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HomeMy WebLinkAbout20190417 ECS Psychological Medical Office Application ',FOR gEfijziEj_ia , oGd ,. Cir'OF SARATOGA SPRINGS liik ,,, '''' DESIGN REVIEW COMMISSION ---- -, A (Application#) :-/ 4ft-,) ik :-1 ,„ , . City Hall-474 Broadway i . ' , 16,,,,,,,,.,10 . -7 Saratoga Springs,New York I 2866 k-b,c, %.$•.:'-' ___. _ , ______ ,ufu,Tsnu Tel:5 I 8-587-3550 x.515 fax:518-580-9480 (Date received) wvvw.saratoga-springs.org ARCHITECTURAL/ HISTORIC REVIEW APPLICATION APPLICANT(S) 'Ow applicant) ATTORNEY/AGENT NameIVMINOL.00 CAL tz-s 4e 1° Address ZiO CdUC4 Iiiir iietecuz=469(2.tifkleTs ai Mk_ 6ter%6 Viai.fs.__ ___Iga Phone 6I '569- 42E026 / se - 204 -OZ6t6 . L Email .01 . - riSilirce% e -ticidslr-- - , , L. ,,....,,,*co. •Co afirictil&nectfinr. 6orri Identify primary contact person: 'Applicant 0 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: Erbwner 0 Lessee 0 Under option to lease or purchase PROPERTY INFORMATION Property Address/Location: et, C44(A) C(4 E5t- Tax Parcel #: 1(66` - 50 - 2;) - 0 (for example: /6552—4—37) Current Zoning District:laiti Property use: 0 Residential lNon-residentialimixed-use Type of Review: iArchitectural 0 Historic 0 Extension/modification (of current approval) Summary description of proposed action: Ni Niel bitePli CL, CDFriCS 0 laK Plz401... . —1"1:;) ' .,, ',id_'aar';*. 1 1..,-r- '-- • 6-4;gpiA'3i-guv40, iv -ITA4 tii-Tml,6 6471-AsivA,dte Has a previous application been filed with the DRC for this property? Er(lo 0 Yes—date(s)? -App. No.(s)? R.vised 0U2019 APPLICATION FEE (payable to "Commissioner of Finance"): Residential Structures (principal, accessory) $50 Non-residential I mixed-use structures (principal) $500 Residential approval—extension/mod $50 Non-residential signs, awnings, accessory structures $125 Non-residential mixed-use sketch $150 Non-residential approval—extension/mod $125 Demolition $350 A "complete" application consists of I hard co (original) ancm _ _ co of Hear° cation &ALL other materials as required below: New Construction Additions 'Color photographs showing site/exterior details of existing structures and adjacent properties iiirSite plan.drawn to scale,showing existing&proposed construction,property lines&dimensions, required&proposed setbacks&lot coverage,site features(fences,walks,trees,etc.); on no larger than 2.'xX sheet 7 smaller preferred if legibig • releNiation'drawings showing design of all sides of existing&proposed corisiructi&—label dimerisins,colors,materials, lighting(fixture &lamp type,wattage),etc.7 include compass bearing&scale; no larger than 2'x3'sheet—smaller permitted if legible aFloor plans for proposed structure on sheet no larger than 2'x3'—smaller permitted if legible 0 Product literature specifications and samples of proposed materials and colors • = .• . • Change in exterior building-materials (windows, doors, roof, siding, etc.), or color(in non-residential districts only) o Color photographs showing site/exteriordetails,of existing structures and that illustrate,affected features'. O Elevationdrawings showing all Sides of existing&proposed construction—label dimensions,colors,materials,lighting(fixture&lamp type,wattage), etc. -include compass bearing&scale; no larger than 2'x3' sheet—smaller permitted if legible 0 Product literature,specifications and samples of proposed materials and colors Within front yard setbacks in Historic Districts onl (Front sotbacksi UR--I &INcr-NTR=30%UR-4=25';UR-2,UR-3&NCUD-1----10') - Installation, removal or change in material of drive-and walkways - Installation or removal of architectural, sculptural or vegetative screening over 3' in height - Installation of accessory utility structures or radio/satellite transmission/reception devices (more than 2'diameter) For any of above: O Color photographs showing site/exterior details of existing structures,and of adjacent properties CI Site plan showing existing&proposed construction: include property lines&dimensions, required&proposed setbacks&lot coverage,site features(fences,walks,trees,etc.) street names,compass bearing&scale; no larger than 2'x3'sheet—smaller preferred if legible - 0 Product literature,specifications and samples of proposed materials and colors CI Color photographs showing site/exterior details of existing structures,and adjacent properties o Plan showing location of proposed sign/awning structure on building/premises: no larger than 11"x17" 0 Scaled illustration of proposed sign/awning structure and lettering(front-View&profile) include all dimensions of structure; type, dimensions and style of lettering or logo; description of colors, materials,mounting method and hardware 0 Descriptions,specifications of proposed lighting including fixture klanip type,wattage, mounting method,and location - o Product literature,specifications and samples of proposed materials and colors • • Demolition 0 Color photographs showing sitefexterior details of existing structures, and of adjacent properties O Site plan showing existing and any proposed structures-include dimensions,setbacks, street names,compass bearing,and scale O Written description of reasons for demolition and,in addition: O For structures of"architectural/historical significance",demonstrate"good cause"why structure cannot be preserved El For structures in an architectural district that might be eligible for listing on National Register of Historic Places,or for a contributing"structure in a National Register district(contact City staff), provide plans for site development following demolition- include a timetable and letter of credit for project completion Telecommunication facilities 0 Color photographs showing site/existing structures, and of adjacent properties 0 Site plan showing existing and proposed structures: include dimensions,setbacks,street names,compass bearing,and scale O Scaled illustration of proposed structures: include all dimensions; colors, materials, lighting, mounting details El Consult Article 240-12.22 of the City's Zoning Ordinance and City staff to ensure compliance with requirements for visual impact assessment and existing and proposed vegetative screening Revised 0112019 Request for extension of current approval 0 Identify date of original DRC approval: Current expiration date: Org.App. No. 0 Describe why this extension is necessary and whether any significant changes have occurred either on the site or in the neighborhood. SE IR Environmental Assessment Form Applicants proposing the following must complete "Part l"of the SEQR Short Environmental Assessment Form (available here: ly_t_tpv.dec.n ov/docs e tions. c_p_i_f/sRgpra artone.pd0: -Construction or expansion of a multi-family residential structure (4 units 4-) -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? (E/No 0 Yes- If yes, a statement disclosing the name, residence, nature, and extent of this interest must be filed with this application. Certification liwe, 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, liwe certify that the information provided within this application and accompanying documentation is,to the best of my/our knowledge, true and accurate. l/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, liwe 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. Date---46 (applicant signature) 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: RGvised 01/2019 - ' FOR OFFICE USE This aphas been reviewed by the Zoning Enforcement Officer and is being forwarded to the Commission.Signature: Date: Additional Comments: _. __ . _ . - _ _ _ _ _- '_ . _ _ - _ -_. - - . . . n�w=d01/2019 Short Environmental Assessment Form Part I -Project Information Instructions for Completing Part 1—Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1.You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1—Project and Sponsor Information Name of Action or Project: ECS Pshycological Services Project Location(describe,and attach a location map): 210 Church Street,Saratoga Springs NY Brief Description of Proposed Action: Reconstruction and expansion of existing building that was damaged by fallen tree. Name of Applicant or Sponsor: Telephone: 518-580-0520 ji ECS Psychological Services dr.christopher-sisk@ecspshycological.corn Address: 210 Church Street City/PO: State: Zip Code: Saratoga Springs New York 12866 . Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that Z El may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other government Agency? NO YES If Yes,list agency(s)name and permit or approval:City Planning&Zoning,City Building Permit 111 3. a.Total acreage of the site of the proposed action? 0.139 acres b.Total acreage to be physically disturbed? 0.005 acres c. Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.139 acres _ . . 4. Check all land uses that occur on,are adjoining or near the proposed action: 5. Un Urban El Rural(non-agriculture) 0 Industrial Commercial Residential(suburban) 0 Forest El Agriculture Aquatic Other(Specify): Parkland Page 1 of 3 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? El El b. Consistent with the adopted comprehensive plan? 11 El NO YES 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? El 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: El El NO YES 8. a. Will the proposed action result in a substantial increase in traffic above present levels? PT b. Are public transportation services available at or near the site of the proposed action? 17 :If c. Are any pedestrian accommodations or bicycle routes available on or near the site of the proposed 7 El action? 9. Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: Fl 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: nn 11. Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: E El 12. a.Does the project site contain,or is it substantially contiguous to,a building,archaeological site,or district NO YES which is listed on the National or State Register of Historic Places,or that has been determined by the Commissioner of the NYS Office of Parks,Recreation and Historic Preservation to be eligible for listing on the State Register of Historic Places? b.Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for El archaeological sites on the NY State Historic Preservation Office(SHP0)archaeological site inventory? 13. a. Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: Page 2 of 3 14. Identify the typical habitat types that occur on,or are likely to be found on the project site.Check all that apply: El Shoreline Forest 0 Agricultural/grasslands El Early mid-successional El Wetland 10 Urban 0 Suburban 15. Does the site of the proposed action contain any species of animal,or associated habitats,listed by the State or NO YES Federal government as threatened or endangered? 16. Is the project site located in the 100-year flood plan'? NO gin Ei 17. Will the proposed action mate storm water discharge,either from point or non point sourNO YES If Yes, El El a. Will storm water discharges flow to adjacent properties? El b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? 7117 If Yes,briefly describe: 18. Does the proposed action include construction or other activities that would result in the impoundment of water NO YES or other liquids(e.g.,retention pond,waste lagoon,dam)? If Yes,explain the purpose and size of the impoundment: E1 19. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste NO YES management facility? If Yes,describe: 20 Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed) for hazardous waste? If Yes,describe: El El I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor/ e: Ethan Hall- itect\Agent for the Applicant Date: 5 April 2019 Signature: Title:ArchitectiAgent for the Applicant PRINT FORM Page 3 of 3 EAF Mapper Summary Report Tuesday, April 16, 2019 12:38 PM Disclaimer: The EAF Mapper is a screening tool intended to assist k. :r•=2} project sponsors and reviewing agencies in preparing an environmental x.. :- assessment form( AF).Not all questions asked in the EAF are answered by the EAF Mapper,Additional information on any EAF , - _ question can be obtained by consulting the EAF Workbooks. Although the EAF Mapper provides the most up-to-date digital data available to ._ _ -- ��` -' `-1 DEC,you mayalso need to contact lc l or other data sources in order — to obtain data not provided by the Mapper.Digital data is not a substitute for agency determinations. t 65.50-3-1 - �t # i TN -t �,�x.n � 1_.. II Sa 1 tom.. S`;: ig \1655o313x .: , ._..-.-, 165.50-3-7 165.50-3-43 �s, Tare . - i l - dµ!140 1 o f - kali A octal f 165.50- ii i - ... i _ _ 1 �., i - __r I, � - In map :INCREMENT r- _ - .��. t a all,M T], ri Nna a n 1 rt ),- Srl i `,' i:.; ''S �: ' ,. ,Garmin, -- s i � '' r r t ttlEN T �� .� f 165.50-3-6�#� '�.� � ���� + r� ��� Q':1„..1.1",.2-1.11..4g, i ;� o�.��rtli7w�a ` �ti 4�i��:�,INC` L.:. 1 65.50 - 165.5 0`......-‘, l rt r ..h.:, 1_,_.- r5, :fleF 11,51nCert,Esri Japan,MET'. S ;i Us a 1:Cr.,,m4nity 1 - wair Part 1 1 Question 7 [Critical Environmental No Area] Part 1 1 Question 12a [National or State ,Yes Register of Historic Places or State Eligible Sites] Part 1 /Question 12b [Archeological Sites] Yes Part 1 /Question 13a [Wetlands or Other No Regulated 11 terbodies] Part 1 /Question 15(Threatened or No Endangered Animal] Part 1 /Question 16 [100 Year Flood Plain] Digital mapping data are not available or are incomplete. Refer to EAF Workbook. Part 1 /Question 20 [Remediation Site] No * t Short Environmental Assessment Form - EAF Mapper Summary Report i