Department of State..
Transmittal Info rmational'.
DOS 113� 3165880
BUSINESS NAM EA S3S, LLC
Filing Period: 02/2017
Transmittal Date: 0210712017 01:31 PM
Credit Card Ruth Code: 00766E
Credit Card Trans Id: 70217AI4-EC830FE8-SFFF-43DS-9FEF-A94D24E6FD66
Last 4 Digits of Credit Card: 6028
Record Number: 20170207000363
3
The CreditlDeb'd Card has been charged $ 9,,00 oni: 0210712017 01, 11 PM
upon'suc cessful filing of the electronic blennial statement in the records of the Department
of State a filing acknowledgment will, be sent to you at the e-Mall address provided:
BERNIEG@SPEONKLUMBER.COM.
Please note that modifications made through the -Statement Filing System may not be
reflected in the records of the Department for 1 to 3 business days.
If you have questions regarding your electronic filing please contact us at
corporat"t*ons@dos.ny.gov
NYS Division of Corporations, State Records & Uniform Commercial Code
One Commerce Plaza, 99 Washington Avenue
Albany, NY 12231-0001
(518)473-2492
PRINT THIS PAGE
CLOSE APPLICATION
11,111,11,
Return'Lp ;atn'Pa, e
littps.-//appext2O.dos.ny-gov/co,r,p.eb,'lenn,,iaI oublic/corp_app.,e bl'ennial.ebi-CM lal-process 2/7/2017
Barbara Clark
------------- ...........
From, Shane Smith
Sent Thursday,April 26,2018 70*53 AM
T "
ble Barbara Clark
ub Fwd.-65 Commerce Road-S3S, LLB`to Kosmynka
Thankyou,
Shane Smith
President
Speonk Lumber Corp.
p 6311-3 L-5-
�,�OO
f 6311-325-1811
207 Montauk Hwy.
PO Box 480
S-oeon, NY 119712
shanes 's-e-onklUmber.com
WW'W inklumber.com
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Begin forwarded message.
From:Krysten Flanagan I<kfiana an-, ''Isalvila I W.Com>
Date:April 25,2018 at 9:55-030 AM E CST '
To:Shane Smith<S,h,an,eS@speonklum,ber.cotin(>
Subject: 65 Camm6rce RoacUS3%LLC to KosmVnka
Good Morning Shane:
Please forward to me the following items at your earliest convenience pertaining to S3S,ILLQ
1. Filing R eceipt /
2. Article of Organization
3, Operating Agreement
4. Proof of Publication
Best,
Krysten Flanagan
Legal Ass Istant
Law offices of Joseph A,Salvi
48 HIM Street Southampton,NY 11968
631.283.5 00
(IRS USE ONLY 576A 04-28-2005 535L B 0223625697 2553
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20371
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Keep thi"Lls part for your records. CP 576 A (Rev. 7-1997iN
W-ww ON, OR,*#,MWAW'4%W'***OHM'ow"l ON#* w W**0 W,00,OW ww-'M*'W WWOW*w wwqW NAW 4",'W'0"Oft 4W OW 0WOW AM�Iqw A",*w,4kllw,4-1 l#140, l Mw 01#wA*Aowm"l ON,lww4*l low No,**00*,*a#0*w,
Return this part With your Form SS-4, Application
for Employer Identification Number, Please correct CP 576 A
any errors in your name or address,
0223625697
Your Telephone Number Best Time to Call DATE OF THIS NOTICE: 04-28-2005
EMPLOVER IDENTIFICATION NUMBERt 20-2565791
FORM: 2553 NOBOD
INTERNAL REVENUE SERVICE S3S LLC
CINCINNATI OH 45999-0023 SMITH SHANE NBR
Z07 MONTAUK HWV
SPEONK - NY 11972
DTVISION OF CORPORATIONE '. E RECORD � ALBA.Y, NY 12231-0001
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FILING RECEIPT
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ENTITY N ►ME. S3S,, LL
OC UMaTT ' `YP , ARTICLES OF ORGANIZATION (DOM CO Y w SUFF
.ERV I E COMPA ' W M. E . /EXCEL'I R CORPORATE RV SERVICE CODE,-, 3
FILED 02/17/2005 DURATION*.********* CA H : 050217000662 FILM #&,050217000643
ADDRESS FOR PROCESS EXIST DATE
yam , *-W - ——I-
C/O SHAKE SMITH 02/17/2005
PO 13OX 480 207 MONTAUK HIGHWAY
S PEONK, NY 11972
REGISTEREDAGENT
400
FILER FEES 225. 00 PAYMENTS225. 00
FILING 200 -00 CASH 0 . 00
TAX 0100 CHECK 0100
BLUMBERGEXCELSIOR CORPORATE SERVICE CERT0 . 00 CHARGE 0. 00
2 SOUTH P EAR 4 S TRE ET e 2 `D ,FLOOD. COPIES 0 ,.0► DRAWDOWN 2 2 . + Q
HANDLING 25 ,00 BILLED 0 . 00
ALEPM,� NY 12 2 0 7 REFUND 0 . 00
Vol
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(IRS USE ONLY) 76A 0 - 28- 2005 535L 9 0223625697 2553
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Keep this part for your records. CP 576 A (Rev. 7- 1997
,p
', *wW _ � wow
Return this part With your For SS- , Application
for Employer ldentifica lean Number. Please correct CP 576 A
any errors in your noose or address,
02Z3625697
µ.
Your Telephone Number Best Time to Call DATE OF THIS 'NOTICE: 04-28-2005
PLOVER IDENTIFICATION NUMBERi 20-256S791
FORM- 2553 NOBODu
INTERNAL REVENUE ERVIC 535 L LC
CINCINNATI CAN 459 9 -0 023 SMITH SHANE HBR
SPEON . MY 1197