"Pre-application Statement Form" - New York City

Pre-application Statement Form is a legal document that was released by the New York City Department of City Planning - a government authority operating within New York City.

Form Details:

  • Released on January 1, 2020;
  • The latest edition currently provided by the New York City Department of City Planning;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the New York City Department of City Planning.

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Pre-Application Statement Form
The Pre-Application Statement requests pertinent information about a site and proposed project. By
submitting the PAS, a prospective applicant acknowledges that they intend to file a land use application with
NYC Planning. Submission allows staff to be assigned from appropriate divisions, and project tracking to
commence.
NYC Planning understands that some projects may not be fully formed at the submission of the PAS. Give as
much detailed information as possible. Failure to provide detailed, relevant information will result in the PAS
being rejected.
Project ID No.
Project Name
1a. Prospective Applicant Contact(s) Information
Organization
First
Last
Name
Name
Zip
Address
City
State
Code
Phone
Email
Organization
First
Last
Name
Name
Zip
Address
City
State
Code
Phone
Email
1b. Representative Contact(s) Information
First
Last
Name
Name
Organization
Email
Zip
Address
City
State
Code
Phone
First
Last
Name
Name
Organization
Email
Zip
Address
City
State
Code
Phone
VERSION 2.6
2020 Pre-Application Statement Form PAGE 1
Pre-Application Statement Form
The Pre-Application Statement requests pertinent information about a site and proposed project. By
submitting the PAS, a prospective applicant acknowledges that they intend to file a land use application with
NYC Planning. Submission allows staff to be assigned from appropriate divisions, and project tracking to
commence.
NYC Planning understands that some projects may not be fully formed at the submission of the PAS. Give as
much detailed information as possible. Failure to provide detailed, relevant information will result in the PAS
being rejected.
Project ID No.
Project Name
1a. Prospective Applicant Contact(s) Information
Organization
First
Last
Name
Name
Zip
Address
City
State
Code
Phone
Email
Organization
First
Last
Name
Name
Zip
Address
City
State
Code
Phone
Email
1b. Representative Contact(s) Information
First
Last
Name
Name
Organization
Email
Zip
Address
City
State
Code
Phone
First
Last
Name
Name
Organization
Email
Zip
Address
City
State
Code
Phone
VERSION 2.6
2020 Pre-Application Statement Form PAGE 1
2. Project Area and Development Site Geographic Information
Project Area
refers to all property that would be subject to the proposed actions.
refers to all property to be developed as part of the applicant’s specific proposal which
Development Site
the land use actions would 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 to be developed 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.
2a. Description of Geography
Fill in if the project area and/or development site is irregular, especially large, or does not consist of tax lots
(Applies to City Map Amendments affecting streets or Project Areas that contain entire neighborhoods or
portions of a lot(s).
2b. Project Borough, Block(s), & Lot(s)
Borough
Block
Lot
Partial Lot?
Development Site?
2c. Project Addresses
Community
City Council
Zoning Map
Address Number/Street
District
District
Number
VERSION 2.6
2020 Pre-Application Statement Form PAGE 2
3. Proposed Land Use Actions
What land use actions does the proposed project require? Identify all that apply and fill in the appropriate
related information. This is preliminary information and may change following discussion with the
Department of City Planning.
______ CHANGE IN CITY MAP
______ REVOCABLE CONSENT
______ HOUSING PLAN & PROJECT
______ DISPOSITION OF REAL PROPERTY
______ SITE SELECTION - PUBLIC FACILITY
______ CONCESSION
______ FRANCHISE
______ UDAAP
______ ACQUISITION OF REAL PROPERTY
______ LANDFILL
______ URA
______ ZONING SPECIAL PERMIT Pursuant To: _____________________
(ex. ZR Sec. 74-711)
To Modify: ____________________________________________________________
(if applicable. ex. ZR Sec. 42-10 and 43-17)
______ ZONING AUTHORIZATION Pursuant To: _____________________
To Modify: _____________________________________________________________
______ ZONING CERTIFICATION
Pursuant To: _____________________________________
To Modify: _____________________________________________________________
______ MODIFICATION
Previous ULURP Numbers: ____________________________________
______ RENEWAL
Previous ULURP Numbers: ____________________________________
______ ZONING MAP AMENDMENT
Existing Zoning Districts: _______________________________________
(ex. R7-1/C2-4)
Proposed Zoning Districts: _____________________________________
(ex. C4-5X)
______ ZONING TEXT AMENDMENT
Affected ZR Section Number: ___________________________________
Affected ZR Section Title: ______________________________________
VERSION 2.6
2020 Pre-Application Statement Form PAGE 3
4. Project Area Information
(Project Area refers to all property that would be subject to the proposed actions.)
4a. Does the proposed Project, or portion thereof, require a NYC DEP Storm Water
Construction Permit?
4b. Is the proposed Project Area located in a current or former Urban Renewal Area?
Urban Renewal Area Name:
4c. What is the Legal Street Frontage Status?
4d. Do all land use actions meet SEQRA or CEQR criteria for Type II status?
If so, indicate which SEQRA or CEQR category each action fulfills.
ex: 617.5(c)(9)
4e. Is the proposed Project Area in an Industrial Business Zone?
Industrial Business Zone Name:
4f. Is the proposed Project Area within or adjacent to a designated (City or State)
Landmark or Historic District?
Landmark or Historic District Name:
4g. Applicability of waterfront and flood zone regulations.
Is the proposed Project Area located within the NYC Coastal Zone?
Projects in the Coastal Zone may be subject to Waterfront Revitalization Program review
if they require Local, State, or Federal discretionary actions.
Is the Project Area located within the 1% annual chance floodplain?
4h. Legal Instruments.
Is a legal instrument associated with a previous CPC or CPC Chair action
recorded against the project site?
City Register File Number or other
document identifier:
Will a new legal instrument or modification of a current legal instrument be
necessary to approve/implement these actions?
VERSION 2.6
2020 Pre-Application Statement Form PAGE 4
5. Proposed Development Site Information
(if appropriate for the Action)
In what year do you expect the development to complete?
5a.
5b. What Type of Development is Proposed? (select all that apply)
Newly constructed buildings
Demolition
Alteration
Addition
Change of use
Enlargement
Other
Explain:
5c. Is Development Site in an Inclusionary Housing Designated Area/Mandatory Inclusionary
Housing Area? Refer to Appendix F of the Zoning Resolution for full list of all inclusionary
housing areas which are areas that incentivize or require affordable housing in certain areas.
Inclusionary housing designated area name:
5d. Does the proposed Development involve discretionary funding for Affordable Housing Units?
Funding Source:
VERSION 2.6
2020 Pre-Application Statement Form PAGE 5