CITY OF PLATTSBURGH
PLANNING BOARD
HISTORIC SITE REVIEW APPLICATION
R
ev. 9.20.19
FOR OFFICE USE ONLY
Fee Paid: _____________
Submittal Date: _____________
PB #: _____________
CRIS Form: _____________
A
Project Name:
Tax Map Parcel number(s): Project Address:
Sq. Footage/Acreage of Parcel:
Zoning District:
Historic Bldg/District:
Applicant/Plan Preparer
Name:
Owner
Name:
Organization:
Organization:
Address:
Address:
Telephone:
Telephone:
Email:
Email:
Signature*:
Signature*:
Date:
Date:
*A representative acting on behalf of an owner must submit a notarized affidavit of representation.*
B
Descriptive Project Narrative:
A Project Narrative Must Be Attached Including:
Type of alteration Reason for alteration
Location of alteration Materials to be used
Site features Landscape features
Current condition of site Character of surrounding properties
Current and proposed use of site Estimated construction peri
od
C
Application Materials Required:
A complete application must include the following:
15 copies of completed application 15 copies of Scale and Massing Depictions
(
see section F)
15 copies of project narrative 15 copies of material examples (see Section G)
15 copies of site plan (see Section D) A digital copy of all materials (disk/USB/email)
15 color copies of architectural elevations 15 copies of completed Full EAF Part 1
(see Section E)
CITY OF PLATTSBURGH
PLANNING BOARD
HISTORIC SITE REVIEW APPLICATION
R
ev. 9.20.19
FOR OFFICE USE ONLY
Fee Paid: _____________
Submittal Date: _____________
PB #: _____________
CRIS Form: _____________
D
SITE PLAN REQUIREMENTS (IF APPLICABLE):
Existing Site Conditions Location and Footprint of Existing Structures:
Landscaping Site Features
Lighting Dumpsters
Walkways, Driveways, Alleys & Parking Areas
Utilities, Services & Machinery
Site Features including but not limited to:
Fences Mounting Blocks
Walls Cellar holes
Posts Stonewalls
Trees Cemeteries
Both Main Site and Abutting Sites
Buildings
Accessory Buildings
Lot Lines
Including:
Abutter names
TMP numbers
E
BUILDING DESIGN & ELEVATIONS:
Visual and Architectural Details for EACH Proposed Façade Alteration(or Cut Sheet, See Section G):
Accurate Dimensions of:
Windows Molding
Doors Trim
Entries Decks
Clear Depictions of:
Finishes Construction Materials
Colors Façade height and length
Any portions proposed for demolition or removal
F
SCALE & MASSING
Photographs Renderings Line Sketches
G
MATERIALS
Applicant should provide:
Cut Sheets and/or Specifications of Materials
(eg. Siding, Roofing, Glass, Fixtures, etc…)
CITY OF PLATTSBURGH
PLANNING BOARD
HISTORIC SITE REVIEW APPLICATION
R
ev. 9.20.19
FOR OFFICE USE ONLY
Fee Paid: _____________
Submittal Date: _____________
PB #: _____________
CRIS Form: _____________
H
Supplemental Information
Please answer the following questions:
1. Please explain how the proposed work preserves, enhances, or restores, and does not damage or destroy
the exterior architectural features of, the landmark or the subject property within the historic district:
2. P
lease explain how the proposed work does not adversely affect the special character or special
historic, architectural, or aesthetic interest or value of the landmark and its site, or the district:
3. Please detail how the architectural style, arrangement, texture, color, arrangement of color, and
m
aterials used for the existing and proposed structures are compatible with the character of the existing
landmark and its site or the historic district:
4. Please describe the level of urgency of the project including the current physical condition of the
building/site and any safety concerns:
5. Please outline any previous attempts to restore/preserve the site (be as detailed as possible, including
dates):