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.
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