Application & DeedArea Variance [ZBA approved: September 21 2016]
289.13-1-17
Tax Parcel ID Number:
M
Zoning District:
General Information
Detailed Description of Project [include current & proposed use]:
Single family residence - year round - owner occupied
Current Use:
Proposed Use:
Location of Project:
SFR - addition of enclosed porch, addition of master closet & shed replacement
5 Chestnut Road - Glen Lake
Applicant Name:: <;
Steve & Tracey Bureau
Mailing Address
5 Chestnut Road
Horne Phone
City, State, Zip
Lake George NY 12845
Work Phone -
tbureaufitfun@gmail.com
Cell Phone
518-260-3177
E-Mail:
FAX No.
Agent's Name:
Ethan Hall Rucinski Hall Arch
Mailing Address
134 Dix Ave
Home Phone
City, State, Zip
Glens Falls NY 12801
Work Phone
518-741-0268
Cell Phone
518-260-2888
E-mail
ephall@nycap.rr.com
FAX No.
518-741-0274
Owner's Name
Steve & Tracey Bureau
Mailing Address
5 Chestnut Road
Home Phone
City, State, Zip
Lake George NY 12845
Work Phone
Cell Phone
518-260-3177
E-mail
tbureaufitfun@gmail.com
FAX No.
Page 1
RUCINSKI HALL ARCHITECTURE
Ronald Richard Rucinski
Ethan Peter Hall
134 Dix Avenue
Glens Falls NY 12801
Voice 518 741-0268
Fax 518 741-0274
Email ephall@nycap.rr.com
Bureau Residence — 5 Chestnut Road — Glen Lake
This project is being reviewed due to a complaint filed regarding an existing covered entry porch
that was deteriorated and replaced and enclosed by the owner without a building permit. The
property was purchased by Steve & Tracey Bureau in 2016, when purchased the property was
severely overgrown and had been neglected for many years. The property was not owner
occupied and was used as a seasonal camp. The Bureau's have invested a significant amount
of time and money into the property to improve the landscaping, drainage, building and sewage
disposal systems. Large overgrown trees that were damaged were removed, overgrown grass
areas and dilapidated retaining walls were repaired and manicured. An existing shed at the
upper portion of the property that was in danger of collapse was removed and replaced with a
freestanding shed from Shed Stop, essentially an Amish Barn that is on skids, not permanently
affixed to foundations. Significant amounts of paved walkways were removed and replaced with
stepping stone and landscape stone beds to improve stormwater run-off. There are no post
lights, the main lighting on the property is ground mounted pathway lighting and wall mounted
exterior down lights with cut-off lenses.
The Planning Administrator indicates that the 3' x 7' bump out which contains the closet for the
master bedroom doesn't show up on the RPS however this was existing when the Bureau's
purchased the property in 2016. Also indicated by the Planning Administrator is the open deck
at the lake side of the building, it is indicated that the deck had new handrails installed which is
correct, the handrails that were on the open deck were dangerous and they were replaced with
new wood framing to prevent falls from the elevated deck surface. Additionally the owners did
stain the deck as well as they painted the entire residence when the property was purchased.
The owner's have taken it upon themselves to upgrade the sewage disposal system on this very
small lot to provide an on -site waste treatment system by Fuji -Clean, the system was reviewed
and variances granted by the Town Board of Health (BOH 23-2022) and the system was
installed in May of 2022.
The site is a very small, steep lot on Chestnut Road, the total parcel size is 8,416 SF (0.19
Acres) and in many cases the owners of properties of this size will seek variances for floor area
ratio, however in this case the Bureau's are well within the FAR requirements utilizing only 1,338
SF of total floor area for their permanent year round residence. Of this total space 463 SF of the
space is included in sheds that are not conditioned spaces and are used to store items that they
do not wish to be left outside.
The Bureau's do acknowledge that the enclosing of the previous covered porch should have
obtained a building permit prior to doing the work but at the time the work was done they were
not aware that a permit was necessary to enclose the existing porch structure that was severely
deteriorated. The work that has been done has been reviewed by the code enforcement office
of the Town and they have indicated that once the project has been reviewed by the planning
and zoning boards that a certificate of occupancy can be issued for the residential addition.
Area Variance [zBA approved: September 2120161
Site Development Data
Area / Type
Existing sq. ft.
Proposed
Addition sq. ft.
Total sq. ft.
A. Building footprint
1110
0
1110
B. Detached Garage
NA
NA
NA
C. Accessory Structure(s)
228
0
228
D. Paved, gravel or other hard surfaced area
1240
0
1240
E. Porches / Decks
463
0
463
F. Other
NA
NA
NA
G. Total Non -Permeable [Add A-F]
3041
0
3041
H. Parcel Area (43,560 sq. ft. / acre]
8416
0
8416
I. Percentage of Impermeable Area of Site [I=G/H]
36.13%
-
36.13%
Setback Requirements
Area
Required
Existing
Proposed
Front Yard [1]
30'-0"
55'-1"
55'-1"
Front Yard [2]
NA
NA
NA
Shoreline
50'-0"
38'-5"
38'-5"
Side Yard [1]
15'-0"
15'-0"
157-0"
Side Yard [2]
15'-0"
8'-7"
8'-7"
Rear Yard [1]
30'-0"
38'-5"
38'-5"
Rear Yard [2]
NA
NA
NA
Travel Corridor
NA
NA
NA
Height [maximum]
28'-0"
20'-0"
20'-0"
Permeability
75%
63.87%
63.87%
Number of parking spaces
2
2
2
Page 2
Area Variance [ZBA approved: September 21 2016)
Additional Project Information
1. Will the proposal require a Septic Variance from the Town Board of Health? REC'D
2. If the parcel has previous approvals, list application number(s): BOH 23-2022
3. Does this project require coverage under the New York State Pollutant Discharge Elimination System (SPDES) Permit
Program? _ Yes / x No
4. Estimated project duration: Start Date: completed End Date:
5. Estimated total cost of project: $5,000
6. Total area of land disturbance for project: 0 sf y
Floor Area Ratio Worksheet
FLOOR AREA RATIO (FAR) -- The relationship of building size to lot size, derived by dividing the total building floor
area by the lot size in square feet, yielding a percentage.
Zoning District
Symbol
Floor Area Ratio [FAR]
Waterfront Residential
WR
0.22
Commercial Moderate / Commercial
Intensive
CM / CI
0.3
A. The combined area of all square footage, as measure from exterior walls of all structures on the property, including all
floors of the structures, garages, basements and attics with more than five (5) feet of ceiling height and covered
porches. Building square footage does not include: Open deck, docks and that portion of covered docks extending
over water and one storage shed of one hundred twenty (120) square feet or less. Any additional sheds will be
included. (See "FLOOR AREA RATIO").
B. Commercial or industrial: the total area in square feet as measured from the exterior of the outside walls of a building
or structure, and when applicable, the sum total of all floor areas of the principal and accessory buildings or structures
on the project site.
Parcel Area
9,416 s . ft.
Existing Floor Area
s . ft. [see above definition]
Proposed Additional Floor Area
sq. ft.
Proposed Total Floor Area
1,338 s . ft.
Total Allowable Floor Area
1 Area x see above table
Page 3
Area Variance [ZBA approved: September 21 2016]
Compliance with Zoning Ordinance
Requesting relief from SECTION: 179-3-040
Need relief from the requirement(s) listed below which can not be met by the project as proposed.
[Check all that apply] ❑ Setback ❑ Buffer Zone ❑Lot Width ®Other expansion of pre -ex, non co
The following questions reflect the criteria for granting this type of variance. Please complete them; use additional sheets if
needed.
Whether an undesirable change will be produced in the character of the neighborhood or a detriment to
nearby property will be created by the granting of this area variance?
No - there is no change to the character of the neighborhood - porch was existing and covered - mudroom occupies the same
physical area.
2. Whether the benefit sought by the applicant can be achieved by some method, feasible for the applicant
to pursue, other than an area variance?
3. Whether the requested area variance is substantial?
Wn- the re =neat is minimal and iS What Cnrrent13j exiSYS
4. Whether the proposed variance will have an adverse effect or impact on the physical or environmental
conditions in the neighborhood or district?
S. Whether the alleged difficulty was self-created?
Yes, - the difficulty was self created by reconstruction of the porch without permits
Page 4
Area. Variance [ZBA approved: September 2120161
Section 179-14-030—Application materials
Application materials and site plan drawing is to include sufficient information for the Board to review and provide a decision. The
applicant is to provide a site plan drawing(s) — a survey showing existing conditions, a proposed conditions map (see page 00 for
specific criteria) and include any other attachments that address A - D as applicable to the proposed project.
A.
General "
Shown on Sheet #
1
Title, Name, Address of applicant & person responsible for preparation of drawing
All
2
Deed
Yes
3
North arrow, Tax Map ID, date prepared and scale minimum: 1 inch = 40 feet ]
All
4
Boundaries of the property plotted to scale, zoning bounds
C-1
5
Principal structures, accessory structures with exterior dimensions
C-1
6
Site improvements incl. outdoor storage areas, driveways, parking areas, etc.: existing &
proposed
C-1
7
Setbacks for all structures and improvements: existing & proposed
C-1
8
Elevations and floor plans of all proposed and affected structures
A-1
-B.
Water & Sewer
Shown on Sheet #
1
Project sewage disposal facilities, design details, construction details, flow rates, and number of
bedrooms proposed
C-1 & C-2
2
Water supply [i.e. well] & septic on adjoining lots with separation distances to existing or
proposed on -site water supply and septic
C-1
3
Separation distances for proposed sewage disposal System to well and water bodies
C-1
4
Existing public or private water supply [well, lake, etc.]. Method of securing public or private
water, location, desip and construction of water supply including daily water usage
C-1
5
Percolation test location and results
C-1
C.
Parkin / Permeable. Areas
Shown on Sheet #
1
Number of spaces required for project including calculations and justification: existing !&
proposed
C-1
2
No. of existing parking spaces, number to be removed, number to maintain and type of surfacing
material e.., gravel,paved]
C-1
3
Provision for pedestrian and handicap access andparking: existing & proposed
C-1
4
Design details of ingress, egress, loading areas and cutting: existin & proposed
NA
5
Location and character of green areas [existing and proposed], modification to green area, buffer
zone to remain undisturbed
C-1
6
Lighting, location and design of all existing and proposed outdoor lighti!%
C-1
D.
Additional. Site Development and Miscellaneous
Shown on Sheet #
1
On -site & adjacent watercourses, streams, rivers, lake and wetlands
C-1
2
Utility / energy distribution system as, electric, solar, telephone]: existing & ro osed
C-1
3
Location, design and construction details of all existing and proposed site improvements
including: drains, culverts, retaining walls, fences, fire & emergency zones and hydrants, etc.
C-1
4
Square footage of bldg. area proposed for office, manufacturing, retail sales or other commercial
activities: existin & proposed
NA
5
Si a e: Location, size, e, desiE and setback: existin & proposed
NA
6
Waiver Request: provide letter with application requesting any waivers: please reference
specific items
7
Commercial / Industrial Development requires submission of Landscaping, Stormwater
Mana ement, Grading & Lighting Plans
NA
8
Identification of Federal, State or County permits required for the project together with a record
of application for all necessary permits
NA
Page 5
Area Variance Pre -Submission Conference Form / Section 179-9-040
1. Applicant Name: Steve & Tracey Bureau
2. Tax Map ID 289.13-1-7 Location: 5 Chestnut Road
3. Zoning Classification WR 0.16ac
Alreadv constructed mudroom of 45 sq ft to existing home of 1,110 sq ft with porch/deck areas of 463 sq ft. Additional review for updated garage, and
4. Reason for Review: south side of home improvements
5. Zoning Section #: 179-3-040 WR,
6. Pre -Submission Meeting Notes:
Provided Outstanding; Please provide by
Deed
x
General Information complete
need to-pl—ndroom ritheutepprovals. possibleaddilional items
Site Development Data Complete
z confirm enclosed porch areas, out building is a detached garage
Setback Requirements Complete
x relief needs to be highlighted
Additional Project Information Complete
x
FAR addressed
confinn living areas
Compliance with Zoning Ordinance
X may need to update with additional information
Checklist items addressed
x lighting, stormwater, landscaping, dimensions etc.
Environmental Form completed
NA
Signature Page completed
x
Applicant has constructed a 45 sq ft mudroom addition to an existing home where the home with the mudroom has a
footprint of 1,110 sq ft and a floor area of 1,320 sq ft. The existing porch facing the shoreline had new hand railings
installed and stained the porch deck floors. The septic system in the process of being installed. Project subject to site plan
review for new floor in a cea, expansion of non conforming structure. Area Variance needs to be confirmed - if mudroom
only and within the footprint may not need variance, however south side bumpout needs supporting information for its
existance otherwise probably needs a variance. An area variance may be needed for what appears to be an updated garage
Items reviewed - site plan application, area variance application site drawings, elevations and floor plans, violation notice
tents to be updated or provided
deed needed
!) survey needed
'u1) outh side supporting information for "open deck area" and "master bath bump out" -- the RPS doesn't indicate the
th side porch and bumpout
page 2 and 3 dimensions needed on drawings and confirmation of floor area usage - ie office area
Sheet C 1 - doesn't match page 3 and 5 of the application. Recheck floor area calculation on Page 4 and on Sheet C, as
yell as building footprint, open deck footprint, covered porch footprint
page 5 - lighting, shoreline landscaping requirements, stormwater 25 year, dimensions as noted
Supporting information for the detached garage - doesn't match the 2014 RPS information for the site.
1) Sheet A-1 - will need dimensions added to the outside walls, there should be a clear indication of the un- approved
fevelopment area(s) ie mudroom, garage, south -side of home.
9) signature
10) Will need to review updated information for a second pre application review
Staff Representative:
Applicant / Agent:
Laura M ore Via email 08/23/2022
AL
Date: 7 W. 2z
Page 6
i
I
Area Variance [ZBAaproved: September 212016]
This page includes the 1.) Authorization to Act as Agent Form: 2.) Engineering Fee Disclosure; 3.) Autho � tion for Site Visits; 4.)
Other Permit Responsibilities; 5.) Official Meeting Disclosure and 6.) Agreement to provide documentation re uired.
OWNER'S AGENT FORM:
Owner:
Designates:
Complete the following if the OWNER of the property is not the same as a applicant:
as Agent regarding the following:
Variance _ Site Plan _ Subdivision _
For Tax Map No.: _ _ _ _ _ Deed Reference: Book__ _.. Page _ _ __ Date
OWNER SIGNATURE:
DATE:
APPLICANT'S AGENT FORM: Complete the following if the APPLICANT is unable to attend the
meeting or wishes to be represented by another party:
Owner: Steve & Tracey Bureau
Designates: Ethan Hall - Rucinski Hall Architecture
as Agent regarding the following:
Variance_ Site Plan _ Subdivision _
For Tax Map N ' 89.13-1-7 Deed Reference:
OWNER SIGNATURE
"A--
Book Page Date
DATE: ,2
2.1 ENGINEERING FEE DISCLOSURE: Applications may be referred to the Town consulting engin r for review of septic
design, storm drainage, etc. as determined by the Zoning or Planning Department. Fees for engineering view services will be
charged directly to the applicant. Fees for engineering review will not exceed $ 1,000 without notification to 0*' applicant.
3.1 AUTHORIZATION FOR SITE VISITS: By signing this page and submitting the application materials attached herein, the
Owner, Applicant, and his/her/their agent(s) hereby authorize the Zoning Board or Planning Board and Town S; aff to enter the subject
properties for the purpose of reviewing the application submitted.
4. OTHER PERMIT RESPONSIBILITIES: Other permits may be required for construction or alteratior activity subsequent to
approval by the Zoning Board or Planning Board. It is the applicant's responsibility to obtain any additional p its.
5.1 OFFICIAL MEETING MINUTES DISCLOSURE: It is the practice of the Community Development Department to have a
designated stenographer tape record the proceedings of meetings resulting from application, and minutes transcribed from those tapes
constitutes the official record of all proceedings.
6. AGREEMENT TO PROVIDE DOCUMENTATION REQUIRED: I, the undersigned, have thorougl
the instructions for submission and agree to the submission requirements, I acknowledge no construc
commenced prior to issuance of a valid permit. I certify that the application, plans and supporting materials
statemeWdescription of the existing conditions and the work proposed, and that all work will be performed
approved plans and in conformance with local zoning regulations. I acknowledge that prior to occupying the
my agents, will obtain a certificate of occupancy as necessary. I also understand that Uwe may be require(
survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupa
I �amnnd to theabove.
Si ma�ture [ , �cJant], /
Signatu�
Tracey Bureau
Print Name [Applicant]
Ethan P. Hall
Print Name [Agent]
to signed
22 Aug 2022
Date signed
y read and understand
on activities shall be
re a true and complete
n accordance with the
acilities proposed, I or
to provide an as -built
Page 7
Short Environmental Assessment Form
Part 1- Project Information
Instructions for Completine
Part 1 — Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the
application for approval or funding, are subject to public review, and may be subject to further verification. Complete Part 1 based on
information currently available. If additional research or investigation would be needed to fully respond to any item, please answer as
thoroughly as possible based on current information.
Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the
lead agency; attach additional pages as necessary to supplement any item.
Part 1—Project and Sponsor Information
Name of Action or Project:
Bureau Residence
Project Location (describe, and attach a location map):
5 Chestnut Road
Brief Description of Proposed Action:
Project review required due to an un-permitted enclosure of an existing covered porch that had a complaint filed with Town Code Enforcement Office
Name of Applicant or Sponsor: Telephone: 518-260-3177
Steve & Tracey Bureau E-Mail: tbureaufitfun@gmaii.com
Address:
5 Chestnut Road
City/PO: State:
Zip Code:
Lake George New York
12845
1. Does the proposed action only involve the legislative adoption of a plan, local law, ordinance,
administrative rule, or regulation?
NO
YES
If Yes, attach a narrative description of the intent of the proposed action and the environmental resources that
❑✓
❑
may be affected in the municipality and proceed to Part 2. If no, continue to question 2.
2. Does the proposed action require a permit, approval or funding from any other government Agency?
NO
YES
If Yes, list agency(s) name and permit or approval:
❑✓
❑
3. a. Total acreage of the site of the proposed action? 0.19 acres
b. Total acreage to be physically disturbed? 0 acres
c. Total acreage (project site and any contiguous properties) owned
or controlled by the applicant or project sponsor? 0.19 acres
4. Check all land uses that occur on, are adjoining or near the proposed action:
5. ❑ Urban ❑ Rural (non -agriculture) ❑ Industrial ❑ Commercial m Residential (suburban)
❑ Forest ❑ Agriculture ® Aquatic ❑ Other(Specify):
❑ Parkland
Pagel of 3
5. Is the proposed action, NO
a. A permitted use under the zoning regulations? ❑
b. Consistent with the adopted comprehensive plan? ❑
6. Is the proposed action consistent with the predominant character of the existing built or natural landscape?
7. Is the site of the proposed action located in, or does it adjoin, a state listed Critical Environmental Area?
Name:Glen Lake, Reason:Benefit to human health, natural setting, Agency:Queensbury, Town of, Date:11-30-89
If Yes, identify:
YES
N/A
❑�
❑
✓❑
❑
NO
YES
❑
❑✓
NO
YES
❑
❑✓
8. a. Will the proposed action result in a substantial increase in traffic above present levels?
b. Are public transportation services available at or near the site of the proposed action?
c. Are any pedestrian accommodations or bicycle routes available on or near the site of the proposed
action?
NO
YES
❑✓
❑
❑
❑
❑✓
IZI
9. Does the proposed action meet or exceed the state energy code requirements?
If the proposed action will exceed requirements, describe design features and technologies:
NO
YES
❑
❑✓
10. Will the proposed action connect to an existing public/private water supply?
If No, describe method for providing potable water:
Water is drawn for the waters of Glen Lake
11. Will the proposed action connect to existing wastewater utilities?
If No, describe method for providing wastewater treatment:
NO
YES
❑
NO
YES
12. a. Does the project site contain, or is it substantially contiguous to, a building, archaeological site, or district
which is listed on the National or State Register of Historic Places, or that has been determined by the
Commissioner of the NYS Office of Parks, Recreation and Historic Preservation to be eligible for listing on the
State Register of Historic Places?
b. Is the project site, or any portion of it, located in or adjacent to an area designated as sensitive for
archaeological sites on the NY State Historic Preservation Office (SHPO) archaeological site inventory?
NO
YES
❑
❑✓
❑
13. a. Does any portion of the site of the proposed action, or lands adjoining the proposed action, contain
wetlands or other waterbodies regulated by a federal, state or local agency?
b. Would the proposed action physically alter, or encroach into, any existing wetland or waterbody?
If Yes, identify the wetland or waterbody and extent of alterations in square feet or acres:
NO
YES
❑
❑✓
❑
W1
Page 2 of 3
14. Identify the typical habitat types that occur on, or are likely to be found on the project site. Check all that apply:
[Z]Shoreline ❑ Forest ❑ Agricultural/grasslands ❑ Early mid -successional
❑ Wetland ❑ Urban m Suburban
15. Does the site of the proposed action contain any species of animal, or associated habitats, listed by the State or
Federal government as threatened or endangered?
NO
YES
16. Is the project site located in the 100-year flood plan?
17. Will the proposed action create storm water discharge, either from point or non -point sources?
If Yes,
a. Will storm water discharges flow to adjacent properties?
b. Will storm water discharges be directed to established conveyance systems (runoff and storm drains)?
If Yes, briefly describe:
NO
YES
NO
YES
❑
✓❑
❑✓
❑
❑✓
❑
Entire site has stormwater management devices at the eaves and along the walkways to allow stormwater to be infiltrated into the
grounds of the IL ep * which is extremely well drained. stable soils on a relatively steep lot.
18. Does the proposed action include construction or other activities that would result in the impoundment of water
or other liquids (e.g., retention pond, waste lagoon, dam)?
If Yes, explain the purpose and size of the impoundment:
NO
YES
❑
❑
YES
NO
19. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste
management facility?
If Yes, describe: - -
❑
20.11as the site of the proposed action or an adjoining property been the subject of remediation (ongoing or
completed) for hazardous waste?
If Yes, describe: - - -
NO
YES
❑
❑
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF
MY KNOWLEDGE
Applicant/sponsor/name: Ethan P. HallDate: 10 Sept 2022
Signature: C:WClNi /0 IlallTitle: Architect - Agent for the Applicant
PRINT FORM I Page 3 of 3
EAF Mapper Summary Report
Monday, August 22, 2022 12:37 PM
289.13.1-5
Disclaimer: The EAF Mapper is a screening tool intended to assist
project sponsors and reviewing agencies in preparing an environmental
assessment form (EAF). Not all questions asked in the EAF are
answered by the EAF Mapper. Additional information on any EAF
question can be obtained by consulting the EAF Workbooks. Although
the EAF Mapper provides the most up-to-date digital data available to
DEC, you may also need to contact local or other data sources in order
to obtain data not provided by the Mapper. Digital data is not a
substitute for agency determinations.
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Part 1 / Question 7 [Critical Environmental Yes
Area]
Part 1 / Question 7 [Critical Environmental Name:Glen Lake, Reason:Benefit to human health, natural setting,
Area - Identify] Agency:Queensbury, Town of, Date:11-30-89
Part 1 I Question 12a [National or State No
Register of Historic Places or State Eligible
Sites]
Part 1 / Question 12b [Archeological Sites] Yes
Part 1 / Question 13a [Wetlands or Other
Regulated Waterbodies]
Part 1 / Question 15 [Threatened or
Endangered Animal]
Part 1 / Question 16 [100 Year Flood Plain]
Part 1 / Question 20 [Remediation Site]
Yes - Digital mapping information on local and federal wetlands and
waterbodies is known to be incomplete. Refer to EAF Workbook.
No
......... .
'Digital mapping data are not available or are incomplete. Refer to EAF
Workbook.
'No
Short Environmental Assessment Form - EAF Mapper Summary Report 1
Agency Use Only [If applicable]
Project:
Date:
Short Environmental Assessment Form
Part 2 - Impact Assessment
Part 2 is to be completed by the Lead Agency.
Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by
the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by
the concept "Have my responses been reasonable considering the scale and context of the proposed action?"
No, or Moderate
small to large
impact impact
may may
occur occur
1. Will the proposed action create a material conflict with an adopted land use plan or zoning
❑
❑
regulations?
2. Will the proposed action result in a change in the use or intensity of use of land?
❑
❑
3. Will the proposed action impair the character or quality of the existing community?
❑
❑
4. Will the proposed action have an impact on the environmental characteristics that caused the
❑
El
of a Critical Environmental Area (CEA)?
5. Will the proposed action result in an adverse change in the existing level of traffic or
El
El
existing infrastructure for mass transit, biking or walkway?
6. Will the proposed action cause an increase in the use of energy and it fails to incorporate
El
El
available energy conservation or renewable energy opportunities?
7. Will the proposed action impact existing:
❑
❑
a. public / private water supplies?
❑
❑
b. public / private wastewater treatment utilities?
8. Will the proposed action impair the character or quality of important historic, archaeological,
❑
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or aesthetic resources?
9. Will the proposed action result in an adverse change to natural resources (e.g., wetlands,
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waterbodies, groundwater, air quality, flora and fauna)?
10. Will the proposed action result in an increase in the potential for erosion, flooding or drainage
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problems?
Fll. Will the proposed action create a hazard to environmental resources or human health?
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PRINT FORM Pagel of 2
Agency Use Only [If applicable]
Project:
Date:
Short Environmental Assessment Form
Part 3 Determination of Significance
For every question in Part 2 that was answered "moderate to large impact may occur", or if there is a need to explain why a
particular element of the proposed action may or will not result in a significant adverse environmental impact, please
complete Part 3. Part 3 should, in sufficient detail, identify the impact, including any measures or design elements that
have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency
determined that the impact may or will not be significant. Each potential impact should be assessed considering its setting,
probability of occurring, duration, irreversibility, geographic scope and magnitude. Also consider the potential for short-
term, long-term and cumulative impacts.
Check this box if you have determined, based on the information and analysis above, and any supporting documentation,
that the proposed action may result in one or more potentially large or significant adverse impacts and an
environmental impact statement is required.
Check this box if you have determined, based on the information and analysis above, and any supporting documentation,
that the proposed action will not result in any significant adverse environmental impacts.
Name of Lead Agency
Print or Type Name of Responsible Officer in Lead Agency
Date
Title of Responsible Officer
Signature of Responsible Officer in Lead Agency Signature of Preparer (if different from Responsible Officer)
PRINT FORM Page 2 of 2
-WARRAN7YDEED WITH LIEN COVENANT
DATE OF DEED: September 7, 2016
GRANTOR: WILLIAM J. UTTER AND JUDITH A. UTTER
12o Crine Road
Morganville, New Jersey 07751
GRANTEE: STEVE BUREAU AND TRACEY BUREAU
Husband and Wife
57 Lyndon Road
Queensbury, New York 12804
THIS WARRANTY DEED made between Grantor and Grantee on the deed date stated
above WITNESSES THAT GRANTOR in consideration of
-------------------------One Dollar ($1.00) -------------------------
lawft:d money of the United States and other good and valuable consideration, paid by Grantee,
DOES HEREBY GRANT AND RELEASE UNTO GRANTEE and his hei rs and
assigns forever all that property located at:
5 Chestnut Road
To Queensbury�
Countyof TFUIZPhington
Tax Map #: 289.13-1-7
ALL THAT TRACT OR PARCEL OF LAND situate, lying and being in the Town of
Queensbury, Warren County, New York, bounded and described as follows: I
Beginning at a point on the shore of Glen Lake at the southeast corner of Lot � and the
northeast corner of Lot 2 as shown on a map entitled "Map of Lots on the North Shore of
Glen Lake, Warren Co., N.Y. Being a sub -division of Lands of Mrs. Mary S. H8ughtaling"
by Carlton J. King dated 09/20/23 and filed in the Warren County Clerk's Office on
09124/23 as Instrument No.1923-3000015, running thence northerly along the shore
of Glen Lake to the northeast corner of said Lot 3 and the southeast corner of l.ot 4 On
said map, running thence North 810 59' West,138.o9 feet to a point being on the
easterly side of a right of way, running thence South 04° 27' West, 5o.00 feet to the
southwest corner of said Lot 3, running thence South 82' 29 East,147.25 to the point of
beginning, being Lot 3 on the above mentioned map.
Being the same premises as described in a deed from Eileen D. Vincent to William J.
Utter and Judith A. Utter dated August 24,1982 and recorded August 27,198 z in the
Warren County Clerk's Office in Deed Book 648 Page 411.
A
THIS GRANT IS MADDE:
TOGETHER with the appurtenances and all the estate and rights of the
to said premises.
TO HAVE AND TO HOLD the premises granted by this Warranty Deed
Grantee and his heirs and assigns forever.
AND THE GRANTOR COVENANTS as follows:
FIRST: That Grantee shall QUIETLY ENJOY said premises;
SECOND: That Grantor will forever WARRANT the title tosaid
.tor in and
the
THIRD: THAT IN COMPLIANCE WITH SECTION 13 OF THE LIEN W,
Grantor will receive the consideration for this conveyance and will hold the ri ht to
receive such consideration as a trust fund to be applied first for the purpose o paying
the cost of the improvement and will apply the same first to the payment oft cost of
the improvement before using any part of the total of the same for any other p. urpose.
i
If there are more than one Grantor or Grantee, the words "Grantor" anj
"Grantee" used in this deed includes them.
IN WITNESS OF THIS CONVEYANCE, Grantor has executed this
WARRANTY DEED on the deed date stated above.
r
IN PRESENCE OF L.S.)
William J. Utter
J� e
dith A. Utter
STATE OF NEW YORK )
ss..
COUNTY OF WARREN )
On this 6th day of September, 2016 before me, the undersigned, person flly
appeared William J. Utter and Judith A. Utter personally known to me or proved
to me on the basis of satisfactory evidence to be the individuals whose na es re
subscribed to the within instrument and acknowledged to me that they e u d the
same in their capacities, and that by their signatures on the instru ents t i dividual
or the person upon behalf of which the individ als acted, ex ed is ' ent.
MATTHEW R. LUDEMANN Notary Public
NOTARY PUBLIC -STATE OF NEW PORK
No. 02LU4829772
Quaiified In Saratoga County
Afq Commission Expires November 30. 2011