Application For Site Plan Approval Form - Town Of Somers, New York printable pdf download

TOWN OF SOMERS

PLANNING BOARD

APPLICATION FOR SITE PLAN APPROVAL

Application Processing Affidavit must also be completed. Click here for form.

IDENTIFICATION OF APPLICANT:

Owner:

Applicant:

_________

Address:

Address: _______________________________________

Tele #:

Tele #: _________________________________________

Architect:

Engineer: _______________________________________

Address:

Address: _______________________________________

Tele #:

Tele #: _________________________________________

Surveyor:

Tele #: __________________________________________

Address: ________________________________________________________________________

II.

IDENTIFICATION OF PROPERTY:

Identifying Title: ___________________________________________

Tax Map Design: Sheet:

Block:

Lot(s):

Zoning District: ________________________________________________

Street which property abuts: ________________________________________________

Does property connect directly into State or County highway? _____________________________

Is site within 500 feet of Town Boundary?_____________________________________________

Total area of site:

___

Area of site activity: _______________________

Site coverage:

Building coverage:

Affected Wetland Area ____________

Wetland Buffer Area___________

Affected Steep Slope Area: 15%-25% _________ Over 25% _________________

Existing building size: _______ ___ New/additional building size: _____________________

Existing parking spaces:

______ __New parking spaces: _________________________

III.

APPLICATION FEE:

$500 base fee plus $50 per 1,000 sq.ft or part thereof plus $25 per parking space to be paid by certified check to the

Town of Somers.

Wetland Permit Fee:

$200 min. fee + $100 per 5,000 sf. of regulated area or

proposed area to be disturbed.

Steep Slope Fee: $150 min. fee + $75 per 10,000 s.f. of regulated area or

proposed area to be disturbed.

Total Fee: __________

Date Paid: _______________________

IV.

DOCUMENTS TO BE SUBMITTED WITH THIS APPLICATION:

Submit 14 copies of all correspondence and plans to the Planning Board.

14 copies of Site Plan with north arrow and location map drawn to scale of 1” = 1,000’.

Survey Map defining precise boundaries of property.

Copies of all existing and proposed deed restrictions or covenants applying to the property, including covenants

and agreements restricting use, and establishing future ownership and maintenance responsibilities for all private

roads, recreation and open space areas.

Preliminary Architectural Drawings to be submitted to Planning Board prior to public hearing for referral to

Building Inspector and Architectural Advisory Review Board.

Environmental Assessment Form.

Proof that taxes have been paid.

It is the responsibility of the applicant to be knowledgeable of the law. The following are available at the Town Clerks

Office: Master Plan, Zoning Ordinance, Site Plan Regulations, State Environmental Quality Review (SEQR) and

Environmental Quality Review, Wetland and Steep Slope Ordinances of the Town of Somers.

All revised plans shall be accompanied by a letter indicating what changes were made. All costs incurred by the Town

for professional services and SEQR review will be paid by the applicant.

By submission of this application, the property owner agrees to permit Town Officials and their designated

representatives to conduct on-site inspections in connection with the review of the proposal. The property shall be

identified on site as being proposed for site plan approval.

Date: _______________________

Signature of Applicant

Date: ________________________

Signature of Owner

Application For Site Plan Approval Form - Town Of Somers, New York

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