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1000-59.-10-5
� � � . N 8�33.37 n W `C '�, 1 �,.: ': m� �� O � y. o'�c.�=G '�'� . ". �a � •,'" ' " � �,�, o. . . +. y � ���� ' :�: .. � <.. �'�w �1` : , . .�4,�� ��� p� . s• �b �^. 4'' a4�.+' e '� Y`G .' ' 'a' �Y �ii � o° . /^O, � � �a�� � O� �" /,� ; a � °.• 9'� v�^� �' � ' �. � � -, ,�' ��y� �, � , , o; � �� , ;aa� � �,� �,`• �^ . '° ; ., �, Q . :'. \ O . 4' h�� � •`A'.^�,� �� s. . . ; • a '� °•� �' ;ry� � ��•'�;LL;'. . ° • � SITE PLAN FOR PROPERTY •< .: ...,� �' .�` ,a; ' ° ` !a SG b , t SITUATED AT � . . � . � �: �,. ,, , �:.,,� .• .�`>.,:�.:�>;.. SOUTHOLD ' a ' � � ,"o.� r±� �:—°�: '�';'�a'�• • 0p�e 'g�"� �.:`i.;',;<i,;�;:):�<i::'.. . .�° �" �: �:; ' " ` '- 'r TOWN OF SOUTHOLD y' � .. '..�7.�Ji::,;..,�::':,,;..:;�:;'y::z!(:::;(�. � ,_�. . ,;:::::,..::....::..:. :..: SUFFOLK COUNTY � ti , , ;<: . .. E�.,:... .::.;:; `��a N E W YO R K � a .: �i::- '�;�C"�,o; . .. :..,;. .. 'C��cr� , � ' ;;;��°°:r:,`:>t:>:';:�".'::::: . �y�'�'�d S.C. TAX No. 1000-59- 10-05 o, ,�' . . ,,�.... ..:.::.:. s � �' +::�.��:.:�:!':;C.`.:.::'..?�.`...`.:".."�.i:'.:,;;��'...`.'� y� N v � �r. ,. ::�.t:s;, :.;::;::,;..:°-,;; ::;;., oy o �� SCALE t =20 <. ` i>.:::�:;:,t:s:;,;..;;::,s.:.:.:::.:::..::::.::::. �o= ':'::::;�;:,;::;:: k�:'>;?:;.: .>':.;-';>t:,,:`. ��,�� od OCTOBER 28, 2002 � • _ � . o�.�.�N �ECEMBER 11, 2013 RELOGTE� PROPOSED BUILDING "a . p ..,n ' �� (:�:.:.��`.t�..'.�.:''.'�`"j'�.'��'.��.:)> A'.' a' . . . ..;�::.��.g''�.: .;t;'.a;',. '�'a �m�,�L^� �Y. AREA = 15�615 sq. ft. . :.:�,:�.:..,-:,, :�;'�;:"2'�0;';i;�l';1".::-.;::'" � y,od .�, 0.359 ac. � '.�:''.``:;�:::�`,'�.�'.:t ��. .0 : � 'sc �� .. � O . • a . .. ..c..:.�t.:ui:'v.ii':: y� . . .. .. ................ .. ! _ ___ _ _"_ '" ' Qv',;:.;,''e:,;�.:�:ir:d'� L 'Ll.N �yR �^„O ° ' ' 9 P O M' p il�l� II�, ��-� .I����_` ...;3�'':1'�.:"e::'i.i.i:"e::'Y.... � ��, p�'. � `.r':.FP`,11.�!'.::::^'�.:�`!.:`.Cr., Wi o �•�y „i1 I�d,�� _ - _ ' � +�, . �� i b u � � .� � APR 152014 � e o 'A I s m m o � ' : � �/ ! � �� � . .. .. �`�.:����r:`:,"'.:t:,:.�:::?'!`.;t.;':+:��ii`.?::�.:'�,l',1t.: "O - .q. !':'.� .�...:.::ry...::::':�.:'..:.."�ro:v.c..i"�.:i:'. ��Y' v', , , ; 7 'r.r W. .!.:.:'.;.:,,r.:.:ii::.i:.,:�.y:..F:��:(C::..:: nof'yf'a`7�.� —�-,_�- � i `D. � ',. . . • '::c:.:ii5! .�t.�5"2` _' ___ " '< _ _ . ..: � ��:�:."�.:i.!(:..;';;':'::,;..`'!:.�`.i'_..r;:"?:'.y. �, � 'a.•", F � '.'r%>:;::'J:.~�..,,'?;;:':. :;:'„>.::::.:::.:..::::.: : TEST HOLE DATA ..a . :.: �,<:��;.c::;�:"r..:'.:.:y:��'�.r:.:::�::;;.:c::;:5.,. si h'oLE uuc eY �u�ooua�o r. o i� . yk9 � �.,�.F' ON SEPTEMBER 72, 2002) � < �� � o. n, , n.Ax e� six inw o� a` ���[;� �, • ''l. �� f'•:::�',�i•a��:•:��y�" ••,:.'� • ° '• axEnsX aROWN aLi ul �4.1 . , f..+TP..'�h U"L• - �. ,�,� �^�. �. • '• a:'� .`�•.�"'.. :�! avm'm mtt swo sd ` ' ...,�3 d .�1` s' .W:•. P .�p., , .. r J i �e• ' � � •: d£ ,/� . • . ' . ' °� , � a.'. 1 ' 'a �l�J� �O � l .. • � � PNE 9RGWN FlNE Z •�A � " ' Q- 10 qLJSE 51NP SM ,.qo 9� �a� � ''' . . . ' .. Ti �:_. Qm� ��1\� j'm � a 5,� �'A 'e�:: N� �Oc '�C��,• '� . ' .o� , � ' ,P a 1 � •.,, �- �. � v-.�. • �:� :� . E , . , � ' � � „� �, ' 1` ,� . � V ` aq: � � . 'd .7�. . � K�� $d.G • �. �AN a •�d� • �d� �•' .� ' .L �..+' l x � � 4� . .� � rd �• a :{:°� '� ';�, �fi yd. ,c �' s. , a � . �,�:.,. ; w � �, +, . . . . . �a�. �q 9 ' a ' a .. � � � .a 4 • C� � � •a . •. . �. � ' p"�¢ 5` 6 . ' q'� � Q� �e x�� Iyl��'(c, � C��, . • gStl' ^' NOTES: yf • -�3•'• . a • • b�,` 9 p 1. ELEEXIST NG AELEVATIONSNARE SHOWN THUSME�D DATUM ;'�, ��y�j��`L1 PROPOSEDCELEVATIONNAREASHOWN 1THUSHU�.� —so— — — — � �a� ol� �0�¢4,� 2. ZONING USE DISTRICT LB � e �I'A�sp. GP 3. PARKING � 3¢p E�j�°P� BUIL�ING AREA = 3,900 sq, ft. ' py OFFICE = 780 sq. ft. � STORAGE _ 'Y3,120 sq. ft. i PROVIDED 13 PARKING SPACES � PREPARE� IN ACCOppANCE WfM THE MINIMUM 4. DRAINAGE CRITERIA � sru+awos roR m� suRvers rs esrnsusHco BY 1HE LIALS. PNp MPqW OPIEp BUILDING & SIDEWALK = 4,231 sq. ft. Fmie�wssocwroN'"E "�" ��F'�"p'�� o PAVEMENT = g,708 sq, ft. ' K� Wg� TOTAL = 13,939 sq. ft. ���y�rqF7�C }OP h�°' t �� LANDSCAPED = 7,676 sq, it. � � � 13,939 sq. ft. x 0.i 7 x 1.0 = 2,370 cu. ft. ' .�. ' ., .��� � �� 3,270 sq. ff. x 0.17 x 0.3 = 86 cu. ft. � + TOTAL = 2,456 cu. ft. , � ' ,,,,��_� , f 2,456 cu. ft. / 42.2 = 59 vertical ft. oT 8' dia. leaching pool required ���, ����� � ,��,� � �a . ,t PROPOSED (6) 8' DIA. K 10' DEEP DRYWELLS �\�q��,_����yr,,� �/ �N.Y.S. LJc. No. 50467 5. PROPOSED SEPTIC SYSTEM SHOWN THUS; ' UNAfRNORIZED ALTEPATION OR MOIIION Nathan Taft Corwin III Rf iH15 SURVEY IS A NOIATION OF PROPOSED EXPANSION POOL SECTON J209 OF 1HE NEW YOPK STAIE `°°�"¶°" u" Land Surveyor COPI6 OF TIIS SUINEY AUP NOT BFMING 1HE UN� SURhYOR'S INItE� SELL OR PROPOSED LEACHING POOL EM9055m SEPL SWJ,L NOT BE CONSI�ERED ro ae n vuio mue coar. , CERIIFlGTIONS INDICATE� HEREON SIULL RON $Ilttessof T0: $ian�¢y J. ISOksep, JL LS. ONLY TO THE PFASON NR WHON 1HE SUFVC! JO�EPh A. IIIgEgna LS. � PROPOSED SEPTIC TANK ' a PRErueeo, �uo oH ws acw,u� ro TMe , lrtlE CouPMtt. cOVERNAIEN*0. ecENa ANU TiNe Surveys — Subdivieions — Site Plans — Consfrvcfion La}rouf LEN�ING INSIIIUII�N 115fE0 HEREUN, M!D io �rve wuicNCEs ar �rve tcnoixc ir�m- PHONE fi31 727-2090 , TU110N. CERIIFICAlI0N5 ME NOI TRANSFERABIE. � � Faz (631)727-1727 THE EXISTENCE OF RICHT OF WAYS OFFlCES LOG4TE0 AT MNIJNG AOURESS ANU/OR EASEMENTS OF RECORD, IF 1586 Nain Road P.O. Ban i6 ANY, NOT SHOWN ARE NOT GUARANTEED. Jamesport, Naw York 11947 Jomesporf, New York 11947 33-324 WORK SESSION AGENDA SOUTHOLD TOWN PLANNING BOARD Monday, May 16, 2016 4:00 p.m. Southold Town Meeting, Hall 4:00 p.m. Applications .. - Project Name Ridgway/ Standard Subdivision I-SCTM# 1000 6-1 3 } Location. 1588 Fox Avenue, on the west side of Fox Avenue and adjacent to Hay Harbor on Fishers Island ....._ .... _.......mm.................. .... ......... — -- --- ------ ........ .w..... ......... ... ......... .... Description: This proposal is to subdivide a 9.6 acre parcel into 3 clustered lots where N Lot 1 equals 4.3 acres inclusive of 3.8 acres of open space and 1.4 acresi of unbuildable land, Lot 2 equals 1.6 acres and Lot 3 equals 3.7 acres inclusive of 2.0 acres of Open Space and 0.8 acres unbuildable land. The parcel is located m the R-80 Zoning District. Status Conditional Sketch Plat A roval ., .___ .....,F Action Review revised Preliminary Plat & draft Negative- Declaration. . � ....... _. ._ _.. - tion . Attachments 1 Staff Report & draft Negative Declaration ....___ m_ .. _. Project Name Boccio, Michael & Jennifer �SCTM#. F1000-59-7-29 5 .... Southold { Description: Proposal to remove a 50' right-of-way notation from Lot 4 0 Location: 84 un view venue, f the previously approved subdivision map entitled "Minor Subdivision of Robert T. Bayley, dated May 20, 1976. Status PendiN ---- - a . . ........ [.Action: ' Review public hearing comments &for a decision. _ . ...- ...... Attachments Staff Report _ ... ....... _ Pro ect Name Filipkowski ,AirInc. SCT 0'0'_-59'"-_'1' 5 j M# i 1000 5 Location 41250 CR 48, Southold Description: This application is for the proposed construction of a 100' x 34' (3,400 sq, ft.) steel building and contractors yard on 0.35 acres in the Limited Business Zoning District. �............ ..... .._ _ _ r. Status: New Application Action: Review revised plans Attachments None _................... _. l _ .. .- Project Name: Fishers Island Club Addition ' SCTM#: 1000-4-6-9 ...... Location: Off East End Road, ±820' s/w/o of East Main Road & East End Road, Fishers Island ........_ _ _ Description: This Amended Site Plan is for the proposed addition of 10,471 sq. ft. to expand the existing use areas within the club house and increase the existing 14,270 sq. ft. Fishers Island Country Club to 24,741 sq. ft., including the addition of 28 parking stalls and a new sanitary system on 12.3 acres in the R 120 Zoning District. ........ _ Status: New Application Action: i Review for completeness Attachments: Staff Report Southold Town Rianning Board. Work Session - February 22 2016 - Page 2 _............................. .. ......... ...... ..� ... ._._... ... Project Name: Peconic Land Trust/The Farm SCTM#: 1 1000-55-1-11.3 BeyondLLC Greenhouse l Location; 145025 CR 48, ±240' s/w/o CR 48 and Youngs Avenue, Southold _ Description: This approved Agricultural Site Plan Application is for the construction of a 48' x 35' (1,680 sq. ft.) greenhouse for vegetable production and not open to the public on a 3.6 acre farm where the Development Rights are held bar Southold Town, in the Limited Business Zoning District m,. ..... .� . . ........_. �... .e Status: Approved Pending Final Inspection ..... _ Action. Review comments from Final Inspection F Attachments _ ! Staff Report _. .. _ .._m - . .. Project Name Filipkowski Air, Inc SCTM# l 1000-59-10-5 ----- I Location; 41 250 CR 48, Southold_ Description: This application is for the proposed construction of a 100' x 34' (3,400 sq. ft.) steel building and contractors yard on 0.35 acres in the Limited Business Zoning District ® _ _ _____ Status: New Application Action Reirevised p. osal. Review eied ro _.� . pp j Attachments I None - - Location- 650 First Fund [ SCTM# ( 1000 117 8-18 Pro ect name .m.n ......� New Suffolk olk Waterfront. ®_.. ... .... ... ... . ._.. _- orner of Main Street and First Street, New Suffolk p his a roved Site Plan is for the re-location, r......... Description T pp renovation and addition of I 147 sq. ft. to the historic Galley Ho restaurant building, totaling 1,725 sq. ft., to include a 66-seat restaurant and 16-slip marina on 2.3 acres in the M-II Zoning District. Status: Approved Site Plan .Action: _... I Review As Built Plan. ... . ... . ... _.. .. _ - Attac.. _s: Staff Report. ._ ®.....�... m... _'� Attachments: Project Name: Bi g ane & Yenicay SCTM#: 1000-83-1-33 & 34, 95-1- 11.2 ., Location: 8865, 8869 and _. ®.t m._ a .e.._ ti8871 71 Oregon Road, on the north side of Oregon Road, p pp y of Duck Pond Road, in Cutchogue. This pr pate d Lot Line Chang.,. .._.. west Description: proposed a will transfer 1.2 acres from SCTM#1000- 95-1-11.2 to SCTM#1000-83-1-33 & 34. Lot 11.2 will decrease from 19.7 acres to 18.5 acres. Lot 33 will increase from 1.9 acres to 2.5 acres, and Lot 34 will increase from 2.1 acres to 2.6 acres located in the R-80 &AC Zoning Districts. Status: „ Pending _ Action: Review application requirements. pp �e . . Attachments Staff Report Southold Town Plai ining Board Work Session - November 2 2015 - Pa e 3 _ --------- ------ - ---- ___ , Project Name: Verizon Wireless at East Marion SCTM#, 1000-31-3-11.31 Fire District Location, 9245 NYS Route 25, +525' w/o Stars Road and NYS Rt 25, East Marion Dee scri tion: This Amended Wireless Communications Application is for ...m _ _- p pp p a proposed Verizon Wireless co-location of an interior mounted antenna within the concealment cylinder between 90' and 100' above ground level of the approved 110' antenna support structure/tower with a diesel generator, associated ground equipment and additional landscaping behind the existing firehouse. There are ±9,800 sq. ft. of existing buildings including the main fire house and associated accessory structures, all on 3.1 acres in the R-40 and Hamlet Business Zoning District Status: New Application J ..... .. .. _ for completeness. fi Attaochments Staff Re Review _- Pert e n.n.nn . ......_.. __.... Project name { Strono's Marine Pavilion SCTM#� 100 114-3-10— _ Location 225ck 5 Wickham Avenue, Mppituation is for the proposed cons... Description: This Amended Site Plan Application p on of a 32' x 24' (640 sq. ft.) pool cabana with two (2) pergolas at 14' x 20', storage and attached changing rooms with no plumbing on 8.8 acres in the Marine II Zoning District. Status: Approved Pending Final Inspection_ e __ . . Action: Review request s n q st for Approval Extension Attachments Staff Report .... . Project Name:,, East EndTick & Mosquito Pest Control SCTM# i 1000-97-3-2 l . — Location 36570 Route 25, _420 s/w/o of Skunk Lane & MainRoad, Cutchoguel Description: This Site Plan is for the proposed conversion of an existing residential dwelling to a single family dwelling with an attached business office with ( four (4) parking stalls on 0.25 acres in the Limited Business (LB) Zoning District. . .... .... Status New Application . Action, Review ZBA decision. m _f _ _ _ Attachments: Staff Report _. -----........... .. r� Discussion: ✓ Revised Site Plan Proposal for Filipkowski Air, Inc., 41250 CR 48, Southold, SCTM#1000-59-10-5 ✓ Draft Planning Board Monthly Report for October 2015 ✓ Draft 2016 Planning Board Meeting Schedule ✓ Draft criteria for waiving Site Plan Public Hearings Southold Town Planning Board Work Session - October 19, 2015 - Page 2 ....... ... Project Name McCall Wine Production Facility SCTM#, 1000-109-1-38 - _ — ---------- _-. Location- 22600 NYS Route 25, ±1,800' s/w/o Alvahs Lane & NYS Route 25, t Cutchogue _... Description: This application is for the proposed construction of a multi-level 17,100 sq. ft. wine production and storage facility, including agricultural equipment storage, on a 1.8 acre reserve area (SCTM#1000-109-1-38) attached to ±35.8 acres of farmland (SCTM#1000-116-1-3.4) with Development Rights held by Suffolk County in the AC Zoning District. �Q i be open to the public This fac lit will not Status 1 New Application Action, Review for completeness. w ..... ........... eport_- -- � Attachments 1 Staff R._ _ .. _ �.� ... �_mm . �, em , � . ..m. Project Name V Bid Bmf 8� Little Bmf _ SCTM#. 1000-95-1-7.2 & 8.3 � . . f Location; 6795 Oregon Road, approximately 1,481 ft. west of Duck Pond Road, Cutchogue ... ... . , Description- This 75/75 Conservation Subdivision proposal osal will subdivide two R-80 and AC split-zoned parcels, SCTM# 95-1-8.3 (54.24 acres) and SCTM#1000-95-1-7.2 (30.49 acres), totaling 84.7 acres inclusive of 3.05 acres of unbuildable lands into 7 lots. Lots 1-6 are clustered and range in size from 0.9 acres to 4.3 acres. Lot 7 equals 70.2 acres inclusive of 66.f: acres of open space where Development Rights are proposed to be sold.' This parcel includes a proposed right-of-way which equals 1.9 acres. rStatus: New Application � Action. a,,,� Review for completeness. Attachments St aff Report - Po jean: 55 Robertson & Johnson Project name Ro SCTM#: � 1,000-67-3-10 & 74-1-2 � Dickerson Street, on the corner of Dickinson Street and Third Avenue,, Peconic ... .... ... _ .... Description: ( This proposed Lot Line Change will transfer 0.46 acres from J SCTM#1000-74-1-2 to SCTM#1000-67-3-10. SCTM#1000-67-3-10 will increase from 0.24 acres to 0.70 acres, and SCTM#1000-74-1-2 will decrease from 0.46 acres to 0 acres in the R-40 Zoning District. �.. .. Status: ; New Application ....... Action Review for completeness Attachments: Staff Report Discussion: ✓ ZBA Request for Comments re: SCTM#1000-70-2-15, 50300 NYS Rt. 25, Romanelli request to convert real estate office to contractor's business ✓ Revised Site Plan Proposal for Filipkowski Air, Inc., 41250 CR 48, Southold, SCTM#1000-59-10-5 Submission Without a Cover Letter S E U' I Sender: gR r 0 Tovvn r'1 r r`r( 11 ��✓(�F Subject: p SCTM#:.1000- Date: q1 f�114 Comments: 4� Southold wn Planning Board — Page Three ugust 18, 2014 Project Name Peconic Landing Addition SCTM# ; 1000-35-1-25 j Location: 1205 NYS Rt. 25, on the north side of NYS Rt. 25, 1,121' east of Sound Road in Greenport Description This amended site plan is for the proposed construction of two new jbuildings at Peconic Landing, an existing continuing care retirement community with 118 cottages, 132 apartments, 24 assisted living and 32 skilled nursing beds currently. The additions include an 87,426 sq. ft. f apartment building with 46 apartments and a parking garage, and a 35,543 sq. ft. nursing home with 33 beds, including a reconfiguration of the parking lot on 144 acres in the Hamlet Density Zoning District !m Status: Pending ... .Action Review referrals and SEAR J Attachments: m... .�� Staff ... _ _. aff Report - _ t Name Brostar, LLC (Spanos) SCTM#. 10.00 34-3-22 I Location i 1100 Main Street (aka 330 Main Street), Greenport ro ec _.. ... ........ ...- Description: This proposed Site Plan is for the approval of an existing site that includes a gas station, 1,200 sq. ft. service center and a 621 sq. ft. convenience store in the R-40 Zone, pursuant to the decision of the Zoning Board of Appeals 6463 Status, Approved Site Plan .. _.. — - -- ..... Action Review comments from final site inspection ... _... --- Attachments Staff Report _ Pro ect Name Royalton Equestrian SCTM# 1-000 113-7-19 23 I Location. 55 Cox Neck Road, ±50' across from Westphalia Road, Mattituck -._. - - ------- --------------- ------ ---- ---------- y. ... Description: This Site Plan is for the proposed construction of a 120' x 240' (28,800 sq. ft.) indoor riding ring on an existing horse farm for the purpose of keeping, breeding, raising and training of horses, and not open to the public. Existing on site are two horse barns, a roofed horse-walker, and a single family dwelling and garage on 37 acres in the A-C Zoning District. Status: New Application r .... Action: Review applicationfoco..mspletenes _r.mm... ..... ments. Work Session � Attach,_.............. ..,.. .. .. ...... .. ... ... .... ----.�. Discussion: 1. Comments to ZBA re: Filipkowski Air, Inc., 41250 CR 48, Southold, SCTM#1000-59-10-5 2. Local Law re: Amendments to Chapter 280, Zoning, Affordable Housing District MAILING ADDRESS: PLANNING BOARD MEMBERS SOUP .. P.O.Box 1179 DONALD J.WILCENSKi ` Southold, NY 11971 Chair OFFICE LOCATION: WILLIAM J.CREMERS Town Hall Annex PIERCE RAFFERTY »," 54375 State Route 25 JAMES H.RICH III + (cor.Main Rd. &Youngs Ave.) MARTIN H.SIDORSouthold, NY Telephone: 631 765-1938 www.southoldtownny.gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD I MEMORANDUM To: Leslie Weisman, Chairperson Members of the Zoning Board off Appeals From: Donald J. Wilcenski, Chairman ✓whi Members of the Planning Board Date: August 19, 2014 Re: Request for Comments: Filipkowski, Karol (revised plan) SCTM#1000-59-10-5 ZBA#6747 & #6748 The Planning Board has reviewed the revised plan submitted for a contractor's yard on the parcel referenced above. The subject parcel, at only 0.3 acres and 50' wide is very small for the Limited Business (LB) Zone. We appreciate the difficulties in developing a parcel with these challenges, and we strive to find ways to support local businesses. The Planning Board however, cannot support the, lication as submitted. In the previous memo the Planning Board noted that the building would need to be significantly smaller than proposed to be able to meet or at least bring the plan closer to meeting the Code requirements for lot coverage, landscaping and parking. The revised plan shows a building that is not significantly smaller (from 3900sf to 3400sf), with many of the same concerns remaining as in our previous letter. The application remains inconsistent with the Town's Comprehensive Plan in that it does not meet the purpose of the Limited Business District. The Limited Business District's purpose states that the "uses must...be designed to protect the residential and rural character of the area", with an emphasis on design features to accomplish this goal. This application must be re-designed with this purpose in mind. The main design issues that remain are the size and location of the building, and the lack of proposed screening and buffers. This parcel is situated next to an A-C zoned parcel, currently vacant, but with the potential to be farmed or developed residentially. Our Code requires a 20' transition buffer to lots in a residential district (this can be varied by the Planning Board at their Filipkowski Page 2 August_19,_2014 discretion). It is also within full view of CR 48 (especially from the westbound lane), a State-designated Scenic Corridor. At 100' in length, this building will have a significant visual impact, with little ability to provide any screening or buffer to CR 48 or the adjacent property. Additionally, the size of the building relative to the size of the parcel causes concern for the ability of vehicles to maneuver on site. Aisle widths behind parking spaces must be a minimum of 22' in width, and generally an access way of 20' is required for fire apparatus to be able to safely access the rear of the parcel and building. This plan does not appear to be able to meet those requirements. The Planning Department is available to meet with the applicant to discuss the issues Thank you for this opportunity to provide comments. Southold Planning Department Staff Report Site Plan Application Work Session Date August 18, 2014 Prepared By: Brian Cummings I. Application Information Project Title: Filipkowski Air, Inc II. Action Request for comments from the ZBA regarding file #6748SE: Special Exception and area variance III: Analysis April 22, 2014 comments to the ZBA: The Planning Board has reviewed the special exception request and area variances for a contractor's yard on the parcel referenced above. The subject parcel, at only 0.3 acres and 50' wide is very small for the Limited Business (LB) Zone. We appreciate the difficulties in developing a parcel with these challenges, and we strive to find ways to support local businesses. The Planning Board however, cannot support the application as submitted. The application is not consistent with the Town's Comprehensive Plan in that it is not meeting the purpose of the Limited Business District. The Limited Business District's purpose states that the "uses must...be designed to protect the residential and rural character of the area", with an emphasis on design features to accomplish this goal. This application must be re-designed with this purpose in mind. The main design issues are the size and location of the building, and the lack of proposed screening and buffers. The building is situated next to an A-C zoned parcel, currently vacant, but with the potential to be farmed or developed residentially. Our Code requires a 20' transition buffer to lots in a residential district (this can be varied by the Planning Board at their discretion). It is also within full view of CR 48 (especially from the westbound lane), a State-designated Scenic Corridor. At 100' in length and only one foot from the eastern property line, this building will have a significant visual impact, with no ability to provide any screening or buffer to CR 48 or the adjacent property. Additionally, the size of the building relative to the size of the parcel causes concern for the ability of vehicles to maneuver on site. Aisle widths behind parking spaces must be a minimum of 22' in width, and generally an access way of 20' is required for fire apparatus to be able to safely access the rear of the building. This plan does not appear to be able to meet those requirements. In general, the applicant should make an effort l to get much closer to meeting the Code requirements for lot coverage and landscaping. This will necessitate the building size being significantly smaller than proposed. Some preliminary ideas for mitigating the potential impacts include the following: 1. Move the building to the west side of the parcel, closer to the other commercial parcel; Submitted: the building has been relocated to the west side of the parcel 2. Reduce the width of the building enough to allow for traffic circulation, emergency access and appropriate setback from the property line; Submitted: The building width has been reduced 5', from 39' to 34' wide and 100' long 3. Add a minimum of a four foot buffer along the eastern property line and plant with evergreen trees; Submitted: A 5' wide buffer with "proposed plantings" (type unknown) extends for approximately half of the east side yard at which point the buffer decreases in width to less than 5', appearing closer to 0' at the SE corner. 4. The Code requires a four foot minimum buffer between the parking areas and the property line — meet this requirement; Submitted: see above 5. Ensure the Fire Marshall approves the width of the driveway to the rear parking area; Submitted: unknown at this juncture, proposed rear driveway narrows to 17' wide. What type of curb is being proposed? This 17' width is from the property line to the corner of the proposed building and appears to not include the curb width. 6. Park company vehicles in the rear and screen from view of the adjacent A-C parcel; and Submitted: unknown at this juncture 7. Can the goals of the applicant be met with some other design? For example, a smaller principal building with office and some storage and an accessory storage building at the rear of the parcel? The applicant has submitted a Site Plan Application and these issues will be examined in more detail in the site plan process. In the meantime, the Planning Board requests 2 that the Zoning Board work together with us to find a solution to this problem that achieves the owner's goals while also bringing the application more in line with the Town's goals. Revised site plan dated June 4 2014• created by John Metzger Proposed: A. Building 1. 20'x 34' (680sf) Office 2. 80'x 34' (2720sf) "storage area a. 100'x 34' (3400sf) building is ±500sf less than original proposal (3900sf) i. No lot coverage percentage is shown on plan (±21.8% ; 24.9% prior) ii. 20% maximum for Limited Business (LB) zone iii. No landscape percentage provided (35% min) 3. Setbacks: a. Side yard (west) is proposed @ 5' for majority of side yard, but narrows to 4' from property line along the 100' building (±9' from existing adjacent building) i. Pursuant to §280-95, a 4' wide landscaped area is required to be planted with grass or shrubs and include at least one tree of not less than two-inch caliper for every 40 feet along the perimeter of the parking area. b. Rear yard setback not provided on plan (min 75') c. Front yard setback: 100' shown on plan (variable; 100' or average of adjacent buildings) d. Side yard (east) proposed at 5' up until the approximate middle of the proposed building where it decreases to less than 4' from the proposed parking area and continues to the rear SE corner (exact set back not provided) B. Parking: a. Office — 1 per 1 00s i. 680sf/ 100 = 6.8 or 7 b. Storage Area — 1 per 1 000s i. 2720sf/ 1000 = 2.7 or 3 Staff: Building, electrical or plumbing contractor's business or yard: 1 space for each employee, plus 2 spaces c. Total = 10 required, 12 provided (1 ADA) i. Stalls 1-6 proposed @ 10' x 20' ii. Need parking stall width for proposed stalls # 7-9 iii. Stalls 10-12 proposed @ 9' x 19' 3 1. Need aisle width between proposed ADA and stall # 3 AND between stalls # 10-12 and east curb line C. Access: a. 20' wide curb cut proposed b. Driveway narrows to 17' wide at SE corner of building D. Drainage: a. Six (6) proposed drywells @ 8' x 10' deep E. Staff Observations: a. The building has been reduced in size, but only by 12% (500 sf) b. The LB zoning district's minimum lot size is 80,000 sf. This parcel is only 15,618sf. The proposed building size is too large in proportion to the size and shape of this parcel and is not consistent with the intent and purpose of the LB zoning district. c. In addition, the parcel next door could potentially be developed with residences in the future. The current site plan is not leaving enough room to provide the required transition buffer to residential land. The LB zone's purpose is as a transition zone: "The purpose of the Limited Business (LB) District is to provide an opportunity to accommodate limited business activity ...that is consistent with the rural and historic character of surrounding areas and uses. Emphasis will be placed on review of design features so that existing and future uses will not detract from surrounding uses. The additional uses must generate low amounts of traffic and be designed to protect the residential and rural character of the area." d. A 6' high stockade fence is proposed around approximately 3/ of the parcel, beginning in the front yard of the east side of the parcel and terminating at the SW corner of the proposed building. e. Additional screening may be necessary along both property lines (possibly in lieu of the stockade fence) in order to preserve the scenic corridor. f. A 25' front landscaped area pursuant to §280-93 is required and has not been provided g. The applicant should clarify the number of employees and trucks/vans h. No dumpster location provided i. Blank space in rear of building to be used as loading zone? Rear building access? 4 BOARD MEMBERS r Southold Town Hall Leslie Kanes Weisman,Chairperson wi �� � �y 53095 Main Road•P.O.Box 1179 Southold,NY 11971-0959 Eric Dantes p �� Office Location: Gerard P.Goehringer Town Annex/First Floor,Capital One Bank George Horning 54375 Main Road(at Youngs Avenue) Kenneth Schneider "� Southold,NY 11971 http://southoldtown.northfork.net pp ZONING BOARD OF APPEALS �.....� , hIU TOWN OF SOUTHOLD Tel.(631)765-1809 •Fax(631)765-9064 MEMO Plan ling lBoard TO: Planning Board FROM: Leslie K. Weisman, ZBA Chairperson DATE: August 8, 2014 SUBJECT: Request for Comments ZBA #6748SE - Filipkowski The ZBA is reviewing the following application, attached is the revised site plan. The Planning Board may be involved under the site plan review steps under Chapter 280 (Zoning), and your review and comments are requested at this time. The file is available for review of additional documentation at your convenience for reference if needed. NAME TA; # ZBA BD VARIANCE PLANS PA PRERER ZONE NOD DATE DATE STAMPED Filipkowski 1000-59.- #6748SE N/A 280-41B June 4, Peconic 10-5 (LB 2014 Surve ors Your comments are appreciated as soon as possible; this application was adjourned to our Special meeting on August 21, 2014. Thank you.. Encls. Submission Without a Cover Letter Sender: C."-f`0 Fi i le-o w's Subject: F,be k o v,- e- southod, Owl, G i r and SCTM#: 1000 - 5 9— Date: A (,t,5 Comments: 9% S 1' -C P limns MAILING ADDRESS: PLANNING BOARD MEMBERS " olm µ'`" P.O.Box 1179 DONALD J.WILCENSKI ✓ ', Southold, NY 11971 Chair OFFICE LOCATION: WILLIAM J.CREMERS t Town Hall Annex PIERCE RAFFERTY 54375 State Route 25 JAMES H.RICH III , , (cor.Main Rd. &Youngs Ave.) MARTIN H.SIDOR y Southold,NY Telephone: 631 765-1938 www.southoldtownny.gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Leslie Weisman, Chairperson Members of the Zoning Board of Appeals From: Donald J. Wilcenski, Chairman Members of the Planning Board Date: April 22, 2014 Re: Request for Comments: Filipkowski, Karol SCTM#1000-59-10-5 ZBA#6747 ᩜ The Planning Board has reviewed the special exception request and area variances for a contractor's yard on the parcel referenced above. The subject parcel, at only 0.3 acres and 50' wide is very small for the Limited Business (LB) Zone. We appreciate the difficulties in developing a parcel with these challenges, and we strive to find ways to support local businesses. The P'lar ninq Board however, cannot s�upport the application as .submitted. The application is not consistent with the Town's Comprehensive Plan in that it is not meeting the purpose of the Limited Business District. The Limited Business District's purpose states that the "uses must...be designed to protect the residential and rural character of the area", with an emphasis on design features to accomplish this goal. This application must be re-designed with this purpose in mind. The main design issues are the size and location of the building, and the lack of proposed screening and buffers. The building is situated next to an A-C zoned parcel, currently vacant, but with the potential to be farmed or developed residentially. Our Code requires a 20' transition buffer to lots in a residential district (this can be varied by the Planning Board at their discretion). It is also within full view of CR 48 (especially from the westbound lane), a State-designated Scenic Corridor. At 100' in length and only one foot from the eastern property line, this building will have a significant visual impact, with no ability to provide any screening or buffer to CR 48 or the adjacent property. Fili kowski Karol _PageTwo A ril22 2014 Additionally, the size of the building relative to the size of the parcel causes concern for the ability of vehicles to maneuver on site. Aisle widths behind parking spaces must be a minimum of 22' in width, and generally an access way of 20' is required for fire apparatus to be able to safely access the rear of the building. This plan does not appear to be able to meet those requirements. In general, the applicant should make an effort to get much closer to meeting the Code requirements for lot coverage and landscaping. This will necessitate the building size being significantly smaller than proposed. Some preliminary ideas for mitigating the potential impacts include the following: 1. Move the building to the west side of the parcel, closer to the other commercial parcel; 2. Reduce the width of the building enough to allow for traffic circulation, emergency access and appropriate setback from the property line; 3. Add a minimum of a four foot buffer along the eastern property line and plant with evergreen trees; 4. The Code requires a four foot minimum buffer between the parking areas and the property line —meet this requirement; 5. Ensure the Fire Marshall approves the width of the driveway to the rear parking area; 6. Park company vehicles in the rear and screen from view of the adjacent A-C parcel; and 7. Can the goals of the applicant be met with some other design? For example, a smaller principal building with office and some storage and an accessory storage building at the rear of the parcel? The applicant has submitted a Site Plan Application and these issues will be examined in more detail in the site plan process. In the meantime, the Planning Board requests that the Zoning Board work together with us to find a solution to this problem that achieves the owner's goals while also bringing the application more in line with the Town's goals. Thank you for this opportunity to provide comments. Southold Town Planning Board Work Session — Page Three—April 21 2014 _. Project name: I Harold R. Reeve & Sons, Inc. SCTM#: 1000-140-1-6 _11111-11111", "I _ v Location: 1605 Wickham Avenue, Mattituck Description: This proposal is for a standard subdivision of a 5.1-acre split-zoned parcel into 4 lots where Lot 1 equals 1 acre inclusive of 0.1 acres of unbuildable land, Lot j 2 equals 1 acre inclusive of 0.1 acres of unbuildable land, Lot 3 equals 1 acre j inclusive of 0.04 acres of unbuildable land located in the R-40 Zoning District and Lot 4 equals 1.8 acres located in both the R-40 and B Zoning Districts. A 0.3 acre proposed private road--Creek View Lane--is located on the northeast side of the subdivision off of Wickham Avenue. This proposal includes a Change of Zone Application where the zoning on Lot 4 is proposed to change from the R-40 and B Zoning Districts to the LB Zoning District. _.. m �.. Status 1 Pending ......... Acti_onRevi�e..w. Yield Plan AttachmentsStaff Report - I Discussion: 1. ZBA Request for Comments re: Filipkowski Air, Inc., SCTM#1000-59-10-5, 41250 CR 48, Southold 2. ZBA Request for Comments re: Cedars Golf Club, LLC, SCTM#1000-109-5-16.2, 305 Cases Lane, Cutchogue 3. Local Law re: Amendments to Chapter 280, Zoning, to Permit Commercial Solar Energy Production Systems as a Special Exception Use in the Light Industrial and Light Industrial Office Zones 4. Moderate Income Family Housing Proposal on Main Rd. in Southold; SCTM# 63-3- 18.1 Submission Without a Cover Letter Sender: Subj ect: SCTM#: 1000 - �� 0 — 1 Date: � ..�.�. ................. Comments: pal1 / ah/,P f D,p 5 S�°S`�'� k I$c P0 7.1 Office Location: ' dirt Address: W Town Annex/First Floor,Capital One Bank 53095 Main Road P u 54375 Main Road(at Youngs Avenue) P.O.Box 1179 Southold,NY 11971 � � Southold,NY 11971-0959 http://southoldtown.northfork.net BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809 Fax(631)765-9064 MEMO TO: Planning Board d P[' -- 7 2014 FROM: Leslie K. Weisman, ZBA Chairperson DATE: April 7, 2014 SUBJECT: Request for Comments ZBA # 6748 FILIPKOWSKI, KAROL As confirmed with your office, the ZBA is reviewing the following application. Enclosed are copies of Building Department's Notice of Disapproval, ZBA application, current map on file.The Planning Board may be involved under the site plan review steps under Chapter 280 (Zoning). Your review and comments are requested at this time. The file is available for review of additional documentation at your convenience for reference if needed. NAME TAX# ZBA# HEARING CODE DATE OF PREPARER ZONE DATE SECTION STAMPED OF SURVEY Filipkowski, DIST 6748 May 1, SURVEY Karol 1000-59- 2014 280-41 B December Nathan Taft 10-511, 2013 Corwin III Your comments are requested 1 week prior to hearing date.. Thank you,. Encls. SEE SEC-NO OSI LINE . \ W N33i MATCH l " i v 26.1 59 ' 1()- 3. 1 �- 33 q ZIP 0 ., X-7 2-1 ,6.TA Av {� Poo &3 Von to 0' (7 ,zenca SIN, mi XOLWrVOFSUFiONC 304 DEVpApYENTMUNISI (FOWNOF SOUTHOD DEVE JOJ WENr RIGHM ER p 3 a" T" 12 2&1 , 1 °qtr 11 ro e smA(c) 12-oAlc) FOR*w�k4 SEE SEQ NO. — "'r MATCH LJNE NO.069 SEF SEC-NO.089 aw, K �. TOM of SO�THOLD x NOTICE SECTION NO COUNTY OF SUFFOLK E w1� — NNMEWWN ELALTOWIM&ALFM Real Properly Tax Service Agency Y YIUAGEOF 59 r, M PROKSIFD» „,,,,�,...,,,_,,.,�.-.. . ns,ra0vnoN OFAm'poRrwN mE .� w NY 11901 '.M SUFFOLK COUNTY TNI NAP � „ � Counry Cenlez4E N f giA d" Y �. ...- w,xoutwwmENttndsrwcr No 1000 PROPERTYMAP P a� }T4N„ W&pRCFERfY 1AX SERVICE AGENC- ywFt conuEwoN wTE rs ximn ZONING BOARD OF APPEALS TOWN OF SO OLD,NEW YORK Phone(631)765-1809 (631)765-9064 PLICATION FOR SPECIAL EXCEPTION Application No. Date Filed: TO THE ZONING BOARD OF APPEALS,SOUTHOLD,NEW YORK: f Applicant(s), of Parcel Location: House'No. et: � Hamlet Contact phone numbers: "" SCTM 1000 Section 006B lock Lot(s) _Lot Size ! Zone District hereby apply to THE ZONING BOARD OF APPEALS for a SPECIAL EXCEPTION in accordance with the ZONING ORDINANCE,ARTICLE ,SECTION ,SUBSECTION for the following uses and purposes: as shown on the attached survey/site plan drawn to scale.Site Plan review IS or[ ]IS NOT required. A. Statement of Owner hiRand Inter st:. is(are)the owner(s)of property known and referred to as identified on tine Su.. .... .,.,... (House No.,Street,Hamlet) Suffolk County Tax Maps as District 1000,Section Block Lot ,and shown on the attached deed. The above-described property was acquired by the owner on 13, The applicant alleges that the approval of this exception would be in has ionyP with the intent and purpose of said zoning ordinance and that the proposed use conforms;to the standards prescribed therefore in said ordinance and would not be detrimental to property or persons in the neighborhood for the follow ng reasons: �11�' � J � ' 664 C. The property which is subject of this application is zoried� -, and [ J is consistent with the use(s)described in the CO(attach copy),or [ 'is not consistent with 1�CO being ftarmished herewith for the following reason(s): t r I., [�(J is vacant land. COUNTY OF SUFFOLK) ss.: ., Si att..�._� _._, ,. .�... STATE OF NEW�'O �) ( gn Grp) Sworn to before me this ' day of C 9 20 .N 14 — Eve L.GATZ-SC O (Nota l'ab NOTARY pUBL1 , ` "EOF NEW YOitk °e isoration No.t�1l: r 6'27 8' rrralified ie ari1""ol County Coma ussion spires Dec. ,2016 ZONING BOARD OF APPEALS TOWN OF SOUTHOLD,NEW YORK Phone(631)765-1809 (631)765-9064 APPLICATION FOR SPECIAL EXCEPTION Application No. DateFiled: Page 2 General Standards, please answer the following as it pertains to your project: A. The use will not prevent the orderly and reasonable use of adjacent properties or of properties in adjacent use districts BECAUSE BThe use Nvill not prevent the orderly and reasonable use of permitted or legally established uses in the district wherein the requested use is located or of perrnitted or legally established uses in adJacent use districts BECJWSE: C. -T,pjc safet�,, the health, the melftre, 0)e comfort, the convenience or the order of the to\vn %vill not be adversely affected by the proposed use and its location BECAUSE, D, I'lle use will be in 1narrnorly With and promote the general purposes and intent of Chapter 280-142 BECAUSE ,2 E. The use will be cc,)rnpatNe Nvuh its surroundings and with the character of the neighborhood, and of the community in gerieral, particularly with regard to visibihty, scale and overall appeararice: BECAUSE ae'7A-,;1- e� � (--., a,7/ /3 77 ra t - dfly accessible for fire and F All`prop6se�l structures, equipment, and crial shall be tea police protection BECAUSL eels ea,, G- 'Fhe proposal shall comply vvith the requirements of Chanter 236, Stormwater Management BECAUSE� r -/ > If/xl ev, APPLICANT'S PROJECT DESCRIPTION (For ZBA Reference) ')� p Z 3 3 Applicant:,.. � t�r�.L - � ! �,5/ � _...� Date Pre ared: I. For Demolition of Existing Building Areas Please describe areas being removed: II. New Construction Areas (New Dwelling or New Additions/Extensions): Dimensions of first floor extension' Dimensions of new second floor: Dimensions of floor above second level: Aloive, Height from finished ground to top of ridge), Is basement or lowest floor area being constructed? If yes, pleaseJh provide height..(a _ (above ground) t ,measured from natural existing grade to first floor: ' ✓1 III. Proposed Construction Description (Alterations or Structural Changes) (attach extra sheet if necessary)- Please describe building areas: Number of Floors and General Characteristics BEFORE Alterations: �� .............rc Number of Floors and Changes WITH Alteration IV. Calculations of building areas and lot coverage (from surveyor) Existing square footage of buildings on your property: _............._ _------- —...... Proposed _. Square footage aof your Blot tng. ..cayve � .. rage Percentage of coverage of your lot by building z'irc s V Purpose of New Construction. ... VI. Please describe the land contours (flat, slope %, heavily wooded, marsh area, etc.) on your land and how it relates to the difficulty in meeting the code requirement(s): Please submit seven (7) photos, labeled to show different angles of yard areas after staking corners for new construction), and photos of building area to be altered with yard view. 7/2002; 2/2005; 1/2007 QUESTIONNAIRE SPECIAL EXCEPTION FOR FILING WITH YOUR ZBA APPLICATION 1, Has a determination been made regarding Site Plan review? I,` Yes No If no, please inquiry with the ZBA office and if site plan is required,you may apply to the Planning Dept. at the same time so both applications can be reviewed concurrently. 2- Are there any proposals to change or alter land contours? a. V No Yes please explain on attached sheet. 3. Are there areas that contain sand or wetland grasses?__ a. 2.)Are those areas shown on the survey submitted with this application? b. 3.)Is the property bulk headed between the wetlands area and the upland building area?—..-, c. 4.)If your property contains wetlands or pond areas, have you contacted the Office of the Town trustees for its determination of jurisdiction? —11 1'Please confirm status of your inquiry or application with the trustees: and if issued, please attach copies of permit with conditions and approved survey, 4. Is there a depression or sloping elevation near the area of proposed construction at or below five feet above mean sea level?— S. Are there any patios, c(,�)ncreke barriers�, bulldicads or rences thatexist tbat are not shown on the sm-ve, that you are subrnitting? ,a��Please show area of the sttuctures on a diagram if any exist or state none on the above line. 6. Do you have any construction taking place at this time concerning your premises? /o,,-- if yes, please submit a copy of your building permit and survey as approved by the Building Department and please describe:T Please attach all pre-certificates of occupancy and certificates of occupancy for the subject premises. If any are lacking, please apply to the Building Department to obtain copies of them, 8. Do you or any co-owner also own other land adjoining or close to this parcel? Ileo if yes, please label the proximity of your lands on your survey. 9. Please list present use or operations conducted at this parcel 1. —T -9�6—r and the proposed use (ex exiging mrigle FaTinfly prop,,/--d sairne wah lo,t4.mother or prapos'�yd m�h apartmeras above,etc .......... — Authorized s� a �grilkire and Date 61720 Appendix B Short Environmental Assessment Form Instructions for.Com pletin g Part I -Project Information. The applicant or project sponsor is responsible for the completion of Part I. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information, Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1-Project and Sponsor Information -4---1VPk101v5k0 Name of Action or Project: Project Location(describe,and attach a location map): Brief Description of Proposed Action: 642 7Z/::"7 Name of Applicant or Sponsor:-'-'- Telephone: Name I/_1z(P12 -7 E-Mail: 7el Address: ...... PO 60X 35-9, City/PO: State: Zip Code: e. A-11 qJ-5- C ordinance,1.Does the proposed action only involve the legislative adoption of a plan,local law, Zip FN YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO _YES If Yes,list agency(s)name and permit or approval: 3 a.Total acreage of the site of the proposed action? acres b.Total acreage to be physically disturbed? c.Total acreage(project site and any contiguous properties)owned -. 4437---acres or controlled by the applicant or project sponsor? / acres 4. Check all land uses that occur on,adjoining and n r the proposed action. •Urban 0 Rural(non-agriculture) Nn-dustrial lklornmercial 0 Residential(suburban) •Forest 13 Agriculture 0 Aquatic 0 Other(specify): C1 Parkland Page 1 of 4 ..... 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? b.Consistent with the adopted comprehensive plan? lj 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: 8. a.Will the proposed action result in a substantial increase in traffic above present levels? _ NO YES b.Are public transportation service(s)available at or near the site of the proposed action? c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? (� �...� _._ eq 9.Does the proposed action meet or exceed the state energy coderequirements? NO YES .. .—�... _.. If the proposed action will exceed requirements describe design features and technologies: proposed action connect to an existing public/privatee water suppler 10. Will the ro Deed y? NO YES If No,describe method for providing potable water: 11.Will the proposed action connect to existing wastewater utilities? / NO YES If No,describe method for providing wastewater treatment: 12. a.Does the site contain a structure that is listed on either the StatITITmmmmm e or National Register of Historic NO YES Places? b.Is the proposed action located in an archeological sensitive area? 13.a_Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: _..__ 14. Identify the typical habitat types that occur on or are likely to be found on the project site. Check all that apply: ❑Shoreline ❑Forest griculturallgrasslands ❑Early mid-successional ❑ Wetland ❑Urban ❑Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? 16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, 11 __ a.Will storm water discharges flow to adjacent properties? 11MO❑YES b.Will storm water discharges be directed to established conveyance stems(runoff storm drains Y sy � ) t�.���� If Yes,briefly describe: '❑ J flYES t Page 2 of 4 18.Doesthe proposed action include construction or other activities that result in the impoundment o P P f NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain exp ain purpose and size: ........... .. .. � .. 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES ....... solid waste management facility? If Yes,describe: ..... . 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? l/ If Yes,describe:..... .. ... ...... .... ..ww ..._._..... .._ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor nf'C L,7,A2, Signature: Part 2-Impact Assessment. The l ad Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Dart 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" r rr7 7 r p r 7 r m r i1 a No,or � Moderate small to large ✓ �_ k w"� �� a �,,r �� impact impact may may OCCUr OCCUC I. Will the proposed action create a material conflict with an adopted land use plan or zoning / regulations? (� 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or / affect existing infrastructure for mass transit,biking or walkway? (/ proposed i energy to incorporate 6. rereasill onably r available c�ergy conservation or renewable ever o d trttufnities? 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, / waterbodies,groundwater,air quality,flora and fauna)? C� Page 3 of 4 No or Moderate small to large impact impact ax may may occur occur 10 Will the proposed action result in an increase in the potential for erosion,flooding or drainage �. problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3- Determination nfsi nifwcance. "l"lie Lead Agency is'° ....�......� . g g y responsible for the completion of Part 3. For every question in.Pert 2 that was.answered"moderate to large impact may occur"„or if there is a need to explain why a particular elernent of the proposed action may or will not result in a significant adverse envirorunental impact,please complete Part 3. Part 3 should,in sufficient detail, identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain'how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed cons.ideribg,its setting,probability of occurring, duration, irreversibility,geographic scope and magnitude, Also consider the potential for short-terra„long,-ter t7 and cumulative impacts. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Name of Lead Agency _. Date �...� Print or Type Name of Responsible Officer in Lead Agency g Y Title of Responsible Officer . g p �• p Signature of Responsible Officer m Lead Agency Si nature of Pre arer if different from Res onsrble Officer) Page 4 of 4 fu kil.-I APPLIC JET'/RE PRESENTATI' E TRANSACTIONAL DISCLOSURE FORM The Town of Sou old's Code of Ethics prohibits confl'ic •of 4itemgt on the art of town officar§officeand t toces.The us_aas o this trm is to tsmvide infarmati n w ich can alert the tower of po sible conflicts of interest and allow it to take'whatever action is necessary to avoid same. Ji / /' / YOUR NAME: /l./a rob T G GiK 0/,/-s/Z L (Last name,fust name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) ` NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance . .. Trustee Change of Zone _ .._ Coastal Erosion Approval of plat �ITIT ITmmITµ Mooring Exemption from plat or official map _....... __ Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or-business interest"Business interest'means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicarrVagertt/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the spam provided. The town officer or employee or bis or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this.2 day of 0 —r r 20013 Signature_ r Print Name Form TS 1 Town'of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 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 explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial-at-id-ail-vei e-elfects--t,ipon the eeastal arra(wh l iriclades-al-l-ol nuthold—To )--_ _ . 3. If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall riot be undertaken. A copy of the LWRP 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 SCTM# 5q - to - S The Application has been submitted to (check appropriate response): Town Board ❑ Planning Dept. ❑ Building Dept. LJ Board of Trustees ❑ 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital construction,planning activity, agency regulation, land transaction) (b) Financial assistance(e.g. grant,loan, subsidy) (c) Permit, approval, license, certification: F' Nature and extent of action: Location of action: 91 2 SO Site acreage: �� C Present land use: t A t2 o Present zoning classification:.._.—_._..._........._....................... .......__.._ ...... ._ ...... 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:-__ — -4' � (b) Mailing address: t? CoX 35 G4t 7-4Q41V6 Grp" 1711'7' // c Telephone number: Area Code ) �?3 1/— 2, ' (d) Application number, if any: —. Will the action be directly undertaken,require funding,or approval by a state or federal agency? '"es 11 No 14- If yes,which state or federal agency'?, DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. Yes No Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LVV" Section III—Policies Pages 3 through 6 for evaluation criteria Yes No LJ Not Applicable TOWN OF SOUTHOLD FORM NO. 3 NOTICE OF DISAPPROVAL DATE: March 21, 2014 TO: Karol Filipkowski P 0 Box 356 Cutchogue,NY 11935 Please take notice that your application dated September 18, 2013 For permit to construct a new buildtg&operate a contractors" ardat Location of property- 412501 County Rt. 48. Southold. NY County Tax Map No. 1000- Section 59 Block 10 Lot 5 Is returned herewith and disapproved on the following grounds: The proppsed contractors' and is pennitted by sppcial exec_tion per 280-41B. lbg-Rro used uilding_on 15,614 so. I parcel in the LB Zone is not permitted pursuant to Article IX Section 280-42 &43. The Bulk Schedule indicates a front yard setback requirement of 100' and a side yard of 20'. The site plan indicates a front yard setback of approximately 38' and a side yard setback of 1'. Also, the maximum allowable lot coverage is 20%. The proposed lot coverage is 25%. Pursuant to Section 280-41, Site Plan approval from the Southold Town Planning Board is required. Note: Curb cut approval required from the State. Authorized Signature CC: file, ZBA Planning Bd. Note to Applicant: Any change or deviation to the above referenced application, may require further review by the Southold Town Building Department. N r � T rmopr' co Fl- Cf) —M T O Z 7 l cn _ u.YYYY.vX 1 V ° cl `^ I i..• r N 1 O Z M L _ CD > — — m W N L Of a >i N _ ° >' XII ° " _ ° � 4}'_ tm - OST r .._.a . .....,w, o J o � o �I -• T -Y- C-) 7 N r Y O X V N N w UJ � 2 O `c U M O F h Oail N U) Ui F 119 19 a o U o iul mll (781 m ilf s W W �µ CD a c y Cos T (O m`m m N N° p > >o Y OL 226 N 119 I U 1 Y � Q Q G. ❑ ❑ a a a�aorr ommr� Xnam a_F r @ mEL( f n .......... coo ca6� o 'c r oam U J J to LO J E M ° N N U) °' r � r a 00 �� m T T T Imil h T 00O T Z T � � W Z W m L � O' 1Z T N' L {O Z M ; f6 dLLI \1/ N N 7 L X — O O O O O d' p T Y 3 N r Y o x U in a W Z N U2 O M p' y,, W (D U, H It C, !q U VJ co m m E 0 m a U N m m � a � O (0'^ N c- w a C,,c C13 f0`m a a 13) > O s OL a N CL 3 ..........�� L Q Qv 0 U Q Q Q ❑ ❑ Q �iO m Mx ¢��mrY mmrrm-Y o? n E675' Q jO�3 CL (mn m U m m U J J E M y Ll a N � � � m T� a m r 1 � 0 T r in TZ w 0 w Z C W O Y f6 N L ® CM Z ch > I �a �' T B X _ a_ j XH � � CD cm SILL p O 14- LC) (6 "'p f6 Z T Y U Y O LO N Fa w z N U 2 O M co o Nqt O_ WN. 7 V H . co a O w O O ¢O ... . 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Z (,r) a� a m m r BOARD MEMBERS �`� "���� Southold Town Hall Leslie Kanes Weisman,Chai erson �� "� 53095 Main Road • P.O.Box '11. 9. Southold,NY 11971-0959 Eric Dantes ° '°r � �� iXti gin. Gerard P.Goehringer Town Annex/First Floor,Capital 0 ie Banka George Horning "k �p}r 54375 Main Road(at Youngs Avenue) Kenneth Schneider N� �C � Southold,NY 11971 5 � w�, http://southoldtown.northfork.net ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel.(631) 765-1809 •Fax(631)765-9064 MEMO TO: Planning Board FROM: Leslie K. Weisman, ZBA Chairperson DATE: April 4, 2014 J SUBJECT: Request for Comments ZBA #6747 —Filipkowski, Karol The ZBA is reviewing the following application, and enclosed copies of, ZBA application, and latest map. The Planning Board may be involved under the site plan review steps under Chapter 280 (Zoning), and your review and comments are requested at this time. The file is available for review of additional documentation at your convenience for reference if needed. _.. ......... NAME TAX#/ ZBA HEARING VARIANCE PLANS PREPARER ZONE DATE DATE. .. wawa ........ STAMPED Filipkowski, 59.-10-5 #6747 May 1, 280-42 &43 4/2/14 Icon Karol LB Zone 2014 Building Systems Your comments are appreciated by one week prior to above hearing date. Thank you. Encls. TOWN OF SOUT'HO,� FORM NO. 3 NOTICE OF DISAPPROVAL DATE: March 21, 2014 TO: Karol Filipkowski P 0 Box 356 Cut chogue, NY 11935 Please take notice that your application dated September 18, 2013 For permit to construct a new build ing&operate a contractors'' at Location of property: 41250 County Rt. 48, Southold, NY County Tax Map No. 1000- Section 59 Block 10 Lot 5 Is returned herewith and disapproved on the following grounds: The prqppsed contractors" and is Vainitted by Vecial exception Der, 280-41 R The prop9sed, building on a 15,614 sq. ft. parcel in the LB Zone is not Derinitted pursuant to Article IX Section 280-42 &43. The Bulk Schedule indicates a front yard setback requirement of 100' and a side yard of 20'. The site plan indicates a front yard setback of approximately 38' and a side yard setback of 1'. Also, the maximum allowable lot coverage is 20%. The proposed lot coverage is 25%. Pursuant to Section 280-41, Site Plan approval from the Southold Town Planning Board is required. Note: Curb cut approval required from the State. Authorized Signature CC: file, ZBA Planning Bd. Note to Applicant: Any change or deviation to the above referenced application,may require further review by the Southold Town Building Department. I r f ` { Eli?" go] �I f w muj di a az a o � i a � � t w U z ul 5E ; �C a �® �m cm cm �- � ...mz ® � ul a C98 o V— u] Ir cl)CD 2 0 In .0 B r� 11 91 w in v ® `t I CO uj f m w a w C ® w U3_ i ® o � CL CUE 119 M 00 ¢ scw fir � � 4 O - � � milli PON r I w.w z r F 6 U2 x co Ch m ..... 4j z ocr,ca w j If CD ® o ® — .— - o t— .. r v -19 ® X 0 RXUh .. U W w (A U ® 1. I `o ,.. . .—..,.,, —.�. .�. E 0 Y vl ® m c w r m c ® O® r u o 00V rip h ci A m LO z (D CN 1 11 CD Ej J I J of y I e I J * I. m CD z r z 0 At Im � I 1 j I a m 0s yewI CV) X 0 ............. ,.,.,., "x 2 t,,. 0 x a. LU � z ryypw 1. a# 0 X83 0 ®� cn c' 1 3 c > w CL cltOL CL 21 oz 00 CLj elb I 0 f co � I co ............ Go 1- to .. 0 ca CL to 1 � I ® ED L k — 9 x LO co d w � uj 1 O C3 D LO D 1s;z w CD c ce g i � > ®CL = < CL 130 f-L1 MIN aww I� w z E w I I , f I I i d IllampuN Go r- 0®4i z 0 CD � u � m ® w ® Ald T7 CL _„ .P..,.�..�........�....::�......��au ,e C o® �' D C CD 0x 0 LO ® ® � cs 0 r Cq a:k CM CL cis 1 w � 0 �- e 0 � W � � I� V w w n S , n. a w U °e �I ice' s I I 0- ............ wry e C } CL I I I < � I m q ElI CL �. wm. ...._. CL I I I CD L3 - Fee:$ Filed By: Assignment No. APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS AREA VARIANCE House NoddiQ Street �/17 lF Hamlet SCTM 1000 Section ° Bloch /OLot(s) S Lot Size , 3��Qf Zone_.Z13 I(WE)APPEAL THE, WRITTEN DETERMINATION OF THE BUILDINGS'P CTOR. . DATED ZOZ,,� 13 BASED ON SURVEY/SITE PLAN DATED . '" Applicant(s)/Owner(s): 1:117go G /,�./�_2WQ A15k Mailing Address: 3576 Telephone: M_i2t3W Fax: 731(-2e,27 Email: /LIlglef voc/ NOTE:In addition to the above,please complete below if application is signed by applicant's attorney,agent, architect,builder,contract vendee,etc.and name of person who agent represents: Name of Representative: for( )Owner( )Other: Address: Telephone:."m"""""""""."" .."" Fax: Email: Please check to specify who you wish correspondence to be mailed to,from the above names: (VApplicant/Owner(s), O Authorized Representative, O Other Name/Address below: WHEREBY THE' nEANAPIckISUPLAN RVEY/SITE , and HID ED /0//,0/3FOR: (�:).Auilding Permit O Certificate of Occupancy O Pre-Certificate of Occupancy O Change of Use ( )Permit for As-Built Construction ( ) Other: Provision of the Zoning Ordinance Appealed. (Indicate Article,Section,Subsection of Zoning Ordinance by numbers.Do not quote the code.) Article: Section: 2 OFO Subsection: Type of Appeal. An Appeal is made for: 4kA Variance to the Zoning Code or Zoning Map. ( )A Variance due to lack of access required by New York Town Law-Section 280-A. ( )Interpretation of the Town Code,Article Section _" ( )Reversal or Other A prior appeal( )has, ( ) has not been made at any time with respect to this ro aert UNDER Appeal No(s). 3 11 :mil Year(s). 3__ (Please be sure to research before completing this question or call our qlfgcefiw r assistance) Name of Owner: P 7 901 f 11-112/. 0W 51'C/ ZBA File# REASONS FOR APPEAL (Please be specific, additional sheets maybe used with preparer's signature notarized). 1.An undesirable change will not be produced in the CHARACTER of the neighbor or a detriment to nearby properties _if'granted,because: � 2.The benefit sought by the applicant CANNOT be achieved by some method feasible for the applicant to pursue, other than an area variance,because: 1 3.The amount of relief requested is not substantial because:, l� �Snoa" f 4.The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: , , �sr Wil/ 1i� r 5.Has the alleged difficulty been self created? { } Yes,or 4 No Why: Are there any Covenants or Restrictions concerning this land? 4 N { } Yes(please furnish a copy) This is the MINIMUM that is necessary and adequate,and at the same time preserve and protect the character of the neighborhood and the health,safety and welfare of the comtrtuu". Signature of Applicant or Authorized Agent (Agent must submit written Authorization from Owner) rei Swo before this� day of � .laef Notary P b-c Fcommission TZ- CH AMBORN LIC.STATE C F NEW'�1~RK tmon No.01GAti27 28 Qualified ed in SuFlf'olk County Expires Dec,2 ,201 APPLICANT'S PROJECT DESCRIPTION APPLICANT: 4 " ' ( DATE PREPARED: / 3113 1.For Demolition of Existing Building Areas Please describe areas being removed: II.New Construction Areas(New Dwelling or New Additions/Extensions): Dimensions of first floor extension: �'o Dimensions of new second floor: " Dimensions of floor above second level: Height(from finished ground to top of ridge): Is basement or lowest floor area being constructed?If yes,please provide height(above ground)measured from natural existing grade to first floor: err' j M.Proposed Construction Description(Alterations or Structural Changes) (Attach extra sheet if necessary). Please describe building areas: Number of Floors and General Characteristics BEFORE Alterations: ;r �� Number of Floors and Changes WITII Alterations: IV. Calculations of building areas and lot coverage(from surveyor Existing square footage of buildings on your property: ITmwwwwwwwwwwwww Proposed increase of building coverage: footageSquare u : � Percentage of coverage of your lot by building area: .J70... ..........__.____ .____... _ _.��..... V.Purpose of New Construction: r VI.Please describe the land contours (flat,slope %, heavily wooded,marsh area,etc.) on your land and how it relates to the difficulty in meeting the code requirement(s): N a Please submit 8 sets of photos,labeled to show different angles of yard areas after staking corners for new construction,and photos of building area to be altered with yard view. 4/2012 AGRICULTURAL DATA STATEMENT ZONING BOARD OF APPEALS TOWN OF SOUTHOLD WHEN TO USE THIS FORM: This form must be completed by the applicant for any special use permit, siteplan approval,use variance,area variance or subdivision approval onproperty within an agricultural district OR within 500 feet of a farm operation located in an agricultural district. All applications requiring an agricultural data statement must be referred to the Suffolk County Department of Planning in accordance with Section 239m and 239n of the General Municipal Law. 1. Name of.A. licit: " _ 2. Address of Applicant: 3. Name of Land Owner(if other than Applicant):_ 4. Address of Land fawner: 5. Description of Proposed Project:��r , r r 6. Location ofProperty: • adW-and Tax map number 7. Is the parcel within 500 feet of a farm operation? { } Yes 14 No 8. Is this parcel actively farmed? { } Yes {;No 9. Name and addresses of any owner(s)of land within the agricultural district containing active farm operations. Suffolk County Tax Lot numbers will be provided to you by the Zoning Board Staff,it is your responsibility to obtain the current names and mailing addresses from the Town Assessor's Office (765-1937)or from the Real Property Tax Office located in Riverhead. NAME and ADDRESS 6 A. __., z l a — 2. 3. 4. 5. 6. (Please use the back of this page if there are additional property owners) f iz � d�l , �3 Signature of Applicant Date Note: 1.The local Board will solicit comments from the owners of land identified above in order to consider the effect of the proposed action on their farm operation. Solicitations will be made by supplying a copy of this statement. 2.Comments returned to the local Board will be taken into consideration as part as the overall review of this application. 3.Copies of the completed Agricultural Data Statement shall be sent by applicant to the property owners identified above. The cost for mailing shall be paid by the Applicant at the time the application is submitted for review. QUESTIONNAIRE FOR FILING WITH YOUR ZBA APPLICATION A. Is the subject premises listed on the real estate market for sale? Yes 1,--No B. Are there any proposais to change:or alter land contours? IT No ..... Yes Vs please explain on attached sheet. will C. 1.)Are there areas that contain sand or wetland grasses? 110he 2.)Are those areas shown on the survey submitted with this application? 3.)Is the property bulk headed between the wetlands area and the upland building area?—,,,,.......... 4.)If your property contains wetlands or pond areas,have you contacted the Office of the Town trustees for its determination of jurisdiction?_ Please confirm status of your inquiry or application with the Trustees: and if issued,please attach copies of permit with conditions and approved survey. D. Is there a depression or sloping elevation near the area of proposed construction at or below five feet above mean sea level? E. Are there any patios, concrete barriers,bulkheads or fences that exist that are not shown on the survey that you are submitting? 05,o-, -Please show area of the structures on a diagram if any exist or state none on the above line. F. Do you have any construction taking place at this time concerning your premises? if yes,please submit a copy of your building permit and survey as approved by the Building Department and please describe:...----..... G. Please attach all pre-certificates of occupancy and certificates of occupancy for the subject premises. If any are lacking,please apply to the Building Department to either obtain them or to obtain an Amended Notice of Disapproval. H. Do you or any co-owner also own other land adjoining or close to this parcel? 10�Ale If yes, please label the proximity of your lands on your survey. I. Please list present use or operations conducted at this parcel A--4.Vl ..........._.. and the proposed use y 4t et_� (ex:existing single family,faro,4sc&same with garage,fool or other) Authorized signature and Date 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part I -Project information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part I -Project and Sponsor Information — 910fioll _1__/L/ Name of Action or Project: Project Location(describe,and attach a location map): 1.2,5-0 g,','Y4k W 100-5940-5 Brief Description of Proposed Action: Name of Applicant orSponsor� Telephone: 1115�q'401 —E-'M' ail: Address: ..... ..... Po City/PO: oe Zip Code: >_ //4? 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? ............ If Yes,attach a narrative description of the intent of the proposed action and the enviromnental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: 3.a.Total acreage of the site of the proposed action? acres b.Total acreage to be physically disturbed? F acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? ITm acres 4. Check all land uses that occur on,adjoining and ripar the proposed action. 11 Urban 11 Rural(non-agriculture) D�industrial AfCornmercial 11 Residential(suburban) 11 Forest 0 Agriculture 13 Aquatic 0 Other(specify): 0 Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? b.Consistent with the adopted comprehensive plan? 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? Z_ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? G c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? !i 9.Does the proposed_...._..__M..._.......__...... osed _...._ .... p p action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies:� ...... � I 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: �W wwmm� 11.Will the proposed action connect to existing wastewater utilities? NO YES /I If No,describe method for providing wastewater treatment: 12. a.Does the site contain astructure that is listed on either the State or National Register of Historic NO YES Places? / b.Is the proposed action located in an archeological sensitive area? (/ 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? (�. If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 9d 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: Shoreline ❑ForestAgricultural/grasslands ❑Early mid-successional ❑ Wetland ❑Urban ❑Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed INO YES by the State or Federal government as threatened or endangered? 16.Is the project site located in the 100 year flood plain? YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, � a.Will storm water discharges flow to adjacent properties? 6 NO❑YES !•' b.Will storm water discharges be directed to established conveyance systems(ni off and storm drains)? If Yes,briefly describe: I .NO❑YES Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoundment of NO , YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: .. 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: / I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor na Date: Signature: ---------------------------------- Part 2-Impact assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 3 Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the L establishment of a Critical Environmental Area(CEA)? 5 Will the proposed action result in an adverse change in the existing level of traffic or L affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available ever conservation or renewable eneV opportunities? 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. ill the proposed action result in an increase _ ...�...... .... in the potential for erosion,flooding or drainage problems? l/ 11. Will the proposed action create a hazard to environmental resources or human health? L Part 3_Determination of significance. The Lead Agency g..N..enc is resp ,5� i need of Part 3. For every .. responsible for the completion question in Part 2 that was answered".`moderate to large impact may occur or if there is a need'to explain why a particular element of the proposed action may or will riot result in a significant adverse environmental impact,please complete Part 3. Part 3 should,,in sufficient detail,identify the impact„including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts, Part 3 should also explain how the lead agency detennined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration, irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. * Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. ri Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. ...mm.. .._.....�. Name '� _...�. . .._ .. _.....�.. _ _._.�......n_ of Lead Agency Date Print or Type Name of Responsible Officer in Lead AgencyTitle ._...... ._. m. of Responsible Officer Signature of Responsible Officer in Lead ...... Agency Signature of Preparer(if different from Responsible Officer) Page 4 of 4 APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME :...... XL /7 (2L :7—//-1 pkO 51,1 I (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.if so,indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit �1 .. Variance Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business interest" means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YESNO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold � __............ Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee. Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) i A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation) B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation) C)an officer,director,partner,or employee of the applicant; or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this lz da) ,f 20 3 Signature Print Name Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 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 explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes",then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. if an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP 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 SCTM# - --15 The Application has been submitted to(check appropriate response): Town Board E Planning Dept. BuildingDept.. Board of Trustees 1. Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency(e.g.capital construction,planning activity,agency regulation, land transaction) (b) Financial assistance(e.g.grant, loan, subsidy) (c) Permit, approval,license,certification: Nature and extent of action: Location of action: l l"2, -0 ..........................- Site acreage: Present land use: ✓, �'. h�� Present zoning classification: J 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: SOL "� � w (b) Mailing address: N2 (c) Telephone number:Area Code(61) 6?1-9 -7 (d) Application number, if any: Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes 1:1No If yes,which state or federal agency? 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 E No [ (Not Applicable- please explain) 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 E Yes E No (Not Applicable—please explain) Southold Town Board of A,ppeals OMAIN ROAD- STATE ROAD 25 SMJTHCLD. L.L. N.Y. 11971 LE NE(6161765-1809 ki ACTION OF THE ZONING BOARD OF APPEALS Appeal No. 3119 Application Dated April 18, 1983 TO: Marcia Z. Hefter, Esq., as attorney for [Appellant(s) UMM AND ELLEN HUPE 10-BEast Main Street, Box 279 Riverhead, NY 11901 At a Meeting of the Zoning Board of Appeals held on December 19 1983 the above appeal was considered, and the action indicated below was taken on your Request for Variance Due to Lack of Access to Property New York Town Law, Section 280-a. [X1 Request for Special Exception under the Zoning Ordinance Article VIII , Section 100-80(B) [1] AxticlYaeotin10260 Request orVarince ?othe in g Ordinance Article Section Request for The public hearing on this application was held on October 27, 1983. Application of WARREN AND ELLEN: 'E FE by Marcia Z. Hefter, Esq., 108 East Main Street, Riverhead, NY for a Special Exception to the Zoning Ordinance, Articles VI, Section 100-60, and Vill, Section 100-80(B) [11 for permission to establish a "C-Light industrial" use in this OB-Light Business" Zone, at premises located at the South Side of C.R. 48, Southold, NY; County Tax Map Parcel ID No. 1000-59-10-5. WHEREAS, an application for a Special Exception was filed on April 18, 1983, simultaneously with an application for a use variance under Appeals No. 3119 and 3120, matter of WARREN AND ELLEN HUPE, and WHEREAS, the public hearings concerning these applications were held pursuant to law an the 27th day of October, 1983, and WHEREAS, the use variance in Appeal No. 3120 concerning these premises was denied by this board, same date hereof, disallowing the use requested in these applications for a machine shop for manufacture of hardware, a use permitted in the "C-Light Industrial" Zone by special exception, and WHEREAS, the subject premises is on 'B-Light us es" and such machine shop use is not a permitted use by Special Exception under the current zoning ordinance; NOW, THEREFORE, on motion by Mr. Douglass, seconded by Mr. Goehringer, it was RESOLVED, that Appeal No. 3119, application for WARREN ABD ELLEN HUFE, for a Special Exception, BE AND HEREBY IS DISMISSED under the circumstances. Vote of the Board: Ayes: Messrs. r' ger, Grigonis, Doug- lass and Sawicki. (member Doyen of Fishers island was absent.) This resolution was unanimously adopted. DATED: December 23, 1983. CHAIRMAN, SOUTHOLD TOWN ZONING BOARD OF APPEALS Form ZB4 (rev. 12/81) s i N. v. 119 71 " Town Board of Appeals Southold Al a - TATE SOUTHOLD. L,... TELEPHONE 1516)7 1 ACTION OF THE ZONING BOARD OF APPEALS Appeal No. 3120 Application Dated April 18, 1983 (Planning Board referral 10/11/83) Marcia _ Hefter, Esq., attorney for [ ll t(s)) WARREN AND ELLEN BUYS, 108 'East Main Street, Box 279 Riverhead, Rat 11901 At a meeting of the Zoning Board of Appeals held on December 19, 1983 the above appeal was considered, e action indicatedl was taken on your [ ] Request for Variance a to Lackof Access to Property New York Town Law, Section 280-a [ ] Request for Special Exception under the zoning Ordinance Article , Section Request for Variance to the Zoning Ord1nance Article , Section 100-80 Article. V111 Section 100-80(B) [11 [ ] Request for The public hearing on this application was held on October 27, 1983. Application of WARREN AND ELLEN HUFE by Marcia z,. ,Hefter, B'sq-, 108 East Main Street, Hrvverhead, NY fora Variance to the 'zoning Ordinance, Articles VII, Section, 100-80, and 'U'iii, section 100-80(E) [1] for permis- sion to establish a machine shops for manufacture of hardware, a use permitted in the "C-sight industrial" Zone. The subject premises is zoned "'B-bight Business" and is located at the South Side of C.S- 48, Southold, NY,- County Tax dap parcel No. 1000-59.10-005, sy this appeal, applicants seek a use variance for permission to establish, a machine shop .for the manufacture of surgical hardware, computer hardware, and aerospace hardware in a "D-Light Business" District_ Such a use is permitted only in the "C-Light Industrial"' and ' -General industrial" Districts by Special Exception from the Board of Appeals pursuant to Article vdii, Section 100-800) [13 and Article IX, Section 100-°91. Prior to the amendments of the zoning ordinance and zoning maps on November 23, 1971, similar us-es for manufacturing and fabricating were permitted in a. "B-Susiness" Dis- trict under the prior Article IV, Section 400, for which the subject premises was zoned. On November 23, 1971, the zoning for these premises and the surrounding business properties were amended to disallow these manufacturing, fabricating and other uses in all the "IS-Business" nese" Districts, and"C-industrial" Districts ly permitting hese s ame axles as noted above. only inthe All of the members of this hoard are familiar i the property in question as well as the surrounding neighborhood. The property in question is located on the south side of County Road 48, Southold, and is shown on the Suffolk County Tax map as District 1000, Section 59, Block 1.0., Lot 5. The premises comprises an area of 1-5,618 sq. ft. as shown can the site plan dated September 1, 1983, and is vacant. The parcel adjoining on the west was divided from the subject parcel. in 1968 by the applicants herein by conveyance (1000-59-10- , now of E. Koster) . Said premises is improved with a one-story concrete block building used for light manufacturing since prior to the zoning amendments in 1971. On the north side of the dual .Lane highway are parcels also zoned OB-Light Business." Two of those parcels are improved with building's which were constructed about 1957 and used for light manufacturing or fabricating since prior to the change in zoning 1971. (CONTINUED ON PAGE ) DATED: December 23, 194 3. C " , SOUTHOLD TOWN ZON3M BO OF APPEALS Form Z4 (rev. 12/81) Page 2 - Appeal No. 3120 Matter of WILRREN AND ELLEN & E cisip a-December 1 , 1983 Also, further west along the north side of C.R. 48 is a parcel of 1 (1000-59-9-part of 30.2) improved with new building, which parcel was the subjecto. 2957 for Walter N. Pharr, Jr. permitting whl retOB-Light Business" District and prohibitinglight industry uses such as fabricating manufacturing. Also, premises to the east and south of the subject parcel, and premises ajoining the "B-Light Business" area in this neighborhood are all zone "A-Residential and, Agricultural," ,scare of which are improved withone-family dwellings. At the public a on October7, 1983, s' attorney testified that it is the applicants' intention to relocate sir machine shop presentlyate a north side of C.R. 48 parcelto the ion at the south side € C.R. 48 because they e "square" building ratherlong, extended building and that a size of their presentis not adequate. How- ever, the board finds thatthe parcel upon which their present businesslocated is a e" configuration, approximately 1401 by ', and that the parcel in question s "rectangular," an average of approximately 63.91 feet by 258.92 feet. The area of eachcel is very similar in sine, and it is the opinion Of the board that the parcel to be used o lend itself to being adequate-more The building proposed would contain 3,900 square feet in area, having a width of 39 feet and depthfeet, and woulda set back 35 feet from its nearest point to the front property line along C.R. 48 (the road is curved) , IS feet from its westerly side line and six feet from its easterly side line at its nearest rots. Parking for 12 vehicles is Proposed i both the front , is appear to be uhe maximum available due to a size of this parcel. it is noted that a new building in the " " industrial distrIct, where this use could be conditionally permitted, is required by the Bulk Schedule to have: (a) a minimum sideyard setback of 30 feet, (b) a minimum total of sideyards of 50 feet, (,c) a minimum front- yard setback of 50 feet, (d) a minimum rearyard setback of 50 feet. t is alsoreflected that all of the board members are familiar with the statements giventhe public hearingincluding testimony estate broker. The vheld, that before a use variance may be granted, the record must show, by dollars and cents , that the land i question cannot yield a reasonable return if used only for a purpose allowed in the zone district in which it is located, that the plight of the owner is due to unique circumstancesd not to the general conditions f the neighborhood whichmay reflect the unreasonableness of the zoning ordinance itself, that the use to be authorized o be used for t1e variance will not alter the essential character o the neighborhood. Dollars and cents proofhas not been presented i this case, and accordingly, the board must deny the use variance. requested. , on motion by Mr. Douglass, seconded by Mr. Goehringer, it was RESOLVED, a s . 3120, application of WARREN AND ELLEN HUPE for a use variance, BE AND HEREBY IS DENIED. Location of Property: South Side of Countyo , Southold, County cel No. 1000-59-10-005. Vote f the Board: Ayes: Messrs. Goehringer, Grigonis, Douglass and Sawicki. (Member yen of Fishers island was sent.) This resolution wasadopted. C M , Decwabe r. , 1983 • L 1)-3ti BARGAIN AND SALIC DEED WITH COVENANT AGAINST GRANTOR'S ACS(MI)MDUAL OR CORPORATION) STANDARD NYaiv FORm ago? A 1 &alv-0`15 ��t,tants,tmserrttt<ma�ffitt�na®str,uraitoas�rnrtw wTtlorerarsMRstaaeaatm ra"ZRONEWMAM made the 14-0 day of S ion o 9• 00 010.00 CLIFFORD CO>ME1U 00s.000 rsddimgat 1891111 N.Bgview. tbaird,,MY 11971 Party of the tient part,and C KAR+OL FW 4PR OWSM s Redding at SM PLewsad Rd. Ca. NYlf9i3S party ofde second pasu tl tV17710r�.SE77�that the party efde that pu%in consideration of Tee Dollars and oder hrwfid 0 a moderation.hbwfml tooncy ofde United States.paid by the parry of the second past:does hereby grant and retaase tato the party tithe second part,the hairs or s weetaom and assigns of the party of de second part forever. ALL that certain plot.pieta or parcel of heti,with the buiWhrgs and laprovemems dereoe erected, ahuae■lying and bAW m Fit Manias.Town ofSoodold.Coammy orSallbgt and Stmte of New VadL Skis SCHEDULE W ATTACHED HERETO AND MADE A PART HEREOF The Wwmr herein Is the ate pesou as de grasses is Deed dated 9113M recorded 100185 is Liber 91186 ap 530. 71DGE72JB!svbh all right,CRIB and uresem d ei%oftbe panty of iba that pat in ad to any mum and roads abutting the above described prereues to the diner lines dieeo£ 7VGE77MR with the appartaaaaees and all the entre and rights of the party of the Bra part in and to said premises. 70HAVBAND M N"0 the promises hoe®Snared mato the party of da second paL the haus err ====and assigns ofthe pasty of the second part fam%w. AND da party of de lint pat eovanams datthe panyofthe that pan has not doom or afdrad anyding %6wwby the aid premises haus been encumbered In any vmy whoarm, as al6aeaid. AND ds party of the fat pot in compliance with Section 13 of ds Lien Law coummuna that the party oftbe fan part will receive the consideration for tbk conveyance and will bold the right1b mcocive such considevation as a traw rued to be applied fiat for the purpose of paying the em of**improverumm and will apply the simme,first to die payrnam of the cart of the impnwomem bcfbm ushq any part of the swal of the ate for any other purpose. The watt be commued as if it read• the mm of this indoMm so mIquimm RV 077NEW OWEAMP,the pwW ofde baa pan has duly memmed this dead de day and year f>at above wrimmis. CLIVI Yw tet!sawtbea+,sattt� rrw rawroasr°'ttutat mrryQae+woA'r mevaraasr •r- Sdrodub A Dowription We Number AV62&M 1 c ALL that cortain ply piece or parcel of land situate MM and being at Southold. Town of Southold.Com*of Suffolk and State of New York.more particularly hounded and described as follows: BEGINNING at a concrete monument which Is located on the southerly side of North Road and the northwest comer of land now orfonnerly of Booth; I; RUNNING THENCE South 28 degrees 07 minutes 10 seconds East along sold tend now or formerly of Booth.272.23 feet THENCE South 55 degrees 29 minutes 40 seconds West 54.21 feet; THENCE North 30 dogma 54 mirMes 00 seconds West 245.01 feet to the southerly side of Mktdle Road; THENCE northerly along the southerly side of Middle Road on an arc bearing to the right havlrtg a radlus of 2050.08,a distance of 73.01 feet to the point or place of BEGINNING. 4 . STATE OF NEW YORK ) COUNTY OF SUFFOLK ) On the j qday of September,2004.before me,the undersipod.penwuWly appeared CLtVPORD CORNELL,personally known tome or proved to msr on the basis of satisfactory evidence to be the individuals whose names arc subscribed to the within instrument and acknowledged tD me that they executed the same in their capacity,and that by Locir signuums on the instrument,the individuals.or the person upon behalf of which the individuals ted the l nt NOTARY i" LlC trwsa Eram 1 s ran DEED _o v1' Das+wc-�- 1000 x1ft me, section 059.00 Block 10.00 000 CORNELL C 1+FMOed Co oos County or Town suFFOLK To KneoL FILIPKOWSKi Ratttttia lVl To: PAUL A.CAMINM ESQ. P.O.BOX 846 SOUTHOLD,NY 11971 Reserve Tbb S ace for Use Of Recarding Olfiee r NVSBA rtdeamm Rena Eamft Foam as BmDom"'a9MM Cgsart•D9,d0p— ,t. a f I � I I, I w,� I b w , I uc toUJ 0 • V~1 " CL 3 I uj RM ,I � i I I , , " I R ro! U ..�,m fir""" m N� �` z z . „ 010 �� 4 �I Q I4ji ¢ ¢ Z Y Z . I U p� w J U LL LLD m Im i,. F' o ` µNr > a TM �, i<L 0 LU 9 _.. _ u -J H I r -� ul L u vi Lli 0 LU LU O a ,M q a. VY OZ M'4112w Page 1 of 1 NsN a "% Trmm .77 a Ov 059 17 CO o a J 50 25 3,3 http://gis.co.suffolk.ny.us/rps/ESRI.ArcGIS.ADF.Web.MimeImage.ashx?ImgID=eac5cOef5... 4/4/2014 SOUTHOLD PLANNING BOARD SITE PLAN APPLICATION FORM Site Plan Name and Location � ����j ��� /��r� ��C- Site Plan Name: � J��N�J� ✓� Application Date: �Y /�/ �7 Suffolk County Taz Map#lOQO- �9 - �� - � Other SCTM#s Street Address: ��Z�O Rf 4� Hamlet: JOL(���-^' Distance to nearestintersection: Type of Site Plan: �/New_Amended_Residential Zoning District L— �� Owners/Aaent Contact Information Please list name, mailin address, and hone number or the eo le below: Property Owner �'l /7 ��L ������'{Q�S�'�� Sueet I�� IJI�X ,3 S� City �Gf/��� _State �� Zip ���'3j � Home Telephone �✓�Y —��5� Other Applicant /'�/7/1OL f I/��r/�{Q�-5/�/ Street � (� ,�X 3�6 . City (�(��i�(J State /r y. zip �� �-3 j- �e elephone ��J �/ =Z�Z � . Other Applicant's Agent or Representative: Contact Person(s)* Street City State Zip Office Telephone Other *Unless othenvise requested, correspondence will be sent only to the contact person noted here. Site P1anApplication Form 2/18/2010 Site Data Proposed construction type: �/ New Modification ofExisting Structure Agricultural p Change of use Property total acreage or square footage: 3$ / ac sq. ft. Site Plan build-out acreage or square footage: ac./sq. ft. Is there an existing or proposed Sale of Development Rights on the property7 Yes_No_ � If yes, explain: Does the parcel(s) meet the Lot Recognition standard in Town Code§280-9 Lot Recognition? Y N_ If"yes", eacplain(and attach any necessary documentation—title report, subdivision approval, etc.) Building Department Notice of Disapproval Date: �.'� /z� / /L� Is an application to the Southold Town Zoning Boazd 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 use. If more then one use is proposed per building, indicate squue footage of floor azea per use. List all existing propeRy uses: l�/7 i���� ,C.C�}'h�J ' List all proposed property uses: Gc��15�/'ll� W /.�LlGc,f/�L.� �D/��� /.�����s / y��' Other accessory uses: Eacisting lot coverage: % Proposed lot coverage: % Gross floor azea of existing structure(s):�_sq. ft. Gross floor area of proposed structure(s): Parking Space Data: #of existing spaces:_#of proposed spaces: _ Loading Berth: Yes No� Landscaping Details: Existing landscape coverage: % Proposed landscape coverage: % WeUands: Is this property within 500' of a wetland azea? Yes No �/Maybe_ I, the undersigned, certify tha�e a ve information is true. .- Signature of Prepazer: � Date: 2 Site PlanApplication Form 2/18/2010 N � SITE PLAN FOR PROPERT Y - � SIT UA TED A T p � � � � � � ��� n , ��,� SD UTHOLD ° '� T4 WN �F SO UTH�LD South�ld�own PlanningBoard ,sUFF4LK CO UNT Y N. Y. � � 1 DDO-59-10-05 1 . SCALE.• 1 '�20' ,�'� � � , JUNE 4, 2014 � �� � ti � �� � 6,� n . '�''�' � ��� ,�,�6' '� '� �y �� '� 0 �� � � . � � TEST HOL Qt. ,�' E DA TA , �► �� �+ McDONALD GEOSCIENCE � �^'"�' � 09/12/2002 Q�� �' �Y $ EL. 00.0' �� J `�' �� DARK BROWN LOAM OL � � l 1' i ��K � �' � �\ �� GREYISH BROWN SIL T ML ...� / . � . '�'�"� N Q , 3, tid o. 'C�' o �,b�� ��q. a "' l BROWN S/L TY SAND SM �' ��' � Otr� o-7Y'�� � ✓ l 6, J���� ti 1 ��/��� � - Na // � .t� , � �O� �, �t� � . / .o o ` ��j EL. 0.0' � � PALE BROWN FINE � �� �\Zo, � p �'��` � ��i �-� � .�� TO COURSE SAND SW +�'`� � � � ��`� � �� �" `G �/ / � \ , o� �<� NQ � \ c,,���n� / � ,` G�G�� � 17' � Q � r Or-o �` �O � Q~° , �� � 4�'G ` u� Z�' \ � O � f �Q (�� \ , `� �"" _ V � r�ZZO �� � o tio y N 6� q .� 9�.� ,1 �� � �/� � � y � � � � � ���GZ � � �-�. �`. � � r t� \ ,� � � .�tl��'O �G� � � ` � � N O O �4 N� � �: � � -� .� . `� � �` �� y �`'O -c� '°� �"� � � �° �� � sL . , , �� � c �� � `� � .ro \'�► .0 < t`y� � A�� � � ���� � 'o� � , O . �J,� �, / N � , . , �� � -� �' � SANITARY DES1G111 � � �� � SITE P.4 TA � u+ o �''' S7TE �� REA= 0.359 ACRE � �-� cs, � o�,? �o . a� � 0.359 x 60� gpd = 215 �d � � . ' 'qx �����G �N a t�� • �'02 j � ����o, '�� a A�LO�VABLE FLOW ! � � `�2�' ��► � OFFICE 680 sq.ft. PARKING • �'�► � 0.06 gpd/sq.rt. x seo = 4rqp d ' � � STORAGE fWAREHOUSE) 2720sq.ft. OFFlCE - 680 sq ft. - 7 SPACES �����, � ,o � 0.06 gpd/sq.ff. x 2720 = 163 gpd STORAGE - 272p sq.ft.- 3 SPACES 02 �\ �L � 204 gpd � TOTAL 10 SPACES � \ SEP77G SYSTEM PROVIDED - 12 SPACES fncludes HANDICAPPED G� �� C`y \ SEPTIC TANK l2 DAY FLOW) = 204gpd x2 = 408 gpd SPACE � ,► � USE ONE l200 ga(� SEPTIC TANK - 8'� x 4' ►iq. depfh � ��' `� � LEACHlNG POOLS - 204 gp d I DRAINAGE CRITERIA � � USE 2 LEACHY�lG PDOLS 8'� x 8' depfh f7.5'1 effective depfh � 6UILDING 8 SIDEWALK ' g024 sq ft. � 9 \ PA VEMENT - ' � �` f � \ 12764 Q.rr. ti' � 2" RAINFALL .. � � , ; l2764 x / x 0.17 = 2170 ct►./t. �'� � LANDSCAPED - 2854 sq.tf. � 2854 x 0.6 x 0,17 = � � 29! cu.ft � J � t� r� 'a^ �`� �/ v 246/ cu.ft. � „ � 2461/42.2 a 58.3 V.F. �� � O� � PROVIDE 6 DWs 8'�_.x !Q' Dee�� o �� � . / i , ' / i 4 �/ /+ � ; ZONING DJSTRICT= LB � , 1 s � ,. ,Rr, �� yp,�. ELEVATIDNS AND CONTOURS LINES � � a / ARE RFERENCED TO NGVD � + � /_, ' +� � $� 43.0 = PR�OPOSED ELEVATION � O� � � � _ _ - _ . _ _ �y'�' y������5 I � �' �P ,��F �. � �- I, .�'X ��` ���- - ���. �;�"�°��."`�:.c� ,t, �� �r; -:� '���` �: � AREA=15,618 SQ FT � � ����.����ki =A:--��� ' � • • ��.�=��N�a�r�:�:--.� - � � � � � ����.����` '` � �, �� ;� J �, ��:�,;_�, � �:���� �� l �� ��'.M��'�� °�F`� . � � ��������� ANY AL TERA TION OR ADDI TION TO THIS SUR 1/EY lS A 1//OLA TION N. Y.S. LI C. NO. 49618 APPLICANTj OF SECTION 72090F THE NEW YDRK STA TE EDUCA TION LA W. FILlPKOWSKI A/R, �n►c. P ONIC 1/EYORS, P. C. EXCEPT AS PER SECTION 7209—SUBDII/IS/ON 2. ALL CERT/F/CA TIONS 734-2827 �631� 765-5020 FAX (631) 765- 1797 HEREON ARE VALlD FOR TH/S MAP AND COP/ES THEREOF ONL Y IF P. O. BOX 909 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SUR I/EYDR WHOSE SIGNA TURE A PPEARS HEREDN. 1230 TRA i/EL ER S TREE T p�_ � SOUTHOLD, N. Y. � 1971 0 895 9 r 4" b SOUTHOLD PLANNING BOARD SITE PLAN APPLICATION FORM Site Plan Name and Location Site Plan Name: to � Application Date: Suffolk County Tax Map#1000- 5-17 - /0 - Other SCTM#s Street Address. q l;-5,7 RT V Hamlet: Distance to nearest intersection: Type of Site Plan: b/New Amended_Residential Zoning District L /J Owners/Agent Contact Information Please list name, mailing address, and hone numberfor the people below: Property Owner Street PO 601K 3 5 City (if,PLN � State �- Zip 93-:5 • Home Telephone �J�t—U ��y Other Applicant /w/7lgol -�F�� Street P'y f—)OX Cit CaAAOC,�') State y_ Zip 93 ome elephone �3 Other Applicant's Agent or Representative: Contact Person(s)* (t P O1672 42,6©y Street City State Zip Office Telephone Other *Unless otherwise requested, correspondence will be sent only to the contact person noted here Site Plan Application Form 2/18/2010 f Site Data Proposed construction type: L/ New Modification of Ekisting Structure Agricultural C7 - Change of use Property total acreage or square footage: 3 5 / ac sq. ft. Site Plan build-out acreage or square footage: ac./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? Y_N_ If"yes", explain (and attach any necessary documentation—title report, subdivision approval, etc.) Building Department Notice of Disapproval Date: 0-3 /Z / 161 Is an application to the Southold Town Zoning Board of Appeals required? Yes V 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 use If more then one use is proposed per building, indicate square footage of floor area per use. List all existing property uses: List all proposed property uses: 6c .4/lyzd n! Other accessory uses: YO Existing lot coverage: % Proposed lot coverage: % Gross floor area of existing structure(s): sq. ft. Gross floor area of proposed structure(s): Parking Space Data: #of existing spaces: #of proposed spaces: Loading Berth: Yes No Landscaping Details: Existing landscape coverage: % Proposed landscape coverage: % Wetlands: Is this property within 500' of a wetland area? Yes No /Maybe I, the undersigned, certify that all thea ve information is true Signature of Preparer: Date- 2 Site Plan Application Form 2/18/2010 APPLICANT'S AFFIDAVIT STATE OF NEW YORK COUNTY OF SUFFOLK being duly sworn, deposes and says that he resides at� ?//I CC O in the State of New York,'and that he is the owner of the above property, or that he is the � /)I �� � of the fa r "a ` IQ I /v (Title) (Specify wifether Partnership or Corp.) 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 (Partner or Corporate Officer and Title) lersor uk, 4VWS'04 KAf-01 ''i 1 e'�or¢ Swornn t-oo me this day of (I Notary Pub i —L Eve L.GATZ-SCHWAMBORN NOTARY pl)BWC,STATE OF NEW YORK Registration No.OIGA6274028 Qualified in Suffolk County Commission Expires Dec.24,2016 TOWN OF SOUTHOLD FORM NO. 3 NOTICE OF DISAPPROVAL DATE: March 21, 2014 TO: Karol Filipkowski P O Box 356 Cutchogue,NY 11935 Please take notice that your application dated September 18, 2013 For permit to construct a new building&operate a contractors' yard at Location of property: 41250 County Rt. 48, Southold NY County Tax Map No. 1000- Section 59 Block 10 Lot 5 Is returned herewith and disapproved on the following grounds: r The proposed contractors' yard is permitted by special exception per 280-41 B. The proposed building on a 15,614 sq. ft. parcel in the LB Zone is not permitted pursuant to Article IX Section 280-42 &43. The Bulk Schedule indicates a front yard setback requirement of 100' and a side yard of 20'. The site plan indicates a front yard setback of approximately 38' and a side yard setback of 1'. Also, the maximum allowable lot coverage is 20%. The proposed lot coverage is 25%. Pursuant to Section 280-41, Site Plan approval from the Southold Town Planning Board is required. Note: Curb cut approval required from the State. A'.1'1-4 rz,&—- Authorized Signature CC: file, ZBA Planning Bd. Note to Applicant: Any change or deviation to the above referenced application, may require further review by the Southold Town Building Department. too 6 BARGAIN AND SALE DEED WITH COVICNANT AGAINST GRANTOR'S ACTS(1NDiVIDUAL OR CORPORATION) . STANDARD NYUM FCMM SM A 11laalp-o4s cwttrmra:stns rrr aroma as raau�av Ott w'noaNs►stun etevmv�sv wrtorarava Toa tae>zata arm ' 72f"D ORNMIA made the/yet day of Septsm 2004 000s,9.tap hetwee. 0/0.400 CUnMM CORNEU. 009.000 ttyMfrrg at 1090 N.Bgdew,Southold,NY 11971 party of the first part,and KAROL FII:MWOWSKI i Buddlog at S70 Pinewood Rd. Casehogna.NY 11933 i party ofthe seeaod Part. W/I}VBs.4Jg77Jy that the party of dee first part,io coasidamd n of Tea Dollars and other b wM ' r consideration.htwfitl money of the United States.paid by the party of the second part,does hereby greet and release moo the pony ofthe second part;the beirs or sercassors tad assigns of the petty of the second part forever. ALL that certain plot,plum or parcel of laced with the bail and improvements tdeooa esested, situate.lying and beteg at Ent Marian.Town of Somboid.Cbmay of Sud1lblk sad State of New York. SES SCHEDULE'A•ATTACHED HERETO AND MADE A PART HEREOF The giaatar beela is the same Person as the grantee In Deed dated 91IMS recorded 14010 in Liber 9866 cp 530. 71008771St with all right.title and hacrest.Fogy.ofthe pony of the first pert in sad to any.treat.and roads abaitfng the above dose ribed premises to the comer tinea dmxco& 77008771St with the appostowmeas and all dw estate shed does of the potty ofthe first part in and to said preudw, 70 HAVBAND 70 HOLD the premises basin gtamed unto the party ofthe saeoted pm the bear or aroxssors and assigns ofthe party ofthe second pat forever. AND do prgr of the first part,mtenents that the porgy ohhe fast pot has act done or sof>l+rad aaytbing whereby the add premises have been encumbered In my aayy wbatover.csoopt as af6nwid AND the party ofthe first pat in compliance w1th Section 13 of Mo Lina Law.covenams that rho party of the fust pat will twelve the oanidaodon for this convoyanee and wr'll bold the right:to receive such considerattlotiasatrustfstodtaboaWhad tint for the purpose of paying deo can of dw improvement and win apply the snow first to the poymeem of dw cast ofthe improvement before ash%any pan of tho toed of the some for any other pttapase. The word"party"shall be construed as Wit eead."pordes•wbetwver the scan of thb baa so rowipm AV WMVVZW H9,fMLWF,rhe pony of tbo first pert has duty eseauted this deed the day amd year fiat above written. CUP79M CDRNZLL enrssnaddmMR dE4rrnormae.rbaft•fM ri ap"*o..aroenre a. Schedule A Description i TWO Nufta AiTU"U Page 1 i ALL that certain plot,piece or parcel of land situate lying and being at Southold, Town of Southold,County of Suffolk and State of New York,more particularly bounded and described as follows: BEGINNING at a concrete monument which Is located on the southerly side of North Road and the northwest comer of land now or formerly of Booth; RUNNING THENCE South 28 degrees 07 minutes 10 seconds East along said land now or formerly of Booth,272.23 feet; THENCE South 55 degrees 29 minutes 40 seconds West 54.21 feet; THENCE North 30 degrees 54 minutes 00 seconds West 245.81 feet to the southerly sloe of Middle Road: THENCE northeasterly along the southerly side of Middle Road on an arc bearing to the right having a radius of 2050.88,a distance of 73.61 feet to the poirt or place of BEGINNING. . STATE OF NEW YORK ) COUNTY OF SUFFOLK ) on the /I/ day of September,2001.before ma.Use underslg=4 personaiy+ d CLIFFORD CORNEIJ.personally known to no or proved to me on the basis of sstisflrctary evidence to be the individuals whose names ore subscribed to the within mstramc. and acknowledpd to me that they executed the some in Uteir capacity,and that by toefr sigmaures on the instrument,the Individuals,or the person upon behalf of which that individuals acted. the 7i I NOTARY P LIC �y sat �a No York � sudo ° ° .2oas DEED D,VWwC4• 1000 Time No.A�7ro 'O V� Section 059.00 Blodt 10.00 G I v Floecl County 005 000 CORNELL l nasty or Town SUFFOLK To ltga.OL FILIPKOWSKI Return ft Mail To: PAUL A.CAMINITI,ESQ. P.O.BOX 846 SOUTHOLD,NY 11971 s Reserve This Space For Use Of Recording OHlee NYsa►Rddeam RAs RUM F==m aanoe e90oJ caeo+s'ne.etopmmt a- TOWN OF SOUTHOLD FORM NO. 3 NOTICE OF DISAPPROVAL EPIOaunninu f fl Rq r;DA=I'E: October 16, 2013 TO: Karol Filipkowski 1,72013 P O Box 356Cutchogue, NY 11935 l- Town Board r ` Please take notice that your application dated September 18, 2013 For permit to construct a new building &operate a contractors' yard at Location of property: 41250 County Rt. 48, Southold, NY County Tax Map No. 1000- Section 59 Block 10 Lot 5 Is returned herewith and disapproved on the following grounds: The proposed contractors' yard is permitted by special exception per 280-41B. The proposed building on a 15,614 sq. ft. parcel in the LB Zone is not permitted pursuant to Article IX Section 280-42 &43. The Bulk Schedule indicates a front yard setback requirement of 100' and a side yard of 20'. The site plan indicates a front yard setback of approximately 33' and a side yard setback of 5'. Also, the maximum allowable lot coverage is 20%. The proposed lot coverage is 25%. Pursuant to Section 280-41, Site Plan approval from the Southold Town Planning Board is required. Note: Curb cut approval required from the State. Authorized Signature CC: file, ZBA 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 PC/Codebook for Windows LIO HB LB B Light LI Hamlet M-1 M-11 Industrial Limited General Park/Planned Light District Business Business Business Marine f Marine 11 Office Park Industrial Minimum requirements for business,office, industrial or other nonresidential use' Lot size(square feet) 80,000 20.000 30.000 40.000 80,000 120,000 40,000 Lot width(feet) 175 60 150 150 150 200 100 Lot depth(feet) 100 150 150 150 300 150 Front yard(feet) variab ' 15 variable'- 35 35 variablen variable Side yard(feet) 20 10 25 20 25 30 20 Both side yards(feet) 45 25 50 45 50 60 40 Rear yard(feet) 75 25 35 25 25 75 70 Landscape area(percent) 35 25 35 25 20 35 25 Maximum permitted dimensions Lot coverage(percent) 0 40 30 30 30 20 30 Building height(feet) 35 35 35 35 35 35 35 Number of stories 2'h 2 2 2 2 2 2 NOTES X33 4w 1 1 l FOR INTERNAL USE ONLY SITE PLA[ USE DE OCT 1203 nttl ai p etermi • • nation. I 1 i3 Date — Project Mame: project Address: i No.:100� Zoning District: L g Suffolk County Tax Map _ Request: (Note: Copy of Building Permit App licatio and suppotfing documentation as to proposed use or uses should be submitted.) Initial etemiination as tawhether use is ermitted: . Initial Determination as to whether site plan is required: Signature of Building Inspector Planning Department(P.D.) Referral: . d: P.D.Date Receive (= Date of COMment�_1�1 4 mments: • - Si� 0. 1 - Signature of Planning Dept.-S Reviewer FFna1 Det rmina "on Date: i_____j Decision: l Abx'd TOWN OF SOUTHOLD BUILD] PERMIT APPLICATION CHECKLIST BUILEI:", 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) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Perm-it Examined ,20Single&Separate Storm-Water Assessment Form Contact: 6 Approved ---,_,20. _ Mail to: �� Box GL— Disapproved a/ PJ gg��(��-57� Phonetn j � 4 U 8 Al Expiration ,20 i� Building Inspector .APPLICATION FOR BUILDING PERMIT SEP 1 $ 7013 .. 0 Date % -2013 INSTRUCTIONS BLDG. DEPT. a. UST be Lompletely 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 part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. I t - 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. (Signature of applicant or name,if a corporation) (Mailing address of applicant) State whether applicant isowner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises (As on the tax'roll or latest deed) 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: - 412�o Ai Q? `Sores h �1�a2 House Number Street p Hamlet County Tax Map No. 1000 Section ��7 Block 10 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 b. Intended use and occupancy P4 t,G m bin g 5�,Op 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost �Q, X00 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 6, If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Diipensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alteration&or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front 3 Rear Depth �t�0 Height I Number of Stories P a 9. Size of lot: Front 7� Rear ��� Depth_ '0272 10. Date of Purchase 00 Name of Former Owner 11. Zone or use district in which premises.are situated .� 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES I NO Will excess fill be removed from premises? YES. NO 14. Names of Owner of premises i6rol 44,Fkdress PO 60A Phone No. .11KY1 Name of Architect Address RgNo Name of Contractor Address Phone No. 15 a. Is thisproperty within 100 feet of a tidal wetland or a freshwater wetland? *YES NO fi * 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 li * 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 N.0 * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY O b rm t�f being duly sworn, deposes and says that(s)he is the applicant (Name of iialvidual signing contract)above named, (S)He is the (Contractor, Agent, Corporate Officer, etc.) of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner-set forth in the application filed therewith. Sworn to i6fore me this day of 20��y� Y'A MICHELLE DISTASIO �. ,otary Public,State of New York Notaiy Publico• 4753 Signature of Applicant Qualified in Suffolk County I Commission Expires May 22,20/ x 33'. 49 sir d - , ' T•4. Y `T"' • r y _ i _, ;x31:.7 Ji.f e. .d A,; Ki �.�,' . 1 is 6 ♦ d ♦ _J�/- 43.6 J1 �t �,� �f'; fr,'.:" 01 44 _ X dt. I • .'2�r ..• ; fig '`rr�;.- ' iv TEST'HOLEQf it n 4•f ri;-: .> _ ply ,r. ��.. i;• � � d. 1-5 ' 7 '"�+:i{+',.� • s 3 r c. 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Alft - �>. - �E.1>4' s ft. ,5 Q` k,s. t T. +.�a, ` :: ��e • - .'� r'4..,av n.';;' i:. 9 �. Li.'4yw3''• :.E * i;:. ERIK •V. MY '.f" j :: ::., ,rpo44: tr �.' G•:,C•JlX. Nz��t�= -:.,ay'"s.:• -r-,, '>' '%-; •. ..�'' 'M.7:?S': .:n•. tea^=:, :�•.;. ot - �Y•.'C.. iii �'t'�•..[:, rR�\. ty+'< Oro rpt*:az;4�`�•.':. ✓;,,;ti. �iA.1: :J,?.: _.�y .. - %')':4 ti '/- .6.C:.s:Sh','.i ^i'� y'�yr' •Tt'' Am v y :r 4a , r= - g yy ,,l`11 a• �l DAT; Y•' •,C ... •'i Y 'S 'cEose` - TES7..W.00E DUGS-•>Y•aicD01if�4E2 PENCE ON'%SEFFEMBER_:1� .2002 N. C _K BROWN SILTY LWM Ol Nt - .J -.. .... ., k. - ai,! - +v*Y$r� .��;n�:,,';• • GREYISH BROWN SLT Y - u 3' ti a K, 'N \. Z,; , 1'+:. - - . :.Lt�• _ - 1 - .saowN siir:�. - sni+o sv ti. 2y Mis TM j •. U� 4ff xa ,m —t 7 P -:18ROW t. lkN;, ALE Vv TO COARSE Ott -'M� It-. Vnt -Z -x ON. 0 ld yr :V Y 43.8 4. J! 4 �&K, S Li JA� -0c ,-N 0,_ M 4 tar P. m m. ..a:•:•-v r 4k Lao` NOTES:OT 17�P. rr -11. ELEVATIONS ARE REFERE'4133011D UWffD,%-,DATUM p N. S EXISTING ELEVAT.I0.NS,",ME i3-#0W_l,N,tTflf` CD 6. 50 EXISTING CONTOUR. �LINIPS, EX19T THIDW5- — — - PROPOSED ELEVATION' At C, 2. ZONNING USE DISTRICT 'L6 >'`, ti -9 ;^4'''`' 15- 1 3. PARKING 3,900 k s BUILDING AREA V OFFICE JR., UNAUTHORIZED ALTERATION:dR ADOMON TO THIS SURVEY IS A VIOLAIIM OF SEC-90N 7209 OF THE-kW*WK STATE STORAGE 23,1-20 s'. .7 EDUCATION LAW. a f OLE* k I ' PROVIDED 13 PARKING S PA NOT COPIES OF THIS SURVEY BEARING THE LAND SURVEYOR'S INKED SEAL OR 4. DRAINAGE CRITERIA 7 EMBOSSED SEAL SHALL NOT.HE C04tiDERED TO BE A VALID TRUE COPY BUILDING & SIDEWALK PAVE.'MENT 18 CERTIFICATIONS INDICATED HORMN SHALL RU TOTAL Ul ONLY TO THE PERSON FOR *MM THESUR\o _M, IS PREPARED, AND ON-HIS 86�F TO THE. L -py TITLE COMPANY, GDVERNMENbW AGENCY AND AND -3 LENDING INSTITUTION L LANDSCAPED TO THE ASSIGNEES OF THE il*IDING INSTI R TUTION. CERTIFICATIONS ARE N& TRANSFERAI 12,345 sq. ft. x 0.l';7 "1 9 46 f t. 3,270 sq. ft. x 0.17 v,-!,0.-3 Kt. ft. A `.f#. : T� T THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RE)CORD, IF X I N GS ANY, NOT SHOWiN ARE NOT GUARANTEE PROVIDED 14— 4' 8' Dia-lpl T 56' x 42.24 2,365 cu.'-f 5. PROPOSED SEPTIC SYSTEM -S-HOW;N:,t,'TffU,S PREPARED IN ACC DANCE WITH THE MINIMUM 0'r STANDARDS FOR E SURVEYS AS ESTABLISHED rL 'ON BY THE L.IALS. D APPROVED AND ADOPTED -s PROPOSED EXPANS16. Po., FOR THE NEW YORK STATE LAND Ji 64,;-. .., eph A. Ingeegn-c T T f PROPOSED LEACHIN.`G- -.POOE!' co 1. a,85 K J Title'Sirveys Subdivisions Site Plans Cmmtruction Lo PROPOSED SEPTIC TA -s rPHONE (631)727-2090 Fax (631)727-172 96 4AN Z) lt` OFFICES LOCATED AT MA LM ADDRESS NYS. Lic No 49668 &1380 ROANOKE AVENUE P.O_-Box 1931 ilk&ERHEAD. New York 11901 Riverhead, Nm York 119C ' FOR INTERNAL USE ONLY SITE PLAN USE DETER I111�;N TTI =ON u U OCT - 12013 Initial Determination. Southold Town Date Planning Burd • �ent:'__ 'a=f Date:_J Project{lame: fiv f9 project Address: l . ggd _ Zoning District: Suffolk County Tax Map No..1 — r Request: (Note: Copy of Building Permit Applicatio and supporting documentation as to proposed use or uses should be submitted.) Initial etermination as to whether use is elrmitted: Q Initial Determination as to whether site plan is required: Signature of Building Inspector Planning Department (P.D.) Referral: d , /� Date of comment i-D 1—YO -1 4 _ P.D. Date Received. — � S C mments: Signature of Planning Dept.-S Reviewer Final Determine ion Date: j. — Decision: __ _c o. :lrlinn IncnP,rlor TOWN OF SQUTHOLD BUILDING- -,RMIT APPLICATION CHECKLIST BUILDI.NG 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) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey. SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application - Flood Permit Examined 20 Single&Separate Storm-Water Assessment Form Contact: Approved _,20..-_ Mail to: X� Bax A 5 _ Disapproved a/c5 POD le) 1 t3 l'.(�(,'rpr��(,(�LA,T' �L a2 5 r Phonet(o. ?( 11S4ZIODA, , Expiration 20 - Building Inspector D E APPLICATION FOR BUILDING PERMIT SEP 18 1013 bate q11 2013 INSTRUCTIONS SLOG. DEPT. a. ST be Lmpletely 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 part 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 after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments of 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, anew 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. (Signature of applicant or name,if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises a rot (As on the tax olI or latest deed) 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: 4i2�o X2 QY '50U i0102 House Number Street Hamlet County Tak Map No. 1000 Section , 7 Block ^ Lot 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 b. Intended use and.occupancy ?4 too bin g S kp 3. Nature of work(check which applicable): New Building 1Z Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost Q, (�/� 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 6: If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front' .3 Rear .3i ' Depth /00 Height /g Number of Stories I 1,p 9. Size of lot: Front 7�/ Rear 7 Depth, '2 72 10. Date of Purchase 7 30 %�C20 Name of Former Owner ` 11. Zone or use district in which premises.are situated L. 43 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES I NO Will excess fill be removed from premises? YES. NO 14. Names of Owner of premises &✓s ddress PO 6 .X 3S� �P��ho e No. . �� �•%�_���4 Name of Architect Address �='' PhMi No Name of Contractor Address Phone No. 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 L * 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. STATE OF NEW YORK) SS: COUNTY O being duly sworn, deposes and says that(s)he is the applicant (Name of to vidual signing contract)above named, (S)He is the (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to Infore me this / 0 day of 20.a. MICHELLE DISTASIO otary Public,State of New York No Public .4753 Signature of Applicant Qualified In Suffolk county Commission Expires May 22,209 FOR INTERNA.USE UNLY LUU E U �. -rl� MAR 2 S 2017 SITE PLAN USE DETERMINA Southold Town Planning Board Initial Determination f 17 I Date Sent:__ — Date: � 7_— �tV, Project-Name. — - Cg- A4----- Project Address: 'H I 1 VVT� OI (U _ Zoning District: �-� Suffolk County Tax Map No.:1,000-_ — — Request' (Note: Copy of BuildinWI `'t _g Permit App lication and supporting documentation'a�to -proposed use or uses should be submitted.) ��� � Xc 'cv . dee-M�� lnitial Determination as to whether use is permitted: - l-Determination as to whether site plan is re uired_:Ek-TE t_� 1 lnttta Signature of Building t pector planning Department (P.D.) Referral: P.D.Date Received:__ 7 -Date of Comment: __f �----- Comments:-----.. Signature of Planning Dept.-Staff Reviewer Final Determination Date: J— Decision: Q;-nahirP of Rriilriino InsnPc:tnr TOWN OF SOUTHOLD BUILDL _ PERMIT APPLICATION 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) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N Y.S.D.E.C. Trustees �� C.O.Application Flood Permit Examined 20 D ��� Single& Separate Storm-Water Assessment Form MAR — 6 2017 Contact: Approved ,20 Mail to: Robert Wilson Disapproved a/cBIDING DEPT, PO Box 49 Southold NY 11971 TOWN OF SOMOLD Phone: (631)504-8842 Expiration 20 a Building Inspector APPLICATION FOR BUILDING PERNUT Date March 6th ,'20 17 INSTRUCTIONS 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 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 part 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 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. (Signature of applicant or name,if a corporation) PO Box 49 Southold NY 11971 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Agent Name of owner of premises Karol Filipkowski (As on the tax roll or latest deed) 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: 41250 C.R. 48 Southold House Number Street Hamlet County Tax Map No. 1000 Section 59 Block 10 Lot 5 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 Vacant, undeveloped lot b. Intended use and occupancy Heating/Air Conditioning/Refrigeration shop 3. Nature of work(check which applicable): New Building Addition Alteration 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 Ifgarage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. Office and storage 7. Dimensions of existing structures, if any: Front N/A Rear N/A Depth N/A Height N/A Number of Stories N/A Dimensions of same structure with alterations or additions: Front 34' Rear 34' Depth 90' Height 26'-8" Number of Stories 1 8. Dimensions of entire new construction: Front 34' Rear 34' Depth 90' Height 26'-8" Number of Stories 1 9. Size of lot: Front 73'-7" Rear 54.21' - Depth 272.23' 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated LB 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 ✓ 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 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—L * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF S -Robert Wilson being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the Agent (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. Sworn tbefore me this day of m a rcb 2011TRACEY L. DWYER �JJ NOTARY PUBLIC,STATE OF NEW YOkW UAP _JLRK NO.01 DW6306900 Notary Pu QUALIFIED IN SUFFOLK i A hcant COMMISSION EXPIRES JUNE 30,20 pp r ' Scott A. osul�k Russell ,�d v James A. Richter, R.A. SUPERVISOR U Michael M. Collins, P.E. SOUTHOLD TOWN HALL-P.O.Box 1179 0y 53095 Main Road-SOUTHOLD,NEW YORK 11971 560 Telephone#: (631)-765-1 `, Fax#: (631)-765-9015 MICHAELCOLLINS@TOWN.SOUTHOLD.NY.US '� > JAMIE.RICHTEROTOWN.SOUTHOLD.NY.US Office of the Engineer Town of Southold STORMWATER MANAGEMENT CONTROL PLAN REVIEW COVER SHEET ( TO BE COMPLETED BY THE APPLICANT ) TO. ENGINEERING DEPARTMENT PLEASE ATTACH TEE fiMLOWING DOIG7IMMS• or IMOR4MATI0N. FROM BUILDING DEPARTMENT ❑ Copy of completed Application for Building Permit DATE: q �e �3 ElStormwater Management Control Plan APPLICANT: X1 G roi - 110 k 01j-5k! ' ❑ Completed Chapter 236 Stormwater S.C.T.M. ¢: 1000 --5q D - Review Checklist PROPERTY ADDRESS: q/2 5'0 A /0/ BRIEF PROJECT DESCRIPTION: �L !✓' diF/t°I<ll�.o - /• Lo FOR ENGINEERING DEPARTMENT USE ONLY'p'°'°'` Reviewed By: Date ❑ Approved F] Additional Information Required yM1a6ufFac�� � DATE: Olp ]XI to-15 . ' CHAPTER 236 APPLICANT: ' Stormwater Review Checklist S.C.T.M.#: o Q_6 (p .� PHYSICAL ADDRESS: s',b Stormwater Management Control Plan Requirements Yes No NA If No or NA,Please Provide Additional Information 1. Plan drawn to scale of not less than 60 feetto the inch showing: a. location and description of property boundaries b. total site acreage c. existing and natural and man-made features on and within 500 feet of the site boundpry as reouired in§236-17(C)(2). d. test hole data indicating soil characteristics and the depth to water e. proposed limits of clearing and the total area of proposed land disturbance f. existing and proposed contours of the site(minimum 2' interval) g. location of all existing and proposed structures,roads, driveways, sidewalks drainage improvements and utilities r h. spot grade and finished floor elevations for existing and proposed structures i. location of the swimming pool discharge ring j. location of proposed soil stockpile area(s) k. location of the proposed consiruction entrance/staging areas 1. location of the proposed.concrete washout area m. location of all proposed erosion and sediment control measures ` 2. Plan includes calculations showing that the stormwater improvements are sized to capture, store and infiltrate on-site the runoff from all !✓ impervious surfaces generated by a two-inch rainfall 3. Detail drawings (rewired for plan approval)provided for: a. erosion and sediment controls b. construction entrance c. inlet structures(e.g. catch basins,trench drains, etc.) d. leaching structures(e.g. infiltration basins,swales, etc.) REVISED 7/24/2013 /bxa Sal 1'3�(��• -)liii ,� lay tr., { •.3::'.�,' .iC::.F.r., S. . - .�tf y,+:.•;+1-.ti':���`:t..t,' ::,.,:.: !may i NN`4 iw :4 a iJ `t`.L`. 5'-. NOT S .'�;Nc r�tsT,7;;''ie�.y,t.M;. `vt.•�F ..i�: t" - ';E'(� :E LE VAT1 :. r `�• 1 O:NS AR'E REF . tiiry E.R`EN,GIf `TO 1ANN: AS UM�PW 'DATUM I EXISTING EL'EVAT'10':N'S:'"AR ��`� '`"';'" � E .S'H;OWN STH Sseo -4.`,•!, .�?:V'i•C9? '.'6:x,:1"t•:, EX1971NG CONTOUR LINES A!RE^:SH:Oi, THUS: — — PR,OPOSED ELEVATI64' ARE ,N -� Nr� "77.., .t:.. — 50 -- SN,01MN : , Kat> 2. ZONNING USE DIST 3. PARKLNG `` < M BUILDING AREA — 3,90=0 s ;: a OFFICE _ q 'y;':,; f .ti. RAGE 23 — ,1200 � PROVIDED 1 ; ;„a ;-.� ,: tet/ X77 Cv U 3 PA.R'KI:NG SPACESL ^ ` / � 4. DRAIN �• :;�tf�:='�.,,�:,.,,,A �:� � S A:GE CRITERIA 9-UILD:ING & SID lC •PAV.E:trfENT ft. ;: , TOTAL 2 345` 4yw LANDSCAPED '%j=. 1'2,345 s ft. , .' irk ,; :; x 0:.1'7 z �.,; q• X 1''}1 .0 '=Y ;2a d,9, C u: ft ' 3,270 sq. ft. x 0.1'7 03 ft. ft. PROVIDED 14— 4 '8 x ' Di.a ING :kA .ft S 56' x 42.2.4 = 2,365 cu. ::ff �• 5. PR4POSED SEPTIC SYSTEM ” '�`� '` �• SHOWN,S��HxUS PROPOSED EXPAN PROPOSED LEACWIN:GA`:POOIJPy" ® PROPOSED SEPTIC. TA,N::K ..I I r` ! r'.. - Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 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 explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. 'If any question in Section C on this 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 copy of the LWRP 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 SCTM# PROJECT NAME /� S The Application has been submitted to(check appropriate response): Town Board � Planning Board t Building Dept. L4} Board of Trustees ❑ 1 Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction, planning activity, agency regulation, land transaction) ❑ (b) Financial assistance(e.g. grant, loan, subsidy) (c) Permit, approval, license, certification ❑ Nature and extent of action Location of action. 7 u V Site acreage o 35q ci( . Present land use g2 f2J Present zoning classification: L /3 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: K0 R OL 'F-11—I PJWO 415W 1 (b) Mailing address: e(c) CiQ 76 HO G UC- (c) Telephone number- Area Code evh _ 73 � o'o/-S0 (d) Application number, if any- Will nyWill the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ❑ No If yes,which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. ❑Yes ❑ No [4,/Not Applicable Attach additional sheets if necessary r 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 I&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—;Not cies Pages 6 through 7 for evaluation criteria ❑ Yes 1:1No 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 1:1Yes ❑ ro No E of Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III— Policies; Pages 22 through 32 for evaluation criteria. ❑ Yes ❑ No EZ dot Applicable 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[4-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. ElYes 1:1No tNot 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. �j/ ❑ Yes 1:1 No L6 Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. Se LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes [:] No of 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 16Not 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 ItNot Applicable 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 EJ—Not Applicable 1 PREPARED BY '` �� TITLE DATE Amended on 811105 Full Environmental Assessment Form Part 1 -Project and Setting Instructions for Completing Part 1 Part 1 is to be completed by the applicant or project sponsor. Responses become part of the application for approval or funding, are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information;indicate whether missing information does not exist, or is not reasonably available to the sponsor;and,when possible,generally describe work or studies which would be necessary to update or fully develop that information. Applicants/sponsors must complete all items in Sections A&B. In Sections C,D&E,most items contain an initial question that must be answered either"Yes"or"No". If the answer to the initial question is"Yes",complete the sub-questions that follow. If the answer to the initial question is"No",proceed to the next question. Section F allows the project sponsor to identify and attach any additional information. Section G requires the name and signature of the project sponsor to verify that the information contained in Part lis accurate and complete. A.Project and Sponsor Information. Name of Action or Project: �o ,�� Project Location(describe,and attach a general location map): Brief Description of Proposed Action(include purpose or need): ami Name of Applicant/Sponsor: Telephone: �73 /9)Z0 4J_5 E-Mail: Address: City/PO: State: ip�d eiPo /✓o 31 Project Contact(if not same as sponsor,give name and title/role): Telephone: l4 C��/Z�/ f/!/�/j��c✓ S E-Mail: Address: City/PO: State: Zip Code: Property Owner (if not same as sponsor): Telephone: E-Mail: Address: City/PO: State: Zip Code: Page 1 of 13 B.Government Approvals B.Government Approvals Funding,or Sponsorship. ("Funding"includes grants,loans,tax relief,and any other forms of financial assistance.) Government Entity If Yes:Identify Agency and Approval(s) Application Date Required (Actual or projected) a.City Council,Town Board, ❑Yes❑No or Village Board of Trustees b.City,Town or Village ❑Yes❑No Planning Board or Commission c.City Council,Town or ❑Yes❑No Village Zoning Board of Appeals d.Other local agencies ❑Yes❑No e.County agencies ❑Yes❑No f.Regional agencies ❑Yes❑No g.State agencies ❑Yes❑No h.Federal agencies ❑Yes❑No i. Coastal Resources. i. Is the project site within a Coastal Area,or the waterfront area of a Designated Inland Waterway? ❑Yes o If Yes, ii. Is the project site located in a community with an approved Local Waterfront Revitalization Program? ❑Yes o iii. Is the project site within a Coastal Erosion Hazard Area? ❑Yes tNo C.Planning and Zoning C.1.Planning and zoning actions. Will administrative or legislative adoption,or amendment of a plan,local law,ordinance,rule or regulation be the es❑No only approval(s)which must be granted to enable the proposed action to proceed? • If Yes,complete sections C,F and G. • If No,proceed to question C.2 and complete all remaining sections and questions in Part 1 C.2.Adopted land use plans. a.Do any municipally-adopted (city,town,village or county)comprehensive land use plan(s)include the site ❑Yes❑No where the proposed action would be located? If Yes,does the comprehensive plan include specific recommendations for the site where the proposed action ❑Yes❑No would be located? b.Is the site of the proposed action within any local or regional special planning district(for example: Greenway ❑Yes ii'No Brownfield Opportunity Area(BOA);designated State or Federal heritage area;watershed management plan; or other?) If Yes,identify the plan(s): c. Is the proposed action located wholly or partially within an area listed in an adopted municipal open space plan, ❑Yes V40 or an adopted municipal farmland protection plan? If Yes,identify the plan(s): Page 2 of 13 C3. Zoning . a. Is the site of the proposed action located in a municipality with an adopted zoning law or ordinance. Yes❑No If Yes,what is the zoning classification(s)including any applicable overlay district? b. Is the use permitted or allowed by a special or conditional use permit? Vves❑No c.Is a zoning change requested as part of the proposed action? ❑Yes EPNo If Yes, L What is the proposed new zoning for the site? CA.Existing community services. a.In what school district is the project site located? b.What police or other public protection forces serve the project site? c.Which fire protection and emergency medical services serve the project site? d.What parks serve the project site? D.Project Details D.I.Proposed and Potential Development a.What is the general nature of the proposed action(e.g.,residential,industrial,commercial,recreational;if mixed,include all components)? b.a.Total acreage of the site of the proposed action? acres b.Total acreage to be physically disturbed? 3 5"?. acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? .� 7 acres c.Is the proposed action an expansion of an existing project or use? trYes❑No L If Yes,what is the approximate percentage of the proposed expansion and identify the units(e.g.,acres,miles,housing units, square feet)? % .Z �/ ?/ Units: d.Is the proposed action a subdivision,or does it include a subdivision? ❑Yes&No If Yes, L Purpose or type of subdivision?(e.g.,residential,industrial,commercial;if mixed,specify types) ii. Is a cluster/conservation layout proposed? ❑Yes 2NO iii.Number of lots proposed? iv Minimum and maximum proposed lot sizes? Minimum Maximum e.Will proposed action be constructed in multiple phases? ❑Yes tvo i. If No,anticipated period of construction: months ii. If Yes: • Total number of phases anticipated • Anticipated commencement date of phase 1 (including demolition) month year • Anticipated completion date of final phase month wear • Generally describe connections or relationships among phases,including any contingencies where progress of one phase may determine timing or duration of future phases: Page 3 of 13 r � J f.Does the project include new residential uses? ❑Yes&7NO If Yes,show numbers of units proposed. One Family Two Family Three Family Multiple Family four or more Initial Phase At completion of all phases g.Does the proposed action include new non-residential construction(including expansions)? Yes❑No If Yes, 1 f i.Total number of structures ii.Dimensions(in feet)of largest proposed structure: /7 height; 3 y width; and /00- length iii. Approximate extent of building space to be heated or cooled: 7 A'O square feet h.Does the proposed action include construction or other activities that will result in the impoundment of any o Yes i4No liquids,such as creation of a water supply,reservoir,pond,lake,waste lagoon or other storage? If Yes, L Purpose of the impoundment: ii. If a water impoundment,the principal source of the water: ❑ Ground water ❑Surface water streams o Other specify: iii. If other than water,identify the type of impounded/contained liquids and their source. iv. Approximate size of the proposed impoundment. Volume: million gallons;surface area: acres v.Dimensions of the proposed dam or impounding structure: height; length vi. Construction method/materials for the proposed dam or impounding structure(e.g.,earth fill,rock,wood,concrete): D.2. Project Operations a.Does the proposed action include any excavation,mining,or dredging,during construction,operations,or both? ❑Yes o (Not including general site preparation,grading or installation of utilities or foundations where all excavated materials will remain onsite) If Yes: i.What is the purpose of the excavation or dredging? ii.How much material(including rock,earth,sediments,etc.)is proposed to be removed from the site? • Volume(specify tons or cubic yards): • Over what duration of time? iii. Describe nature and characteristics of materials to be excavated or dredged,and plans to use,manage or dispose of them. iv. Will there be onsite dewatering or processing of excavated materials? ❑Yes No If yes,describe. v. What is the total area to be dredged or excavated? acres vi. What is the maximum area to be worked at any one time? acres vii. What would be the maximum depth of excavation or dredging? feet viii. Will the excavation require blasting? ❑Yes No ix. Summarize site reclamation goals and plan: b.Would the proposed action cause or result in alteration of,increase or decrease in size of,or encroachment ❑Yes 6No into any existing wetland,waterbody,shoreline,beach or adjacent area? If Yes: i. Identify the wetland or waterbody which would be affected(by name,water index number,wetland map number or geographic description): Page 4 of 13 ' � 1 ii. Describe how the proposed action would affect that waterbody or wetland,e.g.excavafion,fill,placement of structures,or alteration of channels,banks and shorelines. Indicate extent of activities,alterations and additions in square feet or acres: iii. Will proposed action cause or result in disturbance to bottom sediments? ❑Yes�I`No If Yes,describe: iv. Will proposed action cause or result in the destruction or removal of aquatic vegetation? ❑ Yes o If Yes: • acres of aquatic vegetation proposed to be removed: • expected acreage of aquatic vegetation remaining after project completion: • purpose of proposed removal(e.g.beach clearing,invasive species control,boat access): • proposed method of plant removal: • if chemical/herbicide treatment will be used,specify product(s): v.Describe any proposed reclamation/mitigation following disturbance: c.Will the proposed action use,or create a new demand for water? Kyes❑No If Yes: n �r/n� i. Total anticipated water usage/demand per day: U(0 gallons/day H. Will the proposed action obtain water from an existing public water supply? / mi Ves❑No If Yes: Name of district or service area: 0 IV1 f e tqt� 4 d ` f IT I1 < • Does the existing public water supply have capacity to serve the proposal? Ayes❑No • Is the project site in the existing district? X Yes❑No • Is expansion of the district needed? ❑YesM No • Do existing lines serve the project site? J6 Yes.0 No iii. Will line extension within an existing district be necessary to supply the project? ❑Yeso No If Yes: • Describe extensions or capacity expansions proposed to serve this project: • Source(s)of supply for the district: iv. Is a new water supply district or service area proposed to be formed to serve the project site? Yes❑No If,Yes: �^ r T • Applicant/sponsor for new district: A+9-V L (�-t`- P • Date application submitted or anticipated: 121-210 -20V`> - • Proposed source(s)of supply for new district:14ptF L Atryo x k-r-f v. If a public water supply will not be used,describe plans to provide water supply for the project: A.If water supply will be from wells(public or private),maximum pumping capacity: gallons/minute. d.Will the proposed action generate liquid wastes? Yes❑No If Yes: i. Total anticipated liquid waste generation per day: gallons/day ii.Nature of liquid wastes to be generated(e.g.,sanitary wastewater,industrial;if combination,describe all components and approximate volumes or proportions of each): iii. Will the proposed action use any existing public wastewater treatment facilities? ❑YeKio If Yes: • Name of wastewater treatment plant to be used: • Name of district: • Does the existing wastewater treatment plant have capacity to serve the project? ❑Yes No • Is the project site in the existing district? ❑Yes No • Is expansion of the district needed? ❑Yes No Page 5 of 13 • Do existing sewer lines serve the project site? ❑Yes No • Will line extension within an existing district be necessary to serve the project? ❑YeSA No If Yes: • Describe extensions or capacity expansions proposed to serve this project: iv Will a new wastewater(sewage)treatment district be formed to serve the project site? ❑Yes . No If Yes: • Applicant/sponsor for new district: • Date application submitted or anticipated: • What is the receiving water for the wastewater discharge? v If public facilities will not be used,describe plans to provide wastewater treatment for the project,including specifying propose receiving water(name and classification if surface discharge,or describe subsurface disposal plans): vi.Describe any plans or designs to capture,recycle or reuse liquid waste: e.Will the proposed action disturb more than one acre and create stormwater runoff,either from new point ❑Yes 'No sources(i.e.ditches,pipes,swales,curbs,gutters or other concentrated flows of stormwater)or non-point source(i.e.sheet flow)during construction or post construction? If Yes: i.How much impervious surface will the project create in relation to total size of project parcel? Square feet or acres(impervious surface) Square feet or acres(parcel size) ii.Describe types of new point sources. iii. Where will the stormwater runoff be directed(i.e.on-site stormwater management facility/structures,adjacent properties, groundwater,on-site surface water or off-site surface waters)? • If to surface waters,identify receiving water bodies or wetlands: • Will stormwater runoff flow to adjacent properties? ❑Yes No iv.Does proposed plan minimize impervious surfaces,use pervious materials or collect and re-use stormwater? ❑Yes No f. Does the proposed action include,or will it use on-site,one or more sources of air emissions,including fuel ❑Ye No combustion,waste incineration,or other processes or operations? If Yes,identify: i.Mobile sources during project operations(e.g.,heavy equipment,fleet or delivery vehicles) ii. Stationary sources during construction(e.g.,power generation,structural heating,batch plant,crushers) iii. Stationary sources during operations(e.g.,process emissions,large boilers,electric generation) g.Will any air emission sources named in D.2.f(above),require a NY State Air Registration,Air Facility Permit, ❑Yes No or Federal Clean Air Act Title IV or Title V Permit? If Yes: i. Is the project site located in an Air quality non-attainment area? (Area routinely or periodically fails to meet ❑Yes No ambient air quality standards for all or some parts of the year) / ii. In addition to emissions as calculated in the application,the project will generate: • Tons/year(short tons)of Carbon Dioxide(CO2) • Tons/year(short tons)of Nitrous Oxide(N20) • Tons/year(short tons)of Perfluorocarbons(PFCs) • Tons/year(short tons)of Sulfur Hexafluoride(SF6) • Tons/year(short tons)of Carbon Dioxide equivalent of Hydroflourocarbons(HFCs) • Tons/year(short tons)of Hazardous Air Pollutants(HAPS) Page 6 of 13 h.Will the proposed action generate or emit methane(including,but not limited to,sewage treatment plants, ❑Ye No landfills,composting facilities)? If Yes: L Estimate methane generation in tons/year(metric): ii.Describe any methane capture,control or elimination measures included in project design(e.g.,combustion to generate heat or electricity,flaring): L Will the proposed action result in the release of air pollutants from open-air operations or processes,such as ❑Yes No quarry or landfill operations? If Yes:Describe operations and nature of emissions(e.g.,diesel exhaust,rock particulates/dust): j.Will the proposed action result in a substantial increase in traffic above present levels or generate substantial ❑Yes No new demand for transportation facilities or services? If Yes: i. When is the peak traffic expected(Check all that apply): ❑Morning ❑Evening ❑Weekend ❑Randomly between hours of to ii. For commercial activities only,projected number of semi-trailer truck trips/day: iii. Parking spaces: Existing Proposed Net increase/decrease iv Does the proposed action include any shared use parking? ❑Yes No v. If the proposed action includes any modification of existing roads,creation of new roads or change in existing access,describe: vi. Are public/private transportation service(s)or facilities available within 1/2 mile of the proposed site? ❑Yeso vii Will the proposed action include access to public transportation or accommodations for use of hybrid,electric ❑Yes No or other alternative fueled vehicles? viii.Will the proposed action include plans for pedestrian or bicycle accommodations for connections to existing ❑Yes No pedestrian or bicycle routes? k.Will the proposed action(for commercial or industrial projects only)generate new or additional demand ❑Yes 'No for energy? If Yes: i. Estimate annual electricity demand during operation of the proposed action: ii. Anticipated sources/suppliers of electricity for the project(e.g.,on-site combustion,on-site renewable,via grid/local'utility,or other): iii. Will the proposed action require a new,or an upgrade to,an existing substation? ❑Yes No 1.Hours of operation. Answer all items which apply. L During Construction: ii. During Operations: • Monday-Friday: • Monday-Friday: • Saturday: • Saturday: • Sunday: 0 Sunday: • Holidays: 0 Holidays: Page 7 of 13 m.Will the proposed action produce noise that will exceed existing ambient noise levels during construction, ❑Yes No operation,or both? If yes: i. Provide details including sources,time of day and duration: ii. Will proposed action remove existing natural barriers that could act as a noise barrier or screen? ❑Yes No Describe: n.. Will the proposed action have outdoor lighting? ❑Yes No If yes: i.Describe source(s),location(s),height of fixture(s),direction/aim,and proximity to nearest occupied structures: ii. Will proposed action remove existing natural barriers that could act as a light barrier or screen? ❑Yes No Describe: o.Does the proposed action have the potential to produce odors for more than one hour per day? ❑Yeeg No Af Yes,describe possible sources,potential frequency and duration of odor emissions,and proximity to nearest occupied structures: p.Will the proposed action include any bulk storage of petroleum(combined capacity of over 1,100 gallons) ❑Yes grNo or chemical products(185 gallons in above ground storage or any amount in underground storage)? If Yes: L Product(s)to be stored ii. Volume(s) per unit time (e.g.,month,year) iii. Generally describe proposed storage facilities: q.Will the proposed action(commercial,industrial and recreational projects only)use pesticides(i.e.,herbicides, ❑ Yes No insecticides)during construction or operation? If Yes: L Describe proposed treatment(s): ii. Will the proposed action use Integrated Pest Management Practices? ❑ Yes 4&0 r.Will the proposed action(commercial or industrial projects only)involve or require the management or disposal ❑ Yes No of solid waste(excluding hazardous materials)? If Yes: L Describe any solid waste(s)to be generated during construction or operation of the facility: • Construction: tons per (unit of time) • Operation: tons per (unit of time) ii. Describe any proposals for on-site minimization,recycling or reuse of materials to avoid disposal as solid waste: • Construction: • Operation: iii.Proposed disposal methods/facilities for solid waste generated on-site: • Construction: • Operation: Page 8 of 13 s.Does the proposed action include construction or modification of a solid waste management facility? ❑ Yes No If Yes: i. Type of management or handling of waste proposed for the site(e.g.,recycling or transfer station,composting,landfill,or other disposal activities): ii. Anticipated rate of disposal/processing: • Tons/month,if transfer or other non-combustion/thermal treatment,or • Tons/hour,if combustion or thermal treatment iii. If landfill,anticipated site life: . years t.Will proposed action at the site involve the commercial generation,treatment,storage,or disposal of hazardous ❑Yes No waste? If Yes: i.Name(s)of all hazardous wastes or constituents to be generated,handled or managed at facility: ii. Generally describe processes or activities involving hazardous wastes or constituents: iii.Specify amount to be handled or generated tons/month iv Describe any proposals for on-site minimization,recycling or reuse of hazardous constituents: V Will any hazardous wastes be disposed at an existing offsite hazardous waste facility? ❑Yes No If Yes:provide name and location of facility: If No:describe proposed management of any hazardous wastes which will not be sent to a hazardous waste facility: E.Site and Setting of Proposed Action E.I.Land uses on and surrounding the project site a.Existing land uses. i. Check all uses that occuZ on,adjoining and near the project site. ❑ Urban ❑ Industrial Commercial ❑ Residential(suburban) ❑ Rural(non-farm) ❑ Forest ❑ Agriculture ❑ Aquatic ❑ Other(specify): ii. If mix of uses,generally describe: b.Land uses and covertypes on the project site. Land use or Current Acreage After Change Covertype Acreage Project Completion (Acres+/-) • Roads,buildings,and other paved or impervious surfaces • Forested • Meadows,grasslands or brushlands(non- agricultural,including abandoned agricultural) • Agricultural (includes active orchards,field,greenhouse etc.) • Surface water features (lakes,ponds,streams,rivers,etc.) • Wetlands(freshwater or tidal) • Non-vegetated(bare rock,earth or fill) • Other Describe: Page 9 of 13 1 c.Is the project site presently used by members of the community for public recreation? ❑Yesp- No i. If Yes:explain: d.Are there any facilities serving children,the elderly,people with disabilities(e.g.,schools,hospitals,licensed ❑Yes No day care centers,or group homes)within 1500 feet of the project site? If Yes, i. Identify Facilities: e.Does the project site contain an existing dam? ❑Yes/ es No If Yes: i.Dimensions of the dam and impoundment: • Dam height: feet • Dam length: feet • Surface area: acres • Volume impounded: gallons OR acre-feet ii. Dam's existing hazard classification: W.Provide date and summarize results of last inspection: f.Has the project site ever been used as a municipal,commercial or industrial solid waste management facility, ❑Yes No or does the project site adjoin property which is now,or was at one time,used as a solid waste management facility? If Yes: L Has the facility been formally closed? ❑Yes No • If yes,cite sources/documentation: ii.Describe the location of the project site relative to the boundaries of the solid waste management facility: iii. Describe any development constraints due to the prior solid waste activities: g.Have hazardous wastes been generated,treated and/or disposed of at the site,or does the project site adjoin ❑Yes No property which is now or was at one time used to commercially treat,store and/or dispose of hazardous waste? If Yes: L Describe waste(s)handled and waste management activities,including approximate time when activities occurred: h. Potential contamination history. Has there been a reported spill at the proposed project site,or have any ❑Yes No remedial actions been conducted at or adjacent to the proposed site? If Yes: L Is any portion of the site listed on the NYSDEC Spills Incidents database or Environmental Site ❑Yes o Remediation database? Check all that apply: ❑ Yes—Spills Incidents database Provide DEC ID number(s): ❑ Yes—Environmental Site Remediation database Provide DEC ID number(s): ❑ Neither database ii. If site has been subject of RCRA corrective activities,describe control measures: iii. Is the project within 2000 feet of any site in the NYSDEC Environmental Site Remediation database? ❑Yes No If yes,provide DEC ID number(s): iv If yes to(i),(ii)or(iii)above,describe current status of site(s): Page 10 of 13 V.Is the project site subject to an institutional control limiting property uses? 11 Yes .No • If yes,DEC site ID number: • Describe the type of institutional control(e.g.,deed restriction or easement): • Describe any use limitations: • Describe any engineering controls: • Will the project affect the institutional or engineering controls in place? ❑Yes No • Explain: E.2. Natural Resources On or Near Project Site a.What is the average depth to bedrock on the project site? feet b.Are there bedrock outcroppings on the project site? ❑Yes .No If Yes,what proportion of the site is comprised of bedrock outcroppings? % c.Predominant soil type(s)present on project site: % d.What is the average depth to the water table on the project site? Average: feet e.Drainage status of project site soils:❑ Well Drained: %of site ❑ Moderately Well Drained: %of site ❑ Poorly Drained %of site f.Approximate proportion of proposed action site with slopes: ❑ 0-10%: %of site ❑ 10-15%: %of site ❑ 15%or greater: %of site g.Are there any unique geologic features on the project site? ❑Yes No If Yes,describe: h.Surface water features. i.Does any portion of the project site contain wetlands or other waterbodies(including streams,rivers, ❑Yes No ponds or lakes)? ii.Do any wetlands or other waterbodies adjoin the project site? ❑Yes o If Yes to either i or ii,continue. If No,skip to E.2.i. iii. Are any of the wetlands or waterbodies within or adjoining the project site regulated by any federal, ❑Yes tNo state or local agency? iv For each identified regulated wetland and waterbody on the project site,provide the following information: • Streams: Name Classification • Lakes or Ponds: Name Classification • Wetlands: Name Approximate Size • Wetland No.(if regulated by DEC) v Are any of the above water bodies listed in the most recent compilation of NYS water quality-impaired ❑Yes\No waterbodies? If yes,name of impaired water body/bodies and basis for listing as impaired: i.Is the project site in a designated Floodway? ❑Yes No j.Is the project site in the 100 year Floodplain? ❑Yes No k.Is the project site in the 500 year Floodplain? ❑Ye No 1.Is the project site located over,or immediately adjoining,a primary,principal or sole source aquifer? ❑Yes No If Yes: i.Name of aquifer: Page 11 of 13 in. Identify the predominant wildlife species that occupy or use the project site: n.Does the project site contain a designated significant natural community? ❑Yes No If Yes: i. Describe the habitat/community(composition,function,and basis for designation): ii. Source(s)of description or evaluation: iii. Extent of community/habitat: • Currently: acres • Following completion of project as proposed: acres • Gain or loss(indicate+or-): acres o.Does project site contain any species of plant or animal that is listed by the federal government or NYS as ❑Yes No endangered or threatened,or does it contain any areas identified as habitat for an endangered or threatened species? p. Does the project site contain any species of plant or animal that is listed by NYS as rare,or as a species of ❑Yes No special concern? q.Is the project site or adjoining area currently used for hunting,trapping,fishing or shell fishing? ❑Yes No If yes,give a brief description of how the proposed action may affect that use: E.3. Designated Public Resources On or Near Project Site a.Is the project site,or any portion of it,located in a designated agricultural district certified pursuant to ❑Yes❑ o Agriculture and Markets Law,Article 25-AA,Section 303 and 304? If Yes, provide county plus district name/number: b.Are agricultural lands consisting of highly productive soils present? ❑Yes No i. If Yes:acreage(s)on project site? ii. Source(s)of soil rating(s): c. Does the project site contain all or part of,or is it substantially contiguous to,a registered National ❑Yes No Natural Landmark? If Yes: i. Nature of the natural landmark: ❑ Biological Community ❑ Geological Feature ii. Provide brief description of landmark,including values behind designation and approximate size/extent: d.Is the project site located in or does it adjoin a state listed Critical Environmental Area? ❑Yes No If Yes: i. CEA name: ii. Basis for designation: iii. Designating agency and date: Page 12 of 13 f e.Does the project site contain,or is it substantially contiguous to,a building,archaeological site,or district ❑Yes No which is listed on,or has been nominated by the NYS Board of Historic Preservation for inclusion on,the State or National Register of Historic Places? If Yes: i.Nature of historic/archaeological resource: ❑Archaeological Site ❑Historic Building or District ii. Name: W. Brief description of attributes on which listing is based: f.Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for ❑Yes o archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory? g.Have additional archaeological or historic site(s)or resources been identified on the project site? ❑Yes No If Yes: i.Describe possible resource(s): ii.Basis for identification: IN h.Is the project site within 5 miles of any officially designated and publicly accessible federal,state,or local ❑Yes o scenic or aesthetic resource? If Yes: i. Identify resource: ii.Nature of,or basis for,designation(e.g.,established highway overlook,state or local park,state historic trail or scenic byway, etc.): iii. Distance between project and resource: miles. i. Is the project site located within a designated river corridor under the Wild,Scenic and Recreational Rivers ❑Yes No Program 6 NYCRR 666? If Yes: i.Identify the name of the river and its designation: ii. Is the activity consistent with development restrictions contained in 6NYCRR Part 666? ❑YesNo F.Additional Information Attach any additional information which may be needed to clarify your project. If you have identified any adverse impacts which could be associated with your proposal,please describe those impacts plus any measures which you propose to avoid or minimize them. G. Verification I certify that the information provided is true to the best of my knowledge. Applicant/Sponsor Name Date Signature Title 0(41/v 64 Page 13 of 13 �f MAILING ADDRESS: PLANNING BOARD MEMBERS SoUjy P.O. Box 1179 DONALD J.WILCENSKI ���` QUO Southold, NY 11971 Chair OFFICE LOCATION: WILLIAM J.CREMERS Town Hall Annex PIERCE RAFFERTY G Q 54375 State Route 25 JAMES H.RICH III 'Q� i (cor.Main Rd. &Youngs Ave.) MARTIN H.SIDOR yC�U1Y 1,�� Southold,NY Telephone: 631 765-1938 y Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Accounting From: Planning Department Date: April 15, 2014 Re: Payments Please deposit the attached checks into B691: Deferred Revenue. Fees are for a Site Plan Application not yet accepted by the Planning Board. Applicant/Project Name & Tax Map Amount Check Date/No. Type # Filipkowski Air, Inc. Site Plan Application Fee 59-10-5 $500 4/14/14-#6825 Filipkowski Air, Inc. Site Plan application fee 59-10-5 $390 4/14/14-#6826 LR Atts.