Application RECEIVED
General Information OCT 1 4 2U15
Tax Parcel ID: 73 416°
TOWN OF QUEENSBURY
PLANNING OFFICE
Zoning District: C—�---;---
C -Lf.0
Lot size: 1 L.
Current Use: ' - •
Proposed Use:
Project Location: �e-"\ Lk k,
Applicant Name Address:
Home Phone Cell:
Work Phone Fax
E-Mail:
S��Se�\BSc\e eK,r,
Agent'.s Name: Address:
Home Phone Cell:
Work Phone Fax
E-mail
Owner's Name• Address .h,
(c\" \LC-JL4
Home Phone c=\�
os-t\c�
Sc� Cell
Work Phone Fax
E-mail
Site Plan Review Revised March 2014 2
Town of Queensbury Planning Office-742 Bay Road•Queensbury,.NY 12804.518.761-8220
Pre-Submission Conference Form [179-4-0401
1. Tax Map ID q 7' ? --
2. Zoning Classification C 1,--- 1_
3. Table of Allowed Uses 4'.;A.)40 J«cl e Com)C ,((j.(1) is subject to Site Plan Review
4. Ordinance Section# l I — - o ct CJ
5. Pre-Submission Meeting Notes;Outstanding Items To Be Addressed Include:
Deed Yes No
General Information complete r"Yes No
Site Development Data Complete `-'Yes No-- :)p Q----
Setback Requirements Complete 4--Yes No
Additional Project Information Complete V Yes No
*Coverage under DEC SWPPP Program ti0 Yes No
FAR Worksheet complete N/Yes No
Standards addressed ✓ Yes No
Checklist Items.addressed ✓ Yes No
Environmental Form completed ✓ Yes No
Signature Page completed _ Yes No
J Z.9pkt.0 c it c-b Se s ,, 00c2 Sq\rl 1' 0-J IrCti�, e .3i i lLeic/(c
G� ht i1 C- a r<�1(.,,)I i 17_ cam:. C v C� fC S4-4)v kci e ,SAF araC,'.!�%�
i) 1 Vic 2 ClC9C) S 0 y r `e 'o s s k cc(c 0'- e )cc-e,- `E
C0L.�Cketc Mc„(C<ck,( L (V �r((1('r.. 4SA-'1VCJLr•e. clo (c' lcCC- `/
on
; , c-0 . �% cI-(c161 S iZ.- ICA�� ,-te f\c.nCISt'c, pi1c QC
c d71(rYluc3cti (4 . ti
*Applicant must provide office with Notice of Intent(NOI): SWPPP Acceptance Form. DEC letter issuing permit number;
Notice of Termination(NOT).
Staff.Representative: re 1
Applicant/Agent: f// , ' ` .-r
iii ---
Date:
Date: l(U\\.1‘
Site Plan Review Revised March 2014 8
Town of Queensbury Planning Office•742 Bay Road-Queensbury,NY 12804.518-761-8220
,I
Site Development Data
Area/Type Existing sq.ft. Proposed Total sq.ft.
Addition sq.ft.
A. Building footprint _
B. Detached Garage
C. Accessory Structure(s)
D. Paved, gray br other hard su ced area
E. Porches/Decks
F. Other(i.e. boathouse,sundeck, etc.)
G.Total Non-Permeable [Add A-F]
H. Parcel Area [43,560 sq.ft./acre]
I. Percentage of Impermeable Area of Site [1=G/H] i .Q 2 c57,
Setback Requirements
Area Required Existing roposed
Front[1] J
Front[2]
C\ X
Shoreline �`'
Side Yard[1] � 3C)\
Side Yard [2]
Rear Yard [1]
Rear Yard [2]• 1
Travel.Corridor
Height[max]
Permeability
No. of parking spaces
12_ X �>
Site Plan Review Revised March 2014 3
Town of Queensbury Planning Office.742 Bay Road•Queensbury,NY 12804.518-781-8220
Additional Project. Information
1. Will the proposal require a Septic Variance from the Town Board of Health? S---)lm
2. If the parcel has previous approvals, list application number(s): -
3. Does this project require coverage under the NYS DEC Stormwater Pollution Prevention.Program?
4. Estimated project duration: Start Date \L) \ End Date \NV
I
5. Estimated total cost of project: y -�C��`�,•���
6. Total area of land disturbance for project:
Floor Area Ratio Worksheet
-- size to lot size, derived by dividing the total building
FLOOR AREA RATIO (FAR) The relationship of building
floo area by the lot size in square feet,yielding a percentage.
Zoning •'strict Symbol Floor Area Ratio [F• -
Waterfront sidential WR 0.22
Commercial Mo•-rate/Commercial Intensive CM/CI 0.3
Main Street MS 0 •
A. The combined area of all s• = e footage, as measure from exterior wal - of all structures on the property, including all
floors of the structures, gara es, basements and attics with more art five (5) feet of ceiling height and covered
porches. Building square foota,e does not include: Open deck •ticks and that portion of covered docks extending
over water and one storage she• of one hundred twenty (1 • square feetor less. Any additional sheds will be
included. (See"FLOOR AREA RA i").
B. Commercial or industrial:the total area square feet == measured from the exterior of the outside walls of a building
or structure,and when applicable,the sum • al of - loor areas of the principal and accessory buildings or structures
on the project site.
A. Parcel Area sq.ft.
B. Existing Floor Area sq.ft.[see above definition]
C. Proposed Additional Fl: .r Area sq.ft.
D. Proposed Total Flo• Area sq. ft.
E. Total Allowable/Floor Area Area x ) [see above table]
*if D is lager than E, a variance or revisions to your plan may be seeded. Please consult
w/Staff.
Site Plan Review Revised March 2014 4
Town of Queensbury Planning Office.742 Bay Road•Queensbury,NY 12804.518-761-8220
§ 179-9-080 Requirements for Site Plan Approval. The Planning Board shall not approve a Site Plan unless it
first determines that such site plan meets the following Standards. Please prepare responses to each of the following
topics.
STANDARDS
A. The p •, -d project tugt�ets or Is the policies of Town's prdranswe P
2S C X51 �nt ' ‘,...._,\,..N._:‘,... the Pen preview as forth in Paragraph F
B. The pro... • project complies with all other raga ants of Uds)Chaptet, to standards located sat f(Arorth
3 and Table 1),
of this section,the dimensional,bulk,and density regulations of the zoning district In whfdt ft is proposed
the applicable requirements of all other Articles that apply. \\....c
C. The site plan encourages pedestrf8n
activity internally and,if predicable,to and from the site with pedestrian paths or sidewalks connected to
adjacent areas. X10, C \ o�cLey_ C��
D. The site plan must conform to Chapter 136 Sewage and Sewage Disposal,glen 147 Stormwater Management local Law, and other
applicable local Ill \ �
\ \� ��c-, w111.c - •--e c
Chapter, flyf
use shall be�harmony with the general purpose or intent of, ,• into account the location.character
E the proposedof the district in which stmt use is proposed,the nature and intensity of the
and size to the proposed use and the description and purposewithuse and the nature and rate of any increase in the burden on
activates be involved in or conducted in connection with the proposed use.��rc-t�l ��,\�w',\\ ctir��:<�t.
supporting publics and facilities which will f the approval of the %.\N•
tiNc,. �C\ C..---��5� c�.. �.c\e c,-c' f.-Nr-v.,7-g•._. c\e\ �f .c_c\\.) �,irlies to b • or the parking -Nck`'` '�
of vehicles and/or equipment or be otherwise detrimental to the health, safety or general welfare of persons residing or working in the
tfort, intersections,road and driveway widths,and traffic
neighborhood or to the general w titer rt-Traffic\5 ` \ Vi '-`s v�� (LS c...-' a S� c-c-s�e.
controls will be adeetratee�^� ` S.(y C�y.,S k- Cs -CC`.
c"` c�� .\_�5\ Iodated and arranged and.sufficient to meet traffic anticipated to be generated by
G. Off-street parking and loading faciC will be appro `relyare provided where aThis furthers the
the new use. The establishment of vehicle links between parking areas of adjacent properties
congestion.A twenty-foot wide connection is required. If adjacent properties are either
undevelopedngoal of reducing cuts and reducing for future linkage, then a future connection must be identified and
or previously y developed without having made provisionBoard mayrequire proof that the
provided for in the site plan under review for such future linkage when the time arises. Planning adjacent Board
proc
applicant has made contact with t property• -for• •• --of•, • ting linkages
c �t� '• ilk
.,n e.historic,recreational or open space
H. The project shall not have an undue adverse impact upon tf to n�gxal,sbenlc.a -' �
' ,e9 '
resources of the town or tete Adirondack Park or upon the adequate provision of supporting Willies and services made necessary by the
takinginto account the commercial.Industrial,residential, recreational or other benefits that might be derived from the project in
project, to the project contained in the development
making the determination hereunder,the Planning Board shall Consider those factors pertinentBoard shall make a net overall evaluation of
considerations set forth herein under 178-9-08 0 of ibis chapter,and In so doing,the Planning
the project in relation to the development objectives and general guidelines set forth In§179-9460 of this Article. chi -__•,-\__,,._1„\`�cam\
I. The provision for and arrangement of pedestrian traffic aax$s And circulation,walkway structures,Control of intersections with vehicular traffic
and overall pedestrian convenience shall be safe and adequate for pedestrian
movement. Pedestrian connections between adjacent sites
shall be provided to encourage pedestrtart,tee. c 1 �� ,;-t,cyr` C\s\--t_a. oc\\\\.
J. Stormwater drainage facilities will prevent an increase of post development drainage flows as compared to pre.development drainage flows.
Drainage of the site shall recharge ground water to the extent practical. Surface waters flowing off-site shall not degrade any streams or
o roads. Facilities shall be In conformance With the drainage standards of Chapter
adversely4T fact drainage on adjacentTwno properties Subdivision Reg is where app C'�`�`c -s--. \-•.,\\ \fie '')\c���<1
147 of the Town Code acrd the Townof QueertsbUnY.
0�1 c <.�-s-1�\\ x �> C` 12 " \' � ��� and c rpt requirements set fo by Department
K. The water supply and lieu disposal facilities will be adequate'and will meet all applicable
of Health regulations and Chapter 136-of-the Town Code. �\
L The adequacy.type and arrangement of trees,.shrubs and other gullible plantings,landedi ing and scrawling shall effectively provide a
visual and/or noise buffer between the applicants and adjoining lands,lands, Including the maximum retention of existing vegetation and
maintenance,Including replacement of dead or deceased plants.
and meet the needs and requirements of emergency service providers.
Fire lanes,emergency zones,and lire .•rants Vll .lea - l _ s 1.: . _r., ` .z
L.
��c� \ •.•, •. � �� - �_ 1--MI.,. - ' • and/or :..:ton Vuril in, „ tze or avoid s
N. The design of structures. roadways and lent in areas foo
impacts to the maximum extent practicable s - .\ c5ce. `c-, •Se_. "�-,4,
O. The site plan conforms to the design standards,.la 1dscepMg standards and performance standards of this chapter. \i_t
Site Plan Review Revised March 2014 5
Town of Queensbury Planning Office.742 Bay Road•Queensbury,NV 12804.518-761-8220
•
§ 179-9-050 Application for Site Plan Review
Absent any waiver or waivers,an application for Site Plan Review shall include the following:
Sheet#
REQUIREMENTS
Aof the proposal to existing community facf&tfes which affect or serve it,
A vicinity map drawn at the scale that shows the rehdtionstt� Identify owners, ,streets. and
such as roads,shopping.areas,schools, etc. The map shall also chow all L
easements within 600 test 01 the property. Such a sketch may be superimposed on a United States Geological Survey map of the
area. `�
B The site plan shall be drawn at a scale of forty feet to the inch(1' + feet)or such other scale as the Planning Board may deem
appropriate,on standard 24'x 36'.eheets.with corttinuatfon on 8W x1.1'sheets as necessary for written information. The information
listed below shall be shown on the site plan and continuation sheets.
C Name of the project,boundaries,date,north arrow.and scale of the plan. C
D . Name and address of the owner of record,developer,and seal of the•engineer,architect,or lerldscape architect If the applicant is not
the record owner;a letter of euthortzatlon shall be required from the owner
E The location and use of all existing and proposed
structi(es within the property.including ail dimensions of height and floor area,all
exterior entrances,and all.anticipated suture additions and alterations.
F The location of all present and proposed public and private ways, off-street parking areas, driveways, outdoor storage areas,
sidewalks,ramps,curbs,paths,landscaping,walls,and fefices. Locatlon,type,and screening details for all waste disposal containers (1
shall also be shown.
G The location,height.Intensity,and bulb type.(sodlum,Incandescent,etc.)of all external lighting fixtures. The direction of illumination
and methods to eliminate glare onto adjoining properties must also be shown in compliance with§179.64220. \)‘
H The location,height,size.materials,and design of all proposed signs. �\
i The location of all present-and proposed utility systems including
1. Sewage or septic system;
2. Water supply system,
3. Telephone,cable;and.efectrical systems; and
4. Storm drainage system C_
including existing and proposed drain lines,culverts,catch basins,headwalls,endwa�,hydrants,
manholes,and drainage swales.
. Plans to prevent the pollution of surface-or groundwater, erosion of Soil both during and after Construction, excessive runoff; and
lo. A Stomrwater Pollution Prevention Plan (SWPPP) all land development activities
flooding g other agricultural properties, as a n Lbs of 1-acre or more. A SWPPP shall comply with the
(excludiruJ activities on the.elle that results ion land mite, It shall be at the
requirements of the DEC SPDES MS-4 General Permit and Chapter q►147 of the Town of Quasnibu �\
discretion of the Planning
Board as to whether a SWPFP or an eropiori and planshall be rerlt*ed tors site plan review project 1
land disturbance.of less than y-acre.
K Existing and proposed topography at two-foot contour intervals.or such other contdur interval as the Planning Board shall allow. All '\\
elevations shall refer to the nearest United States Coastal and Geodetic Bench Mark. If any portion of the parcel is within the 100-
Armes atrr!be indicated within the proposed site and within
year tioodplain,the area wqi be shown,and base fkhod elevations given. In cubic yards.
SO feet of the proposed site.where soli removes or gang to Sc shed.showing the approximatevo
liene all existing.natural land•feateres that may influence the design of the protloeed u#0 such as rook outcrops; ctex-;ca\
L s lands of o plan showing. changes to these
stands of trees,single'trees eight or more inches in diameter,.forest cover,and water sources..end alt proposed fWodptatns, �:c "`�
features including sizes and types of-plants. Water sources include ponds,lakes,wetlands and�,aquifers,
and drainage retention areas.
M Land Use District bouundaries within 500 feet of the site's perimeter shall be drawn and identified on the site plan.as well as any \
Overlay Districtsthatapply lathe property.
Site Plan Review Revised March 2014 6
Town•of Queensbury Planning Office•742 Bay Road•Queensbury,NY 12804.518-7.61-8220
..... .. ... .....
•
REQUIREMENTS CONTINUED Sheet#
N Traffic flow patterns within the site,entrances and exits,and loading and unloading areas,as well as curb cuts on tie site and within
100 feet of the site. The Planning Board may,at Its discretion,require a detailed traffic study for large developments or for those in
heavy traffic areas,which shall Include: -\
1. The projected number of motor vehicle trips to enter or leave the site,estimated for weekly and annual peak hour traffic
levels;
2. The projected traffic flow pattern including vehicular movements at all major intersections likely to be affected by the
proposed use of the site;
3. The impact of this traffic on levels of service on abutting public streets and at affected Inters ions. Existing and proposed
weekly and annual peak hour traffic levels and road capacity levels shall also be given.
0 For new construction or alterations to any structure,a table containing the following information shall be included:
1. Estimated area of structure to be used for particular purposes such as retail operation,office,storage,etc.; �..
2. Estimated maximum number of employees;
3. Maximum seating capacity,where applicable;and c
4. Number of parking spaces existing and required for the intended use. Si
P 1. Floor Plans.
the
posed
des
2, Elevations at a scale of one-quarter Inch equals one foot(1!4':1 foot)for all exterior facades ofnd d of materials to be used.structure(s)and/or \
alterations to or expansions of existing facades, features and indicating the type
� . ,showing..design
test results,and' storm runoff calculations,as needed to determine and mitigate project �\
Q Soil logs,water supply well and percolation
R Plans for disposal of construction end demolition waste,either on'elte or at an approved disposal facility.
S Piansfor snow removal,Including location(s)of on-site snow storage.
T M Environmental Assessment Form CFA'),as reqUIred by the SEQRA regulatiOns,with Part 1 completed by the ApPRcant shall be
submitted as part of the application. If the proposed project requires a special use permit and an EAF has been submitted in �\
conjunction with a.special use permitapplioation„a duplicate EAF is not required for tie site plan application_
Uis on which more than one use is proposed,the applicant may submit a single application for
of an such uses provided dr a the proposedl or eise delineated on a site plan drawn pursuant to the requirements set forth
all the uses are accurately
above. The Planning Board may grant the application with respect to some proposed uses and not others. For purposes of reviewing \\X
an application (and for SEQRA compliance) all proposed
uses on a single parcel or on contiguous parcels shall be considered
together.
V A brief narrative statement on how the project proposed for review furthers or is.consistent with the vision.goals and policies in the
Town's Comprehensive Plan.
•
Site Plan Review Revised March 2014 12804•598-761-8220 7
Town of Queensbury Planning Office-742 Bay Road•Queensbury,
Signature Page
This page includes the 1.)Authorization to Act as Agent Form:2.) Engineering Fee Disclosure; 3.)Authorization for Site
Visits; 4.) Other Permit Responsibilities; 5.) Official Meeting Disclosure and 6.) Agreement to provide documentation
required.
OWNER'S AGENT FORM:
•
Complete the following if the OWNER of the property is not the same as the applicant
Owner �� > Ftc�'� �5e�
Designates: .
As agent regarding: Variance X Site Plan Subdivision
For Tax Map No.: Section Block Lot •
Deed'Reference: Boocy Page Date \
OWNER SIGNATURE:. DATE: 1I') C-111�
APPLICANT'S AGENT FORM:
Complete the following if the APPUCANT is unable to attend the meeting or wishes to be represented by another party
Owner.
Designates:
As agent regarding: Variance Site Plan Subdivision
For Tax Map No.: Section Block Lot
Deed Reference: Book Page Date
APPUCANT SIGNATURE: DATE:
2.) ENGINEERING FEE DISCLOSURE: Applications may be referred to the Town consulting engineer for review of septic design,
storm drainage, etc. as determined by the Zoning or Planning Department. Fees for engineering review services will be charged
directly to the applicant. Fees for engineering review will not exceed$1.000 without notification to the applicant.
3.) AUTHORIZATION FOR SITE VISITS: By signing this page and submitting the application materials attached herein,the Owner,
Applicant, and his/heiltheir agent(s) hereby authorize the Zoning Board or Planning Board and Town Staff to enter the subject
properties for the purpose of reviewing the application submitted.
4:) OTHER PERMIT RESPONSIBIUTiES: Other permits may be required for construction or alteration activity subsequent to approval
by the Zoning Board or Planning Board. It is the applicant's responsibility to obtain any additional permits.
5.) OFFICIAL MEETING MINUTES DISCLOSURE: It is the practice of the Community Development Department tohave 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.DOCUMENTA ON REQUIRED: I, the undersigned, have thoroughly read and understand the
Instructions for submission and agree to the submission requirements, I acknowledge no construction activities shall be commenced
prior to Issuance of a valid permit. t certify that the application, plans and supporting materials are a true and complete
statement/description of the existing conditions and the work proposed, and that all work will be performed in accordance with the
approved plans and in conformance with local zoning regulations. I acknowledge that prior to occupying the faculties proposed,I or my
agents,will obtain a certificate of occupancy ae necessary. I also understand that Vwe may be required to provide an as-built survey by
a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy
I e read and a!, :e to the above.
/ Print Name A icant Date.signed
Signature[Applicant] [ PPi ]
Signature[Agent] Print Name[Agent] Date signed
Site Plan Review Revised March 2014 9
Town of Queensbury Planning Office-742 Bay Road•Queensbury,NY 12804.518-781-8220
r •
WARREN COUNTY CLERK DOCUMENT * 10747 TYPE DEE
1340 STATE ROUTE 9
REIT 810 s2r400 00
LAKE GEORGE,NY 12845
(518) 761 6426/(518)761 6429 10/06/2003 11 43 00 A M
RECEIPT 15788
CARYL M CLARK
RECORDING COVER SHEET WARREN COUNTY CLERY
EMP INITIALS VOL DE LIFER 1343 PAGE 250
NO OF PAGES —3
ADDTL FEE
ADDTL NAMES
TOWN0.40/12.-41-44ey2100
G--- r *
*
*
*
*
*
*
*
******************k******* ***************************************************************************
Please fill in blanks below before submitting for recording
Grantor/Mortgagor/Lessor 4I)//e0/J-84CX
Grantee/Mortgagee/Lessee 52s k/V 2/'€/.SES L L G
/ / // / /// / / / / / / / / / / / / / / / /
RECORDED BY / RECORDING STAMP
RETURN TO /
Miller Mannix Schachner&Hefner LLC
451 Glen Street 74
LIEL`t __.____OF y
P O Box 765 / - —
Glens Falls New York 12801 / PACE A„D EX�M►NEO
/ C� r 1 EN CC'll 1R YCLERK
03 OCT -6 AM II 43
C-
Upon recording,this page becomes a
part of the document($3 00) /
RECORDED c
..._.. ... .. �.. ,uuv iauuy c. C.
•
Form 8007/BARGAIN 4 SALE DIED WITH COVENANT AGAINST GRANTOR S ACTS IND OR CORP
Stamps ll8ER1343PAGr 2'1
s - THIS INDENTURE,Made the 4f day of Oc-f' 2003
BETWEEN ADIRONDACK IP LLC a New York limited habthty company with an office for the
transaction of business located at 4 Walker Way Albany New York 12205
party of the first part and
SMS ENTERPRISES LLC a New York limited liability company with an office for the
transaction of business located at 559 Queensbury Avenue Queensbury New York 12804
party of the second part
WITNESSETH that the party of the first part in consideration of ONE and 00/100 dollars ($1 00)
'lawful money of the United States and other good and valuable consideration paid by the party of the
second part does hereby grant and release unto the party of the second part the heirs or successors and
assigns of the party of the second part forever
ALL that lot or parcel of land situate in the Town of Queensbury County of Warren State of New York
known shown and designated as Lot No 4 Queensbury Avenue on a subdivision layout plan for
Adirondack Industrial Park Co Inc made by VanDusen and S eves L S datLd January 1991 and filed
in the Warren County Clerk s Office on January 15 1992 as Map No 178 in plat cabinet Al
Lot 4 is a portion of Lot 56 as shown on a map entitled The Industrial Park owned by Counties of
Warren and Washington Industrial Development Agency made by John B VanDusen dated June 2
1978 and filed in the Warren County Clerk s Office on September 19 1978 in Drawer 12 Folder 15
also in Queensbury Book No 101 pages 114 114A and 114E
Lot 4 is subject to drainage easement as shown on said map
The party of the first part grants and conveys a right of way of access to Lot#4 through and over Lot#3
as shown on the map entitled Adirondack Industrial Park Inc dated January 1991 and last revised
November 20 1991 Said map was filed in the Warren County Clerks Office on January 15 1992 in
Plat Cabinet A Slide 178
Being a portion of the same premises conveyed to Adirondack IP LLC by Adirondack Industrial Park
Co Inc by deed dated January 26 1990 and recorded February 5 1999 in Book 1102 of Deeds at
Page 239
This conveyance is made with consent of all of the members of the party of the first part
This conveyance is made subject to enforceable covenants conditions restrictions and easements of
record
Together with a non exclusive easement for ingress and egress over the northerly 30 feet of Lot 3
Queensbury Avenue as shown on said map No vehicles shall be parked on this easement area or any
other activity which would impair ingress or egress for the use of the improvements on either Lot 3 or 4
Together with a permanent easement over the portion of Lot 3 between Lot 3 and Lot 4 for the purpose
of parking Furthermore if the party of the second part, its successors and/or assigns, obtain all
needed municipal permits the party of the second part at its own expense shall have the right to pave •
and maintain such parking area.
TOGETHER with all right title and interest if any of the party of the first part in and to any streets and
roads abutting the above described premises to the center lines thereof
TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to
said premises
TO HAVE AND TO HOLD the premises herein granted unto the party of the second part the heirs or
successors and assigns of the party of the second part forever
AND the party of the first part covenants that the party of the first part has not done or suffered anything
whereby the said premises have been encumbered in any way whatever except as aforesaid
Record&Return
Robert H Hefner,Esq
Mi ler,Mannix,Schachner&Hafner LLC
451 Glen Street
Glens Falls,New York
12801
BK: 1343 PG: 250 10/06/2003 DEED Image: J of .i
Fore 8007/BARGAIN & SALE DEED WITH COVENANT AGAINST GRANTOR S ACTS IND OR CORP L'
y t13Ed134.,FAGE 252
Ny
oa
AND the party of the first part in compliance with Section 13 of the Lien Law covenants that the party of
the first part will receive the consideration for this conveyance and will hold the right to receive such
consideration as a trust fund to be applied first for the purpose of paying the ccs'of the improvement and
will apply the same first to the payment of the cost of the improvement before using any part of the total of
the same for any other purpose
The word party shall be construed as if it read parties whenever the sense of this indenture so
requires
IN WITNESS WHEREOF the party of the first part has duly executed this deed the day and year first
above written
IN PRESENCE OF ADIRONDACK IP LLC
By
Joseph M Clark wi°Ada-, a ry
State of New York )
)ss
County of Albany )
On the s2 4day of 4 in the year 2003 before me the undersigned personally appeared
Joseph M Clark personally known to me or proved to me on the basis of satisfactory evidence to be
the individual(s) whose name(s)ts(are)subscribed to the within instrument and acknowledged to me
that he/she/they executed the same in his/her/their capacity(tes) and that by his/her/their signature(s)
on the instrument the individual(s) or the person upon behalf of which • idual(s) acted
executed the instrument
EUGENE M SNEEPI JR
Notary Public Sta e of ew York
Qualified in Aloany County
No 4700844
Commission Expires April 30 20(1?
EMS!//
3029 03/L W
IMS D
,
617.20
Appendix B
Short Environmental Assessment Form
Instructions for Completing
0• -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses
e 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.I. You may also provideany 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 I-Project and Sponsor Information
�
yj� ��� LLA ls..2��,
Name of Action.or Project:
Project Location(describe,and attach a location map):
Brief Description of Proposed Action:
Is\\ cam \ X -��` v�\c, ��\ \--es.f.)L. c1...., , \ `S\- \\ _, Ate\
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ame of Applicant or Sponsor:_ Telephone �
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Address: < � Jr> - Vi&
City/PO: State:
Zip Code:
1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES
administrative rule,or regulation?
If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that X
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 bout any other governmental Agency? NO YES
IfYes,list agency(s)name and permit or approval; \/ )f
3.a.Total acreage of the site of the proposed action? E. acres
b.Total acreage to be physically disturbed? acres
c.Total acreage(project site and any contiguous properties)owned
or controlled by the applicant or project.sponsor? . :—*----S-
4. Check all land uses that occur on,adjoining and near the propos. aeon
❑Urban o Rural(non-agriculture) K IndustrialCominert:ial 0 Residential(suburban)
*Forest o Agriculture 0 Aquatic o Other(specify); -
o Parkland
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5. Is the proposed action, NO YES N/A
a.A permitted use under the zoning regulations? X
b.Consistent with the adopted comprehensive plan? X
6. Is the proposed action consistent with the predominant character of.the existing built or natural NO YES
landscape?
7. Is thesite of the proposed action located in,or does it acjoin,'a state listed Critical Environmental Arca? NO YES
If Yes,identify: �(
8. a.Will the proposed action result in a substantial increase In traffic above present levels? NO YES
x
b.Are public transportation service(s)available at or near the site of the proposed action? x
c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action?
9.Does the proposed action meet or exceed the state energy code requirements? NO YES
If the proposed action will exceed requirements,desgihe.design features and technologies:
•,
10. Will the proposed action connect to an existing public/private water supply?
NO YES
If Yes,does the existing system have capacity to provide service? IR NO 0 YES
If No,describe method for providing potable water:
11.Will the proposed action connect to existing wastewater utilities?
NO YES
If Yes,does the existingsystem have capacity to provide service? IIINO'0 YES
If No,describe method for providing wastewater
•
12. a.Does the site contain a structure that is listed on either the State or National Register of Historic X YES
Places?
b.Is the proposed action located in an archeological sensitive area?
13.a..Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES
wetlands or other waterbodles 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:
14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply:
Cl Shoreline 0 Forest. 0 Agricultural grasslands 0 Early mid-successional
Cl Wetland *Urban .Cl Suburban
15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES
by the State or Federal government as threatened or endangered?
16.1s the project site located in the 100 year flood plain? NO YES
X
17.Will the proposed action create storm water discharge,either From point or non-point sources? NO YES
If Yes,
•
NO❑YES X
a.Will storm water discharges flow to adjacent properties?
b.Will storm water discharges be directed to established conveyance systems(runoff and strain drains)?If
Yes,briefly describe: D NO OYES
eco �X,�i ��rC-st.
Pap 2of4
18.Does the proposed action include construction or other activities that result in the impoundment of NO YES
water or other liquids(e.g.retention pond,waste lagoon,dam)?
If Yes,explain purpose and size: x
19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES
solid waste management facility?
If Yes,describe:
20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES
completed)for hazardous waste?
If Yes,describe:
I AFFIRM THAT THE.INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY
KNOWLEDGE _
Applicant/sponsor ami � ��, \ Date: \
Signature: veZ /3 %7 J
Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following
questions in Part 2 using the information contained in Part I 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
rti•. may may
occur occur
•
material conflictwith an
land use plan or zoning
I. Will the proposed
action create aadopted
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
establishment of a Critical Environmental Area(CEA)?
5. Will the proposed action result inan adverse change in the existing level of traffic or
affect 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
reasonably 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,
architectural or aesthetic resources?
9. Will the proposed action result in an adverse change to natural resources(e-&.wetlands,
waterbodies,groundwater,air quality,flora and fauna)?
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•
No,or Moderate
• small to large
•
Impact impact
may may
• occur occur
10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage
problems?
11. Will the proposed action create a hazard to environmental resources or human health?
Part 3-Determination.of significance. The Lead Agency la responsible for the completion ofPart 3. 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,incltiding 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.
a 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.
o 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 Date
Print or Type Name.of Responsible Officer in Lead Agency Title of Responsible Officer
Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer)
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