Fillable Application-for-subdivision Monday, February 27, 2006

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Application-for-subdivision Monday, February 27, 2006

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Town of Big Flats
Department of Planning
476 Maple Street
Big Flats, NY 14814
T: 607-562-8443
http://www.bigflatsny.gov
This application form is required as part of any request to process a planning action involving the
review of a proposed subdivision. In addition, the Town of Big Flats Municipal Code requires specific
material to be submitted with this form. A copy of the applicable sections of the code are available
upon request. It is the applicants responsibility to ensure that application package is complete and
accurate.
Subdivision
Application
NOTE: AN INCOMPLETE APPLICATION CANNOT BE SCHEDULED FOR REVIEW
Application Date: ___________________
Name of Proposed Subdivision: _______________________________________________________________
Applicant: Plans Prepared by:
Name Name
Address Address
Telephone Telephone
Owner (If Different):
Name
Address
Telephone
Project Location: Other Permits Needed: Dept. of Health –Water/Septic
Parcel ID: _______________________
(all may not be applicable) Town of Big Flats DPW- Water
Address: ________________________ Chemung County Sewer District
________________________________ NYSDEC- Sewer
NYSDEC- SPDES
Current Zoning: _________________ NYS/ACOE-Wetlands
NYSDOT
Variance(s) Requested: ______________________________ Chemung County DPW-Driveway
______________________________ Town of Big Flats DPW-Driveway
Town of Big Flats Building Permit
Existing number of parcels: __________ Other: ________________________
Proposed number of parcels: __________
Are the proposed parcels for residential use? _____ If so, how many dwelling units? _______
Number of dwelling units, by type:
Single Family _____ Condominiums _____
Duplex _____ Townhouses _____
Senior Housing _____ Other* _____
Multi Family _____ Total Units _____
*Explain Other__________________
Actions Requested
Subdivision Review
Re-subdivision
Area Variance Requested (Additional Fees Apply)
Department Use Only:
Subdivision Application (1/2009)
1
Current Use of Site (be specific): _____________________
Current Land-Use of Neighborhood: _____________________
(agricultural, commercial, business/office, industrial, residential, vacant)
Project Narrative: Explain the overall intention of this proposal (Use a separate sheet if needed)
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
APPLICATIONS WILL NOT BE ACCEPTED WITHOUT SIGNATURE OF LEGAL OWNER OR OFFICIAL AGENT
Check one: √
Owner
Power of Attorney*
Contract to Purchase*
Official Agent*
Other: ____________________
*Attach evidence
I hereby certify that the above information and
accompanying documents are truthful ad accurate to
the best of my knowledge and acknowledge that the
processing of this application may require additional
fees and expenses, at my expense, for preparation of
necessary environmental, engineering and planning
studies.
________________________ ________________
Legal Owner/Official Agent Date
________________________ ________________
Legal Owner/Official Agent Date
________________________ ________________
Applicant (If Different) Date
Department Use (only)
Lead Agency: ___________________ Environmental Determination: _________
Type I Type II Unlisted
--------------------------------------------------------------------------------------------------------------------------------------------------
Preliminary Plat Approval Date:_______________ Final Plat Approval Date:_______________
Conditions Yes No
--------------------------------------------------------------------------------------------------------------------------------------------------
Public Hearing Advertised ___________ Public Hearing Held___________
--------------------------------------------------------------------------------------------------------------------------------------------------
Approval Expiration Date: _______________ Plans Filed with County Clerk: __________________ ________
Director of Planning Date
FEE SCHEDULE
2 Lots or less: $200.00*
3 Lots or more: $500.00**
Concept Plat: $200.00 (Fee goes toward review)
*add $50.00 per lot
**add $100.00 per lot
Subdivision Application (1/2009)
2
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Application-for-subdivision Monday, February 27, 2006

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Completed 11 July 2020

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