Fillable HLPC Application 2020 Master Fill

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HLPC Application 2020 Master Fill

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All applications and supporting materials must be submitted by close of business on due date to the Historic Preservation
Administrator in the Planning Office, and deemed complete, prior to consideration. The applicant or their representative must
attend the meeting for the proposed project for the review to take place. Sections of local laws specifying and authorizing the
review of proposed work by the Historic Landmarks Preservation Commission on designated and historic district properties
are in Article IX of Chapter 405 Zoning of the City's Administrative Code and can be viewed at
https://ecode360.com/6728941
.
Questions? Contact Julie Edelson-Safford, the Historic Preservation Administrator: (845) 334-3931
jedelsonsafford@kingston-ny.gov
Property Information
Project Address: _________________________________ Property Tax Map ID# (SBL): _________________
Historic District (if applicable): _______________________ Zoning Districts: __________________________
Project Scope check all the apply
SIGNAGE
PAINT
LIGHTING
RESTORATION
ADDITION
WINDOW(S)
DOOR(S)
ROOF
SITE WORK changes to sidewalk, driveway, tree bed, fence, permanent fixture
MECHANICAL WORK
OTHER ______________________________________________________________________________
Are you interested in applying for historic rehabilitation tax credits?
Yes
No
For information about this program, visit https://parks.ny.gov/shpo/tax-credit-programs/
City of Kingston
HISTORIC LANDMARKS
PRESERVATION COMMISSION
Application for Review
Project Description (use additional pages if necessary to attach narrative and supporting images)
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Nature of Property Use/Business
_____________________________________________________________________________________
Applicant's Information
Applicant's Name: ___________________________________________________________________________
Mailing Address: ____________________________________________________________________________
Phone: _________________________________ Email: ____________________________________________
Architect/Engineer/Contractor's Information
Name of Individual and Firm: _________________________________________________________________
Mailing Address: ____________________________________________________________________________
Phone: _________________________________ Email: ____________________________________________
Website: ___________________________________________________________________________________
Property Owner's Information, Consent, and Signature
Name: ____________________________________________________________________________________
Mailing Address: ____________________________________________________________________________
Email: _________________________________ Phone: ___________________________________________
As the owner/s of the property listed above, I/we hereby attest that I am familiar with the work proposed, that the
information entered is correct to the best of my knowledge, and that I give permission for this application to be
filed. I also grant permission, should the need arise, to the City of Kingston and the Historic Landmarks
Preservation Commission members to enter the property in question for the purposes of inspection for this review.
___________________________________________________________________________________________
Signature of Owner/s
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signature
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Checklist of Supporting Documentation to be Submitted with this Application (submit all that apply)
Photographs of existing property from all sides viewable from the street.
Additional project description or scope of work.
Annotated site plans displaying building setbacks and accurate dimensions.
Floor plans, architectural drawings, elevations, and/or shop drawings of proposed changes.
Manufacturer's color samples, product specification sheets, and/or finish samples of proposed
materials.
Historical documentation, i.e. old photos, maps, surveys, plans.
Plans to preserve/restore historic materials, appearance of building, the neighborhood compatibility.
Landscape plans.
Exterior lighting details including fixtures, method of installation, illumination, and timing.
Signage and details including color, typeface, dimensions, exact location and method of installation.
OFFICE STAFF ONLY:
Date Received: ____________________ Fee Paid: _______ Receipt Number: _______________________
SBL:___________________________ Ward: _______ Zone/s: ___________________________________
Local Landmark: _____ Local Landmark District: _____ NYS Register: _____ National Register: _____
Other Reviews: _______________ HAC: ______ PB: ______ ZBA: ______ Common Council: ______
SEQRA: Type I _____________ Type II _____________ Unlisted Action ____________
APPLICATION COMPLETE: Yes ___ No ____ Missing ____________________________________
Kingston Historic Landmarks Preservation
Commission Application
Applications are considered complete when they contain all required documents, signatures,
fees, etc… and will be accepted for placement on the next Historic Landmarks Preservation
Commission meeting agenda only if they are submitted by close of business on the posted
due dates. See checklist of submissions and required documentation.
Schedule of 2020-2021 Historic Landmarks Preservation Commission Meeting Dates
Meetings are held at 6:30PM on Thursday evenings, unless otherwise noted.
APPLICATION DUE
December 19, 2019……….……………..................
January 23, 2020……….………………..................
February 20, 2020……………………..…………...
March 19, 2020…..………………………………...
April 23, 2020…………………………………...…
May 21, 2020………………………….…………...
June 18, 2020………………………………………
July 23, 2020……………………….………………
August 20, 2020……………………………………
September 17, 2020…...…………………………...
October 22, 2020…………………………………..
November 19, 2020………………………………..
December 17, 2020………………………………...
TENTATIVE MEETING
January 9, 2020
February 6, 2020
March 5, 2020
April 2, 2020
May 7, 2020
June 4, 2020
July 2, 2020
August 6, 2020
September 3, 2020
October 1, 2020
November 5, 2020
December 3, 2020
January 7, 2021
Application Fee: $50
OFFICE STAFF ONLY:
Application File Date: ________________ SBL: ____________________ Address: _________________________________________
SEQR DECISION Designate Lead Agency: ____________________________________________
Motion by: _________________________ Seconded by: _________________________
Type I Action __________ Type II Action __________ Unlisted Action __________
Short Environmental Assessment Form Declaration: Negative ________ Conditioned Negative: ________ Positive: ________
Full Environmental Assessment Form Declaration: Negative ________ Conditioned Negative: ________ Positive: ________
PRESERVATION NOTICE OF ACTION
Motion by: _________________________ Seconded by: _________________________
Approved __________ Denied __________ Approved with Conditions ______________________________________________
FINDINGS:
In Favor: __________ Opposed: __________ Abstained: __________ Recused: __________
CITY OF KINGSTON
420 BROADWAY
KINGSTON, NEW YORK 12401
___________________________________________________________________________________________
TO THE CITY HISTORIC LANDMARKS PRESERVATION COMMISSION:
This will authorize _________________________________ to represent me/us and make statements on my/our
behalf at the City of Kingston Historic Landmarks Preservation Commission meeting of ____________________
in the matter of ______________________________________________________________________________
___________________________________________________________________________________________
_______________________________
Print Property Owner's Name
_______________________________
Owner's Signature
_______________________________
Owner's Mailing Address
_______________________________
Owner's Phone Number
_______________________________
Date
________________________________
Representative's Signature & Date
__________________________________
Representative's Address
__________________________________
Representative's Phone Number
__________________________________
Representative's Email/Website Address
_____________________________________________________________________________________
Office of Planning, City Hall, 420 Broadway, Kingston, NY 12401
Phone 845.334.3931 email jedelsonsafford@kingston-ny.gov
www.kingston-ny.gov
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HLPC Application 2020 Master Fill

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Completed 13 July 2020

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