Applicant/Contact Person: Name: ‘ Address:
E-mail:
Property Owner Information (if different than abov Name: Address: Phone: E-mail:
Architect / Engineer (if applicable);
A Meth. Address:
Phone:
oe Project . | Project Address: 2b Ln gyn
pads Special Use Permit OPC£,
Length of time to complete project: YS" pays Estimated Cos¢:
Work will be completed by (circle one): Owner Sub-divider Sub Contractor
By the signature below, on behalf of the applicant or owner, | hereby authorize representatives from the Town of Webster to enter the above referenced Property, during normal hours, for the purpose of
Thank you
Robert and Cathi Masucci Wy
AREA VARIANCE STATEMENT OF DIFFICULTY
be granted Only if the 4pplicant Ordh lish EACH of the following, in
ral layout of the house, the only Way to achieve adding square footage to the interior living room and kitchen area is to extend the front exterior wall.
- Significance. The requested area variance is not substantial because: The variance is not s j
« Not Self-created. The alleged difficulty was Not self-createg because (Consideration Shall be relevant to the decision of the Board of Appeals but Shall not necessarily preclude the granting of the area variance):
Short Environmental Assessment Form Part 1 - 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:
LNA SUCEC, Atte Laorr
Project Location (describe, and attach a location map):
SS Bewck Lamm Lwelshe, Aly
Brief Description of Proposed Action:
hdd fac vs PRour ot hes Gn te SOOO -CL4 WN Leer SPu Amd
Name of Applicant or Sponsor:
256 Birkett Langs City/PO: State: Wel sher wy 1. 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 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
If Yes, list agency(s) name and permit or approval:
C2) 0
3. a. Total acreage of the site of the Proposed action? acres b. Total acreage to be physically disturbed? acres c. Total acreage ( project site and any contiguous properties). owned
or controlled by the applicant or project sponsor?
acres
Check all land uses that occur on, are adjoining or near the Proposed action:
(J Urban Cl] Rural (non-agriculture) C] Industrial [[] Commercial [=F Residential (suburban) [7] Forest C] Agriculture CD Aquatic = Other(Specify):
(J Parkland
Page | of 3 SEAF 2019
a. A permitted use under the zoning regulations?
b. Consistent with the adopted comprehensive plan?
|S. Is the proposed action, NO
N/A
6. Is the proposed action consistent with the predominant character of the existing built or natural landscape?
INFEJINIIN
7. Is the site of the proposed action located in, or does it adjoin, a state listed Critical Environmental Area?
If Yes, identify:
8. a, Will the proposed action result in a substantial increase in traffic above present levels? b. Are public transportation services available at or near the site of the proposed action?
¢. Are any pedestrian accommodations or bicycle routes available on or near the site of the proposed action?
NIN|3/N)2/ [solos
iO) O
N OD
9. Does the proposed action meet or exceed the state energy code requirements?
If the proposed action will exceed requirements, describe design features and technologies:
”
Lt ht C4) 10. Will the proposed action connect to an existing public/private water supply? NO | YES If No, describe method for providing potable water: | ht OO 11. Will the proposed action connect to existing wastewater utilities? NO | YEs
If No, describe method for providing wastewater treatment: ) f-
12. a. Does the project site ‘contain, or is it substantially contiguous to, a building, archaeological site, or district 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 archaeological sites on the NY State Historic Preservation Office (SHPO) archaeological site inventory?
O +} CI]
13. a. Does any portion of the site of the proposed action, or lands adjoining the proposed action, contain 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?
YES
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: (Shoreline [[] Forest (7) Agricultural/grassiands C) Early mid-successional (C)Wetland =F Urban L¥Suburban
15. Does the site of the Proposed action contain any species of animal, or associated habitats, listed by the State or Federal government as threatened or endangered?
16. Is the project site located in the 100-year flood plan?
17. Will the proposed action create storm water discharge, either from point or non-point sources? If Yes,
a. Will storm water discharges flow to adjacent properties?
18. Does the proposed action include construction or other activities that would result in the impoundment of water or other liquids (e.g., retention pond, waste lagoon, dam)? If Yes, explain the purpose and size of the impoundment: 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: E : L Cy 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:
PRINT FORM Page 3 of 3
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ANC. (ey . PEERS UMN OE , 1) LIBER 131 oF MAPS, PAGE 86. MARINO Lay GROUP, PLIC 2.) LIBER 9565 of DEEDS. PAGE 168. THAT THIS Map WAS MAD) JANUARY 16, 2020 3) ABSTRACT OF THLE No, 55555/30. (STEWART TINLE) COMPL A ES DEAD R Per 4.) CASEMENT To RG&E. ATC PER LBER 2988 OF DEEDS, AND REpeR Era mA PAGE 58. (ALONG Sine & REAR LINES)
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CERTIFICATION. BIRCH LANE
, DAVID A, STAUB, HEREBY CERTIFY to;
~ROBERT p MASUCC] & CATHI J, MASUCCI
~UNITED WHOLESALE MORTGAGE, TES SUCCESSORS
AND /OR ASSIGNS, AS THEIR INTEREST MAY APPEAR _ E NY
INSTRUMENT SURVEY MAP 256 BIRCH LANE
°) EASEMENT 70 R.6.ae PER PAGE 57. (ALONG ROap ROW,
RESTRICTIONS & COVENANTS OF RECORD
1) OEMSES SUBJECT To ALL EASEMENTS. ff Qe 2) THE USE OF Ths wap ot CONJUNCTION’ wary ayy AFEDAVIT OF NO CHanags DATE RELEASE: HLT
ERENCED WN ABSTRACT OF Tite
SS THE SURVEYOR oF ALL RESPONS)B)
LIER 29aR OF DEEDS,
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A capes f CELT CITT
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ht tans woe iy, &o7 “teins
MASUCC! ADDITION
256 BIRCH LANE WEBSTER, NY
a
ne nett ey
NON-COLLUSION DISCLOSURE PURSUANT TO SECTION 350-104 OF THE WESTER ZONING ORDINANCE
TO WHOM IT MAY CONCERN:
No officer or employee of the State of New York, County of Monroe or Town of Webster has any financial interest in the land affected by or in the partnership making application for the project known
as_ Myysuce,, Adlh fuer”
YI-L4
DISCLOSURE OF INTENT TO REQUEST TAX INCENTIVES, ABATEMENTS, OR EXEMPTIONS
Have you currently applied for, or intend to apply for any tax incentives, abatements, or exemptions?
Yes
—No S/ lf YES, would you agree to enter into a Host Community Agreement* (HCA) with the Town of Webster?
Yes
No
> If NO: if you apply for or receive any tax incentives, abatements or exemptions in the future, would you agree to enter into a Host Community Agreement (HCA)?
Yes
No —
#-7-2 4
DATE
* A Host Community Agreement (HCA) is an agreement between the business/property owner, wherein the business/property owner recognizes that the Town provides services which benefit the business/property and the owner desires to compensate the Town for such services, by making payment to the Town (and to make the Town whole in regard to property taxes) by entering into this agreement to acknowledge the Town's cost of providing services to its residents and property
owners.
OWNER’S AFFIDAVIT (Sign and return if property owner is different than applicant)
I, Lebews VI do hereby certify that | am an owner and/or contract purchaser
of property involved in this request and that the foregoing statements, answers and supporting documentation submitted are in all respects true and correct to the best of my knowledge and belief. If this application is granted approval, all actions shall be in accordance with the terms of that
approval.