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HomeMy WebLinkAbout1000-45.-4-3.2L '\ I' rz.= .iq eT APPROVED BY PLANNING BOARD TOWN.DF $OUTHOLD ApPRDVED H,S, REL NO.._~j,o- ~/,~o/o _FLOW,~t72~' ' ~PE, This approval is ~m]t~d for th~ ~nstructlon 0f the ' DATE ' ' SIGNATURE ,I 0 F- · ~t+g- i [' ~aordon leg.l!'. N ~00 APR ~ MAP Of LAND LOCATED AT COUNTY OF SUFFOLK' SURVEYED FOR PLANNING BOARD MEMBERS Bennett Orlowski, Jr., Chairman George Ritchie Latham. Jr. Richard G. Ward Mark S. McDonald Kenneth L. Edwards Telephone (516) 765-1938 PLANNING BOARD OFFICE TOWN OFSOUTHOLD April 7, 1992 SCOTT L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Michael Domino P.O. Box 151 Shoreham, New York 11786 RE: Site Plan for Crackerbarrel Antiques Main Road, Greenport SCTMg1000-45-4-3.2 Dear Mr. Domino: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, April 6, 1992. WHEREAS, Michael and Joy Domino are the owners of the property known and designated as Crackerbarrel Antiques SCTM#1000-45-4-3.2, located at 74365 Main Road, Greenport; and WHEREAS, a formal application for the approval of this site plan was submitted on January 24, 1991; and WHEREAS, the Southold Town Planning Board, pursuant to the State Environmental Quality Review Act, (Article 8), Part 617, declared itself Lead Agency and issued a Negative Declaration on May 13, 1991; and WHEREAS, this site plan was certified by Victor Lessard, Principal Building Inspector on April 6, 1992; and WHEREAS, all the requirements of the Site Plan Regulations of the Town of Southold have been met; and Be It Therefore RESOLVED, that the $outhold Town Planning Board approve and authorize the Chairman to endorse the final survey dated August 26, 1991, subject to a one year review from date of building permit. Page 2 Crackerbarrel Antiques Enclosed please find a copy of the map that was endorsed by the Chairman. Please contact this office if you have any further questions. Encl. cc: Very truly yours, Bennett Orlowski, Chairman Victor Lessard, Principal Building Inspector Scott Russell, Town Assessors Office Southold, N.Y. 11971 (516) 765-1938 May 21, 1986 Michael and Joy Domino P.O. Box 151 Shoram, NY 11786 Re: Site Plan for Crackerbarrel Antiques Dear Mr. and Mrs. Domino: The following action was taken by the Southold Town Planning Board, Monday, May 20, 1986. RESOLVED that the Southold Town Planning Board approve the site plan of Michael and Joy Domino to be known as "Crackerbarrel Antiques" located at Greenport for construction of a building to be used for storage and additional retail use incidential to the existing principal use of the premises. Plan dated as amended March 31, 1986. This site plan received certification from the Building Department. When the Chairman has endorsed the surveys, we will forward one to you. Please contact this office if you have any questions. Very truly yours, SOUTHOLD TOWN PLANNING BOARD By Diane M. Schultze, Secretary cc: Building Department SITE PLAN Presubmission conference (within 30 days of written request} Complete application received (within 4 months of presub, conference) ApPlication reviewed at work session (Within 10 days of receipt) Applicant advised of necessary revisions' (within 30 days of review)' Revised submission received ~ead Agent3' Coordination SEQRA determination REFERRED TO: Zoning Board of Appeals (written comments within 60 days of request) ~uilding Department (cert~ication) , Suffolk County Department o~~ Department of Transportation -State 'Department of Transportation - County ~uffolk County Dept. of Health ~ Fire Corn missioners RECEIVED: Draft Covenants and Restrictions Filed Covenants and Restrictions Landscape plan Lighting plan Curb Cut approval Health approval Drainage plan Reviewed by Engineer Approval of site plan -with conditions 'ndorsement of site plan )rtiHcate of Occupancy inspection .* year review PLANNING BOARD MEMBERS Bennett Orlowski, Jr., Chairman George Ritchie Latham. Jr. Richard G. Ward Mark S. McDonald Kenneth L. Edwards Telephone (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD SCOTT L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 December 9, 1991 Michael Domino P.O. Box 151 Shoreham N. Y. 11786 RE: Proposed building expansion for Crackerbarrel Antiques Main Road, Greenport SCTM #1000-45-4-3.2 Dear Mr. Domino: The Planning Board has not received a response to its letter to you of May 24, 1991 (copy enclosed) indicating that a " ' Health Department approval or exemption will be required before the Board can continue with its review. If you have received any of these permits, please contact this office. The Board will then proceed with its review. Very truly yours, Bennett Orlowski, Jr. Chairman Encl. cc: Victor Lessard, Principal Building Inspector PLANNING BOARD MEMBERS Bennett Orlowski, Jr., Chairman George Ritchie Latham. Jr. Richard G. Ward Mark S. McDonald Kenneth L. Edwards Telephone (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD SCOWl' L. HARRIS Supervisor Town Hall, 53095 Main Rom P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 May 24, 1991 Michael Domino P.O. Box 151 Shoreham N. Y. 11786 RE: Proposed building expansion for Crackerbarrel Antiques Main Road, Greenport SCTM ~1000-45-4-3.2 Dear Mr. Domino: The Planning Board has received notice from the New York State Department of Environmental Conservation that they will require a freshwater wetland permit in connection with your building expansion (copy enclosed). Please contact the DEC to obtain the necessary approval. In addition to the wetland permit, a permit may be required from the Southold Town Board of Trustees. Please contact the Trustees at 765-1892 to determine if a permit is required. The final maps cannot be approved without the Health Department stamp, DEC permit, and possibly a permit from the Town Trustees. If you have any questions, or require further assistance please contact this office. Very truly yours, c~an~remtatn0rlowski, Jr. /-/~ Encl. cc: John Bredemeyer III, President, Town trustees Victor Lessard, Principal Building Inspector New York State Department of Environmental Conservation Building 40--SUNY, Stony Brook, New York 11790-2356 Igc o.,-,, I~1. ,r, PLANNING BOARD MEMBERS Bennett Orlowski, Jr., Chairman George Ritchie Latham, Jr. Richard G. Ward Mark S. McDonald Kenneth L. Edwards Telephone (516) 765-t938 PLANNING BOARD OFFICE Jerry Urban, Chief Greenport Fire District 3rd Street Greenport, New York 11944 SCO'YF L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 TOWN OF SOUTHOLD Fax (516) 765-1823 _ ~ lO- , 19 ?1 Dear Mr. Urban: ~ E~closed please fin.d (2)w~sur~eys~ for - ~le~e no'fy ~his office a~;ther any firewells are ~e~ ~.speclfy whether shal~w wells or electric wells Please cooperation. reply b~, enc. hp 1991. Thank you for your PLANNING BOARD MEMBERS Bennett Orlowski, Jr., Chairman George Ritchie Latham, Jr. Richard G. Ward Mark S. McDonald Kenneth L. Edwards Telephone (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD Frederick R. Weber, Secretary Southold Fire District Main Road Southold, New York 11971 SCOTF L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Dear Mr. Weber: .~ n~l~sed p~as~e fin~(2)/~sur~eys for neede~e~sn~tify tgis ~ffi~to W~ether any firewells are will be needed,specizy whether shallow wells or electric wells Please reply b~~ ~ 1991. Thank you for your cooperation. / ' y trul rs / ennett Orlowski, Jr. // Chairman enc. TRUSTEES John M. Bredemeyer, III, President Henry P. Smith, Vice President Albert I. Krupski, Jr. John L. Bednoski, Jr. John B. Tuthill Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SUPERVISOR SCOTT L. HARRIS Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 TO: FROM: DATE: RE: Bennett Orlowski, Jr. Chairman Planning Board John M. Bredemeyer, III ~ President, Board of Trustees~ May 30, 1991 Site Plan for Michael & Joy Domino SCTM 91000-45-4-3.2 As per field inspection of this date the Board of Trustees find that the above referenced application is not in the jurisdiction of the Board of Trustees. Please note, as per phone conversation with Diane Goetke of the D.E.C. a letter is forthcoming from their office stating due to a mapping era the D.E.C. no longer finds this project in their jurisdiction. JMB: jmt PLANNING BOARD MEMBERS Bennett Orlowski, Jr., Chairman George Ritchie Latham, Jr. Richard G. Ward Mark S. McDonald Kenneth L. Edwards Telephone (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD SCOTT L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 May 24, 1991 Michael Domino P.O. Box 151 Shoreham N. Y. 11786 Proposed building expansion for Crackerbarrel Antiques Main Road, Greenport SCTM #1000-45-4-3.2 Dear Mr. Domino: The Planning Board has received notice from the New York State Department of Environmental Conservation that they will require a freshwater wetland permit in connection with your building expansion (copy enclosed). Please contact the DEC to obtain the necessary approval. In addition to the wetland permit, a permit may be required from the Southold Town Board of Trustees. Please contact the Trustees at 765-1892 to determine if a permit is required. The final maps cannot be approved without the Health Department stamp, DEC permit, and possibly a permit from the Town Trustees. If you have any questions, or require further assistance please contact this office. Very truly yours, chan~mtatnOrlowski, Jr. /'/~F~ Encl. cc: John Bredemeyer III, President, Town trustees Victor Lessard, Principal Building Inspector New York State Department of Environmental Conservation Re: lEAD AGENCY COORDINATION RESPONSE ic [ .+7 This letter responds to your communication cf 8' regardin~ lead agency coordination for the above-noted project, under Article (State Environmental Quality Renew - SEQR) of the Environmental Conservation Law and 6 NYCRR Part 617. The Department has the following interest in this project: DEC Contact Person: SEQR Classification: [ ] Type I DEC Position: [ ] Unlisted Based on the information provided: DEC has no objection to your agency assuming lead agency status for this action. [ ] DEC wishes to assume lead agency status for this action. [ ] DEC needs additional information in order to respond (see comments). [ ] DEC cannot be lead agency because it has no jurisdiction in this action. ~Comment___~s: r,~see attached [ ] none If you do not concur with the DEC position indicated above, please contact this office to resolve designation of lead agency within the time allowable under Part 617. (attach distribution list) Please feel free to contact this office for further information or discussion. Sinc. erely, NEW YORK STATE DEPARTMENT OF 0 G RE: UPA# ~ - the In response to your request, a field inspection was made of above referenced project proposal. The freshwater wetland boundary has been flagged with '~ plastic flagging tape and/or ~ plasti~ flags Please have applicant hire- ' a surveyor to plot these flags on the site plan. The boundary should be denoted on the site plan as follows: NYS DEC Freshwater Wetland Boundary as delineated by ~. ~e The freshwater wetland boundary, as flagged by , has.been confirmed for the purposes of this application. Please have applicant hire a surveyor to plot these flags o~ the site plan. The boundary should be denoted on the site plan as follows: Freshwater Wetland Boundary as flagged by and approved for the purposes of Application # (UPA#-above) by NYSDEC on / / PLANNING BOARD MEMBERS Bennett Orlowski, Jr., Chairman George Ritchie Latham, Jr. Richard G. Ward Mark S. McDonald Kenneth L. Edwards Telephone (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD TO: FROM: DATE: John Bredemeyer III, President, Town Trustees Bennett Orlowski, Jr., Chairman .,~,/~[S May 21, 1991 RE: Site Plan for Michael & Joy Domino SCTM 1000-45-4-3.2 SCOTI' L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 On April 2, 1991 a lead agency coordination letter was sent out. However, it was not sent to the Trustees. The Board did not receive any responses to its coordination letter within the required time frame. Consequently, it declared a negative declaration on May 13, 1991. On May 20, 1991, the attached response was received from the Department of Environmental Conservation. A fresh water wetland permit is required, due to the close proximity of the fresh water wooded wetland to the proposed addition and parking area. Attached for your review and comment, is the DEC letter and a copy of the site plan. Please direct your comments to Bob Kassner of my staff who is handling this matter. Encl. New York State Department of Environmental Conservation Dear ~/'. ~O~-SSFl~ ~ Re: LEAD AGENCY COORDINATION RESPONSE This letter responds to your communication of , regarding lead agency coordination for the above-noted project, under Article 8 (State Environmental Quality Review - SEQR) of the Environmental Conservation Law and 6 NYCRR Part 617. The Department has the following interest in this project: DEC Permits (if any): DEC Contact Person: SEQR Classification: [ ] Type I DEC Position: [ ] Unlisted Based on the information provided: DEC has no objection to your agency assuming lead agency status for this action. - [ ] DEC wishes to assume lead agency status for this action. [ ] DEC needs additional information in order to respond (see Comments). [ ] DEC cannot be lead agency because it has no jurisdiction in this action. Comments: ~Lsee attached [ ] none If you do not concur with the DEC position indicated above, please contact this office to resolve designation of lead agency within the time allowable under Part 617. CC: Please feel free to contact this office for further information or discussion. Si ~nqerely, (attach distribution list) . [~k_~ NEW YORK STATE DEPARTMENT OF ENVIRONM~~~ON M E M O R A N D U ~.~'\ :"~":' t':~![J[ FROM: ?{'~ ~l DATE: RE: uPa# ~ / l, SOTM# Applicant In response to your request, a field the above referenced project proposal. , DRA inspection was made of The freshwater wetland boundary has been flagged with '~ plastic flagging tape and/or ~ plasti~ flags. Please have applicant hire a surveyor to plot these flags on the site plan. The boundary should be denoted on the site plan as follows: NYS DEC Freshwater Wetland Boundary as delineated by ~. ~-/~ e on ,~/ /- The freshwater wetland boundary, as flagged by , has.been confirmed for the purposes of this application. Please have applicant hire a surveyor to plot these flags op the site plan. The boundary should be denoted on the site plan as follows: Freshwater Wetland Boundary as flagged by and approved for the purposes of Application # (UPA#-above) by NYSDEC on / / ~ 0~ ~ ~ ~ ....... / - ._ . . II PLANNING BOARD MEMBERS Bennett Orlowski, Jr., Chairman George Ritchie Latham, Jr. Richard G. Ward Mark S. McDonald Kenneth L. Edwards Telephone (516) 765-1938 Frederick R. Weber, Secretary Southold Fire District Main Road Southold, New York 11971 PLANNING BOARD OFFICE TOWN OF SOUTHOLD SCOTT L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Dear Mr. Weber: / Enclosed p]c~as~ fin~/(2)/sur,,~veys for Please/notify this of fi whether any firewells are needed. Please specify whether shallow wells or electric wells will be needed. Please reply by ~z~ ~ , 1991. Thank you for your cooperation. ~\ / y truly rs? ,/,~,/ enc. New York State Department of Environmental Conservation Re: LEAD AGENCY COORDINATION RESPONSE SQTH /doo - This letter responds to your communication of , regarding lead agency coordination for the above-noted project, under Article 8 (State Environmental Quality Review - SEQR) of the Environmental Conservation Law and 6 NYCRR Part 617. The Department has the following interest in this project: DEC Permits (if any): DEC Contact Person: SEQR Classification: [ ] Type I DEC Position: [ ] Unlisted Based on the information provided: DEC has no objection to your agency assuming lead agency status for this action. - [ ] DEC wishes to assume lead agency status for this action. [ ] DEC needs additional information in order to respond (see comments). [ ] DEC cannot be lead agency because it has no jurisdiction in this action. Comments: ~see attached [ ] none If you do not concur with the DEC position indicated above, please contact this office to resolve designation of lead agency within the time allowable under Part 617. CC: Please feel free to contact this office for further information or discussion. (attach distribution list) ~l~ NEW YORK STATE DEPARTMENT OF ENVIRO~N M E M 0 R A N D U ~%~' MAY 0 6 DATE: ~: u~ ~ - - / ~e~( ~'~'~ ~. Applicant ~'~ ~ _ g ~ / In response to your request, a field inspection was made of the above referenced project proposal. . / The freshwater wetland boundary has been flagged with '~ plastic flagging tape and/or pIastid flags. Please have applicant hire a surveyor to plot these flags on the site plan. The boundary should be denoted on the site plan as follows: NYS DEC Freshwater Wetland Boundary as delineated by .~. on ,~ / / / The freshwater wetland boundary, as flagged by , has.been confirmed for the purposes of this application. Please have applicant hire a surveyor to plot these flags op the site plan. The boundary should be denoted on the site plan as follows: Freshwater Wetland Boundary as flagged by and approved for the purposes of Application # (UPA#-above) by NYSDEC on / / PLANNING BOARD MEMBERS Bennett Orlowski, Jr., Chairman George Ritchie Latharn, Jr. Richard G. Ward Mark S. McDonald Kenneth L. Edwards Telephone (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD May 14, 1991 SCOTT L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Michael Domino P.O. Box 151 Shoreham, New York 11786 RE: Proposed site plan for Michael & Joy Domino SCTM%1000-45-4-3.2 Dear Mr. Domino: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, May 13, 1991. Be it RESOLVED that the Southold Town Planning Board, acting under the State Environmental Quality Review Act, make a determination of non-significance, and grant a Negative Declaration. Enclosed please find a copy of the Negative Declaration for your records. Very truly yours, Bennett Orlowski, Jr. /P'// Chairman Encl. PLANNING BOARD MEMBERS Bennett Orlowski, Jr., Chairman George Ritchie Latham, Jr. Richard G. Ward Mark S. McDonald Kenneth L. Edwards Telephone (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD SCOTT L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 State Environmental Quality Review NEGATIVE DECLARATION Notice of Determination of Non-Significance May 13, 1991 This notice is issued pursuant to Part 617 of the implementing regulations pertaining to Article 8 (State Environmental Quality Review Act) of the Environmental Law. The Southold Town Planning Board, as lead agency, has determined that the proposed action described below will not have a significant effect on the environment and a Draft Environmental Impact Statement will not be prepared. Name of Action: Proposed site plan for Michael and Joy Domino SCTM#: 1000-45-4-3.2 Location: North side of Route 25, 1,105 feet west of intersection of Moore's Lane and Route 25 SEQR Status: Type I ( ) Unlisted (X) Conditioned Negative Declaration: Description of Action: Yes ( ) No (X) Proposed 2,400 square foot storage addition to existing building. Page 2 Michael and Joy Domino SEQR Negative Declaration Con't. Reasons Supporting This Determination: An Environmental assessment has been submitted, reviewed and it has determined that no significant adverse effects to the environment were likely to occur should the project be implemented as planned. Because there has been no correspondence received from the Department of Health Services in the allotted time, it is assumed that there are no comments or objections from that agency. Because there has been no correspondence received from the New York State Department of Environmental Conservation in the allotted time, it is assumed that there are no comments or objections from that agency. Further Information: Contact Person: Robert G. Kassner Address: Planning Board Telephone Number: (516) 765-1938 CC: Suffolk County Department of Health Services David Morrell, DEC Commissioner Judith Terry, Town Clerk Building Department Board of Appeals Board of Trustees Applicant RAYMOND L. JACOBS SUPERINTENDENT OF HIGHWAYS 765-3140 OFFICE OF THE ENGINEER TOTM OF SOUTHOLD MEMORANDUM TO: FROM: Bennett Orlowpk$, Jr. Chairman, Planning Board James A. Richter SUBJECT: DATE: Short Environmental Assessment Forms ~ichael and Joy Domino- April 9, f991 - JAMES A. RICHTER ENGINEERING INSPECTOR 734-5211 As per your request, enclosed please find the short environmental 'assessment forms for the above referenced, projects. Please be advised that Part III of this form still requires your signature and related information. If you have any questions please do not hesitate to call. enc. I 0 i991 i. ,PRO~JEC, T I.D. NUMBER 617.21 Appendix C Slate Environmental Quality Review ~ SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS. Only PART I~PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) I M.n,c,,a,,,, ~,/~ ~-,4¢.,~ /?.y / ._ ..,- ...~..~-z'---~L-- "~,v~, L~. (~r~ ~'r~ co.n,y .5",..-(-~. ~ 4. PREcI~EL~cATI~Ni~;re:t~a~ress~:~dr~adinh~r$ecti~ns~pr~rZn~nt~andmarks~e~c.~r~r~vide.m~ap) E. IS PROPOSED SEQ r-]New 6. DESCRIBE PROJECT BRIEFLY: [~'Modificationl~ Iteration 7. AMOUNT OF LAND AFFECTED: Inltlall _acres Ultih~ately __ ~ .O~*~~/ acres WiLL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTR CTIONS? ~Yes [] No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITy OF PROJECT? [] Residential [] Industrial ,J~Comrr ercial [] Agriculture J-']Par~Forest/Open space []Olher 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? [] Yes [~o II yes, list agency(s) and permit/approvals 11. DOES ANy ASPE T OF THE ACT,ON HAVE A CURRENTLY VALID PERMIT OR APPROVAL? g cy name and permit/approval t2. II-'lYes ~No( WiLL EXISTING PERMtTIAPPROVAL REQUIRE MOD FICATION? AS A RESULT OF OPOSED ACTION (_ I CERTIFY THAT THE INFORMAT!ON PR. OVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE ' ~  e action is in the Coastal Area, and you are a s~- · ~ C°aota' Assessment Form before pro~h~:t~eT~t~ '~ ~ APR I 0 1991 A, DOESACTION EXCEED EITHR -- '~ [] Yes ~] No E I THR~I~OLD i~.127 If yes, evlew process aha use the FULL B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 may be superseded by another involved agency. If NO. a negative declaration potential for erosion, drainage or flooding problems? Explain briefly: NO C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhOod character? Explain brlefl~ NO C3. Vegetation or fauna, fish, shellfish or wXdlife species, significant habitats, or threatened or endangered species? Explain briefly: NO C4. A community's existing plans or goals as officially adopted, or a change In use or intensity ,)f use of land or other natural resources ) Explain briefly: C§. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly. NO C6. Long term, short term, cumulative, or other effects not identified in C1-C57 Expiain briefly. NO C?. Other impacts (including changes in use of either quantity or type of energy)? Explain briefIy, NO O. IS THERE. OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTEN~ENViRONMENTAL iMPACTS? [] Yes ~ No If Yes, explain bdefly PART Ill--DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or Otherwise significant. Each etfect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversWility; (e) geographic SCOpe; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain su(ficient detail to show that all relevant adverse Impacts have been Identified and adequately addressed. [] Check this box if you have identified one or more Potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. [] Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide on attachmenls as necessary, the reasons supporting this determination: Southold, N.Y. 11971 (516) 765-1938 APPLICATION FOR CONSIDERATION OF SITE PLAN Date of Application Filing Fee Date Rec'd New Use Change of Use Re-Use Extension of Existing Use Revision of an Approved'~i~e Plan~ (Date of Approval Other Specify Address of Site, if available ~ site-check one: Owner of Land ~-~ ~ Under contract to purchase Address Telephone Site Plans Prepared by~~License No. ~ Total Land Area of Site 3~/~ Sq. Ft. Zone District ~-! Existing Use of Site ~~;.~/~Proposed Use of Site Gross Floor Area of Existing S~ructure~s) ~25,~ sqft. sqft. Gross Floor Area of Proposed Structure(s) ~ ~ sqft. sqft. Percent of Lot Coverage by Building(s) /3.~ % Percent of Lot for Parking (where applicable) 26. F~0 % Percent of Lot for Landscaping(where applicable) 5~F,?~/o % Datum(Specify)U.S.G.s. ~d~ Other Has applicant been gra~ted a variance and/or special exception by Board of Appeals ~/~ Case Number Name of Applicant Date of Decision Expiration Date Will any toxic or hazardous materials, as defined by the Suffolk C~un{y Board of Health, be stored gr handled at the gite?~/~ If so, have proper permits peen obtained? NUmber and Date of permit issued /%t~ ~ NO ACTION (EXCAVATION OR CONSTRUCTfON) MAY BE UNDERTAKEN UNTIL APPROVAL OF SITE PLAN BY THE PLANNING BOARD. New York State Department of Environmental Conservation Re: LEAD AGENCY COORDINATION RESPONSE This letter responds to your communication of regarding lead agency c%rdi~atio~ for the above-~oted prOject, ~der Article ~ (State En~ronmental Qu~ity Renew - SEQR) of the En~ronmental conservation Law and 6 NYCRR Part 617. The Department has the fo~owing interest in this project: DEC Permits (if any): Ce: DEC Contact Person: SEQR Classification: [ ] Type I DEC Position: [ ] Unlisted I 11991 Based on the information provided: DEC has no objection to your agency assuming lead agency status for this action. . DEC wishes to assume lead agency status for this action. DEC needs additional information in order to respond (see comments).~C DEC cannot be lead agency because it has no jurisdiction in this action. Comments: [ ] see attached [ ] none If you do not concur with the DEC position indicated above, please contact this office to resolve designation of lead agency within the time allowable under Part 617. Please feel free to contact this office for further information or discussion. (attach distribution list) d,'d ,,d- PLANNING BOARD MEMBERS Bennett Orlowski, Jr., Chairman George Ritchie Latham, Jr. Richard G. Ward Mark S. McDonald Kenneth L. Edwards Telephone (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD SCOTt L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 TO: FROM: RE: James Richter, Road Inspector Bennett Orlowski, Jr., Chairman ~, Review and completion of parts II and III of the Short Environmental Assessment Form Proposed Site Plan for Michael and Joy Domino SCTM9 1000-45-4-3.2 DATE: April 4, 1991 Please review the enclosed Short Environmental Form and complete parts II and III. Application form, questionnaire, and map are enclosed for your use. If you could respond within a week, it would be appreciated. If you have any questions, please contact Robert Kassner of this office. Enc. cc: Raymond Jacobs, Highway Superintendent (_ 14-16.4 (2/B71--Text 12 PROJECT I.D. NUMBER 617.21 Appendix C State Environmental Quality Review i SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1- APPLiCANT/SPONSOR I2' PROJECTNAME 3. PROJECT LOCATION: ; Count, 4. PRECISE LOCATION (Street address ~nd road intersections, prominent randmarks, etc., or provide map) ~*~ afl ~,f*~,e~7~ o~ ~.,~.e~ c~,,,~ ~ N.y. ~.,qt'¢ 2a". 5. IS PROPOSED ACTION' [] New ~panslon []Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: ?. AMOUNT OF LAND AFffECTED: 8. WILL PROPOSED ACTrON COMPLY WITH ~STING ZONING OR OTHER EXISTING ~ND USE RESTRICTIONS? ~ NO If No, describe btiefty ~. w.~v ~s .a~s~m L~.D USE ,N WC,.~ O~ "aOJECT~ ~ Residential ~ industrial ~Commercial ~ Agriculture ~ Par~ForastlOpen space D Other 10. DOES ACTION INVOLVE A PER~IT aPPROVaL, OR FUNOlaG. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (~EDERAL STATE OR LOCAL}? ~ Yes ~o II yes, list agencyis) and DermiUapprovals ANY ASPE ~ O~ THE ACTION HAVE A CURRENTLy VAUD PERMIT OR APPROVAL? If yea, list agency name and permit/approval SEQI AS A RESULT OF OPOSED ACTION WILL EXISTING PERMiT/APPROVAL REQUIRE MODIFICATION? ]Yes ..~ CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE n.m.: ~-~-~he act~n is in the Coastal Area, and you are a state agency, complete th~--~ Coa,~tal Assessmenl Form before proceeding with this assessment OVER 1 PART II--ENVIRONMEI\;k~,~-~MENT (To be completed by Ag~ B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR , PART 617.67 [] Yes CI NO potential for ~.~roslon, drainage or flooding prOblems? Explain briefly:. C2. Aesthetic, agricultural, archaeological, historic, or other natural or Cultural resources; or community or neighborhood character? Explain briefly:. C3. Vegetation or fauna, Hsh, sheUflsh or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. A community's existin!) plans or goals as of EcialJy adopted, or a change in use or intensity o! use of land or other natural resources? Explain brle fl, C5o Growth, subsequent d(~ve~opment, or related activities likely to be induced by the proposed action? Explain briefly. C6. Long term, sho~t term, cumulative, or other effects not identified in Cl-C57 Explain briefly. C?. Other impacts (including changes in use of either quantity or type ol energy)? Explain briefly. D. IS THERE. OR iS THERE ' [] Yes [] NO LIKELY TO SE, CONTROVERSY RELATED TO POT~ ENVIRONMENTAL IMPACTS? It Yes, explain b~efly PART Ill--DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or Otherwise significant. Each effect should be assessed in COnnection with its ia) setting ii.e. urban or rural); (bi probability ot occurring; (c) duration; id) irreversibilify; re) geographic scope; and (fi magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanalions contain sufficient detail to show that all relevant adverse Impacts have been identified and adequately addressed. [] Check this box if you ' · · ~ have ~denhfled one or more POtentially large or sign occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. [] Check this box ii' you have determined, based on the information and analysis above and any supporting documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide on attachments as necessary, the reasons supporting this determination: 2 TO D Southold, N.Y. 11971 (516) 765-1938 APPLICATION FOR CONSIDERATION OF SITE PLAN Date of Application Filing Fee Date Rec'd New Use Change of Use Re-Use Extension of Existing Use Revision of an Approved Site Plan (Date of Approval Other .Specif~ Name of Business or Site Location of Site 7~ FW~ ~ Address of Site, if available Name of Applicant /9~,~/ ~7- ~,'~o~ ,~'-~ Address of Applicant ~ f~l~ ~.-~ ~.w~ A~ __ ' Telephone Persoq to ~e responsible for Construction ~,%~=~/ ~A~. ~A~ Telephone ~7~ FF~ .~ / Applican{'s interest in site-check one: ~ner of La~d Under contract to purchase Owner of~ Fee Title to Land ~,'~e/ ~ ~ ~F ~' ~,'~ Address ,Telephone Site Plans Prepared by~o,~,~/~ License No. Address ~4m,~ A~. ~W~6~ C Telephone Total Land Area of Site ~/~ Sq. Ft. Zone District Existing Use of Site ~,~6~/$.~m~/W~Proposed Use of Site Gross Floor Area of Existing S(ructure(s) ~S°j$.W sqft. Gross Floor Area of Proposed Structure(s) ~ %~ sqft. Percent of Lot Coverage by Building(s) /~.~- Percent of Lot for Parking (where applicable) Percent of Lot for Landscaping(where applicable) Datum(Specify)U.S.G.S. ~$$u~ Other Has applicant been granted a variance and/or special exception by Board of Appeals sqf~. .sqft. % % % - Case Number Name of Applicant Date of Decision Expiration Date Will any toxic or hazardous materials, as defined by the Suffolk County Board of Health, be stored or handled at the $ite?~/o If so, have proper permits been obtained? ~o Number and Date of permit issued /~ NO ACTION (EXCAVATION OR CONSTRUCTfON) MAY BE UNDERTAKEN UNTIL APPROVAL OF SITE PLAN BY THE PLANNING BOARD. PLANNING BOARD MEMBERS Bennett Orlowski, Jr., Chairman George Ritchie Latham, Jr. Richard G. Ward Mark S. McDonald Kenneth L. Edwards Telephone (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD SCOTF L. HARRIS Supe~wisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 September 11, 1990 Michael Domino P.O. Box 151 Shoreham N. Y. 11786 RE: Proposed building expansion for Crackerbarrel Antiques Main Road Greenport SCTM #1000-45-4-3.2 Dear Mr. Domino: The Planning Board has reveiwed your letter received on August 28, 1990, requesting information about what procedure to follow in expanding your existing storage building. The expansion of this building will require the submission of an amended site plan. A copy of the site plan application is enclosed for your use. If you have additional questions or require futher assistance please contact this office. Very truly yours, Bennett Orlowski, Jr. Chairman enc: PLANNING BOARD MEMBERS Bennett Orlowski, Jr., Chairman George Ritchie Latham. Jr. Richard G. Ward Mark S. McDonald Kenneth L. Edwards Telephone (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD SCOTT L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 1991 RE: Lead Agency Coordination Request Dear Reviewer: The purpose of this request is to determine under Article 8 (State Environmental Quality Review Act-SEQRA) of the Environmental Conservation Law and 6 NYCRR Part 617 the following: 1. Your jurisdiction in the action described below; 2. Your interest in assuming the responsibilities of lead agency; and 3. Issues of concern which you believe should be evaluated. Enclosed please find a copy of the proposal and a completed Environmental Assessment Form (EAF) to assist you in your response. Project Name: F~oPo~ S/~ P~/~F~ F~'l~~x/'~7/ Requested Action: SEQRA Classification: ( ) Type I ( ~ Uniisted Contact Person: (516)-765-1938 The lead agency will determine the need for an environmental impact statement (EIS) on this project. Within thirty (30) days of the date of this letter, please respond in writing whether or not you have an interest in being lead agency. Planning Board Position: (~) This agency wishes to assume lead agency status for this action. ) This agency has no objection to your agency assuming lead agency status for this action. ( ) Other. ( See comments below). Comments: Please feel free to contact this office for further information. cc: · Building' Department Southold Town Board ~ Suffolk County Dept. NYSDEC - Stony Brook -~Y- SDEC - -S.C. N.Y.S. Dept. of Transportation · Maps are enclosed for your review Coordinating agencies of Health Services Sincerely, ~ Bennett Orlowski, Jr. ~ Chairman 617.21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I~PROJECT INFORMATION ('To be completed by Applicant or Project sponsor) 1. APPLICANT/SPONSOR PROJECT LOCATION: ~~anslon ~' Mod fficat Ionlalt erat Ion 6. DESCRIBE PROJECT BRIEFLY: ?. AMOUNT OF LAND AFFECTED: Initially ~ acres urtirnately ~ acres 8. WtLL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTJNG LAND USE RESTR CT ONS? [] NO If No, describe briefly 9. ~VHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? [] Residential [] Industrial .,~Commercial [] Agriculture [] ParkiPorestlOpen space [] Other tO. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? [] Yes ~;~o If yes, list agency(s) and permit/approvals r~yes OF THE ACT~CN HAVE A CURRENTLy VALID PERMIT OR APPROVAL? If yeu, list agency name and permit/approval 12. AS A RESULT OF OPOSED ACTION WILL EXISTING PERMiT/APPROVAL REQUIRE MOD FICATION? [] Yes SEQ CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE ~'-e action is in the Coastal Area. and ,,o~"~are a s .... ---~ .. · ~a[e agency, complete the [' Coa,~tal Assessment Form before proceeding with this assessment · OVER <:' 1 PART II--ENViRONME~¢z ..... Completed by Ag_~__~ --~ ~_'[~SSMENT (To be B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 may be superseded by another irlvolved agency, it NO, a negative eeclarafion [] ~es [] No C. COULD ACTION RESULT IN ANy ADVERSE EFFECTs ASSOCIATED W TH THE FOLLOWING: (Answers may be handwritten It eg b · Ct. Existing air quality, surface or groundwater quallly or quantify, noise levels, existing frafflc p.aUerns, solid waste production or dJsposa, potential for erosion, drainage or flooding problems? Explain briefly:. C2. Aesfhefic, agricultural, archaeological, historic, or ofher natural or Cultural resources; or COmmunify or neighborhood character? Exgtaltl briefly:. C3. Vegefauoo or fauna, fish, shellfish or Wildlife species, significanf habifafs, or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals 'as officially adopted, or a change in use or Intensify of us~, of land or other nalutaf resources'/E.xplaln briefly CS. Growth, subsequent development, or related activities likely to he induced by fha proposed acfion? Explain briefly, C6. Long term, short term, cumulative, of other eUects nor identified itl Ct-CS? Explain briefly. C?. Other impacts (including changes in use of either quan[dy or type of energy)? Explain briefly. D. IS THERE, OR IS THERE LIKELY TO SE, CONTROVERSy RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS'~ [] Yes [~ NO If Yes, explain b[iefly PART III--DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or Otherwise significant. Each effect should be assessed in connection with its (al setting (i.e. urban or rural); (b) probability ot Occurring; (c) duration; (d) irreversibilify; (el geographic scope; and (fl magnitude, If necessary, add attachments or reference supporting materials. Ensure that explanations confain sufficient detail to show that all relevant adverse impacts have been ~ identified and adequately addressed. [] Check this box if you have identified one or more Potentially large or significant adverse impacts Which MAY occur. Then proceed directly to the FULL EAF andlor prepare a positive declaration. [] Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed action WILL NOT result in any significant 'adverse environmental impacts AND provide on attachments as necessary, Ihe reasons supporting this determination: PLANNING BOARD MEMBERS Bennett Orlowski, Jr., Chairman George Ritchie Latham, Jr. Richard G. Ward Mark S. McDonald Kenneth L. Edwards Telephone (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD SCOTt L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 April 2, 1991 Michael Domino P.O. Box 151 Shoreham, New York 11786 RE: Site Plan for Michael & Joy Domino SCTM#1000-45-4-3.2 Dear Mr. Domino: The following resolution was duly adopted by the Southold Town Planning Board at a meeting held on Monday, April 1, 1991. BE IT RESOLVED that the Southold Town Planning Board start the coordination process on this unlisted action. The board makes an initial determination of non-significance. Please do not hesitate to contact this office if you have any questions regarding the above. Very truly yours, Bennett Orlowski, j~. *~3 Chairman SENDER: SUBJECT: SCTM#: COMMENTS: SUBMISSION WITHOUT COVER LETTER I~R - 7 1991 PLANNING BOARD MEMBERS Bennett Orlowski, Jr., Chairman George Ritchie Latham, Jr. Richard G. Ward Mark S. McDonald Kenneth L. Edwards Telephone (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD Scowr L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 February 6, 1991 Michael Domino P.O. Box 151 Shoreham NY 11786 RE: Proposed building expansion for Crackerbarrel Antiques Main Road Greenport SCTM# 1000-45-4-3.2 Dear Mr. Domino: The Planning Board has received your application for the above named site plan. The following changes must be made before the Planning Board can proceed: Drainage calculations must be shown for the existing, and proposed addition to the retail antique shop. All proposed lighting must be shielded to the premises. If you have any questions or require further assistance, please contact this office. Very truly yours, Bennett Orlowski, Jr. Chairman cc: Victor Lessard, Principal Building Inspector AUG 2 ~ 1990 AUG 2 $ IggO / T ~r~' LD Southold, N.Y. 11971 (516) 765-1938 April 15, 1986 Michael and Joy Domino P.O. Box 151 Shoram, NY 11786 Re: Site Plan for Crackerbarrel Antiques Dear Mr. and Mrs. Domino: The following action was taken by the Southold Town Planning Board Monday, April 14, 1986. RESOLVED that the Southold Town Planning Board refer the site plan of Michael and Joy Domino to be known as "Crackerbarrel Antiques" to the Building Department for certification. This proposal is for construction of an addition on an existing building to be used for storage and retail use. Premises is located at Main Road, Greenport. Survey dated as amended March 31, 1986. If you have any questions, please don't hesitate to contact our office. Very truly yours, BENNETT ORLOWSKI, JR. , CHAIRMAN SOUTHOLD TOWN PLANNING BOARD By Diane M. Schultze, Secretary cc: Building Department Southold, N.Y. 11971 (516) 765-1938 November 12, 1985 Michael and Joy Domino P.O. Box 151 Shoram, NY 11786 Re: Site Plan for Crackerbarrel Antiques Dear Mr. and Mrs. Domino: The Planning Board has reviewed the above mentioned site plan. The Board requests that all the site plan elements not included on the site plan be included. Enclosed is a check list indicating those items omitted. In order to determine the side yard setbacks, the Board also requests that you indicate the existing building which you are adding on to. When you have revised the site plan, would you please forward six (6) prints to the Planning Board Office. If you have any questions, please don't hesitate to contact our office. enc. Very truly yours, BENNETT ORLOWSKI, JR., CHAIRMAN SOUTHOLD TOWN PLANNING BOARD By Diane M.Schultze, Secretary SITE PLAN ELEMENTS §100-134 Town Code ( ) ( ) ( ) ( ) ( ) ( ) ( ( ) ( ( ) ( ) ( ) (. ) ( ) ( ) ) Lot, blo¢~, and section number, if any, or the property taken from tax records Name and address of the owner of record Name and address of the person preparing the map Date, North arrow and written and graphic scale Sufficient description or information to precisely define the boundaries of the property. Ail distances shall be in feet and tenths of a foot. Ail angles shall be given to the nearest ten seconds or closer. The error of closure shall not exceed one in ten thousand. The locations, name, and existing width of adjacent streets and curblines The location and owners of all adjoining lands, as shown on the latest tax records Location, width and purpose of all existing and proposed easements, setbac~ reservations, and areas dedicated to public use withinor adjoining propert~ A complete outline of existing deed restrictions or covenants applying ~o theproperty Existing zoning Existing contours at intervals of five or less, referred to a datum satisfactory to the Board Approximate boundaries of any areas subject to flooding or stormwater overf Location of existing watercourses, marshes, wooded areas, rock outcrops isolated trees with a diameter of eight inches or measured three feet above the base of the trunk and other significant existing features. Location of uses and outlines of structures, drawn to scale on and within one hundred (100) feet of the lots. Paved areas, sidewalks, and Wehicular access between the site and public streets Locations, dimensions, grades and flow direction of existing sewers, culve~ and waterlines as well as other underground and above ground utilities within and adjacent to the property. -Other existing development, i~cluding fences, landscaping and screening The location of proposed buildings or structural improvement The location and design ofali uses not requiring structures such as off street parking and loading areas. The location, direction, power and time of use of any proposed outdoor lighting or public address systems. The location of, and plans for, any outdoor signs The location and arrangement of proposed means of access and e~ress, including sidewalks, driveways or other paved areas;~ ~radin~ and cross sections showing width of roadway, location and width of sidewalks and lcoation and size of water and sewer lines. . .. OVER... .Site plan elements cont. (§100-134) ( ) ( ) ( ) ( Any proposed grading, screening and other landscaping including types and locations of proposed street trees. The location of all proposed waterlines, valves and hydrants and of all sewer lines or alternate means of water supply and sewage disposal and treatment. An outline of any proposed deed retrietions and/or covenants. AnY contemplted public improvements on or adjoining the property. If the site development plan indictes onl~ a first stage, a supplementary plan shall indicate ultimate develoment. Any other information deemed by the Planning Board necessary to determine conformity of the site plan with the intent and regulations of this chapter. Southold. N.Y. 11971 (516) 765-1938 APPLICATION FOR CONSIDERATION OF SITE PLAN Date of Application Filing Fee Date Rec'd New Use Change of Use Re-Use Extension of Existing Use Revision of an Approved Site Plan (Date of Approval ) Other Specify Address of Site, if available ' ' Telephone ~77~F~ Person to bD responsible for Constr~ction ~,%~,/ ~A~,~ Telephone WT?,~FF~ ~?~g~o / Appli'-can~'s interest in site-check one: ~ner of Lan~ ~ ' -- Under contract to purchase Address Telephone Site Plans Prepared by~o~z~/~ License No. Total Land Area of Site 3~/~ Sq. Ft. Zone District Existing Use of Site ~o~,~.~N~/~Proposed Use of Site Gross Floor Area of Existing S(ructure(s) ~25. F sqft. .sqft. Gross Floor Area of Proposed Structure(s) ~ ~ sqft. sqft. Percent of Lot Coverage by Building(s) /3,~' % Percent of Lot for Parking (where applicable) 26,~ % Percent of Lot for Landscaping(where applicable) ~,Ta/. % Datum(Specify)U.S.G.S. ~$~d~ Other Has applicant been granted a variance and/or special exception by Board of Appeals Case Number Name of Applicant Date of Decision Expiration Date will any toxic or hazardous materials, as defined by the Board of Health, be stored or handled at the site?4/o If so, have proper permits been obtained? ~ Number and Date of permit issued /~ ~ Suffolk County NO ACTION (EXCAVATION OR CONSTRUCTION) MAY BE UNDERTAKEN UNTIL APPROVAL OF SITE PLAN BY THE PLANNING BOARD. APPLICANT'S AFFIDAVIT STATE OF NEW YORK or s FoLK · ~/A_' ' / ~ ~. ~.~,.~ O~Fll ~ being duly ~worn, deposes ,,,~ , and says that he resides at ~-- ~/~ ~ ~e~ WW"~~ in the State of New York, and that he is the owner of the above'property, or that he is the ~~ of the ~~~~ (Title) (Specify whether PartnerShip which is hereby making application; that the or Corporation) owner or his heirs, successors or assigns will, at his own expense, install the re~ired site improvements in accordance with Article XIII of the Code of the Town of Southold for the area stated herein and that there are no existing structures or improvements on the land which are not shown on the Site Plan; that title to the entire parcel, including all rights-of-way, have been clearly established and are shown on said Plan; that no part of the Plan infringes upon any duly filed plan which has not been abandoned both as to lots and as to roads; that he has examined all rules and regulations adopted by the Planning Board for the filing of Site Plans and will comply with s~e; that the plans submitted, as approved, will not be altered or changed in any manner without the approval of the Planning Board; and that the actual physical improvements will be installed in strict accordance with the plans submitted. Signed -~/ ~-[~ (Owner) Sworn to before me this ~day of ~_~.~'~. ~19~/ (No{a~y PuSlic) ~ Signed (Partner or Corporate Officer and Title C 14-16-4 12/87)--Text 12 PROJECT I.D. NUMBER 617.21 Appendix C State Environmental Quality Revie'J~kl 2 SHORT ENVIRONMENTAL ASSESSrv~IT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME 3. PROJECT LOCATION: 4. PRECISE LOCATION (Street address and road intersections, prort~nent landmarks, etc., or provide map) SEQF 5. IS PROPOSED ACTION: [] New ~panslon []Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: t 7. AMOUNT OF LAND AFFECTED: 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? ~Yes [] No If No, describe briefly WHAT IS PRESENT LAND USE IN VICiNiTY OF PROJECT? [] Residential [] Industrial ~'Commercial [] Agriculture [] ParPJForestlOpen space [] Other t0. ODES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? [] Yes J~o If yes, list agency(s) and permit/approvals DOES ANY ASPE OF THE ACT~Oi'I HAVE A CURRENTLY VALID PERMIT OR APPROVAL'~ [] Yes ~o It ye=, iisi agency name and permit/approval ' t2. AS A RESULTOF~I~OF OPOSED ACTION WILL EXISTING PERMiT/APPROVAL REQUIRE MODIFICATION? [] Yes -~No .'-- I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE ' App,,,an,,sponso, nam,: If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 PART II--ENViRONMENi~SSESSMENT(T_T_~.o° be completed by ~ A ACTION %CEEO 1.6 : · t.~ Yes [-J No , ,~H/617.127 If yes, coordinate the review process a~ B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 may be superseded by another involved agency. [] Yes [] NO if No, a negative declaration C. COULD ACTION RESULT IN ANy ADVERSE EFFECTs ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) Cl. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid waste production or disposal, potential for erosion, drainage or flOOding problems? Explain briefly:. C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly:. C3~ Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals'as off c ally adopted, or a change in use or Intensity of use of land or other natural resources? Explain briefly C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly. C6. Long term, short term, cumulative, or other effects not Identified in Cl-C57 Explain briefly. C7. Other impacts (including changes in use of either quantity or type of energy)? Explain briefly. O. IS THERE, OR iS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? [] Yes [] NO If Yes, explain briefly PART III--DETERMINATION OF SIGNIFICANCE '-rO INSTRUCTIONS: Foreach t, uu Completed by Agency) adverse effect identified above, determine whether it is substantial, large, important or Otherwise significant. Each effect should be assessed in COnnection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magniltude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse Impacfs have been identified and adequately addressed. [] Check this box if you have identified one or, m0r:Potentiall occur. Then proceed directly to the FULL EA:F and/or prepar large or significant adverse impacts which MAY [] ey a positive declaration. Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide on attachments as necessary, the reasons supporting this determination: Na~me ot Lead ^~'~'n¢~ -- Date 2 ! / JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 TELEPHONE (516) 765-1801 October 10, 1985 Michael and Joy Domino Cracker Barrel Antiques 73095 Main Road Greenport, New York 11944 Dear Mr. and Mrs. Domino: Enclosed herewith is a certified resolution of the Southold Town Board granting you a waiver of the provisions of Local Law No. 14 - 1985. Very truly yours, v Judith T. Terry Southold Town Clerk Enclosure ~// cc: Planning Board JUDITH T. TERRY TOWN CLERK BEGISTRAR O~ VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 TELEPHONE (516) 765-1801 __ THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON OCTOBER 8, :1985: WHEREAS, Michael and Joy Domino have requested that this Board waive the provisions of Local Law No. 14 - 1985 with respect to their application presently pending before the Southold Town Planning Board for site plan approval, and WHEREAS, Joy Domino appeared before this Board and explained the nature of the uses for which they propose to use the premises in question, and WHEREAS, this Board finds that the applicants propose to construct a retail build- ing, and WHEREAS, this Board deems such use consistent with the uses in B-I General Business District as proposed by Raymond, Parish, Pine, & Weiner, Inc.!s Master Plan Update Zoning Code revisions, NOW, THEREFORE, BE IT RESOLVED that the applicants be and hereby are granted a waiver of the provisions of Local Law No. 14 - 1985 to the extent of permitting such uses on said premises as set forth in their application presently pending before the Southold Town Planning Board for site plan approval, subject, however, to the applicants obtaining any and all permits and approvals required by all Town and other governmental agencies having jurisdiction thereof. Southold Town Clerk ~OWN OF SOUTHOLD ENVIROI~MENTAL ASSESSMENT - PART PROJECT I:~-F OR/4AT ION sa tnd~ca:_~ a~d soecJ~y .~c~ fns3ance. If tnfa~.-:.:ian r~.aui~ng such a~dt:iona! .~ork (s.lunavai~ole, ' ' o (PL-:ASE COMPL~CTE F. ACH QU,~TiON - :ndicsca ~t.A. ~f nat 3~011c3ole) ' I. General ~arac:er ~f t~e lan~: Gener~i17 un~f~m slaoe ~, ~ner~ily ~even and ~illng ~ms~n: !and use: U~an , Indus:rial . Co.ere!al . SuOuroan . turil' , , , Agriculture O~qer Presently Aft_~r CcmoleCion 7. 8. Approximate percentage of proposed project site with slopes: O-lO= ~; I0-15= ~; l$~ or greater I Is project cantiguous~e, or contain a building or site listed on the National Register of Historic Places) Yes ~/,,No What is the depth to the water table? ,f~ feet O? hunting or fishing opportunities presently exist in the project areal Yes ~/' flu Does project site contain ~dy species of plant ar animal life that is identified as threatened or endangered -~ Yes t/Tlo, according to - Identify each species ' 11. Are L~ere any unique or unusual land for~s an tho project site? (i.e. cItffs, dunes, other geological for~atinns - .. Yes ~ No. -(Oescrihe l~. Is the Project site pryesently used by the co,unit7 or neighborhood es an open space or'rec~ation a~a - Yes ~ No .... ' YesV~o ' 14. Stre~s ~i:hin or contiguous ~o p~ect area: .... a. ~e of stream and na~e of r~ve~ ~ which it is tributar? IS. single family residential, PROJECT OESCRIPTIO[( Lakes, Ponds, Wetland areas within or contiguous t~ project area: What is the dominant lan~ use and zoning classification within a 1/4 mile radius of the project (e.g~ and the scale of development (e.g. 2 story). Physical dimensions and scale of project (fill in dimensions as appropriate) Total contiguous acreage owned by project sponsor ~ acres. Project acreage developed: /o~ acres initially; ~ acres ultimately. Project acreage to remain undeveloped .: ~ Length of project, in miles: ~ '-- (if appropriate) %f pro~ect iS ~n expansion of existing, indicate percent of expansi.on proposed: age /¥7~- , developed acreage /,~ , Number of off-str~t parking spaces existing .3 · ...: proposed '~F_~-- ~ ~ Maximum vehicular trips generated per hour ~, (upon completion of project) If residential: Number and type of housing units: Two Family Multiple F~mily Condominium · . One'Family Initial ~A//~ Ultimate If: Estimated ~pio~ent feet. Orientation Neighborhood-Ct:y-Regional Industrial Total height ef tallest proposed structure butld~ng 'square foot- 8. 10. 11. 1:3. 14. 1~. 16. 17. 18. ZO. 21. flo~ much natural material (i.e. rock, earth, etc.) will be re~oved from the site - ~¢Y~ tons 2.~ cubic, yardc How many acres of vegetation {trees, shrubs, groun~ covers) will be removed from site - ~acres. ~ill any mature forest~6ver 100 years old) or other locally-important vegetation be removed by this project? Yes ~.~o Are there any plans for re-vegetation to replace that re~oved during construction? ~/Yes No If single phase project: Anticipated period of construction /~ months. (including demolition). If multi-phasQd project: a. Total n~nber of phases anticipated m ~0' ~.:'~ .. b. Anticipated date of commencement phase 1 month year (including .... demolition) ..... ¢. Approximate completion date final phase month year. ' ' ~.' ' ~. Is phase 1 financially ~?endent on subsequent phases? Yes No Will blasting occur during constriction? Yes V ~o · ' "' ~u~ber of jobs generated: during construction ~ ; octet project is complete ~-. Nu~er of jobs eliminated by this project (2 Will project require relocation of any projects or facilities? Yes t~NO. Xf yes, explain: a. Is surface or subsurface liquid waste dispasa'l involved? Yes b. If yes, indicate type of waste (sewage, industrial, etc.) c. If surface disoosal name of stream into which effluent will be discharged Will surface area of existing lakes,J)Onds, stre~s, bays ar other surfaco waterways be increased or decreased by p~posal? .~es Is project or any portion of project located in the 100 year r~oad plain? Yes a. Does project involve disposal of solid waste? ~es k/No b. If yes, will an ~xtst~ng solid waste disposal facility be used? c. If yes, give name: ~ location d. ~ill any wastes not ge into a sewage disposal system or into a sanitary landfill? Will project use herbicides or pesticides? Yes ,~?o Will project routinely produce odors' (~or~ than one hour per day)?_ Yes Will project produce operating noise exceeding the local a~,btence noise levels? Will project resul~ in an increase in ener~yuse? Yes ~'/ No. .... ~ Yes ~ Yes ~ No If yes, indicate type(s) ~ If ~aCer supply is from wells indicate pu~ing capacity Total anticipated water usage per day_:~_6~o gals/day. Zoning: a. ~haC is dominant·zoning classification of site? b. Current specific zoning classification of site c. Is proposed use consistent wi~h ~resent zoning? d. If no, indicate desired ~ontng gals/minute. -3- Approvals: a. Is any Federal permit required7 Yes ~'/No h. Does p~Ject Involve State or Federsl funding or financing? ¢, Lo'al and Regional aporovals: City, Town, Village Baar~ City, Town, Village Planning Board City, Town, Zoning Board City, County Health OeOar~ent Other local agencies Other regional agencies State Agencies Federal Agencies TITLE: R£PR£SE~TI~G: OAT£: Approval Required (~es, ;Io) (Type) _ Yes ..v']× No Submittal Approval (Date} (Oate) I R FO P~ATIO,'LAL DETAILS Attach any additional infor~atton.e$ ~zy be needed to clarify your project. If there are or may be any adverse impacts associated with the' proposal, please discuss such impacts and the measures which can be ~ken to mitigate or avoid them. - OCT OCT ~ 198~ lg85 Planning Board Page 2 10/21/85 Site planfor Ed Pressler cont. eventually he would pave the parking area, however, it was not economically feasible at this time. The Chairman suggested that the Board review the plan for Mr. Thompson's proposal to see how the road for interior circulation would line up with Mr. Pressler's property. Mr. Lessard questioned the locations of the cesspools for the two apartments. Mr. Pressler requested that the Board make a recommendation as quickly as possible as time was a problem to him. The Board stated that they would review the site and the plan and get back to him as quickly as possible. Frank and Diane An%mirati were present for a presubmission conference to discuss the site plan for their property at Love Lane Mattituck. This is known as "Ammirati's Cupboard. Mr. Ammirati explained that this proposal is for a retail gourmet food store, they will not be serving food. Mr. Ward questioned the parking calculations and Mr. Ammirati explained that they are required to have 7 spaces, however, they show 10 altogether. They would have 5 cars for the business and 2 personal cars. The actual proposal is for conversion of a three-family dwelling into a take out food store with a dwelling use. The dwelling use would be for the Ammiratis. Mr. Ammirati also explained that there would be a service driveway which was omitted in error from the present survey which the Board was reviewing. Mr. Ammirati stated that he wanted to save the trees on the premises and would blacktop the parking area. Mr. Ammirati asked if the Board would be prepared to make a recommendation to the Board of appeals by the next meeting and the Chairman stated that the Board would make a field inspection and have 6omments by November 18. Michael and 3oy Domino were present for a presubmission conference to discuss the site plan for Crackerbarrel Antiques located at Main Road Greenport. ~ proposal was to construct a storage building with sales area. This site plan received a waiver from the business moratorium. Mr. Domino stated that the hurricane badly damaged the existing building, therefore, he proposed this new building which would be an expansion of that. Mr. Domino stated that there is an existing business ~ on the property and the. existing building is 8' X 17' athebuilding will be expanded to 40' X 32' and used D~imarl]v for storage. Mr. Ward questioned how the Darkina wa~ --~ determined and the Board requested the bre~kdown~of retail / rea and storage area so they can calculate the parking / equired. It was the consensus of the Board to conduct / ~ field inspection of th premises prior to any further / r~iew or recommendations. / / TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 1986 TEL. 765~1802 May 7, 1986 Planning Board Town of Southold Main Road Southotd, N.Y. 11971 Subject: Crackerbarrel Antiques Greenport, N.Y. Site plan dated 2/25/86 Gentlemen: The premises is zoned B-1 General Business District. The present retail use is permitted under Art. VII, Sec. 100-70 A. (C). This will certify the proposed building and use incidental to the principal use of premises in meeting zoning regulations. EH:hdv Edward Hindermann Building Inspector TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 APR 2 5 1986 TEL. 765-1802 April 25,1986 Planning Board Town of Southold Main Road Southold, N.Y. 11971 Subject: Crackerbarrel Antiques Greenport, N.Y. Site plan dated 2/25/86 Gentlemen; This site plan can not be reviewed properly based on the information submitted to this office. We will have to know present use of existing building and whether or not proposed use is part of the existing use or does it involve a separate business. EH:dsm Yours Edward~ Building Inspector Southold, N.Y. 11971 (516) 765-1938 June 4, 1986 Mr. and Mrs. P.O. Box 151 Shoram, NY Michael Domino 11786 Re: Site Plan for Crackerbarrel Antiques Dear Mr. and Mrs. Domino: Enclosed is a survey for the above mentioned approved proposal which has been endorsed by the Chairman. Please contact this office if you have any questions. V~e~y truly yours, BENNETT ORLOWSKI, JR. , CHAIRMAN SOUTHOLD TOWN PLANNING BOARD By Diane M. Schultze, Secretary enc. COUNTY OF SUFFOLK O45 REQUIREMEN S ?ISECTION-BLOCK-LOT TAX MAP NUMBERS OWNER OF RECORD NAME& ADDRESS .OF FOR SITE PLAN ELEMENTS & CERTIFICATION ~'~. DATE, NORTH POINT AND WRITTEN & GRAPHIC SCALE ~'~i i DESCRIPTION OF PROPERTY & INFORMATION TO DEFINE BOURDARIES ~iILOCATIONS,, NAMES & EXISTING WIDTHS OF ADJACENT STREETS & CURBS ~ILOCATION & OWNERS OF ALL ADJOINING LANDS, AS SHOWN ON TAX RECORDS ~?tLOCATION & PURPOSE OF ALL EXISTING' AND PROPOSED EASEMENTS --' ''COMPLETE OUTLINE OF EXISTING DEED RESTRICTIONS APPLYING TO PROPERTY EXISTING ZONING AREAS SUBJECT TO FLOODING OR STORM WATER OVERFLOWS WATER COURSES, ~ARSHES, WOODED AREAS, TREES 8" IN DIAMETER OR MORE ANY BUILDING WITHIN 100' OF PROPERTY PAVED AREAS, SIDEWALKS, VEHICULAR ACCESS TO PUBLIC STREETS EXISTING SEWERSt CULVERTS, WATERLINES WITHIN OR ADJACENT TO PROPERTY FENCING LANDSCAPING AND SCREENING PROPOSED BUILDI~GS OR STRUCTURAL OFF STREET PARKING AND LOADING AREAS OUTDOOR LIGHTING OR PUBLIC ADDRESS SYSTEMS OUTDOOR SIGNS' ~"q 1239K SIDEWALKS LOCATIONS WIDTHS: SIZE OF WATER AND SEWER LINES 1986 MAP OF LAND LOCATED AT COUNTY OF SUFFOLK N MAP OF LAND LOCATED AT TOWN OF IRVEYED FOR COUNTY OF SUFFOLK -0. k Iol ,t ~- a~ ~TZ~ .I~]eT~ rz.=- .:'] eT f I~R - 7 199[ ENGINEER NDT RETAINED FOR CONSTRUCTION, SUPERVISION,OR INSPECTION '1 ? Office Of Gordon K. Ahlers, P. E. glneer Apprm, aJ ~ al ertl Secllon 7209, Subdivision 2, t!guatur~ ma mm. N. ,Y. State ~ducatl~n Law. )NSTRUCTtON SUPERVISION~OR INSPECTION GREENPOR,T, N.Y. ? 1944 ~ Phone 477:0400 ~ Main Road GREEN PORT; N.Y..,I 1944 .,~ "'' " ' ~: ~-t. ~.~ Phone 47%0400 Main Road G REENPORT, N.Y. 11944 L L~ ,j- _J <i * 0 /4 It X ? cz.,o r~ i llild¢ p.~Z 1 Z. - -F-F¢:' pT~' FT~ PT * - q¢ = ¢*-o~ F-F*~ APR - g 1992 b) LE.Z~.~J I J 4,d water line Join%s Shall be at least ten feet' from the point of crossing; snd sewer lines shall be constructed of mater£als and Jolnts that are equ£¥elent to water main standards of construction and shall be pressure backfl~ling., ENGINEFR NOT RETAINED FOR CONSTRUCTION, SUPERVISION,OR INSPECTION SCALE ~ DRAWN BY - DRAWING NO. I '\ ' · 'lx x, O Y © ,,n 'o',,'B ,1 {I II ) %/ I' I) II · ~ells ~ 10' ~I~F~ 10' ~he~ [o~al condltieos prevnnt @lacemnnt ~f-the above the sewer line, the follqwing addit£onal a) a vertical separation of at least eighteen inches shall be provided between the bottom Of the sewer line and the top of the water line; water line conditions ENGINEER DATE SCALE ~ DRAWN BY ?P'~: ~ DRAWING NO. b) water line Joints Shall be at least ten feet' from the point of crossing; and C) sewer lines shall be constructed of materials and Joints that are equivalent to water main standards of construction and shall be pressure tested to assure watertightnesa prior to backZi~ling. NOT RETAINED FOR CONSTRUCTION, SUPERVISION,OR INSPECTION ! /