The URL can be used to link to this page

Home My WebLink About1000-63.-6-4PLANNING 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.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 To~ Jerilyn Woodhouse, Chair Town of Southold Planning Board From: Mark Terry, Senior Environmental Planner LWRP Coordinator Date: July 31, 2006 Re~ Proposed Site Plan for Romanelli Brothers SCTM#1000-63-6-4 Zone: RO This site plan is for conversion of existing single family residence with accessory garages to a first floor business office, second floor apartment and accessory garages on 26,081 sq. fl. parcel in the RO Zone located at 51750 Main Road in Southold. SCTM#(s) 1000-63.-6-4 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. Please contact me at (631) 765-1938 if you have any questions regarding the above. Cc: Bruno Semon, Senior Site Plan Reviewer PLANNI~IG BOARD MEMBERS JERILYN B. WOODHOUSE Chsir KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TO.SEND PLANNING BOARD OFFICE TOWN OF SOUTHOLD MAILING ADDILESS: P.O. Box 1179 Southold, NY 11971 OF~ICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 Michael J. Verity, Chief Building Inspector James Richter, Town Engineer Mark Terry, Local Water Revitalization Program Coordinator From: Bnmo Semon, Senior Site Plan Reviewer~ Date: June 6, 2006 Romanelli Brothers, LLC 51750 Main Road, Southold SCTM#: 1000-63-6-4 In reference to the above, attached you will find a site application. The site plan reflects the current proposed build out of this site concerns and certification. plan review for comments, This site plan is for conversion of existing single family residence with accessory garages to a first floor business office, second floor apartment and accessory garages on 26,081 sq. ft. parcel in the RO Zone located at 51750 Main Road in Southold. SCTIVi~ (s) 1000-63.-6-4. The enclosed site plan is for your review and records and does not need to be returned to the Planning BoaM. Thank you in advance. File 1 site plan prepared by Garrett A. Strang dated March 17, 2006 Site plan application LWRP Consistency Assessment Form (LWRP Coordinator only) To'q'n of Southold LWRP CONSISTENCY ASSESSMENT FOR~I A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall cmnplete this CCkF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building £ermits and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form 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 will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). 3. If any question in Section C on this fom~ is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions c~o~,~L,~y review law. Thus, each answer must be explained in suvportiu~ facts. If an action cannot be certified as consistdnLwith.the LWRp conditions, it shall not be tmdertaken n~--~ ~ A copy of the LWRP is available in the following places: onli r of Somho~d (southoldtown.northfork.net), the Board of Trustees Office, the ~a~ing/~epa~me~i(*~ll lo~ / libraries and the Town Clerk's office. "ESC ' TIONO SITE AN. "O OSE ,ACTION PROJECT NANIE ~,'~ ,~'.a¢/~ c g t ~ ~ ,~¢~ I The Application has been submitted to (che~ appropriate response): TownBoard [] Planning Board [-~ Building Dept. ~ BoardofTrustees [] 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: Site acreage: Present land use: .5'/.~, q'& Present zoning classification: If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: 2,/~' .,~I. (a) Name of applicant: (b) Mailing address: (c) Telephone number: Mca Code ( ) ~ J [ ~ 7~ 5 ~- ~ 7 ~ 7 (d) Application number, if any: Z .15~. ,d. ~ :~'~/~ 2.- Will the actio~tly undertaken, require funding, or approval by a state o 1l federal agency? Yes [~ No I t/'l If yes, which state or federal 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. ~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 Scctio/l~lll - Policies Pages 3 through 6 for evaluation criteria I-~12_l Yes [-~ No ~'] Not Apphcable- Attach additional sheets if necessary Policy 3. Enhance visual qnality and protect scenic resources throughout the Town of Southoltl. See LWRP Section 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/III - Policies Pages 8 through 16 for evaluation criteria I' ~ Yes ] r~ No ~ Not Applicable Attach additional sheets if necessary Policy 5./Protect and improve water quality and supply in the Town of Sonthold. See LWRP Section III -Poli/~' s Pages 16 through 21 for evaluation criteria t2_l Yes ~ No [~ Not Applicable 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 throughf for evaluation criteria. I~ Yes [] No[] Not Applicable Attach additional sheets if necessary Policy 7. Protect and i~nprove air quality in the Town of Southoid. See LWRP Section II1 - Policies Pages through 34 for evaluation criteria. ~es [-~ No [] Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Sonthold from solid waste and hazardous S~YeseeS and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. ~-~ No [~ Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ~Not [] Yes[] No Applicable Attach additional sheets if necessary WORKING COAST POLICIES po[icy 10. Protect Southold's v T-depend~nt uses and promote siti ~f new water-dependent uses in suitable Iocations~TWRP Section III - Policies; Pages 47 through 2o for evaluation criteria. I~ Yes ~] No I t2[ Not Applicable Attach additional sheets if necessary Policy l 1. romote sustainable use of hvmg marine resources in Long Island Sound, the Peconie Estuary and Town ~vaters~RP Section III - Policies; Pages 57 through 62 for evaluation criteria. [] Yes ~] No I ~ I Not Applicable Ailach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section II1 - Policies; Pages 62 through 65 for ev~criteria. [~ Yes [] No ~ Not Applicable Atlach additional sheets if necessary Policy 13. Promote app/vopriate use and development of energy and Section III - Polic~ges 65 through 68 for evaluation criteria, mineral resources. See LWRP [] Yes [] No I ~ Not Applicable PREPARED BY TITLE DATE Amended on 8/1/05 TOWN OF SOUTHOLD PLANNING ~OARD SITE PLAN APPLICATION SECTION A: Site Plan Name and Location ........... Application Date: O 4- / ~- it / ~, t~ Suffolk County Tax Map #1000- g~ - Og - ~,d- Other SCTM #s: Street Address: ~O'"/~ :5"~ /9~1/0 ~,.~ Hamlet: Distance to nearest intersection: 1 ~'~ ' W-o "t-~ e~ ~ ~ m_ ~. ~-I ~- Type of Site Plan: ~NNew __Amended Residential If Amended, last approval date: / /-- SECTION B Owners/Agent Contact Information Please list name, mailing address, and phone number for the people below: Property Owner ]~,/^~.~ -~.t_.t_ I' ~oT~/ ~&~ Street ~ ~. ~ ~ ~4~ CityLtM~ MO~ W State ~ ~ Zip /t75-~ Home Telephone Other Applicant City ~..f 04 1:;'!~ ~40r~..~"~ State Home Telephone ~ ~ Zip_ Other ~'3 (- ~" Applicant's Agent or Representative: Contact Person(s)* ~T,~. t'~ Zip IIF,7 / Office Telephone $' 3 [- ?~'5'~ 5-~ .~-.~"-Other *Unless otherwise requested, correspondence will be sent only to the contact person noted here. Page 1 of 2 10/05/05 SF~.CTION C: Site Data Proposed construction type: New Property total acreage or square footage: Site Plan build-out acreage or square footage:'~! I I ~/ ~sq. ft. Agricultural Is there an existing or proposed Sale of Development Rights on the property? Yes __ If yes, explain: No ./ Property Zoning District(s): Building Department Notice of Disapproval Date: d) ~ / ~ :~ / ~' g Is an application to the Southold Town Zoning Board of AppealsJ~luired? Yes If yes, have you submitted an application to the ZBA? Yes t/No -- If yes, attach a copy of the application packet. Show all uses proposed and existing. Indicate which building will have which use. If more then one use is proposed per building, indicate square footage of floor area per use. Listallexistingpropertyuses: ~'t~r,5 ~ ~, ~.oct~ _ i,,~ ~-?/tt~.j ~,'* ~.~' ~i' ~ 5 - ,~? ~ ? ~ ~ List all proposed property uses: ~te ~t a~ . t/5'-t ~, ~:1~' /~ ,t,~.~'r~vr~,7' ~ ~o ~ff : ~. ~t~t~t~$ t~ ~l o( :ff Other accessory uses: /Q o t,-t ~ Existing lot coverage: I g, ~, % Proposed lot coverage: I B. I % Gross floor area of existing structure(s): 4t ~4-°f sq. ft. Gross floor area of proposed structure(s): % I o ~ Parking Space Data: # of existing spaces: ~> # of proposed spaces: I 4- Loading Berth: Yes No ,/// Landscaping Details: Existing landscape coverage: ~'. ~ % Proposed landscape coverage: ..g ~'. ~, % Waterfront Data: ~ Is this property within 500" of a wetland area? Yes No ,//If yes explain: I, the undersigned, certify ~bov~n fTation is true. Signature of Preparer: × Date: Page 2 of 2 10/05/05 AppLICANrI~ AFFIDAVIT STATE OF NEW laORK COUINrrf OF SUFFOLK _.~/~/~,,~r4d',/'/~/ being duly swot/n, deposes and says ~at he resides at in ~e State ¢ New York, and that he Is ~e owner ¢ ~e above pro~rW, or ~at he is the retie) (Specl~ whe~er ~nemhlp or Corp.) which is hereby making application; that there are no existing structures or Improvements on the land which are not shown on the Site Plan; that the tlrJe to the entire parcel, Including all dghts-of:-way, has been clearly established and is 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 regulafJons adopted by the Planning Board for the filing of Slta Plans and will comply with same; that the plans submitted, as approved, will not be altered or changed In any manner without the approval of' the Planning Board; and that the actual physical ImprovementS will be Installed in strict accordance With the plans submlUced, / Signed wry) // Cartner'or Corporate Offlc r and TIUe) Sworn to me this day (Not~ry~Publlc) -~ NANCY A. PESTER Notary Public, State of New York No. 4940985-Suffolk Coun~ Commission Expires ~,~ FORM NO. 3 NOTICE OF DISAPPROVAL DATE: March 2, 2006 TO: Garrett Strang aYc Romanelli Brothers 1230 Traveler Street Southold, NY 11971 Please take notice that your application dated March 2, 2006 For permit for additions and alterations to an existing single family dwelling converting it to professional offices with an accessory apartment at Location of property 51750 Main Road, Southold, NY County Tax Map No. 1000 - Section 63 Block6 Lot4 Is returned herewith and disapproved on the following grounds: The proposed construction on this 26,081 acre parcel, in the RO District, is not permitted pursuant to Article III, Section 100-32, which states, "No building or premises shall be used and no building or part thereof shall be erected or altered in the Residential Office (RO) District unless the same conforms to the Bulk Schedule and Parking and Loading Schedules incorporated into this chapter, with the same force and effect as if such regulations were set forth herein in full." Pursuant to bulk schedule, required front yard setback is 50 feet. The existing building will maintain it5 nonconforming 20.7-foot setback. In addition, the proposed apartment use requires special exception approyal,.fro~ the:S~ .,g~h.~ old Town Zoning Board of Appeals and the office uses will re~~~l; t~l~uthold Town CC: fJ, le, Z.B,A. Note to Applicant: Any change or deviation to the above referenced application may require additional review from the Southoid Town Building Department. 617.20 Appendix A + r State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM be significant. The question of whether an action may be significant is not always easy to answer;~:l~r~quently, there are aspects of a project that are subjective or unmeasurable. It is also understood that those who determine si.~ni~,~,.~'~2,~,~*_~_~· ' knowledge of the environment or may not be technically expert in environmental analysis. IJ?~t13~ifth3'n;~nlan?'wllo' have knowledge in one particular area may not be aware of the broader concerns affecting the question of significance. The full EAF is intended to provide a method whereby applicants and agencies can be assured that the determination process has been orderly, comprehensive in nature, yet flexible enough to allow introduction of information to fit a project or action, Full EAF Components: The full EAF is comprised of three parts: Part 1: Provides objective data and information about a given project and its site. By identifying basic project data, it assists a reviewer in the analysis that takes place in Parts 2 and 3. Part 2: Focuses on identifying the range of possible impacts that may occur from a project or action. It provides guidance as to whether an impact is likely to be considered small to moderate or whether it is a potentially-large impact. The form also identifies whether an impact can be mitigated or reduced. Part 3: If any impact in Part 2 is identified as potentially-large, then Part 3 is used to evaluate whether or not the impact actually important. THIS AREA FOR LEAD AGENCY USE ONLY DETERMINATION OF SIGNIFICANCE -- Type I and Unlisted Actions Identify the Portions of FAF completed for this project: ~ Part 1 [] Part 2 [] Part 3 Upon review of the information recorded on this EAF IParts 1 and 2 and 3 if appropriate), and any other supporting information, and considering both the magnitude and importance of each impact, it is reasonably determined by the lead agency that: The project will not result in any large and important impact(s) and, therefore, is one which will not have a significant impact on the environment, therefore a negative declaration will be prepared. DB, Although the project could have a significant effect on the environment, there will not be a significant effect for this Unlisted Action because the mitigation measures described in PART 3 have been required, therefore a CONDITIONED negative declaration will be prepared.* The project may result in one or more large and important impacts that may have a significant impact on the environment, therefore a positive declaration will be prepared. *A Conditioned Negative Declaration is only valid for Unlisted Actions Name of Action Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer {If different from responsible officer) website Date Page 1 of 21 PART 1--PROJECT INFORMATION :, Prepared by Project Sponsor NOTICE: This document is designed to assist in determining whether the action proposed ma~, environment. PIease complete the entire form, Parts A through E. Answers to these questions v application for approval and may be subject to further verification and public review. Provide ~ny; Jditional infon will be needed to complete Parts 2 and 3. '; ' It is expected that completion of the tull EAF will be dependent on information currently avail~b1~.~[~[.~&'{.1'~velver ~ew Studies, research or investigation. If information requiring s~ch additional work is unavailable, so indicate and specify each instance. Location of Action (include Street Address, Municipality and County) Address / ~' _~ O 'T'~ city/Po ~'4p 7~'~-'~¢-- ~:~ State Business Telephone Name of Owner (if different) City/PO ~.-/.,c2 ,~ .~vC) (~/M~.. ¢ Business Telephone ~/- Description of Action: Page 2 of 21 f Please Complete Each Question--Indicate N.A. if not applicable A. SITE DESCRIPTION Physical setting of overall project, both developed and undeveloped areas. / 1. Present Land Use: [] Urban [] Industrial [] Commercial ~Residential D Forest []Agriculture E~ther (suburban) [] Rural (non-farm 2. Total acreage of project area: O~,3~'~' 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 PRESENTLY AFTER COMPLETION ~) acres ~ acres (~ acres ~) . acres ~ acres ~ acres ~ acres ~ . acres ~ acres ~) acres ~' 3~'~acres ~:;~"~7 acres O.2'/~acres ~, 2'Z ( acres 3. What is predominant soil type{~n project site? a. Soil drainage: L~Well drained t6~'~ % of site D Pooriy drained __ % of site D Moderately well drained __ % of site. b. If any agricultural land is inv¢lved, how many acres of soil ere classified within soil group 1 through 4 of the NYS Land Classification System? ~[/,~ acres Isee 1 NYCRR 370). 4. Are there bedrock outcroppings on project site? ~ Yes a. What is depth to bedrock (in feet) Approximate percentage of proposed project site with slopes: [~0-10% % DIO- 15%__% 6. Is project substantial~ontiguous to,~or ntain a Historic Places? LU Yes I Jt~ No 7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? 8. What is the depth of the water table?,A.'r' 17 ~ (in feet) / 9. Is site located over a pdmsry, principal, or sole sourqe aquifer? r~Yes r~ No [] 15% or greater__% building, site, or district, listed on the State or National Registers of / 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? [] Yes Page 3 of 21 11. Does project'site contain any species of plant or animal life that is identified as threatened or endangered? DYes According to: Identify each species: 1 2. Are there any unique nusual land forms on the project site? (i.e., cliffs, dunes, other geo--i~g-i~f~orm-atio~-ns? Describe: 13. Is the project site presentl~used by ti,e community DYes [~ No or neighborhood as an open space or recreation area? If yes, explain: 1 4. Does the present site i~'fil'ude scenic views known to be important to the community? 1 5. Streams within or contiguous to project eros: a. Name of Stream end name of ~i¥or to which it ia tributarg 1 6. Lakes, ponds, wetland areas within or contiguous to project area: b. Size (in acres): Page 4 of 21 17. Is the site served by existing public utilities? ~Yes a, If YES, does sufficient capacity exist to allow connection? b. If YES, will improvements be necessary to allow connection? DNo 18. Is the site located in an agricultural dis'c¥ct certified 3047 DYes ~'No 19. IS the site located in or substantially c~:m/tiguous to and 6 NYCRR 6177 ["']Yes [-~No 20. Has the site ever been used for the disposal of solid or hazardous wastes? Dyes B. Project Description 1. Physica~ dimensions and scale of project (till in dimensions as appropriate). a. Total contiguous acreage owned or controlled by project sponsor: ~o J"~'~ acres. b. Project acreage to be developed: ~, ~'~';~"acres initially;~, ~'-~1~ acres ultimately. c. Project acreage te remain undeveloped;. O acres. d. Length of project, in miles: ~//~ (if appropriate) e. If the project is an expansion, indicate percent of expansion proposed. f. Number of off-street parking spaces existing ~ ; proposed g. Maximum vehicular trips generated per hour: 3 lupo~/completion of project)? h. If residential: Number and type of housing units: One Family .,.., Two Family Initially Ultimately I i. Dimensions (in feet) of largest proposed structure: ~ ~ height; j. Linear feet of frontage along a public thoroughfare project will occupy is? pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and a Critical Environmental Area designated pursuant to Article 8 of the ECL, 2. How much natural material (i,e. rock, earth, etc.) will be removed from the sit~ 3, Will disturbed areas be reclaimed E~Yes DNo ~N/A Multiple Family Condominium width; ~' ~'"' length. ~. tons/cubic yards. a. if yes, for what intended purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation? ~Yes [] NO ~ ' c. Will upper subsoil be stockpiled for reclamation? ~Yes [] No How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? ~' ~'~ acres. Page 5 of 21 ~ 5. Will any mature forest (over 100 years old) or ether locally-important vegetation be removed by this project? 6. ~f single phase project: Anticipated period of construction: ~' months, (including demolition) 7. If multi-phased: Total number of phases anticipated __ (number) b. Anticipated date of commencement phase 1: __ month year, (including demolition) c. Approximate completion date of final phase: __ month d. Is phase 1 functionally dependent on subsequent phases? 8. Will blasting occur during construction? [] Yes r~No __ year. D Yes DNo 9. Number of jobs generated: during construction ~ ; after project ia complet_e 10. Number of jobs eliminated by this project ~) ,/ 11. Will project require relocation of any projects or facilities? ~ Yes ~No 12. If yes, explain: / Is surface liquid waste disposal involved? ~ Yes 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? E~Yes ~ No 14. Will surface area of an existing water body increase or decrease by proposal? [] Yes ~ 15. 16. If yes, explain: Will the project generate solid waste? Myes I !No If yes, what is the amount per month? * 0 .~ tons If yes, will an existing solid waste facility be used? E~r'Yes E]No Will any wastes not go into a sewage disposal system or into a sanitary landfill? DYes Page 6 of 21 ~ e. If yes, explain: a. If yes, what is the anticipated rate of disposal? __ tons/month. b, If yes, what is the anticipated eit~ life? __ years. 18. Will project use herbicides or pesticides? []Yes [~No /- 19. Will project routinely produce odors (more than one hour per day)? OYes E~No / 20. Will project produce operating noise exceeding the local ambient noise levels? []Yes [~No 21 ..Will project result in an increase in energy use? r~Yes [] No ff If yes, indicate type(s) 22. If water supply is from we,s, indicate pumping capacity /?//'~J gallons/minute. 23. Total anticipated water usage per day,~ -~'~ gallons/day. 24. Does project involve Local, State or Federal funding? DYes E~No If yes, explain: Page 7 of 21 25. Approvals Required: City, Town, Village Board ~Yes ~No Type Submittal I::)at a City, Town, Village Planning Board r'~Yes City, Town Zoning Board r~Yes [] No City, County Health Department E~Yes [] No Other Local Agencies []Yes ~No Other Regional A?/encies [] Yes [~No State Agencies r~Yes ~No Federal Agencies [] Yes ~No Zoning and Planning information Does proposed action involve a planning or zoning decision? [~es If Yes, indicate decision required: SitZoning amendment e plan , ' variance IVl Spa(iisi use permit ]No D New/revision of master plan D Resource management plan D Subdivision D Other Page 8 of 21 What is the zoning classification(s) of the site? What is the maximum potentia~ development of the site if developed as permitted by the present zoning? What is the proposed zoning of the site? What is the maximum potential development of the site if developed as permitted by the proposed zoning? Is the proposed action consistent with the recommended uses in adopted local land use plans? [~rYee are tho predominant land usels) and zonin0 classifications Within e Y* milo radius o~/proposed What action? Is the proposed action compatible with adjoining/surrounding land uses with a N mile? If the proposed action is the subdivision of land, how many lots are proposed? What is the minimum lot siza proposed? Page 9 of 21 ' 10. Will proposed action require any authorization(s) for the formation of sewer or water districts? [] Yes E~No 11. Will the proposed actio~emand DYes ~ No for any community provided services (recreation, education, police, fire protection? a. If yes, is existing capacity sufficient to handle projected demand? [] Yes N No 1 2. Will the proposed action result in the generation of traffic significantly above present levels? [] Yes ~No a. If yes, is the existing road network adequate to handle the additional traffic, DYes [] D. Informational Detai~s Attach any additional information as may b~eeded to clarify your project. If there are or may be any adverse impecte associated with your proposal, please discuss glJch 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 Title If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this Page 10 of 21 ~ - ~e.~==, ~ ALL,ABLE SI~ DENSI~ - .598 acres x 600 g,p.d,-= 359 g.p,d ~ ..... ACTUAL SITE DENSI~: -~ ~STING= PROPOSED " RESIDENCE 1 300 g,p.d. 0 ~ ~ I~ ~ DRY GARAGES ]O~ / [~ ~/,, Storage 2,390s.f.x,04 = 9, g:p,d. 1,9016.f.x.04 = 76g.p.d. ~/ ~ BUSINESS OFFICE 600 SD. fl. 0 FUTURE SITE DENSlW: LEACHING BUSINESS OFFICE EXPANSION q~ce Use 0~ 700 s.f.x.06 = 42 SECTIONS FUTURE TOTAL 369 g.p.d. .~.z~' ~~ ~.,, ,,~,,~. ~'u~' SANITARY WASTE DISPOSA~ DESIGN J PROPO~.ED SANITARY SYSTEM ELEVATIONS Fop~dltloh Ouitet ~,2.2~ S.T. ~1~ ,, ~.O,0 5~ ~f Pool 08,25 ~dwater ,04.00 ~. LEGEND "s.T,"' - Septic Tank "L.P. - Leaching POol SYSTEM REQUIRED: Septic tank Leaching Pnols PROPOSED SYSTEM: 5eptictenk I- 1,000 gallon septic t~rik = 1,000gallons Leaching Pool 1 - 3' die x 12' high 300.6 sq. ft. NOTE: NO KNOWN SURFACE WATERS OR WETLANDS WITHIN 300 FEET OF SUBJECT PARCEL 3S9x2 = 713gallons 35911.$ = 239 sq. ft. NO KNOWN PUBLIC OR PRIVATE WELLS WITHIN 160 FEET OF SUBJECT PARCEL F SITE AREA TAX MAP # ZONING FLOOD ZONE WATER SUPPLY USE Existing Proposed SITE DATA APR 2 6 2006 26,081 sq. ft. ( 0.698 acres ) 1000- 63- 06- 04 RD - RESIDENTIAL/OFFICE SUFFOLK COUNTY WATER AUTHORITY SINGLE FAMILY DWELLING WITH-GARAGES BUSINESS QFFICE WITH ACCESSORY APARTMENT AND GARAGES BUILDING AREA Existing House 966 Iq, R: Garages ~ Total 3,309 sq. ft. Proposed House eonvareion to office 969 sq. fl. Addition for office 60 sq. ft. Garage convar~ion To office 466 sq. ft. Garages 1,901 sa. ft. Total 3,419 sq. ft. Add,ion to Office 70o ea. ft. Total 4,119 sq. ft. LOT COVERAGE Existing t2.8% Proposed t3, t% Future 13.8% LANDSCAPED AREA Required 0% Ex,ting 13~ObO s,f. 49.9% Propossd 9,606 s,f. 36.8% APARTMENT/BUILDING PERCENTAGE 600 sq. PARKING (1,6101100) Space/unit TOTAL PARKING PROVIDED PARKING LAND BANKED 1,618 sq. ft. 39.5 % ROMANELLI BROTHERS, LLC P,O.BOX 644 LINDENHURST, NEW YORK 11757 ,SCHEDULE 13 2 1 18 = 14 4 NOTE: THIS SITE pl~l~l WAS PREPARED WITH INFORMATIONTAKEN FROM A SURVEY MADE BY STANLEY J. I~AKSEN, JR. LICENSEQ LAND SURVEYOR, NEW SUFFOLK NEW YORK. DATED: JULY 21, 2009. GAIqlqETT A. STRANG architect 1230 Traveler Street Southold N.Y. 11971 631-765- 5455