|
File No. ______ Amount of Fee $ ______. Date
Received ______.
| |
|
Subdivision Name
| |
|
Date ______
|
|
APPLICATION IS HEREBY MADE to the Town of Monroe
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 or 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 dedicated for public use?
| ||||
|
h.
|
How many acres are to be dedicated 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 _____.,
197 __
| |||||
|
| |||||
|
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 (Official
Title) of the 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 _______,
197__
| |||||
|
Owner's Signature
| |||||
|
Notary Public
| |||||
|
File No. Date ______
| |||
|
Subdivision Name Section ______
| |||
|
Chairman
Town of Monroe Planning Board
Monroe, New York
| |||
|
Dear Sir:
| |||
|
I hereby make application, as subdivider, for Planning Board approval of the subdivision final plat designated above. The information on the original application § A65-34 is still correct unless amended by a revised application attached hereto.
| |||
|
Further, the following
documents, checked below, in proper form for recording, are handed
to you herewith:
| |||
|
Deeds of Dedication
for Public Use
| |||
|
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 Town of
Monroe Planning Board and the Town Specifications for Public Improvements.
|
This estimate is prepared by the Town of Monroe
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 Town 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
| |||||
|
Estimate
| |||||
|
Estimated Amount of Work
|
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)
|
Stone drain pipe:
|
$ _____
|
$ ___
| ||
|
15 in. lin. ft.
|
$ _____
|
$ ___
| |||
|
18 in. lin. ft.
|
$ _____
|
$ ___
| |||
|
24 in. lin. ft.
|
$ _____
|
$ ___
| |||
|
30 in. lin. ft.
|
$ _____
|
$ ___
| |||
|
in. 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 Town
of Monroe for the
| |||||
|
Name of Subdivision -- Section No.
| |||||
|
and further that the four-percent inspection
fee to be deposited prior to final plat approval with the Town Clerk
shall be $
| |||||
|
Respectfully submitted,
| |||||
|
Signed
| |||||
|
Town 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
| |||||
|
Name of Subdivision -- Section No.
| |||||
|
indicating its approval in the amount of $ _______,
and further, that the four-percent inspection fee to be deposited
prior to final plat approval with the Town Clerk in the amount of
$.....
| |||||
|
PLANNING BOARD
| |||||
|
Chairman
| |||||
|
File No. . Date _______
| |||||
|
Subdivision Name
......................... Section ____________ | |||||
|
Chairman
Town of Monroe Planning Board
Monroe, New York
| |||||
|
Dear Sir:
| |||||
|
This is to advise you that a technical review of the above-designated final plat indicates that the subdivider has completed all the corrections required by the Planning Board resolution dated ______, and further, the subdivider has complied with the provisions of § A65-10F of the Town of Monroe Subdivision Regulations.
| |||||
|
Planning Consultant
| |||||
