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HomeMy WebLinkAbout37141-Z .J.:-SS::.} ~~.,~FFOtK Town of Southold Aunex 7/30/2013 c~ P.O. Box 1179 54375 Main Road '~,~y ~ S~ Southold, New York 11971 ~{pj * .~iti'~ o' :ITJ stt CERTIFICATE OF OCCUPANCY No: 36422 Date: 7/30/2013 THIS CERTIFIES that the building COMMERCIAL Location of Property: 1240 Village Ln, Orient, SCTM 473889 Sec/Block/Lot: 25.-1-25 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 2/22/2012 pursuant to which Buildng Permit No. 37141 dated 4/16/2012 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: ramp addition and alteration for handicap bathroom in an existing commercial buildine as applied for The certificate is issued to Black, Robert & Black, Leslie (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL C10-09-0009 7/18/13 ELECTRICAL CERTIFICATE NO. 37411 4/9/13 & 5/7/13 PLUMBERS CERTIFICATION DATED 4/15/13 Mike Jacobi Plumbing & Heating - - Auth ed Signat re 1,„~F~~., TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE ~'a®~;' SOUTHOLD, NY ,+tkv! * , BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit 37141 Date: 4I16I2012 Permission is hereby granted to: Black, Robert & Black, Leslie 113 Kimberbrea Dr Kimberton, PA 19442 To: construct a handicap bath 8 ramp at an existing building as applied for At premises located at: 1240 Village Ln, Orient SCTM # 473889 Sec/Block/Lot # 25.-1-25 Pursuant to application dated 2/22/2012 and approved by the Building Inspector. To expire on 10/16/2013. Fees: NEW COMMERCIAL, ALTERATION OR ADDITIONS $299.60 CO -COMMERCIAL $50.00 Total $349.60 ' - _ Building Inspector Form No. 6 TOWN OF SOUTHOLD. BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICt1TE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Buil ' dtng Department with the following: A. For new buddipg or new use: 1. Fi~l survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2110 of I% lead. . 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance'from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 4, 1957} non-conforming uses, or buildings and pre-existing" land uses: I. Accurate survey o€property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly spmpleted application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy -New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building•$50.00, Additions to accessory building $50.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate ofOccupancy - $:25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy -Residential $15.00, Commercial $15.00 Date. ~ ~ -7~eJaj New Construction: ~ Lit _Old or Pce1cxisting Buildingx (check one} Location of Property- ~ -I d~V ~ l lLl! Q.~ ~-V1 - ~t~l~l~.~ House No. r Sheet Hamlet Owner or Owners of Property: 1` . ~ "T ~ I'VE . ~~P U I- ~--1~/ t Vl ~ T12t.lS-~ y~ ~r713trXT ~~re B~/Yk Suffolk County Tax Map No 1000, Section ~ Block ~ Lot Subdivision Filed Map. Lot: Permit No. ~ ~ ~ ~ Date of Permit. Applicant: Health Dept. Approval Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted- $ ' ~ ~pplicant Signature ga?FFO(~ Town Hall Annex C0~ ~ Telephone (631) 765-1802 54375 Main Road ~ ~ ~ Fax (631) 765-9502 P.O. Box 1179 Wo Southold, NY 11971-0959 yam! * ~.>,0~,~ ro~er.richertna town.southold.nv.us ~u BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Bob Black Address: 1240 Village Ln City: Orient St: NY Zip: 11957 Building Permit 37141 Section: 25 Block: 1 Lot: 25 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE contractor: DBA: Doroski Electric Inc License No: 2941-e SITE DETAILS Office Use Only Residential Indoor X Basement Service Only Commerical X Outdoor 1st Floor X Pool New Renovation X 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 2 Ceiling Fixtures HID Fixtures Service 3 ph Hot W ater 30a GFCI Recpt 1 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent FiMure Pumps Transformer Appliances Dryer Recpt Emergency Fixures Time Clocks Disconnect Switches 5 Twist Lock Exit Fixtures TVSS other Equipmern: 1-exhaust fan, water pump feed and switch Notes: Inspector Signature: ~ ~y;~=escr^~`i Date: April 9 2013 Electrical Certrficate.zls g1?fF0(~ Town Hall Annex ~O~ C~, Telephone (631) 765-1802 54375 Main Road ~ ? Fax (631) 765-9502 T P.O. Box 1179 ~ • Southold, NY 11971-0959 ~1 # ~a0' roger.richertCa)townsouthold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Robert Black Address: 1420 Village Lane City: Orient St: NY Zip: 11957 Building Permit 37411 Section: 24 Block: 2 Lot: 6.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: as built DBA: License No: SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoes 1st Floor Pod New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage X INVENTORY Service 1 ph Heat Duplec Recpt 1 Ceiling FiMUres HID FiMUres Service 3 ph Hd Water GFCI Recpt Wall Fixures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Pand A/C Blower Range Recpt Fluorescent FiMure Pumps Transformer Appliances Dryer Recpt Emergency Fixures Time Clacks Disconnect Switches Twist Lock Exit Fixtures TVSS otner Eguipment: 1-recpticle for garage door opener Notes: Inspector Signature: ~ Date: May 7 2013 Electrical Certificate.xls ~O~apF SO(/Tyolo Town Hall Annex ~ ~ Telephone (831)763-1802 34373 Main Road Pax (63l) 765-9303 P.O. Box I i79 Southold, New York 1 197 1-0939 ~ '~~ouNr+,~' BUII.DING DEPARTMENT TOWN OF SOUTIiOLD CERTIFICATION Date: ~ / ~ ~I Building Permit No/ ~ ~ j Y ~ Owner: N6 Q Lq C. / (Please print) Plumber: c/~ C ~cO ~ i H (Please print) I certify that the solder used in the water supply system contains less than Z/10 of 1°l° lead. c (P bens Signature) i -r j Sworn to before me this ~ dayof 20 ~ 3 V \ BONNIELDOROSKI tary Public, State Of NewYotk No. O1D06095328, Suffolk Co ty Term ExpiresJuly 1, 20~ Notary Public, County ¦ ~o~.f,Of SOUTyo6 3 71 `f 1 TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION iST ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION RAMING 97'R~IPPING` [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: ~ a~~ DATE 7- ~ ~ / ~ INSPECTOR ~~~r- TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 1 NSPECTION [ J FOUNDATION 1ST [ ] RO N PLBG. [ ]FOUNDATION 2ND [ ] 1 SULATION [ ]FRAMING /STRAPPING [ FINAL' y?~~. [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECT ON ( ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMAR J f~ tr ~ ~ DATE INSPECTOR ~o~~,Of SO~jTyo6 3~ TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ] I CATION [ ]FRAMING /STRAPPING [ FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: L~ ~ G DATE ~d ~ / INSPECTOR ~ v V ~o~v,OF SOGTyo6 ~ti l "~uim+~" TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CNIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRllCT10N [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH( ~ ELECTRICAL (FINAL( REMARKS: /~.nG~_~C, ~t-,~Slw~o~ DATE ~ ~ 3 INSPECTOR ~o~aoF souryo6 # # y~ TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 1 NSPECTION ~ L~ [ ]FOUNDATION 1ST [ ]ROUGH PLBG. ~ [ ]FOUNDATION 2ND [ ]INSULATION U` [ ]FRAMING /STRAPPING [ ]FINAL ~ [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) ELECTRICAL (FINAL) REMARKS: (~L L~~2'- ' ~ 1~~ DATE ~ ~ ~ INSPECTOR~.Y . DAT$ CbMMENTS. , ~~~'b FOUNbA~'IOFi (1ST) ~ L~ . 1~ FOtUNDAT14N (zND) ~gmy o p ~ ~ovQg ~G & ~ PLU~IlVG T-~ G' irtsur~ATiorr Praz N. STATE Ek7ERGY CODE J~ ~ FINAL ' z~ _ p . ADDITIONAL COMII~NTS S ci ~h 1# 'f ~ ~rc~,; - n o ~z m A . d- i o ~z d ai'~1'.iAifr DEPARTMENT Do you have or need the following, ¢efore applying? TOWN HALL Board of Health H~~~ ~ SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval No X: (631) 765-9502 Survey _ atholdTown.NorthFork.net PERMIT NO. Check DD Septic Form N.Y.S.D.E.C. I Trustees Flood Permit Examined ` ~ , 2¢~_ Srorm-Water Assessment Form Contact: Approved ~ 2012 Mail to: Disapproved a/c Phone: Expiration ,20~ D ~ ~ ~ ~ ~ ~ Buil mg Inspector D APPLICATION FOR BUILDING PERMIT NOV 6 2009 Date t~1o~/ - b - , 20 09 BLDG. DEFT. INSTRUCTIONS TOWN OF SOUTHOID a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f Every building petrrtit 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 a rees [o ws, ordinances, building code, housing code, and regulations, and to admit authorized ' ~ t dt3'p t std ~ i g for necessary inspections. i,~ ~ i I' J~ ~~~~Eg ~ %v' (Signature of applicant or name, if a corporation) U 4295 VANSTOtJ 2oAP, CuTC~4UE uY n43~ ui° ~ ~l rr ~,n~ p (Mailing address of applicant) Str whether applicant is owner, lessee, agent, architect, engineer, genera] contractor, electrician, pltunber or builder H ;ENT Name of owner of premises n~a,r~y yv,N NosTar.,.>o ~6~~t-- ~l-~~r~ (As on the tax roll or latest deed) Nom ~ ~~_l s If applicant is a corporation, signature of duly authorized officer (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: 124a VrLLgSE LKati7E OtcicTrT Ny \19 S~ House Number Street Hamlet County Tax Map No. 1000 Section 23 Block o i Lot 25 Subdivision Filed Map No. Lot ~o~~aF SO~ryo~ 'T`own Lull Anncz ~ ~ Telegpahxone i63U~7655~-18802 _ 54375 Main Road t, ~+c faSlef rlChBtt{cULOVtrt~11~0UtnOltl.nV US - P.O. Boz 1179 .c7J - Southold, IJY 11971-0959 e~ BUIIDING Di3'AlYI'MENI' TUWI`i OF SOUTHOIC.D APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: Company Name: Name: ~ Ucense No.: Gr Address: G Phone No.: JOBSITE INFORMA~T/I~ON: (*Indicates required information) `Name: ~lal3~Y~ ~L/r'G~ `Address: ~~aa y~//~i « L./an~ ~ ~J~~~~ 195-__- `Cross Street: ~ ~ !,n ~ ~ sT `Phone No.: 6io- S ~ y~ 3/a Permit No.: Tax Map District: 1000 Section: Block: Lot: ~ ; / "BRIEF DESCRIPTION OF WORK (Please Print Clearly) ~Lecr/~/~ ct~~-~T G.e/C~~e_ Door GP~~~- (Please Circle Ali That Apply) 'Is job ready for inspection: YES ! NO. Rough 1n Final `Do you need a Temp Certificate: YES 1 NO Temp I~fformation (If needed) ' *Service Size: 1 phase 3Phase 100 150 200 300 350 A00 Other «~eyV S~ce: Re-cennecf Underground Number of lNeters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION ~3 3 ~ l 5~~ ~f3 82-Request iw Mspeclian Form V 'Cam Ns71 Annex ~ . Tekplrx~e !!s97! 18S! Fshi S~9?S hRoin Aood P.o. 9ox r!?a ~ [Qaer.riche 1{~i.eo?d.rtv.us Sowhold. NY ~ r97:-irls~ ; B[IILDINiG Dl:PAR7Mba~T TOWN OF IIQLTTBON.i) ~~„J~ATIC?N FO,I~ ELECTRICAL;~jy~PE.CTiON REQUESTED BY: ~?x ,iLYA s~'C; Cate: _ Company Name: .~5;~ 1~1 c.~ v~s,~ ~ Name: ' Addraas: b. Cox 7B~Cu~~i,a g~Y:,, \ 3 S ptwne No.: ~:~1 '7~ ~ ? 5 2 JOBStTE INFORMATSC~ :1•I~dicat` irequ(red infr~o°maf(cn) ~ Y~ 'Name: ,-J o Q ~ •Addre~:. ..~?`~.b ,y;\`asQC Lam, 4r.-~~ ~ 'Cmae Street: _ r"- 'Phone No.: Permit No.: 3 7 _ Tax Map Olatflct: t (t0i? Section: Beck: Lot •13RlEF DESCRIPTION `pF~ ~NORK (Please Print Clearly) ~lyl..~. i~~, .4~L, _ t,Plepe CIroM /111 That AhPty) •la job rewy for inspecti4r: ~t nio Rough 1 Finai •Do you Heed a T~np Certlfk:ate: YES / NO Temp laformation llf neia 'Se7vioe8iZe: 1 PhoFn?t 3Prurss 100 15G 2CK~ 3007 3e0 400 Othx •New 8ervios: Re-connect Underground Number of h!eters Cl7angs of SsMoe Ovsd7eed AddltbnN Ir7formatlon• a~oHln(~JAD//QQ~~ ~LTEf WITH APrR~1,,C_~TtON T,. 1d3d X1'1 -+`il( 82-RA4usstforfnspaetion Frn'm ~ ~J ~ a _„r _ / _ s T'N OF SE?UT '~`Y ~CQtD OWNER //S/TRIJES/T ~ WtLAC~ DtST. SUB. FORME OWNER N ~ E yy / ACR. • r.L~4 e G»f 5 W TYPE OF BUILDING :ES. SEAS. VL FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS yo-v a-a a-rra 6 i 9 -1...14.03 Co AGE BUILDING CONDITION ' NEW NORMAL BELOW ABOVE FARM Acre Volue Per -Value Acre billable 1 'illable 2 'illable 3 Voodland wamptond FRONTAGE ON WATER nuhlond - FRONTAGE ON ROAD ~ r' ' ~ = 2p~ louse Plot DEPTH BULKHEAD 'otal DOCK Robert Barratt PE CEng F1MechE Eur Eng LSA 4295 Vanston Road Cutchogue, NY 11935, USA Tel, 63l 875 0275 Fax, 63l 734 2730 robertbarrattna oatonline.net ovi s/1 z Southold Building Dept PO Box 1179 Southold, New York 11971 Subject: Building Permit application to install a half bath in the existing antique store, 1240 Village Lane, Orient, NY 11957-1255, SCTM# 1000-25-01-25.00 Gentlemen, It is my pleasure to re-submit the subject building permit application, initially submitted on 11/06/09 and returned on 11/24/09 when the Southold Building Dept advised the following: • They had consulted with the Southold Planning Dept and their determination is that no SEAR action is required since the building use will not change. • My client should apply to the SC Health Dept to seek their approval to construct the associated wastewater disposal system. • Following SC Health dept approval we should re-submit the subject building dept application for approval by the building dept. The SC heakh dept has now granted their approval as documented on: • DWG # 021010 Rev 8 • Permit Conditions C10-09-0009 I now await your further instructions at your earliest convenience, Yours sincerely, Robert Barratt PE Encl • Application for building permit dated Nov 6"',2009 • Health Dept Permit Conditions C10-09-0009 • Dwg # 021010 rev 8 (four copies) 1p p D C~n u ~`l zo,2 D FEB 2 6LDG. DEPT. TDW'I: DF SDUTNDED r _ Robert Barratt PE CEng FlMechE Eur Ing ~ ~ 4295 Vanston Road, Cutchogue, D NY 11935, USA APR - 2 2012 Tel 631-875-0275 ro bertbarratt(a~optonline.net BLDG DEPT. TDWh OF SD117H0LD Ms Patricia Conklin April 2nd, 2012 Southold Building Dept (Delivered by Hand) Subject: 1240 Village Lane, Orient, NY 11957-1255 Reference: Application for building permit Pat, The owner of the property visited the site on March 30a', 2012 and he now understands that there is insufficient room to successfully construct a handicapped access ramp without adversely affecting the visual impact of the stores circa 1900 facade. Accordingly he will not be seeking a waiver re any of the handicapped access regulations. Instead he will use the reaz entrance which he believes, offers the following advantages when used as the handicapped access entrance. • The ramp and landing meet all the requirements and a waiver is not needed • The handicapped access is out of the sight, when observed from Village Lane and the existing Landmark storefront remains as it is at present so a waiver is not required. • There is mom to install a generous landing area that if required, provides mom for a companion to escort the wheelchair and occupant into the store. • The ramp and landing will be approached from Village Lane by passing over a paved aft wide path to be constructed at grade on the north side of the store. The drawing attached shows the plan view of the aft wide access path, the ramp and the landing located at the same floor level as the store. We plan to construct the free-standing ramp and landing from seasoned timber finished with an appropriate stain and preservative. The owner looks forwazd to his approach meeting your approval. If you have any questions, the owner asks that you feel free to call me on 631 875 0275. Yours sincerely, ~ w~~~~ Robert Barratt Enclosure DWG # 032812 Rev 1 dated 03/30/12 cc. Daman Rallis (By hand) Mr. R. Black -Owner (By email) Robert Barratt PE CEng FlMechE Eur Ing 4295 Vanston Road, Cutchogue, NY 11935, USA Te1631-875-0275 robertbarratt(a~optonline.net Mr. Michael Verity April 12a', 2012 Southold Building Dept (Delivered by Hand) ~ ~C~~oM~ Subject: 1240 Village Lane, Orient, NY 11957-1255 D Reference: Application for building permit APR 1 3 2012 Mike, ~ioc oFr?. TOWtt Of SOUiHOLD Thank you for your advice which is much appreciated. Please fmd attached my revised drawing incorporating your comments. If you have any questions, please call me on 631 734 2730 or my ce11 631 875 0275. Yours sincerely, Robert Barratt Enclosures: (4 copies) DWG # 032812 Rev 4 dated 4/12/12 DWG 3 021010 Rev 9 dated 4/12/12 cc Mr. R. Black -Owner (By email) ~O~~OF SOUTyolo Town Hall Annex yy y Telephone (631) 765-I R02 54375 Main Road T Fax (631) 765-9502 P.O. Box I I79 Southold, NY 11971-0959 'i~r` ~ ~~'~OOUNT'~,N~ BUILDING DEPARTMENT TOWN OF SOUTHOLD November 7, 2012 UI°~E FM & Peyser ~ ing Trust ~6EItT 6r-~q ~ r Attn: Ma Va ostrand ~ 0 i Sf 25 Evergree ane Underhil T 489 /~iNl/S~/2T~~?~ TO WHOM IT MAY CONCERN: ~9y~ >~~~I~I? The Following Items Are Needed To Complete Your Certificate of Occupancy: „ ^_,_I ,g~ Application for Certificate of Occupancy. (Enclosed) X/' 'D"' ~ Electrical Underwriters Certificate. (contact your electrician) ~r~Y~~ ?A fee of $50.00. Final Health Department Approval. Plumbers Solder CertlflCate. (All permits involving plumbing after 411/84) Trustees Certificate of Compliance. (Town Trustees # ~s5-~a9z) Final Planning Board Approval. (Planning # 765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. BUILDING PERMIT: 37411 -Addition/Alterations to Accessory Building Les/i~e ~3~A~K PG ~ l S f ~~I~B~YCo~ , YH- l~~f~lZ t o~~4F sa~Tyo~ a ~ J\) Town Hall Aanex yyh Oyy ~ L / Telephone (63l) 765-1802 54375 Main Road T T Fax (63 U 765-9502 P.U. Box 1179 Southold. NY 1 1 97 1-0959 ~ ~ ~~'~COUNi'~ BUILDING DEPARTMENT TOWN OF SOUTHOLD n ~ March 26, 2013 ,~N Robert Black ~ 113 Kimberbrea Dr ~~~y~l Kimberton PA 19442 \ ~ Re: 1240 Village Lane, Orient ~ TO WHOM IT MAY CONCERN: ~ The Following Items (if Checked) Are Needed To Complete Your Certificate of Oc~upancy:_ i Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. (contact your electrician) ~ A feeof $50.00. , ~ ~ ^%~~?~igaLHealth Depa proval.`~ Plumbers Solder Certificate. (All permies involving pwmbing after 41v84) Trustees Certificate of Compliance. (town Trustees # ass-tas2) Final Planning Board Approval. (Planning # 7s5-ts3s) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept BUILDING PERMIT: 37141 -Handicap Bath & Ramp YL+-uc2a ~~~pF SOUT'y0 !o Town Hall Annex Telephone (631) 765-1802 54375 Main Road ~ ~ Fax (631) 765-9502 P.O. Box 1179 Southold, NY 1 1 97 1-0959 ~ ~ i~ oI~COU~? BUILDING DEPARTMENT TOWN OF SOUTHOLD May 13, 2013 Robert Black PO Box 154 Kimberton, PA 19442 Re: 1240 Village Lane, Orient TO WHOM IT MAY CONCERN: The Following Items (if Checked) Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. (contact your electrician) A fee of $50.00. v Final Health Department Approval. -Reference #C10-09-0009 dated 2/07/2012 Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees # ass-1as2) Final Planning~Board Approval. (planning # ass-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept BUILDING PERMIT: 37141 -Handicap Bath and Ramp ~~ra r ~s~ r~ E s , ~ L'A'V~,~ I~ ^J'/ 1 / M /1 ~>29 ~ ~ ~ N N ~,A~ Z ~ ` ~ :l 2yt, t _ t B W ~ v{ Z t~ F9~yE ~ 3 / ( ~ ~ ¢ L_4 /t „p~ l b JJ ~~~w-..- rf"~Fi ~l ~4YF\~'6: as I~ ~ "v. ~ ~ . , I ti rwpNNioa ' ~N ~ ~ a.~ are.ww ~ o ~a ~M } ~ ~7 iqQ d2 ~ ~ y ~ ~ t ~ 3 13 f //t ry/ ~ J/ t ~ T ~l / ~ j/ / , l O~ ~ ~ ~ F~~fsT CRY ~ ~ ~ GgRgG f $y W ,_O .h r ~c~ „ h "mss ~ x z~ n ANC '"r'x A9R~9~ N/o/ N 64, ~ Fo,, o;~- owf~c ~Ry Q¢ SQ ° oe c S ONE, ~~c YS~ iJ4 F SR'we 'rH new ~ s z yf0 Ev7 FF ri sTaRY s~ ii ~"o a~ ~ FR~Mf ~ ~~`~t ~ oZ yc~S f . ~kLV,~ aET ~b'o N~ 3 N ~ Q <.e Sg~r N a S i 'C °4° (o O s- A ~ h L g. Q e 42' ~S ~ ° o~ °s•,~ 1 F~oc2 C l srQ ~ 'yam '%e 3~ x9T N/ .0~"""'4, ,tea ~ F DEL Ry FRgM ~ ~h H ,~2 Okf<~~~,~~y rv 8 ~8u4p~~~ c~ ~ h ~o as. op / LEGEND ~ & ~ 33' N . P aft wide ashfelt path or equivalent at grade ~ SroRr FR ,.a. ~ ^ ~ l R 5ft wide ramp with 0.2ft rise over 5ft qMf yp J ~ L 13ft by 10ft landing deck, EL =14.8ft (same as store) ~sf ~ O = Guard rail ~ ~ ?o• ~ rv" Scale: finch = 10ft , s,?. ~ ~ ~ gz° 44 3 Landintt and ramp construction notes 2' 0 ,y ~3.g ~ 1240 Villa a Lane Orient NY 11957 New construction ~ g ° ' Foundation: Bin dia Oft Sona-tubeslcement, or equivalent r~; e Client: Mr Robert Black et al -Owners Columns: 4in x 4in Doug fir grade 2 or equivalent on 5ft centers 3r^ Details of handica ed access via rear of store Girders: 2 x tin x Bin Doug fir grade 2 or equivalent on 5ft centers pp Joists: tin x bin Doug fir grade 2 or equivalent on 2ft centers These plans are an instrument of the service and are the property of the design Floor boards: tin x bin STK Cedar or equivalent on bin centers professional whose seal is affixed hereto. Infringements will be prosecuted to the Joist to girder joint: Teco's used throughout fullest extent of the law. Contractor shall verify all field conditions and dimensions Column to Girder joint: '/z in bolts and be solely responsible for field fit The design professional assumes no liahility Floor fasteners: SS _=¢AT~`-` - for omissions due to unknown or unforeseen field conditions and or additions DesisrnConditions Rev 1. OBrn„as oc HaNo~ca.PO6o AcESS oDnEn 3~3o~~z.. based upon comments not formally acknowledged as revisions to these plans. Live load 40psf ~ Dyyg NO 032812 ReV 0 Dead load 10psf This drawing is based upon data derived from the Survey # 27 -480 prepared by Snow load 20psf Nathan Taft Corwin 111 NYS Lic # b046'i'tfated 01!28108 Enoineerina deslan ~ Robert Barratt PE, 4295 Vanston Road, Cutchoque, NY 11935 In accordance with current NYS Residential code and ~ SCTM # 1000-25-01-25 accepted engineering practice I Tel 631 875 0275 Email: robertbarratt@optonline.net ~~~y l _ _ _ _ I l'.,~ S7 ATE ST i. ~I' ^Q13 J - M u. ~ PA I t~ 2 F 564° oe 2vt~ \gz.'4ts' ~ Lot- a..ea 35$S sa_-[;'r Ir y,I _ N ~ ~ ~ A~d t 4 r 0 4-o i U O Q aE O ~ ~o ~ 1 STOriy DaY S'fo2~ C m a V 8 _ O n a y N J w~' N z & r ~ H I N 6 4° 0 4 t 5 u t~ Tie-line Length ft AC 35 AD 39.5 '~AE 513 AF 68.5 DWG #042513 Rev 04/26/13 BD ao Rev 1 Revised per health dept comments 5/2/13 se 53 Rev 2 Revised to show actual cylindrical septic tank 7/9/13 BF 68 SUFFOLK COUNTY OEPART4AENT OF Y.EA._TN SERVICES DWg Title: Septic System As-built drawing C'I 18 APPROVAI.OF COtlSTRUCTEO VVOFKS Project: Old Orchard Faun Store, SCTM# 1000-25-01-25 HI as ]ate ~l""'__'_~ ~h~3 r..s. Ref. No. e ~ ~ ' ° 9 • o fl~9~ Health Dept Ref C10-09-0009 - Tre .~awa5e riispos2l and wat~:r supply r-arila~3 1240 Village Lane, Orient, NY 11957 , , at ti~is+ocatton ,z ~e Keen :ISp_cted arafoc ~ Client• Robert Slack ~ T-~' txfrtifi6d by u:: ~ ,~admerlt cr ot~ser agencies Survey: #27- 480 Nathan Corwin 531-727-2090 ,~~o'~ rit=_w >-o Jeb - r#`ni Mn. an:, ' ' r °'a y I - yA,P~~,~_Q Bq~ 'Q,~ ~ ?.DisposalSystemtlrispacllon~,ompleied-OK1o~BackYill "Y ?Ynspectlon Nal tbmpleiedi-' tiJc::C I ,1iibE--A ~ Scale: finch = 10ft ~ ~a * Oh ce r,;1 ~:v~,er?Aanz3e~zra Robert Barratt PE - Tel 631 875 0275 `water Supply lnspecllan Comple •OK IoBecklill Q4fi3~ ? Inspection Not CompleleC:. 4295 Vanston Road, Cutchogue, NY 11935 ~ ~ ~s RE EIVED These plans are an instrument of the service and are the property of the design professional whose Date .Inspected-by.- ' ' seal is affixed hereto. Infringements will be prosecuted to the fullest extent of the law. Contractor JUL ~ 6 ~Q13 shall verify all field conditions and dimensions and be sole) res onsible for field flt. The desi n SUFFOLK C~UN7Y DEPARTMENT DF HEALTH SENVICES y p g INSPEOTION 90MPlETIONDOFS NOT CONSTITUTE APPROVgL OFINSTALLATION professional assumes no liability for omissions due to unknown or unforeseen field conditions and or additions based upon comments no[ formally acknowledged as revisions to these plans. ~ ReNlvesl SUFF. Co• HEALTH SERVICES A oo ° ~ A~ s ~ WASTEWATER MGT. SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 02/02/2012 Nvmber of Pages: 13 At: 02:46:03 PM Receipt Number 12-0012721 LIBER: D00012684 PAGE: 031 District: Section: Block: Lot: 1000 025.00 01.00 025.000 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $65.00 NO Handling $20.00 NO COE $5.00 NO NYS SRCHG $15.00 NO TP-584 $0.00 NO Notation $0.00 NO Cert.Copies $8.45 NO RPT $50.00 NO Fees Paid $163.45 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County DECLARA"PION OF COVENP.NTS P ND I2ES"fRIC'h1pNS "PHIS DECLARA"LION made this °rt f~ day of _N rJ__~~~~~~' ~ 201 L by ROBER7~ .I. BLACK and LESLIE P. BLACK, both residing at 113 Kimberbrea Drive, Kimberton, Pennsylvania 19442, as to an undivided 50% interest, and FREDERICK M. PBYSF:R ITT and JAN1S M. PEYSER, both residing at 25 Evergreen Lane, Underhill, Vermont 05490, as TRUSTEES OF TIIE PRCDERTCK M. PEYSER TII AND .TANIS M. PIiYSEIt LIVING TRUS'1• DATED August 25, 2009 and any amendments thereto, as to an undivided 50% interesk,.,as the owners of the premises described in Schedule A (hereinafter referred to as the PREMISES A); and LESLIE T'. BLACK, residing at 113 Kimberbrea Drive, Kimberton, Pennsylvania 19442, as to an undivided 50% iuteresC; and FREDERICK M. PEYSER III and ,TANIS M. PEYSER, both residing at 25 Evergreen Lane, Underhill, Vet•mont 05490, as fRUS'fEF,S OP T'HL: FRFDERICK M. PEYSER ]]I AND JANIS M. PEYSER LIVING "fRUS'1- DAI'ED August 25, 2009 and any amendments thereto, both residing at 25 Evergreen Lane, Underhill, Vermont 05490, as to an undivided 50% interest, as the owners of the premises described in Schedule B (hereinafter referred to as the PREMISES B); all parties hereinbefore mentioned hereinafter collectively referred to as the DECLARANT, desires to restrict die use and enjoyment of said PREMISES A and PREMISES B and has for such purposes determined to impose on said PREMISES A and PREMISES B covenants and restrictions and does hereby declare that said PREMISES A and PREMISES S shall be held and shall be conveyed subject to the following covenants and restrictions: 1. DECD\RA?J1' has made application to the Suffolk County Department of F{ealth Services (iieceinafter referred to as the "llEPARTMENT") for a penult to consu•uct, approval of plans, a' approval of a subdivision a• development at the YRI3MISES A. 2. T'he DECLARAN"i' appeared before the Board of Review requesting a variance for die installation of the sewage disposal system which does not conform to the commercial construction standards of the Suffolk County Sanitary Code and the Board of Review of the County of Suffolk Department of Health Services granted a variance by letter dated April 6, 2011, attached hereto as Schedule C and made a part hereof, provided a covenant is filed, the DECI,AI2AN7~, its successors, heirs or assigns agrees: (a) As a condition of approval by the DEPARTML:N'1', the DF,CLARAN'f covenants that the PREMISES A shall be limited to dry retail space only with the sewage design flow limited to the current flow of ] 9.3 gpd. (b) As a condition of approval by the DIPAR"1'MI:N'f of d1e application, the owner, its successors and/or assigns of the parcel known as Suffolk County Tax Map Number 1000-024.00-02.00-006.001, and further described in Schedule B agrees to grant a permanent and perpetual easemeitit do allow for the maintenance of the sanitary system.se,rvng_She PREMISLS_~. 1'he easement shall rwl with the land and be for the purpose of placement, installation, maintenance, repair, inspection and replacement of the sanitary system. The cost of installation, maintenance, and repair of said system, and 1 to restore the area to its original coudition after installation, maintenance, repair, inspection, and replacement of such system shall be born solely by the party, their heirs, successors and/or assigns, which shall be granted the easement. Such easement shall be subject to the approval of the DEPARTMEN"I'. 3. DIrCLARANT, its successors, heirs or assigns, further agrees to hold harmless, indemnity and defend the County of Sufi'olk, its employees, offices, or agents harmless from any claim for damages or injuries that may arise out of the installation or use of the sanitary system. 4. "1'he I)ECLARAN"1, its successors and/or assigns, shall set forth these covenants, agreements, and declarations in any and all ]eases to occupants, tenants, and/or lessees of the above described property, and shall, by their terms, subject same to the covenants and restrictions contained herein. Failure of the DECLARANT, its successors and/or assigns, to so condition the leases, shall not invalidate their automatic subjugation to the covenants and restrictions. 5. All of the covenants and restrictions contained herein shall be conshued to be in addition to, and not in derogation or limitation upon, any provisions of local, state, and federal laws, ordinances, and/or regulations in effect at the time of the execution of this agreement, or at the time such laws, ordinances, and/or regulations may thereafter be revised, amended, or promulgated. 6. "Chis document is made subject to thc° provisions of al] laws required by law, m• by their provisions to be incorporated herein, and they are deemed to he incorporated herein and made a part hereof, as though fully set forth. 7. 1'he aforementioned Restrictive Covenants shall be enforceable by the County of Suffolk, State of New York, by injunctive relief or by any other remedy in equity or at law. 'the failure of any agencies or departments of the Comity of Suffolk, the D1PAR`1'MrNT or the County of Suffolk, to enforce the same shall not be deemed to affect the validity of this covenant nor to impose airy liability whatsoever upon the County of Suffolk or any officer or employee thereof. 8. These covenants and restrictions shall run with the land and shall be binding upon the DLCLARAN'1', her successors and assigns, and upon al] persons or entities claiming under them, and may be terminated, revoked, or amended only with the written consent of the DFPARTML;NT. 9. if any section, subsection, paragraph, clause, phrase, or provision of these covenants and restrictions shall, by a Court of competentjtu'isdiction, be adjudged illegal, unlawful, invalid, or held to be unconstitutional, the same shall not affect the validity of these covenants as a whole, or any other part of provision hereof other than the part so adjudged to be illegal, unlawful, invalid, or unconstitutional. 10. l..ocal Law #32-1980 - The DECLARAN"}• represents and warrants that it has not offered or given any gratuity to any official, employee, or agent of Suffolk 2 County, State of New York, or of any political party, with fhe purpose or intent of securing favorable treatment with respect to the performance of an agreement, and that such person has read and is familiar with the provisions of Local Law #32- 1980. f2~ ROBrRT J. 13 ACK `Lr, L~ncK ~ - rRr~ul.I' 2ICK M. PI3Y I~12 III; "Trustee J NIBS M. PE I;IZ, rustee 3 STATE OI' PENNSYLVANIA) ss.: COUNTY OF CHES'T'ER ) On the day of /~t~?_~iij,lr~'f.~ _ in the year 2011, before me, the wTdersigned, personally appeared Robert J. I31ack and Leslie P. 131ack, personally known to be or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is/are subscribed to the within insU•ument, and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument, and that said individual(s) made such appearance before the undersigned in the City of Kimbcrton, State of Pennsylvania. ~ _ 1 ~ 1 I. < ~ ~ _ _ Notafy Public y NOTARIAL SEAL ItU7H A BENGEL NotorY Puolic TREDYFFRIN TWI; CHESTER CNTY Nly Commission Gxplres Apr 2A, 2072 4 S"PATE O1~ VERMONT ) ) SS.: COUNTY 01= CHIT"I'ENDEN ) On the day of Z; in the year 2011, before me, the undersigned, personally appeared Prederick M. I'eyser III and Janis M. Peyser, personally known to be or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is/~fi~esubscribed to the within insu~ument, and acknowledged to me that he/she/~(ej; executed the same in his/her/ttc~ capacity(ies), and that by his/her/tl~~Y signature(s) on the instrument, the individual(s), or The person upon behalf of which the individual(s) acted, executed the instrument, and that said individual(s) made such appearance before die undersigned in the City. oP Underhill, State of Vermont. _ S~ _ Notary Public .+X Sherri Morin 5 SCI-lEDULE "A" DESCRIPTION OP' PROPER"1 Y ALI., that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being Orient, Town of Southold, County of Suffolk, and State of•New York, bounded and described as follows: I3EGINNING at a point on the westerly side of Village Lane distant 95.33 feet southerly from the corner formed by the intersection of the westerly side of Village Lane with the southerly side of State Street, and from said point of beginning; RUNNING THENCE South 26 degrees, 20 minutes, 20 seconds West, along the westerly side of Village Lane, 25.00 feet to a point and land now or formerly of Latham; fHENCF, along last mentioned land the following 2 courses and distances: 1) North 64 degrees 4 minutes 50 seconds West, 144.32 feet; and 2) North 29 degrees 56 minutes cast, 25.00 feet to a point and Iand now or formerly of HuberC; THENCE Sou[h 64 degrees 6 minuCes 20 seconds East, along last mentioned Iand and land now or formerly of Staron, 142.75 feet to the westerly side of Village Lane at the point or place of I3EGINNING. 6 SCHEDULE"B" DESCRIPTION OP PROPERTY A1,I, that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in Orient, Town of Southold, County of Suffolk, and State of New York, bounded and described as follows: BEGINNING at a monument on the westerly line of Village Lane, said monwnent situate at the intersection of the southerly line of lands now or formerly of McNeill and the westerly line of Village Lane; RUNNING TIIENCE along Village Lane, South 32 degrees 48 minutes West, 16.02 feet to lands now or formerly of Oyster Ponds I-Iistorical Society; RUNNING THENCE North 60 degrees 04 minutes West, 277.60 feet; RUNNING THENCE North 29 degrees 56 minutes East, 177.60 feet to a monwnent and lands now or formerly of Tuthill; RUNNING "fHLNCE along lands now or formerly of Tuthill and lands now or formerly of Aronson, South 64 degrees 4S minutes 40 seconds L-'ast, 125.42 feet; RUNNING THENCE along said lands now or formerly of Aronson, South 64 degrees 06 minutes 20 seconds East, 6.01 feet to lands now or formerly of Van Nosh•aud; RUNING THENCE South 29 degrees 56 minutes West, 25.0 feet to lands now or formerly of McNeill and Caffery, North 64 degrees 04 minutes 50 seconds West, 6.01 feet; RUNNING 'I HENCE South 29 degrees S6 minutes West. 146.871'eet to a monument; RUNNING TIIENCE South 60 degrees 04 minutes East, iS3.40 feet to the point or place of BEGINNING. 7 _ _ _ - _ ~c~1~CQ i,C~~' tt~+ f 1 COUNTI' OF 4U1!rFOLK ~ ~ _ ~ , STEvE LEVY - svr eor_k couN rv rucu ~ nee DEPkR7MENT OP HEr.L"+ii SERVICES JAMES L.70iv1ArtKEN, IV9D MSW, MPW, Ml3A, FFCPC. t=k:CP C Dw.Mi59GUE~ ~.pril 201 1 Hobert Barran, P G '1295 Vanston Rd Ctucho~ue,P~l'f 11>35 Subject Goaril of F:eview Hearing -January 2Q 7.O1 I Cl U-0~)-00U9 -Old Orchard Fans Store ~ v.i/s of Village Lane, 95' sk+ Skipper; i_,ane_ O'rier~t - t/o Southold - SCTM 1000-2S-t 5 Ucar lute- Ban~ai`I Enclosed is a copy of fhe insdings, recommendations and detecnainatio_r of tt.:~ +?o:,.,t ci P=;-;: eonceming the subject application. J ` Based on the information s+.~bmitted, the Board granted the request for variancelwaiver with die provision indicated in the determination The granting of this waiver does not imply that your application will be automatically apjnoved ll is your responsibility to ensure that your application is complete; otherwise, your approval will be subject to um~ecessary delay. Very tn+ly yoursy. 1 m~s W. Meyers, P L. ~ Principal Pablic Health Engineer l~p~r t 1 7";oa Chair, Board of Peviev.~ t SUFF. 0'w>,. hI~ALTt f SS;:. ; C' (3oard of P~evie~~r hilt ~ 1'aphank Scott Stein .Craig ICnepper _ Reviewer Barbara Cervone i Eileen Cantone - Yaph~mk Katherine Caffery f\ndrew Freleng Planning Depat~hment Frederick Peyser Lametta Fischer ~ P1atu~ing Department Iolur and Julia Tuthill Eleather Larva ~ Towm of Southold Orient Community Activities inc- MarV Aiv1e 1~lnrdsUa+id Division pl EnvirCnrne Nal Ouakly ~ 6oar0 O~ Hfvlew + 3G0 Yap~~anh AvOnuc. Suite 20 a Yaphank NY 1 tnc6. Phone tG31) BS'~5001 Fax (G71) USp~Sffi5 Qvacli~CiCiY2~3f'a r3 $ C 1~ I?.D Li L F. 0 ,`~a)!i+5 Cii~1i `~:C7T)1V1'Y VI. ~F~i~1'T'1VifEN'9' 7ir '$dL~'AY,TYiI a~t2'V"s'."'~:> I~r~vis~aly ar'L,lv~rmoly, ~tvrAt., (puAr~i•ru 1BoAK~ or ~~v[r~;w f,;;,zTi~:'L;, 3,`u~'1?r?'fIt3PV22~y:~JLII~rOLTC~aUN'lY~ANI`IAR"I~:C~t')L. To: James L. ',)'omarken, MD, MSW, M1'1-I; ?v1BP~, )~RCPC, rACP. t:`on~[rusioner fr~rn~. Sarr[es Meyers, l'.T~-, C°hair, Board of R.eviev,~ 3t~biect: Fi'r~di[igs and Recormnendations ofth[: R;.view Board Regarding: {'i0-~';~-0:109 Okl Orchard Faun Store - w/s of Villzige Lane, 95 feet s(o '?,kihp~~;~; i-,r„~;, 7,ienr- tlv Southold - "C"CNi # 1000-?.5-t-2> Ttearing Dace: January 20, 2011 Board Members. Patricia Floria, P.E., Chris I ubicich, P.B- Revievdi;r: t.ratg, 1{pepper, P.~. 5,ivyi4 ~1Cik4'lti4: ~~4','~`~i`CitYt_f.Y'ib, C~orn~raacrrial r..onstructioti standards require that sanitary s~ysten~s ba located at least !SO feet from private wells. The applicant is proposing to install a sanilzuy systen'! less that-, ' t r a I J'_; i'r~.'1`:; Ti?:sir C.4'?-, , u.~.r n.rb~iw}iiiki I~fivA1G 'vJCI 3. C`onu77er-cial cons9ruction stv7dards require that private wells be located at least f Sd feet from saniiar:y systems, The apulicant ~s proposing to install a private well That is less than l50 feet from their own sanitary system and neighboring sanitary systems. Consteuction standards require t(~tat private wells be located at least 10 'feet from ~nitding 1'wandations. The applicant is proposing the installation oP a private well less than 0 i'ert from a L-uilding ftrunclation. Constr~c'tion stsrndeu•ds require oral private wails closer be installed with ai. Ida:Si 4i~t':,ei of water' abUVe the eoh of the screen. 'The applicant is proposing to use a private ~suell that i~a; Tess tFan 40 feel of water above the top of the screen. Construction staaclards require tlrai sanitary leaching pools be ]oeated at least lb Peet ir~car property botuxtar~ies. 'Che atplicant i 1>roposii~p She installation of a leaching ariactarni lass tF~an 10 feet from a propetT.y boundary. SrAV~[t tl~'d'i;;7;btVd~ ~i~i4E;t^i 1. 'I"ore applicant is proposing tare installation of a swage disposal yst~;,i i~;~ r~c~ ertisdng building a.ud updating thie water supply with a newly insfaiied ~.vel!. 'I'Ire building has been without a sewage disposal system since an outhouse tiuas demolished 'sn the I930's. 2. "Che project is located in Grotmdwatcr M~.~uagen~rent Zone A. S. •t~lte 1sarcul c, 0.03<I acres and lhc. yield at density is 253 gpd. However. fi'. I'.,r[~r is singia and s.,parate; lot on t.P[e 1981 tax maps so the site is allowed a trtsxiniura [,f 300 gpci of totevl sewage flow- Cun'er~it design tlow for the site is 14.3 t;pri- '4ltc ~lxoposed s~~,wage disposal system consists of a 1,200 gallon septic iarif:. and two R-Foot diameter b}' 4 feet deep leachin ; t~oois 1'rhrs area for a Stacie en;i,.~nsi<;rz Jarrs_.. '1 ~r0arkcri, 1~itj, GdSW, IJPH, i~t3l~, i~KC+'C; FRCP, Corr~~~~issicn~r I-Iearir+g Date. Jar+uary 2U, 2011 Subject: 1'm¢ings and Rccomrnendations of the I<eview Board Regarding. Cl0-U9-UDU9 - Old Orchard I^ann Score ~ w(s of Village Lane, 95 feet sIo Shippers Lanc; Orient- flo Southold -SC"fM # 1600-2S-I-25 liooi. 'i'I+a proposal sewage disposal system is located in rear of the property. Maintenance of the system will require an access easement on a ne;?t;hbcrin Irii (tar. mah 7000-24-2.-6.I) Soil conditions are good with sand anq gravel below 3 feet, 6. Depth io vaatar is approximately 12.4 feet~bclow existing grade. 1. Ttic dire.:,tion o'F groundwater :(low is tr, tV~ie southwest toward Orient ~!1%n'gol". `I}7& B;ilStir7g USe Of file f2Clltty .S ;.;V iCiali ~iil rilttUYB Slid ilntlgil~ =!i'i ~ "I !US builc!iug has C42 square feet gross floor area. 9. "fire applicant has indicated that it i difficult to operate the fecilFl; ~,-a4t;out a restroom fo; staff or visiting clients. i0.PubIic. water is not available in the area and t~ letter provided Ly ihr_ ~St'G'J~', indicated chat it wor.dd cost approximately $1.5 million to extend ncrhl?c. c,~<iier ro Lhe Slte. I 1 . l Y+e facility currently has apre-existing well located itt khe basement of the Lt¢ildinh which has exhibieect elevated manganese concenU"ations. Anew test well was installed in the front of the lot that'the applicant would ]lice to use as the new source. of drinking water. Tests performed by the IJopartment on September 21, 20I0 siiowcd that waiez quality in the test well met applicable standards. I2. Because of tl~te limited parcel size, the new well is located 3 feet from the building foundation where the standads calf for a minimum setback of 10 feet. 13. 'the well log for the proposed well shows that the well is 30 feet deep with water ai I 1 feet below grade and 1 S feat of water above the top of the srneerl. Sta~uiards require that wetly be installed with al, least X60 feet of water above tha tol:r of the screen. 14. Corrvnercial eo~nstructiorr standard; z~elluire" Chat proposed sanitary systcrns be located at least 1.50 feet from private: wells. 1'I-+e following distauces are. pl oposed: a. ti5 feet: betwween the applicant's sanitary system and the appiicanCs v:+ell. b. 80 fecC between the applicant's sanitary system (future expansi~rr, pnol} soul the neighboring well on lot {000-25-1-22 to the north. It should be noted t4~iat clue to the very tow flow, it is quite possible that the fiin.u"e e;:parr;icn pool will never ho required. c. 91 feel between the applicant's sanitary system (leaching ,;tne11 ;_n,r PiPe neighboring well on lot 1000=Z5-7 -22 to the uorfh. d. Si feet between the applicant's salutary system and the neigh4~orinv ;:vrii on lot 1000-25-I-23 Co the north. `!0 feet between the applicant's salutary system acid the iieighborirlg welt on lot 1600-75-i-24 north. f. 80 feet between the applicant's sanitary system and talc neighbrrrhn;r wall n;i lot 1000-25-(-2%.i to the south. 90 feet between the applicant's sanitary system (f~~ltme expansion Iic,oli niui du; neighborint, well on Voi 1 t)OQ-24-2-(,,1 to the west. It should f~:-. +i<~te,<! 3am<~s Tomarken, iv1D, MSV,~, Iv[PI:, MT3~^,, PRCPG, ~=MCP, CotwYiissicner F'.earing Date: JvmaiY 20; 2011 Subject; Findings and Recommendations oC the Review Board Regarding: C10-U9-0009 - OIcI Orchard Fann Store ~ w/s of Village Lane, 95 feet s/o Skn>pers Lane, Orient - i!o Southold - SCTivi 1006-25-1-25 that due t.o the very tow 'flow, it is quite. possible that the, future ex~,ansioc~ caool will never be required. h 105 feet betwveen the applicant's sanitary system (leaching pool) anci t.P~e neighboring well on lot 1000-24-2.-C.1 to the, west. 15. Com'~Y~ercial eonstructiori standards rc-quire that proposed private waifs inc. located at least 150 feet from sanitary systems. The following distanoes are r~=op~osed: 85 feet between the applicant's welt and the applicant's sanitary system. b. 72f; feet beh>reen tale applicant's welt and the neighboring sanllcu'y sys'i-:;'rt on lot ]00025-1 ?_2 to the north, c 10 feeC between the applicant's well and the neighboring sanitn. °a s",-sisrn r,?, lot 1000.25-1-23 to Che north. d 84 fact between the applicant's well and the neighboring sanitary! sir; tern; cn lot { U00-25-I -?.~l 'to the north- a. 95 feeC betwee~~ 'the applicvlt's well and the neighboring sanitary sysYr z,~ nr< lot 1000-25-2-25.2 to the ease. 1. i UR let[ oetween i~.i~e appiieant s well anci the neighboring saniinry system on lot. '1000-25-1-2'1.2 to the south, g. 94 feet between the applicant's well and the neighboring sanitary system on lot 1 OGQ-25-i-27.5 to the sauth. i C. Standards require that teaching pools be at least 10 Peet from property bormdaries. l~ue to the small lot size, installaTion of a sewage disposal system meeting aL4 of the required seYbacl<s is not possible. Leaching pools are proposed to be A feet from property bound~u~ies. 1 1. `S'he ahl:~licent indicated that. they would be willing to covenant the properly to restrict Cuture use I:o dry retail to prohibit future increases in sewage design flow. 3~ cte~•ar evs ant iou'a Ct was a. 3 to 0 deiermutation of Che Board to granti Chc request for the variances ~:r,'ovicl the following conditions nre met: Cwc;nan(s tmc3/or deeds shall be jYl'ep;a~ed and lilac{, in language acccptabic [ri Ih~>: County Attorney, that: o Limit trse o'f f}re site to dry retail si'race o~~1y, and ~ t,imit sewage design flow to the current flow of 19.3 gpd. o indicate ghat maintenance far the sanitary system. is v::: ztr. ra.,;;r;; „ adjacent property, tax map number 1000-24-2-6.1. /'~n easement musC be obtained on lot 1000-2~1-2-6.1 which allows foi eicc~°s>= tc; ti7c subjecC property Por installation, maintenance and repair of the sanitary system. If: is presruned 14r<rt sta'lf use nearby restroom facilities i.n lieu of M on-site systrrtir t(:u=; overall flow will not be inercr~sing greatly in tCre area. The existhrg and proposed use rasull irr a design flow of 19.3 ~rpd, which is a fraction o,f the atlowablE design flout for the site of 300 bpd: Flow from the proposed onsitc, sas~i4nry system will be to t}to soui~h~meri nnr James i.. "Comarlcen, MD, ?vISPI, MPl-l, MBn. PR.CPC, FACP, Cornmissior,e- [bearing Date: January 20, 201 1 Subject: Findings and Recommendations of the Review Board Regarding: CtC-0~-000 - Old Orchard Farm Store ~ w/s of Village Lane, 95 feet s/o Skippers Lane, Orient - i/o Southold - SCTM 1000-25-t -25 direcily towards any of the neighbor's private wells. Likewise, flow from the neighborinE unitary sysierns will also he to the southwest, not directly towards the applicant's will. "the graniing o;' the requested va! lances is not a formal approva] to construct the sanitar; system or to use the test well as a drinking water sotu~ce. RaCller, it is a determination on the specific variv~ccs requested, based upon factors noted in §760-609 of the Suffolk County Sanitar}~ Code (Sanitary Code). In comuliance with §760.609A.(1)(z.), tl'~e proposed 'variances are. in general con'fortnity with the Sanitary Code. "'Che •.~ariances sl;auld rent impair groundwater, surface water and drinking water supplies, arid, as sur}i, are consistent ~~iith cr,itaria specified in §760-609A(1)(bl. "1'he granting of the redt.!eSied variances will not adversely affect the design of an adegaate on-site water supply Rrt('?p) sewage disposal :system, taking into account soil conditions, depth to groundwater, <lirectior; of groundwater flow, and as such, are consistent with criteria specified in §%Ct0- fi09A(1}(e). As per §760-609 of the Suffolk County Sanitary Code, the a171~iroval o€'th~, variancs is in harmony with the general ptspose and intent of the Sanitary Code to lxotect groundwater and drinking v?ater supplies, surface water a;ul other natural rescwces. and ~iti bii% it Gil iiii,. Sti."t ;iy arli.l V?C•'IIare. --~i~~<< _ _ _ . 6~pril 6,'L01 1 Jams Byers, P.r.__. • mm - Chair Board of Review SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: EASEMENT Recorded: 01/27/2012 Number of Pages: 13 At: 03:45:40 PM Receipt Number 12-0010182 TRANSFER TAX NUMBER: 11-12938 LIBER: D00012683 PAGE: 517 District: Section: Block: Lot: 1000 024.00 02.00 006.001 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0.00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $65.00 NO Handling $20.00 NO COE $5.00 NO NY5 SRCHG $15.00 NO TP-584 $5.00 NO Notation $0.00 NO Cert.Copies $8.45 NO RPT $50.00 NO Transfer tax $0.00 NO Comm.Pres $0.00 NO Fees Paid $168.45 TRANSFER TAX NUMBER: 11-12938 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 00 Number of pages I ' L` i1C .'af i': ~i` ~1_'• Pig LAG':: i This document will be public • record. Please remove all ~ wooiz~•.- Social Security Numbers P prior to recording. 'rte I ` " m" Deed /Mortgage Instrument Deed /Mortgage Tax Stamp Recording /Filing Stamps 3 eEEs y Mortgage Amt. _ - Page /Filing Fee I. Basic Tax _ 20. 00 Hai ng 2. Additional Tax _ _ _ f.P-584 J ~ ~ Sub Total Spec./Assn. Notation EA-52 17 (County) _ _ Sub Total _ ~ - Spec. /Add. _ _ EA-5217 tale ~ _ TOT. MTG. TAX - - ~y~y Dual Town Dual County R.P.T.S. ~ _ ~ Held for Appointment _ Comm. of Ed. 5. 00 ~ Transfer Tax ' Mansion Tax Affidavit _ - t ! The property covered by this mortgage is Certified Copy _1~ or will be improved by a one or two NYS Surcharge 15. 00 'J' ~ 1 family dwelling only. Sub Total _ ~ YES or NO _ ~ ~ i Other Grand Total ~ ~ ~ If NO, see appropriate Cax clat se t i - - page # of Chis instry e t 1000 024.00 02.00 006.001 4 Dist. Section Block Lot 5 Community Preservation Fund 1000 1000 02400 0200 006001 0 Real Property 1000 02500 0100 025000 ideration Amount $ l _ Tax Service ~fP T ~ Agency ~ F? DTY .A } CPF 2~c Due $ - Verificarion `.~n3dAN-1 ~~1% ~ ]mproved_- ~ Satisfactio. - _ -.--......o . _.~dress RECORll & RE'T'URN TO: Vacant Land William H. Price, Jr., Esq. ~ll P.O. Box 149 Greenport, New York 11944 II) TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Com an Information _ 310 Center Drive, Riverhead, NY 11901 Co. Name www.suffolkcountyny.govlclerk EASEMENT' 1-T-ITS AGRLIML-'N"1', made this day of ~v:~r~~.r~____> 2011, between LESL,[I; P. BLACK, residing at 113 Kimberbrea Drive, Kimberton, Pennsylvania 19442, as to an undivided 50% interest, and FIZElltiRICK M. PEYSER III and JANIS M. PEYSER, TRUSTEES OF THE FREDERICK M. PEYSER llI AND JANIS M. PEYSER LIVING "TRUST DA•PED August 25, 2009 and any amendments thereto, both residing at 25 Evergreen t,ane, Underhill, Vermont 05490, as to au undivided 50% interest, "all parties hereinbefore mentioned hereinafter collectively referred to as party of the first part," and ROBERT J. BLACK and LESLIT P. BLACK, husband and wife, both residing at 113 Kimberbrea Drive, Kimberton, Pennsylvania 19442, as to au undivided 50% interest, and FREDERICK M. PEYSER Ill and JANIS M. PEYSER, TRUSTEES OF "CHE }~EllERICK M. PEYSER III AND JANIS M. PFsYSER LIVING 'T'RUST DA"FED August 25, 2009 and any amendments thereto, both residing at 25 Evergreen Lane, Underhill, Vermont 05490, as to an Lmdivided 50% interest, "all parties hereinbefore mcntiancd hereinafter collectively retcrred to as party of the second part," W}TEREAS the party of the first part is owner in fee simple of the parcel of land located at 1420 Village Lane, Orient, New York, and designated as Suffolk County 1'ax Map Number 1000-024.00-02.00-006.001, more fully described in Schedule A attached Hereto (hereinafter referred to as Parcel ] and WHEREAS, the party of the second part is owner in fee simple of the parcel of land located at 1240 Village Lane, Orient, New York, and designated as Suffolk County "Pax Map Number 1000-025.00-0].00-025.000, mon± fully described in Schedule B attached hereto (hereinafter referred to as Parcel 2), and WHEREAS, the party of the first part intends to grant an easement to the party of the second part for a portion of the parccl•of land described in Schedule A, said easement more fully described in Schedule C attached hereto, and Wl-TF,REAS, the party of the second part appeared before the Board of Review reyuesling a variance for the installation of the sewage disposal system which does not conform to the commercial constructions standards of the Suffolk County Sanitary Code and the Board of Review of the County of Suffolk Department of Health Services granted a variance by letter dated April 6, 2011, attached hereto as Schedule D and made a part hereof, provided an easement be filed. W]"1"NESSE'PI-I: NOW, IN CONSID};RATION OF $10.00 each to the other paid and the receipt of which is hereby acknowledged and other good and valuable consideration, the party of the first part grants and conveys umo the party of the second part, its heirs, successors and/or assigns which shall come into title to said Parcel 2, a permanent and perpetual easement that runs with the land, as set forth more fully in Schedule C, for the purpose of placement, installation, maintenance, repair, inspection, and replacement of the sewage disposal system, and the party of the second part, its heirs, successors and/or assigns, and shall restore the area to its original condition after 1 installation, maintenance, repair, inspection, and replacement of such sewage disposal system over the premises more particularly described in Schedule A. The cost of installation, maintenance, and repair of said sewage disposal system and to resta~e the area shall be born solely by the party of the second part, its heirs, successors and/or assigns. The installation of said sewage disposal system with the easement area as described in Schedule C for the benefit of Parcel 2 must be with the consent of the Suffolk County Department of I Iealth Services. 'I•he party of the f rsi part, its successors and/or assigns, retain unto itself all rights to fully enjoy its aforedescribed premises except for the purposes herein granted to the party of the second part. 1'he afa•ementioned easements contained herein shall be enforceable by the County of Suffolk, State of New York, by injunctive relief or by any other remedy in equity or law. 'The failure of any agencies or deparunents of the County of Suffolk, the D1PARTMEN'1', or the County of Suffolk, to enforce the same shall not be deemed to affect the validity of this easement nor to impose any liability whatsoever upon the County of Suffolk or any officer or employee thereof. This grant of easement shell at all times be deemed a continuing covenant that runs with the land and shall be binding upon and insure to the benefit of heirs, successors and/or assigns of all parties to this agreement. This grant of easement shall not be terminated or extinguished without the prior written approval of the Suffolk County Department of Health Services. IN WITN)?SS WHGRFOF, the parties hereto have set their hands and seals on the day and year first above written. LE IL; P. BLACK ROBL'RT J. BI CK }arty of~I'iist Part Party of the Second Part I~RI;DI~RICK M. PF,YSli~2 iII, rf ustee L,ESLIL P. BLACK Party of the First Part Party of the and Part JANIS M. I'EYSBI2, Trustee ~R)~ M.1 'yrF SrR/+Ilrj j}.ustee Party of the First Part Part - of the Se on)d fart _ _ JANIS M. PL Party of the Second Part 2 STATL Oh PENNSYLVANIA) ss.: COUNTY OP CI-II;S'1'F,R ) On the _ ~ _ day of~ C~ b'E_~.~t hc'%~ _ in the year 2011, before me, the undersigned, personally appeared Robert .l. Black and Leslie P. Black, personally known to be or proved to nre on the basis of satisfactory evidence to be the individual(s) whose name(s) is/are subscribed to the within instrument, and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrwnent, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument, and that said individual(s) made such appearance before the undersigned in the City of Kimherton, Stale of Pennsylvauia. 7 \ / ~ / NOTRRIAI SEAL Iy.elfary Public RUTIi A ~ENGEI Notary Publla 7REDVFFF.IN TWP, CHEST@R CNYY Niy Commisslon Expires Apr 2A, 2012 3 STA"fL OF VERMONT ) ) SS.: COUNTY OF CHTTTENDENr) On the day of ~~1~y in the year 20] 1, before me, the undersigned, personally appeared Frederick M. Peyscr III and Janis M. Peyser, personally known to be ~~r~ proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) isn't~~ subscribed to tie within instrument, and acknowledged to me that he/she/they executed the same in his/her/t eir capacity(ics), and that by his/her/ ei ~ signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed-the instrument, and that said individual(s) made such appearance before the undersigned in,tfie City of Underhill, State of Vermont. n --'f V ~ _ Notary Public Sl~rt ~ Mar lY~ ~,~~~~(n~~~- 4 SCHEDULE"A" I)ESCRIPT[ON OP PKOI'ERTY ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in Orient, Town of Southold, County of Suffolk, and State of New York, bounded and desa-ibed as follows: BEGINNINGi at a monument on the westerly line of Village bane, said monument situate at the intersection of the southerly line of lands now or formerly of McNeill and the westerly line of Village Lane; RUNNING'I.1-IENCE along Village bane, South 32 degrees 48 minutes West, 16.02 feet to lands now or formerly of Oyster Ponds Historical Society; RUNNING TIIENCE North 60 degrees 04 minutes West, 277.60 feet; RUNNING THENCE North 29 degrees 56 minutes East, 177.60 feet to a monument and lands now or formerly of Tuthill; RUNNING 1'I-IENCE along lands now or formerly of Tuthill and lands now or formerly of Aronson, South 64 degrees 45 minutes 40 seconds Bast, 125.42 feet; RUNNING THENCE along said lands nnw or formerly of Aronson, South 64 degrees O6 minutes 20 seconds East, 6.01 feet to lands now or formerly of Van Nostrand; RUNING "fHINCB South 29 degrees 56 minutes West, 25.0 feet to ]ands now or formerly of McNeill and Caffery, North 64 degrees 04 minutes 50 seconds West, 6.01 feet; RUNNING THENCE-' South 29 degrees 56 minutes West, 146.87 feet to a monument; RUNNING T]-IBNCE South 60 degrees 04 minutes East, 153.40 feet to the point or place of BEGINNING. 5 SCHEDULE"B" DESCRIPTION Ol~ I'ROPBRTY ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being Orient, Town of Southold, County of Suffolk, and State of New York, bounded and described as follows: BEGINNING at a point on the westerly side of Village Lane distant 95.33 feet southerly from the corner formed by the intersection of the westerly side of Village Lane with the southerly side of State Street, and from said point of beginning; RUNNING "fHENCI South 26 degrees, 20 minutes, 20 seconds West, along the westerly side of Village Lane, 25.00 feet to a point and land now or formerly of Latham; "I'I-IENCL==• along last mentioned land the following 2 courses and distances: t) North 64 degrees 4 minutes 50 seconds West, 144.32 feet; and 2) North 29 degrees 5C minutes East, 25.00 feet to a point and land now or formerly of I Iubert; fI-]ENCE? South 64 degrees 6 minutes 20 seconds East, along last mentioned ]and and land now or formerly of Staron, 142.75 feet to the westerly side of Village Lane at the point or place of BEGINNING. 6 SCIIEDULE "C" DESCRIPTION OF PROPERTY nLL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being Orient, "]own of Southold, County of Suffolk, and State of New York, bounded and described as follows: BEGINNING at an iron pipe mentioned in Deed Liber 11483, Page 73, on the westerly line of Main Street/Village Lane; "THENCE North 60 degrees 04 minutes West, 153.4 feet; THENCE North 29 degrees 56 minutes East, 146.87 feet; THENCI's South 64 degrees 04 minutes 50 secatds East, 6.01 feet; THENCE Na-th 29 degrees 56 minutes East, 16.02 feet; '1'IIENCE North 60 degrees 04 minutes West, 24.03 feet; "1'I ]ENCE South 29 degrees 56 minutes West, ] 78.91 feet; "THENCE South 60 degrces 04 mini.ites East, 169.4;? feeC I'HF.,NCE North 32 degrees 48 minutes East, 16.02 feet, to the point a' place of BFGINNING. 7 Cd';UN'i`1' C~'a' SUI~'i~c~L,H b _ . rd~ 5'PLVF LLVY - " SU~I''OLIS COUN9"1' IiU9CLrITVL IJEPARTtd~eid'i C11° IiFSAL7H SERVICES JAMES L. 701J1ARKEN. IUID tvlsvv, MNFt, IvIeR, t=RCI=r.,. r-AC.;, COhh611S_iON2fr ;Aril 6, 201 1 Robert T3arratt, l'. f?. x295 Vanston Rd. Cutchogue, NY 1193` Subject: i~oard of Review ~Flearing ~ January ?-0; 2Q 1 1 t~1 ~)-09-(1009 niC! (lrCl?ard 1'at771 StC:C :v~S C: Vlllagc 1,811 G, 95' ?iii lip I S l.:ane„ 1.:i 4i';ill - Uo Southold SCTM 1000-25-1-25 Dear Mr. Ban~att I;nclosecl IS 8 COUV 01 the 1"I n(III?P_S rCtenmm~nrlaiinnc anal dC?Biini}~.8?:?qn r;.f 74..:: T:,,,a::' ,.:-'Jle'7~ concerning tn~ subleci application. 13~.rsed on the inforn~ratiorr submitted, the Board granted the rec}uest for variance./waiver ~~~ith Inc provision indicated in the determination. 'The granting of this waiver does not imply that your Application will be atttomaticF.lly approved. 1i is your responsibility Co ensure thud yow~ application is complete; otherwise, your approval will be sr.lhjeei tor.uulecessary delay. Very truly yvurs,_ k ~1~ ~ of I II J'~nts W. Meyers, ~P.]~. ii Principal Public Health F,nginec;r rr6~r~~ } ar,,}, a (:hair, k3oard of'Revievv ~~Lf - l.,c.J I t~ H, ~ .,.r f1E`~b'~~. PnFf 41. I . ' Enclosure . f;~. F3oard c.{~ lZr:.view File Yaph~u~k Scott Stein Craig 1<nepper Pvevie~aer Barbara Cervone i Eileen Cantone Yaphanlc Katherine Caffery Anchrw hreleng ~ Planning Deparhlie+~t Frederick Peyser Laurette Fischer ~ Planning Department -John and Jttlia TuChill 1-1caYher Lanza "town of Southold Orient Community Activities Inr Mary Anne Nordstrand L ..a~,~~ 011_ Irnnma! i vl Q.::ahly o 6u ud Of RemC V 3f 0 i 1151,. L' l v,tnne SUilo 7.6 v YiplW nk MV' 11'.190: Phone (6 1) 609 BO'1 7-~a (6Jl) bv2-SD25 If'€eVt9lc pYeaNVax c~~i r~nni r, 'hi^ ~;4t1[@'.)i-,+{ ~,fJ~I1 TVF7~' fl1~Pe,G'i~l\•C1V1L(~ln t1t~ ~LAY~tII ~b.~,Y2'V i-~,is 711iI VISYdN ©"F ~Ei~t VIROIYNPF,iV'A'AL, ~T7A'i~l'3'Y BOARD OF Fd C,VILW l~i~'1'I'CI,L 2, ~i~CTI®N 22~, ~UIrY+O"Y.I< ~trStTNTY ~ATvTTA3tt5' Cr`~)~L; To' James I.. Tomarken, Ml~, MSW, MPH, MBA, F~RCPC, FACP, Conunissi~~ner f°rorn: )amen Meyers, P."r., Chair, Board of Revic~~~ Sttbjeci: l~~indir+gs and Recommesrdations oEthe Rcviev?.[3oard Regarding: i~10-tai-t"J(?Oti - Old Orcltvd rarm Store w/s of Village Laue, 95 feet s/o 81<ipp+ir~s },ane, Orient tlo Southold SC'LM Y 000-24-i-25 1learin}, I:)atr:,: ,lanuary ?0, 20'11 Board Members: Patricia hlot•ia, P.:f., Ch.ris Lul.+icich, 1'.:C. Re-vic~'~ter; Craig, T<nepper, P.1?. ~tsaYeut~teat0 n0'Ilbp_clhletn Contrr+erciat consttuetion standards require Chat sanitary systems ba located at lean i50 feot from private, wells. "the applicant is proposing to install a sanitary systcn+ less than a~ r: n..+.+ . 1 ~ fin; .'t}x,„ ;j~,^;~ ~:h 2nG i..,ij_jiiuviiit(~ ~~ii vtllG wC113. . j~ Commercial constriiefion staxidarcJs require that private wells be located at least 150 feel from sanitary systems. "the applicant is proposing to install a private well that is [ess then 1 Sp feet .from their own sanitary system and neighboring sanitary systems. Construction standards require that private wells he located at least 10 Peet from brrildittg foetndations. l'hc applicant is proposing the installation of a private well toss than 10 'feet from a building foundation. Construction standards require that private welts closer he installed with at leas9 40 (eei of water above the top of the screen, The applicant is proposing to use a private well that lta.; less than 40 feet of water above the top of the screen. Construction stan<l~ds require thaC sanitary leaching pools be located at least l0 Ecei: frcn; pretperty bortndaries. The applicant is proposing the installation of a leacltutg s. rct trtc<: lest; titan 10 feet from a property boundary. irea~cdsuu~x r'+ead!racis 3. the applicant is proposutg the installation of <t sewage disltosai systeir~ for an existing building and updating the water supply with a newly installed well. The e+uilding itas 6ec;n without a sewage disposal system since an outhouse wits demolished in the 1930's. 'l'he project is }orated in Urounclwater ~lhauagernent "Lone 4. 3. T.he parcel is 0.081 acres and the yield at density is 25.3 gpcT. However, the parcel is a single and septu•ate loC on the 1981 tax maps so the site is allowed a mav.irrtum of 3001;pd of total sewage Glow. Current design flow for the site is 19.3 npd. "t. "1'he proprosect sewago disposal syste+n consists of a 1,200 gallon septic trek ;md two 8-foot diameter by 4 feet deep leaching pools plus area for a sntg,lc° ex;tcuision iar-,cs 1.,. Tom~arken, MD,1v1SW, IvtP31; MBt~, FI~CPC, PACP, Comrnission<: hearing Date: January 20, 2011 Subject: Findings attd RecornmemdaCions of the Review bloard Regarding: C70-Ora-0009 - Old Orchard Parm Store ~ wls of Village Lane, 95 feet s/o Sl:ippc!s Lane, Orient - do Southold - SCTM 1000-25-i-25 pool. The proposed sewage disposal system is ]ocated in rear o~f the property. Maintenance of the system will require an access easement on a neighboring lot (tax map 1000-2a-Z-(i.l) _i. Soil conditions are good wii'h :and and gravel below 3 feet. 6. Depth to water is approximately 12.4 feet below existing grade. 7. "I'he direction of groundwater :Clow is I:o the southwest toward Orient .Iarl:ror. •ThE CY.IShng 1,tSe Of the facllily ?S r.'i_ry Cetall (fmrliitClle anCl anti.^yUe i^v r::j. Tiic building has 6A2 square f<:et gross floor area. Sa. 'Che applicant has itid.icatec! that it is difl9crrlt i'o operate the- r 'r„~ ~ s restroom for staff or visiting clients. 10. Publio water is not available in the area and a letter provided by the S~:W6t indicated that it would cost approximately u1 .5 million to extend public ~:viru;r Yo the site. 11. The facility currently has apre-oxisting well boated in fire basement of the btailcling which has exhibited elevated manganese concentrations. ~ new test evert was installed in tt,e froizt of the lot that the applicant would like to use as tyre ne:v source oi' drirrl<ing water. Tests performed by the Department on September 7..1; 2010 showed tlrai water quality in the test well met applicable standards. J 2... ]3ecause crf the limited parcel size, the new well is located 3 feet from tl~ie building foundation where the standards catl For a minimmn setback of IQ feet. 13. The well tog for the proposed well shows that the well is 30 feet deep with water at 1 1 feet below grade and 15 ['eel of water above the top of the screen. Stacuiards rc;quire Chat wells be installed with at IeasC 40 feet o:f water above the toly of the screen. lei. Convnerc'ral constt•uction standards reclurire that proposed sanitary systems be located ai least 150 feet fiotrt private welts. The following distances are proposed: a. 85 feet between the applicant's sanitary system and the applicant's r~ell. b. 60 feet between the applicant's sanitary system (future expansion hcol) and. the neig}lbarinl~ well on lot 1000-'L5-1-22 to the north. fl shtcwld bc.. nctec'r that clue to the very low slow, it is quite possible that Che fircure c~rpausion pool will never be rec}uired. c. 91 feet between 'the applicant's sanitary system (leaching l~rol) ~.:.d i.ix; neighboring well on lot 1000-25-1-22 to the north. d. A l feet between tho applicant's sanitary system and the neighhoring well on krt 1000-25-1-23 to the north. e. 74 feet between the applicant's sanitary system and the ncigt~rborln~ s:vell on 1ot1000-25-1-24 north. 80 feet between the applicaiit'S ssuiitary system and the nei~hl~roring well oir lot 1000-25-1-2%.5 to the south. 1!,. 90 feet betvvicen Che applicant's sanitary system (future expansio,~ pool) aui4 the neighboring wel! on lot 1000-24-2-b. t to the west. h shoulc4 b~~: noted )a:nes 1.. "1'ornarken, MD, IvhSW, MPF1, MBA.. FRC:PC, FACP, Comrnissionei~ Hearing Date: January 20, 2011 Subject: Findings and Recommendations oi'the Review Board Regarding: C1.0-69-0009 Old Orchard harm Store ~ w/s of Village Lane, 95 feet s/o Skippers Lane: Orient - Uo Southold - SC"I'M /t: 1000-25-1-2,5 that due to the very low flow, it is quite possible that the Future expsmsion pool will never be required. n. 105 feet between the applicant's sanitary system (leaching pooh and the neighboring well on ]ot 1000-24-?-6.1 io the west. i 5. Commercial eonsh~uction standards require that proposed private wills hr locai,d at least 150 feet Eton, sanitary systems. `the following distances are proposed. a. 8S feat between the applicanNs welt and the applicant's sanitary system. b. 128 feet betwee? the applicant's well and the neighba•ing sardtary Aysten, on lot 1000-25-~1-2.2 to the north. o. %0 feet between the appl'icant's well and the neighboring s:.nitar~~ s'1~s=.cn-: o:~: lot 1000-2.5-1-23 to t}rc Wort}r. d, 84 feet between the applicant's well and the neighboring sanitarti~ °y~:tr:;tr; on ]ot 1000-25-1-2h to the north. e. 95 feet between the applicant's well and the neighboring sanitary system ors Lot 1000-25-2-25.2 to the cast. f. i2,o i'eei: between inc applicant's weii and the neighboring sanitary system on lot 1000.25-i-27.2 to the south. g. 94 feet between the applicant's well and the neighboring sanitary system on }oi 1000-25-I-27.5 to the south. !6. Standards require that leaching pools Ue ert least 10 feet from property bot.mdaries. Due to the small lot size, installation of a sewage disposal system meeting ail of the required setbacks is not possible. Leaching pools are proposed to be R feet:from property hounclfu•ies. I'7.'['he applicant indicated that they would be willing to covenant the property to restrict. Ihture use to fiy retail to prrohibit future increases in sewage design i9ow. ?yete- er+ernatroa'o If. was a. 3 fo 0 determination of the Board Co grant the request for the variances provided the following canctitions are mef: Covenrurts andlor deeds shall be prepared and hied, in language acceptable to i.ha County Attorney, that: o Limit use oi'the site Co dr_y retail space only, and 0 1:,irnit sewage design flow io the current flow of 19.3 gpd. o htdicate that maintenance for the sanitary system is via ate ea:;et:x::~t adjacenC property, tax reap number 1000-24-2-61. - An easement trust be obtained on lot 1000-24-2-6, I which allows fo'r access to i{te strbjcct properly for installation, maintenance suet repair of the sanitary system. It is preswiled fha( staff' use nearby restroom faci{ities in lieu of an on-sue s~~ste;n !1nit; overall flow will not be inorerr5ing greatly in the area. "Che existing and proposed use rr.;;ult in a design flow of 19.3 gpd, which is a fraction oFthe allowable design flow for the silo of 300 gpd: Plow from the In'oposed onsite sanitary system will be to the southwest, not lames I Tomarkcn, MD, MSW, MPPI; MBf~,, FRCPC, FRCP, Cornmissioner Hearing Dato: January 20, 2011 Subject: Findings and It.eeommendations of the P,eview Board Regarding: Ci 0.09-000v - Old Orchard-Farm Store - w!s of Village Lane, 95 feet s/o Skiupers Lane, Orient t1o Southold - SCTM 1000-25- I -25 directly towards any of the neighbor's private wells. Likewise, flow From the neighUoring sanitary systems will also be to the southwest, not directly towa~~ds the apphcanPs well. the granting of the requested variances is not a formal approval to construct the. sanitary system or to use the test well as a drinking water sow•ce. Rather, it is a determination on the spc~.cific variances requested, based upon factors noted in §760-609 of the Suffolk County Sanitary Code (Sanitary Code). in compliance with §760-609A(1)(a), the proposed variances a.re in general conformity with the Sanitary Code. 'T'he variances shottkl r~et impair groundwater, surface water and drinking water supplies, cu,d, as stick, are consistent with criteria specified in §760-609A(1)(b). The granting of the t~equested variances will not adversely affect the design of an adequate on-site water supply and/or sewage disposal sysiccn, taking into account soil conditions, depth to groundwater, direction oC groundwater flow, and as such, are consistent with criteria specified hi §"760- 609A(i)(e). As per §760-609 of the Suffolk County Sanitat•y Code, the aphrova( oP the; variances is in harmony with the general purpose and intent of the Sanitary Code to ;xoteci groundwater and drinking water supplies, surface water and other natural resources, and (Slitiiic itciiiilt, safety' and welfare. c:.~~(:.~r2~rl .._,.._...,,.m.~..~.~ Ain i t G, ? O ll •Tam s Byers, P.r Chair ti IIoard of I2evicw r r ~ - - - STDa6 Ow"Tt-IUE REAR ~~Ew - _ _ II ( 4d\~e~oW ' ~ GNTRY DCka,R_~ ~ ,a,.~oow ~ ~ iEt-6o~k ~ ~ ~ rs? ~ to ~ s.s' ICgSE MtVT I ~ 3Z~i OPEN IN4 I I C~4SEMgNT I S'9 ; ~ ~z0, I CtEAR__ ~ ~ w~• 1 _ I ~ ,s ~ _ ~ ~ ~ 3 ~ ' _ -a I ~ I ; - _ - ~ I as " L ' 1 STORY FRAME BUILDING i O~ - - - I I FLoo0. l_EvE(. = l4 ~ ~3 s L I STET-BA.cK ~o.z• s.o' E~ r I I = 7' 1 , o• noon oaFtaw+o ~ s.z• I4, 6 5 t. o o E= I '_Z O I L 1 4' S h 0.5' HOOF wFmwx, 0.8'K ~ACH SU pPn2T Cot.y ~l.1a c ...cE SET 4 DEEP In1 Cow1C2ETl~ E~fl~b A T ~ ~ FbEL.o W C~ a AoE . This drawing is based uppn data derived from the Survey # 27 - 480 prepared by ~ _ _ ~ Nathan Taft Corwin III NYS Lic # 50467 dated 01/28/08 _ ~ - - - t6j°~~ ~ ~ _ _ _ ~ 1z• 6~ SCTM # 1000-25-01- 25 I ~ 13y c~L^`~ ` ~ - ~ New construction - - - --+C- - - - - - - T - - - f - Foundation: Bin dia Oft Sona-tubes/cement, or equivalent , Columns: 4in x 4in Doug fir grade 2 or equivalent Girders: 2 x tin x Bin Doug fir grade 2 or equivalent Joists: tin x bin Doug fir grade 2 or equivalent on 1ft centers Floor boards: tin x bin STK Cedar or equivalent on bin centers D. • • 2i'Fn,n zi M,~ Joist to girder joint: Tern's used throughout NEW 4 ` ~ EL R' <c¢~a<vae£ ~ ~ t-~ Gt-G444vGE Column to Girder joint:'/z in bolts ~P~~ ~ B YO.f, r4°ti T° a°°" T° De°e- Floor fasteners: SS ~ e~~~ a~ ~ • o ~ Sl..o~ ~ : ~o - ~ Design Conditions ~ ~i..ess T.+oa 6 " else Live Load 100psf * g@~- , - - - - _ . - Dead load 20psf ~ ~ Snow load 20psf ~ ~ Engineering ``Dp ~IS6s In accordance with the Building Code of the State of New York R FE 1ONP 4 4, gl 1Zev4d°,te~teri{ISjlz SBOCDM,.+EU'rY of o4/Ii~IZ ~i~ Rev 3 dated 04/07/12 Lateral clearance increased per code ~'7 P~ a N Rev 2 dated 04/04/12 Building dept comments added Rev 1 dated 03/30/12 Deck removed Dwg # 032812 Rev 0 dated 03/29/12 1240 Village Lane, Orient, NY 11957 LEGEND Client: Mr Robert Black et al -Owners Details of handicapped access via rear of store P 3ft wide ashfelt path or equivalent at rade ~ These plans are an instrument of the service and are the property of the design Sft wide ramp nse Over Oft professional whose seal is affixed hereto. Infringements will be prosecuted to the fullest L` Sft x 7ft landing at EL = 14.8ft (same as store sales floor) 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 o I i 3 b S F F formally acknowledged as revisions to these plans. scc ~e ; Robert Barratt PE, 4295 Vanston Road, Cutchoque, NY 11935 Tel 631 734 2730 cell 631 875 0275 Email: robertbarratt@optonline.net