HomeMy WebLinkAbout20210539 695 North Broadway Fence Application `s,. tOc..` sf�. CITY OF SARATOGA SPRINGS (Application#)
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DESIGN REVIEW COMMISSION
� '' CITY HALL-474 BROADWAY (Date received)
`> SARATOGA SPRINGS, NEW YORK 12866-2296
TEL: 518-587-3550 X2533
NcbRpORaTEO
www.saratoga-springs.org (Project Title)
APPLICATION FOR:
ARCHITECTURAL/HISTORIC REVIEW Staff Review
APPLICANTS)* OWNER(S) (lfnotapplicant) ATTORN AGENT.j
Name 1719/! 240 ,,,xv 4ht..e., 24,ytie 4 ' '
Address
Phone 5'15 /,5z57 •-57 Q / /
Email
Identify primary contact person: Pik"pplicant 0 Owner 0 Attorn Agen
*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: 0 Owner 0 Lessee 0 Under option to lease or purchase
PROPERTY INFORMATION ,i // ` r
Property Address/Location: Ce 9� !Id 01 A h n c0,pJc�ic�A y/ Tax Parcel #: . - / - C`
(for example: 165.52-4-37)
Date Acquired by Owner: (, /,
19
Current Zoning District: . 4'.0/?•-/ Property use: tit esidential 0 Non-residential/mixed-use
Type of Review: 0 Architectural lidlistoric 0 Extension/modification (of current approval)
Summary description of proposed action: ejo „,,,a 4_ .24.64V. to-kYe agoetAil
64/44.0 , 0/Y1 Ltd L°1 -tt —� ' KC 61641.0
61,04. f� ¢.� le Cit('
i-des-442z."--4
tth, fri--("917
Has aprevious application been filed with the DRC for this property? 0 No Yes-date(s)?
-App. No.(s)?
Request for extension of current approval App. No.
❑ Identify date of original DRC approval: Current expiration date: Org.
❑ 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 aw
Section 809) in this application?
[A No 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 the Zoning Code of the City of Saratoga Springs.
f Date: (i.t / 202
(applicant signature
/ ,t., _'`, Ar...,, ..,,i Date: . . /�/i-bori
(applicant ignatur,
If applicant is not the cuf rently the owner of the property,the current owner must also sign.
Date:
Owner Signature:
Date:
Owner Signature:
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