Village of Highland Falls, NY
Orange County
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Table of Contents
Table of Contents
File No. ______ Amount of Fee $ ______ Date Received. ______
Subdivision Name
Date _______________
APPLICATION IS HEREBY MADE to the Village of Highland Falls Planning Board for a subdivision plat approval for the subdivision described herein.
I.
a.
Applicant's Name
Address _______________________ Tel. No.
b.
If the applicant is a corporation, give the name and title of responsible officer:
Name _________________________ Title
c.
Land Owner
Owner's Address
d.
Subdivision Engineer and Land Surveyor (licensed)
Name _________________________ License No
Address _______________________ Tel. No.
e.
If the applicant does not own the property, prepare endorsement at the end of this form establishing owner's authorization of the applicant's proposed subdivision of his land.
f.
All communications with regard to this subdivision shall be addressed to the following person until further notice:
Address _______________________ Tel. No.
II.
Proposed Site
a.
Metes and bounds description of the entire holding, deed restrictions, easements, etc., are attached hereto.
b.
Deed or deeds are recorded in the County Clerk's office:
Date                       Liber                       Page
c.
All marsh and water areas and lands subject to periodic or occasional flooding are located on the preliminary layout.
d.
All existing structures are specifically located and described on the preliminary layout.
e.
The proposed subdivision is designed for the following types of land uses.
f.
Do you contemplate any request for a change in zoning? If so, describe the change.
g.
Are all the public open spaces shown on the layout to be offered for cession for public use?
h.
How many acres are to be ceded for public park or playground purposes?
i.
The site will be serviced by the following special districts or utility companies:
Water
Electricity
Gas
Telephone
Others
j.
Will the final plat be filed in sections, or will it cover the entire preliminary layout?
I hereby depose and say that all the above statements and information, and all statements and information contained in the supporting documents and drawings attached hereto, are true.
Sworn before me this ______ day of
, 19___
Applicant's Signature
Notary Public
OWNER'S ENDORSEMENT
COUNTY OF ORANGE
STATE OF NEW YORK
SS:
being duly sworn, deposes and says
that he resides at
(Owner's Address)
in the County of __________________ and State of
and that he is (the owner in fee) or
of the
(Official Title)
Corporation which is the owner in fee) of the premises described in the foregoing application and that he has authorized ____________________to make the foregoing application for subdivision plat approval as described herein.
Sworn before me this _____ day of __________, 19___
  Notary Public
  Owner's Signature
File No. __________________Date
Subdivision Name ___________________ Section
Chairman
Village of Highland Falls Planning Board
Town Hall
Highland Falls, New York
Dear Sir:
  I hereby make application, as subdivider, for Planning Board approval of the subdivision final plat designated above. The data on the original application (A-101) are still correct unless amended by a revised application attached hereto.
  Further, the following documents, checked below, in proper form for recording, are attached hereto:
Deeds of cession for public use
Storm drainage easement agreements
Water easement agreements
Other easement agreements
Deed restrictions agreements
Subdivider's Signature
By
(Used by Corporation only)
Title
This schedule is an itemized account of the estimated cost of public improvements to be installed and constructed by the owner pursuant to the Subdivision Regulations of the Village of Highland Falls Planning Board and the Village Specifications for Public Improvements.
This estimate is prepared by the Village of Highland Falls Planning Board in seven copies. Four copies shall be made available to the subdivider on the occasion of the review of the final plat. The completed endorsement and resolution shall become the basis for the subdivider's action in obtaining a bond. The bond shall be presented to the Village Attorney at least one week in advance of any Planning Board meeting.
The subdivider shall present letters approving proposed utility installations and a statement as to who will carry out the construction, signed by a responsible official of the utility company which has jurisdiction in the area. Such letters, directed to the Chairman of the Planning Board, shall be received prior to final plat approval.
Name of Subdivision-Sec. No.
  Pl. Bd. File No.
  Date
ESTIMATE OF COST OF PUBLIC IMPROVEMENTS
Estimated Amount of Work
Estimate Unit Price
Total
(a)
Grading ....... cu. yds.
@
$.........
$.........
(b)
Paving type ..lin. ft. ...wide
@
.........
.........
...lin. ft. ...wide
@
.........
.........
(c)
Curbing .............. lin. ft.
@
.........
.........
(d)
Gutters .............. lin. ft.
@
.........
.........
(e)
Sidewalks .......... lin. ft.
@
.........
.........
(f)
Stormwater drains:
18” ......... lin. ft.
24” .......... lin. ft.
30” ........... lin. ft.
    ”.......... lin. ft.
@
@
@
@
.........
.........
........
.........
........
.........
.........
.........
(g)
Manholes ..........
@
.........
.........
(h)
Catch basins - single inlet ....
@
.........
.........
double inlet ....
@
.........
.........
(i)
Planting screen and fence ...... lin. ft.
@
.........
.........
(j)
Street trees ........
@
.........
.........
(k)
Street signs ........
@
.........
.........
(l)
Monuments in place ......
@
.........
.........
(m)
Other (specify) .........
@
.........
.........
TOTAL Cost of Public Improvements
$.........
ENDORSEMENT:
   It is hereby recommended that the itemized account of cost in the column entitled "Estimate" as totaled should be the amount of the performance bond required by the Village of Highland Falls for the
Name of Subdivision - Section No.
and further that the 4% inspection fee to be deposited with the Village Clerk prior to final plat approval shall be $
Respectfully submitted,
Signed
Village Engineer
PLANNING BOARD RESOLUTION:
The Planning Board adopted the following resolution at a meeting held
:
RESOLVED, that the Planning Board Chairman be authorized to sign the Performance Bond Estimate, dated _____________
for
indicating its approval in
        Name of Subdivision--Section No.
the amount of $ _________ ; and further, that the 4% inspection fee to be deposited with the Village Clerk prior to final plat approval shall be $ _________
PLANNING BOARD
Chairman
 
A. 
Offer of cession for public use.
Drawing legend note:
The subdivider has irrevocably offered to cede title to the Village of Highland Falls for the land areas noted for streets, widening of streets, rights-of-way and for easements, and other lands designated on the plat as "Offered for cession to the Village of Highland Falls," and has filed with the Village appropriate documents to this effect.
B. 
Conformance with zoning regulation.[1]
Drawing legend note:
This is to certify that all lots and parcels shown on this subdivision plat comply with the requirements of the Zoning Ordinance of the Village of Highland Falls and are suitable for development under the provisions of that ordinance.
  Subdivider's Signature
[1]
Editor's Note: See Ch. 240, Zoning.
C. 
Planning Board approval certification.
Drawing legend note:
This is to certify that this subdivision plat dated _______________ has been approved by the Village of Highland Falls Planning Board by a resolution of approval dated __________
By
    Planning Board Chairman
Signature Date
D. 
Utility company letter of approval.
Chairman
Village of Highland Falls Planning Board
Town Hall
Highland Falls, New York
Re
                                  Subdivision Name
Final Plat Drawing dated
Public Improvement and Utilities Plan Dated
Dear Sir:
Review of these drawings indicates that the provisions for utility service improvements related to our system are well designed. Therefore we plan (or do not plan) to install these utilities and provide service as it becomes necessary in conformity with the provisions in our filed rate schedule.
Yours truly,
Company
by
Position
E. 
School Board letter of acknowledgment.
Chairman
Village of Highland Falls Planning Board
Town Hall
Highland Falls, New York
Re:
 
Subdivision Name
Dear Sir:
The subdivider of the above-named subdivision has advised our Board that it contains a total of ________ residential building lots. For your information the following situation exists:
School facilities are (or are not) available for the prospective new pupils from this subdivision. The Board is (or is not) taking action to acquire a new school site in this subdivision or its vicinity.
Yours truly,
 
School Board
by
 
Position
F. 
Letter of approval for proposed construction on state and County rights-of-way.
Chairman
Village of Highland Falls Planning Board
Town Hall
Highland Falls, New York
Re:
Subdivision Name
Final Plat Drawing dated
Public Improvement and Utilities Plan and Profiles Dated
Dear Sir:
We have reviewed the proposed subdivision indicated above and find that the proposed construction on the rights-of-way within our jurisdiction is in good order on the drawings dated above. We are prepared to issue the necessary permits on this work when the final plat has received approval from your Board.
Yours truly,
Office
by
Position