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Home My WebLink About1000-55.-5-10Iq4.DS' t IOANNA MO0~ N/O/I= JOHN d. ~UINN ~EA E. d~UINN 5' L.,N~oCA~ DJFFER REFER TO L~ F~N 2D~5.c12' 515 DATA: LOT AREA, PROPODED BUILDING AREA: PA~D LANDDGAPED ANEA: PER~ENT.,~:~E OF LANDEGAPINE,: PARKIN~ cALO.,LATION: .4~ OR 21~,16.45 5dLFT, 2,q40 .~dL Fr. IO,052 5~. ~,~44 5J=. .B~I ~ 5ANIT~ 5Y5~ DESIGN DATA: LOT AREA: 21,616:4~, OR .4q AC. RE5 WO/P JOSEPH OANT~ ~ JOANN RIZZO 5ANTO~ EMPLOYEE PARKIN~ ~ PITCH HALL DF, AINADE cALCULATIONE: DEDI~N C~ITERIA, 2" F, AINPALL 5T~ (.l&~ PJJN-OFF COEFFICIENTS, I.OO PAdDleD AREA5 0.5 ~ A~ IO' - 121AHE~L~ DRYHFLL ~ USED ((;APAC. I'F¢ = 6¢.42 PAVED AREA: POOP N~EA, LAFDECAPED AREA, PAVED ~ L.AFD~API~ AEEA, (I) 5'-O" VF OF RINE, PLUS (2) 4-O V~ OF RIN~ HII~I TRAFFIG BEARI;',~ .ELAE, TOTAL OF I~'-o" EFFEGTIVE [4:m tt > 12.51V.F. ,11~EREFORE, OK E, Iq.q6 C,.F..-' 6~,.42 G.P.NE. = II.q6 VY. I)EE (2) FOOL5 EACH HITH (2) 4'-O" VF OF RIN~ HffH ~IG BEARIN,5 5L~ Hl~ A T~ OF 16 F~T ,-M-~TIVE DEPTH DP. AINAE~E ~ ~, PA"/[~ AREA, ~ AREA, CONCRETE HN.KHAY ':t00.25 G.F. + ~.42 G.F.N.F. = 15.15 VE. USE (2) FOOL5 EACH HITH (.2) 4'-o" 'vl= OP RINE,5 HITH 11~AFFIC E,E.N~IN~ 5LAB HI114 A TOTAL Of 16 FOOT N 08° 51' DO" TEST HOLE DATA N.T,~. NOTE, INFORHATION FEEAPOIN~ 1~5T HOLE DATA 51TE PLAN SAND code s~ction 100-255, NOTE: ELEVATION5 ARE ~PE~N¢E~ TO AN A~ED DATdM. ~IOTIN¢ EL~ATION5 ALL 5UP. VEY RELATED INFORMATION TAKEN 5U~VET' PREPARED DY JOSEPH A. IN~E~NO HEALTH DEPARTMENT SEAL E 5 08° 5-'(' DO" E PLAN IOOO-5D-5-10 I::)1,~,. NO. SP-1 -~OLIP G.I. FRAI~ tTYF'JC^U / \ \ ! -- "1~91J5~ TRAp HITH IITH BRAe5 6,P. APE ~L. 24" MAX., 12" MIN. ~ '~RAI-PI0 BEAP. IN~ ELAB - I~T. ELD/. I/4'/FT. ~ [~ 4'-0" ELEVATION SANITARY 5'('ETEI'd PEEI¢N AND GONSTt~UGTION DETAIL N.TS. GAET I~N FRAHE AND C.,OV~R T( 24" 4" FVG-DDF.-D5 PIPE OF. EGglVAI..ENT PITCH 20" FLOP'[ LINE 24" 20" FINIE, t~D ~P. ABE ~ 12'-0" MAX. ,DEAR, IN~D I'-0" PRIN. Et. AR, .... F~(,,--EDR-~5 PIPE OF. EG~IV/~.ENT PITCH I/~"~T. HIN. F~E-(..,AST 4" .~Frlc TANK ~, 8' DIAi"~TEP. - 4' LIGUID DEPTH SEPTIC, TAN Pt=TAIL N.T.5. ;4" ~--~LEACHIN~ RIN~ ~/ FOOTIN5 RIN~5 (~'P) (REGUIP~D HNERE SOIL OR E~UIVALENT PITCH HIDE OOLLAR ALL AIEOI)NB(HHER5 NATIVE HATERTAL5 HAVE BEEN FATED A5 INADEQUATE BY THE SIT INSPECTOR) DRAPE t=ENC, E DETAIL @ LANDDd, APE BUFt=ER IUHBER I I 5I~N DETAIL 50DIUH (H.F.EJ COLONIAL LIF:~HTS HI1TI LIE, HT .SHIELD ~ AP. OJi,~ TOP OF POLE BA~E COi, lcRErE POLE BASE 4'uO" E,~LoH ~RADE 4,000 FEi 24" LIeHT POLE DETAIL ET.5. 5.C,.T.H.# 1000-55-5-10 NO. SP-2 ~) qUL~H 0 0 0 0 J 0 0 0 0 0 0 0 O~ 5TO~Y ~ILDIN~/ (~) i LANDD APE PLAN PLANTIN~ ~HEDULE ~1~ ~ ~ ~lO~ ~ 51.2~r.~AL REHARK5 A PIN OAK ~ p~I5 2 I/2' C~. B J B 5TAKE ~ TIE B ~A~-~ PI~ ~A-~N ~1~ 1~'-21" ~ ~ FLO~RI~ ~Y ~ ~LATA ~ 5 [/2' 6~. B * B 5T~ ~ TIE P ~A ~ ~ ~A 5 ~/~" 6~. B * B 5T~ * TIE ~ ~p~ ~ P~SA~ ~1~5 ~ I/~' ~. F~ - ~A~ TO ~ H ~ ~~-~ 5 I/2' O~. I ~ ~A~ ~1~ VI~INIA~ ~'~' K ~P~ ~I~PI~ Pl~ FAR~FLO~ ~A 5 - ~' I PO~ ~ ~YGERIA ~ATILI5 ~ P~ (2) L (~ ~) F IRRIGATION NOTES E 1000-55-5-10 o < < LP-1 Seal and Signatum: VACA. blT' oPT Id, AL APPROVED BY PLANNING BOAR,D __ TOWN oF $OUTHOLD DWG. NO. A-I p Y. o1--IT P-'I~AK P~ b !~VAT Is i-..I Seal and Signature: DWG. NO. A-2 PLANNING BOARD MEMB~ JERILYN B. WOODHOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSENI) PLANNING BOARD OFFICE TOWN OF SOUTHOLD MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 July 25, 2006 Mr. Steve Fontana CBD Group 29 Central Avenue Hauppauge, NY 11788 Re: Proposed New Site Plan for Dr. Scott Sheren Medical Office Located on the s/s/o Suffolk County Road 48, approximately 1,251' e/o Youngs Avenue in Southold SCTM #: 1000-55-5-10 Zoning District: General Business (B) Dear Mr. Fontana: The Southold Town Planning Board, at a meeting held on Monday, July 24, 2006, adopted the following resolutions: The final public hearing was closed. WHEREAS, this new site plan is for the proposed construction of a 2,940 square foot one-stow building for 2 medical offices that requires 15 parking spaces (20 proposed) on a vacant .49-acre parcel in the General Business Zone located on the s/s/o Suffolk County Road 48, approximately 1,251' e/o Youngs Avenue in Southold. SCTM #1000- 55-5-10; and WHEREAS, ONR LLC is the owner of the property located on the s/s/o Suffolk County Road 48, approximately 1,251' e/o Youngs Avenue in Southold; and WHEREAS, on April 28, 2006, the agent, Steve Fontana working for the applicant, Dr. Scott Sheren, submitted a new formal site plan for approval; and WHEREAS, on May 4, 2006, the Architectural Review Committee reviewed the architectural drawings and associated site plan materials and approved the project subject to conditions; and WHEREAS, on May 26, 2006, the Suffolk County Department of Public Works responded after review and approved the project under permit number 48-219; and Dr. Scott Sheren Medical Office Page Two July 25, 2006 WHEREAS, on June 12, 2006, the Southold Town Planning Board, acting under the State Environmental Quality Review Act (6 NYCRR), Part 617.5 c, makes a determination that the proposed action is a Type II and not subject to review; and WHEREAS, on June 14, 2006, the Southold Fire District responded that no additional requirements and/or recommendations for fire access are necessary; and WHEREAS, on June 21,2006, the Suffolk County Department of Planning responded after review and determined this matter is for "local determination as there appears to be no significant county-wide or inter-community impact(s)" and the Planning Board accepts this pursuant to 239L & M General Municipal Law; and WHEREAS, on June 22, 2006, the Suffolk County Department of Health Services responded after review and approved the project under reference number C10-06-0008; and WHEREAS, on July 6, 2006, the Southold Town Engineer reviewed the proposed site plan and requested further information; and WHEREAS, on July 12, 2006, the Southold Town Engineer reviewed the revised site plan materials and replied that all items have been addressed in a satisfactory manner; and WHEREAS, on July 14, 2006, the Southold Town Building Inspector reviewed and certified the site plan for a "Professional Office" use; and WHEREAS, the Southold Town Planning Board, pursuant to Chapter 58, Notice of Public Hearing, has received affidavits that the applicant has complied with the notification provisions; and WHEREAS, the following items shall be required: The applicant agrees to be bound by all of the requirements in the Declaration of Covenants & Restrictions for a cross access easement agreement date received July 11,2006 as approved by the Southold Town Planning Board on July 17, 2006 with the noted changes. All outdoor lighting shall be shielded so that the light source is not visible from adjacent properties and roadways. Lighting fixtures shall focus and direct the light in such a manner as to contain the light and glare within property boundaries. The lighting must meet town code requirements. 3. All signs shall meet Southold Town Zoning Codes and shall be subject to approval of the Southold Town Building Inspector. 4. As per the landscape survivability guarantee, the applicant agrees to replace any of the landscaping which dies within three (3) years of planting; be it therefore Dr. Scott Sheren Medical Office Page Three July 25, 2006 RESOLVED, that the Southold Town Planning Board has reviewed the proposed action under the policies of the Town of Southold Local Waterfront Revitalization Program and has determined that the action is consistent provided that the best management practices outlined in the July 10, 2006 memo prepared by the LWRP Coordinator are implemented; and be it further RESOLVED, that pursuant to Southold Town Code 100-254 Part I, the applicant agrees to incorporate all the requirements, comments, and recommendations of each reviewing agency as referenced above and as indicated on the site plan and corresponding attachments; and be it further RESOLVED, that the Southold Town Planning Board grant approval on the site plan drawings SP-1, SP-2, LP-1, A-1 & A-2 prepared by CBD Group and certified by Stephen S. Fontana, R.A. dated April 26, 2006 and last revised July 7, 2006 and authorize the Chairperson to endorse the site plans with the following conditions: The applicant agrees to file and record Declaration of Covenants and Restrictions for a cross access agreement as approved by the Southold Town Planning Board in the Office of the Suffolk County Clerk within sixty (60) days ownership of the subject parcel. A copy of the filed Declaration of Covenants and Restriction for a cross access agreement must be submitted to the Southold Town Planning Department within thirty (30) days of receipt. This requirement must be met within six (6) months of the resolution and if applicant/agent/owner fails to adhere to this requirement within the prescribed time periods, this approval shall become null and void. 2. The site plan approval requires that all work proposed on the site plan shall be completed within three (3) years from the date of this resolution. Prior to the request for the Certificate of Occupancy, the owner or authorized agent must request, in writing, the said Building Inspector and the Planning Board to perform an on-site inspection to find the site improvements are in conformity with the approved amended site plan. Prior to the request for an on-site inspection, the applicant/agent/owner must submit a copy of all required approvals from any necessary agencies to the Southold Town Planning Department. All conditions of Suffolk County Department of Public Works permit number 48-219 must be completed. Any changes in the approved permit must be submitted to this office for review. If such approval varies from this approved site plan, the Planning Board reserves the right to review a new site plan. If the as-built site improvements vary from the approved amended site plan, the Planning Board reserves the right to request a certified as-built site plan detailing all the changes. Dr. Scott Sheren Medical Office Page Four July 25, 2006 Any changes from the approved site plan shall require Planning Board approval, and any such changes without Planning Board approval will be subject to referral to the Town Attorney's Office for possible legal action. The Planning Board will issue a final site plan approval in the form of a letter following a site inspection and at the time the site improvements are found to be in conformance with the approved site plan. A copy of the approved amended site plan is enclosed for your records. As per the Town Code, one copy each will be distributed to the Building Department and Town Engineer/Highway Department. If you have any questions regarding the above, please contact this office. Very truly yours, Jerilyn B. Woodhouse Chairperson Eric. 66: Southold Town Building Department Southold Town Engineer Suffolk County Department of Public Works (Resolution only) File PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND May 22, 2007 PLANNING BOARD OFFICE TOWN OF SOUTHOLD MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cot. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 Steve Fontana CBD Group 29 Central Avenue Hauppauge, New York 11788 Dr. Scott Sheren Medical Office County Road 48, Southold SCTM #: 1000-55-5-10 Dear Mr. Fontana: At the written request of Steve Fontana date received May 10, 2007 requesting final site plan inspection, Planning Department staff performed a site visit on May 16, 2007. In reference to the above, the Planning Board held a work session on May21, 2007 to discuss the approved site plan prepared by Stephen S. Fontana dated April 26, 2006 and last revised July 7, 2006, the resolution dated July 25, 2006 and staff site visit comments regarding the above referenced site plan. This is to inform you that the site plan requirements have been satisfied and include the following items: · The Planning Board approves the additional door to the west elevation of the building and the attic as applied for with the Building Department. · As per the request from the agent, Stephen A~ Fontana, dated May 16, 2007, the Planning Board approves the adjustment of the 2-3 white pines in the front of the property. The applicant is proposing moving these trees off the berm and closer the parking area to avoid screening the existing business sign on the propertyto the east. · All handicap parking stalls, access aisles and signage must comply with New York State Code and ADA requirements. · Outdoor lighting shall be shielded so that the light source is not visible from adjacent properties and roadways. Lighting fixtures shall focus and direct the light in such a manner as to contain the light and glare within property boundaries. All lighting must meet town code requirements. · As per landscape suvdvability, the applicant agrees to replace any of the landscaping which dies within three (3) years of planting. Dr. Scott Sheren Medical Office Page Two May 22, 2007 · As per Town Code $280-127, "anychange in use or intensity of use which will affect the characteristics of the site in terms of parking, loading, access, drainage, open space or utilities will require site plan approval". · The applicant agrees to complete all work, as necessary, with Suffolk County Department of Public Works under Highway Work Permit # 48-219. This letter does not condone any changes from the as-built site plan and approvals from other agencies if required. Respectfully yours, Chairperson File Building Department Engineering Department THOMAS LAGUARDIA, P.E. CHIEF DEPUTY COMMISSIONER STEVE LEVY SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF PUBLIC WORKS GILBERT ANDERSON, P.E. COMMISSIONER May 29, 2007 Dr. Scott Sheren 19 Tamners Neck Lane West Hampton, NY 11977 RE: Permit #48-219 Bond #70152329 is released and herewith enclosed. Please return your bond to your Bonding Company. To Whom It May Concern: This is to advise you that work under the above-referenced permit has been inspected and found to be completed in a satisfactory manner to this Department. WH:MPC:dm cc: Town of Southold Very truly yours, William Hillman, P.E. Chief Engineer Director of Highway Planning & Permits 335 YAPHANK AVENUE SUFFOLK COUNTY IS AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER · YAPHANK, N.Y. 1 ! 980 · (631) 852-4010 FAX: (631) 852-41 SO CBD GENERAL CONTRACTORS CONSTRUCTION MANAGEMENT DESIGN AND CONSTRUCTION CORP. 29 Central Avenue Hauppauge, NY 11788 Phone (631) 234-8855 Fax (631) 234-8903 May 16, 2007 Ms. J.B. Woodhouse, Chairperson Town of Southhold Town Hall Southold, NY 11971 Re: Dr. Sheren Medical Building, 46850 County Road 48, Southold Dear Ms. Woodhouse: Please be advised of the following changes and outstanding issues at the subject premise: 1. The exterior exit door located on the west side of the building was required by the building department. 2. The parking lot striping shall be installed in accordance with the approved Site Plan. This work is scheduled for Today, May 16, 2007. 3. We will be adjusting 2-3 White Pine trees from their present location. The adjacent property owner has expressed his concern that they are screening his street sign. We respectfully request final planning approval subject to the items listed. CBD GENERAL CONTRACTORS CONSTRUCTION MANAGEMENT DESIGN AND CONSTRUCTION CORP. 29 Central Avenue Hauppauge, NY 11788 Phone (631) 234-8855 Fax (631) 234-8903 April 27, 2007 Ms. J.B. Woodhouse, Chairperson Town of Southhold Town Hall Southold, NY 11971 Re: Dr. Sheren Medical Building, 46~~y~R~ad4~7, 8outhotd Dear Ms. Woodhouse: We respectfully request a final site inspection at the subject premise on or around May 16th. Please call and confirm the inspection date so that I can meet with you at the site. ted, PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND PLANNING BOARD OFFICE TOWN OF SOUTHOLD MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cot. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 April 17, 2007 Steve Fontana CBD Group 29 Central Avenue Hauppauge, New York 11788 Dr. Scott Sheren Medical Office County Road 48, Southold SCTM #: 1000-55-5-10 Dear Mr. Fontana: The Planning Board, at their work session on Monday, April 16, 2007, reviewed your request, dated April 16, 2007, regarding the construction of 6' wood stockade fencing around a portion of the property as shown on the hand drawn plan date received April 16, 2007. Please be aware that Planning Board approved construction of a 6' wood stockade fencing and 64' of PVC fencing as shown on the proposed plan enclosed. All construction must comply with Town Code. This letter will serve as permission from the Planning Board for this proposed change. This letter does not condone any other site plan changes and or approvals from other agencies if required. Please do not hesitate to contact this office should you have any questions or need anything further. Sincerely, Chairperson File Building Department Engineering Department Enc.: Proposed site plan showing fencing Iq435' ~I'F~ DATA~ 5At~AI~ 5Y~113,t DF.51~q DATA~ · 'F~ST HOLt= ~ATA -e put.,, 511"~ PLAN \ , // 5 0~," 5'1' 50" E HEALTH DEPAF~THENT DEAL PLAN 5.C,T.H.# SP-1 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 32493 Z Date NOVEMBER 15, 2006 Permission is hereby granted to: ONR LLC PO BOX 1266 SOUTHOLD,NY 11971 for : CONSTRUCTION OF A ONE STORY MEDICAL OFFICE BUILDING WITH ATTIC AS APPLIED FOR PER PLANNING AND SCHD APPROVAL. at premises located at 46850 CR 48 SOUTHOLD County Tax Map No. 473889 Section 055 Block 0005 Lot No. 010 pursuant to application dated SEPTEMBER 22, 2006 and approved by the Building Inspector to expire on MAY Fee $ 782.00 15, 2008. orl ~'~' Rev. 5/8/02 COPY 16 07 12:!4p CBD ~.12348903 CB D :DESIGNANDCONSTRUCTION'CORP. i , GENERAL C. ONTRgCTOR~ CONSTRUC?ION .MA NACiEM EN'lr April 16, 2007 Ms. J.B. Woodhouse, Cl~hperson Town of Southhold Town Hail Southold, NY 1 l ~71 Re: i 29 Central Avenue Hauppauge, NY 11788 [ Phone (631)234-g855 Fax (631) 234-8903 Dr. Sheren M~ic¢ Buildiug, 46850 Comty RoM 48, SouLhold Dear Ms. Woodhouse: Please be advised that we are seeking approval for a 6'-0" high cedar stockade fence. The fence will be along the rear (south) propea'ty line and along the east and west side property ;inc. The proposed additional fencing will not go beyond the fi'ont faqade oft,he building. Thank you for your consideration in this matter. Respectfully sqbmitted, Stcvi: F~fitana Submission Without a Cover Letter Sender: SCTM#: 1000- 5~' -- C_> --- [ 0 N/O4= Iq4~' 51T~ DATA: PAI~ GALr,4,IATION: ,~N,IITA.~Y 5YSTEH DF_.5~ DATA: / puc, TE~T HOLE DATA · ~T~. ~1~ ELAN HEALTH C~EPA~TMENT SEAL el5 D O~° 57' ~' E KEY PLAN 5.G.T.t,4.# 1000-55-5-10 SP-1 ~IAM ES SPIESS NcNULTY- SPIESS, P.C. ATTORNEYS &COUNSELORS AT LAW 1~ I 4 ROANOKE AVENUE P. 0. [SOX 757 RIV*ERHEAD, NEWYORK I I~01 631 - 7~'7-8200 FAX ~31-7~7-8~2 ~OHN R. McNULTY OFCOUNSEL October 31, 2006 Stephen S. Fontana, RA CBD Group 29 Central Avenue Hauppauge, New York 11788 RE: Scott B. Sher~thold Medical Arts___Buildin~. Dear Mr. Fontana: Pursuant to your telephone conversation with my office today, I am enclosing two (2) original Declaration of Covenants and Restrictions which have been signed by Dr. Sheren. Should you have any questions, please do not hesitate to contact JS:pvs Enclosures Very truly yours, DECLARATION OF COVENANTS AND RESTRICTIONS THIS SOUTHOLD Road 48, Declarant. DECLARATION, made the ~] day of October, 2006, by MEDICAL ARTS BUILDING, INC., with offices at County Southold, New York, 11971, hereinafter referred to as the WITNESSETH WHEREAS, the Declarant is the owner of certain real property situate at County Road 48, Southold, County of Suffolk, State of New York, known as SCTM No. 1000-055-05-010 more particularly described as set forth in Schedule A annexed hereto; and WHEREAS, the Declarant has made application to the Planning Board of the Town of Southold for the approval of a site plan for said premises as shown on the map entitled, "Proposed Building for East End Eye, Southold, N.Y." prepared by CBD Group, dated April 26, 2006 and last revised July 7, 2006; and WHEREAS, a Resolution was duly adopted at a meeting of the Town of Southold Planning Board held on , 2006, which Resolution authorized the Chairman or Secretary of the Board to affix his or her signature to the endorsement prescribed by the Board upon the final site plan when the Declarant filed a covenant in a format acceptable to Counsel for the Town of Southold Planning Board stating that the Declarant would in the future enter into cross access easement agreements with the owners of the properties adjoining the subject premises to the east and west; and WHEREAS, for and in consideration of the granting of said site plan approval, the Planning Board of the Town of Southold has deemed it to be for the best interests of the Town of Southold and the owners and prospective owners of the subject premises and the adjoining properties that the within covenants and restrictions be imposed on said parcels, and as a condition of said approval, said Planning Board has required that the within Declaration be recorded in the Suffolk County Clerk's Office; and WHEREAS, the Declarant has considered the foregoing and has determined that the same will be in the best interest of the Declarant and subsequent owners of the subject premises. NOW, THEREFORE, THIS DECLARATION WITNESSETH: That the Declarant, for the purpose of carrying out the intentions above expressed, does hereby make known, admit, publish, covenant and agree that the said premises herein described shall hereafter be subject to the following covenants and restrictions which shall run with the land and shall be binding upon all purchasers and holders of said premises, their heirs, executors, legal representatives, distributees, successors and assigns, and enforceable by the Town of Southold, to wit: a) The owner of the subject premises agrees, upon request of the Town of Southold Planning Board, to enter into cross access easement agreements with the owners of the properties adjoining the subject premises to the east and west, so as to the facilitate the cross access areas as depicted on the map entitled "Proposed Building for East End Eye, Southold, N.Y." prepared by CBD Group, dated April 26, 2006 and last revised July 7, 2006. A waiver or judicial invalidation of a certain covenant and restriction contained herein shall not affect any other covenant and restriction contained herein which shall remain in full force and effect. IN WITNESS WHEREOF, the undersigned Declarant has executed this covenant this ~ day of (~~ , 2006. S 0 UTH 0 ~ff,~C~.~RT~LDI NG, INC. Scott B.~~~, President STATE OF NEW YORK ) ) SS.: COUNTY OF SUFFOLK ) On the ~. day of October, 2006 before me, the undersigned, personally appeared SCOTT B. SHEREN, personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity, and that by his signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument. ///(~TARY PUBLIC / No;ary Public, < · ¢: ~* New York QuoiifJed ~r: ~t:'~'e'ht~ Coun~ Commizsion ixpire~ r~arch ~, DECLARATION OF COVENANTS AND RESTRICTIONS THIS DECLARATION, made the J~{ day of October, 2006, by SOUTHOLD MEDICAL ARTS BUILDING, INC., with offices at County Road 48, Southold, New York, 11971, hereinafter referred to as the Declarant. WITNESSETH WHEREAS, the Declarant is the owner of certain real property situate at County Road 48, Southold, County of Suffolk, State of New York, known as SCTM No. 1000-055-05-010 more particularly described as set forth in Schedule A annexed hereto; and WHEREAS, the Declarant has made application to the Planning Board of the Town of Southold for the approval of a site plan for said premises as shown on the map entitled, "Proposed Building for East End Eye, Southold, N.Y." prepared by CBD Group, dated April 26, 2006 and last revised July 7, 2006; and WHEREAS, a Resolution was duly adopted at a meeting of the Town of Southold Planning Board held on ., 2006, which Resolution authorized the Chairman or Secretary of the Board to affix his or her signature to the endorsement prescribed by the Board upon the final site plan when the Declarant filed a covenant in a format acceptable to Counsel for the Town of Southold Planning Board stating that the Declarant would in the future enter into cross access easement agreements with the owners of the properties adjoining the subject premises to the east and west; and WHEREAS, for and in consideration of the granting of said site plan approval, the Planning Board of the Town of Southold has deemed it to be for the best interests of the Town of Southold and the owners and prospective owners of the subject premises and the adjoining properties that the within covenants and restrictions be imposed on said parcels, and as a condition of said approval, said Planning Board has required that the within Declaration be recorded in the Suffolk County Clerk's Office; and WHEREAS, the Declarant has considered the foregoing and has determined that the same will be in the best interest of the Declarant and subsequent owners of the subject premises. NOW, THEREFORE, THIS DECLARATION WITNESSETH: That the Declarant, for the purpose of carrying out the intentions above expressed, does hereby make known, admit, publish, covenant and agree that the said premises herein described shall hereafter be subject to the following covenants and restrictions which shall run with the land and shall be binding upon all purchasers and holders of said premises, their heirs, executors, legal representatives, distributees, successors and assigns, and enforceable by the Town of Southold, to wit: a) The owner of the subject premises agrees, upon request of the Town of Southold Planning Board, to enter into cross access easement agreements with the owners of the properties adjoining the subject premises to the east and west, so as to the facilitate the cross access areas as depicted on the map entitled "Proposed Building for East End Eye, Southold, N.Y." prepared by CBD Group, dated April 26, 2006 and last revised July 7, 2006. A waiver or judicial invalidation of a certain covenant and restriction contained herein shall not affect any other covenant and restriction contained herein which shall remain in full force and effect. IN WITNESS WHEREOF, the undersigned Declarant has executed this covenant this __.~/ day of ~ , 2006. BY:/ ~-~'" /,.~,///'" ' ~'- Scott B. She/~resident STATE OF NEW YORK ) ) SS.: COUNTY OF SUFFOLK ) On the _~/, day of October, 2006 before me, the undersigned, personally appeared SCOTT B. SHEREN, personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity, and that by his signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument. NO'~ PUBLIC~, ,,,/// Qu.alified m ~ueen,.~ Counly Commi:~ion Expires March 30, PLANNING BOARD MEMBER~ JERILYN B. WOODHOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 From: Date: Re: James Richter, Town Engineer Michael J. Verity, Chief Building Inspector Amy Ford, Senior Planner_~ 6 November 2006 Dr. Scott Sheren Medical Office County Road 48, Southold SCTM #: 1000-55-5-10 For your information please find attached the SCDPW Highway Work Permit, surety bond, a photocopied portion of the plan showing SCDPW approval stamp (hand revised) and a full copy of the finalized plan which was reviewed and approved by SCDPW (as per Vincent Gibaldi of CBD Group, the contractor). Please do not hesitate to contact this office should you have any questions or need anything further. Thank you. PLANNING BOARD MEMBERS JERILYN B. WO'ODHOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND PLANNING BOARD OFFICE TOWN OF SOUTHOLD MAIliNG ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 FACSIMILE TRANSMITTAL SHEET TO: Vincem J. Gibaldi COMPANY: CBD Group FAX NUMBER: 631.234.8903 RE: Dr. Scott Sheren Medical Office FROM: AmyFord. DATE: 2 November 2006 TOTAL NO. OF PAGES INCLUDING COVER: 3 As discussed, please find attached Town Code $280-130 B. For further clarification please contact Edward Forrester in Code Enforcement at 631.765.1939 or the Building Department at 631.765.1802. Please let me know if you have any further questions. Tha~you. Town of $outhold PC/Codebook for Windows § 280-130. Approval of site plan required. After the filing of an application for a building permit, the Building Inspector shall make a determination as to whether a site plan or an amendment thereto is required, and this written determination shall be forwarded to the Planning Department for comment. The Planning Department must provide written comments on this determination to the Building Inspector within five business days, or be deemed to have waived the opportunity to comment. After review of comments, or after the time period for comment has elapsed, the Building Inspector shall issue a final determination to the applicant, which shall in no event be more than 15 business days from the filing of the application. Such determination shall also include a written decision as to whether the proposed use is permitted and whether a special exception is required from the Zoning Board of Appeals. No building permit shall be issued for any structure or building for which use a site plan is required pursuant to this chapter, until, if required, an approved site development plan or approved amendment of any such plan has been secured by the applicant from the Planning Board and presented to the Building Inspector, along with all necessary approvals and permits as may be required by other public agencies. [Amended 5-15-1995 by L.L. No. 8-1995; 3-9-2004 by L.L. No. 8-2004; 12-14-2004 by L.L. No. 25-2004] No regrading, clearing, tree removal or any other work in preparation of future use of a site, except limited clearing needed to undertake survey work or soils investigations, may take place or be permitted to take place until the site plan has been approved by the Planning Board. No certificate of occupancy shall be issued for any building, structure, premises, lot or use of land covered by this article unless the structure has been completed (whether the structure is being constructed, renovated, reconstructed, altered, moved or put into use), and the site is developed in accordance with an approved site development plan or approved amendment of any such plan. D. Upon request of the owner or his authorized agent for a certificate of occupancy, the Building Inspector shall issue the certificate, provided that said Building Inspector, along with the Planning Board, shall find that such building or structure and site is in conformity with the approved site plan. Eo After a certificate of occupancy is issued, there shall be no exterior alterations of a building that expand the footprint or any revisions of the site or changes of use without first obtaining Planning Board approval. Failure to obtain site plan approval shall be a violation of this article and shall be subject to such penalties as are set forth in § 280-155 of this chapter. [Amended 6-7-2005 by L.L. No. 1 Go Ho Town of Southold PC/Codebook for Windows 8-2005] Failure to comply with a term or condition of an approved site plan shall be a violation of this article and shall be subject to such penalties as are set forth in § 280-155 of this chapter. [Added 6-7-2005 by L.L. No. 8-2005] Upon recommendation of the Planning Board and approval of the Town Attorney, the Building Inspector may revoke an existing certificate of occupancy upon a showing that the subject premises is being occupied or used in violation of an approved site plan and may direct that such occupancy or use be discontinued. The Town Attorney is authorized to commence proceedings in a court of appropriate jurisdiction to restrain said use or occupancy. [Amended 6-7-2005 by L.L. No. 8-2005] 2 Submission Without a Cover Letter Sender: Subject: SCTM#: 1000- C5 Date: ]O('~fO~ Comments: lo CBD GENERAL CtTRACTORS C~NSTRUCTION IV~ANAGEMENT DESIGN AND CONSTRUCTION CORP. 29 Central Avenue ° Hauppauge, NY 11788 Phone (631) 234-8855 Fax (631) 234-8903 Vincent J. Gibaldi FOLK COUNTY DEPARTMENT OF PUBLIC WOt HIGHWAY WORK PERMIT REVIEW FEE MAINT SEC SECURITY PERMIT FEE BOND # ....... $200.-0~----- ] DATE PAID i ................ j DATEPAID [ $30,000.00 _] DATE PAID [ ...... ~-1 ,~.~ .... -] DATE PAID PERMITTEE ~.-~gt~h~ - ADDRESS [19 Tanners Neck Lane West Hampton,NY 11977 LETTER OF CREDIT # RETURN SECURITY TO THE FOLLOWING (IF DIFFERENT) PURSUANT TO THE PROVISIONS OF SECTION 136, ART. 6, OF THE NEW YORK STATE HIGHWAY LAW, PERMISSION IS HEREBY GRANTED TO THE PERMITTEE TO: Construct a 28 ft. wide commercial street type access with full depth asphalt pavement, concrete curbs with 25 ft. curb return radii and pedestrian ramps. Install 111 ft. of 5 ft. wide concrete sidewalk, full depth 6" asphalt pavement concrete curbing with pedestrian ramps, install a Type "D" leaching basin with frame and grate. Provide a paved 30 ft. wide temporary construction access extending into the site. Pavement will be constructed of 4" dense binder asphalt and 6" stabilized based matedal (see detail provided). Access to the remainder of the County road frontage must be restricted by fencing or other means approved by Suffolk County. Provide means for maintaining Suffolk County right-of-way clear of construction debds and a road sweeper must be available at all times. Maintenance and protection of traffic (MPT) requires at a minimum: flaggers, work zone warning signs (i.e. road work ahead, fiagger ahead, be prepared to stop, trucks entering/exiting highway) and traffic control devices per NYS MUTCD. All drainage structures impacted by this operation must be cleaned dudng and after this operation ceases. Restore the county right-of-way. Prior to the start of any work, the stamped permit plan and attached construction detail and notes must be provided to the applicant's contractor and said contractor must arrange a pre-construction meeting with Ken Dantzig at 852-4788 a minimum of 48 hrs. prior to start of work. Concrete can only be poured when the temperature will be above 32 degrees for more than 7 days after pour. Asphalt and thermoplastic markings can only be installed when ground temperature is above 42 degrees. All work shall be performed with this Department's most recent general, traffic and material specifications and as directed by the County engineer. IN THE HAMLET/VILLAGE OF: S~_o_'~.t_~..o_-!d- --~ii.~f_-.~-/_-_~ IN THE TOWN OF: ISouthold ] AS SET FORTH AND REPRESENTED ON THE ATTACHED PLANS, TYPICAL SECTIONS AND PURSUANT TO THIS DEPARTMENT'S GENERAL SPECIFICATIONS. REVIEWED BY DATE SIGNED: /~)~//~O~ PERMITS ENGINEER: (Initial) CHARLES J. BARTHA, P.E. COMMISSIONER OF PUBLIC WORKS Chief Engineer UPON COMPLETION OF WORK AUTHORIZED BY THIS PERMIT, PLEASE COMPLETE THE FOLLOWING AND RETURN TO THIS DEPARTMENT. WORK AUTHORIZED BY THIS PERMIT HAS BEEN COMPLETED, REFUND OF DEPOSIT/BOND IS REQUESTED. DATE: SIGNATURE OF PERMITTEE/AGENT [DO NOT WRITE BELOW THIS LINE ~l ALL WORK AUTHORIZED BY THIS PERMIT IS: DATE: COMPLETED, REFUND DEPOSIT/BOND SECURITY REQUIRED. AMOUNT: INCOMPLETE. SEND CORRECTION LETTER. DATE SENT: REINSPECT1ON. DATE CORRECTED AND COMPLETED: OTHER PERMITS INSPECTOR: DATE: PERMITS ENGINEER: .~,41T #: 48-219 BOND NO. I'YpE: NU KNOW ALL MEN BY THESE PRESENTS, that we of 19 Tanners Neck Lane,West Hampton,NY 11977 (.herejnafter called the PRINCIPAL), and the co'~O-r~ti-o ~ ";;-~.'.'_~ -~ ~_ ~f~- ~_ ~i'~(~it ~,~i.i~.~) ~-~__i.?J ............ (hereinafter called the SURETY), as SURETY, are held and firmly bound unto the COUNTY OF SUFFOLK (hereinafter called the OBLIGEE) in the sum of Thirty Thousand Dollars And No Cents ( $30,000.00 ), lawful money of the United States of America, for which payment well and truly to be made, said PRINCIPAL and SURETY bind themselves, firmly by these presents. their successors and assigns, jointly and severally, ~ ~t~,V~10_~__~__~ SEALED with our seals and dated this ------~-~-- ......... day of ,20 {~ ~ · WHEREAS, the PRINCIPAL has applied to the Commissioner of Public Works, Department of Public Works Suffolk County, New York, for a permit under Section 136, Article 6 of the Highway Law, for permission to Construct a 28 ft. wide commercial street type access with full depth asphalt pavement, concrete curbs with 25 ft. curb retum radii and pedestrian ramps. Install 111 ft. of 5 ft. wide concrete sidewalk, full depth 6" asphalt pavement concrete curbing with pedestrian ramps. "" ' .' with fr m n . Provide a paved 30 ft. wide temporary construction access extendi~se binder asphalt and'6" stabilized based material (see detail provided). Access to the remainder of the County road frontage must be restricted by fencing or other means approved by Suffolk County. Provide means for maintaining Suffolk County right-of-way clear of construction debris and a road sweeper must be available at all times. Maintenance and protection of traffic (MPT) requires at a minimum: taggers, work zone warning signs (i.e. road work ahead, tagger ahead, be prepared to stop, trucks entering/exiting highway) and traffic control devices per NYS MUTCD. All drainage structures impacted by this operation must be cleaned during and after this operation ceases. Restore the county fight- of-way. Prior to the start of any wOrk, the stamped permit plan and attached construction detail and notes must be provided to the applicant's contractor and said contractor must arrange a pre-construction meeting with Ken Dantzig at 852-4788 a minimum of 48 hrs. prior to start of work. Concrete can only be poured when the temperature will be above 32 degrees for more than 7 days after pour. Asphalt and thermoplastic markings can only be installed when ground temperature is above 42 degrees. All work shall be performed with this Department's most recent general, traffic and material specifications and as directed by the County engineer. WHEREAS, the issuance of such permit is conditioned upon the PRINCIPAL filing a SURETY bond to guarantee construction or replacement of curbs, sidewalks, drainage structures, curb cuts and other work deemed necessary J3y th.e COMMISSIONER OF PUBLIC WORKS, County of Suffolk, New York, for a period commencing 3~ _.~_I~'¥' ~.1~ t_;;)~~ ,and continuing in full force and effect until the required work has been completed and accepted by the Commissioner of Public Works of Suffolk County, New York. NOW, THEREFORE THE CONDITIONS OF THIS OPERATION IS SUCH that if the PRINCIPAL, shall comply with such permits as ara issued by the said Commissioner of Public Works under the aforementioned Highway -. Law, then this obligation shall be void, otherwise it shall remain in full force and effect. DPW-116 SU~LK COUNTY DEPARTMENT OF PUBLIC WORK/ ~ HIGHWAY WORK PERMIT ~ REVIEW FEE MAINT SEC SECURITY PERMIT FEE BOND # $200 00 ........... '~___ I DATE PAID ...... DATE PAID _ __ v,. ~. __. ...... __~ DATE PAID .... $~.so0,oF - - ......... '_' ..... _"'__ i DATE PAID RETURN SECURITY TO THE FOLLOWING (IF DIFFERENT) PURSUANT TO THE PROVISIONS OF SECTION 136, ART. 6, OF THE NEW YORK STATE HIGHWAY LAW, PERMISSION IS HEREBY GRANTED TO THE PERMITTEE TO: Construct a 28 ft. wide commercial street type access with full depth asphalt pavement, concrete curbs with 25 ft. curb return radii and pedestrian ramps. Install 111 ft. of 5 ft. wide concrete sidewalk, full depth 6" asphalt pavement concrete curbing with pedestrian ramps. Install a Type "D" leaching basin with frame and grate. Provide a paved 30 ft. wide temporary construction access extending into the site. Pavement will be constructed of 4" dense binder asphalt and 6" stabilized based matedal (see detail provided). Access to the remainder of the County road frontage must be restricted by fencing or other means approved by Suffolk County. Provide means for maintaining Suffolk County right-of-way clear of construction debds and a road sweeper must be available at all times. Maintenance and protection of traffic (MPT) requires at a minimum: flaggers, work zone warning signs (i.e. read work ahead, fiagger ahead, be prepared to stop, trucks entering/exiting highway) and traffic control devices per NYS MUTCD. All drainage structures impacted by this operation must be cleaned dudng and after this operation ceases. Restore the county right-of-way. Pdor to the start of any work, the stamped permit plan and attached construction detail and notes must be provided to the applicant's contractor and said contractor must arrange a pre-construction meeting with Ken Dantzig at 852-4788 a minimum of 48 hrs. prior to start of work. Concrete can only be poured when the temperature will be above 32 degrees for more than 7 days after pour. Asphalt and thermoplastic markings can only be installed when ground temperature is above 42 degrees. All work shall be performed with this Department's most recent general, traffic and matedal specifications and as directed by the County engineer. IN THE HAMLET/VILLAGE OF: ~o_~_~-l-o~'d~'~---__~ _~_--~ IN THE TOWN OF: I~o~.~- ............... } AS SET FORTH AND REPRESENTED ON THE ATTACHED PLANS, TYPICAL SECTIONS AND PURSUANT TO THIS DEPARTMENT'S CHARLES J. BARTHA, P.E. COMMISSIONER OF PUBLIC WORKS - ~' lam Hillman, Pff4~; - ,'~ll~hief Engineer GENERAL SPECIFICATIONS. REVIEWED BY DATE SIGNED: /t~//~ PERMITS ENGINEER: (Initial) UPON COMPLETION OF WORK AUTHORIZED BY THIS PERMIT, PLEASE COMPLETE THE FOLLOWING AND RETURN TO THIS DEPARTMENT. WORK AUTHORIZED BY THIS PERMIT HAS BEEN COMPLETED, REFUND OF DEPOSIT/BOND IS REQUESTED. DATE: SIGNATURE OF PERM1TTEE/AGENT Ioo w ITE RE ow ra s ALL WORK AUTHORIZED BY THIS PERMIT IS: COMPLETED, REFUND DEPOSIT/BOND SECURITY REQUIRED. AMOUNT: INCOMPLETE. SEND CORRECTION LETTER. DATE SENT: REINSPECTION. DATE CORRECTED AND COMPLETED: OTHER DATE: PERMITS INSPECTOR: ................................................... DATE: .................. PERMITS ENGINEER: ................................................................. SUFFOLK DEPARTMENT 0} PUBLIC ff0RKS HIGHWAY, TRAFFIC, AND BRIDGE DIVISIONS STANDARD SHEETS Pa e No. Reference No. Description 1 SC2-88 Benching Details 2 SC14-88 Reinforced Concrete Pipe 3 SC14ES-88 Reinforced Concrete Pipe End Sections 4 SC14W-88 Reinforced Elliptical Concrete Pipe 5 SC20-88 Headwall & Spillway & Typical Section Recharge Basin 6 SC27C-89 Longitudinal Joint Tie, Item No. 27C 7 SC27S-89 Transverse Joint Support, Item 27S 8 SC30-88 Frames, Grates, and Covers 9 SC33D-88 Heavy Post Blocked Out Corrugated Beam Guide Railing 10 SC33D-88N Heavy Post Blocked Out Corr'Ugated Beam Guide Railing 11 SC33DA-88 Approach Anchorage Unit for~Heavy Post Blocked Out Corrugated Beam Guide Railing 12 SC33DB Corrugated Beam Type Guide Rail Approach and Connection to Bridge Rail 13 SC33DBR Transition Assembly, Four Rail Bridge Railing Heavy Post Blockout Corrugated Beam Guide Railing 14' SC33MB-88 Heavy-Post Blocked Out Corrugated Beam Median Barrier 15 SC51-89 Standard Left Turn Treatment for Holding Lanes Pa Noy ReferenCe No. DeScription 16 SC51D-9§ Curb, SideWalk, Restoring Driveways and Pavement Restoration 17 SC76-88 Construction signs and Barricade Details 18 SC76B-88 Maintenance and Protection of Traffic I9] SC100D-88 iDrainage Structure, Precast Leaching ! Basin, Type "D" & Type ' DX'' 20 SC100F-94 Precast Leaching Basin TYPe Fl, F2, F3 21 SC100G-89 Precast Leaching Basin Type Gl, G2, G3- 22 SC102S-88 Catch Basihs & Manholes 23 SC102S2-89 Catch Basins, Type El, F.2, & E3 24 SC105-95 Sidewalk Ramp Details 25 SC106-88 Chain IAnk Fencing Details 26 SCP-106-89 Park Fence & Gate Details 27 SC124-89 Sodding and Sodded- Drainage Ways 28 SC127-88 Tree Planting: .... 29 SCTGT-88 General Traffic Notes Le'g~nd arid Clearance Table 30 SCT4-88 Traffic Signal Details 31 SCT4M-88 Traffic Signal Details No.~ Reference No. Description 32 SCT20-88 Traffic Signal Details 3'3 .... ~CT~2-~)~,- ..... Traffic Signal Details 34 SCT21-88 Traffic Signal Details 35 SCT23-88 Traffic Signal Details 36 SCT71-88 Overhead Sign Installation 37 SCT645.1-88 Guide Sign Details 38 SCT645.2-88 Sign Post Details 39 SCT§45.3-88 Road Number and Route Marker Details 40 SCT645.4-88 Standard Regulatory and Warning Signs 41 SCT650.1-88 Plowable Prismatic Markers, Typical Details 42 SCT685-88 Standard Regulatory and Warning 43: ........... ~,Ioint Sealers 44 ~ :--~ .... Temporary Cencrete Bottler 45 Ref. NYS DoT Steel Bridge Railing- Four (4) Rail BDD89-SaA ICOMPILED 5/1/1997 D~rF"~,~TMrI¢'T C~r PL~L. IC WORKS Y,I, PHA#K ,14~W ~ r 4,1t,'~ 4L COt/STRUCTI041 KEY' OPTAI/ ~ · . ~'- ,,~. ! ! I EIlO J~Crl Olt P~ECA J T TOP' 5ZA ~ . TYPP %" J¢~ ~.b. ~"= · ;o' I I PNECAST TOP Gz4~- ~P~ &PPI~OVED BY: -'~ l-- .~f-/. C I~OGL~I M£EKER P.E., CHIEF ENGINEER CO UI4T¥ OF-~UFFOLI~ I,,I L-'W OE-PAi:ITMDIUT OF. PUDLJC ORA.CAGE' ~TI:~UCTUR E PR~:;AST LF::ACHIIdG OAGIN TYPE'*O' & TYPE "DX' · /9 Souti WE ARE DATE A~TION ~ Amy Ford RE; Plans THESE ARE TRANSMI-I-rED as checked below: [] For approval [] [] For your use [] [~ As requested [] [] For review and comment [] [] FOR BIDS DUE Approved as submitted Approved as noted Returned for corrections [] Resubmit copies for approval [] Submit copies for distribution [] Return corrected prints [] PRINTS RETURNED AFTER LOAN TO US REMARKS ** As per your request for town engineers and building department ** '~OPY TO SIGNED: Vinnie Gibaldi If enclosures are not as noted, kindly notify us at once. DATE RE: WEARE 1 1 1 1 1 lO/11/o 9/21/o6 4/26/06 4/26/06 lO/4/o6 Permit Work Permit - Suffolk County Dept. of Public Works Standard Sheets - Highway, Traffic & Bridge Divisions SP-1 - Sealed SP-1 & SP-2 SP-3 THESE ARE TRANSMITTED as checked below: REMARKS [] For approval [] For your use [] As requested [] For review and comment [] FOR BIDS DUE [] Approved as submitted [] Approved as noted [] Returned for corrections [] Resubmit [] Submit [] Return copies for approval copies for distribution corrected prints [] PRINTS RETURNED AFTER LOAN TO US COPY TO SIGNED: Vinnie Gibaldi If enclosures are not as noted, kindly notify us at once. ,sed Ske Dr. Scott Sheren Medical Office Tax Map # 1000-55-5-10 LASER FICHE FORM Planning Board Site Plans and Amended Site Plans SPFile Type: Approved Project Type: Site Plans Status: Final Approval SCTM #: 1000 - 55.-5-10 Proiect Name: Sheren Medical Building Address: 46250 Route48, Southold Hamlet: Southold Applicant Name: Dr. Scott Sheren Owner Name: ONR LLC Zone 1: B Approval Date: 7/24/2006 SCANNED Records Management OPTIONAL ADDITIONAL INFORMATION A date indicates that we have received the related information End SP Date: 7/24/2006 Zone 2: Zone 3: Location: SC Filing Date: C and R's: Home Assoc: R and M Agreement: SCAN Date: TOW~'~F SOUTHOLD PLANNIN~IOARD SITE PLAN APPLICATION SECTION A: Site Plan Name and Location Application Date: / / Site Plan Name: i5>~-- ~r~.o-'F'F ~ ~lt~aOw"~,ac.. Suffolk County Tax Map #1000-_~'~ - o_5 - Other SCTM #s: b,}/,~ .... Street Address: ~ o~.T'14 I~.~.~,~'> Hamlet: Distance t0 nearest intersecti0n: _ 2 q -/~ I.q~_~' ot= Type of Site Plan: v/ New Amended If Amended, last approval date: / / Residential SECTION B: Owners/Agent Contact Information Please list name, mailing address, and phone number for the people below: Property Owner_ D Iq] ~ L L- ~2, Street ~ o,~ f-,/~t-44u'F' ~-c~----u~T City ~-~-~-~-~-~-~-~-~u;&~.Tc.~4 'i',m4~.x.~,q~p _State Home TelephoneFo~l '7r, a.~-._.c.c.c.c.c.c.c.c~ i~ Other Applicant I227~. Street J c1 TPoqM~-~ M~-~ City k4r-qST H..~r,-,pT'c_.~q State Home Telephone C~i 3ci, q -~'7-/O Other Zip Iiq77 Applicant's Agent or Representative: Contact Person(s)* ~T,~-_~/~-= Street ~. City M,~t~t:'~'~,oc'.,/~-~ State tqm4 yE~o<. Zip i ~ -/~ Office Telephone ~,:5,1 2.B4- -F-~55 Other ~3>1 +~M- - 4~4"7 *Unless other;vise requested, correspondence will be sent only to the contact person noted here. Page 1 of 2 10/05/05 · SECTION C: Site Data Proposed construction type: New Property total acreage or square footage: Modification of Existing Structure Change of use 4 el ac./sq, ft. Site Plan build-out acreage or sqnare footage: ~ ~_c] ac./sq, ft. Agricultural Is there an existing or proposed Sale of Development Rights on the property? Yes __ If yes, explain: No ~ Property Zoning District(s): ~.. F_/qF=~-~,L _/~cl~-~tr4F:~;.-~ 1~ Building Department Notice of Disapproval Date: _-~ /225 /~.oo~ Is an application to the Southold Town Zoning Board of Appeals required? Yes __ If yes, have you submitted an application to the ZBA? Yes No '~ If yes, attach a copy of the application packet. Show all uses proposed and existing. Indicate which building will have which use. proposed per building, indicate square footage of floor area per use. List all existing property uses: List all proposed property uses: Other accessory uses: 1'~ otq~.. Existing lot coverage: trD Proposedlot coverage: I 'dC Gross floor area of existing structure(s): ~ If more then one use is % sq. ft. Gross floor area of proposed structure(s): ~2~,~t:O s-F. Parking Space Data: #of existing spaces: CD # of proposed spaces: Loading Berth: Yes__ No V~ Landscaping Details: Existing landscape coverage: [ oo % Proposed landscape coverage: Waterfront Data: ,, Is this property within 500 of a wetland area? Yes __ No ~ If yes explain: / I, the undersigned, certify that all the above]hJ'ormation is tree. SignatureofPreparer: ~~/~J/'~'/~]/'/~ Date: Page 2 of 2 10/05/05 PART 1--PROJECT INFORMATION Prepared by Project Sponsor NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effect on the environment. Please complete the entire form, Parts A through E. Answers to these questions will be considered as part of the application for approval and may be subject to further verification and public review. Provide any additional information you believe will be needed to complete Parts 2 and 3. It is expected that completion of the full EAF will be dependent on information currently available and will not involve new studies, research or investigation. If information requiring such additional work is unavailable, so indicate and specify each instance. Location of Action (Inctude Street Address, Municipality and County) Name of Applicant/Sponsor Address City / PO ~TH State N?¥., Zip Code Name of Owner (if different) Address ~.~ O~:~ City/PO ~1~ ~T~ Businessfelephone ~l 7~ ~/~- Description of Action: Page 2 of 21 Please Complete Each Question--Indicate N,A. if not applicable A. SITE DESCRIPTION Physical setting of overall project, bolh developed and undeveloped areas. 1. Present Land Use: [] Urban [] Industrial [] Commercial []Forest r~ Agriculture ~ Other DResidendal (suburban) ~ural (non-farm) 2. Total acreage of project area: -_~_'-r · acres. APPROXIMATE ACREAGE Meadow or Brushland (Non-agricultural) Forested Agricultural (Includes orchards, cropland, pasture, etc.) Wetland (Freshwater or tidal as per Articles 24,25 of ECL) Water Surface Area Unvegetated (Rock, earth or fill) Roads, buildings and other paved surfaces Other (indicate type) PRESENTLY AFTER COMPLETION ,+0~ acres ~___~_acres 0 acres 0 acres ~) acres (~) acres 0 acres (~ acres (~) acres (~ acres ~-~ acres ~) acres ~) acres ~) acres What is predominant soil type(s) on project site? ~:.i~c:~l~//~ a. Soil drainage: ~Well drained i Oo % of site [] Moderately well drained __ ~Poorly drained __% of site % of site. b. If any agricultural land is involved, how many acres of soil are classified within soil group 1 through 4 of the NYS Land Classification System? ~4[//A acres (see I NYCRR 370). Are there bedrock outcroppings on project site? N Yes ~rNo a. What is depth to bedrock ~l'*,.j/'~ (in feet) 8. 9. 10. Do hunting, fishing or shell fishing opportumdes presently ex~st in the project area~ ~ Yes ~ No Approximate percentage of proposed project site with slopes: ,[~,0-10% k:XD % ~1C)- 15%__% [] 15% or greater % Is project substantiaJl~ontiguous to, or contain a building, site, or district, listed on the State or National Registers of Historic Places? L_] Yes .~, No Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? OYes ~JNo What is the depth of the water table? (infeet) J'~O~,~_. ~_.t,~-<:~u~t~'r~_,.,~ ~.-r' ~;>~:2¢T~o~ is site located over a primary, principal, or sole sourqe aquifer? []Yes [] No Page 3 of 21 Does project'site contain any species of plant or animal life that is identified as threatened or endangered? According to; Identify each species: DYes ~No 12. Are there any unique or unusual land forms on the project site? (Lc., cliffs, dunes, other geological formations? BYes [~No Describe: 1 3. Is the project site presently used by t~e community or neighborhood as an open space or recreation area? DYes ~No If yes, explain: 14. Does the present site i~clude scenic views known to be important to the community? r-lYes [~No 15. Streams within or contiguous to project area: a. Name of Stream and name of River to which it is tributary 1 ~. Lakes, ~onds, wetland areas within or contiguous to proiect area: b. Size (in acres): Page 4 of 21 17. Is the site served by existing public utilities? [] Yes [] No a. If YES, does sufficient capacity exist to allow connection? [~Yes b. If YES, will improvements ba necessary to allow connection? DYes []No 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? r~Yes ~No 19. Is the site located in or substantialty contiguous to a Critical Environmental Area designated pursuant to Article 8 of the ECL, and 6 NYCRR 6177 E]Yes []No 20. Has the site ever been used for the disposal of solid or hazardous wastes? E]Yes B. Project Description 1. Physical dimensions and scale of project (fill in dimensions as appropriate). a. Total contiguous acreage owned or controlled by project sponsor: ~ acres. b. Project acreage tO be developed: .4<:~ acres initially;., ~:"9 acres ultimately. c. Project acreage to remain undeveloped: .~ O¢' acres. d. Length of project, in miles: .~,/A (if appropriate) e. If the project is an expansion, indicate percent of expansion proposed, j~_/'.~ % ' Number of off-street parking spaces existing .~_~; proposed g. Maximum vehicular trips generated per hour: ~:) -- ~O (upon/completion of project)7 h. If residential: Number and type of housing units: One Family Two Family Multiple Family ~.No Initially Ultimately i. Dimensions (in feet) of largest proposed structure: 2,,.~-- height; j. Linear feet of frontage along a public thoroughfare project will occupy is? Condominium ,~--~' width; Jc~. ~_ ft. length. How much natural material (i.e. rock, earth, etc.) will be removed from the site? 3. Will disturbed areas be reclaimed []Yes ,~No DN/A tons/cubic yards. a. If yes, for what intended purpose is the site being reclaimed? I b. Will topsoil be stockpiled for reclamation? []Yes c. Will upper subsoil be stockpiled for reclamation? []Yes [] No 4. How many acres of vegetation [trees, shrubs, ground covers) will be removed from site? ~_~L~ acres. Page 5 of 21 5. Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project? ['~ Yes ~No 6. If single phase project: Anticipated period of construction: '~ months, (including demolition) 7. If multi-phased: HO a. Total number of phases anticipated I (number( b. Anticipsted date of commencement phase 7: ~,~,,~ month __ year, (including demolition) c. Approximate completion date of final phase: ~V~ month year. d. Is phase 1 functionally dependent on subsequent phases? [] Yes [] No 8. Will blasting occur during construction? ~ Yes .~ No 9. Number of jobs generated: during construction ,,z.~-(:~ ; after project is complete I O 10. Number of jobs eliminated by this project ~'~(D/~-.., 11. Wi]l project require relocation of any projects or facilities? ~ Yes ~ No If yes, explain: 12. Is surface liquid waste disposal involved? k~ Yes r~No a. If yes, indicate type of waste (sewage, industrial, etc) and amount b. Name of water body into which effluent will be discharged 13. is subsurface liquid waste disposal involved? ~ Yes ~ No Type 14. Will surface area of an existing water body increase or decrease by proposal? r~Yes []No If yes, explain: 15. Is project or any portion of project located in a 100 year flood plain? DYes 16. Will the project generate solid waste? [] Yes [] No a. If yes, what is the amount per month?___tons b. If yes, will an existing solid waste facility be used? ~ Yes '~No c. If yes, give name ~.~ ; location ~No Will any wastes not go into e sewage disposal system or ~nto a sanitary landfill? [] Yes ~'No Page 6 of 21 e. If yes, explain: 17. Will the project involve the disposal of solid waste? [] Yes a. If yes, what is the anticipated rate of disposal? __ tons/month. b. If yes, what is the anticipated sit~ life? __ years. 18. Will project use herbicides or pesticides? OYes ~ No 19. Will project routinely produce odors (more than one hour per day)? DYes ~No 20. Will project produce operating noise exceeding the local ambient noise levels? []Yes 21 .Will project result in an increase {n energy use? []Yes [] No If yes, indicate type(s) 22. If water supply is from wells, indicate pumping capacity ,~ gallons/minute. 23, Total anticipated water usage per day~ - ~ O gallons/day. 24, Does project involve Local, State or Federal funding? [] Yes r~ No If yes, explain: Page 7 of 21 25. Approvals Required: City, Town, Village Board []Yes .~_ No Type Submittal Date City, Town, Village Planning Board ~Yes ~ No City, Town Zoning Board DYes ~ No City, County Health Department Other Local Agencies [~Yes [] No []Yes N No State Agencies [] Yes ~ No Federal Agencies [] Yes ~No Zoning and Planning Information proposed action involve a planning or zoning decision? ~Yes [] No Does If 'Yes, indicate decision required: [] Zoning amendment [] Zoning variance [] Now/revision of master plan [] Site plan [] Spedial use permit [] Resource management plan []Subdivision [~ Other Page 8 of 21 2. What is the zoning classification(s) of the site? 3. What is the maximum potential development of the site if developed as permitted by tho present zoning? I 4. What is the proposed zoning of the site? 5. What is the maximum potential development of the site if developed es permitted by the proposed zoning? 6. Is the proposed action consistent with the recommended uses in adopted local land use plans? '~ Yes [] 1'4o 7. What are the predominant land use(s) and zoning classifications Within a ~ mile radius o[proposed action? Is the proposed action compatible with adjoining/surrounding land uses with a % mile? [] Yes ~ No If the proposed action is the subdivision of land, how many lots are proposed? a. Wh~t is the minimum lot size proposed? N~-,~ Page 9 of 21 10. Will proposed action require any authorization(s) for the formation of sewer or water districts? [] Yes 11. Will the proposed action create a demand for any community provided services (recreation, education, police, fire protection? ~.Yes ~No a. If yes, is existing capacity sufficient to handle projected demand? ]Yes [] No ~Yes [] No 12. Will the proposed action result in the generation of traffic significantly above present levels? a. If yes, is the existing road network adequate to handle the additional traffic, r-]Yes D, informational Details Attach any additional information as may be,~eeded to clarify your project. If there are or may be any adverse impacts associated with your proposal, please discuss ~uch impacts and the measures which you propose to mitigate or avoid them. E. Verification ~ I certify that the information provided above is true to the best of my knowledge. Signature ~~~ If the action is in the Coastal Area, and you are a state agency, complete the Coastar Assessment Form before proceeding with this assessment. Page 10 of 21 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants l'or permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Coosistency Review Law. This assessment is intended to supplement other infonnation used by a Town of Southold agency in making a detemlination of consistency. *Ercept minor c~rempt actions including Building Permits and other ministerial f;ermits not located within the Coastal Erosion ~lazard Area. Bcfore answcring the questions in Sectioo C, the preparer of this titan should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action xvill be evaluated as to its significant beneficial mid adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect tile achievement of tile LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- suooortine facts. If an action cannot be certified as consistent with tile LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the fi)llowing places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Officc, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM#1ooo _ (_~-,,a~ . e>,~ --i<D The Application has been submitted to (check appropriate response): Town Board [] PianningBoard[~ Building Dept. [] Board of Trustees Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: L°cati°n ° f acti° n:--~]-~::t~tv'-~='~~-/~ ~..-~ ~-~>q- o ~ Site act-cage: _ .- 4~ Present land use: Present zoning classification: ~~ if an application fbr the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name ofapplicant:_.~N ~ (b) Mailing address: /~ ~ (c) Telephone number: ~ea Code ( )_ (d) Application number, if ~y: Will thc action be directly unde~aken, require hnding, or approval by a state or federal agency'? Yes N~ if yes, which state or I~deral agency'? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. [q~Yes ~] No [-] Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria Yes [~ No [x~ Not Applicable Attach additional sheets if necessaD' Policy 3. Enhance visual qualily and protect scenic resources throughout the Iown of Southold. See LWRP Sectiou Iii - Policies Pages 6 through 7 for evaluation criteria ~, Yes [~ No [] Not Applicable' Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section IIl- Policies Pages 8 thruugh 16 for evaluation criteria ~ Yes ~ No [~ Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies iPages 16 through 21 for evaluation criteria [~ Yes [] No V~NotApplicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. [] Yes ~ No~ Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. [~ Yes [~ No ~[ Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Tmvn of Southold from solid waste and hazardous substances and wastes. See LWRP Section Ill - Policies; Pages 34 through 38 for evaluation criteria. [] No Not Applicable PUBLIC COAST POLICIES Policy 9. iProvide for public access to, and recreational use of, coastal ~vaters, public lands, and public resources of the To~vn of Southold. See LWRP Section IlI- Policies; Pages 38 through 46 for evaluation criteria. Yes [~ No ~Not Applicable Ai~ach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Soothold's ~r-dependent uses and promote sitiOf new water-dependent suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. ~ Yes ~ No ~ Not Applicable uses in Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peeonic Estuary and Town waters. See LWRP Section Ill - Policies; Pages 57 through 62 for evaluation criteria. Yes [~ No [~ Not Applicable Attach additional sheets if necessary Policy 12, Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. [~ Yes [] Nol~ Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. Yes [] No ~ Not Applicable PREPARED BY ~ ~-~:~T/~kt, L,X TITLE DATE ~f' J~' 0~' Amended on 8/1/05 APPUCAN~ N~IuAVIT in trte stare of New '~, anti ~a~ he Is ~ owner c~ the above preflerty, e~ t~at tm I~ me of the , WhiCh IS hereby mating app#caUon; that there are no existing structures ~' Improvements oo ~ land which are not showil or1' the Site Plan; that ~e title to the entire parcel. ~ al rlgflts-o~-walf. been clearly esCaDIIsnecl and Is shown on said Plan: that no part o~ the Plan Infringes upon any duly flied plan whlcll has 130t IDeefl abarK3q3tled both as 133 lots all~ as to ro~;'tllat regulatiOnS acloptecl 1)¥ the Planning Board ~ ~e filing o~ Site Plans and ~1 comply ~ same; that the plans submitted, as app~ovect, will not'be altered or c~angea In any manam wlthot~ the al~roval of tine Planning Board; and that the actual 1311¥slcal improvements will be Ii'~G3tled #1 stllct aco3r(lalice ~vtth t/ne plates sul3mll;te(I. SlgneO_ Signed / (Owne~') ./ / , ?-,q -.: , I SI' PLAN STATUS REPORT SITE PLAN TYPE: AMENDED NEW WITHDRAWN INCOiviPLETE PROJECT NAME:.~.%~co~ ~'}?,z.-~ ~1~'d~0~9 ZONEI: B ZONE2: ZONE3: LOCATION: HAMLET: g'~ SCTM~ 1000-~ - ~ lO . OWNER NAME: APPLICANT NAME: AGENT NAME: TEL#(__) TEL# (--)~¢1 TEL# PROJECT DESCRIPTION: EXISTING USE: PROPOSED USE: BUILDING DEPARTMENT NOTICE: S/P REQUIREI~DR N ZBA APPEAL REQUIRED y O1~ PRE-SUBMISSION CONFERENCE (WITHIN 30 DAYS OF WRITTEN REQUEST) NOTES: INFORMAL REQUEST FOR REVISIONS: ~.PPLiCATION RECEIVED DATE.~ /~/_(~- APPLICATION PROCESS DATE: PAYMENT RECEIVED: AMOUNT RECEIVED:$ ':~.. NEW SP: $500./ACRE &A0/SF, AMENDED SP: $250. * .10/SF, AGRIC SP: FLAT $500 FEEAMOUNT:($~¢'~OOX~_ _)+($.tOX 2qqO NEW APPLICATION WORK SESSION (WITHIN ] 0 DAYS OF RECEIPT), PB ACCEPTE~OR N APPLICANT ADVISED OF NECESSARY REVISIONS (WITHIN 30 DAYS OF REVIEW) DATE 1<5)6 BUILDING DEPARTMENT MEEETING 100-254B3 (WITHIN 30 DAYS) / / NOTES: REVISED SUBMISSION RECEIVED: / / NOTES: P-.EFE~(RED A)GENCIES:.{WiTH/MAPS~-W/p) / i / ~i I~1~,_ ;TZBA' .STBD~.STC/TB ~. J, ~'.STBT '.STE_V' .SCDH~' .NYSDEC k/ .USACORI'S .NYSDOT_ ~.S('WA .SCPD ~S( DPW . L\VRP V~' ~ESPONSES NOTES NOTES: [ --/--/ / ACTION TYPE: CO.OrDINATeD:__ UNCOORplNATEE~: . / {TYPEI'~_TYPE2. ~' UNLISTED· ~ - EFERRED TO. STZBA~'~/~ S~-~-~__ SEQ~ DETERM~ATION :NEG DEC Y OR APPROVALS REQUIRED: REFERRED DATE NOTES APPROVAL DATE NOTES ARCHITECTURAL REVIEW COMMITTEE: LWRP COORDINATOR: ~/~/~ BUILDING DEPARTMENT CERTIFICATION: ~- ~ / ~ ~/ /~/~ rOWN ENGINEER APPROVAL: DEP.OFT~NSPORTATION:DOT__,DPW~, TOS ~ /~/~ ~/~/~ SUFFOLK COUN~ DEPARTMENT OF PLANNING: SUFFOLKCOUNTYDEPTOFHEALTH:PERMITO: O ~ ~O ~ /~ OPTIONAL APPROVALS: ZONING BOARD OF APPEALS: APPEALS: / / / / BOARD OF TRUSTEE'S: / / / / NYS DEC WETLANDS~IDAUSPDES / / / / ,~O NDITIO NAL FINAL: FINAL: ENDORSEMENT OF SITE PLAN: FIELD INSPECTION FOR C/O: DISTRIBUTE APPROVED SITE PLANS TO: BUILDING DEPT / / TOWN ENG / / j GENERAL NOTES: 10/4/2005 Projecn Dr. Scott Sheren Medical Office County Road 48, Southold SCTM#: 1000-55-5-10 Initial Site Plan Review I Type of Site Plan: I Ne~ XX I Amended: IResidential: I I Prop. Construction Type: I Ney<. XX I Modification: I Agriculture: I Use Change: I Zoning: Existing Zoning of Property:. General Business Town Code Section permitting use: [100-101 A (2) Present Land Use: Vacant Proposed Land Use: 2,940 sq. ft. 1 story building/2doctor's suites SEQRA: SEQR Type of Action: Review: Declaration: Type II action as per SEQR 617.5 (c)(7) Type II at June 10~h public hearing Parking Space Data Existing Proposed Parking Spaces N/A 15 req/20 prop. Handicap Spaces N/A 2 Loading Berths N/A N/A Total N/A 20 Bulk Schedule: Requirements Zone Actual Proposed Notes Lot size 30,000 21,616.48 Front yard 100 66.2 No ZBA - avg. of neighboring properties Side yard 25 25 Both sides 50 55.2 Rear yard 35 66 Landscape % 35 8,644 Lot Coverage % 30 BUILDING TOTAL AREA: Notes: Fix handicap parking 25' front landscape area Only2 cross over access lanes allowed Handicap parking - need correct size 25' buffer required in rear (General Business) Proposed dumpster blocks parking spot. Proposed dumpster encroaches into buffer Handicap parking - # 6 spot labeled wrong. Projecu Dr. Scott Sheren Medical Office County Road 48, Southold SCTM#: 1000-55-5-10 Type of Site Plan: Initial Site Plan Review I New ~ I Amended I Residential } Prop. Construction Type: [ Ne~ --.a ] Modification ] Agriculture ] Use Change ] Zoning: Existing Zoning of Propert)~ Town ~de Section: P~sent ~nd Use: Proposed Land Use: SEQRA: SEQR Type of Action: ~cz'/~r action as per SEQR Declaration: Parking Space Data Parking Spaces Handicap Spaces Loading Berths Total Existing Proposed Bulk Schedule: Requirements Zone-]~ Actual Proposed Notes Lotsize :~:D~ 2-1/016.4gg - Side yard 7_~ Both sides $0 ~ Rear yard ~ k Landscape % 3 ~- Lot Coverage % 3 cv BUILDING TOTAL AREA: Notes: PLANNING BOARD MEMBER~ JERILYN B. WOODHOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND PLANNING BOARD OFFICE TOWN OF SOUTHOLD MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 August8,2006 Mr. Steve Fontana 29 Central Avenue Hauppauge, NY 11788 Dear Mr. Fontana: Re: Sheren Medical Building We are returning herewith the following extra items from our files: Item Date Last Added/Revised # copies Survey 2/28/06 1 Site Plan 4/26/06 2 Site Plan 4/26/06 7/7/06 (revised) 6 A~my FVery tr~~ Senior Planner Encs. AFFIDAVIT OF POSTING This is to serve notice that I personally posted the property known as Sheren Medical Building by placing the Town's official poster notice(s) within 10 feet of the front property line facing the street(s) where it can be easily seen, and that I have checked to be sure the poster has remained in place for seven days prior to the date of the public hearing on 7/24/06 I have sent notices, by certified mail - return receipt, the receipts and green return receipt cards of which are attached, to the owners of record of every property which abuts and every property which is across on 46850 Route 48, Southold, NY 11971 Font a~ St eve Your Signature ~/" 29 Central Avenue, Hauppauge, NY 1178~ ~ ' .~ Address 7/24/06 ""~ ~ '~ "~ Date ~ Notary Public Michele Antonucci Notary Public, State o! New York Qualified in Suffolk County #01AN6049177 - Commission expires 10/10/~ PLEASE RETURN THIS AFFIDAVlT, CERTIFIED MAIL RECEIPTS & GREEN RETURN RECEIPT CARDS BY: noon, Fri., 7/21/06 Re: Proposed Site Plan: Sheren Medical Buildinq SCTM#: 1000-55-5-10 Date of Hearing: Monday, July 24, 2006, 6:05 p.m. e-1 (EndofsementRequired) ~.,~ H~ ~ 1~3 Total Postage & Fees 4,~/4 · Complete items 1,2, and 3. Also complete item 4 if Restricted Delivery is desired. · print your name and address on the mveme so that we can return the card to you. · Attach this card to the back of the mailpiece, or on the front if space permits. [] Agent [] Addressee Is delivery address If YES, enter delivery address below: ri No [] Express Mail ~ Return Receipt for Merchandise [] Insured Mall [~ C.O.D. Restricted Delivery? (Extra F~e) [] Yes PS Form 3811, February 2004 Domestic Return Receipt Complete items 1,2, and 3. Also c~mplete item 4 if Restricted Delivery is desi~d, Pdnt your name and address on th~reverse so that we can return the card to yeu. · Atta~;~ this card to the back of the mailpiece, or o~the front if space permits. 1. Articl~ Addressed to: A. Signature [] Agent [] Addressee C. Det~ of Delive~ D. Is delivery addr~ss different fmm item l ? []Yes If YES, enter delivery address below: [] No I~Certified Mail [] Express Mail [] Registered ~Return Receipt for Merchandise [] Insured Mail [] C.O.D. 4. Restricted Delivery? (Extra Fee) [] Yes 2. Article Number PS Form 3811, February 2004 Domestic Return Receipt · Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. · Print your n~me and address on the reveme so that we dian return the card to you. · Attach this dlard to the back of the mailpiece, or on the fro~t if space permits. 1. A~ticle Addressed to: A. Signature X [] Agent ~ address different f~om item 1 ? Yes enter delivery address below: F3 No 3. Service Type ~ Certified Mall [] Express Mall [] Registered ~ Return Receipt for Merchandise [] Insured Mail [] C.O.D. 4. Restricted Delivery? (Extra Fse) [] Yes 2. Article Number PS Form 3811, February 2004 Domestic Return Receipt 102595~02-~1540 · Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. · Print your name and address on the reverse so th~.t we can return the card to you. Attact~ this card to the back of the mailpiece, · or on,the front if space permits. 1. Article~Addressed to: by ( If YES. enter delivery 3. Service Type ~Certlfied Mall [] Express Mall [] Registered [~Return Receipt for Merchandise r-I Insured Mail [] C.O.D. 4. Restricted Delivery? (Extra Fee) [] Yes PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 · Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. · Pdnt your name and address on the reverse so that we can return the card to you. · Attach this ca, rd to the back of the mailpisoe, or on the fron~ if space permits. 1. ArticleAddress to: 4. Restricted Delivery? (Extra Fee) [] yes PS Form 3811 ~zFebruary 2004 Domestic Return Receipt 102595~)2-M-1540 PLANNING BOARD MEMBER/~ JERILYN B. WOODHOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND PLANNING BOARD OFFICE TOWN OF SOUTHOLD MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OmCE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs kve.) Southold, NY Telephone: 631 765-1~38 Fax: 631 765-3136 FACSIMILE TRANSMITTAL SHEET TC~ FROM: Steve Fontsna AmyFord CBD Group 21 July2006 631234.8903 4 Dr. Scott Sheren Med_ ~_~! Office Mr. Fontana - Please find attached a copy of the Covenants and Restrictiom for the above referenced project. Please make the necessary changes as indicated prior to filing with the CotmtyClerk. As explained at the work session with the Planning Board, please submit a copy of the filed C_&Rs to this office for our records following site plan approval. Please let me know if y~u need anything further. EAST END EYE DRAFT THlS DE:Cf. ARATIoN, madu thc ~ day of ._. 2006, by SCO'I~' SHEREN, M.D., with olfices at Coun~ Road 48, ~tholfl, New York, ~ 197 l, herdnMter referred to as ~e D~l~raat, WHEREAS, the Declarer i~ the Owner of cert~n real P~erW g~tua~ at County Road 48, Southold, Coun~ of Suf~ik~ State of Ne~ York, known am 9CTM No. I000-05~-05-OIO more pa~l~[y d~$~ri~ *~ ~et ~onh m $chedule A annexed h~to; ~d Board of thc TO~n of Sou~oJd for the appm~ of a si~ pl~ ~r ~id ~rem~ses as shown on the map entitled, "Proposed Buil~tg fm East End Eye. Southoid, N.Y?' prepared by CBD Group. dated ApNI 26 20oO~ W~AS, a ~esol,~tion ,,'a, duly adovted at a mee~n~ of ,:ho To-~n of Sou~old Planning Board held on , 2006, whi~ Resol%tt~cn autho~,~ the Chairman or S¢cretaQ, of the Board to afire his or her ~i~ure to ~e endorser~nt prescHbed try the So~d u~l the fm~l site plan ~'hen ~e Declarant fil~ a covenant in a ~%rmal a~eptable to Counsel ~ .~ Town of Bouthold Planning Boar~ ~i.ing tha~ the Deol~ant would iB thc fu~ ent~ in~ cross acces~ easement ~reements ~th fl~e owners of the prope~c$ adj~ning the subject premises to the east and ~t, m,d ~3/0q 83 WHF--.REAS, f*r and in consideration of the granting of ~id pt~ ~oproml, ~e Planning B*ard of the Town of Southald kas deemed to b~ [b~ the Be~t interests o~ the Tax~m ~ $oUUnold and the o~er~ and prospective owne~ of the ~ubjcct premises ~d t~ ~oining proper~es tha~ the within coven~nt~ &nd rest~ch~n~ ~ impoacd on ~aid an0 a. a condition of said approval, ~md ~anning Bo~d ha~ that the within Declara:ion be recorded in :he Suf~lk C~n~, Clerk's Office; and WHEREAS. ~e Declar~r ha~ eonsiderecl the foregoes and ha~ de~ermined ~at the *~e wfl! bc in thc beat ~te~t of the D~lam_nt and s~a~equent owners cf the su~ect promises, NOW. ~EREFO~E, T~IS D~LA~TION WITNESSETH: 'l~at the Deel~nt, for ~e purpo~ ~ c~i~ our ~ a~'e ~xprsssed, d~s hc~b), m~ke ~'n, ~dmd~ ~bliah, c~en~t and ~ee that t~e s~d premise~ he.in de.c~d ~RI] he.after su~}ect to the following covenants and ~tricfions which ~h~l m ~c land and sh~] ~ binding u~n all purcha~e~ and holders of premi~-s their he,rs, executo~, l~g~ r~p~en(ntima, ~uecesaors and a*~gn~, m f ~ubj~t p~emis:s a~ee~, ~pon requ~t of th~ End ~e, 8ou~hold, N,Y," prepared by CBD ~roup, ~ed rest~cnon co=~mned her~in which sh~l remain in full i~[ce ~d effect, IN %~qT~ESS WHEREOF, the undersigned Declarant has e~g~tod thi~ covenant*~is ~ _ d~v o~ ...... 2006, STATE OF NEW YORK COUNTY OF SUtVFOL;< on ~e ._ day el July, 2006 before me, the under~igr~¢d, persorml[y appeared SCOI~ S]IEREN, p~r*onalty ~mwn t~ me or p~ved t~u mc on ~e ~is ol ~sfaetow evidence to be the individual whose namt is subscribed to the within insrrumea~ and acknoaqedged to me that he ex. uteri the aame in his capaciw, and that by his ~]a~re on the in~tmmenL the ind vtdual, or the person upon beh~f of which tb~ indi~*id~ acted, executed the in~ment NOTARY PUBLIC PERMrI'TEE Dr. $¢o~ Sher~ ?URSUA~T'CO THE PROVI$1ONf OF SECTION 1.~, ~I. 6, OF THE ~ YO~ ST4TE HIGHWAY LAW, pE~I~ION IS Cons~ a 28 fi. wida eommemia] ~r~t ~po a~e~ ~th full depth asphalt pav~t, ~ncmte cu~s ~ 25 ~, ~ return radii and p~es~an ~mDs. install 111 fi. Of ~ ff. wide c~cfete s~ewalK~ ~11 dep~ 6" a~haE ~v~ ~rete cu~i~g with ~s~an ~mps. In~all a Ty~ 'D" [e~hi~ 0aah with ~ and grote, Pm~ a pa~ ~ E ~e t~ const~on ac~e~ e~ndlng ~n~ fhe ~[e. Payment ~11 be ~nst~d of 4" den~ ~nd~ a~h~ ~ B" s~biliz~ ~ m~del (~e ~1 pmvl~d). la tha ~ematnder of ~e ~un~ road ~ontage must be ms~ by ~c~ ~ o~er m~ns a~ by Su~tk C0un~. Provide mea~ for maintaining ~lk ~un~ ~ht-of~ay cl~r of ~nsE~i~ ~b~ and a m~ ~ mu~ be available et ail Ma~nan~ and pwte~on of ~ffiC (MPT} mqu~s at a mi~mum: fla~, ~ z~e warning ~gnS {i.e. ~d ~ a~ad, a~ad, ~ prepa~ to $t~, t~ks e~ng/e~i~ h~hway) ~ ~ c~oI de~s ~r N~ M~CD~ ~1 d~na~ impa~ ~ ~ls o~mt~n ~ be c~aned du~g and a~r this ~maon c~s. Ream ~e ~un~ ~ht-of-~y. P~or W of any ~tk, the ~am~d pe~it plan and a~he5 cons~ctlon de~il ~d ~tes must ~ ~d~ to ~e applier's ~nt~ end ~d cont~tor ~st a~nge a pm~n~t~ion ~ng ~th Ken Da~ig st 852~7~ a mlni~m of ~ bm. ~or to s~ of wo~ ~o~¢rete c~n ~ly be ~umd when ~e tem~iufe ~1 ~ a~ 32 d~ for mom ~an 7 ~ys ~et ~our. As~elt and ~erm0p~stic mal~ings can enly ~ ins~ll~ w~ g~nd tem~atam is abo~ 42 d~ees. All ~A s~ll ~ ~0~ ~h Depa~fs most ~n~ ~eml, traffi~ end m~edal ~ons and ~ d~ed by ~ Coun~ e~i~r. ~ THE HAMLET/V~LACE OF, L5o~ ~ ~ THE TO~ O~ ~NE~ 5PECIFICATIO~S. BY; COMJ'[,ErED~ REFCND DEFO$IT, BOND i-- [~.] S£CuRIr¥ REQUIRED. AMiF. JNT: DATE~ PLANNING BOARD MEMBE~ JERILYN B. WOODHOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND To: From: Date: Re: Town of Southold Planning Board Mark Terry, LWRP Coordinator Amy Ford, Senior Planner aUNG mo ss: Southold, ~ 1197~ OFFICE ~CATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, ~ Telephone: 631 765-~38 TO~ OF SOUTHOLD July 10, 2006 Proposed New Site Plan for Dr. Scott Sheren Medical Office #"~' Located on the s/s/o Suffolk County Road 48, pproxamately 1,251 e/o Youngs Avenue in Sonthold SCTM #: 1000-55-5-10 Zoning District: General Business (B) The applicant proposes the construction of a 2,940 square foot one-stoW building for 2 medical offices that requires 15 parking spaces (20 proposed) on a vacant .49-acre parcel in the General Business Zone located on the s/s/o Suffolk County Road 48, approximately 1,25 l'e/o Youngs Avenue in Southold. The proposed action has been reviewed to Chapter 95, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department as well as the records available to me, it is my determination that the proposed action is generally CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP provided that the following standard best management practices are implemented. Pursuant to Chapter 95, the Planning Board shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Policy 5. Protect and improve water quality and supply in the Town of Southold. To further Policy 5, and protect and improve the water quality and supply in the area, consider the following: 1. Encourage the use of appropriate grass varieties (ag, sun tolerant vs. shade tolerant). 2. Require a three (3) .year survival requirement for all planted vegetation. 3. If applicable, recommend the use of mulch m~torials generated bythe Town of Southold Compost Facilityin order to contribute to the replenishment of o~ani~ matter in local soils and help reduce the reliance of fertilizers and herbicides and minimize the reduction of ferrilbvrs and herbicides in the Town's ground and surface waters. Dr. Scott Sheren Medical Office Page Two July 10, 2006 4. Require native and drought-tolerant plants in landscaping. 5. Recommend low flow toilets to conserve water usage when and if a structure is constructed. In summary, please consider the following best management practices in review of the site plan: 1. Encourage the use of appropriate grass varieties (~g.~ sun tolerant vs. shade tolerant). 2. Require a three (3) .year survival requirement for all planted vegetation. 3. If applicable, recommend the use of mulch materials generated bythe Town of Southold Compost Facility in order to contribute to the replenishment of organic matter in local soils and help reduce the reliance of fertilizers and herbicides and mlnlm~Ta the reduction of fertilizers and herbicides in 5. Please Cc: the Town's ground and surface waters. Require native and drought-tolerant plants in landscaping. Recommend low flow toilets to conserve water usage when and if a structure is constructed contact this office at (631) 765-1938 should you have any questions regarding the above. File Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631 t 765-1802 MEMORANDUM BUILDING DEPARTMENT TOWN OF SOUTHOLD TO: Jerilyn B. Woodhonse, Planning Board Chairperson FROM: Michael J. Verity, Chief Building Inspector DATE: July 14, 2006 REQUIREMENTS FOR SITE PLAN ELEMENTS & CERTIFICATION Project: Dr. Scott Sheren Medical Office Location: County Road 48, Southold SCTM# I000- Section 55- Block 5 Lot 1~0 Date: April 26, 2006 Revised Date: July 07, 2006 1. ALL BUILDINGS AND USES SHALL COMPLY WITH CHAPTERS 45 AND 100 OF THE SOUTHOLD TOWN CODE. 2. OFF STREET PARKING BY AUTHORITY OF THE PLANNING BOARD. 3. ALL FENCING, SCREENING AND LANDSCAPING BY AUTHORITY OF THE PLANNING BOARD. 4. THE PROPOSED USE PROFESSIONAL OFFICE IS PERMITTED IN THIS BDISTRiCT AND IS SO CERTIFIED. Michael J. Very " Chief Building Inspector #7962 STATE OF NEW YORK) ) SS: COUNTY OF SUFFOLK) Dina Mac Donald of Mattituck, in said county, being duly sworn, says that he/she is Principal clerk of THE SUFFOLK TIMES, a weekly newspaper, published at Mattituck, in the Town of Southold, County of Suffolk and State of New York, and that the Notice of which the annexed is a printed copy, has been regularly published in said Newspaper once each week for ..... 1 week(s), successively, commencing on the 13th day of July , 2006. Principal Clerk Sworn to before me this 2006 CHRISTINA VOLINSKI NOTARy PUBLIC-STATE OF h!F~ YOP, K NO. 01-VO6 05q , Quallflecl In 8uff¢i. ~iHy Commission Explr~ F~i~u~r,~ 28, 2008 LEGAL NOTICE Notice of Public Hearing NOTICE IS HEREBY GIVEN that, pursuant to Section 276 of the Town Law and Article XXV of the Coda of the Town of Southoid, a public hear- ing will be held by the Southold Town Planning Board, at the Town Hall, Main Road, Southold, New York on the 24th day of July, 2006 on the question of the following: 6.'00 p.m. Proposed standard sub- division for The Cottages a! Mattituck located on the s/sFo Sound Avenue and the w/s/o Factory Avenue in Mattituck, Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Number 1000-122-2-23.1 6.'05 p.m. Proposed site plan for Dr. Scott Sheren Medical Building located o~t'esso u olk ounty oad48,ap- proximately 1,251' e/o Youngs Avenue in Southold. Suffolk Connty Tax Map Number 1000-55 5-10. Dated: 7/11/06 BY ORDER OFTHE SOUTHOLD TOWN PLANNING BOARD Jerilyn B. Woodho~e Chairperson 7962-1T 7/!3 L Submission }Fithout a Cover Letter Sender: SCTM#: 1000 Date: --] Comments: JUL SUFFOLK COUNTY WATER AUTHORITY 2045 Route 112 Suite 1 Coram, New York 11727-3085 (631) 698-9600 Fax (631) 698-9851 July I1, 2006 CBD Design & Construction 29 Central Avenue Hauppauge, NY 11787 Attn: Michele Re: Water Availability- 46850 County Road 48, Southold SCTM#1000-55-5-10 File #4517229 Dear Michele: Reference is made to your request for information regarding availability of public water service to the above referenced property. There is an existing water main available to the above captioned property from County Road 48. Connection fees, key money, application, RPZ approval and inspection will be required for the lateral service line installation. We have kept a copy of your survey on file. Generally there is a three to four week waiting period from the time all Authority requirements have been met to the time of installation. if you have any further questions, please feel free to contact our New Service Department at (631 ) 698-9500, Ext. 2, or me directly at (631) 563-5672. Sincerely, Lisa Cetta New Service Supervisor LC:bhr PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND PLANNING BOARD OFFICE TOWN OF SOUTHOLD MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cot. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 To: From: Date: Re: Kieran Corcoran, Assistant Town Attorney Amy Ford, Senior Planner 12 July 2006 Covenants and Restricts for the proposed site plan for Dr. Scott Sheren Medical Office Located on the s/s/o Suffolk County Road 48, approximately 1,251' e/o Youngs Avenue in Southold SCTM#: 1000-55-5-10 Zoning District: GeneralBusiness (B) Please find attached a copy of the Covenants and Restrictions submitted by Steve Fontana for the above referenced project. Please be aware the applicant has not yet taken ownership of the subject parcel, however, this is anticipated after site plan approval. The Planning Board will require the f'~ng of the C&R's through conditions of the final resolution and a filed copy must be submitted within thirty (30) days of receipt. Your review and comments are requested. We are hoping to present this to the Planning Board for their review and approval at the next work session July 17, 2006. Thank you for your assistance in this matter._ Cc: File Oul 11 06 Ol:13p CBD Group I Stephen ~;. Salvat~)re Ca!zltanc, PE Architecture . Engineering . Planning, P.C. 29 Central Avenue l:tauppauge, NY 1178g Phone (631) 234-88't7 Fax (631) 234-8903 emai]: office~cbdgroup.net p.! TELEFAX TRANSMITTAL COVER SHEET DATE: 7!J 1/06 COMPANY: Town ~i~_o~ld - Pranning FAX N O. _ ....... j_65-_._3_ 136 ATTENTION: ..... .A_ m..~y Ford RE: ........... Dr. Sheren -~EEast End E_q~_~Soutrlo[~ FROM: Steve Fontana NUMBER OF PAGES: 3 + COVER SHEET REPLY TO FAX NO. {631 ) 234-8903 If there are any pages missing or you have a problem with the clarity of this transmi~mon please call us i'nmedlaiely at (631 ~ 234-8877. MESSAGE: '733 631 ,~CNL~ rv s~Imm$ PO ~-34 8903 DRAFT THiS DI~CLARATION, made thc --_ day of __ sCO'I~ SHEREN, M.D., with oliices at Coun~ Road %6, ~thoid, New York, ~ 1971, her~inMter referred to as ~e WHgREAS, the Deelmr~t is the own¢~ o{ ce~aM mol p~er ~itua~ at County Road 48, Southold, CounW of $uf~lk, State of Ne~ York, knowr, as SCTM No, 1000-05S-05-010 more pm~l~t}~ aS Set ~rth m $cheduie A annexed h~to; ~d ~EREAM, the Declarant has made app!iceMon ~ the Pl~ng Board of :he Town of Sou~Old for the approve of a ~ p!~ ~r ~id premises as shown on :be map en~tled, ~P~po~<~ B~il~g fo: East End Eye. Southold, N.Y.:' prepped by C~D Group., dated A~I 26 20o~ WHgRgA$, a ~esol%ttion wa~ duly adopted at a Tow~, of Sou~old ~amnin~ M~rd held on , ~06, ~h~ Reso~t~hoa authof, z~ the Chairmen or $ecreta~, of the ~0ard to a~ his or her sinecure to ~e endocse~nt prescribed ~y the Board u~ the to Counsel f~ ~e Tow~ of Souehold Pla~ning Board airing tha~ the Decl~ant w0~ld In thc futu~ c~ttr ~ c~-oss access easement premises to thc cazt ~nd ~c~t, ~4 Bg0~ IO.3 WHERFA$, f~r end in ccneideration of the granting of ~[d site pl~ appro~l, the Ptanni~8 ~ard of the T~ o/~outhold has deemed it [o ~ for the ~st ~teresta of the Tows o~ Southold and ~e o~em ~d prospective owners of the subject pr~es ~d ~ ~oimng p~r~es that thc within cov~nante ~nd res~cfion~ ~ imposcd on ~id p~l~, ~ as a condition of said apparel, s~d ~nning Bo~d ha~ ~qui~d that the within Declaration ~ recorded in ~he Sufblk ~n~ C~rk% Office; and WHELKS. ~e Declar~ his eonsid~d ~e ~lo~g and has determined ~at the ~ will ~ i~ thc ~t ~te~St of Ih~ ~l~ and a~qu~nt o~aers cf the ~u~ 9~mises. NOW, ~EREFORE, ~I8 D~TION ~NES$~TH: ~at the Decider, f~ ~e purpo~ ~ c~ out ~ int~nt~n~ a~ve expressed, d~s he.by m~e ~n, ~d~. ~bi~h, c~n~t and a~e that ~e said premises he.in de~cH~ ~all he--fret ~ subject to the following covenants and ~r~c~ona which ~1 ~ ~ ~e }~nd and sh~l ~ bindin~ u~n all pureheae~ and holders of e~id premiss. ~l~eir ~irs, ex.ufos, lmg~ ~p~nlmti~s, ~b~teus, a) The owner of Iht subj~t ~miscs a~a, upon req~t of ~e Town of ~ou~old P~n~i~g Bo~, ~ ~ter inlo e~ss access easement agr~m~ts with ~ ~ of the yropeme~ ad~niug the sub, oct ~emi~s m the ea~ and 831 234 8903 End ~,e, Southold, N.Y." ~epared by CBD Group, ~ted April 26, 20~. A ~a~ver or judicml info,damon o[ ~. eert~ co~t ~d ~atnction con~:ncd herein shall not affect m~>- other covenant ~d re~t~cho~ ¢o~ined herein whleh *h~l remain in f~li iorce ~d effect IN %ITNESS WHEREOF, the undersigned Declarant ha~ ~%od thi~ covenant t. his ._ d[v of ..... 2006. $COTT SHEREN STATE OF NEW YORK ) COUNTY OPSUFFOLR ) Or~ ~he ._ day cf duty, 2006 before me, the 'andetaig~ned, personalty appeared SCO~ SHEREN, p~r*onatly ~oa, n to me or pmv~ to mc on ~ ~i~ O~ sa~sfacto~ evidence to be the :ndividual whose n~e is sUbscribed to the with~ instrument and acknowledged to me that he ex. uteri the ~m~ in hi~ ca~aciw, and that by his ~a~re on the instrument, the ndividuat or the per~en upvn ~h~f of wblcb tb~ individu~ acted, executed the in*~ment NOTARY PUBLIC PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPHL. TOWNSEND PLANNING BOARD OFFICE TOWN OFSOUTHOLD MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cot. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 FACSIMILE TRANSMITTAL SHEET TO: FROM: Steve Fontana AmyFord COMPANY: DATE: (13D Group 12 July2006 FAX NUMBER: TOTAL NO. OF PAGES INCLUDING COVER: 631.234.8903 6 RE: Dr. Scott Sheren Medical Office Mr. Fontana - Please find attached the following as discussed today:. 1. Acopyofthe LWRP review. 2. A copy of the most recent comments from the Town Engineer. These will be presented to the Planning Board for their approval at the next scheduled work session on July 17, 2006. 3. A copy of the approved ARC minutes from the May 4, 2006 meeting. 4. A copy of the resolution setting the public hearing for July 24, 2006 for your information. The signed original has been sent to your office. I have received a copyof the draft covenants and restrictions and have forwarded them on to the Town Attorney for review. The C&Rs will be presented to the Planning Board at their next scheduled work session on Monday, July 17, 2006. Please do not hesitate to contact this office should you have any questions or need anything further. Thanks Amy Ford SCOTT A. RUSSELL SUPERVISOR TOWN HALL - 53095 MAIN ROAD Fax. (631)-765-9015 JAMES A. RICHTER, R/? A.A ENGINEER TOWN OF SOUTHOLD, NEW YORK 11971 Te1.(631)-765 -1560 OFFICE OF THE ENGINEER TOWN OF $OUTHOLD Jerilyn B. Woodhouse Chairperson - Planning Board Town Hall, 53095 Main Road Southold, New York 11971 July 12, 2006 Re: Dr. Scott Sheren Medical Office County Route 48, Southold SCTM #: 1000 - 55 - 05 - 10 Dear Mrs. Woodhouse: As per a request from your office, I have reviewed the amended site plan for the above referenced project. This site plan has been prepared by the office of CBD Group, Architecture Engineering Planning, P.C., and has been dated 7/07~06. Please consider the following: My previous report indicated that the proposed Handicap parking may need to be revised. I have coordinated this item with the Building Department and the Department of State Regional Architect in the Codes Division. New York State Code requires, as per table 1106.1, this facility to have one handicap parking stall. Section 1106.1 of State Code does require the 8' wide access aisle. Southold Town Code requires a minimum Parking Stall width of 9' on all parking stalls. The final site plan should be modified accordingly. The proposed drainage design, inved elevations, piping and locations of drainage pools within the site have been revised in a satisfactory manner. The Drainage design and locations of drainage structures immediately adjacent to the entrance of the site should be coordinated with Suffolk County DPW Curb Cut Permits issued for this project. With the exception of the items listed herein, this Site Plan meets the minimum requirements of Town Code. If you have any questions regarding this review, please contact my office. Sincerely, ~. Richter, R.A. PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND PLANNING BOARD OFFICE TOWN OF SOUTHOLD MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cot. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 Date: Re: Kieran Corcoran, Assistant Town Attorney Amy Ford, Senior Planner 12 July 2006 Covenants and Restricts for the proposed site plan for Dr. Scott Sheren Medical Office Located on the s/s/o Suffolk County Road 48, approximately 1,251' e/o Youngs Avenue in Southold SCTM #: 1000-55-5-10 Zoning District: General Business (B) Please find attached a copy of the Covenants and Restrictions submitted by Steve Fontana for the above referenced project. Please be aware the applicant has not yet taken ownership of the subject parcel, however, this is anticipated after site plan approval. The Planning Board will require the filing of the C&R's through conditions of the final resolution and a filed copy must be submitted within thirty (30) days of receipt. Your review and comments are requested. We are hoping to present this to the Planning Board for their review and approval at the next work session July 17, 2006. Thank you for your assistance in this matter. Cc: File CBD Group Salvat,~r¢ CaF. ira:m, PE 83~ ~34 EgO0 Architecture . Engineering . Planning, P.C. 29 Central Aver. ut Hauppauge, NY 11788 - Phone (631) 234-88'~7 Fax (631) 234-8903 emaiJ: officet?cbdgroup.net p.1 TELEFAX TRANSMITTAL COVER SHEET DATE: COMPANY: FAX NO. ATTENTION: RE: FROM: ........... Steve Fontana NUMBER OF PAGES: 3 REPLY TO :AX NO. (631) 234~8903 7/11/06 Town of So_u_t_b.2id -_p[annin.q _7_~ 5 - 3_136 ~,__my Ford Dr. Sheren - East E_n_d Eye S_o_utt~old COVER SHEET If there are any pages missing or you have a problem with the clanty of this '.ransmission please call us immedia[eiy at (631) 234-8877, MESSAGE G3i 23~ 8gOg DRAFT THIS DI~CLARATION. re&de taste --__ dny oF _, 2006, by York, 12971, hcr:i~ter referred to as ~e D~l~ant. WHgRBAS. the D~lnr~t i~ the owne~ of ce~n m.1 p~ ~tua~ at Count' Road 48, $o'athold, Coun~' of Suf~lk, State o~ Ne~ York, knowm ~s $CTM No, I000-055-0~-010 more pa~i~r~y ~crib~ a~ set fo~h m Schedule A annexed h~to; ~d ~EREA5, the Declarant has made ap~lic~o~ ~ the PI~mng ~aard uf ~hc Town of Sou~olfl for ~e appmv~ of a ~ pl~ ~r ~ifl ~ye. Southold, N,Y,~' prepped by CBD Group, ~ted WH~RgAS, a Resotutio~ wa8 duly adopted To-.l~ of Sou~old Plannin~ ~rd held on , ~06, Rc~olulwn authoNz~ the Chairman or ~cre~au, of the ~oard to afire bis or her si~tnre to ~e endorsement pre~cNbcd ~y the ~osrd ~ the [~n~l sJt~ plan ~'hen ~e Declarant fil~ ~ ~v~nmaC to Couasel f~ ~ Town o[ 8~hold Planning Board ~ating tha~ the De,~l~nt would in thc f~rc c~r ~ Cm~ ac~es~ easement ~reemcnt~ gash ~e owners of l~e pr~pe~c~ adj~ning the subject premise~ ~o ~e ~t and ~c~t, ~d ,gu! il OB 0~: 13p S31 P34 8903 p.3 WHEREAS, for and in consideration of the granting of ~id pl~ approval, ~he Planning Beard of the T~wn of Southold ha~ deemed to be Ior the be~t mterest~ of the 'ro~ of Southold and ~e o~em and prospective owners of the ~ubj*ct premises ~d t~ ~oining th~t th~ within covennntm ~nd rest~cfion~ ~ imposed on ~id p~ls, an~ ag a condition of said app~val, s~d ~anning Bo~d ha~ ~qui~d that the atithln Deel~rabon be r~o~ed in she Sufblk C~n~' Office; and WHEREAS. ~e Declar~t baa mn~id~mrl ~e ~o~g and su'mcquent owaers cf the su~e~ p~mises, NOW, ~REFORE, THIS D~L~TION ~VITN~BS~TH: 'l~at the Decl~, for ~e purpo~ of c~r~ out ~e a~ve expressed, ~$ he.by m~o ~n, ~d~, ~bti~h, c~n~t and ~e that ~e ~a~d premia~ he.in desc~ ~1~ he~nfter ~u~ect [o the following covenants and ~tncUons which ~h~l m ~ ~c land and sh~l ~ binding u~n all purchase~ and holders of said premi~*s :heir ~:r$, executor, leg~ ~pm~ntati~$, di~ib~ees, a) The owner of the ~ubj~t ~miaes a~ee~, u~n req'~t of ~e Town of Sou~old Phnning ~o~, m enter into emss pro~ties ~d2~nmg the subject ~'emi~ m t~e earn and 234 ~903 End ~e, SouthoM, N.Y." ~p~rtd by CDD Group, Ap~fl 26. 20~. waiver or judicial info,damon of ~. eert~ ~stnc~ior. co~mcd here{~ shall not affect ~>- other covmnaut restriction con.ned herein which sh~l ~main in f:ll force ~d ~ffcct. ~ITNESS WHeRrY, the undersigned Declarant h~s ~COTT $~EREN STATE OF NEW YORK COUNTY OF SUFFOLK On the _ ~l~y e[ July, 2006 before me, the 'umdt~lgned, persartalt¥ appeared SCO~ SHEREN, personally ~own to me or p~v~ to m~ 0n ~e ~i~ of ~sf~cto~ evidence to be the individual ~ose n~e is sub,urinal to the ~ instrumeat and acknowledged to me that he e~u~d the same in his capaci~, and tha~ by his ~a~e on the inSt~menL the ~ividu~[ ~ the per,on upon ~h~f of which tb~ individ~ acted, executed the in~ment PUBLIC Randolph, Linda Page 1 of I From: Sent: To: Subject: Randolph, Linda Tuesday, July 11,2006 9:18 AM Jean Burgon (jburgon@timesreview.com) Legal ad for 7/13 edition Attachments: 072406.doc Hi Jean, Please publish the attached legal notice of the July 24 Planning Board Public Hearing and send confirmation of receipt. Thank you, Linda Randolph 7/11/2006 PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPHL. TOWNSEND PLANNING BOARD OFFICE TOWN OF SOUTHOLD MAILING ADDRESS: P.O. Box 1179 Southold, N~ 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 LEGAL NOTICE Notice of Public Hearing NOTICE IS HEREBY GIVEN that, pursuant to Section 276 of the Town Law and Article XXV of the Code of the Town of Southold, a public hearing will be held by the Southold Town Planning Board, at the Town Hall, Main Road, Southold, New York on the 24th day of July, 2006 on the question of the following: 6:00 p.m. Proposed standard subdivision for The Cottages at Mattituck located on the s/s/o Sound Avenue and the w/s/o Factory Avenue in Mattituck, Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Number 1000-122-2- 23.1 6:05 p.m. Proposed site plan for Dr. Scott Sheren Medical Building located on the s/s/o Suffolk County Road 48, approximately 1,251' e/o Youngs Avenue in Southold. Suffolk County Tax Map Number 1000-55-5-10. Dated: 7/11/06 BY ORDER OF THE SOUTHOLD TOWN PLANNING BOARD Jerilyn B. Woodhouse Chairperson PLEASE PRINT ONCE ON THURSDAY, JULY 13, 2006 AND FORWARD ONE (1) AFFIDAVIT TO THIS OFFICE. THANK YOU. COPY SENT TO: The Suffolk Times STATE OF NEW YORK) SS: COUNTY OF SUFFOLK' LINDA RANDOLPH, Secretary to the Planning Board of the Town of Southold, New York being duly sworn, says that on the 11th day of July, 2006 she affixed a notice of which the annexed printed notice is a true copy, in a proper and substantial manner, in a most public place in the Town of Southold, Suffolk County, New York, to wit: Town Clerk's Bulletin Board, Southold Town Hall, 53095 Main Road, Southold, New York 7~24~06 Special Meeting: 6:00 p.m. Public Hearing for the proposed Standard Subdivision for The Cottages at Mattituck - SCTM#1000-122-2-23.1 6:05 p.m. Public Hearing for the proposed site plan for Dr. Scott Sheren Medical Building - SCTM#1000-55-5-10 Sworn to before me this II'day of , 2006. Notary 'Pu-bli~c Linda Randolph Secretary, Southold Town Planning Board MELANIE O0ROSKI NOTARY PUBLIC, State of New No, 01D04634870 Qualified in Suffolk County Commission ExCres September PLANNING BOARD MEMBE~ JERILYN B. WOODHOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND PLANNING BOARD OFFICE TOWN OF SOUTHOLD MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cot. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 LEGAL NOTICE Notice of Public Hearing NOTICE IS HEREBY GIVEN that, pursuant to Section 276 of the Town Law and Article XXV of the Code of the Town of Southold, a public hearing will be held by the Southold Town Planning Board, at the Town Hall, Main Road, Southold, New York on the 24th day of July, 2006 on the question of the following: 6:00 p.m. Proposed standard subdivision for The Cottages at Mattituck located on the s/s/o Sound Avenue and the w/s/o Factory Avenue in Mattituck, Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Number 1000-122-2- 23.1 6:05 p.m. Proposed site plan for Dr. Scott Sheren Medical Building located on the s/s/o Suffolk County Road 48, approximately 1,251' e/o Youngs Avenue in Southold. Suffolk County Tax Map Number 1000-55-5-10. Dated: 7/11/06 BY ORDER OF THE SOUTHOLD TOWN PLANNING BOARD Jerilyn B. Woodhouse Chairperson PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D~ SOLOMON JOSEPH L. TOWNSEND July 11,2006 PLANNING BOARD OFFICE TOWN OF SOUTHOLD MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 Mr. Steve Fontana CBD Group 29 Central Avenue Hauppauge, NY 11788 Re: Proposed New Site Plan for Dr. Scott Sheren Medical Building Located on the s/s/o Suffolk County Rd. 48, approximately 1,251' e/o Youngs Ave. in Southold SCTM #1000-55-5-10 Zoning District: General Business (B) Dear Mr. Fontana: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, July 10, 2006: WHEREAS, this new site plan is for the proposed construction of a 2,940 square foot one-story building for two (2) medical offices that requires 15 parking spaces (20 proposed) on a vacant .49- acre parcel in the General Business Zone located on the s/s/o Suffolk County Road 48, approximately 1,251' e/o Youngs Avenue in Southold. SCTM #1000~55-5-10; be it therefore RESOLVED, that the Southold Town Planning Board set Monday, July 24, 2006 at 6:05 p.m. for a final public hearing on the maps dated April 26, 2006 and last revised July 7, 2006. Please refer to the enclosed copy of Chapter 58, Notice of Public Hearing, in regard to the Town's notification procedure. The notification form is enclosed for your use. You may pick up the sign and the post at the Planning Board Office, Southold Town Annex. Please return the enclosed Affidavit of Posting along with the certified mailing receipts AND the signed green return receipt cards before 12:00 noon on Friday, July 21st. The si.qn and the post must be returned to the Plannin.q Board Office after the public hearinq. If you have any questions regarding the above, please contact this office. Very truly yours, Chairperson cc: File Encs. AFFIDAVIT OF POSTING This is to serve notice that I personally posted the property known as by placing the Town's official poster notice(s) within 10 feet of the front property line facing the street(s) where it can be easily seen, and that I have checked to be sure the poster has remained in place for seven days prior to the date of the public hearing on I have sent notices, by certified mail - return receipt, the receipts and green return receipt cards of which are attached, to the owners of record of every property which abuts and every property which is across on Your Name (print) Signature Address Date Notary Public PLEASE RETURN THIS AFFIDAVlT, CERTIFIED MAIL RECEIPTS & GREEN RETURN RECEIPT CARDS BY: noon, Fri., 7/21/06 Re: Proposed Site Plan: Sheren Medical Buildipn SCTM#: '1000-55-5-10 Date of Hearing: Monday~ July 247 2006~ 6:05 p.m. Southold Town Planning Board Notice to Adjacent Property Owners You are hereby given notice: 1. That the undersigned has applied to the Planning Board of the Town of Southold for a site plan; 2. That the property which is the subject of the application is located adjacent to your property and is described as follows: SCTM#1000-55-5-10; 3. That the property which is the subject of this application is located in the General Business District, B Zone; That the site plan application is for This new is for the proposed construction of a 2,940 square foot one-story building for 2 medical offices that requires 15 parking spaces (20 proposed) on a vacant ,49-acre parcel in the General Business Zone located on the s/s/o Suffolk County Road 48, approximately 1,251' e/o Youngs Avenue in Southold; That the fifes pertaining to this application are open for your information during normal business days between the hours of 8 a.m. and 4 p.m. (2nd FI., North Fork Bank). Or, if you have any questions, you can call the Planning Board Office at (631)765-1938; That a public hearing will be held on the matter by the Planning Board on Monday, July 24th, 2006 at 6:05 p.m. in the Meeting Hall at Southold Town Hall, Main Road, Southold; that a notice of such hearing will be published at least five days prior to the date of such hearing in the Suffolk Times, published in the Town of Southold; that you or your representative have the right to appear and be heard at such hearing. Petitioner/Owner's Name(s): Dr. Scott Sheren Date: 7/13/06 DR. SCOTT SHEREN SITE PLAN FOR SHEREN MEDICAL BUILDING 1000-55-5-10 Proposal to construct a 2,940 square foot one-story building for 2 medical offices in the B Zone. MON., JULY 24, 2006- 6:05 P.M. V,~TCH SECTION NO PROPERTY UAP Submission Without a Cover Letter Sender: Subject: SCTM#: 1000 - ~ ---2 -- I o Date: Comments: ,,¢,~,,¢=,,-,~ ..,.~,. ~), ~E,,-,.., -, EAST EH~, EYE PAGF .,/,~J SUFFO],K COUNTY WATER AUTHORITY (63,1) 698-9500 FA~ (a31) 6g~-965~, McCOy M~em~c~ 46520 Co~ty Road 48 $outhold. NfY 't 1971 RP.: Wm~r Availebili~ - 46850 Route 48, Souhhold SCTM# 1000-$5-5-10 Pil~ 4195161 you have ~pplied for water service f'or the above refe~nce~f ps~cel. Suffolk County W~r Authorify . (SCWA) r~o.,ds indicate thai the parcel is Io~ated within an area of public water se~wi~ and a water mare is located in the t~r~t of thc p~l. W~ter is ~tJy available to permit a single hook-up for this l:~rcel. HoweVer. the Cal~city of'the system in So~thold is extre~'~ely Iimixed a~d may not be available at the time ~u wish to hook-up. Provided capacity is evil--time you R~pI~ for a hook-up, th~ cc~nectio~ will be established. If' waler ts not available, the connection caxt not he eatablished Therefore, auy actlvit¥ which requires public water service is mkerrm ~ar own ~ This letter of availability is ~ot~he-considered an actio~ by SC'WA a~ daf'mad by th~ N~ York Stae Enviromne~al Qualit7 Review Act resulations or a datermination, thal Ihe parcel is a~ov~d for buddi~ff. You are n~spo~sible for ~ other permits or spl)r~ais ~ may b~ sv. quir~l for the pro~sed project. $CWA abell no~ be requis'~t to pm,vide water for the project, until all requir~-d ,,F,~cc,*al~ bern ol~ained For connectiOnS to the public water system, there is a key money fee ttrat must be paid in full prior to taking service. T~ f~c I~ios at $3,000 ~or a one [11cll ~ce alld tt~creases for larger services Please contact our New Construction Department d~t~ss$ our normal b'asit~e~s hours at (631) 698-9500, $:30 a,m, lo 5:O0 p.m. Mouday thfotlgh Friday f'o~ more infonnatiott regardifl~ the fees and other condidons ot' service. Assistat~ I~]ana~ef LEA:as Revl~ed COUNTY OF SUFFOLK SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF PUBLIC WORKS CHARLES J. BARTHA, P.E. May 26, 2006 LESLIE A. MITCHEL Dr. Scott Sheren 19 Tanners Neck Lane West Hampton, N. Y. 11977 RE: SUFFOLK COUNTY HIGHWAY WORK PERMIT g 48-219, CR 48, Sound Ave. (East End Eye) Dear Dr. Sheren: A permit from this Department will be required pursuant to Section I36 of the Highway Law for any improvements this Department deems necessary along the County fight-of-way fronting this parcel on the above-referenced County Road. No work is to be commenced upon the County fight-of-way until this permit has been secured by performing the following: SIGN AND DATE the permit application. Do not make any other marks on this application. Xerox Copies will not be accepted. Note any change of the name or address as shown on the permit. Also indicate a telephone number where the applicant can be reached during business hours. 2. A 239F REVIEW FEE in the amount of $200.00 is required. This fee is non-refundable and must be in the form of a certified check if the fee is more than $200.00. (Cheek to be made payable to the SUFFOLK COUNTY DEPT. OF PUBLIC WORKS). 3. SECURITY for this work is required in the amount of $30,000.00. This security must be in the form of one of the following: a) A certified check (payable to the SUFFOLK COUNTY TREASURER) OR b) A bond (bond form enclosed) OR. c) A Letter of Credit. This security will be returned to you upon satisfactory completion of the required work. A PERMIT FEE in the amount of $1,500.00 is required. This fee is non-refundable and must be in the form of a certified check if the fee is more than $200.00. (Check is to be made payable to the SUFFOLK COUNTY DEPARTMENT OF PUBLIC WORKS.) Please include evidence of your GENERAL LIABILITY INSURANCE in the amount of $2,000,000.00 listing Suffolk County as the Certificate Holder and as the additional insured. WH:MPC:In Very truly yours, William Hillman, P.E. C .¥1~e~e E ngi,n qer;q ~ M. Paul Campagna /2/ ~ Director of Highway Plafl'ning & Permits SUFFOLK COUNTY [S AN EQUAL OPPORTUNITY/AFFIRMATiVE ACTION EMPLOYER (631) 852-z~0 t 0 3:35 YAPHANK AVENUE · YAPHANK, N.Y. I I 9E0 · FAX (631 ) 852 ~ 41 50 SI~LK COUNTY DEPARTMENT OF PUBLIC WORI~ HIGHWAY WORK PERMIT '~' REVIEW FEE MAINT SEC SECURITY PERMIT FEE BOND # ~ ~o~.oo DATE PAID ! DATE PAID $301000~00 DATE PAID ~ {i~00.00 DATE PAID CERTIFIED CHECK ADDRESS West Hampton,NY 977 PHONE # d PERMIT# 48-219 TYPE ] HO ] CR# ~CR0481 DATEISSUED i 5/26/2006 TAXMAP#: - -i(~0--~5~0~0 ' PROJECT NAME I~a;[ E~d E_yZ I I LETTER OF CREDIT RETURN SECURITY TO THE FOLLOWING (IF DIFFERENT) PURSUAHT TO THE PROVISIONS OF SECTION 136, ART. 6, OF THE NEW YORK STATE HIGHWAY LAW, PERMISSION IS HEREBY GRANTED TO T PERMITTEE TO: L, onsrruci a zo 'n. wine commerciar'~e,~t type access wth full depth aspnal! pavement, concrete cures w~th 25 ft. CUrD retum raai~ and pedestrian ramps. Install 111 ft. of 5 ff. ,/~le~oncrate sidewalk, full depth 6 asphalt pavement concrete curbing with pedestrian amps. Install a Type D leaching basin with"~a~.e and grate. Prev~de a paved 30 ft. w~de temporary construction access extending into the site. Pavement will be constructed of 4" de'hse,.binder asphalt and 6" stabilized based matedal (see detail provided). Access to the remainder of the County road frontage must be re"~t~d by fencing or other means approved by Suffolk County. Provide means for maintaining Suffolk~way clear of co~,.~tion debds and a road sweeper mast be available at all times. Maintenance and protection of traffic (MPT) requires at a minimum.~'l~ers, work zone warning signs (i.e. road work ahead, flagger ahead, be prepared to stop~hway) and traffic c"O~.~l devices per NYS MUTCD. All drainage structures impacted by this operation mus~r this operafmn cereal. Restore the county right-of-wa,y_. Pdor to the start of any work, the stamped permit plan and att~ detail and notes m~t,~ provided to the applicant s contractor and said contractor must arran~~ig at 852-4788 a'h'~i0imum of 48 hrs. pdor to start of work. Concrete can only be pour~ure will be abS~f~-~2~d~ees for more than ~ after pour. Asphalt and thermoplastic markings can only b~mstalled wben ground temperature is above 42 degrees. All w~,,~hall be performed with this Department's most recent ~~cted by the County engi'rl~: IN THE HAMLET/VILLAGE OF: [~uthold - · IN THE TOWN OF: lSouthold I AS SET FORTH AND REPRESENTED ON THE A~fACHED PLANS, TYPICAL SECTIONS AND PURSUANT TO THIS DEPARTMENT'S GENERAl. SPECIFICATIONS. REVIEWED BY ~ CHARLES J. BARTHA, P.E. DATE SIGNED: PERMITS ENGINEER: ~ COMMISSIONER OF PUBLIC WORKS (Initial) BY: BY: (Permlttee) William Hillman, P.E. Chief Engineer UPON COMPLETION OF WORK AUTHORIZED BY THIS PERMIT, PLEASE COMPLETE THE FOLLOWING AND RETURN TO THIS DEPARTMENT. WORK AUTHORIZED BY THIS PERMIT HAS BEEN COMPLETED, REFUND OF DEPOSIT/BOND IS REQUESTED. DATE: SIGNATURE OF PERMITTEE/AGENT IIX) NOT WRITE BELOW THIS LINE ALL WORK AUTHORIZED BY THIS PERMIT IS: COMPLETED, REFUND DEPOSIT/BOND , _ SECURITY REQUIRED. AMOUNT: : ~ INCOMPLETE. SEND CORRECTION LETTER.DATE SENT: t REINSPECT1ON. DATE CORRECTED AND COMPLETED: ] OTHER DATE: PEILMITS INSPECTOR: DATE: PERMITS ENGINEER: PEF~MIT #: 48-219 TYPE: NU BOND NO. KNOW ALL MEN BY THESE PRESENTS, that we DR. SCO*CF SHEREN of 19 Tanners Neck Lane,West Hampton,NY 11977 (hereinafter called the PRINCIPAL), and the corporation of (hereinafter called the SURETY), as SURETY, are held and firmly bound unto the COUNTY OF SUFFOLK (hereinafter called the OBLIGEE) in the sum of Thirty Thousand Dollars And No Cents ( $30,000.00 ), lawful money of the United States of Amedca, for which payment well and truly to be made, said PRINCIPAL and SURETY bind themselves, their successors and assigns, jointly and severally, firmly by these presents. SEALED with our seals and dated this day of . ,20 . WHEREAS, the PRINCIPAL has applied to the Commissioner of Public Works, Department of Public Works Suffolk County, New York, for a permit under Section 136, Article 6 of the Highway Law, for permission to Construct a 28 ft. wide commercial street type access with full depth asphalt pavement, concrete curbs with 25 ft. curb return radii and pedestrian ramps. Install 111 ft. of 5 ft. wide concrete sidewalk, full depth 6" asphalt pavement concrete curbing with pedestrian ramps. Install a Type "D" leaching basin with frame and grate. Provide a paved 30 ft. wide temporary construction access extending into the site. Pavement will be constructed of 4" dense binder asphalt and 6" stabilized based material (see detail provided). Access to the remainder of the County road frontage must be restricted by fencing or other means approved by Suffolk County. Provide means for maintaining Suffolk County right-of-way clear of construction debds and a road sweeper must be available at all times. Maintenance and protection of traffic (MPT) requires at a minimum: fJaggers, work zone warning signs (i.e. road work ahead, flagger ahead, be prepared to stop, trucks entedng/exitieg highway) and traffic control devices per NYS MUTCD. All drainage structures impacted by this operation must be cleaned during and after this operation ceases. Restore the county dght- of-way. Prior to the start of any work, the stamped permit plan and attached construction detail and notes must be provided to the applicant's contractor and said contractor must arrange a pre-construction meeting with Ken Dantzig at 852-4788 a minimum of 48 hrs. prior to start of work. Concrete can only be poured when the temperature will be above 32 degrees for more than 7 days after pour. Asphalt and thermoplastic markings can only be installed when ground temperature is above 42 degrees. All work shall be performed with this Department's most recent general, traffic and material specifications and as directed by the County engineer. WHEREAS, the issuance of such permit is conditioned upon the PRINCIPAL filing a SURETY bond to guarantee construction or replacement of curbs, sidewalks, drainage structures, curb cuts and other work deemed necessary by the COMMISSIONER OF PUBLIC WORKS, County of Suffolk, New York, for a period commencing , and continuing in full force and effect until the required work has been completed and accepted by the Commissioner of Public Works of Suffolk County, New York. NOW, THEREFORE THE CONDITIONS OF THIS OPERATION IS SUCH that if the PRINCIPAL, shall comply with such permits as are issued by the said Commissioner of Public Works under the aforementioned Highway Law, then this obligation shall be void, otherwise it shall remain in full force and effect. By: A'FYEST: DPW-116 PERMIT # GENERAL CONDITIONS THE PERMITTEE IS RESPONSIBLE FOR THE MAINTENANCE AND PROTECTION OF TRAFFIC IN THE VICINITY OF THE PERMIT WORK AREA AND MUST BE IN ACCORDANCE WITH THE "NEW YORK STATE MANUAL OF UNIFORM TRAFFIC CONTROL DEVICES~. THIS PERMIT, WiTH THE APPLICABLE PLANS, SHALL BE MADE AVAILABLE BY THE CONTRACTOR AT THE JOB SITE DURING CONSTRUCTION FOR THE USE AND INSPECTION OF THIS DEPARTMENT,S PERSONNEL. 72 HRS.EEFORE ANy WORK IS STARTED ..AND UPON ITS COMPLETION, THE PERMITTEE MUST NOTIFY THE ENGINEER: PERMITS SUFFOLK COUNTy D.P.W. M. PAUL CAMPAGNOLA, PERMITS ENGINEER 335 YAPHANK AVENUE YAPHANK, NEW YORK 11980 TEL.#(631) 852-4100 THE SUFFOLK COUNTY DEPT. OF PUBLIC WORKS RESERVES THE RIGHT TO SUSPEND AND/OR REVOKE TRIS PERMIT AT /TS DISCRETION WITHOUT A HEARING OR THE NECESSITY OF SHOWING CAUSE, EITHER BEFORE OR DURING THE OPERATIONS AUTHORIZED. THIS PERMIT SHALL NOT BE ASSIGNED OR TRANSFERRED WITHOUT THE WRITTEN CONSENT OF THE COMMISSIONER OF PUBLIC WORKS. ~ALTLisDFAA~/~iGoEND ~)~TD~sR DD~r~.URBED AREAS RESULTING FROM THE WORK AUTHORIZED MUST BE REPAIRED TO THE INSURANCE REOUIREMENTS: A. THE PERMITTEE AND HIS CONTRACTORS AND/OR SUBCONTRACTORS SHALL NOT COMMENCE WORK UNDER THIS PERMIT UNTIL ALL THE REQUIRED INSURANCE HAS BEEN OBTAINED AND SUCH INSURANCE HAS BEEN APPROVED BY THE COUNTY. APPROVAL OF THE INSURANCE BY COUNTY SHALL NOT RELIEVE OR DECREASE THE LIABILITY OF THE PERMITTEE. THE PERMITTEE SHALL ASSUME ALL RESPONSIBILITY FOR THE INSURANCE REQUIREMENTS OF ALL CONTRACTORS AND/OR SUBCONTRACTORS. ALL INSURANCE REQUIREMENTS APPLY EQUALLY TO SUBCONTRACTORS. ALL INSURANCE SHALL BE OBTAINED FROM COMPANIES LICENSED TO DO BUSINESS IN THE STATE OF NEW YORK. ALL POLICIES PROVIDING COVERAGE SHALL BE ISSUED WITH AN A.M. BEST RATING OF A- OR BETTEIL B. THE PERMITTEE SHALL FURNISH TO THE COUNTy DECLARATION PAGES FOR EACH SUCH POLICY OF INSURANCE, AND, UPON REQUEST, A TRUE AND CERTIFIED ORIGINAL COPY OF EACH SUCH POLICY, nV!O. _ O_ %C0?LIANCE WITH TRE INSU ' CE REQUIREMENTS THE COUNTY OF SUFEOLK SH ~o As A~ ADDITIONAL INSURED ON AL ....... ' ALL BE ~ ~rrLI~ABLE POLICIES AND PERMITYEE SHALL FURNISH A DECLARATION PAGE AND ENDORSEMENT PAGE EVIDENCING THE COUNTY'S STATUS AS AN ADDITIONAL INSURED ON SAID POLICY. C. ALL SUCH DECLARATION PAGES AND OTHER EVIDENCE OF INSURANCE SHALL PROVIDE FOR THE COUNTY OF SUFFOLK TO BE NOTIFIED IN WRITING THIRTy (30) DAYS PRIOR TO ANy CANCELI~ATION, NONRENEWAL, OR MATERIAL CHANGE IN SAID POLICIES. SUCH DECLARATION PAGER POLICIES, AND OTHER EVIDENCE OF INSURANCE AND NOTICES SHALL SET FORTH 1N THE PARAGRAPH ENTITLED BE MAILED TO THE DEPARTMENT AT ITS ADDRESS "NOTICES AND CONTACT PERSONS~, OR AT SUCH OTHER ADDRESS OF WHICH THE COUNTY SHALL HAVE GIVEN THE PERMI~rEE IN WRITING. D. FURTHERMORE, THE PERMITTEE AGREES THAT IT SHALL PROTECT, INDEMNIFY AND HOLD HARMLESS THE COUNTY AND ITS OFFICERS, OFFICIAL& EMPLOYEE& CONTRACTOR& AGENTS AND OTHER PERSONS (THE "COUNTy INDEMNIFIED PARTIES,') FROM AND AGAINST ALL LIABILITIES, FINES, PENALTIES, ACTIONS, DAMAGES, CLAIMS, DEMAND& JUDGMENTS, LOSSES, COSTS, EXPENSES, SUITS OR ACTIONS AND REASONABLE ATTORNEYS, FEE~., ARISING OUT OF THE ACTS OR OMISSIONS OR THE NEGLIGENCE OF THE UNDERSIGNED IN CONNECTION WITH THE USAGE DESCRIBED OR REFERRED TO IN THIS PERMIT. THE UNDERSIGNED SHALL DEFEND THE COUNTY AND ITS OFFICERS, OFFICIALS, EMPLOYEES, CONTRACTORS, AGENTS AND OTHER PERSONS IN ANy SUIT, INCLUDING APPEALS, OR AT THE COUNTY'S OPTION, PAY REASONABLE ATTORNEY,S FEES FOR DEFENSE OF ANy SUCH SUIT ARISING OUT OF THE ACTS OR OMISSIONS OR NEGLIGENCE OF THE UNDERSIGNED, ITS OFF[C SUBCONTRACTORS OR AGENTS IF ~NY f~ ............. ERS OFFICIALS, EMPLOYEE& IN THIS PERMIT. , , ,~, ~ln~n~/top~ WITH THE USAGE DESCRIBED OR REFERRED TO Revised Date: 3/06 2 of 3 E. THE PERMITTEE SHALL PROCURE, PAY THE ENTIRE PREMIUM FOR, AND MAINTAIN IN FORCE THROUGHOUT THE LIFE OF THE CONTRACT, THE FOLLOWING INSURANCE POLICIES: 1. WORKERS COMPEN_S/tT!QN INSURANCE_ WORKER'S COMPENSATION AND EMPLOYER'S LIABILITY INSURANCE IN COMPLIANCE WITH ALL APPLICABLE NEW YORK STATE LAWS AND REGULATIONS AND DISABILITY BENEFITS INSURANCE, IF REQUIRED BY LAW. PERMITTEE SHALL FURNISH TO THE COUNTY, PRIOR TO ITS EXECUTION OF THIS AGREEMENT, THE DOCUMENTATION REQUIRED BY THE STATE OF NEW YORK WORKERS' COMPENSATION BOARD OF COVERAGE OR EXEMPTION FROM COVERAGE PURSUANT TO §§ 57 AND 220 OF THE WORKERS' COMPENSATION LAW. IN ACCORDANCE WITH GENERAL MUNICIPAL LAW § 108, THIS AGREEMENT SHALL BE VOID AND OF NO EFFECT UNLESS THE CONTRACTOR SHALL PROVIDE AND MAINTAIN COYERAGE DURING THE TERM OF THIS AGREEMENT FOR THE BENEFIT OF SUCH EMPLOYEES AS ARE REQUIRED TO BE COVERED BY THE PROVISIONS OF THE WORKERS' COMPENSATION LAW. 2. GENERAL LIABILITy [N~_~_RANC~E A. COMMERCIAL GENERAL LIABILITY INSURANCE, INCLUDING CONTRACTUAL LIABILITY COVERAGE IN AND AMOUNT NOT LESS THAN TWO MILLION DOLLAP~ ($2,000,000) PER OCCURRENCE FOR BODILY INJURY AND TWO MILLION DOLLARS ($2,000,000.00) PER OCCURRENCE FOR PROPERTY DAMAGE. B. AT THE PERMI~FEE,S OPTION, THE PERMEVFEE MAy FURNISH A MINIMUM ONE MILLION DOLLAR ($1,000,000) UMBRELLA POLICY OR EXCESS L/ABILITy POLICy TO MEET THE TWO MILLION DOLLAR ($2,000,000) GENERAL LIABILITY INSURANCE REQUIREMENT OF ITEM NO. 3. A~MOBILE LIABILITY INSURANCE AUTOMOBILE LIABILITY INSURANCE INCLUDING OWNED, NON-OWNED, AND HIRED CARS, WITH MINIMUM LIMITS OF NOT LESS THAN ONE MILLION DOLLARS ($1,000,000) PER PERSON, PER ACCIDENT BODILY INJURY AND NOT LESS THAN FIVE FOR PROPERTY DAMAGE PER OCCURRENCE. HUNDRED THOUSAND DOLLARS ($500,000) F. THE PERMI~rEE ASSUMES RESPONSIBILITY FOR ALL INJURY TO OR DESTRUCTION OF OR LOSS BY THEPT OR PILFERAGE OF THE CONTRACTOR,S AND/OR SUBCONTRACTOR,S MATERIALS, TOOLS, MACHINERY, EQUIPMENT, APPLIANCES, SHORING, SCAFFOLDING, FALSE AND FORM WORK AND PERSONAL PROPERTY OF HIS EMPLOYEES, FROM WHATEVER CAUSE. G. IF AT ANy TIME ANy OF THE INSURANCES SHOULD BE CANCELED, NOT RENEWED OR MATERIALLY MODIFIED SO THAT INSURANCE IS NOT IN EFFECT AS REQUIRED, THE COUNTY SHALL DIRECT THE PERMITFEE TO SUSPEND WORK. H. IF REQUIRED INSURANCE DECLARATION PAGES ARE NOT PROVIDED AND UPDATED AS NECESSARy, THE COUNTy SHALL SUSPEND OPERATIONS UNTIL SUCH TIME THAT CERTIFICATES/POLICiES ARE SUBMITTED STATING THAT ALL APPLICABLE INSURANCES ARE IN EFFECT. UPON SATISFACTORILY COMPLETING ALL WORK AUTHORIZED BY THIS PERMIT, THE PERMITTEE SHALL liE ESPONSIRLE EOB THE MAINTENANCE AND REPAIR OF SUCH Il) YEAR OR AS DETER.MINED BY THE PERMITS ENGINEER. A eWg~'vI~'~'O~R'P~-O'R-T--ION THEREOF FOR A PERIOD OF ONE LETTER OF CREDIT, IN THE AMOUNT OF o,.~,-vna ~ g ll~ IHE FORM OF A CERTIFIED CHECK OR PERFORMED ON THE COUNTy R.O.W., SHALL BE SUBMITTED TO THIS DEPARTMENT AND HELD BY THIS DEPARTMENT FOR ONE YEAR. 10% OF THE ORIGINAL SECURITY AMOUNT FOR THE VALUE OF THE WORK SPRINKLER SYSTEMS AND ADVERTISEMENT SIGNS ARE NOT PERMITTED ON THE COUNTy RIGHT-OF-WAy. THIS HIGHWAy WORK PEP~41T IS CONTINGENT UPON FULL COMPLIANCE WITH EPA STORMWATER PHASE Il REGULATIONS AND THE CONSTRUCTION ACTIVITY PERMIT (IF ISSUED) BY THE NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION (NYSDEC). ALL PARTS OF THE CONSTRUCTION ACTIVITY PERMIT SHALL BE COMPLIED VSqTH, INCLUDING BUT NOT LIMITED TO, THE STORMWATER POLLUTION PREVENTION PLAN (SWPpp), SEDIMENT AND EROSION CONTROL MEASURES, AND BEST MANAGEMENT PRACTICES (BMP'S) AS REQUIRED. ANy VIOLATION OF THESE REGULATIONS WILL DEEM THIS PERMIT BE DENIED UNTIL ANy AND ALL INFRACTIONS ARE RECTIFIED. VOID, AND ACCESS TO COUNTY ROADS WILL TO AVOID DAMAGE TO VITAL UNDERGROUND UTILITIES THAT MAY BE PRESENT IN THE AREA OF WORK DESCRIBED BY THIS PERMIT, CALL THE UTILITy ONE CALL CENTER AT 1'800-272-4480 BEFORE ANy WORK IS COMMENCED ON THE COUNTY RIGHT-OF-WAy. 3 of 3 Construction Notes SIDEWALK NOTES: See construction plans for limits of new concrete curb Type A Item 97A. A full depth tack coat shall be placed along the face of new curb adjacent to new asphalt pavement Item 7oB. The contractor shall mill the existing top asphalt courses for e'-o" min and replace with .5 of new asphalt top course. ' In areas of new pavement construction, the contractor shall remove the ex/sting pavement as required up to a point where the existing depth of acceptable asphalt is 6" thick or as directed by the engineer. 4. The contractor shall clear and grab to P,-O.W. back from the new curbline along the entire property frontage or as directed by the Countypersonneh RAMP NOTES: 5- Surface of ramp shall be deep grooved 1/2" w~de by Va ' deep on ~' centers transverse to the ramp 6. The normal pavement edge profile shall be maintained through the area of the romp. 7. Stop lines are to be provided in advance of wheel chair ramps. 8. Stop sign as per NYS MUTCD standards. County personnel will oversee final placement in accordance with sighfline conditions. GENERAL NOTES: All items are to be in accordance with SCDPW specifications Item 1055 Tack Coot (D~tuminous Material £mulslor Per Ft ,Y~" Per Ft Tack Coot (Bituminous 14oteriol Emu/sion) - Item 70B- 5ce Note ! ~ TOpao~ item 121A$ Asphalt cat, crete Cinder Course T,y~e lB -- Item 51FX (2 Lifts Con=cie Curb T~e A NEW CURB, SIDEWALK' AND PAVEMENT DETAIL NOT TO SCALE SCOTT A. RUSSELL SUPERVISOR TOWN HALL - 53095 MAIN ROAD Fax. (631)-765-9015 Jerilyn B. Woodhouse Chairperson - Planning Board Town Hall, 53095 Main Road Southold, New York 11971 Dear Mrs. Woodhouse: Re: Dr. Scott Sheren Medical Office County Route 48, Southold SCTM Ct: 1000 - 55 - 05 - 10 As per a request from your office, I have reviewed the site plan for the above referenced project. This site plan has been prepared by the office of CBD Group, Architecture Engineering Planning, P.C., and has been dated 4/26/06. Please consider the following: 1. Suffolk County DPW Curb Cut Permits should be required. 2. Drainage calculations have been provided & meet the minimum requirements of Town Code. The proposed drainage design and location of drainage pools should be revised: a) Drainage structure Invert elevations have been shown on the plan to indicate the top of inlet casting and, in some cases, at the cross over pipe. These invert elevations should be amended and coordinated with Curb & Pavement elevations. b) It is recommended that 4 x 4 Inlet Catch basins be located at the curb line on each side of the proposed new entrance. Entrance pavement should be crowned to move run-off to the shoulder of the driveway and prevent run-off from entering the County ROW. (This item should be coordinated with Suffolk county DPW) These Catch Basins should be connected and/or piped to the required Leaching Pools with traffic bearing drainage pipe. c) As shown on the plan, the spacing of pools and the proposed pitch in asphalt pavement will create a wash board effect. Leaching Pool locations should be consolidated and individual groups of pools should be interconnected with cross over traffic bearing drainage pipe. 4. The Dumpster pad has been located within the required Landscape Buffer area. This item should be relocated outside of this 25' Buffer Area. Buffer Area Plantings and additional Front & Side Yard Landscaping should be planted to meet the minimum requirements of ARTICLE XX, Landscaping, Screening and Buffer Regulations: Section 280-91 through 280-95. 5. Handicapped parking has been indicated in the Northerly Parking area only. It would appear that there will be two distinct entrances at each end of this proposed facility. It is recommended that this item be coordinated with the Building Department. One or more Handicapped parking stalls mayalso be required in the Southerly Parking area. The accessibility of the proposed narrow sidewalk on the westerly side of the building should also be reviewed by the Building Department. regarding this review, please contact my office. PLANNING BOARD MEMBER~ JERILYN B. WOODHOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND PLANNING BOARD OFFICE TOWN OF SOUTHOLD MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cot. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 FACSIMILE TRANSMITTAL SHEET TO: FROM: Steve Fontana AmyFord COMPANY: DATE: CBD Group 7 July2006 FAX NUMBER: TOTAL NO. OF PAGES INCLUDING COVER: 631.234.8903 2 RE: Dr. Scott Sheren Medical Office Mr. Fontana - As discussed, please find attached a copyof the Town Engineer's comments. Please be aware these have not been accepted bythe Planning Board. Please let me know if you need anything further. Thanks, Amy Ford ~ SCOTT A. RUSSELL SUPERVISOR TOWN HALL - 53095 MAIN ROAD Fax. (631)- 765 - 9015 JAMES A. RICHTER, R.A. ENGINEER TOWN OF SOUTHOLD, NEW YORK 11971 OFFICE OF THE ENGINEER TOWN OF SOUTHOLD Jerilyn B. Woodhouse Chairperson - Planning Board Town Hall, 53095 Main Road Southold, New York 11971 Tel.(631)-765 ~ 1560 Dear Mrs. Woodhouse: July 6, 2006 Re; Dr. Scott Sheren Medical Office County Route 48, Southold SCTM #: 1000 - 55 - 05 - 10 As per a request from your office, I have reviewed the site plan for the above referenced project. This site plan has been prepared bythe office of CBD Group, Architecture Engineering Planning, P.C., and has been dated 4/26/06. Please consider the following: 1. Suffolk County DPW Curb Cut Permits should be required. 2. Drainage calculations have been provided & meet the minimum requirements of Town Code. 3. The proposed drainage design and location of drainage pools should be revised: a) Drainage structure Invert elevations have been shown on the plan to indicate the top of inlet casting and, in some cases, at the cross over pipe. These invert elevations should be amended and coordinated with Curb & Pavement elevations. b) It is recommended that 4 x 4 Inlet Catch basins be located at the curb line on each side of the proposed new entrance. Entrance pavement should be crowned to move run-off to the shoulder of the driveway and prevent run-off from entering the County ROW. (This item should be coordinated with Suffolk county DPW) These Catch Basins should be connected and/or piped to the required Leaching Pools with traffic bearing drainage pipe. c) As shown on the plan, the spacing of pools and the proposed pitch in asphalt pavement will create a wash board effect. Leaching Pool locations should be consolidated and individual groups of pools should be interconnected with cross over traffic bearing drainage pipe. 4. The Dumpster pad has been located within the required Landscape Buffer area. This item should be relocated outside of this 25' Buffer Area. Buffer Area Plantings and additional Front & Side Yard Landscaping should be planted to meet the minimum requirements of ARTICLE XX, Landscaping, Screening and Buffer Regulations: Section 280-91 through 280-95. 5. Handicapped parking has been indicated in the Northerly Parking area only. It would appear that there will be two distinct entrances at each end of this proposed facility. It is recommended that this item be coordinated with the Building Department. One or more Handicapped parking stalls may also be required in the Southerly Parking area. The accessibility of the proposed narrow sidewalk on the westerly side of the building should also be reviewed by the Building Department. If you have any questions regarding this review, please contact my office. Sincerely, James A. Richter, R.A. COUNTY OF SUFFOLK STEVE LEVY SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF HEALTH SERVICES BRIAN L. HARPER, M.D., M.P.H. COMMISSIONER Amy Ford Planning Board Office PO Box 1179 Town Hall Annex, 54375 State Rte. 25 Southold, New York 11971 June 2~~ SCTM#: Dr. Scott Sheren Medical Office Site Plan 1000-55-5 - 10 Dear Ms. Ford: The Suffolk County Department of Health Services (SCDHS; "Department") has received your letter dated May 25, 2006 concerning the above-referenced project. Based on a review of the subject coordination, the Department offers the following comments. However, the Department wishes to reserve its right to provide more detailed information within the comment period(s) established for this action. These comments should not be construed as an implicit SCDHS approval or rejection of the project. All applications are reviewed thoroughly with respect to Suffolk County Sanitary Code concems by appropriate departmental personnel when SCDHS applications are completed. 1. SANITARY CODE A. Article VI Application Status: Our agency has received an application for the above-referenced project on April 27, 2006 (HD Ref # C10-06-0008), as required by Article VI of the Suffolk County Sanitary Code. The application is incomplete pending the submission of the following additional technical information: Application Form Short Environmental Assessment Form Revised Preliminary Surveys Engineer's Certification DIVISION OF ENVIRONMENTAL QUALITY, OFFICE OF ECOLOGY 360 Yaphank Avenue, Suite 2B, Yaphank, NY 11980 (631) 852-5750 Fax (631) 852-5812 The applicants must comply with the requirements of the Suffolk County Sanitary Code and relevant construction standards for water supply and sewage disposal. Design and flow specifications, subsurface soil conditions, and complete site plan details are essential to the review of this project. These considerations are reviewed completely at the time of SCDHS application. B. SCDHS Jurisdiction The SCDHS maintains jurisdiction over the final location of sewage disposal and water supply systems. The applicant, therefore, should not undertake the construction of either system without Health Department approval. The Department appreciates the opportunity to participate in the SEQRA review of this proposal. Additional information may be provided prior to the close of the established comment period. Should you have any questions or require additional information, please feel free to contact the Office of Ecology at 852-5750. PD/amf pc: Kimberly Shaw Walter Hilbert, P.E. Sincerely, Philip de Blasi Environmental Analyst Office of Ecology Submission Without a Cover Letter SCTM#: 1000- .~',r- m Comments: COUNTY OF SUFFOLK STEVE LEVY SUFFOLK COUNTY E×ECUTWE DEPARTMENT OF HEALTH SERVICES BRIAN L. HARPER, M.D., M.P.H. COMMISSIONER PERMIT CONDITIONS Health Services Reference # ~'tO- o{,- oooB 0 The attached plan, when duly signed by a representative of the department, in conjunction with these conditions, constitutes a permit to construct a water supply and/or a sewage disposal or collection system for the property as depicted. The applicant should take note of any conditions of approval, which may be indicated on the plan or enclosed herein. Construction must conform with applicable standards including "Standards for Approval of Plans and Construction for Sewage Disposal Systems for Other than Single Family Residences." Omfssions, inconsistencies or lack of detail on the plan do not release the applicant from the responsibility of having the construction done in conformance with applicable standards. Issuance of this pemfit shall in no way relieve the design professional of responsibility for the adequacy of the complete design. The permit (plan) expires three (3) years after the approval date. Any modification vehich may affect the proposed sewage disposal or water supply systems requires submission of a revised plan and additional fees (if applicable) for reapproval prior to construction. No inspections will be performed by the department on expired permits. Pemfits may be renewed, extended, transferred, or revised in accordance with the procedures described in Instructions tO Renew, Extend, or Transfer an Existing Permit for Other than Single Family Residences (Form WWM-018). It is the applicant's responsibility to cai1 the department h~ advance to arrange inspections of the sewage disposal and/or water supply facilities prior to backfilling. These include inspections of the sewage collection and disposal systems, water supply system components and piping, and final grading as shown on the approved plans. In certain cases, inspections of the soil excavation may be required to determine the acceptability of the soils for sewage disposal systems. The department must be notified at least 48 hours in advance to schedule an inspection by calling 852-5754; and excavation inspections must also be confirmed by calling 852-5700 prior to 9:30 a.m., the morning of the inspection. Article VII of the Suffolk County Code, "Septic Industry Businesses," requires that all installers of septic systems within Suffolk County shall?ossess a valid license fi'om the Suffolk County Office of Consumer Affairs. This office can refuse to perform inspections or grant final approval for the conslruction of projects that are installed by an unlicensed individual. It is, therefore, in your best interest to utilize a cesspool contractor with a valid license to a¥oid substa~:tial delays in your project. Final approval issued by the Department is necessary prior to the occupancy of new buildings, additions to existing buildings, or for the use of sewage disposal or water supply systems. SEE PAGE 2 WWM-016 (Rev. 09/14/05) Page 1 of 2 PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND PLANNING BOARD OFFICE TOWN OF SOUTHOLD MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southo]d, NY Telephone: 631 765-1938 Fax: 631 765-3136 MEMORANDUM To: James Richter, Town Engineer AmyFord, Senior Planner.~C~ From: Date: June 30, 2006 Dr. Scott Sheren Medical Office County Road 48, Southold SCTM #: 1000-55-5-10 As per your request please find attached a letter from Southold Fire District, dated June 14, 2006, regarding the above referenced site plan. This is being sent to you to better assist you in ~ur review of the project. Please let me know if you have any questions or need anything further. Thank you in advance. Cc: File Enc.: Letter from Southold Fire District dated June 14, 2006 DEPARTMENT OF PLANNING COUNTY OF SUFFC STEVE LEVY SUFFOLK COUNTY EXECUTIVE June 21, 2006 THOMAS ISLES, AICP DIRECTOR OF PLANNING Town of Southold Planning Bd. 53095 Main Road- P.O. Box 1179 Southold, NY 11971 Attn: Amy Ford, Senior Planner Pursuant to Section 239L & M of the General Municipal Law, the following site plan which have been submitted to the Suffolk County Planning Commission is/are considered to be a matter for local determination as there appears to be no significant county-wide or inter-community impact(s). A decision of local determination should not be construed as either an approval or disapproval. Site Plan SCTM No. Dr. Scott Sheren Medical Office 1000-55-5-10 NOTE: Does not constitute acceptance of any zoning action(s) associated therewith before any other local regulatory board. Very truly yours, APF:cc Thomas Isles, AICP LOCATION MAILING ADDRESS H. LEE DENNISON BLDG. - 4TH FLOOR · P.O. BOX 6100 · (631) 853-5190 100 VETERANS MEMORIAL HIGHWAY HAUPPAUGE, NY I 1788-0099 TELECOPIER (631) 853-4044 PLANNING BOARD MEMBE~I~ JERILYN B. WOODHOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE 1). SOLOMON JOSEPHL TOWNSEND PLANNING BOARD OFFICE TOWN OF SOUTHOLD MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cot. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 June 22, 2006 Steve Fontana CBD Group 29 Central Avenue Hauppauge, New York 11788 Re: Dr. Scott Sheren Medical Office County Road 48, Southold SCTM#: 1000-55-5-10 Dear Mr. Fontana: In reviewing the site plan application materials submitted to this office on March 29, 2006, the Planning Board held a work session on April 10, 2006 and accepted this application. In order to continue review of your site plan, the site plan/application will need to include/correct the following: As per Town Code ~100-213 (B)(4), a 25' wide transkion buffer is required "along all boundaries of a nonresidential lot abutting any lot in a residential district". Your plan indicates the proposed dumpster within this required buffer area. In addkion, please be aware that if the dumpster is located at the end of a parking stall it maybe necessaryto label that parking stall as employee parking to prevent any conflict with the ~emoval of refuse. · All handicap parking stalls and access aisles must comply with New York State Code and ADA requirements. Please also be aware handicap parking space # 6 is mislabeled on the access aisle. · Please supply a copy of draft Covenants & Restrictions to this Department for the future cross access easement as indicated on the proposed site plan. Once received, a copy will be forwarded to the Town Attorney for review and approval prior to £ding with the Suffolk County Clerk. In addition, please include any future cross access easements along the eastern portion of the property. This should also be included on the revise site plan. In addition, please be aware the Architectural Review Committee reviewed your application on Thursday, May4, 2006 and accepted the application subject to conditions. The Planning Board has accepted the ARC's recommendation at their work session on June 5, 2006, a letter with these recommendations should follow and be incorporated into the revised site plan. Dr. Scott Sheren Medical Btfilding Page Two June 22, 2006 This is to notifyyou that the Planning Department will need to obtain the following approvals and/or comments before the Planning Board can approve this site plan: Suffolk County Planning Department, LWRP, Southold Fire Department, Town Engineer and Southold Town Building Department. You are required to verify agency requirements, submit required agency documents and obtain approvals from New York State Department of Transportation, Suffolk County Department of Health Services and Suffolk County Water Authority As a courtesy, you may submit one (1) sketch revised site plan incorporating all of the above referenced changes to this Department for ,an initial review prior to submitting all of the necessary copies. Once the Planning Board has reviewed and accepted the necessary changes, please submit the required copies of the revised site plan to this office so that it may be distributed to all necessary agencies. Please do not hesitate to contact this office should )x~u have any questions or need further assistance. Amy Ford Senior Planner Cc: File Planning Board June 14,2006 SOUTHOLD FIRE DISTRICT P.O. BOX 908. SOUTHOLD, N.Y. 11971 (631) 765-4305 FAX (63'1) 765-5076 Ms. Amy Ford, Sr. Planner Town of Southold Planning Board P.O. Box 1179 Southold, NY 11971 Re: Dr. Scott Sheren Medical Office SCTM#1000-55-5-10 Dear Ms. Ford: Please be advised that the Board of Fire Commissioners of the Southold Fire District has reviewed the above mentioned map and found that there is adequate fire protection for this parcel. Fire access is sufficient. This recommendation is valid for one year from the date of this letter. Sincerely, Fire District Manager PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND MAILING ADDRESS: P.O. Box 1179 Southold, NYl1971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD June 13, 2006 Mr. Steve Fontana CBD Group 29 Central Avenue Hauppauge, NY 11788 Re: Proposed New Site Plan for Dr. Scott Sheren Medical Office Located on the s/s/o Suffolk County Road 48, approximately 1,251' e/o Youngs Avenue in Southold SCTM #: 1000-55-5-10 Zoning District: General Business (B) Dear Mr. Fontana: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, June 12, 2006: WHEREAS, this new site plan is for the proposed construction of a 2,940 square foot one-stoW building for 2 medical offices that requires 15 parking spaces (20 proposed) on a vacant .49- acre parcel in the General Business Zone located on the s/s/o Suffolk County Road 48, approximately 1,251' e/o Youngs Avenue in Southold. SCTM #1000-55-5-10; be it therefore RESOLVED that the Southold Town Planning Board, acting under the State Environmental Quality Review Act (6 NYCRR), Part 617.5 c (7), makes a determination that the proposed action is a Type II and not subject to review. If you have any questions regarding the above, please contact this office. Very truly yours, ~oodhouse Chairperson cc: Southold Town Building Department Southold Town Engineer Mark Terry, LWRP Coordinator Suffolk County Department of Public Works Suffolk County Planning Commission File FORM NO. 3 NOTICE OF DISAPPROVAL DATE: March 28, 2006 AMENDED: May 11, 2006 AMENDED: May 23, 2006 TO: Scott Sheren a/c ONR LLC 19 Tanners Neck Lane Westhampton, NY 11977 Please take notice that your application dated March 22, 2006 For permit for to construction of a medical/professional office building at Location of property: 46850 CR 48, Southold, NY County Tax Map No. 1000 - Section 5~5 Block5 Lot 1_~_0 Is returned herewith and disapproved on the following grounds: The proposed construction, on this non-conforming 21,616 square foot lot in the Business (B) District, is not permitted without site plan approval, from the Southold Town Planning Board. You may now apply to this agency directly. This Notice of Disapproval was amended on May 11, 2006~ following a change in the scope of the proiect and on May 23~ 2006~ to eliminate the need for a variance from the Zoning Board of Appeals based on average setbacks of adiacent parcels. Note to Applicant: Any change or deviation to the above referenced application, may require further review by the Southold Town Building Department .................. '~ CC: file, Z.B.A., Planning Board ~i ~~~ PLANNING BOARD MEMBEI~ JERILYN B. WOODHOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND PLANNING BOARD OFFICE TOWN OF SOUTHOLD MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cot. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 Southold Town Zoning Board of Appeals Southold Town Clerk for Southold Town Board Scott Russell, Southold Town Supervisor Southold Town Board of Trustees Architectural Review Committee Suffolk County Departmem of Heakh Services NYSDEC - Stony Brook Suffolk CountyDepartment of Public Works* Suffolk County Water Authority From: AmyFord, Senior Plannerff Date: May25, 2006 RE: Agency referral requests required as per Southold Town Code Article XXV 100-254 Review Procedure Part C, the Planning Board refers this ske plan for concerns, comments and jurisdiction requirements, if applicable. Dear Reviewer: The site plan status is a New Active Site Plan. The following is site plan application information pertaining to the listed project: Dr. Scott Sheren iMedical Office County Road 48, Southold SCTM #: 1000-55-5-10 This nexv site plan is for the proposed construction of a 2,940 square foot one-story building for 2 medical offices that requires 15 parking spaces (20 proposed) on a vacant .49-acre parcel in the General Business Zone located on the s/s/o Suffolk County Road 48, approximately 1,25 l'e/o Youngs Avenue in Southold. SCTM#: 1000-55-5-10. Attached is a copy of the site plan application for your review. Thank you in advance. Cc: File Eric.: Site plan application *1 site plan prepared byCBD Group dated April 26, 2006 is enclosed for your review PLANNING BOARD MEMBER~ JER[LYN B. WOODHOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND PLANNING BOARD OFFICE TOWN OF SOUTHOLD MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cot. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 To: Michael J. Verity, Chief Building Inspector James Richter, Town Engineer Mark Terry, Local Water Revitalization Program Coordinator From: Amy Ford, Senior Planner~ Date: May25, 2006 Dr. Scott Sheren Medical Office County Road 48, Southold SCTM#: 1000-55-5-10 In reference to the above, attached you veil] find a site plan and application. The site plan reflects the current proposed build out of this site. Please review for comments, concerns and certification. This new site plan is for the proposed constmction of a 2,940 square foot one-story building for 2 medical offices that requires 15 parking spaces (20 proposed) on a vacant .49-acre parcel in the General Business Zone located on the s/s?o Suffolk County Road 48, approximately 1,251' e/o Youngs Avenue in Southold. SCTM#: 1000-55-5-10. The enclosed site plan is for your review and records and does not need to be returned to the Planning Board. Thankyouinadvance. File 1 site plan prepared by CBD Group dated April 26, 2006. Site plan application LWRP Consistency Assessment Form (LWRP Coordinator only) PLANNING BOARD MEMBER~ JERILYN B. WOOl)HOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND PLANNING BOARD OFFICE TOWN OF SOUTHOLD MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cot. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 IVLay25,2006 Carol Miller Southold Fire District P.O. Box 908 Southold, New York 11971 Dr. Scott Sheren Medical Office Cotmty Road 48, Southold SCTM#: 1000-55-5-10 Dear Ms. Miller: Enclosed please find a site plan application and one (1) site plan prepared byCBD Group dated April 26, 2006 for the above referenced project. This new ske plan is for the proposed construction of a 2,940 square foot one-story building for 2 medical offices that requires 15 parking spaces (20 proposed) on a vacant .O-acre parcel in the General Business Zone located on the s/s/o Suffolk County Road 48, approximately 1,251' e/o Youngs Avenue in Southold. SCTM #: 1000-55-5-10. The enclosed site plan is being referred to you for fire access review and for your recommendations. Thank you for your cooperation. Very truly yours, Senior Planner Cc: File Enc.: I site plan prepared by CBD Group dated April 26, 2006. Site plan application PLANNING BOARD MEMBERe JERILYN B. WOODHOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND PLANNING BOARD OFFICE TOWN OF SOUTHOLD MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 May25, 2006 Suffolk County Phnning Commission Mr. Andrew P. Freleng, AICP, Chief Planner H. Lee Dennison Building, 4~h Floor 100 Veterans Memorial Highway Hauppauge, New York 11788-0099 Planning Commission Comments on the Site Plan for Dr. Scott Sheren Medical Office County Road 48, Southold SCTM #: 1000-55-5-10 Zoning District: General Business Dear Mr. Freleng, Pursuant to Section 239L &M of the General Municipal Law, the following site plan is being referred to you for comments. Attached are the site plan, EAF and site plan application. This new site plan is for the proposed construction of a 2,940 square foot one-story building for 2 medical offices that requires 15 parking spaces (20 proposed) on a vacant .49-acre parcel in the General Business Zone located on the s?s/o Suffolk CountyRoad 48, approximately 1,251' e/o Youngs Avenue in Southold. SCTM#: 1000-55-5-10. If there are any questions you can contact us at (631) 765-1938 between the hours of 8:00 a.m. and 4:00 p.m. Senior Planner Cc: File El'lC. 1 site plan prepared by CBD Group dated April 26, 2006. Environmental assessment form Site plan application RICHARD J. LAVALLE, P.E. CHIEF DEPUTY COMMISSIONER COUNTY OF SUFFOLK STEVE LEVY SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF PUBLIC WORKS CHARLES J. BARTHA, P.E. COMMISSIONER LESLIE A. MITCHEL DEPUTY COMMISSIONER CR # 48 Project Name: East End Eye Applicant Name: Dr. Scott Sheren Project Location: Southold SCTM # 1000-55-05-10 Date: 5/11/06 APPROVED DISAPPROVED APPROVAL WITHHELD Pursuant to Section 239f of the New York State General Municipal Law and subject to the stated conditions: A permit from this Department will be required pursuant to Section 136 of the Highway Law for any improvements this Department deems necessary along the County right-of-way. We will perform a detailed review of this project, including a site visit. We request the To~vn refrain from issuing any final approvals or permits until we have had an opportunity to advise your office of the results of our review. ~' William Hillman, P. E. Chief Engineer 335 YAPHANK AVENUE SUFFOLK COUNTY IS AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER · YAPHANK, N.Y. 11980 · (631) 852-4010 FAX (631) 852-4150 TOWNhqLLAGEOF Southold ADDRESS Bldg. Dept. - Town Hall Southold, NY 11971 BUILDING I)EI"ARTM ENT SUFFOLK COUNTY DEPT. OF PUBLIC WORKS COMMISSIONER 335 YAPHANK AVENUE YAPHANK, NY 11980 Dear S/r: In accordance with Section 239f of the General Muni6ipal Law of the consolidated Laws of the State of New York, this is to notify the Commissioner of Public Works of the County of Suffolk that Name& Address of Applicant Dr. Scott Sheren 19 Tanners Neck Lane, West Hampton, NY 11977 has applied to the Town/Village of Southold permit in reference to proper'fy located on the: N S E W side North Road Distance 297 feet Village Southold As shown on the attached survey or site plan (3 copies needed), dated for the issuance of a C.R. Route 48 N S E W Boisseau Ave. __Town Southold 4/26/06 We shall witbhold ~aher action on this application ~rteu (10) business days ~r the a~rementioned Section239f. Building Permits Only Very Truly Yours, 'lding Inspector~' Date: __5 / 11/06. APPROVED / DISAPPROVED / APPROVAL '9,'ITHHELD o the Town/Village pursuant tO the General Municipal Law subject to the stated conditions: See Attached SUFFOLK COUNTY DEPT. OF PUBLIC WORKS CHARLES J. BARTHA, P.E., COMMISSIONER By: RICHARD J. LAVALLE, P.E. CHIEF ENGINEER FORM NO. 3 NOTICE OF DISAPPROVAL DATE: March 28, 2006 AMENDED: May 11, 2006 TO: Scott Sheren a/c ONR LLC 19 Tanners Neck Lane Westhampton, NY 11977 Please take notice that your application dated March 22, 2006 For permit for to construction of a medical/professional office building at Location of property: 46850 CR 48, Southold, NY County Tax Map No. 1000 - Section 5~5 Biock5 Lot i~0 Is returned herewith and disapproved on the following grounds: The proposed construction, on this non-conforming 21,616 square foot lot in the Business (B) District, is not permitted pursuant to Article X, Section 100-103A, which states, "Structures shall be set back at least one hundred (100) feet from the right-of-wa,/." The proposed building is noted as being +/- 66 feet. In addition, please be aware that site plan approval, from the Southold Town Planning Board, will be required for this proposed project. This Notice of Disapproval was amended on May 11~ 2006, followin~ a chan~o.in the.sc°l~~ project. ~ ~ ........ t. ~' u~rized~ign ture~__.~ ............ Note to Applicant: Any change or deviation to the above referenced appfismlioazmayYe-qiii~ further review by the Southold Town Building Department. CC: file, Z.B.A., Planning Board ARC Meeting Minutes Page Two May 4, 2006 New Applications: FHV LLC/North Fork Custom Audio & Video Approved as submitted. SCTM: 1000-125-1-19.7 13235 Main Road Corporation SCTM: 1000-140.3-37 Recommended: Colonial panels under windows or 8' windows, window flowerboxes along access path/front area; submit lighting, signage, colors, material samples. Applicant will submit new plans. M&R Developing SCTM: 1000-96-1-1.8 (Previously approved lot part of Tide Group Subdivision) Recommended: Coordinate/match color of roof, parking light fixtures and signage to North Fork Self Storage for uniformity of details. Addition of windows, awning, reverse gabling on front, barn-type features. Gable roof structure along road side; elevation should be hipped roof structure. Add two maple trees near retaining wall on west side of property. Possible screening of dumpster. Montauk Bus Company SCTM: 1000-96-1-1.2 Recommended: Taller cedar trees. Four sugar maples 40' on center closer to parking area on west side of parcel; more definition and detail in elevations. Suggested: addition of cupolas. Same comments as M&R. Sheren Medical Building SCTM: 1000-55-5-10 Approved, with the following recommendations: a different street tree in front on CR48, possibly an oak species. Change arborvitae to cedar trees. Concern regarding backup. Round curbing along parking areas. Any plumbing vents should be along left side on the east side of building. The Meeting Secretary will look into availability of larger room for next meeting and will prepare and circulate monthly meeting dates for the rest of 2006. The meeting was adjourned at 7:10 p.m. Linda Randolph ARC Secretary TOWN OF SOUTHOLD ARCHITECTURAL REVIEW COMMITTEE MINUTES May 4, 2006 4:00 p.m. Town Hall Conference Room Present were: Chairman Sanford Hanauer, members Herbert Ernest, Ronaid McGreevy, Howard Meinke, Nicholas Planamento and Ural Talgat, Senior Site Plan Reviewer Bruno Semon, Senior Planner Amy Ford, ARC Secretary Linda Randolph, and project representatives The following correction was made to the minutes of the March i, 2006 meetinc "attendees: add Ronald McGreevy, delete Howard Meinke' Revisited Applications: East Marion FD Telecom project SCTM: 1000-31-3-t New location approved. The suggestion was made to add street trees on east side of the property along NYS Route 25. Osprey's Dominion Conservatory SCTM: 1000-75-1-20 ~ Approved as revised. Recommended: 75W duranodic bronze iouvered guar' lighting 8" sq. x 11~1/2" high extended 3-1/2" Duck Walk Vineyards SCTM: 1000-75-2-2,6 Reviewed and approved revised site plan. Recommended: Lighting only dunng ope~ hours and for special functions; perimeter parking lights on a separate circuiL subm front light and chandelier cuts; upgrade hed9e spacing from 4' to 3 Malon Industries SCTM: 1000-97-5-4~5 Reviewed plans detailing window elevation; approved subject to s~gnage an~ addition, light cuts: maximum height from grade not to exceed 6' to the top of the s~g~ Mullen Motors SCTM: 1000-62-3-22.5 Tabled, subject to receipt of elevations, catalog cuts of garage doors (barn style Recommended: consider addition of windows, tie materials in with those of Color!iai Requested light cuts, wattage, samples, and interior buildin9 section showinq ~, iift wm RWM Enterprises (aka Colonial Corners) Approved as submitted SCTM: '1000-62-3-22.~ ONR, LLC. 608 WALNUT STREET WASHINGTON TgVNSHIP, NJ 076764418 To Whom It May Concern: Robert McCarthy, owner of ONR, LLC. amhotizes ScoU Sheen to act on my behalf in ret'ercnce to the subject property located at 46250 Route 48, Southold, NY 11971, SCTM# 1000-55-5-10. Thank you. Sincerely, TOWN of S~""THOLD OFFICE OF BUILDII ,~ ~ iNSPECTOR Town Hall ReceiptNo.~ ~ 9 ~ o Southold, New York 11971 Date .........~....~i..'..~.~ .................................. Rece'~ved?~,~ J~ ~-,~°f .......~...~. .......... i: ............................................................................................................................................................................ ~or ........................ ::: ................................. ~_.~..t..~.~f~...~..~.. .................................................................................................... Fee for Fee for Fee for Sign Iq Flood Development Pmt. ~1 KI Cash '9 ~ ~ Check 5~)~ Building Permit FI of Occupancy Building Department FORM.NO. 3 NOTICE OF DISAPPROVAL TO: Scott Sheren a/c ONR LLC 19 Tanners Neck Lane Westhampton, NY 11977 DATE: March 28, 2006 Please take notice that your application dated March 22, 2006 For permit for to construction of a medical/professional office buildinct at Location of property: 46850 CR 48, Southold, NY County Tax Map No. 1000 - Section 5~5 Biock5 Lot iS Is returned herewith and disapproved on the following grounds: The proposed construction, on this non-conforming 21,616 square foot lot in the Business (B) District, is not permitted pursuant to Article X, Section 100-103A, which states, "Structures shall be set back at least one hundred (10% feet from the right-of-way." The proposed building is noted as being +/- 58 feet. In addition, please be aware that site plan approval, from the Southold Town Planning Board, will be r equi_r:d.~f~ r ~proi ec t. Note to Applicant: Any change or deviation to the above referenced application~.~,,-Blgy,cequire further review by the Southold Town Building Department cc: } file, Z.B.A., Planning Board I ~ Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631 ) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD NOTICE TO APPLICANT A decision rendered by the Building Department may be appealed to the Zoning Board of Appeals. Should you required information on how to apply, please contact toe ZBA via telephone at 765-1809 or you may go to the ZBA office at the Town Hall Annex during normal working hours. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.neffSouthold/ Examined ,20 Approved ! /, 20__ Disapproved a/c ~/~,/~_~ Expiration .... 20 _ PERMIT NO. BUILD1NC~RMIT APPLICATION CHECKLIST Do ~'nave or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval ~' Survey. J Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: __----- APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ,20 a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months fi.om such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signatugt/o applicant or name, if a corporation) lMailine, address of a2p~li~:ant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electhcian, plumber or builder Name of owner of premises (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. 113516413 Plumbers License No. 2919-P Electricians License No. 3506-E Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street County Tax Map No. 1000 Section Subdivision (Name) Block Hamlet Lot i rD Fi~I~No.,~7: ,. ~ Lot 2. State existing use and occupancy iremises and intended use and occupm, of proposed construction: a. Existing use and occupancy 'x/.Z,..~A~4-1" //Nq.l;:> ' b. Intended use and occupancy 3. Nature of work (check which applicable): New Building. ~ Addition Alteration Repair Removal Demolition Other Work Estimated Cost '~.~.~ o c> ~ Fee If dwelling, number of dwelling units If garage, number of cars (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. ~ 7. Dimensions of existing structures, if any: Front ~'4/,~ Rear___ Height M,/,~, Number of Stories IxJ. Dimensions of same structure with alterations or additions: Front Depth N./~ Height ~/'~ 8. Dimensions of entire new construction: Front 'dl'~ R~ar Height ,~,~v..ox. ~2.4-~ Number of Stories 9. Size oflot: Front ]o'vlo2-~, Rear ! oo Depth Number of Stories Depth Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated F_~E. tqE~/~t.- iSu.-~N~ ~E:> 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ~ 13. Will lot be re-graded? YES ' NO x~ Will excess fill be removed from premises? YES NO 14. Names of Owner of premises . · Address Phone No. Name of Architect ~ ~_~:~cl Io f'~ ff._ Address~Phone No - Name of Contractor[_:~e:~ r'~r=,~ ~.~ -~ co ~4~, ,,.t~r~>~ddress ~a~.~Phone No 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES __NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE. rREQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) OFf'IlO SS: ) Z~JDJ- /. ~/7/~t~''/~ being duly swom, deposes and says that (s)he is the applicant (Nme of individual si~ng contract) above nmed, (S)He is the on~% rat f (C ~, g ,Co~o eOricer,~c.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that tl~e work will be that all statements contained in this applicatipn are tree to the best of his knowledge and belief; and ~ performed in the mariner set forth in the application filed therewith. Notary Publ}~-- FORM NO. 3 NOTICE OF DISAPPROVAL DATE: March 28, 2006 TO: Scott Sheren a/c ONR LLC 19 Tanners Neck Lane Westhampton, NY 11977 Please take notice that your application dated March 22, 2006 For permit for to construction of a medical/professional office building at Location of property: 46850 CR 48, Southold, NY County Tax Map No. 1000 - Section 5~5 Block~5 Lot 10 Is returned herewith and disapproved on the following grounds: The proposed construction, on this non-conformin g 21,616 square foot lot in the Business (B) District, is not permitted pursuant to Article X, Section 100-103A, which states, "Structures shall be set back at least one hundred (100) feet from the right-of-way" The proposed building is noted as being +/- 58 feet. In addition, please be aware that site plan approval, from the Southold Town Planning Board, will be required for this proposed project. Authorized Signat"tlre~ Note to Applicant: Any change or deviation to the above referenced application, may require further review by the Southold Town Building Department. CC: file, Z.B.A., Planning Board Date: REQUEST FOR INFORMATION OR Telephone: or=F,~_~. (~j ~_?~_ _ ~---~Z5- Mailing Address: ~_~ (~Et~-I-~-- ~-~.:~) SCTM# of site you are inquiring about: Query: (Please be specific about the information you need. Provide supporting documentation - surveys, maps, sketches - where possible.) J-Jocu/_.z~ L-i ~ T'~ I-I,,N.~---F~ ,z~ /~-E~L~/~-i,'k~-T' ~T~-~ F Planning Staff will attempt to respond as quickly as the workload permits. But, depending on the questions, and the research involved to answer them, please understand that it may be several days before we can get back to you. For Office Use Only - Routed to: ~.~, ~..~ FOR INTERI~ DETE SITE Initial Determination - Date: ~.~ /~2~_ / (~ , ' _/~. ..... Dam. Proiect Name: ~N~, ~. ~.,__; ........... Project Address: ~/gZ~d ~ ,'2 '~1'~'~ &our'x¢o¢~') Suffolk County Tax Map No.:1000- Request: d~ns~-,zuc~- (Note: Copy of Building Permit Application and supporting documentation as to proposed use or uses should be submitted.) Initial Determination as to whether use is permitted: Planning Department (P.D.) Referral: P.D. Date Received: ~ / Initial Determination as to whether site plan is required:~-?/-~- Sign~u ~-~uil~~r Date of Comment: Signature of Planning'Dept. Staff Reviewer Final Determination Date: / Decision: Signature of Building Inspector PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND PLANNING BOARD OFFICE TOWN OF SOUTHOLD To: From: Date: Kieran Corcoran, Assistant Town Attorney ~ or~d, Semor Planner ~a-<"' 12J~ MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 Covenants and Restricts for the proposed site plan for Dr. Scott Sheren Medical Office Located on the s/s/o Suffolk County Road 48, approximately 1,251' e/o Youngs Avenue in Southold SCTM #: 1000-55-5-10 Zoning District: General Business (B) Please find attached a copy of the Covenants and Restrictions submitted by Steve Fontana for the above referenced project. Please be aware the applicant has not yet taken ownership of the subject parcel, however, this is amicipated after site plan approval. The Planning Board will require the filing of the C&R's through conditions of the final resolution and a filed copy must be submitted within thirty (30) days of receipt. Your review and comments are requested. We are hoping to present this to the Planning Board for their review and approval at the next work session July 17, 2006. Thank you for your assistance in this matter. Cc: File TOV~N OF SOUTHOLD .BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. nor thfork.net/Southold/ Examined ,20__ Approved ,20 Disapproved a/c Expiration ,20 PERMIT NO. BUILDINGS[MIT APPLICATION CHECKLIST Do yl~ave or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval ' Surve~ J Check Septic Fom~ N.Y.S.D.E.C. Trustees Contact: Mail to: Building Inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS ,20 SCOTT SHEREN ~*o~4/o~4 ,n! 5 0 6 j 19 TANNERS NECK LANE WESr,A ,TON. NV .,7. ~=O~[hOSkgk~It/ hi OOkhO~ q"' DSO& ~--- --, ................ ~.~m~,, auumun~, ut attcmuons or ior removal or Oemolition as herein deschbed. The applicant a~ees to comply with ~1 applicable laws, ordinm~ces, building code, housing code, and regulations, and to a~it authorized inspectors on presses ~d in building for necess~ inspections. ~ _ (Mailin~ad&ess ofavalicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electhci~, plumber or auimer :d to the Building Inspector with 4 ining premises or public streets or filding Permit. nit to the applicant. Such a permit ver until the Building Inspector ~ 12 months after the date of ts or other regulations affecting the e extension of the permit for an i Building Pemfit pursuant to the licable Laws, Ordinances or Name of owner of premises ~ Iq e_ L_./.-~--- (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. 113516413 Plumbers License No. 2919-P Electricians License No. 3506-E Other Trade's License No. Location of land on which proposed work will be done: tr e3.. o T 4-8, House Number Street County Tax Map No. 1000 Section' Subdivision (Name) ~*~R~:~ ~ . Hamlet Block Fi~lMXlo.& Lot i C:> Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 'x,,'~.~,t4T' l--4uq, i:> 3. Nature of work (check which applicable): New Building_ Repair Removal Demolition 4. Estimated Cost '~-:~: o o ~ Fee 5. If dwelling, number ofdwelling units /'4/'A If garage, number of cars Hq.//',& Intended use and occupancy Addition Alteration Other Work (Deschption) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. '" 7. Dimensions of existing structures, if any: Front j,q/,~, _ Rear_ .... ~q/A Height ~,/~ Number of Stories Nit ~ Depth Dimensions of same structure with alterations or additions: Front ~./~, Rear Depth lq./,zs, Height ~,.,/~ Number of Stories /'q,/A Dimensions of entire new construction: Front ~J R~ear 4-~I Depth Height ~,~-~_.ox. ~2.4-' Number of Stories [ Size of lot: Front ~ ~ ~ o2-~ Rear 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated ~lEtql~e.,~4~ ~:~.~q~ ~1~:>~ 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO X/~ 13. Will lot be re-graded? YES ' NO N/Will excess fill be removed from premises? YES__ NO x// 14. 15 a. Is this property within 100 feet' of a tidal wetland or a freshwater wetland? *YES__ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE~REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO N" * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. Names of Owner of premises Address Phone No. Name of Architect ~:> ~a. ota 1~ p~ ~_ Address~Phone No - ~, Name of Contractorr_Jho r~=~,~ 4 ~o~4~re_a~r~cldress ~Phone No.6,~l '~-.:54-- ~,~' 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) - SS: COUNTY OF~rol~- ) ~ff. z217J---z~. ,~z~/~"/~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, ( , gent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this applicatign are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Notary Publ~.- ~ 20 Ok ~~eo ppicant - "" ,fAl li IMIIp/Public, $!' ,; iqew Y0d[ ,2 Il NOTICE ~ COUNTY OF SUFFOLK ~ ~ ...... '"" ¢ SOUTHOLD SECTION NO ~ ~ 055 LASER FICHE FORM Planning Board Site Plans and Amended Site Plans SPFile Type: Approved Proiect Type: Site Plans Status: Final - Pending Inspection SCTM #: 1000 - 55.-5-10 Proiect Name: Sheren Medical Buildinq Address: 46250 Route 48, Southold Hamlet: Southold Applicant Name: Dr. Scott Sheren Owner Name: ONR LLC Zone 1: B Approval Date: 7~24~2006 OPTIONAL ADDITIONAL INFORMATION A date indicates that we have received the related information End SP Date: 7/24/2006 Zone 2: Location: SC Filing Date: C and R's: Home Assoc: R and M A.qreement: Zone 3: SCANNED Records Management SCAN Date: FENCE 0.6 N,3,7 N/O/F ,JOHN ,J. QUINN &: TERESA E. QUINN BUILDING USES PUBUC WATER CHAINUNK FENCE 194.35' 0 0 0 0 0 0 0 0 0 0 0 0 FOUND CONC. NON. ® ® 25' BUPTER 22'-0" WALL FIXTURE DAVID MOORE & IOANNA MOORE ZONING: BUILDINO OENERAL BUSINESS 'B' USES PUNLIO WATER 0 0 0 0 0 5~[ N 08' 57' 30"W ~* 2,q4o 5~. FIN. FLOOR EL. 5LO Lr~HTS' ® ? METER F [ 515 DATA.' LOT AREA~ PROPOSED tDJILPlR~ AREA= PAVED AREA: LANDSCAPEP AREA: PARKIN~ GAL.C,~LATION; .4q OR 21~16..'~, 5~.FT. 2,q40 5~. FT. 10/332 5.F. 8¢44 5.1=. BUILDING FOUND A/C CONC, MON. USES pNBIJC WATER UNIT STOCKADE FENCE ZONING, GENERAL BUSINESS PRAII, IAE~E C,~110N5: DESI6N CRIteRIA= 2" RAINFALL 5TORADE (.l&J FT) pAVD2 AREA: ROOF AREA: LANDSCAPED AP. EA, ~,480 5.F. x IL) x .l~ -- 581.16 C.F. 1,410 5.F, x ID x .16J 235.4J Ipl& 5J=. x 0.15 x .161 = 25.45 6.F. TOTAb ~42.0~ D42D8 6J=. f 66.42 C.FJV,F.: 12.31V,F. USE (D) POOL5 EAGH MITH (I) 5LO' VF OF RIN6 HITH ,50LIP 6OVER NITH A TOTAL OF 15 FOOT L~ECTIV~ [2~F~I. DRAINAGE AREA 2: 3;~ 5.F. x 1.0 x .16~ = 540;41 325J 5,F. x 0.15 x .16~ 85.17 12q 5.F. x 1,0 x .161 = 12134 6.F. 4~5 5.F. x 1.0 x .161: ~2,64 6,F, TOTAL* 61q.q& C.F. DIq.q6 6P. ~ 65.42 6.F.N.F. -- II.q8 V.F. USE (2J POOL5 EACH HITrl (2) 4-0 V1= OF RING5 HI~ A 50LID C4A/ER HITH A TOTAL OF I& FOOT PAVED AREA: ,LANDSCAPED APDA: ROOF AREA: 60HORE~ HALKHAy 3,461 5.F. x LO x .16T = 55232 C.F. 2fl26 5.F. x 0,15 x .lSJ= 332q 6.R. 964 5.F. x 1.0 x .161 = 123.58 6.F. 1015.F. x ID x .1CT: 111.06 C.F. TOTAL~ q00.26 6.F. NOTE: ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM· EXISTING ELEVATIONS ARE SHOWN THUG 50.0 EL. 4N.8 TEST HOLE DATA INFORHATION P.E~AROIN~ ~T HOLE DATA HA50DTNNEP ON FEBRUARY I0, 200~ FROM HcRONALD C::~::~IENGE, 5OVTHOLD, NBA yORK (63~) 165-36T/ 51TE FL;AN ~L IJ' ALL SURVEY RELATED INFORMATION TAKEN SURVEY PREPARED BY JOSEPH A. INGEGNO LAND SURVEYOR DATED. FEBRUARY 28, 2006 INETO COARSE 5AND- 5H HEALTH DEPARTMENT SEAL S 08' 57' SINGLE 30" E f(E'r' PLAN N.TS. S.C.T.M.# 1000-55-5-10 Seal and Signature: 0 Z Z o DWG. NO, sP 3' ERE~ AIR -50LID C.L FRAi"E AND 6OVER - 24"~P flYPICAL) 5'-0' HIN. /? ~ ~50~ EXP,N, LSION POOl INVERT. ELEV. -- TO 4" PVC-SDR INV13~T EL. SEPTIC, TAN SEE DETAIL 1TII5 5~-ET FI FVATION 5ANITAi~,¥ ,5"r'OTEM I:2EDI~N ANI2 d,ONDTtc~,Ud,TION DETAIl EL. 24" HAX., 12" HIN. FARINe 5LAB - 10"4~ IDLO'' LEAC, HIN¢ POOL LEAGHli~ FOOL HIN. ~"iJ' DRACKET5 ~5C, HEDUtE 40 PIPE 5ET INTO GONGREI~ PIER Seal and Signature: CAST IRON FRAHE AND COVER TO 4" PVC-DDR-D5 PIPE OR EGUIVALENT FITCH FLOH LINE 24" 24" 20" 20" -, b' DIAHETER - 4' LIGUID DEPTH 5EPTId, TANK, ETAIL N.T.5. -- :INISHEO eR/NDE -- I~,AFFIC BEARIN6 eLAB ---..-- OUT PIPE OR EGUIVALENT PITCH I/8,"/FT. HiN. PRE-{,AST SEPTIC TANK FROVlDE FABRI6 I¢~YH AEOUNI2 ALL (REd~lt,;Eu ~ EOIL 15 RATED L¥.SUITABLE ~ 51TE It,~:GT~gJ -- 6LO" MIN. PEI'~J:rI~ATION INTO VIRGIN 51RATA OF 5A~) $ ~P, AVEL CAST lEON FRAt~ COVER TO E~,AD E PROVID~ EEAPJJ~ RETICJJLIJ~E 11~kFFIC BEARIN~ 5LAD I'TO" HIN, ~--~I.EAGHIN~ RIN~ -- OR E:C~IV, NJ~IT PITCH I/~' / FI'. 5LOPE AROIJI'ID(~LS~.E NATIVE MNfERIAL5 HAVE BEEN ' RATED A5 INADE~ATE BI' 1T~ 511~ INSPECTOR) A HIN POOl ~ETAII 5 N~ER I I I I I J L J 51~N ~;ETAIL ,','RE551]RE 50DIIM (H,P.5) 6OLONIAL ll~Hl5 NlM LIC.%IT SHIELD OF POLE BASE .50NOgJBE POURED CONCRETE pOLE BASE 4"-0' BELOH 6RABE FC, = 4,000 FSI 24' LICHT POLE ~ETAll o DWG. NO. SP 2 S.C.T.M.# 1000-55-5-10 MULCH -- 0 0 0 0 0 0 K 0 '0 0 (~)~ 0 0 0 0 ®' -5)7. / 0 0 0 MULCH (~) ANNUAL FLOWERS SIGN SEE DETNL SHEET SP-2 (3) B 0) F DESIE, NATION C.,Oi~HON EAH~ EOTANIGAL ~ 51ZE/E, AL A BRADffOE PEAR P'Ci~J5 CALLEEYANA 2 I/2" CAL. B ~l B 5TAKE ~ TIE D AZALEA-~ADLE-[TG~LE PiNK AZALEA-EV~R~ H'rl~R{[75 10"~21" C K. HANZAN FLO~-~li~ CHERRY RRU~ 5ERRULATA (K~NZAN) ~ I/2' GAL, B ~ D 5TAKE ~ TIE [7 KOUSA ~HOOD CORFt75 KOUSA ~ I/2" CAL. D ~ D 5TAKE ~ TIE E ROSEBAY RHODODENDRON PJ~OpOP~RON HAXIHNH ROS~H 5 I/2" CAL. F RNODOOENDRON - LAVENDER ~.J.HJ I~ODODEN~P. ON - DOURSAULT 5 I/2" GAL. DARE ~OOT HIXED COLOR5 e JAPANESE ~ PACHYSANDP~ TERHINAL5 ~ I/2" CAL. FLAT5 ~ G~ANT TO COVER H C~.A55 B~ 50P DJ.END - FdLL 5UN 5 I/2" (,AL. I AP. BOP. VITAE THUJA OCCIDENTALI5 4'-5' J 5AEE, ENT JI~iPER J~IPEP.~5 CHINENSI$ 5A,'~ENTI Ib"-24" K .~,pANF:::SE HHITEPINE Pli~5 PARVIFLORA 6LAUCA 5 - 6' L PON[7 eP~55 eL¥CERIA AGU^TILI5 6DO POT H HY[TRANQ-EA HACROPHYLLA BUJE LACE CAP 5 CAP -- MULCH --K --- 6'-0" HIGH PVC FENCING Q '0 '0 '0 LAN SC, APt-' PLAN SIGN BEADFORD PEAR STREET TREES MULCH E S.C.T.M,~ 1000-55-5-10 Seal and Signature: DWG, NO, LP-1 IdA I Tlt-Jcq D.×AH ~c~t4 ~uL-FATI~I Seal and $igncll~um: W DWG. NO. A-] ~, olqT F-- L. ~VAT Seal and Signature: O Z _.9. DWG. NO, A-2 N/O/F .JOHN ,J. ~2UINN 25' LAN~AP~ N/O/F dO.CEPH 5ANTORA SANITARY SYSTEM OE51¢N DATA: pr:~l~N CRITERIA: PAVt~ AREA: ROOF AI~A. LANDS(,Artu,, AREA. ¢.,OV~R HITH A TOTAL O~ 15 I-'OOT LI I ~IV~ USE (~ ?OOL~ EAOH HI'I~ (2) 4'-0" VI= OF RINE~ HII~t A f:x~lg COVER HITH A TOTAL OF 16 FOOT EFFEGTIV~ ~ TEST HOLE DATA N.T~. E ~L ~R~ ~A~ [NF~MATION TAK~ SITE PLAN .OAH- OL NEI6HBORIN6 H~-L50~ 5E, HA~ 5¥5T'~15 Hllt~IN HEALTH OEPARTHENT SEAL C~Nd~ H~L~IA~ ~OI ~.F.. ,~ x J~ = ,,~ OF. KEY PLAN COVER HITH A TOT& OF J,~ FOOT 5.G.T.H.# 1000-55-.5-10 © N/O/~ JOHN J. GDINN TERESA E. ~UINN 25' LANI25GAPE BUFFER L.P. ~) e EUILDIND/' 51T~ DATA: LOT AREA. PROFOed~ BUILDIN~ AREA, PAV~D AREA, LANDSCAPED AREA, F'ARKIND CALC, ULATION: GRI~RIA: USE: Ni)P~q~ OF PHYSIGIANS: PARKIN5 REGUIRD~: pARKINg, pROVIDED, SANITARY 5Y51"~M PEBLON DATA: ZoNE IV, ,~00 ~/~ LOT AREA, 21,~1&4~ OR .4~ ~ HEDI6~ ~E, .I ~OlG~ ~E: .I ~.F, X 2,q~ SE. = 2~4 O~ DRAINAGE cALC, ULATIONS~ I0' - DIANbi~ D~YHELL5 U~ED (6AFAClTY: ~.42 C.FN.F) ~5~ (3) POOL5 EACH HITfi (1) 5'-0' VF OF RIN~ HIM 50LID COVER HII~ A TOTAL OF i5 F~T EFFECTIV~ DEPTH. DRAINAGE AREA 2: PAVED AREA: LANDS~APP-D AREA: ROOF AREA, CONCRE~ Y,LALKHAY ~,l'=l.q~, 6.F.; &&42 C.F./V.F. = II.NE, V.F. LISE (2) FOOL5 EAC, H HIl~ (2) 4'-0" VP OF Rli~5 HITN A E~:~.ID ¢4~N'ER HITH A TOTAL OF 16 FOOT q00.25 C,.F. + 6~'.42 C.F,N.E. = B.15 V.F, EL. 4~b __ TEST HOLE DATA ~NFORHATION RE~AROING TEST HOL~ DATA HA5 OBTAINED oN FEBPJJARY IQ 200~ McDONALD E, EODCIEN~E, 5OUTHOLD, ND4 YoRK (&~l) BROHN 51LTY LOAH - OL - 5H I FINE TO COARSE 5AED - 5H I1' SITE PLAN HEALTH DEPARTblENT &EAL KEY PLAN C 1000-5D-5-[0 ~I NO, SP-1 D" FBECN EXTERIOR HALL - 50LID ~,1. EKAHE AND 60VE~ - 24"¢~ / N \ / 6.0. TO ~RADE BLAB ELD/ATION SANITARY SYSTEM DESIGN AND CONSTRUCTION DETAIL FENCE DETAIL @ .qCN..E= 1/2" = I'-0' L~ LANDSCAPE 'U" BP. ACKET5 PIPE 5ET INTO 60NGRE~ PIER BUFFER CAST IRON FEAt'ID AND COVER TO ¢YPJ~DE -- 4" PVC-SDR-D5 PIPE OR ECJJIVALENT PITCH 24" 24' 20" 20" iN ----~ FLOH LINE 4n D' DIAMETER - 4' LIOUID DEPTH SEPTIC TANK N.T.5. DETAIL PIPE OR EGUIVALENT FITCH I/,¢'".4=T. MIN. SEPTIC TANK FINISHED B PROVIDE FABRIC MESH AROUND ALL FOOTIN6 RIND5 ('WP.) (REGIJIRED HHERE 50IL 15 RATED UNDJITA~LE DY BITE INSPECTOR) &'-O" HIN. PENETRATION INTO VIRGIN 5'rRATA OF 5AND t ~EAVEL /~LEACHING POOL DETAIL CAST IRON FRAME AND COVER TO ORADE PROVIDE TRAFFIC BEARIN8 RETICIJLINE ¢P-ATE5 TRAFFIC BEARIND CLAD OR E~tJIVALENT PITCH HIDE COLLAR ALL AROD4P(HHERE NATIVE HATERIAL5 HAVE BEEN RATED A5 INADE~L~ATE BY THE 51T~ IECFECTOR) ~RAPE PLATED - TO BE PAINTED 51(DN SIGN DETAIL NWHBER OI I I 12" X 12'l 5GtJARE POST HITH RECE55 PANEL 50DIIJH (H.P,5) C.~LONIAL LI~tiT$ HITH LI~:~IT ~HIELD AP, GrIND TOP OF FOLE BABE 24' LIGHT POLE DETAIL ~1~, NO. SP-2 5.C...T.M.# 1000-.55-5-10 · --0 0 0 0 0 0 MULCH 0 0 0 0 0 O 0 0 0 HUL~H oI / / II LANDDGAPE PLAN ,~.,ALE: J" = J ~.d..T.M.# 1000-55-5-10 LP-1 ,4, \\ S 61' ~ 6'50" jOIJN-,~, E ~UIN~ ~00.00' NO TES. SURVEY OF PROPERTY SITUA TED A T SOUTHOLD TOWN OF $OUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-55-05-10 SCALE 1"=20' FEBRUARY 28, 2006 APRIL 24, 2006 ADDED BLDG SETBACKS & ZONING LINE AREA 21,616.48 sq. ff. 0.496 ac. ELEVATIONS ARE REFERENCED TO AN EXISTING ELEVATIONS ARE SHOWN ASSUMED DATUM THUS: ~ TEST HOLE DATA 35' THE EXISTENCE OF RIGHT OF WAYS Ingegno Land Surveyor PHONE (6S1)727-2090 Fax (651)727 1727 26-042A FENCE X STOCKADE FENCE u)I I N/O/F JOHN J. QUINN & TERESA E, QUINN I I 194.35' O O O O ~ O O 0 0 0 0 0 FOUND CONC. MOB. 238.92' @ ® ~ALL HXTURE CONC, MON, N/O/F JOSEPH SANTORA & JOANN RIZZO SANTORA DUILDINB USES PUBLIC WATER A/C UNIT STOCKADE FENCE 51TE DATA: LOI' AR~A, PAVED AREA, PERGERTAC~ OF LAND56/~°tND= PARKIN~ C, ALC, ULATION.. C~ITERIA, USE, hDHBER OF PH¥SICIAN~, PARKIN~ F, Ed~IP-,L~ PARKIN~ PROVIDED, .4q OR 21,616.48 5Si.FT. 2,t40 5~. FT. I0p32 S.F. ~44 HEDI6~ 5 15 5PA6~ 20 5P~ 5ANITARY 5¥ETEH DEEIEN DATA= DESJCN 6RIT~R!~: ZO~ I% 600 ~IAC~ LOT A~, 21~16.4~ OR .4q AC~ LEACRi~ (~'~'~ ~G 5~ITARY P~l~ RIN~ - 25 5.F~.FJ: HAXI~ ~D~LI6 ~6HI~ ~, 19 pRAINA~SE AREA h pAVED AREA, ROOF AREA, LAHO56AREO AREA, 3,4~' 5.F. x 1.0 x .161 : 561.16 6J=. 1,410 5,F, x I0 x .161 1,016 5.F. x O J5 x .IhT =25.45 ¢.F. TOTAL~ 842.08 542.08 C.P. + 6B.42 C.F,N'.?. = 12.~1 V.F. U~E (3) FOOL9 EACH HITH (It ~uo" VF OF RII~ HI1R 50LID COVER HITII A TO~L 0¢ 15 FOOT EFFECTIVE DEPTH. PAVED AREA, LANI:~3CAPF~) AREA, ROOF AREA: dONC.~ HALKNA¥ 8lq.q6 G.F. ~ 68,42- CJ=JVY = II.q~' V.F. 1SE (2) FooL9 EACH Hl~ (2) 4'-O" VI: OF RIi~3 HIFB A .eOLID COVER HIl~ A TOTAL OF 16 FOOT EFFECTIVE PAVED AREA: LANDSCAPED AREA: ROOF AREA~ ~ONGRE~ HALKHAY q0025 CJ=. E 68,.42 C.FJVF.: 15.15 V.F. USE (2) FOOL5 EACfl HITH (2) 4LO'' VI= OF RINC~ HtTH A 50LID COVER HllH~A TOTAL OF 16 FOOT ET:FECTIVE DEPTH ~'~"-" N/O/F DAVID MOORE & IOANNA MOORE 0 0 0 0 0 2,q4o ~. FIN. FLOOR EXlSTINB gRAVEL DRIVE~/AY N 08' 57' 50" W E OF EXETIB~ · / I · / EXPANSION ® 2 x. x L~/ '"' ~ ~ - r~.~o~ I~ S 08' 57' 30" E TE T HOLE BITE PLAN ~CAL~: I' =IOLO" INFORHATION REBARDIND TEST HOLE DATA HA5 OBTAINED ON FEBRgAR'r' 10, 200~ FROH H~DONALD C~O~IE~CE, 50gTR~, TO THE BEET OF OUR KNOHLED~E, THERE ARE NO I~I~HE~RINe ~LL5 OR 5ENAOE 5YETEH5 HITHIN 150' OF PROPERW. Fl' Seal and Signature: IL/YLOAH-Ok :INE TO COARsEsAHO-5N Bi:JiVi FOLK C OTJN'i ' NOTE: EL~ATIONS ARE REFERENCED TO AN ASSUMED DATUM. ~ISTING EL~ATIONS ARE SHOWN TNUS 50.0 SURV~ PREPARED BY JOSEPH A. INGEgNO ~ND SURV~OR DATED. FEBRUARY 2& 2008 8 .KEY PLAN S.C.T.M. 1000-55-5-10 N.T.5. HEALTH DEPARTMENT SEAL N/O/F JOHN J d~JINN TERESA E. d~UINN BUILDING DATA: PARKIND CALCULATION: '"I 5ANITARY DYSTEM DESIDN DATA: O--I~ ~"--"O--'"'1---O O O O O O O O O O O O O ~¢~ / ~ IOANNA MOORE EXISTJND GRAVEL Ii .,i N O~,° ~-~' DO" 14 / rJ ~'~!° ~' ~T'/ ~ - 2~' LA~ ~F~R ~l Iq'~' 22'-0" ~ITCH ~ IN Fred ~hb~ TO LAND.APE PLAN ~ ~A*~*~E*, ~.4~.~.,,.o,.,~. ~,,~¢.~ TE5T HOLE DATA-~ LAND~A~D AREA: D~5~ S.~. ~ O.~ ~ .~ = ¢5.n ¢.~ ~O' O~ ~p~ HEALTH DEPARTHENT DEAL ~ITH ~FF~C ~EA~rN~ 5LAB NITH A TOTAL OF m~ FOOT KE~ PLAN ~OT~ ~H ..T.~. OCT 1 6 1 5.O.T.M.# 1000-55-5-10 CONCRETE 5LAB INVERT. ELEV. -- I/4"/ET 4qO INVERT EL FRAHE AND E'-O" MIN. ELEVATION SANITA~'r' s'r'STEI'/I OESICN AND CONSTRUCTION DETAIL N.TE. GAST IRON FRAHE AMP COVER T 24I' 4" FVG-EDR-55 PIPE OR ECJIVALENT PITCH 20" iN --~- FLOH LINE 4n 24' DIAMETER - 4' LIOUID DEPTH SEPTIC TANK. N.T.5. OETAIL -- FINIENED ~RAPE -- RAFFIG t~ARIN,D sLAB ----'- OUT 4" IFWC-SDR-D5 PIPE OR E~UIVALENT PITCH I/b"/ffT. MIN. TANK [ NUMBER _1_ x 12" 561UARE POST HITH REOE55 PANEL FIN1 pROVIDE FABRIC, T~SH AROUND ALL DRAINAeE POOL5 FOOTIN¢ RIN~5 (~(P.) (REdlUIREO HHERE DOlL 15 RAT~D UNDJITABLE BY 51T~ 6UO'' HIN PENE1~ATION INTO VIR,~IN STRATA OP 5ANt2 ~ ~RAVEL lUO'' HIM ¥0-5DR-55 FIFE OR ECJJIVALENT PITCH I/b" / FT. SLOPE HIDE 50LLAR ALL AROUND(MHERE NATIVE HAT, RIAL5 HAV~ BEEN RATED A5 INADEGUATE SI~N DETAIL I I FENCE OETAIL @ LANOSCAPE DUFFER ~:,ALE, I/2' = I'.0" /2" RADIUS REVEAL N.¥5 T'dPE &F PAVIN¢ SITE CURD ~ PAVIN~ pt=TAIL PAVINe TO REMAIN 6" BA5E COURSE (2 LIFTS) D.O.T. ITEH NO. 40511 -- 6" SUB BASE 'I'¢PE loll D.O.T. ITEH NO. I'fSO4.lOtl CONCRETE CURD @ STREET 50 HATF HICH F'P~55URE 50PLUM (H.P 5) GOLONIAL LIGHT5 HITH LI~IT SHIELD POLE DACE LI®HT POLE DETAIL OONGRETE 51DEHALK TO CONFORM TO 5i~'FOLK COUNW 5PEG REGUIRENENTB PROVIDE 5GORIN6 F.C. GURB, 51DEHALK FO: I DSO0 PSI, HITN EXPANSION JOINT! PITGH i/4"/ET AHAY FROM DLD¢.~ &" 6OMPACTED lEASE TO BE BANKRUN SAND /, ~RAVEL CONCRETE SIPEIAIALK E;)ETAIL I I/2" NTB lYRE IA TOP 5UP. ACE D.O.T. ITEH NO. 405.1101 ORIVEHAy PAVIN~ - SEE BITE GU~ AND PAVINe PETAl I I/2" BINDER OO~REE D.O.T. I1EM NO. 40313 A5 REIS~JIREO FOR PAVINe REPAIRS. DOT ITEM NO. PAVIND TO REHAIN 6" BASE COURSE (2 LIFTS) P.O.T. ITEM NO. 40D II -- &" CUD DACE WPE mOll DOT ITEM NO. 17504.1oII ~.C.T J,4.~ 1000-55-5-10 O~. NO. SP-2 $CZ~-Z~ //Z';', i "0' I I I Shoulder Edge Line . ~ , , ~' Per Fl q ' · Exlsthg Ground 123LS ENO ~ECTI04I PN C $T . TYPE- See flora 3 Coat (B/luminous Malarial Smulaion) *- Item a" Tepsolt Rem 121A5 Tack Coat (gHum~nous Ualer/al Emulsion) ' See ~o~e 1 . ~phalt Cone Top Course T~pe lA - Item 51FX Are~ Item 123L5 4 Asphalt conagra Binder Ceurae T~e lB -- Item 51FX (2 LIfts) Concrete Curb T~e A Item 97A NEW CURB, SIDEWALK AND PAVEMENT DETAIL NOT TO SCALE Construction Notes SIDEWALK NOTES: L $ e construction plans for limits of new concrete e~b Type A Item 97A. A fl~ll depth tack coat she I be p[s~d along the face of ne~' c~rb adjaeent to new asphalt pavemc~ t Item 7oB. ' 2. Thecontracto~shal]m~]~e~s~ng~opasphdtcoursesfer~,.o,,m~.andreplace~th ~.5~ of ne~ asphak top course, 3. In are~ of new pavement constmcfion; ~e con~etor shall remove ~e ~ist~g pavement as required up to a ~int ~ere ~e ~g dep~ of aeee~tabte asphalt is 6~ thick or as d'rect~ ~ ~e ~ngmeer. 4. ~e contractor sha~ clear and grab to ~O.W b~ek ~om prope~ ~nmge or ~ aire~ by ~e Co~ personal RAMP NOTES: $. Suff~cc of romp shall be deep grooved,V~" wkh by ~'~. deep on ~. centers t~ansv~rm to the ramp 6. The normal pavcmeat edge profile shaI1 be malntained fl~rough the area of the ramp. 7. Stop l~es are to be provided in advane~ ofwheel chair ramps 8. Stop sign ns per ~$ Mr. Yl~EB standards, CoEnty personnel will ov~mee ~nal placement in accordance with sightlin¢ conditions. GENERAL NOTES: All' ' * ' · . items are to be m actor c~anee ;~th SCDPW spemfieatmns IU O.C.T.NU¢ 1000-55-5-10 SP-3