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application 2 pages Scanned/OCR — text may contain errors

Also attached to this agenda item: 168 Maple St Accessory Apartment

— i Application for Accessory Village of Croton-on-Hudson Apartment Permit a’ Engineering Department Mmm Stanley H. Kellerhouse Municipal Building G Van Wyck Street (Form # Eng-§230-41) Tel: 914-271-4783 (Revised 04 2024) Application Date: __ (§ Ls yA 2 Qed */ Application #: OO AY ) 30 Property Information: Section: +t {. Ss Block: | Lot: 3 Property Location (street address): /68 Mag le St cect Zoning District (check one): O RA-5 0 RA-9 0 RA-25 0) RA-40 0 RA-60 0 RA-5 & RB O WDD Property Owner: Last Name: ALE SSL ‘ First Name: 5 pf i£ AP ZOMLE MI: e Company/LLC/Trust Name: Street Address: a City: A : State: “7 ov Zip: LO 5 7O Phone #: me Cell? -mail: Ps 3 F AVWN00 «COW Complete the one applicable type of ownership section below (A, B or C): i A Pole Ownership 0) Joint Tenancy OD) Tenants in Common 0) Tenancy in the Entirety Does the owner of the types listed above reside in or will reside in one of the dwelling units as their primary ee se oh _ YES NOC If yes, which dwelling unit:_/ a VA he Z 2022 B O LLCor Corporation: does the majority owner of the membership interest or share interest reside in or will reside in one of the dwelling units as their primary residence? YES 0 NO If yes, please provide documentation showing that the member or shareholder residing in the dwelling is the owner of the majority of the membership interest/share interest in the LLC or Corporation that owns the premises and complete the following: If yes, which dwelling unit: Majority Owner Information: Last Name: (PASE SS L First Name: _§ ‘a Life VOL Street Address: A i (Ll pyjfZp i= S 7. City: (geFiy-020-MUasta _ State: t2 ¢e. Zip: SOS IA Phone #: Cell nail C O Trust: does the Beneficiary or Grantor reside in or will reside in one of the dwelling units as their primary residence? YES 0 NO I If yes, please provide Trust documentation showing that the individual below is the beneficiary or grantor and complete the following: If yes, which dwelling unit: Trust Grantor or Beneficiary Information: Last Name: First Name: Street Address: Rs City: State: Zip: Phone #: Cell #: E-mail: Please answer the following: I am applying for an accessory apartment or accessory cottageD Is the accessory apartment or cottage existing? YES BNO Oo Is this building a single-family detached dwelling? No pt Is the required survey of the property attached? WES BDNO Are required scaled floor plans forthe entire dwelling showing the proposed accessory apartment or plans for the accessory cottage attached: (Es BNO id What is the square footage of the entire habitable floor area of the existing single family detached dwelling? | 6 y 4 What percentage of that area is the accessory apartment (no more than 40% of habitable floor area of the dwelling in which it is contained)? 29.7% What is the square footage of the habitable floor area of the accessary apartment/accessory cottage unit (300 sq. ft. min., 800 sq. ft. maximum: 6SO Is an existing accessary building being converted into an accessory cottage? YES wh Bir yes what date was the accessory building constructed _ and what are the setbacks to the property line(s)___ — (if built after 1/20/24 a 10-foot minimum setback is required)? If the size of the accessary apartment or cottage is lessor or greater than the above limitations provide a narrative and additional information as to why a lessor or greater size is warranted by the specific circumstances of the particular building or lot. A“ A- Are any additions to the single-family dwelling proposed? YES O NO "Ae If additions to the dwelling are proposed, are the required scaled plans (floor plans and elevation plans) for the addition attached? YESO.NOO VA If an addition is proposed, does the building maintain the character and appearance of a single-family dwelling? YES O NO OC elevation views of the existing building with the proposed addition shall be provided along with pictures of the existing building) ~/A, Db Does the accessory apartment/cottage have a separate entrance not observable _from the YES 0 NO ral ~ Is there a single entrance with a foyer or hallway to the two dwelling paite RES EERO oD) Is the residence currently connected to the Village’s sanitary sewer system? YES MNO O (3* a& Number of existing off-street parking spaces existing a 4 and proposed. Y a = Does the lot size conform to the requirements of the zoning district in which the lot is located YES & NO D, if no has a variance been granted by the Zoning Board of appeals. YES O NO @ NA 1 Reaui ts/conditi o Planning Board Approval: contact Planning Board. Secretary for meeting dates and submission deadlines. o The granting of permit for Accessory Apartment is a Type II Action under SEQR. o Approval runs with the property owner. Any new owner must notify the Building Department within 90 days of ownership of intent to occupy one of the dwelling units. o Scaled floor plans with floor areas labeled shall be submitted. o Please be advised that written notification by the Village will be given to property owners within 100 ft. of subject property prior to the Planning Board meeting. o The owner must occupy at least one of the dwelling units as their primary residence as indicated above. o Anaccessory cottage must be in the side or rear yard, shall have a minimum setback from side and rear property lines of 10 feet and project no closer to the street than the primary structure. o An accessory cottage shall have a maximum height of 15 feet. o Only one (1) accessory apartment/cottage per property containing a single-family detached dwelling is permitted. o Ifthe premises are not served by the Village sanitary sewer system, Westchester Co. Dept. of Health approval is required. * ° Please be advised that all necessary documents must be submitted (8 copies and PDF files) and application fee must be paid prior to review by the Planning Board. I, certify that the above information is accurate, and I am the property owner or authorized by the owner to file this application on their behalf and that I will indemnify and hold the Village harmless against any damage or injury that may be caused by or arise out of any entry onto the property in connection with the processing of the application. Stl Va leat Aeexei jG» 3 IEE. a Applicant’s Name (p! print) Applicant’s Signature Da Corporate/LLC/Trust Name (please print) Authorized Signature & Title Date FOR VILLAGE USE q | | Fee $ aS ye Fee Paid (date): S ite oY Received by: KS Account review: |) (zero Bal) (other) ‘ Date: PB Notice date: Meeting date: Approval date: