Documents

site plan 2 pages Scanned/OCR — text may contain errors

Also attached to this agenda item: 368 SRA Color Choices 368 SRA Current Variance 368 SRA Site Plans 368 SRA Support Docs

Village of Croton-on-Hudson Application “i Engincering Department Rev 5/25 Stanley H. Stanley Kellerhouse Municipal Building, Van Wyck Street Tel: 914-271-4783, Fax: 914-271-3790 Note: Prior to submitting this application, contact Planning Board Secretary at 914 271-4783 Application Date: 9- 30- L202 S Application #: 2O2SI (54 (for Village Use Only) Property Information: Section: ta : | 3 Block: \ Lot: Fl Property Location (street address): 3 (yp g S. R i ver side Aven Wd. Zoning District: Commercial Lot: 1) yes 0 no Vacant Lot: 0 yes 0 no Applicant Information: owner O Contractor 1 Lessee Other: Last Name: 3 6 g S : Kes iA e€ LLC First Name: Company: Address: | % ACONG SI Y eek City: Cr WON +h CN State: NS - Zip Code {O Office #: Cell #: hick Mail Address: Property Owner: PXSame As Above Last Name: First Name: Company: City: State: Zip Code Phone _#: _ Office #: Cell #: E-Mail Address: Application Type: (Please check Oa apply) G Site Plan* Amended Site Plan* [J Minor Site Plan O Change of Use O Amended Site Plan Extension [1 Minor Site Plan Extension [] Building Envelope Modification O Wetlands Permit * Village Board Special Permit * C1 Steep Slope Permit * C1 Village Board Special Permit Renewal * C] Excavation & Fill Permit O Preliminary Subdivision & Miyeo Use £] Final Subdivision *note: Public Hearing required for these permits Special Permit Uses 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 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 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, 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. DGeey LipplisS Cc) ee OI 5-30-20" Applicant's Name (please print) / S/ (V7 /Sifnature of Applicant or Agent Date a FOR VILLAGE USE ONLY: = Fee: > ite { nf Ly \ $ U -¥ Ob Paid on: _. Rec’d by: } 4 ———— Fee: esi ( jal) DLA it $ yi D Paid on: Ree’d by: IA > Fee: Paid on: Rec'd by: TAXES PAID: Vv LEASE AGREEMENT (Ifapplicabley) sss HEARD BY THE PLANNING BOARD ON: @ | Alas (date) PUBLIC HEARING for HELD ON: (date) PUBLIC HEARING for — HELD ON: (date) PUBLIC HEARING for. a ___ HELD ON: (date) APPROVED: :C«é@DSENNTT:_— APPROVED: S—™~—té<“<—~i SCéENETN—