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Faden Site Plan Review Application Site Plan Review Application Review Process: Applicant and/or agent shall meet with Zoning Administrator to determine type of review needed Pre-submission meeting with staff is required to determine general completeness of application materials (to be held no later than 1 week prior to deadline submittal - Cali (518) 761-8220 for an appointment). Application submittal: one (1) original application package, one (1) deed and 14 copies of the application package with the application fees Determination of application completeness and placement on an agenda Planning Board meetings are generally the third & fourth Tuesday's of each month. You will be advised in writing as to which meeting to attend. Following the meeting you will be provided with a copy of the resolution stating the Board's decision on your application. If your application was approved, the next likely step is a Building Permit. It your application was denied your project cannot proceed as submitted. *Fee: $100.00 (0 to 10,000 sf); $250.00 (10,001 to 30,000 sf); $500.00 (30,001 to 100,000 sf); $1,000.00 (100,000 -sf) Zonjfttaff & Contact Information. Craig Brown, Director of Planning, Zoning &Code Compliance craigb@aueensbury.net Laura Moore, Land Use Planner ImooreO_queensburv.net Pam Whiting, Office Specialist (518-761-8220) pamw@queensbury.net Site Plan Review Revised March 2014 Z Town of Queensbury Planning Office-742 Bay Road •Queensbury, NY 12804.618-701-8220 General information Tax Parcel JD: Lot 1)309.10-1-47, Lot 2)309.10-1-48, Lot 3)309.10-1-49 Zoning District: MS- Main Street,Zoning District Lot size: Lot 1)0.24 acres, Lot 2)0.42 acres, Lot 3)0.46 acres Current Use: Three residential homes on three lots. Proposed Use: Demolition of 3 existing residential homes. Consolidation of 3 lots to 2 lots-Construction of 3 buildings: a 8,200 sf retai I/Subwayb u i[ding, a 1,600 sf office building, and a 2 400 sf bank with associate appurtenances. Project Location: 75-79 Main Street, Queensbury, NY 12804 Applicant Name Address: Russell Faden 1 Faden Enterprises Inc 29 Li E Ann Drive, Saratoga Springs, NY 1286 Home Phone Cell: (518)796-3746 Waris Phone Fax E-Mail: russellfaden@yahoo.com Agent's Name: Address: Lansing Engineering,PC 2452 Route 9,Suite 301, Malta,NY 12020 Horne Phone Cell: Work Phone Fax (518)899-5243 (518)899-5245 E-mail smf@lansingengineering.com Owner's Name: Address Robert Goodwin PO Box 636, Balton Landing, NY 12814 Home Phone Cell Work Phone Fax E-mail Site Plan Review Revised March 2014 Town of Queensbury Planning Office,742 Bay Road• Queensbury,NY 12804.518-761-8220 Site Development Data Area/Type Existing sq.ft. Proposed Total sq. ft. Additions . ft. A. Building footprint Lot 1)2,081,Lot 2) NIA Bldg 1)8,200, Bldg 2) 1,416,Lot 3) 1,902 2,400, Bldg 3) 1,600 B. Detached Garage 0 NIA 0 C. Accessory Structure(S) Lot 1)320 N/A 0 D. Paved, gravel or other hard surfaced area Lot 1)1,600, Lot 2) NIA 37,897 400, Lot 3)200 E. Porches/Decks Lot 1)118,Lot 2) NIA 0 179, Lot 3)250 F. Other(i.e. boathouse, sundeck, etc.) 0 NIA 0 G. Total Non-Permeable [Add A-F] 8,466 N/A 9,147 H. Parcel Area [43,560 sq. ft./acre] 48,787 N/A 47,044 1. Percentage of Impermeable Area of Site [I=G/H] 17.4% NIA $0% Setback Requirements Area Required Existing Proposed Front[1] 40' Main Street 45'+/-Wain Street 40'Main Street 20'Pine Street 5'+/-Pine Street 0'Pine Street Front[2] NIA NIA NIA Shoreline 50' NIA NIA Side Yard [1] o' 40' 0' Side Yard [2] NIA NIA NIA Rear Yard [1] 10' NIA 10' Rear Yard [2] NIA NIA NIA Travel Corridor NIA NIA NIA Height[max] 40' 30' 30' Permeability 5% 83% 20% No. of parking spaces 68 6 57 Site Plan Review Revised March 2014 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? no 2. If the parcel has previous approvals, list application number(s): n/a 3. Does this project require coverage under the NYS DEC Stormwater pollution Prevention Program? no 4. Estimated project duration: Start Date 412016 End Date 1212016 5. Estimated total cost of project: TBD 6. Total area of land disturbance for project: 0.9 acres 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 Main Street MS 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. A. Parcel Area sq. ft. B. Existing f=loor Area sq, ft. [see above definition] C. Proposed Additional Floor Area sq. ft. D. Proposed Total Floor Area sq. ft. E. Total Allowable Floor Area (Area x ) [see above table] *lf D is larger than E, a variance or revisions to your plan may be needed. 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 § 779-9-080 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 Will- See attached sheet for responces to the below uestio ns. STANDARDS A. The proposed project furthers or Is consistent with the policies of the Town's Comprehensive Plan. B. The:proposed project complies with all other requirements of this Chapter,Including the site plan review standards as set forth in Paragraph F of this section,the dimensional,bulk,and density regulations of the zoning district in which it is proposed to be located(Article 3 and Table t), the applicable requirements of all other Articles that apply. C. The site plan encourages pedestrian activity internally and,if practicable,to and from the site with pedestrian paths or sidewalks connected to adjacent areas. D. The site plan must conform to Chapter 936 Sewage and Sewage Disposal, Chapter 147 Stormwater Management Local taw, and other applicable local laws. E. the proposed use shall be in harmony with the general purpose or Intent of this Chapter,specifically taking into account the location,character and size of the proposed use and the desodption and purpose of the district in which such use is proposed,the nature and intensity of the activities to be involved in or conducted in connection with the proposed use and the nature and rate of any increase in the burden on supporting public services,and facilities which will follow the approval of the proposed use. F. The establishment,maintenance and operation of the proposed use will not create public hazards from trafflo,traffic congestion or the parking of vehicles andlor equipment or be otherwise detrimental to the health, safety or general welfare of persons residing or working in the neighborhood or to the general welfare of the town.Traffic access and circulation, road intersections,road and driveway widths, and traffic controls will be adequate. G. Off-street parking and loading facilities will be appropriately located and arranged and sufficient to meet traffic anticipated to be generated by the new use. The establishment of vehicle links between parking areas of adjacent properties are provided where feasible. This furthers the Town's goal of reducing curb cuts and reducing congestion. A twenty-foot wide connection is required. If adjacent properties are either undeveloped or previously developed without having made provision for future linkage, then a future connection must be identified and provided for in the site plan under review for such future linkage when the time arises. The Planning Board may require proof that the applicant has made contact with adjacent property owners for purposes of coordinating linkages with adjacent properties. H. The project shall not have an undue adverse Impact upon the natural,scenic,aesthetic,ecological,wildlife,hlstorio,recreational or open space: resources of the town or the Adirondack Park or upon the adequate provision of supporting facilities and services made necessary by the project, taking into account the commercial, industrial, residential, recreational or other benefits that might be derived from the project. In making the determination hereunder,the Planning Board shall consider those factors pertinent to the project contained in the development considerations set forth herein under§179-9-080 of this chapter,and In so doing,the Planning Board shall make a net overall evaluation of the project in relation to the development objectives and general guidelines set forth in§178-9.080 of this Article. 1. The provision for and arrangement of pedestrian traffic access 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 pedestrian use. 1. 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 adversely affect drainage on adjacent properties or public roads. Facilities shall be In conformance with the drainage standards of Chapter 147 of the Town Code and the Town of Queensbury Subdivision[Regulations where applicable. K. The water supply and sewage disposal facillfles will be adequate and will meet all applicable and current requirements set forth by Department of Health regulations and Chapter 136 of the Town Code. L. The adequacy, type and arrangement of trees,shrubs and other suitable plantings, landscaping and screening shall effectively provide a visual andlor noise buffer between the applicants and adjoining lands, Including the maximum retention of existing vegetation and maintenance,Including replacement of dead or deceased plants. M. Fire lanes,emergency zones,and fire hydrants will be adequate and meet the needs and requirements of emergency service providers. N. The design of structures, roadways and landscaping In areas susceptible to ponding, flooding andlor erosion will minimize or avoid such impacts to the maximum extent practicable. O. The site plan conforms to the design standards,landscaping standards and performance standards of this chapter. Site Plan Review Revised March 2014 5 Town of Queensbury Manning Office-742 Bay Road•Queensbury, IVY 12804.518-761-8220 179-9-050 Application far Site Plan Review Absent any waiver or waivers, an application for Site Plan Review shall include the following: REQUIREMENTS Sheet# A A vicinity map drawn at the scale that shows the relationship of the proposal to existing community facilities which alleet or serve it, such as roads, shopping areas, schools, etc. The map shad also show all properties, identify owners, subdivisions, streets, and CV-1, easements within 590 feet of the property. Such a sketch may be superimposed on a United States Geological Survey map of the ECD-1 area. R The site plan shall be drawn at a scale of forty feet to the inch(1'=40 feet)or such other scale as the Planning Board may deem appropriate,on standard 24"x 36'sheets,with continuation on 816"x I V 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. CV-1 D Name and address of the owner of record,developer,and seal of the engineer,architect,or landscape architect. if the applicant is not CV-1 the record owner,a letter of authorization shall be required from the owner E The location and use of all existing and proposed structures within the property,including all dimensions of height and floor area,all LMG-1 exterior entrances,and all anticipated future additions and alterations. E 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 fences. location,type,and screening details for all waste disposal containers ECD-1 shall also be shown. LMG-1 G The location,height,intensity,and bulb type.(sodium,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§179.6-020. LT-1 R The location,height,size,materials,and design of all proposed signs. Attached I The location of all present and proposed utility systems Including: 1. Sewage or septic system; 2. water supply system, LM-G 3. 'Telephone,cable,and electrical systems; and 4. Storm drainage system including existing and proposed drain lines,culverts,catch basins, headwalls, endwalls,hydrants, manholes,and drainage swales. J Pians to prevent the pollution of surface or groundwater, erosion of sol both during and after construction, excessive runoff, and flooding of other properties, as applicable. A Stormwater Pollution Prevention Plan (SWPPP) for all land development activities (excluding agricultural activities) on the site that results In land disturbance of 1-acre or more. A SWPf P shall comply with the requirements of the DEC SPDES MS-4 General Permit and Chapter 147 of the Town of Queensbury Code. It shall be at the SSCP-1 discretion of the Planning Board as to whether a SWPPP or an erosion and control plan shall be required for a site plan review project land disturbance of less than 1-acre. K Existing and proposed topography at two-foot contour intervals,or such other contour interval as the Planning Board shall allow. All elevations shall refer to the nearest United States Coastal and Geodetic Bench Mark. it any portion of the parcel is within the 100- ECD-1 year floodplafn,the area will be shown,and base flood elevations given. Areas shall be Indicated within the proposed site and within LMG-1 50 feet of the proposed site where soli removal or filling is required,showing the approximate volume in cubic yards. L A landscape plan showing all existing natural land features that may Influence the design of the proposed use such as rock outcrops, stands of trees,single trees eight or more inches in diameter,forest cover,and water sources, and all proposed changes to these LP-1 features including sizes and types of plants. Water sources Inciude ponds, lakes, wetlands and watercourses,aquifers,floodplains, and drainage retention areas. M land Use District boundaries within 500 feet of the site's perimeter shall be drawn and identified on the siteIan, as well as any Y ECD-1 Overlay Districts that apply to the property. Site Plan Review Revised March 2014 b Town of Queensbury Planning Otlice�742 Bay Road•Queensbury, NY 12804-618-781-8220 REQUIREMENTS CONITINUED Sheet 'f N Traffic flow patterns within the site,entrances and Exits,and loading and unloading areas,as well as curb cuts on the 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; LMG-1 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 intersections. 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.; CV-1 2. Estimated maximum number of employees; LMG-1 3. Maximum sealing capacity,where applicable;and 4. Number of parking spaces existing and required for the intended use. P 1. Floor Plans. 2. Elevations at a state of one-quarter inch equals one foot(1/4"=1 foot)for all exterior facades of the proposed struoture(s) and/or Attached alterations to or expansions of existing facades,showing design features and indicating the type and color of materials to be used. Q Soil logs,water supply well and percolation test results,and storm runoff calculations,as needed to determine and mitigate project CV-1 Impacts. LMG-1 R Plans for disposal of construction and demolition waste,either on-site or at an approved disposal facility. ECD-1 S Plans for snow removal,including location(s)of ort-site snow storage. LMG-1 T An Environmental Assessment Form("FAP),as required by the SEQRA regulations,will)Part t completed by the Applicant shall be submitted as part of the application. If the proposed project requires a spec-sal use permit and an EAF has been submitted In Attached conjunction with a special use permit application,a duplicate EAF is not required for the site plan application.. U it an application is for a parcel or parcels on which more than one use is proposed,the applicant may submit a single application for all such uses provided the proposed uses are accurately delineated on a site plan drawn pursuant to the requirements set forth above. The Planning Board may grant the application with respect to some proposed uses and not others. For purposes of reviewing CV-1 an application (and for SEQRA compliance) all proposed uses on a single parcel or on contiguous parcels shall be considered I_MG-1 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. Attached Site Pian Review Revised March 2014 7 Town of Queensbury Planning Office-742(jay Road .Queensbury, NY 12604-618-761-8220 Pre-Submission Conference Form 179-4-040 1. Tax Map IDy .. .,1��w1 , q? �4 1 2. Zoning Classification t 3. Table of Allowed Uses ('V, L) �'� is subject to Site plan Review 4. Ordinance Section# j '7C( ' et -7-0�0 `rG� e_�o•c r`n t,lq- to-()qo S vc 5. Pre-Submission Meeting Notes; Outstanding items To Be Addressed Include: Deed Yes No General.Information complete ✓Yes No ���` Site Development Data Complete ✓ Yes No Setback Requirements Complete s"'Yes No Additional Project Information Complete ✓Yes No *Coverage under DEC SWPPP Program AIA Yes No FAR Worksheet complete Yes No Standards addressed Yes ': 'No Checklist items addressed Yes No Environmental Form completed ::✓yes No Signature Page completed Yes : 7 No. 1A=C4k%r env D_ r_V53et.1 to � i-m yg c S c t c 1 - rz3 c �v verrcc.�c 54rn(A 'qs� Ck I- v ^r r c.�'J� Ri A5 c rkx'n.r✓<1- *Applicant must provide.office with Notice of Intent. NOI • SWPPP Acce tance Form DEC letter issuln permit number: Notice of Termination(NOT) Staff Representative: rt Applicant!Agent: Date: Site Plan Review Revised March 2014 8 Town of Queensbury Planning Office-742 Bay Road-Queensbury, NY 12804.518-781-822© Short Environmental Assessment Form Part I Project Information Instructions for Coin letin Part 1-Project Information. The applicant or project sponsor is responsible for the completion of fart 1. Responses became part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I 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: Faden Enterprises Site Plan Project Location(describe,and attach a location map): 75-79 Main Street,Queensbury,NY Brief Description of Proposed Action. The project site is 1.08 acres and currently contains 3 residential buildings.The applicant proposes the demolition of the 3 residential buildings and construction of 3 buildings:a 8,200 square foot building with a Subway and retail space,a 1,600 square foot office building,and a 2,400 square foot bank with drive-thru.Site ingresslegress will be from one point from Main Street and one point from Pine Street.The site shall be serviced by proposed connections to public water and sewer.Stormwater will be managed on site and tied in to the existing storm system located on Main Street.There will be a lot consolidation from 3 lots to 2 lots.There will be a sign variance request for the setback from the property line from 15'to 51. Name of Applicant or Sponsor: Telephone: 518.796.3716 Russell Faden/Faden Enterprises Inc E-Mail: russelifaden@yahoo.com Address: 29 Liz Ann Drive City/PO: State: Zip Code: Saratoga Springs NY 12866 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 V F1 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 governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: El ❑ Town Zonning Board,Town Planning Board Site Plan Review,&Special Use Permit Review 3.a. Total acreage of the site of the proposed action? 1.08 acres b. Total acreage to be physically disturbed? 0.9 acres c. Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 1.08 acres 4, Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial m Commercial m Residential(suburban) D orest ❑Agriculture El Aquatic El Other(specify): ❑Parkland Page 1 of 3 5. Is the proposed action, NO YES NIA a. A permitted use under the zoning regulations? ❑ a ❑ b. Consistent with the adopted comprehensive plan? ❑ ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ ❑ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: V ❑ 8. a. Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed F4 0- 0 El- c. c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ❑ Z 9. Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: ❑ Z 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: _ ❑ Z 11. Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: ❑ 12. a. Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ® E] b. Is the proposed action located in an archeological sensitive area? Z 13. a. Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES 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? ❑ I£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: ❑Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ❑ Wetland m Urban ❑Suburban I5, 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? 0 ❑ 16. Is the project site located in the 100 year flood plain? NO YES 17. Will the proposed action create storm water discharge, either from point or non-point sources? NO YES If Yes, a. Will storm water discharges flow to adjacent properties? W]NO ❑YES ❑ ❑✓ b. Will storm water discharges be directed to established conveyance systems(runoff and stonm drains)? If Yes,briefly describe: ❑NO [ ]YES sr ife and conveyed ko an existing storm sy� ysithin main street. Page 2 of 3 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: ❑ 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: 1-14 El 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: Z ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor ante;_ ���; : of r iq Date: Signature: PRINT FORM Page 3 of 3 V.1J1.z1zVlt] VO;,L.E Mvp1;Q1U4vZ1%040 i'duv; z Signature Page title to o frtoludlee the 7.)AuthCRi7 iibn to A0t as Agont Farm:2.) tglneering F0 At>#tOrtzativrt for SRO Vlsb; 4.) Q#ter Permit t3asparSsi6Stlties; b.} pfficlal Meeting Mclosure tinct 6.) Agreerttarrt to pto*t4s doournentat;ort tequlred. OVrraWe AoW FORM- C.p npWe the following I tha OWNER of thO property is not the ssme as the applioant Owner, ocalgnateo: M"ant roptding: , _Vadanca_Site Ptw SubdivWk)n For Tex MaA No.: _.__R_Ssectlort _Block —W Deed Reference: Moo - _ . Page —Data OWNER SIGNAL UM'. DATE: Camplata the fattarming 9 1h APPUClAl+T is urtbla to attend the meeting or wighes to bo represented by another lrart�r As agerrt raparaft: .V Vadanva e P SubdMsivn Far'1 ax fthaNo,; �', -�aainn Dloatc 4'7 l,.at �a—71.1� • J � ^��, �c��i. r c, - i DoW Uarenoa, sl„*" ak :l ALI- APPUCANTSMATURE. 2,) 6 RING-ME MVAQstl M Appka$m;may,be raferred to tlwl Town caAWMr o sn~for ria&w of sepftc desip. storm ora Va, M as dettewkn *d by the Zara V of picl jog Deepettmett. l'eas for anght62M; CQ*W Mvtoe&wHt tro ObAfpd ctirecily lo Ihs fit. Feos for err trteWt tg reriow wOt not oxcaod$1.000 wa*vkt nofflfw�n to the+sppWMc %) • By&3gnjnp this paras arto submttftng the aWlt l9ftl MOM MTs sltsdhed Mersin.the owner. AM>ff mt. aad hwhe►iRlteft Vgrttt8) tweW w tt Azo the 24rrN E*ard or planning Baatd arrd Town Sufi`to org r thR sttb W pmpw*)*for Sha pose of revlatt ttm appPmtkm autarrattoa. 4,)QIM (Xtw pem►lts may be aegvked forr.artfitrWtan or affarw*M 40why cubscquOrrt to BPPMVtd by me Z�*g saaM or}farutbtg 8oa,td- it iv the a cenea raspartstbW So obtain any adSclanal peftt& S-3 PM #is thea of the Cpn�rrrunity Devsloptttent tMnt to hm a do ftmd stenogt�gr re and The pmwm-np of maofl)rgs reKtdt�rm appbmtbn.and W u W tar wfibed fraat Uhm topes condlWas Om afflctal rmdard of ail pruaeOngs. s-) AQF11{1 1aNT-, U.pfiMCe MCt►A !i fA't:1t►At gEMEM, t,the rtndt rwlgnod, have#wow*road wl d wWamstarect the Mrxrcft=iar 0Wxft$M MW agm to tho strtamfsslon MV3remsrxs,t&RnM10490 no oomnaw xwuw stfsti be oomtnenesd pAw to Nstmmv of a valld permit. 1 cantly chat ftrp gmg(tRwon. plans artd aup)pm ingl ftmbwhts are a tTuar ar)d optttptate ,*tareratrN M of tats.fixk tR9 000ff s;and Ow Work propasod,and 1hid all warfc IWIH ba P4401M4 In accprdaho Tho apprarsrt p6ans snd Fn ca�ora'cetrrce with lc>Gat�nr1£rtg rr,�trr�ttorYs. !eottrtrnv( Ihsrt poor to oxtlpytrlg ttro fac><lttas prpp�d,I gr,nty a ucot%Wit ob.W a Cetfllbad uf'o0wo oy as nomaaary. I also underAwW that Uwe may ba regXred to pravltfe ah aa•bullt AtUvey by 4 t MMMd 1hrld WtV&yatbf tttl hvWty CbWruatad fanlpilae prior to isan¢rrsoe of a otrrtitfeAto 03 owupw*y I hese Mad and. req W the efNM, AVIIIJ2 -1-A 1 I/ ( pplkma t) �t'int Name A ilo dw r # � si0tx � Ply 7bd $19 t re[Agent Pr tit Lemli[,gym) D to fined Site Alert I;Elrinw fieV*d A99rQh 2014 Town of t, arrstwry I�fartrttrtg OMC&Y42 Bay Road,Quaen*q,NY 12$04.516-761-i:+M