APPLICATIONArea Variance [ZBA approved: September 21 2016]
General Information
Tax Parcel ID Number: ____________________
Zoning District: ____________________
Detailed Description of Project [include current & proposed use]:
Current Use: _________________________________________________________________
Proposed Use: ____________________________________________________________
Location of Project: _______________________________________________________________
Applicant Name: Mailing Address
Home Phone City, State, Zip
Work Phone Cell Phone
E-Mail: FAX No.
Agent’s Name: Mailing Address
Home Phone City, State, Zip
Work Phone Cell Phone
E-mail FAX No.
Owner’s Name Mailing Address
Home Phone City, State, Zip
Work Phone Cell Phone
E-mail FAX No.
Page 1
Area Variance [ZBA approved: September 21 2016]
Site Development Data
Area / Type Existing sq. ft. Proposed
Addition sq. ft.
Total sq. ft.
A. Building footprint
B. Detached Garage
C. Accessory Structure(s)
D. Paved, gravel or other hard surfaced area
E. Porches / Decks
F. Other
G. Total Non-Permeable [Add A-F]
H. Parcel Area [43,560 sq. ft. / acre]
I. Percentage of Impermeable Area of Site [I=G/H]
Setback Requirements
Area
Required Existing Proposed
Front Yard [1]
Front Yard [2]
Shoreline
Side Yard [1]
Side Yard [2]
Rear Yard [1]
Rear Yard [2]
Travel Corridor
Height [maximum]
Permeability
Number of parking spaces
Page 2
Area Variance [ZBA approved: September 21 2016]
Additional Project Information
1. Will the proposal require a Septic Variance from the Town Board of Health? _______________
2. If the parcel has previous approvals, list application number(s): _________________________
3. Does this project require coverage under the New York State Pollutant Discharge Elimination System (SPDES) Permit
Program? __ Yes / __ No
4. Estimated project duration: Start Date: __________ End Date: __________
5. Estimated total cost of project: _______________
6. Total area of land disturbance for project: _______________
Floor Area Ratio Worksheet
FLOOR AREA RATIO (FAR) -- The relationship of building size to lot size, derived by dividing the total building floor
area by the lot size in square feet, yielding a percentage.
Zoning District
Symbol Floor Area Ratio [FAR]
Waterfront Residential WR 0.22
Commercial Moderate / Commercial
Intensive
CM / CI 0.3
A. The combined area of all square footage, as measure from exterior walls of all structures on the property, including all
floors of the structures, garages, basements and attics with more than five (5) feet of ceiling height and covered
porches. Building square footage does not include: Open deck, docks and that portion of covered docks extending
over water and one storage shed of one hundred twenty (120) square feet or less. Any additional sheds will be
included. (See “FLOOR AREA RATIO”).
B. Commercial or industrial: the total area in square feet as measured from the exterior of the outside walls of a building
or structure, and when applicable, the sum total of all floor areas of the principal and accessory buildings or structures
on the project site.
Parcel Area ___________________________ sq. ft.
Existing Floor Area ___________________________ sq. ft. [see above definition]
Proposed Additional Floor Area ___________________________ sq. ft.
Proposed Total Floor Area ___________________________ sq. ft.
Total Allowable Floor Area ___________________________ (Area x _____) [see above table]
Page 3
Area Variance [ZBA approved: September 21 2016]
Compliance with Zoning Ordinance
Requesting relief from SECTION: ________________________________
Need relief from the requirement(s) listed below which can not be met by the project as proposed.
[Check all that apply] Setback Buffer Zone Lot Width Other ______________________
The following questions reflect the criteria for granting this type of variance. Please complete them; use additional sheets if
needed.
1. Whether an undesirable change will be produced in the character of the neighborhood or a detriment to
nearby property will be created by the granting of this area variance?
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
2. Whether the benefit sought by the applicant can be achieved by some method, feasible for the applicant
to pursue, other than an area variance?
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
3. Whether the requested area variance is substantial?
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
4. Whether the proposed variance will have an adverse effect or impact on the physical or environmental
conditions in the neighborhood or district?
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
5. Whether the alleged difficulty was self-created?
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Page 4
Area Variance [ZBA approved: September 21 2016]
Section 179-14-030 –Application materials
Application materials and site plan drawing is to include sufficient information for the Board to review and provide a decision. The
applicant is to provide a site plan drawing(s) – a survey showing existing conditions, a proposed conditions map (see page 00 for
specific criteria) and include any other attachments that address A - D as applicable to the proposed project.
A. General Shown on Sheet #
1 Title, Name, Address of applicant & person responsible for preparation of drawing
2 Deed
3 North arrow, Tax Map ID, date prepared and scale [minimum: 1 inch = 40 feet ]
4 Boundaries of the property plotted to scale, zoning boundary
5 Principal structures, accessory structures with exterior dimensions
6 Site improvements incl. outdoor storage areas, driveways, parking areas, etc.: existing &
proposed
7 Setbacks for all structures and improvements: existing & proposed
8 Elevations and floor plans of all proposed and affected structures
B. Water & Sewer Shown on Sheet #
1 Project sewage disposal facilities, design details, construction details, flow rates, and number of
bedrooms proposed
2 Water supply [i.e. well] & septic on adjoining lots with separation distances to existing or
proposed on-site water supply and septic
3 Separation distances for proposed sewage disposal system to well and water bodies
4 Existing public or private water supply [well, lake, etc.]. Method of securing public or private
water, location, design and construction of water supply including daily water usage
5 Percolation test location and results
C. Parking / Permeable Areas Shown on Sheet #
1 Number of spaces required for project including calculations and justification: existing &
proposed
2 No. of existing parking spaces, number to be removed, number to maintain and type of surfacing
material [e.g., gravel, paved]
3 Provision for pedestrian and handicap access and parking: existing & proposed
4 Design details of ingress, egress, loading areas and cutting: existing & proposed
5 Location and character of green areas [existing and proposed], modification to green area, buffer
zone to remain undisturbed
6 Lighting, location and design of all existing and proposed outdoor lighting
D. Additional Site Development and Miscellaneous Shown on Sheet #
1 On-site & adjacent watercourses, streams, rivers, lake and wetlands
2 Utility / energy distribution system [gas, electric, solar, telephone]: existing & proposed
3 Location, design and construction details of all existing and proposed site improvements
including: drains, culverts, retaining walls, fences, fire & emergency zones and hydrants, etc.
4 Square footage of bldg. area proposed for office, manufacturing, retail sales or other commercial
activities: existing & proposed
5 Signage: Location, size, type, design and setback: existing & proposed
6 Waiver Request: provide letter with application requesting any waivers: please reference
specific items
7 Commercial / Industrial Development requires submission of Landscaping, Stormwater
Management, Grading & Lighting Plans
8 Identification of Federal, State or County permits required for the project together with a record
of application for all necessary permits
Page 5
Area Variance [ZBA approved: September 21 2016]
Pre-Submission Conference Form / Section 179-9-040
1. Applicant Name: __________________________________________________
2. Tax Map ID ________________ Location: _______________________
3. Zoning Classification __________
4. Reason for Review: __________________________________________________________
5. Zoning Section #: ________________________
6. Pre-Submission Meeting Notes: Provided Outstanding; Please provide by
Deed ____ _____________
General Information complete ____ _____________
Site Development Data Complete ____ _____________
Setback Requirements Complete ____ _____________
Additional Project Information Complete ____ _____________
FAR addressed ____ _____________
Compliance with Zoning Ordinance ____ _____________
Checklist items addressed ____ _____________
Environmental Form completed ____ _____________
Signature Page completed ____ _____________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
Staff Representative: ________________________________
Applicant / Agent: ________________________________ Date: ___________
Page 6
Area Variance [ZBA approved: September 21 2016]
This page includes the 1.) Authorization to Act as Agent Form: 2.) Engineering Fee Disclosure; 3.) Authorization for Site Visits; 4.)
Other Permit Responsibilities; 5.) Official Meeting Disclosure and 6.) Agreement to provide documentation required.
OWNER’S AGENT FORM: Complete the following if the OWNER of the property is not the same as the applicant:
Owner: _________________________
Designates: ___________________________ as Agent regarding the following:
Variance ___ Site Plan ___ Subdivision ___
For Tax Map No.:________________ Deed Reference: Book____ Page ____ Date ____
OWNER SIGNATURE: ___________________________________ DATE: _______________
APPLICANT’S AGENT FORM: Complete the following if the APPLICANT is unable to attend the
meeting or wishes to be represented by another party:
Owner: __________________________
Designates: ____________________________________ as Agent regarding the following:
Variance___ Site Plan ___ Subdivision ___
For Tax Map No.:________________ Deed Reference: Book____ Page ____ Date ____
OWNER SIGNATURE: ___________________________________ DATE: _______________
2.) ENGINEERING FEE DISCLOSURE: Applications may be referred to the Town consulting engineer for review of septic
design, storm drainage, etc. as determined by the Zoning or Planning Department. Fees for engineering review services will be
charged directly to the applicant. Fees for engineering review will not exceed $ 1,000 without notification to the applicant.
3.) AUTHORIZATION FOR SITE VISITS: By signing this page and submitting the application materials attached herein, the
Owner, Applicant, and his/her/their agent(s) hereby authorize the Zoning Board or Planning Board and Town Staff to enter the subject
properties for the purpose of reviewing the application submitted.
4.) OTHER PERMIT RESPONSIBILITIES: Other permits may be required for construction or alteration activity subsequent to
approval by the Zoning Board or Planning Board. It is the applicant’s responsibility to obtain any additional permits.
5.) OFFICIAL MEETING MINUTES DISCLOSURE: It is the practice of the Community Development Department to have a
designated stenographer tape record the proceedings of meetings resulting from application, and minutes transcribed from those tapes
constitutes the official record of all proceedings.
6.) AGREEMENT TO PROVIDE DOCUMENTATION REQUIRED: I, the undersigned, have thoroughly read and understand
the instructions for submission and agree to the submission requirements, I acknowledge no construction activities shall be
commenced prior to issuance of a valid permit. I certify that the application, plans and supporting materials are a true and complete
statement/description of the existing conditions and the work proposed, and that all work will be performed in accordance with the
approved plans and in conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or
my agents, will obtain a certificate of occupancy as necessary. I also understand that I/we may be required to provide an as-built
survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy
I have read and agree to the above.
______________________________ _____________________________ _______________
Signature [Applicant] Print Name [Applicant] Date signed
______________________________ _____________________________ _______________
Signature [Agent] Print Name [Agent] Date signed
Page 7
Katharine Q. Seelye (Feb 7, 2022 12:24 EST)
Katharine Q. Seelye
Katharine Q. Seelye (Feb 7, 2022 12:24 EST)
Katharine Q. Seelye
Katharine Seelye
Ethan Hall - Rucinski Hall Architecture
239.15-1-10
Katharine Seelye
Ethan P. Hall
p »*
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WARRKK COMMWARCLERK
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f iiue ,County of''' arten and State or New Yor gid. sbm Of a of orge„
bounded and described as follows.to mut:
P!I C!'l „ BEEINNING of low water mark mti 9eid Lake at emarr of Leant
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a lNo.6.and arunning,southerly st6q the east line of said Loi No,6,one,hundred snd o1gfijeen W
W to a Connex'thence r10 to re'aenty degrees east sixty feeet to a Corner.thence nor&
lw"ty rim de a difleen,MIMUIM east amla y-siX loRt tO low Witt=Fk am MW ft
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them west aloins said Lake as it winds au iurats to iffie pfacae of l egirra4 ft the same I=*N !.
ox lees except sww a right or fnteresta If jay,in tem feat on the amt aide as may ttawr he vested im
others'Ibecau a of a reservation by a tpriiorgnnlox fru M04 and
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BR IN, on flue Lite at n la stoneaage' mark lh a S 'frdeen l",Wrt of
a pointof rocks;running thme Southeity and on a line WwPoet and four Inelm west or ft
house it stand In 1,8827 staaadigg,on the pre ilses hemby aorw ,myw,one and one ltalr
109TCos east OW hundred rind f"-four feet to a White•birch tease marked for a ter;theme
Bouth forty degrees eat nineteen fit to the eentef of a.chesinnut Areae madwd%theme south'
d- sixty seven deg,mees catfid-foiwr:l et l ttLe eemger aif,a a iot,dtluer a asinaut tree Marlmd for.
a Cu=;thence north one half Of one degree east Up'hundred sWy eel ht.feet to a lacer ureter`"
mark;ffience westerly along the Uke xlnore aS it windi anti turns to the pisve of hegitorina,,
men uring Fill eight&9t at right angtes'.wh.lhe V'mt'linue,
t;aflfl 0 at a stalue and Stones on the dinars or Lake acurge standing south.
oame dggmee,Moen minutes east twaerity-four firths ft=low nw=r Mark;running dMEC south
I r:'one degree[ifw ra nflnutes east One cMO Sevemtyrdne and o newbalf limits lo,a hainlo&M—
nairW fon^a oornen",standing on the sotwth sWo ofthe mvaarf,theme rxwttln eighty- degieaes
iii'teen MnUtos Wag ad -one llrft Along the north bounds oftli roadway to a hemIDLIL
w stake;thence naarth coff fttmool fifteman ininuies,wrest omme chain and 6i -seven links law
y m a aa ar
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wast by m elft of war noi#ir lbi n wrlyr'eslsttng l shin the sutd Meet 2 andpropmrcy
l"ta y owrW by Giiorbe 1 lss.
Excepting,,h ewer,such Jai or lratci tbepein;il'sny,as May have,been acqulmdbi
COVt1W of Warran In i eertilnyarbueerlla 'larraat&by tk Board nl"Snpiarwisrnrs dr iald county
to=tv the guildtie" w of y "dw,erarastrctlon Mid lmprove wm the
Ftr«rt Giyrtam abatanlyr 11thway°,bwaatlt of the Vemiamy of wwhith action was dell
Jm 5, 19301 and was'filed aml reearrrded In the Offlee of fire LVUIIIY Cklik of said Crraurtt n
June S, 1930,In ll koQ 7 s Pendens At pie 178.
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01)wSLJMECT firs all,other nugmum arlls,eowmts,Hans,,reservationgg,a ptArr
M restrletloras and adhar aataeu tbrarn es of reerard,to ft extent stltt walld,satbsistlr
ent' laJe„
BMG the some,premr'ses whichillwyn B.&WA11,by Deed fted September X22, 1995 and,t
mccirdaJ In the lvlr iptalrraVClark's ll'tee on Otober 30.1995 to ILllsar 961,lPsSe 125 j
Srafated and released tlpe Um aautra Katharine Q,Seelya,as Trustee wander that eeraaym
Revocable Trusl tel'Elwes1l.Ayre,ll,In dei.
M rhe 311111 Flawym U.SeeJ'yre 11,heing sea salzad therci In he,departed this 11h:oft
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kiiabu 21, 1,995,havipi first made end p0i:hes' ill In wcl ,rag dated July 2d,19951
wherein and whereby sold Testalar did.Orawvdde,1=db,ss tol s
1 give.ft'wlse and bquealthi ell the
Gdwe Of MYestala,of w hatewar nature and wberever aJtriated,
Tmolee runner may Dead,dated today,but a eeuied beppre
this,will,for adlmisdslratlem grad distribarotlmm as!cart of said trust, n,
as the warn may bdmaftar be anoanded or grated.
AND,Ile Dead of Tru;1 dated July 26, 1995,napnp letting JtlettUulFlu Q.Seetye as Trustee
provld %Wa au,as folloi as "
I
M=1 a After may,Oath, 1C
this trwist shall ttlsMate the ps6aaelrpotl of this trust,together with t
ABY Oihrwr rat wWA may lea od hereplrllty teas to may dmtntGhter,
Ketharhre QSiulya,it she sorylves ire by thirty rays,"" i
the:sold Knthadrae Q.Seelywe,die"J"rruis'tee under fire Deed or Trust dater!July 26,1995, o
did s+urmrlve Elwyn H.gedye„11 by IhIrty days, p
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UNDFA,AND SMECr m aforrld,
AND,said Giantorc6vomnts as foRows, Rats
No olmplo und9 has good rkpla Ian coli Bey am sem;Samad,thit ow aianko SbA quietly ipjo y
tthe sm9d pn'imises;" hW',That dw. said piamism amm Pr> man"ra nc ,p"oau'*dlit.1he
cimlo will a7 "Ie or pr++umam s further n siu tll' SW(uw mu 5,
pi ,Wt Wd Gra r,will forayer''uuwtnmant the tette Ian said prem"Los.
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WHEREOF,dw,Grater'has he linin sci, find and awl ft day and ydar
first above wrIlften,
STATE OF Lh 9
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a' On,the 29—d' 1 7,befare sae persanaliy came
Kadwkw Q,Stalyr,Biu rusll=,to me awn( Q s fe mi9 a ,rY n''undd'w l i:p
described In nod who mewed the fomplog instrament,and acknowleldged that,she Cgeouled
a the:A'M ", u w,
MWITNESS WHEREOF, ficr unto at my luind nnd nffinial seal.
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9
Area-Variance - Jan 2022
Final Audit Report 2022-02-07
Created:2022-02-07
By:Ethan Hall (ephall@nycap.rr.com)
Status:Signed
Transaction ID:CBJCHBCAABAAYZAWWJ9aytzEcjUtCXT-F1f4kLPq1VLJ
"Area-Variance - Jan 2022" History
Document created by Ethan Hall (ephall@nycap.rr.com)
2022-02-07 - 3:51:31 PM GMT- IP address: 67.240.105.228
Document emailed to Katharine Q. Seelye (kseelye@nytimes.com) for signature
2022-02-07 - 3:52:11 PM GMT
Email viewed by Katharine Q. Seelye (kseelye@nytimes.com)
2022-02-07 - 4:15:22 PM GMT- IP address: 66.102.8.94
Document e-signed by Katharine Q. Seelye (kseelye@nytimes.com)
Signature Date: 2022-02-07 - 5:24:06 PM GMT - Time Source: server- IP address: 137.83.122.211
Agreement completed.
2022-02-07 - 5:24:06 PM GMT