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TR-7232A
I James F. King,President C Town Hall,53095 Main Rd. Bob Ghosio Jr.,Vice-President y. P.O.Box 1179 " Dave Bergen , �► �' Southold,NY 11971 John Bredemeyer a�4 Telephone(631)765-1892 Michael J.Domino Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January 18, 2012 Patricia C. Moore, Esq. 51020 Main Rd. Southold, NY 11971 �- RE: ADMINISTRATIVE PERMIT#7232A MAIN RD., INC. 64755 MAIN RD., SOUTHOLD SCTM#56-4-22 Dear Ms. Moore: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., January 18, 2012: RESOLVED, that the Southold Town Board of Trustees grants a One-Year Extension to Administrative Permit#7232A, as issued on February 24, 2010, and, BE IT FUTHER RESOLVED, that the existing structure is not to be demolished without further review by the Board of Trustees and the Southold Town Building Dept. This is not an approval from any other agency. Sincerely, Jam F. King, Presid Board of Trustees JFK:Ims PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold,New York 11971 Tel (516)765-4330 Fax..(516)765-4643 January 5, 2012 Attn: James King, President r i ; L i'. Board of Trustees ! Town of Southold JAS - ! PO Box 1179 9 202 Southold, NY 11971 RE: EHRLICH - permit # 7232A SCTM: 1000-56-4-22 Dear President King: With reference to the above, please let this serve as a request for an extension. My client' s check in the amount of $50 . 00 is attached. Thank you. VPyruly yours, Patricia C. Moor PCM/bp encls . C: Mr. Richard Ehrlich Jill M.Doherty,President Town Hall Annex James F.King,Vice-President ,`O l0 54375 Main Road P.O.Box 1179 Dave Bergen Southold,New York 11971-0959 Bob Ghosio,Jr. G Q John Bredemeyer �� Telephone(631) 765-1892 � COIINTY,� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 7232A Date of Receipt of Application: January 15, 2010 Applicant: Main Road, Inc. SCTM#: 56-4-22 Project Location: 64755 Main Road, Southold Date of Resolution/Issuance:. February 24, 2010 Date of Expiration: February 24, 2012 Reviewed by: Trustee Bob Ghosio, Jr. Project Description: To renovate an existing restaurant; including roof alterations and site improvements. Findings: The project meets.all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the survey prepared by John C. Ehlers Land Surveyor, last dated December 8, 2009, and received on January 15, 2010. Special Conditions: The existing structure is not to be demolished.and if there is a reason for the structure to have to.be demolished, new permits must be applied for prior to demolition. Inspections: Final inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. . This is not a determination from any other agency. G� ill M. Doherty, Pr sidenI Board of Trustees JMD:eac Jill M.Doherty,President coim Town Hall,53095 Main Rd. James F.King,Vice-President �,. � P.O.Box 1179 Dave Bergen � ► ` Southold,NY 11971 Bob Ghosio,Jr. Telephone Telephone(631)765-1892 John Bredemeyex Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1 st day of construction % constructed Project complete, compliance inspection. It. ���g�yFFil�kCc? Jill M.Doherty,President 4 Town Hall,53095 Main Rd. James F.King;Vice-President y� P.O.Box 1179 Dave Bergen �,, �► Southold,NY 11971 Bob Ghosio,Jr. Telephone(631)765-1892 John Bredemeyer Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: Please be advised that your application dated 2 uar(A f, ao ip has been . reviewed by this Board at the regular meeting of a o2 and-your application has been approved pending the completion f the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) "1st Day of Construction ($50.00) % Constructed ($50.00) Final Inspection Fee($50..00) Dock Fees ($3.00.per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of y Southold. The fee is computed below according to the schedule of rates as set forth in Chapter.275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ ,50 0' BY: Jill M. Doherty; President Board of Trustees �SUFFO(�- Jill M.Doherty,President. Off' C4 P.O.Box 1179 James F.King,Vice-President Gy� Southold,NY 11971 Dave Bergen Telephone(631)765-1892 Bob Ghosio,Jr. Fax(631)765-6641 John Bredemeyer Southold Town Board of Trustees Field InspectionM/orksession Report Date/Time: 9 J21 Patricia C. Moore, Esq. on behalf of MAIN.ROAD, INC. requests an Administrative Permit to renovate an existing restaurant, including roof alterations and site improvements. Located: 64755 Main Rd., Southold. SCTM#56-4-22 Type of area to be impacted: _Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: _Chapt.275 Chapt. 111 other Type of Application: Wetland _Coastal Erosion _Amendment —Administrative—Emergency Pre-Submission Violation Info needed: Modifications: �ns,N L)'J - Conditions: Pre ere: J.King _).Doherty J. Bredemeyer D. 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L ❑ ❑L ,, � ,-, II III LILI 1 L1J❑❑JJ llJ11 11 1:,-� �❑ LLI LL LIW 1!1L _11❑U 11% y1 L LULLL111L 1-1 Ll I I I l H.1L1_I L111LI1 l l l l 1JLJW1111 LLLL11_ULI1_I111 l❑''l L LE L1❑ll U j i'\ \\\ - -- _---- -- \\ ❑_❑IL❑11❑lll llll�❑L❑❑1 ❑W❑I11J11 la_111 _Q-- LLLLULLl1 I _ ll ❑W❑❑1 I_Lu t -- ,, uU - l �L 11 ❑ ❑❑❑�I W Il _U-LJJ- JELL J1-LLllJ1 L ,� �❑��❑��1ll❑L❑❑_lI LI I II II_I_I II II I I II u I I I❑❑li _II_I II ❑i _L1-_I I �\ �> ❑ u I❑ I I I LIJ u I L_u u I�I I u I�I I I IL Ill Ll-L1 L;_ ❑ Ij-!L / j - 1�CJLu IIIII IIII II IIII II I� I1�LI1 IIII IIII II IIII II II L111L11 - - � „ �; LLLLlL1LILLLJ11I1L11LLL11l i I, l EAST END DESIGN AS EL� PO Box 1675 SOCIATES LLc -� � ---_- ----— � - -- �_ I i 5130 Main Bayview Road I ---- -- L Southold, New York 11971 -- - --i-- phone: (631) 765-1862 ❑ ❑ frax(631)765-6820 Fla= —� __ E-Mail: CArm8888@aol.com ❑ ❑ SHEE:T NAME: NORTH ELEV ATION (PARKING LOT ELEVATION) ELEVATIONS yam` ��"` �� � � � ❑��> ftv ,,❑\ \ �( i ,u 1UWLli IUUllJ ENGINEER' ' -- ,a 2� -� ;:�; ` _ �'� _� �� \ ,,,.,/.� �❑ , �j ❑� `��_- IJ_l,❑1 ENGINEERS SEAL: �� llI IUI I I IU 20 JAMES DEERKOSKI PE Professional Engineer 260 Deer Drive Mattituck, NY 11952 631-298-71 16 ❑ ❑ -- OWNERSHIP AND USE OF DRAWINGS: � E L2Z.] EE= EL These drawings and specifications including the LL, E3.:i ide� theaeiin design are the d r geofents East End s Design property 9 Associates, LLC. No part thereof shall be copied, ❑ disclosed to others or used in connection with ELL ELi any work or project other than for which they ❑ have been prepared without written consent of East End Design Associates, LLC. PROJIECT NO: SHEET INDEX: Acceptance of these drawings does not authorize the right 903-2009 EST ELEVATION EAST ELEVATIO s build without the authorization local governing agencies, DRAWN BY: LL such as Suffolk County Dept. of Health Services, Town Building AM Departments, DEC, FEMA, etc. Verify all conditions, codes, BDK dal and requirements with such agencies prior to construction. SCALIE: 1/4" = V-0" DATE: 06-05-09 PROJECT TITLE & LOCATION: ^6'—6j„ x ALL HEADERS TOBE - - - - - _ _ - - 2-14" X 92" LVL'S UNLESS / / �L 4'-6"FT WALL I — WA _ _ - - _ _ ti G�1� ,FTw�L OTHERWISE NOTED Fz � _ � �� �/ a 6 6' "VERIFY HEADERS ON / / INSURE CO CRETE RETAINING WALL ' 4 a ALL HEADERS TO BE BISTRO i / / IS LOCATED BY S VEYOR PRIOR TO CONSTRUCTION y, � �plsti / CROSS SECTION" / TOP OF FINISHED WALL TO B 18"ABOVE DINING ROOM FLOOR HEIGHT \\" \ 1i�j l°4 i I 2-14" X 92" LVL's UNLESS by OTHERWISE NOTED o4ti0 i 9 I "VERIFY HEADERS ON pG�k'0 Gp �00�4 I i CROSS SECTION" 64755 MAIN ROAD RT. 25 GREENPORT, NY. 11944 4' � i0 -00 SUM # 1000-056-4-22 WORKNOTES: 3'-0"FT WALL 18'-4" I I (Notes shall be considered typical for items identified and / I a � " z I 23'-1 shall iapply to all same and similar conditions or F 3 I I I locations; all locations may not be noted.) IHI 4 IwI C IwI 4„ a „ 1 1 I H INSURE CONCRETE RETAINING WALL IS LOCATED BY SURVEYOR PRIOR TO CONSTRUCTION 4" I I „ �s� I — - - - - - - - - - - - - - - - - - - - - - - — � 1 3 1 I 4 x 5'-0"FT WALL 6'-0r FT WALL w c7 A B I I> D COVERED 1 1 4 IoI � „ W, „ RAW N I 0 I I ENTRANCE I w I I I o I t o I I l o l I I N Z I I iri 35'-8" _1 „ I 16'—•10J„ 12'-01„ 13'-2" „ x 7-44„ Q r, I I I z �' 3 1 4 E F H g4" I ° 00 I I I I H Q "v 4' k' 2,l I ,> 2,! „ I r, I o 4„ 1 2„ �„ J � I I oI o I - TOP OF FINISHED WALL TO BE 42"ABOVE DINING ROOM FLOOR HEIGHT U w I I A 1 1' 108" 1 8'-0"FT WALL CONCRETE WALL 8'-0"FT WALL � � I - ° — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — o I 1 NEW 2x4 KNEEWALLS NEW 2x4 KNEEWALLS �I ° I " x INSURE CONCRETE RETAINING WALL U `" NEW 1 a 1 IS LOCATED BY SURVEYOR PRIOR TO CONSTRUCTION a I ¢ I Q N o CRAWL I I ¢ I "�, I w G o LCY cn w SPACE I w i '-2" j I o I i FOUNDATION WALLS AND FLOOR o o FOUNDATION WALLS AND FLOOR Z o 1 60 1 r t1AM cooARE TO BE CLEANED AND COATED I CRAWL SPACE w 00, ARE TO BE CLEANED AND COATED o I - 1 I � I WITH UGL DRYLOK FOUNDATION o Z Q, o WITH UGL DRYLOK FOUNDATION _ �_ _ _ _ — — — — — — — WATER—PROOFING xo p WATER—PROOFING x x x i •`x� -I- PROVIDE ACCESS ALL BASEMENT WALLS ARE TO BE I F 1 TO CRAWL SPACE CLEANED AND COATED WITH UGL 1 1 16'-93 17'-7" TO ALLOW AIR DRYLOK FOUNDATION WATER—PROOFING 3 I EAST END DESIGN ASSOCIATES, LLC NEW 2x4 KNEEWALLS ' � FLOW BENEATH I I w „ THE FLOOR CRAWL SPACE 4" 1 I 5(130 Main Rox 7 a view Road _ 10'-98 6" -6" -6" 1 'oo I Southold, New York 11971 —I ` ISTING (2) X6 GIRDER TO E SISTERED I I NEW 2x4 KNEEWALLS N WI H A 2X6 ON (EACH SIDE ( 4)2X6 GIRDE ) plhone: (631)765-1862 cn v> f©x(631)765 6820 o 0 16 —11" N 4' warw I E-Mail: CArm8888C?aol.com I o 0 0 -0 z I SHEET NAME: NEW I I J J � CRAWL vn 3" 0 STTEEL COLUMN L' CRAWL SPACE wLO PROVIDE ACCESS TO CRAWL o SPACE Ln o ON 24"" x 24" x 12" I I Z W Z N SPACE TO ALLOW AIR FLOW , CONC. FOOTING. J 1 p cr� BENEATH THE FLOOR o00 10'-9A" 0 13'-6" _ I FOUNDATION PLAN o PROVIDE Irn PROVIDE ACCESS B CRAWL SPACE °' °' �` NEW 2" TO CRAWL SPACE L U` N 4„ x x c° SLAB IN TO ALLOW AIR co z o o N CRAWL SPACE .0 FLOW BENEATH " LL BASEMENT WALLS ARE TO BE j , O I I o 3 o I I 0 1.0THE FLOOR 0 LEANED AND (COATED WITH UGL U N I 0 RYLOK FOUNDATION WATER—PROOFING SLAB SLAB N a i I a N H ° w W N 3 I 13o a l I NEW 2x4 KNEEWALLS II x W 0 U a C^ H I I /�'-7" ALL BASEMENT WA LS ARE o ALL BASEMENT WALLS ARE TO BE — — Z— — - I O NEW 2x4 TO BE CLEANED A D COATED o ALL FOUNDATION OPENINGS a I I~ w 3 NOT BEING USED ARE TO BE CLEANED) AND COATED WITH UGL a O z I KNEEWALLS WITH UGL DRYLOK FOUNDATION DRYLOK FOUNDATION WATER—PROOFIN WATER—PROOFING c° FILLED IN WITH CONCRETE AND _ w E o U, I w I WATER—PROOFED USING UGL H I 0 >� I CRAWL SPACE DRYLOK FOUNDATION WATER—PROOFI G 19'-41' EXISTING 6X6 GIRDER EXISTING 6X6 GIRDER I O° I z PROVIDE ACCESS I x CRAWL SPACE I t o TO CRAWL SPACE w —7 2 —4 —�8 —4 7 —4 —2 1 O I I FOUNDATION WALLS AND FLOOR TO ALLOW AIR E I I ARE TO BE CLEANED AND COATED I FLOW BENEATH I I A , i� ENGINEER: ENGINEERS SEAL: I 10' WITH UGL DRYLOK FOUNDATION THE FLOOR wj WATER—PROOFING 4 I O NEW 2x4 KNEEWALLS I V) JAMES DEERKOSKI, PE �„ � I NEW 3" 0 STEEL Professional Engineer 8'-(I"FT WALL — - COLUMN ON 0 I 1 — -- — — — — — x — 24" X 24" X 12" x a ( 1 260 Deer Drive r CRAWL SPACE CONC. FOOTING. 0) 3 V. ( z I N Mattitluck, NY 11952 o o I 631 —298-7116 x x FILL—IN EXISTING A L — — — — — — — — — — — — — — — — — — — — — — — — — — — — ALL BASEMENT WALLS ARE TO BE PROVIDE NEW ACCESS TO ALL BASEMENT WALLS ARE TO BE x x 1 CLEANED AND COATED WITH UGL ACCESS TO CRAWL SPACE CLEANED AND COATED WITH UGL I I N 5'-0"FT WALL x 5'-0"FT WALL 5'-0"FT WALL i DRYLOK FOUNDATION WATER—PROOFING CRAWL SPACE DRYLOK FOUNDATION WATER—PROOFING w - - - __ - - - - - - _ - - - - - - - - - - - - - x - - - - � oAl I i OWNERSHIP AND USE OF DRAWINGS: 1 1 I H4 ¢ These drawings and specifications including the design and arrangements represented ALL HEADERS TO BE ideas, are the property of East End Design 10' 20'-0 " - TOP OF FINISHED WALL TO AT THE DINING ROOM FLOOR HEIGHT 0 -7 ' x 12 -0 ' x -2 c I 3n 1 n i p p y g x x TOP OF FINISHED WALL TO BE42 ABOVE DINING ROOM FLOOR HEIGHT 2-1- x9- LVLsUNLESS Associates, LLC. No art thereof shall be copied, — — TOP OF FINISHED WALL TO AT THE DINING ROOOM FLOOR HEIGHT J J ;o I 4 2 p p L - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - I OTHERWISE NOTED disclosed to others or used in connection with I Y-0"FT WAL x CONCRETE WALL x 5'-0"FT WALL x CONCRETE WALL 5'-0"FT WALL x 8'-0"FT WALL x CONCRETE WALL x 8'-0"FT WALL any wi o rk or project other than for which they ALL HEADERS TO BE LL — _ — — — — — — — — — — VERIFY HEADERS ON have been prepared without written consent of - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2-14" x 92"' LVL's UNLESS �r � INSURE CONCRETE RETAINING WALL WITH STONE VENEER `� 4 INSURE CONCRETE RETAINING WALL 4 CROSS SECTION" East End Design Associates, LLC, INSURE CONCRETE RETAINING WALL IS LOCATED BY SURVEYOR PRIOR TO CONSTRUCTON IS LOCATED BY SURVEYOR PRIOR TO CONSTRUCTION OTHERWISE NOTED IS LOCATED BY SURVEYOR PRIOR TO CONSTRUCTION "VERIFY HEADERS ON PROJECT N0: SHEET INDEX: CROSS SECTION" A B L< C D E F H 903-2009 DRAWN BY: 96'-6 " Acceptance of these drawings does not authorize the right BDK to build without the authorization of local governing agencies, SCALE: FOUNDATION PLAN such as Suffolk County Dept. of Health Services, Town Building Departments, DEC, FEMA, etc. Verify all conditions, codes, 1 4' and requirements with such agencies prior to construction. DATE: 06-05-09 PROJECT TITLE & LOCATION: INSURE CONCRETE RETAINING WALL WITH STONE VENEER ALL HEADERS TO BE IS LOCATED BY SURVEYOR PRIOR TO CONSTRUCTION 2-14 x 92 LVL s UNLESS OTHERWISE NOTED do S�° �G BISTRO 25 "VERIFY HEADERS ON TOP OF FINISHED WALL TO BE 18"ABOVE DINING ROOM FLOOR HEIGHT G�OAS���� CROSS SECTION" 4� �° ��y �cT co ���s���els��o° s�ti ALL HEADERS TO BE 64755 MAIN ROAD A �1 C �s` OGPk °��o 0 9 �4 D z 2-OTHERWISE NOTED UNLESS (RT. 25) � "VERIFY HEADERS ON ��� �° E GREENPORT, NY. 11944 � CROS S S CTION G� on SCTM # 1000-056-4-22 a 3 WORkKNOTES: (Notes shall be considered typical for items identified and PATIO shall apply to all same and similar conditions or PATIO 'PiPLANTING AREA GARDEN B o 0 0 locations; all locations may not be noted.) GARDEN i U oar INSURE CONCRETE RETAINING WALL WITH STONE VENEER F IS LOCATED BY SURVEYOR PRIOR TO CONSTRUCTION ' o x o o A ING COVERED o OPENING ENTRANCE w w TO z 1000 GALLON H PATIO GARDEN PLANTING AREA LP GAS TANK H ° o E F H o 4 3 � 3 _ 1" a" �--3'-1 OR" -4$.. _�.. 12.-7A,. 10'-2J.. G ¢ W W .. 1000 GALLON w Q F 2 - --------------� - 2-� LP GAS TANK U Z U a NOTE:PRIOR TO CONSTRUCTION I I O O ¢ Z ¢ VERIFY MAKE AND MODEL 1 �- _ -r- -T I U U U 0 3 I 1 N N I PLANTING AREA u� O U q PATIO) OF FIREPLACE TO BE INSTALLED I - 1 DO GARDElN i� p 040 P5040 I He dfr0"A" 1 l O8 1 TOP OF FINISHED WALL TO BE 42"ABOVE DINING ROOM FLOOR HEIGHT 6068DD I CONCRETE WALL WITH STONE VENEER o GAS 0 F FIREPLAC 3 " 3 " 7 -2 3 7 _I 34" INSUREIS LOCATED BY SURVEYOR PRIOR TOICONSTRUCTIONTH STONE ER L 6' L I TILE - 5468 � 5468- I U U o OZ - T.O. T.O. - I - - i W TILE Q W VESTIBULE ^ -4 / f` r �S d ¢ O TILE x U AXW31 AXW31 ®® � I M x I — ---------- I IPI E REP ih I " " 3 EAST E N D DE S IGN ASSOCIATES, LLC'-6 WARMING o3680 OVEN P©Box 16753680 TILE 0680 COVERED LADIES C, T.O. �� 3068 51130 Main Bayview Road ENTRANCE 72'-81" VES IBULE T.O. ROOM Southold, NewYork 119713 O I 2 I FLOOR 1 V-7j" -2 Ww Oa' - HOSTESS I TILE ❑DRAIN FLOOR EPDXY phone: (631) 765-1862 z AREA 3068 z DRAIN FLOOR O w fax(631)765 6820 ( I HOSTESS LOCKERS III D Q E-,Mail: CArm8888Qaol.com 0 A PATIO DINING ROOM STATION 3 I " S K REF �' GARDEN 58 PERSONS 12 -8 ° FLOG 1 -7 DRY ❑° FLOOR, ' SHEET NAME: O -1 " IN ❑DRAIN O H o; CHANGING N MENS '_2 " 3'_3J" H �-� TO&G ' - ROOM ¢ ` 3'-6" � WINDOW OPENING �� ROOM It TILE FIRST FLOOR AWNING q I N FOODo COVERED o -0 W PREP a PLAN z o H a ENTRANCE \ 3068 3068 d x _i (NOE#1) ❑DRAIN w U 3 7'-1 J" Ail ICE ATER REF SHELVES F q o q 16'-9 REF/ iv REF U w O H u W 3 ' M CHINE o z x o V 5 19'-7 " _ o FREEZE I ID o ' o 18'-5g., � a U F. U w �u 3'-1 .. - 9.. -4�.. 3.-2) N 0 O W 3 O Ow 'I 606 D FLOOR 3668 366 ° O a p _ - - - - BOM ER -3 DRAIN T.O. FLOOR SCREE H v) ¢ O IND P HIN ES FOOD SERVICE EPDXY -I 0 DRAIN DOOR EPDXY � p a�. STATION FLOOR EPDXY FLOOR 0 O 4 o AWNING Q �, l 1 1'-10j" - (NOTE#1) FLOOR a w E w COVERED o G I 3 ❑ O O 3 ' 0 O ENTRANCECD FLOOR 00 12'-3 ., U O '-7.. H gti w4 31' DRAW' 31.. o ALL HEADERS TO BE 4 A __---- -__- D)IRTYIN 2-14" x 92" LVL's UNLESS o ¢ PATIO -I ///i �\ �0 1 I ° I °�Il O l ��o DISHES SIONK JD L 00 OTHERWISE NOTED GARDEN _ , , (NOTE#1) O ,,'� SINKS 2868 N ;1 O "' FREEZER q ENGINEER: ENGINEERS SEAL: ua N % KL q "VERIFY HEADERS it 10 - �;�� 0-" ❑° EPDXY 2680 3 EPDXY -' GRILL REF O FLOOR o w o ¢ CROSS SECTION „ ii��o �y' S D�ooRR� FLOORTo FLOOR ° ❑° FLOOR FRYER M N " o JAMES DEERKOSKI, PE 450� Foo r^ LTJ w w Professional Engineer li ti'L4 W (n FLOOR 1° 9 V� �' 3 GRILL X 00 260 Deer Drive OLD DO xi DRAIN❑ F- O E- DER BACK OF COUNT R O rn Q o w O �i TABLE ❑ W WASH a s w a a x Mattituck, NY 11952 P3040 P3040 P3040 P3040 �( ❑ , A STATION x F ¢ 631 -298-7116 �� o D°O� ,�� (NOTE#1) F90 �' OVEN A a NOTE: PLANTING AREA PLANTING AREA ,I _ 3�,� x � � < #1) KITCHEN IS NOT TO BE a EPDXY TOP OF FINISHED WALL TO AT THE DINING ROOM FLOOR HEIGHT I FLOOR I 7 3 -3j' w CONSTRUCTED IIr- H OWNERSHIP AND USE OF DRAWINGS: CONCRETE WALL WITH STONE VENEER I IL o 1 0 ' I , HINGED x UC ED OR INSTALLED nbo AXW31 w � ,I I I HATCH ° o PRIOR TO SCDHS ISSUING A These drawings and specifications including the INSURE CONCRETE RETAINING WALL WITH STONE VENEER P3040 P3040 AXW31 AXW31 A/C A/C A/C A/C U ideas, design and arrangements represented IS LOCATED BY SURVEYOR PRIOR TO CONSTRUCTION COMP COMP COMP COMP FOOD SERVICE PERMIT therein, are the property of East End Design � PLANTING AREA PLANTING AREA PLANTING AREA Associiates, LLC. No part thereof shall be copied, I disclosed to others or used in connection with TOP OF FINISHED WALL TO AT THE DINING ROOM FLOOR HEIGHT TOP OF FINISHED WALL TO AT THE D)INING ROOM FLOOR HEIGHT TOP OF FINISHED WALL TO BE 42"ABOVE DINING ROOM FLOOR HEIGHT any work or project other than for which they CONCRETE WALL WITH STONE VENEER CONCRETE WALL WITH STONE VENEEER CONCRETE WALL WITH STONE VENEER have [been prepared without written consent of ALL HEADERS TO BE East End Design Associates, LLC. CONCRETE 2-14" x 92" LVL's UNLESS INSUREIS LOCATED BY SURVEYOR PRIOR TO CONSTRUCTION ER INSUREIS LOCATEDY SURVEYOR PRIOR TO COPNSToNE UCTIONER INSURE RETAINING IS LOCAAT D BY SURVEYOR PRIOR OITH CONSTRUCTION NER OTHERWISE NOTED PROJECT N0: SHEET INDEX: "VERIFY HEADERS ON 903-2009 CROSS SECTION" DRAWN B Acceptance of these drawings does not authorize the right BDK to build without the authorization of local governing agencies, SCALE: AV such as Suffolk County Dept. of Health Services, Town Building Departments, DEC, FEMA, etc. Verify all conditions, codes, 1/4" = 1'-0" and requirements with such agencies prior to construction. DATE: 06-05-09 5UR\CEY OF PROPERTY 51TUATE: AR5HAMOMOQUE TOM: 5OUTHOLD WFFOLK GOMTY, NY 5URVEYED: DEG.OB, 2009 5UFFOLK COUNTY TAX # ti 1000 — 56 — 04 — 22 � C TO: °FRESHWATER NETLAN05 DOW 12-0B-Ogtl RI DMRU ICH DELINEATED gY EN-GONSULTANTS, IN ., p S�G � O \� WETLANDS 10� Ibis U Xtilyl- d S � ` x 200J W Az x x LL (L �z �� O p0} GG,, \ \03 , CJ 9 O\ 1�t1 �� p _ _ 8 �1\• 1 i� ' 2� O -- o.6t � 9 " N ,, W 0 h 5�0��pSZPN w I�, O\ �O MQ�� k o �� GNG o Po�� pw b O \NG Fo /O �p\2 GHO?v p l °d g59°� ��'1`/�� CCU 9s m 10 u-nL. " O pOLE u e� A �9s APPROVED BY 'tied/ �OAR® OF TRUSTEES TOWN OF SOUTHOLD ' � q -oatl - TRE5HWATER WETLAN 5 gOUNDG R G o8 �'` DELINEATED BY EN G OF NEW O C. Ey��is uk„lnoriz¢d Oltxatlon or mdnan to a�„ey mop�¢��a Ik¢nsed IarN�,r gel Is e vlolonon of xenon i�oa,sw-dla—2,or the = y New York State Flleatlon Law.' i4�•1=;j�%�!!j� 'c\,y copl¢s from tn¢origt,al or ton wrvey m�k¢a wrtH m orgunl of n,e knd sa•V¢yore I 7,' seorp¢a e¢ai enan b¢co,wN¢r¢a to ce�olld r.,.¢ �� �� •C¢rtNicanons mdkated Hereon sly�lfy Hot Mls ♦1. N �r•,ey woe prepared w acoardance wm,tfe¢.� Y.(1 J ntvg Code of Prac Nc¢fw lmd 5vrveys atl.+pted V tj L thMe Sew Yeoorrk aSteN Psesocnk#bbn W—I,,- I,,n ao lyQ D to the person ror worm tna wr„¢y n prepared, aN on nn n¢n¢If to the idle comp y tal agency ma IwNlrg Irentvnon Ilsted Hereon,and to the osskjie¢s of u�¢lerNing retlwtwn.Gernflca- nore o'¢not troisferable to addllbnal Mtltutlons ■ MONUMENT FOUND GRAPHIC 50ALE 1"= 30' JOHN C. E IS U!141D SURVT34YOR 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 Area = 45,663 50 FT RIVERHEAD,N.Y. 11901 Area = 1.05 AGRE5 0 30 60 90 369-8288 Fax 369-8287 REF.—C:\Documents and Settings\Owner\My Documents\My Dropbox\02\02\02-226 ROBS WETLANDS.pro Ivm'�oon xa.mPN c.wt......ma s.wy.w.�-w,wre�,rsvy vrop�oNoaams-7aa noes rE,t,tfos,n, 4 Office Location: �*OF SU(/jyo Mailing Address: Town Annex/First Floor,Capital One Bankg 53095 Main Road 54375 Main Road(at Youngs Avenue) CA P.O.Box 1179 Southold,NY.11971 G Q ,c• • �O Southold,NY 11971-0959 �lycout `I,�c� http://southoldtown.norihfork.net BOARD OF APPEALS TOWN OF SOUTHOLD JAPd 1 5 2010 r ; Tel. (631)765-1809 Fax(631)765-9064 FINDINGS, DELIBERATIONS AND DETERMINATION. : '-" MEETING DATE: OCTOBER 22, 2009 ZBA#63M RICHARD EHRLICH, Applicant Property Location: 64755 Main Road, Greenport CTM Parcel: 1000-56-4-22 SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Unlisted Action category of the State's List of Actions, without an adverse effect on the environment 1if the project is implemented as planned. SUFFOLK COUNTY ADMINISTRATIVE CODE: This application was referred as required under the Suffolk County Administrative Code Sections A 14-14 to 23, and the Suffolk County Department of Planning issued its reply dated July 31, 2009 stating that this application is considered a matter for local determination as there appears to be no significant county-wide or inter-community impact. PROPERTY.FACTS/DESCRIPTION The applicant's property is situated in the Marine M-ll Zone District with +/- 300 feet fronting along the Main Road and is improved with a single-story :framed tavern. building shown on the November 19, 1986 survey by Roderick Van,Tuyl, P.C. BASIS OF APPLICATION: Request for a Special Exception for Restaurant Use in an existing building under Town Zoning Code Section 280-55-B(1). J.I. ADDITIONAL INFORMATION: The existing building has been a restaurant since 1969 and described on the 1986 survey by Roderick VanTuyl and the Building Department records as atavern. In 1985 the building was renovated and expanded and received a site plan review and approval from the Planning Board on May 10, 1985 and a Certificate off0ccupancy (No. Z14501)from the Town Building Department and approval by the Suffolk.County Department of Health. In 1994 the zoning map was amended and the property0vas re-zoned from B General Business to Marine M-II. A Restaurant is a permitted usE by Special Exception -in the Marine M-II Zone. Because the restaurant operations were discontinued and the building vacated, the pre=existing, as of right restaurant us,� was discontinued and the building fell into disrepair. A.special exception. permit is required to re-open the restaurant. Written comments were received by the Board of Appeals on August 18, 2009 from Martin Sidor, Chairman of the Planning Board regarding this application and confirming the 1985 site plan approval for the use c .Page 2—October 2' )9 ZBA#6322- RICHARD EHRLICH Property Location: 64755 Main Road, Greenport CTM Parcel: 1000-56-4-22 as a restaurant. FINDINGS OF FACT The Zoning 'Board of Appeals held a public hearing on this application on October 1, 2009 at whiA time written and oral evidence was presented. Based upon all testimony, documentatiq`n, personal inspection of the property and the area, and other evidence, the Zoning Board finds the following facts to be true and relevant REASONS FOR BOARD ACTION: After review of the requirements set forth pursuant to Chapter 280 -55-B1 governing restaurant uses by Special Exception review, and on the basis of festimony presented and personal inspection, the Board finds: 1. A restau..... nt is a permitted use in this Marine M-II Zone under Section 280-55-B(1) of the Town Zoning Code, subject to special exception authorization of the'Zoning Board of Appeals. i. this review the Board determines that a restaurant use is in.harmony with the zoning ordinance and will not adversely affect the neighborhood when meeting the code requirements. 2. In additidn, the Board has reviewed the General Standards governing Special Exception uses set forth in Section 280-142 and finds that: FL A) Thb use of the property as a restaurant in the proposed renovated building will not prevent the orderly and reasonable use in this zone district and adjacent districts. B) This use will not prevent orderly and reasonable use of permitted or legally established uses in this zone district or adjacent use district. >s C) The safety, health, welfare, comfort, convenience, and the order of the town will not be adversely affected by the proposed use and its location. Y: D) Th9 use will be in harmony with and will promote the general purposes and intent of the Code. 1 E) The use is compatible with its surroundings and with the character of the neighborhood_ and of the community in general, particularly with regarding to visibility, scale and ov0'rall appearance. 1. F) The structures, equipment and material will be accessible for emergency protection. r : RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 267-B, motion was offered by Member Weisman, seconded by Chairman Goehringer, and duly carried, to 4� �1 Yj .Page 3—October 22 9 ZBA#6322- RICHARD EHRLICH Property Location: 64755 Main Road, Greenport CTM Parcel: 1000-56-4-22 GRANT the Special Exception for a Restaurant Use, as applied for, SUBJECT IFO TO,E FOLLOWING CONDITIONS: 1. There shall be no increase in the number of seats or intensity of use as previously granted by the Planning Board. 12. There shall be no change to the site other than what was approved by the Planning Board. 3. There shall be no changes to the (nonconforming) setbacks and height } of the existing building. Minor changes to the roofline and the addition of a cupola are permitted so long as they that do not increase the height of the existing roof ridge (within the nonconforming setbacks). All garbage generated by the restaurant shall be contained on-site in dumpster(s) that are visually screened and housed in a fenced in area with proper rodent control. ':5. Evergreen privacy screening at a minimum of 4 or 5 feet in height shall be planted along the easterly and westerly property lines, not closer than 40 feet from the front property line adjacent to the road, and shall be continuously maintained. This action does not authorize or condone any current or future use, setback or other feature of the. subject property that may violate the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. Vote of the `'Board: Ayes: Me ger rman), Weisman, Simon, and Schneider. (Absent was er Horning.) i esol w duly adopted 4-0. 'n• Ge P. 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Zzw _ .,• — 2 � __ __ s NOTICE COUNTY OF SUFFOLK © E ona SOUTH SECTION NO E --— fox' �.pmx w — x�n ,.�.a6�T�T Red Property Tax Service Agency Y Ea 056 N. u.m m m.ih� Tye Y.°ar u° —_ __ —___ m tQA @piT T4 wa 6 NEIErtm Cgnry cmt r fAreM¢I�N T 1I9D1 N in TZJ ua ----- -- -- eau 2xucxrr m mmE.mn. • vpO P 1000 PROPERTY MAP mneya one w.n,nu _� i � .- :_.. ,:a } v :` —�' -+'�@� Any 'a '„°4^�nr�• t?.. - s —"PwMO LETTER PATRICIA C. MOORE, ATTORNEY AT LAW 51020 Main Road Southold,NY 11971 (631)765-4330 email:pcmoorel @optonline.net / DATE SUBJqCTI �Fn� E 6 E � 7� � i i 'I I M A-� L) Lbc) L�- - I Southhold Town tees �Jf ��-{� ► IA SC) JILV SIGNED N 41P/ease reply ❑ No reply necessary OFFICE LOCATION: ���� SOUry� MAILING ADDRESS: Town Hall Annex ti0 lQ P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY.11971 Telephone: 631 765-1938 a� Fax: 631 765-3136 couffm LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Jim King, President Town of Southold Board of Trustees FEB 17 2010 �` From: Mark Terry, Principal Planner sou;nno(� C—i LWRP Coordinator ROra� f j�UsEE Date: February 17, 2010 Re: Proposed Wetland Permit for MAIN ROAD, INC SCTM# 1000-56-4-22 Patricia C. Moore, Esq. on behalf of MAIN ROAD, INC. requests an Administrative Permit to , renovate an existing restaurant, including roof alterations and site improvements. Located: 64755 Main Rd.; Southold. SCTM#56-4-22 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review'of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is EXEMPT from LWRP review pursuant to: § 268-3. Definitions. MINOR ACTIONS item "B" which states: B. Replacement, rehabilitation or reconstruction of a structure or facility, in kind, on the same site, including upgrading buildings to meet building or fire codes, except'for structures in areas designated by the Coastal Erosion Hazard Area (CEHA) law where structures may not be replaced, rehabilitated or reconstructed without a permit; Cc: Lori Hulse, Assistant Town Attorney Office Use Only _Coastal Erosion Permit Application _Wetland Permit Application t dministrative Permit _Amendme ransfer/Extension ,,6ceived Applic •o /5 Xeceived Fee:$ `U`7 LK-0-0AW Completed App i a 1 dD _Incomplete _SEQRA Classification: Type I Type II Unlisted _Coordinati on:(date sent) 1 5 2010 �L-WRP Consistency Assessment Form JAN _,.EAC Referral Sent: it 4- _,,Date of Inspection: Receipt of CAC Report: _Lead Agency Determination: Technical Review: P'u—blic Hearing Held: Resolution: Name of Applicant A'11n '120acl G'lo 46u,tc/ Address to, e/5ev A/? ,-S� ; 6�:X //9;71 Phone Number:( ) o?s� GO Suffolk County Tax Map Number: 1000 - Property Location: c!��/ 7 5 Mall') 1poad C-Sn' - L 2016 (provide LILCO Pole#, distance to cross streets, and location) AGENT: too, ,, woo/ _ (If applicable) /� Address: �j1OZD /nQ//� lCoad, <SoyA of / Phone: 7�S r V 3.3o Board of Trustees Application GENERAL DATA Land Area(in square feet): Area Zoning: -rl1 Previous use of property: �7�c-�2u� Intended use of property: -�a c atit� Covenants and Restrictions: Yes x No If"Yes", please provide copy. Prior permits/approvals for site improvements: Agency Date s% 41e& No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? x No Yes If yes, provide explanation: Project Description (use attachments if necessary): zr �G a Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: 4,47� " .�v�✓h i ,ItMk4U&4d_ Area of wetlands on lot: square feet Percent coverage of lot: d Closest distance between nearest existing structure and upland — edge of wetlands: 9,6 ` feetd�u�a — �► 5� Closest distance between nearest proposed structure and upland edge of wetlands: 90 FB ' feet - 51k C„r� v Does the project involve excavation or filling? No $!% U Yes A1401 ✓/�..` ��� Uri r If yes, how much material will be excavated? cubic yards How much material will be filled? —1-60 cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: r Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): /2O/2e -- '/5 an S sl o�c 7 45 617.20 SEQR PROJECT ID NUMBER 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 0/0 -PROJECT LOCATION: a(li Municipalit County L 4.PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmark c -or provide map 5.IS PROPOSED ACTION: New Expansion Modification/alteration 6.DESCRIBE PROJECT BRIEFLY: ��il�c�-td?'1S �K/Sflr9? SIY�J�� 7.AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres 8.WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? Yes ❑ No If no,describe briefly: 9.WHAT IS PRESENT LAND USE IN VICINITY.OF PROJECT? (Choose as many as apply.) ❑Residential . ❑Industrial F/I Commercial Agriculture ❑-Park/Forest/Open Space Other (describe) 10. DOES,ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) Yes El No If yes, list agency name and permit / approval: 11.DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? L / K/1Yes No If yes, list agency name and permit / approval:lJ �[s1py�" 12. AS'A RE ULT OF PROPOSED,ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? QYes 59 No I CERTIFY THAT INFORMATION' PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor ame Date: Signature If the action is a Costal Area,and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT(To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617.4? If yes,coordinate the review process and use the FULL EAR Yes 0 No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative declaration may be superseded by another involved agency. Yes No C. COULD'ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,if legible) C1. Existing air quality,surface or groundwater quality or quantity,noise levels,existing traffic pattern,solid waste production or disposal, potential for erosion,drainage or flooding problems? Explain briefly: C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly: C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly: C4. A community's existing plans or goals as officially adopted,or a change in use or intensity of use of land or other natural resources?Explain briefly: C5. Growth,subsequent development,or related activities likely to be induced by the proposed action?Explain briefly: C6. Longterm,short term,cumulative,or other effects not identified in C1-05? Explain briefly. C7. Other impacts(including changes in use of either quantity or type of energy? Explain briefly. D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA(CEA? If es,ex lain briefl : ED Yes ❑No I E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: ❑ Yes No • i PART III-DETERMINATION OF SIGNIFICANCE(To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,important or otherwise significant. Each effect should be assessed in connection with its(a)setting(i.e.urban or rural);(b)probability of occurring;(c)duration;(d)irreversibility;(e) geographic scope;and (f)magnitude. If necessary,add attachments or reference supporting materials. Ensure that explanations contain , sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes,the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur.Then proceed directly to the FULL EAF and/or prepare a positive declaration. I Check this box if you have determined,.based on the information And analysis above and any supporting documentation,that the proposed actio WILL.NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting W determination. I Name of Lead Agency' Date ; Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(If different from responsible officer) Richard G. Ehrlich and Main Road, Inc. By Richard G. Ehrlich, as President 64755 Main Road Southold NY 11971 July 2, 2009 Patricia C. Moore,Esq. 51020 Main Road Southold,NY 11971 Dear Ms. Moore: I,Richard G. Ehrlich, individually and as president of Main Road, Inc., of 64755 Main Road, Southold,New York, hereby authorize you to make any and all applications and appear on my behalf to the Southold Town Board, Southold Town Zoning Board of Appeals, Sotuhold Town Board of Trustees,New York State DEC and any.other necessary agencies on my behalf regarding property located at Main Road, Southold,New York (formerly known as Hollisters Restaurant), sctm: 1000-56-4-22. Very ly yours, j RICHARD G. EHRLICH N ROAD, INC BY: RICHARD G. EHRLICH, PRE Board of Trustees Applica In County of Suffolk State of New York BEING Dla?!(S WORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT OR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THISAPPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. i Signature j SWORN TO BEFORE ME THIS , DAY OF r' Notary Pu-uu—b is r I • ' BETSY A PERKINS Nobly Public,State of New YO* NO.of PE 6130636 Qualified in Suffolk our& � > commimi-Exp k - j APPLICANT/AGENT/REPRESENTATIVE 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: P�IGt;cr/ � /i LCL6�4"d, " (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee c Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO x If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted�i"s±' ay of Use 20/0 Signat fe Print Form TS I Town of Southold' LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1, All applicants for permits* including Town of Southold .agencies, shall.complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other.ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be'evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. ..Thus, each answer must be explained in detail, listing both supporting and!non-' supporting facts. If an action cannot be certified as.consistent with.the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office,the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION J SCTM# o`er PROJECT NAME The Application has been submitted to (check appropriate response): Town Board ❑ ' Planning Board❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check,appropriateresponse): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g.grant,loan,'subsidy) (c) Pen-nit,approval, license;certification: Nature and extent of action: 1 42� 7 n Location of action: y('-'>�b l Site acreage: Present land use: Present zoning classification: A4 2. If aft application for the proposed action has been filed with the Town-of Southold agency, the following information shall be provided: (a) Name of applicant: (b) Mailing address; D 6d-x,' G/ HF 71 (c) Telephone number: Area Code 15, 9 cep (d) Application number,if any: i Will the action be directly undertaken,require funding; or approval by a state or federal agency? No VLJ If yes,which state or federal agency?Yes ❑ C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY ��- Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes.adverse effects of development. See LWRP Section III-Policies; Page 2 for evaluation criteria. ❑Yes ❑ No Y-4 Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See i LWRP Section III=Policies Pages 3 through 6 for evaluation criteria 11 Yes ❑ No © Not Applicable rnq Attach additional sheets if necessary Policy 3: Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III-Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No Z Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy'4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria_ Yes ❑ No ® Not Applicable Attach additional sheets if necessary i Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No I Not Applicable ;! 1 Attach additional sheets if necessary Policy.6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32,for evaluation criteria. ❑ ❑ L�J i Yes No Not A cable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III —' Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ No Not Applicable :I Attach additional_sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III-Policies; Pages 34 through 38 for evaluation criteria. f r _ ❑ Yes ❑ No Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of they Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ Yes[] No Not Applicable Attach additional sheets if necessary i WORKING COAST POLIC Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III Policies; Pages 47 through 56 for evaluation criteria. —].Yes ❑ NoFO' Not Applicable ' Attach additional sheets if necessary Policy 11. . Promote sustainable use of living marine resources in Long Island Sound, the Peconic i Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. i ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 13. ' Promote appropriate use and development of energy and mineral resources. See LWRP Section III.—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No Not Applicable I i PREPARED BY TITLE G% d DATE PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, New York 11971 Tel: (516)765-4330 Fax:: (516)765-4643 January 11, 2010 Attn: Jill Doherty, President Board of Trustees Town of Southold PO Box 1179 Southold, NY 11971 JAN 5 2010 1 RE: EHRLICH SCTM: 1000-56-4-22 Dear President Doherty: With reference to the above, enclosed please an application for freshwater wetlands permit together with ` check for the filing fee . Please note that this property was formerly Hollisters Restaurant . The freshwater wetlands are on the south side of Route 25 within 100 feet of possible activity on the property. Kindly place this on your next available calendar. I am enclosing for your reference the ZBA decision granting the special exception. Thank you and please do not hesitate to call should you have any questions . Lic�ia yours, C. Moore PCM/bp encls . C: Mr. Richard Ehrlich