HomeMy WebLinkAbout20181010 2018.102 McMahon Res_app handwrittenName
Address
APPLICANT(S)*
CITY OF SARATOGA SPRINGS
DESIGN REVIEW COMMISSION
0
City Hall - 474 Broadway
Saratoga Springs, New York 12866
Tel: 518-587-3550 x.5 15 fax: 518-580-9480
www.saratoga-springs.org
ARCHITECTURAL/ HISTORIC REVIEW APPLICATION
JFOR OFFICE USEI
(Application #)
(Date received)
OWNER(S) (If not applicant) ATTORNEY/AGENT
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Phone CItpt / 7)
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Identify primary contact personApplicant , Owner 0 Attorney/Agent
* An applicant must be the property owner, lessee, or one with an option to lease or purchase the property in question.
Applicant's interest in premises: `Owner 0 Lessee 0 Under option to lease or purchase
'—ProPROPERTY INFORMATION C l a D 1 co Sr, , —c—
Property
perty Address/Location: 1 (Ahi L G Alf Tax Par I
Current Zoning District:
Type of Review:
Ion U ef e---
0
❑ Architectural
(for example: /65.52 - 4 - 37)
Property use: 0 Residential 0 Non-residential/mixed-use
0 Historic 0 Extension/modification (of current approval)
Summary description of proposed action:
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Has a previousapplication been filedwith the DRC for this property?
Revised 03/2018
0 Yes - date(s)?
-App. No.(s)?
Request for extension of current approval
❑ Identify date of original DRC approval: Current expiration date: Org. App. No.
❑ Describe why this extension is necessary and whether any significant changes have occurred either on the site or in the neighborhood.
SEQR Environmental Assessment Form
❑ Applicants proposing the following must complete "Part I" of the SEQR Short Environmental Assessment Form (available here:
http://www.dec.ny.gov/docs/permits el operations_pdf/seafpartone.pdf):
- Construction or expansion of a multi -family residential structure (4 units +)
- Construction or expansion (exceeding 4,000 sq. ft. gross floor area) of a principal or accessory non-residential structure
- Telecommunications facility, radio antennae, satellite dishes
- Demolition
Disclosure
Does any City officer, employee or family member thereof have a financial interest (as defined by General Municipal Law
Section 809) in this application?
Wo 0 Yes - If yes, a statement disclosing the name, residence, nature, and extent of this interest must be filed with this
/application.
Certification
I/we, the property owner(s), or purchaser(s)/lessee(s) under contract, of the land in question, hereby request an appearance
before the Design Review Commission.
By the signature(s) attached hereto, I/we certify that the information provided within this application and accompanying
documentation is, to the best of my/our knowledge, true and accurate. I/we further understand that intentionally providing
false or misleading information is grounds for immediate denial of this application.
I/we hereby authorize the members of the Design Review Commission and designated City staff to enter the property
associated with this application for purposes of conducting any necessary site inspections relating to this application.
Furthermore, I/we agree to meet all requirements under Article VII for Historic Review or Article VIII for Architectural
Review of e . ning Code of the City of Saratoga Springs.
(app • . n signature) A
Date:
(applicant signature)
If applicant is not the currently the owner of the property, the current owner must also sign.
Owner Signature: Date:
Owner Signature: Date:
Revised 03/2018