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Averill Park, Sand Lake and West Sand Lake
Town of Sand LakeRensselaer County, New York

Application - Zoning Board of Appeals

ZBA Use Variance Application

The Town of Sand Lake Zoning Board of Appeals application for a use variance.

Type: Application form Pages: 4 Download the original PDF (192 KB) Listed on: Variance Application Forms

This is an accessible web version of the Town's PDF application. The wording is reproduced exactly as published, including Section 5, which refers to "this application for an area variance" on this use variance form, and the lettering that restarts at "a." after items a) through d). A tilde after the phone number in the letterhead and the Town seal image are not reproduced. Answer spaces are shown as lines. To apply, print the original PDF, complete it, and return it to the Zoning Board of Appeals with the attachments it lists. The SEQR Short EAF Part 1 named in Section 6 is not part of this PDF.

TOWN OF SAND LAKE
Zoning Board of Appeals

PO Box 273, 8428 NY Route 66
Sand Lake, NY 12153
(518) 674-2026 ext.117
www.townofsandlake.us

USE VARIANCE APPLICATION

Please note:

  • The applicant and property owner (if different) must sign and date the application.
  • Attach the section of the applicable Tax Map (available at http://www.rensco.com/taxmaps.asp).
  • Use variance requests involving the construction or expansion of buildings or site alterations shall include site plans for all aspects of the proposed project.

SECTION 1: APPLICANT/PROPERTY OWNER INFORMATION

APPLICANT

Name:
Address:
Home Phone:
Work/Cell Phone:
Email:

PROPERTY OWNER (if not applicant)

Name:
Address:
Home Phone:
Cell Phone:
Email:

SIGNATURES (see also Section 5)

Applicant:
Date:

Property Owner(s) (if not applicant):

Date:

OFFICIAL USE ONLY:

Date Application Received:

Date Payment Received

Amount Received:
Received By:

APPROVED   CONDITIONALLY APPROVED   DENIED

Date

SECTION 2: PROPERTY INFORMATION

Property Address/Location:

Tax Map Number:

Zoning District where the property is located:

Present Land Use

Does the site have public sewerage: Yes   No

SECTION 3: PROJECT INFORMATION

a. Indicate the Town Zoning Chapter Section from which this use variance application is being requested.

Article
Section
Subsection

Additional code citations:

b. Describe in detail the project requiring the use variance(s):

c. Is an area variance(s) also required for the project? If so, please describe:

SECTION 4: JUSTIFICATION FOR USE VARIANCE REQUESTED

Please read this section before completing the questions that follow.

In making its determination on this variance application, in accordance with the Laws of New York State, the Zoning Board of Appeals shall take into consideration the benefit to the applicant if the variance is granted, as weighed against the detriment to health, safety and welfare of the neighborhood or community by such grant. The Zoning Board of Appeals in the granting of a variance shall grant the minimum variance that it shall deem necessary and adequate and at the same time preserve and protect the character of the neighborhood and the health, safety and welfare of the community. In making such determination the Board shall also consider the following:

  1. Whether the applicant cannot realize a reasonable return, provided that lack of return is substantial as demonstrated by competent financial evidence;
  2. Whether the alleged hardship relating to the property in question is unique and does not apply to a substantial portion of the district or neighborhood;
  3. Whether the requested use variance, if granted, will not alter the essential character of the neighborhood; and
  4. Whether the alleged hardship has not been self-created.

a. Provide financial evidence why a reasonable and substantial return cannot be realized by using the property for a use permitted in the Town Zoning Code.

b. Describe how the alleged hardship is unique to the property and does not apply to a substantial portion of the neighborhood or district.

c. Explain how the variance, if granted, would not alter the essential character of the neighborhood.

d. Show how the alleged hardship has not been self-created. Detail how and when the property was acquired.

SECTION 5: SITE INSPECTION AUTHORIZATION

I hereby give permission for the Town of Sand Lake Municipal Agencies and their agents to come upon and inspect these premises with respect to this application for an area variance for the property identified by the address and tax map number provided in SECTION 2 above.

(Signature of applicant)

Date

(Signature of property owner if different than applicant)

Date

SECTION 6: STATE ENVIRONMENTAL QUALITY REVIEW (SEQR) SHORT ASSESSMENT FORM

Please complete the attached SEQR Short EAF Part 1 ONLY as required by New York State. This form may also be downloaded and much of the information completed for you using the NYS Department of Environmental Conservation EAF Mapper Application program located at: http://www.dec.ny.gov/permits/6191.html.

Source: Use_Variance_Application.pdf on townofsandlake.us, linked from the Variance Application Forms page. Copied November 11, 2026.