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1000-114.-11-12
NOTES: SCTM01000-114.1142 Area: 19.1117 sq It (0.456 aceta) Water service: Suffolk County Weber Authority Existing sewage system: Approved through C1049- 0005 Vanessa Reid 10123/09 Mein Road US RTE 25 Codes of practice: Stab of New York, Suffolk County Health Dept, Southold Town Zoning: Hamlet business district: single service restaurant permitted I Building Height All buildings on site are single story Metas and bounds: THIS SITE PLAN WAS PREPARED WITH INFORMATION TAKEN FROM A SURVEY MADE BY RODERICK VAN X33; Sidewalk IHRI spa" ; TYLE LAND SURVEYOR, GREENPORT NY, DATED FE13UARARY 10, 1992; AMENDED MARCH 24, 1992; APRIL 3, FeNci° wn1, -tom+ 1992 a MAY 5, 1992; IN ADDITION TO OBSERVATION BY G. A. STRANG ARCHITECT BEFORE OCTOBER 239 yr 4 2009 AND PERSONAL OBSERVATION Dry store I .., uses: Existing Proposed Rab Sanitary Kitchen Building 61: sq ft s4 ft gp�q 9Pd gpd µ%a 1� ` - I • Antiqueldry store: 1293 429 0.03 13 - �p Dining ,- I� ON i Single service restaurant - 964 0.03 - - cc Room K(tGINA fi4w 10 ` WAx0.12 - 4 BR - Doctor's office: 6633 863 0.10 65 Building 82: - ' Office (non medical) 660 491 0.06 29 332 491 0.03 15 .F Kitchen T�nrdratrial 3138 sq ft 3138 sq 1t 189 104 a Site density analysis (Approved by SC health dept a" dlraw{ng 0 042411 Rev 0) . Allowable she density (6009pd x OA55) 2673 gppdd Actual site dainty no r .�Actual total hydraulic flow(169 + 104) 273 gpd 546 u rj J Lawn ' N Roo ST capacity (2 x 273) 1200 Its gaus Existing ST Capacity 208 a Roo GT capacity (2 x 104) gags !——'- — — — T T T Proposed grease trap capacity 1500 galls BR -- -- - I ExistingRred PLIM capacity (27311.5) 182 sq It Existing grade at building 20.10 f t Kitchen One outlet EI at building 18.37 ft GT El 1722 ft tj BR t Hence - _ — - -SII - GT InletGTEI 1872 ft 4• tints ;f �- I4 Lawn ST inlet 16.50 ft I !I _ _ - - Flood Zorw: Elevation 20 ft and is 10008 from nearest Flood Zone X Site topography, flat < 1:100 a Wetlands: None within 10008 of promises ' LP ' Store - ' Test borehole data: w I -y - — 1401n dark brawn loam I _ , - - loin - 3ft brown sandy loam lawnisz aft- 15.1ft fine to coarse sand Leoend 15.18- 17ft sand in ground water . .. Hydro zone IV w i'HITS Hardtop area (New) offgcoefficient: DrywNl (Existing) Building and hardtop 17% @0.80 = 0A36 Compacted Soil 54% @ 0.60 = 0.324 1 + Lawn 29% @ 0.05 = 0.014 Eby ( ng) Parking spot details Total runoff coefficient (ROC) = 0.474 L Arca lighting (Existing) Peak rainfall intensity (1): = 2in in 24hrs Peak runoff = Surface Area x I x ROC ST Septic Tank (Er'sting) = 19,857 x 2112 x 0.474 = 1568 cu ft i 24hrs e Propane tank (Existing) Current Drywell capacity = 800 cu ft LP Leaching Poo. (Existing) harking spot allocation: (Each spot =.911 x 1.9 ft, Aisle & 228 wide) Actual is greater ( 26ft thru 30ft ) Trash (Existing plus extra) Use sq ft sq ftarking spot No required No Allocated ® Leaching Pov1 (Future) Lobby Dry store 429 200 2.15 2 �P<e fro ew° R BR Bathroom-no shower (Existing) Resteurant 864 100 8.64 9 OCT eon ARP � Doctor's office 863 5 5 H1C Handicapped parking spot (New) Office 491 100 4.91 5 O 10 20 30 40 so '� O Storage 491 1000 1 l GT Grease Trap (New) Total 3138 - 21.7 22 pR°FE �1B Owner: Peter J Jacques, Managing Director, 13000 Maine LLC Client: Peter J. Jacques, 11185 Main Bayview Road, Soulthold, NY 11971 Robert O Barratt PE Drawing Titles Site Plan 13000 Main Road, Mattituck, NY' 4295 Manston Rd These plans are an instrument of the service and are the property of the desigin professional whose seal is Cutchogue NY 11935 affixed hereto. InMngements will be prosecuted to the fullest extent of the law. Contractor shall verify all told conditions and dbmensions and be solely responsible for field fit. The design pro1msional assumes no liability Phone 631 875 0275 for omissions due to unknown olr unforeseen field conditions and or additions teased upon comments not robertbarrattCcl7optoniine.net DWG # O$ 3f 11 Rev # z Date 101Z411 Notes Minor drawing and data changes -- formally acknowlediyed as revisions to these plans. D >`,-ty,rau E �YlL��4 JUN 3 0 2011 &"Caucy Heath Dept ft eu dAAte Hearth AaWdLa EXI ♦ a ' STING 40 VENT ROOF APPROVALS I I ��We auT f y11MM� IAe1" 12r I _ 11 1/r _ _ F 12' 11 I/2' ' ' - 1- 12 1 1 1 1 12' — �1 1/21 REPRIGOfATOR s t s.eA asnwl•es WALK-Ni EXIS IAV. 3 CAMP. SINK 1 HAND SINK teL., EXIS� G 1 Rene flNn , Ro.M WC 1 I I I i STS M TAeet _ Log3y 1 I (Yr1NplMfiTi TO DRy S'foy:rE —b NIOP 5W I j:VAIIItATOR IAN ITEM N.C% W toN44 2" 1 E4. 1��1- I GRILL GAS, @Lat7 oIL To T P"P TRwr C 2 RANGE STOVE CAS i6LtrtT o/L C,O, 2r lJ C \J FLOOR LEVEL D " + 3 HOOD -Ctr1f►M q 6"A 4k" ss TO R i f sS 1 ii 4 SUFFOLK COUNTY DEPARTMENT of 51 N 4 a- E 4 FOOD PREPARATION T41D1E-30 >k►TIC iY LT t M Conditional Approval SERVICES E�bliehment 5 6 a VICE 5 DRY AND CANNED GOODS STORAGE C G RAl Fl14 K R AT0 4t A3AI',r, Plane Pend ng Resolution of the Followi) Following items: t 1 RGsf AU RANT J % Tf M COMPAR111MENT .•SINK Va yi x I kL 7 P y m a� CtARd / e L / l / WAY � Co FF96 MAKGR - yur� NaS b/uk U/ $ �4G5 .!.!'S 1170 be lu c7<.1�.� M'a[ V-0—IPAPLUMBING RISER DIAGRAM - %i`�� ;s � '/ �P ( . J1 f �'�t�)� �N �✓ �P,� `'��4� C t - 9 U10IPA9MT: t/JER —_ ✓ y (oY� a e a�Cclec�.7c � Meuc� u J TWO P -- —_ - G ✓/ ID/eY / r.[a/Cell`// �iLi.vo� 4S /E9•uilG GIAV"1605 / \ O v to MrCRrROoucrSSTORAGE N.T.S. �v� ac«ts t /��C-/e ,- o✓e., �s 610 �a,fy.ael awGFr D /) NLA 3 1 1 WATER MEATER '1044L , 125,Ciao a}U/H /��� ✓ufe yn e<acL cr-("✓cta� /s f 610 (��/�le..( - C 12 BAND WASH SINK /MMI Hasa, earls R[- roslTloN %dLV _Caa.,No LavAToRy Q 13 MOP SINK AND RACK L"eeK. aQ � _ 14 CLEANSERS AND SANIT12ER5 STORAGE IN CASE INSPECTOR'S NOTES ABOVE BECOME ILLEGIBLE, I HAVE t^ %"r REPRODUCED THEM BELOW WITH MY NOTES SHOWN IN UPPER CASE • ► 15 GOLV B 1JeQ114t GA61..a a'f ay ",y;"0 cSEH�tO SoTTI,tS C,a Lyra Pay 375) I IS 16 D lad V H R A4 E c:u v s - -EAB L F . Hand wash t fee $ h sinkwith splash guards is to be installed adjacent item #4 * R}aRA9eS � C�Y 1 17 GARBAGE DI5P05AL AREA -(OOTttbF) (prep table) as shown on this approved plan (THIS IS AN ADDITIONAL I6 HAND WASH SINK TO THE ONE LOCATED NEXT TO FREEZER) 1 ;FV-4v�a— p 18 5INGLE SERVICE ITEM5 5TORAGE W,L < 1U __ . All equipment is to be NSF approved or other accredited agency STEAM TABLE •-SL16r 4-IsmiTAINID • All equipment is to bel drained or indirectly drained as required s ra w 19 . Public access to the kitchen area is to be adequately restricted c� L o Roa M -- - `"� 20 DRAIN 50ARD5 -Dull. FAcTSRY IrsTd • Adequate menu advislory is to be provided (SEE MENU PROVIDED ePZ$ 21 OVER)IFAD D(lYING RACK -55 UNDER SEPARATE COVER) Plu22 . Final Wastewater Mana ement a roval is r uired e 9 PP eq11 ritEEZER/ lu MMHINE Y�t „ �yy /'�t@IweM11114• 23 Lobo Ceool.t Lr•iolCtlLaL O763 A Robert Barratt .Lra.r s oav+I•�. Y CH 6M1 t ALS AwnrelnT�•'++rADc+Ix wu E w.siO/r+Ia n.9wLL PIS se 24 UTENSIL STORAGE Ifaaq I fdC re.elra De•Ienslr•,01 er Lasaea.L su•russl.N � evsre+I�. I , o/% carr Doone.e p.eeN,•r.r ro A+.AIr w,a llut SrLALu OYTUL / Z� Disi1 IRII,� 4A3GLfCT L moR•clo,•.LL aw Kar.oaa ro,w A.aa.ri`•'•.r.^""'a. KITCHEN 6r.let is i,c 6 /' Z 4 frr,ar S I N K T %.V Yi.. ,, lye a. K A+rew ceaa.ee�rI•.:AAen AIL ae�•,.eIII+Ipe r rp•t sae asr�all•erlew ne OL a H•.----uw•ream e eK hrt ease am s mRaTl„e r oL SIpE •� •: r Z Z7 VACANT a M rLY faA.CA Ma:malLa sap Aee•rnel•DI Ae cuARes f — — J C,•er�sRela.n ORrlrp•raw.r•rflCL rAwetl y fimV1PPAp uI,TH 7-SC WALK- 1PJ CeLD Rt,Qr4 7/")c ae01arrele•eret .olta.T~ M SIDE SPLASH iv AIDS SPLA•N AUAA.•5 L iLo.r IreAlrlalrp•MIAIL,` elarlt•w{.O Mn rrrrr Innes Qsoli r r��uee,w A•r.aat ws res r.• as mww Ins 4 12 1 z I t 3 I - D�si rF+n..nw eaarr wa.:ee ev.w.ne aN .,•r s•,a ore me9A rw'Ilm ra.�•New+wL r s • Oesnrslaw 5E M• : AO r•a •LL NwLL•TIr1 ares ro ,•V}a lea/Lb M LEY A,O QeOrYala.aA Ins General Notes s.•nn r....,,D,,,,I,.,.a rr,eL .ILL.r rawer W.L a r.AaaNr er rY a•.•,I.aw�a,uL C OMDIM.N}t IMAND WAfM tN4 STAR ' 1. The establishment shall be smoke free +. ., Iaar�"106 „M.r eeACar Arora M ArNNVID DEAL 2. Establishment shall be constructed to be insect and rodent proof o wLL W s De.Net a•.w Te7• \ 3. The existing toilet facilities will be maintained Electrical Notes LPRWAR'rer�Apr°;°..e Ks,1veei;LL"a 4. The service is only Single Service 1y��wo waes+la L Ile/nee r/CMGiI IR.L4ArI. 11LLT,ea ALL M r Yr.L ,eelp•,Mr.10 AL.711.1W�,Yr r I•Iellm R CMnse of Perishable Food Products S. Commercial refrigeration will be equipped to maintain u01wlwn s tr e.wrrL.••—.-• ..... A-M fi�tr.� ulcm 't wAr•wer.�r �� r \ I foods below 41 degrees F �r Thsmanagementplantopurchaseperishablefoodproducts I y,1\ -"%Wift . come AV A °""ICOR""+'ems"+ rott+e'r.+y.+H"er,ee"m S. Commercial freezer will bei'®��� w ane t ~`""'�+' rarer. on an as needed basis to ensure that iwofthrea Futuro days equipped to maintain L DeolAer Lar+lle•s w aesrla►eaLlattra ww wnw r.ae+a Lrl a„•LL a alee'•i.aIR Lae. 6 Ny Wrr.+4 MTrL;m wwLo r seats.rlDbJIAM•LLT 1•AL. ` foods below all be as F L ala raseLr Ierlr Ivr an sLrL r LI. r.-Laa.,I rrranel r•r•e•race o+e.ar w ne r'Irr�a we ease 7. All storage shall 610 a minimum of Binchea off the ground 1 ei r a"o 11-V"N ro ALL Paaa•r.aL a• .M,ro ro•s ^R�^Da a e n ww pre.LL•arwleaea ro+Ae inventory is available to meet prevailing market conditions ..arJ,www•Iraa.olo ��W,r..ar. r•vI.LLT 6. Floore in prep and food storage areas shall be vinyl comp tiro or a AL.D.L.,sLwLaaa,eaftAMPS,oM,a,Aa •. �, s,mnrsm.ee�ro,aLN 10111'-DIu.,,,I,a,rLLr / equivalent .: m ...ws".rLa'�`ia.'ne�.....u.�O°P w....o Lara.LL r++t'em ru.r.i++e.e 6. Floor to wall joints shall be coved ae7,ael.r R•lY M" 17 4 T 1 aal� G •.•ralwan w.:L coot+ Q ft ue Ar Z:l 10.Floor drains shall be installed if flood during cleaning arises ` �tr.("LI�,e, ,,e err A.rL a Rwse!ar 1 eo AiiftI&Lare+a"'.°°••,�dvL IaAL ar L neer . �O°lriOi ar.r wLL r M r.d c des C 641 r•a.L r etc,•,Ay A..pp,L�, 1 E 11.All walls and ceilings shall be painted gypsum wall boats La.O r '„�L.um .e0a.`�1 W w'p�a ����� L eIH A awl IoaJIeC caro s.grlea°weClm•r are aw O a r. r""" CO A C 'Ll M&- eor11"A71000 •Tarp 0CA CIO-II—Ooo3 I 12.Lightnginfood earvleeand storegsaroasmust l» D10werawrawrr4sGfaalafFMAeara. rn""o,�I,"""a�°R�'L•+Le►rorLLL.A:,e.so.leLa,L L shatter-proof or suitably shielded against breakage ric io u `o a.�".eoa."'L;e a I,1L. .,rr 1"L OMNM" I'"` n , r.r to,,c WALL a..,,.o■ DEC - 5 2011 Garbage disposal area shall be 13.The commercial hot water heater shall be American Standard + r re wen.a L•rrL•aw a a e,ra ATANP a `� IOL"�NrrA smooth concrete or equivalent Model#60.1254N or equivalent A cAr imam co"Wr01ftONO AHaur,wWDIrr . ` R„eA*A"°�'" w"*L+•• owe p+ .L..wwr. 14.Verify all equipment requirements with owner on*a a rrLw Ile e••••c}•...w L w.LL M • R e Ld Ar•o rr.,casco r u vn.Arra rL n Q m 11111116 15.No overhead drains are planned in this building �r r" 1�'r A"`wL "� `re T SOL WA661"''o"o.�"° a 'aT'•Wet csarrr.IrN,r.+e r arw.r par:nls•.,�m!Lem 16.Garbage disposal area shall be smooth concrete orequivalent " 'RRrp A•.•"`A a�`Ai*"��^Ir p LL •L L raaoeca.rp ROME!O Berrilt PE 12063 Mole Rood,IIIW hookI MY of NEW DYMG# 042E 1I Rev# O Client Mmin E Reakm-Tonalt of NIM Milt Myr on ProWly 1}SE r0 Dais e Y 21 let I 4263 VewMn Rd O�� Polar A. Jeogoss at al, address 11186 Mon floyvNw fA 14 y ,� j o e CulehopM illi 11636 00 PPy Noes Bow Ca 1/4 �' r If+ Phew 631676 6276 ---Souti-- -NY 11011 * r a rohanbsrretlMceronline.net PropoMd Elpdpment Layout SGT M loco - I I — 1 t — 1 Z Teas•am"ae a owearlr MM a01waa 01110 w su P@P@ft•tan dow piefteemnal Mrr saw Is Allows Oeew hAYrwaWU el M piseni ae to go arl nos of No ILA, 6arleealtr RE J # 1 'bATE o k r o l I I I.NCJD A roR ARa • Nor A'L 10F 1 C4 MM eN1S oass wiW as are a emoseW sea 401wlwr ails he Mor ewa01esle he sole ILL The dawn pos ew•ew speaswa no NOW la embubm on to aae•wu or userrae err OOMIO o EM '1 pyo REV *,T. D x1 e. o 4of 1 LI•j t t ADD Poop PL^q J NOTE 5 W adMOae bane ease armeas no ae.wsy sobsooW+s a mWWn to ear PIN& 1REV 1# 3 DATA OL' '2gl It IN CCRPOLATC FoOp PL.AN "Yid 1J YidW NO'f E;;, V A 0 MAILING ADDRESS: PLANNING BOARD MEMBERS o f so P.O.Box 1179 DONALD J.WILCENSKIO�� y0 Southold, NY 11971 Chair /� o OFFICE LOCATION: WILLIAM J.CREMERS 4 Town Hall Annex PIERCE RAFFERTY N Q 54375 State Route 25 JAMES H.RICH III �� (cor. Main Rd. &Youngs Ave.) MARTIN H.SIDOR l,�'COU'm Southold,NY 11 t' Telephone:631765-1938 Fax:631765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD December 5, 2013 Mr. Robert Barratt 4295 Vanston Road Cutchogue, NY 11935 Re: Waived Site Plan for La Gran Villa Restaurant Located at 13000 NYS Rt. 25, ±100' East of Love Lane, Mattituck SCTM#1000-114-11-12 Zoning District: Hamlet Business Dear Mr. Barratt: In the resolution dated December 12, 2011, the Planning Board waived the requirement of site plan approval with four (4) conditions, one of which requesting a courtesy site inspection prior to the issuance of a Certificate of Occupancy. The Planning Board has found that the conditions of the above-referenced resolution have been completed based on the site inspection made November 21, 2013. This letter does not condone any changes from the resolution mentioned above site and approvals from other agencies; Planning Board approval is required prior to any significant changes to the site. Please, if you have any questions regarding this site plan or its process, do not hesitate to call this office. Very truly yours, Donald J. Wilcenski Chairman cc: Michael Verity, Chief Building Inspector Jamie Richter, Town Engineer • • MAILING ADDRESS: PLANNING BOARD MEMBERS P.O. Box 1179 DONALD J.WILCENSffi ��Of SO�TyO� Southold,NY 11971 Chair OFFICE LOCATION: WILLIAM J.CREMERS Town Hall Annex PIERCE RAFFERTY N Q 54375 State Route 25 JAMES H.RICH III (cor.Main Rd. &Youngs Ave.) MARTIN H.SIDOR COU Nf'1, Southold,NY Telephone:631765-1938 Fax: 631765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD December 5, 2013 11 I'Ll El [ W _ 5 Mr. Robert Barratt DEC 2013 4295 Vanston Road Cutchogue, NY 11935 Di Dc DEPT, TOMN N SOUTHOID Re: Waived Site Plan for La Gran Villa Restaurant �iOilni °L 3 Located at 13000 NYS Rt. 25, ±100' East of Love Lane, Mattituck SCTM#1000-114-11-12 Zoning District: Hamlet Business Dear Mr. Barratt: In the resolution dated December 12, 2011, the Planning Board waived the requirement of site plan approval with four (4) conditions, one of which requesting a courtesy site inspection prior to the issuance of a Certificate of Occupancy. The Planning Board has found that the conditions of the above-referenced resolution have been completed based on the site inspection made November 21, 2013. This letter does not condone any changes from the resolution mentioned above site and approvals from other agencies; Planning Board approval is required prior to any significant changes to the site. Please, if you have any questions regarding this site plan or its process, do not hesitate to call this office. Very truly yours, Donald J. Wilcenski Chairman cc: Michael Verity, Chief Building Inspector Jamie Richter, Town Engineer • MAILING ADDRESS: PLANNING BOARD MEMBERS ��oF so�ryo P.O. Box 1179 MARTIN H.SIDOR �0 l� Southold, NY 11971 Chair lxf l� OFFICE LOCATION: WILLIAM J.CREMERS Grt C Town Hall Annex KENNETH L.EDWARDS 41 � �� 54375 State Route 25 JAMES H.RICH III l (cor. Main Rd. &Youngs Ave.) DONALD J.WILCENSKI �Cow, Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD December 13, 2011 Mr. Robert Barratt, P.E. 4295 Vanston Road Cutchogue, NY 11935 Re: Waiver of Site Plan: Proposed Site Plan for La Gran Villa Restaurant Located at 13000 NYS Rt. 25, +/-100' east of Love Lane, Mattituck SCTM#1000-114-11-12 Zoning District: Hamlet Business Dear Mr. Barratt: The following resolution was adopted at a meeting of the Southold Town Planning Board on December 12, 2011: WHEREAS, this site plan is for the proposed modification of 1,293 s.f. of an existing 2,156 s.f. building for a 16 seat single service restaurant on a .48 acre parcel in the HB District. The site also contains a second 982 s.f. building currently used for offices. There are 22 existing parking spaces on site and no more are proposed; and WHEREAS, the applicant submitted an application for site plan review on September 8, 2011; and WHEREAS, at a Work Session on October 3, 2011, the Planning Board accepted the application for review with revisions; and WHEREAS, the Southold Town Planning Board, pursuant to State Environmental Quality Review (SEQR) 6 NYCRR, Part 617.5 (c) (1) has determined that the proposed action is a Type fl Action as it falls within the following description for 6 NYCRR, Part 617.5 (c) (1) "maintenance or repair involving no substantial changes in an existing structure or facility," and not subject to review under SEQRA; and 0 • La Gran Villa Restaurant Page Two December 13, 2011 WHEREAS, on October 27, 2011, the Planning Board, pursuant to Southold Town Code §280-131 C., distributed the application to the required agencies for their comments; and WHEREAS, on November 1, 2011, the Mattituck Fire District determined there was adequate fire protection and emergency access for the site; and WHEREAS, on November 14, 2011, a public hearing was held and closed by the Planning Board for the above-referenced site plan; and WHEREAS, the Southold Town Planning Board, pursuant to §280-133 C of the Southold Town Code, has the discretion to waive any or all of the requirements in §280-133 for those applications involving modifications to existing structures with no substantial change to the existing footprint, where the Planning Board determines that such modifications will not require significant changes to existing major site design features necessary to further the objectives set forth in Town Code §280-129 to maintain public health, safety, and welfare. The Planning Board has found that this application is eligible for a waiver of site plan because the footprint of the subject building will not change, the proposed use will be using only a portion of the building on site and the majority of the proposed alterations will be to the interior of the structure, the driveway is existing with no other possible location, the proposed use will not significantly increase the intensity of the use of the site as compared to previous uses, and public health, safety and welfare can be served by the fulfillment of several requirements, listed below in the resolution, prior to the issuance of a Building Permit; and WHEREAS, at a Work Session held on November 28, 2011, the Planning Board found that all applicable requirements of the Site Plan Regulations Article XXIV, §280 — Site Plan Approval of the Town of Southold may be waived; therefore, be it RESOLVED, that the Southold Town Planning Board hereby waives the entire site plan requirement for the Proposed Site Plan Application for "La Gran Villa Restaurant' referenced above with the following conditions: 1. Install a "No Left Turn" sign at the property line on the east side of the driveway to ensure safe egress from the site; 2. Control storm water run-off by meeting the minimum requirements of Chapter 236 of the Southold Town Code; 3. Any exterior lighting that is added after the date of this resolution must comply with the Town Lighting Code §172; and • 0 La Gran Villa Restaurant Page Three December 13, 2011 4. Prior to the issuance of a Certificate of Occupancy, the Planning Board requests a courtesy inspection of the site. If you have any questions regarding the above, please contact this office. Very truly yours, -Y� -1 .&40 Martin H. Sidor Chairman cc: Building Dept. Town Engineer pert Barratt PE CEng FlMechE Eur Inge 4295, Vanston Road, Cutchogue, NY 1193 , USA 1 1 Tel 631-875-0275 robertbarratt(a,ontonline.net I i Town of Southold- Building Dept 11/30/11 W PO Box 1179 Southold, NY 1171 Attention: Patricia Conklin ✓cc Martin Sidor, Southold Planning Board Subject: Building Permit application dated 7/28/11 Le Gran Villa Restaurant, 13000 Main Road, Mattituck, NY, SCTM#1000-114-11-12; Reference: Planning Board Letter"Site Plan for La Gran Villa Restaurant" dated 11/30/11 Dear Pat, I am writing to re-open the examination of the subject application dated 7/28/11 for a building permit in accordance with the referenced letter. The work scope planned now includes the installation of the following: Kitchen flow drain and U trap below grade to effluent piping to grease trap • Grease trap and effluent piping connecting to septic tank • One"NO LEFT TURN ONLY' sign at eye level on the eastern side of exit lane 22 concrete parking stops • Landscaping as required to screen road from parking area • Black top where necessary • Re-position handicapped toilet lavatory to meet new clearance requirements • Finish tile floor in kitchen and include floor to wall cove to facilitate moping floor • Non structural interior dividing wall in kitchen and cold room walls and door • Service counter and staff entry only to dining room from kitchen • Kitchen equipment • Soft drinks dispenser in dining room • Plumbing for water and propane services • Electric service connections as required • All statutory inspections and a final"courtesy' inspection by the planning board I am also submitting revised drawings: • Dwg#042411 Rev 3 Approved by S.C. Health Services • Dwg#042811 Rev 3 ---ditto----- • Dwg #083111 Rev 3 Incorporates Southold Planning Dept comments Respectfully submitted, Robert Barratt End: Drawings Planning board letter 11/30/11 F' Application for building permit executed 7/28/11 TOWN OF SOUTHOLD BUILDING PERiPLICATION CHECKLIST e BUILDING DEPARTMENT• Do you hair eed the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plaas TEL:(631)765-1802 Planning Board approval FAX:(631) 765-9502 Survey SoutholdTown.NorthFork.net PERMITNO. Check Septic Form N.Y.S.D.EC. Trustees Flood Permit Examined_ _20__ Stonn-Water Assessment Form_ Contact: Approved 20 Mail to: Disapproved a/c Phone: Expiration Building Inspector APPLICATION FOR BUILDING PERMIT Date 20 INSTRUCTIONS a- Has application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans,accurate plot plan to scale.Fee according to schedule. b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas,and waterways. c.The work covered by this application may not be commenced before issuance of Building Permit. d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant.Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in pan for any purpose what so ever and the Building Inspector issues a Certificate of Occupancy. f Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months.Thereafter,a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold,Suffolk County,New York,and other applicable Laws,Ordinances or Regulations,for the construction of buildings,additions,or alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code,housing code,and regulations,and to admit authorized inspectors on premises and in building for necessary inspections. MAILItvA RCC/N0S-Pt8110tu.K LA 424N VILLA KE'S?0.1J241Vj ING (Signature of applicant or name,if a corporation) 314. Flo nrT ST 4&GF-N 902T N I id L� (Mailing address of applicant) State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder L655HE _ Name of owner of premise. PfETER- S. TACtStV6S — 13000 1*,IAIn1 L-L-C. (As on the tart roll or latest deed) If applicant is a corporation,signature of duly authorized officer MAZIriA REC_ INoS — P9.E5106NT - LA 4a AN VILLA REST AVA-A"r 11V0 (Name and title of corporate officer) Builders License No. Plumbers License NO. Electricians License No. Other Trade's License Na. 1. Location of land on which proposed work will be done: 13000 MAIN P-04 MATT ITVCIG_a N `71 11 9"j 1 House Number Street Hamlet County Tax Map No. 1000 Section 114 Block-11 11_ Lot I�- Subdivision _,_ Filed Map No._ Lot _.___ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy M F_F,T I N C W-00 M b. Intended use and occupancy C0Mr4L-9_CIgL. ,S1NQLE 5$lLV10EE I(oSEA T USTAUiZAN'l- 3. Nature of work(check which applicable):New Building Addition Alteration ✓ ClNSTA t.V ICITCN9r Repair Removal Demolition Other Work (Description) 4. Estimated Cost Fee _ (To be paid on filing this application) 5. If dwelling,number of dwelling units Number of dwelling units on each floor If garage, number of cars j3% 1�.EaST Avg ANT 6. If business,commercial or mixed occupancy,specify nature and extent of each Type of use. 1,1% DOCS OFFa e e 1 1 34 -46 1N WI \AL 7. Dimensions of existing structures,if any:Front Z 5 Rear 2 S _Depth 17.0 Height Z.O 1 _Number of Stories o N E Dimensions of same structure with alterations or additions: Front "2.15 r Rear Z5 Depth 12-01 _Height ZD Number of Stories o N 6 r r 8. Dimensions of entire new construction:Front Z-�+ Rear 25 Depth 1 O t Height 20' _Number of Stories oN E I I r 9. Size of lot:Front 1 ?'3 Rear 1 35 Depth 150 10.Date of Purchase S 14 AOo Name of Former Owner PETER. A. .TRClQV-eS Q.f ok 11.Zone or use district in which premises are situated H A M L E-1 12.Does proposed construction violate any zoning law,ordinance or regulation?YES_NO ✓ 13.Will lot be re-graded?YES_NO✓ Will excess fill be removed from premises?YES_NO ✓ 11165 MArN fiayvlgW 2D , SovTKo�.D,NY119-11 14.Names of Owner of premises P.7.3Ar V S S Address Phone No. "1(bV— 1051 Name of Architect Address Phone No Name of Contractor Address Phone No. NhmC Of CONTACT : 41 E10 1 MAMImik'5 DAV 4* NT l?M. 34-7 00 15 a.is this property within 100 feet of a tidal wetland or a freshwater wetland?*YESNO ✓ * 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. 18.Are there any covenants and restrictions with respect to this property?*YES_NO ✓ * IF YES,PROVIDE A COPY. CONNIE D. BUNCH Notary Public,State of New York STATE OF NEW YORK) No, OtBU8185050 SS: Qualified in Suffolk County COUNTY OF Commission Expires April 14,2_Cl,)_ MA¢AN A iRX CI N OS being duly swom,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)Hc is theCO QP O tLAT1S 0FP1C(S2 - PLESI0ENT- LP. 4QAN VILA A RESTAV2ANT INC. (Contractor,Agent,Corporate Officer,etc.) of said owner or owners,and is only authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application we 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. S orn to before me this �day of ) 20� �'�---- Nctary public Sugneture of Applicant • • MAILING ADDRESS: PLANNING BOARD MEMBERS ar3f 50Ujy P.O. sox 1179 MARTIN H.SIDOR �0� ��� Southold, NY 11971 Chair y OFFICE LOCATION: WILLIAM J. CREMERS G ¢ Town Hall Annex KENNETH L.EDWARDS H.RICH IIIa�Q 54375 State Route 25 NA D J .WIL ENSKI Ol�COW Nc`� (cor. MainSou hold, NY Southold, Ave.) DOES 1 Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD November 30, 2011 Mr. Robert Barratt 4295 Vanston Road Cutchogue, NY 11935 Re: Site Plan for La Gran Villa Restaurant Located ±100' East of Love Lane, Mattituck SCTM#1000-114-11-12 Dear Mr. Barratt: After thorough review of this application, pursuant to §280-132C of the Southold Town Code, the Planning Board has agreed to waive site plan approval subject to the following conditions of a building permit: 1. The site must be improved and/or constructed to meet the minimum drainage requirements (Chapter 236) of the Southold Town Code. 2. A "No Left Turn" sign should be placed at the property line on the east side of the driveway to ensure safe egress from the site. 3. The site must be considered safe and accessible by the Mattituck Board of Fire Commissioners. All drives and entry ways must comply with §280-109c of the Southold Town Code. 4. All paved areas (including ADA) intended for use by pedestrians or vehicles shall be of an aesthetically pleasing and safe combination of pavements and plant materials. 5. Any exterior lighting that is added after the date of this letter must comply with the Lighting Code §172 of the Southold Town Code. 6. Attain approval for the restaurant use from the Suffolk County Department of Health Services (SCDHS). La Gran Villa Page Two November 30, 2011 7. Landscaping and screening should be provided so that all parking, service and similar areas are screened at all seasons of the year from view of adjacent districts and streets. 8. The Planning Board requests from the applicant a 'courtesy" site review prior to the issuance of a Certificate of Occupancy. We thank you for your time and patience through this review; the aforementioned decision will be decreed by resolution at a duly noticed public meeting. Please, if you have any questions regarding this site plan decision or its process, do not hesitate to call this office. Very truly yours, Martin H. Sidor Chairman cc: Planning Board Heather Lanza, Planning Director Michael Verity, Chief Building Inspector Jamie Richter, Town Engineer 0 • MAILING ADDRESS: PLANNING BOARD MEMBERS ��0fS0VTjyO Southold,ox 1179 11971 MARTIN H.SIDOR �0 �Q Char OFFICE LOCATION: WILLIAM J.CREMERS H -hc Town Hall Annex KENNETH L.EDWARDS � �O 54375 State Route 25 JAMES H.RICH III (cor. Main Rd. &Youngs Ave.) DONALD J.WILCENSKI IyOwn Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD November 30, 2011 Mr. Robert Barratt 4295 Vanston Road Cutchogue, NY 11935 Re: Site Plan for La Gran Villa Restaurant Located ±100' East of Love Lane, Mattituck SCTM#1000-114-11-12 Dear Mr. Barratt: After thorough review of this application, pursuant to §280-132C of the Southold Town Code, the Planning Board has agreed to waive site plan approval subject to the following conditions of a building permit: 1. The site must be improved and/or constructed to meet the minimum drainage requirements (Chapter 236) of the Southold Town Code. 2. A "No Left Turn" sign should be placed at the property line on the east side of the driveway to ensure safe egress from the site. 3. The site must be considered safe and accessible by the Mattituck Board of Fire Commissioners. All drives and entry ways must comply with §280-109c of the Southold Town Code. 4. All paved areas (including ADA) intended for use by pedestrians or vehicles shall be of an aesthetically pleasing and safe combination of pavements and plant materials. 5. Any exterior lighting that is added after the date of this letter must comply with the Lighting Code §172 of the Southold Town Code. 6. Attain approval for the restaurant use from the Suffolk County Department of Health Services (SCDHS). La Gran Villa Page Two November 30, 2011 7. Landscaping and screening should be provided so that all parking, service and similar areas are screened at all seasons of the year from view of adjacent districts and streets. 8. The Planning Board requests from the applicant a "courtesy" site review prior to the issuance of a Certificate of Occupancy. We thank you for your time and patience through this review; the aforementioned decision will be decreed by resolution at a duly noticed public meeting. Please, if you have any questions regarding this site plan decision or its process, do not hesitate to call this office. Very truly yours, Martin H. Sidor ' Chairman cc: Planning Board Heather Lanza, Planning Director Michael.Verity, Chief Building Inspector Jamie Richter, Town Engineer --- • WORK SESSION AGENDA SOUTHOLD TOWN PLANNING BOARD Monday, November 28, 2011 2:30 p.m. Executive Board Room, Town Hall Annex 2:30 p.m. Applications --- — — —— —.---------Pro'ectame Location: 11780 Sound Avenue, in Mattituck Descnption: This proposed site plan is for construction of a new building 3,965—sq.-Y. i (38'x78' plus a 38' x 6' porch overhang) with approximately 2,191 sq. ft. of warehouse, 773 sq. ft. of display area, 228 sq. ft. of porch and 773 sq. I ft. of second floor office to be used as an office, warehouse/custom cabinet workshop on a 11,517.67 sq. ft. parcel in the LI Zone located approximately 520' w/o Pacific Street on the s/s/o Sound Avenue. Status: improved Site Plan Pending Final Inspection Action: Review Final Site Inspection. `Attachments: — Draft Final Inspection Letter 'Project name: — T.K. Alpha, LLC Shopping Ctr. SCTM#: 1000-140-2-20 Location: 1535 Pike Street, on the north side of Pike street, approximately 100 feet _--.___— east of Love Lane, in the Hamlet Business Zoning District, Mattituck _—J Description: This site plan is for the proposed construction of a 2,475 s.f. mix-use building consisting of two store fronts for a 1,100 s.f. dry store & 1,375 i j s.f. wet store. There is an existing 605 s.f. building proposed to be I removed on an 11,561 s.f. parcel. F_Status: 1 Pending----------------_----- Action: i Review draft ZBA comments. f -- ----------------- ------------------- Attachments: , Draft Comments Project name_ �La Gran Villa SCTM#: 1000-114-11-12 Location: _ 13000 Route 25, Mattituck 1 Description: This site plan is for the proposed modification of an existing 3,138 s.f. building to a 16 seat single service restaurant in the HB District. On the 19,857 s.f. (.48 acre) parcel, currently exist a dry store, medical office, Crystal Clear Cleaning Corp. office and storage. There are 22 existing marking spaces on site and no more are proposed_ i- tatus Pendin�c Action T Status Up-date --- --- -- --- ----------------- ' Attachments: Draft Letter Project name Battaglia, Joseph and Heidi 1 SCTM#: i 1000-64-3-3 Location; — j w/s/o Hobart Road, approx 1,059 feet n/o Terry Lane, Southold Description: This standard subdivision is to subdivide 132 acres into two lots where { ___ +Lot 1 43,213 s.f. and Lot 2 = 57,809 s.f. in the R-40 Zoning District. -- - --- Status Conditional Preliminary Approval — - -- Action: Review Final Map, C & Rs and Drainage_Easement. — Attachments: C & Rs, Drainage Easement Southold Town Planning Board* Page Two November 28 2011 Project name ' Winston Eve _ _ — - - _ _ 1 SCTM# 1000 105 1-4 Location 3450 Private Road_#13 Mattituck — Description: I Standard Subdivision of a 5.58 acre parcel into two lots, where Lot 1= 1.84 acres (80,003 s.f.) and Lot 2 = 3.7 acres (163,044 s.f.) in the R-80 Zoning District. j Action:_ Review comments to ZBA. — Attachments 1 Staff Re --- .-...._.-.L. Pro'ect name _ (Vent _David - -- Location: 860 N_akomi_ s Roa_d Southold -- SCTM# 1000-78-3-26 Description: 1 This proposal is a Standard Subdivision of a 1.32 acre parcel into two —{ lots where Lot 1= 0.60 acres (26,340 s.f.) and Lot 2 = 0.71 acres (31,057 s.f.) in the R-40 Zoning District. I Status: Pendin ---- ---- — i--- ---——--_Lf n FAction: Review_for Sketch A royal. — ------ ---� ---' -- -- ----- — —_a LAttachments: iStaff Re o� rt — --------- Project name:Lo1 Stanton, Phil & Jennifer !—SCTM#:----F-100-064--1 ---; - -29 cation: � Mii le Lane Southold _�-- ------ -- — Description: This proposal is fora 3 lot standa_ rd subdivision in the R-40 Zoning I District. Status: — -- — __— Pre-submission Action: I Review re uest fors pe exception to Town Code. �-- — ——� — Attachments Staff Report "- For Discussion: ff Town Board Local Law re: Solar Energy Permits • 2012 Planning Board Meeting Agenda r MAILING ADDRESS: PLANNING BOARD MEMBERS ��OF SOUTyoP.O. Box 1179 MARTIN H.SIDOft Southold, NY 11971 Chair OFFICE LOCATION: WILLIAM J.CREMERS CA oc Town Hall Annex KENNETH L.EDWARDS �O 54375 State Route 25 JAMES H.RICH (cor. Main DONALD J.WILCENSRI ��UIY 1 Son Youngs Ave.) Southold, NY �1 Telephone: 631 765-1938 Fax: 631765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD November 15, 2011 Mr. Robert Barratt 4295 Vanston Road Cutchogue, NY 11935 Re: Close Public Hearing: Proposed Site Plan for La Gran Villa Restaurant Located at 13000 NYS Route 25, ±100' e/o Love Lane, Mattituck SCTM#1000-114-11-12 Zoning District: HB Dear Mr. Barratt: A public hearing was held by the Southold Town Planning Board on Monday, November 14, 2011 regarding the above-referenced Site Plan. The public hearing was closed. If you have any questions regarding the above, please contact this office. Very truly yours, Martin H. Sidor Chairman STATE OF NEW YORK DEPARTMENT OF TRANSPORTATION STATE OFFICE BUILDING 250 VETERANS MEMORIAL HIGHWAY HAUPPAUGE, N.Y. 11788-5518 SUBIMAL CHAKRABORTI, P.E. JOAN MCDONALD REGIONAL DIRECTOR COMMISSIONER November 14, 2011 Mr. Brian A. Cummings Planner Town of Southold Planning Board Office P.O. Box 1179 Southold,NY 11971 Your October 27, 2011 Submission La Gran Villa Restaurant NY 25, Mattituck SCTM# No. 1000-11400-1100-012000 Our Case No. 1 1-26989P Dear Mr. Cummings: This is to acknowledge receipt of the submission of the above permit application. While the information you provided is very helpful, it does not contain sufficient information to progress a meaningful review by our staff. We will, however. provide the comment below in regards to the subject development. 1. The site is located on the south side of NY 25, just east of the point where the geometry of NY 25 substantially reduces sight distance for motorists who desire to make left turn movements. We recommend that all left turn movements be prohibited to and from NY 25 for this site. The driveway should be re-designed to promote right turn only movements. Site plans should be prepared and submitted to us substantially in conformance with our driveway design guidelines. A checklist of items to include on submitted site plans can be found on our website at wNA .,dot.nv.,)Ov . On the NYSDOT A-L Site Index select "H", then select Highway Work Permits and then select Policy and Standards for the Design of Entrances to State Highways. All work and material details shall be shown referenced to NYSDOT specification item numbers. We will require one (1) paper copy of the plans and cover letter and one (1) electronic copy of each of the above items in pdf format. We have copied the applicant and the applicant's design professional on this correspondence. Mr. Brian A. Cummings • • November 14,2011 Page 2 of 2 This permit application should be sensitive to the unique visual and historic setting of the Long Island North Shore Heritage Area, which runs from the Queens/Nassau County line to Orient Point, and from Route 25 or I-495, (whichever is farther south), to Long Island Sound in the north. Questions concerning this matter should be directed to Mr. Mark Wolfgang at (631) 952-7973. Please send all correspondence to his attention at the address above. Please always refer to the subject Case Number and the County Tax Map Number. Thank you for your cooperation concerning this matter. Very truly yours. SHAIK A. SAAD, P.E. Civil Engineer III Traffic Engineering and Safety cc: Mr. Peter Harris, Superintendent of Highways, Town of Southold Mr. Martin Sidor, Planning Board Chairperson, Town of Southold Mr. Peter Jacques, MD, 11185 Main Bayview Rd., Southold, NY 11971 Mr. Robert O. Barratt. P.F., 4295 Vanston Road, Cutchogue, NY 11935 SAS:MDW:mm NOV-14-2011 13:48 FROM:WICKRM41SSLER 631 298 8565 TCS53136 F.0021002 LAW 01TI ,'FS WICKHAM. BRESSLER, CORDON &GEASA. P.C. 13015 MAIN ROAD. P.O.BOX 1424 WILLIAM WICKHAM(06.02) MATTITUCK,LQNC ISLAND ERIC J.BRESSLER NEW YORK 11952 275 BROAD 1IDI.LOW ROAD ARIQAIL A.WICKHAM I'll IN E, 111 LYNNFM,M DON WI.NILLI.. NEW YORK 11747 JANFT GEASA 631.29$-8357 ---- TELEFAX NO.631-21)8-8505 631.249.9480 wwblaw@aol.com TELFFAX No .631-249.9484 November 14, 201 1 Southold Town Planning Board P.O. 1179 53095 Main Rd Southold,N.Y., 11971 Re: La Gran Villa Restaurant SCTM# 1000-114-11-1.2 Ladies/Gentlemen: J own the property at 13015 Main Road. SCTM #140-1-40. which is directly across the Main Road Rt 25 from this property. While waiting to exit from my driveway.J have seen many close calls from cars entering or exiting that property. It is not possible to safety turn left. or westerly. onto the Main.Road, as there is absolutely no visibility around the curve to the Wcst. Taming right, onto the eastbound lane of Main Road',is extremely dangerous as you cannot see cars coming. Eastbound cars which turn into the site will create a hazard for cars coming up behind them from around the curve. Any walk-in traffic will face similar dangers from the Main Road traffic, T trust you will give this matter your utmost attention in connection with the site plan review and impose stringent requirements. T can't imagine a worse location for a restaurant. While the restaurant is proposed at 16 seats, this could involve a much larger traffic pattern because of take outs and fast turnover. The property is currently used for multiple unrelated uses. I would expect that only One use will be permitted under 1 he site plan, I also ask that the lighting plan be examined very carefully, not only rrom the standpoint of dark skies and upwardly directed lighting. but f nom interior and exterior lighting that overly illuminates the area. Thank you for your consideration. V p UuiQra g NOV-14-2011 13:48 FROM:WICKRM4SSLER 631 298 8565 TOW3136 P.001,002 Law Offices WICKHAM, SRESSLEF2 GORDON & GEA,SA,P.C. 13015 Main Road, P.O. Box 1424 Mattituck,New Xozk 11952 637.-298-8353 Telefax no. 631-298-8565 This tran=ission contains information confidential and/or legally privileged. It is intended for use only by the person to whom it is directed. If you have reccivcd this Ielecopy in error,p case notify us by telephone immediately so that we can arrange for the return of the documents to us at no cost to you. if you do not receive all of the pages indicated, please call as soon as possible at the number above. r To: Prom: {�t,. V� c�c� . yy Tate: \k- ��,l—tl Re: ttl+-� -a >- f Comments: This is page otle of _ J AFFIDAVIT OF POSTING This is to serve notice that I personally posted the property known as 1300<o PoAfnS Roan MA"TTJTdCK Ny 10 - 114- II-IZ by placing the Town's official poster notice(s) within 10 feet of the front property line facing the street(s) where it can be easily seen, and that I have checked to be sure the poster has remained in place for seven days prior to the date of the public hearing on h1 14 u 1 I have sent notices, by certified mail - return receipt, the receipts and green return receipt cards of which are attached, to the owners of record of every property which abuts and every property which is across on RTe Z S Q 0f3C�21 � Ae0-ATT' Your Name (print) Signature 42q s ,Atl S-TOi,` R orib Address C <k-j 0 0 C- W y — Date Ii1�( 11 Notary Public fMYMM�M�IY�II '� PLEASE RETURN THIS AFFIDAVIT, CERTIFIED MAIL RECEIPTS & GREEN RETURN RECEIPT CARDS BY. 12:00 noon, Thurs., 11/10/11 Re: Proposed Site Plan for La Gran Villa Restaurant SCTM#s: 1000-114-11-12 Date of Hearing: Monday, November 14, 2011, 4:36 p.m. • � � ol > g x r j V m C)° ° N A .� i o O �3 - 3 D a NT 33 > ' �� 0Aa , Car1um *f`° gym a S i A c a o0 •0 ' 3 ..3 n _ m ; 8 C � OP � S3n 4! v P 3 mm »m? m� P i vmug A -C ao to °y N SO 0 SE3 r om—g ry , 3 p ,a » i s n RI M1 m .D E3 p HATTITU4X NY 11952 T O.' 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Article Addressed to: N If YES,enter delivery address below: SD 0 m m 12900 MAlN 2.040 ❑ m fll Q o BaX l4S 4o 3 M fi11'l 7'tt GtGC3m0❑� n /1011 type a ❑3 _ m N0 01 Certified Mail ❑Express Mail m m c a ❑ Registered ❑Return Receipt for Me fll m ❑ Insured Mail ❑C.O.D. -- °i m a 4. Restricted Delivery?(EMT Fee) ❑` D^ m ❑ ❑❑ nm 2. Article Number 7010 '0290 0002 8967 0731 0 $ $ B (transfer from service label) -j0 3 PS Form 3811, February 2004 Domestic Return Receipt 10255. M v 3 r � g o > f � ■ Complete items 1,2,and 3.Also complete A. Signature N � o. item 4 if Restricted Delivery is desired. ❑f N g o ■ Print your name and address on the reverse X ❑l R ❑ 3 ❑ �m ❑ so that we can return the card to you. B. Received by(Anted Name) c M ■ Attach this card to the back of the mailpiece, - G OF 3 �SO or on the front if space permits. N a D. Is delivery address different 1 T ❑• `� m 1. Article Addressed to: If YES,enter delivery address ' ❑ ) ^' Z r 11j ■ ■ ■ AS) Sac. A . lalc>< E►saM o ( D fq WEIR m� Q D a x -7 ! Ss Ci, w Z ([l as o -- � sA co 3 ..1 D my� � p� CU TCH•oQUL 3. S mice Type N l L Q$S Certified Mail ❑Express Mail 2 $ p •� '• 4 N $ 8 - Y ❑Registered ❑Return Receipt for Me m v1 m 3 N ❑ Insured Mail ❑C.O.D. N o G P a m a;T 11 4. Restricted Delivery?(Extra Fee) ❑ a (� d Q 0 m a 2. Article Number 701❑ 0290 0002 8967 0762 \' d p �o?a6 (transfer from service label) + ,' m.6 = 4" 3Pm .3 PS Form 3811,February 2004 Domestic Return Receipt mess: ; � � ':� m.• v � ■ Complete items 1,2,and 3.Also complete A. Signat item 4 if Restricted Delivery is desired. syr ❑ D d- ■ Print your name and address on the reverse ECJ- �t-A.n�A�,J ❑ ❑ so that we can return the card to you. B. Raceby(Printed Name) C. D e 3 f1J p at x ■ Attach this card to the back of the mailpiece, M -0 ❑ — � a m or on the front if space permits. < a m D. Is delivery address different from item 1T l ?j ❑ N m_ 1. Article Addressed to: If YES,enter delivery address below: ❑ ❑ m a Cr C3 S 3gin3 a .` Po r3ox /e3 z M e4Tr1 -ruc. K, �/ 3. Ice Type 17 O N ` 1 Q s Z Certified Mali [3 Express Mail _ -j 3 a 3 Registered 39,Retum Receipt for Mf to 3 F 'i ❑ Insured Mail ❑C.O.D. In m @- O • 4. Restricted Delivery?(Extra Fee) ❑ 3' ' O 2. Article Number ❑ 3 ❑ ❑ m (Tmnsferfrom service laW 7010 0290 0002 8967 0779 It $ z o PS Form 3811, February 2004 Domestic Return Receipt 10259: m zzm %ATTITUCK FIRE DISTRIC? PO BOX 666, PIKE STREET / MATTITUCK, NEW YORK 11952-0666 LlQ� Commissioners 7 1 Norman A.Reilly,Jr.,Chairman John C.Harrison,Secretary V Barbara Dickerson,Treasurer Lloyd H.Reisenberg,Vice Chairman David F.Haas William G.Young Warren W.Jackson November 9, 2011 Southold Town Planning Board Attm Brain Cummings P O Box 1179 Southold, NY 11971 Re: Proposed Site Plan: La Gran Villa Resteraunt SCTM#: 1000-114-11-12 Dear Mr. Cummings; The Board of Fire Commissioners of the Mattituck Fire District reviewed the above mentioned site plan at their regular meeting on November 8, 2011; with the purpose to answer your questions. The Board of Fire Commissioners recommends that all drives and entry ways meet Southold Town Code (280-109c). If you require any additional information please do not hesitate to contact me. Sincere) , Q..1cX `----r' John . Harrison Secretary/Fire District Manager cc: Board of Fire Commissioners Chief Office (631) 298-8837 Facsimile (631) 298-8841 Cummings, Brian A. From: Fisher, Robert Sent: Tuesday, November 01, 20113:09 PM To: Cummings, Brian A. Cc: Fisher, Robert Subject: La Gran Villa Brian I have no concerns with the site plan. My other concerns will be addressed thru the permitting process. Robert Fisher Fire Inspector Off ice-(631)765-1802 ext 5028 Fax- (631)765-9502 Mobile-(631)786-9180 Email-robert.fisher@town.southold.iny.us 1 • • MAILING ADDRESS: PLANNING BOARD MEMBERS ��Of svulyoP.O. Box 1179 MARTIN H.SIDOR Southold, NY 11971 Chair OFFICE LOCATION: WILLIAM J.CREMERS H Town Hall Annex KENNETH L.EDWARDS • �O 54375 State Route 25 JAMES H.RICH IIIOl� 'M (cor. Main Rd. &Youngs Ave.) DONALD J.WILCENSKI C�UIY11,� Southold, NY Telephone: 631 765-1838 Faze: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD October 27, 2011 Mr. Mark Wolfgang NYS Department of Transportation 250 Veterans Memorial Highway Hauppauge, NY 11788 Re: Comments on the Site Plan for La Gran Villa Restaurant 13000 NYS Rt. 25, Mattituck SCTM #: 1000-114.-11-12 Zoning District: HB-Hamlet Business Dear Mr. Wolfgang: The following site plan is being referred to you for comments: Description: This site plan is for the proposed modification of an existing 1,293 s.f. building to a 16 seat single service restaurant on a .48 acre parcel in the HB District. The site also contains a second 982 s.f. building currently used for offices. There are 22 existing parking spaces on site and no more are proposed. Please note that this is an existing site; there is no proposed new construction to the existing building and it may be that there are no changes to the existing parking lot required by the Planning Board. If there are any questions you can contact us at (631) 765-1938 between the hours of 8:00 a.m. and 4:00 p.m. Respectfully yours, Brian A. Cumming Planner Enc. Site Plan Site Plan Application Environmental Assessment Form • �FSSU . MAILING ADDRESS: PLANNING BOARD MEMBERS �� jy� P.O. Box 1179 MARTIN H.SIDOR Southold, NY 11971 Chair OFFICE LOCATION: WILLIAM J. CREMERS CA Q Town Hall Annex KENNETH L.EDWARDS 54375 State Route 25 cor. JAMES H.RICH III �lyC ,rtV ( Main Rd. &Youngs Ave.) DONALD J.WILCENSKI �Ur1'1+ Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Scott A. Russell, Supervisor Members of the Town Board Elizabeth A. Neville, Town Clerk cc: Town Attorney From: Brian Cummings, Planner Date: October 26, 2011 Re: Site Plan for La Gran Villa Restaurant SCTM#1000-114:11-12 The Planning Board refers this application to you for your information, comments, review, and a determination of jurisdiction, if applicable. Description: This site plan is for the proposed modification of an existing 3,138 s.f, building to a 16 seat single service restaurant on a .48 acre parcel in the HB District. The site also contains a second 982 s.f. building currently used for offices. There are 22 existing parking spaces on site and no more are proposed. Thank you for your cooperation. • QF SOV • MAILING ADDRESS: PLANNING BOARD MEMBERS O�� TyOI P.O. Box 1179 MARTIN H.SIDOR Southold, NY 11971 Chair # OFFICE LOCATION: WILLIAM J. CREMERS Q Town Hall Annex KENNETH L.EDWARDSJAMES H.RICH �O �rtV �� 54375 State Route 25 DONALD J.WI CENSKI Own (cor. Main Rd. &Youngs Ave.) Southold, NY Telephone: 631765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD October 26, 2011 Mr. John Harrison Mattituck Fire District P.O. Box 666 Mattituck, NY 11952 Re: Request for review on: Site Plan for La Gran Villa Restaurant S CTM#1000-114.-11-12 Dear Mr. Harrison: The enclosed site plan application, referenced above, is being referred to you for your comment on matters of interest to the fire department, including fire department equipment access, emergency services, and any other issue that may be of concern or relevance to this application. Please respond with your recommendations at your earliest convenience. Project Description: This site plan is for the proposed modification of an existing 3,138 s.f. building to a 16 seat single service restaurant on a .48 acre parcel in the HB District. The site also contains a second 982 s.f. building currently used for offices. There are 22 existing parking spaces on site and no more are proposed. Please contact me at (631)765-1938 if you have any questions. Thank you for your cooperation. Sincerely, Brian A. Cummings Planner Encls.: Site Plan Application Site Plan Building Specifications • MAILING ADDRESS: PLANNING BOARD MEMBERS ��OF sooryo P.O. Box 1179 MARTIN H.SIDOR Southold, NY 11971 Chair OFFICE LOCATION: WILLIAM J.CREMERS N Town Hall Annex KENNETH L.EDWARDS • �O 54375 State Route 25 JAMES H. RICH III ly (cor. Main Rd. &Youngs Ave.) DONALD J.WILCENSKI C�U ,� Southold, NY Telephone. 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Michael J. Verity, Chief Building Inspector From: Brian Cummings, Planner Date: October 26, 2011 Re: Site Plan for La Gran Villa Restaurant SCTM#1000-114:11-12 The Planning Board refers this application to you for your information, comments, review, and certification, if applicable. Description: This site plan is for the proposed modification of an existing 3,138 s.f building to a 16 seat single service restaurant on a .48 acre parcel in the HB District. The site also contains a second 982 s.f. building currently used for offices. There are 22 existing parking spaces on site and no more are proposed. Thank you for your cooperation. Encls: Site Plan Application Site Plan • • MAILING ADDRESS: PLANNING BOARD MEMBERS ��OF SO(/ry� P.O. Box 1179 MARTIN H. SIDOR Southold, NY 11971 Chair OFFICE LOCATION: WILLIAM J.CREMERS G Q Town Hall Annex KENNETH L.EDWARDS �O 54375 State Route 25 JAMES H.RICH III0(� p (cor. Main Rd. &Youngs Ave.) DONALD J.WILCENSKI cou�rtV�,P Southold, NY Telephone: 631 765-1938 Faze: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: James Richter, Engineering Inspector From: Brian Cummings, Planner ��� Date: October 26, 2011 Re: Site Plan for La Gran Villa Restaurant Application Name: La Gran Villa Restaurant Tax Map Number: 1000-114.41-12 Location: 13000 NYS Rt. 25, Mattituck Type of Application: Sketch Subdivision Map (Dated: ) Preliminary Subdivision Map (Dated: ) Final Subdivision Map (Dated: ) Road Profiles (Dated: ) Grading and Drainage Plans (Dated: ) Other (Dated: 1 Site Plan (Dated: October 26,2011) Revised Site Plan (Dated: 1 Grading and Drainage Plans (Dated: ) Other (AS BUILT) (Dated: 1 Project Description: This site plan is for the proposed modification of an existing 3,138 s.f. building to a 16 seat single service restaurant on a .48 acre parcel in the HB District. The site also contains a second 982 s.f. building currently used for offices. There are 22 existing parking spaces on site and no more are proposed. Thank you for your cooperation. QF SO(/ MAILING ADDRESS: PLANNING BOARD MEMBERS O�� TyOI P.O. Box 1179 MARTIN H.SIDOR Southold, NY 11971 Chair OFFICE LOCATION: WILLIAM J.CREMERS G Q Town Hall Annex KENNETH L.EDWARDS :% 54375 State Route 25 JAMES H. RICH III I�COU ,� (cor. Main Rd. &Youngs Ave.) DONALD J. Southold, NY Telephone: 631 765-1935 Faze: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Mark Terry,LWRP Coordinator From: Brian Cummings, Planner Date: October 26, 2011 �J Re: Site Plan for La Gran Villa Restaurant SCTM#1000-114:11-12 The Planning Board refers this application to you for your information, comments, review, and certification, if applicable. The file is available at your convenience. Description: This site plan is for the proposed modification of an existing 3,138 s.f. building to a 16 seat single service restaurant on a .48 acre parcel in the HB District. The site also contains a second 982 s.f. building currently used for offices. There are 22 existing parking spaces on site and no more are proposed. Thank you for your cooperation. PLANNING BOARD MEMBER QF SO Q • MAILING ADDRESS: �� lyo P.O. Box 1179 MARTIN H.SIDOR Southold, NY 11971 Chair OFFICE LOCATION: WILLIAM J.CREMERS G Q Town Hall Annex KENNETH L.EDWARDS '�cn • �O 54375 State Route 25 JAMES H.RICH III DONALD J.WILCENSHI OI�CQU �� (cor. Main Rd. &Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Damon Rallis, Code Enforcement Officer Robert Fisher, Fire Marshall From: Brian Cummings, Planner Date: October 26, 2011 Re: Site Plan for La Gran Villa Restaurant SCTM#1000-114:11-12 The Planning Board refers this application to you for your information, comments, review, and any violations on record, if applicable. Description: This site plan is for the proposed modification of an existing 3,138 s.f. building to a 16 seat single service restaurant on a .48 acre parcel in the HB District. The site also contains a second 982 s.f. building currently used for offices. There are 22 existing parking spaces on site and no more are proposed. Thank you for your cooperation. Submission Without a Cover Letter Sender: �o Q0.(f'4� Subject: i,�CA4/ V. LLA �C-SUCcw�� SCTM#: 1000 - Date: 000 -Date: Oc �yComments: r f CCT 2 7 '"'ll O f SSV MAILING ADDRESS: PLANNING BOARD MEMBERS �� ljyO P.O. Box 1179 MARTIN H.SIDOR Southold, NY 11971 Chair OFFICE LOCATION: WILLIAM J.CREMERS A Q Town Hall Annex KENNETH L.EDWARDSQ11 • �O 54375 State Route 25 JAMES H. RICH III �1,� �rtV (cor.Main Rd. &Youngs Ave.) DONALD J.WILCENSKI CD�nI�," Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD LEGAL NOTICE Notice of Public Hearing NOTICE IS HEREBY GIVEN that, pursuant to Section 276 of the Town Law and Article XXV of the Code of the Town of Southold, a public hearing will be held by the Southold Town Planning Board, at the Town Hall, Main Road, Southold, New York on the 14th day of November, 2011 on the question of the following: 4:30 p.m. Proposed Lot Line Modification for Fishers Island Development Corp. & Malinowski located on a r.oW off of Oriental Avenue, Fishers Island, Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Numbers 1000-10-11-3 & 5.1 4:32 p.m. Proposed Amendments to the Covenants & Restrictions for The Fields at Mattituck located n/o Bergen Avenue, Mattituck, Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Number 1000-113-2-1.1 4:34 p.m. Proposed Site Plan for the North Fork Self Storage Carport located at 50 Commerce Drive, Cutchogue, Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Number 1000-96-1-1.4 4:36 p.m. Proposed Site Plan for the La Gran Villa Restaurant located at 13000 NYS Route 25, ±100' East of Love Lane, Mattituck, Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Number 1000-114-11-12 Dated: 10/19/11 BY ORDER OF THE SOUTHOLD TOWN PLANNING BOARD Martin H. Sidor Chairman PLEASE PRINT ONCE ON THURSDAY, NOVEMBER 3, 2011 AND FORWARD ONE (1) AFFIDAVIT TO THIS OFFICE. THANK YOU. COPY SENT TO: The Suffolk Times • • Page 1 of 1 Randolph, Linda From: Candice Schott[cschott@timesreview.com] Sent: Thursday, October 20, 2011 10:12 AM To: Randolph, Linda Subject: RE: Corrected Legal ad for 1113 edition of Suffolk Times Hi Linda, I have received the updated notice and we are good to go. Thanks! Candice From: Randolph, Linda [mailto:Linda.Randolph@town.southold.ny.us] Sent: Wednesday, October 19, 20112:09 PM To: Candice Schott Subject: Corrected Legal ad for 11/3 edition of Suffolk Times Importance: High Note changes to the hearing times: Please use the attached ad and confirm receipt. Thank you. Linda From: Randolph, Linda Sent: Wednesday, October 19, 2011 12:04 PM To: 'Candice Schott' Cc: Lanza, Heather Subject: Legal ad for 11/3 edition of Suffolk Times Please print the attached legal ad for the November 14, 2011 Planning Board public hearings in the November 3, 2011 edition of the Suffolk Times. An email confirmation of receipt will be appreciated. Thank you, Linda Randolph, Secretarial Assistant Southold Town Planning Board 765-1938 10/20/2011 PLANNING BOARD MEMBERS ��OF SU(/jyO MAILING ADDRESS: P.O.Box 1179 MARTIN H.SIDOR Southold, NY 11971 Chair OFFICE LOCATION: WILLIAM J.CREMERS A Q Town Hall Annex KENNETH L. EDWARDS • �O 54375 State Route 25 JAMES H.RICH III ,M (cor. Main Rd. &Youngs Ave.) DONALD J.WILCENSKI CDUryI',� Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD LEGAL NOTICE Notice of Public Hearing NOTICE IS HEREBY GIVEN that, pursuant to Section 276 of the Town Law and Article XXV of the Code of the Town of Southold, a public hearing will be held by the Southold Town Planning Board, at the Town Hall, Main Road, Southold, New York on the 14th day of November, 2011 on the question of the following: 4:30 p.m. Proposed Lot Line Modification for Fishers Island Development Corp. & Malinowski located on a r.o.w off of Oriental Avenue, Fishers Island, Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Numbers 1000-10-11-3 & 5.1 Dated: 10/19/11 BY ORDER OF THE SOUTHOLD TOWN PLANNING BOARD Martin H. Sidor Chairman PLEASE PRINT ONCE ON THURSDAY, NOVEMBER 3, 2011 AND FORWARD ONE (1) AFFIDAVIT TO THIS OFFICE. THANK YOU. COPY SENT TO: The New London Day • • Page 1 of 1 Randolph, Linda From: Labasi, Mary [M.Labasi@theday.com] Sent: Wednesday, October 19, 2011 2:28 PM To: Randolph, Linda Subject: [New Sender-] - RE: Corrected Legal ad for publication in The Day-Message is from an unknown sender Attachments: 351588-12443 revised proof.doc Revised proof is attached. Mary Labasi, Legal/Milestone Clerk The Day Publishing Co. Legal Line: 860-701-4292 Fax: 860-442-5443 From: Randolph, Linda [mailto:Linda.Randolph@town.southold.ny.us] Sent: Wednesday, October 19, 20112:11 PM To: Legal Subject: Corrected Legal ad for publication in The Day Note the change to the hearing time: please use the attached ad and confirm receipt. Thank you, Linda From: Randolph, Linda Sent: Wednesday, October 19, 2011 12:16 PM To: 'legal@theday.com' Subject: Legal ad for publication in The Day Please print the attached legal ad for the November 14, 2011 Planning Board Public Hearing regarding the Lot Line Modification for Fishers Island Development Corp. and Malinowski in the November 3, 2011 edition of The Day. An email confirmation of receipt will be appreciated. Linda Randolph, Secretarial Assistant Southold Town Planning Board 765-1938 10/19/2011 , uum° u • At au 47 Eugene O'Neill Drive New London,CT 06320 860442-2200 www.theday.com Classified Advertising Proof Order Number: d00351588 SOUTHOLD TOWN OF-PLANNING DEPT C/O LINDA RANDOLPH P 0 BOX 1179 SOUTHOLD,NY 11971-0959 631-765-1938 Title:The Day I Class:Public Notices 010 Start date: 11/3/20111 Stop date: 11/3/2011 Insertions:1 I Lines:0 ag Title:Day Website I Class:Public Notices 010 Start date: 11/3/20111 Stop date: 11/3/2011 Insertions: I I Lines:0 ag A preview of your ad will appear between the two solid lines. 12443 LEGAL NOTICE Notice of public Hearing NOTICE IS HEREBY GIVEN that,pursuant to Section 276 of the Town Law and Article%%V of the Code of the Town of Southold,a public hearing will be held by the Southold Town planning Board, at the Town Hall, Main Road, Southold,New York on the 14th day of November,2011 on the question of the following: 4:30 p.m. proposed Lot Line Modification for Fishers Is- land Development Corp,b Malinowski located on a r.o.w off of Oriental Avenue,fishers Island,Town of Southold, County of Suffolk,State of New York.Suffolk County Tax Map Numbers 1000-10-11-3 6 5.1 Dated: 10/19/11 BY ORDER OF THE SOUTHOLD TOWN PLANNING BOARD Martin H.Sidor Chairman Total Order Price: $152.90 Please call your ad representative by 3PM today with any ad changes. Salesperson: Mary Labasi I Printed on: 10/19/2011 Telephone: 860-701-4292 ext 42921 Fax: 860442-5443 Email:m.labasi@theday.com STATE OF NEW YORK) SS: COUNTY OF SUFFOLK) LINDA RANDOLPH, Secretary to the Planning Board of the Town of Southold, New York being duly sworn, says that on the 19th day of October, 2011 she affixed a notice of which the annexed printed notice is a true copy, in a proper and substantial manner, in a most public place in the Town of Southold, Suffolk County, New York, to wit: Town Clerk's Bulletin Board, Southold Town Hall, 53095 Main Road, Southold, New York 11/14/11 Regular Meeting: 4:30 p.m. Public Hearing for the proposed Lot Line Modification for Fishers Island Development Corp. and Malinowski, SCTM#1000-10-11-3 & 5.1 4:32 p.m. Public Hearing for the proposed Amendments to the Covenants & Restrictions for The Fields at Mattituck Major Subdivision, SCTM#1000- 113-2-1.1 4:34 p.m. Public Hearing for the proposed Site Plan for the North Fork Self Storage Carport, SCTM#1000-96-1-1.4 4:36 p.m. Public Hearing for the proposed Site Plan for the La Gran Villa Restaurant, SCTM#1000-114-11-12 ou� La-t' Linda Randolp Secretary, Southold Town Planning Board Sworn to before me this 1 { day of 0i b W , 2011. Notary Public MELANIE NOTARY PUBLIC,state of Newyork No. 01004634870 CommissionQuali( Expires Septlember 30,all PLANNING BOARD MEMBERS QF SO// MAILING ADDRESS: �� ljs.O P.O. Box 1179 MARTIN H.SIDOR �O l� Southold, NY 11971 Chair 41 4 OFFICE LOCATION: WILLIAM J.CREMERS A Town Hall Annex KENNETH L. EDWARDS ;� • �O 54375 State Route 25 JAMES H.RICH III ��� (cor. Main Rd. &Youngs Ave.) DONALD J.WILCENSKI coul��V�,\` Southold, NY Telephone: 631765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD LEGAL NOTICE Notice of Public Hearing NOTICE IS HEREBY GIVEN that, pursuant to Section 276 of the Town Law and Article XXV of the Code of the Town of Southold, a public hearing will be held by the Southold Town Planning Board, at the Town Hall, Main Road, Southold, New York on the 14th day of November, 2011 on the question of the following: 4:30 p.m. Proposed Lot Line Modification for Fishers Island Development Corp. & Malinowski located on a r.o.w off of Oriental Avenue, Fishers Island, Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Numbers 1000-10-11-3 & 5.1 4:32 p.m. Proposed Amendments to the Covenants & Restrictions for The Fields at Mattituck located n/o Bergen Avenue, Mattituck, Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Number 1000-113-2-1.1 4:34 p.m. Proposed Site Plan for the North Fork Self Storage Carport located at 50 Commerce Drive, Cutchogue, Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Number 1000-96-1-1.4 4:36 p.m. Proposed Site Plan for the La Gran Villa Restaurant located at 13000 NYS Route 25, ±100' East of Love Lane, Mattituck, Town of Southold, County of Suffolk, State of New York. Suffolk County Tax Map Number 1000-114-11-12 Dated: 10/19/11 BY ORDER OF THE SOUTHOLD TOWN PLANNING BOARD Martin H. Sidor Chairman PLANNING BOARD MEMBERS ��OF SU(/jyO • MAILING ADDRESS: P.O. Box 1179 MARTIN H.SIDOR Southold, NY 11971 Chair OFFICE LOCATION: WILLIAM J.CREMERS A Q Town Hall Annex KENNETH L.EDWARDS ' • �O 54375 State Route 25 JAMES H. RICH IIIOly (cor. Main Rd. &Youngs Ave.) DONALD J.WILCENSKI CDUI\ �,\` Southold, NY Telephone: 631 765-1938 Fax: 631765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD October 18, 2011 Mr. Robert Barratt 4295 Vanston Road Cutchogue, NY 11935 Re: Site Plan for La Gran Villa Restaurant ±100' East of Love Lane, Mattituck SCTM#: 1000-114.-11-12 Dear Mr. Barratt: I am writing as a follow-up to the Work Session held on October 3,2011 where the Planning Board formally accepted the above-referenced site plan for review with revisions to be made immediately.The following revisions shall be submitted directly to the Planning Department: 1. Please revise the site plan to a scale that is larger and easier to read (larger plan size, larger drawing and larger font size).The site is sufficiently complicated to require a larger scale so that the appropriate level of detail can be provided and is legible. 2. The Planning Department would like to schedule a meeting to discuss the revisions required by the Planning Board to accept the application. Please contact Planner Brian Cummings for more information. The Planning Board, its Staff,Town departments and relevant agencies will provide additional comments following full review. Please, if you have any questions regarding this site plan or its process, do not hesitate to call this office. Very truly yours, Brian A. Cummings Planner • MAILING ADDRESS: PLANNING BOARD MEMBERS ��OF SOUTyoP.O. Box 1179 MARTIN H.SIDOR ti� �� Southold, NY 11971 Chair OFFICE LOCATION: WILLIAM J.CREMERS N Town Hall Annex KENNETH L. EDWARDS ,�a�p� 54375 State Route 25 JAMES H.RICH IIIDONALD J.WILCENSKI l��'QU„�y a`(," (cor. MainSouth d, NY Youngs Ave.) October 18, 2011 11j 1 Telephone: 631 765-1935 Fax: 631 765-3136 Mr. Robert Barratt PLANNING BOARD OFFICE 4295 Vanston Road TOWN OF SOUTHOLD Cutchogue, NY 11935 Re: Set Public Hearing: Proposed Site Plan for La Gran Villa Restaurant Located at 13000 NYS Route 25, ±100' e/o Love Lane, Mattituck SCTM#1000-114-11-12 Zoning District: HB Dear Mr. Barratt: The Southold Town Planning Board, at a meeting held on Monday, October 17, 2011, adopted the following resolution: WHEREAS, on September 8, 2011, the agent, Robert Barratt, submitted a site plan application on behalf of Marina Recinos, La Gran Villa Restaurant, Inc.; and WHEREAS, this site plan is for the proposed modification of an existing 3,138 s.f. building to a 16 seat single service restaurant in the HB District. On the 19,857 s.f. (.48 acre) parcel, currently exists a dry store, medical office, Crystal Clear Cleaning Corp. office and storage. There are 22 existing parking spaces on site and no more are proposed; be it therefore, RESOLVED, that the Southold Town Planning Board sets Monday, November 14, 2011 at 4:36 p.m. for a public hearing regarding the site plan dated August 31, 2011, prepared by Robert Barratt, P.E. Please refer to the enclosed copy of Chapter 55, Notice of Public Hearing, in regard to the Town's notification procedure. The notification form is enclosed for your use. The sign and the post will need to be picked up at the Planning Board Office, Southold Town Annex. Please return the enclosed Affidavit of Postina alona with the certified mailing receipts AND the signed green return receipt cards before 12:00 noon on Thursday November 10th. The sign and the post need to be returned to the Plannina Board Office after the public hearing. If you have any questions regarding the information contained in this resolution, please contact the Planning Board Office. Ve tr urS,� W Martin H. Sidor Chairman Encs. 13000 MAIN , LLC LA GRAN VILLA RESTAURANT SITE PLAN 1000 = 114= 11 = 12 This site plan is for the proposed modification of an existing 3,138 s.f. building to a 16 seat single service restaurant in the HB District. On the 19,857 s.f. (.48 acre) parcel, currently exist a dry store, medical office, Crystal Clear Cleaning Corp. office and storage. There are 22 existing parking spaces on site and no more are proposed. MONDAY - NOV. 14, 2011 - 4 : 36 P . M . 0 Town of Southold PGCodebook for Windows §55-1. Providing notice of public hearings. [Amended 6-3-2003 by L.L.No. 12-20031 Whenever the Code calls for a public hearing this section shall apply. Upon determining that an application or petition is complete,the board or commission reviewing the same shall fix a time and place for a public hearing thereon.Notice relating to a public hearing on an application or petition shall be provided as follows: A. Town responsibility for publication of notice, The reviewing board or commission shall cause a notice giving the time,data,place and nature of the hearing to be pubfl mmmmhed in the official newspaper within the period prescribed by law. B. Applicant or petitioner responsibility for posting and mailing noticeAn application or petition, initiated,proposed or requested by an applicant or petitioner,other than a Town board or commission,shall also be subject to additional notice requirements set forth below: (1) The applicant or petitioner is required to erect the sign provided by the Town,which shall be prominently displayed on the premises facing each public or private street which the property involved in the application or petition abuts,giving notice of the application or petition, the nature of the approval sought thereby and the time and place of the public hearing then:;,0he sign shall beet back not more than 10 feet from the property line";' The sign shall be displayed for a period of'not less than seven days immediately • preceding the date of the public hearing,Theapplicant,petitioner.or his/her agent shall public hearing. file an affidavit that s/he has complied with this provision prior to commencement of the (2) The applicant or petitioner is required to send notice to the owners of record of every Property which abuts and every property which is across from any public or private street from the property included in the application or petition. Such notice shall be made by certified mail,return receipt requested,posted at least seven days prior to the date of the initial public hearing on the application or petition and addressed to the owners at the addresses listed for them on the local assessment roll. The notice shall include description of the street location and area of the subject property, nature of relief or approval involved,and date, time and place of hearing. The applicant,petitioner or agent shall file an affidavit that s/he has complied with this provision prior to commencement of the public hearing. 1 AFFIDAVIT OF POSTING This is to serve notice that I personally posted the property known as by placing the Town's official poster notice(s) within 10 feet of the front property line facing the street(s) where it can be easily seen, and that 1 have checked to be sure the poster has remained in place for seven days prior to the date of the public hearing on 1 have sent notices, by certified mail — return receipt, the receipts and green return receipt cards of which are attached, to the owners of record of every property which abuts and every property which is across on Your Name (print) Signature Address Date Notary Public PLEASE RETURN THIS AFFIDAVIT, CERTIFIED MAIL RECEIPTS & GREEN RETURN RECEIPT CARDS BY. 12:00 noon, Thurs., 11/10/11 xxxxxxxxxxxxxxx*xxxxxxx****xxxx****x*xxxxxxxxx*xxxxxx**x**xxxxxxxxxxxxxxxxxxxxxxxwxxxxxxxxxxxxxxxxxx Re: Proposed Site Plan for La Gran Villa Restaurant S CTM#s: 1000-114-11-12 Date of Hearing: Monday, November 14, 2011, 4:36 p.m. Southold Town Planning Board Notice to Adjacent Property Owners You are hereby given notice: 1. That the undersigned has applied to the Planning Board of the Town of Southold for a Site Plan; 2. That the property which is the subject of the application is located adjacent to your property and is described as follows: SCTM#1000-114-11-12; 3. That the property which is the subject of this application is located in the HB Zoning District; 4. That the application is for the proposed modification of an existing 3,138 s.f. building to a 16 seat single service restaurant in the HB District. On the 19,857 s.f. (.48 acre) parcel, currently exist a dry store, medical office, Crystal Clear Cleaning Corp. office and storage. There are 22 existing parking spaces on site and no more are proposed. The property is located at 13000 NYS Route 25, ±100' East of Love Lane, Mattituck; 5. That the files pertaining to this application are open for your information during normal business days between the hours of 8 a.m. and 4 p.m. in the Planning Department located in the Town Hall Annex on the corner of Youngs Ave. & NYS Rte. 25, Southold (2nd Fl., Capital One Bank). If you have any questions, you can call the Planning Board Office at (631)765-1938. Information can also be obtained via the internet by sending an e-mail message to: Carol.Kalin@town.southold.ny.us; The office will be closed on Tuesday, November 8 & Friday, November 11, 2011. 6. That a public hearing will be held on the matter by the Planning Board on Monday, November 14, 2011 at 4:36 p.m. in the Meeting Hall at Southold Town Hall, Main Road, Southold; that a notice of such hearing will be published at least five days prior to the date of such hearing in The Suffolk Times published in the Town of Southold; that you or your representative have the right to appear and be heard at such hearing. Petitioner/Owner Name: Marina Recinos, La Gran Villa Restaurant, Inc. Date: 10/18/11 jdMk 396ER�»o R SEC.NO.107 �Q A' SFE SFc v e tL tmalEmiy' __ ueicv ^ ,0.0089 x,oeeexw MATCH ____ ______LINE O � 4 °p� / Z� � O� MATCH_ LINE w x>e.zn WESEE.M. —�- . XLi"i 15A1 �P161 - \ •� % ,• \ R SEESEC No 107.11-010 O,-1B@ W -� \ .1' 1� / 1.6A �� , ,p P trt` • J O 12 Wpp.@ I w 10.6043 O V ly /' % 5U m N2 > `fi rt OE It w o]m 6 Z24V 3607 _ - , , •F ,�� \E \\ d- 1:. I g;' "r 01-15-16 65111,16 32 'P F" * zufE✓' w� - � (E7 1 •. 6 aM1 m• 1 __-_____ _ /s UNION FREE -- 7A1c1 �P z /� SCHOOL DISTRICT12 p w � 53 or SO souTHo,n -- xx 01 ].BNc t\ \♦ I �S 0 0\!\ t SCHOOL M1 ICT O. n ° 10, 11.3 I •' MATITUCK PARK DISTRICT ¢g ,I o� I CATHOLIC V O CHURCH Z M1 ( P00 g6 CHURCH ns 131([)W r 142 �I$L.FN • it 12 1381.Oq(c� 11.t • 90 w hs.w,ml § A^ O • u2 _M 15 m tS2Alc1 ,6µE1 A n O t0 ' 023 s FOR PCL.NO. 24Ag k1E' 196 Il.l SEE SEC.NO. vy 19 20 ,0 101 0 7M 5 m 11},p-0, ,1Wq w .ry Al R � rOrmt1 h SUFFOLK ^ T 0 g C 5 fi m . m 142 m N`PEx 3FA6ET 3! p D P t3.t ,43 E m ,IT m f M1°plE . ,ea. 4.1.. -2511A �� w _ 144 Fi FOR P4.N0- tIIW a FOR PCL.NO. 1.9A 1.UAw e — U w ® 132 SEE O G F SEE SEW.NO. 1 29A1E1 a tiF,o •F 122-asa6,a rv3p}BBt� MATCH —� .. — LINE m / rv,m eaz ,36 IMTCH LINE / t iAlc) SEE SEL.NO.1= w � w 7 2..<4 L imr�Aru. u.. ; u• -----_ "°""' --m-- o..0 u. --.-- O6 �© E , ° lwmar SECTION NO _ _ Nonce main COUNTY OF SUFFOLK , 1. sau,NOLD c ,v ------ � .-... I _ Real Property Tax Service Agency r ww114 ..N ���>r -•-•�••--- ra.�.� o �r.r unmuu. -- wswa�trox oE•nvaoarwx r�rr� nucE cc ctxxtHsea.Nvnw, ,13 '- arr - ��'r n t"""' vrrawwumvlu vwci¢maeenEn M --_.... - i<T. .n,AaWu�w .�.� rata. . r— �,n@ tw^•P - wtxwrtw,iitENi4lwcccNoftw A _ pSEOPERTY MAP Palisi s 11 W • • -2 S 11Ww Pn 11-2609 @-0Bfl9 .i \ H O 6 T 9+ � � 9 !� C� p !1/ � e e `b � � � J• rll o ✓� e� f t g'e4' aT ,5 y5 I Y i b � b Y � '�-• 15 p !O m 4`OO LF a fi ^�o��ot. `� q5 A 6 a i° OPO 5 RO$ sM1° M1 N PaS, 4Z� bI� 39@ B 1 Eo�..'mM.ve.� "" w (Zll `^ --_--- "' " m ' NOTICE sm.yp� COUNTY OF SUFFOLK © E 2 1>9 1t. . Or Sp1TNlx-p SECTION NO Real Property Tax Service Agency v A E N .��. �� v w __ _ _ Counly 4rrter Pi.aelavCNYM10\ 140 or w� rrr w¢ a a.ra.. --,—• e�o.�e. o d� wrseu. areo..au. rue w mr M wixi+rt egnis4ar oe� • MAILING ADDRESS: PLANNING BOARD MEMBERS � S FO VT P.O. Box 1179 �� yo MARTIN H. SIDOR Southold, NY 11971 Chair OFFICE LOCATION: WILLIAM J. CREMERS G Q Town Hall Annex KENNETH L. EDWARDS • �O 54375 State Route 25 JAMES H. RICH III 0��. (cor. Main Rd. &Youngs Ave.) DONALD J.WILCENSKI rouMv,� Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD October 18, 2011 Mr. Robert Barratt 4295 Vanston Road Cutchogue, NY 11935 Re: Site Plan for La Gran Villa Restaurant ±100' East of Love Lane, Mattituck SCT M#: 1000-114.41-12 Dear Mr. Barratt: I am writing as a follow-up to the Work Session held on October 3, 2011 where the Planning Board formally accepted the above-referenced site plan for review with revisions to be made immediately.The following revisions shall be submitted directly to the Planning Department: 1. Please revise the site plan to a scale that is larger and easier to read (larger plan size, larger drawing and larger font size). The site is sufficiently complicated to require a larger scale so that the appropriate level of detail can be provided and is legible. 2. The Planning Department would like to schedule a meeting to discuss the revisions required by the Planning Board to accept the application. Please contact Planner Brian Cummings for more information. The Planning Board, its Staff,Town departments and relevant agencies will provide additional comments following full review. Please, if you have any questions regarding this site plan or its process, do not hesitate to call this office. Very truly yours, �gc.WIV Brian A. Cummings Planner 0 a WORK SESSION AGENDA SOUTHOLD TOWN PLANNING BOARD Monday, October 3, 2011 4:00 p.m. Applications Project name: La Gran Villa SCTM#; 1000-114-11-12 Location: 13000 Route 25, Mattituck Description: This site plan is for the proposed modification of an existing 3,138 s.f. building to a 16 seat single service restaurant in the HB District. On the 19,857 s.f. (48 acre) parcel, currently exist a dry store, medical office, Crystal Clear Cleaning Corp. office and storage. There are 22 existing parking spaces on site and no more are proposed. Status: New Application Action: Accept for review. Attachments: Staff Report Project name: Crystal Clear Cleaning Corp. SCTM#: 1000-109-7-9.3 Location: 1335 New Suffolk Road, Cutchogue Description: This site plan is for the proposed renovation of an existing two story garage (2,400 s.f. total) to accommodate the offices of Cifarelli's Crystal Clear Cleaning Corp. in the LB Zoning District. There is no proposed change to the existing single-family dwelling; a proposed turf-block parking area is included. Status: Pending Action: Review referrals. Attachments: Staff Report Project name: Harbes Family Winery SCTM#: 1000-120-1-4 & 1000-112-1-7.1 Location: Northwest corner of Sound Avenue and Hallock Avenue in Mattituck Description: This site plan is for the addition of retail winery and wine production facilities to an existing farm stand. The overall property is 15.61 acres in the A-C Zoning District. Status: Pending Action: Review Pedestrian Safety Plan. Attachments: Project name: Highland House Fl, LLC SCTM#: 1000-9-11-7.12 Location: Located at corner of Ocean View and Heathulie Avenues, F.I. Description: This proposal is to subdivide a 4.56 acre parcel into 2 lots where Lot 1 = 80,390 sq. ft. and Lot 2 = 118,289 sq. ft. in the R-80 Zoning District. Status; Conditional Final Approval Action: Review draft C & Rs. Attachments: Staff Report, draft C & Rs • ( ( I `SEE II�.oC, C- II -or al..�- _ CDN�:LGT �U 14 UETAi�-5� VE"T r6� 20• ' Toc olc SLa[3 1 - E.YI STIN� E sl° CLO5faVN� 4TIo�.) \ \, rc X15TINry 1 Ta A%A5 IRAQ boo2WA�( ELI6.41 PKQ POSE G Zs� 14QusG. 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NOTES: SCTM#1000-114-11-12 Water service: Connected to Suffolk County Water Authority Existing sewage system: Approved through C10-09-0005 Vanessa Reid 10123/09 I t Codes of practice:State of New York,Suffolk County Health Dept,Southold Town Zoning: Hamlet business district:single service restaurant permitted I5 b I t I I Building Height:All buildings on site are single story Metes and bounds: I I THIS SITE PLAN WAS PREPARED WITH INFORMATION TAKEN FROM A SURVEY MADE BY RODERICK VAN IT I TYLE LAND SURVEYOR,GREENPORT NY,DATED FEBUARARY 10, 1992;AMENDED MARCH 24,1992; APRIL 3, T 1992&MAY 5, 1992; IN ADDITION TO OBSERVATION BY G.A.STRANG ARCHITECT BEFORE OCTOBER 23, 2009 AND PERSONAL OBSERVATION ado e, 7 � Septic system: Q See drawing#042411 Rey 0 2qr H(T t1 IzIl3 lt�o V d q 10 Uses(by area in sq ft): Existing Proposed ( N rL e $ Building#1 Antiqueldry store 1293 429 Single service restaurant - 864 N '4 �s �b 11 t$ Fitness studio(no showers) 863 863 - n 3 W 0 S Building#2 24 u L {" W ^I Office(non medical) 650 491 1- 7 o Storagelndustrial 332 491 It„ Total: 3138 3138 •PPOPAN E �T Hydro geologic Zone IV 's TRAStALot area 0.455 acres FENCE _ Finish grade at building 20.20 ft, Flood Zone: Premises located 1000ft from nearest designated Flood Zone X Wetlands:None within 300ft of premises Site topography,flat<1:100 �' I2 Borehole data:0-1 Om dark brown loam.t0in-3ft brown sandy loam t+) i ' -4 iS �2b 3ft-15.1ft fine/coarse sand,15.1ft-17ft water in sand F LL c lq �2 o .Zi 2Z z3 I Runoff coefficient 0.2375(20%Buildings/hardtop @ 0.8+75%Sandy/loam @ 0.10+5%Lawn.@ 0.05) C I Peak rainfall intensity 2in per 24hours v O N Peak discharge per day 777cu ft/day Parking spot allocation: Use sq ft sq ft/lot lots Dry store 429 250 2 r x Q 1 M 1 rJ P6 2. To w N G o as AfLT Xv 11 t Single service restaurant 864 100 9 ?A1LY 1 p C S P o C 5 1 9 Fitness studio 863 100 9 N IT = h ptzA Commercial Office 491 100 5 Workshop 491 200 2 Total 27 n 'fl 25 Se 7$ loo ft Title: Parking general arrangement Client: Marina E. Recinos Location: 13000 Main Road, Mattituck, NY DWG #0431 It Rev # D Date 4114)if Notes 1--'t I tl,y.. t I , g-.y,I 1'> - S Robert O Barratt PE, 4295 Vanston Rd. Cutchogue NY 11935 Tel 631 875 0275, robe rtbarratt(a?optonline net These plans are an instrument of the service and are the property of the design professional whose seal is affixed hereto. Infringements will be prosecuted to the fullest extent of the law. Contractor shall verify all field conditions and dimensions and be solely responsible for field fit. The design professional assumes no liability for omissions due to unknown or unforeseen field conditions and or additions based upon comments not formally acknowledged as revisions to these plans. 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STAKU REM 19 Do Wr DOTAL-DEF'.FerT.r GAS rTP'te.l a AC=EXAH= V1 ASL A=W"PI spo.ec 9 ►-YC NAC.&" CSR'-r- Pt:i K vKvj 1llT,.T>�.R.CED pJY Olt y rv't9t►ZLT ArrM 1a%%_ATkO CA GAb FV"AG A04C R�T",ILTIL C.O,RMIAf � OR aQur" G cjma'E1=7x�4 Apa Q= Eo�a F Rhe Z ER F 21 cA m amcw c c,es R.w"crtil Ac reaALL, r.® R,.afiV ERNaES (,21 c., Tf Title: Plumbing Riser Diagram Client: Marina E. Recinos Location: 13000 Mair: Road. Mattituck, NY Cs2 rLPE za •�l Tor st-pb zo• Dal SeaV:'E z�— . if DWG #trlovl% Rev # O Date-711Notes f EL- t 6' ¢ I l Tc P RoPoSEs'� Robert O Barratt PE, 4295 Vanston Rd, Cutchogue NY 11935 Tel 631 875 0275, robertbarratt(Qoctonline n-_- These eThese plans are an instrument of the service and are the property of the design professional whose seal is affixed hereto. Infringements will be prosecuted to the fullest extent of the law. Contractor shall verify all field Fl2nP e 5 P U conditions and dimensions and be solely responsible for field fit. The design professional assumes no liability H OVS E T k-A P for omissions due to unknown or unforeseen field conditions and or additions based upon comments not zr- -P I T formally acknowledged as revisions to these plans. 13000 Main LLC Application to amend site plan Title Page(s) Table of contents 1 Site plan application form 2, 3 Fee schedule 4 Notice of disapproval 5 Applicant's affidavit 6 Agent's appointment letter 7 LWRP 8, 9,10,11,12 Short Environmental Assessment 13, 14 Town property card 15, 16 Photographs 17, 18, 19, 20 SEP Key map 21 List of owners 22 Survey 4 copies Site plan 9 copies 13000 Main Road LLC Amend site plan- Fee as below There are no plans to make any addition to the existing buildings, only a change of renters Fitness studio will become a doctor's office Part of dry store will become a 16 seat single service restaurant Amended site plan fee ($250)attached below 174 13000 MAIN LLC 11165 MAIN 6AYVIEW RD 631-765-1033 / 50-791/216 SOUTHOLD, NY 11971 (� Date Pay to the $ a�.1 Q� �Q Order of y / Dollars 8 Capita Bank Capital One,NA CIfG1/J„ O� For iiia 1:0 2 140 79 1 21: 701 70 0054811' 0L74 V]� maps Address Main Road • ` Address is approximate Save trees.Go green! 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NO. \ / 2.9A(c) t1` 122-03-001.4 / C MATCH — LINE 93.6 g Key M t-, P /,0 ��j000 MAIN (LA Pr I� _ - ,a5 13.7 2.4A(c) ,e List of owners SCTM# Owner Address 140-3-42.2 Octagon Commons LLC PO 80 Mattituck, NY 11952 -41 Stycor LLC PO 63 -40 A Wickham PO 718 -39 Babs Corp 50 Parsnip Road, Lake Grove, NY 11706 38.4 Oriola &Son 22 Roberta lane,Syosset, NY 11791 114-11-15 12800 Main LLC PO 1456, Mattituck, NY 11952 16 NFEC PO 799 17 Thomas McCarthy 46920 CR 48,Southold, NY 11971 18 Mattituck Commons LLC 46520 11.1 J. Hamilton 605 Reeves Ave, Mattituck, NY 11952 9.1 J Grabia 36 Mattituck NY 11952 I.Z SITE PLAN STATUS REPORT —� SITE PLAN TYPE: AMENDED NEW WITHDRAWN INCOMPLETE PROJECT NAME: I ZONEI: ZONE2: ZONT3: LOCATION: I3 /'nr SCTM# 1000- / �� � HAMLET:��, D �_�_1�.• OWNER NAME: r _ Yn 7 TEL# APPLICANT NAME: TEL#(- AGENT NAME: TEL PROJECT DESCRIPTION: EXISTING USE:. 5 PROPOSED USE: D BUII.DING DEPARTMENT NOTICE:S/P REQUIRED Y OR N ZBA APPEAL REQUIRED Y OR N DATE PRE-SUBMISSIONCONFERENCE /— (WITHIN 30 DAYS OF WRITTEN REQUEST) NOTES: -- INFORMAL REQUEST FOR REVISIONS: APPLICATION RECEIVED DATE: / / —/-- APPLICATION PROCESS DATE: PAYMENT RECEIVED: y/$//I AMOUNT RECEIVED:$ NEW SP:$500./ACRE&.10/SF, —�/— AMENDED SP:$250.+.10/SF, AGRIC SP:FLAT$500 FEE AMOUJ�IT:($ .00 X =$ )+($.10 X SF=$ =$ NEW APPLICATION WORK SESSION(WITHIIq 10 DAYS OF RECEIPT),PB ACCEPTED Y OR N APPLICANT ADVISED OF NECESSARY REVISIONS —� (WITIIIN30DAYSOFREVIEW) BUILDING DEPARTMENT MEEETING 100-254B3(WITIIIN 30 DAYS) — NOTES: _ REVISED SUBMISSION RECEIVED: NOTES: REFERRED AGENCIES:%Wlin MAPS=W/P) S1ZRA'--'SISD-STCJ[g_�1N -ST T--•STE-__,SCDHS_,NySDFF•USACORPS NSESNOIE,4 _.NYSDOT ,SCWA_,SCPD_,SCDPW_�LWRP_ LEAD AGENCY: TOSPIk_ GTRB&_R"MW:P�n-PAR -PART3_,SRORTEAP�LONGBAF NOTES•• ACTION TYPE:COORDINATED:_ UNCOORDINATED: REFERRED TO:SfZ6/L�STRD—ST C7g JH_„g7RT t I TPE1: TYPE2-V UNLISTED:-) SCDHS_,NySDEC_,USACORPS,NYSDOT SCW SE QRA DETERMINATION:NEG DEC Y OR N, '�•sem—.scDPw APPROVALS REQUIRED: REFERRED DATE NOTES APPROVAL DATE ARCHITECTURAL REVIEW COMMITTEE: NOTES LWRP COORDINATOR —!—/ --/—/ l3 _J BUILDING DEPARTMENT CERTIFICATION: ?l L` FIRE COMMISSIONERS: t1 TOWN ENGINEER APPROVAL: M r� DEP.OF TRANSPORTATION:DOT ,DPW_, Tpg �EA� SUFFOLK COUNTY DEPARTMENT OF PLANNING: _ SUFFOLK COUNTY DEPT OF HEALTH:PERMIT#: !,J —/—/ OPTIONAL APPROVALS: —/—� ZONING BOARD OF APPEALS:APPEAL#. BOARD OF TRUSTEE'S: —/'—� ---�/•— NYS DEC WETLANDSMDALISPDES PLANNING BOARD DECISIONS: ` D NIED: APPROVED: CONDITIONAL FINAL:__// FINAL: ENDORSEMENT F SITE PLAN: _/ NOTES FIELD INSPECTION FOR DISTRIBUTE APPROVEp SITE PLANS TO: BUILDING DEPT/ / TOWN ENG GENERALNOTES: 1 Souad Planning Department Stakeport Site Plan Application Work Session — Completeness Date September 29, 2011 Prepared By: Brian Cummings I. Application Information Project Title: La Gran Villa Restaurant Applicant: Peter Jacques Date of Submission: September 8, 2011 Tax Map Number: 114.41-12 Project Location: 13000 NYS Rt. 25 Hamlet: Mattituck Zoning District: HB-Hamlet Business II. Description of Project Type of Site Plan: Commercial Acreage of Project Site: 19,857 (.48acres) Building Size 3,138s.f. total on site Subject Building 2,156s.f. III: Completeness Review See attached checklist for Site Plan Requirements. IV: Analysis 1. Uses on subject parcel(including proposed): Dry store, medical office, office of Crystal Clear Windows, storage and single service restaurant a. Existing fencing on northern property line bordering side walk to remain 2. Proposed restaurant: a. 16 seat single service restaurant(commercial kitchen), take out and dry store 3. Parking lot: a. Twenty-two (22)proposed parking spaces at 9'x 19' including one (1) ADA space with new"hardtop"pavement. b. Existing dirt/gravel mix to remain. c. Four(4) existing dumpsters to remain at two (2) locations d. Installation of new grease trap 4. Signage/Lighting a. One (1) existing sign with no proposed changes b. One (1) existing light fixture, no proposed change or existing type of fixture included. V: Staff Recommendations 1. Accept the application for review with revisions to be made. Revisions will be specified via letter. 1 South• Planning Department • Checklist for Site Plan Application Completeness - Section 280-133 Project Name: La Gran Villa Restaurant Completed by: Brian Cummings Date: September 29, 2011 Received Comment A. Submission of a complete site plan application shall consist of: (1) A completed site plan application form. 1 (2) The site plan review fee, as specified in Subsection B below. Editor's Note: See now § 280-138, Fee schedule for l site plan applications. (3) A completed environmental assessment form. 4 Short (4) Nine copies of the site plan. 4 (5) Four copies of a property survey, certified by a licensed land surveyor.. J B. Standards. Site plan design shall include the following items: (1) Technical data: (a) The lot, block and section number of the property, taken from the latest tax records. �l (b) The name and address of the landowner on record: [1] The names and addresses of adjoining landowners. Difficult to read [2] The name and address of the applicant, if not the same as the landowner. (c) The name and address of the person, firm or organization preparing the map, sealed with the l applicable New York State license seal and signature. (d) Date, graphic scale and North point, whether true or magnetic; if magnetic,show the date of reading. Difficult to read (e) A survey prepared by a licensed surveyor or civil engineer. The site plan may reference a land surveyor's map or base reference map. All distances shall be in Difficult to read feet and hundredths of a foot. All angles shall be given to the nearest 10 seconds or closer. The error of closure shall not exceed one in 10,000. (f) The locations, names and widths of all rights-of-way within 500 feet of property lines. If none exist within 500 feet of the subject property, indicate the distance to the nearest intersection with a public street. (g) A separate key map showing location and owners of all adjoining lands within 500 feet, as shown on the latest Not submitted tax records, at a scale of one inch equals 100 feet. (h) The location, width and purpose of all existing and proposed easements, setbacks, reservations and areas Not Submitted dedicated to public use within or adjoining the property. (i) A complete outline of other existing easements,deed N/A 1 Checklist for Site Plan Application Completeness Southold Planning Department • restrictions or covenants applying to the property. (j) Existing zoning, including zone lines and dimensions. HB (k) Site plans drawn at the scale of one inch equals 20 feet. SP: V=33'.4" If all required information cannot be shown clearly on Survey: V=20' one plan, the information should be separated as follows: [1] Alignment and schedule plan. [2] Grading and drainage. [3] Landscaping. [4] Other, e.g., site utilities. (2) Natural features: Received Comment (a) Existing contours with intervals of two feet or less, Not "Flat" parcel referred to mean sea level as per United States Submitted one 20' contour is Geological Survey datum. shown (b) Boundaries of any areas subject to flooding or stormwater overflows, tidal bays, saltwater marshes, beaches and all freshwater bodies, including wetlands N/A and intermittent streams, perimeter boundaries of shoreline bluffs, dunes and beaches. (c) The location of existing natural features, including but not limited to natural drainage swales, watercourses, wooded areas and wetlands, as defined by the New York State Department of Environmental Conservation and the Board of Trustees of Southold Town, marshes, N/A ponds, dunes, bluffs, beaches, kettleholes, escarpments, wildlife habitats, flood hazard areas, erosion-prone areas and trees of six inches in diameter at a point three feet above the trunk base. (d) The location of any existing cultural and historical features within 500 feet of the property boundaries. N/A (3) Existing building structures and utilities: (a) The locations, dimensions and outlines of all buildings, No dimensions,just as defined in § 280-4 of this chapter, and all uses of the .j square footage of site. entire buildings not based on use. (b) Paved areas, including parking areas, sidewalks and vehicular access between the site and public streets. (c) The locations, dimensions, grades and flow directions of any existing culverts, waterlines or sewage disposal systems, as well as other underground and l aboveground utility poles and utility lines within and adjacent to the property. (d) The location and use of all buildings and structures, including curbcuts, within 200 feet of the boundary of the Not subject property. Submitted 2 Checklist for Site Plan Application Completeness Southold Planning Department i (4) Proposed construction: Received Comment (a) The location of proposed buildings or structural improvements, indicating setbacks from all property lines and N/A horizontal distances from existing structures. (b) The location and design of all uses not requiring structures, such as off-street parking and loading areas and pedestrian circulation. (c) The location, direction, power level and time of use for any Location of existing proposed outdoor lighting or public address systems. lighting is noted, however no inclusion of fixture type. (d) The location and plans for any outdoor signs must be in accordance with applicable sign regulations. N/A Existing sign (e) The location and details of aprons, curbs, sidewalks, fencing (type and location), and grading, including existing and proposed topography with two-foot contours (on site and 200 feet beyond the property line)and spot elevations for N/A buildings and all structures, drainage calculations, details of drainage structures and watershed areas, where applicable. (f) Grading and drainage plans shall be based upon site Not New"hardtop stormwater retention, in conformance with Chapter 161, Submitted surface is proposed. Highway Specifications. (g) The location and listing of landscaping, buffering and street tree plans, including type, material, size, quantity and N/A location. (h) The location of water and sewer mains, electrical service, cablevision and telephone installations, ground transformers, N/A fire wells and fire hydrants and/or any alternate means of water supply and sewage disposal and treatment. (i) Building elevations for all facades and floor plans showing the proposed use of floor area. N/A N/A=Not Applicable Notes: The survey provided is a copy from 1992 and is severely faded to the point that it is difficult to read. The applicant also did not submit the exclusive square footage of the proposed restaurant itself, not including the existing fitness studio that the proposed use will share the building with. Site Plan Application elements waivers: § 280-133 C. Notwithstanding the foregoing, the Planning Board shall have the discretion to waive any or all of the requirements of this § 280-133 by resolution at a duly noticed public meeting, for those applications involving modifications to existing structures with no substantial change to the existing footprint, where the Planning Board determines that such modifications or any change in use will not require significant changes to existing major site design features, as well as applications involving uses strictly related to agriculture (but excepting retail winery operations), if it determines such requirements are not necessary to protect and maintain the public health, safety, or welfare and to further the objectives set forth in § 280-129. 3 Checklist for Site Plan Application Completeness SOUTHOLD PLANNING BOARD SITE PLAN APPLICATION FORM Site Plan Name and Location Site Plan Name:' 1'3moo fnAtN ROAD . MArrirucr, Application Date: Suffolk County Tax Map #1000- 114 - It - I?- Other SCTM #s Street Address: 13000 MAW ROAD, MATTITVQ1Z Hamlet: MpmwrucrK Distance to nearest intersection: Loy 6 LAME -- 16C) qi- ►N 5'(" `mF PRoPwrl Type of Site Plan: New Amended ✓ Residential Zoning District Owners/Agent Contact Information r Please list name, mailing address, and hone number or the people below: Property Owner 1301oo M A IN LL C. Street 1SO00 M AtN P-0 44-0 City M ATT I T UC K State IJ Y Zip 1l 9 S"O- Home Telephone 631 765-1©33 Other Applicant 13oc0 MAIN c-t-L - PFETM -TA CaVES - M D, Street IlI8s MAtN $A�fv1EW R'.o City SourW-C L.D State N+f .—zip-if f q-7 Home Telephone 6W-765- 1033 Other Applicant's Agent or Representative: Contact Person(s)* J?A&ePT 13.A,iL -AT 1" Street 4-29 S v Rn/ Cr o of P.0A 0, City Cvrte+,ca4vE State N`( Zip 114.35 Office Telephone 4'W- 73<4- 2730 Other 63r- 87 S- O'L-7 S C�-u-. *Unless otherwise requested, correspondence will be sent only to the contact person noted here. Site Plan Application Form 2/1812010 _ Site Data Proposed construction type New Modification of Existing Structure Agricultural Change of use Property total acreage or square footage: 19,8 ae./sq. ft. Site Plan build-out acreage or square footage: ee./sq. ft. Is there an existing or proposed Sale of Development Rights on the property? Yes No If yes, explain: Does the parcel(s) meet the Lot Recognition standard in .Town Code §280-9 Lot,Recognition? YV N If"yes", explain (and attach any necessary documentation '—title report, subdivision approval, etc.) ?IVv wTr (w.EL& M 6.4CQd �f u „ Building Department Notice of Disapproval Date: $ / 19 /1 ( — Is 1 (Is an application to the Southold Town Zoning Board of Appeals required? Yes No ✓ If yes, have you submitted an application to the ZBA? Yes No If yes, attach a copy of the application packet. Show all uses proposed and existing. Indicate which;building will have which,tise. If more then one use is proposed per building, indicate square footage of floor area per use. List all existing property uses: Dlt�t STo26 FlTNESr 57vDtta� N+cMJ-MEp+itgl aFF6Cb STot1N4t List all proposed property uses: aey STo&d NQW-4c, OPFICE Abna-MBDjC L OFFMC-1 <TogA4t S1NeiC.6 StbZv(G.g R$STAJ-��Nl. I Other accessory uses: Existing lot coverage: 15.8 % Proposed lot coverage: 15.. S % Gross floor area of existing structure(s): '1119- . ,sq. ft. Gross floor area of proposed structure(s): It 3Rf1- Parking Space Data: # of existing spaces: 2z # of proposed spaces: 2Z Loading Berth: Yes No Landscaping Details: Existing landscape coverage; _ IZ. % ; Proposed landscape coverage: IM % Wetlands: Is this property within 500' of a wetland area? Yes No Maybe 1, the undersigned, certify that all the above information is true. Signature ofPreparer: Date 2 Site P1anApplication Form 2!18,2010 3 APPLICANT'S AFFIDAVIT STATE OF NEW YORK COUNTY OF SUFFOLK PETER Srtc-aw 8S being duly sworn, deposes and says that he resides at I1 $S At$6,114 IBA%fVIMAM R> S'4�pu'fH-W,Dr NY [1R*f1 in the State of New York, a that he is the MANASINg WxECTOA. oftke f7410oo MP.1IW L,4r� WHo to IKO (Title) (Specify whether Partnership or Corp.) owNrwL. OF 'Taa PLo®IENTy PM I'So0a MAIN 2D, MA?TACIL r N 1IR 'S2.t. which is hereby making application; that there are not existing structures or improvements on the land which are not shown on the Site Plan;that the title to the entire parcel, including all rights- 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 regulations adopted by the Planning Board for the filing of Site Plans and will comply with same; that the plans submitted, as approved, will not be alter 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 plan as approved by the Planning Board. Signed Owner Signed KANAGt#Jq WILrICTOR- (Partner orrateRfficer and Title) Sworn to me this =day of d ry Public >'Olrl�M ,tom 1 �,- 11185 Main Bayview Road Southold, NY 11971 Tel 631 765 1033 August 22, 2011 Subject: 13000 Main Road, Mattituck,NY 11952 To whom it may concern, I am the Managing Director of 13000 Main LLC who is the sole owner of record of the subject property. This letter is written to document the fact that I have appointed Mr Robert Barratt PE, of 4295 Vanston Road, Cutchogue,NY 11935 to act as our agent regarding any permit and regulatory actions pertaining to the subject premises. It is expected that the following bodies will be involved;the Suffolk County Dept of Health,the Southold Building Dept,the Southold Planning Board, and any other agencies, such as the Southold Board of Trustees,the NYS DEC,the Army Corps of Engineers and the Southold ZBA. Thank you in advance for your cooperation, Peter Jacques Managing Director, 13000 Main LLC TOWN OF SOUTHOLD FORM NO. 3 NOTICE OF DISAPPROVAL DATE: August 16, 2011 TO: M Racinos for P Jacques 316 Front St. Greenport, NY 11944 Please take notice that your application dated Aug. 4, 2011 For change of use to a restaurant at Location of property: 13000 Main Rd., Mattituck,NY County Tax Map No. 1000 - Section 114 Block 11 Lot 12 Is returned herewith and disapproved on the following grounds: u Pursuant to Article X, Section 280-45,,,Site Plan approval from the Southold Town Planning Board is required. The use is permitted in this HB zone.. Authorized Signature CC: file, Planning Bd. Note to Applicant: Any change or deviation to the above referenced application, may require further review by the Southold Town Building Department. TOWN OF SOUTHOLD FORM NO. 3 NOTICE OF DISAPPROVAL DATE: August 16, 2011 TO: M Racinos for P Jacques 316 Front St. AUG 1 9 2011 Greenport, NY 11944 Please take notice that your application dated Aug. 4, 2011 For change of use to a restaurant at Location of property: 13000 Main Rd., Mattituck, NY County Tax Map No. 1000 - Section 114 Block 11 Lot 12 Is returned herewith and disapproved on the following grounds: Pursuant to Article X, Section 280-45, Site Plan approval from the Southold Town Planning Board is required. The use is permitted in this HB zone.. Authorized Signature CC: file, Planning Bd. Note to Applicant: Any change or deviation to the above referenced application, may require further review by the Southold Town Building Department. FAC16 i of Z TOWN OF SOUTHOLD • BUILDING PERALICATION CHECKLIST BUILDING DEPARTMENT Do you have or nwd the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL:(631)765-1802 Planning Board approval FAX:(631)765-9502 Survey SoutholdTowo.NorthFork.oet PERMIT NO. Chock Septic Form N.Y.S.D.EC. Trustew Flood Permit Exam icd 20 Storm-Water Assessment Form_ Coataet: Approved 20 Mail te: R. O. F3A4 4L0r'T-r Disapproved alc ( per: 631 --734—U73O DE C E Building Inspector AUG 4 2011 CATION FOR BUILDING PERMIT Date 120 INSTRUCTIONS BLDG. DEPT. a 1 a6W*be ZMWIdly filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans,accurate plot plan to scale.Fee according to schedule. b.Plot plan showing location of lot and of buildings cm premises,relationship to adjoining premises or public streets or areas,and waterways. c.The work covered by this application may not be commenced before issuance of Building Pernut d Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant Such a permit shall be kept on the premises available for inspection throughout the work e.No building shall be occupied or used in whole or in pmt for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f.Every building permit shall expire if the work authorized has not commenced within 12 months atter the date of issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may autburize,in writing,the extension of the permit for an addition six months.Thereafter,a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Peanut pursuant to the Building Zone Ordinance of the Town of Southold,Suffolk County,New York,and other applicable Laws,Ordinances or Regulations,for the construction of buildings,additions,or alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code,housing code,and regulations,mid to admit authorized inspectors on premises and in building for necessary inspections. MARINA Rhe/Not-Ac6trOt wt L{� 42AN Vi"A 9$STAV24N1' IN4 (Signadne of applicant or name,if a corporation) 31` r-Amw r ST, C"rNPOILT Ny Ilgt/t+ (Mailing address of applicant) State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder t.,H SSE6 Name of owner of premises PF-'rt4 S 7ACCAOSS — 13000 MAIN "4:- (As on the tax roll or latest deed) If applicant is a corporation,signature of duly authorized officer MA24NA Ree 10409 — P¢99108N r - I-A ArLAN V/ "A REtT AV2AIVr 1NG (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 13000 MAIN ROgp� MATT uT%jc-y. I t4 Y House Number Street Hamlet County Tax Map No. 1000 Section 114 Block I 1 Lot 1 Z Subdivision Filed Map No. Lot VA46 2 e{ Z, 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy M EET I N C M040 rA b. Intended use and occupancyCA MMErt,CIQL ,SINGLE S62Vte Ifp S'E'AT 2�STAVRAN'f- 3. Nature ofwork(check which applicable):New BuildinK Addition Alteration ✓(IN6TAt.t. KITCNIY Repair Removal Demolition Other Work (Description) 4. Estimated Cost * so . OO tJ Fee (To be paid on filing this application) 5. If dwelling,number of dwelling units Number of dwelling units on each floor If garage,number of cars 3g'/e iR6ssnva Aw r 6. If business,commercial or mixed occupancy,specify nature and extent of each type of use. '+'a'/a DOC L cv Ct c C t � IN W tAL 7. Dimensions of existing structures,if any:Front ZS Rear 2S Depth I Z O ' Height Z.D' Number of Stories oN E Dimensions of same structure with alterations or additions: Front '.Z'5 t Rear 2 5 f Depth1 20' Height '2.0 Number of Stories o nl F S. Dimensions of entire new construction:Front Z.51 Rear ZSI Depth 1(0 1 Height 20' Number of Stories c N IS 9. Size of lot:Front 13 3l Rear 135 1 Depth ISO 1 10.Date of Purchase 2t 4 100 Name of Former Owner PE-r B 2. A. SAC I,A V es ak 0A 11.Zone or use district in which premises are situated I.1 A M t le1 12.Does proposed construction violate any zoning law,ordinance or regulation?YES_NO ✓ 13.Will lot be re-graded?YES_NO✓ Will excess fill be removed from premises?YES_NO ✓ 11185 MArN f�4yVIgW RD . SOU'r KOLD,NY llg1) 14.Names of Owner of premises P.7.3gtQV 6 S Address Phone No. '1/oS— 1 O 33 Name of Architect Address Phone No Name of ContractorR Address Phone No. VAMC Oi coAITACT : NV.1D1 MAMINA'! DAVC, I T13M)— 'S -tet Z 4V#0 15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?"YES—NO ✓ •IF YES,SOUTHOLD TOWN TRUSTEES&D.E.C.PERMITS MAY BE REQUIRED. b.Is this property within 300 feet of a tidal wedand?•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. 19.Are there any covenants and restrictions with respect to this property?* YES NO ✓ •IF YES,PROVIDE A COPY. - - CONNIE D.BUNCH Notary PubHo,State of New York STATE OF NEW YORK) No.01BUS185050 Ss: Qualified In Suffolk County COUNTY of ) COMMI8810n Expires April 14,2Qj,Z MAQAN A RE 4 N OS being duly swom,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)Heisthe cr CO2POIL.ATS Ot=FICQfL — Pd9SI0ENT—LAQaAN VII.I..A 9L81TAV2ANT INL (Contractor,Agent,Corporate Officer,etc.) of said owner or owners,and is duly authorized to perform or have perforated the said work and to make and file this application; that all statements contained in this application are ime 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- Sworn herewith.S m to before me this day of �' 20� � v`' -0 �,� O Notary Public Sigostore of Applicant • ( ( I �S•Du Gtt o'1o8u colt ALI.- ---- _ CONNECT InN O[:TgILS� EL 70.A I rOp of SLATS YI STIN C i CLOSE \ - Fo.VND 4TION EXISTINQ Ta Ca4AsA TIT Doo2WAy Lu6.4' P'to PO r.P_IS ZSf Fiuvsa TRAP STAPF o.J L� Lo qlu HAN 0IcA PIPED CEQ) O EXISTINf, 14 W - SHLQ.SeAHE TptlrFT \ HEATEQ TOIL4T VSE ON L�(� 1 CAeLt 4 �- sc.-vlca NEW SELF -GLOSIu4 stN�LE - W- cIOGILs V � dE•VERAG ES SWIN<,IN` CoVwrE 1�6nt sH INsu�wcwN ow�INSIdE� 1 MOVE EXI STIN CS, 2 31- Do%R% '- -- rn (RBFewri4AT�IL W�LIc_lu \ TOILET ve J uws wrft �&ae e.se� Co�p IZooln I I io d 5 (OvBi eN YD e ,I 5$4641 'SNAKES DTIV 2A . G.7 CN wABELS �— •Co GF'EL°. K PRE _ SIN _P. EXI STIN r I «CwNIN . P S of i tis ll� — * m D Da (D c }kI �LQViPTi'fl Di51NINQ 0.MIV Iefi � — CI.I6MIG4L5 y m – BPwcD l I yo•o.D PesP m — m E WITH m F1C t 1 E N � --^►-. Fn.E E+cTIN usµ m E s•�s P2cssio nl I I' HW kEAmm S 2AS * o ''c 9 sy snarl. % �; Tkn.Efi ComopgTMtNr . 3 m co 4 RANge STo�E ' I CSTead ov L"2) S'v• SVA-ASM STAFF ONI F ANDICA CPEI? TOILC- T C L C y \ p w o v - ' IUTEL151L STOM1ACE G1+A0.Df -kw $ m ' /I, W Cl- d_j � •rmm Yl `� C 1�klANGtN�� .. s Z E? 2 w GpAH Rps1O DEEP ' FOGA rREp oon 6�sr. oN AIR. INLtT (lo taep no , �rna J 1 To f4Q P of f p Y6,l X02! In v m M m CC.RGA6v, AP TRs L cn f « « a STEAM L F- c TAIL LIE 8 �9 FOOD PR£'v Lo 80.� FR6E2612. Rer-s-I 4 r o `o m 'J ...y �.. _.. �. _. -ATo¢. ( TAiLfi Coc L.E Y -" R, I 2 m m -o .0 L-p GA T S^f P" D n u, o O m d O U LSG EwG cowls I V4C"T.L �oVQ2, IIIIIND WAS1i1� S SIdIL SID SI'1 qSH CIV A0.D5 O F U O ' '^5 d' m k SIwG C Z IZ } D N m « c m EKISTIraCI WgL,L•5 � MASON (ty� U cD o o mn Z �T �' Ul U O m m m w . . .�J NBW P'A tlT ITI ON W ALLg _ fu p¢AIN1CVq° �aR Fool SLoP�' y0Z o Z d ' E w � m m Q o `o m b OQ > I- aai m3° N to-0 .2Dm SGAL E 1+4 - I�41Y� ' S 10 ft-- O O 0) "1= c N m m Lu VQ E w cm # Z v c o 2 m o m ami � W � m d L m E v, mo, NoT-E 5 : (r C7 x LO c a d u9 Z p C, 4 m � ;D co 0 SEE Dwa W M p O m c y C � s o4Zgi1 0az41� oT � r mnmo � '`-' A ND I'I E q LTU td Q W H P2VVtSloN q(.., AOPQAVgt_ DCTAII;S PENpIN # Y � � S Flr, F1L 1.J SPECTION rM ar _2 N y e D d K c NOTES: SCTM#1000-114-11-12 Water service:Connected to Suffolk County Water Authority Existing sewage system:Approved through C10-09-0005 Vanessa Reid I0=09 1 Codes of practice:State of New York,Suffolk County Health Dept,Southold Town I Zoning: Hamlet business district single service restaurant permitted b ) Building Height:All buildings on site are single story 4 5 1 1 Metes and bounds: THIS SITE PLAN WAS PREPARED WITH INFORMATION TAKEN FROM A SURVEY MADE BY RODERICK VAN TYLE LAND SURVEYOR,GREENPORT NY,DATED FEBUARARY 10,1992;AMENDED MARCH 24,1992;APRIL 3, 1 2 y7 D 1992&MAY S,1992;IN ADDITION TO OBSERVATION BY G.A.STRANG ARCHITECT BEFORE OCTOBER 23, t0 Q 2009 AND PERSONAL OBSERVATION �IdF l y, Septic system. M ? 1141TS t L pal f UsesSee drawing#042411 Rev 0 M 4 la I.t ua (by area in sq ft): Existing Proposed K Q Building iH - Antiqueldry store 1293 429 71$ 16 single service restaurant - 854 N Fitness studio(no showers) 863 853 a c _ - Building#2 Z G L A.W N Office(non medical) 650 491 F a Storagefindustriai 332 491 IL w 3 Total: 3138 3138 •VRVPAN(: Hydro geologic Zone IV .t TRA$H FENCE Lot area 0.455 acres Finish grade at building 20.20 P, J Flood Zone:Premises located 1000ft from nearest designated Flood Zone x c,)j Wetlands:None within 30011 of premises Site topography,flat<1:100 i q 2� 26 Z Borehole data:0-10in dark brown loam.10in-3ft brown sandy loam 22 Z3 3 y 311-15.1ft fine 1coase sand,15.1ft-17ft water in sand y jug a 1*I 2A 2 l Runoff coefficient 0.2375(20%Buildings/hardtop @ 0.8+75%Sandy/loam @ 0.10+5%lawn @ 0.05) NPeak rainfall Intensity 21n per 24hours .Peak discharie Per day 777cu ftlday Parking spot allocation: Use sq ft sq f liot lots Dry store 429 250 2 I % Ol I ri r N Pe R. To w N C_0 na A1t.T Y,%J 111 Single seWce restaurant 864 100 9 pA1LK1�+G S PoT S •. 1 9 Fitness stWio A AR.D-'r e'F Commercial Office 49 0 5 1 1000 Workshop 491 200 2 Total 27 Scpt .S : In = 33 fi o ZS se Tg loo ft Title: Parking general arrangement Client: Marina E. Recinos Location: 13000 Main Road, Mattituck, NY DWG#0431 It Rev# D Date 4134 111 Notes (-tet I ri,,,,. I 1 , g�I tl'. 3 oftIy . Robert O Barratt PE, 4295 Vanston Rd, Cutchogue NY 11935 Tel 631 875 0275, robe rtbarratt(apoptonline.net These plans are an instrument of the service and are the property of the design professional whose seal is affixed hereto. Infringements will be prosecuted to the fullest extent of the law. Contractor shall verify all field conditions and dimensions and be solely responsible for field fit The design professional assumes no liability for omissions due to unknown or unforeseen field conditions and or additions based upon comments not formally acknowledged as revisions to these plans. `� IiY Sole�n 25 yaln ft i t t a Pa[-wr.NvtP f wsNrNYe Veall yp 45R J PKWc YVaNr Yrk F•YEIa. { , Ls1sT 1NS w WGI.�S YleJll.et 11 aKlae.PVdtMra a]"-\a j DRn1W41iLn-ti •` t I 4c ta}n N t NIK.wI ` \ . M4.•nb:COM(YOb SY11oIkCwn1(WOIYtlsyy /a D V ' MVtl�r'r...Mr]nNlrbu.J r.Yvabn Mnnaiaew.ma✓mn.. a\ i « O ' - �•e••rt•mrr:NPr+E�ee.wrPn GlsaRNes v.run.;ytKme \ i = ! 4 S^'r14 M.`eM(�esMrMmlcn�.YrYb w.br�i0rnl eipl.SaOW iwn ✓ ` 4•t.n �ar4 Y.lY1GNb.J1.P en Yr m.Yrpl.pu,i P•e•1vs \ - ✓ � � eG`� t - Etlrtq »_._... wawn eeJ XrJ p NtlKnti u t••rn w. w r ] u .14 M i Y • Ei l.(v \\ nlbrr.erelo lN.Nwra1 w w wa ati - 1N aln K + J Y ;• \\ ' trrnNW4 Yt elK b Ern*1.14 2 '�•' ` kw t,3 m ul am u cess P.•s- �2A'a ]la w nr "3 � \ c•� r li(4 \ I , = rsm�il Y.sr ei•blKWb asaYl 1isOpY / \ � 11 l{.(r = • MbWtitl w/Mr? MIlN.1Nl ne�� ' n•on s*•wctr rs.ml we.r \ s• Y•W 6T�•rwY Ra tN tIDOW F+nTl.rc � Esrcrrrc Sf TC � Te u•,. r,epnW v.•.D+r ws4 1500 tW. C1SSrel.O rI $ 0 TEit "oiE-ree[ � / �V°� •KNh A 1 � � is u.••..ac) �rE'•e�(•PveYY Ri],t31 tni Nn �'rO•Mlc q.l.n Y CunrwKN M .]. ' cto.naRrcttataots v YI i w W E+rerrP f+s.rXrKYq .ltn U A � \ t•r 1 4/D —� tIIS eavE N �O uwlaorlvrnerp zs�txzn 3 a 1. Y ♦ � �YTJ tt� , 1100 16]e M1IE.ITin9 E�. • las' � L.�rr• oil oti V✓ Ter .. lua � ....rwmw.a oct». ' YaN _- ICIICIrNI Nlllai nt��rK�w'• 1� IW✓e Taw• Y EvrsT Jr14 4•>lY EL• ip yp..c l•.,a� v5 S.T. •aa .vC Yl/ t cL 1`.Ti• so., V,.Yyc seri'/ o 6 nra I saeb aaK.w f ,w vsYll _r yYrarr.. IT Kin yl MNN 3 -.. KM LOCATION IIwP P2EMISES S PwOYaE�u{cuaEt tNlEwae TN{► �.^_ .,9UN0 PVE. .DWT` trNy vy, - - ��1 .<,/..✓ lrfT 1 M' MNRrIMrsNYbw1®KRY tipYNO1TN®IFIEpK rsNNyET lyeE i` .r 1 fs'NOYNOCR VNITYIltFa9 EU11VErRR Glmfbsf NT.IYIm IBIK11Ny to I HSW Ili 1st{/INOI®YMCYILtNi wPILL],Hei{MV 4sNY,NYi11K11 TO ' - -I SEIa1=0.K tl On9EVwTO1n 4.anllwK NlCIfIECIe6011E OLTDIH[IIS•MN I ��.�. – — PgltprnLetltlirwTlON ._ ... I I tNJSt 041411 4avM O DhTE 6I 1C It1 �r/�__ -�� ,�L - - I RYbW OBWTW PE tY{a YXYl let...NAack MY Fu+ wa...TTw[ E6Kwr {2D6 YNlYewN CWtlrrYn ERtdllw-TrrawfYr kara Dela an P• (o "4h OteATyV.MiiNM Owls Ia'llI A Jap. k K d1Yra 1tsY at.l.l !tl'w vYf a.d. fkbE„m{i>'•1 EOKf•eq,NY ttIl1 4EV�) P n llt)111 a2 DEn w '.. 1 ...._..n-�.w.wnFr,v� Dwr MMWeME N•ss1YNa•ICiAyerY Rs"S-• _ - , �r..o... De',• Com.......�. - I! n.rw...orwrr.rrr.�r..r Yw.vrr rr.r.,�,r....r rYrrr rr rw'wr�rr�Errnr r.rri.rrr r�.�ri K W ri.r r�."�r r.rI.r�Y 4 W 1Y••.I.. ',eYa rnnrtr r.r.��ri•�r.✓•rle�r�r..r.rYi�rr�w� r � / OFOR INTERNAL USE ONLY •SITE PLAN USED TERMINAII.ON Initial Determination Dater/ Date Sent: 8 fes! Project Name: -P. Ja 3 �^� 0, I / , L L-C� Project Address: Suffolk County Tax Map No.:1000-1C 4 - /�- P Zoning Districf:� Request• (Note: Copy of Building Permit Application and supporting documenta proposed use or uses should be submitted.) Initial Determination as to whether use is permitted:yP noir, 1 2 2011 Initial Deteriinstion as to whether site plan is required: / Signature of Building Inspector Planning Department(P.D.) Referral: P.D. Date Received: 8 11 Date of Comment g ! L! .� 1 Comments: cr4\\1e.6 ion a r n fears G � 1• Signature of Planning ept. Staff Reviewer Final Determination Date: ! Decision: Rinnahira of Ruildina Insnectnr PA4fi S o{ Z: TOWN OF SOUTHOLD BUILDING PERM PLICATION CHECKLIST BUH DING DEPARTMENT Do you have the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plain TEL:(631)765-1502 Planning Board approval FAX:(631)765-9502 Survey SouthoWTowo.NorthFork.aet PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined 20 Storm-Water Assessment Form_ Contact: Approves 20L_ Mailto: �• O. BAn.-2.Pr-rr Disapproved a/c Phone: 631 - -734— a—j3O Building Inspector AUG 4 2011 CATION FOR BUILDING PERMIT Date 20 BLDG.DEPT. INSTRUCTIONS IL l"64 ly filled in by typewriter or in ink and submitted to the Budding Inspector with 4 sets of plans,accurate plot plan to scale.Fee according to schedule. b.Plot plan showing location of lot nod of buildings on premises,relationship to adjoining premises or public streets or areas,and waterways. C.The work covered by this application may not be commenced before issuance of Building Permit. d.Upon approval of this application.the Budding Inspector will issue a Building Permit to the applicant.Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in part for my purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f Every bunting permit shaft expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 19 months from such date.If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months.Thereafter,a new permit shall be required. APPLICATION IS HEREBY MADE to the Budding Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold,Suffolk County,New York,and other applicable Laws,Ordinances or Regulations,for the construction ofbudd'ugM additions,or alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code,housing code,and regulations,and to admit authorized inspectors on premises ander building for necessary inspections. MARJWA 9GC/N0S-Ak4fr0eu.X, LA 40-AN Vi"A KESTAVa.RNr 1N4 (Signature of applicam or name,if a corporation) 3106 r-"*Jr ST. 426eNP0aT Ny liCkli (. (Mailing address of applicant) State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder Le ssatS Name of owner of premises PF-TER- S TAC-CROGS — 13000 MAtN "4- (As on the tax roll or latest deed) If applicant is a corporation,signahce of duly authorized officer MA94PJA R6CIN05 — P&651D6N1* - 4.A er2ArJ VI"A RVSTAVtkArVr 1N0 (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which pproroposed work will be done: 1'6000 MArN fLogt� MgTTuT%lGIG NY I I q-1I House Number Street Hamlet County Tax Map No. 1000 Section l I V Block it Lot 17- Subdivision Z.Subdivision Filed Map No. Lot • • PA4E Z e+ 2 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy MEET)N C MOO M b. Intended use and occupancy COMMEe,C14L ,S)NQLS, Vartvied I(aSsAr USTAUPAt4 — 3. Nature of work(check which applicable):New Building Addition Alteration ✓�IN 5-r4uL. Kt MIM, Repair Removal Demolition Other Work 4. Estimated Cost * so , O C O Fee (Description) (To be paid on filing this application) 5. If dwelling,number of dwelling units Number of dwelling units on each floor If garage, number of cars 33% XAf TAv2 A- r 6. If business,commercial or mixed occupancy,specify nacre and extent of each type of use. N%0/e Och s Qvwrzica t r 3 0 1N Ou \AL 7. Dimensions of existing structures,if any:Front 2- S Rear 2 S Depth i Z O r Height 20 Number of Stories D N(r* Dimensions of same structure with alterations or additions: Front 'L's r Rear 25 f Depth I Z0, Height ZO Number of Stories Ont S 8. Dimensions of entire new construction:Front -45, Rear 2S1 Depth 1(0 1 Height Zo' Number of Stories o w 6 9. Size of lot:Front 13 1 Rear 135 1 Depth ISO ' 10.Date of Purchase t! 7.00 Name of Former Owner p6TEIL A. SAC(oV$5 c} q1 11.Zone or use district in which premises are situated fi A M LET 12.Does proposed construction violate any zoning law,ordinance or regulation?YES_NO ✓ 13.Will lot be re-graded?YES_NO✓ Will excess fill be rtmove8 from premises?YES_NO %I1 $S MA#" (44%oiteW P-P . SOVT/tO'.O,NY11", 14.Names of Owner of premises P,7.VAfQV E S Address Phone No. '16V— 1031 Name of Architect Address Phone No Name of Contractor N A M C 04 toN fwe.t' , 4 aL101 MAhLtAddress DAV er 1.4T IL)I— Sone 4- .`t 7— 440 15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?*YES NO ✓ *IF YES,SOUT 4OLD TOWN TRUSTEES&D.B.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 linea 17.If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. 18.Are there any covenants and restrictions with respect to this property?*YES_NO ✓ *IF YES,PROVIDE A COPY. CONNIE D. BUNCH STATE OF NEW YORK) Notary Publlo,State of New York SS: No.0189Q186060 COUNTY OF 1 OuaMW In Suffolk County Commiselon Expires April 14, (Name �Qf A R6 U N 09 dL (Name of individual signing contract))above named,being duly sworn,deposes and says that(scare is the applicant 40 (S)Heisthe "COVPOILATIS ovinica(L — Pa.EatcLrNT-LAGRANylwA RES-rAvrtAA1T INC. (Contractor,Agent,Corporate Officer,etc.) of said owner or owners,and is duty authorized to Perform or have performed the said work and to make and file this application; that all statements contained in this application are nue 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. S to fore me this day of 20 t. l O Notary Public Signature of Applicant 'j Town of Southold i V I Erosion,.Sedimentation & Storm-1lYater Run-off ASSESSMENT FORM E0, PROPERTY LOCATION: s.C.TAn.4: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A STORM- TER,GRADING,BRA NAGE Ann EROSION- NTROL PLAN -5ja n -65@F- Ta CERTIFIED BY A DESIGN FKUFESSIONAL IN THE STATE OF NEW YORK SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORE ASSESSMENT Yes No a. What is the Total Area of the Project Parcels?Parcels located Within I WIN — — the Scope of Work for(Include Total Area of�Proposed C on) 4 ILS hr. Generated a TWO i(2')Inch Rnfa0 on Ste?s.1hern wil incidde all runoff created by site Is. What is it*Total Area of Land Clearing -rte) Wiring and/or construction sellw as as we"as all and/or Ground Disturbance for the proposed Site Improvements and the El censbuction MR/_ impervious surfaces.) Pmt t>< PROVIDE BRIEF PROJECT DFSCRIP'FION Fnn6kAd:NsW P,xs„Nssbde 2 Does the Site Plan and/or Survey Show M Proposed .I Drainage Structures Indicating She&Location?This Item shag include all Proposed Grade Changes and • CoNya-R.T gXISTINC; A%1C-TIC N Q 00A SIoP"Controlling Surface Water Flow. 9 Does the Site Plan a""Survey describe the erosion j INTO 11n ge13 PrT SIW1 16.6 SUVA ICFs and sediment contra practices that will be used to contra Site erosion and storm water discharges. This RBST A�I1ZAw T' . item must be maintained throughout the Entire Construction Period. e NO C 1+ANQFIS 6XC.Ir P t 14DC 1 N yn 4 Will tins Project Require any Land Fitting.Grading or Excavation where them Is a change to die Natural Q ILeArs L TlLAQ A RA Existing Grade Involving more than 200 Cubic Yards ( of Material within any Parcel? • S%T1. IS 6t.PrT RT 20 FIIv, 4ttAOt 5 Will this Application Require Land Disturbing Activities • WO F LAO D 2.0 Nr-S Encompassing an Area In Excess a FIZZ= F-1 ✓ (5,000 S.F.)Square Feet a Ground Surface? 6 Is there a Natural Water Course Running through the Site? Is this Project witldrrlhe Trustees iurisdmUon ✓� - General DEC SWPPP Rs laments or within One Hundred(10(r)feet of a Welland or Subn6skn of a SWPPP Is required for as construction adMtks Invoift sd Beach? aIs Pon fit s ar ora(1)or more saes xhdumrq ly dlstancw orac e s ens flee mat .7 Will there be Site preparation on Existing Grade Slopes kx pad as larger cannon pion mat vd of dicey ances one or more aces s tuna; which Exceed Fifteen(15)feet of Vertical Rise to the DEC hansWdrined gion ot kwohtngsddis mgtdmosor dorless m aterdichrg�whee One Hundred 1 ms DEC hos detanraead tlat a SPDEs perrrst Is requkea car startnwelerat9dmrgea ( w7 Of Horhorhtal Distance? .(SWPPPL Shah meet the aMnbnum Requirements of to SPDES General Pemrit 8 Wig Driveways,Parking Areas or other Impervious for alone Water Discharges from Constmction activity-Permit No.GP440-001.) Surfaces be Sloped to Direct Samna-Water RurkW 1.The SWPPP 91104 be prepared Prior to the a6mitial of the NOL The idol sham be Into and/or in the direction cif a Town submitted tithe Deponent Wbr to me comehencemeraof oahsbucam activity. right W-way? El 2 TMaWPPP shell describe the erosion and sediment coned practices and whom 8 Witt this Prefect Rourke the Placement of Material, p st wareduce it*pollutants ter t pradws tlhatrAbe used anular Removal of Vegetation.andn a/or fin Constructioany constructestorm water'madsand b"•1e Item Within the TownRlghtof-WayorRoadShoulder IderegarxswM thetemsand oond0bos amts oticnen2be exp,ctesNTPPshd Area?pN,amwn-Nmhmsmsse,imWbn a,whsey APremj Mrl7r�pbmtlal9crxrmsapoMsn which may reasorady be ehghedm balled the '.. geallyd0lamwderdiedmrges. . NOTE: NAnyAnswerbquastigmoe.though M"[*& mdwMaC aMuk &N SWPPPs that mgir06 the poslcomimetbrh stormweler ma mgement pause In a Box end the Metuchen she disturbance Is between 3,000 SF.A I Am in any consonant shell be prepared by Pmfited Design professional Licensed In New York W Sc* -Waise-Grading,des a Erosip Camoi Plan Is RpuiM by tlpTo,un of that Isknowledge"nIts,principles and Practices of asset Water klaraga ars, Soudbok!and Mug gbe Windfied For Review Prior to Issuance*(AnyBuilding PwmiLcrl STATE OF NEW YORK Notary COUNT Y OF No.018UGI OWS0 .........SS QualHled In t3tthoNc Cot n+•] � Commission E)tpires Agri' 2 n/)— . That I,.............» a -------being drily sworn,deposes and sol that he/she is the t, Ys applicant for Perna And that he/she is the .....................................». »(owar. ) ....»..........»....»..:..».».................................................................. ConkacM,Agent.CoNafta Officer e0a Owner and/or representative of the 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 we to the best of his knowledge and belief;and that the work will be performed in the manner set forth in the application filed.herewith. I Swom to before Impee this; _..... L .............day of..... _ .........,2Q.�.� Notary Public.. .... Y.l. . � .... ..f r� FORM - 06/10 �- ' PC *FOR INTERNAL USE ONLY • - SITE PLAN USE DETERMINATION Initial Determination / Date:/ Project Name: �a 3 0 o O M `f 4-, L L-f Project Address: P'Q Suffolk County Tax Map No.:1000-ct � _- /�- i Zoning District: Request• (Note: Copy of Building Permit Application and supporting documentatiena5 to proposed use or uses should be submitted.) ``�� Initial Determination as to whether use is permitted:7PC ��le 1 2 2011 Initial Determination as to whether site plan is required: S gnature of Budding Inspector Planning Department (P.D.) Referral: P.D. Date Received: / / Date of comment-----j---/— Comments: omment: / /Comments: Signature of Planning Dept. Staff Reviewer Final Determination Decision: Rinnahvw of Ruiidino Insnectnr FADE 1 a4 7- TOWN TOWN OF SOUTHOLD , BUILDING PERN&LICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL:(631)7651802 Planning Board appmval FAX:(631)7659502 Survey SoatholdTowo.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.EC. Trustees Flood Permit Examined 20 Storm-Water Assessment Form Contact: Approved 20_ Mail to: R. o. 6A4-n-pt—rr Disapproved a/c prone: Ealtuatirm D EC E � � � Building Inspector AUG d 201 CATION FOR BUILDING PERMTT Date 20 _ INSTRUCTIONS ELDG. DEPT. a IWAWWWW be mWI y fulled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans,accurate plot plan to scale.Fee according to schedule. b.Plot plan showing location of IM and of buildings on premises,relationship to adjoining premises or public steels or areas,and waterways. c.The work covered by this application may not be commenced before issuance of Budding Permit. d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant.Such a permit shall be kept on the premises available for inspection throughout the work e.No budding shall be occupied or used in whole or in part for any propose what so ever until the Budding Inspector issues a Certificate of Occupancy. f.Every budding permit shall expire if the work authorized has not commenced within 12 months after the date of issuance m has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months.Thereafter,a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold,Suffolk County,New York,and other applicable Laws,Ordinances or Regulations,for the construction of buildings,additions,or alterations or for removal or demolition as herein described The applicant agrees to comply with all applicable laws,ordinances,building code,housing code,and regulations,and to admit authorized inspectors on premises and in building for necessary inspections. Mgls,IuA R6G/NOS-Oicsslp{°Y.1� LA 40-4N Vlt_t.A KEST40L4"T INa (Signature of applicant or name,if a corporation) 3106, Ft2.0Nr ST, 626ENPo1LT Ny 104.#4 (Mailing address of applicant) State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or budder - Lta SS66 Name of owner of premises PETER. T. 74CI:RV65 — 13000 MAIN LLC- (As on the tax roll or latest deed) If applicant is a corporation,signature of duly authorized officer MA24WA REC.Imos — P&6%#06wr - LA 4110N Vlcw_A RESTAURANT /NG (Name and tide of corporate officer) Builders License No. Plumbers License No. Electricians License No. Othtx Trade's License No. 1. Location of land on which proposed work will be done: 1'3000 MAIN 2ogpr MgTTIT�JCK I NY II 9-11 House Number Street Hamlet County Tax Map No. 1000 Section 114 Block it Lot 12. Subdivision Filed Map No. Lot . PAGE Z e� 2 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy M F-ET IN C P-00 M b. Intended use and occupancy DMMCZe1gk. ,SINQLC V VIG.@' Ilp S$AT RESTAVRANT- 3. Nature of work(check which applicable):New Building; Addition Alteration ✓��1N STAl.b Ki lr" ► Repair Removal Demolition Other Work 4. Estimated Cost $D � 0,0 O Fee (Description) 5. If dwelling,number of dwell' (To be paid on filing this application) dwelling units Number of dwelling units on each floor If garage, number of cars 3el. mas.rwvaw«r 6. If business,commercial or mixed occupancy,specify nature and extent of each type of use. N1016 DOc S Ont=R1 c E t 3 o IN W 1AL 7. Dimensions of existing structures,if any:Front Z 5 Rear Z S Dept MO O 1 Height 201 Number of Stories ON fr Dimensions of same structure with alterations or additions: Front '�-S 1 Rear Z5 f Depth 1 ZO 1 Height 7.0 Number of StoriesO N& 8. Dimensions of entire new construction:Front %-51 Rear Zsr Depth 1 (0 1 Height 20' Number of Stories 0 Ao E 9. Size of lot:Front—j-3 3 t Rear 06S t Depth 50 1 10.Date of Purchase B t Q 100 Name of Former Owner PCs-rE 2. A. SAC m V es ek Al 11.Zone or use district in which premises are situated h A M L.ET 12.Docs proposed construction violate any zoning law,ordinance or regulation?YES_NO ✓ 13.Will lot be re-graded?YES_NO✓ Will excess fill be removed from premises?YES_NO ✓ 11145 MArw1 GWIVIew R0 , SOurNoa.D,NY11911 14.Names of Owner of premises P.7.3(4GQVC S Address Phone No. '1 toS— 1031 Name of Architect Address Phone No Name of Contractor Address Phone No. NANL OC coriv r-r , M E.101 MAM1NA'i OAV4 MT ism)— 15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?"YES NO ✓ `IF YES,SOUTHOLD TOWN TRUSTEES&D.E.C.PERMITS MAY BE 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. 18.Are there any covenants and restrictions with respect to this property?*YES_NO U/`IF YES,PROVIDE A COPY. CONNIE D. BUNCH STATE OF NEW YORK) Notary Public,State of New York SS: Qual#W In OiBSuffolk sisliCo my COUNTY OF 1 Commission Expires April 14,2Qf� MASUN A Ro ciN O! being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, e (S)Heisthe 1r COP000.AT6 0erFICC2 - PQ9Sl0CNT-LAGQAN VIN.A 9."-r AVQAAIT INC, (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 S m to fore ga o thrs Notary Public I Signature of Applicant i d� � Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.CJAL a: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A ' >� STORM-WATER-GRADIN%DRAINAGE AND EROSION CONTROL PLAN -6&MCT ?:cam -8 of c� CERTIFIED BY A-DESIGN PROFEsSIQNAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORKASSESSMENT Yes No a. What is the Total Ates of the Project Parcels? I WIti this Project Refatn An Stam-Water Rttn-Olf the Sooude Total Area o all Paceboated wnhIn o-4%% Aer Generated by a Two(21 Inch Pak"on site? the scope M Work A far of Landproposed Construction) (S.R f Aass) (This.hem will Include all run-off created by sib It. what re the Ground Disturbance all Land Cluing clearing andlor coshuct on ectlyloes as wen as an artyor Grourd Dlahabaitce for the proposed Site improvements and the permanent creation of consbuttiron aC"vL)R _ ( .rAaes) impervious surfaces.) i 2 Does the Site Plan and/or survey,show An Proposed )'ROVIDE BRIEF PROJECT DESCRD'1'ION (yreadeAddlmY Prase a Nreded) - Drainage Sbuchm Indicating Size$Location?This V El Item shah Include an Proposed Grade Charges and ` CO W NISILT 15X1STI NCs A V C.T It O N RA O tK Slopes Controlling Surface Water Flow. $ Does the Site Plan and/or Survey,describe the erosion INTO t(o SPE t4T SI WCi lfj SlsTL y tCFJ and sediment contra practices that will be used to control sae erosion and storm Water discharges. This IZeST Into{LAN T . item must be maintained throughout the Entire Construction Period. • NO CIiRNCeTb EXC.tsPT 14pCI1`4 Q Will this Project Require any Lard Filling,Grading or Ct t1.,tSpkri L T2.t4p A P 6 P(,yk W pCr j1 Excavation where there is a change to the Natural F-1 V/ _ Existing Grade Involving more than 200 Cubic Yards l of Material within my Parcel? S ITt 15 F 1.AT AT 20 FIN . 6 MDI 5 Will this Application Require Land Disturbing Activities • "o r-wozo ?A NG S Encompassing an Area in Excess of Five Thousand F-1 ✓ (5,000 S.F.)Square Feet of Ground Surface? (j Is there a Natural Water Course Running through the !. Site? Is this Project within the Trustees jurisdiction ❑ ✓- General DEC SWPPP Requirements: or within One Hundred(10(')feet of a Wetland or Submission of a SWPPP Is required for an Construction actlAm,Nvoi ft sag Beach? i dbNrbencas of one(i)or nxaa saes; Including a'alurbarlces of lase than sure sae that 7 Will there be Site preparation on Existing Grade Slopes ' am Pert of a lager common plan that will ultimately disturb one or mora aces of land; i IrnaxlfrS Construction activities IrwoMN son disturbances a less than we(t)aces wham which Exceed Fifteen(15)feet of Vertical Rise to ❑ ✓ the DEC fres determined that a SPDES Permit is required for storm water discharges. one Hundred(10(y)of Horizontal Distance? i (SWPPP's Shalt meet the Nunknum Requirements of the SPDES Genesi Permit jj Will Driveways,Parking Areas or Other Impervious for Storm Water Discharges from Constnreton activity-Pemdt Na GP-040.001.) Surfaces be Sloped to Direct Sbmrwater Run-off F-11.The SWPPP snap be prepared Prior to the submittal of the NOI.The Not Sian M ( submitted to On Department a reprior to the carerrencerrleM construction activity. Into and/or in the direction alt Town righ-0f-way? 2.The SWPPP shelf deaabe ore erosion and seliment case practicoaand where 9 Will this Project Require the Placement of Material, requirecL posturre4uctlm alone water management Prectloea that will be used and/or Removal of V A constructed to reduce tla pokulonts lo slam water dbdwges and to assure Wa or Road h u arty a _ CarrpMnce with the temp and cwWWm a rob pwmL In ad&'M th sWPPP shat Item Within the Town Right-of-Way or Road Shoulder bentlryfohalei sources a POMtor,which may reasonably be Wooded lo area the � Mea?Doh now easiorkekxh esu eassam omhe Awenaj quaNyofatamwaterdedwrges. NOTE: NAnyAnswsrto Qu*WwOOdallxough Nine IsAnaww dwehaCMckarh 3.M SWPPPs tat require ire poaconstrudlau sMmwarermerwgerrmaR"eke Is a Box and On consba:ton age diadabarrce to bebmen 5,000-SF.A 1 Ase N arta, convonem stat be prepared by a rslaaled Design Professional tioemul In New York a Seom.waar,aha tlo%Makable i Erosion Control Par Is Required by the Town of am Is knowledge"In the Principles aM Practical of Storm Water Management Souulhokl and Mrat be sub isad for Review Prior to Issuance of Any Building Perms. gtaTe ACtrea Mak(./)wOwAmser aCauphh Aypfwaor) STATE OF NEW YORKGG o No.08U6186050 COUNTY OFs �4�.........SS rLIUM1ti Ouellfied In Std(clk Cotes;r ComrttNWW Eltpires Pprir /�— That I................ .......being drily sworn,deposes and says that he/she is the applicant for Permi (Name aklrirwad sigNng DoameM) 4 And that he/she is the .............................................». (omrer,Cmincta,Ages,Canparetni ONcer,Mc) . Owner and/or representative of the 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 fled herewith. Swore to before�mQee this; .............._.....4 /�...........�.....day of..... ..: ......... ,201.1 Notary Public: ......... t^ P...... - (Signature d Apppoa) .----�� FORM - 06/10 TOWN OF SOUTHOLD PROPERTY RECORD CARD DWNER STREET )`,;,;' VILLAGE DIST. SUB LOT R ,�R' Fp W S R N E Y'y � e ACR. y SO � 6' Ll U+PO S - 44-, TYP OF BUILDING I C ` .S. SEAS. VL. FARM OMfjA CB. MISC. Mkt. Value LAND IMP. TOTAL DATE ✓✓ARKS +in vi BRs r? l �^ G 0 �f y o SBI � /f 00 'u � 3CJU 72-60 VEW NORMAL BELOW ABOVE =AAcre Value Per Value RM Acre 3 7 Q-I �� '� 7- iso{+ �etGgU2s -fors,-/D5 00z illable ► a8 93 -�3P a 1a-ol ,�Or �ayor Ovy -FC �2z illable 2 g q/ - L I Wool LZc.- n�c, liable 3 _ # 35 Yb S • 'oodland vamplond FRONTAGE ON WATER -ushland FRONTAGE ON ROAD it ouse Plot DEPTH �--.. BULKHEAD it 7a 3tal DOCK a a r Fluill x MEMO 0■ ■■■■■■■■■■■■■■■■■■■ q: Emmons _■■_M_E■■■■■■■■■■■■NNW onmrol In -- - ■-39■Gili■ ■■■ ■■■■■■■11■■■Oi!■�J� �swrs■ ■■■■■■■■■■■�I<■■ �-.- --- NOON■■■ ■■■■■■■■■■■■■■■■Fa.�. NOON■■■ !�■■■■■■■■■■■■■■■��■ ■NONE■■ ��7[ ■■[,�■■■■■■■NEYii►` 11 ■■■■■E■ E ■■�l■■■■■■■■■�■■hen • ode ,l � _� • • 617.20 • "- Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only SEP - 8 2011 PART 1 -PROJECT INFORMATION To be completed by ADDlicant or Project Sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME - -- --- 13000 MAlf.l 4,.LL (P6TE1LJ'ACtRVE4) 13�0o Mglwl LL.C_ 3. PROJECT LOCATION: l3ODO MAf" RR Municipality MATT 1 T uG 1` County Su F P-0 L-1- 4. PRECISE LOCATION(Street address and road intersections,prominent landmarks,etc.,or provide map) 13 ooO MAIN 12C , M ATT t TQ C-V N -( I -JOE) FT EPrL'r o f LJO V B LAN E 5. PROPOSED ACTION IS: ❑ New ❑ Expansion ®Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: TWo of 'THE TENa+arc " Ave cN^r4ctws FITNESS VrvClo 14 hiew bacTOCS oRF1CS ANTICDVF- Sr&o.E wt(.rL, 16M t6 SEP,T SrWAL-9 Si4tVit-d &IESTAVVAANT 7. AMOUNT OF LAND AFFECTED: Initially O.45S acres Ultimately O.1{Sir acres B. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? 0 Yes ❑ No If No,describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? Residential ❑ Industrial E Commercial ElAgriculture 11 Park/Foresl/Open Space ❑ Other Describe: TI.18 L.0GAT100 IC In7 Tt4 Ca CBNTd1L oC MATrt TJ CIC ,-Zar4et) 11MMl ET (yV(1 CSSI C,IWEN ovcrL To Sk+QPS RdSTAuRANTS oF�Laai , r 10. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING,NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL,STATE OR LOCAL)? Yes © No If Yes,list agency(s)name and permit/approvals: 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? eYes No If Yes,list agency(s)name and pennitlapprovals: fA*ALTLi D"AgTMS -r SosurcT To FINAL lms P6cSt0N 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? e Yes ❑ No SLT$ FLAN To Se V P—OATEP I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: 'PE-re a- -=-A Q M V£.S Date: 4I- 1 I I Signature: 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 / 3 • PART 11 - IMPACT ASSESSMENT To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617.47 If yes,coordinate the review process and use the FULL EAF. F] Yes [] No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative declaration may be superseded by another involved agency. Yes 1:1 No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,if legible) C1. Existing air quality,surface or groundwater quality or quantity,noise levels,existing traffic pattem,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 officially 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 C1-05? Explain briefly: C7. Other impacts(including changes in use of either quantity or type of energy)? Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA(CEA)? ❑ Yes R No If Yes,explain briefly: E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? Yes No If Yes,explain briefly: PART 111-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 (a)setting (i.e. urban or rural); (b)probability of occurring; (c)duration; (d)irreversibility; (e) geographic scope;and (f)magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question D of Part it was checked yes,the determination of significance mustevaluate the potential impact of the proposed action on the environmental characteristics of the CEA. DCheck this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FUL 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,thatthe proposed action MILL NOT result in any significant adverse environmental impacts AND provide,on attachments as necessary,the reasons supporting this determination Name of Lead Agency Date 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) hof Town of Southold LWRP CONSISTENCY ASSESSMENT FORM• A. MTRECTIONS: :; 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF 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 Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanativns of:each policy c6ntaine8 in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its si.9nificant beneficial and adverse effects upon the coastal arealwhioh includes all of Southold Town). 3. If any question in Section:C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus each answer must be explained in detail listing both supporting and non supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A oopy,of the LaWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net),the Board of Trustees Office,the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION c c^ SCTM# h00 - i t 4 - It I Z PROJECT NAME 13o0 o M A o N t,Lc- The Application has been submitted to (check appropriate response): Town Board F-1PlanningBoard® Building Dept. ❑ Board of Trustees ❑ 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly.by Town agency(e.g. capita] ; construction, planning activity, agency regulation, land transaction) r (b) Financial assistance(e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: C-+1-aNgC os: PArt1 iA t_ USE F ITMEtis STV L,k ANTt(:QVC S1-p 2t " To Fta ,R,$^ (fit- 4r E'D B'��f DocTOf-ts of teE 4 'Swr, L.E 5:e1Zvtct (Ze ;7r-P.u K.-aN T $ Location of action: l30C>a 010,1N " AD i tAPTP1TuGIti Site acreage: 0 . 4 SS Presentlanduse: dlLy 5 —O&C- l`ITNESS C&WTER, ®VPtGleS * STO2a<Q- Present zoning classification: 14,AMt6T &uypoers 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: PETA S Azn'OwjES (b) Mailing address: 1 it S;; M A" N B Ayy 16 W R1D (c) Telephone number: Area Code( ) b3l — -76V— 10 �3 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes No❑ If yes, which state or federal agency? S.C. HtFP-LTH DEPT 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 IT 15 EXPECTED , Ti1+AT i T 4 6 N6W TENANu7S W <<.c- PtLougcD .� ' STF—PtpV BVSiNgss To Twe AV-SA . Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III- Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No ® Not.Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. 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 ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑ 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 mificant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III — Policies; Pages 22 Lnrough 32 for evaluation criteria. ❑ Yes [:] No ® Not Applicable 10 Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes [—] No ® Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. 1:1Yes ❑ 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. ❑ Yes❑ No X Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES / P 0 Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No ' Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No ❑ Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III— Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No® Not Applicable DeyS1.uPTD NQLEA Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable UPARED BY TITLE DATE Amended on 8/1/05 i�- • MAn•INGADDRESS: PLANNING BOARD MEMBERS ��OF SOUTyo p,0.Box 1179 MARTIN H.SIDOR h� �O Southold, NY 11971 Chair OFFICE LOCATION: WILLIAM J.CREMERS G Q Town Hall Annex KENNETH L.EDWARDS '.tom h� 54375 State Route 25 DONALD JES H.RICH C III �y�oUrm, (cor.Main Rd. &Youngs Ave.) Southold,NY Telephone:631765-1938 Fax: 631765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Accounting From: Planning Department Date: October 3, 2011 Re: Deferred Revenue The referenced Site Plan application has been accepted by the Planning Board and the funds may now be processed to the revenue account B2115.10. Thank you. Applicant/Project Name A Type Tax Map # Amount Check Date/No. Revenue Line Authorization Code La Gran Villa a/k/a 13000 Main Rd. Mattituck 114-11-12 250.00 9/6/11 -#174 82115.10 LR • • MAILING ADDRESS: PLANNING BOARD MEMBERS ��r3F so�ryo Southold,ox 1179 11971 MARTIN H.SIDOR ,`O Chair OFFICE LOCATION: WILLIAM J.CREMERS CA is Town Hall Annex KENNETH L.EDWARDS �O 54375 State Route 25 JAMES H.RICH III (cor. Main Rd. &Youngs Ave.) DONALD J.WILCENSKI ycoul l Southold, NY Telephone: 631 765-1938 Fax: 631765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Accounting From: Planning Department Date: September 7, 2011 Re: Payments .2lease deposit the attached check into 8691: Deferred Planning Application Fees. Fee is for an amended site plan application not yet accepted by the Planning Board. Applicant/Project Name & Tax Map Amount Check Date/No. T # 13000 Main Rd. Mattituck 114-11-12 $250 9/6/11 -#174 174 111Hs kIAIN YWSN Rb 831-765-1033 ' �atafisix SOUTHOW Ny 1107,1 �F t, the Order of --- ..Qtd19i5 ®i LR Aft. capital "Bank GP,i N ►:DQ, I c"I:SPD L ?Ci C1Q St.Bu' {� 4 � NOTES: SCTM8 1000-114-11-12 Area:19,857 sq ft(0.455 acres) Water service:Suffolk Courdy Water Authority Existing sewage system:Approved through C10-09-0005 Vanessa Reid 10/23/09 E Z�! Codes of practice:State of New York,Suffolk County Health Dept,Southold Town 1✓1 R 1 N Ro fa D V 5 Zoning:Hamlet business district:single service restaurant permitted Building Height All buildings on site are single story Al.K- SHIT) 1 Metes and bounds: s t D0 VJ r THIS SITE PLAN WAS PREPARED WITH INFORMATION TAKEN FROM A SURVEY MADE BY RODERICK VAN V9 E r S 14N TYLE LAND SURVEYOR,GREENPORT MY,DATED FEBUARARY 1D,1992;AMENDED MARCH 24, 1992;APRIL 3, 13.1 r 1 �*FB CES Z9I i 1982&MAY 5,1992;IN ADDITION TO OBSERVATION BY G.A STRANG ARCHITECT BEFORE OCTOBER 23, _ 2009 AND PERSONAL OBSERVATION D it rL %J sro"l�. �" 'T ,2 s Uses: Existing Proposed gpdfsg If gpd gpd 2 ST ohgE, fp h-•>a!•y >a � �1 2 / rt I Building rll: DI NINE, t ry t3 r°I Antiqua/dry store: 1293 429 0.03 13 - RF STA V RAN T +.- - - _ + Single service restaurant R*oM Z 1 Sanitary flow - 864 0.03 26 - BR kl ' Kitchen flow - 864 0.12 - 104 �'— Doctor's Office: 863 863 0.10 86 - I Building i2: K I 1 c�M E N K,Te."49 Office(non medical) 650 491 0.06 29 - \ 4 (b Storagefhndustrial 332 491 0.03 15 L ! Total: 3138 sq If 3136 sq ft- 169 104 D OCT*4:1 Couswr , 1 2 d Site density analysis(Appaeved by SC health dept see drawing A 042411 Rev 0) Vince. .x N5 1 , 71 2� r Allowable site density(6009pd x 0.45.5) 273 gpd Q °M I r,f 4 Actual site density 169 gpd Y , + Actual total hydraulic flow(169+104) 273 gpd ueay Reqd ST capacity(2 x 273) 646 gags i 5 £ LxA w N n jvj'•' Existing ST capacity 1200 galls 'f• Reqd GT capacity(2 x 1041 208 galls lot (* t I g Proposed grease trap capacity 1500 galls -� e s Z¢ a Existing LP rapacity 400 sq ft 1 9 Required LP capacity(27311.5) 182 sq ft Existing Sg 2DA0 It T L Kitchen line grade El aat t building 18.37 ft OF F%-L rzEA $ 2O s GT Inlet EI 17.22 ft GT outlet EI 16.72 It Fr C4 9 1 1 ST inlet 16.60 ft .Z Flood Zone:Elevation 20 h and is 1000ft from nearest Flood Zone X ID L"PP Site topography,flat a 1:100 L s Wetlands:None lTOA$ w sr sv Tn 1000ft of premises Test borehole data: Ste_ I1 0 1-10in dark brown loam r 10in-aft brown sandy loam I-A'�r3ft-15.1ft fine to coarse sand I y-tl LEGEND (Scale: lin=33ft 4in) 15.1ft-17ft sand in ground water Hydro geologic zone IV _ Runoff coefficient. HfT I Hardtop area (maw) Building and hardtop 20%@ 0.80=0.160 J Sandy loam 68%@ 0.10=0.068 C r NE \l Drywall (Exn sr IN L�) lawn 12%@0.05=0.006 .r\E wY \/ Total 0.234 S�P��� O. BqR t Entry (Elln S-r r w 1) Peak rainfall intensity 2m in 24hm Peak runoff=19,857 x 2112'x 0.234=774 cu It/24hm �y� t Area lighting (Bx l l roj 5) Drywall capacity=800 cu R Parking spot allocation:(Each spot=9ft x 19 ft,Aisle=22ft wide) G Propane tank Cti'x isT xn r,, rr Use sq ft sq fUparking spot No required No Allocated Iii nT Trash (ExtsTr.o1) Dry store 429 200 2.15 2 2� Restaurant 864 - 100 Doctor's office 863 - 8.64 9 08786$ GT Sr2gAS6 TMP BR Bathroom(no shower) (BKxv C,)I tTh � 5 5 Office 491 100 4.97 5 IONP� (N£W) "H/C Handicapped parking spot �Nf.w) Storage 491 1000 1 1 Total 3138 21.7 22 Owner: Peter J Jacques, Managing Director, 13000 Main LLC Robert O Barratt PE Client: Peter J. Jacques, 11185 Main Bayview Road, Sowthold, NY 11971 4295 Vanston Rd Drawing Titles: Site Plan 13000 Main Road, Mattituck, NY' These plans are am instrument of the service and are the property of the desigph professions; whose seal is Cutchogue NY 11935 affixed hereto. Infrimgements will be prosecuted to the fullest extent of the law. Contractor shall verify all field Phone 631 875 0275 conditions and dimensions and be solely responsible for field fol. The design prodessional assumes no liability for omissions due to unknown or unforeseen field conditions and or additions based upon comments not robertbarratt(a optonline.net DWG # D& 31 i/ Rev# D Date ; 7 1/ Notes _ formally acknowledged as revisions to these plans. Citi) C POOLT �I �i \ �POOL A✓ ._ i ��'/... V'�J`'J]m S F.I(iv� // � \J N`j\ d ROPO—LS� / / 'J \1 i 4 j �— 10EY MAP m v,-t �� P2EMISES K 600 I" -� � —sf �_ vHolaE�T _euel Etl pQP1T: / e'i E W "DP-'^�r-1- SVSU--��� N 75 OI OG E. °� owu Ha E - oc POSTx � it I �, SLFfOU fAUNlY DEPORTMENT Of HEALTH SERA= -��� —.- OFFICE ! ao D V MFRO'','EO FOR WNSTRUC ION ONLY w' ^' cis-9�-oi.z i36 �d NS.REE NO. FLOW TYPE 0 54D'SO.F7. 1 �II &www _ _ANOr nY.nv.et. �.+> LOA j 00 11 _�/ 0 3 rM1ie appth,d . C hm toe IM1e mnskmyon W Cr sVeW pROwN I7 0 the aM xaln.,.;, t I,('nl'm is to tacks resw � r N tpe 5 11U1 Ca 'r n r:J.'eM is 11a anx,;" IN WW ml Im 1 ,aln a IIcwP4 Hk <oaaOE rr I p 11 strut ell n :r•t e u ac earl4u FWD C2 YEpAq$ LL L FROM iHt Jail nUo;. Inq r ArE Wfi}10tIT IN GIwIE APPRO'VALBYWAM OUAtlIY To ND d 00 tiWEl.l 54Np 1 CLd59 2G0'.J PIPC OP.�14V� -// I i �z R I I FINI BIIE(' •S `_BVfiJEL \ \ ` • -(% T�u r1 ���IEvO IS.S 1 IITCP --- �- CESSPIXJL -- \ LEST I. /% -�SSPO0051 i1 ( Ye 1 1 arOG.SE?ilr In o 15 1 m y m GF=ICE 1 540 so.FT - 06. 32 GPO � Pspe [ -- _ S-fo12AGE:2;398 sq.FT. ' .04=104 I 136 GPO r 2 D4Y5 = 272 GAL. Go`_T 6ROUN0 W4TEtj 3,138 so,Fil _ Amo in of ae _ - H N.Sp' FtOOL2 p v_1 11 I - `n� n� 4DaPiE¢ FOUNp4TION � II 2 9G%a-.TAN1L 11 I E7TUP A 2'PIPE I - _ �- 5T••C—hSiNG ANJ �G O.DUIJD WATEQ { - P) -7 Jh1�1 UES Al e AG SMC ICCL -MnR.y,lyg2 - 3MIN.Y�FJa 15�L E-20= I 7APQ.3,199 2 MAY 6.1992 t Mhi-1 U'_ 3'I10I`ILJMEN - _ _ TYPIC4L WELL ' CQO'(li= I"e � J-FIvE _. ` - JaRPI-.rErL� CU 2.tz..LZ,W T S V Ii.V 6 YA2EA=19,287 5 r.FT. ! .41rMIj IiFE_i.51Jf,v E 0^'_8 EI /N_ E 25 s. \ ; , A4•R.ayco 4 clal QZ - _. _. _ - ZV� ; ._.;„�. owN�snooeess_ 1T".E � ycO J"A66 _ I1 esMAIN BVIEW 7 DF00. COWST6VGTIOV OU6A� - =.otlTr-1oLo N.`r. 119-x1 eRVICAVE rb4 s2cECSOSRPData�LUUi5IO.z_ wrAns NEC BY:v wr,His - �- 6s 1033) •°^•m : • LASER FICHE FORM i Planning Board Site Plans and Amended Site Plans SPRe Type: Approved Project Type: Site Plans Status: No Site Plan Reauired 0a'i J SCTM # : 1000 - 114.-11-12 Project Name: La Gran Villa Restaurant Address: 13000 NYS Route 25, Mattituck Hamlet: Mattituck Applicant Name: Marina Recinos, La Gran Villa Restaurant, Inc. Owner Name: 13000 Main LLC Zone 1 : HB Approval Date: 12/12/2011 OPTIONAL ADDITIONAL INFORMATION A date indicates that we have received the related information End SP Date: Zone 2: Zone 3: Location: SC Filing Date: C and R's : Home Assoc: R and M Agreement: SCANNED DEC 1 5 2011 SCAN Date: Records management