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Home My WebLink About1000-101.-1-10 (2)SEPTIC TANK SITE Chairpers.~ :.'~ Date i : - PROPOSED ALTERATION TO EXISTING CHURCH NEVV YORK CUTCHOGUE ITECNOLOGIES AR~ PLANNING CONS'I~UCTIO~ SI~VIC'E;S New york 11952 298.1129 fax: 631.208. 1128 REV. J. JEFFERSON CHURCH NORTH ROAD. CUTCHOGUE TOVVN OF SO~I'THOin PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWRqSEND March 12, 2007 PLANNING BOARD OFFICE TOWN OF SOUTHOLD MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hail Annex 54375 State Route 25 (cot. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 Jose' Sierra Church of God in Christ, a.k.a Jefferson Temple PO Box 438 Cutchogue, N.Y. 11935 Church of God in Christ 15625 County Road 48, Cutchogue SCTM: 1000-101-1-10 Dear Mr. Sierra: At the written request of Jose' Sierra, dated January 12, 2007, requesting a final site plan inspection, Planning Department staff performed a site visit on January 25, 2007. In reference to the as-built site plans submitted on March 1, 2007, the Planning Board held a work session on March 5, 2007 to discuss the as-built site plan prepared by Architechnologies and certified by Frank Notaru, Registered Architect dated December 7, 2001 and last revised February 20, 2007, the letter dated October 12, 2001 from the Planning Department and staff site visit comments. The Planning Board has accepted the as-built site plan and determined the requirements have been satisfied in accordance with the October 12, 2001 letter referenced above and include the following items: · All handicap parking stalls, access aisles and signage must comply with New York State Code and ADA requirements. · All outdoor lighting shall be shielded so that 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. The lighting must meet the Town Code requirements. · All parking shall meet the requirements of the Southold Town Code as required. · All signs shall meet Southold Town Zoning Codes and shall be subject to approval of the Southold Town Building Inspector. This letter does not condone any changes ~om the as-built site plan and approvals from other agencies if required. Enclosed you will find a copy of the authorized as-built site plan for your file. Be advised that one copy will be on file with the Planning Department and one copy will go to the Building Department. Respectfully yours, Chairperson Cc: File, Building Department with as built site plan and Town Engineer PLANNING BOARD MEMBERS BENNETT ORLOWSKI, JR. Chairman WILLIAM J. CREMERS KENNETH L. EDWARDS GEORGE RITCHIE LATHAM, JR. RICHARD CAGGIA-NO Town Hall, 53095 State Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1938 Fax (631) 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD October 12, 2001 Church of God in Christ P. O. Box 438 Cutchogue, NY 11935 RE: Returned application check for proposed building addition Dear Pastor, The Planning Board is returning your check dated August 10, 2001, in the amount of three hundred and sixteen dollars. The Planning Board is not requiring a site plan application. When the addition is completed, the Board will require an "as built" plan of the completed work. This requirement has been discussed with your architect Frank Nataro. If you have any questions, please contact this office. re, , Cc: Michael Verity, Principal Building Inspector Town of Southold Planning Depa~ment Site Plan Date Prepared: 01/21/07 Town of Southold Planning DepaAment Site Plan Date Prepared: 0t/21/07 Submission [Yithout a Cover Letter SCTM#: 1000~ /0 ] -- {'-"~/0 Date: 3]1 / ~7 Comments: Town Hall. 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (63 I) 765-9502 Telephone (631 ) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD January 10th, 2007 Jefferson Temple P.O. Box 438 Cutchogue, N.Y. 11935 RE: 15625 CR 48 (addition) SCTM# 101 1 10 To Whom it May Concern: Please be advised that your Building Permit #23141 issued November 29th, 1995 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of $150.00 at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. Town Hall. 53095 Main Road P.O. Box 1179 Southold. New York 1197 D0959 Fax (63 I) 765~9502 Telephone (631 ) 765- 1802 BUILDING DEPARTMENT TOWN OF SOUTI-IOLD September 6th, 2006 Jefferson Temple P.O. Box 438 Cutchogue, N.Y. 11935 Re: 15625 CR 48, NOTE: Final Planning Board Approval also required as per Bob Kasner's Letter Dated 10121/01 TO WHOM IT MAY CONCERN: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not one file. (Enclosed) No Electrical Underwriters Certificate on file. V' The check is (not on file) $50.00 Returned outdated No Health Department approval on No final inspection has been completed~'''-- - No Plumber Solder Certificate on file. (All permits involving plumbing issued after 4/1/84) Final Town Trustee Approval BUILDING PERMIT: # 30659-Z Thank you for your cooperation. SOUTHOLD TOWN BUILDING DEPT. Please note if permit is expired, a renewal fee may be required. Please contact our office on this matter. Thank you for your cooperation. Submission }Fithout a Cover Letter Sender: Subject: scm#: ~ooo- / 0 /--- Date: Comments: TOWN OF SOUTHOLD OFFICE OF BUILDII~IG 1NSPE, C'fOR ToWN HALL $OUTHOLD, N. Y. 11971 TEL. 765-1802 LASER FICHE FORM Planning Board Site Plans and Amended Site Plans SPFile Type: Approved Project Type: Site Plans Status: Final Approval SCTM #: 1000- 101.-1-10 Project Name: Church of God in Christ Address: 15625 CR 48, Cutcho,que Hamlet: Cutcho.que Applicant Name: Church of God in Chdst Owner Name: Church of God in Chdst Zone 1: Approval Date: SCANNED Records {Vlanagcmcni OPTIONAL ADDITIONAL INFORMATION A date indicates that vre have received the related information End SP Date: 3/12/2007 Zone 2: Zone 3: Location: SC Filinq Date: C and R's: Home Assoc: R and M A,qreement: SCAN Date: ~ SITE PLAN mls~ ion conference (v,'it/~in 30 days of written request) Complete application received (~vithin 4 months of presub, conference) ApPlication revie~ved at work session (~itlfin lO clays of receipt) App/icanL ;Jvised of necessary revisions (Within ~0 days of review)' Revised subnlission received Lead Agency Coordinalion SEgRA determination REFERRED TO: Zoning Board of Appeals (written c.omments ~vitl~in 60 days of request~ Board o£ Trustees Building Department (certification) Suffolk County Department of Planning Department of Transportation -State Department of Transportation _ County Suffolk Count,>, Dept. of IIealth Fire Corn missioners RECE[VED: Draft Covenants and Restrictions Fi/ed Covenants and Restrictions Landscape plan Lighting plan Curb Cut approval I)r aim~ge plan Rcvie~ved by Engineer pProval of site plan conditions Endorsement of site plan Certificate of Occupancy in'spection (5ne year review Sent:_ ' Received:__ NG BOARD B BENNETT OI~,OWSK~, JR. Chairman WILLIAM J. CREMERS K~NNETH L. EDWARDS GEORGE RITCHIE LATHAM, JR. RICHARD G. WARD PLANNING BOARD OFFICE TOWN OF SOUTHOLD APPLICATION FOR CONSIDERATION OF A SITE PLAN New Change of Use Re-use ~ Extension Revision of Approved Site Plan Name of Business or Site: SCTM#: Location: Address: Town Hall, 53095 Main Road P.O. Box i179 Southold, New York 11971 Fax (516) 765-3136 Telephone (516) 765-1938 Date Received Date Completed Filing Fee JUL; 7 2001 $outhold Tor~n Planning Board Name of Applicant: Address of Applicant: Telephone: Owner of Land: 4gent or Person responsible for application: 7 Address: Telephone: Site plans prepared by: License No, Address: C' .. 8EP 0 5 21~1 C--~: Southold Town P/anning Board Telephone: Page 2 Planning Board Site Plan Application APPLICANI~ AFFIDAVIT STATE OF NEW YORK COUNIY OF SUFFOLK .I.,.I..jAM(~..1 [-)LL?~-~_ being duly sworn, deposes and says that he resides at in the S~te of New York, and that he is the owner ¢ the above properS, or that he is the (Sp y whether Pa~ne~hlp or Corp,) which is hereby making application; that mere are no 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 submi~ed, as approved, will not be altered or changed in any manner without the approval of the Planning Board; and that the actual physical improvements will be installed in strict accordance with the plans submitted, Signed . (Ow~er) (Partr~r or Co.rate Officer and T~J~) Sworn to me thi~ (Not~/Public) LYNDA M. BOHN I~Jl~llfi~ In Suffolk~C___ounN,2 'term Expires March 8. 20 ~ PaQe 3 PlannlnQ Board ~lte Plan Application Total Land Area of Site (acres or square feet) Zoning District Existing Use of Site ~,IA~)~,!,F~ Proposed Uses on Site. Show all uses proposed and existing. Indicate which building will have which use. If more than one use Is proposed per building, indicate square footage of floor area that will be reserved per use. o?O~ 5' Gross Floor Area of Existing Structure(s) Gross Floor Area of Proposed Structure(s) Percent of Lot Coverage by Building(s) Percent of Lot for Parking (where applicable) Percent of Lot for Landscaping (where applicable) Has applicant been granted a variance and/or special exception by ~-~_.) Board of Appeals - Case Cf & date Board of Trustees - Case # & date NY State Department of Environmental Conservation - Case # & date Suffolk County Department Health Services - Case # & date Case Number Name of Applicant Date of Decision .Expiration Date Other Will any toxic or hazardous materials, as defined by the Suffolk County Board of Health, be stored or handled at the site? If so, have proper permits been obtained? Name of issuing agency Number and date of permit issued. NO ACTION (EXCAVATION 0£ CONSTRUCT/ON) MAY BE UNDERTAKEN UNTIL APPROVAL OF SITE PLAN BY PLANNING BOARD. VIOLATO,~S ARE SUBJECT TO PROSECUTION. Site Plan Applications Public Hearings Under the current site plan application procedure, the process for reviewing a site plan application is: a public hearing is not scheduled and held by the Planning Board until after, among other things, the site plan has received a stamped Health Oepartment approval. The applicant shall now have the following options: 1. To follow the established procedure, or To have the Planning Board schedule and hold a public hearing on the site plan application and have the Planning Board vote on the proposed conditional site plan prior to the applicant receiving Health Departm~ ent approval subject to the following conditions: The applicant hereby agrees and understands that if the site plan which receives stamped-Health Department approval differs in any way from the proposed conditional site plan on which the Planning Board held a public hearing and voted on, then the Planning Board has the right and option, if the change is material to any of the issues properly before the Planning Board, to hold a public hearing on this "revised" site plan application and review its conditional approval. The applicant agrees not to object to a new public hearing and Planning Board review of the revised application. Applicant Agreement on Site Plans. The applicant is aware of the terms of this approval and certifies to these terms by his/her signature below. SCTM#:1000- (0L- O~ - lO Applicant Date -- TOWN OF SOUTHOLD OFFICE OF THE BUILDING DEPARTMENT TOWN HALL, 53095 MAIN ROAD SOUTHOLD, New York 11971 Date ........................................ Mr. Commissioner of Public Works Suffolk County D.P.W. Yaphank Ave., Yaphank, N.Y. Dear Sir: In accordance with Section 239K of the General Municipal Law of the consolidated Laws of the State of New York, this is to notify the commissioner of Public Works of the County of Suffolk that ..................................................... has applied to the Town of Southold for a permit to construct a building on As shown on the attached plot plan, submitted in triplicate, dated ..................... : ......................................... and titled ..................................................................... We shall withhold further action on this application for ten days or as otherwise provided in the aforementioned Section 239K. Very truly yours; Building Department Town of Southold, N.Y. The Town of Southold,s Code of Ethics prohibits co~flicts of interest on the part of town officers and employees. The purpose of this form is to provide information which can alsrt the town of Rgssible conflic~s of interest and allow ~lt to take whatever action is neonssar~ to avoid same. (Last name, first na~ne%, middle initial, unless othe~ entity, such as a company. If so, indicate NATURE OF APP[,ICATION~ (Check ail that apply.) Tax grievance Variance Change of zone Approval of plat Exemption from pl~t or of£1c[a~ map Other (If "Other,- name the activity.) ownership of (or employment by) a corporat{on In ~hich If you answered "YES,' complete ~lle balance of this form and The town officer or employee or his or her spouse, siblinG, parent, Or child is (check all that apply)m __.A) the owner of greater than 5% of the shares of the corporate stock of the applic~nt (when the applicant is a eorpo~ation); ~ B) the legal or beneficial owner of any interest ill a noncorpo~ate entity (when the applicant is not a co~poration): . C) an officer, director, partner, or employee of the applicant; or __~D) the actual applies;it. DESCRIPTION OF RELATIONSHIP - 14-16-2 (9/95)-- 7c 617.20 Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM SEQR Purpose; The full E^F is designed to help applicants and agencies determine, in an orderly manner, whether a project or action may be significant. The question of whether an action may be significant is not always easy to answer. Frequent- ly, there are aspects of a project that are subjective or unmeasureable. It is also understood that those who determine significance may have little or no formal knowledge of the environment or may n(?t be technically expert in environmental analysis. In addition, many who have knowledge in one particular area may not be aware of the broader concerns affecting the question of significance. The full FAF is intended to provide a method whereby applicants and agencies can be assured that the determination process has been orderly, comprehensive in nature, yet flexible enough to allow introduction of information to fit a project or action. Full EAF Components: The full £AF is comprised of three parts: Part 1: Provides objective data and information about a given project and its site. By identifying basic project data, it assists a reviewer in the analysis that takes place in Parts 2 and 3. Part 2: Focuses on identifying the range of possible impacts that may occur from a project or action. It provides guidance as to whether an impact is likely to be considered small to moderate or whether it is a potentially- large impact. The form also identifies whether an impact can be mitigated or reduced. Part 3: If any impact in Part 2 is identified as potentially-large, then Part 3 is used to evaluate whether or not the impact is actually important. DETERMINATION OF SIGNIFICANCE--Type I and Unlisted Actions Identify the Portions of EAF completed for this project: [] Part 1 [] Part 2 i-lpart 3 Upon review of the information recorded on this EAF (Parts 1 and 2 and 3 if appropriate), and any other supporting information, and considering both the magnitude and importance of each impact, it is reasonably determined by the lead agency that: [] A. The project will not result in any large and important impact(s) and, therefore, is one which will not have a significant impact on the environment, therefore a negative declaration will be prepared. I-I B. Although the project could have a significant effect on the environment, there will not be a significant effect for this Unlisted Action because the mitigation measures described in PART 3 have been required, therefore a CONDITIONED negative declaration will be prepared.* [] C. The project may result in one or more large and important impacts that may have a significant impact on the environment, therefore a positive declaration will be prepared. * A Conditioned Negative Declaration is only valid for Unlisted Actions Name of Action Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer Jif different from responsible officer) Date 1 PART 1--PROJECT INFORMATION Prepared by Project Sponsor NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effect on the enviroqment. Please complete the entire form, Parts A through E. Answers to these questions will be considered as part of the application for approval and may be subject to further verification and public review. Provide any additional information you believe will be needed to complete Parts 2 and 3. It is expected that completion of the full EAF will be dependent on information currently available and will not involve new studies, research or investigation, If information requiring such additional work is unavailable, so indicate and specify each instance. LOCATION ~F ACTIO~ (include Slre~! Address, Munlcfpalfly ~,nd Cou tY~ NAME OF APPLICANT/SPONSOR ~ ADORESS NAME OF OWNER (1! different) ADDRESS BUS[NESS TELEPHONE STATE I ZIP CODE · ~ BUSINESS TELEPHONE I STATE I ZiP CODE DESCRIPTION OF ACTION Please Complete Each question--Indicate N.A. if not applicable A. Site Description Physical setting of overall project, both developed a;nd undeveloped areas. 1. Present land use: I-IOrban rllndustrial ~Commercial E]Residential (suburban) I-IRural (non-farm) rlForest CIAgriculture rlOther 2. Total acreage of project area: ~1,~°~0 APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION ~ acres acres Meadow or Brushland (Non-agricultural) __ Forested acres acres Agricul~ral (Includes orchards, cropland, pasture, etc.) -- acres acres Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) ~ acres acres ~ acres Water Surface Area acres Unvegetated (Rock, earth or fill) -- acres acres Roads. buildings and other paved surfaces Other (Indicate type) ' acres , acres 3. What is predominant soil type(s) on project site~' a. Soil drainage: ~ell drained % of site r-IModerately well drained , % of site [3Poorly drained % of site b. If any agricultural land is involved, how many acres of soil are classified within soil group I through 4 of the NY'. Land Classification System[' acres. {See 1 NYCRR 370). 4. Are there bedrock outcroppings on project sltei' [3Yes a. What is depth to bedrock! (in feet) 2 5. Approximate percentage of proposed project Site with slopes: ,~-10% % O10*15% % ~]15% or greater % 6. Is project substantially contiguous to, or contain a building, site, or district, listed on the State or the National Registers of Historic Places? OYes ~o 7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? OYes 8. What is the depth of the water table?q/- ~5" (in feet) 9. Is site located over a primary, principal, or sole source aquifer? [~Yes ~No 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? E~Yes /~o 11. Does project site contain any species of plant or animal life that is identified as threatened or endangered? C]Yes ~o According to Identify each species 12. Are there any unique or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations) I~Yes "~o Describe 13. Is the project sit,,,~roresently used by the community or neighborhood as an opeh space or recreation area? [:]Yes J~o If yes, explain 14. Does the prese~nt ~ite include scenic views known to be important to the community? OYes '/~o 15. Streams within or contiguous to project area: · - a. Hame of Stream and name of River to which it is tributary 16. Lakes, ponds, wetland areas within or contiguous to project area: a. Name . b. Size (In acres) 17. Is the site served by existing public utilities? Xes ONo a) If Yes, does sufficient capacity exist to allow Connection? OYes OHo b) If Yes, will improvements be necessary to allow connection? rlyes ONo 18. Is the site located, in an agricultura~ ~listrict certified pursuant to Agriculture and Markets Law, Article 2S-AA, Section 303 and 304? r-lyes 19. Is the site located in or substantially contiguqu~,to a. Critical Environmental Area designated pursuant to Article 8 of the ECL, and 6 NYCRR 617i' I-lYes 20. Has the site ever been used for the disposal of solid or hazardous wastes? OYes B. Project Description 1. Physical dimensions and scale of project (fill in dimensions as appropriate} a. Total conti~guous acreage owned or controlled by project sponsor~'~l~/~ b. Project acreage to be developed: acres initially; acres ultimately. c. Project acreage to remain undeveloped acres. d. Length of project, in miles: {if appropriate) e. 'If the project is an expansion, indicate percent of expansion proposed ~ %; f. Number of off-street parking spaces existing ,.~5 ,; proposed '"'"-' g. Maximum vehicular trips generated per hour · (upon* completion of project)? h. If residential: Number and type of housing units: One Family Two Family Multiple Family Ultimately I. Dimensions (in feet) of largest proposed structure, height; width; length. j, Linear feet of frontage along a public thoroughfare project will occupy Ist' ~" ft. 3 Condominium 2. How much natural material (i.e., rock, earth, etc.) will be removed from the site~' 3. Wiil disturbed areas be reclaimed? OYes ONo a. If yes, for what intended purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation? [DYes ONo c. Will upper subsoil be stockpiled for reclamation? OYes I-INo 4. How many acres of vegetation (trees, shrubs, ground covers) will be removed-from site? ~,~o ~-~ l~_ acres. 5. Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project? OYes ~o 6. If single phase project: Anticipated period of construction C~ months, (including demolition). 7. If multi-phased: a. Total number of phases anticipated (number). b. Anticipated date of. commencement phase 1 month c. Approximate completion date of final phase month d. Is phase 1 functionally dependent on subsequent phases? [DYes ONo 8. Will blasting occur during construction? OYes 9. Number of jobs generated: during construction ; after project is complete 10. Number Of jobs eliminated by this project 11. Will project require relocation of any projects or facilities;' OYes J~o If yes, explain tons/cubic yards year, (including demolition). year. , 12. Is surface liquid waste disposal involved? OYes j~o a. If yes, indicate type of waste (sewage, industrial, etc.) and amount b. Name of water body into which effluent will be discharged '13. Is subsurface liquid waste disposal involved? 0-1Yes '~o Type 14. Will surface area of an existing water body increase or decrease by proposal? Explain rlYes '~o 15. 16. Is project or any portion of project located in a 100 year flood plain? 0-1Yes Will the project generate solid waste? 0-1Yes ~,~o a. If yes, what is the amount per month tons b. If yes, will an existing'solid waste facility be used? [DYes 0No c, If yes, give name ; location d. Will,any wastes not go into a sewage disposal system or into a sanitary landfill? e. If Yes, explain OYes ONo 17. 18. 19. 20. 21. Will the project involve the disposal of solid waste? [DYes a. If yes, what is the anticipated rate of disposal? bm If yes, What is the anticipated site life? years. Will project use herbicides or pesticides? [3Yes "1~o ~t~o tons/month. Will project routinely produce odors (more than one hour per day)? OYes Will project produce opqrating noise exceeding the local ambient noise levels? Will project result in an increase in energy use? I-lYes '~o If yes , indicate type(s) OYes 22. If water supply is from wells, indicate pumping capacity 23. Total anticipated water usage per day gallons/day. 24. Does project involve Local, State or Federal fundingS' I-lYes If Yes, explain gallons/minute. 25. Approvals Required: City, Town, Village Board ~es ~3No City, Town, Village Planning Board ,~Yes E3No City, Town Zoning Board [:)Yes [~o City, County Health Department I-lyes [~o Other Local Agencies I--lYes [~o Other Regional Agencies OYes po State Agencies [:lYes ~ Federal Agencies ~lYes C. Zoning and Planning Information Type Submittal Date 1 Does proposed action involve a planning or zoning decision? ~es [~No If Yes, indicate decision required: [:]zoning amendment I-lzoning variance ~3special use permit I-Isubdivision /~ite plan [:]new/revision of master plan [:]resource management plan [:)other 2. What is the zoning classification(s)of the site? 3. What is the maximum potential development of the site if developed as permitted by the present zoning? 4. What is the proposed zoning of the site? ~l~ ~O~z~.~b~-/~,~ 5. What is the maximum potential development of the site if developed as permitted by the proposed zoning? 6. Is the proposed action consistent with the recommended uses in adopted local land use plans? ,l~es ONo 7. What are the predominant land use(s) and zoning c[assifications within a % mile radius of proposed action? 8. Is the proposed action compatible with adjoining/surrounding land uses within a % mile? ,~es [:]No 9. If the proposed action is the subdivision of land; how many lots are proposed? a. What is the minimum lot size proposed? 10. Will proposed action require any authorization(s) for the formation of sewer or water districts? I-lyes 11. Will.the proposed action create a demand for any community provided services (recreation, education, police, fire protection)? OYes ~1~o a. If yes, is existing capacity sufficient to handle projected demand? I--lYes t-lNo 12. Will the proposed action result in the generation of traffic significantly above present levels? OYes ~1~o a. If yes, is the existing road network adequate to handle the additional traffic? [~Yes I-INo D. Informational Details Attach any additional information as may be needed to clarify your project. If there are or may be a'ny advgrse impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them. E. Verification I certify that the information provided above is true to the best of my knowledge. Applicant/Sponsor Name /~'~i~0C, O~-d~'"~ Date Signature _ Title .. If lhe action Is In the Coastal Area, and you are a slate agency, complete the Coastal Assessment Form before proceeding with this at, ser~ment. 5 Part 2--PROJECT IMPACTS AND THEIR MAGNITUDE Responsibility of Lead Agency General In{ormation (Read Carefully) · In completing the form the reviewer should be guided by the question: Have my responses and determinations been reasonable? The reviewer is not expected to be an expert environmental analyst. · The Examples provided are to assist the reviewer by showing types of impacts and wherever possible the threshold of magnitude that would trigger a response in column 2. The examples are generally applicable throughout the State and for most situations. But, for any specific project or site other examples and/or lower thresholds may be appropriate for a Potential Large Impact response, thus requiring evaluation in Part 3, · The impacts of each project, on each site, in each locality, will vary. Therefore, the examples are illustrative and have been offered as guidance. They do not constitute an exhaustive list of impacts and thresholds to answer each question. · The number of examples per question does not indicate the importance of each question. · In identifying impacts, cgnsider long term, short term and cumlative effects. Instructions (Read carefully) a. Answer each of the 20 questions In PART 2. Answer Yes if there will be any impact. b. Maybe answers should be considered as Yes answers. c, If answering Yes to a question then check the appropriate box (column 1 or 2) to indicate the potential si~ze of the Impact; If Impact threshold equals or exceeds any example provided, check column 2. If Impact will occur but threshold Is lower than example, check column 1. d. Iden(Ifylng that an Impact will be potentially large (column 2) does not mean that it is also necessarily significant. Any large Impact must be evaluated in PART 3 to determine significance. Identifying an impact In column 2 simply asks that It be looked at further, e, If reviewer besdoubt about size of the impact then consider the impact as potentially large and proceed to PART 3. f, If a potentlaUy large Impact checked in column 2 can be mitigated by change(s) In the project to a small to moderate Impact, also check the Yes box In column 3. A No response Indicates that such a reduction is not possible. This must be explained In Part 3. IMPACT ON LAND 1. Will the proposed action result in a physical change t0t~e project site? .' 1~0 OYES Examples that would apply to column 2 · Any construction on slopes of 1S% or greater, (15 foot rise per 100 foot of length), or where the general slopes in the project area exceed 10%. · Constructio. n on land where the depth to the water table is less than 3 feet. · Construction of paved parking area for 1,000 or more vehicles. · Construction on land where bedrock is exposed or generally within 3 feet of existing ground surface. · Construction that will continue for more than q year or involve more than one phase or stage. · Excavation for mining purposes that would remove more than 1,000 tons of natural material (Le., rock or soil) per year. · Construction or expansion of a sanitary landfill. · Construction in a designated floodway. · Other impacts 2. Will there be an effect to any unique or unusual land fo~rms found on the site[ (i.e., cliffs, dunes, geological formations, etc.)/lZIHO nYES · Specific land forms:. 6 I 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change [] 1'3 OYes ONo FI O []Yes I--JNo O O OYes ONo O O OYes ONo O [] OYes ONo O i-3 OYes ONo [] 1.3 OYes I No O O OYes ONo 1'3 O OYes ONo O O OYes ONo IMPACT ON WATER 3 Will proposed action affect any water body designated as protected? (Under Art c es 15, 24.25 of the Environmental Conser~n Law, ECL) E]YES Examples that would apply to column 2 · Developable area of site contains a protected water body. · Dredging more than 100 cubic yards of material from channel of a protected stream. .· Extension of utility distribution facilities through a protected water body. · Construction in a designated freshwater or tidal wetland. · Other impacts: 4. Will proposed action affect any non-protected existin, t~Dnew body of water.~ fi]YES Examples that would apply to column 2 · A 10% increase or decrease in the surface area of any body of water or more than a 10 acre increase or decrease. · Construction of a body of water that exceeds 10 acres of surface area. · Other impacts: 5. Will Proposed Action affect surface or groundwater quali~ or quantity? ~,lO l-lYES Examples that would apply to column 2 · Proposed Action will require a discharge permit. · Proposed Action requires use of a source of water that does not have approval to serve proposed (project) action. · Proposed Action requires water supply from wells with greater than 45 gallons per minute pumping capacity. · Construction or operation causing any contamination of a water supply system, · Proposed Action will adversely affect groundwater. ' · Liquid effluent will be conveyed off the site to facilities which presently do not exist or have Inadequate capacity. · Proposed Action would use water in excess of 20,000 gallons per day. · Proposed Action will likely cause siltation or other discharge into an existing body of water to the extent that there will be an obvious visual contrast to natural conditions, · Proposed Action will require the storage of petroleum or chemical products greater than 1,100 gallons. · Proposed Action will allow residential uses in areas without water and/or sewer services. · Proposed Action locates commercial and/or industrial uses which may require new or expansion of existing waste treatment and/or storage facilities. · · Other impacts: 6. Will proposed action alter drainage flow or patte~;r surface water runofft' nYES Examples that would apply to column 2 · Proposed Action would change flood water flows. 7 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change [] [] []Yes []No El [] []Yes []No [] [] []Yes EgNo [] [] []Yes []No [] [] EgYes r-INo [] ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Ves ~No ~ ~ ~Yes ~No ~ ~ ~Ves DNo ~ ~ ~Ves ~No ~ 0 ~Ves ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No · Proposed Action may cause substantial erosion. · Proposed Action is incompatible with existing drainage patterns. · Proposed Action will allow development in a designated floodway. · Other impacts; IMPACT ON AIR [~O OYES I 2 3 Small to Potential Can impact Be Moderate Large Mitigated By Impact Impact Project Change [] [] ['qYes I--'l N o [] [] []Yes []No [] [] []Yes []No [] [] []Yes []No [] [] ~Yes []No [] [] I-lyes []No [] [] []Yes, []No [] [] []Yes []No · [] [] []Yes []No [] [] []Yes []No [] [] []Yes []No [] [] []Yes []No [] I'-I ~Yes []No [] [] []Yes E]No [] [] []Yes I-]No [] [] []Yes F'INo [] [] E]Yes []No 7. Will proposed action affect air quality? Examples that would apply to column 2 · Proposed Action will induce 1,000 or more vehicle trips in any given hour. · Proposed Action will result in the incineration of more than 1 ton of refuse per hour. · Emission rate of total contaminants will exceed 5 lbs. per hour or a heat source producing more than 10 million BTU's per hour. · Proposed action will allow an increase in the amount of land committed to industrial use. · Proposed action will allow an increase in the density of industrial development within existing industrial areas. · Other impacts: IMPACT ON PLANTS AND ANIMALS 8. Will Proposed Action affect any threatened or enda~y species? ~, I-lyES Examples that would apply to column 2 · Reduction of one Or more species listed on the New York or Federal list. using the site, over or near site or found on the site. · Removal of any portion of a critical or significant wildlife habitat. · ^pplica{ion of pesticide or herbicide more than twice a year, other than for agricultural purposes. · O(her impacts: O-lYES · Proposed Action would substantially interfere with any resident or migratory fish, shellfish or wildlife species. · Proposed Action requires the removal of more than 10 acres of mature forest (over 100 years of age) or other locally important vegetation. IMPACT ON AGRICULTURAL LAND RESOURCES 10. Will the Proposed Action affect agricultural land F'IYES /-..~ .- Examples that would apply to column 2 · The proposed action would sever, cross or limit access to agricultural land (includes cropland, hayfields, pasture: vineyard, orchard, etc.) 8 g. Will Proposed Action substantially affect non-threat r non-endangered species? Examples that would apply to column 2 · Construction activity would excavate or compact the soil profile of agricultural land. · The proposed action would irreversibly convert more than 10 acres of agricultural land or, if located in an A§ricultutal District, more than 2.5 acres of agricultural land · The proposed action would disrupt or prevent installation of agricultural land management systems (e.g., subsurface drain lines, outlet ditches, strip cropping); or create a need for such measures(e.g cause a farm field to drain poorly due to increased runoff) · Other impacts: IMPACT ON AESTHETIC RESOURCES.,~ 11. Will proposed action affect aesthetic resources[' /~O OYES (If necessary, use the Visual EAF Addendum in/" 'Section 617.20, Appendix B.) Examples that would apply to column 2 · Proposed land uses, or project components obviously different from or in sharp contrast to current surrounding land use patterns, whether man-made or natural. · Proposed land uses, or project components visible to users of aesthetic resources which will eliminate or significantly reduce their enjoyment of the aesthetic qualities of that resource. · Project components that will result in the elimination or significant screening of scenic views known to be important to the area. · Other impacts: IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12. Will Proposed Action impact any site or structure of historic, pre- or paleontological importanceS' ~:1~O I-lYES historic Examples that would apply to column 2 · Proposed Action occurring wholly or partially within or substantially contiguous to any facility or site listed on the State or National Register of historic places. · Any impact to an archaeological site or fossil bed located within the project site. · Proposed Action will occur in an area designated as sensitive for archaeological sites on the NYs Site inventory. · Other impacts: IMPACT ON OPEN SPACE AND RECREATION 13. Will Proposed Action affect the quantity or quality of existing or future open spaces or recreational opportunities;~ Examples that would apply to column 2 ~ OYES · The permanent foreclosure of a future recreational opportunity. · A major reduction of an open space important to the community, · Other Impacts; 9 1 2 3 Small to Potential Can impact Moderate Large Mitigated B Impact Impact Project Chan [] [] []Yes O [] OYes []~ O [] OYes [] [] •.Yes O [] []Yes i--ii, E3 [] []Yes [] [] []Yes E3~ [] ~ ~Yes ~ ~ DYes IMPACT ON CRITICAL ENVIRONMENTAL AREAS 14 Will Proposed Action impact the exceptional or umque character istics of a critical environmental area (CEA) established pursuant to subdivision 6 NYCRR 617.14(8) ~ /~1~O [:]YES List the environmental characteristics thai caused t~e desisnation o[ the CEA Examples that would apply to column 2 · Proposed Action to locate within the CEA? · Proposed Action will result in a reduction in the quantity of the resource? · Proposed Action wi(( result in a reduction in the quality of the resource? · Proposed Action will impact the use, function or enioyment of the resource? · Other impacts: IMPACT ON TRANSPORTATION 15. Will there be an effect to existing transportation sy. st~,ms? ,~(~O' [OYES Examples that would apply to column 2 · Alteration of present patterns of movement of people and/or §oods. · Proposed Action will result in major traffic problems · Other impacts: IMPACT ON ENERGY 16 Will proposed action affect the community's sou~ce_~s~of fuel or ener§y supply? .~ [:]YES Examples that would apply to column 2 · Proposed Action will cause a 8rearer than 5% increase in th~ use of any form of energy in the municipality. · Proposed Action will require the creation or extension of an energy transmission or supply system to serve more than SO single or'two family residences or to serve a major commercial or industrial use. · Other impacts: 10 I 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By impact Impact Project Change [] O OYes E~No [] [] OYes ONo 0 [] [:]Yes ONo O [] OYes ONo O O []Yes FINo 0 [] OYes ONo [] O [:]Yes ONo 0 0 OYes ONo [] O OYes ONo 0 [] OYes ONo 0 [] OYes ONo NOISE AND ODOR IMPACTS 17 Will there be objectionable odors, noise, or vibratio.,n(~s~ a result of the Proposed Action;~ (]YES Examples that would apply to column 2 · Blasting within 1,500 feet of a hospital, school or other sensitive facility. · Odors will occur routinely (more than one hour per day). · Proposed Action will produce operating noise exceeding the local ambient noise levels for noise outside of structures. · Proposed Action will remove natural barriers that would act as a noise screen. · Other impacts: IMPACT ON PUBLIC HEALTH 18. Will Proposed Action affect public health and safety~,.~ OYES Examples that would apply to column 2 · Proposed Action may cause a risk of explosion or release of hazardous substances (i.e. oil, pesticides, chemicals, radiation, etc.) in the event oi~ accident or upset conditions, or there may be a chronic Iow level discharse or emission. · Proposed Action may result in the burial of "hazardous wastes" in any form (i.e. toxic, poisonous, highly reactive, radioactive, irritating, infectious, etc. J · Storage facilities foi; one million or more gallons of liquified natural gas or other flammable liquids. · Proposed action may result in the excavation or other disturbance within 2,000 feet of a site used for the disposal of solid o~ hazardous waste. · Other impact.{: IMPACT ON GROWTH AND CHARAQTER OF COMMUNITY OR NEIGHBORHOOD 19. Will prop0sed action af fact the character of the exist~n_~commu nity~ Examples that would apply to column 2 ~J/~'~'O OYES · The permanent population of the city, town or village in which the project Is located is likely to grow by more than $%. · The municipal budset for capital expenditures or operating services will increase by more than 5% per year as a result of this project. · Proposed action wtll conflict with officially adopted plans or goals. · Proposed action will cause a chan~e in the density of land use. · Proposed Action will replace or eliminate existing facilities, structures or areas of historic importance to the community. · Development will create a demand for additional community services (e.g. schools, police and fire, etc.) · Proposed Action will set an important precedent for future'projects. · Proposed Action will create or eliminate employment. · Other impacts: 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change [] [] ~Yes []No [] [] ~]Yes []No [] [] []Yes [:]No [] [] []Yes []No [] [] []Yes []No [] [] l--lYes []No [] [] []Yes []No [] [] []Yes []No [] [] []Yes []NO [] [] E]Yes []No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No 20. Is there, or is there likely to be, public controversy related to potential adverse environmental im~ OYES If any action In Prat 2 I$ Identified aea potential large Impact or If you cannot determine the magnitude of Impact, proceed to Pa~t $ 11 Part 3--EVAL ION OF THE IMPORTAN OF IMPACTS Responsibility of Lead Agency Part 3 must be prepared if one or more impact(s) is considered to be potentially large, even ii the impact(s) may be mitigated. Instructions Discuss the following for each impact identified in Column 2 of Part 2: 1. Briefly describe the impact. 2., Describe(if applicable) how the impact could be mitigated or reduced to a small to moderate impact by project change(s). 3. Based on the information available, decide if it is reasonable to conclude that this impact is important. To answer the question of importance, consider: · The probability of the impact occurring · The duration of the impact · Its irreversibility, including permanently lost resources of value · Whether the impact can or will be controlled · The regional consequence of the impact · Its potential divergence from local needs and goals · ~.Vv'hether known objections to the project relate to this impact. (Continue on attachments) 12 617.20 SEQR Appendix B State Environmental Quality Review Visual FAF Addendum This form may be used to provide additional information relating to Question 11 of Part 2 of the Full EAF. (To be completed by Lead Agency) Distance Between Visibility Project and Resource (in Miles) 0-1/4 V. -I/2 V2-3 3-5 5+ · Local road? 1. Would the project be visible from: · A parcel of land which is dedicated to and available to the public for the use, enjoyment and appreciation of natural or man-made scenic qualities? · An overlook or parcel of land dedicated to public [] [] [] [] [] observation, enjoyment and appreciation of natural or man-made scenic qualities? · A site or structure listed on the Hational or State [] [] [] [] [] Registers of Historic Places? · State Parks? [] [] [] [] [] · The State Forest Preserve? [] [] [] [] [] · Hational Wildlife Refuges and state game refuges? [] [] [] [] [] · Hational Hatural Landmarks and other outstanding [] [] [] [] [] natural features) · Hational Park Service lands? [] [] [] [] [] · Rivers designated as Hational or State Wild, Scenic [] [] [] [] [] or Recreational? · Any transportation corridor of high exposure, such [] I~ r-I [] [] as part of the Interstate System, or .Amtrak? · ^ governmentally established or designated interstate [] [] [] [] I'-I or Inter-county foot trail, or one formally proposed for establishment or designation) · ^ site, area, lake, reservoir or highway designated as [] [] [] [] [] scenic? · /Vtunlclpal park, or designated open space? [] [] [] [] [] · County road? [~ [] [] [] [] · State? [] [] [] [] [] [] [] [] [] [] 2. Is the visibility of the project seasonal~ (i.e., screened by summer foliage, but visible during other seasons) 0 Yes [] Ho Are any of the resources checked in question ! used by the public during the time of year during which the project will be visible? O es DESCRIPTION OF EXISTING VISUAL ENVIRONMENT 4. From each item checked in question 1, check those which generally describe the surrounding environment. Within '1/4 mile * ! mile Essentially undeveloped [] [] Forested [] [] Agricultural [] [] Suburban residential [] [] Industrial [] [] Commercial [] [] Urban [] [] River, Lake, Pond [] [] Cliffs, Overlooks [] [] ~signated Open Space [] [] Mountainous [] [] Other [] [] HOTE: add attachments as needed 5. Are there visually similar projects within: *1/2 mile r-lYes []No '1 miles []Yes i-INa °2 miles ['-]Yes i-INa *3 miles i-lYes []No ' Distance from project site are provided for assistance. Substitute other distances as appropriate. EXPOSURE 6. The annual number of viewers likely to observe the proposed project is HO'i'E: When user data is unavailable or unknown, use best estimate. CONTEXT 7. The situation or activity in which the viewers are engaged while viewing the proposed action is FREQUENCY · Holidays/ Activity Daily Weekly Weekends Seasonally Travel to and from work [] [] [] [] Involved in recreational activities [] [] [] [] Routine travel by residents [] [] [] [] At a residence [] [] [] [] At Workslte [] [] [] [] Other [] [] [] [] 2 14-16-4 (~/95)--Text 12 I PROJECTI.D. NUMBER 617.20 Appendix C - State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART |--PROJECT INFORMATION (To be completed by Applicant or Project sponsor) SEQR 1. APPLICANT/SPONSOR 3. PROJECT LOCATION: 4. PRECISE LOCATION (Stre~;t address ;~nd ro;~d 2, PROJECT NAME m,..,. Intersections, prominent I;~ndrnarks, etc., or provl[~e'rnap) IS PROPOSED ACTION: [] New [] Expansion .~[~4odlJlcatlonJaltef&tlon DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: Inltlilly ~0~ L~"~ .~:~y. ~ Ultimately g. WHAT IS PRESENT LAND USE IN VICINIT~:;E~PROJECT? [] Residential [] Industrial ~,omme rclal BI Agriculture [] P&rldFotest/Open space [] Other / IO. DOE~ ACllOH INVOLVE A PERMIT APPROVAL~ OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? ~Yei Ho If yes, Iisi and permlUapp¢~ils 11. ~ A~ ~ ~ ~E A~ HAVE A ~RR~Y VAMD PERMff ~ ~PROVALI ~ Yll ~o If yes, II~t ~gen~ n~me and ~lUappr~al 12. ~ A RESULT OF PRO.SEC A~ION WILL ~IS~NG PERM~IAPPROVAL REQUIRE MOOIF~ATION? I ~ ~AT THE INFORMATION PROVIDED A~E ~ TRUE TO THE BEST OF MY KNOWLE~E I! the action Is In the Coastal Area, and you am a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 PART II--ENVIRONMENTAL ASSj~i~MENT (To be completed by Agency) ~1, '~ ~V--~~1 ~SHOLO ~ NYCRR, PART 6174? [-~~yes~oo(d,r~l~lhe review p~oces5 ~nd use the FULL EAF B. WILL ACTION RECEIVECOOROINATEO REVIEW AS PROVIOED FOR UNLISTED ACTIONS IN 6 NYCRR PART61~6~ II No, a negalive ~ecla~ahon C. COULD ACTION RESULT IN ANY ADVERSE EFFEC'rS ASSOCIATED WITH THE FOLLOWING: IAnswefs may be handw~iHen, it legible) C1. Existing ail quality, suHace o,' groundwe, ier quably or quanlity, noise levels, exisbng [ralbc paUerns, solid wasle ploduction or disposal, potential roi erosion, drainage O¢ flooding problems? Explain brieby: C5. Growth, subsequent development, of related aclivides likely lo be induced by Ihe proposed aclion? Explain brielly. C6. Long term, shod term, cumulative, or othe[ elfects not idenlilled in Cl-C57 Explain briefly. C7. Olher impacts (including changes In use of either quanlity or type ol energy)? Explain briefly. D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CEA? [] Yes [] NO E- IS THERE, OR IS THERE LIKELY TO SE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? [] Yes [] No II Yes, explain I~defly PART Ill--DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substanlial, large, important or otherwise signilicanl. Each effect should be assessed in connection with its la) selling Ii.e. urban or rural); lb) probability of occurring; lc) duralion; Id) Irreverslbllity;, (e) geographic scope; and (0 magnitude. If necessary, add attachments or reference suppo~ting materials. Ensure that explanations contain sulficlent delall to show that all ~'elevant adverse impacts have been idenllfied and adequately addressed. If question D of Pa~ II was checked yes, the determination and significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. [] Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. [] Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide on attachments as necessary, the reasons supporting this determination: CHURCH OF GOD IN CHRIST ~c,..Oo~.~,,93~ ' F'-' ~ ~ ___ PLANNING BOARD MEMBERS BENNETT ORLOWSKI, JR. Chairman WILLIAM J. CREMERS KENNETH L. EDWARDS GEORGE RITCHIE LATHAM, JR. RICHARD CAGGIA-NO Town Hall, 53095 State Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1938 Fax (631) 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD TO: FROM: RE: DATE: Michael Verity, Principal Building Inspector Robert G. Kassner, Site Plan Reviewer ~ Church of God in Christ CR 48, Mattituck SCTM# 1000-101-1-10 September 28, 2001 The Planning Board has received a request from the above church to add a 320 square foot addition and handicapped ramp at the rear of the church. (Plan attached) The Planning Board recommends that an "as built' plan be provided after the proposed construction. P.O. Box 1179 53095 Route 25 Southold, NY 11971 Phone: (631) 765-1938 Fax: (631) 765-3136 E-Mail: planning@southold,org To: Aggie, Architecnologies From: Valede Scopaz/Carol Fax: 298-1128 Pages: 5 (including cover) Phon~ Date: 9/26/01 Re: Church of God in Christ cc: Urgent For Review Please Comment Please Reply As Requested Following please find the correspondence from our office to Nancy Dwyer, as requested. PLANNING BOARD MEMBERS BENNETT ORLOWSKI, JR. Chairman WILLIAM J. CREMERS KENNETH L. EDWARDS GEORGE RITCHIE LATHAM, JR. RICHARD CAGGIANO Town Hall, 53095 State Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1938 Fax (631) 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD September 18, 2001 Nancy Dwyer Architecnologies P. O. Box 93 Mattituck, NY 11952 gEl Site Plan Application for Church of God in Christ Route 48, Cutchogue SCTM# 1000-101-1-10 Zone Hamlet Business (HB) Dear Ms. Dwyer, The Planning Board has received your letter of September 5, 2001 regarding the above project. The following changes/additions must be made before the Board can proceed with its review: 1. The plan must have the signature and seal of a licensed surveyor or civil engineer 2. Elevation drawings, east, west, north and south, materials and colors, (see enclosed list), and floor plans 3. Show area of on-site parking 4. Show existing buildings drainage for review by Town Engineer to determine adequacy to handle new addition 5. Show paved handicapped space, sign and logo 6. Keymap at 1"= 100' ' 7. Owners of adjoining lands within five hundred feet of property lines A church is a permitted use in the Hamlet Business Zone by Special Exception of the Board of appeals. Zoning Board records do not indicate that the Board of Appeals ever granted the Special Exception. This matter should be reviewed with the Board of Appeals. Nine copies of the revised site plan are required. A review by the Suffolk County Department of Health Services is required. If you have any questions, or require further information, please contact this office. ,/'R~r t,~G. Kassn .ex/ Encl. Cc: Gerard P. Goehringer, Chairman, Board of Appeals Michael Verity, Principal Building Inspector Jamie Richter, ToWn Engineer Information to be submitted or included with submission to Architectural Review Committee. * Sits Plan. * Type of Building Construction, Occupancy, Use and Fire Separation. * Floor Plane Drawn to Scale - 1/%"=1' preferred. * Elevation Drawings to Scale of all sides of each Building, 1/4"=1'preferred including the following informations Type and color of roofing - include eeanple. Type end color of siding - include sample. Type of windows and doors to be used, material and color of all windows and d6or.framee include sample. Ty~e end color of trim material include sample. * Type of heating/cooling equipment to be used. Show exterior locations of all equipment i.e., heatpumpe, air conditioning compressors, etc. on plane and/or elevations. * Type and locations of all roof-mounted mechanical equipment. * Type and locations of all mechanical equipment and/or- plumbing venting through roof or building sidewall. * Type, color and style of proposed masonry material for chimneys or accent wells - include samples or photos. * Details, color, type and style of any proposed ornamentation, awnings, canopies or tents. * Photos of existing buildings and/or neighboring properties from four ~irectione of project site. * Type, Color and Design of all exterior eig~ege, both building-mounted and free standing. PLANNING BOARD MEMBERS BENNETT ORLOWSK], JR. Chairman WILLIAM J. CREMEP~S KENNETH L. EDWARDS GEORGE RITCHIE LATI-LA_M, JR. RICI-LM~) CAGGLa~NO PLANNING BOARD OFFICE TOWN OF SOUTHOLD P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1938 Fax (631) 785-3136 August 3, 2001 Architecnologies P. O. Box 93 Mattituck, NY 11952 RE: Site Plan application for Church of God in Christ Dear Architecnologies, The enclosed application is being returned to you because it is incomplete. The application lacks: · 1. The filing fee 2. A signed and notarized application 3. A site plan containing the data required by Chapter 25 of the Town Code If you have any questions, or require assistance, please contact this office. Site Plan Reviewer Encls. N/F AMERADA HESS CORP. MA ~IV NC)AD N ¥S 25 N 51' 50' 00" E 50.0' I SZORY BLDG. BLEND SURFACE S 51' 50' 00" W MA TTITUCK, TOWN OF SOUTHOL£ SUFFOLK COUNTY, N. Y: SURVEYED FOR: DAVID CIFARELLI LISA CIFARELLI BURVEYEO 09 JULY, 2001 SCALE AREA= 9,67B. 744 SF OR 0.222 ACRES M.,q IN /WOAD NYS 25 N 51'$0' O0~E 50.0' S$1'50'00" W MA~rlTUCK, TOHCV OF $OUTHOL£ SUFFOLK COUNTY, N.Y. TOWN OF SOUTHOLD PROPERTY RECORD' CARD /o~ ~/~/-/- / o - /,/- ~-. OWNER STREET j~.~-~) ~.-5 VILLAGE DIST. SUB. LOT ( F0~I ~E-R ~)WNE'R' r N s w ~PE OF BUILDINg// RES. S~S. VL. FARM CO~. CB. MICS. Mkt. Value ~ ~ND IMP. TOTAL DATE R~RKS ' J f AGE BUILDING CONDITION N~ NOR~L BELOW ABOVE FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER / Wo~land FRONTAGE ON ROAD //~ Meadowla~d DEPTH ~ ~ ~ ~¢ House Plot BULKH~B Total D~K COLOR Extension Extension Pa"ch Po~ch Breezeway Garage Patio Total I.O0 Foundation · Basement Ext,' Wails Fire Place Type Roof Recreatioh Room Dormer Bath Floors.. tn~eH0~ F~hish Heat Rooms Ist Floor Roor~s ~d Floor Driveway ~inette. DR. FIN. B WELL POOL CONCR, ELOOK CHURCH BLDG, ,; NING: ~ HB 47,580 sq. ft. land area M,~;(IMUM LOT COVERAGE: TO~I'AL GROSS AREA OF FIRST FL.: (EXISTING BLDG & PROPo, NEW AREA) TOTAL LOT COVERAGE ~: ~ EXISTING BUILDING AREA: TOTAL 2,380 sq Et, 2O% PARKING: REQUIREMENTS: 1 SPACE PER EVERY 50 SQ, FF. 2,400 sq.ft 5% TOTAL: 2,400 sq,ft, = 48 PARKING SPACES TOTAL REQUIRED - 48 SPACES TOTAL ON SITE 60 SPACES IvlATERIAL OF PROP. NEW AREA: TO MATCH EXISTING STUCCO SIDING, ASPHALT ROOF SHINGLES & Cl._AD, DOUBLE HUNG WINDOWS. EXISTING BUILDING HT. 28' +/- PROPOSED SITE PLAN 1000- 101 - 1 - 10 SCALE 1" = 20' PROPERTY OWNER: CHURCH OF GOD IN CHRIST EUGENE JEFFERSON P.O.BOX 438 CUTCHOGUE, NEW YORK 11935 DRAINAGE: PARKING SQUARE FOOTAGE: 3,600 SQ. FT. EXISTING DRAINAGE TO REMAIN. EXISTING BLDG. SQUARE FOOTAGE: 2,060 SQ. FT. EXISTING DRAINAGE TO REMAIN. PROPOSED NEW AREA SQ FOOTAGE. 320 SQ. FT. DRAINAGE FOR PROPOSED NB~/AREA TO TIE INTO EXISTING BUILDING'S DRAINAGE. INFORMATION TAKEN FROM SURVEY PREPARED RY RODERICK VANTYLE DATED APRIL 5, 1984 m SCALE: DWG, NAME: SITE PLAN DWG NO.. A.SITE