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1000-114.-11-12
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A�i?iA �1` 1�P-Z�IF-1 GT I = 5 6 1 �7 tea. FT. ITER 4o S.11 - aYs'" or. AURA AF �Jla7L wAI, ATL ITEM. 17}04.1011 - A..G"Ri.G-. ��7T/� L��' � 6,, God F-" -tg-A5 , vr e-r-f- 1, 013 r -r. .µow -Ta a�.A.r✓tG::.._ . _ , '''('�' TITLE �IYf/ F GI Y \V� L/ V/ qI N � 1 � �Gxg1Ei AAs�Hi 'F�'S'"i-T.' ,"R.^I�r' a� (�Q lI Fi'J �PQQE ANy GARRETT A . STRAND 6 C LOCATION T H 1�l 61'rE 'YLAI.T ��/n,g "PIz-E'riAPr F✓fJ architect ,6A bLILV[i`( /hAD6 1ST( QO�E�Gz-1GK— �/AN TJYL, Y. L, SCALE*_ ",.rc�., REVISED DRAWING ANi r n � N- 311•'12 0vr. Ter0 m, frog Main Road PO. Box 1412 Southold N.Y. 11971 aDATE41i�/" tL a _ I ergs as- I'L^ ay. 015244 oR•E 516 - 765 - 5455 ATE GF PROJECTN9 *It=&* -S>•-1«!.'1 Y>o•¢-r....s.r1.-t�c�. , - 6. , M•N '1 1 tFl - . . ms wr�,.,r,�••-.�.4�u::-"i Ir-�.�•- . ....- .�E.....,__.�___.....,,.._.,..u,,. ' .,, ._.,w,.=`___"•.,.,�yi:s_ ne.w A PLANNING BOARD MEMBERS SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman �. JA w'',ii Supervisor George Ritchie Latham, Jr. / Richard G. Ward _ �' Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards Southold, New York 11971 PLANNING BOARD OFFICE Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 July 13 , 1993 Garrett A. Strang Main Road P.O. Box 1412 Southold, NY 11971 Re: Proposed site plan for Peter Jacques 1300 Main Rd. , Mattituck SCTM# 1000-114-11-12 Dear Mr. Strang: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, July 12, 1993 : BE IT RESOLVED that the Southold Town Planning Board authorize the Chairman to endorse the final surveys dated July 8, 1993 . All conditions of final approval have been fulfilled. Enclosed please find a copy of the map which was endorsed by the Chairman. Chairman enc. Presubmission SITE PLAN. co (within ^ nference a0 days of written request) Complete application received `a (within 4 months of presub. conference) s _ / z _ Q- Application reviewed at work session ) (within 10 days of receipt) rAXn Applicant advised of necessary revisions D (within 30 days of review) Re17ised submission received ro` OK Lead Agency Coordination SEQRA determination Cs�ri1 Ta J9� 6 - $ yd �o + o REFERRED TO: 6 -Y- c _C oz Zoning Board of Appeals (written comments within 60 day •i q ws of request) Board of Trustees v w Buildin g Department� P went (certification) D w • Suffolk Count •�f %x UK x y Department of Planning ,ro_` oK csx Z �/ llepartment of Trans nro. OK ( 2 WJ ti0n -State` c w� 't d N1yAER SE T'ro't ❑ Department of Trans &+►':` �— Transportation - County H t„ �ffolk Count C, 121 Commissioners Dept. of Health missioners ro.` oK r Sent:_ 6 - q_ RECEIVED: Received,• o-z✓-9y Draft Covenants and Restrictions Filed Covenants and Restrictions n oK Landscape plan Lighting plan ro` oK Curb Cut approval iro` oK Health approval ---� i .` OK Drainage plan ro` oK nm OK Reviewed by Engineer ? � � �� 3 R-5J - AW_ IMm. Ox Approval of site plan -with conditions Endorsement of site'plan Y Certificate of Occupancv Inspection • �� pro` OK One year review A'L ,n �a 14-16-4(2187)—Text 12 PROJECT I.D. NUMBER 617.21 a SEQR Appendix C State Environmental 011ifIOty Review SHORT ENVIRONMENTAL SS q T FORM For UNLISTED ACT PART 1—PROJECT INFORMATION NS Onlp s ; (To be completed by Applicant or Project sponsor) _ a 1. APPLI T/ ONSOR �I (Z-V 1 Cl 0 10 V t j 2NPROJ CT NA 3. PROJECT LOCATION: V �I ✓ r 2 n Municipality 4. PRECISE LOCATION (Street address and road intersections,prominent landmarksuetc.,nty or IL ��provlu ap) I �(' 0" 0 o') Y U ` Y, ` N I D )0 .ioco Sec, } ((171 5. IS PROPOSED ACTION: rye/ 11 New 13 Expansion LI Modificatlon/alteration 6. DESCRIBE PROJECT BRIEFLY: � V V U%v'� � - ��2v �CIY, e,zt S I v\ li ll S } I h y � 'Ulf S i 2 n et Q V 4.. 7. AMOUNT OF LAID AFFECTED: Initially acres 2 Ultimately —�_ 8. WILL PROPOSED gJ.�,TION COMPLY WITH EXISTING ZONING OR OT acres C3 Yes USE RESTRICTIONS?Yes No If No, describe briefly �W�c11 � �brcly fev �J2vlzh L� to Hcz�� �') }� p.yj } Clc. se QWLrS Se eYs } c 9. WHAT IS PRESENT LAND USE IN VICINITYr�O-,�F,pROJECT? ❑Residential ElE Industrial Commercial Describe: Agriculture ❑Park/Forest/Open space ❑Other (y Lr�Akr, Cav, } er � ; f Ices Leel } (i �Q �'�uli I� V3 Ih ( SS Lj 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW STATE OR LOCAL) OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, ,?,,( 11 Yes LJ No If yes, list agency(s)and permit/approvals If. DOES ANY AS ECT OF THE ACTION HAVE A CUgRENTLY VALID PERMIT OR gppROVAL? ❑Yes LrtJXNO If yes, list agency name and permit/approval 12. AS A RESULT OF \PROPOSE ACTION WILL EXJSTING PERMIT/APPROVAL REQUIRE MODIFICATION? ❑Yes ❑.. t'1 - " V,11 L 'xI&4 )n 5 2 1'Y11 Or UU' Z tg� - 1 CERTIFY THAT 1THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: 1�(1 �`Q.V .� 'J� (� V Q Dale: ILA Signature: 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 __ PART II—ENVIRONMENTAL ASSE LENT (To be completed by Agency) A- DOES ACTION EXCEED ANY TYPE I TH,IESHOLD IN 6 NYCRR, PART 617.12? If yes,coordinate the review process and use the FULL EAF. ❑Yes El NYCRR,PART 617.6? o B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 If No,a negative tleclarat on _ may be superseded by another Involved agency. _ ❑Yes ❑No noise levels, existing traffic patterns, solid waste production or disposal, C. COULD ACTION RESULT IN ANY ADVERSE EFFECTB ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten, If legible) roundwater quality or tit Ct Existing air quality, surface or potential for erosion, drainage or9floodn g problems? Explain briefly: C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources; or community or neighborhood character? Explain briefly: I, C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: I 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 idIentitled in C1-05? Explain briefly. 1 C7. Other impacts(including changes in use of either quantity or type of energy)? Explain briefly. Y RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? D. IS THERE,OR IS TF}ERE LIKELY TO BE,CONT ROVERS r ❑Yes No If Yes,explain briefly PART III—DETERMINATION OF SIGNIFICANCE (To be completed by Agency) probability of occurring; (c) duration; (d) -INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,important or otherwise significant. add attachments or reference supporting materials. Ensure that Each effect should be assessed in connection with its necessary,) setting (i.e. urban or rural); irreversibility; (e) geographic scope; () have been identified and adequately addressed. explanations contain sufficient detail to show that all relevant adverse impacts e or cnt ElCheck t bo ud directly to the FULL EAF and oot Then prhave identified one or more oceed prepare a positive delalaration.verse impacts which MAY OCCUL on he information sis bove and any supporting dCheck ocumentation,on,t if that othe proposed action WILL NOT result in any significant adverse environmental impacts AND provide on attachments as necessary, the reasons supporting this determination: 9 Name of Lead Agency 3 Ti[e o Responsible O icer print or Type Name o Responsib e_7,e, in Lead Agency Signature o Responsi le O titer in Lead Agency Signature o Preparer(I 01-1-k Irom responsi le of icer) Date 2 r • FO(k . z � ,E.0 Lr) D S 'Y Southold, N.Y. 11971 (516) 765-1938 APPLICATION FOR CONSIDERATION OF SITE PLAN Date of Application 1'� 2 Filing F e � D ffi[� 0 . Rec d New UseChangeof Use Re-Use Extension of Existing Use Z Revision of an Approved Site Plan (Date of Approval Other Specify ) Name of Business or Site N C1 jC y S 9 n \ G V1 c Location of Site � a Cp (L+ ZS Address of Site, if a liable Name of Applicant Address of Applicant L LC Person to be responsible for Construction elephone Telephone Applicant' s interest in site-check one: Owner of Land 11 Under c tract to p chase Owner of Fee Tit e to h nd 1 4 y — Address ) C V2 2Y c ulS 2-� Z v Telephone Tit; - I G 3 �i._ Site Pla s Pre ared by Address L _License No. 2 �� Telephone Total Land Area of Site Z d 2 5 0 Existing Use of Site / S4•Ft. Zone District C ? Proposed Use of Site k� UY25 Gross Floor Area of Existing Structure( s)_ Gross Floor Area of Proposed Structures) ) pig sgft. LQ �' jsgft. Percent of Lot Coverage by Building( s )--- Percent — qft. of Lot for Parkin p Percent of Lot for Landsca Inhere applicable) ILIVC o -- Datum( Specify)U.S.G. S. P g(where applicable) 5 o Has applicant been Other granted a variance and/or special exception by Board of Appeals r( C Case NumberName of Applicant Date of Decision Expiration Date Will any toxic or hazardous materials, as defined by the Suffolk Board of Health, be stored or handled at County the site? If so, have proper permits been obtained? Number and Date of permit issued NO ACTION (EXCAVATION OR CONSTRUCTION) MAY BE UNDERTAKEN UNTIL APPP.OVAL OF SITE PLAN BY THE PLANNING BOARD. R*EST FOR WAIVER OF STS'E PLO November 25, 1991 Planning Board Town of Southold 53095 Main Road Southold, New York 11971 re: Old Wassun Property South Side Main Rd. Mattituck West of Mattutuck Garden Center East of Mattituck Park Dist. Bldg. Property presently owned by Estate of Kopf 1000 - 114 - 11 - 12 Gentlemen: We are in the process of purchasing the above mentioned property. We propose to use existing buildings as sign shoe office, showroom and sign manufacturing. Also plan to rent one building for retail store, printing shop or any business allowed in hamlet business zone. We plan to replace roofs, electrical system, heating system, install overhead garage doors, get water operating, clean-up parking area, install cyclone or stockade fence in front, 6 ' high with gates and paint front of building. Front building - 251ft. x 88 ' - 2200 sq. £t. Rear 11 - 251ft, x 40 ' - 1000 sq. ft. 3200 sq. ft. One parking space per 500 sq. ft. = 7 parking spaces. urs- t u , 1 kJwl � ter A. J quer `2—y I� (� R {� R Mary Y. J cqud's D t5 l7 9 0 N1 IS t! l; Pete acq es LNX 251991 V' /ii9s 7,r 13 2d -A SOIJTNOLD TOWN '766--1033 PLANNING BOARD APPLICANT' S AFFIDAVIT STATE OF NEW YORK COUNTY OF SUFFOLK ipa.i-9-Y A . 1ac vis and says that he resides at being dul sworn, de oses in the State of New York, and that he is the owner of the above II ' or that he is the propert, fJlIY. bcr , of the_ 1�2Y� hLVC1� 10 (Title) (Specify whether Partnership which is hereby making application; that the or Corporation) owner or his heirs, successors or assigns will, at his own expense, install the required site improvements in accordance with Article XIII of the Code of the Town of Southold for the area stated herein and that there are no existing structures or improvements on the land which are not shown on the Site Plan; that title to the entire parcel, including all rights-of-way, have been clearly established and are shown on said Plan; that no part of the Plan infringes upon any duly filed plan which has not been abandoned both as to lots and as to roads; that he has examined all rules and regulations adopted by the Planning Board for the filing of Site Plans and will comply with same; that the plans submitted, as approved, will not be 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 pjL,7 Ul Ctl 6.nuw (owner) Sworn to before me this o2s day of ) 19 t Y Public) Signed �I x'�" ' 0'_ k' JOYCEM.VALKINS ( Partner or Cor Nporate O facer and Title) No YP S ASb Nuffolk ow Y�ayfc Tam Exon June 1$19_2 3 pylIl 3 I/ t � 1 ( a I P April 30, 1992 Pre Submission of Site Plan for 13000 Rt. 25, Mattituck, N.Y. We have applied to Suffolk County Health Dept. , Bureau of Waste and Water Management for septic system approval. Please review this plan for proposed parking and driveway and recommend any changes that will be required. Peter Jacques 76S l//8S I9iAaY (24YV1 IL- APR 3 01992 SOUTHOLD TOWN PLANNIP!G° REQUEST FOR WAIVER OF STTE PLAN November 25 , 1991 Planning Board Town of Southold 53095 Main Road Southold, New York 11971 re: Old Wassun Property South Side Main Rd. Mattituck West of Mattutuck Garden Center East of Mattituck Park Dist. Bldg. Property presently owned by Estate of Kopf 1000 - 114 - 11 - 12 Gentlemen: We are in the process of purchasing the above mentioned property. We propose to use existing buildings as sign shop office, showroom and sign manufacturing. Also plan to rent one building for retail store, printing shop or any business allowed in hamlet business zone. We plan to replace roofs, electrical system, heating system, install overhead garage doors, get water operating, clean-up parking area, install cyclone or stockade fence in front, 6 ' high with gates and paint front of building. Front building - 25 ' ft. x 88 ' - 2200 sq. ft. Rear - 25 ' ft. x 40 ' - 1000 sq. ft. 3200 sq, ft. One parking space per 500 sq, ft. = 7 parking spaces. Y-ou^�rpps-,� t u)cqud's ) Lt4 erA. ques Mary F. J P to acq es 11175- 2na-:,.. 13 /U 6� It 171 '74,5'-/033 REQUEST FOR WAIVER OF STn PLAN November 25, 1991 Planning Board Town of Southold 53095 Main Road Southold, New York 11971 re : Old Wassun Property South Side Main Rd. Mattituck West of Mattutuck Garden Center East of Mattituck Park Dist. Bldg. Property presently owned by Estate of Kopf 1000 - 114 - 11 - 12 Gentlemen: We are in the process of purchasing the above mentioned property. We propose to use existing buildings as sign shon office, showroom and sign manufacturing. Also plan to rent one building for retail store, printing shop or any business allowed in hamlet business zone. We plan to replace roofs, electrical system, heating system, install overhead garage doors, get water operating, clean-up parking area, install cyclone or stockade fence in front, 6 ' high with gates and paint front of building. Front building - 25 ' ft. x 88 ' - 2200 sq. ft. Rear - 25 ' ft, x 40 ' - 1000 sq. £t. 3200 sq. ft. One parking space per 500 sq, ft. = 7 parking spaces. Yours t u , u Ler A. J queess Mary Y. �J cqucs ct- P to acq es ///95 24a.= 3 /U '7�5-/O33 -- TOWN CLERK --- --- ------ TOWN OF SOUTHOLD 43502 Suffolk County,New York Phone 516-765.1 Sol Southold,New York 11971 Date_ RECEIVED OF Z� -- 19 c�— �'7C�..`--��Lcci �d i.n n. .te� � -- — For` Dollars$ 1-7 J'�eL `' Judith T.Terry,Town Clerk Cash ❑ Check..0' T(rL/ /1 RY cilF PB Garrett A. Strang K Architect 1230 Traveler St., Box 1412 Southold, New York 11971 Telephone (516) 765-5455 April 15, 1999 Fax(516) 765-5490 Mr. Robert Kassner Town of Southold Planning Board Main Road Southold, NY 11971 Re : Faith Reformed Baptist Church 13000 Main Road, Mattituck, NY SCTM #1000-114-11-12 Dear Mr. Kassner: As discussed during our meeting of Tuesday, April 13 , 1999, the Faith Reformed Baptist Church wishes to occupy the above referenced premises, formerly occupied by Peter Jacques of North Fork Signs, for which a Site Plan was approved in July 1993 . I have attached a. Sketch Plan showing an expansion of the parking area, which will increase the total number of parking spaces to 35 . Please contact my office as to when the next available work session, during which we can discuss this in detail . Very truly yours , Garrett A. Strang, R.A. Architect •r' Enc . APR 16 1999 Southold Town Planning Board oYFlcyof BOARD OF APPEALS Sauoioldf�oivn 3fall 53o95-3fairn Road- Sout/iol4.r'Vy JJg71 765-18og ZDA ter. ' o 765-9064 ZDA terefax. D s��r�•�rsarr.:�r�:.rr�::s+sar �+�r�r.r.�s.se.e.��:s�x�:�:.�:�r s.r:s:�er�:+ r�. MEMORANDUM SEP 21 �yyd TO: Planning Board FROM: Board of Appeals Southold Town DATE: September 22, 19 8 Planning Board SUB1 Preliminary Recommendations Planning/Zoning Projects Re: Proposed Right-of-Way and 280-A Access for fire Vehicles (Five Building Lots) 1000-22-3-22. 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 — Existing Building at 1000-114-11-12. This property is Zoned HB and contains existing building(s). An Interpretation is being requested regarding Section 100- 91A(12), or alternatively a Special Exception 99deir Article IX, Section 100-91B for religious meeting activities. ) Re: Laurel Links Golf Course and Sign Variance (On-Site), Laurel. A Special Exception for Golf Activities has been 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. ft., and vacant land is proposed at 58,000+- s.f. Applicant proposes to retain same rear line as those immediately north. Re: Casa Bianca — Please confirm whether or not there has been any activity within the last 12 months with your department for any proposals. Thank you. � ` 12CA ` tCND .. a N 0 tv - Iz i FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-23703 Date JUNE 14, 1995 THIS CERTIFIES that the building COMMERCIAL STRUCTURES Location of Property 13000 MAIN ROAD NATTITUCK, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 114 Block 11 Lot 12 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a commercial Building built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-23703 dated JUNE 14, 1995 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued ie TWO COMMERCIAL CEMENT BLOCX STRUCTURES * The certificate is issued to PETER A., NARY F. 6 PETER J JACQUES (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N325418 - AUGUST 30, 1994 PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. NOTE: THIS UPDATES PRE CO Z-20593 DATED MARCH 16, 1992 Bu ding Inspector Rev. 1/81 � ppt8. MpN. g70TM' � N,75 0100 E. YWLE co O U O nn 3 i POLE m to Z N o ,ED Z 1 a POST a Oq VJ. l ypGK1��M 5Z5 01 {DOFF roa•rdkYwmN.���nnrry 6��yNah��npew+R � � J.AA �']uL��� � � ra a.'wY��wMa;nc:r..�► 'y�O�'P'GK V,��O�N —.r•w-t '�r� •'�� PET 0 Ar JAMUEal MARY F. AC� ��dAN05d� . f PETER. . . , 5[ALE- �5h 2C3 I r, 3UFF CO.TAY MYAF V^TA=1400 1 ":tl l 12, =FOM : L. I.F SWIMMING POOLS -�4X NO. �'cb. 22 2v-!2 ®2:42PM P1 13ooc� �k .LS , Ma� � l-�� ok IOoo - 1 �4 - ) I - 12 1 ong Islan.i Fiberglass Swimming Pools PO Box 1043 Shoreham, NY 11786 Phone: (631) 929-1300 or (631) 28^.034S Autl'olk Clount9 Lic.#2454+Southampton Town Lic,01.983161 a F,ar I iampton Tenn l w.4,406 'I'o Whom It.May Concern; f ohr,,ary 21, ?,to? We,are corresponding regarding the property owned by Mr. Peter Jaques lucatcd in tir: t dlag hamlet of Mattituck. It s our intention to use this property for o of?,he, weds and not in any way wall it I,c uncd f,m t6,: recon sale of swimming pool chemicals. Tn hat will be on thr. �renti,c, Beal ! . strictl for the sole purpose of mai atnmers. ny eyuipntcnt that twill n, d storage will a at o w 'ch is ntwdcd w perform weekly ool cleat and iveraya pool repair. and malntn n e, There will bu no storage of heavy construction u{uipment nr vt,hir'c , c tin vohidess that will he present will be the service trucks needed to provide servicing,of our pt of maintenance and repair accounts and that of our secretary's. If there ie further information that we may provide you with,please foul free w cal'. us at 7g •t)s t5 or you may reach Mr. Ford via his coli phone @(S16)80.5.5689. We very mucic los li;rwai d io being a part n£your busincis community and thank ynu for ooneiderirt8 Lu ac a P0na>14. n,-tk mamher. Sincerely, Colleen Hildreth, office manager. Garrett A. Strang Architect L y,S 1230 Traveler St., Box 1412 Southold, New York 11971 Telephone (631) 765-5455 Fax(631) 765-5490 December 18, 2003 Bennett Orlowski, Chairman Southold Planning Board Main Road Southold,NY 11971 Re: Faith Reform Baptist Church, 13000 Main Road, Mattituck,NY SCTM#1000-114-11-12 Dear Mr. Orlowski: In response to your letter to Mr. Jacques, dated December 5, 2003 in connection with the above referenced premises, please be advised that we will be submitting an application for an amended Site Plan within the next few weeks. Prior to the formal application being submitted, we will coordinate with Victor UEPlattenier regarding the nature of the proposed amendments for review and comment. Thank you for your courtesy in this matter. Very truly yours, kE C E I Garrett A. Strang, R.A. DEJWE Architect Southold Town Plannin Board C: P. Jacques G. Yakaboski, Town Attorney E. Forrester, Director of Code Enforcement FROM NrQ'1H F13RK. S uN CC. INC. FAX NO. 631-765-1033 Dec. 12 2003 02:28PM P1 N PLANNTNO HOAMI MEMBP.uti y=" gpFF01q .-r ✓tom P,O. Box 1170 3S-r Ys BEN Nh;VT OHLOW61U.J1t. Z. C, Chwrmcm V/ �+�t{ Town Hell, 68096 State Nnuto 25 Southold, New York 11,37 J.-0959 RICHARD CAC,pTANb ,y m Telephone(331) 765-1933 wn.T,TAM& rRT;MFRSO a� Fax (631) 765-3136 LD KENNMI L. WARDS MARTIN H.SIDOR +�arlrx PLANNING BOARS) OFFICE TOWN OF SOUTHOLD December 5,2003 X11 Mr. Peter Jacques u -11185 Beyview Road D Southold, N.Y. 11951 DEC 1 5 2003 Re: Faith Reform Baptist Church 13000 Main Road, Mattituck, N.Y. Southold Town SCTM: # 1000-114-11-12 Zone: H B Plannin 803re Dear Mr. Jacques: The Southold Town Planning Board hereby notifies you that various elements of the;' Site Plan for this location, granted Final approval on July 12,1993, have not been completed. An inspection performed on November 20, 2003 noted that the seven parking spaces and an additional handicapped parking space adjacent to the rear storage building, and the required curb stops have not been installed as shown on the approved Site Plan. The required handicapped signage, striping, and paving are also missing. This notification is being sent to you to allow 30 days for you to respond to the Planning Board with your schedule to remedy these deficiencies. After that time period, the Planning Board will reWthis matter to the appropriate Town agencies for further enforcement. Please contact Victor UEplattenier at the Planning Board office (765-1938) if you wish to schedule an appointment to discuss these issues further. Your full cooperation in resolving this long-standing matter will be appreciated. Sincerely, qq t � .:1 '14 ::p, r-- �J1�7 .r t0 �4 .r�rk:f�.3M'L:a;�V• rxtxr.t�i _ 1+ � `Q / �► ' %.;a Ira- v �. i i FR01 NQP'N FC!W S:R-i CG. iNC. FRX N0. 631-765-1033 Dec. 12 2003 02:29PM P2 s ' FROM NQRTH FORK SIQN CO. INC. FAX NO. 631-765-1033 Dc . 12 2003 02:43PM P1 �J 22 I �-- - eoNeQETd PpvINQ.Z- $��L I000.1fl T6oSTA L m � r, 3 FE►IC — PLOW g PD2v ins(, S ra��S k, ZHU 190N4iCAPVVb DeS(<,MOYeb _.�..Y-p..�� FROM : NQP-H FORK S:al '-0. INC'., FSM 140. 631-765-103-.3 Feb. 04 2004 03:34PM P? Sov+heid p?4hhiwy g ajoaYJiy y1�� vr �' �pla+ter,�v1 140W c Op ED PARKIN b S,16K Z � Q Iw prkopoE_..... m m 13- NIMTH Of A MPLAOV E DN Ir PLAN DATl0 JULY 11,,1993 4-11'12 35 PLANNING BOARD MAIL LOG Date: Friday, December 19, 2003 Sender Document -2c Martin Finnegan, Esq. Letter, Lot Line Application Page 3 Revision, 8 revised jj. maps re:Deroski (DCE Land Holding) Lot Line Change (by hand) (BS) Shaik Saad, NYS DOT Letter re: Niamonitakis, 31-6-28.1 &29 (VS) Garrett Strang Letter re: Faith Reform Baptist Church, submitting amended site plan application in near future Inter-Office: Melissa Spiro Memo re: Open Space Acquisition, Adams Estate, 56 rr 1-8.1 & 10 IP Town Clerk Copy of letter from Bruce Anderson, Suffolk Environmental Consulting, Inc., withdrawing application for waiver from subdivision for Amelia Mendoza (previously received by applicant) Requests for Information: �'»C Garrett A. Strang Architect VIz_S 1230 Traveler St., Box 1412 Southold, New York 11971 Telephone (631) 765-5455 Fax(631) 765-5490 December 18, 2003 Bennett Orlowski, Chairman Southold Planning Board Main Road Southold, NY 11971 Re: Faith Reform Baptist Church, 13000 Main Road, Mattituck,NY SCTM#1000-114-11-12 Dear Mr. Orlowski: In response to your letter to Mr. Jacques, dated December 5, 2003 in connection with the above referenced premises, please be advised that we will be submitting an application for an amended Site Plan within the next few weeks. Prior to the formal application being submitted, we will coordinate with Victor L'EPlattenier regarding the nature of the proposed amendments for review and comment. Thank you for your courtesy in this matter. Very truly yours, p. D Garrett A. Strang, R.A. DEC 19 2003 Architect SoutholdTown Planning lannin Boara C: P. Jacques G. Yakaboski, Town Attorney E. Forrester, Director of Code Enforcement VL, Submission Without a Cover Letter Sender: I '- � t " � aecove9 -7 5 - 033 Subject: 1 U' 0 0 p � N Y�C- 1 SCTM#: 1000- Dale: .Z 1 Z U C) D Comments: Southold Town- 1 A Plannin Boar c.A t \ Si � � � � zv� S �Ibvr,� I � S � c� n Garrett A. Strang Architect f 1230 Traveler St., Box 1412 Southold, New York 11971 Telephone (631) 765-5455 Fax(631) 765-5490 December 18, 2003 Bennett Orlowski, Chairman Southold Planning Board Main Road Southold, NY 11971 Re: Faith Reform Baptist Church, 13000 Main Road, Mattituck, NY SCTM#1000-114-11-12 Dear Mr. Orlowski: In response to your letter to Mr. Jacques, dated December 5, 2003 in connection with the above referenced premises, please be advised that we will be submitting an application for an amended Site Plan within the next few weeks. Prior to the formal application being submitted, we will coordinate with Victor L'EPlattenier regarding the nature of the proposed amendments for review and comment. Thank you for your courtesy in this matter. Very truly yours, GAs � ECC9ME ',;3 D Garrett A. Strang, R.A. DEC 1 9 C. Architect Southold Town Planni BoarA C: P. Jacques G. Yakaboski, Town Attorney E. Forrester,Director of Code Enforcement FROM : NCF^H FORK S:GN CC. II� FAX NO. 631-765-1033 . Dec. 12 2003 02:29PM P1 �✓t�J`✓ '�d Plr�NN1NU HOAR) MEMribllt;i 4519rf01,�� Box 1179 1 ����� B6C"�hYPC1HL(lWShl dR. �� i1 Chammvn ?)'� �.�t� Town H,11, 53096 State Itouto 26 Southold New'Ynrlx 11J71. 09,5A RA;HARP. CAQC;TAhO ,Ny M TeIephore (6.31) 765-1938 WTIJAANI J-(7Bb:NIFIRSKE.NZXT!TYI L. Fax (G31) 7&5-3138 MA)iVN NLSWOfi DS r y�ol l�a �aOd�ti• PLANNING BOARD OFFICE TOWN OF SOUTHOLD December 5,2003 �I► Mr. Peter Jacques u 11185 Bayview Road D Southold, N.Y. 11951 DEC 1 5 ,J93 Re: Faith Reform Baptist Church 13000 Main Road, Mattituck, N.Y. Southold town Plannin BoarA SCTM: # 1000-114-11-12 Zone: H B Dear Mr. Jacques: The Southold Town Planning Board hereby notifies you that various elements of the Site Plan for this location, granted Final approval on July 12,1993, have not been completed. An inspection performed on November 20, 2003 noted that the seven parking spaces and an additional handicapped parking space adjacent to the rear storage building, and the required curb stops have not been installed as shown on the approved Site Plan. The required handicapped signage, striping, and paving are also missing. This notification is being sent to you to allow 30 days for you to respond to the Planning Board with your schedule to remedy these deficiencies. After that time period, the Planning Board will refer this matter to the appropriate Town agencies for further enforcement. Please contact Victor L'Eplattenier at the Planning Board office (765-1938) if you wish to schedule an appointment to discuss these issues further. Your full cooperation in resolving this long-standing matter will be appreciated. Sincerely, i#„ .., or r V� r J� ic. ? ,,.._..�- 1 i e , r I a 11 F)<..JI hJQF27H FOPF.: '3i0N CO. ;P* FAX N0. 631-765-1033 • Dec. 12 2003 02:29PM P2 I f � � i FROM NQP,7H FORK SIGN CO. I� FPX NO. 631-765-1033 • Dc . 12 2003 02:43PM P. 3' F IF CA F BI OC. IDscaWkosra C - . 3 FENC l f 3� FENCLA _ ----"�"�4.mP�5� g Qn2wiMG S raL�S &• _ pNL }gANDIGAPq LFp pLS �(rp1�TIIO .ri.LfiLL 6w(' x' 0.446 WHeCL PLANNING BOARD MEMBE• �$UFFU(A'C • BENNETT ORLOWSKI,JR. �� �(/� P.O. Box 1179 Chairman Town Hall, 53095 State Route 25 CD Southold, New York 11971-0959 RICHARD CAGGLSNO N Z w Af Telephone (631) 765-1938 KENNETH MJ.CREMERS DS O Fax (631) 765-3136 MARTIN H. SIDOR �'�� O`� PLANNING BOARD OFFICE TOWN OF SOUTHOLD December 5,2003 Mr. Peter Jacques 11185 Bayview Road Southold, N.Y. 11951 Re: Faith Reform Baptist Church 13000 Main Road, Mattituck, N.Y. SCTM: # 1000-114-11-12 Zone: H B Dear Mr. Jacques: The Southold Town Planning Board hereby notifies you that various elements of the Site Plan for this location, granted Final approval on July 12,1993, have not been completed. An inspection performed on November 20, 2003 noted that the seven parking spaces and an additional handicapped parking space adjacent to the rear storage building, and the required curb stops have not been installed as shown on the approved Site Plan. The required handicapped signage, striping, and paving are also missing. This notification is being sent to you to allow 30 days for you to respond to the Planning Board with your schedule to remedy these deficiencies. After that time period, the Planning Board will refer this matter to the appropriate Town agencies for further enforcement. Please contact Victor L'Eplattenier at the Planning Board office (765-1938) if you wish to schedule an appointment to discuss these issues further. Your full cooperation in resolving this long-standing matter will be appreciated. Sincerely, AQV64wwgN Chairman Cc: G. Yakaboski, Town Attorney E. Forrester, Director of Code Enforcement PLANNING BOARD MEMBERS• � Town Hall, 53095 Main Road RICHARD G.WARD „` �jz�Gy P.O. Box 1179 Chairman Southold, New York 11971 GEORGE RITCHIE LATHAM,JR. y 2 Fax (516) 765-3136 BENNETT ORLOWSKI,JR. �r .-= Telephone (516) 765-1938 WILLIAM J. CREMERS ._- KENNETH L.EDWARDS PLANNING BOARD OFFICE TOWN OF SOUTHOLD July 30, 1996 Charles Hydell, North Fork Wood Design, Inc. Paul's Lane Peconic, NY 11958 RE: North Fork Wood Design 13000 Main Road Mattituck, NY SCTM# 1000-114-11-12 Dear Mr. Hydell, The Planning Board has reviewed your proposal to operate at the location of North Fork Sign on Route 25, in Mattituck. The Board will grant a waiver of site plan requirements provided that you place the required eight (8) bumper stops at the location shown on the approved plan of July 12, 1993, as discussed with staff member Robert Kassner. A copy of the approved plan is enclosed for your guidance. Also, as discussed with Mr. Kassner, the larger items (Gazebo etc.) will be placed at the south side of the grass area on the gravel. Other smaller items can be placed on the grass, but not forward of the front of the building. If you have any questions, or require further information, please contact this office. ,'?1n a d jr `G 'ward Chairman cc.. Edward Forrester, Town investigator Thomas Fisher, Senior Building Inspector PLANNING BOARD MEMBER• S fFatIt • �0�� CC P.O. Box 1179 BENNETT ORLOWSKI,JR. G.f. Town Hall, 53095 State Route 25 Chairman C Southold, New York 11971-0959 WILLIAM J.CREMERS N Telephone (631) 765-1938 KENNETH L.EDWARD5 Dy • �.F Fax(631) 765-3136 GEORGE RITCHIE LATHAM,JR. RICHARD CAGGLANO PLANNING BOARD OFFICE TOWN OF SOUTHOLD To: Jerry Goehringer, Chairman, Zoning Appeals Board From: Bennett Orlowski, Jr., Chairman, Planning Bo44-4 Subject: Peter Jacques (Second Principal use in an HB zone) Appeal No. 5153 SCTM: 1000-114-11-12 Date: June 18,2002 The Planning Board has reviewed this matter and offers the following comments: This applicant has not completed elements of a previously approved Site Plan dating back to 1993. Specifically, eight parking stalls have not been installed, as per the approved site plan. These spaces were adjacent to the storage building/office located behind the existing Church. The applicant has recently applied to the Planning Board to waive these spaces, and all new site plan requirements, in order to rent space in this garage/office to an unknown tenant, possibly a plumbing or electrical contractor. The pool company is no longer interested in this space. Since the future use is unknown, and possibly not allowed in the HB zone, the Planning Board is not in favor of a site plan waiver. With regard to the issue of the two uses on this site, the Planning Board defers to the Zoning Board on issues pertaining to relief from the Bulk schedule. We are aware, however, of the broad implications of multiple uses in the HB zones, especially in providing adequate parking and circulation. SFFUjltr o� Gym PLANNING BOARD MEMBERS ti .v T SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman �.ri O�� Supervisor George Ritchie Latham, Jr. Richard G. Ward Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards Southold. New York 11971 PLANNING BOARD OFFICE Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 December 15 . 1992 Peter Jacques 11185 Main Bayview Avenue Southold, New York 11971 RE: Proposed Site Plan for Peter Jacques 1300 Main Road, Mattituck SCTM#1000-114-11-12 Dear Mr. Jacques: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, December 14 , 1992. WHEREAS, Peter Jacques is the owner of the property known and designated as North Fork Sign Co. , Inc. SCTM#1000-114-11-12 , located at Route 25, Mattituck; and WHEREAS, a formal application for the approval of this site plan was submitted on May 9, 1992; and WHEREAS, the Southold Town Planning Board, pursuant to the `Sta£e Environmental Quality Review Act, (Article 8) , Part 617, declared itself Lead Agency and issued a Negative Declaration on June 8, 1992; and WHEREAS, all the requirements of the Site Plan Regulations of the Town of Southold have been met; Be It Therefore RESOLVED, that the Southold Town Planning Board grant conditional final approval on the final survey last revised on October 5 , 1992 , subject to curb cut permit from the New York State Department of Transportation. ow942W Southold Town pjan ftard Page 2 Peter Jacques Please contact this office if you have any further questions. Very truly yours, Bennett Orlowski, Jr. f0 Chairman cc: Victor Lessard, Principal Building Inspector Scott Russell, Board of Assessors 1300 0 Ab) ,A RD �9ATT 11 uLK.. Mp�NGw cuwa cvT X�ST I1�� CU2HGN � R.EIAOVCO F Q p o . T NAI8WOl1< NoL6p Tua.NS)a gL�PLAtGo_ey1ST1^l1' S IAND O V AGRo( — n MOV60 OTIL-171 POLLS ST Bt IN CTA L? )NSTotiLti=o ew MO v§D ASvI 'LT QF10 �E Boo'T N Qov��l�NT i 0 NeLO(rgH Poa,Ka N c. 61 v)4 T n 0 Z A 1 Lam_ J m 3 '" O w ('1 )NSTALLED -� £ C) lob INCTnLLED 1�RyWF Ll C, F DRyWIu1,, 1 I LOT (,RADE® SCA BLEND OM TOP i PA 9)).11441.14141 r CIO S r� F "AY 24 2W _i Southold Town Planning Board Sone GF CHIS M14MT PewTW4 TO 13000 R4T .Z6 AWAEN0t0 Slf & P1,o4 OPP%.ichTION 1000 11or- ) 1- IZ PNONO MIS IF NOV NEeo DnTCT Of APPROVALi , 3- 14 -O*LptitJacci„t3 7GS • 1o33 13000 MA►N R.U . MATTIT U Cr '� '' " �'" I�PQR�-►NG SPDCES � � MAY 2 41002 4,4' j a Q-Q? v Southold Town Planning Board APPEALS BOARD MEMBERS g�FFO(,r Southold Town Hall Gerard P. Goehringer, Chairman 53095 Main Road l/ Lydia A. Tortora y Z P.O. Box 1179 George Horning 0 • Southold,New York 11971-0959 Ruth D. Oliva ZBA Fax (631) 765-9064 Vincent Orlando �pl �a Telephone (631) 765-1809 http://southoldtown.northfork.net BOARD OF APPEALS TOWN OF SOUTHOLD MEMO TO: Mr. Bennett Orlowski, Jr., Chairman, Planning Board FROM: Jerry Goehringer, Chairman, Zoning Appeals Board- � DATE: May 17, 2002 SUBJ: Request for Planning Board Coordination Reply (Joint Departmental Reviews) The following ZBA application reviews are pending, and calendared for a public hearing and possible decision at the Board's June 20, 2002 Regular Meeting calendar: Review under Site Plan Jurisdiction: Appl. No. 5133 — Peter Jacques. Proposed pool contractor business use in HB as second principal use at 13000 Route 25, Mattituck; 114.-11-12. Nextel (A. Junge property). Proposed location of accessory building equipment shelter) in rear yard at 30 feet instead of 70 feet setback under Section 100-165C, 100-142. Would you please forward comments or suggestions on the building layout or site issues that may be of concern under the site plan or subdivision jurisdiction of Planning Board. By way of a copy of this letter, we are also asking the applicants to contact your Department (765-1938) to determine if original maps, an application, or other documentation may be necessary for your department to commence this preliminary review. Please feel free to review the official ZBA file at any time that is convenient for your staff. Thank you. cc: Mr. Peter A. Jacques 11185 Main Bayview Road Southold, NY 11971 Long Island Fiberglass Swimming Pools P.O. Box 1043 e. Shoreham, NY 11786 wmr Nextel c/o Jacqueline Caputi, Esq. (by fax 425-4104) Munley Meade Nielsen & Re 36 North New York Ave. MAY Z (I AUZ Huntington, NY 11743 Southold Town Pkzxinq Board ---1 VALERIE SCOPAZo Town Hall, 53095 Main Road TOWN PLANNER 4 ? j P.O. Box 1179 O Southold, New York 11971 Fax(616) 766-8136 Telephone (516) 765-1938 OFFICE OF THE TOWN PLANNER TOWN OF SOUTHOLD July 16, 1996 Charles Hydell North Fork Wood Design Paul's Lane & Route 48 Peconic NY 11958 Dear Mr. Hydell, Thank you for your letter of July 14, 1996, requesting a waiver of site plan requirements at 34000 Main Road in Mattituck. After careful consideration the Board feels that an amended site plan will be required. The Town Code has recently been amended permitting outdoor display, however a site plan is required. The plan should show the approximate location of all display material. The area of the display should be landscaped with grass, flowers and evergreen shrubs. If you wish to discuss this further with the Planning Board staff before submitting an amended site plan, please contact the Planning Board office. Sincere 'Richard fWard Chairman , NORTH FORIZ 00 � gyp ' RK IMTEAD gN QMOORS Paul's Lane S Rt. 48 • Peconic, NY 11958 765-3090 • Fax 767.0043 25g- Sq3� July 14 , 1996 Mr . Richard Ward r Planning Dept . Town Hall Main Street jil G Southold , N.Y. 11971 t s` Dear Mr . Ward : --° I am writing you because the Town Inspector stopped by my new shop in Mattituck. I own North Fork Wood Design and am renting 34000 Main Rd . , TaX #1000-114-11-12 which is owned by Peter Jacque (North Fork Sign) . He stated that I need a site plan . I would like at this time to ask for a waiver of the plan requirement . The new use will not require more than the previously approved 8 parking spaces . Also the use and zoning are the same . The building is zoned HP which permits custom workshops . I will be selling retail such custom wood products as sheds , gazebos , wooden toys, birdhouses along with gift baskets and windchimes . We plan to display a gazebo, shed , dog houses and arbors on the east side of the builiding for display purposes . Thanking you in advance for your help. Sincerely, Charles Hydell PLANNING BOARD MEMBERS Richard G.Ward, Chairman Town Hall, 53095 Main Road George Ritchie Latham,Jr. ;,, y, w P. O. Box 1179 Bennett Orlowski, Jr. Southold, New York 11971 Mark S. McDonald a''`" Fax(516) 765-3136 Kenneth L. Edwards Telephone(516)765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD August 30, 1994 Bruce J. Grattan P.O. Box 126 Cutchoaue, NY 11935 RE: Letter of August 6, 1994 Dear Mr. Grattan, The Board has received your letter of August 6, 1994, requesting the Board' s review of a vehicle repair and storage business on the above referenced site. The use that you propose is not a permitted use in this Hamlet Business (HB) zone. If you have any questions, or require further information, please contact this office. in er /1vbe tZner Site Plan Reviewer cc: Thomas Fisher, Senior Building Inspector In Charge • • sua��" RK Post Office Box 126 Cutchogue , N.Y. August 6 , 1994 Dear Mr . Kasner : Enclosed please find a proposed layout of the property and building I plan to lease from Mr . Peter Jacques of the North Fork Sign Company, on the Main Road in Mattituck. My intent is to repair vehicles in the center building and store impounded and MVA vehicles in a 100 x 100 fenced in area to be erected . I will need parking for about 12 - 15 cars outside of the fenced in impound area . Please forward any other necessary paperwork to the address above . Thank you for your prompt attention to the above . /Very truly yours , Bruce J. Grattan encl . ( 1 ) AtC I I � LJ tv, - 2 3 'A�) Nofcrh �2C Si��s 41 SUBMISSION WITHOUT COVER LETTER DATE: SENDER: SUBJECT: SCTM# : COMMENTS: /tJ 7(— d^( .ro✓mac , 9 Ll:. { .li) . 91993 ya i • �y�FicE I STATE OF NEW YORK DEPARTMENT OF TRANSPORTATION VETERANS MEMORIAL HIGHWAY HAUPPAUGE, N.Y. 11788 .TAMES A. KUZLOSKI FRANKLIN E. WHITE 2EGIOWL DIRECTOR COMMISSIONER Fipril 21 , 1993 Mr . Garrett A. Strang M31n Offi:e , P.O. Box 1412 Scuthold, NY 11971 Dear Mr. Strang: Case No. 92-249 Curb Cut Alteration - — 'Route T5 btatt-Efuck—Jacques Properties--- Reference ropertiesReference is made to our letter of December 8 , 1992 concerning the above noted project . At that: time we requested that revised site plans be submitted showing "ie installation of : 1 . "Ne Left Turn" signs to be posted in the driveway area of the new curb cut area, and the north side of Route 25 , west of the Prop�)sed driveway . 2 . Show the installation of new sidewalk, if the existing is in good condition, the permit inspector will waive the sidewalk requirement . We require three copies of the revised site plan. All other requirements have been made by the applicant . Upon receipt of the revised plans a Highway Work Permit will be issued. Any questions . concerning this case may be directed to this office at 360-6025 . S�inc�ely_your VITO F. EN Regional Permit Engineer V. VFL:BC File : Route 25 , Southold rLI! JUN 1 71993 s�-.Iry AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER I I • Co* 92249 s_ z PERM 331 0,91) STATE OF NEW YORK PREPARE 3 COPIES DEPARTMENT OF TRANSPORTATION HIGHWAY WORK PERMIT APPLICATION FOR NON-UTILITY WORK Application Is hereby made for a highway work permit Application No. Nam Peter A.Vary V. -I!, Pater J.Jaeques Project identification No. Address 11185 Main Sayv iev Yd Highway Work Permit No. Southold NY 11971 Effective Date City Slate Zip Applicant Telephone M RETURN PERMIT TO: (1f different from above) Contact person in case of emergency Name (include telephone number) RETURN OF DEPOSIT BOND TO: (COMPLETE 0011.v IF DIFFERENT FROM KW."Ee Address Name City State Zip Address City State Zip 1. Estimated cost of work being performed in state highway right-of-way 2. Requested duration from 19_lhru 19_, to apply to the operations(s)checked below: 3 Protective Liability Insurance covered by Policy No. ; expires on To- 4. 9_1. Workers'Compensation Insurance Policy No. expiring 5. Disability Benefits Coverage Policy No. CXB:x TYPE OF OPERATION Pam"R 7iaow los.Fes In And. Total Am t Cuaro um Check r Fee or,PERM 17 w N Fee and/w Deposit Amount bred Undorlaking on RIM loawa and/or Bend Mumbr 5.Single lob Permit Issued for each job a. Driveway or roadway 1 ❑ Residential { 15 2 ] Commercial-Minor 550 $175.00 $725 $5.000 58552043 3 ❑ Commercial-Major (Leas than 100,000 square teat Gross Building Area) 1400 d ❑ Commercial-Major-(100,000 square lest Gross Actual cost with a mini Building Area and Greater) mum of B2DDD paid upon submission of permit app. 5 ❑ Subdivision Street 900 6 ❑ Temporary access road or street 200 ❑ b. Improvement 1 ❑ Residential 15 2 ❑ Commercial 200 Check additional description below: a ❑ Install sidewalk,curb paving,stabilized - shoulder,drainage,arc. b ❑ Grade,seed,improve land contour,clear land of brush,etc. c ❑ Resurface existing roadway or driveway ❑ c. Ties Work 1 ❑ Residential 1$ 2 ❑ Commercial(not required for pruning If utility has annual maintenance permit) 25 Check additional description below: a ❑ Removal or planting It ❑ Pruning,applying chemicals to stumps,etc. ❑ d. Miscellaneous Construction 1 ❑ Beautifying ROW-(tor Civic Groups only) NC 2 ❑ Temporary signs.banner*,Christmas decorations 25 3 ❑ Traffic control signals 500 a ❑ Warning and entrance signs 25 5 ❑ Mlscelloneuus•Requiring substantial review 400 6 ❑ Miscellaneous 25 ❑ B. Compulsory permit required when work performed at the request of D.O.T. ❑ a. Building demolition cur moving requested by O.O.T 1 ❑ Demolition 2 ❑ Moving NC - ❑ b. Improvement to meet Department standards NC ❑ 7. Miscellaneous 25 WORK MAY BE DESCRIBED BRIEFLY AS FOLLOWS: O To open the • • RC • O Oro a11ea att taC fo she pu;poss of elosite as existing as opening a new curb cutato este no eft t signs tons datvwWA7 aweastumtell mow locab and sidell noote Additional work description is attached; Plane page and/or Map Is attached showing work to be performed at: LOCATION (on along across ) State Route 25 (81 10 between Reference Marker and Reference Marker in the Town of Southold County of Suffolk known as Mattituck SEOR REQUIREMENTS:(Check appropriate box) ❑ Exempt ❑ Ministerial ❑ Type II ❑ EIS or DEIS Lead Agency It project Is Identified to be ministerial,exempt,or TYPE II, ne further action is required. If project la determined to be other than ministerial,exempt,or TYPE II,refer to MA.P.7.12-2,Appendix A SEOR REQUIREMENTS FOR HIGHWAY WORK PERMTS. c tante of the ree�qu/@ to permit sub ects a permiiM�)p he restrlet11 s,regulations and obligations stated on this application and on the permit. Ilcan ignatur6 X I C/i'A/ 7/n Date � 19-LL. For Joint application an work, note name a address of Second Wplicant .Second Applicant Signature Date 19 'Approval recommended 19_. By Resident Engineer Residency No. Approved 19__. By Regional Traffic Engineer Region No. , of tra Tfl GsaF�ia��n"aaNrtne spo8.` gyT � "�b TIi�11�' permittee at all time• until completion and acceptance of all work by NYSaatc . PERM o2n(22182) STANOF NEW YORK DEPARTb4ENT OF TRANSWATION HIGHWAY WORK PERMIT 550. Pwm* $ 175.00 . a,: : �' P >r► .;'10 -`93 - 0137 175.00 Profact IdetdlNWNlon'No.: Insui Ii4p l $ 725,00 t / f Chock No.: 189604%18961b 8181 Liability lrstaw": Policy No., Expiring / ! _. Deposit Ago.for$ 0.00 Check or M.O. No.: Doted: f / Parmigoo, E8t matUe�d Cost of Work Performed in the State FRO"-way$: 0.00 PETER A.MARY F,& PETER J. �GQIlES Chargeable to Bond;No: 58552093 11185 MAIN BAYVIEW RD or Undertaking on File. ($ 5000.00) `SQVTiOLD,, NY 11971 att. BillIN pgnw e n omrapa from above) Return of Deposit M0,#Payable to: (Compute r darxem from Permin-- Under the prgvii$Nans of the,HighyfAy Lar .or Vehicle&Traffic Law permission is hereby Wanted to.Al permittee to: TO OPEN TNE'SL RT,25 E/0 LOVC' LANE,IATTITUCK FOR THE PURPOSE OF CLOSING AN EXISTING AND OPENINB A NEW CURB CUT,TO INSTALL L ) TURN SIGNS IN PRIVEWBY AREA;INSTALL NEWCURBAND 5IDEWALK AS REWIRED;MAINTENANCE AND PROTECTION Si fC NALL BE THE RESPONSIBILITY! OF THE PERIHTTEE AT ALLTIMES UNTIL COMPLETION AND ACCEPTANCE OF ALL WORK BY THE PERMITTEE IS RESPONSIBLE FAR THE MAINTENANCE AND PROTECTION OF TRAFFIC. IN ADDITION,ANYBODY WORKING IN THE RIGHT OF WAY IS REQUIRED TO WEAR A HARD HAT AND A REFLECTIVE SAFETY VEST, ANYONE WORKING WITHIN THS R.Q.W.W)t L WEAR HIGH VISIBWTY APPAREL(ORANGE/YELLOW)AND HARD HAT. NCO yyI=OIJRIWq RU$H HOURS 'SUFFOLK SOUTHOLp County- Municipality - ' Route N- 25 as set forth.and respesented in the attached application at the particular location or area, or over the routes as stated therein, M required; an. pursuant to the conditions and regulations whether, general or special, and methods of performing work, H any; all of which are set forth in th application and form of this permit. HAUPPAUGE, N.Y. Dated at: 05/25/93 sfone of Trans :on Dasa Signed: # A IMPORTANT - — This permit,with application and drawing(or copies thereof)attached shall be placed In the hands of the contractor before any work begins N071 Eah}eswork Is started9M u mss)"pletlon,the permittee absolutely must n4ft"6$1WWnF2n*Uar. (516) 27-1731 RIVERHEAD, NEW YORK 11901 UPON COAtPtETION OF WORK AUTHORIZED, THE FOLLOWING WILL BE COMPLETED AND SIGNED BY THE PERMITTEE AN[ DEUNqW TQ THE RESIDENT ENG)Nggq. Wp1Jc�Iz by this Permit was completed on a• .... ... .,. .. .._. :,.. ,.. .. .DATE. ... .... . .. ..;,. ,_. Rsfutttf,p(24ltsposit or return of bond or reduction of amount charged against bond or deposit on bile for this permit whichever Is appropriate, DAT9PERM. EE .i:... AUTHi` ti2E0 AdEN'1`(IfAny) : UponX ' �of work perf4.'AO:pa Drily completed,the Resident Engineer will sign the following and forward to the Region- , Worts azy this ParmMttal�lfrlil1N11sro�ifNy=Meted and is agcapted(R#usyee ally*f*W 11Mfh mut be camph ted). $ ' , RESIDIEWRM + f F .r ryti ' e Th p,lA, will forward this tP to the M*Office with the appropriate box,oqpked. ' To *,,ftRMIT Be"Qf : flip d of Deposit on this Permit M authorized. PARurnrpf Bond furnished forlhis f Mill is authorized. MMssourd charged against Eesnkst pitd for this permit may be cancelled. v n Mond for torture p DA 'REGIONAL TRAFIVIC E NEE The $110"reserves the dght'to 448PW4,or revoke this permit, At its discretkolt W a*Aft or the rs2pisity of showing cause J aitfrsk '"I ling the 01) r pet , 'rho, WNI cause an approved copy of the application to be and remain attached hereto urlli All work under Me permit Is satiafactorW f cc In Wwith th tarras of the Attached application.All damaged or dlatdbuisd,a osa from wWrk performed Dorsum t itis rapairai to tt0 400paliefn,p tl papartment of Transp6rfation, 2,1 ,. *U n of the work still the stall highway right-of-way, authorized by the wark permit, the parson, firm, corporation m (stats department Ar Agency,and his or Its successor*In(morsel,shall j reapsias"R Wr the maintenance and repal 0. . . 4 lg W4thhl:1#0 tilt"11114 4cHtdf�ofh!•4& . �,.t,. P i d ,yrr:jpy / •� J1 �'v� x110000 — w -�j1 � k e- ' 7 t• 1Y�d� v'� J 7 _ ��' a d 4z ,In ,SLiv - � MEMORANDUM TO FILE: SUBJECT: North Folk Sign request to eliminate drainage pool in driveway and guidance on proposed chain link fence. Route 25, Mattituck SCTM# 1000-114-1.1-12 Date: March 8, 1993 On this date I spoke with Mr. Peter Jaques Jr. regarding the above request. I informed Mr. Jaques that the drainage pool must be installed in the driveway in order to contain storm water on site . I explained that his proposal to slope the drive east and west could cause the water to flow onto his neighbors property, as the property is only four feet from the neighbors driveway to the east. I requested that a sketch of the fence be placed on the site plan showing size, material and location for the Planning Boards review. I also explained to Mr. Jaques that a permit from the Building Department will be required for the fence. Mr. Jaques said he understood the requirement for the drainage pool, and would send the Board a letter showing the fence details. Robert G. Kassner SitePln Reviewer • i • • • � • SuBG�l�" P� February 12 , 1993 ✓ Mr. Bennett Orlowski Southold Town Planning Board PO Box 1179 Southold, New York 11971 re: 13000 Rt. 25, Mattituck Dear Sir: As soon as the weather permits we intend to be grading, applying crushed concrete and laying down the asphalt driveway 25 ' x 50 ' as on the approved survey. Please advise me if it is necessary to have a dry well in the asphalt, or can the asphalt slant macadam fashion and drain on the 3 sides. The property is flat and has good drainage. There will be bare ground on three sides of the asphalt driveway. Also, we are intending to put up a chain link fence and gate around yard area for safety. Fence will be similar to those around lumber yards and steel fabric- aters. Please advise me as to the regulations regarding fences in Southold. (Very truly yours, Peter Jacques plA P 0 PLANNING BOARD MEMBERS S SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman Supervisor George Ritchie Latham, Jr. Richard G. Ward Town Hall, 53095 Main Road r. Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 December 15, 1992 Peter Jacques 11185 Main Bayview Avenue Southold, New York 11971 RE: Proposed Site Plan for Peter Jacques 1300 Main Road, Mattituck SCTM#1000-114-11-12 Dear Mr. Jacques: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, December 14, 1992 . WHEREAS, Peter Jacques is the owner of the property known and designated as North Fork Sign Co. , Inc. SCTM#1000-114-11-12, located at Route 25, Mattituck; and WHEREAS, a formal application for the approval of this site plan was submitted on May 9, 1992; and WHEREAS, the Southold Town Planning Board, pursuant to the State Environmental Quality Review Act, (Article 8) , Part 617, declared itself Lead Agency and issued a Negative Declaration on June 8 , 1992; and WHEREAS, all the requirements of the Site Plan Regulations of the Town of Southold have been met; Be It Therefore RESOLVED, that the Southold Town Planning Board grant conditional final approval on the final survey last revised on October 5, 1992, subject to curb cut permit from the New York State Department of Transportation. Page 2 Peter Jacques Please contact this office if you have any further questions. Very truly yours, Bennett Orlowski, Jr. Chairman cc: Victor Lessard, Principal Building Inspector Scott Russell, Board of Assessors 3� i 7 1 PLANNING BOARD MEMBERS � .;. � �{ SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman Supervisor George Ritchie Latham, Jr. Richard G. Ward Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 'MEMORANDUM: TO: Victor Lessard, Principal Building Inspector FROM: Bennett Orlowski, Jr. , Chairman RE: Proposed site plan for Peter Jacques 1300 Main Road, Mattituck SCTM# 1000-114-11-12 DATE: December 2, 1992 Please review the attached for certification. aeptember 18, 1992 Peter Jacques 11185 Main Bayview Avenue Southold, NY 11971 RE: Proposed site plan for Peter Jacques, 1300 Main Road, Mattituck Zoning District: Hamlet Business (HB) SCTM# 1000-114-11-12 Dear Mr. Jacques: The Planning Board has received your letter of August 6, 1992, requesting guidance on changes to your proposed site plan. The Board will permit bluestone to be provided in the parking area provided that the entrance apron and fifty ( 50) feet of the entrance driveway are paved. Setbacks of 15' for front yard and 25' for rear yard must be maintained for all proposed building structures. Fences in the front yard must not exceed 4 ' in height and be located not closer than 5' from the property line. Upon receipt of revised maps, the Board will proceed with its review. i If you have any questions, or require further information, please contact this office. Very truly yours, Bennett Orlowski, Jr. Chairman cc: Victor Lessard, Principal Building Inspector LIS SUBMISSION WITHOUT COVER LETTER SENDER: SUBJECT: 4/�Lt 4lf:OLlC SCTM# : COMMENTS: . a OCT -51992 L ^nii7Hii"";,-,�- -d D 7t�1.N L Y � 1 PLANNING BOARD MEMBERS ti > = SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman Oy r� fit^ Supervisor George Ritchie Latham, Jr. Richard G. Ward Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 September 1.8, 1992 Peter Jacques _ 11185 Main Bayview Avenue Southold, NY 11971 RE: Proposed site plan for Peter Jacques, 1300 Main Road, Mattituck Zoning District: Hamlet Business (HB) SCTM# 1000-114-11-12 Dear Mr. Jacques: The Planning Board has received your letter of August 6, 1992, requesting guidance on changes to your proposed site plan. The Board will permit bluestone to be provided in the parking area provided that the entrance apron and fifty ( 50) feet of the entrance driveway are paved. Setbacks of 15' for front yard and 25 ' for rear yard must be maintained for all proposed building structures. Fences in the front yard must not exceed 4' in height and be located not closer than 5 ' from the property line. Upon receipt of revised maps, the Board will proceed with its review. If you have any questions, or require further information, please contact this office. Very truly yours, = �-/Ocy Bennett Orlowski, Jr. Chairman cc: -Victor Lessard, Principal Building Inspector Garrett A. Strang, Architect North Fork gn Co. , Inc. Main Bayview Rd. - Southold, N.Y. 11971 - 516-765-1033 -Piz vln PLAIN IV, y In = pPyc r 1 �lha � t,2� 1ni �Ln �{ Lh � lv� zeta poS�Pvnk vncr � woyk spt, al� 2>7 � t t >, le, lvHk , l 1` v � Uvti C�a}-e , } Zha� � � SCUs1 w� a+ � � be Iva p �, � II hVepr,y�y as �v �avys I rely 1000 - ► 14 - Il - IZ PR�r�ST To _�et�P1�S.1l�.9.S.>ai_ �41.5► 4r_ wlStIIDE NpRa�ast Io sieve urs to WEST P let.4si To m0 ud-P x0 16 06"T 11.1.0-1r�st zha O TLrah Ex�s AWN , A Q p Q-T 1M o G -+,� gW4 PROPQ.SLs.D __[-�►T_4.3�ff.��QV. tt0o S .F . 10' SUNT �o' DEQr � (rQ�ul41._ S D O E I pa"IA" N ►1.04 . 0�p�11Ni ;> Vw4pe 1'i kM __._— tRoPoSEO iwN160% r � o11P�gUFF04 o PLANNING BOARD MEMBERS H 2' SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman + e..,„'__ @� Supervisor George Ritchie Latham, Jr. Richard G. Ward Town Nall, 53095 Main Road Mark S. McDonald �¢ P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold. New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 July 16, 1992 Peter Jacques 11185 Main Bayview Avenue Southold, NY 11971 RE: Proposed site plan for Peter Jacques, 1300 Main Road, Mattituck Zoning District: Hamlet Business (HB) SCTM# 1000-114-11-12 Dear Mr. Jacques: The Planning Board has reviewed your site plan revised May 11, 1992. The following changes must be made before the Board can proceed: 1 . The width of entrance and exit driveway on the site plan must be increased to twenty five ( 25) feet. 2 . Dumpster location must be shown. 3 . Any proposed outdoor lighting must be shown. Upon receipt of revised maps, the Board will proceed with its review. If you have any questions, or require further information, please contact this office. Very truly yours, Benn�owski, Jr � A14/ Chairman CC: Victor Lessard, Principal Building Inspector Garrett A. Strang, Architect �oc��fFOIKc�G< /eK. , PLANNING BOARD MEMBERS N '_►� SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman Supervisor George Ritchie Latham, Jr. Richard G. Ward O "1 JI� Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 - - y , 199 John A. Keogh, Secretary Mattituck Fire District , Pike Street Mattituck, New York 11952 JUN 2 5 1992 Dear Mr. Keogh: ,. SOUTHOLD TOWN PLANNING BOARD Enclosed please find (2 ) surveys for 2o�oSE1� S/T6 PL�/YFo.� Na,eTlf Po RK S/Gi?' Go notifyPlease sOffice as to whether needed. Pleasespecifywhether shallowwells or electric l electricwells will be needed. Please reply by ,Tl/L 6199Y_- Thank you for your cooperation. ' ry truly o s, Orlowski, Chairman Jr. enc. June 24, 1992 Gentlemen: The Board of Fire Commissioners of the Mattituck Fire District hereby informs the Planning Board that there is sufficient firewells in the above area for fire protection i r rty. �o n og Sect. PLANNING BOARD MEMBERS SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman ,_u9 'a " Supervisor George Ritchie Latham, Jr. Richard G. Ward r Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 John A. Keogh, Secretary Mattituck Fire District Pike Street Mattituck, New York 11952 Dear Mr. Keogh: Enclosed please find ( 2) surveys . for PRoPose.o ,s rs PL,�PMFo,4 No.erg )=-ogK sldN Co Please notify this Office as to whether any firewells are needed. Please specify whether shallow wells or electric wells will be needed. Please reply by 199Z. Thank you for your cooperation. ry truly/ o s, Bennett Orlowski, Jr. Chairman enc. 1 FD(� � 4 G PLANNING BOARD MEMBERS W ,� SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman '%1 : �� Supervisor George Ritchie Latham, Jr. Richard G. Ward Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 June 9, 1992 Peter Jacques 11185 Main Bayview Avenue Southold, New York 11971 RE: Proposed Site plan for North Fork Sign Co. SCTM#1000-114-11-12 Dear Mr. Jacques: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, June 8, 1992. BE IT RESOLVED that the Southold Town Planning Board, acting under the State Environmental Quality Review Act, do an uncoordinated review of this unlisted action. The Planning Board establishes itself as lead agency, and as lead agency makes a determination of non-significance, and grants a Negative Declaration. Enclosed please find a copy of the Negative Declaration for your records. Very truly yours, Bennett Orlowski, Jr 'm Chairman Encl. x �gUFFfl(,� G 0 PLANNING BOARD MEMBERS y z SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman Supervisor George Ritchie Latham, Jr. "• O Richard G. Ward Town Hall, 53095 Main Road Mark S. McDonald tut P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 State Environmental Quality Review NEGATIVE DECLARATION Notice of Determination of Non-Significance June 2, 1992 This notice is issued pursuant to Part 617 of the implementing regulations pertaining to Article 8 (State Environmental Quality Review Act) of the Environmental Law. The Southold Town Planning Board, as lead agency, has determined that the proposed action described below will not have a significant effect on the environment and a Draft Environmental Impact Statement will not be prepared. Name of Action: Proposed site plan for Peter Jacques SCTM# : 1000-114-11-12 Location: 1300 Main Road, Mattituck SEQR Status: Type I ( ) Unlisted (X ) Conditioned Negative Declaration: Yes ( ) No (X ) Description of Action: This site plan is for a custom sign shop and associated storage space in two existing buildings on a 19,857 square foot parcel, located on Route 25 in Mattituck. Page 2 Peter Jacques SEQR Negative Declaration Cont. Reasons Supporting This Determination: The project involves the reuse of two vacant building for a custom sign shop and storage. The site and area are zoned Hamlet Business (HB) . The use of a custom sign and storage with on-site parking is consistent with the uses for this zone thus the proposed action is consistent with zoning. The applicant will have to comply with the requirements of the Suffolk County Sanitary Code (SCSC) and all relevant standards of water supply and sewage disposal systems. The design and flow specifications, subsurface soil conditions, and site details are required by the Suffolk County Department of Health Services (SCDHS) . This impact is not considered significant due to the anticipated project compliance with established requirements of the SCSC and the SCDHS and the required obtainment of the relevant permits. An Environmental Assessment has been submitted and reviewed. It was determined that no significant effects to the environment were likely to occur should the project be implemented as planned. For Further Information: Contact Person: Robert G. Kassner Address: Planning Board Telephone Number: ( 516) 765-1938 cc: Suffolk County Department of Health Services Commissioner, NYSDEC Albany Judith Terry, Town Clerk Building Department New York State Dept. of Transportation Applicant 14-16.4(2/87)—Text 12 PROJECT I.D. NUMBER 617.21 _. SEOR Appendix C ' State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only f 112 rl a PART ]—PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLI T/SPONSOR 2. PROD CT NA E U, ev . Jra C,c1 V 4 4 3. PROJECT LOCATION: lL \I Municipality I �� v� Q (` L I n �, County Iv� i, "[ } U I(. I l, Y, U 1 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc., or provide map) S. IS PROPOSED ACTION: ❑New ❑Expansion Modification/alteration S. DESCRIBE PROJECT BRIEFLY: (� p 1) V \ v ( vv2 �) - I�ZV�C1Y\ 5 IAez� S2P � I �_ \,UZ, Cer C, cc � vl � C ' 7. AMOUNT OF LAUD AFFECTED: Initially T_ acres Ultimately acres 6. WILL PROPOSED gGTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? ❑Yes No If No,describe briefly 1A,e'\ } (I L1' C \y f'cV V..V11 o Nzzlat, 1� e.r } Vtkk 1 " Ck( CZ c• SQVVtSEvv -z } c . c_ si tc Vj0t 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ❑Residential ❑Industrial L_-1 Commercial ❑Agriculture ❑Park/Forest/Open space ❑Other Describe: +y n rr (() ZYc�1 fv� C � Q frt2Y T1 (,fS t,C C'L} �Ce 4211 17Vi Inf SS �S 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STATE OR LOCAL),?,..,( ElL"I Yes No It 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 permitlapproval 12. AS A RESULT OF PROPOSED ACTION WILL EXJSTING PERMIT/APPROVAL REQUIRE MODIFICATION? Ores ❑No I-a2V ( hQ, �:kISA )n v ynt @v vuvZ f } - I CERTIFY THAT TT\HAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE ''I Applicant/sponsor name: 1 Q- e_Y �I ��- C'_ [�' V' -Q C Date: r`2L 1 ' Z Signature: C "_ 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 PART II—ENVIRONMENTAL ASSE NT (To be completed by Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.127 If yes,coordinate the review process and use the FULL EAF� ❑Yes X No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative oeelaratloin ' may be superseded I by another Involved agency. El Yes jeWIVt NO _ C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid waste production or dlsposai, potential for erosion,drainage or flooding problems? Explain briefly: IJC;: C2. Aesthetic,agricultural, archaeological, historic,or other natural or cultural resources; or community or neighborhood character? Explain briefly: . 4, C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats,or threatened or endangered species? Explain briefly: No 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.; I�L' C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly. 1 C6. Long term, short term, cumulative, or other effects not identified in C1.C5? Explain briefly. s E Ni' s C7. Other impacts(including changes in use of either quantity or type of energy)? Explain briefly. ! 3 IN D. IS THERE, OR ISt¢THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑ JaiYes No If Yes, explain briefly i t 1 PART III—DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each 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. urban 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 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: Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency i .ITTd Of es nsrb d0 titer Signature of Responsible Officer in Lead Agencynaturerepay different responsible oinced Date ) 2 o��gUFFO(�-C O 0 PLANNING BOARD MEMBERS y SCOTT L. HARRIS Bennett Orlowski, Jr_, Chairman ��, Supervisor George Ritchie Latham, Jr. Richard G. Ward 41 Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 MEMORANDUM TO: James Richter, Road Inspector IJS FROM: Bennett Orlowski, Jr. , Chairman 60 RE: Review of Short Environmental Assessment Form Proposed site plan for Peter A. Jacques 13000 Main Road, Mattituck SCTM## 1000-114-11-12 DATE: June 3, 1992 Please complete part two of the attached SEAF. Please respond by June 8, 1992, in order that the Board may make a declaration at it' s June 8, 1992 meeting. If you have any questions, please contact Robert Kassner of this office. Enc. cc: Raymond Jacobs, Highway Superintendent April 30 , 1992 Pre Submission of Site Plan for 13000 Rt. 25 , Mattituck, N.Y. We have applied to Suffolk County Health Dept. , Bureau of Waste and Water Management for septic system approval. Please review this plan for proposed parking and driveway and recommend any changes that will be required. Peter Jacques yg'� c��cn^ S� e7-,41,5-9 ny.7/:; 5'71 =SOUTHOLD TOWN PLANNNG P(Vmm SUBMISSION WITHOUT COVER LETTER SENDER: " �/ --"- SUBJECT: lcf/L4 S ( / (-- SCTM# : / / - / / - /d/ COMMENTS: np fi ujjj 2 W 7 PLANNING BOARD MEMBERS SCOTT L. HARRIS Bennett Orlowski, Jr., ChairmanSupervisor George Ritchie Latham, Jr. Richard G. Ward Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 December 12 , 1991 Peter A. Jacques 11185 Main Bayview Road Southold, New York 11971 Re: Old Wassun Property S/s S.R. 25, Mattituck, N.Y. SCTM 1000-114-11-12 Dear Mr. Jacques: This is to confirm that on November 26, 1991 you were notified, verbally, by Ms. Scopaz of the Planning Board staff that the Planning Board had denied your request for a waiver of site plan approval. Because of the extent of the proposed changes, which will include the addition of parking spaces and a curb cut on Main Road, you must apply for an amended site plan. Enclosed please find a copy of the site plan application. If questions should arise in completing the application, please do not hesitate to contact this office. Sincerely, Bennett Orlowski, Jr. Chairman i [�3.0 H(7MEM�k i Lt M I Ld i u u I' f�-tluGf kA .. e i f '.f h j a y a V,VR 1{ r Yk' r`� r i(Qpa i ea m o-a enn.a te iF prerlP PT2 A,JA�,.� �t��� 'LST. fL*U. [zrur [ I r�i�r��T!fcS, �"aC .�lTMgowwrrgs Aor !iw TITLE N7 4�a+7''7UOE`6 ^'F, rY. A"'"!MI"" JR"iMl++ L, l URE Cilj� P.I N CURB CuT fpGL.E yjc)TH 1,13 IN6 O660. LD ' O22ETGIl. 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FT LDIf\ i�-/�. pF /J l�7L WA L, Y-- 43J 7t2. t<T pNING BDPRD Tv TA L_; (, O¢rD �cz pT VDLIJ/A V� G, o4D x 166711 = I, 0 77 ll5Fi 3- 8yx �'+] , = I, ,7I 3 cd. PT. �1lG J/I \� aV ' I � c-2TITLE --'E T � GARRETT A . STRANG V 11b.�r � T H �i .5;1l'rE -YI�AAt �`/�+ii YLET�ArG Fi'� \v1YH I1-I PQ Y.�Y/�,R-TION T/�K-rpt-1 �\ LOCATION �� Imo ., �Q architect -TT 1 T d ILS IJ Fi\.( - i0. 3tIZVt,Y !n.°-9 fr� TTrY Z.Ob�R-IGK- �/.�N TUYt-, P G. - - � - BLALE �§ aITEp REVISED IpPAWING N^ Main Road P.O. Box 1412 Southold N.Y. 11971 5-- 11.12 I1r4UE- r' I DATE 4/Z 7/*1 iF- 516 - 765 - 5455 DRAWN BYAei/� PROJECT N9 1 �F I • P 1� T 5 a tb 5 GSG 1 LFN Ami z _ nMu ,I aG' 1N G �y'iuY _ `��• 4Fi I N 7S• ' .a R�- _—'�- -f�µC.E N� � r � � ksl.' IRz _ '� 0 ... p '� TCO A. �- ,��A'rti-�Fi9 - �, :V h_ � ✓• '�ffi,.. ,w. I 614 l Go TJ /p✓1 S vim" ;. ` Q 54J '.. F. r,e;2 F. Q > �t�E-Y /A 6. 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Ir�wi+sa;ll - cY1' rr, A54i _Akl ('F F'T -r�9-rA L,- 6, 94,) VO LL)A _ 4,,040 - . 166 %1 I, 00 '7 !// Y,0AV1 / t '!�7rPHL-rYt ' AI 1V. ca. FT. 1jF'Ei' 3- f yv� 8 ' TIP,e,� - I, 2 1 3 Nps`Ta TITLE AVI Y./ V��al N � TI� GARRE'TT A . STRANG �'V--"� r,- , �G'2:RU � THIN 51TE 'Pl�AF1 ,`�`//J9 'P'e�T?.2 Fid . - LOCATION ^."% i&i - -,��A'C�' WI-T'14 architect fn, A TUI L_, P. G. A"t'•7'lTt (i 14� !-1 E.��! YOFiY�- YJAYE.-T! scAvs .�. �pT�y REviseR oR.wixc No aa Main Road P.O. Box 1412 Southold N.Y. 11971 ro r�-N RP ro o.re 41z 71'tZ. 9= �'yw DRAWN ar - I�•ITE. P�.n.l-.1 a.r.r. �� 516 - 765'- 5455 1vs- 4P-h akj i>�.rJ� PROJECT No . o )V� lop 141,111,it IN iY ��r7.q GB1�1G� �%Ib IN G' �w-Aa✓ �'j{'l � ' • • I N. 'o f�Zr"N- �P�E-tG G' N ' � r I ,D 4l"•i+Ta- ;� - O � �} sult.niu�.\ � � �79���V I ��� V J • ' I. A9 IGIL S.F. % a or T/ax ii`AV;' ioao i2 Q o zoNirJ Cl' N NAlntr2T Y�UhINE�b s • ® \ 0 �7 rz�- CE xlhrlNc. ,l! 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STRANG ��-r r� jxI,, U E-, !!:-, TNI�i MITE -PI�AI"1 ��/n-S 'PC�pAt"L�f7 LOCATION �v1TN IN>=0'�/n/•-T10N TjL lc.�l-..� -P��,,. architect /�'/'n1 'I "'f`"T' A 61JZV�Y //�.•�'G t. t-6Y ZObF�� IG K- \//tN TL1YL, Y• L. /tiATTI'1iIVU K/ 1.1 F.-�"/ 4"OZ4r AQ21V 3, Il( -1zi SCALE �/! �V RFVI.E0 S-II-'IZ IY UE.. To rl—r�IJ Wnwlnc xo Main Road P.O. Box 1412 Southold N.Y. 11971 > v, FOR DATE 516 - 765 - 5455DRAwx ev �� dC, issJE: TJ v✓T PROJECT x9 61z 1 OF I �+ O " A s� zs m��17 a f.�v"K I.JN�L�� Fi%I" INS qIP y✓4�� o� v ''! 2 '14 „ I LG.A71vN rr 7 y �GVP A ¢I T GN T ya A G yy a > .t ro �jpll.Pl WGµYM1�� 70fv Yw y,TPi _ IN BU IL.I N4. I616 S. F. o J \J N H { b LLA 1'r-_ {P Pt d Q i/IQlpj��lPv t� 15� 4 TAX // \f-� T I //V•V - I ' �- I I - I � Q 'h Z 5 n `l zc'-2 N I �p7 I-Ih./n1.�T �Jhlhl�'ih a� �` TMr 1 t r ,VADA NT Z LS '�-2 - 15 ( rvs�r�) SIS tJ wv �SU �Y � I 4caro�r+<-v arca. pry ,r y/LJ�h ana�� O \V N Fi 1-- F'/ ro� r..�e,•JS � a � �_�\_ 1''1185 /CAIN YVltr-�V /.2✓A. gLOrG ?' 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STRANG ��� �- �lG�U � TNI' 51YE -(�lip.a ���5 'PE E-TP.1Z Fi 1� v LOCATION \vIY41 IN�JYi//�,�-'TIJN T/i{GY�F1PiJ//� architect KA- V/aT�T� /'.P21L 3, I `t9Z scacE A� ��.fEy RE- 11-1 oxswlxc xe IE Main Road P.O. Box 1412 Southold N.Y. 11971 DATE sI Z I° rye r' r" N ESE, F� 4/27/92 516 - 765 - 5455 - Iv s- 9L oxawx BY E-E A:4�� PROJECT x^ 9 G: a I O F /'ty J �3 I Ip s' Y_•'. � �, ' '!", .� '�` A °"�i17 i..l _ - + �E� !e. 2q I ]• I' , �.j-�'6'.'z �s'W ~ �- �.I- �t '' ' � _ �_S l T E- �, / ,, ,� ir' / an fir. _ T OI C?r7r L.A 1'4 .7x - - —� - Jt—r.—,,"y,a•s-";F�A,:�-.ya- 4N j( � �, _ _ / � //\ c -"'i9.,r. CI.t" _ � q �' wIF r.- ? �r Ii T _ ) .� i_ :wa' '�w rl n• ' 5 ' ' a fir" IV if }tom 2• E:-'(y , aJ. _ _ _ �`w, ., _ w,� ' ' C " I IL f vN ,r ' ,-r F..' F✓h : ail y:l - - •— a •� - AL I z ( ' fl v u.. . a['` iS 4. A �, Ij ' r 1..1 L 1 r'- 3, _ - - f` V5-;% � !-.. 'S: t',JC .•,;..�-. � - 7 " °✓^.,F,. (/ - L:_�''. r`1*`'/` .,- �/,+., y: i i rills F ., t f':-'La+. ;'qJ �/ 2 , ,- -'x': E:T r ::w h 75'/4 L'a '1 •tx°'r'/ - r' +.` k 4^x- w- 171 I ',; ; w p r � . ., " •,'" .� t,.;.M• _ ' vC7111 -r 1 `f G"r` rr J,AN' 2,7' 20Q4 : Id Town: Plannin Board' , ., v ,j-1 7.J G' /.ti...R.,+l,i -T'A' 4 l Ori 4v" r - „ !�'A .ii, ,�' Ir +M+" +r� r - cwla+ ✓n h-' -, ' :},� L! /..Y,s 'm^,:' ..f-A.P;'S+!',_.'�`..e� ° , / - yU Z ✓�.r'r /! F L 1;~ 7+,'Y- mac?, ,c, 1 c.fr;,., '✓a ti: -i'U^r",L, .' : G. - - „i Irtvrlt n- avina wr . p-+- X- �..� `{'r_ 1r t.- 4a F.Q'1?L. r w �'r ,- c r� r r r s r x-.,r ti _ < 123f3 TraueleP Stye;et Southold N'y. 1171 °arc - C.. � . ..�•-f „I tl '��1ry _ - � .. �f6 -.76�,ri ' S.el,�J.N)' . °Mswxw _ - _.. ' �. . •,', -, - ' ,-. _ _ . . GtN-'•�•� Ili :i 3. . r iE C . 4: 01 I I 1�i i 1'��-F 1t�4 T4• l �/ //` " Laµ _� � SG y5• GJF� �? - " I Fi9ifi� GJf �' 2n' /PPNG rJ 13as.D� C.t- T11Ga DA wI//c-' .. .. ,. , • . �"'L� ..` JIe ��� uE ,� FLDq �1.+I1Goc ue . oo i I � v,g Jay. �• �Iv� oo,�N J► �'i'N "rN�Tb�F1r�, �". " iiT ,��{��F.iGr* � ��ia v'T N � 0 1�?NI TD�✓ ��JIG�.=' _ _,S LT€- . --- i Y -.,.� 4�wr7 CGy _- -1- L..dG.R+'SL7M. I�� •� FH.S, REF. N(). ' FFOLK COUNTY DEPARTMENT OF HEALTH SERVICES / ,V4 N f�I4-- - P p W APPRO';ED FOR CONSTRUCTION ONLY ✓" y II d•• T��zEiJv=M'F )r1"rc-,v } Ucio -Ys - o/.,Z FLON 3 G •• •.,o, : Sd Lt` ?✓> _ F 1> 1 E-T�jj=z \> ~� This approv»I is grrnted for the constructwn of the san'dalp I✓s7tzLt` µ n7 ,OL fY lJ' I-J disposal and xatnt sapnly laiihiies Pursuant to Articles VBand r,. r tx ' oft 7 of the dh't! C al ,.O �_A[A o iroda vnA Ia not an exPrased y16 not im?i � ry M accuPY the •:Nx i . " " • i P ¢ 0 9 [{ JJ l2 shuctumis? a,r.Nn. 'r.:S. rnU LXPInEY TWO(2) YEAR$ - �¢ F.c IU Y : FROM THE NIt cEw.+. ems a . �o-G. P.E. Su1Lt71ulj. Q' '��./F..�,^,. vim- — Il LL f J V !h 2 > _ — X31. Gam a .� LL0 .ai �� 7 _ Y�1�b' ® � N F ATE .•,SIGNATURE. �..I .'.'' ':+''�t,'i b1!'•i .• .. � '�! �•"' ®� -_.�_. ._�ss N4 �I I G I G S.F yp0 -;13 d t - - - r4A^ 'r S 7 �1NOF tA5 rPt= � n To -rA X I&A • Z � - ��,re G' � ppTE 'Z1 c� N I N CP I �^'� t!? NAMI.C-,T �IJ�i1nJ��i�a Q Z rf ® y`� � CFiXIbTING ) VACANT 40mP6TLL� / .1��j'�Q}Y-N W+ � �vN � ,� syvq. ATc eller ob f ®fin -_: 4Ga swrc p1 (I IfS� / Alt l �/�1 �/ I \V I— HIR VIHT- \ SwF Taz-ra•r+d ,-- I � �� L.l`T'!-V s armee- 7J>LoG r4Y71' 9 2 P F p ✓/ V a5-7 I tM > JT Lj�� �� r P i ( d ( S 1-( Ix /� L Fief 19, 3, 15C¢ JUL 91993 13 ^ "��� t f� G (o, 4 c'JcJ p S(R• F`f Pit NNI LDTDwN /`i. NNNINGDOARD PL TS.oI �J /�/ _ va¢ I�w F'AS�4rlM-lG 1<Eu2II11Z�t� n� '� 1• ': "•`µ �.}• F aVN1/..Uw� 1lYi+'C.iL i-+.HOP S:�O/ ZSO '36FAG1— Z6t 6/ 1OAO - SPACES �„a,4AItthiG sw aJT I -T- A e-11 � _- AtC,�-A •7 � ?7L' IYt%i\vVS.Y I %!,� �.FT. � 1 er' Es- I-rN� � A Va IJ�/� I�fi 17sDr9x . lin(d 'f ZS 't- GJ. FT. C•: v5� Z S�x 7 hFi1iT = 2- 9G Gu- FT ITfi..•� 400 Ib - IK` AIt1 Vi.li 1'/i-Yak—INS 1L ¢•.3.1 - p'�1C. - 44d 6cr. r- ' TEM 17304.1¢11 I'A.•O.iFi.G+ � 2�}'� 6u7. FT. 1, 13 1" 'T . F{a�--ra • TITLE yyyf ? r ��T :' �V 'p! V/ {"• � 1 /t l (� �r�,�,r e/ • �EBED ARCS, T "+�="^-T" rTs- NcJ � � QFGIRETIA. sr? GARRETT A . STRANG I �y'b 2yC LocArlox TN l'T 4I-rFv 'ti'�LAAt ��/?9 'PC�'fi.^.�Fi T� _ architect /W.•+TY 1^S'�.i \Vt-rN INticO tZ„s,�,�TIrJN T/�K-YEN PP/v1^ SCALE,* �"1YE,� aEV.SE. DRAINING No b fi 111G V COY //TAG t�r�( 1t:0Y71Pi¢-I G Iz-- ./o.N r U Y L, Main Road P.O. Box 1412 Southold N.Y. 11971 DATE A/i'7t/'Fi IstT� A � I Is a 4s la r�vf rG rtn 1 ¢o 015244 E 516 - 765 - 5455 DIIAwx er E' IZ- c?oT f sr4f y�0 r,$iAir. ' b.�`•_f>E " � ��� I r E OF NfK rnooecr NS rT7G:AT' ` - r ••ilr. k b O ' I R p aA 1 a% -.-I- Girt 1Vy¢CEG UUU 7�P , • , 1 �� � MAINS �� ILEY D4AP ' i--� � P2EMISES ._L 0 .Dr MON VE. a G 600, _CZr"rF'I. PiY.W't pL..N P�N 'A d' g7ri- c0 - S r. _ vliiilt :v:."i T 133. EC cS,UNo A Q W CLnlfl I _ - ` ] •f3UR O 9fn G G NU% - . ..+ _ N a 4 /�V-1{ W ' --_ �FR."4 t•T.. 13,+x.0 ,� � , � J IN�:r I '- a- ly, .. IU a IN,L Ivo a I' OLE - FJ.7: 3V' h+0 .a 1 y c I Cl: L. J FiM,+ %+ J�J-fN� a� moU o �vl'.. }' -^^e _ _ TEST HOLE fL- �O �' S Stir- ---- Q �" N SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES 4dte�-7.IOM -.N , 'I r 1ZOW of POSTS W DA2K M �� - N OFFIICE I U APPRO's'ED FOR CONSTRUCTION ONLY LOAM „ Tj K� V h / y + J n _ GN . � ^ q x viV) ,.. IP 540,: SOFT. BRowN l0 .a CsU I � �� H.S. REF.NO. GO -Ya - oi,� FLOW i 3 6 snNor I w0- arb-r,� ::4 4 3 Lo :iE,�il ,,N.�) LU z N TYPE n, rr �rr//°.'-cz - LOAM 3 !/0 D2oWN �V 'L (� �I , ;I v h This approval is grznted tot the construction of Ow emihq 9 4J d F. ff x f t-' q I- J isl�l and r.ater s:rpoly fecipiies pursuant to ANCIes VB and GI,uE, TO dIL,P.u14f0'p ' �d.tv •, ,G I •q,� "N �, I m � i 7 of tha Oahe@ Tr+'r•• °. . ry fMh and is flat an expresxd �.+. A• NF,-fv YM1� ',' IL7+4 _� Y " .•. c� ii I J .t1tLw n oc.rzs6 flat impl 'rwn of occupy the c P a 9 r L n, LL s rucLvr.(st -.hrnvn. erl6. rnu nl cXrl FS TWO (2)YEARS 11 (L FRUAi iHt )Nit 71. Qj PE. SAND I5.1' , � .gyp-./Fi�� fiV _ 4/ ; ;, ll 0 WATE2 r/ IP L'f / Z G - ` IN FINE -3J '/ 'Zi1 J1Pi l S Da/ nit �. \9 Z1 �® y���♦ �. ». II,, W ® — -�~ \ �r LL i P ?�rl�sY J7 �z�Ci,''r"tliy s' U sANo yfOfLA.Le� � 0 r- ,� �wELL 17' 00 s. i t tiu?�`< f Z / MIN 4" DIA. 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LOCATION /n/�x- I61 9 't Ap^-G' 1 F�B. 10. - THIJi Fil-rE -QI�,D.I.I .vn.�i 'PiLEY.n.2 Fi T> architect /�.+.TTIT��//' IZ-, 0e-teaV YO Fi '✓ �vITH IN•Fv'Z/nr-Y'ION -T/K-�Fs -F vin - - - J SCALF REVISED DRAWING N? tl t7/aY moi! /+.PfZ ll_ 3, 19 +IZ A3 l��TEa 511- 2 '194Ub Ta rt- —r aav F® 1 Tf'/ '''' I'_. , :� 11 12 If ! p OWNE25 ADD2ES5_ 'Main Road P.O. Box 1412 Southold N.Y. 11971 DATE 9208 , 1 NO :!7)50 11185 MAIN BA`(VIEW 20AO IJ•'s'- 9L ,14L_TEfZ. TffL yLAN RN 9. _- 5455 DRAWN er _ SOL)TH10LD , N.`L 119T(516 - 765trESSPOOL LCCATIGNS m uone u••munn; RROJECT Nof OF 1 CO({DED 3YU5. 92.: 04 6 Ra_ 51/0-'765- 1033 - .- . `v'` 2633 -6 �A � 62 I ISG L �alas7l� ' �NJSLA 1'v0� (1 ✓✓/ LAND SCA/SV _ An 3O - 19 7. vV. %O flELi/�ynT.� Z �j'fALLS. � � � --__ — 17 3v/eo.•�f fes%/tee/'riN�. $ I G4/L !Fr•L 5 ek lcc- . 44 --_ - - V jhalF+n SE [✓FwcE7 1. I�.AN TII+�j JI[ I I ul n APR 16 199y L A N G f�R P69� Southold Town ' 114 Planning Board --z,v I li ftEQUIREMENTS FOR SITE PLAN ELEMENTS & CERTIFICATION \ ;SECTION-BLOCK-LOT TAX MAP NUMBERS ._ \V (NAME & ADDRESS OF OWNER OF RECORD ."NAME & ADDRESS OF PERSON PREPARING MAP �I :DATE, NORTH POINT AND WRITTEN & GRAPHIC SCALE DESCRIPTION OF PROPERTY & INFORMATION TO DEFINE; BOUPDARIES \ I LOCATIONS, NAMES & EXISTING WIDTHS OF ADJACENT STREETS & CURBS i I LOCATION & OWNERS OF ALL ADJOINING LANDS, AS SHOWN ON TAX RECORD` � ILOCATION & PURPOSE OF ALL EXISTING AND PROPOSED EASEMENTS \' COMPLETE OUTLINE OF EXISTING DEED RESTRICTIONS APPLYING TO PROF EXISTING ZONING ,'AREAS SUBJECT TO FLOODING OR STORM WATER OVERFLOWS \� WATER COURSES , MARSHES, WOODED AREAS, TREES 8" IN DIAMETER OR M v !ANY EUILDING WITHIN 100 ' OF PROPERTY \ V , PAVED AREAS, SIDEWALKS, VEHICULAR ACCESS TO PUBLIC STREETS \ ( EXISTING SEWERS, CULVERTS, WATERLINES PIITHIN OR ADJACENT TO PRO i, FENCING LANDSCAPING AND SCREENING i - ; PROPOSED BIJILDI17GS OR STRUCTURAL IMPROVEMENTS DEC 1 4 \ i OFF STREET PARKING AND LOADING AREAS ` OUTDOOR LIGHTING OR PUBLIC ADDRESS SYSTEMS T OUTDOOR SIGNS- 239K SIDEWALKS LOCATIONS WIDTHS: SIZE OF WATER AND SEWER LINES AJ