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HomeMy WebLinkAbout1000-61.-3-7 ~U~ JUN I 3 19~9 Appendix C f .... State Environmental Quality Review ~~ONMENTAL ASSESSMENT FORM PI.~NNiN(~ BOAfi'0 Fo~r U~.NLISTED ACTIONS Only PART I--PROJECT INFORMA~ON ~o be completed by Applicant or Project sponsor~ No~s~ac Bank Automated ~e[[e= Nech~ne Norstar Bank 51300 Main Rd. Southold, N.Y. 11971 5. ~ FRO~=u ACTION: [~1Ne~ [] Exl~anelon [] Modl f IcatlOnlalt er at/o n ' 6. DESCRIBE PROJECT BRIEFLY: Installation of an ATM machine on Bank property ?. AMOUNT OF LAND Initially 125 Sc[. Ft:,acres Ultimately 125 Sq. Ft. acres WILL PROP'*.,'-'-ED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [] Yes [] No If No, describe briefly WNAT 'S P"ESE.T LA~O USE ,N V,C,N,T~ OF PROJECT? [] Restee~flal [] Industrial [] Commercial [] Agriculture Describe: [] Park/Forest/Open space [] Other APPROVA OR PU"D'"G..OW on U.T,MATELY FRO.... CTHER GOVERNMENTAL AGE.OY,FECE. L [] Yes ~ NO If yes, list agency(s) and permit/approvals 11. DOES ANY A~PECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Yes ~lO If you, list agency name and permit/approval 12. AS A RESULT OF JNI~OPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? [] Yes ~E'No ' ..,.. r THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BES¥ OF MY KNOWLEDGE ' APg)llcantlspoftsor name: {itarotondo - Branch Manager Date: 6/13/89 Signature: If the acti Col the Coastal Area, and you are a state agency, complete the I t: Form before proceeding with this assessment OVER 1 PART II--ENVIRONMENTAL AS..~c. SSMENT (To be completed by Agency) A. DOES ACTION F. XC.~D ANY TYPE · .~RESHOLD IN 6 NYCRR, PART 617,127 If yes, [] Yes [~'NO s. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN ~ NYC~ PART 617.6'/ If Ne, a ~4Gl~ G~el~i~lon may[~Yesbe supersede~N~y another Involved agency. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: ~ may U4 ~, If !~ None C2. Aesthetic, agricultural, amhaeological, historic, or other natural or =ultm'ai resources; None O3. Vegetatlofl or fauna, fish, shellfish or wildlife species, signilicant hal)l!ets, or threatened or ~:N~c~8'~ ~ briery: None f G4. A c~t~'n unlty'~ extstl~g pier4 or goals as ofltelaEy aeeRted, or · thence In uae M late~Ity None C?. Other imoaet$ (1~1~1~ ~an~s in use of either qu~tlty or ~ of energy)? ~W~n briefS. None D. iS THERE, OR IS THERE LIKELY TO B~ OON'FP. OVEfl~Y RELATED TO [] Yes [] No If Yes. exl)~in b~efly PART Ill--DETERMINATION OF SIQNIFIOANGE (To be =emplete~ bF,.Agency) INSTRUCTIONS: For each adverse effect Ide~lfled Each effect should tm W in connection with its (a) Se~tiflg (i.e, urbim or irrever~lbility; (e) gsog~p~tlo [] 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 arid/or pref)awe a pcmtflve d~a~aUcm. [] Check this box if you have dets~mi~ecl,, ba44d git *the infl~matlOn ahd a documentation, that the proposed aation MflU. NOT AND 2 $outhold, N.Y. 11971 (516) 765-1938 D APPLICATION FOR CONSIDERATION OF SITE PLAN Date of Application 6/13/89Filing FeeS150.00 Date Rec'd New Use Change of Use Re-Use Extension of Existing Use Revision of an Approved Site Plan (Date of Approval Other Specify X Name of Business or Site Norstar B~nk Location of Site Southold Address of Site, if available ~3aa ~n ~ Name of Applicant Norstar Bank/William Mitarotondo~ M~r. Address of Applicant 51300 Main ~d. Southold, N.Y. 11971 Norstar Bank/Willism Mitarotondo,Mqr. Telephone (516)765-4020 Person to be responsible for Construction Inte~ra/Doulas F. Ros~ Telephone (516)420-8170 Applicant's interest in site-check one: Owner of Land X Under contract to purchase Owner of-Fee Title to Land Norstar Bank Address 51300 Main Rd. Southold N.Y. Telephone (516)765-4020 Site Plans Prepared by Integra License No. Address 48 Central Dr. Farmin~dale N.Y. Telephone ¢718~895-4133 11735 ********************* Total Land Area of Site 40~'~.. Ft~ Sq. Ft. Zone District Existing Use of Site Bank ~ Propo~.gd Use of Site Bank ~ATM Gross Floor Area of Existing Structure(s) 2,~.?~ sqft. sqft.'- Gross Floor Area of Proposed Structure(s) 175 sqft. sqft. Percent of Lot Coverage by Building(s) 6~ % Percent of Lot for Parking (where applicable) &n~ % Percent of Lot for Landscaping(where applicable) N/A % Datum(Specify)U.S.G.S. Other Has applicant been granted a variance and/or special exception by Board of Appeals No Case Number N/A Name of Applicant None Date of Decision Expiration Date" Will any toxic or hazardous materials, as defined by the Suffolk County Board of Health, be stored or handled at the site? No If so, have proper permits been obtained? N/A Number and Date of permit issued None NO ACTION (EXCAVATION OR CONSTRUCTfON) MAY BE UNDERTAKEN UNTIL APPROVAL OF SITE PLAN BY THE PLANNING BOARD. APPLICANT'S AFFIDAVIT STATE OF NEW YORK COUNTY OF SUFFOLK William Mitarotondo JUN I 3 being duly sworn, deposes and says that he resides at 38 Ravvill~ Dr. Sound Beach. N.Y. 117~9 in the State of New York, and that-he is the owner of the above propert~ or that he is the Manaoer of the Norstar Bank-A (Title) (Specify whether Partnership Corporation 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 - (Owner) Sworn to before me this Signed (Partner or ~0rate~OffiCer and Title) o%ondo #aua~e~ NORSTAR BANK MAIN ROAD SOUTHQLD, N.Y. 11971. PLANNING BOARD MEMBERS Bennett Orlow~i. ,Ir., Chairman George Ritchie Latham, Jr. Richard G. Ward Mark S. McDonald Y,~m~h L. Edwards Telephone (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD SCOTI' L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold. New York 11971 Fax (516) 765-1823 ~170: Victor Lessard, Principal Building Inspector FROM: RE: Bennett Orlowski, Jr. Chairman~-f~ Norstar Bank 51300 Main Road, Southold SCTM# 1000-61-3-7 DATE: March 5, 1992 The Planning Board wishes to bring to your attention the fact that the Norstar Bank has installed a satellite dish in the front yard of the above-noted premises without filing an amended site plan. The site is now in violation of the Town's Zoning code. Enforcement action by your office would be appreciated. cc: Vincent Wieczorek, Ordinance Inspector Gerard P. Goehringer, Chairman, Zoning Board of Appeals To: The Town of Southold Planning Board NOiSieR 6/13/89 Addre~Corre~pondenceTo: 51300 Main Rd. Southold, N.Y. 11971 T®~phoneNo.: (561)765-4020 Dear Sirs: We are requesting approval to install an Automated Teller Machine on the Banks property at 51300 Main Rd., Southold, N.Y. 11971. The Suffolk County Tax Map # for this property is: 1)Map #061 2)Block #03 3)Lot #07 Enclosed are six site drawings which will explain exactly where the ATM will be located. Along with the drawings are: 1) Application for Building Permit 2) Short Environmental Assessment Form 3) Application for Consideration of Site Plan 4) Applicants Affidavit 5) Checks for $150.00~\~ ~-%3-~ ~ ~'~ ~ f~'%% ~C 9~°~'~ ~' If I can be of any assistance regarding this request, please call me at (516)765-4020 Monday - Friday between 9:00 - 5:00. k You,  ndo 7 J 200c. 0. TPrLE DATE O,F,A~ ARPROVEDBY DRAWING No. '' I / / archite=turai woodwork iflsUtUte