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Home My WebLink About20260074 110 Adams St Area Variance Revised Application 2.13.2026Revised 01/2021 APPLICATION FOR: INTERPRETATION, USE VARIANCE, AREA VARIANCE AND/OR VARIANCE EXTENSION APPLICANT(S)* OWNER(S) (If not applicant) ATTORNEY/AGENT Name Address Phone / / / Email *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 the premises: Owner Lessee Under option to lease or purchase PROPERTY INFORMATION 1.Property Address/Location: Tax Parcel No.: ________.______ - ______ - ______ (for example: 165.52 – 4 – 37 ) 2. Date acquired by current owner:3.Zoning District when purchased: 4. Present use of property:5.Current Zoning District: 6. Has a previous ZBA application/appeal been filed for this property? Yes (when? For what? ) No 7. Is property located within (check all that apply)?:  Historic District Architectural Review District 500’ of a State Park, city boundary, or county/state highway? 8. Brief description of proposed action: Yes No Yes No 9.Is there an active written violation for this parcel? 10.Has the work, use or occupancy to which this appeal relates already begun? 11.Identify the type of appeal you are requesting (check all that apply): INTERPRETATION (p. 2)  VARIANCE EXTENSION (p. 2)  USE VARIANCE (pp. 3-6)  AREA VARIANCE (pp. 6-7) Applicant Owner Attorney/AgentPrimary Contact Person: **HANDWRITTEN APPLICATIONS WILL NOT BE ACCEPTED** [FOR OFFICE USE] _______________ (Application #) ____________ (Date received) __________________________ (Project Title) Check if PH Required Staff Review _______________ CITY OF SARATOGA SPRINGS ZONING BOARD OF APPEALS CITY HALL - 474 BROADWAY SARATOGA SPRINGS, NEW YORK 12866-2296 TEL: 518-587-3550 X2533 www.saratoga-springs.org Revised 01/2021 ZONING BOARD OF APPEALS APPLICATION FORM PAGE 2 INTERPRETATION – PLEASE ANSWER THE FOLLOWING (add additional information as necessary): 1.Identify the section(s) of the Zoning Ordinance for which you are seeking an interpretation: Section(s) 2.How do you request that this section be interpreted? 3.If interpretation is denied, do you wish to request alternative zoning relief?  Yes No 4.If the answer to #3 is “yes,” what alternative relief do you request?  Use Variance  Area Variance EXTENSION OF A VARIANCE – PLEASE ANSWER THE FOLLOWING (add additional information as necessary): 1.Date original variance was granted: ________________2. Type of variance granted?  Use  Area 3.Date original variance expired: ____________________ 5.Explain why the extension is necessary. Why wasn’t the original timeframe sufficient? When requesting an extension of time for an existing variance, the applicant must prove that the circumstances upon which the original variance was granted have not changed. Specifically demonstrate that there have been no significant changes on the site, in the neighborhood, or within the circumstances upon which the original variance was granted: Appraisal Assumptions: Revised 01/2021 ZONING BOARD OF APPEALS APPLICATION FORM PAGE 3 USE VARIANCE – PLEASE ANSWER THE FOLLOWING (add additional information as necessary): A use variance is requested to permit the following: For the Zoning Board to grant a request for a use variance, an applicant must prove that the zoning regulations create an unnecessary hardship in relation to that property. In seeking a use variance, New York State law requires an applicant to prove all four of the following “tests”. 1.That the applicant cannot realize a reasonable financial return on initial investment for any currently permitted use on the property. “Dollars & cents” proof must be submitted as evidence. The property in question cannot yield a reasonable return for the following reasons: A.Submit the following financial evidence relating to this property (attach additional evidence as needed): 1) Date of purchase:Purchase amount: $ 2) Indicate dates and costs of any improvements made to property after purchase: Date Improvement Cost 3) Annual maintenance expenses: $4) Annual taxes: $ 5) Annual income generated from property: $ 6) City assessed value: $ Equalization rate: Estimated Market Value: $ 7) Appraised Value: $ Appraiser: Date: Revised 01/2021 ZONING BOARD OF APPEALS APPLICATION FORM PAGE 4 B.Has property been listed for sale with Yes If “yes”, for how long? _______________________________ the Multiple Listing Service (MLS)?No 1) Original listing date(s): Original listing price: $ If listing price was reduced, describe when and to what extent: 2) Has the property been advertised in the newspapers or other publications?Yes No If yes, describe frequency and name of publications: 3) Has the property had a “For Sale” sign posted on it?  Yes No If yes, list dates when sign was posted: 4) How many times has the property been shown and with what results? 2.That the financial hardship relating to this property is unique and does not apply to a substantial portion of the neighborhood. Difficulties shared with numerous other properties in the same neighborhood or district would not satisfy this requirement. This previously identified financial hardship is unique for the following reasons: Revised 01/2021 ZONING BOARD OF APPEALS APPLICATION FORM PAGE 5 3.That the variance, if granted, will not alter the essential character of the neighborhood. Changes that will alter the character of a neighborhood or district would be at odds with the purpose of the Zoning Ordinance. The requested variance will not alter the character of the neighborhood for the following reasons: 4.That the alleged hardship has not been self-created. An applicant (whether the property owner or one acting on behalf of the property owner) cannot claim “unnecessary hardship” if that hardship was created by the applicant, or if the applicant acquired the property knowing (or was in a position to know) the conditions for which the applicant is seeking relief. The hardship has not been self-created for the following reasons: Revised 01/2021 ZONING BOARD OF APPEALS APPLICATION FORM PAGE 6 AREA VARIANCE – PLEASE ANSWER THE FOLLOWING (add additional information as necessary): The applicant requests relief from the following Zoning Ordinance article(s) Dimensional Requirements District Requirement Requested Other: To grant an area variance, the ZBA must balance the benefits to the applicant and the health, safety, and welfare of the neighborhood and community, taking into consideration the following: 1.Whether the benefit sought by the applicant can be achieved by other feasible means. Identify what alternatives to the variance have been explored (alternative designs, attempts to purchase land, etc.) and why they are not feasible. 2.Whether granting the variance will produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. Granting the variance will not create a detriment to nearby properties or an undesirable change in the neighborhood character for the following reasons: Revised 01/2021 ZONING BOARD OF APPEALS APPLICATION FORM PAGE 7 3.Whether the variance is substantial. The requested variance is not substantial for the following reasons: 4.Whether the variance will have adverse physical or environmental effects on neighborhood or district. The requested variance will not have an adverse physical or environmental effect on the neighborhood or district for the following reasons: 5.Whether the alleged difficulty was self-created (although this does not necessarily preclude the granting of an area variance). Explain whether the alleged difficulty was or was not self-created: Revised 01/2021 ZONING BOARD OF APPEALS APPLICATION FORM PAGE 8 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?  No  Yes If “yes”, a statement disclosing the name, residence and nature and extent of this interest must be filed with this application. APPLICANT 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 Zoning Board of Appeals. 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. Furthermore, I/we hereby authorize the members of the Zoning Board of Appeals and designated City staff to enter the property associated with this application for purposes of conducting any necessary site inspections relating to this appeal. Date: (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: Revised 01/2021 INSTRUCTIONS APPEAL TO THE ZONING BOARD FOR AN INTERPRETATION, USE VARIANCE, AREA VARIANCE AND/OR VARIANCE EXTENSION APPLICATION REQUIREMENTS 1.ELIGIBILITY: To apply for relief from the City’s Zoning Ordinance, an applicant must be the property owner(s) or lessee, or have an option to lease or purchase the property in question. The Zoning Board of Appeals (ZBA) shall not accept any application for appeal that includes a parcel which has a written violation from the Zoning and Building Inspector that is not the subject of the application. 2.COMPLETE SUBMISSIONS: Applicants are encouraged to work with City staff to ensure a complete application. The ZBA will only consider properly completed applications that contain 1 original and 1 digital version of the following: Completed application pages 1 and 8, the pages relating to the requested relief (p. 2 for interpretation or extension, pp. 3-5 for use variance, pp. 6-7 for area variance), and any additional supporting materials/ documentation. **HANDWRITTEN APPLICATIONS WILL NOT BE ACCEPTED** Completed SEQR Environmental Assessment Form – short or long form as required by action. http://www.dec.ny.gov/docs/permits_ej_operations_pdf/seafpartone.pdf Detailed “to scale” drawings of the proposed project – folded and no larger than 24”x 36”. Identify all existing and proposed structures, lot boundaries and dimensions, and the relationship of structures to the lot dimensions. Also, include any natural or manmade features that might affect your property (e.g., drains, ponds, easements, etc.). Photographs showing the site and subject of your appeal, and its relationship to adjacent properties. 3.APPLICATION FEE (NON-REFUNDABLE): Make checks payable to the "Commissioner of Finance”. REFER TO THE CURRENT FEE WORKSHEET INCLUDED IN THIS DOCUMENT. Check City’s website (www.saratoga-springs.org) for meeting dates. CITY OF SARATOGA SPRINGS ZONING BOARD OF APPEALS City Hall - 474 Broadway Saratoga Springs, New York 12866 Tel: 518-587-3550 X2533www.saratoga-springs.org Revised 01/2021 ZONING BOARD APPEAL APPLICATION INSTRUCTIONS PAGE 2 PUBLIC HEARING ADVERTISEMENT The Zoning Board of Appeals is required to hold a public hearing on each submitted application within ninety (90) days from when it is determined to be properly complete by City staff. City staff will prepare a legal notice for the public hearing and arrange to have the public hearing announcement printed in the legal notice section of a local publication at least 5 days before the hearing. PROPERTY OWNER NOTIFICATION Applicants are required to mail a copy of the public hearing legal notice to all property owners within the following distances from the boundaries of the land in question: Type of variance Distance for property owner notification Use variance 250 feet Area variance & Interpretation 100 feet This notice must be sent at least 7 days but not more than 20 days before the date of the public hearing. City staff will email a copy of the “property owner notification letter” to the applicant. The applicant must then send the notification letter to the nearby property owners. Applicants may not include any other materials in this mailing. The mailing must be certified by the U.S. Post Office. Prior to the public hearing, applicants must present the Post Office “certificates of mailing” to the ZBA. If “certificates of mailing” are not presented prior to the hearing, the hearing will be cancelled. 6 VICINITY MAP AND AT CENTERLINE POUND, NUMBER AIR CONDITIONING ACOUSTICAL ACOUSTICAL CEILING TILE ADDITION ADJACENT ABOVE FINISHED FLOORS AIR HANDLING UNITS ALTERNATE ALUMINUM ANCHOR ANGLE ANODIZED APPROXIMATE ARCHITECT ASSOCIATED BOTTOM BALLED AND BURLAPPED BOTTOM OF BOARD BITUMINOUS BUILDING LINE BUILDING BLOCK(ING) BEAM BENCH MARK BEARING BRICK BASEMENT BUILT-UP ROOFING CABINET CALIPER CATCH BASIN CEILING DIFFUSER CEMENT CUBIC FEET PER MINUTE CORNER GUARD CAST IRON CONTROL JOINT CEILING CLEAR CONCRETE MASONRY UNIT CLEAN OUT COLUMN CONCRETE CONNECTION CONSTRUCTION CONTINUOUS CONTRACT(OR) CARPET CEILING REGISTER CERAMIC TILE CENTER CONDENSING UNIT CABINET UNIT HEATER" CUSPIDOR COLD WATER DOUBLE DETAIL DRINKING FOUNTAIN DIAMETER DIMENSION & @ # A/C ACOUS ACT ADDN ADJ AFF AHU ALT AL ANCH ANG ANOD APPROX ARCH ASSOC BOT B&B B.O. BD BIT BL BLDG BLK'G BM BM BRG BRK BSMT BUR CAB CAL CB CD CEM CFM CG CI CJ CLG CLR CMU CO COL CONC CONN CONST CONT CONTR CPT CR CT CTR CU CUH CUSP CW DBL DET DF DIA DIM DISPENSER DEAD LOAD DRAINAGE MANHOLE DOWN DISTRIBUTION PANEL DOOR DOWNSPOUT DRAWING EAST EACH EPOXY FLOORING EXTERIOR INSULATION FINISH SYSTEM EXPANSION JOINT ELEVATION ELECTRICAL EMERGENCY ENCLOSURE ENGINEER ELECTRICAL PANEL" ETHYlENE PROPYLENE DIENE MONOMER EQUAL EQUIPMENT ELECTRIC WATER COOLER ELECTRIC WATER HEATER EXHAUST EXISTING EXPANSION EXTERIOR FIRE ALARM FIRE ALARM CONTROL PANEL FLOOR DRAIN FOUNDATION FIRE EXTINGUISHER FIRE EXTINGUISHER CABINET FINISHED FLOOR FINISHED GRADE FIRE HOSE CABINET FINISH(ED) FIXTURE FLOW LINE FLASHING FLOOR(ING) FLUORESCENT FACE OF FIREPROOF FIRE PROOF FIBER REINFORCED PANEL FLOOR SINK FOOT, FEET FOOTING FURNISH(ED) FURRING FABRIC WALL COVERING GAUGE, GAGE GALVANIZED GENERAL CONTRACTOR GROUND FAULT INTERRUPTER GYPSUM HOSE BIBB HOLLOW CORE HARDWOOD DISP DL DMH DN DP DR DS DWG E EA EF EIFS EJ EL ELEC EMERG ENCL ENGR EP EPDM EQ EQUIP EWC EWH EXH EXIST EXP EXT FA FACP FD FDN FE FEC FF FG FHC FIN FIXT FL FLASH FLR(G) FLUOR FO FP FPR FR FS FT FTG FURN FRR FWC GA GALV GC GFI GYP HB HC HDWD HARDWARE HEIGHT HIGH INTENSITY DISCHARGE HOLLOW METAL HORIZONTAL HEAT, VENT, A/C HOT WATER INSIDE DIAMETER INCH INCANDESCENT INCLUDE (D) (ING) INSULAT(ED)(ION) INTERIOR INVERT JUNCTION BOX JOINT KIP (1,000 POUNDS) KIP FEET LAMINATED LAVATORY POUND(S) LEAD COATED COPPER LINEAR FEET LEFT HAND LIVE LOAD LONG LEG HORIZONTAL LONG LEG VERTICAL LIGHTING PANEL LIGHT (ING) LIGHTWEIGHT MASONRY MAXIMUM MAIN DISTRIBUTION PANEL MECHANICAL MEDIUM MEMBRANE METAL MANUFACTURER MANHOLE MINIMUM MISCELLANEOUS MASONRY OPENING MOUNTED NORTH NOT IN CONTRACT NUMBER NOMINAL NOT TO SCALE ON CENTER(S) OUTSIDE DIAMETER OPEN ITEM OPENING OPPOSITE OUNCE PROJECT ARCHITECT POUNDS PER CUBIC FOOT PERFORATED HDWR HGT HID HM HORIZ HVAC HW ID IN INCAND INCL INSUL INT INV JB JT K K-FT LAM LAV LB(S) LCC LF LH LL LLH LLV LP LT(G) LTWT MAS MAX MDP MECH MED MEMB MTL MFR MH MIN MISC MO MTD N NIC NO. NOM NTS OC OD OI OPG OPP OZ PA PCF PERF PLATE PLASTIC LAMINATE PLASTER PLUMBING POUNDS PER LINEAR FOOT PLYWOOD PANEL POLISH(ED) POWER PANEL PAIR PROJECT PARTITION POUNDS PER SQUARE FOOT POUNDS PER SQUARE INCH POINT PAINTED PLUMBING VENT POLYVINYL CHLORIDE PAVEMENT QUARRY TILE QUANTITY RADIUS RUBBER BASE REFLECTED CEILING PLAN ROOF DRAIN REFER RECEPTACLE REFERENCE REINFORCE (D) (ING) REQUIRED RESILIENT REVISIONS, REVISED ROOFING RIGHT HAND ROOM ROUGH OPENING RIGHT OF WAY RESTROOM ROOF TOP UNIT RAIN WATER LEADER ROOF VENT SOUTH SANITARY SUSPENDED ACOUSTICAL TILE SOLID CORE SCHEDULE STORM DRAIN SECTION SERVICE SQUARE FEET SHEET SIMILAR SANITARY MANHOLE SPRAY ON VINYL SPECIFICATIONS SQUARE SOLID SURFACE STAINLESS STEEL STANDARD STEEL STORAGE STRUCTURAL SUSPENDED SYMMETRICAL SYSTEM PL PLAM PLAS PLBG PLF PLYWD PNL POL PP PR PROJ PRTN PSF PSI PT PTD PV PVC PVMT QT QTY R RB RCP RD RE RECPT REF REINF REQ RESIL REV RFG RH RM RO ROW RR RTU RWL RV S SAN S.A.T. SC SCHED SD SECT SERV SF SHT SIM SMH SOV SPEC SQ SS SSTL STD STL STOR STRUCT SUSP SYM SYST TREAD TOP OF TONGUE AND GROOVE TELEPHONE TEMPERATURE, TEMPERED THICK THRESHOLD THE NEENAN COMPANY TOILET PARTITION TRANSISTION STRIP TYPICAL TELEVISION UNDERGROUND UNIT HEATER UNLESS NOTED OTHERWISE UNFINISHED ULTRA VIOLET VINYL COMPOSITION TILE VERTICAL VENTILATOR VERIFY IN FIELD VINYL WALL COVERING WEST WITH WITHOUT WATER CLOSET WOOD WATER HEATER WATERPROOF WORK POINT WATER RESISTANT WAINSCOT WEIGHT WATER VALVE WELDED WIRE FABRIC YARD T T.O. T&G TEL TEMP THK THRES TNC TP TS TYP TV UG UH UNO UNFIN UV VCT VERT VENT VIF VWC W W/ W/O WC WD WH WP WPT WR WSCT WT WV WWF YD CODE & ZONING DATA DRAWING INDEX ABBREVIATIONS 1 Room DETAIL SECTION DOOR NUMBER WINDOW NUMBER WALL TYPE COLUMN GRID REVISION ROOM NAME & NUMBER LEVEL GRAPHIC SYMBOLS ELEVATION 101A A A A1.01 1 SIM 1 A1 A3 A2A4A101 PROJECT SITE LOCATION A1.01 1 SIM EL 0'-0" ?KEYNOTE01.01 ZONING Municipality:City of Saratoga Springs Zoning Classification:UR-2 -Urban Residential Tax Parcel No:** 179.21-2-28 & 179.21-2-52 Permitted Provided Maximum Height:40 FT 25 FT Minimum Lot Size: 6,600 SF 12,550 SF Minimum Lot Width:60 FT 100 FT Maximum Building Coverage:40%28 % Max 1st Floor Elevation:4 FT 2.25 FT Minimum Yard Dimensions: Front:10 FT * 5.7 FT Rear: 25 FT 33.5 FT Interior Side: 8 FT 15.9 FT Interior Corner: 10 FT * 9.0 FT Minimum Permeable:30%60 % * Existing Non-conforming condition to remain ** Tax Parcels combined and lot line adjustment by City of Saratoga Springs Planning Board NOD #20230862 dated 11/21/23. BUILDING CODES Applicable Code(s):RCNYS 2020 Occupancy Classification:Single Family RCNYS Section AJ501 Level 1 Alterations Permitted Provided Construction Type:All NFPA Type 5a Number of Stories:NR 2 Building Height:NR 25.25 FT Square Footage 1st Floor:NR 3,133 SF Square Footage 2nd Floor:NR 669 SF Square Footage Basement:NR 951 SF Number of Bedrooms:NR 4 Water:Public/Private Municipal Sewer:Public/Private Municipal Gas:NR Municipal Sprinklers:≥3 Stories NR Smoke/CO Detection:Required Provided GENERAL NOTES 1. Construction shall conform to the latest edition of the Residential Code of New York State (RCNYS) and the Energy Conservation Construction Code of New York State, with possible modification by local code administration. 2. In the event of conflict between pertinent codes and regulations and referenced standards of these drawings and specifications, the more stringent provisions shall govern. 3. Contractor shall be responsible for all materials, construction methods, craftsmanship, procedures and conditions (including safety). 4. Contractor is responsible for stabilization of existing structure during construction. 5. Contractor shall verify all existing conditions, requirements, notes, and dimensions shown on Drawings or noted in Specifications. Any variances within drawings and Specifications, or with conditions encountered at job site, shall be reported in writing to Charette Associate Architects, P.C. (CAA) before commencement of any work affected by such variance. 6. Existing topographic site data is not available to the Architect. Contractor shall field verify topographic data and adjust any indicated vertical control dimensions as required. Final grading shall pitch storm drainage away from any structures on the site. 7. Contractor shall rigidly adhere to all laws, codes, and ordinances, which apply to this work. Contractor shall notify and receive written clarification from CAA of any variations between contract documents and governing regulations. 8. The Contractor shall make no structural changes without written approval of CAA. 9. CAA has not been engaged for construction services and assumes no responsibility for construction conformance, means, methods, techniques or procedures of on-site work relating to the construction plans. CAA assumes no responsibility for unauthorized deviations from the drawings. 10. All manufactured materials, components, fasteners, assemblers, etc., shall be handled and installed in accordance with manufacturer's instructions and provisions of applicable industry standards. Where specific manufactured products are called for, generic equals that meet applicable standards and specifications may be used. 11. All materials used to be selected and installed in accordance with state, federal, national and local codes and installed in accordance with manufacturers recommended installation procedures. 12. Construction loads shall not overload structure nor shall they be in excess of design loadings indicated herein. 13. Drawings and specifications are intended to provide the basis for the proper completion of the Project suitable for the intended use of the Owner. 14. Items not expressly set forth but which are reasonably implied or necessary for the proper performance of this work shall be included. 15. Comply with applicable codes, regulations, ordinances and requirements of authorities having jurisdiction. Submit copies of inspection reports, notices and similar documents to Architect. 16. Provide products of acceptable manufacturers, which have been in satisfactory use in similar service for three years. Use experienced installers. 17. Furnish evidence of experience if requested. 18. Deliver, handle, and store materials in strict accordance with manufacturer's instructions. 19. Inspect substrates and report unsatisfactory conditions in writing. 20. Do not proceed until unsatisfactory conditions have been corrected. 21. Take field measurements prior to fabrication where practical. Form to required shapes and sizes with true edges, lines and angles. Provide inserts and templates as needed for work of other trades. 22. Install materials in exact accordance with manufacturer's instructions and approved submittals. 23. Install materials in proper relation with adjacent construction and with proper appearance. 24. Do not scale drawings. Use dimensions as indicated for all locations. 25. Deviations from these drawings which are not performed with prior written consent from the architect are solely at the contractor's risk and he shall accept fully liability for same. Note: Rendering is representational and is not fully indicative of final design 6 D C B A 3 54321 654321 REVISIONS: Architects, P.C. Designed By: CHARETTE ASSOCIATES Notice: The drawings, plans, specifications and designs contained herein are and shall remain the exclusive property of Charette Associates Architects, P.C., and cannot be altered, copied, duplicated or used directly or indirectly in whole or in part except with the express written permission of Charette Associates Architects, P.C. Copyright 2025 PROJECT DESIGNED DRAWN DRAWING TITLE SEAL CHECKED APPROVED DATE PROJECT NO. SCALE DRAWING NO. Gansevoort, New York Phone (518) 265-2628 Fax (518) 581-0530 12" = 1'-0" FACADE MODIFICATIONS & GARAGE ADDITION 110 Adams Street Saratoga Springs, New York TITLE SHEET T-100 2318LA LA LA JC 4/11/25 SHEET NO.DRAWING NAME C-101 SITE PLAN AD-101 REMOVALS S-101 FOUNDATION PLAN S-102 FRAMING PLANS S-103 FRAMING PLANS S-201 STRUCTURAL NOTES & DETAILS A-101 FIRST FLOOR PLAN A-102 SECOND FLOOR PLAN A-103 ROOF PLAN A-201 ELEVATIONS A-301 SECTIONS A-401 WALL SECTIONS & DETAILS A-501 DETAILS & SCHEDULES A-801 MATERIAL SPECIFICATIONS CB CB SAN.MH. Ad a m s S t r e e t Steele Street 1/2"IR. 1/2"IR. CAPPED 1/2"IR. CAPPED N02°53'11"E 100.00' 7.50' 7.50' S87°06'49"E 125.50' N02°53'11"E 100.00' S0 2 ° 5 3 ' 1 1 " W 1 0 0 . 0 0 ' N87°06'49"W 125.50' 118.00' 118.00' n/f Tory Cameron & Julianna Cerza Inst. #2017020842 n/f Christopher Walsh Inst. #2021045752 n/f Tory Cameron Inst. #2021045753 Corner Side Setback 10 . 0 ' Rear Setback 25.0' Si d e S et b a c k 8. 0 ' Front Setback 10.0'Costello TM #179.21-2-28 11,800 sq.ft or 0.271 ac. New Area= 12,550 s.f. or 0.288 ac. Costello TM #179.21-2-52 750 sq.ft or 0.017 ac. Exist'g Porch Exist'g 1-Story Wood Framed Dwelling 2-Story Wood Framed Addition 1-Story Wood Framed Connector OverBuild Roof Exist'g Egress Well Exist'g A/C Unit Gas Meter Exist'g Elec. Meter Exist'g. Wood Step & Porch Exist'g Concrete Pad Remove Exist'g Asphalt Drive & Seed Exist'g Fence X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 9.0' Exist'g Gate Exist'g Retaining Wall Exist'g Patio Relocate Exist'g Pump House as Required Exist'g Shed Replace Exist'g Asphalt Drive Exist'g Conc. Walk Replace Exist'g Concrete Steps Asphalt DrivewayConc. Walk Re c o r d N o r t h Pe r f i l l e d m a p M 2 0 2 1 1 7 5 5. 7 ' 69.1' 33 . 5 ' 25.0' 21.0' From Wall 9.0' 18.0' 6 .0 ' R 3.5' R 6 .5 ' R 2.0 ' R 14.0'16.6' 18.1' 11 . 9 ' SURVEY INFORMATION: SITE INFORMATION FROM SURVEY CONDUCTED BY THOMPSON FLEMMING LAND SURVEYORS P.C., TITLED LOT LINE ADJUSTMENT FOR JAMES J. COSTELLO, DATED 6/12/2023. TAX MAPS #179.21-2-28 & #179.21-2-52 DEED REFERENCE: 1. JAMES J. COSTELLO, JR. INST. #2011034766 2. JAMES J. CONTELLO INST. #2021045755 MAP REFERENCES: 1. "MAP OF LANDS COLE, KELLOGG & SMITH" MADE BY A. GARNSEY, C.E. DATED DEC. 1853 FILED IN THE SARATOGA COUNTY CLERK'S OFFICE AS CARD 2 POCKET 3 FOLDER 3. 2. "EXTRACT FROM THE MAP AND SURVEY MADE FOR A.A. KELLOGG, E.W. COLE AND J.L. SMITH" BY A. GARNSEY, C.E., DECEMBER 1853 "SHOWING THE PROPERTY OF THE JOHN COX ESTATE" FILED IN THE SARATOGA COUNTY CLERK'S OFFICE IN MAP FILE NUMBER AA-42. 3. "CRESCENT STREET RESIDENTIAL DEVELOPMENT" DATED JULY 1, 2020, LAST REVISED 5/24/21 PREPARED BY THOMPSON- FLEMING LAND SURVEYORS, P.C. FILED IN THE SARATOGA COUNTY CLERK'S OFFICE AS MAP M2021175. NOTES: 1. TAX PARCELS ID #179.21-2-28 & 52 COMBINED AND LOT LINE ADJUSTMENT APPROVED BY THE CITY OF SARATOGA SPRINGS PLANNING BOARD -NOTICE OF DECISION #20230862, DATED NOVEMBER 21, 2023. 2. ALL SETBACK DIMENSIONS ARE MEASURED FROM THE EDGE OF THE ROOF EAVES AND OVERHANGS. 6 D C B A 3 54321 654321 REVISIONS: Architects, P.C. Designed By: CHARETTE ASSOCIATES Notice: The drawings, plans, specifications and designs contained herein are and shall remain the exclusive property of Charette Associates Architects, P.C., and cannot be altered, copied, duplicated or used directly or indirectly in whole or in part except with the express written permission of Charette Associates Architects, P.C. Copyright 2025 PROJECT DESIGNED DRAWN DRAWING TITLE SEAL CHECKED APPROVED DATE PROJECT NO. SCALE DRAWING NO. Gansevoort, New York Phone (518) 265-2628 Fax (518) 581-0530 As indicated FACADE MODIFICATIONS & GARAGE ADDITION 110 Adams Street Saratoga Springs, New York SITE PLAN C-101 2318LA LA LA JC 4/11/25SCALE:1" = 10'-0" SITE PLANA1 1 2/10/26 Revise Site Plan Oreintation 1 1 CB CB SAN.MH. Ad a m s S t r e e t Steele Street 1/2"IR. 1/2"IR. CAPPED 1/2"IR. CAPPED N02°53'11"E 100.00' 7.50' 7.50' S87°06'49"E 125.50' N02°53'11"E 100.00' S0 2 ° 5 3 ' 1 1 " W 1 0 0 . 0 0 ' N87°06'49"W 125.50' 118.00' 118.00' n/f Tory Cameron & Julianna Cerza Inst. #2017020842 n/f Christopher Walsh Inst. #2021045752 n/f Tory Cameron Inst. #2021045753 Front Setback 10 . 0 ' Side Setback 8.0' Re a r S et b a c k 25 . 0 ' Corner Side Setback 10.0'Costello TM #179.21-2-28 11,800 sq.ft or 0.271 ac. New Area= 12,550 s.f. or 0.288 ac. Costello TM #179.21-2-52 750 sq.ft or 0.017 ac. Exist'g Porch Exist'g 1-Story Wood Framed Dwelling 2-Story Wood Framed Addition 1-Story Wood Framed Connector OverBuild Roof Exist'g Egress Well Exist'g A/C Unit Gas Meter Exist'g Elec. Meter Exist'g. Wood Step & Porch Exist'g Concrete Pad Exist'g Asphalt Drive Exist'g Fence X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 9.0' Exist'g Gate Exist'g Retaining Wall Exist'g Patio Relocate Exist'g Pump House as Required Exist'g Shed Exist'g Asphalt Drive Exist'g Conc. Walk Replace Exist'g Concrete Steps Asphalt DrivewayConc. Walk Re c o r d N o r t h Pe r f i l l e d m a p M 2 0 2 1 1 7 5 5. 7 ' 69.1' 33 . 5 ' 25.0' 21.0' 9.0' 18.0' 6 .0 ' R 3.5' R 6 .5 ' R 2.0 ' R SURVEY INFORMATION: SITE INFORMATION FROM SURVEY CONDUCTED BY THOMPSON FLEMMING LAND SURVEYORS P.C., TITLED LOT LINE ADJUSTMENT FOR JAMES J. COSTELLO, DATED 6/12/2023. TAX MAPS #179.21-2-28 & #179.21-2-52 DEED REFERENCE: 1. JAMES J. COSTELLO, JR. INST. #2011034766 2. JAMES J. CONTELLO INST. #2021045755 MAP REFERENCES: 1. "MAP OF LANDS COLE, KELLOGG & SMITH" MADE BY A. GARNSEY, C.E. DATED DEC. 1853 FILED IN THE SARATOGA COUNTY CLERK'S OFFICE AS CARD 2 POCKET 3 FOLDER 3. 2. "EXTRACT FROM THE MAP AND SURVEY MADE FOR A.A. KELLOGG, E.W. COLE AND J.L. SMITH" BY A. GARNSEY, C.E., DECEMBER 1853 "SHOWING THE PROPERTY OF THE JOHN COX ESTATE" FILED IN THE SARATOGA COUNTY CLERK'S OFFICE IN MAP FILE NUMBER AA-42. 3. "CRESCENT STREET RESIDENTIAL DEVELOPMENT" DATED JULY 1, 2020, LAST REVISED 5/24/21 PREPARED BY THOMPSON- FLEMING LAND SURVEYORS, P.C. FILED IN THE SARATOGA COUNTY CLERK'S OFFICE AS MAP M2021175. NOTES: 1. TAX PARCELS ID #179.21-2-28 & 52 COMBINED AND LOT LINE ADJUSTMENT APPROVED BY THE CITY OF SARATOGA SPRINGS PLANNING BOARD -NOTICE OF DECISION #20230862, DATED NOVEMBER 21, 2023. 6 D C B A 3 54321 654321 REVISIONS: Architects, P.C. Designed By: CHARETTE ASSOCIATES Notice: The drawings, plans, specifications and designs contained herein are and shall remain the exclusive property of Charette Associates Architects, P.C., and cannot be altered, copied, duplicated or used directly or indirectly in whole or in part except with the express written permission of Charette Associates Architects, P.C. Copyright 2025 PROJECT DESIGNED DRAWN DRAWING TITLE SEAL CHECKED APPROVED DATE PROJECT NO. SCALE DRAWING NO. Gansevoort, New York Phone (518) 265-2628 Fax (518) 581-0530 As indicated FACADE MODIFICATIONS & GARAGE ADDITION 110 Adams Street Saratoga Springs, New York SITE PLAN C-101 2318LA LA LA JC 4/11/25SCALE:1" = 10'-0" SITE PLANA1 New ConstructionExisting Structure Step Flashing (typ) James Hardie Fiber Cement Lap Siding (typ) 30 Yr FG Shingles PVC Trim PVC Facia See Window Schedule Standing Seam Roof Canopy James Hardie Fiber Cement Lap Siding (typ) W2 W3W4W2 102B W2 Bilco Door Step Flashing (typ) James Hardie Fiber Cement Lap Siding (typ) HB&G Craftsman Columns over Manufactured Stone Base Standing Seam Metal Roofing 30 Yr FG Shingles PVC Trim PVC Facia James Hardie Fiber Cement Staggered Edge Shingle Siding @ Gable Existing StructureNew Construction See Window Schedule See Door Schedule Standing Seam Roof Canopy 2x Brackets 103B W6 103A W2 102A W2 W1 W1 James Hardie Fiber Cement Lap Siding (typ) PVC Facia Stone Veneer @ Porch Entry James Hardie Fiber Cement Lap Siding (typ) HB&G Craftsman Columns over Manufactured Stone Base 30 Yr FG Shingles PVC Facia James Hardie Fiber Cement Staggered Edge Shingle Siding @ Gable W4 Open 110 W4 W5 W4 6 D C B A 3 54321 654321 REVISIONS: Architects, P.C. Designed By: CHARETTE ASSOCIATES Notice: The drawings, plans, specifications and designs contained herein are and shall remain the exclusive property of Charette Associates Architects, P.C., and cannot be altered, copied, duplicated or used directly or indirectly in whole or in part except with the express written permission of Charette Associates Architects, P.C. Copyright 2025 PROJECT DESIGNED DRAWN DRAWING TITLE SEAL CHECKED APPROVED DATE PROJECT NO. SCALE DRAWING NO. Gansevoort, New York Phone (518) 265-2628 Fax (518) 581-0530 3/16" = 1'-0" FACADE MODIFICATIONS & GARAGE ADDITION 110 Adams Street Saratoga Springs, New York ELEVATIONS A-201 2318LA LA LA JC 4/11/25 SCALE:3/16" = 1'-0" SOUTH ELEVATIOND1 SCALE:3/16" = 1'-0" NORTH ELEVATIONC1 SCALE:3/16" = 1'-0" WEST ELEVATIONA1 SCALE:3/16" = 1'-0" WEST ELEVATION -GARAGEA4 SCALE:3/16" = 1'-0" EAST ELEVATIONB1 Rear Setback Comparables 1 Monroe Street (166.77-2-4) 7.56 Feet 4 Monroe Street (166.77-2-12) 11.87 Feet 7 Madison Street (165.84-2-84) 18.76 Feet 22 Madison Street (165.84-2-79) 12.56 Feet 48 Webster Street (166.77-2-19) 2.60 Feet 49 Wright Steet (179.21-1-11) 13.65 Feet 101 Adams Street (179.21-1-27) 9.74 Feet 118 Adams Street (179.21-4-6) 18.28 Feet 120 Adams Street (179.21-4-5) 13.26 Feet 121 Jackson Street (179.21-4-3) 15.45 Feet 162 Crescent Street (179.29-3-3) 13.28 Feet Orientation Comparables 34 Steele St (179.21-1-28) Front 125’ Depth 100’ 101 Adams St (179.21-1-27) Front 100’ Depth 65’ 44 Wright St (179.21-1-40) Front 118’ Depth 100’ 25 Webster St (166.77-2-33) Front 105’ Depth 50’ 46 Wright St (179.21-1-41) Front 118’ Depth 100’ 47 Wright St (178.28-1-47) Front 125’ Depth 100’ 49 Wright St (179.21-1-11) Front 125’ Depth 50’ 52 Wright St (179.21-1-15) Front 125’ Depth 100’ City of Saratogd Springs - DPW 474 Broadway Saratoga Spings, NY I 2 866 Ph.: 5 1 8-587-3550 Ex. 2623 2026 PERMIT APPLICATION FOR SIREET OPENING AND/OR TO CONSIRUCT,MAINTAIN OR REPAIR WITHIN THE RIGHT.OF.WAY zotr ooJ 9.-F Jzoz JJ IL oFFz o =.L& -"")"::"'#?T I":*??,.. . )NAME OF COMPANY PERFORMING WORK , . - -..r'. ,,. , i, l _; CONTACT NSME NEAREST CROSS STREETS_./ :.-'." f i - _..L tl .{t -tADDRESS,). t-_ 'lJ-rrz,YL 'll: EST S7A,RT DATE i :n EST END DATE{ i-..i'tr'CELL PHONE ffir ',ai rd<h\ke-rn"l|' SCOPE OFWORK Yo t"a't WILL YOU BE TAPPING A CIry OF SARATOGA SPRINGS WATER MAIN OR SEWER MAIN? O YES O NO Nofe; O/d VValer serylce musf be discon rafion when installing a newV,'laler serylce line.ls work within 15 Feet of City Tree YESO NoC) > wlLL crw BE TAPPTNGWATER? EYES Eni6 trVeS, DATE YOUWOULD LIKE C|TTOTAp: ) PAVEMENT CUTREQUIRED? OYES OI{O ) WILL CITY BE PAVING? OYES OIrc IFYES, DATE YOUWOULD LIKECITYTOPAVE:- ) WILL SIDEWALK BE CLOSED? C)YES oNO IF YES, DATES SIDEWALK WILL BE CLOSED: 'MUST Maintain Pedestrian Safety" } WILL LANE/STREET BE CLOSED? OYES @NO**lF YES , trafftc plan must be submitted for approval. Call Police Department aL518-584-1800 BEFORE CLOSTTVG or with QUESTIONS* ) TMFFIC PROTECTION AND MAINTENANCE PLAN ATTACHED? OYES ONOSIGMTURE OF APPROVAL BY THE SARATOCIA SPRINGS POLICE DEPARTMENT DATE The NYSDEC requires a "trained individual" on each project site that is familiar with the principles of erosion and sediment control as well as the content of the SWPPP. This individual must sign a certification within the SWPPP document and be on-site on a daily basis to ensure compliance with the SWPPP and permit requirements. NAME OF"TRAINED INDIVIDUAL" PHONE lN CONSIDEMTION OF BEING GMNTED THIS PRIVILEGE: Applicant agrees to defend, indemnifu and save harmless the City of Saratoga Springs, its Agents and Employees, from and against all claims, damages, losses and expense (including, but not limited to, attomeys' fees), arising out of or resulting from the performance of the work, sustained by any person or persons, provided that any such claim, damage, loss or expense is attributable to bodily injury, sickness, disease, or death, or to injury to or destruction of property caused by the tortious act or negligent act or omission of Applicant, its employees, agents or subcontractors from the time work begins to its final comriletion. DATEPRINT/TYPE.EULL NAME"ffi;'.ii- Cos ln I lc ls.esa OWNER'S AUTHORIZED REPRESENTATIVE SIGNATURE DRAWING OF LOCATION AND WORK TO BE PERFORMED MUST BE SUBMITTED WITH THIS APPLICATION INSURANCE REQUIREMENTS: The City of Saratoga Springs requires for all Street Opening Permits appropriate certification of Worker's Compensation and Disability Benefits and a Certificate of lnsurance naming the City of Saratoga Springs as an Additional lnsured on a Primary and Non-contibufory Basis for the following coverages: ' Commercial General Liability: $1,000,000 per occurrence and $2,000,000 aggregate including completed operations and personal injury; ' Pollution Liability lnsurance: $'1,000,000 per occurrence aggregate if conducting environmental remediation under federal and/or state mandate; ' Statutory Workers Compensation and Employer's Liability lnsurance for all employees (P/ease note that for this coverage per NYS Law, the City of Saratoga Spnngs shall not be named as an Additional lnsured.) The Certificate naming the City of Saratoga Springs as Additional lnsured on a Primary and Non-contributory Basis AND Certificate Holder. Certificates of Worker's Compensation and Disability Benetits and Certificates of lnsurance should be addressed to the atteniion of: Dept of Public Works, City of Sarafoga Springs, 474 Broadway, Sarafoga Springg NY 12866 The Applicant acknowledges that failure to obtain such insurance on behalf of the municipality constitutes a material breach of contract and subjects it to liability for damages, indemnification and all other legal remedies available to the City. The failure to object to the contents of the Certificates or the absence of same shall not be deemed a waiver of any and all rights held by the municipality. ALL INSURANCE DOCUMENTS ATTACHED: OYES ONO APPLICANT shall comply with NYS OSHA laws as of July 18, 2008 requiring all workers on New York State public projects be certified as having completed an OSHA 10-hour construction safety course. Proof of this certification is required at the time of the execution of this Agreement. SPECIAL CONDITIONS Excavators proposing to dig on Broadway are responsible for identifying the presence of radiant tubing under the sidewalk before excavation.*Standard gglQlyfrocedures Apply* rtrKMIl At',t'KUVAL uY PEt(Ml I I ING AU lHOt{l lY: lhe loreg..oing application is hereby approved and permit issued by the city of saratoga springs subject to full compliance by the application with all provisions and coniiitions stated herein and dll dtiachments h'ereto. OFFICE USE ONIY" NGINEER TECHNICIAN COMMENT PERMIT FEE El$75 Application Fee E$ezO f S sq yds. pavement cut E$75 for each additional sq yd E$+60 Broadway Cuts (April-Nov) [$300 Water Tap Fee E$500 Emergency Cuts (Nov-April) E$875 Broadway Cuts (Nov-April)_ TOTAL FEE DUE:$ IONER OFPUBLICWORKb DATE ,4sT , ? - 1\-'Lq Lb I RIGHT-OF-WAY PERMIT POLICY 1. Commencement and Completion of Work All permitted work shall commence within forty-eight (48) hours of the approved Estimated Start Date and shall be completed within forty-eight (48) hours of the approved Estimated Completion Date. Any change to the approved start or completion dates shall require prior written approval from the Department of Public Works (DPW). 2. Fees and lnspections There is a MINIMUM CHARGE of $75.00 for the application plus an additional $370.00 ($460.00 for Broadway) for street to be opened. The City Engineers Office will provide spot check inspections during work and may invoice you for these inspections in accordance with the Commissioner of Finance fee schedule. No new permit will be issued until the previous permit has been paid for. 3. Utillty Locating Requirements Prior to excavation, the permittee shall contact DIG SAFELY - New York (1-800-962-7962) not less than two (2) working days before excavation begins, exclusive of the day of request, to identify underground utilities. 4. Daily Notification The permittee shall notify the City Garage on the morning work is to be performed. Call the DPW Garage at 7:00 a.m. Garage Phone: (518) 584-3356 5. Backfill, Compaction, and Temporary Patching The permittee shall be responsible for furnishing clean backfill material and ensuring proper compaction of all excavated areas. lf settlement occurs due to improper compaction, the City may perform corrective work and all associated costs shall be charged to the permittee. The utility company shall maintain all temporary patches until final pavement restoration is complete. Temporary patches shall be inspected daily. The City may charge for conective work if maintenance is inadequate. 6. Winter Restoration During November through April, restoration of an emergency street opening is to be accomplished by placing clean fill and rubble, properly compacted and surface patched with acceptable cold patch material. The City will remove ternporary patch and place hot mix blacktop in the spring there will be an additional fee. 7. Trenching and Pavement Restoration Standards r All asphalt pavement excavations shall be saw cut to provide clean, uniform edges. o Sub{rade backfill shall be placed and compacted in accordance with minimum compaction standards. . Stone rubble sub-base shall be installed and compacted to a minimum depth of twelve inches (12") (rubble may be supplied by the City). . Top course hot-mix asphalt (NYS DOT Type 6 or 7) shall be placed and compacted to a minimum thickness of four inches (4"). . Any trench excavation extending through an intersection or past a driveway shall be backfilled, compacted, and cold-patched the same day until final restoration is completed. 8. Permit Glose0ut Requirement The City shall not issue new permits to an applicant until all permitted work has been completed to the satisfaction of DPW. Reminder. when installing a new water seruice line, the old service line must be disconnected atthe corporation. 9. Use of Gity Materials Under no circumstances shall City-owned materials be used for private work. 10. Permit Moratorium Periods No permits shall be issued during the following periods unless an emergency exists and written authorization is granted by DpW: May 29 through June 8 June 26 through Labor Day November 15 through the winter months 11. Water Tap A MINIMUM of 48 (forty-eight) hours notice will be required for tapping water mains in non-emergency situations. 12. Compression Fittings Plumbers are required to use compression fittings. Use of compression fittings will avoid a poor flaring and are easier to work with during emergency repairs. 1 3. Overnight Excavations Any excavation left overnight shall be properly secured by the permittee using their own equipment, including barricades, signage, and lighting' The permittee shall remain fully responsible for the excavation until final restoration is complete. Excavations shall not be left open if work is not scheduled to resume the following day. 14. Curb Card plumbers must submit a detailed drawing on the attached form of all new services (both water and sewer) showing measurements to curb box, point of connections and point of entry into house. 15. Traffic Control and Closures prior to any street or lane closure, the permittee shall submit a written traffic protection and maintenance plan for approval by the Saratoga Springs police Department. The plan shall ensure safe and efficient movement of vehicles, pedestrians, and bicycles; maintain emergency vehicle access at all times except during approved fulr closures; comply with the Manual on uniform Traffic control Devices (MUTCD) and all applicable local and DOT standards; and be site-specific, identifying all impacts to the rightof-way. The plan must include the dates and times of the proposed closure. Any closures outside of the approved dates and times require prior approval from both the Police Department and the Department of Public Works. 16. Adjacent PropertY Access Approved closures may temporarily affect adjacent properties. The permittee shall coordinate with all affected property owners and shall maintain reasonable access to the extent practicable throughout the duration of the work. Sidewalks shall not be closed over the weekend in congested areas. 17. Required Notifications When closing a street, the permittee shall notify the Fire Department, Police Department, Emergency Corps, and School Bus Garage' DPW shall be notified at least one (1) day prior to the closure. 18. Extended Road or Lane Closures Any road or lane closure exceeding one (1) week may require submission and approval of a separate Permit Application for Temporary Closure or Use of the Right-of-Way for Non-Standard Purposes, as determined by DPW' 19. lnsurance Requirements lnsurance Certificates must be provided each year prior to any work commencing on a City Street. The certificate must name the City as an Additional lnsured on a primary and Non-contributory Basis AMD Certificate Holder. See the insurance requirements section on the first page. 20. Requirements for Water and Sewer Line Work Any work being performed on a water or sewer line must be done by a licensed plumber, a contractor approved by the City, or lnspected by an Engineer. 21 . City Trees Any disturbance to City trees or tree roots shall require prior consultation and approval from the City Arborist. 22.Plan Submissions Applications must be submitted at least three (3) business days, before project is to commence, for approval. lf this is an emergency, please contact our DPW Garage M-F at (518) 584-3356 as soon as possible. 23. lnspection Authority DPW may require full-time inspection during restoration at the permittee's expense. 24. Pavement Restoration Permits It is the applicant's responsibility to make sure permit and traffic protection and maintenance plan is approved before work is to commence. ContractorTExcavator is sole[ rLsponsible for the job site and all utilities should remain undisturbed, unless the permit authorizes work on the utilities. ln the event of an emergency, including but not limited to a leaking or broken: corporation, water main, water valve, fire hydrant, sewer main, and/or storm main, the City of Saratoga Springs DPW Utilities Department shall be contacted to make the appropriate repair, The charge for the emergency repair will be based off the current City fee schedule for DPW labor and equipment. 25. Permit Revocation DPW reserves the right to revoke any permit at any time. Upon notice of revocation, the permittee shall have forty-eight (48) hours to remove all equipment and mateiials from the right-of-way. Failure to comply may result in removal by the City, with all costs billed to the permittee. City Saratoga Spring - DPII/ 474 Broadway Saratoga Springs, NY 12866 Ph.: 518-587-355O x 2623 DRAWING OF LOCATION WORK TO BE PERFORMED MUST BE SUBMITTED WITH YOURAPPLICATION. AIJIJf{E,SSt 71 HOuseDRLor*):t - R, I - .z -S q DATE OFWORK:un rEvr ,'"rt,.* / 5.-- ,Zb*Hffi'WlEla Excavators proposing to dig on Broadway are responsible for identifying the presence of radiant tubing under the sidewalk before excavation. "1 r IllH iif;iEiiE II r !!l i:uliili 5td 11 i6tiir i a o9>oIM B= EEoo =l29a 0o '--tI rINAL TAP LOCATION Crty a{ Saral<rgu Spriugs - DPW 474 BroadwaY, SararagaSlrnnp, NY I 2866 Ph.:518-58 7-3550 x ofoi - AS.I}UILTSKETCHMUSTINCLUD.TiMXA$UREMENI'ST"ROMCURBCOCKTOBU,IIJDTNCC-ORNER$OROTHERTT'$}OBJECTS (sEE EXAMpLE oN BAcx)" rxuEaif cirxen riNnsn^cn6rJlid ui'iunrs roLrND DUtINccsNsrItucrIoN' rlnAwlNc.or Lqc.+IloN Arjr) WQRK TO BE P})&li'O]q{Si}.MUS r BE SUBMTn',HO A[rEr CO&IPLtrTION. SAM PLE DATEOFWORK SIZE OFMAIN ADDRESS{HOUSE ORLoT #)MAIN MATERIAL PROFERTYOWNER TAP MANF BY \ /X & PLUMgIN6CONTRACTOR NO. OF CORP$ SERVICESIZE&MATERIAL ffi SERVICTLENGTH(CURBCOGKTOMAIN)' $'B$-r ttu {e", L 'J..ltl^ **Jl rcs}c* - ,tgg* AS.BUILT SKETCH MUST INCLT.'DE MEASUREMENT$ FROM CURB COCK TO BUILDING COf3NERS OR OTITER FIXED 0BJECTS (SEE EXAMPTE 0N BACK) INDICATE 0rHER Ur{DERGROUND UTlLlTlFS,q9'.!ll'lg.Qq8lryq qQry$I U.rt{'+::r * ?*? "{,4 o { tflG ]---..U "7. .t L-' lr:rt ,ffi \tr tl rc 41i6515i"8 II I I9r1.2-53 17{.21-2-56