Pre-Application Statement TM The Department of City Planning is available to advise you in the preparation of this Form. Please visit or contact the appropriate Borough Office listed below. (It is REQUIRED that you contact a Borough Office before preparing and submitting a Pre-Application Statement.) For assistance with this form, please contact the following appropriate Borough Office: Manhattan Office Brooklyn Office Bronx Office Queens Office Staten Island Office 22 Reade Street, 6th Floor West New York, NY 10007 16 Court Street 7th Floor Brooklyn, NY 11241 One Fordham Plaza 5th Floor Bronx, NY 10458 120-55 Queens Blvd. Room 201 Kew Gardens, NY 11424 130 Stuyvesant Place 6th Floor Staten Island, NY 10301 Tel. 212-720-3480 Tel. 718-780-8280 Tel. 718-220-8500 Tel. 718-286-3170 Tel. 718-556-7240 FAX 212-720-3488 FAX 718-596-2609 FAX 718-584-8628 FAX 718-286-3183 FAX 718-556-7305 MN_DL@planning.nyc.gov BK_DL@planning.nyc.gov BX_DL@planning.nyc.gov QN_DL@planning.nyc.gov SI_DL@planning.nyc.gov WHAT IS A PRE-APPLICATION STATEMENT? The Pre-Application Statement (PAS) requests basic pertinent information about a site and proposed project. By submitting the PAS, a prospective applicant acknowledges that s/he intends to file a land use application with the Department of City Planning (DCP). The PAS serves multiple goals: x The PAS helps DCP advise applicants early in the process about their project and better serve applicants throughout the review process. The PAS is not designed to assess the merits of the proposal. x The PAS allows DCP to assign appropriate staff at the beginning of the review process and coordinate review across multiple divisions. x The PAS provides a formal starting point for the application review process and allows DCP to start tracking progress of a project. WHEN IS A PRE-APPLICATION STATEMENT NECESSARY? A Pre-Application Statement is required for most projects that involve a land use application for discretionary or ministerial approval from either the Chair of the City Planning Commission or the City Planning Commission itself. This includes all ULURP actions, text amendments, certifications and authorizations and a number of other actions. Please consult the local borough office if you have any questions about whether the PAS applies to a specific application. OVERVIEW OF THE EARLY APPLICATION PROCESS SUPPORTED BY THE PAS 1. As a first step in the application process, prior to the submission of the PAS, you should contact the appropriate Borough or Division Office staff to discuss your property and proposal at a brief Informational Meeting. You will be asked to submit a few basic materials in advance to inform the discussion. See our website www.nyc.gov/planning/portal or contact the appropriate Borough or Division Office for guidance on these materials. 2. After the Informational Meeting, the Borough or Division Office will notify you that a PAS should be submitted and provide you with a Project ID number for the PAS (required to file PAS). You should complete the form to the fullest extent possible and prepare the attachments. The form is designed to direct users to appropriate data and reference sources. For assistance with the form, contact the appropriate Borough or Division Office. You may submit the PAS by email (preferred) or in hard copy. Within 5 business days of receipt, the Department will acknowledge receipt of the PAS. 3. The basic information provided in the PAS will help DCP identify the appropriate planners and specialists to assign to the project. A Lead Project Planner from the relevant Borough or Division Office will be assigned to manage the proposed project; this planner will be the main contact for you throughout the review process. Planners from Technical Review, Environmental Assessment and Review, and other specialty divisions will also be assigned at this time as needed. The Lead Project Planner will contact you if the PAS needs clarification or is missing any of the required attachments or critical information. 4. The Lead Project Planner will contact you to schedule an Interdivisional Meeting. The Interdivisional Meeting is an opportunity for you and your representatives to present the proposal and site conditions to the assigned DCP team who will identify necessary actions, guide you in the preparation of application materials, and conduct environmental and technical analysis of the application to ensure completeness. Following the Interdivisional Meeting, you will receive a summary of the discussion, decisions, and next steps necessary to continue the application process. 5. Some projects may require detailed environmental analysis that will entail a Reasonable Worst Case Development Scenario (RWCDS). At or soon after the Interdivisional Meeting, you will receive guidance on next steps for environmental review. If a RWCDS will be required, you will receive guidance on what materials to prepare for a formal RWCDS meeting with the Lead Project Planner and the Environmental Assessment and Review Division. 6. The PAS may be submitted by email (preferred) or hard copy by visiting the Department of City Planning. To submit the Pre-Application Statement, please email: centralintake_DL@planning.nyc.gov Central Intake Office, 22 Reade St, 2nd Floor East, NY, NY 10007-1216 Open 9 am–1 pm, Monday, Tuesday, Thursday, Friday; 1–6 pm, Wednesday American LegalNet, Inc. www.FormsWorkFlow.com TM Pre-Application Statement Form HAS AN INFORMATIONAL MEETING WITH THE APPROPRIATE BOROUGH OFFICE OR DIVISION BEEN HELD? Ƒ NO (DO NOT COMPLETE/SUBMIT THIS FORM If you have NOT CONTACTED the appropriate Borough or Division Office) DATE OF MEETING: Ƒ YES, with (Staff name) INSTRUCTIONS Use the following definitions to assist you in filling out this Pre-Application Statement (PAS) form: • Project Area refers to all property that would be subject to the proposed actions. • Development Site refers to all property to be improved as part of the specific development proposed by the applicant, which the land use actions are proposed to facilitate. Typically, the Development Site and the Project Area will comprise the same property(ies) unless the application is requesting a zoning map amendment covering an area greater than an applicant’s property or a large-scale special approval involving multiple tax lots. In these cases, the Development Site may be one or several tax lots within a broader Project Area. The Pre-Application Statement (PAS) must be accompanied by the required attachments listed in Section 7, page 5. Additional material that helps to explain the proposed project may also be submitted as described in Section 7. Project ID No. Project Name 1. Prospective Applicant/Representative Contact Information PROSPECTIVE APPLICANT NAME, COMPANY OR ORGANIZATION PROSPECTIVE APPLICANT’S PRIMARY REPRESENTATIVE NAME PROSPECTIVE APPLICANT CONTACT PERSON COMPANY/AGENCY OR ORGANIZATION ADDRESS ADDRESS CITY STATE TELEPHONE ZIP FAX APPLICANT’S PROPERTY INTEREST: STATE TELEPHONE EMAIL CITY ZIP FAX EMAIL ƑOwner ƑLessor ƑOther (please explain) Ƒ Land Use Lawyer Ƒ Architect Ƒ Environmental Consultant Ƒ Other ROLE (please check all that apply) PROSPECTIVE CO-APPLICANT NAME, COMPANY OR ORGANIZATION PROSPECTIVE APPLICANT REPRESENTATIVE 2 (if retained) PROSPECTIVE CO-APPLICANT CONTACT PERSON COMPANY/AGENCY OR ORGANIZATION ADDRESS ADDRESS CITY STATE TELEPHONE ZIP FAX STATE TELEPHONE EMAIL CITY ZIP FAX EMAIL Ƒ Land Use Lawyer Ƒ Architect Ƒ Environmental Consultant Ƒ Other ROLE (please check all that apply) PROSPECTIVE CO-APPLICANT NAME, COMPANY OR ORGANIZATION PROSPECTIVE APPLICANT REPRESENTATIVE 3 (if retained) PROSPECTIVE CO-APPLICANT CONTACT PERSON COMPANY/AGENCY OR ORGANIZATION ADDRESS ADDRESS CITY STATE TELEPHONE FAX EMAIL ZIP CITY STATE TELEPHONE ZIP FAX EMAIL Ƒ Land Use Lawyer Ƒ Architect Ƒ Environmental Consultant Ƒ Other ROLE (please check all that apply) VERSION 2.1 2012 Pre-Application Statement Form Page 1 American LegalNet, Inc. www.FormsWorkFlow.com 2. Project Area Geographic Information (see “Project Area” definition in the instructions): Project Area Size Ƒ LESS THAN ONE TAX BLOCK Ƒ1 TO 3 TAX BLOCKS Ƒ 4 TO 10 TAX BLOCKS Ƒ MORE THAN 10 TAX BLOCKS ADDRESS(ES): (if less than one block) BLOCK(S) and LOT(S): List tax blocks and lots, including partial lots. If the information does not fit, please attach a separate sheet with the list BOUNDING STREETS: (if the project area contains more than 10 tax blocks) BOROUGH: COMMUNITY DISTRICT(S): CITY COUNCIL DISTRICT(S): ZONING MAP NUMBER(S) 3.Proposed Land Use Actions (WHAT LAND USE ACTIONS DOES THE PROPOSED PROJECT REQUIRE? Please check all that apply and fill in the appropriate information. This is preliminary information and may change following discussion with the DCP.) Ƒ CHANGE IN CITY MAP Ƒ SITE SELECTION — PUBLIC FACILITY Ƒ ACQUISITION OF REAL PROPERTY Ƒ DISPOSITION OF REAL PROPERTY Ƒ UDAAP Ƒ URA Ƒ HOUSING PLAN & PROJECT Ƒ FRANCHISE Ƒ REVOCABLE CONSENT Ƒ CONCESSION Ƒ LANDFILL Ƒ ZONING MAP AMENDMENT Ƒ ZONING TEXT AMENDMENT Ƒ ZONING SPECIAL PERMIT Ƒ ZONING AUTHORIZATION Ƒ ZONING CERTIFICATION Existing (ex. R7-1/C2-4) To Proposed (ex. C4-5X) Affected ZR Section Number Zoning Resolution Section Title Pursuant To (ex. 74-711) To Modify (ex. 42-10 and 43-17) Pursuant To (ex. 74-711) To Modify (ex. 42-10 and 43-17) Pursuant To (ex. 74-711) To Modify (ex. 42-10 and 43-17) Ƒ MODIFICATION (skip Sections 4a, 4b, 5a, 5b, 5c, 6a, 6b, and 6c) List Previous ULURP Numbers Ƒ RENEWAL (skip Sections 4a, 4b, 5a, 5b, 5c, 6a, 6b, and 6c) List Previous ULURP Numbers Please briefly describe the actions requested in the space provided. Specify the amendments proposed to the Zoning Text or Zoning or City Maps, the modifications/ waivers requested with any Special Permit, Authorization, or Certification, and the approval requested for any other Land Use action proposed. Is it anticipated that a Restrictive Declaration or other legal instrument will be necessary to approve or implement these actions? Ƒ NO Ƒ YES Ƒ CANNOT DETERMINE AT THIS TIME 4a. Project Area Information What is the predominant Land Use within a 400´ perimeter of the Project Area? Ƒ OTHER (please explain) Ƒ RESIDENTIAL Ƒ MANUFACTURING Ƒ COMMERCIAL Ƒ PARK/FOREST/OPEN SPACE What are the Existing Zoning Districts? (please list) What are the Existing Special Zoning Districts? (please list) Is the proposed Project Area located on or adjacent to a Waterfront Block or Lot as set forth in the Zoning Resolution? Ƒ NO Ƒ YES Is the proposed Project Area located in a current or former Urban Renewal Area? Ƒ NO Ƒ YES Ƒ UNSURE AT THIS TIME URBAN RENEWAL AREA NAME: What is the Legal Street Frontage Status? Ƒ MAPPED AND BUILT Ƒ PRIVATE ROAD Ƒ RECORD STREET Ƒ CORPORATION COUNSEL OPINION (CCO) Ƒ MAPPED BUT NOT BUILT Is the Land Use Action a Type II for purposes of Environmental Review? (http://www.dec.ny.gov/permits/39800.html) Ƒ YES (skip Section 4b) Ƒ NO (complete entire form) Ƒ UNSURE, CANNOT DETERMINE AT THIS TIME (complete entire form) VERSION 2.1 2012 Pre-Application Statement Form Page 2 American LegalNet, Inc. www.FormsWorkFlow.com 4b. Project Area Information To the best of your knowledge are there any of these uses within the Project Area, or within 400´ of the Project Area? (check all that apply) Ƒ SCHOOL Ƒ HOUSE OF WORSHIP Ƒ HOSPITAL Ƒ ONSITE DRY CLEANING Ƒ COMMERCIAL LAUNDRY Ƒ AUTO BODY To the best of your knowledge are there any of these Industrial Emissions Sources within the Project Area, or within 1000´ of the Project Area? (check all that apply) Ƒ POWER PLANT Ƒ MANUFACTURING OR PROCESSING FACILITY Ƒ MEDICAL OR CHEMICAL LAB Ƒ CONCRETE BATCHING PLANT Ƒ OTHER Is the proposed Project Area within an Underserved Open Space Area? (see Appendix http://www.nyc.gov/html/oec/html/ceqr/technical_manual.shtml) Ƒ NO Ƒ YES UNDERSERVED OPEN SPACE AREA NAME: Is the proposed Project Area adjacent to or across the street from a Park(s) or a Privately Owned Public Space (POPS)? Ƒ NO Ƒ YES PARK(S) or POPS NAME: Is the proposed Project Area within or adjacent to a designated Landmark or Historic District? Ƒ NO Ƒ YES LANDMARK OR HISTORIC DISTRICT NAME: Does any part of the proposed Project Area lie within the Jamaica Bay Watershed? Ƒ NO Ƒ YES Ƒ UNSURE AT THIS TIME Ƒ NO Ƒ YES Ƒ UNSURE AT THIS TIME http://www.nyc.gov/html/oec/downloads/pdf/ceqr/Jamaica_Bay_Watershed_Map.jpg Is the proposed project area located within a Wetland or Wetland Adjacent Area? Federal: http://www.fws.gov/wetlands/Data/Mapper.html New York: http://www.dec.ny.gov/animals/38801.html Is the proposed Project Area located within a Coastal Zone? http://www.nyc.gov/html/dcp/html/wrp/wrpcoastalmaps.shtml Ƒ NO Ƒ YES Is the proposed Project Area subject to Waterfront Revitalization Program review? http://www.nyc.gov/html/dcp/html/wrp/wrp_1.shtml Ƒ NO Ƒ YES Is Public Transportation located within a half mile of the proposed Project Area? (see www.mta.info) SUBWAY Ƒ NO Ƒ YES BUS Ƒ NO Ƒ YES OTHER: Is the proposed Project Area located adjacent to a Train or Railroad Right of Way? Ƒ NO Ƒ YES TRAIN OR RAILROAD RIGHT OF WAY NAME(S): Is the proposed Project Area located above an underground subway or train line? Ƒ NO Ƒ YES SUBWAY OR TRAIN NAME(S): Is the proposed Project Area located adjacent to a Highway? Ƒ NO Ƒ YES OFFICIAL HIGHWAY NAME: Is the proposed Project Area located adjacent to an Airport? Ƒ NO Ƒ YES AIRPORT NAME: Is the proposed Project Area in an Industrial Business Zone? Ƒ NO Ƒ YES INDUSTRIAL BUSINESS ZONE NAME: To the best of your knowledge is the proposed Project Area located in an area that is: Ƒ SEWERED Ƒ PARTIALLY SEWERED Ƒ UNSEWERED Ƒ UNKNOWN 5a. Development Site Existing Conditions Is the Development Site a vacant lot? Ƒ NO Is the Existing Building(s) currently occupied? Ƒ YES Ƒ NO Ƒ YES Landmark/Historic Designation of the Development Site (check all that apply) Ƒ NOT APPLICABLE Individual Landmark Ƒ CITY Ƒ STATE Ƒ FEDERAL Historic District Ƒ NYC CITY HISTORIC DISTRICT Ƒ NON-CONTRIBUTING STRUCTURE STATE HISTORIC DISTRICT Ƒ Ƒ NATIONAL REGISTER HISTORIC DISTRICT Ƒ NOT APPLICABLE Ƒ NOTICE OF RESTRICTION Ƒ OTHER (please explain) Ƒ NOTICE OF CERTIFICATIONS Existing Restrictions on Proposed Development Site (check all that apply) Ƒ E-DESIGNATION Ƒ RESTRICTIVE DECLARATION Ƒ NOT APPLICABLE Ƒ DRY CLEANER Ƒ OTHER (please explain) Existing or Former Hazardous Material Generating Uses on Development Site (check all that apply) Ƒ HEAVY INDUSTRIAL/MANUFACTURING USE Ƒ GAS STATION OR AUTOMOTIVE SERVICE Ƒ UNDERGROUND STORAGE TANKS VERSION 2.1 2012 Pre-Application Statement Form Page 3 American LegalNet, Inc. www.FormsWorkFlow.com 5b. Development Site Geographic Information (see “Development Site” definition in the instructions. If it is the same as Project Area, please note SAME.) ADDRESS(ES) (if a development site is site specific) BLOCK(S) and LOT(S) (List tax blocks and lots, including partial lots. If the information does not fit, please attach a separate sheet with the list) BOUNDING STREETS (if the development site contains ten or more tax blocks) 5c. Development Site Existing Conditions Data (see http://gis.nyc.gov/doitt/nycitymap/template?applicationName=ZOLA) Existing Built FAR No. of Bldgs (for entire development site) Lot Area of Development Site (existing) Use Group Use Group Type (e.g. UG-6) Use No. of Stories No. of Stories Lowest Bldg Height Highest Bldg Height No. of (in feet) (in feet) for lowest Bldg for highest Bldg Curbcuts (e.g. Medical Office) Gross Sq. Ft. Zoning Sq. Ft. (GSF) Number of Parking Spaces (ZSF) Enclosed Unenclosed No. of Dwelling Units RESIDENTIAL COMMERCIAL n/a COMMUNITY FACILITY n/a INDUSTRIAL/ MANUFACTURING n/a TOTALS n/a n/a 6a. Briefly Describe the Proposed Development Project Estimated Completion Date (Year) 6b. Proposed Development Site Information (if appropriate for the Action) What Type of Development is Proposed? (check all that apply) Ƒ NEWLY CONSTRUCTED BUILDINGS Ƒ DEMOLITION Ƒ ALTERATION Ƒ ENLARGEMENT (within existing footprint) Ƒ ADDITION (within existing footprint) Ƒ CHANGE OF USE Ƒ OTHER (please explain) Will the Applicant build on multiple Zoning Lots? Ƒ NO Ƒ YES Ƒ UNSURE AT THIS TIME Does the proposed Project involve ground disturbance (In Ground Excavation or Sub Surface Disturbance)? Ƒ NOT APPLICABLE, TYPE II Ƒ NO Ƒ YES (please explain) Will the Project result in an Increase of 200 or more Residential Units on the development site? Ƒ NOT APPLICABLE, TYPE II Ƒ NO Ƒ YES (please explain) Will the Project generate an increase of 200,000 or more square feet of Commercial Space on the development site? Ƒ NOT APPLICABLE, TYPE II Ƒ NO Ƒ YES (please explain) Is the Proposed Development Parking permitted or required? Ƒ PERMITTED Ƒ REQUIRED Is the Proposed Development Site within an Inclusionary Housing Designated Area? Ƒ NO Ƒ YES INCLUSIONARY HOUSING DESIGNATED AREA NAME: Does the proposed Development involve discretionary funding for Affordable Housing Units? Ƒ NO Ƒ YES (please note Federal, State, City or Other Funding) Ƒ UNSURE AT THIS TIME 6c. Proposed Development Site Project Data Proposed Number of Buildings* (preliminary estimates) Proposed FAR No. of Stories (for entire development site) (for lowest bldg) No. of Stories Prop.Lowest Bldg Hght Prop. Highest Bldg Height Proposed No. (for highest bldg) (in feet) (in feet) of Curbcuts * (if there will be multiple buildings on the Development Site, please fill out the information below for each building on a separate sheet) Use Group Use Use Group Type (e.g. UG-6) (e.g. Medical Office) Gross Sq. Ft. Zoning Sq. Ft. (GSF) Number of Parking Spaces (ZSF) Enclosed Unenclosed No. of Dwelling Units RESIDENTIAL COMMERCIAL n/a COMMUNITY FACILITY n/a INDUSTRIAL/ MANUFACTURING n/a Total n/a n/a GRAND TOTAL (If multiple bldgs) n/a n/a VERSION 2.1 2012 Pre-Application Statement Form Page 4 American LegalNet, Inc. www.FormsWorkFlow.com 7. Attachments The PAS must be accompanied by the Required Maps. Links have been provided for the appropriate map resources. Maps produced with these resources should be properly annotated to delineate the project area. Delineation of an approximately 600’ radius is specified for some maps. While not required, a conceptual site plan and photographs of the development site and adjoining areas are encouraged since they will help DCP planners advise you on your proposal. As Needed Information, for high density projects or special situations may include elevations, sections, and massings. You may also include Other Information. If you are including Other Information, please itemize the additional attachments. REQUIRED MAPS 1. TAX MAP http://gis.nyc.gov/dof/dtm/mapLibrary.jsf (if project area has more than one tax block submit a separate map for each tax block) 2. OFFICIAL ZONING MAP http://www.nyc.gov/html/dcp/html/zone/zmf.shtml (circle project area) 3. ZoLA BASE MAP http://gis.nyc.gov/doitt/nycitymap/template?applicationName=ZOLA (provide 600´ radius) 4. ZoLA LAND USE MAP http://gis.nyc.gov/doitt/nycitymap/template?applicationName=ZOLA (provide 600´ radius) 5. ZoLA AERIAL VIEW http://gis.nyc.gov/doitt/nycitymap/template?applicationName=ZOLA (provide 600´ radius) 6. ZoLA ADMINISTRATIVE MAP Showing Community District Boundaries http://gis.nyc.gov/doitt/nycitymap/template?applicationName=ZOLA 7. FOR CITY MAP CHANGES ONLY: Most Recent Borough President’s Final Section Map or Most Recent Approved and Filed Alteration Map for the Project Area Please contact the Technical Review Division for “Guidelines for Applications to Change the City Map” SUGGESTED ATTACHMENTS (highly encouraged to help DCP planners advise you on your proposal) 1. SITE PLAN 2. PHOTOGRAPHS Ƒ INCLUDED Ƒ INCLUDED Ƒ NOT INCLUDED Ƒ NOT INCLUDED AS NEEDED INFORMATION (high density projects or special situations) 1. ELEVATIONS 2. SECTIONS 3. MASSINGS Ƒ INCLUDED Ƒ INCLUDED Ƒ INCLUDED Ƒ NOT INCLUDED Ƒ NOT INCLUDED Ƒ NOT INCLUDED STATEN ISLAND SPECIAL DISTRICTS ADDITIONAL REQUIRED ATTACHMENTS 1. SITE SURVEY — Existing Conditions (only required if there have been changes to previous submissions) 2. PHOTOGRAPHS (only required if there have been changes to previous submissions) 3. SITE PLAN — Proposed Conditions 4. ZONING CALCULATIONS a. Tree Calculations b. Average Percent (%) of Slope (Special Hillsides Preservation and Special Natural Area Districts) OTHER INFORMATION (please itemize) STATEMENT OF INTENT The Prospective Applicant intends to pursue the filing of a land use application with the Department of City Planning in order to facilitate the project proposed above. PROSPECTIVE APPLICANT NAME (please print) PROSPECTIVE APPLICANT REPRESENTATIVE NAME PROSPECTIVE APPLICANT SIGNATURE PROSPECTIVE APPLICANT REPRESENTATIVE SIGNATURE DATE DATE VERSION 2.1 2012 Pre-Application Statement Form Page 5 American LegalNet, Inc. www.FormsWorkFlow.com