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HomeMy WebLinkAbout1000-13.-2-7.7PLANNING BOARD MEMBERS BENNETT ORLOWSKI, JR. Chairman WILLIAM J. CREMERS KENNETH L. EDWARDS GEORGE RITCHIE LATHAM, JR. RICHARD G. WARD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-3136 Telephone (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD TO: FROM: RE: DATE: Gerard P. Goehringer Bennett Orlowski, Jr., Chairmar~ Request for Planning Board Comments Casa Bianca September 24, 1998 In response to your inquiry regarding the above project, the Planning Board's last contact with Casa Bianca, (Christine Anderson), was on November 18, 1997. 765-18o9 Z~B~ te£ 765-9064 Z:BJ~ te~efax. MEMORANDUM TO: FROM: DATE: SUB3: Planning Board Board of Appeals ~r September 22, 1998 SEP gl Southold Town Planning Board Preliminary Recommendations Planning/Zoning Projects Re: Prooosed Riqht-of-Way and 280-A Access for fire Vehicles (Five Buildinq Lots) 1000-22-3-27~ Our record shows that the Planning Board had/has jurisdiction in this area. Please describe actions or conditions relevant to this project. Thank you. Re: Faith Reform Baptist Use - ExisUnq Building at 1000-114-11-17. This property is Zoned HB and contains existing building(s). An Interpretation is being requ. ested re.g...arding Section 100- 91A(12), or alternaUv..el.y a Spec,al Except,on pnder Article Section 100-91B for rehgmus meeting activities. ~ ~/~) Re: Laurel Links Golf Course and Sian Variance (On-SiteL l.a;~rel. A Special Exception for Golf ActiviUes has I~n filed. Variance for a Ground Sign has been filed and is based upon a Notice of Disapproval issued by the Building Inspector for this site. Re: Mr. and Mrs. Ed Dart. Proposed Set-Off/Division at C.R. 48 and 3070 Peconic Lane, Peconic. 1000-74-3-15. Size of house lot is substandard at 28,400+- sq. fl~ and vacant land is proposed at 58~000+- s.f. Applicant proposes to retain same rear line as those immediately north. Re: ~ - Please confirm whether or not there has bc=n any activity within the last 12 months with your department for any proposals. Thank you. PLANNING BOARD MEMBERS BENNETT ORLOWSKI, JR. Chairman WILLIAM J. CREMERS KENNETH L. EDWARDS GEORGE RITCHIE LATHAM, JR. RICHARD G. WARD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765.3136 Telephone (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD November 18, 1997 Christine C. Anderson 316 Front Street Greenport, NY 11944 RE: Retreat House Main Road, Orient SCTM# 1000-13-2-4 Dear Ms. Anderson, The Planning Board has received your letter of November 3, 1997, requesting a waiver of site plan for the above referenced property. The Board cannot proceed with the waiver request until after the Board of Appeals rules of your Speciai Exception request. However, we will keep your waiver request of file pending the Zoning Board's action. If you have any questions, or require additional information, please contact this office. ~_R/ob~fct ~'. Kassner Site Plan Reviewer cc: Gerard P. Goehringer, Chairman, Zoning Board Edward Forrester, Director of Code Enforcement Gary Fish, Building Inspector Date Bennett Ortowski, Jr., Chairman Southold Town Planning Board P.O. Box 1:179 Southold, NY :11971 Dear Mr. Orlowski: I would like to request a waiver of site plan requirements. The following data is provided for your review: TaxMap#1000~ection 013.00; Block 02.00, 004 Location of Project (street address and distance, E,S,N,W, relative to nearest intersection, hamlet) (Route 25) East of Heath Drive; Hamlet of Orient Brief Description of project and reason for waiver request (square footage of existing building area and how it will be used; e.g. 4,000 sq. ft. total, 2500 retail, 500 storage, 1000 office space). The 4-bedroom residence will be used as a Retreat House £or women after discharge from the hospital after cancer surgery, and breast cancer surqery, in particular. (Please see letter annexed hereto as attachment A, which sets forth the project in greater detail. ) Existing and proposed uses The house is presently a Dersonat residence ~nd will ~ converted to a temporary residence. L0tarea ~_~ ~¢~ Zoning DistrictR.80 Parking required, Yes-for 12 to 15 cars. Name Christine C. Anderson Renter/Owner? N/A (If renter, attach owner's permission to pursue this inquiry). Address 316 Front Street, Greenport, New York 11944 Phone (516) 477-0900 Please attach a survey or sketch of the property, at a i" to 20' scale, showing the location of all existing and proposed buildings and required parking spaces, for all uses proposed and existing on site. Show which buildings will have which use. If you need any additional/nformation, or have any questions, please contact Robert G. Kassner, Site Plan Reviewer, at (516) 765-1938 $16 F~o.i $~ P.O. Box 128 G~e~o~ Ne~ Yo~-~ 11944 ROBERT S. HUGHES February 3, 1997 TeIepI~o~e (516) 477-2700 F~ (516) 477-0965 The Planning Board Town of Southold Main Road Southold, New York Att: Ms. Valarie Scopaz Proposed Women's Hospice To be Located in Orient, New York Dear Ms. Scopaz: It was nice to speak with you last Friday. The purpose of this letter is to confirm my appointment with you and your staff, for Friday, February 7, 1997 at 1:30 p.m. The following is a brief introduction to the project. This office represents the purchaser, one of the parties to a sale and purchase of property, in Orient, New York. The purpose of the purchase is to create a retreat and spa for women recovering from breast cancer surgery, and other cancer related treatments. A determination is thus sought from your Office, for such relevant issues as zoning and parking requirements, for a project such as that described below. This zoning request is submitted with specific reference to Local Law No. 20-1996, Section 100-131. I. Property Identification The subject property is located on a Right of Way, off Main Road, behind Zimmer Farm, on the North side of Route 25, Orient, Town of Southold, New York. It is identified on the tax map of Suffolk County as District 1000. Section 13, Block 2, Lot 7.07 and is zoned as R-80, Agricultural-Residential. The following description is supplied, in order to provide you with an idea of the proposed activities, as well as to answer some of the questions raised by this application. FEB 4 PLANNIN~ BOARD The Planning Board February 3, 1997 Page 2 II. Business Description (i) The name of the Hospice will be Casa Bianca and will be owned by a an existing non-profit 501(c)(3) corporation, The Eastern Long Island Breast Cancer Resource Center, Inc. (the Center). (ii) The Center was formed in 1994. It is dedicated to providing the women of Long Island's East End, including Shelter Island (and New York City, as well), with free information regarding breast cancer, its detection, treatment and available support groups. In order to increase the public's awareness of beast cancer issues, and the resources offered by the Center, the Center has sponsored programs in local high schools, including Greenport High School and the Shelter Island School District. These programs have focused primarily on breast cancer, in addition to prostate and testicular cancers. The next such presentation will be in March 1997, to students of the Shelter Island school district. The Hospice is an outgrowth of the Center's network and education mission. Briefly stated, the Hospice will provide a retreat and spa for post-operative women to come, upon discharge from a hospital, and be able to recuperate for an average 4-day, 3-night stay. (See below.) B. Services and Potential Guests Casa Bianca will offer basic spa services to women, including massage, exercise, yoga, meditation and psychotherapy. The potential guests will primarily be women recovering from surgery from breast cancer, as well as other cancers. Couples will be encouraged in the second year, but will not be housed in the main building. The present, free-standing garage will be renovated for this purpose. (See artist's rendering, annexed hereto.) C. Lo~tion Casa Bianea will be located in Orient, New York. The Planning Board February 3, 1997 Page 3 D. Mission Statement As presently projected, the Hospice will serve to fill the following aims: It will cater primarily to women, and in particular, to women recovering from breast cancer as well as other cancers, in a nurturing and supportive environment (the Retreat Program). On weekends, the spa will cater to couples, in a separate building, commencing in the second year. The goal of the Hospice will be to promote wellness, by focusing on the following: Weight Loss and Control Scientific Nutrition Nutritional Cooking Scientific Wellness Longevity Stress Management Optimal Health and Fitness Exercise and Wellness for Recuperation from Surgery. E. Retreat Pro,,ram The Retreat component of the Hospice is the principal focus of the Center's breast cancer mission. Women recovering from breast cancer as well as other cancers will be referred to as Retreat guests. Guests will receive the complete care and attention of the staff. While encouraging spouses for couples' weekends, the mission of Casa Bianca is to provide a retreat for women. No effort will be spared to recruit only the most caring professionals to staff a team to encourage the post-operative woman to reach optimum recovery during her stay. The rooms will be calm, happy places. The meditation room will be conducive to tranquility of the spirit and the expert touch of our therapists will soothe and relax the body. Working together, the mind and body and spirit will begin the mending process. A licensed psychotherapist will conduct one on one counseling sessions with Retreat guests. Three part-time nurses will also be recruited to serve on a 7-day-week basis. Intensive breast cancer and breast health education will be offered, via videotapes and lectures by qualified staff members and doctors. Efforts will be made to integrate East End The Planning Board February 3, 1997 Page 4 physicians and other health professionals in this project, and more specifically from E.L.I. Hospital, in nearby Greenport. Finally, educational videos demonstrating specialized clothing, prostheses and wigs will be presented in an informal question and answer format. III. Parking: Exoansion and General Buffer Needs The Center is negotiating to acquire the northernmost six acres of the Zimmer farm, adjoining the subject property. With an occupancy rate of 10 Retreat guests, plus roughly an equal number of staff, there would be thus be need for parking of 20 cars, plus those of maintenance staff, of another 2 or 3 vehicles. The total parking, therefore, will be for 24 cars. Based on this projection, you are asked to provide a ruling as to the total additional acreage required by your Planning Board, in excess of that of the subject property (1.8 acres). A copy of the survey for the subject property is annexed hereto, for ease of reference. Inasmuch as a determination of the issues raised above will be the condition of sale, for both the subject property and the acquisition of the Zimmer property, an expedited response will be greatly appreciated. The Center is anxious to proceed, given its belief that a great many women are being placed at risk, as a result of early discharge policies in effect by health management organizations, in our hospitals today. Please do not hesitate to call me if you should have any questions, or require any further information. Thank you for your time and attention. I look forward to our meeting. Very truly yours~ Robert S. Hughes RSH/~ PLANNING BOARD MEMBERS RICHARD G. WARD Chairman GEORGE RITCHIE LATHAM. JR. BENNETT ORLOWSK~, JR. WILLIAM J. CREMERS KENNETH L. EDWARDS PLANNING BOARD OFFICE TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-3136 Telephone (516) 765-1938 Date Received Date Completed Filing Fee APPLICATION FOR CONSIDEP. ATION OF A SITE PLAN New XX Cl~ange of Use Re-use Extension Revision of Approved Site Plan Name of Business or Site: Casa Bianca Properties, LLC Loca~on: of Property Main Rd.,(Rte 25) East of Heath Dr.; Hamlet of Orient Address: Bus iness Office 316 Front Street, Greenport, NY 11944 Name of Applicant: Christine c. Anderson Address of Applicant: 316 Front Street, Greenport, NY 11944 Telephone: ( ~ 16 1 477-0900 Owner of Land: (Present) Otto & Rosalie Zapf Agent or Person responsible for application: Christine C. Anderson Same as above Address: Telephone: Site plans prepared by: License No,: Address: None at present NOV I 4 !gg"/ Telephone: Page 2 Pfannin~l Board Site Plan Application By APPLICANT<~ AFFIDAVIT STATE OF NEW YORK COUNP/OF SUFFOLK Christine C. Anderson she being duly sworn, deposes and says that ~e resides at lO00 Sound Drlv¢_. C~r~npnr~.~ N~w Ynrk 11q44 she in the State of New York, and t~h~ffo~gC~K~K~~ that I~ is the (Title) of the ~a~a RJ2n~ Prop~r~(~ T,T,~ a limited (Sp~ w~ther~ne~hlporCorp.)liability corporation which is hereby making application; that there are no existing structures or improvements on the land which are not shown on the Site Plan; thai: 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 Dy the Planning Board for the filing of Site Plans and will comply with same; that the plans submitted, 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. ~ 'Ch~l S~ i ~'~C '¥An~ersOn (Partner or Corporate Officer and Title) Executive Director 19 97 Robert S. Hughes . Notary Public, State o[ New York No. 02flU5029422 Quali[jed. in Sulf. olk County Commission Expires June 20,19-/~ Page $ Planning Board SEe Plan Application 3_.2_ac,~_~otal Land Area of Site (acres or square feet) Zoning District Existing UseofSite ge$idential Proposed Uses on Site. Show all uses proposed and existing. Indicate which building will have wt~ich use. If more than one use is proposed per building, indicate square footage of floor area that will be reserved per use. footaqe, which is as a residence for a period of 4-6 days, per Guest. in the 4-bedroom residence. gq. ft. 4,8 0 0 , ], Gross Floor Area of ExJsting Structure(s) N/A Oross FloorA~eaofProposedStructure(s) There is no change proposed to the Percent of Lot Coverage by Building(s) bu i 1 d ing. Percent of Lot for Parking (where applicable) N/A Percent of Lot for Landscaping (where applicable) Has applicant been granted a vadance and/or special exception by Board of Appeals - Case # & date No Board of Trustees - Case # & date No NY State Department of Environmental Conservation - Case # & date No Suffolk County Department Health Services - Case # & date But note: Case Number Name of Applicant Date of Decision Expiration Date Other the DOH has excepted the building from its jurisdiction (see letter of October 6, 1997, annexed hereto, as Attachment B. ) No N/A N/A 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£ CONST£UCTION) ,4,fAY BE UNDERTAKEN UNTIl APPROVAL OF SITE PLAN BY PLANNING BOA£D, V/OLATO£S A£E SUBJECT TO P£OSECUTION. 617,21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only ~ART I--PROJECT INFORMATION (To be completed by Applicant or Project sponsor) SEQR 2. PROJECT NAME Casa Bianca Properties, LLC 1. APPLICANT/SPONSOR Christine C. Anderson 3. PROJECT LOCATION: Municipality Orient County Suffolk 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc,, or provide map) Main Road (Rte. 25), east of Heath Drive, Hillcrest Estates, but west of the Zimmer Horse Farm, and fronting on the Sound, and west of property now or formerly of Levy. 5. IS PROPOSED ACTION: [] New [] Exbansion [] Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: The 4-bedroom residence will be used as a Retreat House for women after discharge from the hospital after cancer surgery, and breast cancer surgery, in particular. (Please see letter annexed hereto as Attachment A, which sets forth the project in greater detail.) 7. AMOUNT OF LAND AFFECTED: Init/all~ ~ · 2 ac~es ultimately 3 · 2 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? ~]Yes ~[No IfNo, describebrietly We propose to apply for and receive a special exception from the Board of Appeals under Southold Town Code, Section 100-31 B (5) 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ~Resident/al [] Industrial [] Commercial [] Agriculture [] Park/Forest/Ope. space [] Other Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? [] Yes [~NO If yes, list agency(s) and permit/approvals 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Yes ~ NO If yes, list agency name and permit/approval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? [] Yes [] NO I CERT~T ~ T THE INFORMATION PROVIOE[~A~.OVE IS TRUE TO THE BEST OF MY KNOWLEDGE If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 )ART II--ENVIRONMENTAL ASSESS~r (To be completed by Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.t27 If yes, coordinate the rewew process anc~ use the FULL EAF. [] Yes [] NO WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative del:laratlon may be superseded by another involved agency. C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be hanOwritten, if legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly, C5, Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly, C6. Long term, short term, cumulative, or other effects not identified in C1-CS? Explain briefly, CT. Other impacts (including changes in use of either quantity or type of energy)? Explain briefly. O, IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? [] Yes [] NO If Yes, explain briefly PART Ill--DETERMINATION OF SIGNIFICANCE (TO be completed by Agency) INSTRUCTIONS: For e~ch adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. u~ban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. [] Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occu.c. T-hen proceed directly to the FULL FAF 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 act[on WILL NOT result in any. significant adverse environmental impacts AND provide on attachments as necessary, the'reasons supporting this determination: Signature of Preparer (If different from responsible officer) Date APPI,][CANT THANSACT~UNAI, I)[$CLOSDRE FORH The Town of Southold's Code of Ethics prohibits conflicts of interest Oll tile part of town officers and employees. The pu. rpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAHE: Christine C. A_Dderson for_QCa~_~q__~. P_P~_Q~ke~. LLC (Last name, first name, middle initial, unless you are applying in tbs name of someone else or other entity, such as a company. If ~o, indicate the other person's or company's name~ ) NATURE OF APPLICATION~ (Check all that apply.) 'Fax grievance Variance X Change of zone Approval of plat Exemption from plat or official map Otlme~ (If "Other," name time activity.) I)o you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold7 'Relationship' ineluden by blood, marriage, or business interest. interest' means a basines~, including a parteership, which the town officer or employee has even a partial ownership of (or emploFme~t by) a corporation in the town officer or employee own~ more than 5~ of the YES NO X If you answered 'YES," complete kbs balance of this form and date and sign where indicated. Name of person employed by the Town of Southold N/A Title or position of that person Describe tile relatio.sbip between yourself (the applicant) aud the town officer or employee. Either check the appropriate line A) through D) and/or describe in tile space provided. The town officer 'or employee or his or her spouse, sibling, parent, or child is (check all that apply), __A) tbs owner of greater thaa 5% of the shares of tile corporate stock of tile applicaut (wheu the applicant is a corporatiou); B) the legal or beneficial owner of any interest in a noncorporate entity (when the applicant is not a corporation); C) an officer, director, partuer, or employee of the applicant; or D) the actual applicant. DEscRIPTION OF IH~LA'['IONSIIIP N/A I. EXECUTIVE SUMMARY Yhe purpose of this business plan is to raise the money needed to create a post-operative Retreat which provides a supportive environment for women recovering fi.om breast cancer surgery and for other guests recovering fi'om cancer surgery, in general. The Retreat will be called Casa Bianca. As proposed, Casa Bianca will be located in Orient, New York, which is situated on the East End of Long Island's North Fork. Casa Bianca will include an exclusive, upscale overnight Retreat and Wellness Facility, capitalizing on its magn~ ificent Sound fi'ont setting and tranquil atmosphere. There is a demonstrated need for a retreat facility of this nature inasmuch as recent developments in health management organizations have rendered post-operative stays in hospitals an increasingly curtailed event. As a consequence, such early discharged persons are returning to living situations in which they are without assistance and subjected to high-risk situations when post-operative emergencies arise. Casa Bianca will provide the care and services needed by recuperating guests, all under one roof. Initial staff recruitment has been very successful in locating professionals who are sensitive to the needs of breast cancer guests, and some of whom are themselves survivors of this devastating disease. -1- October 31, 1997 Town of Southold Planning Board P.O. Box 1179 Southold, N.Y. 11971 Att: Mr. Bennett Orlowski, Jr. Re: Proposed Women's Retreat House To be Located in Orient, New York Dear Mr. Orlowski: The purpose of this letter is to amplify and clarify the contents of the accompanying application and to serve as a brief introduction to the project. This office represents the purchaser, one of the parties to a sale and purchase of property, in Orient, New York. As captioned above, the purpose of the purchase is to create a Retreat and wellness center for women recovering from breast cancer surgery, and other types of cancer, as well. A determination is thus sought from your Office, for relevant issues as zoning and parking requirements, for a project such as that described below. This zoning request is submitted with specific reference to Local Law No. 20-1996, Section 100- 31. I. Property Identification The subject property is located on Right of Way off Main Road, behind Zimmer Farm, on the North side of Route 25, Orient, Town of Southold, New York. It is identified on the tax map of Suffolk County as District 1000. Section 13, Block 02, Lot 004 and is zoned as R-80, Agricultural-Residential. The following description is furnished, in order to present an idea of the proposed activities, as well as to answer some of the questions raised by this application. 316 Front Street, Greenport, New York, N.Y. 11944 Tel: (516) 477-0900 Fax: (516) 477-0955 Town of Southold Planning Board October 31, 1997 Page 2 II. Business Description A. Legal Structure: (i) Casa Bianca Properties, LLC (Casa Bianca, the Facility, or the Retreat) is an outgrowth of an existing non-profit 501(c)(3) corporation, The Eastern Long Island Breast Cancer Resource Center, Inc. (the Center). (ii) The Center was formed in 1994, dedicated to providing the women of Long Island's East End, including Shelter Island, with free information regarding breast cancer, its detection, treatment and available support groups. In order to increase the public's awareness of beast cancer issues, and the resources offered by the Center, the Center has sponsored programs in local high schools, including Greenport High School and the Shelter Island School District, on the subject, primarily of breast cancer, but also on prostate and testicular cancers, as well. The Retreat, captioned above, is an outgrowth of the Center's networking and education mission. Briefly stated, the Retreat will provide a place for post-operative women to come, upon discharge from a hospital, and be able to recuperate for an average 4-day, 3-night stay. (See below.) B. Services and Potential Customers Casa Bianca will offer support, education and psychological counseling services to women, as well as massage, facial, special makeup techniques for chemotherapy hair loss, and other therapies. The potential customers will primarily be women recovering from breast cancer surgery, but other cancers, as well. Couples will be encouraged to visit, but will not be housed in the main Retreat building, but rather, on the top floor of the wellness center, which is not presently the subject of this letter, since it has yet to be constructed. C. Location Casa Bianca will be located in Orient, New York. 316 Front Street, Greenport, New York, N.Y. 11944 Tel: (516) 477-0900 Fax: (516) 477-0955 Town of Southold Planning Board October 31, 1997 Page 3 D. Mission Statement and Spa Summary_ The Retreat and Wellness Center, as presently projected, will be to promote wellness, by focusing on the following: Psychological Counseling and breast health education Weight Loss and Control Scientific Nutrition Nutritional Cooking Scientific Wellness Longevity Stress Management Optimal Health and Fitness Exercise and Wellness for Recuperation from Surgery. mo Retreat Program The Retreat component of the Facility is the principal focus of the breast cancer recovery mission. In this plan, women recovering from breast cancer surgery will be referred to as Retreat guests. Guests will receive the complete care and attention of the staff. While encouraging spouses for couples' weekends, the mission of Casa Bianca is to provide a retreat for women. No effort will be spared to recruit only the most caring professionals to staff a team to encourage the post-operative woman to reach optimum recovery during her stay. The rooms will be calm, nurturing places. The meditation room will be conducive to tranquility of the spirit and the expert touch of our therapists will soothe and relax the body. Working together, the mind and body and spirit will begin, continue and complete the mending process. A licensed psychotherapist will conduct one on one counseling sessions with Retreat guests. Three part-time nurses have also been recruited to serve on a 7-day-week basis. There will be intensive breast cancer and breast health education offered, via videotapes, the Internet and lectures by qualified staff members and doctors. Efforts will be made to 316 Front Street, Greenport, New York, N.Y. 11944 Tel: (516) 477-0900 Fax: (516) 477-0955 Town of Southold Planning Board October 31, 1997 Page 4 integrate East End physicians and other health professionals in this project,and more specifically from E.L.I. Hospital, in nearby Greenport. Finally, educational videos demonstrating specialized clothing, prostheses and wigs will be presented in an informal question and answer format. III. Parking; Expansion and General Buffer Needs With an occupant3' rate of 8 Retreat guests, plus roughly 10 full and part-time staff members, there would be thus be need for parking of 15 cars. Based on this projection, you are asked to confirm that 3.2 acres will meet your requirement. A copy of the survey for the subject property is annexed hereto, for ease of reference. Inasmuch as a determination of the issues raised above will be the condition, subject to which the contract of sale and the acquisition of the property are based, an expedited response will be greatly appreciated. The Facility is anxious to proceed, given its belief that a great number of women are being placed at risk, as a result of early discharge policies in effect in our hospitals today. Please do not hesitate to contact the undersigned, should you have any questions, or require any further information. I enclose herewith, the business card of my colleague, Robert S. Hughes, Esq., who is very kindly assisting me with this aspect of the project. CCA/ml Enc: Modified Business Plan 316 Front Street, Greenport, New York, N.Y. 11944 Tek ~ ROBERT $. ItlJ61tES Attorney at Law Ii~ Front ~a, eet * P. O. S°x 128 I Greeapod, New york 11944 516-4'/7-'17ffi 516-477-0955 DO NOT COPY OR CIRCULATE CASA BIANCA RETREAT AND WELLNESS CENTER BUSINESS PLAN FOR RETREAT AND WELLNESS CENTER TO BE LOCATED IN THE NORTH FORK OF LONG ISLAND, NEW YORK OCTOBER, 1997 Business Plan Copy Number ~ ~- [ PLEASE CONTACT: CHRISTINE C. ANDERSON, ESQ. NYC: 227 Riverside Drive New York, New York 10025 (212) 932-2900 LI.' 316 Front Street Greenport, New York 11944 (516) 477-0900 Efforts will also be made to have women who are newly diagnosed with cancer to visit Casa Bianca prior to surgery, in order to prepare them for the various lifestyle and body changes resulting from such surgery. Intensive research has been undertaken to define the precise mix of services necessary to the breast cancer recovery mission, as well as the wellness center operation, and to locate a facility which would promote the operation of both entities together, while maintaining the privacy needs of the Retreat guests. Casa Bianca is organized as a limited liability company (LLC). The capital required is $1.850 million, to fund (a) the acquisition, construction and furnishing of a spa facility; and (b) start-up expenses, including marketing, staff salaries and other operating expenses. The founder's equity, together with the Small Business Administration (SBA) "504" loan program will provide $1.40 million of this sum. The balance of $450,000 is being sought from private sources, in the form of mezzanine capital. This business plan indicates that Casa Bianca will break even after its first year and that it will generate a pre-tax income of approximately $700,000 over its first three years. Cash flow provides for very comfortable coverage of all debt service requirements. This projection is conservatively based on capturing a relatively small share of the "market" for Casa Bianca's unique services, i.e., based on Tri-State area breast cancer statistics, approximately 8-10,000 women annually would be in need of Casa Bianca's care. This plan is based on obtaining 3% share of this group in the first year, increasing to 10% by Year Three. This plan projects payment of 11% interest to be paid to investors, plus 50% of the net cash flow, until principal is paid back in full, with a total 20% return. The income and expense projections are set forth in the 3-year proformas and supporting schedules, annexed hereto. Also annexed hereto as a separate document, is an investment proposal, setting forth the ownership structure of membership units and the return on money invested. The research performed by The National Small Business Development Research Network and the authors of this business plan has revealed a number of factors which lead to the conclusion that such a Retreat as we have projected, will be a success. These factors are special to Long Island and include its high incidence of breast cancer and its relatively high disposable income. The creation of Casa Bianca, with the natural beauty of its site, seclusion and breath-taking waterfront on the Long Island Sound will fill the existing void for a facility in which wellness and recovery are key elements. With the right balance of therapies: emotional, as well as physical, in combination with privacy and trust, such post-operative women will come for recuperation, and return for ongoing support and health care, making Casa Bianca a sought-after and financially successful project. -2- II. BUSINESS DESCRIPTION A. Legal Structure: Casa Bianca is organized as a limited liability company (LLC). B. Services and Potential Customers Casa Bianca will offer psychological counseling, education and basic spa services to women, including massage, exercise, other therapies and related retail sales. The potential customers will primarily be women, recovering from breast cancer and cancer surgeries. C. Location Casa Bianca will be located in Orient, New York. D. Mission Statement and Wellness Summary_ Casa Bianca, as presently projected, will serve to fill the following aims: 1. Casa Bianca will cater primarily to guests from the Tri-State area, who are recovering from cancer surgery, and more particularly, from breast cancer surgery, in a nurturing and supportive environment (the Retreat Program). As further detailed, the Retreat guests will enjoy total privacy in the Retreat House, since the overnight and day guests will be catered to in a separate building on the property. 2. Casa Bianca will also serve as an exclusive Wellness Center and Retreat with limited overnight capacity, by focusing on the following: Weight Loss and Control Scientific Nutrition Nutritional Cooking Scientific Wellness Longevity Stress Management Optimal Health and Fitness Exercise and Wellness for Recuperation from Surgery 3. Casa Bianca will cater to upscale Long Islanders residing in Nassau and Suffolk Counties, capitalizing on the favorable demographics of Long Island women who have the inclination and the income to patronize the wellness center. In addition, summer residents will be able to attend the facilities. Connecticut residents will also be able to visit, since these visitors may merely come across on the ferry without their Cars, if they wish, and be picked up by the staff. As further detailed herein, Casa Bianca will offer basic treatments, such as massage, facials, manicures and pedicures, as well as access to the meditation room, the beach, lunch and tea. -3- III. COMPANY HISTORY The company is a newly formed entity, Casa Bianca Retreat and Wellness Center, which is owned by Casa Bianca Properties, LLC, .a limited liability company (the LLC). The company is an outgrowth of the Eastern Long Island Breast Cancer Resource Center, Inc. (the Center), an existing 501(c)(3) non-profit corporation. Formed in October of 1994, the Resource Center has offered free education, materials, networking and hotline information, primarily to Long Island women, and to New York City women, as well. In addition, the Resource Center sponsors high school programs, and in the past has partnered with the Avon Company, to offer educational videos and talks to the students, on the topic of breast cancer, and on prostate and testicular cancers, as well. The Center has also received the generous support of the New York Knicks, who have donated autographed paraphernalia for raffle prizes at these presentations. Programs have been presented in the local school districts and interviews on the topic of breast cancer have been broadcast through local media. The executive director and founder of the Resource Center is Christine C. Anderson, who is also the founder and managing partner of Casa Bianca Properties, LLC. Ms. Anderson is an attorney by profession, and a breast cancer survivor and activist, and will devote full time efforts to running the Facility. Ms. Anderson's leadership of the Center has been on a completely voluntary basis and she will continue to lead the Center in this new undertaking. She will have completed Reike massage training, American Arthritis Foundation Certification as an instructor in arthritis therapy classes, and all required safety training, prior to the opening of the Facility. Ms. Anderson's commitment to the fight against cancer led her to found the Center in Greenport, Long Island, after observing the alarming statistics for breast cancer on Long Island and the lack of an aggressive youth education program on the East End of the Island, in particular. An analysis of the public education on the topic revealed that there was a lack of early education for the youth of the area. Ms. Anderson immediately moved to fill that void by targeting the local school systems, and offering the school program described above. That program for teens is immensely popular with the students. She also established a telephone outreach for matching women with breast cancer concerns with other women who have survived the disease, a program which has proven to be very popular and has formed strong links between women in crisis. There has been a steadily increasing need for a facility of this kind, in light of the sharp cutbacks in the length of hospital stays. Of critical importance, also, is the fact that women need the reassurance of other breast cancer survivors after surgery, which is often invasive to the body and overwhelming to the spirit. Casa Bianca will serve to fill the existing need for these services. -4- IV. SERVICES AND PROGRAMS Retreat Program The Retreat component of the Facility is the principal focus of Casa Bianca's breast cancer recovery mission. In this plan, women recovering from breast cancer surgery will be referred to as Retreat guests. Guests will receive the complete care and attention of the staff. In order to facilitate family involvement, there will be inclusion of spouses when desired. Such couples will be housed in separate apartments on the upper floor of the wellness center. Every effort will be made to recruit only the most caring professionals to staff a team which enables post-operative guests to reach optimum recovery during their stay. The rooms will be calm, nurturing places. The meditation room will be conducive to tranquility of the spirit and the expert touch of the therapists will soothe and relax the body. Working together, the mind and body and spirit will begin, continue and complete the mending process. Significant efforts will be made to encourage women to visit the Retreat prior to surgery, in order to prepare them mentally, to answer any open questions they may have left unanswered, and to give as clear a picture as possible, of what to expect after surgery, in terms of their body image and lifestyle concerns. A licensed psychotherapist will conduct one-on-one counseling sessions with Retreat guests. Three part-time registered nurses will also be available to serve on a 7-day-week basis. There will be intensive breast cancer and breast health education offered, via videotapes and lectures by qualified staff members and doctors. Efforts will be made to integrate East End physicians and other health professionals in this project, and more specifically from E.L.I. Hospital, in nearby Greenport. Additionally, educational videos demonstrating specialized clothing, prostheses and wigs will be presented in an informal question and answer format. It is our intention to create a comprehensive resource bank of information and education for our post-operative guests. To this end, Casa Bianca will maintain a media center, with Internet access for research purposes. This approach has been echoed by Dr. Lauren Schnaper, the new director of breast evaluation and services at Greater Baltimore Medical Center. Dr. Schnaper hopes to launch a complete range of related services, including an image consultant for women having breast surgepy, chemotherapy or radiation treatment and a media center with Internet access for patients wanting up to-the minute information on their disease and treatment options. -5- Finally, it is also our intention to create a "scholarship" program for women who would not otherwise be able to afford the stay at Casa Bianca. Such women will be referred to Casa Bianca directly, by their doctors or through our network of cancer support groups. Upon review of their financial status and their need for assistance, the Retreat stay will be provided by our scholarship program. The scholarship program will be established and supported by the generous contributions of donors. Donors will sponsor the Retreat visit of one or more guests, as provided for under several available scholarship plans. Research performed by the staff of The National Small Business Development Center Research Network and by the authors of this Business Plan has revealed that Casa Bianca Retreat and Wellness Center will be the first of its kind, both nationally and internationally, as well. It will focus on both recovery from cancer and living with cancer, in an all-inclusive format, set in a supportive environment, within a beautiful secluded, spa setting. -6- DEPARTMENT OF HEALTH SERVICES COUNTY OF SUFFOLK MARY E. HIBBERD, M.D.. M.P.H. COMMISSIONER 6 October 1997 Christine C. Anderson Casa Bianca Properties LLC 316 Front Street Greenport, New York 11944 Re: Casa Bianca Orient, New York Dear Ms. Anderson: Please be advised that based on your current occupancy projections for the facility, this Department would not have jurisdiction over the residential aspect of your operation. This determination is based on a maximum client occupancy of 8 people and 1 resident employee. Should the combined number of clients and resident employees equal 10 or more at any time in the future, it will be necessary for you to obtain a permit to operate a temporary residence from this office. The food service, regardless of the number of 'occupants, remains subject to permit requirements of the Department. Please contact Mr. Gary Tarulli of the Training and Plan Review Unit at 854-0429 for further information. As discussed during our site visit on 16 September, the proposed use of the property represents a conversion from Group A1 One-family dwelling to Group B2 Multiple dwelling transient occupancy pursuant to the New York State Uniform Fire Prevention and Building Code (Uniform Code). The Uniform Code requires that buildings undergoing such conversion be brought into compliance with requirements for the proposed new use as if they were being newly constructed. During our discussion, we listed several significant areas of concern. Among these are the following: second exit not provided from the second floor sleeping rooms, three-quarter hour separation not provided between sleeping rooms, corridor not enclosed in one hour fire resistant construction, exit stair is a winder stair, stairway penetrates two floors (three levels) of building without enclosure and without means to ventilate it automatically, required common exit doors do not swing in the direction of exit travel, employee room in lower level, if created, shall be provided with adequate natural COUNTY CENTER 300 CENTER DRIVE RIVERHEAD, N.Y. 119OI Christine C. Anderson 6 October 1997 page 2 Re: Casa Bianca light, ventilation, exits and fire separation from balance of building boiler room - single wall metal chimney connector too close to combustible construction, door lacks three-quarter hour fire resistance rating (sheet metal skin no longer acceptable) and emergency switch not color-coded or labeled Once again, this office does not presently have jurisdiction over these issues. Responsibility for assuring compliance with the Uniform Code under the proposed conditions of use rests with code enforcement officials of the Town of Southold. Relief from Uniform Code requirements may only be obtained through the New York State Department of State. The name and phone number of a regional representative for that agency was provided previously. As a permit to operate a temporary residence is not currently needed, I am requesting the Department return your application fee at this time. Should you have any questions or if this office can be of further assistance, do not hesitate to call 852-2072. Yours truly, Robert H. Gerdts, R.S. Supervisor, Temporary Residence Unit o. Oliver Schepers, Associate Commissioner Gary Fish, Town of Southold ADJOINING LANDOWNERS To the West and to the South: SCTM# 1000-13-02-8.2 Christine Reese 855 Sunrise Highway Lynbrook, NY 11563 To the East: SCTM# 1000-13-02-7.9n (Formerly Levy) Julia Erlich and Denis Maksymowicz 1345 Demarest Road Orient, NY 11957 To the North: Long Island Sound. reports its revenues and expenses differently, it has been confirmed, by interviews and surveys conducted by Health Dynamics and the Cornell H.R.A. Quarterly, a hotel industry publication, that spas do make money for investors. It is also true that if one tries to compare one spa's budget with another, there is no viable method of making a consistent comparison of operating figures. We have sought to fill that void by detailed research into every aspect of staffing requirements, spa products, uniforms and apparel, and going salary rates, to name a few of such considerations. We have also enlisted the services of a spa consultant, experienced in the management of a premier luxury northeast amenity spa. Marketing Strate~ and Programs Casa Bianca's Retreat and Wellness Center will be marketed by utilizing several strategies: a) The Executive Director will personally visit with doctors, surgeons, and the over two dozen hospitals in Nassau and Suffolk counties. Presentations will be made to these persons and entities, using videos, brochures and printed material on Casa Bianca; b) An aggressive public relations program will be launched to residents of the Tri-State area, directed primarily to women's magazines, lifestyle editors of the print and other media, sponsoring open house days to the wellness community and featuring selected speakers; and targeting specific lecture circuits; c) Attractive brochures will be made available in conjunction with the above strategies for distribution; d) A selected few radio and television talk show hosts will be approached, in the initial stages, to seek the dissemination of the message of this new concept in cancer care, as a public service. The first such effort was recently televised, with positive response from viewers, with the assistance and cooperation of Cablevision, Channel 27 Public Access; and (e) Casa Bianca will also be marketed to travel agents and on the Internet. Retail Sales This business plan includes a very conservative projection of the additional income from another facet of the wellness center, a highly profitable marketing tool, which is retail sales. Since retail sales typically account for 15% of the total operation, we have determined that the extremely conservative estimate of $3,685.00 for Year 1, $18,625.00 for Year 2 and $41,984.00 for Year 3 would be used for the purpose of this business plan. These -11- ,'h;n 26 'g7 TOWN OF $OUTH(JLD UUII..D IHG DEPARTMENT Office of the Buildini Inlpector Town Hall Southold. N,Y. Certlficete OF Occupancy Date Sep~embe~ 7~ ~98~ 'rHI'SCERTiFlESthatU]ebuildh~E O,;','~' ~,,A,H.I,[,¥ DWELLZ~G WITli DECK i{,O,14. O~f H~[n Road O, ~.nc , Nc~ Yor~ COUnty Tax Map No, IO00 SociJOIt , . ~ I 3 .....Block O2 ,Lot 004 SU w)SIOn ........ Filed Mop No ..... Lot No. c:m~nrms su0s:antially to Ibc AppHcat{on ~or Oulldln~ Permit here{ofote ~Icd In tibia orate dated dated Had'ch 2 , )98~ ....................... wa~ issued, and conFornl$ tO =U of thc ()K Ihe apphc~ble provJ~iolls o K (h~ law, 'rite occup~nc~ rot which this certiDca le is i~ued ~s ....... ONE FAHILY DWELLZNC WI?H ATTACHED DECK Hfi OTTO ZAPF of Ibc ~rorcsaid Suffolk County Department nf Heallh Approval I 3- Go . s* UNDERWRITEF, S CERTIFICATI~ NC>. a ? 3,08 CI~R'rTlrlcAYIOlt DA'L'ED:~ Sepl:embcr 17, 1987 O~Hkllng ln~:pector $1,1~1:~[1~ COLIltI¥ I)[l:Al]ll[[l OF I't[[IH $[R¥1C~ [11'1(]1.£ I:AMIL~' [l~[I.[ll'l(] ONLY olher ~ :ncies,,~nd found to b~ salis aclory. C?ef i Bureau or Wa$l-ewalelrM'in'-aiemeAl Bennett 0rtowski, Jr., Chairman Southold Town Planning Board P.O. Box 1179 Southold, NY 11971 Dear Mr. 0rlowski: I would like to request a waiver of site plan requirements. The following data is provided for your review: Tax Map # 1000~Section 013.00; Block 02.00, 004 Location of Project (street address and distance, E,S,N,W, retative to nearest intersection, hamlet) Main Road (Route 25~ East of Heath Drive~ Hamlet of Orient Brief Description of project and reason for waiver request (square footage of existing building area and how it will be used; e.g. 4,000 sq. ff. total, 2500 retail, 500 storage, I000 office space). The 4-bedroom residence will be used as a Retreat House ~or women after dis~l%ar-~ from the hospital after cancer surgery, and breast canc~"~sur eq~y, i~particular. (Please see letter annexed hereto a.~/~attachment A,~ich-- sets forth the project in greater detail. ) Existing andproposeduses The house is presently aoersonal residence and w~l] be converted to a temporary residence. Lot area ~ ~ *~es Zoning Ois~ictR.80 Parking required Yes-for 12 to 15 cars. Name Christine C. Anderson Renter/Owner? N/A (If renter, attach owneds permission to pursue this inquiry). Address 316 Front Street, Greenport, New York 11944 Phone (~6) 477-0900 Please attach a survey or sketch of the property, at a 1" to 20' scale, showing ~e location of all existing and proposed buildings and required parking spaces, for all uses proposed and existing on site. Show which buildings will have which use. If you need any additional information, or have any questions, please contact Robert G. Kassner, Site Plan Reviewer, at (515) 755.1938 PLANNING BOARD M~EMBEHS RICtA,%~.D G. WARD Chairman GEORGE RITCHIE LAT~IAM. BE~ O~OWS~. ~T,T,T~ J. C~ ~E~ L. EDW~S PLAN1NE~G BOAR/) OFFICE TOV~N OF SO13'rI~OLD Town Hail, 53095 Main Road P.O. Box 1179 Southoid, New York 11971 Fmx (516) 765-3136 Telephone (516) 765-1938 Date Received Dante Completed Filing Fee APPUCATION FOR CONSIDERATION OF A SITE PLAN New XX Change of Use Re-use Extension Revision of Approved Site Plan Name of Business or Site: Casa Bianca Properties, LLC Location: of Property Main Rd. ,(Rte 25) East of Heath Dr.; Hamlet of 0rien Address: Business Office 316 Front Streett Greenport, NY 11944 Name of Applicant: Christine C. Anderson Address of Applicant: 316 Front Street, Greenport, NY 11944 Telephone: (516) 477-0900 0wner of Land: (Present) Otto & Rosalie Zapf Agent or Person responsible for application: Christine C. Anderson Address: Same as above Telepiqone: Site plans prepared by: Ucense NO.: Address: Teleplqone: None at present P~oe 2 P~anning Bo~rO Site Plan ADDHCa~ion By APPUCA/~I~ A~=IDAVIT STATE OF NEW YOI~ COUNTY OF SUFFOU( Christine C. Anderson she being duly sworn, deposes and says mat ~ resides at she in me State of New YorK, and r3~CC~Ye~X~n~K~lf4fgfC¢~(~ mat ~ is me Ew~cu~.ive Dirmctmr ofme (~m~m Rimn,"'m p~op~r~.~¢~. T,T,C~ m limited (Title) (So~ w~mer ~ne~hlp or Cor~.) 1 i a b i 1 i t y corporation which is hereDy maZing aDplicaQon; ~ac mere are no exi~ng ~res or Jmprovemen~ on me land which are no~ s~own on ~e Sl~ Plan; ~aC ~e ~e ~o ~e entre parcel, including all righ~-¢-way, has been clearly es~blish~ and is shown on said Plan; ~a[ no pa~ ¢ ~e Plan infringes upon any duly filed plan whic~ has nec been a~andoned ~o~ as to Io~ and as ~o roads; ~at he has examined all rules and regula~ons adopted by ~e Planning Board ~r ~e filing ¢ Site Plans and will comply wi~ same; ~a[ me plans submits, as approve, will not be Planning Board; and ~aC ~e a~al physi~l improv~ will be ins~ll~ in ~i~ accordance with ~e plans suDmi~. Casa Bianca~~es, LLC (~ner or Comoram Officer and Title) 19 9? Robert $. Hughes Notary Publi~ State of New York No. 02Hu5029422 Qualified in Suffolk Courtly Commission Expires June 20,19'-/~ Page 3 Planning 8bard Site Plan ApplicaTion 3_._2_ac..r_9_sTotal Land Area of Site (acres or square feet) R 80 Zoning District Existing Use o¢ Site Residential Proposed Uses on Site. Show all uses proposed and existing, fndicate 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. Thru hl]ildin_~ Will havre nnl~ nn¢ 11~¢ fnr i~ ¢nE~r¢ m~l12r¢ footage, which is as a residence for a period of 4-6 days, per Guest. in the 4-bedroom residence. 4,800S~. ft. GROSS Floor Area of Existing Structure(s) N/A Gross Floor A~ea of Proposed St:ructure(s) There Percent of: Lot Coverage by 8uilding(s) Percent of Lot for Parking (where applicable) N/A Percent of Lot for Landscaping (where applicable) Has applicant been granted a vadance and/or special exception by No Board of Appeals - Case # & date No Board of Trustees - Case # & date No NY State Department of Environmental Conservation - Case # & date N'o Suffolk County Department Health Services - Case # & date But note Case Number Name of: Applicant Date of Decision Expiration Date Other is no change proposed to the building. the DOH has excepted the building from its jurisdiction (see letter of October 6, ].997, annexed hereto, as Attachment E. ) No N/A N/A N/A Will any toxic or hazardous materials, as defined by the Suffolk CourtW 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 (EXCAVA170N 0/~ CONST~UCUON) /dAY BE UNDE£TAS~W UN7~?: ~ o~,~ ,. , - ~ , :, , ~, ., P~4NNING BOA£D. ~10LATO£S A£E SUE./ECT TO P£OSECU~7ON. 617.21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION (To be completed by Applicant or Project sponsor) SEQR 1. APPLICANT/SPONSOR I Z. PROJECT NAME Christine C. Anderson I Casa Bianca Properties, 3. PROJECT LOCATION: Municioalily Orient County Suffolk Main Road (Rte. 25), east of Heath Drive, Hillcrest Estates, bhe Zimmer Horse Farm, and fronting on the Sound, now or formerly of Levy. LLC but west of and west of property 5. IS PRCPOEED ACTION: [] New [] Expansion [] Modificationlaltetatlon 6. OE$CRISE PROJECT SRIEFLY: The 4-bedroom residence will be used as a Retreat House for women after discharge from the hospital after cancer surgery, and breast cancer surgery, in particular. (Please see letter annexed hereto as Attachmen A, which sets forth the project in greater detail.) 7. AMOUNT OF LAND APFECTED: InitlaJW ~ . 2 acres Ultimately 3 · 2 acres 8. WILL PROPOSED ACTION COMPLY WITH FD(JST[NG ZONING OR OTHER ~USTING LAND USa RESTRICTIONS? []Yes [~No [fNo, descrfbeDriefly We propose to apply for and receive a special exception from the Board of Appeals under Southold Town Code, Section 100-31 B (5) 9. WHAT IS PRESENT [.AND USE IN ¥1C:NITY DP PROJECT? ~Residentlal [] 1,0ustriai [] Commercial [] A~riculture [] Pa~Fo,esUOpen $~ace [] Or,e, Oescribe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING. NOW OR ULTIMATELY PROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL. STATE OR LOCAL)? [] Yes ~[No If yes. list agency(s) and permiUagOrovais 11. DOES ANY ASPECT OF THE ACTIOt~ HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Yes ~] NO If yes. list agency name and permitJal;oro%,al 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MOOIFICAT~ON? I CE'RTI.~T / T THE INFORMATION PROVIOE[3~VE IS TRUE TO THE 8EST OF MY KNOWLEDGE If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 APPEALS BOARD MEMBERS Gerard P. Goehringer, Chairman James Dinizio, Jr. Lydia A. Tortom BOARD OF APPEALS TOWN OF SOUTHOLD Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1809 Mrs. Christine C. Anderson 316 Front Street Greenport, NY 11944 November 26, 1997 Re: Appl. #4529 - Casa Bianca Prop. LLC/Zapf Conversion to Health Care Facility Dear Mrs. Anderson: This will confirm our secretary's telephone conversation with you today that Board Members have requested the following information to complete the file: a) Disclosure of the Limited Liability Company of the names and addresses of the individuals involved, and relationship or association with town employees (if any). b) Written consent from the property owner authorizing you and the corporation to proceed with this application. c) Sketch of a proposed "parking plan" which would show the approximate number of spaces (number of spaces will be determined by planning). d) Six (6) prints of a floor plan showing dimensions of reoma for all levels and the proposed use of each room. (Any size - reduction or full scale is acceptable. ) e) information you indicate was received from Bob Gertz, Suffolk County Health Department in your subm}-nsions to their agency for this occupancy. f) information relative to the NYS Fire Constx~tction Code (and coordination with the Building Inspector to determine conformity). Once the above information is received, it is expected that the Page 2 - November 2,1997 Re: Casa Bianca/Zapf To: Mrs. Christine C. Anderson Board would calendar the app~ca~on for a pubic hearing to be held on January 22, 1998. ThAnk you. Very truly yours, GERARD P. GOEHRINGER CHAIRMAN APPEALS BOARD MEMBERS Gerard P. Goehringer, Chairman James Dinizio, Jr. Lydia A. Tortora Lora S. Collins George Horning ~-"~~ Southold Town Hall //~//~, ~5 M~ Road ' _ ,,~/'- Sou~ol~ New York 11971 ~j &~ r~ (516) 765-1823 ~ / ~/tJ Tele~one (516,765-18~ BOA~ OF ~PEALS TO~ OF SO--OLD INTERNAL TOWN MEMO TO: FROM: DATE: SUBJECT: planning Board Board of Appeals December 10, 1997 Site Plan Reviews 1000-13-2-4 (Zapf & Casa Bianca) Please coordinate comments regarding the recent site plan proposal by Casa Bianca Properties Women's Retreat House at the above site. At this time the ZBA awaits additional information and maps regarding the site plan proposal. Thank you. pLANNING BOARD MEMBERS BENNETT ORLOWSKI, JR. Chairman WILLIAM J. CREMERS KENNETH L. EDWARDS GEORGE RITCI"IIE LATHAM, JR. RICHARD G. WARD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516~ 765-3136 Telephone (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD TO: Zoning Board Office FROM: Planning Board RE: Request for comment DATE: December 29, 1997 Appl. #4529 - Casa Bianca N/s Main Road, Orient SCTM# 1000-13-2-4 The Board does not have an application for this project. A pre-submission conference took place some time ago in which the Board had concerns regarding access to the site. The access at the time of the pre-submission conference was a 2000 foot narrow dirt right- of-way. .'% ~ NGV I 4 1997, It¸ !11 ,{