HomeMy WebLinkAbout20181120 18.060 61 Beekman Application HANDWRITTEN APPLICATIONS WILL NOT BE ACCEPTED!!
CITY OF SARATOGA SPRINGSrFOR OFFICE USES
PLANNING BOARD
(Application#)
❑
= Cit Hall 474 Broadway —
- y -
(Date received)
{ ': Saratoga Springs, New York 12866-2296
Tel:518-587-3550 fax:518-580-9480
PORA�z http://www.saratoga-springs.org
APPLICATION FOR: SPECIAL USE PERMIT
(Rev: 03/2018)
Project Name:
We Care Wellness
. 61 Beekman St. Apt. 4 Saratoga Springs, N12866
ertP y AddresslPro Location.
165-66-3-21 UR-3
Tax Parcel #. Zoning District:
(for example: /65.52-4-37)
Studio
ProPosed Use. Yoga
Type of Special Use Permit: Permanent Temporary Renewable Modification
APPLICANOWNER(S) ffnot applicant) ATTORNEY/AGENT
Name
Michelle Fantauzzi Frank Hoerauf
Address 2414 Rt. 29 Middle Grove, Ny 12850 1080 Hicksville Rd.Seaford, Ny 11783
Phone
(518) 598-7623 (516) 797-3412
Email
mj ruby 5 msn.com fhoerauf1 @opton I i ne.net
Identify primary contact person: &pplicant Dwner []Agent
*An applicant must be the property owner, lessee, or one with an option to lease or purchase the property in question.
Please check the following to affirm information is included with submission.
Sketch Plan Attached:
[Pyl
is encouraged to submit sketch plans showing features of the site and/or neighborhood and illustrate proposed
use.
Environmental Assessment Form:
All applications must include a completed SEQR Short or Long Form. SEQR Forms can be completed at
http://www.dec.ny.gov/permits/619 I.htm I.
Water Service Connection Agreement- For all projects including new water connections to the City system, a copy of
a signed water service connection fee agreement with the City Department of Public Works is required and MUST be
submitted with this application.
kpplication Fee: $900.00 ...... $300-modifications (check box)
A check for the total amount made payable to: "Commissioner of Finance" MUST accompany this application.
City of Saratoga Springs p. I of 2
Application for Special Use Permit
2 hard copies (*I signed original) and one electronic copy(PDF) of complete application and ALL attachments.
Submission Deadline - Check City's website (��.saratoga-springs.org) for application deadlines and meeting dates.
Does any City officer, employee orf •y mem hereof have a financial interest (as defined by General Municipal Law
Section 809) in this application?YES NO y If YES, a statement disclosing the name, residence, nature and
extent of this interest must be filed with this application.
I, the undersigned owner, leasee or purchaser under contract for the property, hereby request Special Use Permit
approval by the Planning Board for the identified property above. I agree to meet all requirements under Section 240-7.1
of the Zoning Code of the City of Saratoga Springs.
Furthermore, I hereby authorize members of the Planning Board and designated City staff to enter the property
associated with this application for purposes of conducting any necessary site inspections relating to this application.
Digitally signed by Michelle Fantauzzi
• Michelle Fan to u zz i DIN cn=Michelle Fantauzzi,o=WE Care Wellness,ou,email=mjruby56@msn.com,c=US
12/17/18
Applicant Signature: Date 2018.12 17 12 56 14-05'00' Date:
If applicant is not current owner, owner must also sign.
Digitally signed by Frank Hoerauf
Frank H o e ra u f DIN cn=Frank Hoerauf,o,ou,email=fhoeraufl@optonline.net,c=US
12/17/18
Owner Signature• Date 2018.12 17 12 59 26-05'00' Date:
City of Saratoga Springs p.2 of 2
Application for Special Use Permit