LOPMENT
Applicant/Contact Person:
RANbY Pavuci< Address: ‘785 SoMERDALE ORivE
Property Owner Information (if different than above): Name: e Awe \ Address:
: E-mail:
Architect / Engineer (if applicable): (V/A
; Address:
E-mail:
SHED Project Address: “785 SoOMERDALE DBR WEARSTER, NY WSO
Project Descripti ere) information can be attached): NEW SWEd ELS: x 2p!) Use Variance
<4 Area Variance
Interpretation
= het Leet 2 uA! - 2 4 Special Use Permit
Length of time to complete project: 3a BAYS Estimated Cost: _ \’2. Coo. _
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 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.
Parcel Number (SBL): Zoning District:
March 2026
ZONING BOARD OF APPEALS APPLICATION REQUIREMENTS
Cut off dates for all applications to be submitted to the Zoning Board of Appeals per the approved schedule which indicates deadlines for submittals for upcoming Board meetings.
The Webster Town Zoning Board of Appeals meets on the 2nd Tuesday of each month. All meetings start promptly at 7:00 PM. The Webster Town Zoning Board of Appeals, at its discretion, reserves the right not to hear new applications after 10:30 PM on any regularly scheduled meeting day. If the Board exercises this right, the remaining cases will be heard at the beginning of the next regularly scheduled Public Hearing.
Applicants shall submit a completed application form along with the following:
Letter of Intent describing the project in applicant's own words
“ Owner's Affidavit (from property owner, granting permission to apply for variance) ¢ Plans/drawings (“see page 4 for more detailed information)
Survey map
Environmental Assessment Form (EAF)
Payment of fees on or before the scheduled deadline and/or cut off dates.
et
Any incomplete application received will not be scheduled to be heard by the Board. It will be the applicant's or agent's responsibility to submit a complete application for the hearing date requested (see submission checklist on next page).
The applicant shall submit ten (10) copies of the plan to scale. Plans shall have the name, address, and phone number of the licensed professional preparing plans together with his seal and signature and the name, address and phone number of the applicant. Applications for a variance to a single-family residence may be accepted by the submission of an instrument survey map, no older than one (1) year old, prepared by a licensed surveyor and showing the proposed variance to scale. Note: As long as there are no changes on the survey map, maps older than one (1) year may be acceptable, if determined so by the Zoning Board of Appeals.
Proper notice of a public hearing before a board shall be given by legal notice published in the official newspaper of the Town of Webster, at least five days before the date set for a public hearing, as required by § 274-b of the Town Law. All applications before the Planning Board, Zoning Board of Appeals and all special permit and rezoning applications before the Town Board shall be required to post a Town provided sign, in a publicly conspicuous location on or in front of the front property line of the property affected. Said sign shall notify the public of a pending application and hearing and shall be posted not less than 10 days prior to and up to the date of the hearing. Such sign shall be provided by the Town and/or its designee and shall be removed by the Town and/or its designee within 5 days after the hearing. By signing this application, you are granting permission to have a sign placed at the project address.
Any revisions made to the plans necessitated by comment from the Project Review Committee must be resubmitted to the Department of Community Development no later than 7 days prior to the meeting date. The Zoning Board of Appeals will not entertain any new or revised
plans which have not been reviewed by the Project Review Committee.
The Zoning Board of Appeals requires that applications meet the submission checklist (on the next page) and reserves the right not to hear a presentation if the application is deemed incomplete.
Applicants or their representatives must appear at the hearings. All withdrawals must be made in writing.
No. of copies:
e« Completed Zoning Board of Appeals Application (including Statement of Difficulty).
e Letter of intent (project description in applicant's own words) e Completed environmental assessment form (EAF)
e Plans / Survey Map (folded to 9" x 14 1/2" maximum size)
e Non-collusion disclosure signed
e Tax incentive disclosure
e Owner's Affidavit (if owner is different than applicant)
e Fees paid: $ VA Obata
e Date of Planning Board meeting (if applicable):
DX] Px PX Px} Px} PS
N/A
* Some projects may require a review referral to Monroe County Planning & Development. For these projects, an additional (5) complete application sets will be required at time of
submittal.
* Please assemble the correct number of complete application sets prior to submittal for expedited distribution to staff.
All meetings start at 7:00 PM at the Van Ingen Courts and Board Room. The Webster Zoninc Board of Appeals, at its own discretion, reserves the right not to hear new applications after 10:30 PI on any regularly scheduled meeting day. In the event this occurs, the application(s) will be
rescheduled to the next available meeting.
Fees:
Residential Variance
$120.00 for 1° request; $10.00 each additional
Commercial Variance
$195.00 for 1st request; $20.00 each additional
interpretation
$100.00
Special Use Permit
$200.00
*All checks shall be made payable to Webster Town Clerk*
REQUIREMENTS FOR PLANS / DRAWINGS
Applications to the Town of Webster Zoning Board of Appeals shall include the information indicated below. The Department of Public Works reserves the right to request additional information at its discretion.
Applications for a where no physical work to be performed outside of buildin shall include:
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%
Instrument survey map or aerial photo showing subject property and adjacent owners Parking, landscaping and lighting (if applicable)
Existing buildings and their uses
Floor plan of existing buildings and proposed uses (depending on the size and scope of the project, these plans may be required to be prepared by a licensed professional architect, engineer, landscape architect or surveyor).
lications for an to a single-family residence shall submit an instrument survey map showing:
*, % o a
*, 7.
%
Existing property boundary lines
Existing structure(s)
Any proposed changes indicated as “new” on the drawing
List of variances requested with specific dimensions listed and shown on the drawing
the plan/drawing shall include:
A professionally prepared site plan / drawing by a licensed professional
Boundary data to include length, bearings or angles, tie distance to nearest intersection and adjacent property owner's names
Title block with project name and address
North arrow
Preliminary topographic data (taken from County maps) at a minimum of 5 feet intervals Location of physical features such as woods, creeks, ponds, roads, existing structures, etc. Site data showing proposed uses, subdivision layout, parking locations, landscaping, preliminary utility layout and other physical improvements important for the Board to properly evaluate the application.
The Department of Community Development is available to discuss any application prior to its submission. Please contact us if you have any questions regarding this process.
Department of Community Development 585-872-1000 planning-zoning@websterny.gov
AREA VARIANCE STATEMENT OF DIFFICULTY
An area variance shall be granted only if the applicant can establish EACH of the following, in accordance with Section 350-102 of the Zoning Ordinance:
. Essential Character. Indicate how the variance will impact the essential character of the neighborhood. No undesirable change in the essential character of the neighborhood will occur and no detriment will be created to nearby properties if the area variance is granted because: E NEWLY Leo S Eb wit RE pRoFESPiowvAily Ly ons
Bway, Ce s,STEvT WITH THE Style AWA CHACACTER ck THE AEGHRetiimoh , Avi PLACER f(y) AW AREA WMIEN witt wot —EveReCALH an WNEIGHRLAING PRePERTIES .
. Alternates Considered: Indicate the benefit sought by the granting of the variance and why the benefit cannot be achieved by some other feasible method other than an area variance. !dentify the alternatives to the variance that have been pursued, and why they are not feasible (include evidence where necessary to support your conclusion):
ALTERNATE LePCATIeWS WIT THE 4rRpeevzp AldowARLE _
—propaety Rou Paiee WERE ExpipR&ds , HowEvE@ wourls _FITHER impFszZ THE OPzy wed eR gE aAuee TREES neh _VEGETATIeN Te BE REmoveh
. Significance. Indicate why the requested variance is not a substantial or contextually significant
deviation from the current code/regulations (is the difference between what the code requires and what you're requesting significant):
—2vF To THE PeRoeE@-y, BE LoechTEh ow A CoRwet. LoT TRE PESi@ZN t-ecAteowv —epe THE Wey SHEN Lt e wirn: ALZA las Si NERES “Er yw 4a-Z iy] i IHEREAS (fe THE pane WERE SinGle FReWvTNGE IT evi BE cov Pegi AlipwARi
. Physical and environmental conditions. Describe any potential impacts on factors such as drainage, traffic, dust, noise, odor, public services (e.g., compliance with the Town Code requirements to be
varied would result in structures over an easement, removal of mature trees) provide mitigation efforts if any are to be utilized:
Np Env ipwiNEwtAl tmp Ae-ss Expteteh |
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. Not self-created. The alleged difficulty was not self-created because (consideration shall be relevant to the decision of the Board of Appeals but shall not necessarily preclude the granting of the area
THE REGVESTES) AREA Fee. THE Suey To BE PLaced
variance):
** THIS FORM IS REQUIRED FOR ALL AREA VARIANCE REQUESTS**
ENVIRONMENTAL ASSESSMENT
To permit the Town of Webster to assess the potential environmental impact of the proposed project, please complete the attached Environmental Assessment Form (EAF) in accordance with the list
below.
TYPE OF APPLICATION PART OF EAF TO BE COMPLETED 1. Special Permit or Variance Short Environmental Assessment Form 2. Change of Use Short Environmental Assessment Form 3. Residential Development Short Environmental Assessment Form One (1)— three (3) lots 4. Rezoning Short Environmental Assessment Form 5. Commercial Development Short Environmental Assessment Form 6. Residential Development Short Environmental Assessment Form
Over four (4) lots or more, and Mobile Home Parks
7. Industrial Developments Short Environmental Assessment Form 8. Utilities and Roads Short Environmental Assessment Form 9. Fill or excavation Short Environmental Assessment Form
The Town reserves the right to request additional information or request the preparation of a Draft Environmental Impact Statement (D.E.I.S).
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:
NEW SHEDdD
Project Location (describe, and attach a location map):
SovTH WEST CrRwWE@ of Let
Brief Description of Proposed Action:
— NEwly ConSTeuevEts, /o' x2o!', “swvedi-Rvier" SHE
- PEUVREK on SITE —- PLACEN ON GRAVEL Pal
Name of Applicant or Sponsor:
- TBS SomERDALE PRaVE
If Yes, list agency(s) name and permit or approval:
City/PO: State: Zip Code: WERSTER, NY Wy 1osR, 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 inthe 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
Eas!
3. a. Total acreage of the site of the proposed action? » GK acres b. Total acreage to be physically disturbed? e 220% acres
c. Total acreage (project site and any contiguous properties) owned or controlled by the applicant or project sponsor? ‘ 6; 6 acres
4. Check all land uses that occur on, are adjoining or near the proposed action: (J) Urban [[) Rural (non-agriculturc) [1 Industrial [1] Commercial CH Residential (suburban) (1 Forest ([] Agriculture [_] Aquatic [C] Other(Specify): ([] Parkland
Page 1 of 3
SEAF 2019
5. Is the proposed action,
N/A
a. A permitted use under the zoning regulations?
b. Consistent with the adopted comprehensive plan?
CI CI
PPR &
6. Is the proposed action consistent with the predominant character of the existing built or natural landscape?
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7. Is the site of the proposed action located in, or does it adjoin, a state listed Critical Environmental Area?
If Yes, identify:
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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?
c. Are any pedestrian accommodations or bicycle routes available on or near the site of the proposed action?
ood) o¢) soo
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:
3 BI! 4!
YES
O
If No, describe method for providing wastewater treatment: N | fA
10. Will the proposed action connect to an existing public/private water supply? NO | YES If No, describe method for providing potable water: N } A iA O 11. Will the proposed action connect to existing wastewater utilities? NO | YES
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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?
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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?
If Yes, identify the wetland or waterbody and extent of alterations in square feet or acres:
YES
ax Oj
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/grasslands [[] Early mid-successional {JWetland [[] Urban [XJ 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?
YES
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?
b. Will storm water discharges be directed to established conveyance systems (runoff and storm drains)? If Yes, briefly describe:
Px) Pq |xI/3| Bx] |) Bel |S DIO |O\8)O\8}0
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: =
x1} CJ 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:
im 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:
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF
MY KNOWLEDGE RAV Dy PaTUeK
Applicant/sponsor/name:
E/21/2L
Signa Title:
PRINT FORM Page 3 of 3
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 WEwv SHES
pateo: 6/2) /26
OWNER’S AFFIDAVIT _—\\\\\ (Sign and return if property owner is different than applicant)
|, PAND v7 PoaTucid do hereby certify that | am an @wnep 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.
KAvePy PeTucr,
NAME OF PROPERTY / BUSINESS OWNER
b/21/ 22
DATE
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 xX If YES, would you agree to enter into a Host Community Agreement* (HCA) with the Town of Webster? Yes
No
» lf 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 X
RANDY PaTucd
NAME OF PROPERTY / BUSINESS OWNER
6/2/%
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.