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Special Order Calendar (SOC) Application Form - New York
| Special Order Calendar (SOC) Application Form Form. This is a New York form and can be used in Board Of Standards And Appeals City Of New York New York Local County . |
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Page 1 of 2 City of New York Board of Standards and Appeals 40 Rector Street, 9th Floor New York, NY 10006-1705 Phone: (212) 788-8500 Fax: (212) 788-8769 Section A Applicant/ Owner _______________________________________________ NAME OF APPLICANT _______________________________________________ ADDRESS _______________________________________________ CITY STATE ZIP _______________________________________________ AREA CODE TELEPHONE _______________________________________________ AREA CODE FAX _______________________________________________ EMAIL Section B Site Data SPECIAL ORDER CALENDAR (SOC) Application Form BSA APPLICATION NO._______________________ _______________________________________________ OWNER OF RECORD _______________________________________________ ADDRESS _______________________________________________ CITY STATE ZIP _______________________________________________ LESSEE / CONTRACT VENDEE _______________________________________________ ADDRESS _______________________________________________ CITY STATE ZIP ______________________________________________________________________________ STREET ADDRESS (INCLUDE ANY A/K/A) ____________________________________________________________________________________________________________________ DESCRIPTION OF PROPERTY BY BOUNDING OR CROSS STREETS All sections must be completed _______ BLOCK __________ LOT(S) _______________ BOROUGH ______________________ COMMUNITY DISTRICT NO. . ____________________________________ EXISTING ZONING DISTRICT (include special zoning district, if any) IN PART ) _______________________________ CERTIFICATE OF OCCUPANCY NO. ______________________________ ZONING MAP NUMBER __________________________ CITY COUNCILMEMBER Section C Description (LEGALIZATION YES NO APPLICATION IS HEREBY MADE TO: Waive of the Rules of Practice and Procedure. (Explain in your statement) Reopen and Extend the time to: Complete construction Obtain a Certificate of Occupancy Expiration Date: _________________ Reopen and Amend the BSA resolution. Reopen and Extend the term of the : Variance Special Permit For a term of ____ years Expiration Date: _________________ Other (Explain in your statement) Authorizing Section(s) of the Zoning Resolution: § 11-411 § 11-412 § 11-413 §§ 72-01 and 72-22 § 73-11 Other § ___________ American LegalNet, Inc. www.FormsWorkflow.com Page 2 of 2 Section D Department Of Buildings Information DOB DECISION: Denial DATED:_________________ ACTING ON APPLICATION NO:_______________ YES NO 1. Have plans been filed?....................................................................................................................... 2. Have plans been approved?............................................................................................................... (If Yes, Date Approved _______________________) 3. Has a permit been obtained?............................................................................................................. (If Yes, Permit No. ______________ Date Issued _______________________) 4. Is work in progress?........................................................................................................................... (If Yes, Percentage of work completed __________%) 5. Has a temporary or permanent Certificate of Occupancy been obtained?...................................... (If Yes, Expiration Date _____________________ *Also please attach one copy) If you have answered "No" to any of these questions, please include a paragraph in your statement describing the reason(s) for delay and the projected schedule of completion. Section E BSA History Please list all prior BSA actions associated with the subject Zoning Lot and attach one copy of each resolution: On _______________________, when the Zoning District was ____________, an application was granted by the Board under Section __________ to permit _____________________________________________________ YES Section F NO Have you examined the Board's file?................................................................................................. Have you recently inspected the premises and surrounding area?................................................... (If Yes, Date of most recent site inspection___________________________) Did you find: 1. Compliance with the terms and conditions of the Board's resolution? ................................. *Please attach a completed Certificate of Inspection and Compliance 2. Any significant condition changes (e.g. rezoning, city map amendments, recent Developments) within the affected area since the Board's last action on this application? *If there have been significant changes, please submit seven (7) copies of a Radius Block Diagram clearly indicating such information. a. Is there currently a proposal before the City Planning Commission to change the subject Zoning District, or any other action which includes the premises?.......... (If Yes, File / CP No. _____________ *Also, please explain in your statement) b. Are there any outstanding violation(s) on the premises?.................................................... (If Yes, please submit a printout and include a status report in your statement) c. Is there any other application before the Board which affects the premises?.................... (If Yes, Cal No. _____________ *Also, please explain in your statement) d. Is there any other application at any government agency which affects the premises?.... (If Yes, please explain in your statement) e. Is the premises the subject of any Court action?................................................................. (If Yes, please explain in your statement) I HEREBY AFFIRM THAT BASED ON INFORMATION AND BELIEF, THE ABOVE STATEMENTS AND THE STATEMENTS CONTAINED IN THE PAPERS ARE TRUE SWORN TO ME THIS _____ DAY OF ___________ 20__ _______________________________________________________________ Signature of Applicant, Corporate Officer or Other Authorized Representative __________________________ Print Name ________________________ _______ Title NOTARY PUBLIC American LegalNet, Inc. www.FormsWorkflow.com
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