TOWN OF CHILI 3333 Chili Avenue, Rochester, NY Tel: Fax:

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TOWN OF CHILI 3333 Chili Avenue, Rochester, NY 14624 Tel: 889-6143 Fax: 889-8710 www.townofchili.org Email: kreed@townofchili.org AREA VARIANCE CHECKLIST: Application Fee - (See Town Fee Schedule for Amount. Fee is Non-Refundable.) Pre-Submission Review Conference- (Call the Building Department to schedule an appointment at least one week before the scheduling deadline. See Zoning Board Schedule for monthly meeting deadline.) Application Packet Submit One (1) Original and Seven (7) copies of the following Application Packet. All items shall be no larger than 8 ½ x 11". However, a survey map no larger than 11" x 17" is permitted. Contents of Application Packet: The following shall be attached to all applications, along with the application fee: Application Form Completed, signed by all property owners, dated and notarized. Survey Map of the Property/Plot Plan (A detailed to scale drawing of the proposed project. Identify all existing and proposed structures, lot boundaries and dimensions. For homeowners, this may be a neatly hand drawn sketch on a photocopy of the survey map.) Denial Letter (You will receive this at the Pre-Submission Review Conference.) The following are required, if applicable: Building Elevations (Architectural plans & sketches for projects involving construction, remodeling & signs. Required for both homeowners and commercial projects. Typically not required for residential sheds, decks, fences & porches.) Environmental Assessment Form (Typically not required for homeowners.) Engineering/Legal/Consultant Escrows (Typically not required for homeowners.) Photos of Existing Conditions (Not required, but often helpful.) Notices of Violation & Stop Work Orders - (Attach if they exist.) Any Other Supporting Documents Post Sign(s) on the Property-- (Applicants must post at least one sign on the property near the road. Corner lots require 2 signs. Additional signs may be required for lots wider than 500' for an added fee). Signs are obtained from the Building Department. All signs must be posted per Town Code. Meet With Your Neighbors (While optional, you are encouraged to discuss your proposal with your neighbors before the public hearing. Addressing neighborhood concerns before the public hearing may help expedite the Zoning Board s decision.) Revised: May, 2017

TOWN OF CHILI 3333 Chili Avenue, Rochester, NY 14624 Tel: 889-889-6143 Fax: 889-8710 www.townofchili.org APPEAL TO THE ZONING BOARD FOR AN AREA VARIANCE SECTION I: APPLICANT INFORMATION PLEASE ANSWER THE FOLLOWING: Name: Address: APPLICANT(S)* OWNER(S) (If not applicant) ATTORNEY/AGENT Tel/Fax: / E-Mail: * The application must be signed by the Property Owner(s). Attorneys/consultants/agents may not sign on behalf of the Property Owner. SECTION II: PROPERTY INFORMATION PLEASE ANSWER THE FOLLOWING: 1. Property Address (No. & St.): 2. Tax Parcel No.: 3. Current Zoning District: 3. Has a previous ZBA application/appeal been filed for this property? Yes? No? If Yes, then: When: For What: 4. Is property located within (check all that apply)?: Flood Plain Wetlands 5. Is there a written violation notice or stop work order for this Property Yes No If Yes, then attach a copy of the violation notice(s) and stop work order(s). 6. Has the work, use, or occupancy to which this appeal relates already begun? Yes No 7. Brief description of the project: (include current and proposed use): 1

ZONING BOARD OF APPEALS APPLICATION FORM 8. Are there special circumstances such as lot size, slope, or other physical conditions of the property which make compliance with the zoning regulations challenging? If so, please explain: SECTION III: AREA VARIANCE PLEASE ANSWER THE FOLLOWING: The applicant requests relief from the following sections and requirements of the Zoning Law: Section of Code* Concerning* Change From* Change To* *See example below: 13(D)(1) Rear Yard Setback 60 feet 58 feet Criteria For Area Variance To grant an area variance, the ZBA must balance the benefits to the applicant against the potential harm to the health, safety, and welfare of the neighborhood and community, taking into consideration the following: 1. Can the benefit sought by the applicant be achieved by other feasible means? Identify what alternatives to the variance have been explored (alternative designs, attempts to purchase land, etc.) and why they are not feasible. 2

ZONING BOARD OF APPEALS APPLICATION FORM 2. Will granting the variance produce an undesirable change in the character of the neighborhood or a detriment to nearby properties? Granting the variance will not create a detriment to nearby properties or an undesirable change in the neighborhood character for the following reasons: 3. Is the requested variance substantial? The requested variance is not substantial for the following reasons: 4. Will the variance have any adverse physical or environmental effects on neighborhood or district? The requested variance will not have an adverse physical or environmental effect on the neighborhood or district for the following reasons: 5. Was the alleged difficulty self-created? (although this does not necessarily preclude the granting of an area variance). Explain whether the alleged difficulty was or was not self-created: DISCLOSURE Does any Town officer, employee, or family member thereof have a financial interest (as defined by General Municipal Law Section 809) in this application? Yes No If "yes", a statement disclosing the name, residence and nature and extent of this interest must be filed with this application. 3

APPLICANT & PROPERTY OWNERS CERTIFICATIONS: 1. Application to the Zoning Board: I/we, the property owners of the land in question and the applicants hereby request an appearance before the Zoning Board of Appeals. 2. Authorization to Enter Property: I/we, the undersigned Property Owners, hereby authorize the members of the Zoning Board of Appeals and designated Town staff to enter the property associated with this application for purposes of conducting any necessary site inspections relating to this application. 3. Property Owner s Authorization of Applicant and Liability: I/we certify that I/we, the undersigned Property Owners, am/are all of the Owners of the Property which is the subject of this application, that I/we have authorized the applicant to make this application and that I/we agree to be bound by the application, the representations made by the applicant, and the decision of the Town. 4. Truth Required By Law: I/we understand that false statements made herein are punishable as a Class A Misdemeanor, pursuant to section 210.45 of the Penal Law of the State of New York Sworn to before me this Notary Public 20 STATE OF NEW YORK MONROE COUNTY Office of the Clerk of the Town of Chili Property Owner Property Owner Applicant Applicant 4

BUILDING INSPECTOR DENIAL OF APPLICATION FOR LAND USE AND/OR BUILDING PERMIT APPLICANT: TA PARCEL No.:. - - PROPERTY ADDRESS: ZONING DISTRICT: This applicant has applied to use the identified property within the Town of Chili for the following: This application is hereby denied upon the grounds that such use of the property would violate the Town Zoning Law article(s). As such, the following relief would be required to proceed: Appeal of My Interpretation Use Variance to permit the following: Area Variance seeking the following relief: Section of Code* Concerning* Change From* Change To* *See example below: 13(D)(1) Rear Yard Setback 60 feet 58 feet Date 20 Code Enforcement Officer 5