HomeMy WebLinkAbout20190172 Tait Lane Fill and Planting Application [FOR OFFICE USE1
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f. CITY OF SARATOGA SPRINGS
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�. t PLANNING BOARD• (Application#)
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City Hall-474 Broadway (Date received)
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C.) rr 44, Saratoga Springs, New York 12866-2296
` =-t. Tel:518-587-3550 fax:518-580-9480
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'I'O,R,K, http://www.saratoga-springs.org
APPLICATION FOR: (Rev: 16)
LAND DISTURBANCE ACTIVITY PERMIT
Project Name: Tait Lane Fill & Planting
1
Pro ert Address Location: 14 Tait Lane, Saratoga Springs Tax Parcel #; 165.0-2-6&7,165.0-2-4.12
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Al D-warehouse (for example:165.52-4-37)
Zoning District: Proposed Use: Placing fill,no impervious
Date of any existing Land Use Board approvals (if any):
APPLICANT(S)* OWNER(S) (If not applicant) ATTORNEY/AGENT
Name William McNeary IV VHB Engineering, Pat Mitchell
Address 29 Cady Hill B 100 Great Oaks Blvd.
Saratoga Springs, NY Albany, NY 12203
Phone 518-587-3700 518-389-3628
Email wjm@logisticsone.com pm itch ell@vh b.com
Identify primary contact person: 0 Applicant 0 Owner 8 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.
El Environmental Assessment Form:
All applications must include a completed SEQR Short or Long Form unless the project has already been given a"Negative
Declaration" SEQR Forms can be completed at http://www.dec.ny.gov/permits/6191.html.
ElA lication Fee: Total 582.50Fee = 500.00 er acre
pp $ $ , plus$25.00p
A check for the total amount payable to: "Commissioner of Finance" MUST accompany this application.
Q 3 hard copies(*I signed original)and one electronic copy(PDF) of complete application and ALL attachments (check box).
**HANDWRITTEN APPLICATIONS WILL NOT BE ACCEPTED**
•Plans: (3)copies: 24"x36".
Submission Deadline—Check City's website(www.saratoga-springs.org)for application deadlines and meeting dates.
Does any City officer, employee or family member thereof have a financial interest(as defined by General Municipal Law Section 809)
in this application?YES_ _NO_✓_. If YES, a statement disclosing the name, residence, nature and extent of this interest must
be filed with this application.
I,the undersigned owner or purchaser under contract for the property, hereby request land disturbance activity permit approval by
the Planning Board for the identified property above. I agree to meet all requirements under Section 240-7.3 of the Zoning
Ordinance 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.
12/13/18
Applicant Signature: y"' Date: _
If applicant is not currently the owner,the owner must also sign.
12/13/18
Owner Signature: Date: