Documents

application 2 pages Scanned/OCR — text may contain errors

Also attached to this agenda item: 425 SRA Change of Use Letter 425 SRA Glass Store Plan 425 SRA Sign Image 2025 425 SRA Sign Permit Application 2025

Village of Croton-on-Hudson and a Engineering Department + Stanley Il. Kellerhouse Municipal Building Villa € Boar d 1 Van Wyck Street e 7 Croton-on-Hudson, NY 10520-2501 Application Tel: 914-271-4783, Fax: 914-271-3790 Rev 3/23 Note: Prior to submitting this application, contact Planning Board Secretary at 914 271-4783 / a! Application Date: [15 Jas” Application #: X I2QDHSCOS. ( ) i (for Village Use Only) Property Information: Section: 79, /3 Block: of. Lot. F/ Property Location (street address): a5 8S. RP Wersichle Ave Croton, NY 40520 Zoning District: Commercial Lot: es[_]no Vacant Lot:[¥]yes{_]no Applicant Information: FAO wner(]Contractor C]Lessee (other: Last Name: First Name: vam Company: { Vn tmel P, Verside LLC Address: / facd Ave . 2 City: / s a State: —_-N. y Zip Code /O522 Office #:9/4- 21.93 5 Kell #: + € Mail Address: =e Property Owner: fstme As Above Last Name: First Name: ————_ os SE am Company: = a Address: ; City: State: Zip Code SS Ama Ip Office #: Cell #: E-Mail Address: So SSSSSSSSSSSSSSSSSSSSSeeeeeeSSSSSSeeeeEeeeeeSSESeeee Application Type: (Please check those that apply) CJ] _ Site Plan* CJ Amended Site Plan* (J Minor Site Plan GA Change of Use (1 Amended Site Plan Extension [J Minor Site Plan Extension C] Building Envelope Modification [] Wetlands Permit * CJ Village Board Special Permit * C] Steep Slope Permit * CVillage Board Special Permit Renewal * C1 Excavation & Fill Permit Cj Preliminary Subdivision (Final Subdivision *note: Public Hearing required for these permits NOTE: The Planning Board also reviews applications (e.g., special permits, zoning amendments, etc.) that have been referred to them by the Village Board for a recommendation. No public hearing before the Planning Board is required for referral applications. a Per §230-57, the submission should also include the following documentation: A. A description of the proposed use, with reference to the appropriate use and regulations of this chapter, including any supplementary regulations applying thereto. B. A cost-benefit analysis or similar study to review the estimated municipal costs, services and prospective revenues which would be generated by the proposed use. C. Evidence that the proposed use is consistent with the goals of the Village Master Plan. D. A traffic and circulation study projecting the effects of the proposed use of the existing and probable future traffic and access in the vicinity of the proposed use. E. Copies of environmental assessments or permit applications and supporting materials which may be required to meet New York State or federal regulations. F. A stormwater pollution prevention plan (SWPPP) consistent with the requirements of Chapter 196, Article I, Stormwater Management and Erosion and Sediment Control, shall be required for any special permit approval that qualifies as or authorizes a land development activity as defined in Chapter 196, Article I. The SWPPP shall meet the performance and design criteria and standards in Chapter 196, Article I. The approved special permit shall be consistent with the provisions of Chapter 196, Article I. INSTRUCTIONS: Please submit eight (8) paper copies (Nine copies if a special permit from the Village Board is also required) of supporting materials to the Planning Board Secretary and one (1) pdf file of all application materials to engineering@crotononhudson-ny.gov I, certify that the above information is accurate, and I am the property owncr 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, during construction or performance of the work or within one year after the completion of the work. Applicant certifies that he is authorized by the Owner of subject premises to conduct the project described above. ait ea Andreur Cortes Z: Z 15 /a Applicant’s Name (please print) Signaturé of Applicant or Agent Date FOR VILLAGE USE ONLY: _ - Fee: Paid on: Rec’d by: a ; TAXES PAID: LEASE AGREEMENT (If applicable) HEARD BY THE VILLAGE BOARD ON: (date) HEARD BY THE PLANNING BOARD ON: (date) PUBLIC HEARING HELD ON: (date) PUBLIC HEARING HELD ON: (date) APPROVED: DENIED: APPROVED: DENIED: eee