PB 24 13 IMMC Health Complete Application

T 973 585 7721 | Inglesino are Taylor dorth@itfirm.law ™ Gum §=Attorneys at Law July 10, 2024 Via E-mail and Hand Delive Jamilet Baquerizo, Planning Board Secretary Township of West Orange Town Hall 66 Main Street West Orange, New Jersey 07052 Re: Applicant: IMMC Health/CACS Property: 993 Pleasant Valley Way, West Orange, NJ 07052 Block 172.02, Lot 6 Application for Minor Site Plan Approval Dear Ms. Baquerizo: EQUITY PARTNERS John P, Inglesino* John P. Wyclskala* Lisa D. Taylor* Denis F. Driscoll Justin A. Marchetta Derek W. Orth *FOUNDING PARTNER, This firm represents IMMC Health/CACS (“Applicant”), who is owner of the property known as 993 Pleasant Valley Way, West Orange, New Jersey, and identified on the official tax maps of the Township of West Orange as Block 172.02, Lot 6 (the “Property”). The Property is located in the B-2 General Business Zone district. The Applicant is seeking minor site plan approval from the Township of West Orange Planning Board for a second-story addition to the existing medical office building for use as a residence. In connection therewith, enclosed please find the following for initial completeness review purposes: 1. 2. 3. One (1) original and four (4) copies of a completed Planning Board Application. Five (5) copies of the Check List of Required Items with waiver request. Check in the amount of $450.00 representing the application fees associated with this filing. Check in the amount of $4,000.00 representing the escrow fees associated with this filing. Executed W-9. Five (5) copies of a prior site plan resolution PB22-04 dated August 3, 2022. Five (5) copies of the Property Owner’s List issued by the Township of West Orange, dated June 16, 2024. Five (5) copies of the Certification of Taxes Paid. 600 Parsippany Road, Sulte 204, Parsippany, NJ 07054-3715 / O 973 947 7111 / F 973 887 2700/ www.ltfirm.law naa] MELATONIN

ol July 10, 2024 Page 2 9. Five (5) copies of the Architectural Design Plans, prepared by Square Center LLC, dated June 26, 2024. We look forward to the opportunity to present this application to the Planning Board in the future. Please do not hesitate to contact me should you have any questions or comments. Thank you for your time and consideration to this matter. Please reach out with any questions or if you require additional information regarding this matter. Very truly yours, /s/ Derek W. Orth DEREK W. ORTH DWO/kmf Enclosures

TOWNSHIP OF WEST ORANGE APPLICATION FORM FOR THE PLANNING BOARD OR ZONING BOARD OF ADJUSTMENT A. APPLICANT INFORMATION Full Legal Name: _ Elion Krok MD PC dba IMMC Health/CACS t) First) Mailing Address: 993 Pleasant Valley Way, West Ofange, New Jersey 07052 (Street) (City) (State) (Zip) “.. Telephone Number: (973) 544-8901 Erail:___imme993@gmail.com™ Is the Applicant an: 0) Individual, (J Corporation, ) Partnership, Other _ Ifthe Applicant is a corporation or partnership, a list of the names and addresses of persons having a 10% interest or more in the corporation or partnership must be attached. - Relationship of the applicant to the property: }€ Owner, (] Tenant or Lessee, CJ Purchaser under contract (with consent of owner, (1 Other (please specify) If the applicant is not the owner of the property in question, the applicant must submit an affidavit with the owner(s) authorization to proceed with this process. B, PROPERTY OWNER INFORMATION "SK check here if same as applicant, Lf the owner is not the applicant, please complete the following: Elion Krok MD PC dba IMMC Health/CACS se Owner's Name: * " Address:993 Pleasant Valley Way, West Orange, New Jersey 07052 Telephone Number: (973 __ 544-8901 Email; _ immce993@gmail.com C. PROPERTY INFORMATION Street Address: _993 Pleasant Valley Way, West Orange, New Jersey 07052 Block Number(s): 172.02 ; Lot Number(s): 6 _ Tax Plate: 3 Zone of Property:_B-2 The location of the property is approximately feet from the intersection of. and. (closest intersection.) * Has there been any previous Zoning Board of Adjustment or Planning Board hearings involving this property? . SX Yes, Date(s): Resolution PB 22-04, adopted 08/03/2022 :ONo * “IEyes, please attach copies of the written decisions adopted by the Board to each application See attached. ‘Please attach a list of all contiguous or adjacent property owned by the applicant or owner. SX None (5 this property listed in “The Historic Sites Survey" prepared by Robert Guter 7/9/1992 1] Yes BXNo THPLANNENGARDWDncument Librars|PB-ZBA Application J-20-[5.ulye

‘ E. DESCRIPTION OF PROPERTY [o. TYPE OF APPLICATION Indicate the type of application being submitted, check all boxes that apply. Note that more than one variance may be necessary, please indicate the number of each type needed: t) O Interpretation of ordinance or map. 2) O Appeal of action of Zoning Officer. 3) O Variance “C1” Reason: C1] shape of property; a physical features; 0 exceptional situation. 4) O Variance “C2”, 5) 0 Variance “D", 6) Q Subdivision without variances: O major; O minor; O preliminary; 0 final; Opretiminary and final. 7) O Subdivision with variances: major; O minor; D preliminary; 0 final; Opretiminary and final. 8) Kite Plan: C1 preliminary; 1 final; preliminary and final; with variances; C1 without variances. 9) Cl Amended Site Plan. (0) Ol Conditional Use. 11) O Conceptual. 12) O Home Professional Office. (3) CO Home Occupation. 14) © Soil Removal Permit. Please list the specific Sections of the Ordinance for which a variance is sought. If additional space is required, please attach a list. ’»: Section: ; Proposed: ; Description: Section: ; Proposed: ; Description: Section: ; Proposed: ; Description: ‘Section: ; Proposed: ; Description: Existing Use of the Property Briefly describe the major elements of your osal: (a more detailed descriptjon,i ined in Seatio The application Seeks minor site plah Pee $e descr HOS eR OR TOE) existing medical office building for use as a residence: The property is_ 18,645 sf (square feet); 0.428 acres (acres) Impervious Surface Coverage: Present: 15,302 sf 5 Proposed: 14,120 sf_(reduction) . Building Coverage: Present: 2,700 sf ; Proposed: 2,700 sf (no change) Is the property located: . Within 200 feet of another municipality? O Yes ONo Adjacent to an existing or proposed county road? O Yes ONo Adjacent to other county land? O Yes ONo Adjacent to a state highway? O Yes ONo TAPLANNING.BRD\Dacumenc LibruntPB-Z0A Application 4-20-15uloc

F. EXPERTS The following information is respectfully requested to enable the Board to facilitate the processing of this application: APPLICANT'S ATTORNEY: Derek W. Orth, Esq., Inglesino Taylor Telephone Number: 973)585-7721 Email: dorth@itfirm.law Address: Inglesino Taylor, 600 Parsippany Road, Suite 204, Parsippany, NJ 07054 APPLICANT'S ENGINEER: Telephone Number:( —) Email: Address: APPLICANT'S ARCHITECT: William J. Gentile, Square Center LLC Telephone Number: 073 #95-2452 Email: William.squarecenter@gmail.com Address; 89 Lawrence Ave., West Orange, NJ 07052 APPLICANT’S PLANNER: Telephone Number:( _) Email: Address: OTHER EXPERT(S): Telephone Number:( —) Email: Address: If necessary, please list any additional experts below, including address, telephone number and email address, TAPLANNING BRDWDucument Litrars\PB-ZBA Application 4-20-15.ne

G. REQUIREMENTS FOR VARIANCES 4A) Please attach a written statement labeled “PROPOSAL”, describe the major elements of your proposal, and describe in detail the physical and use changes proposed. 4B) Please attach a written statement labeled “REASONS FOR RELLEF”, which fully answers 4C-1, 4C-2 or 4D (Special Reasons) AND part 4E (Negative Criteria). 4C-1) (For Cl variances only) The strict application of the provisions of the Zoning Ordinance would result in the peculiar and exceptional practical difficulties or exceptional undue hardship under N.J.S.A. 40:55D- 70c(1). List in detai! wherein this case conforms to this requirement, including, if applicable, reference ms to the exceptional narrowness, shallowness, or shape of the property, or the exceptional topographical conditions affecting the property which applicant contends warrants the granting of the variance, 4C-2) (For C2 variances only) State how the purposes of the Municipal Land Use Law would be advanced by a deviation from the zoning ordinance requirements and the benefits of the deviation would substantially outweigh any detriment according to N..S.A 40:55D-70c(2). Please list all benefits of the deviation to the Township and any adverse effects. State how the benefits of the deviation would substantially outweigh any detriment to the Township. 4D) (For D variances orily) State the special reasons under N.J.S.A 40:55D-70d affecting this property. 4E) The granting of this variance will not be substantially detrimental to the public good and will not substantially impair the intent of the zone plan and zoning ordinance. List in detail the reasons, among others, why the variance can be granted without being materially detrimental to the welfare of the community or injurious to the property or improvements of others in the neighborhood and zone. H. PLAT SUBMISSION 4F) Please list all maps and other exhibits accompanying this application. Attach an additional sheet if necessary. ITEM SIGNED BY DATE/REVISION | Architectural Plans. William J. Gentile - | L NOTICE Applicant is responsible to publish and serve notice of this application in accordance with Zoning Board of Adjustment/Planning Board requirements; however, notice may not be served until this application is certified as complete and the administrative officer has assigned the applicant a public hearing date. TAPLANMING.BRDIDucu

rd requirements; however, notice may not be served until this application is certified as complete and the administrative officer has assigned the applicant a public hearing date. TAPLANMING.BRDIDucu ment Litrarr\PO-ZRA pplication 4-20-15.dve

J. VERIFICATION AND AUTHORIZATION SIGNATURE IS REQUIRED FOR ALL OF THE FOLLOWING: APPLICANT’S VERIFICATION I hereby certify that the above statements made by me and the information contained in the papers submitted in connection with this applicatian are true. [ am aware that if any of the foregoing statements are willfully false, I am subject to punistim: / / Vv in pate; 07/01/2024 Applicant’s Signature; CONTINUANCE f \ Should the Planning Board/Zoning Board of Adjustment have a full and heavy agenda, or discussion and meeting regarding this applicati quiring carrying the matter past the statue time limit, the applicant grants permission for such P, sor ( a 2024 Applicant’s Signature: U _/) Date: 07/01/20: OWNER’S AUTHORIZATION “4 ST BE SIGNED Thereby certify that [ reside at in the County of Essex and the State of New Jersey ; and that [ am the owner of all that certain lot, piece or parcel of land known as Block(s) 172.02 Lot(s) 6 on the Tax Map of W. Orange which property is the subject of the above «application, and that said application j hereby authorized by me. Furthermore, [ authorize inspection of the site which is the subject ofthis application. | Se ; G pate, 07/01/2024 Owner's Signature: { fom . THIS APPLICATION DOES NOT RELIEVE THE APPLICANT FROM COMPLYING WITH OTHER TOWNSHIP ORDINANCES SUCH AS THE TREE REMOVAL ORDINANCE AND OBTAINING THE NECESSARY APPROVALS AND PERMITS UNDER SUCH ORDINANCES. TAPLANNING DRDWocument LibrarPR-2BA Applicaton 4-20-15.dne

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