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Home My WebLink About221-1-1 346 Locke Road L' TOWN OF GROTON MAIL OR BRING THIS FORM TO : APPLICATION FOR Permit No. Town Clerk ❑ BUILDING PERMIT Fee _ Rec. #i � � Town of Groton ❑ SPECIAL PERMIT 101 Conger Boulevard ❑ JUNKYARD New Renewal Application Date Groton, New York 13073 ❑ MVRS New Renewal � ' OTHER New RenewaP ICJ Tax Map No. 02 Application is hereby made to ( Build ❑ , Extend ❑ , Convert 'ti, Other ;Q A Structure located at ( St. and No. ) - 3 `/ 4 n 133 e 63 h 0 1 �� ; N i To be Used for M I N I A FO Rl GU L F- At a Cost of � 1 � - G` C 0 Builde Address The Structure(s) will be 'as follows : Required Permits Obtained Type of Construction W Q Q a Tompkins Co . Health Dept . ( Submit Copy) Number of Stories 1Vd Ale Highway Supt : ( Initial ) Number of Dwelling Units Aic VE Culverts IVC) A JF Driveway Type of Heat 1VCA1Z Supervisor : ( Initial ) Number of Baths IV 0 Al i Water NaN � _ Sewer /V01 /Vr The undersigned applies for permission to do the above, in accordance with all provisions of all Laws or Regulations of the Town of Groton , New York, or others having jurisdiction , and affirms that all statements and information given herein are correct to the best of his knowledge and belief. Applicant 's Name (Type or Print ) 6 A R Y L. o NA IV d I IV 0 Mailing Address L1 K� 3 71 cr j 0 �C v a � , t 3 Telephone No . 19 (36 Z dse Signature FOR OFFICIAL USE ONLY ZONING & BUILDING OFFICER 'S REVIEW Checked Property Ownership & Size Facility Type ( Sect 120 of Zoning Law) + � Activity type (Sect 130 of Zoning Law) o k — S S EIS O L C V L7 0A L 14- C , or Combined Facility/Activity ( Sect 140) Land Use Zone ( Sect 340 of Zoning Law) Flood Hazard Zone ( Sect 345 of Zoning Law) - - — -- - Action Required for this Facility/Activity ( Sect 351 of Zoning Law) _ Environmental Assessment For Satisfactory? (Sect 480) „y r _ Litj A cT k :� ) — ACTIONS f' 1 ) Submitted to Planning Board for Site Plan Review ( Date) ?� — a ) Sketch Plan Conf. Held Preliminary Site Plan Review Final Site Plan Review ( Date ) ( Chairman ' s Signature) 2 ) Permit Denied by : ( Signature ) ( Date) as non - conforming with a ) Submitted to Board of Zoning Appeals ( Date) Advertised Hearing ( Date ) ( Date ) BZA Ruling (Approved or Denied ) ( Date ) ( Signature) 3 ) Permit Granted : Type No . Date Issued Expiration Date Condition By PHONE ' MESSAGE FOR DATE TIME _...._.... __.......................... ........... FROM A. � �� 1�_ . 1... �c /. a........ COMPANY PHONE .Q ❑ CALLED ❑ CALL BACK ❑ WILL CALL BACK ❑ RETURNED CALL ❑ CAME BY ❑ URGENT ......................._..... ...._......................_.............._._...................__......._.._.__._ REGARDING _ ....................... _ .........................'_.........� ........ c 0 ` .._...._O_. .'L! .'.� .._._.... rt - ............._........__-_._ C� CG'D /Y ...._ _... _ .__.. .. .... _.__.. ��.._� ' `____. ...__.._._.___........... ................ ANSWERED BY: DRAW SKETCH MAP & BUILDING PLAN TO SCALE GIVING FOLLOWING INFORMATION Dimension of Lot Road Frontage Square Ft . Floor Area : Location of Structure or Structures Basement Driveways Dimension of Structure and Distance from First Floor — Adjoining Property Lines and Center of Road Second Floor Location of Existing Structures Over Second . . . . . . . . . . I . 00 : . . . . . . . . . . . . : : . : . : . . : . : . : . : : : :�D . . 1 . . . . .. . I . : . : . . . . : : . . . . : . : . : . : . : : : : : . . : : : : : : . . : : : : : : : : : : : : : : : : : . : : ': : . : . . : : : : : : : : : : 90 44 . . . . . . . . . : . : . : . : . : . : . : . . . . . . . : . : . : . : � : : : . . . . . . . . . . . . . . : . . . . . . . : . : . : . . . . . . . . . . . . . : : : : : : : : : . . . . . . : : : : : : . . : : . : . : . : . . . . . . . . . . . . . : . ; / ALBANY 12241 BINGHAMTON 13901 BUFFALO 14203 HEMPSTEAD 11550 NEW YORK 10047 ROCHESTER 14614 SYRACUSE I = �00 Broadway State Office Buildinq State Office Building State Office Building Menands Hawley Street 125 Main Street 175 Fulton Avenue Two World Trade Center 155 (Main Street W. East Washington St . STATE OF NEW YORK J Ay, ; WORKERS' COMPENSATION BOARD }i TOWN CLERK THIS AGENCY EMPLOYS AND SERVES THE HANDICAPPED i� _ 101 CONGER BLVD. WITHOUT DISCRIMINATION. OFFICE AT � �«.1 d GROTON , NY 13073 ROBERT STEINGUT CHAIRMARMAN STATEMENT THAT APPLICANT DOES NOT REQUIRE WORKERS ' COMPENSATION OR DISABILITY BENEFITS COVERAGE ( Ref : Sec . 57 , WC Law ; Sec . 220 , Subd . 8 , DB Law) Applicant ' s Name 2A IV D R I NI IlEoRe No . Address l lZ1- 3 a G 1 0 TCy &1 > ILL `/ � .iCt 23 . . . Office At � 0rJA1\/ V Ar� �� Business or Trade Name , if Different From Above The above named applicant for permit subject to restriction under Section 57 of the Workers ' Compensation Law , and Section 220 , Subd . 8 , of the Disability Benefits Law , makes the following statement for the purpose of establishing . that he / she does not require coverage under these laws . 1 . Location of work 3 `>' b � , 3 Jrc: {e C 7-6 ;v i? f7,. 2 . Exact work to be performed � 1" I /v 1 ,470PG C' c° � r 3 . Number of workers 4 . Date work is to be ( a ) commenced (b ) completed ❑ I have workers ' compensation insurance ( certificate attached ) . I do not need workers ' compensation insurance because status is Individual owner or partner with no employees and not a corporation . AW I do not need workers ' compensation insurance because : SFL r= D0ki C i ❑ I have disability benefits insurance ( certificate attached ) . I do not need disability benefits insurance because status is Individual owner or partner with no employees and not a corporation . I do not need disability benefits insurance because . I hereby affirm , under the penalties of perjury , that I am the above named applicant for permit subject to restriction under Section 57 of the Workers ' Compensation Law and Section 220 , Subd . 8 , of the Disability Benefits Law and that the foregoing statements are true . Date Signed CLOVA-AJ 719 e Signature of Applicant Telephone No . g `� ` c'I�S 3 Title 14J IV' G 1� TO STATE OR MUNICIPAL DEPARTMENT , BOARD , COMMISSION OR OFFICE REQUIRING CERTIFICATE OF WORKERS ' COMPENSATION INSURANCE UNDER SECTION 57 OF THE WORKERS ' COMPENSATION LAW AND UNDER SECTION 2209 . SUBD , 81 OF THE DISABILITY BENEFITS LAW Based on the foregoing statements made by the above applicant : ❑ The Board has . no objections , at this time , to the issuance of the permit requested . ❑ The applicant will be required to have a Disability Benefits insurance Policy effective not later than four .( 4 ) weeks after the employment of one or more employees on each of at least 30 days in any calendar year . It is to be understood , however , that the Board reserves the right . to request revoca - tion of the permit if , after investigation , it is found that the applicant is required to have workers ' compensation and /or disability benefits coverage fIor the work referred to in the above application . WORKERS ' COMPENSATION BOARD Date : By ( District Administrator or C- 1059'21 ( 743 ) Supervisor of W . C . Enforcement ) ALBANY 12241 BINGHAMTON 13901 BUFFALO 14203 HEMPSTEAD 11550 NEW YORK 10047 ROCHESTER 14614 SYRACUSE 13202 100 Broadway Slate Office Building Slate Office Building StatBuilding Menands Hawley Street 125 Main Street 175 Fulton Avenue Two World Trade Center 155 Main Street W. EaaeWalan ngt n St.. STATE OF NEW YORK JAy, ' ; WORKERS' COMPENSATION BOARD TOWN CLERK THIS AGENCY EMPLOYS AND SERVES THE HANDICAPPED _ 101 CV1\ /► rD BLVD. VD WITHOUT DISCRIMINATION. bft *«<•� d GROTON ,I7NGIY1 13073 OFFICE AT ROBERT STEINGUT CNAIRMAN STATEMENT THAT APPLICANT DOES NOT REQUIRE RMA WORKERS ' COMPENSATION OR DISABILITY BENEFITS COVERAGE ( Ref : Sec . 57 , WC Law ; Sec . 220 , Subd , 8 , DB Law) Applicant ' s Name G q ? V ` A4 ,A j% j 0 . R . No . Address t 1 C% r5 G13Q 73 Office At GI�'IA &f \eJ JL L- A6L Business or Trade Name , if Different From Above The above named applicant for permit subject to restriction under Section 57 of the Workers ' Compensation Law , and Section 2209 Subd . 8 , of the Disability Benefits Law , makes the following statement for the purpose of establishing that he / she does not require coverage under these laws . 1 . Location of work 34E P) t 3 !�r 46� c1< j�' - C112orvA) 2 . Exact work to be performed M IN lH TU Rr C, c1L M 3 . Number of workers 4 . Date work is to be ( a ) commenced ( b ) completed ❑ I have workers ' compensation insurance ( certificate attached ) . I do not need workers ' compensation insurance because status is Individual owner or partner with no employees and not a corporation . I do not need workers ' compensation insurance because : S 7- 4F - DOIVc wOR < ❑ I have disability benefits insurance ( certificate attached ) . I do not need disability benefits insurance because status is Individual owner or partner with no employees and not a corporation , I do' not need disability benefits insurance because : I hereby affirm , under the penalties of - perjury , that I am the above named applicant for permit subject to restriction under Section 57 of the Workers ' Compensation Law and Section 220 , Subd . 8 , of the Disability Benefits Law and that the foregoing statements are true . Date Signed .9/071 L 19 Signature of Applicant Telephone No . 113 c Title TO STATE OR .MUNICIPAL DEPARTMENT , BOARD , COMMISSION OR OFFICE REQUIRING CERTIFICATE OF WORKERS ' COMPENSATION INSURANCE UNDER SECTION 57 OF THE WORKERS ' COMPENSATION LAW AND UNDER SECTION 2209 SUBD , 8 , OF THE DISABILITY BENEFITS LAW Based on the foregoing statements made by the above applicant : Q The Board has . no objections , at, this time , to the issuance of the permit requested , ❑ The applicant will be required to have a Disability Benefits insurance Policy effective not later than four ( 4 ) weeks after the employment of one or more employees on each of at least 30 days in any calendar year , It is to be understood , however , that the Board reserves the right to request revoca- tion of the permit if , after investigation , it is found that the applicant is required to have warners ' compensation and /or disability benefits coverage for the work referred to in the above application . WORKERS ' COMPENSATION BOARD Date : By ( District Administrator or C- 105 . 21 ( 743 ) Supervisor of W . C . Enforcement ) a 14- 16- 3 Will ) Replaces l + lb ] SHORT ENVIRONMENTAL. ASSESSMENT FORM Appendix 8 Pam 617 Project Tttie: 12 M A N if I L L t7 C� E r Location: _ '*� 3 3 G n 6i 'l e7 A ; I D Number. INSTRUCTIONS: ( a ) In order to answer the questions in this short EAF it is assumed that the preparer will use currently available information concerning the project and the likely impacts of the action . It is not expected that additional studies, :esearch or other investigations will be undertaken. ( b ) If any question has been answered Yes, the project may have a significant effect and the full Environmental Assessment Form is necessary. Maybe or Unknown answers should be considered as Yes answers. ( c ) if all questions have been answered No it is likely that this project will not have a significant effect. ( d ) If additicnal space is needed to answer the questions, please use the back of the sheet or provide at- tachmen ,s as required . ENVIRONMENTAL ASSESSMENT YES No 1. Will project result In a large physical change to the project site or physically alter more than 10 acres of land? ❑ 2 WIII there be a major change to any unique or unusual land form found on the site? ❑ I WIII project alter or have a large effect on an existing body of water? 0 ❑ 4. Will prr7ject have an adverse Impact on groundwater Quality? ❑ i WIII pn loci significantly effect drainage flow on adjacent silos? ❑ ®, ff. Will project affect any threatened or endangered plant or animal species? 113 7. Will project result In a major adverse effect on air quality? ❑ 12 9. Will project have a major effect on the visual character of the community or scenic views of vistas known to be Important to the community? ❑ g. Will project adversely Impact any site or structure of historic, prehistoric, or paleontological Ime portancs or any site designated as a Critical Environmental Area by a local agency? ❑ Q 10. Will project have a major adverse effect on existing or future recreational opportunities? ❑ (a 11. WIII project result In major traffic problems or cause a major effect to existing transportation systems? ❑ a 12. Is project non-farm related and tocatksd within a certified agricultural district? ❑ 11 Will project regularly cause objectionable odors, noise, glare, vibration, or electrical disturbance as a result of the project's operaticri? . . ❑ )9, 14. WIII project have any adverse Impact on public health or safety? ❑ Q 15. WIII project affect the existing community by directly causing a growth in permanent population of more than S percent over a one-year. period or have a major negative effect on the character of the community or neighborhood? ❑ 1d. Is- there public controversy concerning any potential Impact of the project? ❑ a FOR AGENCY USE ONLY Preparers Signature: Date: Preparers Title . Agency: TOWN OF GROTON PLANNING BOARD Tuesday , A? rij lt5 . 1986 BOARD ( * present ) Gary Wood , Z . E . Officer * George Totman , Chairman Roger Gleason rmike Post , Vice Chairman (Hr . & Mrs . Harvey Baker * Nancy . Ostrander , Cor . Sec , Gary Mandrino * Cecil Twigg * Verl Rankin * Monica Carey George Totman opened the meeting at 8 : 10 p . m . Minutes of the April meeting were approved as presented . Totman reviewed current status of the Woodworking and Antique Shop of Harvey and Randy Baker . At our last meeting we said we would have to check with Frank Liquori to see if the County might have some concerns because the site bordered a state highway . We received a letter from Mr . Liguori stating that " No recommenda - tion is indicated by the County Planning Department and you are free to act without prejudice . After a brief discussion , it was determined that the project would benifit the community and that we should not go the route of a public hearing . We approved tha application based on our mutual agreement that fill would be brought in so as to provide for sufficient parking . V . Rankin moved to use the short form of the site plan review C . Twigg seconded . All were in favor and the motion was past . C . Twigg motioned that we approve the application based on having the current owner , Mr . Cotanch , sign the permit and that they would have the appropriate number of parking spaces . V . Rankin seconded . All were in favor and the motion was passed . Gary Mandrino - Site Plan Review for Miniature Golf Course : Mr . Mandrino explained that the miniature golf course would be located next to the Roman Village on Rt . 38 , covering a maximum of 4000 square feet . It would be opened in the evenings and a fence and lights would be installed . We discussed potential impact and then it was decided that Mandrino should determine whether he really wanted it before we went any further . Roger Gleason - Rural subdivision R . Gleason requests a rural subdivision of three parcels ; 5 , 11 . 38 and 10 . 12 acres located on the corner of Old Stage and Clark Str . Extension roads . We were given a map of this area . There were some questions brought up in a discussion of this subdivision . One was " What determines a lot ? " We found the answer in section P , 114 . 03 in the Town Ordinance which states Development Lot is a continuous unbroken lot described by the boundry lines on the Assessor ' s Tax Maps , but not crossong any railroad right - of - way or street . There was also a questionwhether ti, e planning board has a right to stipulate a restriction on the sale of another parcel off of this subdivion . G . Totman will talk to the Town Lawyer to find the legality of this . April is the annual Meeting Month so a selection of officers was made . C . Twigg made a motion to Pave theslate of officers as is . A vote was taken and it was passed to retain the current officers • Gearge Totman - Chairman Mike Post - Vice - Chairman Nancy Ostrander - Correspondance Secrtary Meeting was ajourned at 9 : 50 . The next regular meeting of the Planning Board will be May 20 , 1986 at 8 : 00 p . m .