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HomeMy WebLinkAbout1000-31.-3-11.30 • l . I HEREBY CERTIFY THA T THE WA TER SUPPL YfS) AND / OR DISPOSAL SYSTEM(S) FOR THIS PROJECT WERE DESIGNED BY ME OR UNDER MY DIRECTION. BASED UPON A CAREFUL AND THROUGU STUDY OF THE SOIL, SITE AND GROUNDWATER CONDITIONS, ALL LOTS, AS PROPOSED, CONFORM TO THE SUFFOLK COUNTY , DEPARTMENT'OF HEAL TH SER CES CONSTRUCTION STANDARDS IN EFFECT AS OF THIS DATE. �_Cf, ?t, :•,�� 'i�t ,�.G,C�� .� � ti M DA TE SITE DA TA :. . d....:�;;•v� ��� 5��3Ec;t -s'o Covf«,ta�•( RN'� R�scrzct,v�s`S Pact_ '36 OVERALL. AREA = 3.7470 ACRES OR l 63,229 S.F. SITE p� THIS IS TO CERTIFY THAT THE SUBDIVISION PLAT HAS BEEN APPROVED LOT / AIREA = 133,229 S.F. �6 '`-�� •--�` BY THE PLANNING BOARD OF THE OF SOUTHOLD BY RESOLUTION UF ATIMO V14 LYUA L U 7 LOT 2 AREA = 30,000 S.F. IN THE EVENT OF FUTURE SUBDIVISION OF LOT 1, THE YIELD - - ---- -- CALCULATION OF LOT I MUST DEDUCT 10,000 sq.fl. OF LOT 2 PLANN!`** 1,10,t ID FCHt1RM7PLANN1NG BOARD ® PERMANENT CL USTER'OPEN SPACE • _ TEST HOLE QO DATE-! 7//3/0 y- � �SECTI(ON TWO, 1NC KEY MAP r 1 EAST WARlot" .tp ' HIGHPOINT AT I Scale 1" = 600' FILE NO. 7755 ti I H R B Y CER l77#A T THIS SUBDI VISION PL A T WA S MADE FROM tyEYS'-t*PLETE0_ip7io2 $ THAT ALL MONUMENTS Q SHOWN THUS$ C ACTUALL Y EXIST AND THEIR POSITIONS ARE CORRECTL Y N1011F A. 8 p. LL�KAKIS ()F NFL'✓ k SHOWN AND A L DIMENSIONAL AND GEODETIC DETAILS ARE CORRECT. UK I 19ONOARCH I 33 C- L. I 1F I_ T. M R, N.Y,S. L.S. LIC. NO. 49618 N/o 1 N• 71.21'31- E. 249.73' N 0. .4831, tl do et. 37 49 LANDOTES$ Z /-or _ y TEST HOLE FROM " SUBDIVISION MAP H/GHPOINT, SEC. 3" ° / CA m 0 A T EAST MARION, SECTION THREE" DATED JUL Y 15, 1991 / o D CONTOUR'AND ELEVA TIONS ARE REFERENCED 3�� It �� ,�� Z �Oj OILFIL y TO THE FIVE EASTERN TOWNS TOPOGRAPHIC MAPS < s,v s� LOTS SHOWN ON " SUBDIVISION MAP HIGHPOINT AT +� H EAST MARION SECTION THREE " FILED /N THE SUFFOLK m s' ors r' F?4O p0 ccr, 2 COUNTY CLERK'S OFFICE ON JUL Y 15, 199/ , =zr r Z—� �d ,r 1. -i .y6A AS FILE "NO. 9119 NOT SHOWN HEREON. o a" m Fc 5 ZONE T PROParrr ia,� U FR , wc- TEST HOLE D S. 6 p6 24 Z'H AW. s P N A LIC \MATS ZONING DISTR/CT$ HB & R - 40 Top soA 3Z _ P� \\ /'`.p Fao' om �3 / e`.505 r FIRE DISTRICT, EAST MARION !I a '"�" �• `�' 'j 4 SCHOOL DISTRICT, EAST MARION Loam -� , `t AA HOUSE 31 POP WA J..' SEPTIC LMRE��OWNER & APLPICANT $ Packed m o ' a \� rarox EAST MAR/ON FIRE DISTRICT sand d S. 65.48,0,0 ti �:o ��� o.�6 z STY FR. HSE ro BE Maven 5/ grave! 19.3 s �� / G O CESSPOOLS TO BE F$LLED A GR REWOVED A{�N P s 9395 MAIN ROAD ' z ,* Coll c�. ; EAST MAR/ON, N.Y. 11939 �Ooa, 0 . 9 •A O. �" 20 QOQ -- -WATER MAW � g00 Sand and S500. ` ROAD THIS MAP IS A CLUSTER SUBDIVISION gravel DESIGNED d , ACCORDANCE WITH NYS. �\01F 0z\0- +Pt ` �P TYPICAL PLOT PL A N TOWN LAW SECTION 278 AND SOUTHOLD 17, EN TOWN CODE SECTION 100-I80 THIS FINAL MAP OF THE CLUSTERED SET-OFF FOR EAST MARION FIRE DISTRICT" CONFORM AND COMPLY WITH TO ARTICLE XV111 SECTION 100-181 OF THE - SOUTHOLD TOWN CODE AS REQUIRED CLUSTER SET OFF FOR SUFFOLK COU(VTY DEPARTMENT OF HEALTH SERVICES EAST MARION FIRE DISTRICT HAUPPAucE, N.Y, AT EAST MARION DATE _ �_ frr 21 J9., TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. THIS IS TO CERTIFY THAT THE PROPOSED RE L TY SUBDIVISION OR _ 1000 - 31- 03 - 1130 DEVEL 0 ME{fT FOR-EAe. ��ar-CPA-t-!`►o __ �i IN THE i� `d WITH A TOTAL O&;._LOTS WAS APPROVED SCALE 1 = 100 MAY 1 0 2004 ON THE ABOVE DATE. WATER SUPPLIES AND SEWAGE DISPOSAL MAY 9, 2003 FACILITIES MUST CONFORM TO CONSTRUCTION STANDARDS IN EFFECT MAY2/, 2003 (revisions) Y AT THE TIME OF CONSTRUCTION AND ARE SUBJECT TO SEPARATE Southold Town PERMITS PURSUANT TO THOSE STANDARDS. THIS APPROVAL SHALL BE Planning Board VALID OX Y IF THE REAL TY SUBDIVISION/DEVELOPMENT MAP IS DULY FILED WITH THE COUNTY CLERK WITHIN ONE YEAR OF THIS DATE. CONSENT IS HEREBY GIVEN FOR THE FILING OF THIS MAP ON WHICH THIS ENDORSEMENT APPEARS JN. THE OFFICE OF THE COUNTY CLERK IN ACCORDANCE WITH PROVISIONS OF THE PUBLIC HEAL TH LAW AND THE SUFFOLK COUNTY SANITARY CODE. V/TO A. M1NEI, P.E. N.Y.S. LIC. NO. 49618�`'�"-• _ DIRECTOR, DIVISION OF ENVIRONMENTAL QUALITY PECONIC SURVEYORS, P.C. (631) 765 '- •5020 FAX (631) 765 - 1797 ' l P. 0. BOX 909 1230 TRAVELER STREET SOUTHOLD, N.Y 11971 PLANNING BOARD MEMBERS JERILYN B.WOODHOUSE P.O. Box 1179 Chair COy� Town Hall, 53095 State Route 25 y Southold, New York 11971-0959 RILLIAMCHARD J. CREM R v, Telephone (631) 765-1938 KENNETH L.WILLIAM J.CREMERS � Fax (631) 765-3136 MARTIN HESIDORDS y��• �aO� PLANNING BOARD OFFICE TOWN OF SOUTHOLD July 13, 2004 Edward Boyd, Esq. P.O. Box 1468 54655 Main Road Southold, New York 11971 Re: Proposed Set-Off of East Marion Fire District Located on the north side of New York State Route 25, approximately 367 feet west of Stars Road, known as 9395 Main Road, in East Marion SCTM#1000-31-3-11 Zones: HB & R-40 Dear Mr. Boyd: The Southold Town Planning Board, at a meeting held on Monday, July.12, 2004, adopted the following resolution: WHEREAS, this proposal is for a cluster set-off of a 30,000 square foot parcel from an existing 163,229 square foot parcel located on the north side of New York State Route 25, approximately 367 feet west of Stars Road, known as 9395 Main Road, in East Marion, SCTM#1006-31-3-11; and WHEREAS, following the transfer, Lot 1 will equal 133,229 square feet and Lot 2 will equal 30,000 square feet, pursuant to Article XVIII Cluster Development (100-180) of the Town of Southold Town Code, whereby the additional 10,000 square feet normally required for Lot 2 is being left with Lot 1; and WHEREAS, on May 12, 2003 the Southold Town Planning Board, acting under the State Environmental Quality Review Act, performed an uncoordinated review of this Unlisted Action. The Planning Board established itself as lead agency, and as lead agency, made a determination of non-significance and granted a Negative Declaration; and WHEREAS, on June 23, 2003 the East Marion Fire District responded to the Planning Board that no fire well is required; and WHEREAS, the applicant sought to extend the conditional sketch plan approval two times and the Planning Board granted the extension for six months each time; and WHEREAS, the final map was revised to include the proper size of Lot 1 & Lot 2 to East Marion Fire District— Page Two— 7/13/04 reflect the covenant and restriction that, in the event of future subdivision of Lot 1, the yield calculation of Lot 1 must deduct 10,000 square feet of Lot 2 permanent cluster open space; and WHEREAS, the Suffolk County Department of Health Services, on April 8, 2004, issued a permit number R10-04-0022 for a four bedroom house on the survey prepared by John Metzger, dated December 9, 2003; and WHEREAS, the Suffolk County Department of Health Services approved the subdivision on May 9, 2004; and WHEREAS, the applicant recorded the above-referenced covenant and restriction, dated May 18, 2004, with the Suffolk County Clerk Records Office on May 19, 2004, liber 12320, page 36; and WHEREAS, the applicant received approval from the New York State Department of Transportation for the curb cut permit number 10-04-0178 on July 8,2004; therefore, be it 7 RESOLVED, that the Southold Town Planning Board grant final approval of the map, fdated May 9, 2003 and last revised May 21, 2003, and authorize the Chairperson to endorse the final map, subject to the following requirements: 1. The 2 story framed house structure located on Lot 1 be moved within six (6) months of the date of this resolution unless an extension of time is requested by the applicant and granted by the Planning Board. The new location of the structure must be within the building envelope of Lot 2 and conform to all applicable setbacks as defined by Section 100-31 as required by the Town Code of the Town of Southold. If East Marion Fire District fails to adhere to these requirements within the prescribed time periods, this approval shall become null and void. Enclosed please find a copy of the map that was endorsed by the Chairperson. The mylar maps, which were also endorsed by the Chairperson, must be picked up at this office and filed in the Office of the County Clerk. Any plat not so filed or recorded within sixty (60) days of the date of final approval shall become null and void. Please contact this office if you have any questions regarding the above. Very truly yours, Jerilyn B. Woodhouse Chairperson encl. cc: Building Dept., Tax Assessors I IIIIIII IIII IIIII IIIII III II IIIII IIIII IIIII IIIII IIII IIII (IIIII IIIII 111111111 IN SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION/DOP Recorded: 05/19/2004 Number of Pages: 3 At: 09.:24 :56 AM Receipt Number : 04-0057595 LIBER: D00012320 PAGE: 036 District: Section: " Block: Lot: 1000 031.00 03 . 00 011..030 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $9 .00 NO Handling $5 .00 NO COE . $5.00 NO NYS SRCHG $15 . 00 NO TP.-584 $0.00 NO Notation $0 . 00 NO Cert.Copies $5.00 NO RPT $30 . 00 NO SCTM . $0 . 00 NO Fees Paid $69 . 00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Edward P.Romaine County Clerk, Suffolk County Number of pages TORRENS Serial fi Certificate# Prior Ctf. # Deed Mortgage Instrument Deed Mortgage Tax Stamp Recording Filing Stamps FEES Page Filing Fee Mortgage Amt. Handling 1. Basic Tax TP-584 2. Additional Tax Notation Sub Total EA-52 17(Cokinty) Sub Total I Spec./Assit. Or EA-52 17 (State) Spec./Add. TOT. MTG.TAX Dual Town Dual County ____-- Comm. of Ed. 5 00 Held for Apportionment Affidavit rV+ Transfer fax Certified Cop. Mansion Tax The property covered by this inort.UM c Is U1, Reg. Copy will be improved by a one or two family Sub Total dwelling only. Other YES or NO--- If NO, see appropriate tax clause on pr.Lc- GRAND TOTAL of this instrument. Real Property Tax Service Agency Verification 6 Community Preservation Funply A Dist. Section Block Lot Consideration Amount U (�-SULFFOLK A COUNTY;) -'03 0 CPF Tax DUe 0 9 1111p]-ovcd ------ Initia Vacant 1-aild Satisfactions/Discharges/Releases List Property Owners Mailing Address TD RECORD & RETURN TO: o W (A f2;:I TD c) x, Title Company Inforimaticm Co. Name Title 4 9 Suffolk: County Recording & Endorsement P age '11-iis page fbi-n-is part of the attached (SPECIFY TYPE OF INSTRUMENT) The premises horein is situated in SUFFOLK COUNTY,NEW YOIZK- TO In the Township of In the V1 LLAGY:,, or I-LkN;9.J---T of NA P\"2 13()Xl,:S 5THRU 9 MUST BE'l-YPF-D OR PRINTED IN BLACK INK ONLY NUORTO RECORDINIG OR 111-1 THIS DECLARATION made this 141"'day of May, 2004 by EAST MARION FIRE DISTRICT, a municipal corporation, having its principal office and place of business at 9245 Route 25, P.O. Box 131, East Marion, New York, 11939, hereinafter referred to as the DECLARANT, as. the owner of the premises described in Schedule "A" annexed hereto (hereinafter referred to as the PREMISES) desires to restrict the use and enjoyment of said PREMISES and has for such purpose determined to impose an said PREMISES covenants and restrictions and does hereby declare that said PREMISES shall be held and shall be conveyed subject to the following Covenants and Restrictions: 1. WHEREAS DECLARANT has made application to the Southold Town Planning Board for a cluster set-off of a 30,000 square foot parcel from the existing 163,229 square foot parcel located in the R-40 Zoning District which requires a minimum of 40,000 square feet pet- lot for yield purposes; and 2. WHEREAS following the set-off Lot 1 will equal 13 3,229 square feet and Lot 2 will equal 30,000 square feet, and pursuant to Article XVIII Cluster Development (100-180) of the Town of Southold Town Code, whereby the 10,000 square feet area required for Lot 2 is. being included with Lot 1; 3. THEREFORE, DECLARANT, its successors, heirs or assigns, AGREES that in' the event of future subdivision of Lot 1, the yield calculation of Lot 1 must deduct the 10,000 square feet of subdivision cluster open space committed to meeting the minimum lot size of Lot 2. This Covenant and Restriction shall run with the land and shall be binding upon the DECLARANT, its successors and assigns,and upon all persons or entities claiming under them. I EAST MARION FIRE DISTRICT ,r by Donald Dzenkow , Chairman State of New York, County of Suffolk).: On the��th day of May, in the year 2004, before me, the undersigned, personally appeared Donald Dzenkowski, personally known to me or proved to me-on the basis of satisfactory evidence to be the individual(s) whose name(s) is(are)subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity, and that by his/her their signature(s)on the instrument,the individual(s), or the person upon;behalf of Itch the individual(s)acted,executed the instrument. EDWARD JOHN BOYD 5th Notary Public State of New York Notary..Public, State of New York 02B00376625 Suffolk County Commission Expires April 30,, 2091 Suffolk County Tax Map 1000; 031.00; 03.00; 11.030 STATE OF NEW YORK SS: COUNTY OF SUFFOLK I EDWARD P. ROMAINE, CLERK OF THE COUNTY OF SUFFOLK AND CLERK OF THE SUPREME COURT OF THE STATE OF NEW YORK IN AND FOR SAID COUNTY (SAID COURT BEING A COURT OF RECORD) DO HEREBY CERTIFY THAT I HAVE COMPARED THE ANNEXED COPY OF DEED LIBER 3 OLO AT PAGE 3 G� RECORDED —/ `�—� AND THAT IT IS JUST AND TRUE COPY OF SUCH ORIGINAL DECLARATION AND OF THE WHOLE THEREOF. IN- TESTIMONY WHEREOF, I HAVE HEREUNTO SET MY HAND AND AFFIXED THE SEAL OF SAID COUNTY AND COURT THIS ( q DAY OF Max• , CLERK 12 12/97c9 SCHEDULE A ALL that certain plot, piece or parcel of land,with the buildings and improvements thereon erected, situate, lying and being at East Marion, in the Town of Southold, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at a point on the northerly side of Main Road (S.R. 25), which point is southwesterly along said northerly side of Main Road 364 feet from the intersection formed by the northerly side of Main Road and the westerly side of Stars Road; RUNNING THENCE along the northerly side of Main Road, South 39 degrees 02 minutes 00 seconds West, 293.44 feet to land of East Marion War Memorial Association; THENCE along land of the East Marion War Memorial Association the following two courses and distances: 1) North 52 degrees 06 minutes 30 seconds West, 100.43 feet; and 2) South 65 degrees 40 minutes 00 seconds West, 19.38 feet to land now or formerly of Sylvia M. Daley; THENCE along land now or formerly of Sylvia M. Daley the following two courses and distances: 1) North 24 degrees 05 minutes 00 seconds West, 167.42 feet; and 2) South 66 degrees 20 minutes 00 seconds West, 106.24 feet to land now or formerly of Geatrakis and George Kortsolakis; THENCE along land now or formerly of Geatrakis and George Kortsolakis North 24 degrees 11 minutes 50 seconds West, 241.74 feet to land now or formerly of Highpoint at East Marion, Section Two, Inc.; THENCE along land now or formerly of Highpoint at East Marion, Section Two, Inc., the following two courses and distances: 1) North 65 degrees 48 minutes 10 seconds East, 175.01 feet; and 2) North 71 degrees 21 minutes 31 seconds East, 249.73 feet to land now or formerly of Despina & Steve Moraitis Living Trust; THENCE along land now or formerly of Despina& Steve Moraitis Living Trust South 25 degrees 59 minutes 17 seconds East, 342.67 feet to the northerly side of Main Road (S.R. 25), the point or place of BEGINNING. Suffolk County Tax Map 1000; 031.00; 03.00 11.030 6317655969 EDWARD T BOYD ESL 025 P01 MAY 14 104 13:35 THIS DECLAMATION made this day of May,2004 by FA �RION FIRE DI �K, a municipal corporation,having its principal office and place of b at Y 5 Ro�te�P, P.O. Box 131, Last Marion,Now York, 1]939,hen-,inafter referre to as the DECLARANT a' the owner of the premises described in Schedule "A" annexed here o (he etna ggf tied to as the PREMISES) desires to restrict the use and enjoyment of said P MISES kI<hWV4u purpose determined to impose on said PREMUSES covenants and restrictions and does hereby declare that said PREMISES shall be held and shall be conveyed subject to the following Covenants and Restrictions: ]. WHEREAS DECLARANT has made application to the Southold Town Planning Board for a cluster set-off of a 30,000 square foot parcel from the existing 163,229 square foot parcel located in the R-40 Zoning District which requires a minimum of 40,000 square feet per lot for_yield put3)oses; and 2. WHEREAS following the set-off Lot 1 will equal 133,229 square feet and Lot 2 will equal 30,000 square feet,and pursuant to Article XVIII Cluster Development(100.180) of the`Town of Southold Town Code,whereby the 10,000 square feet area required for Lot 2 is being included with Lot l; 3. THEREFORE, DECLARANT,its successors,heirs or assigns,AGREES that in the event of future subdivision of Lot 1,the yield calculation of Lot 1 must deduct the 10,000 square feet of subdivision cluster open space committed to meeting the minimum lot sire of Lot 2. This Covenw t and Restriction shall run with the land and shall be binding upon the DECLARANT, its successors and assigns, and upon all persons or entities claiming under them. EAST MARION FIRE DISTRICT by _ _ __ Donald Dzenkowski, Chairman State of New York,County of Suffolk).: On the th day of Mayl, in die year 2004,before tne,the undersigned,personally appeared(Donald D7.enkowski,personally lurown to me or proved tgmo on the basis of satisfactory evidence to be the individual(s) whose name(s)is(are)subscribed to the within instrument and acknowledZed to me that he/she/they executed the sane in i,isAieritheir capacity,and that by his/her their signatures)on the instrurnent,the individual(s),Or the person upon behalf of which the individual(s)acted,executed the instturnent. NQ,aty Public,State of New York I - '� .....- . ..�...... .. ..-..ar1w•.r+/.�" ''c�iel.1'F.Wfii/HYV/\1LM ''1 THIS PROPOSAL 13 TO SEI' OFF A .3. ��� -=--_ACRE PARCEL FROM AN EXISTING ACRE Pf�RCEL LOCATED ON40�� I .4N 7 s: ;tir/ � SC TM# 1000-.3 /-3 'f-d SET OFF O Complete application received Application reviewed at work session APPlicant advised of necessary revisions Revised sub mission received / f�)/03 uA'L 04114143 (xro. �K Sketch plan approval -with conditions �2 ---------------- Lead Agency Coordination 12 SEQRA determination . GJ A5 G ue �<<. 5 /Z Sent to Fire Commissioner z1i2103 Receipt of firewell location z3t-3Notification to applicant to include on final map Sent to County. Planning Commission PaFLI Receipt of County ReportPZUTI . ^' (xro. oK Review of SCPC report Draft Covenants and Restrictions received . ------- ___-- (xro� OK Draft Covenants and Restrictions reviewed Filed Covenants and Restrictions received ("ro oK Receipt of mylars and paper prints with Health approval Final Public Hearing / . Approval of set off -with conditions Endorsement of set off �x ���` ��x�Pd ms i Jti�90 ' •. 114 12 �r GJ�� Ca � ��Ir•��s / (G A , �,P q �/ PLANNING BOARD MEMBERS o��S�FFU(,�c BENNETT ORLOWSKI,JR. �� O�jy� Town Hall, 53095 State Route 25 Chairman P.O. Box 1179 WILLIAM J.CREMERS CA Southold, New York 11971-0959 KENNETH L.EDWARDS �y • �� Telephone (631) 765-1938 GEORGE RITCHIE LATHAM,JR. Fax(631) 765-3136 RICHARD CAGGIANO PLANNING BOARD OFFICE TOWN OF SOUTHOLD Subdivision Application Form Name of Subdivision: East Marion Fire District Suffolk County Tax Map # 1000- 31-0 3-11 .3 0 Type of Subdivision: M@& ND" Set-Off Uvlffi�c Cluster Subdivision: MOW No Hamlet: East Marion (� (� [10 [FLMAR l5 11 UStreet Location: 9395 Main Road 2 g 2003 Acreage: 3 . 747 Southold Town Planning Board Number of Lots: Two Zoning District: R-40 Date: March 27, 2003 Please list name, mailing address, and phone number for the people below: Applicant: East Marion Fire District Box 131 East Marion, NY 11939 47 -0 6 ) Agent,handling the application: Edward J. Boyd, Esq. (Contact Person) Box 1468 Southold, -NY 11971 ( 765-1555) Property Owner(s): East Marion Fire District Surveyor: Peconic Surveyors, PC 1230 Traveler Street Southold, NY 11971 ( 765-5020) Engineer: Attorney: Edward J. Boyd, Esq. . Box 1468 Southold, NY 11971 ( 765-1555) Other Agent(s): Has this property had a previous application to the Planning Board? Yes N?S Has this property previously received a SEQRA review? Yes Nd- Have you had any pre-submission conferences with the.Planning Board? Yes Na Does this application have variances from the Zoning Board of Appeals? N)§Yl No Appl. No. Date 3/27/03 Application Is this property adjacent to any bodies of water? No Are there any wetlands on the property? No Are there public water mains in an adjacent street? Yes Is public water proposed for the subdivision? Yes Is the majority of the property forested? ACC9 No .Is any part of the property inactive agricultural use? XeK No Is there an existing or proposed sale of development rights on the property? VeK No Is there a mortgage on the property? M9 No Does the owner own any adjacent properties? Yes Are there any building permits currently pending on this property? No Signature ofPreparer Date 3/27/03 State of New York County of Suffolk ss.: To: Southold Town Board of Appeals Southold Town Planning Board I, Daniel H. Wood, a Commissioner of the East Marion Fire District, hereby authorize Edward J. Boyd, Esq., to act as agent of the East Marion Fire District relative to the premises known and described by Suffolk County Tax Map No.1000-31-03-11.30 in Southold,New York, and to handle all necessary work involved in the Area Variance Application and Set-Off Applications before the Southold Town Board of Appeals and the Southold Town Planning Board. Daniel H. Wood Sworn to before me this 27th day of March, 2003 Notary Public CAROL A.MILLER NOTARY PUBLIC,STATE OF NEW YORK NO. 01M16003086 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES FEBRUARY 23, _ CERTIFICATE OF ABANDONMENT PURSUANT TO SUBDIVISION 3 OF SECTION 335 OF THE REAL PROPERTY LAW OF THE STATE OF NEW YORK EAST MARION FIRE DISTRICT, a municipal corporation, having its principal office and place of business at 9245 Main Road, East Marion, New York, 11939, for the purpose of abandoning and canceling the subdivision of a certain tract of land owned by it and hereafter described, pursuant to Subdivision 3 of Section 335 of the Real Property Law of the State of New York. does hereby certify: 1. That a certain map subdividing such tract of land and other land situate in the To��,n of'Southold, County of Suffolk and State of New York, into lots, plots, blocks and streets, entitled "Map of Highpoint at East Marion, Section 3, at East Marion, Town of Southold. Suffolk County, New York," filed in the Office of the Clerk of the County of Suffolk on July 15. 1991 as Map No. 9119. 2. That more than eleven years have elapsed since the filing of said map, 3• That the tract of land owned by the undersigned is situate in the Town of Southold and consists of an area not less than one half acre consisting of the lots described as follows: All that certain plot, piece or parcel of land, situate, lying and being at East Marion, Town of Southold, County of Suffolk and State of New York, known and designated as Lots 50, 51 and 52 inclusive, on a certain map entitled, "Map of Highpoint at East Marion, Section 3, at East Marion, Town of Southold. Suffolk County, New York," filed in the Office of the Clerk of the County of h Suffolk on July 15, 1991 as Map No. 9119. 4. That the Lots above mentioned are unimproved for the use of any owning occupant or any other persons having an interest in any part of the said subdivision of lands as shown Oil the aforesaid map. 5. That the said Lots are hereby abandoned and canceled and effective with due approval and recording thereof. said Lots shall no longer exist. 6. Endorsed hereon will be the approval of the Board of Assessors of the Town of Southold. 7. Submitted herewith is an Abstract of Title to said Lots to be abandoned covering a period of at least twenty years last past and a certificate of a licensed Title Company to the effect that there are no unpaid taxes of tax liens against said lands. In witness whereof, this Certificate is mad and executed this 1\`' day of'Januarv, 200 EAST MARION FIRE DISTRICT by Chairman, Board of Co »issioners State of New York, County of Suffolk).; On the'-\ 5t9 clay of January, in the year 2003, before me, the undersigned, personally appeared personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he!she'the� executed the same in his/her/their capacity, and that by his/her their signature(s) on the instrument, the individual(s), or the person upon alf of which the individual(s) acted, executed the instrument. hotat p,.tblir, f talc.; of I'. `' ty 'U 2003 ——————— Com�rission C:cpires r�l�:il 30, Notary Public, State of New York I, the undersigned, an Assessor of the Town of Southold, Suffolk County, Ne\v York. f, do approve and consent to the foregoing Certificate of Abandonment. Dated: January Ztsr, 2003 TOWN OF SO OLD BOARD OF ASSESSORS by Robert I. Scott, Jr., Ass sor State of New York, County of Suffolk),; On the2\ th day of January, in the year 2003, before me, the undersi ed, personally appeared Robert I. Scott, Jr,, personally known to me or proved to me on the basis of satisfactory evidence to be the individuals) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their cN)acity, and that by his/her their signature(s) on the instrument, the individual(s), or thc,p,ersun upon—behalf of wl icrf the individual(s) acted, executed the instrument. G'Notary Public, State of New York EDWARD JOI- N BOYD 51-h Notary Public gate of New York 02i?00376625 Suifalii Comity Commission Lpires April 30, 2003 TITLE NO. 47174.SS CERTIFICATE OF ABANDONMENT FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK, hereby certifies to the Town of Southold and/or County of Suffolk that it has searched the title to the premises herein described from a date 20 years prior to the date hereof and finds that title to said premises herein described is vested in: East Marion Fire District Subject to such mortgage, taxes, tax sales and assessments as appear in the annexed schedules, all of which are part of this certificate. This certificate is made and accepted with the understanding that the Company's liability hereunder is limited to such interest as herein set forth and in no event is the liability of the Company to exceed the sum of One Thousand Dollars ($1,000.00). DATED: FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK SANDRA J. GO ESKI ASST. VICE PRESIDENT APPLICANT 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: East Marion Fire District (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 or company name.) NATURE OF APPLICATION: (Check all that apply.) Tax Grievance Variance X Change of Zone Approval of Plat Exemption from Plat or Official Map 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 X 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: Donald Dzenkowski Title or position of that person: Senior Bay Constable Describe that relationship between yourself (the applicant) and the Town officer or employee. Either check the appropriate line A through D (below) and/or describe the relationship in the space provided. The Town officer or employee or his 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 X (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 Chairman of the Board of Commissioners East Marion Fire District Submitted this 2�7t" h day of March, 2003 Signature: Print Name: Edward J . Boyd, ' sq. „ PART 1—PROJECT INFORMA -,N Prepared by Project Sponsor NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effect on the envirogment. Please complete the entire form, Parts A through E. Answers to these questions will be considered as part of the application for approval and maybe subject to further verification and public review. Provide any additional information you believe will be needed to complete Parts 2 and 3. It is expected that completion of the full EAF will be dependent on information currently available and will not involve new studies, research or investigation. If information requiring such additional work is unavailable, so indicate and specify each instance. _ NAME OF ACTION East Marion Fire District LOCATION OF ACTION(Include Street Address, Municipality and County) 9395 Main Road, East Marion, Town of Southold, Suffolk County BUSINESS TELEPHONE ,i;.. NAME OF APPLICANTISPONSOR 477-0163 East Marion Fire District ( 63� ADDRESS Box 131 STATE ZIP CODE CITYrno East Marion NY .11939 PNESS TELEPHONE NAME OF QbfNER Of different) ADDRESS STATE ZIP CODE •• CtTYlPO • DESCRIPTION OF ACTION Set—off Please Complete Each Question—Indicate N.A. if not applicable . A. Site Description Physical setting of overall project, both developed rind undeveloped areas. 1. Present land use: ❑Urban ❑Industrial OCommercial OResidential(suburban) Mural(non-farm) OForest OAgriculture ®Other MlinJ , !'•i�trorrimLlp� _- 3 .747 Public Safety a: 2. Total acreage-of project are acres. APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION acres acres . Meadow or Brushland (Non-agricultural) acres • Forested � . acres acres acres Agricultural (Includes orchards, cropland, pasture, etc.) acres Wetland (Freshwater or tidal as per Articles 24, 25•of ECL) acres acres acre; Water Surface Area acres Unvegetated (Rock, earth or fill) acres Roads, buildings and'other paved surfaces c• 1 acres c. l acres Other (Indicate type)_ grass c.2 .7 acres c.2 .7 acres 3. What is predominant soil type(s) on,project sitet % of site a, Soil drainage: ®Well drained 1q,Q_ % of site ❑Moderately.well drained OPoorly drained % of site b. If.any agricultural land Is involved, how many acres of soil are classified within soil group 1 through 4 of the NY Land Classification System? .Z— acres. (See 1 NYCRR 370), 4. Are there bedrock outcroppings on project sitei OYes MNo a.' What is depth to bedrock? (in feet) 2 S. Approximate percentage of proposed project site with slopes: fl0-10% 100 % 010-15% O15% or greater % 6. Is project substantially contiguous to, or contain a building, site, or district, listed on the State or the National Registers of Historic Places? OYes %]No 7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? ❑Yes ®No 8. What is the depth of the water table? (in feet) 9. Is site located over a primary, principal, or sole source aquifer? 1AYes ❑No 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? OYes f No i 11. Does project -site.--contain•any species of plant or. animal life .that- is identified as' threatened ..ov endangered? . OYes ®No According to . Identify ea4h species 12. Are there any unique or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations) OYes ®No Describe 13. Is the project site presently used by the community or neighborhood as"in .open space or recreation area? .:OYes - ®No- If yes, explain- 14. Does the present site include scenic views known to be'important-'ta the +community? OYes ®No 15. Streams.-within or contiguous to project area: None a. Name of Stream and name of River to which it is tributary 16. Lakes, ponds, wetland areas'within or contiguous to project area: a: Name lbne b. Size (In acres) 17. Is the site served by existing public utilities? MYes ONo a) If Yes. does sufficient capacity exist to allow connection? ®Yes. ONo b) .If Yes, will improyements be necessary to allow connection? OYes GNo 18. Is the*siteAocated-in an agricultural-district-certified pursuant to .Agriculture'and Markets Law, Article 25-AA, Section.303 and 304? OYes ®No 19. Is the site located in or substantially contiguous to a Critical Environmental Area designated pursuant to Article 8 of the.ECL, and 6 NYCRR 617? * OYes Mo ' 20. Has.the site ever been used for the disposal of,solid or hazardous wastes? bYes QNo B. Project Description 1. Physical dimensions and scale of project(fill .in dimensions as appropriate) a.'-Total contiguous acreage owned or controlled by-project sponsor 3.. 747 acres: b. Project acreage to be developed: • 69 acres initially; • 69 acres ultimately. c. Project acreage to remain undeveloped 0 acres. d. Length of project, in miles: NSA. (If appropriate) e. -If the project is an expansion, indicate percent of expansion proposed 0 %; f. Number of off-street parking spaces existing N f A ;.proposed nr f A g. Maximum vehicular trips generated per hour •25 • (upon completion of project)? h. If residential: Number and type of housing units: One Family Two Family Multiple Family Condominium Initially 1 Ultimately 1 1. Dlrr}ensions (in feet) of largest proposed structure 25 height; _ 4.8_width; 38 length. j. Linear feet of frontage along.a public thoroughfare project will. occupy is? 130 ft. 3 2. How much natural material rock, earth, etc.) will be removed from site? 0 tons cubic yards > 3. Will disturbed areas be reclaimed? OYes ❑No [RNJA a. If yes, for what intended purpose is the site being reclaimed? N/A b. Will topsoil be stockpiled for reclamation? ❑Yes [gNo C. Will upper subsoil be stockpiled for reclamation? OYes 1 No 4. How many acres of vegetation (trees, shrubs, ground covers) will be removed-from site? 0 acres. S. Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project? OYes ONO 6. If single phase project: Anticipated period of construction 6 months, (including demolition). 7. If multi-phased: a. Total number of phases anticipated (number). b. Anticipated date of,commencement phase 1 month year, (including demolition). c. Approximate completion date of final phase month — year. d. Is phase 1 functionally dependent on subsequent phases? OYes ONo 8. Will blasting occur during construction? ' OYes ONO 9. Number`of jobs generated: during construction 0 ; after project is complete 10. Number bf jobs eliminated by this project _ 11. Will project rVouire relocation of any projects or facilities? QYes ONO If yes, explain Public water and electric for residence must be moved. 12. Is surface liquid waste disposal involved? Dyes ®No, �...k . .. a. If yes, indicate type of waste (sewage, industrial,-etc.):and. amount, b. Name of water body into which effluent will be discharged 13. Is subsurface liquid waste disposal involved? - OYes ONO Type single family sewage sys'ten 14. Will surface area of an existing water body increase or decrease.by proposal? OYes QNo Explain . . 15. Is project or any portion of project located Ina 100 year flood plain? OYes7No • 16. Will the project generate solid waste? OYes QNo- a. If yes, what is the amount per month tons b, if yes, will an existing solid waste facility be used? ❑Yes ONO c. If-•yes, give name location d. Will4any wastes not go into a sewage disposal system or into a sanitary landfill? Oyes ONO .9 e. if Vis, :explain 17.. Will the project involve the.disposal of solid waste? OYes ®No a. If yes, what is the anticipated rate of disposal? tons/month. b. If yes, what is the anticipated site life? years. 18. Will project use herbicides or pesticides? OYes ONO 19. Will project routinely produce odors (more than one hour per day)? ❑Yes UNo 20. Will project produce operating noise exceeding the local ambient noise levels? OYes ®No 21. Will project result in an increase in energy use? ❑Yes ONO If yes , indicate type(s) 22. If water supply is from wells, indicate pumping capacity N/A gallons/minute. 23. Total anticipated water usage per day 250 • gallons/day. 24. Does project involve Local, State or Federal funding? OYes ONO If Yes, explain' 4 25. Approvals Required: Submittal Type Date City, Town, Village Board dYes' IRNo City, Town, Village Planning Board ®Yes ONo SPt--nff City, Town Zoning Board IRYes ONo a Ye a is ee 3/2.,�� ., ...� City, County Health Department ®Yes ONo an i +-arTsTs tom Other Local Agencies Dyes ®No Other Regional Agencies. Dyes ,UNo . State Agencies ❑Yes .:No Federal Agencies Dyes XlNo C. Zoning and Planning Information 1 . Does proposed action involve a planning or zoning decision? ®Yes ❑No If Yes, indicate decision required: Ozoning amendment - Ozoning variance . Ospecial.use permit .'Ds.ubdivision Osite plan Onew/revision.of master plan Oresource management plan ®other _ _ Set-off 2...What is..the zoning.classification(s)of the site? R-40. 3: What is the maximum potential development of the site if developed as permitted by the present zoning? three single family residendes . . •'4::��.ft ls�lhe_proposed zorting:.of.the sitef. R-46 S.' What-is the maximum potential development of the site if developed as permitted by-the-proposed zoning? three single family residences 6. •Is•the,proposed action consistent with the recommended-uses in adopted local land use plans? OYes ONo 7. Whateire the predominant land use(s) and zoning classifications within a 1/ mile radius of proposed.action? R—40. and HB 8. Is the proposed-action compatible with adjoining/surrounding land ,uses within a 1/ mile? ®Yes ONo 9-.. If.the proposed-action is the subdivision of land., how many lots are proposed? 2 -a. What is the 'minimum lot size proposed? 30;000 square feet 10. Will proposed action require.any authorization(s)for the formation of sewer-or water districts? Oyes ONo -11. 1N111Ythe•proposed-.action create a:demand.Ior'.,anytr-ommunity:provided:strvices (recreation;:education; police, fire protection)? OYes 'ONo a. If yes, is existing capacity sufficient to handle projected demand? Oyes ONo 12. Will-the-proposed action-result in the generation ofAraffic significantly above present levels? "OYes' ®No a. If yes, is the existing.road network adequate to handle the additional traffic? . OYes ONo D. Informational Details Ye.r /1/£a/ b _r cr✓ e9 — 4641-IICA 51-1 Attach any additional information as may be needed to clarify your project. If there are or ma.y,be any adve; e impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them. E. Verification I certify that the ' ormation provided above is true to the best of my knowledge. East Marion Fire District 3/27/03- Applicant/Spons a Date Signature Title Attorney/Agent If the action is In the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment. 5 . D. INFORMATIONAL DETAILS AND WATER SUPPLY NARRATIVE REQUEST Attach any additional information as may be needed to clarify your project. If there are or may be any adverse impacts associated with your.proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them. Existing single family residence with public utilities to be moved onto set—off lot 1. Provide explanation of existing site use, occupancy, structures, sanitary flow, water use; compare to proposed use, occupancy, structures, sanitary flow,water use.Use will be the same as present with house to be moved to East. 2. Indicate the source of water supply,nearest public water main, nearest public well field, and adjacent private wells (if known). Suffolk County Water Authority water main runs along Main Road in fron of premises. 3. If public water supply is proposed, indicate the ability of the water utility to provide water supply to the project.. Provide letter of water availability or detailed explanation of status of review by water utility. Suffolk County Water Authority already provides water to residence - house simply to be moved to East. 4. If private water supply is proposed, indicate the well specifications, water quality based on on-site water quality data. Provide Suffolk County Department of Health Services approval or detailed explanation of status of review by agency. N/A 5. Indicate proposed water conservation measures that will mitigate for unavoidable adverse impacts (If any). Conservation measures should include,but not be limited to: a. The use of drought tolerant plants for.landscaping. b. The preservation of existing native vegetative buffers. . c. The conservation of existing open space areas. d. The implementation of"natural' stormwater management practices (grass swales, filter strips,created wetlands,etc...). "bil and "c" E. VERIFICATION I certify that the information provided above is true to the best of my knowledge. Applicant/Sponso ame East Marion Fire District Date 3/27/03 Signatur Title Attorney/Agent If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment. 6 Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 06/23/03 Receipt#: 3248 Transaction(s): Subtotal 1 Application Fees $250.00 Check#: 3248 Total Paid: $250.00 pECE0vE JUN 2 3 2003 Southold Town Planning Board Name: East, Marion Fire District 9395 Main Rd P0 Box 131 East Marion, NY 11939 Clerk ID: LINDAC Internal ID:77389 Submission Without a Cover Letter Sender: ! S�{2� Subject: °.�S'C �" 1:�pr2-c 0.0 . '--r��-Z� yr SCTM#: 1000 - ' Date: Ig d Comments: \'r=2 aL l D ECE0VE J U L - 4 2004 Southold Town Planning Boarr P,tRM QgO/93) STATE OF Ni- ORK DEPARTMENT OF TRANSPORTATIC ..IG111i PRRK PERMIT 15. 0 10-04- 017 8 Permit Fee: 25 4 0 Permit No.: Insurance Fee: 40 0 10/0412004 Project Identification No.: Total Receivm6 $ 8380 Expiration Date: Check or M.O. No.: 0.00 SH No.: Deposit Rec.for$ Check or M.O. No.: 2500.00 Dated: *PerrN :p, MCCARTHY Estimated Cost otftil;�IPerformed in the State Right-of-Way$ P. 0. BOX 1103 (Z 2500.00) Chargeable to Bond No.: SOUTy0LO, NY 11911 or Undertaking on File: att: Billing Address: (Complete if different from above) Return of Deposit Made Payable to: (Complete if different from Permittee) Under the provisions of the Highway Law or Vehicle&Traffic Law,permission is hereby granted to the permittee to: To conctruct and permanently mainatin a residential access on the n/s of Rt 25 between IIM's 1689-1590 as per attache d plans and specifications. All work, pavement, sidewalk and ROW restoration shall be to the satisfaction of the Res . Engr. ALL WORK SHALL BE DONE IN ACCORDANCE WITH APPROVED PLANS OR AOB.E. MAINTENANCE 6 PROTECTION X TRAFFIC SHALL BE THE RESPONSIBILITY OF THE PERMITTEE UNTIL COMPLETION OF ALL WORK, ETC.' THE PERMITTEE IS RESPONSIBLE FOR THE MAINTENANCE AND PROTECTION OF TRAFFIC. ANYONE WORKING IN THE STATE HIGHWAY RIGHT-OF-WAY IS REQUIRED TO WEAR HIGH VISIBILITY APPAREL(ORANGE/YELLOW)AND HARD HAT. SUFFOLK SOUTHOLD 25 County- Municipality- Route#- as set forth and represented in the attached application at the particular location or area, or over the routes as stated therein, if required; and pursuant to the conditions and regulations general or special, and methods of performing work, if any; all of which are set forth in the application and form of this permit. DateMU*.AUBE, N.Y. Co Dateli)"W. mmissioner f Transportatio EUGENE SMITH By: IMPORTANT THIS PERMIT,WITH APPLICATION AND DRAWING(OR COPIES THEREOF)ATTACHED SHALL BE PLACED IN THgZANDS OF THE CONTRACTOR BEFORE ANY WORK BEGINS.THE HIGHWAY WORK PERMIT SHALL BE AVAILABLE AT THE SITE DURING CONSTRUCTION. BEFORE WORK IS START D 4ND UPON ITS COMPLETION,THE PERMITTEE ABSOLUTELY MUST NOTIFY THE RESIDENT ENGINEER, �39HN- OUN6lIAK 1900 COUNTY RD #58 (516)121-1131 RIVERHEAD, NEW YORK 11901 UPON COMPLETION OF WORK AUTHORIZED, THE FOLLOWING WILL BE COMPLETED, SIGNED BY THE PERMITTEE AND DELIVERED TO THE RESIDENT ENGINEER. Work authorized by this permit has been completed. Refund of deposit or return/release of bond is requested. DATE PERMITTEE AUTHORIZED AGENT(If Any) Work authorized by this permit has been satisfactorily completed and is accepted. Reverse side of this form must be completed. ❑ Refund of Deposit is authorized ❑ Return of Bond is authorized ❑ Amount charged against Bond may be released ❑ Retain Bond for future permits ❑ Other DATE RESIDENT ENGINEER The Regional Office will forward this form to the Main Office with the appropriate box checked. ❑ Permit closed ❑ Bond returned/released ❑ Refund of Guarantee Deposit on this permit is authorized ❑ Other DATE REGIONAL TRAFFIC ENGINEER The issuing authority reserves the right to suspend or revoke this permit, at its discretion without a hearing or the necessity of showing cause, either before or during the operations authorized. The Permittee will cause an approved copy of the application to be and remain attached hereto until all work under the permit is satisfactorily completed, in accordance with the terms of the attached application.All damaged or disturbed areas resulting from work performed pursuant to this permit will be repaired to the satisfaction of the Department of Transportation. * Upon completion of the work within the state highway right-of-way, authorized by the work permit, the person, firm, corporation, municipality, or'state department or agency, and his or its successors in interest, shall be responsible for the maintenance and repair of such work or portion of such work as set forth within the terms and conditions of the work permit. N PERM 42p(8'";) Ft-VERSE NSPECTION REPORT �.o D For each iilgi,vvasy Worts Permit issued, inspections will he performed: The following report must be completed for eacti site visit, indicating the date, inspector and hours spent on inspection. It the local inspection time exceeds 1 hour, then a FIN:i 2(PE`TiVll f- INSPECTION COS RECORD FOR DEPARTMENT SERVICES) IS REQUIRED. INSPECTION' REPORT _-- — _ — HOURS WORKED BY DATE HOURS N;,1fie Date Regular Overtime Date ` 1 I Regular Overtime Name —_ —. R �— Name Date Regular Overtime R=Regular Time-0=Overtime 1:3�7't�llGTlt:3g'?`a: 1. NAME: Name of inspector. 2. DA T E: Day inspected. 3. R: The number of Regular hours spent on inspection for that day. n,, 0: The number of Overtime hours spent on inspection for that day. 5. HOURS: Add across for R and O. 6. TOTAL HOURS: Add the columns for R and 0. COMMENT`.,,"D 7SERVATIONS I HEREBY CERTIFY THAT THE INFORMATION CONTAINED ABOVE IS TRUE AND CORRECT TO T1iE BEST OF MY KNOWLEDGI NAME — TITLE — U (D C 0. O +7 56) b. Boring, Jacking, and Tunneling Methods a) All the requirements of B.I. a. 1.) DESIGN a) through f)shall apply. b) Open excavations shall be protected with the required controls for safety and for the maintenance and protection of traffic in accordance with the New York State Department of Transportationn, Manual of Uniform Traffic Control Devices. CONSTRUCTION a) All the requirements of B. 1. a. 1.) CONSTRUCTION shall apply. C. SUBBASE, PAVEMENT AND SHOULDER REQUIREMENTS (including manholes) 1. Subbase a. The subbase course shall be a minimum of 12 inches thick unless otherwise approved.The material shall meet the requirements of current Department of Transportation subbase course item as specified by the Regional Soils Engineer. b. Under the permit,construction which adversely affects the subsurface drainage of the pavement structure shall be corrected by the addition of surface or subsurface drains,as required. 2. Pavement and Shoulders a. Permanent The replaced pavement shall be similar to the existing pavement in composition and texture.The selection of the material type and compositon shall be subject to the approval of the Regional Director or his representative.The limit of pavement replacement shall be such that the replaced pavement is supported by thoroughly compacted subbase material and the pavement is restored to the proper grade, cross-slope and smoothness. When bituminous concrete mixtures are required for the pavement replacement,the layers shall consist of one or a combination of mixture types contained in Table 401-1, Composition of Bituminous Plant Mixtures in Section 401 of the New York State Department of Transportation's Specification,including addenda.The mixture shall be placed at the proper temperature, without segregation, and compacted thoroughly. When portland cement concrete mixtures are required for pavement replacement,the mixtures shall consist of either Class C or Class F as contained in Table 501-3,Concrete Mixtures in Section 501 of the New York State Department of Transportation's Specifications,including addenda.Class F is a high early strength mixture and should be used when early opening to traffic is desired. The concrete mixtures shall be placed without segregation,then consolidated,finished to the proper elevation,and textured.Curing the concrete pavement shall be in accor- dance with one of the methods permitted in Section 502 pertaining to curing. Pavement shoulders, curbs, gutters and other incidental features shall be replaced in kind unless otherwise approved by the Regional Director or his representative. b. Temporary Pavement that is replaced temporarily may be paved with either a hot bituminous concrete mixture mentioned above or a cold bituminous patching mixture.When a cold patching mixture is used it shall consist of aggregate and bituminous material proportioned and mixed in a bituminous mixing plant or rotating paddle shaft pugmill.Regardless which patching mixture is used it shall be laid on a prepared foundation and thoroughly compacted.Since cold bituminous patching mixtures are subject to distortion by traffic, the temporary patch shall be maintained to provide a smooth surface until the pavement is permanently replaced. 3. Manholes Manhole frames and covers shall have sufficient structural adequacy to support the roadway traffic.The type of manhole frame and cover shall he approved by the Regional Director or his representative.The manhole frame shall be set flush with the surface of the roadway unless otherwise permitted by the Regional Director or his representative. D. MAINTENANCE AND PROTECTION OF TRAFFIC 1. Traffic is to be maintained at all times during the progress of this work and adequate signs,barricades and lights shall be provided in accordance with the provisions of Sub-chapter H of the N.Y.S.Department of Transportation's Manual of Uniform Traffic Control Devices.A maintenance and protection of traffic plan may be required.No lanes shall be closed without prior approval. 2. The applicant shall erect and maintain suitable barricades around all trenches while work is in progress for the protection of the public,and they shall be suitably lighted by yellow lights at night. The work shall be carried on in such manner that not more than 100 feet of trench in earth remains open at end of day's work. 3. No pavement cuts are to be left unfilled over night,except in emergencies,and in such cases,adequate precautions must be exercised to protect traffic.Prior approval must be obtained to use steel plating. 4. No construction materials or equipment shall be left on the shoulders or pavement after working hours,nor shall any construction equipment or material be placed in any manner or location that will obstruct highway or railroad warning signs. 5. All open trench in the highway right-of-way shall be barricaded.There shall be conspicuously displayed bright red flags no less than 24"x 24" attached to such barricades and illuminated at night with flashing yellow lights.If in the judgment of the representative of the Commissioner of Transportation,flagmen are necessary,they shall be employed by the permittee and on duty at all times during the progress of the work so as to direct traffic and maintain yellow flashing lights, etc. 6. Soft shoulder signs of adequate size,not less than 24"square,shall he erected and maintained on all backfill trenches within the shoulder area until the backfill is thoroughly settled.These signs shall be located at the beginning of each section of work at intersections and at a distance not greater than 1000 feet apart. 7. During winter conditions highway shoulders shall be maintained free of obstructions which would interfere with snow removal and ice control. B. The permittee shall keep the traveled way free of foreign objects such as rocks,timber and other items that may fall from transporting vehicles.Spillage of material carried by or dropped from the under-carriage of any carrying vehicle resulting from the permittee's hauling operations along or across any public traveled way shall be removed immediate- ly and such traveled way,both within and outside of the work limits, shall be kept free of such spillage by the permittee. E. COMPLETION OF WORK 1. All work.is to be performed in a manner approved by the Resident Engineer of the State Department of Transportation. 2. All disturbed areas shall be returned to their original condition in a manner satisfactory to the Commissioner of Transportation or his representative 3. The permittee shall be required to restore shoulders and ditches and clean up the highway as his work progresses.All driveways shall be restored with material in kind and to their original conditions. 4. All surplus earth and rubbish shall be cleaned up and removed from the highway right-of•way upon completion of the work,and the highway left in a neat and orderly condition. 5. As built plans showing final grade of new installation and existing underground facilities encountered shall be provided to N.Y.S.D.O.T.if variation from approved design plans occurred during construction. F. NECESSITATED FUTURE WORK 1. The applicant agrees,that any present or future injury to or disturbance of the highway,its slopes or gutters,caused by placing mains and service pipe shall be repaired by the applicant at his own expense and in accordance with the requirements of the State Department of Transportation. 2. If necessity arises in the future because of the work on the State Highway system and/or its structures, requiring the removal,relocation or replacement of the installation authorized by the permit,said work shall be done as directed by the Commissioner or his representative,and all cost and expense so incurred shall be the obligation of the said permittee or his successor in interest. II. TELEPHONE-TELEGRAPH INSTALLATIONS A. SETTING OF POLES 1. All poles shall be set outside the ditch lines so that the proper drainage of the highway will not he interfered with.In case it is impracticable to set poles so as not to interfere with the flow of water in the ditches, the shoulder, ditch and space around the poles shall be paved by the applicant to protect against wash. 2. There shall he no obstruction to private driveways, connecting highways or roads,paths or sidewalks. 3. In case it is found necessary to trim trees within the boundaries of the highway,the least possible amount shall he done,and in all cases the consent of the abutting property owner must be secured before the poles are set and trees trimmed. 4. Poles shall be of sufficient length to provide a clearance of not less than eighteen feet between the wire and the crown of the highway,under the worst condtitions of temperature and loading.They shall be set in line and properly plumbed.They shall be well guyed. No guying to trees, unless by special permission of owner.Special precautions shall he taken on curves and where lines cross from one side of highway to the other.Poles shall be straight,sound,and the fittings shall he of sufficient strength to carry wires under the worst condition of loading (ice,wind, etc). 5. Where telegraph and telephone wires cross high tension power lines, electric light or trolley wires,special precaution shall be taken to maintain proper clearance under the worst condition of temperature and loading. B. RESETTING POLES 1. If necessity arises in future,because of work on the highway,to relocate,replace or re-set poles,cables or conduits,said work shall be done at the expense of the applicant. III. SPECIAL CONDITIONS A. In addition to the aforementioned conditions,if it is found necessary by this Department to add to or otherwise modify the same,it is to be understood such changes shall form a part of the permit and be complied with immediately upon notice. IV. ADDITIONAL SPECIAL CONDITIONS AND SKETCHES -See Attached Sheet. f i l U PERM 41.1d(4186) 9 METHOD OF PERFORMING WORK WITHIN THE STATE HIGHWAY RIGHT OF WAY I. GENERAL CONDITIONS These conditions and regulations apply to Highway Work Permits authorizing work within the State highway right-of-way for water mains,gas mains,sewer lines and miscellaneous structures. General conditions apply to telephone and telegraph installations as well as specific conditions on the setting and resetting of poles.These conditons, and any special conditions which are added to this form, are enforceable by the Department of Transportation. A. TIME 1. Work under the permit shall he commenced within thirty(30)days from the date of permit issuance unless a later starting date is approved by the Regional Traffic Engineer. B. REGUIREMENTS All the current requirements of the following shall apply: Occupational Safety and Health Administration,Federal Department of Labor,Safety and Health Standards(29 CFR 192611910); Part 131,Title 17, New York Code of Rules and Regulations,Accommodation of Utilities Within State Right-of-Way; New York State Department of Labor,Industrial Code Rule 23,Protection of Persons Employed in Construction and Demolition Work;Industrial Code Rule 53,Construction,Excavation and Demolition Operations At Or Near Underground Facilities. Temporary sail erosion and water pollution controls shall be used as required.The final decision on the method of underground installation will he made by the Regional Director or his representative. 1. Work Within Pavement and Shoulder Areas a. Installations that cross the pavement and shoulder area.Wherever practical,all underground installations shall be placed beneath the pavement and shoulder areas without disturbance to these paved surfaces. 1) Boring, Jacking, and Tunneling Methods DESIGN a) The location of all excavations(lacking pits,etc.)shall be shown in plan and profile. b) The soil profile and groundwater conditions shall be determined by adequate subsurface exploration. c) The location of all other existing utilities shall be shown. d) The construction equipment and procedures to be used shall be described in the permit application. e) The design of all excavations, including ground and surface water control where necessary, shall be made available for review by the Department. I) The underground installation shall be described in detail, i.e. size, length, depth, material, provisions for grouting, etc. gl Pipes shall generally be enclosed in sleeves or larger pipes.Small diameter services(2 inch I.D.or smaller)may be placed without sleeving at the discretion of N.Y.S.D.O.T. h) The limits of an open excavation shall not be closer than 10 feet to the edge of the pavement unless approved by the Department. Open excavations shall be protected with the required controls for safety and for the maintenance and protection of traffic in accordance with the New York State Department of Transporta- tion, Manual of Uniform Traffic Control Devices. CONSTRUCTION a) Grouting operations may be required if surface settlement,loss of soil or voids around the pipe develop.When grout is required,it shall consist of 1 part cement to 2 parts sand,by volume, and sufficient water to produce a consistency suitable for placing the grout. b) Backfill of open excavations shall be as required under 2.) f) Open Excavation Method. 2) 'Open Excavation Method DESIGN a) The location of all pavement crossing by the open excavation method shall be shown in plan and profile. h) The soil profile and groundwater conditions shall be determined by adequate subsurface exploration. c) The location of all other existing utilities shall be shown. d) The design of all excavations,including ground and surface water control where necessary,shall be made avaiable for review by the Department. e) When requested,the construction equipment and procedures to be used shall he described in the permit application. f) Pipe installations shall he done according to the requirements of the appropriate New York State Department of Transportation's Standard Sheets.The required ' granular material shall meet the material requirements for Select Granular Fill in the current New York State Department of Transportation's Standard Specifications including addenda. Exceptions will only be allowed if prior approval is granted by the Regional Soils Engineer. g) Pavement shall he saw cut at termination points of pavement replacement. CONSTRUCTION a) Pavement and shoulder removal shall he done in a manner that provides for proper restoration of the replacement section.Straight,vertical cuts of the pavement will be required.Pavement surfaces that become undermined shall be cut back and removed.Alternative repair methods may be used if prior approval is granted. b) The backfill material shall be placed and compacted according to the requirements for backfilling structures,culverts,pipes,conduits and direct burial cable described in Section 200, Earthwork, New York State Department of Transportation's Specifications,including addenda. c) Generally, cuts shall be filled at the end of each working day.With prior approval,steel cover plates may be used. Recessing of these plates may he required. d) Temporary pavements and shoulders shall he placed as soon as a crossover installation is completed. h. Installations that are longitudinal to the pavement. 1) Open Excavation Method DESIGN a) The location of all open excavations shall be shown in plan and profile. b) The soil profile and groundwater conditions shall be determined by adequate subsurface exploration. c) The design of all excavations, including ground and surface water control where necessary, shall be made available for review by the Department. d) The location of all other existing utilities shall be shown. e) Pipe installations shall he done according to the requirements of the appropriate New York State Department of Transportation's Standard Sheets.The required granular material shall meet the material requirements for Select Granular Fill in the current New York State Department of Transportation's Standard Specifications, including addenda. Exceptions will only be allowed if prior approval is granted by the Regional Soils Engineer. CONSTRUCTION a) Pavement and shoulder removal shall be done in a manner that provides for proper restoration of the replacement section.Straight,vertical cuts of the pavement will be required.Pavement surfaces that become undermined shall be cut back and removed.Alternative repair methods may be used if prior approval is granted. b) The backfill material shall he placed and compacted according to the requirements for backfilling structures,culverts,pipes,conduits and direct burial cable described in Section 200, Earthwork, New York State Department of Transportation's Specifications,including addenda. c) Generally,cuts shall be filled at the end of each working day.With prior approval,steel cover plates may be used. Recessing of these plates may be required. d) Permanent or temporary pavement shall he placed immediately as sections of the total installation are completed to subbase elevation.Gravel surfaces in shoulder areas may be used if prior approval is granted. 2) Boring,Jacking, and Tunneling Methods DESIGN a) All the requirements of B.1. a. 1.) DESIGN a1 through g)shall apply. CONSTRUCTION a) All the requirements of B.1 a. 1.) CONSTRUCTION a) and h)shall apply. b) Open excavations shall he protected with the required controls for safety and for the maintenance and protection of traffic in accordance with the New York State Department of Transportation, Manual of Uniform Traffic Control Devices. c) The requirements of B.1. b. 1.1 CONSTRUCTION d1 shall apply. 2. Work Outside the Pavement and Shoulder Areas a. Open Excavation Method DESIGN a) All the requirements of B.1. b. 1.)DESIGN shall apply. b) Open excavations shall be protected with the requried controls for safety and for the maintenance and protection of traffic in accordance with the New York State Department of Transportation, Manual of Uniform Traffic Control Devices. CONSTRUCTION a) The backfill materiai shall be placed and compacted according to the requirements for backfilling structures,culverts,pipes,conduits and direct burial cable described in Section 200, Earthwork, New York State Department of Transportation's Specifications, including addenda. STATE OF NEW YORK DEPARTMENT OF TRANSPORTATION PREPARE 3 COPIES HIGHWAY WOR, 3MIT APPLICATION FOR NON-UTILITY WOI (photocopies acceptable) a•m` .5 lication is hereby made for a highway work permit: For Joint application,name and address of Second Applicant below: Name c_h c',r Name Address Address City 91.uu e` State Zip III,CAA City State Zip Federal I.D.No.or Social Security No, f r " i • 7 / ,Arz NgzT rs F y Applicant Telephone pP P hone No. e Not t1 Contact person in case of emergency a�o Y�Y` Y\ 1}�Vt E'C4�♦ 9 Y \ - c3 H[gjawgry Telephone No.of contact person f o�i 6 c, CCr- y{{y ,yy1 n n� r :; h EY c r , r4 X�r z c k r 143 RETURN PERMIT TO 1r t��nt fromabove):7 . 7��)� ( RETURN OF DEPOSIT/BOND TO(complete only if different from permittee): Name <:" Name Address Address City Stale Zip City State .Zip _ Z 1.Estimated cost of work being performed in state highway right-of-way S 2.Anticipated duration of work: From. `"`� �� 20. 0 4 thru ��t,t- 20 ��1 _.,to apply to the operation(s)checked on the reverse side. Cc 3.Protective Liability Insurance covered by Policy No. ;expires on 20 w CL Z 4.A$20.00 tee will be charged for checks returned by the bank, C) PROPOSED WORK(grief description): ATTACHED: Plans Specifications LOCATION: State Route State Highway between References Marker and Reference(Marker Town of: _ ) o ���C County of: S SEOR REQUIREMENTS(Check appropriate ilem): _Exempt .—Ministerial Type 11 EIS or DEIS Lead Agency If project is identified to be ministerial,exempt,or TYPE 11.no further action is required. If project is determined to be other than ministerial,exempt,or TYPE 11,refer to M.A.P.7.12.2,Appendix A SEAR REQUIREMENTS FOR HIGHWAY WORK PERMITS Acceptance of the requested permit subjecls the perrudlee to the restrictions,regulations and obligations stated on this application and on the permit. Applicant Signattuc ate 20 61 / V A-f— &A I Second Applicant Signature y to .,., 20 ��' a 3�':, '^rir`lt ��-.�r,�:., `fc t"' F y�F:�'�5�''N ""4?�r�'SLi3: �.�.,r'�..+�...s��- „`,;�#�'�e Ar kiX ��� � n#.`��i*�;'�'3.tf���.rid 'y� ,r�*<>• Aptaval recorr4rnentled 3 n �0. Iiy;Rss,dent Etiglneer ' 4 r " a,vfi,f � ,.W v {aa;', Ffesid . ehgy Not � A" 1 pproved Vim, _ .• r -k�? . a �2� Be ° rs tse�e _ �a�lonat7ralhc 6ri theeG r r Re tort Yu # R� 5t`i,�.'�-._.z.G' ..........,.......... 'C>� PERMIT IS ISSUED CONTINGENT UPON LOCAL REQUIREMENTS BEING SATISFIED. 81il.raM Or�"� ,M FMB thpwn Mdh4 era$ L41fb AMmint y` CHtt tt"M a8 Otrir111t1H9 Rat, t MALL aft.?job.-permit Itau"J for each job a. Catrearat al-MICA. �O' a.Q Iru w aurneul t00 y� 3.Crl;,;unvnvj*W-WjW-tLa"010 lQUAN UFAM flat 1400 WA fLtn�a BoAdin7 VeW 4.G�„oPnr-ltr�Cldi lifR;rt�' •j:IK,i 1G tkf�4VtU feet Grass :tu�rc�g NIA + evild M Area 4-Ad GrOP"?) ��nv�!+�,m• . IU SvWvielan 6.O'1'illMparelY eoneoe roadISO or eIMM I L+.C]IrnnrovaYrnteN+ 1.�t�lt+nklrntirai 1 a 2e • q.C�Ca ntrnert tR1 � Chgck below: rr 1 ti.Cl.iMPbaNwalk,r.;;�+�fi,vl+Ma,a:rl:l;�ret!t:hctlEdAr• 7fm i ns ateilttoge,eta. I i b.0 thud*,egad.Wmr9vi lend contour,ctutw fund of 100 yS -S f+ 1 b 4,(J N�'1W:�ti�,UtxY dYti:lUl4�rcrl,�;wuy'tar tlfiJartiiey I 1 tl:&3All- ittsttf 1112+i►71iWw rdlliiiW7G0il aitll�NItrlWate) i npd1 m'm car tt:1'di1 dies. 1,d Pa County l�G f'JA 2.a Per ilsplan 400 WA 1 n O Trot+vymk � .•Air=±. 15 26 G.�i 4�ifltrlt4ll 11t1 yNOi!I1 d`J ti Ik:lcrf prUl : -x 4#PX1Dy tout wnuel ! �b $4 a tFelr!tns°�;>:t:m!1, C +�rfc51:V.'MtP:fnsldariC:l;f'W1+1_rW'- Y i Ia.p Pruning,rpt>'yiMl-AM Mill W WAN10,•roc• j .^�IaYXdLat(fiYll�tl•7�AoliYY•\lifiMiilr?if�s8�10 i1�1�Yi�1 75 j d:l:i4•m.40-awriur t'.,+N%.Wf}m;tlrn EIS: .aY j �. (E;•\e*m--*0120mp0 onif 2 .1 ii'drr."relY llQtle,banner,holdsy deorstitute NC 26 dFw a.CJ'Va►•rQr-Qrotrl orpsr+'�+�u � -- ■■ .�•.�r.ANu--Ate..-v�rl\ll-.\,\Y\'.M'MI YI.\ ii I � t a,Q'i i>Y< AIWtVrxl utd:I �e 'so 4.Li Wamirq and entrantw W S) 195 MLWAdltn"Ull—psWMIM%fA tt"AW rlrvl�rr fi,',l eaa�nrttitatntrornt• �� 00 6.t(l Ce ulgWtirw+t eerelma'i l y ru'•v't;&U'WJ lie,,*1 p►' y 50 7, coerogr�lsal►pI"nH requlrod for work pI!A r+rtP.!1 az ruque=Lot C,0 NCxE p, Euildinp donviWn or mo*V tequeeW by D.O.T. Dwmition 2,0 MO WV NC A5 , b•.boprovwrient to meet 0408fwwt VAMG"l �G Le, rtAlseeilfa�eot+e f Na rLA L 9.tJ Ad PERM 33 4W01) ir r ►tWON j LOT NUMBERS ARE REFERENCED TO "CLUSTER,SETOFF FOR EAST MARION FIRE DISTRICT' FILED IN THE OFFICE SOUTHOLD TOWN CLERK. � � I O MG 1 .C� ADO 2 hem <: 6� r g ��•• s �� r O`✓ � � Z f�a �`' �_y C� � �a `0gfl` Tfa ca • o F 3 ?� 7 Gam 00 ,o d - e 21,0 Qk N I° 2yf/DUB00 f roQ�,Gi� ep �Ps yx� Z - tp� D" G 0� v See Pk�,�° �� �• e�'' w � ® fib h - N ` s`41 .0200 o Q SURVEY OF C3. `� PROPER T Y "V12 Q. A T EAST MARION TOWN OF SOUTHOLD The locations of wells and cesspools e SUFFOLK COUNTY, N. Y. shown hereon are from field observations1000 — 31— 03 — P/O 11.30 and or from data obtained from others.ELEVA TIONS ARE REFERENCED TO AN ASSUMED DATUM. Scale: 1"= 40' Dec. 9, 2003 I am familiar with the STANDARDS FOR APPROVAL E AND CONSTRUCTION OF SUBSURFACE SEWAGE D L5 l� L5 DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and will abide by the conditions set forth therein and on the permit to construct. APO 2 7 2004 AREA = 30,000 sq: ft. Y,_ Southold Plan Town ning Boar4 - ANY AL TERA T/ON OR ADDI TION TO THIS SURVEY /S A VIOLA T/ON OF EXCEPT AS PER SECTION 7209 YSUBDIVISION2.ALLT C RTIFLAWCATIONS ��P� OF IV HEREON ARE VALID FOR THIS MAP AND COP/ES THEREOF ONLY/F pN� T' Fl O SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR t .S. LIC. NO. 496/8 WHOSE SIGNATURE APPEARS HEREON. ADDITIONALLY TO COMPLY WITH SAID LAW TERM 'ALTERED BY ' ONIC'I'J"I : YO C. MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY 765: � �O AX (63I) 765 - 1797 OF ANOTHER SURVEYOR'S MAP. TERMS SUCH 'INSPECTED 'AND 'BROUGHT - TO - DATE 'ARE NOT /N COMPLIANCE WITH THE LAW. REST SO D) 11971 03-293 NYS DOT HALJFFAUGE F"ax:IF-,31952496i May 25 2004 15:50 ?.01 r� May 14, 2004 2004 John M, Kennedy,Jr,,-Esq. �I �t4 AY 2 6 Attorney At Law Southold Town 15 Addie Lane planning Board Nesconset,New'York 11767 Your April 28, 2004 Submission Residential Access-McCarthy Route 25—East Marion IaM—1090-31-03-Pr0 11.30 w Qur case No. 04-122P Dear Mr. Kennedy: This is to acknowledge receipt of your submission on the above permit application. This permit application should be sensitive to the unique visual and historic setting of the Long Island North Shore Heritage Area, which runs from the Queens/Nassau County line to Orient Point, and from Route 25 or I495,whichever is farther south,north to Long Island Sound, In all future correspondence, please refer to the subject case number. The plans must also include the County tax reap number. We have completed our review of your submission. The plans that you submitted are very good, however,the following items shall be addressed prior to Highway Work Permit issuance; 1. The minimum width of a residential driveway is twelve (12) feet, Please revise the plans to show the minimum driveway width, 2. An on site turn around area shall be shown on the plans to preclude the possibility of a vehicle backing out onto Route 25, Please provide us with a site plan that shows the location of the house with an on site turn around area. 3. The Maintenance and Protection of Traffic plan shall be revised to show the initial warning sign spaced 1000 feet in advance of the work site with the intermediate sign spaced 500 feet in advance of the work site. Site plan approval for highway work permit issuance is contingent upon our receipt of all of the following items within six (6) months of the date of this letter and no further.revisions are made to the plans once we approve them. N'YS DOT HAUPPAUGE Fax:16319524967 Maq 25 2004 13:50 P.02 John M.Kennedy,Jr. May 1A,2004 Page 2 If the Highway Work Permit will be secured by anyone other than the property owner, i.e. contractor, the applicant must provide a signed letter from the property owner stating the applicant is authorized to act on behalf of the property owner in this matter. The letter must also include the property owner's mailing address and telephone number. Kindly submit four sets of the revised plans and surety bond (sample enclosed). In lieu of a surety bond the applicant may elect to submit a bank certified check for the bond amount. We will retain the check you submitted,#1436, in the amount of$40.00,which covers the permit and insurance fees. We will also retain the Highway Work Permit Application that was submitted. The application and the Surety Bond must be secured by the same party. All checks issued to the State of New York must show a Federal Identification Number. Bond Amount:$2,5 00.00 Questions concerning this matter should be directed to Mr. Mark Wolfgang at (631) 952-7973. Plewe send all correspondence to his attention. Kindly refer to the subject case number and County tax neap number in all correspondence. Thank you for your cooperation concerning this matter. Very trulyyours, SHAIK A. SHAD,P.L. Civil Engineer III Traffic Engineering and Safety Attachment oc: Mr. peter Harris, Superintendent of Highways,Town of Southold Ms. Valerie Scopaz, Planning Director, Town of Southold SAS.MW:DW ti g /Jug EDWARD JOHN BOYD V D ATTORNEY AND COUNSELLOR AT LAW 54 D P.O.BOX 468 � �a SOUTHOLD,NEW YORK 11971 (631)765.1555 Southold ToW11 FACSIMILE:(631)765.5969 Planning BOW E-MAIL:ejb@elilaw.net 1287 EAST MAIN STREET RIVERHEAD,NEW YORK 11901 (631)727.1010 FACSIMILE:(631)727.5524 E-MAIL:ejb@elilaw.net May 24, 2004 Southold Town Planning Board Town Hall, 53095 Main Road P.O. Box 1179 Southold,NY 11971 Re: EAST MARION FIRE DISTRICT Tax Map No..1000-31-03-11.30 Southold Town Planning Board: Enclosed please find copy of D ation 1 e the East Marion Fire District on May 19, 2004 with the Suffolk County Cl 's Office relative to above-captioned Tax Map Number. This Declaration may be found t Liber 12320, Page 36. Please make this copy part of your 1 e. Thanking you for your attention to this request, I am, ,,,Very truly yours, Edward John Boyd _- ''��r� EJB/bv PLANNING BOARD MEMBERS Q�QStFF0 P.O. Box 1179 JERILYN B.WOODHOUSE �/ Chair o y� Town Hall, 53095 State Route 25 y Southold, New York 11971-0959 RICHARD CAGGIANO ® Telephone (631) 765-1938 WILLIAM J.CREMERS Fax(631) 765-3136 KENNETH L.EDWARDS Q MARTIN H.SIDOR Ol `1►a PLANNING BOARD OFFICE TOWN OF SOUTHOLD May 11, 2004 Edward Boyd, Esq. 54655 Main Road Southold, New York 11971 Re: Proposed Set-Off of East Marion Fire District Located on the north side of New York State Route 25, approxi :lately 367 feet west of Stars Road, known as 9395 Main Road, in East Marion SCTM#1000-31-3-11 Zones: HB & R-40 Dear Mr. Boyd: The Southold Town Planning Board, at a meeting held on Monday; May 10, 2004, adopted the following resolution: WHEREAS, this proposal is for a cluster set-off of a 30,000 square foot parcel from an existing 163,229 square foot parcel located on the north side of New York State Route 25, approximately 367 feet west of Stars Road, known as 9395 Main Road, in East Marion; SCTM#1000-31-3-11; and WHEREAS, following the transfer, Lot 1 will equal 133,229 square feet and Lot 2 will equal 30,000 square feet, pursuant to Article XVIII Cluster Development (100-180) of the Town of Southold Town Code, whereby the 10,000 square feet normally required for Lot 2 is being left with Lot 1; and WHEREAS, the applicant sought to extend the May 13, 2003 conditional sketch plan approval date and the Planning Board granted the extension for six months; and WHEREAS, on May 12, 2003 the Southold Town Planning Board, acting under the State Environmental Quality Review Act, performed an uncoordinated review of this Unlisted Action. The Planning Board establishes itself as lead agency, and as lead agency, made a determination of non-significance and granted a Negative Declaration; and r' i East Marion Fire District— Page Two— 5/11/04 WHEREAS, the applicant sought to extend the November 10, 2003 conditional sketch plan approval date and the Planning Board granted the extension for six months; therefore, be it RESOLVED, that the Southold Town Planning Board grant a six month extension from the date of this resolution on the conditional sketch plan approval on the map, dated May 9, 2003, subject to the following conditions: 1. The 2 story framed house structure located on Lot 1 be moved within twelve (12) months of the date of this resolution unless an extension of time is requested by the applicant and granted by the Planning Board. The new location of the structure must be within the building envelope of Lot 2 and conform to all applicable setbacks as defined by Section 100-31 as required by the Town Code of the Town of Southold. 2. The final map of the Clustered Set-Off for East Marion Fire District conform and comply with Article XVIII Section 100-181 of the Southold Town Code as required. 3. The final map be revised to include proper size of Lot 1 & Lot 2 and state that in the event of future subdivision of Lot 1, the yield calculation of Lot 1 must deduct 10,000 square feet of Lot 2 permanent cluster open space. This language must be included in a Covenant and Restriction filed with the Clerk of Suffolk County. Upon filing, the liber and page number must be included upon the final map. 4. The submittal of eight (8) paper prints and three (3) mylars maps, must contain a current stamp of Health Department approval and must be submitted before a final public hearing will be set. 5. Please submit a New York State Department of Transportation curb cut permit as required. Sketch plan approval is conditional upon the submission of final maps within six months of the date of sketch plan approval unless an extension of time is requested by the applicant and granted by the Planning Board. Please contact this office if you have any questions regarding the above. Very truly yours, Jerilyn B. Woodhouse Chairperson Submission Without a Cover Letter Sender: - y Subject: Se/ — 6FF SCTM#: 1000 - � _ o�/� pp U 14 , Date: /7/0 M A1' 1 0 2004 Comments: � � 5 Southold Town ��)'�� planning Boar 1 . CS1,�J� EDWARD JOHN BOYD V ATTORNEY AND COUNSELLOR AT LAW ® C 1}(1 54655 MAIN ROAD �J P.O.BOX SOUTHOLD,NEW YO YORK 11971 44 (631)765.1555 i� MAY - 7 2004 FACSIMILE:(631)765.5969 E-MAIL:ejb@elilaw.net 1287 FAST MAIN STREET Southold Town RIVERHEAD,NEW YORK 11901 Planning F.o^f d (631)7274010 FACSIMILE:(631)727.5524 E-MAIL:ejb@elilaw.net October 31, 2003 Southold Town Planning Board Town Hall, 53095 Main Road P.O. Box 1179 Southold,NY 11971 Re: EAST MARION FIRE DISTRICT Tax Map No.1000-31-03-11.30 Southold Town Planning Board: On behalf of the applicant, the East Marion Fire District, this letter is to request an extension of time to obtain approval from the New York State Department of Transportation for a "curb cut," which approval is necessary to complete the set off of a new building lot located on the North side of Main Road, East Marion. Appropriate application has been made to the DOT by the contract vendee as required under the terms of our Agreement of Sale, but final approval has not yet been received. Thanking you for your attention to this request, I am, V truly yours, Edward John Boyd V EJB/bv THIS DECLARATION made this day of May, 2004 by EAST MARION FIRE DISTRICT, a municipal corporation, having its principal office and place of business at 9245 Route 25, P.O. Box 131, East Marion,New York, 11939, hereinafter referred to as the DECLARANT, as the owner of the premises described in Schedule "A" annexed hereto (hereinafter referred to as the PREMISES) desires to restrict the use and enjoyment of said PREMISES and has for such purpose determined to impose on said PREMISES covenants and restrictions and does hereby declare that said PREMISES shall be held and shall be conveyed subject to the following Covenants and Restrictions: 1. WHEREAS DECLARANT has made application to the Southold Town Planning Board for a cluster set-off of a 30,000 square foot parcel from the existing 163,229 square foot area of said PREMISES; and 2. WHEREAS following the set-off Lot 1 will equal 133,229 square feet and Lot 2 will equal 30,000 square feet, and pursuant to Article XVIII Cluster Development (100-180) of the Town of Southold Town Code, whereby the 10,000 square feet normally being required for Lot 2 is being left with Lot 1; X ' 3. THEREFORE, DECLARANT, its successors',heirs or assigns, AGREES that in the event of future subdivision of Lot 1, the yield calculation of h6t 1 must deduct the 10,000 square feet of Lot 2 permanent cluster open space` This Covenant and Restriction shall run with the land and shall be binding upon the DECLARANT, its successors and assigns, and`upoW all persons or entities claiming under them, and may be terminated, revoked or amended only`'with the written consent of the Southold Town Planning Board. EAST MARION FIRE DISTRICT Donald Dzenkowski, Chairman Submission Without a Cover Letter Sender: t � U 7 2004 Subject: . M•F- p Southold Town Planning SUM SCTM#: r000- D ate:- �� Coanments: l 9 a r PLANNING BOARD MEMBERS BENNETT ORLOWSKI,JR. �O�O CMG P.O. Box 1179 Chairman o y:�e Town Hall, 53095 State Route 25 ti Southold, New York 11971-0959 RICHARD CAGGIANO v, • Telephone (631) 765-1938 WILLIAM J.CREMERS O Fax(631) 765-3136 KENNETH L.EDWARDS y 0� MARTIN H.SIDOR ��.( `�►a PLANNING BOARD OFFICE TOWN OF SOUTHOLD November 11, 2003 Edward Boyd, Esq. 54655 Main Road Southold, New York 11971 Re: Proposed Set-Off of East Marion Fire District Located approximately 367'west of Sta�s Road on the north side of the Main Road in East Marion 7 SCTM#1000-31-3-11.30 Zone: HB & R-40 Dear Mr. Boyd: The Southold Town Planning Board, at a meeting held.on Monday, November 10, 2003, adopted the following resolution: WHEREAS, this proposal is for a cluster set-off of a 30,000 square foot parcel from an existing 163,229 square foot parcel located on the Main Road, approximately 367' west of Stars Road in East Marion (SCTM#1000-31-3-11.30); and WHEREAS, following the transfer, Lot 1 will equal 133,229 square feet and Lot 2 will equal 30,000 square feet, pursuant to Article XVIII Cluster Development (100-180) of the Town of Southold Town Code, whereby the 10,000 square feet normally required for Lot 2 is being left with Lot 1; and WHEREAS, the applicant sought to extend the May 13, 2003 conditional sketch plan approval date for six months; and WHEREAS, on-May 12, 2003 the Southold Town Planning Board, acting under the State Environmental Quality Review Act, performed an uncoordinated review of this Unlisted Action. The Planning Board establishes itself as lead agency, and as lead agency, made a determination of non-significance and granted a Negative Declaration; be it therefore RESOLVED, that the Southold Town Planning Board grant a six month extension from the date of this resolution on the conditional sketch plan approval on the map, dated May 9, 2003, subject to the following conditions: r , East Marion Fire District— Page Two — 11/11/03 1. The 2 story framed house structure located on Lot 1 be moved within twelve (12) months of the date of this resolution unless an extension of time is requested by the applicant and granted by the Planning Board. The new location of the structure must be within the building envelope of Lot 2 and conform to all applicable setbacks as defined by Section 100-31 as required by the Town Code of the Town of Southold. 2. The final map of the Clustered Set-Off for East Marion Fire District conform and comply with Article XVIII Section 100-181 of the Southold Town Code as required. 3. The final map be revised to include proper size of Lot 1 & Lot 2 and state that in the event of future subdivision of Lot 1, the yield calculation of Lot 1 must deduct 10,000 square feet of Lot 2 permanent cluster open space. 4. The submittal of eight (8) paper prints and three (3) mylars maps, must contain a current stamp of Health Department approval and must be submitted before a final public;hearing will be set. i 5. Please submit a New York State Department of Transportation curb cut permit as required. Sketch plan approval is conditional upon the submission of final maps within six months of the date of sketch plan approval unless an extension of time is requested by the applicant and granted by the Planning Board. Please contact this office if you have any questions regarding the above. Very truly yours, Bennett Orlowski, Jr. Chairman ✓fir' v EDWARD JOHN BOYD V ATTORNEY AND COUNSELLOR AT LAW 54655 MAIN ROAD P.O.BOX 1468 SOUTHOLD,NEW YORK 11971 (631)765.1555 FACSIMILE:(631)765-5969 E-MAIL:ejb@elilaw.net 1287 EAST MAIN STREET RIVERHEAD,NEWYORK 11901 (631)727.1010 FACSIMILE:(631)727.5524 E-MAIL:ejb@elilaw.net October 31, 2003 Southold Town Planning Board Town Hall, 53095 Main Road P.O. Box 1179 Southold,NY 11971 Re: EAST MARION FIRE DISTRICT Tax Map No.1000-31-03-11.30 Chairman Orlowski and Members of the Board: On behalf of the applicant, the East Marion Fire District,this is to request an extension of time to submit the approvals from other authorities which are necessary to complete the set off of a new building lot located on the North side of Main Road, East Marion. This request is being made as the contract vendee has not yet secured these approvals as he is required to do under the terms of our agreement of Sale. Thanking you for your attention to this request, I am, Ve my yours, Edward John Boyd V EJB/bv C C EDWE NOV - 3 2003 Southold Town Planning Board EDWARD JOHN BOYD V ATTORNEY AND COUNSELLOR AT LAW 54655 MAIN ROAD P.O.BOX ® E C E „„ E SOUTHOLD,NEW YO YORK 11971 U (631)765.1555 FACSIMILE:(631)765.5969 1287 EAST MAIN STREET E-MAIL:ejb@elilaw.net J U L 1 8 2003 RIVERHEAD,NEW YORK 11901 (631)727.1010 FACSIMILE:(631)727.5524 Southold Town E-MAIL:ejb@elilaw.net Planning Board July 17, 2003 Southold Town Planning Board Town Hall, 53095 Main Road P.O. Box 1179 Southold,NY 11971 Re: EAST MARION FIRE DISTRICT Tax Map No.1000-31-03-11.30 Chairman Orlowski and Members of the Board: At a meeting held this date with the Suffolk County Water Authority(SCWA) we were advised that since the water connection for the structure which will be moved onto the set-off lot is already in place and is located wholly on the set-off lot, no further application needs be made to the SCWA to provide domestic water for this structure. It will only be necessary at the time of reconnection for the owner to arrange with SCWA for the installation of a water meter vault at a cost of$150.00 as the SCWA no longer installs meters in basements. The East Marion Fire District will make its own application to the SCWA for a separate and distinct connection located wholly upon its property to provide domestic water service to its structures.' Thanking you for your attention to this matter, I am, y' ( Very truly yours, I Edward John Boyd V EJB/bv T w 6P State of New York Department of Transportation State Office Building 250 Veterans Memorial Highway Hauppauge.NY 11788=5518 EU'jm og uluueld Subimal Chakraborti,P.E. oj ploglnos Jose H.Boardman Regional Director mmissioner June 30, 2003 Z �n r Mr. Edward John Boyd V, Esq,Attorney and Counselor at Law 54655 Main Road, P.O. Box 1468 Southold, New York 11971 Your May 22, 2003 Submission Residential Access Site Plan Dated May 9,2003,Last Revision MU 21,2003 Route 25,East Marion SCTM 1000-31-03-11.30 _. Our Case No. 03-140P Dear Mr.'-B ' ._ This is in regard to the site plans for the referenced project which were submitted to us for review. Prior to an approval of the site's access and issuance of a New York State Highway Work Permit', the following items must be addressed: 1. The site plans shall be prepared including all information noted on the attached checklist of items to be included on the plans. All work and material details for the entrance, curb and sidewalk work shall be referenced to NYSDOT specification item numbers. We have enclosed our publications, Standard Drawings for Permit Applications and Manual of Uniform Traffic Control Devices to assist the applicant in the preparation of plans. 2. A note should be added to the plans requiring the contractor to clean existing drainage basins along and immediately adjacent to the Route 25 site frontage at the completion of construction. 3. The plan must include the note "Repair existing shoulder, sidewalk and curbing as ordered by State Engineer." 4. The existing residential access to the parcel purchased by the Fire District will not be sufficient for use by the Fire Department and-they should-obtain a Highway Work Permit to close this access point. If the Fire Department wishes to'utilize_any part of this frontage for access or proposes any work within State Highway right-of-way,they will need to provide us with a request for a Highway Work Permit along with four sets of plans detailing any proposed work as per the attached checklist of items to be included on the plans. Please submit four sets of revised plans. A. Mr.Edward John Boyd V June 30,2003 Page 2 Review of the subject material is being coordinated by Mr. Mark Wolfgang. He can be contacted at (631) 952-7973 if you have any questions regarding this matter. Please send all correspondence to his attention. Kindly refer to the subject case number and County tax map number in all correspondence. Very truly yours, Original Signed By SHAIK A. SAAD, P.E. Civil Engineer III Traffic Engineering and Safety cc: Mr. Peter Harris, Superintendent of Highways, Town of Southold Ms. Valerie Scopaz,Planning Director,Town of Southold SAS:MW SITUAAN REQUIREMENTS CHECKLIST: QF'A. Location and dimensions of existing highway pavement, curb, sidewalk, median,median openings, guide rail, utilities, signs (including size and text), pavement markings, bus stops, overhead and underground traffic signal equipment, right-of-way lines, controlled access lines and property lines. B. Existing and proposed buildings, appurtenances and drive-through windows. ¢_. d . Design features, referencing the latest edition of the NYS Standard ecifications, to be incorporated in proposed work: Driveway pavement type and dimensions. �Aziw Radii of driveway returns and other points of curvature. Driveway grades or profiles, indicating low point on private property. 4 Angle of driveways relative to roadway center line. Dimensions of roadside control islands and driveway medians. �¢. Dimensions of curb and sidewalk relative to pavement edge. "y7. Details of internal traffic circulation, including proposed signs, 141 { pavement markings and traffic signal equipment. _,�ZI`18. North arrow and scale on each applicable sheet. x Size, type and grade of existing and proposed drainage features. Plastic pipe is not permitted within State right-of-way. �y E. Distance from each existing and proposed driveway to each adjacent driveway and cross street, including adjacent property lines and streets and driveways opposite the site. Maintenance and protection of traffic plans. A Maintenance and Protection of Traffic plan must be provided for work on Route 25. The plan must include the note "All lanes must be open to traffic before 9 AM and after 3 PM. No lane closings are permitted on weekends or holidays. Nighttime lane closings will not be permitted without prior approval from the State Permit Inspector." G. Traffic signal plans must be shown on a separate sheet including pavement markings, turn lanes, driveways, sidewalks and pedestrian ramps, crosswalks,buildings, poles,power supply,pullboxes, conduit, controller, head layout including face numbering, detection, right-of-way lines and signing. All work must be referenced to the latest edition of the NYS Standard Specifications. The plans must show existing features, such as drainage and utilities, which may conflict with the proposed signal. Tables of Operations, Clearances, Switchpacks, Input Wiring and Loop Wiring must be included along with a Phasing Diagram and Estimate of Quantities. Aerial photograph of the site and environs. I. Beginning and ending reference markers. El: I' MARION FIRE DISTk ,T Board of Fire Commissioners 75 PO Box 131 - Main Road - East Marion, NY 11939 (631) 477-0163 • Fax (631) 477-8310 Email: EMFDistrict@optonline.net June 23, 2003 Mr. Bruno Semon Planning Board Town of Southold PO Box 1179 Southold,NY 11971 Dear Mr. Semon, In regard to SCTM# 1000-31-11.3, the Board of Fire Commissioners has decided that no fire well is required for the above-mentioned subdivision. Thank you for your cooperation. Very truly yoijrs, it/ odbWi%la E Walter Gaipa Fire District Secretary JUN 25 W ntMOM fawn FA402inninjBoarA Submission Without a Cover Letter Sender: �• Subject: /_- SCTM#: 1000- Date: Comments: G��. � 30� �X � �� ��• SET-OFF Southold Town Plannin Board *PLANNING BOARD MEMBERS O�Q$UFFO��CO 9 BENNETT ORLOWSKI,JR. �� oy P.O. Box 1179 Chairman o= Town Hall, 53095 State Route 25 W = Southold,New York 11971-0959 RICHARD CAGGIANO Telephone(631) 765-1938 WILLIAM J.CREMERS KENNETH L.EDWARDS Fax(631) 765-3136 �Ol ��� MARTIN SIDOR ' PLANNING BOARD OFFICE TOWN OF SOUTHOLD June 18, 2003 Mr. Edward Boyd 54655 Main Road Southold, NY 11971 Re: East Marion Fire District Main Road East Marion,N.Y. SCTM# 1000-31-3-11.3 Zones: HB &R-40 Dear Mr. Boyd, In reviewing the proposed cluster set off application submitted to the office, the Planning Board(PB) found the following elements are needed to proceed. Please reference the attached Town Board Resolution no. 322 of May 20, 2003 which requires the Planning Board to collect the appropriate fee's. At this time please submit the required$ 250.00 application fee as required under the above referenced resolution. Please endorse payments to the Town of Southold. If there are any questions you can contact us at(631) 765-1938 between the hours of 8:00 a.m. and 4:00 p.m. Resp fully ours, --B o e n Senior Site Plan Reviewer CC:file 1177 -F I v ELIZABETH A.NEVILLE ��O OGy Town Hall, 53095 Main Road TOWN CLERK Ca P.O. Box 1179 W Z Southold, New York 11971 REGISTRAR OF VITAL STATISTICS �s• of MARRIAGE OFFICER Gy •S �'� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER O'� �� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 322 OF 2003 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON MAY 20, 2003: RESOLVED that the Town Board of the Town of Southold hereby adopts the following as a TOWN POLICY on Waiver of Fees: RESOLVED that the Town Board of the Town of Southold hereby determines that fees charged by the Town, including but not limited to the Planning Board, Zoning Board of Appeals, Town Clerk,Board of Trustees and the Solid Waste Management District, shall not be waived for any special district, not-for-profit'organization or public entity, with the sole exception being that fees may be waived for projects involving municipal clean-ups. Elizabeth A. Neville Southold Town Clerk rSo2 2 2003uthold Town annin Board .__._ w 1� State of New York Department of Transportation State Office Building 250 Veterans Memorial Highway Hauppauge,NY 11788-5518 Subimal Chakraborti,P.E. Joseph H.Boardman Regional Director Commissioner June 6, 2003 Mr. Edward John Boyd V,Esq, Attorney and Counselor at Law 54655 Main Road, P.O. Box 1468 Southold,New York 11971 Your May 22, 2003 Submission Residential Access Site Plan Dated May 9,2003,Last Revision May 21,2003 Route 25, East Marion SCTM 1000-31-03-11.30 Our Case No. 03-140P Dear Mr:„Boyd This is to acknowledge receipt of your submission on the above permit application. This permit application should be sensitive to the unique visual and historic.setting of the Long Island North Shore Heritage Area, which runs from the Queens/Nassau County line to Orient :Point, and from Route 25 or 1495, whichever is farther south, north to Long Island Sound. In all future correspondence, please refer to the subject case number. The plans must also include the County tax map number. Review of the subject material is being coordinated by Mr. Mark Wolfgang. Henan be contacted at (631) 952-7973 if you have any questions regarding this matter. Please send all correspondence to his attention. Thank you for your cooperation concerning this matter. Very truly yours, D E E Signed By !SHAIK A--SAAD, P.E. Civil Engineer III Traffic Engineering and Safety °d ►A� f P,lannln&.pa d SAS:MW iw'Mr. Peter Harris, Superintendent of Highways, Town of Southold Ms. Valerie Scopaz, Planning Director, Town of Southold PLANNING BENNETBORLOD MIEMB ERS �oG p,p, Box 1179 Chairman = 'y� Town Hall, 53095 State Route 25 o - Southold, New York 11971-0959 RICHARD CAGGIANO y Telephone (631) 765-1938 WILLIAM J.CREMERS O Fax (631) 765-3136 KENNETH L.EDWARDS MARTIN H.SIDOR PLANNING BOARD OFFICE TOWN OF SOUTHOLD May 13, 2003 Edward Boyd, Esq. 54655 Main Road Southold, New York 11971 RE: Proposed Set-Off of East Marion Fire District Located on the Main Road, approximately 367' west of Stars Road in East Marion SCTM#1000-31-3-11.30 Zone: HB & R-40 Dear Mr. Boyd: The Southold Town Planning Board, at a meeting held on Monday, May 12, 2003, adopted the following resolutions: WHEREAS, this proposal is for a cluster set-off of a 30,000 square feet parcel from an existing 163,229 square,feet parcel located on the Main Road, approximately 367' west of Stars Road in East Marion (SCTM#1000-31-3-11.30); and WHEREAS, following the transfer, Lot 1 will equal 133,229 square feet and Lot 2 will equal 30,000 square feet, pursuant to Article XVlll Cluster Development (100-180) of the Town of Southold Town Code, whereby the 10,000 square feet normally required for Lot 2 is being left with Lot 1; be it therefore RESOLVED, that the Southold Town Planning Board, acting under the State Environmental Quality Review Act, do an uncoordinated review of this Unlisted Action. The Planning Board establishes itself as lead agency, and as lead agency, makes a determination of non-significance and grants a Negative Declaration; and be it FURTHER RESOLVED, that the Southold Town Planning Board grant conditional sketch plan approval on the map, dated May 9, 2003, subject to the following condition: 1. The 2 story framed house structure located on Lot 1 be moved within twelve (12) months of the date of this resolution unless an extension of time is requested by the applicant and granted by the Planning Board. The new location of the structure must be within the building envelope of Lot 2 and conform to all applicable East Marion Fire District— Page Two — 5/13/03 setbacks as defined by Section 100-31 as required by the Town Code of the Town of Southold. 2. The final map of the Clustered Set-Off for East Marion Fire District conform and comply with to Article XVI II section 100-181 of the Southold Town Code as required. 3. The final map be revised to include proper size of Lot 1 & Lot 2 and state that in the event of future subdivision of Lot 1, the yield calculation of Lot 1 must deduct 10,000 square feet of Lot 2 permanent cluster open space. 4. The submittal of eight (8) paper prints and three (3) mylars maps, must.contain a current stamp of Health Department approval and must be submitted before a final public hearing will be set. 5. Please submit a New York State Department of Transportation curb cut permit as required. Sketch plan approval is conditional upon the submission of final maps within six months of the date of sketch plan approval unless an extension of time is requested by the applicant and granted by the Planning Board. Enclosed please find a copy of the Negative Declaration for your records. Very truly yours, Bennett Orlowski, Jr. Chairman enc. PLANNING BOARD MEMBERS SUFFO(�- BENNETT ORLOWSKI,JR. �Q�o CMG P.O. Box 1179 Chairman ?'� Town Hall, 53095 State Route 25 o - Southold, New York 11971-0959 RICHARD CAGGIANO coTelephone (631) 765-1938 WILLIAM J. CREMERS Fax(631) 765-3136 KENNETH L.EDWARDS y Q� MARTIN H.SIDOR PLANNING BOARD OFFICE TOWN OF SOUTHOLD State Environmental Quality Review NEGATIVE DECLARATION Notice of Determination Non-Significant May 12, 2003 This notice is issued pursuant to Part 617 of the implementing regulations pertaining to Article 7 (State Environmental Quality Review Act) of the Environmental Law. The Southold Town Planning Board, as lead agency, has determined that the proposed action described below will not have a significant effect on the environment and a Draft Environmental Impact Statement will not be prepared. Name of Action: Proposed Set-Off for East Marion Fire Department SCTM#: SCTM#1000-31-3-11.30 Location: Located on the Main Road, 367' West of Stars Road in East Marion SEAR Status: Type I ( ) Unlisted (X) Conditioned Negative Declaration: Yes ( ) No (X) Description of Action: The applicant proposes to set off a 0.6887 acre parcel from an existing 3.747 acre parcel. Following the transfer, Parcel 1 will equal 3.0583 acres and Parcel 2 will equal 0.6887 acres. Reasons Supporting This Determination: An Environmental Assessment Form has been submitted and reviewed. No sensitive features exist on site. SEQR Negative Declaration - Page Two The determination was based upon the following: No substantial adverse change in existing air quality, ground or surface water quality or quantity, traffic or noise levels; a substantial.increase in solid waste production; a substantial increase in potential for erosion, flooding, leaching or drainage problems will occur as a result of this action. No the removal or destruction of large quantities of vegetation or fauna; substantial interference with the movement of any resident or migratory fish or wildlife species; impacts on a significant habitat area; substantial adverse impacts on a threatened or endangered species of animal or plant, or the habitat of such a species; or other significant adverse impacts to natural resources will occur. The proposed action is not adjacent to a Critical Environmental Area as designated pursuant to subdivision 617.14(g). The proposed action is not in a material conflict with a community's current plans or goals as officially approved or adopted. The proposed action will not impair the character or quality of important historical, archaeological, architectural, or aesthetic resources or of existing community or neighborhood character. No major change in the use of either the quantity or type of energy will occur. No the creation of a hazard to human health will occur. The proposed action will not cause a substantial change in the use, or intensity of use, of land including agricultural, open space or recreational resources, or in its capacity to support existing uses. Based upon such, no significant adverse impacts to the environment are expected to occur should the project be implemented as planned. For Further Information: Contact Person: Bruno Semon, Senior Site Planner Address: Planning Board Telephone Number: (631) 765-1938 Enc. cc: Roger Evans, DEC Stony Brook Suffolk County Dept. of Health Suffolk County Planning Commission Elizabeth Neville, Town Clerk Applicant rS'ub tisston, Without a Cover Letter Subject: I-J6w .. � Date: Continents: M UAY sougbAoTf'kT�,vn WORK SESSION AGENDA SOUTHOLD TOWN PLANNING BOARD April 28, 2003 4:30 pm SITE PLANS Pindar Vineyard 37645 Main Road Southold,N.Y. SCTM: 1000-85-2-15 Zone: AC Representation: Mr. H. Da anos RE: 1. Pre-s ission of an AS-Built renovation. Albertson Marine, Inc. 37645 Main Road Southold,N.Y. SCTM: 1000-56-3-15 Zone: MH Representation: Mr. T cCarthy RE: 1) Pr ubmission of Site Plan. MAJOR AND MINOR SUBDIVISIONS, LOT LINE CHANGES., SET OFF APPLICATIONS East Marion Fire District Main Road East Marion,N.Y. SCTM# 1000-31-3-11.3 Zones: HB &R-40 Representation: Mr. Boyd RE: 1) Recommend an uncoordinated SEQRA review & conditional sketch plan approval at May 12 Public Meeting. bs 4/25/03 Page 1 of 1 Semon, Bruno From: Kalin, Carol Sent: Monday, April 28, 2003 8:16 AM To: Semon, Bruno Subject: FW: Highpoint Estates @ East Marion, Sec. III -----Original Message----- From: Cooper, Linda Sent: Thursday, April 24, 2003 9:12 AM To: Kalin, Carol Subject: Highpoint Estates @ East Marion, Sec. III I have carefully reviewed our records and find no payment for"Park & Playground" feE Highpoint Estates @ East Marion, Sec III 4/28/03 PLANNING BOARD MEMBERS " r-, �k��t; . � SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman Supervisor George Ritchie Latham, Jr. Richard G. Ward '_ Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1 179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 June 6 , 1991 Herbert R. Mandel J 443 Main Street s a /riT o Greenport, New York 11944 /] /� 00 d�ro� �a�c✓INrsldrl RE: Highpoint at East Marion, Section Three SCTM#1000-31-3-11. 25 Dear Mr. Mandel: The following resolution was duly adopted by the Southold Town Planning Board at a meeting held on Tuesday, June 4, 1991. WHEREAS, Herbert Mandel is the owner of the property known and designated as SCTM#1000-31-3-11. 25, located on the north side of N.Y.S. Route 25; 364 . 42 feet west of Stars Road in East Marion; and WHEREAS, this major subdivision, to be known as Highpoint at East Marion, Section Three is for 3 lots on 2. 9189 acres; and WHEREAS, the Southold Town Planning Board, pursuant to the State Environmental Quality Review Act, (Article 8) , Part 617, declared itself Lead Agency and issued a Negative Declaration on October 16, 1989; and WHEREAS, a final public hearing was closed on said subdivision application at the Town Hall, Southold, New York on April 22, 1991; and WHEREAS, all the requirements of the Subdivision Regulations of the Town of Southold have been met; and be it therefore, Page 2 Highpoint at East Marion,. Section Three RESOLVED, that the Southold Town Planning Board approve and authorize the Chairman to endorse the final survey dated November 27, 1989, subject to the decision of the Planning Board for the need of a fire well. Please contact this office if you have any questions regarding the above. Very truly yours, / Bennett Orlowski, Jr. Chairman cc: William D. Moore •,�p�ON7EE,� a �`/ EAST MARION FIRE DISTRICT P.O. BOX 131 • MAIN ROAD EAST MARION, NEW YORK 11939 BOARD OF FIRE COMMISSIONERS April 17, 2003 Southold Town Planning Board Town Hall, 53095 Main Rd. PO Box 1179 Southold, NY 11971 Re: The Square at East Marion Tax Map No. 1000-31-03-11.2 Chairman Orlowski and Members of the Board, We have been made aware that the Planning Board has an open file begun on or about December 14, 1984, entitled"Site Development Plan of The Square At East Marion". Since this file was begun by a previous owner of the lands now owned by the East Marion Fire District, and as the above-referenced file does not in any way agree with the District's plan for the property, it would be appreciated if you would accept this letter as a request to abandon said Site Development Plan and to close your file. Thanking you for your attention to this matter, I am, Ve 1 Dona d e ws ai an Board of Fire Co issioners APR 1 g Southold Town . Plannin BoarQ PLANNING BOARD MEMBERS �OSVFF01/r P.O. Box 1179 BENNETT ORLOWSKI,JR. �O Chairman = y� Town Hall, 53095 State Route 25 o Southold, New York 11971-0959 RICHARD CAGGIANO W Telephone(631) 765-1938 WILLIAM J.CREMERS O Fax(631) 765-3136 KENNETH L.EDWARDS y MARTIN H.SIDOR ��,( �a PLANNING BOARD OFFICE TOWN OF SOUTHOLD April 18, 2003 Mr. Edward Boyd 54655 Main Road Southold,NY 11971 Re: East Marion Fire District Main Road East Marion,N.Y. SCTM# 1000-31-3-11.3 Zones: HB &R-40 Dear Mr. Boyd, In reviewing the proposed cluster set off application submitted to the office,the Planning . Board(PB) found the following elements to be deficient. The cluster set off application will need the following to be processed: 1. Amend and add the term"Clustered Set-Off for East Marion Fire District"to the title. 2. Add the notation"This map is a cluster subdivision designed in accordance with NYS Town Law Section 278 and Southold Town Code Section 100-180". 3. Please refer to Town Code sections 100-181 (C,D, E,F, G) and comply in full. Show the yield of the cluster as required. 4. Add all as required: five foot(5') contours lines, key map (preferred 1 inch=600 feet), approximate boundaries of forested areas and existing trees,test hole diagram, name of person that drilled test hole and date,proposed water supply and sewage treatment, and name of adjacent property owners and zone. 5. Please apply for Suffolk County Health Department approval. This.will be required before final approval from the PB. 6. Please apply for NYS DOT curb cut approval. This will be required before final approval from the PB. Please submit eight(8) copies of the revised plan. If there are any questions you can contact us at(631) 765-1802 between the hours of 8:00 a.m. and 4:00 p.m. Re ec fully s, B em Senior Site Plan Reviewer CC:file Semon, Bruno To: Glew, Claire Subject: RE: 31-3-11.30 Hi Claire, Are you going to change tax cards to reflect the new number? Thank You Bruno -----Original Message----- From: Glew,Claire Sent: Tuesday,April 08,2003 10:33 AM To: Semon, Bruno Subject: 31-3-11.30 Bruno, 31-3-11.30 includes 31-3-11.27, 11.28, 11.29 & 19.1. Claire 1. TOWN OF SOUTHOLD PROPERTY RECORD CARD 0 wl"I R STREET VILLAGE DIST SUB. LOT IVAIAl FORMER OWNER N E ACR. 1)a S W TYPE OF BUILDING SEAS. VL. FARM COMM. CB. MICS. Mkt. Value c6bg qD - IMP. TOTAL DATE REMARKS JZ 7 445-^ 11 6 t3 f b re, f6-,0 A?6, ;//,Z",a�.1 -L56f-E; p5 Z a's 41, Wci 1 Ljo 0 GE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowl,and DEPTH House Plot BULKHEAD Total DOCK ;. �dE■■■■■E■■ MOE It, AN 01 OMEN 0 NO fa �� ■ ■■■■■■■■■■■■■■■■MEN■EI ■■■■■ . ■■■■■■■■■■■EN ■■■OMEN ■■■■■■ man MENEM � MEMO■■■■■M■M■■■E■�E�OE®a�■NEON ■■■■■■■■■ ■■■■■2"S�l�■t■A!!■i■■■■■ -' -=-- ■■■■■■■■■■E■■■■■ 110 ON �.r■■. � ■■ ■NNE■■■■■UMMM1■■■H 10sa iiE■■■■J , ■■■�■■■■■■m■N■■■■ ■E■■■■■■■■■ ii■i■■s■■■■`�dl■�■■■■■!■■■■�■■■ ■■■■■■■■■■e■■■■■M■■■■■n■ : .. - ■ ■ :ia■■■■■■■■■■ ■■■■EI■■■■■■■■■ ■■■E■■■■■■■■ee■�iE■ ■MEMO a■E■■■■■■■■M�i■■■�■■■■■a■■■■■ ■■.■E■■■■■■■■.......■..■..mom % .■■■.■■........■■■■:Ext. Walls - • Fire'Place -• •• F SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DISTRICT SUB. 'LOT FORMER OWNER t� N E ACREAGE :., !5 W TYPE OF BUILDING Z, �-}- RES. S SEAS. VL. FARM COMM. IND. CB. MISC. LAND IMP. TOTAL DATE REMARKS ,..:�':�.i.1L_6.f�+.� C» J` t t_.i t`5 3 i �t •�,.m -a w.:�.�' 00 vOtt l� e� ((� �1V1� 34%a Cc, lta �p I �l Al Y u a :� ..�^V� _ '`� �'` 0 P �/ /' t� y��i 1 w .c �•f-C�/ ��.;7`� •'.•� .I �' O �o t:.l ��= s �r! a. -{' =•� �/�tX>r r c)-� ��0 (ma c a ' ° : -2 APL, :�!4-(::2- 14 1 G g, tfc'� Gist Qtr �`n'� - t' Ibi: C0NDIIT,� 8 1 `4 -t D -P- iqf W O MAL y FLOW ABOVE l ar 5 7 C7�e ( c e A f`9P �spcJs. a�to , Value Till_�i �0� � Y - 2 Tillable, 3 a I ( Swampland Brushland House Plot Tota I 0 -' tF Y r A ,� -'--see.- ■■■■■'��f'�■■■■■■■■■■■■ r f �. �. � TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET 73 VILLAGE DIST. SUB. LOT h rot 4 ACR. REMARKS TYPE OF BLD- PROP. LASS n 6 LAND IMP. TOTAL DATE G 4' Y Q)4a 4�q) 4 — c i-76 C/Y. F�e 2) J 3 40CD o® ® k "goo 10 �oQbl 0 2424;o l to Z PAPS z� ©�c� l��&_ � /� �1e�� -�o rev'ew FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT TOTAL tt ■■■■■■�I■■■■■■■■■IiYiI■■ s ..s pas. � ■■■■■■■■.'n ® :. .. Interior Finish • _ SLAB Fire Place ... . _ .a_ a =�'�Driveway Room.s 2nd Floor • 1 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET , VILLAGE DIST. SUB. LOT o Y� r, b) si ACR.'j I REMARKS --� TYPE OF BLD. PROP. CLASS t LAND IMP. TOTAL DATE C Is Z 0 C t <, z k - 6 1 y s1A c �v /7,4 ) I 4 �� ' � � W,� I /� 9 —� l 3Z �d� 1� �=:� �. �Ufa � • �r��``as�"�z���a- FRONTAGE ON WATER TILLABLE f FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT TOTAL J/o EDWARD JOHN BOYD V ATTORNEY AND COUNSELLOR AT LAW 54655 MAIN ROAD P.O.BOX 1468 SOUTHOLD,NEW YORK 11971 (631)765-1555 FACSIMILE:(631)765-5969 RECEIVED E-MAIL:ejb@elilaw.net 1287 EAST MAIN STREET MAR 2 7 7.003 RIVERHEAD,NEW YORK 11901 (631)727.1010 FACSIMILE:(631)727.5524 E-MAIL:ejb@elilaw.net ZONING BOARD OF APPEALS March 27, 2003 Southold Town Board of Appeals Town Hall, 53095 Main Road Southold,NY 11971 Re: EAST MARION FIRE DISTRICT Tax Map No.1000-31-03-11.30 Greetings: Enclosed please find an Application to the Board of Appeals for a Variance to the Zoning Code allowing the creation of a Set-Off lot having an area of 30,000 square feet and a front footage of 130 feet in an R-40 Zone. An application to the Southold Town Planning Board is being made simultaneously and a copy of the Application to this Board has already been served upon the Southold Town Building Department. Please do not hesitate to contact me if anything else is required. Thanking you for your anticipated prompt and courteous attention to this matter, I am, Ve truly yours, Edward John Boyd V EJB/bv Encs. o� APPLICAI'iON TO THE SOUTHOLD TOWN BOARD OF APPEALS d U j" For Office Use Only ee:$ C=n 1[ Filed By: Date Assigned/Assignment No. Office Notes: Parcel Location: House No. 9395Street :Main Road Hamlet East Marion SCTM 1000 Section 31 Block03 Lot(s)11 . 3%ot Size • 68A Zone District R-40 I (WE) APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED:. March 26, 2003 Applicant/Owner(s): East Marion Fire District Mailing Address: P .O . Box 131, East Marion, NY 11939 Telephone: 477—0163 NOTE: If applicant is not the owner,state if applicant Is owner's attorney,agent,architect,builder,contract vendee,etc. Authorized Representative: Edward J. Boyd., Esq. Address: 54655 Main Road, Box 1468, Southold, NY 11971. Telephone: 765-1555 Please specify who you wish correspondence tb be mailed to, from the above listed names: ❑ Applicant/Owner(s) 3 Authorized Representative ❑ Other: WHEREBY THE BUILDING INSPECTOR DENIED AN APPLICATION DATED March 25, 2003 FOR: ❑ Building Permit ❑ Certificate of Occupancy ❑ Pre-Certificate of Occupancy ❑ Change of Use ❑ Permit for As-Built Construction X Other: Permit for lot set off Provision of the Zoning Ordinance Appealed. Indicate Article, Section, Subsection and paragraph of Zoning Ordinance by numbers. Do not quote the code. Article IIIA Section 100-30A.3Subsection Type of Appeal. An Appeal is made for: R A 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 Rhas not been made with respect to this property UNDER Appeal No. Year . 1 1, F 1. Page 2 of 3 - Appeal Application Part A: AREA VARIANCE REASONS (attach extra sheet as needed): (1) An undesirable change will not be produced in the CHARACTER of the neighborhood or a detriment to nearby properties, If granted, because: (See Attached Sheet) (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: (See Attached Sheet) (3) The amount of relief requested is not substantial.because: (See Attached Sheet) (4) The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: (See Attached Sheet) (5) Has the variance been self-created? ( ) Yes, or ( x) No. If not, is the construction existing, as built? ( x ) Yes, or ( ) No. . (6) Additional information about the surrounding topography and building areas that relate to the difficulty in meeting the code requirements: (attach extra sheet as needed) This is the MINIMUM that is necessary and adequate, and at the same time preserves and protects the character of the neighborhood and the health, safety, and welfare of the community. ( ) Check this box and complete PART B, Que,S.H6r s on next page to apply USE VARIANCE STANDARDS. (Please consult your attorney.) fherwise lease proceed to the signature and notary area below. Signature of Appellant or Authorized Agent Sworn to before me this 27th (Agent must submit Authorization from Owner) ay of ..Zi k%...... 2003 .Notary ublic) CAROL A.MILLER ZBA App 9/30/02 NOTARY PUBLIC,STATE OF NEW YORK NO. 01 M16003086 QUALIFIED IN SUFFOLK COUNTY 0 COMMISSION EXPIRES FEBRUARY 23,_ L Page 2a-Appeal Application Part A: AREA VARIANCE REASONS (1) An undesirable change will not be produced in the CHARACTER of the neighborhood or a detriment to nearby properties, if granted, because: There will be essentially no change in the neighborhood as it presently exists. The single family residence that is to be moved onto the proposed set-off lot has been in its present location since well before the introduction of zoning regulations to the Town of Southold. The establishment of the proposed set-off lot will enable this residence to exist peacefully on a parcel of its own, well removed from the crowded conditions that surround the East Marion Fire House, and will provide a large enough building envelope that the residence can be situated without the need for front, rear or side yard variances. (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: Applicant has been forced to accept an "as built" situation not of its making, but one which can be made workable through a rearrangement of structures. In 1998, when presented with an opportunity to greatly expand the land surrounding the East Marion Fire House,the applicant did so and also acquired several structures which had been in their present locations for many years. One, a barn, was converted to provide additional storage space for fire apparatus. The other, a single family residence, does not fit into applicant's plans and, additionally, is located too close to an existing driveway used for the ingress and egress of firefighters and fire apparatus. Fortunately for all, the lands acquired in 1998 extend far enough to the East that a set-off lot can be created to receive the residence thereby providing a needed safety buffer area around the Fire Department's operations as well as maintaining a functional structure which has become a fixture in the neighborhood. (3) The amount of relief requested is not substantial because: An examination of the Suffolk County Tax Map for parcels located on the North and South sides of the Main Road in proximity to the applicant's premises reveals that for the 18 properties so situated, 13, or 72% have lot coverage of less than 30,000 square feet. Additionally, of these 18 properties, 17, or 94%, have road frontage of less than 130 feet. It therefore follows that not only will applicant's requested set-off result in a lot fully in keeping with the character of the area, but will, in fact be larger and present with more frontage than most of its neighbors. (4) The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: The property purchased by the applicant in 1998 had been subdivided by its previous owner to yield three residential building lots. This subdivision, entitled "Map of Highpoint at East Marion," was formally abandoned by the applicant on February 26, 2003 and the three lots merged into one. The granting of the instant variance application will, in fact, decrease previously approved population density in the area, will provide a needed buffer area around the East Marion Fire House and will allow for a more efficient operation of the public safety functions performed by the East Marion Fire Department. .t APPLICANT TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of Tower 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: East Marion Fire District (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 or company name.) NATURE OF APPLICATION: (Check all that apply.) Tax Grievance Variance X Change of Zone Approval of Plat Exemption from Plat or Official Map 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, in 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 X 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: Donald Dzenkowski Title or position of that person: Senior Bay Constable Describe that relationship between yourself (the applicant) and the Town officer or employee. Either check the appropriate line A through D (below) and/or describe the relationship in the space provided. The Town officer or employee or his 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), x C) an officer, director, partner, or employee of the applicant; or D) the actual applicant. DESCRIPTION OF RELATIONSHIP Chairman of the Board of Commissioners East Marion Fire District Submitted t�27th d _March, 2003 Signatur Print Name: Edward J . Boyd, Esq. z QUESTIONNAIRE FOR FILING WITH YOUR Z.B.A.APPLICATION A. Is the subject premises listed on the real estate market for sale? Ia Yes ❑No B. Are there any proposals to change or alter land contours? ❑Yes ®No C. 1) Are there any areas that contain wetland grasses? No 2) Are the wetland areas shown on the map submitted with this application? No 3)Is the property bulk headed between the wetlands area and the upland building area? No 4)If your property contains wetlands or pond areas,have you contacted the office of the Town Trustees for its determination of jurisdiction? N/A . D. Is there a depression or sloping elevation near the area of proposed construction at or below five feet above mean sea level? N/A (If not applicable, state"n/a".) E. Are there any patios, concrete barriers,bulkheads or fences that exist and are not shown on the survey map that you are submitting? None (If none exist, please state "none".) F. Do you have any construction taking place at this time concerning your premises? No If yes, please submit a copy of your building permit and map as approved by the Building Department. If none,please state. G. Do you or any co-owner also own other land close to this parcel? Yes If yes, please explain where or submit copies of deeds. Lot 19 . 1 immediately to the West. H. Please list present use or operations conducted at this parcel Municipal Government - Public Safety and proposed use Municipal Government - Public Safety 3/27/03 Authorized Signature and Date PROJECT DESCRIPTION (Please include with Z.B.A: Application) Applicant(s): East Marion Fire District I. If building is existing and alterations/additions/renovations are proposed: A. Please give the dimensions.and overall square footage of extensions beyond existing building_ Dimensions/size: N/A Square footage: N/A B. Please give the dimensions and square footage of new proposed foundation areas which do not extend beyond the existing building: Dimensions/size: N/A Square footage: N/A II. If land is vacant: Please give dimensions and overall square footage of new construction: Dimension/size: 48F/21R x 38 Square footage: c. 1500 Height: c.25 III. Purpose and use of new construction requested in this application: Single Family Residence IV. Additional information about the surrounding contours or nearby buildings that relate to the difficulty in meeting the code requirement(s): V. Please submit seven (7) photos/sets after staking corners of the proposed new construction. 7/02 Please note: Further changes, after submitting the above information, must be placed in writing and may require a new Notice of Disapproval to show changes to the initial plans. If additional time i;s needed, please contact our office, or please check with Building Department (765-1802) or Appeals Department (765-1809) if you are not sure, Thank you, 14.16.4(?/aT)—Text 12 PROJECT I.D.NUMBER 617.21 SEQ1 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART 1-PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT(SPONSOR 2. PROJECT NAME East Marion Fire District Set-Off 3. PROJECT LOCATION: Municipality Town of Southold county Suffolk 4, PRECISE LOCATION(Street address and road Intersections,prominent landmarks,etc.,or provide maps 9395 Main Road (N.Y.S . Route 25) , East Marion, New York immediately to the East of the East Marion Fire House 6. IS PROPOSED ACTION: ®New ❑Expansion .0 Modlllcationfalieration 6. DESCRIBE PROJECT BRIEFLY: Set=off one 30,000 square foot- lot from a 133,000 square foot parcel to receive an existing single family residence which is to be moved from its present location so as to provide more room for fire department and ambulance, operations. T. AMOUNT OF LAND AFFECTED: initially . 68A acres Ultimately .6 8A acres a. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? ❑Yes ®No It No.describe briefly Project requires variance as area and road frontage of proposed set-off lot are less than required in R-40 zone. S. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? 1-®Residenllal 0 Industrial ❑Commercial ❑Agriculture ❑ParWForesuOpen space G Other Describe: 10. GOES ACTION INVOLVE A PERMIT APPROVAL.OR FUNDING,NOW OR ULTIMATELY FROM NNY OTHER GOVERNMENTAL AGENCY(FEDERAL STATE OR LOCAL)? QYes ❑No 11 yes,list agency($)and parmlvaoprovals Southold Town Zoning Board of Appeals, Southold Town Planning Board 11. DOES ANY ASPECT OF THE ACTI,;N HAVE A CURRENTLY VAUD PERMIT OR APPROVAL? 0 Yes Nam. It yec,list agency name and permiUapproval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MOOIFICATION7 O Yes Q No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE " Apakantlsponsor name: and J. Boyd, Esq. , Agent Signature: It the action is in the Coastal Area, and you are a stale agency, complete the Coastal Assessment Form before procoeding with this assessment OVER State of New York County of Suffolk ss.: To: Southold Town Board of Appeals Southold Town Planning Board I, Daniel H. Wood, a Commissioner of the East Marion Fire District, hereby authorize Edward J. Boyd, Esq.,to act as agent of the East Marion Fire District relative to the premises known and described by Suffolk County Tax Map No.1000-31-03-11.30 in Southold,New York, and to handle all necessary work involved in the Area Variance Application and Set-Off Applications before the Southold Town Board of Appeals and the Southold Town Planning Board. Daniel H. Wood Sworn to before me this 27th day of March, 2003 Notary Public CAROL A.MILLER NOTARY PUBLIC,STATE OF NEW YORK NO. 01 M16003086 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES FEBRUARY 23,.._ FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL DATE: March 26, 2003 TO: Edward J. Boyd A/C East Marion Fire District PO Box 1468 Southold, NY 11971 Please take notice that your application dated March 25, 2003 For a permit for a lot set off(subdivision) at Location of property 9395 Main Road, East Marion County Tax Map No. 1000 -,Section 31 Block 3 Lot 11.30 Is returned herewith and disapproved on the following grounds: The proposed lot set off is not permitted pursuant to Article IIIA Section 100-30A.3 which states, "No building or premises shall be used and no building or part thereof shall be erected or altered in the Low Density Residential R-40 District unless the same conforms to the requirements of the Bulk Schedule and of the Parking Schedule with the same force and effect as if such regulations were set forth herein full." The minimum lot size required in the Residential R-40 District according to the bulk schedule, is 40,000 square feet and the minimum required lot width is 150. The proposed lot set off would create a non-conforming lot that measures 30,000 square feet and has a lot width of 130 feet. Although the adjacent lot will meet all zoning requirements with respect to lot size, width and depth, The existing two-story frame house on the east side of Lot 1 will have a side yard setback of 0 feet. However, the applicant intends to move the house to lot 2 wit ' e r uired building envelope if the above referenced variance is granted. 'zed Signature Note to Applicant: Any change or deviation to the above referenced application, may require further review by the Southold Town Building Department. CC: file, Z.B.A. CovElo EDWARD JOHN BOYD V / ATTORNEY AND COUNSELLOR AT LAW1 � °�� 54655 MAIN ROAD /u��uS�sa ��Xio 3 j-3 i/2S P.O.BOX 1468 SOUTHOLD,NEW YORK 11971 (631)765-1555 TAPH IIE 0 14 E FACSIMILE:(631)765.5969 vE-MAIL:ejb@elilaw.net 1287 EASTMAIN STREET RIVERHEAD,NEWYORK 11901 I (itj (631)727.1010 (� FACSIMILE:(631)727.5524 E-MAIL:ejb@elilaw.net Southold Town Planning Board April 9, 2003 Southold Town Planning Board Town Hall, 53095 Main Road P.O. Box 1179 Southold,NY 11971 Re: EAST MARION FIRE DISTRICT Tax Map No.1000-31-03-11.30 Chairman Orlowski and Members of the Board: To supplement the application for the set off of a single building lot from the lands of the East Marion Fire District, it has been suggested that it would be helpful to the Board if I would explain the proposed steps in the development of this lot and the responsibilities of the several parties involved as they are envisioned by the Fire District. It is contemplated that shortly the Fire District will enter into a contract for the sale of the proposed set off lot and the existing single family residence. This contract will be contingent upon the District obtaining the necessary municipal approvals for creation of the set off lot, and the approval of the voters in the District at a mandatory referendum to declare the house and lot surplus property and to authorize the sale of same. Under the terms of the proposed contract of sale, it will be the responsibility of the purchaser to secure the necessary permits (including Health Department, Building Department and Department of Transportation) to allow the relocation of the residence onto the newly created lot. Once those permits are obtained, it will be the responsibility of the purchaser to move the house and to restore the ground at the present location to grade. ° Since the identity of the purchaser and his personal preferences are not known at this time, the District has only outlined a permissible building envelope on the proposed set off lot so as to allow the purchaser maximum flexibility in siting the house. Similarly, although a curb cut is Southold Town Planning Board April 9, 2003 Page 2 of 2 shown on the proposed site plan,the actual location of the cut will be decided by the plans of the purchaser, subject to State approval. Being constrained in its activities by the Wicks Law, requirements for public bidding, and a lack of expertise in the area of construction management, the Fire District has adopted this plan of action in an attempt to expedite the project and to limit the developmental costs to the District while at the same time allowing any prospective purchaser ample flexibility in preparing a plot plan to suit his needs so as to make the concept of purchasing a house that needs to be relocated an attractive proposition to that purchaser. Since the existing house is presently served by public water, gas and electricity, there should be few difficulties involved in having these services moved to the new location. Likewise, since the Health Department will only be called upon to approve the sanitary system for a single family residence located on a 30,000 square foot lot served by public water, approval from that agency should be swift. If there are any questions or suggestions regarding this proposal, please do not hesitate to contact me. Very_truly yours, Edward John Boyd V EJB/bv FYI , 8 2 CTFv Not FEB L06,�2003 �A�-o t� CERTIFICATE OF ABANDONMENT EDWARD F. ROMAINE CLERK OF SUFF=COUNTi Y PURSUANT TO SUBDIVISION 3 OF SECTION 335 OF THE REAL PROPERTY LAW OF THE STATE OF NEW YORK EAST MARION FIRE DISTRICT, a municipal corporation, having its principal office and place of business at 9245 Main Road, East Marion, New York, 11939, for the purpose of abandoning and canceling the subdivision of a certain tract of land owned by it and hereafter described, pursuant to Subdivision 3 of Section 335 of the Real Property Law of the State of New York, does hereby certify: 1. That a certain map subdividing such tract of land and other land situate in the Town of Southold, County of Suffolk and State of New York, into lots, plots, blocks and streets, entitled "Map of Highpoint at East Mai-ion, Section 3, at East Marion, Town of Southold, Suffolk County, New York," filed in the Office of the Clerk of the County of Suffolk on July 15, 1991 as Map No. 9119. 2. That more than eleven years have elapsed since the filing of said map. 3. That the tract of land owned by the undersigned is situate in the Town of Southold and consists of an area not less than one half acre consisting of the lots described as follows: All that certain plot, piece or parcel of land, situate, lying and being at East Marion, Town of Southold, County of Suffolk and State of New York, known and designated as Lots 50, 51 and 52 inclusive, on a certain map entitled, "Map of Highpoint at East Marion, Section 3, at East Marion, Town of Southold, Suffolk County, New York," filed in the Office of the Clerk of the County of 14 8 18 #ABS 00 Suffolk on July 15, 1991 as Map No. 9119. 4. That the Lots above mentioned are unimproved for the use of.'any owning occupant or any other persons having an interest in any part of the said subdivision of lands as shown on the aforesaid map. 5. That the said Lots are hereby abandoned and canceled and effective with due approval and recording thereof. said Lots shall no longer exist. 6. Endorsed hereon will be the approval of the Board of Assessors of the Town of Southold. 7. Submitted herewith is an Abstract of Title to said Dots to be abandoned covering a period of at least twenty years last past and a certificate of a licensed Title Company to the effect that there are no unpaid taxes of tax liens against said lands. In witness whereof, this Certificate is mad and executed this day of January, 2003' EAST MARION FIRE DISTRICT by —� —— Chairman, Board of Co nissioners State of New York, County of Suffolk).: On they.\ A day of January, in the year 2003, before me,the undersigned, personally appeared personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose names) is(are)subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/leer/their capacity, and that by his/her their signature(s) on the instrument, the individual(s), or the person upon alf of which the individual(s) acted, executed the instrument. -- ---•-'----------- �+�V�•,'Si(1 n_,r;�11I t�;'rl...:1 `:1 Ji, 2003 Notary Public: State of New York I, the undersigned, an Assessor of the Town of Southold, Suffolk County, New York. y do approve and consent to the foregoing Certificate of Abandonment. Dated: January'2t-,;F, 2003 TOWN OF SO OLD BOARD OF ASSESSORS by Robert I. Scott, Jr., Ass sor State of New York, County of Suffolk).: On the7,\ th day of January, in the year 2003, before me,the undersi ed, personally appeared Robert 1. Scott,Jr.,personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are)subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity, and that by his/her their signature(s) on the instrument, the individual(s), or the person upon'behalf of whicri the individual(s) acted, executed the instrument. ------------------- Notary Public, State of New York EDWARD JOHN BOYD 511-h Notary Public gate of flc;v York 021300��/U625 Suffoli< CoUilty Commission E::pires April 30, 2003 14 818 #ABS8,110 TITLE NO. 47174.SS CERTIFICATE OF ABANDONMENT FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK, hereby certifies to the Town of Southold and/or County of Suffolk that it has searched the title to the premises herein described from a date 20 years prior to the date hereof and finds that title to said premises herein described is vested in: East Marion Fire District Subject to such mortgage, taxes, tax sales and assessments as appear in the annexed schedules, all of which are part of this certificate. This certificate is made and accepted with the understanding that the Company's liability hereunder is limited to such interest as herein set forth and in no event is the liability of the Company to exceed the sum of One Thousand Dollars ($1,000.00). DATED: February 26, 2003 FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK 5182 GTF9 SANDRA J. G ESKI Nos ASST. VICE PRESIDENT FILED FEB FILED FEB 2 6 2003f EDWARD P. E tLt tW OF SUFFOLK C04JN Y TITLE NO. .47174.SS DESCRIPTION ALL that certain plot, piece or parcel of land, situate, lying and being at East Marion, Town of Southold, County of Suffolk and State of New York, known and designated as Lots 50, 51 and 52 inclusive on a certain map entitled, "Map of Highpoint at East Marion, Section 3, at East Marion, Town of Southold, Suffolk County, New York", filed in the Office of the Clerk of the County of Suffolk on July 15, 1991 as Map Number 9119. TITLE NO. 47174.SS CHAIN OF TITLE Julia Conway and Joseph J. Dzenkowski Deed Liber 9122 cp 465 As Co-Executors of the Last Will and Dated: 12/28/81 Testament of Andrew J. Dzenkowski Rec'd: 12/31/81 A/K/A Andrew Dyenkowski, deceased To Herbert R. Mandel Herbert R. Mandel, died a resident of Suffolk County on 1/14/97 Eugene Kessler, as Executor of the Deed Liber 11932 cp 515 Estate of Herbert R. Mandel, deceased Dated: 11/23/98 To Rec'd: 12/7/98 East Marion Fire District MORTGAGES None TITLE NO. 47174.SS PERIOD SHEET Herbert R. Mandel 12/28/81 to 1/14/97 Eugene Kessler, as Executor 11/14/97 to 12/7/98 East Marion Fire District 11/23/98. to Date FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK SANDRA J. G LESKI ASST. VICE PRESIDENT. TITLE NO. 47174.SS TAXES FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK, hereby certifies that the 2002/03 Real Estate Taxes have been paid in full and that all prior taxes for a period of 20 years have been paid. FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK it C�- SANDRA J. OLESKI ASST. VICE PRESIDENT r EDWARD JOHN BOYD V ATTORNEY AND COUNSELLOR AT LAW 54655 MAIN ROAD P.O.BOX 1468 SOUTHOLD,NEW YORK 11971 (631)765-1555 FACSIMILE:(631) 69 /�f E-MAIL:ejb@elilaw.nelaw.net / r T7 / c7 1287 EAST MAIN STREET RIVERHEAD,NEW YORK 11901 (631)727'1010 FACSIMILE:(631)727.5524 E-MAIL:ejb@elilaw.net pog 8uluueld UMol Pjoy;noS March 27, 2003 Southold Town Planning Board Town Hall, 53095 Main Road a P.O. Box 1179 Southold,NY 11971 Re: EAST MARION FIRE DISTRICT Tax Map No.1000-31-03-11.30 Chairman Orlowski and Members of the Board: Enclosed please find and Application for a Set-Off of property owned by the East Marion Fire District. As you may remember, the property which is the subject of this application is the former Herbert R. Mandel subdivision known as "Map of Highpoint at East Marion, Section 3," which was approved by your Board in 1991. Following Mr. Mandel's death, the Fire District purchased the subdivision from the Mandel Estate on November 23, 1998 with the intention of providing more room for the public safety operations of the East Marion Fire Department. After careful review, it became apparent to the Commissioners of the Fire District that although one of the structures on the acquired premises could be utilized in its existing location to house fire apparatus, the single family residence located just to the East of the East Marion Fire House did not fit with their plans and was located too close to the Fire House to allow safe ingress and egress for firefighters and fire apparatus over the existing driveway. So as to preserve the residence which is a fixture in the community, the Commissioners have decided to make application to the necessary authorities to create a new 30,000 square foot lot with 130 feet of frontage on the Main Road onto which the residence can be moved. As a first step in this process, a Certificate of Abandonment for the previously existing three-lot subdivision was filed with the Suffolk County Clerk on February 26, 2003, a copy of which is Southold Town Planning Board March 27, 2003 Page 2 of 2 enclosed for your ready reference. The Suffolk County Real Property Tax Service Agency has already responded to the subdivision abandonment and has assigned a new tax map number, 1000-31-03-11.30, to the large single lot thus created. As justification for the relief requested by this Set-Off Application, it should be noted that an examination of the Suffolk County Tax Map for parcels located on the North and South sides of the Main Road in proximity to the Fire District's premises reveals that for the 18 properties so situated, 13, or 72% have lot coverage of less than 30,000 square feet. Additionally, of these 18 properties, 17, or 94%, have road frontage of less than 130 feet. It therefore follows that not only will applicant's requested set-off result in a lot fully in keeping with the character of the area, but will, in fact be larger and present with more front footage than most of its neighbors. Submitted with this letter is a Set-Off Application, an Authorization Letter, an Environmental Assessment Form, a Transactional Disclosure Form and eight(8) copies of a sketch plan prepared by Peconic Surveyors, PC. Please do not hesitate to contact me if anything else is required. Thanking you for your anticipated prompt and courteous attention to this matter, I am, Very'lruly yours, Edward John Boyd V EJB/bv Encs. EDWARD JOHN BOYD V ATTORNEY AND COUNSELLOR AT LAW 54655 MAIN ROAD P.O.BOX 1468 SOUTHOLD,NEW YORK 11971 (631)765.1555 FACSIMILE:(631)765.5969 E-MAIL:ejb@elilaw.net 1287 EAST MAIN STREET RIVERHEAD,NEW YORK 11901 (631)727.1010 FACSIMILE:(631)727.5524 E-MAIL:ejb@elilaw.net April 3, 2003 Southold Town Planning Board Town Hall, 53095 Main Road P.O. Box 1179 Southold,NY 11971 Re: EAST MARION FIRE DISTRICT Tax Map No.1000-31-03-11.30 Chairman Orlowski and Members of the Board: On behalf of the applicant, the East Marion Fire District, this is to request an expedited hearing on its application for the set off of a new building lot located on the North side of Main Road, East Marion. As you are aware, our reason for creating this lot is to provide a new location so that the existing single family residence which is situated immediately to the East of the East Marion Fire House may be moved,thereby providing more open area for the public safety functions of the fire department and allowing freer ingress and egress over an existing driveway which presently runs within a mere 12 feet of the West wall of the residence. Since time is always a concern when it comes to matters of safety, be it the safety of firefighters or of the public in general, it would be appreciated by all concerned if the Planning Board would do everything in its power to move this application through its various stages of review and render a decision at the earliest possible time. Thanking you for your attention to this request, I am, Very ruly yours, pEC� E Edward John Boyd V EJB/bv APR " 4 2003 Southold Town Plannin Board