12-7470 ZONII-JG BOARD OF APPEALS SECRETARY SL.;Sar, Rose [X! "122 ZON[NG ADrVilNiSTRA10R 8cHtJcH6 Roberti - Ext i::?8 CODE ENFORCEMENT OFFICER Susan Dao - EXli 26 SalvaturE 1,10r81[0 III . Exl ,42 FIRE INSPECTOR Mark Liebermann - ExL 127 CLERICAL ASSIST AtH \lrelic'lle (",I" 1\1. 12.\ August 28, 2012 TOWN OF WAPPlNGER I' '~~~\~. . . ,'" ~lt-X+ '-~ '. '-'~'~, "(j.. . i\l ~:;:f:J' ..,~ '~J,,,,- #f/" .... ' .' '{ ~~~-'.~Y ZONING BOARD OF APPEALS 20 ['J1[DDLEBUSH RO,l\D VVAPPINGERS FALLS NY 12590 PH 84 :,.297 6256 Fax 2.45-297-0579 EMarl 5' )5e,G:;to\Vnof,vappln~Jer us SUPEFMSOR bcHt;ar::1A {~u::\el TC'WN BOARD \.I',J\\LaITI H 8'2J\e \'incen: Be!r:n2 Isrr,ay C-:.drnli:ckl I\~t..:r:ae: KllZllllCZ ZONING BOARD OF APPEALS Howarci P:ager Chiillrran T OIT' Oe[ICiClJrte Al C"sella ROly"n JOllllstorl Pelet Giilotlr To: Christine Fulton Town Clerk From: Sue Rose, Secretary Town of Wappinger Zoning Board of Appeals Re: Elizabeth Satterlee Decision Appeal No. 12-7470 Attached you will find the original Application/Decision & Order for Elizabeth Satterlee, 9 Cloverdale PI, Wappinger Falls, NY, Tax Grid No. 6257-02-992604. I would appreciate it if you would file these documents. Attachments cc: Elizabeth Satterlee Zoning Board Town File Building File Town Attorney '- ......... ....." TOWN OF WAPPINGER P.O. Box 324 - 20 MIDDLEBUSH ROAD WAPPINGERS FALLS, NY 12590 Zoning Board of Appeals Office: 845.297.1373 ~ Fax: 845.297.4558 Zoning Enforcement Officer Office: 845.297.6257 www.townofwappinger.us Application for an Area Variance Appeal # Jd- 7470 Dated: yJ I()/' 1- TO THE ZONING BOARD OF APPEALS, TOWN OF WAPPINGER, NEW YORK: I(We),~ ;2A6e:tb SAtrer lee, residing at -9-CbJedoJe Pltne.. , ,~-m-70d.1 (phone), hereby appeal to the Zoning oard of Appeals from the decision/action of the Zoning Administrator, dated ~ _ (0 -, 20+2:., and do hereby apply for an area variance(s). Premises located at ~VUdLL\e. \) \a.~ Tax Grid # Zoning District f2-.;l. 0 1. Record Owner of Property, C)c.-clJ ~ Sll?~1d-l. -S0.-~\ee. Address ~ C JbVe-(~lJL P Vi <..,.SL Phone Number~-,;i(}~' . ~.. ~ Owner Consent: Dated:' . Signature: , . ..' Printed: :~__~ (>e.. 2. Variance(s) Request: ":;;'-~5~ ...... ~ ce' rr-- >c. t!-t"/I-e-e.... Variance No.1 I(We) hereby apply to the Zoning Board of Appeals for a variance(s) of the following requirements of the Zoning Code. ~'S; ~i -\0 +z:, V"A \ yva..J) JUW022i'.lJA-AAV (4-03 Rev) 1 014 "-'" "'-". FOR OFFICE USE ONLY 1. THE REQUESTED V ARIANCE(S) ( ) WILL / (X) WILL NOT PRODUCE AN UNDESIRABLE CHANGE IN THE CHARACTER OF THE NEIGHBORHOOD. 2. ( ) YES / (X) NO, SUBSTANTIAL DETRIMENT WILL BE CREATED TO NEARBY PROPERTIES. 3. THERE ( ) IS (ARE) / (:xl IS (ARE) NO OTHER FEASIBLE METHODS AVAILABLE FOR YOU TO PURSUE TO ACHIEVE THE BENEFIT YOU SEEK OTHER THAN THE REQUESTED V ARIANCE(S). 4 THE REQUESTED AREA V ARIANCE(S) ( ) IS (ARE) / (X) IS (ARE) NOT SUBSTANTIAL. 5. THE PROPOSED V ARIANCE(S) ( ) WILL / (X) WILL NOT HAVE AN ADVERSE EFFECT OR IMP ACT ON THE PHYSICAL OR ENVIRONMENTAL CONDITIONS IN THE NEIGHBORHOOD OR DISTRICT. 4. THE ALLEGED DIFFICULTY ( X) IS / ( ) IS NOT SELF-CREATED. CONCLUSION: THEREFORE, IT WAS DETERMINED THE REQUESTED VARIANCE BE (X) GRANTED ( ) DENIED. CONDITIONS/STIPULATIONS: The following conditions and/or stipulations were adopted by resolution of the Board as part of the action stated above: The ZBA voted to grant a 9 foot variance for a new front porch. Where 35 feet is required to the front line setback, the applicant could only provide 26 feet. ( ) FINDINGS & FACTS ATTACHED. DATED: August 28, 20]2 ZONING BOARD OF APPEALS TOWN OF WAPPINGER, NEW YORK BY: ~~4-- , fChairman) PRINT: /c/v7t~1; ~;fb[;c- 617.20 SEQR PROJECT ID NUMBER APPENDIX C o STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 . PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) ~ ~ 1. APPLICANT / SPONSOR ~\'UL~ S{l~-\e.6 3.PR~CTC\OJ~~ (L lL Municipality County 4. PRECISE I.OCATtON: Street, Addess and Road Intersections, Prominent landmarks. etc - or provide ma~ I t- 0.+ I nt-<r U<-1--"'" D f q <-\ .. ~ 't, -h.x '" l ef+ ~ \t:I q I. J..1 tl~ I J v-0h+ Or----to Re,~~G~D~-1 d-~ lef+ -m C IOyl"(ra~ 5. IS PROPOSED ACTION: 0 New 2. PROJECT NAME fvon+ b lA- -\-C, hes~ 'YL__h o Expansion 6. DESCRIBE PROJECT BRIEFLY: We...'c~ p~. \ ~ ~ -\u OLclcl 0... ~ S X C\ ~()+ ~'" 1- 7. AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? DYes 0 No If no, describe briefly: \/ tl/~~la 1/1 GQ... ~~OJ- ~AT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) tp~esidential 0 Industrial 0 Commercial DAgriculture 0 Park / Forest / Open Space o Other (describe) 10. DOES ACTION INVOLVE A P. MIT APPROVAL, R FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) .0Ys ONO If yes, list agency name and permit / approval:2uY\ 1"2j ..f:::::0o.rvzl. vt;:L.1tttn 11. DOES A~~PECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROV. AL? DY" tpl'.O If Y" Up~~;'t ~:e^ d-Lu--ru tb~~ 12 AS A RESULT OF PROfOq D TION WILL EXISTING PERMIT / APPROVAL REQUIRE MODIFICATIO . Ores 0 No IV I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Date: /}- If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment ...." - ______ ~ f+ _.------ - - - - -- q t ._--~ ! I , y ; 0) v ' I -: : J!" ~ rl;:::- :f /1., 0" q;. u '/I ~! >J J 0; =t' (Y 3,1. I 6i Q) ! :D -r t1 (1CfJ ~\ ....c. ... '"""'II / ...; d 0 ::t: l~ o ~I U D t : V) u-! 6 I I I \ i (-~ ~) -- - I / r t' -J: A2/~ \flD'R,i \~~?51 "'\ ~H i l---I 1 - '"' -~ I c\ ~dJ~Y; " ~ ~ I -!.. '-0 :....:.f~ "" , ___: _. >'1)-:: ;I. ! - ,"{; r ~ ,- , ~.-1 '~I ~~. O-~_ ~I fO -' ... r I j ,. 9 ~':r 0 - _ -r .:/ -:. ;.. -"641~r ' ~'r> I ~ ~O', ",- l,.,. Q) Q.. -j- ~ \i fL ~ (I a: ~. " - DO;;:) ~. r ..... o -.::.. .' ~ ~ ---., .~-- ,-" I \,j... \-\ > '> , 1 \..... ~.~,._.) ~~) ~- ~ ,1_ --- --t. V') (~ 'Y :r~ ..J... . V r "~ :r I...'~ + VJ () a- TI -r - 0- -r ---- ~ /:' 1...1 ....:..J ,;- ci u ri -~ 0 ~~ ~'\ J -- l./J /'V 0)(:)'1,.- o ~ G:c.Q RECEIVED JUL 3 1 2012 BUilDING 0 - TOWN OF ;PARTMEIH \,APP!~;c;E!~ '-, \ '\.. ')/ \..- '\ \- {~-- ~ ~~ / J \. ' ........ ( "\ c;, ~_, l' ";... )'-. ~~ ,. ~, ""'--', I. {J- c '-' ~...--'~ ,,,) ('S c " t;: _, ,_, .\ '" I, ' )1 ,; -1:~ ). l ~", ~ .~ i.. C~) r (', :.. ( .) j U'-i C' ; "J t.' - J i.. ,/- ,// k )-. {'~ '- ;/'1 ~ ,.. I;' i (J'e I, ~l~-( f " "'t.~.;. I "': ~ 1- i, ,~' 'x ~ r 1 , j i \ l V -- 7,\ "~ ,( ~~ <-----...--..,. '" '~~, ~ ";;:~, " (\ \'.' '.. )-/ -;z::: \ 'j , \_/ \:.; ~ ~._tl, "'-" ~'--- , !. - '"-!............~ ' I ~ l i 1 , ,>{'\ ~- \-1/ t. ,1 t,1 ~: ( ) (- . ) I" 'c. a: (:) (', ,I .,~ .-'. 'i; "', '... "-~....,. ; f ',j.;... :, ; ~"" Ie, (~:) i') , ) ,,/ ,/ / .../ / RECEIVED jUt 3 1 2012 eJUiLDltVG DEPARTMENT "Yill) OF WAPPINGEr "-' Town of Wappinger-' 20 Middlebush Rd. Wappingers Falls, NY 12590 (845) 297-6256 To: Satterlee, Elizabeth M Satterlee, Scott C 9 Cloverdale PI SBL: 6257-02-992604 Date of This Notice: 8/6/201 ~. Zone: R20 Application #: 31639 For Property Located at: 9 Cloverdale PI Your application to: CONSTRUCT FRONT PORCH 35' X 9' is denied for the following deficiency under Section 240-37 of the Zoning Laws of the Town of Wappinger Where 35 feet to a town road is required, the applicant can only provide 26 feet. "Accessory Structures must comply with all minimum yard setback requirements for buildings, but in no case o shall they be permitted in the front yard." o Does NOT MEET dimensional requirement for Zone. o "This zoning district has a front yard requirement of seventy-five feet (75') from a state or County road." As per code Section 240-26, which states: " The use of tents, trailers and mobile homes for permanent o dwelling purposes shall not be permitted in any district except as permitted and regulated in Section 240-51, Mobile home park, of this chapter..." ':-:2f - .:> WHAT YOU CAN PROVIDE: ft. ft. ft. ft. ft. ft. REAR YARD: SIDE YARD (LEFT): SIDE YARD (RIGHT): FRONT YARD: SIDE YARD (LEFT): SIDE YARD (RIGHT): R E QUI RED: ft. ft. ft. ft. ft. ft. " L c::;;r-~ You have the right to appeal this decision to the Zoning Board of Appeals within 60 days of the date of this letter. The Zoning Board of Appeals meets the second and fourth Tuesday of the month. The area variance appeal will require at least two meetings, one for discussion and one for a Public Hearing. The required forms can be obtained at this office. Very trulY,<:j) /' __l~)il/;l(/( Yj/t1lrd' Barbara Roberti Zoning Administrator Town of Wappinger "-'" ....., TOWN OF WAPPINGER BUILDING DEPARTMENT 20 Middlebush Road, Wappingers Falls, N.Y. 12590 telephone: 845-297-6256 fax: 845-297-0579 o New Construction o Renovation/Alteration APPLICA TION TYPE: o Commercial i\\--e(:^! ,f25i'() TEL #: CELL: FAX #: E-MAIL: ~ 1\ ~. r/t] ~g~:~C~:~~CTOR DOING WORK: '\ / (:/ c IJTl~/l-{~\ ii, l '~ tP ') \ I --7' , ", . ('\' ! {' -' ( ,', '\. -\ "-:-f',('\, ADDRESS:, /+ J ,\ i\ ,'" {\ ,i ,.Ir --~ \ \1 - "L1i,d,-l ,::-', / " TEL #: tIV)-2?' T -! I J )CELL/JAfJ-11?tlJ-Jr: AX #: E-MAIL:\fifleiC\l.k::::(r~O.jC~1j^./_~.c f} ) DESIGN PROFESSIONAL NAME: J TEL#: CELL:. FAX#:~ E-MAIL: APPLICA TION FOR: _1\ c c V\ I ,FRo 1JT ,~+ ( ,3.5 i '^ Y') I 5Tt:~ JY=> c~ -~-~ S \ bE SETBACKS: FRONT: ,) &, I REAR: SIZE OF STRUCTURE: -:35) X (1 I ESTIMATED COST: L-SIDEY ARD: '7 ~ I '~I R-SIDEY ARD: ,;:) ...) TYPE OF USE: NON-REFUNDABLE APPL. FEE/i/5l) PAID ON:'1-.J1 J ~HECK #00/ u.'] , RECEIPT #: /} -3/1:2.. BALANCE DUE: _PAID ON: CHECK # RECEIPT #: FIRE INSPECTOR: o Approved 0 Denied Date: Si~nature of Buj)din~ Inspector ....... ~ BUILDING PERMIT #--------------- LOCATION N 5 ~ SIDE __L- STREEy fAVENI JE E W -# HOUSE NUM8ER~~.LOr NlJMBER-:rr- ~(EC. YOLo OWNER Of L^NDJ3eil~_~)d, \~)TJ '. -e~-e INTERIOR OR CORNEf~ LOT_~~r\ Ov ZONE TOWN OF WAPPINGER PLOT PLAN '-"'-",'2/'J ). DATE v Q1R~CTIO N ~: 1- DRAW STRUCTURE TO B 2- LABEL ITS DIMENSIONS 3- LABEL 5[T'3I\CKS WITH, I DnV-t. PAGE_ ----- .. N DENIED ZONING AnMll'lJSTRATOR R '.f d _ . ear ~ 5.r ~UG 6 tO~.JJ1 ~ 0 ft. ~,L'li ~tt tiC ,1(") l' ;;- , . . $,d~'Y''',d r-'-~:or:-l Sideyard 1 ~ !'~! I 35- ft. .,.-....--. -----. I rOl"C ~ 1.-'--------. ~ r.D......,~-..,.. ..-.'.....~-----_.-.~.._.~...-.,,-----~.- ~ 3 S- x. F-r .::! Sid B,o;ck &.lo. ___" It ~:~r~~~r~~.:~=:=~f,~~~ge.__J __" -----~ e;~~0; v1 hl'f 11'" ., "T'f~ I .,.- , 1")''-' ',1 I' ~'''''' L 1 SEuiA""IL~ <;:\.r<;;l'EM f V u\,)hL;\,. ..:._,1,":1.../'1" \..i!~ Dr \Iv LL IUH ~'f' ''UI..o.:J 1... ,s;"d THE DIST .ANCE 01 EACH fROM HOUSE " / / / / / /' " '\ , / .. / / /' / , "- "- " " ~._G.~Qy~1-~\ ~'__H_____'__ ~~ DV' \ \/t' lnfo,mo!;on M ".11/ ; $l,Ipp!i6d by-W11~AA1 ~j.(,j-J)/1/74 Mark North Point ....... --- FIRE INSPECTOR Mark Liebermann X 127 SUPERVISOR Barbara Gutzler CODE ENFORCEMENT Susan Dao X 126 Sal Morello. III X142 ZONING ADMINISTRATOR Barbara Roberti X 128 BUILDING DEPARTMENT 20 MIDDLE BUSH ROAD WAPPINGERS FALLS, NY 12590-0324 (845) 297-6256 FAX: (845) 297-0579 TOWN COUNCIL William Beale Vincent Bettina Ismay Czarniecki Michael Kuzmicz OWNER CONSENT FORM TO BE FILED WHEN THE APPLICANT IS NOT THE BUILDING. SITE OR PROPERTY OWNER GRID: # /, 1(\ ,- [\. . r t ! .~/ i=-f(l :/~-:Lr ~ f) .5 7 - 6 () - l' 9 d0 () i (\\-:>Jf)':-'~- \/\' 1(\, t::,',j-rj? fJr' ) C l j Ii ~+\ . I . ,! t:. II' '-- (person PHYSICALLY coming in to apply) (IF other than the Owner) BUILDING PERMIT # '\ r ~ SITE LOCATION: /1 Name of APPLICANT: ~ CERTIFICATION ~ NOTICE TO APPLICANTS: 240-109 Certificate ofOccupancv It shall be unlawful for a building owner to use or permit the use of any building or premises or part thereof hereafter created, erected, changed, converted or enlarged, wholly or partly, in its use or structure until a Certificate of Occupancy shall have been issued by the Building Inspector and the Zoning Administrator. FAILQRE TO COMPk,Y MA Y RESULT IN COURT PROCEEDINGS. I, n F_I j.-f (:fflrFRL_f:~{~ , owner of the landlsitelbuilding hereby give my permission for the Town -of Wappinger to approve or deny the above application in accordance with local and state codes and ordinances. ~' U~ D~lA-\d :SOl ,;LOId- OwnerA~"' . ~..<.- y 5 c'2 - '7 l, ~ tl E- \ ; 2.ct.Io.e:+ h See T\ -e-r \ e ~ wner's Telephone Number J?;int Name '1 C lo \/ C:r ck C-L \. e P ~ a ce... j u...).- F: , Print Owner's Address FOR OFFICE USE ONLY Code Enforcement Official: ......... STATE OF NEW YORK ... ~ WORKERS' COMPENSATION sbAkD CE~TlFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE la. Legal Name & Address of Insured (Use street address only) Clem Vinciguerra dba CLV Contracting 34 Old State Road Wappingers Falls, NY 12590 Work LocationofInsured (Olll.yl'equiredifcoverageis speciJictilly limited to certain locations in New York State, i.e., 4 Jflrap..Up Polh')') 2. Name and Addre~s of the Entity Requesting Proof or Coverage (Entity Being Listed as the Certificate n()ld~) Town of Wappingers 20 Middlebush Road Wappingers Falls, NY 12590 lb. Bu..'liness Telephone Number ofInsured 914-906-6724 1c,NYS 'Unemployment lnsurance Employer Registration Number,or Insured ld. 'F'edccal Einployer ldentific.atlon Number Of Insured or Social Security Rumber 27 -5268487 38. Name of' Insurance Carrier The Hartford 3b. PQlicy Number of entity listed in box "la" 16WECDR8784 $c, Polky effective period OS/23/2012 to OS/23/2013 3d. The I>roprietQr,Par'til~sorExecutive Officers are o hlcluded. (Onj)' cbec.II;l>.ult' aU partllel'.IOl'lltCI'~ inclglletJ) [2TI all ~duiled or cel'tai.n partner$/()fficer~ excluded. This certifies that the insurance carrier indicated above in bo'l( "3" insures the business referenced above in box "13" for workers' compensation under the New YorkStatflWOrkers' CompellS'ationLaw. (To ,* thi$ f'0l'nlt New Vork(NY} must be listed tInder Item 3A on the INFORMATION PAGE oftbeworkers' compensation insurance policy). The Insurance Carrier or its licensed agentw]]] send this Certificate of Insurance to the entity listed above as the certificate holder in box ''2''. The/llslII'an(:e Carrier will also notifY the ahowcertifJCate holdeI' within 10 Jays IFapolicyiscanc.eted dl.l./J! to nonpayment (tpremillll/s or wilkin 30 d.ays IF' there arl! reasOIl~otber than nOllpqyment of premiut11.r tba{i;:f1ncsllhe pol.icyqr sl/miMlc the inswedfrolJ'l th(!coverage indicated on this Certifieate. (I'heSitnotices rilll)' be sent by regular mail.} Otherwise. thif CertiflCatels1Jalidfora1U!yeaTfifter thisfol'#1 is approved by the insltrl1nce carrier Of i(s licensed agent"or ulltiUhepolkyexpil'ution,tlate listed ill bo..'C "3c", wJ,iclu!w!1' is earlier. Please Not.e:Upon the cancellation of the worken' compensation policy indicated on this form, if the business continues to be named 0011 permit, license or contract i'lsued by acertificateholder,tl;Je buslness rollst provlde that tertiflcateholder with a new Certificate of Workers' Compensation Covetageor other autborizedpr(j()( that the bll$i,llesll is complying witbthe mandatary coveragel'equirements lif t.he New Y nrkState Workers'Compensation,Law. Under penalty of perjury, 1 certify that I am an authorlzedrepresentative or licensed agent of the insurance carder referenced above and that the naroedinsured has tbecoverage as depicted on this form. ApprQvedby: Approved by: Title: President Telephone Number of authorized representative or licelised agent of insurance carrier;. 845-781-8000 Plellse Note: Oldy insurance carriers and the,jr lic.ensed agents areautl10rizcd to issue Ponn C-I05.2. fnsurcmcf? brokers (ire NOT authorized to issue it. C-I05.2 (9-07) wv.W. web.state.ny, IJS STATE OF NEW YORK WORKERS' COlvlPENSATION BOARD '..-' CERTIFICATE OF INSURANCE COVERAGE UNDER THE NYS DISABILITY BENEFITS LAW ...... PART 1. To be completed by Disability Benefits Carrier or Licensed Insurance Agent of that Carrier I a. Legal Name and Address ofInsured (Use street address only) lb. Business Telephone Number of Insured 914- 906-6724 CLElvfENT v'INCIGUERRA ATTN: CLEMENT 36 OLD STATE ROAD WAPPINGER F.l\LLS, NY 12590 Ie. NYS Unemployment Insurance Employer Registration Number ofInsured DBA. CL V CONTRACTING 2. Nam e and Address of the Entity Requesting Proof of C{)verage (Entity Being Listed as the Certificate Holder) TOWN OF WAPPINGERS 20 MIDDLEBUSH ROAD W APPING ERS FALLS, NY 12590 1 d. Federal Employer Identification Num ber of Insured or Social Security N \.UTI ber 275268487 3a. Name ofInsurance Carrier Zurich American InsUI'allce Company 58 South Service Road, Melville, NY 11747 3b. Policy Number of entity listed in box "Ia": 4885636 - 001 3c. Policy effective period: 5/23/2012 To 5/23/2013 4. Policy covers: a. ~ All of the employer's employees eligible under the New York Disability Benefits Law b. D Only the following class or classes of the employers employees: Under penalty of perjury, I certify that I am an authorized representative or licensed agent of the insmance carrier referenced above and that the named insured has NYS Disability Benefits insurance coverage as described above. Date Signed 8/112012 v .-- By ~~If/M<./ .dd./~ (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that in>urance carrier) Telephone Number (631) 845-2200 Title Operations Manager [MPORT ANT: Ifbox "4a" is checked. and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier. this certificate is COMPLETE. Mail it directly to the certificate holder. Ifbox "4b" is checked. this certificate is NOT COMPLETE for purposes of Section 220. Subd. 8 oflhe Disability Benefits Law. It must be mailed for completion to the Workers' Compensation Board. DB Plans Acceptance Unit. 20 Park Street. Albany. New York 12207. PART 2. To be completed bv NYS Workers' Comoensation Board (Onlv if box "4b" of Part 1 has been checked) State Of New York Worken' Compensation Boal'd According to information maintained by the NYS Workers' Compensation Board, the above-named employer has complied with the NYS Disability Benefits Law with respect to all of hislher employees. Date Signed Telephone NUl1l ber Title Please Note: Only insurance carriers licensed to write NTS disability benefits insurance policies and NYS licensed insurance agmts of those insurance carrie rs are authorized to issue F onn DB-l20.I. I nsurallce brokers are NOT authorized to issue this form. DB-120.1 (5-06) Y i Q) J! ,J!: '> r1--- ; ~f1' 1; ~\ /) 01 q): V ~~ (' I O! ~ .~ :D -t- CVi - (~i a .~ '~I :t: \,.. cJl o d \J-- cr 'f) ') r~'/ (=~ \_..;;' ....... ~ ~ Q.. -r \l;i \J ~ f D <t /- 0;) Q 71" ~o ~ , :- --- ~ ,In. / ',-- I " r f1 r " -.f--.....~ , I (,. i ---G 0 <X : ;U:.i~ I 'Zi ,,~ ~H I v? i -< r- -)1 01 , ! ...--r I ' J-, l--'-- 1 -- I .., I '2 . r " I ",,, I . ,+ ~ C'r"7..1 !!, ;--91~'-Tv o~ -+: 1/) \/) fL Y) "2 # -f '0..( ,\"{) " -OJ VJy1+- --f I i- 'o~~ c:; ! ~I ?~\ ~ \~i ~,.o.. ',,' \..: ~ '~t \ ) ,. 6 6 (1l; Q.. 0_ clll d) I'" ~ ... ~>o ~#:,:r 0 q) ...1 - c- r -:.. -f ----0, ~ :r "'/ N cs)_ ~ 0_("4) t r- ~o 0'> \ \----\ -"> /'" . ~-- \. ~ " p -~> ~ .1.-- .,? .-: \ " \ \,~~....) -,. / I --1' "" ~~ Vi :r 6 of- :-{\ :ri~ + V) () f.l,. T~ -r (L r ~ ~ ...:.:J - ,- - ~ ri u S ~ -;; 0 1 /-Q ..;;-' - v l,.. J ;;/... j / o -;^ Q. ~ 11- \:.J RECEIVED JUL. 3 1 ZOlZ EPARTMEI~T BUIl_DINOGF DVJAPPINGEr~ TOWN , , ... \ " ) \" ,- \.._- /' /c .. ~ (=) tfJ <, ,""- .~..... )':. '~ ( lJ l, -~}- (:., _~.._'. ,,) /[. o {"5 {~) ...... ~" .' ( \..: \.. (:'r....'), -r-' \. .- '.' ^,,' ':v I . ) j I} ~r~ il ....' {, .- ~ II ::.. )'J ' IJI....' ~...~ / / ~ ,r+ c/l . (,. "':' 'X ' \. " c ~. - ~, :..' J (i c): I,. ./ Y--. C' .~...r'........_, _"--~ ..:;1 1- f 1 <:~~ (:'1\ --.~ ~ I.~ --;'f _": j " I ' J , v ~ 1- -7~ "/' i 'Ii , J j i.ir~ 1/1 r 1 I , '\ --~ v ",. '''''.'' >> ~ - (\ \. . \'" }J: ~, .' ~.:, " v ~,'~' ""--' / ~~.,~, , r'-''''~",,~_ "-,, \'1\ ~--~ '-"", ''-1/ \l.' --T- \;", (L (;) Ie, t -.~" --., ", L. ) c ) , , t ) c -!. ~-~ -'--:/.. tv, , :-i- -i .~.-.......~ :'j;.- ! '-' ~: j'- t ,( :. ) c~ '/J , } /' / .I ,- " / RECEIVED JUt 3 1 2012 SUiLDING DEPARTMENT OF WAPPINGER ....... - Town of Wappinger Zoning Board of Appeals Application for an Area Variance Appeal No. kJ~1y7() Variance No.2 I(We) hereby apply to the Zonin Board of Appeals for a variance(s) of the following requirements of the Zoning C e. (Indicate Arcle, Section, subsection and Paragraph) Required: Applicant(s) can R Thus requestin To allow: 3. Reason For Appeal (Please substantiate the request by answering the following questions in detail. Use extra sheet, if necessary): A. If your variance(s) is(are) granted, how will the character of the neighborhood or nearby properties change? Will any of those changes be negative? Please explain your answer in detail. B. Please explain why you need the variance(s). Is there any way to reach the same result without a variance(s)? Please be specific in your answer. C. How big is the change from the standards set out in the zoning law? Is the requested area variance(s) substantial? If not, please explain, in detail, why it is not substantial. u D. If y;J~v";~c'e~S) is(are) granted, will the physical environmental conditions in the neighborhood or district be impacted? Please explain, in detail, why or why not. -H- TCJW022lBA-AA V (4-03 Rev) 2 or 4 ,... ~ Town of Wappinger Zoning Board of Appeals Application for an Area Variance Appeal No. /J-71.f]D E. How did your need for an area variance(s) come about? Is your difficulty self-created? Please explain your answer in detail. ct 4. List of attachments (Check applicable information) ~ Survey Dated~ ~~~C{ l{~1 Las~ Revised Prepared by 8-.- _' ~ ,-ii, LLS J .s.. ~e... and () Plot Plan Dated (0 Photos () Drawings Dated (J Letter of Communication which resulted in applicatio ZBA. (e.g., r;;.;;.ommendation frWIJ the Planninp BoardjZ",ning Deni Letter from ~ bbLV2l.. . :tS, D ~ Dated: Letter from Dated: 8;)U!I;}- , () Other (please list): 5. Signature and Verification Please be advised that no application can be deemed complete unless signed below. The applicant hereby states that all information given is accurate as of the date of application. SIGNATURE ~~~n{:~ DATED: ~/ rYj';J- __ (Appe nt) Xfl-r SIGNATURE3c~ ~~ - DATED: '81 r I/;Z (If more than one Appellant) . I' TOW0221BA-AAV (4-0:; Rev) 3 of4