TOWN OF WEBSTER ZONING BOARD OF APPEALS APPLICATION
Office (585) 872-7028 ¢ Fax (585) 872-1352 ¢ planning-zoning@ci.webster.ny.us
Applicant/Contact Person:
Name:_ Amanepa E- CoSTANZA Address: 3IY HOLLY WooD AVEL RocH.
Property Owner Information (if different than above):
Kim + wayne GQanpy Address: 1\OSO LAKE RO, wEBsTER Ul
| hi —_ a |
4 ia a Name: Amaapa ¢€. CoSranza ara Address: Bi HWorrywooo ave,
Phone:
| oo Architect / Engineer (if app Ax Bo PESIGA AACcCHITECWRE
CHRIS COosSTAAZA, BIA RocHESTER, wy 1418 Project Name: Gb py RES\IWENCE- ACCESSORY BuievinG
{OS 2 LAKE ep WEBSTER, ny tHSSO
t—-
Project Description (additional information can be attached):
ComBininG oF LOTS AT \oSO + \0S2 Lake RO Use Variance
DE Mot itTi0N OF EXISTING 2-STORY RESIDENCE Digeimannce
AT jOS2 Cake RO. fEVSE Existing Interpretation
FOUN OATION FOom NEW ACCESSORY ByirpiniG . Special Use Permit Length of time to complete project: 6 7 12 months Estimated Cost: _ $250,000
Work will be completed by (circle one): Owner Sub-divider Contracor) 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 conducting inspections of the proposed construction/activity, as required by applicable law, rules, regulations ordinances and orders. | also certify that the information supplied on this application is complete and
accurate, and that the project described, if approved, will be completed in accordance with
the conditions and terms of that approval.
es DATE: 4720/2026
Parcel Number (SBL): Zoning District:
Februarv 2024
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
CAANDY RESIDENCE -LOT ComMe@iiaTion + AccCESSORY BUNBING
Project Location (describe, and attach a location map): ace. 1\OSO+ (082 LAaAKeE AoO- (Lor COM Binet), jos 2 Laker { @roaq.
DEMotitmon OF EXISTING 2-STORY RESIDENCE AT 10S2 LAKE.
CAWNBIiAATO~A OF LETS AT \OSO + \OS2 LAKE RDO,
USE EXISTING FYUYNDATION AT JOS2 LAKE RD Fone, NEw) \-STroty accessory Hvi_ Dr cy ~~ ACCESSORY TO EXIST UG RESICENCE At 10SO LAKE Ry.
Name of Applicant or Sponsor:
KIMBERLY + WAYNE Qaapy 3 Address: 10SO0 CAKE Rov, City/PO: State: Zip Code: WEBSTER wy 14sO0 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 4 may be affected in the municipality and proceed to Part 2. Ifno, 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: TOwA OF WEBSTER: VAMIANICE, y PlLadininG Boanho + BLOG, PERMIT 4 3. a. Total acreage of the site of the proposed action? O.SS acres b. Total acreage to be physically disturbed? Or, \ acres c. Total acreage (project site and any contiguous properties) owned or controlled by the applicant or project sponsor? ©.SS acres
4. Check all land uses that occur on, are adjoining or near the proposed action:
5. [Urban ([) Rural (non-agriculture) [J Industrial [F] Commercial [7 Residential (suburban) [J Forest [J Agriculture [7 Aquatic (J Other(Specify): (_] Parkland
Page | of 3 SEAF 2019
5. Is the proposed action, NO | YES |} N/A a. A permitted use under the zoning regulations? oT b. Consistent with the adopted comprehensive plan? AA NO | YES 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? 4 M1 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: iy, NO | YES 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? a c. Are any pedestrian accommodations or bicycle routes available on or near the site of the proposed y 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: WH 10. Will the proposed action connect to an existing public/private water supply? NO | YES If No, describe method for providing potable water: WA 11. Will the proposed action connect to existing wastewater utilities? NO | YES If'No, describe method for providing wastewater treatment: yr "4 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 4 State Register of Historic Places? A 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? 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? LAKE ON-+TAR‘O Cpecy , b. Would the proposed action physically alter, or encroach into, any existing wetland or waterbody? J If Yes, identify the wetland or waterbody and extent of alterations in square feet or acres: DEC APPROVAL RECEIVED for preoyecr Peemiv ip. 8- 2654 - 00001 /ooo0r (Erect ve. 2/13/26 )
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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 (] Agricultural/grasslands [[] Early mid-successional
[J]Wetland [] Urban DaSuburban
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? 7 16. Is the project site located in the 100-year flood plan? NO | YES v a a . NO | YES 17. Will the proposed action create storm water discharge, vither from point or non-point sources? If Yes, v4 a. Will storm water discharges flow to adjacent properties? b. Will storm water discharges be directed to established conveyance systems (runoff and storm drains)? we If Yes, briefly describe: “ME prsposeD Acro) Wil pecnease srenm waren. DASCMARGE Frem Cunnetir Ceonbdinoe.
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:
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: - YN 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: wi ~
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE
Applicant/sponsor/name; _‘imberly and Wayne Gandy Date: 4/20/206
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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 \0SO And (0S2 LAKE RD, webster, Ny.
DATED:
BY:
Authorized Representative
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 Hx
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 | A ~nta)
NAME OF PROPERTY / BUSINESS OWNER
4/20/2026
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)
|, __ Kimberly and Wayne Gandy 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.
Kimberly and Wayne Gandy NAME OF PROPERTY / BUSINESS OWNER
SIGNATURE OF PROPERTY/BUSINESS OWNER
4/20/2026