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HomeMy WebLinkAbout1000-143.-1-1 FORM NO. 3 NOTICE OF DISAPPROVAL DATE: May 25, 2005 TO: O'Tile Concepts Inc. 245 Jamaica Avenue Medford, NY 11763 Please take notice that your application dated May 16, 2005 For permit to convert an existing restaurant to a retail store at Location of property: 9650 Main Road, Mattituck, NY Cotmty Tax Map No. 1000 - Section 143 Block 1 Lot 1 Is returned herewith and disapproved on the following grounds: The proposed proiect requires site plan approval from The Southold Town Planning Board. You may now apply directly to the planning department. ~'3~utl~ri~ature Note to Applicant: Any change or deviation to the above referenced application, may require further review by the Southold Town Building Department. CC: file, Z.B.A. - FOR INTERNAL USE .SITE PLAN USE DETERMINATION !nitial Determination Date: ~- / Iq / ~' .. ';~ ' Date Sent: Project Name: Project Address:~ Suffolk County Tax Map No.:1000- Request:: ~_~e~3, ~' (Note: Copy of Building Permit Application and supporting documentation as to proposed use or uses should be submitted.) Initial Determination as to whether use is permitted: ~r-~-~:~ Initial Determination as to whether site plan is required:~:;::t~-~ Signature of Building Inspector Planning Department (P.D.) Referral: P.D. Date Received: ~ / //~¢ / ~ %/' Date of Comment: ,~ /,2¢/0',,_~ Final Determination ~ Date: ~ ,,z~---/ o5'- Signature of Build~g Inspectd~ FOR INTERNAL USE ONLY SITE PLAN USE DETERMINATION Initial Determination Date: ~5' / I'~ / O' .. Date Sent: ~ / Project Name: (~;7'P;,l~ (',~,-.~ -~ ~ Project Add ress:~,j~13~ Suffolk County Tax Map No.:1000- t'/-E, - t _ ! Zoning District: ~5/,r~:~'~" Request:: ~' ~_ (Note: Copy of Building Permit Application and supporting documentation as to proposed use or uses should be submitted.) Initial Determination as to whether use is permitted: ~r'~ Initial Determination as to whether site plan is required:~::~-E; ~,'~~~o Signature of Building Inspector Planning Department (P.D.) Referral: P.D. Date Received: --~ / ,/~ / ~ ~ Date of Comment: Comments: ,z~j ¢Slgnature of Planmng Dept. Staff Reviewer Final Determination Date: / / Decision: Signature of Building Inspector 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing nsc and occupancy b. Intended use and occupancy ~z>~7~.4 ~ ~<Jd--g~ 3. Nature of work (check which applicable): New Building Repair Removal Estimated Cost If dwelling, number of dwelling units If garage, number of cars Addition ~-, Alteration Demolition Other Work Fee (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existin~ structures, if any: Front ,=/[ Height ~(~ Number of Stories Dimensions of same structure with alterations or additions: Front -fl~ } Rear -'~[ Depth ~"} Height ~(~ Number of Stories / 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front ~ Rear Gl, ~,fe Depth ~ 10. Date of Purehase '/. 04- Name of Former Owner ~drr'~ cSc~ I 1. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES,S~z> NO 13. Will lot be re-graded? YES NO ~ Will ex,ss fill be removed from premises? YES NO Co c .{/or ' ' 14. Names o.f.~ofsfs~ses ~~,.- Address~l~_~one No. Name of Contractor ~ Address Phone No. 15 a. Is this property w~thi. 100 feet of a tidal wetland or a freshwater wetland? *YES NO ~' * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES ~' NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF 5Y('/cO Q/-.%~ J }~1~ !7~qX~ \1 ~ ~J{~[ 1 { being duly sworn, deposes and says that (s)hc is the applicant (Name of/individual signing contract) above named, (S)He is the ~ (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Signature of Applicant LASER FICHE FORM Planning Board sits: Plans and Amended Sits Plans SPFile Type: Proiect TyPe: Site Plans Status: Incomolete ADDlication - In Active SCTM~: 1000- 143.-1-1 Project Name: o"rile Concepts Address: 9650 Main Road. Mattituck Hamlet: Mattituck Aoolicant Name: Tim O'Neill. O'Tile Concepts. Inc. Owner Neme: o"rile Concepts. Inc. Zone 1: Approval Date: /V'¢~-~ F~'ro v eC~ OPTIONAL ADDITIONAL INFORMATION End SP Date: Zone 2: Location: sC Filinl;I Date: c and R'S: Home Assoc: R and M Aoreement: A dat~ Indlcate~ that vm hmm received the related Informaaon Zone 3: SCAN Date: SCANNED IJUL 28 20O9 / Records Management S 21°25'10'' E 88.11' (EXYr ONLY) 33.3' SITE PLAN SCALE: 1" = 20'-0' SITE DATA TAX MAP NO.: 1000-113-14-10 PARKING CALCULATIONS: TOTAL PARKING REQUIRED' TOTAL PARK]NG PROVIDED. PARKING LOT DRAINAGE: LEGEND GRATE N 22013'30'' W'i53,51' pOLE DRIVEWAY S-1 10{]0-113-12-10.1 1000-113 14-8 1000-113-14-g 1000-113-12-12 SITE 1000.113_12_11 1000-113-14-10 MIDDLE RD. C.R. 48 SCTM # NAME & ADDRESS 1000-113-7-19.23 BISSm~ ~, JAMES ]. III 323 LONG ISLAND AVE. (55 COX NECK ROAD) HOLTSVILLE, NY 11742 1000-113-12-10.1 PSYLLOS, PETER & GINA P.O. BOX 527 (682 COX NECK ROAD) MAI-rITUCK, NY 11952 1000-113-12-10.2 JACOBS, ]AMES H. IR. & SHARON M. P.O. BOX 585 746 COX NECK ROAD) MAI-FITUCK, NY 11952 1000-113-12-10.3 TALBOT, THOMAS K. 205 CR 48 714 COX NECK ROAD) MAi I ITUCK, NY 1000-113-12-10.4 TALBOT, THOMAS & ELLEN 25 CR 48 (205 CR 48) MM I ITUCK, NY 11952 1000-113-12-11 TALBOT, ELLEN 714 COX NECK ROAD (30S CR 48) MAI I~TUCK, NY 11952 1000-113-12-12 PRINClPI, DOMINICA 1087 FORT SALONGA ROAD (405 CR 48) NORTHPORT, NY 11768 1000-113-14-8 AMATO, WILLIAM F. 650 COX NECK ROAD (650 COX NECK ROAD MAN I iTUCK, NY 11952 1000-113-14-9 FEINBERG, CAROL P,O, BO)< 186 (440 COX NECK ROAD) MAN I iTUCK~ NY 11952 1000-113-14-10 NORTH FORK ORTHOPAEDICS 260 COX NECK ROAD (SITE) MATTITUCK, NY 1000-13-14-11 TOWN OF SOUTHOLD (COX NECK ROAD) 1000-121-2-1 TERRANOVA, GIACOMO & BERNA 4995 MILL LANE (55 CR 48) MA1-FITUCK, NY 11952 1000-121-5-4.4 TOWN OF SOUTHOLD (SOUND AVENUE) 1000-121-6-1 PREMIUM WINE HOLDING LLC 14990 OREGON ROAD (35 COX NECK ROAD) MAI-FITUCK, NY 11952 m O,I. FENCE 2-BIN TRASH ENCLOSURE TYPICAL PARKING SIGN ELEVATIONS NTS ACCESSIBILITY SIGN NTS TYPICAL PARKING SIGN SHRUB PLANTING DETAIL ACCESSIBLE STALL (MINIMUM) EXTRUDED CURB SIDEWALK @ PAVING TREE PLANTING DETAIL PARKING STALL (MINIMUM) OPEN DRIVEWAY APPROACH DRY WELL SHEET NUMBER: 5;-3 d 2005 © BY ROBERT B. HOLZMAN, ES. 2004 UCENSED LAND SURVEYOR, N.Y.S. LIC, NO. 49176 1029 WILLIAM FLOYD PARKWAY, SUITE 3, SHIRLEY, NY 11967 PHONE: (631) "e e.~- o~,~. ~ FAX: (631)