subdivision final stage application Proal 'Stage Revised April 20110,
5 dr M. �i 1y��¢� III PH
Subdivision Review Application
Final Stage �' � � 3 2016
REVIIEWPRQCESS: TOWN OF() l"ES Y"
h`�t itll � i�f 1 �
11) Required Pre-submission, meeting w1th staff to determine general completeness to be held mea lot r
than I rpor to deadline day. Call (511 8) 761-82.20 for anf apps i;ntm nt
Submittal of compliete apppicati nr: 1 original and 14 copies of the application paackaag by rn nthl'y
deadline,
1) Determination of application completeness, all necessary imforrm-atirnm must dna provided dl ndl
appropriate fee(s) paid fuer consideration for placement can an agenda for that month.,
4) [ncoirniplete applications will not be considered for placement on any agenda uinftil all missing
information has been submitted.
Planning Board r eebng, generally the third & fourth 'Tuesday offeach month, You wHI be advised in
writing as towwhich meeting to,attend-
6)
Following the meeting ou will be provided with a copy of the resolution uataattin the Board's, decision
on your appliinaticon_ if your application was denied your project cannot proceed as submitted,
DO,CUMENT TIONS BEQI lIIREMENTE'
1 Please submit 1 ina & 11 c��ni�a of the completed application package to in lull :
Completed pli �a'jiirw pages 1_ completed, signed dated
Ena- ubamissign taatin Notes: signed by staff
Gore Dem 1'
u ry
E.qe. 100 + ' per lot
ZONING STAFF & CONTACT INFOR ATI N:
• Craig brown, Zoning Administrator crai �u� n lour .,n t
• Laura Moore, Land Use Raann r lrrmmora( a eaEbu net
• Pam Whiting, Office Specialist 518-761-8220 parnw@gueginbur
y.net
Visit our website at www.queensbuEy.net for further imf rrnaation and forms
Town off ueens,bury Planning Office-- 742 Say Road - Quem. bury, N'''h'" 128,04 - $18-761-8220
Final Stage Revised Ap�Hl 2010,
General Information
Tax Parcel ID Numbeir". 240-9-1-8 "V E D
Zoning District: NC 13 2016
8ppfir, e.1ch, TOWN OF QU E E MS['31 U R"�
,gfion Slag gqk,pnel
Sketch IPlan Stage G C lz�zldE
Preliminary Stage
Finall Stage X.
I ndicate the following:
Number of lots proposed' Two
Residential or Commercial Cummiercial
Totall Lot acreagle 4 148
Proposed lot sizes 1 004&3'144
Project locabon Rt 9L&Cleverdale Ruad
Detal led Description of Project lincludie ou rrent& proposed u8 ]
Existing Store and Real Estate Office,- same as proposed
Applicant Namie:
M�
Home Phone e Cesad P01 Bolx 307 Cleverdale NY
5,118-48,0-1732
Work Phone Fax
E-Maill,
Agenfs Nam, e: Address:
Van Dusen, & Steves 169 KaWand Road
Home Phone, Cell:
Work Phone 518-792-8474 Fax 518-792-8511
E-mail
Maual�Sljrvey�com .........
Owner"s Name Address
Sarne
Home Phone Cell
W6rk Phone Fax
E-mail
Town,of Queerisbury ftnning Office 742 Say Road Queeinsbury, NY 12604 5118-761-8220, 11
Final Stage Revised Ap N 2010,
ITEMS TO BE I DENTI F1 E D BY STAF FDU RING PR,E-SU BMISSION MEETI NG
You should use this page for guidance when drafting your application; however, it will be completed by a staff member..
Submittal of a preliminary plat depicting existing and proposed conditions, shall include, the items as, noted below,
Failure to include all required informatiloin may result in a determination of inicompleteness, and a delay in the
processing of your application-
§A183.16. Pllat details andl requirements
The applliicant is required to submit one (1) originall and fourteen (14), copies of the final plat application, Suchl
application shall inQl ude the following doco ments andloir jinformatiom.
AINAL PLAT, The firnal plat shall be laid oust by a licensed professional engineer with a properly executed New
York State Education Department Exemption N or a licensedland: surveyor. Suchfinal plat shall be prepared at a
scale of'one inch equals 50 feet,zero inches, clearly sbowing-
(1)The bearing and length;of all straight I inesand the,radii, lengths and central angles of all cuirves aloing all
property and street fines.
(2)The area of each lot in square feet or in acres,, if su chi lot is larger thea one acre-
(31)The connection by proper measureirnent between street center lines whiere such streets are not straight across
,an intersectilng street, both within the subdivision and where opposite,existing streets orsubdivisions.
(4)A system of monuments to be located at all corners of intersections,and angle points.
(5) The bul Idlingi setback lines for each lot,
(6) Fire and school district boundaries,within the subdivision area..
(7) Existing zoningi, with the location of any district boundarles Wthin,200 feet of the property to ble:subdivided,
(8) The bounclairies of the properly, the lines of proposed lots, streets, and parks, and the lines of all adjoining
streets,, their names and exact survey,locations.
(9) The names of all subdivisions immediately adjacent and opposite or:, if not subdivided, the names of,the owners
of record of adjacent and opposite,property.
(10) A staternent that the plain is in compliance with the Town of Queensbury Zoning Law.
(11) A statement reading as follows: "'Approved under authority of a resolution adopted
by the Planning Board'of the Town of Que!ensbuiry, New York-
Chairman."
(1 2) A title block, showing the name,of,the subdivision, the ownieir, the scale,the date and North point-
(13) A certificate of the licensed engineer andfor land suirveyor making such plan to the effect that the plain is
rrect and made,from an actual survey; the license number and seal of the engineer and land surveyoT shall be
affixed to the drawing,
B. EDORS EENT' OF' STATE ANDCOUNTY AGENCIES, Evidence shall be supplied that any proposed water
supply and sewage disposal facilities associated with the subdivision plat requiring approval by the Department
of Environmental Conservation, and/or New York State Deparlment of Health have mcei'ved at least preliminary
approval(s), of such facilities and that, any special district extensions required hiave been authorized by the
Queensbury Town Board, Any proposed water supply and sewage disposal facility shall meet the Town of
Queensbury design and construction standards for such facility,. Editor's Note'. See Chi. 1138, Sewers and Sewage
Disposal, and Ch. 173, Water. The plat shall not be stamped approved until all state-or county-required approvals,
'for each lot of the subdivision have been received in writing by the Punning ng Board,
Town of Queensbury Planning Office, 742 Bay Road - Queensbury, ANY 12804 - 518-761-8220 2
final Stage Revised April 20-10
C.. OTHER PLANS AND REPORTS, Other plans and reports shall be submitted as Ulows:
(1)A planting plan illustrating species,and location of proposed tree planting.
(2),Atree clearing plan illustrating areas and methods of protectbn of existing trees to remain,
(3) An erosion control plan illustrating methods, and location of eToslon control devices and schedule of
maintenance of such,devioes and other actions to reduce erosion,
(4) A stormwater management plan andl a pollution Ipreventivan plan,consistent with the requirements,(Yf Tolwn of
Queensbury Stormwaiter Management Local Law, and with the terms of preliminary plat approval,
(6) Construction plans showing grading and other site improvements and details of those site improvements-
0, 11' the subdivision is to incl:'ude any PROTECTED OPEN SPACE, all appropriate easements, deed covenants,
condifions, and restrictions approved by the Rlanining Board andl/or the Town Attorney related to such protected
]ends,
E. HOMEOWNERVASSOCIATION OR CONDOMINIUM AGREEMENTS,, If the subdivision is to be managed by a
horneowners'as,sodation or condominium, coples of their regulations and agreements, indicating any restrictions
required by the Planning Board, shall be submitted. If the subdivisjon is to be sold fee simple,, copies of deeds
indicating any restrictions, requilred by the Planning Board shali be submitted.
R STREETS,, RECREATION LAND OR OPEN SPACE
(1) The plat shall! be endorsed with the necessary agreements in connection with required easements or releases.
Offers ol"dedication to,the Town shall be presented prior to plat approval, Formal offers,of dedication to the Town
of all streets and parks, not marked oni the plat with notation to the effect that such dedication willl not be offered,
shaill be filed with the Planning Board prior to, plat approval- If the ownerof the land or his agient who files the plat
does not add as, part of the plat a notation to the effect ,that no offer of dedication of such, streets,, highways or
parks, or any of t�hiem, is made to the public, the filing of the plat in,the office of the County Clerk or register shall
constitute a continuing offer of dedication of the streets, highways,or parks, or any of them, to the publ[c, and said
offer of dedication may be accepted by the Town Board at any time prior to revocation of said offer by the owner
of the land or his agent,
(2) The approval by the Planning Board of a subdIvision, plat shall not be deemed to constitute or imply the
acceptance by, the Town of any street, park, playground or other open space shorn on said plat. The Planning
Board may require said pillat to be endorsed with appropriate no#es to,thin effect- If the Town Board determ ines that
a suitable park or parks of adequate size cannot be properly located in any such plat Or is othierwrise not practical,
the Board may require, as a condition, to approval of any such plat, a payment to the Town of a sur n to be
determined by the Town, which surn shall constitute a trust fund to be useld by the, Town Board exclusively for
neighborhood park, playground or recreation purposes, including the acquisition of property. The Planning Board
may require the, filing of a written agreement between the applicant and the Town Board covering future title,
dedicatilon and provision for the cost of grading, development,, equipment and maintenance of any park or
playground area,
G, FEE, ,,
(1) The application for final plat approval shall be accompanied' by a fee as established by the Town Board by
resolution ands as I[stedl on the correct schedule of fees for the Town of Queensbury,posted in the Pfanning Office.
(2) In addition to, the fee listed on the scheddle of fees, the Planning Board may charge a fee to developers, of
projects requiring legal and technical reviiew, provilded that the fee charged reflects the actual cost of the legal and
technical assistance to the Planning Board,
Tom of Queensbury Planning Oiffice. 742 Bay Road , Queensbury, NY 12804 - 5118-761-82,20 3
Fined Stage Revised Aril 2010
Pre-Submis,sJoin Conference n►rrn
1. Tax Map 10 2,40.9-1-8
2. Zoning Classuication NC
3. Reason for Review,
,4„ Ordinance, Section#!:
5. Pre-Submission Meeting Notes-, Outstanding Items,To Be Addressed lndude!:�
1. Deed a /Yes No
2. General Information �Yes No
I Final Plat Details & Requirements dee o
4- Final Nat Yes No
5, Endorsement of State &County Agencies Yes No
6, Other Plans & Reports i Ye's Nio
7'.. Protected Open space documents Yes No
8Homeowners Assoc. or,Condominibm Agreements Yes, No
9. Streets, Recreation Lander Open Space Yes No
,
10. Fees YesNo
11. Signature Page Yes, No
A�
L4 ac f2le Lke w2d C1211
Staff Relpre-senta.five: 't
Applicant I Agent:
Date., 001�
Town of Queemblury Planning Office, 742 Say Road ° Quaentb,ury, NY114 " '5'1$761-8220 4
Finaill Stage Revised April 201 O
Siginat�ure Page
This page lndudes, 1.) Authorization to Act as Agent Form- 2.), Engineering Fee, Disclosure; 3JAuthorization for Site
Visits, 4,) Other Permit Respoinsibillfies; 5.) Official Me!etinig Disclosure and 6.) Agreement to provide documentation
required.
OWNER'S AGENT FORM'
Camplete the folloWng if the MNER of the property las not the same as the applicant
Owier:
Designates�
As agent reg ardlng "Variance Site Plan'
For Tax Map No,,; Section Block Lot
Deed Reference:: Book Page Date
-OWNER SIGNATURE" DATE:
7
APPLIIC�ANiVs oRm
AGENT F ,-,
Complete the following if the APPLICANT is unable t a tt�end the meefiog or wishes t'o be represented by another
party�:
C
OwM22L
ner, an Gesad
Designates, Van Diusen,& Steges
As agent re4pacfin Val I iRan C e Site Plan X SubdiVisicn
For Tax Ma ion 84ock. Lot
Deed Refere Z40 page Date
OWNER SIGNATURE: DATE:
2.1 EN GINEERIRG FEE DISCLOSURE Applications may be referred to the Town consulting engineer for review, of septic design,
storm, drainage, eW. as determined by the Zoning or Planning Department. Fees, for,engineering review,services wifl be charged
directly to the applicant. Fees for engineering review will not exceed$ 1,0D01 without noftation to the applicant.
1) 6.91HORIZALIQUI-OR $115 VISI�TS; By signing) this page and submitting the application materials attached herein, the
Dwner, Applicant, and his1her/their agent(s) hereby authori-,e the Zoning, Board or Planning Board anid' Town Staff to, enter the
subject properties,for the puirpose of roviewing the application submitted.
11OTHER PERMIT_R,5$_P_0_N3151LIT1E$_,, Other permits may, be required for construction or alteration activity subsequient to
approval by the Zoiniing Board or Planning Board, It is,the applicanUs responsiabjifty toobtainany additional permits..
5.) OFFIVAL IMEE,TING MIMUTES DISCLOSURE, It is the practice, of the Communifty 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 REQUIRM. II, the undersigned, have thorn;ughly feadl and understand the
instructions for submission and agree to the submission recluirements, II acknowledge no construction aGUIViAWS shall The commenced
prior, 'to Issuance of a valid permit. I certify that the applkcation, plans and supporting) materials are a true and complete)
statementfdbscNption of the existing conditions and the work proposed, and that all work will be pedormed in accordance with ther
approved plans and in conformance'with local zoning ireguilafions. I acknovOedge that priar to occupying the facilities proposed, I or
my agents, will obtain a certificate ofoccupaincy as necessary. I also understand that Me may be required to provide an as-built
survey by a licensed land surveyor of all nEWy oonstructed faidlities pflor to issuance of a certificate of occupancy
I have,pred�ai abolve.
C, 1,12 V-e A 041
SJg'6itwf6 (Applicant) Prunt: Name [Applicant], Date signed
ignature [,Agent] Print N1ame [Agient] date signed
Town of Queen(sbury Planning,Offi*o- 742 Bay Road - Queensbury, NY 112804 ° 518-76,11-6220 :5
y WARREN CO NN " STATE OF NEW N
P''AEL k J. VOGEL, COUNTY CLERK:
1340 STATE ROUTE 9,
- LAKE GEORGE, NEtNNd'YORK 12
COUNTY CLERK'S RECORDING PAGE
'THIS PE IS PART OF THE DOU !T-DO, NOT DETACH'
Recordings
Cover age 5 .00
Recording Fee 35
Cultural Ed 1 . 25,
Rec rd Management - oun 1.00
Records management Stat 4. 75
Additional Names 0. 5O
BOOK/'PAGE 5372 1,28 TP518 5 .0
INSTRUMENT 2016-3825 R 5 1 - County, 9 .00,
RPS217 All others, State 241. 00
Receipt#: 2016402602
clerkL sub Total : 315 - 50
R c Nate: 06/14/2016 02 ; 45 , 42 PRS DEED, Transf ,r T
ax
Diu=r��N ;:
Duras Grp: RAF' Transfer' Tax - State 360 . 0
Num P ,
R ' d Frau: MERIDIAN RESEARCH GROUP , LLC Sub, Total , 3600 .010
Party2 -, CLEVERDALE VENTURES LLCTota
NOTICE : THIS NOT A SILL 5 5
Transfer Taal * *
Transfer Tai 2471
Transfer Tax 0
0
00000
Transfer Tax state 3600.00
Total - 3600-00
Record and I tu�rin T N hereb% certty 0%a thL within and for€gpi ivaus.
rccoTde l in thy: %-`arren County 'ler ."s ()k"ri,ce-
,S mte of New ork-
This she,,cm, conitaituto- the Clerks en omement
ELECTRONICALLY LY RECORDED BY 5I.MPLI FILE rwq�a.tred by $:ctwn 31(5 of the Roal Properly 1 rtw
ot`uhe State of :ew York
P gists J, Voaa l
Warren County t. l rk
! '�NTQR° PE�TE.R.C. FRASER AND CH L. FRASER.
PO BOX 28,5
Cleverdale, New York 1282,0
GRANTEE: CLEVERDALE VENTURES, L1,C A New York Lirnited,
Liability Conipany
266o State Route 9L
QueensbUry, New York 12804
THIS WARRANTY DEED made between. Grantor and Grantec on the deed date stated.
above WITNESSES THAT GRANTOR 'in consideration of
Dollar ($1.0'0)-----------------------
lawfifl money of the United States, and other goodand VRJUable consideration, paid b�, Gt'al,'Itee,
DOES HEBY GRANT ANDRELEASE UNTO GRANTEE and his heirs and
assigns forever all that property located at:
2660 Route 9L
Tow-n ofQueensbu.m.,
Countv of Warren
Tax ?Vfilp, #' 240.9-1-8
All that certain plot, piece or,parcel of land, with the buildings and impro,,rements.
thereon, situate, lying and being in the Town ofQueensbuty,, County of Warren, State of
New York,, on the northerly side, of New York State Route 91.,and on the easterlyside of
the town highway known as Cleverdale Road, in said to,�%,-n, and which pat-eel is bounded
and destribed as fullows:
BEGINNING at a. point in the easterly line of theleverdale Road at, as distance of i.00
feet, southerly, ineasured aloug, said easterly bounds from the southerly line of lands,
now or formerly of Ernest Kirchoff,, and whieb point of beginning is also the
south westerly corner of those prenii,ses conveyed by,Jessie E. Morse to Margaret E.
Kane by deed dated. Sep tember 23, iq,3i, and recorded in the WaFren County Clerk's
Office in Book 188 of Deeds at page 151, running thence ftom the place, of beginning,
North 82 degrees oo minutes 30, secondsEast, fora. distance of 164-80 feet to the
southeasterly corner of said.premises conveyed to Kane; thence North 31 degrees 09
mint-Ites 40, seconds West for as distance Of 97a 10 feet to an iron pipe marldng, the
northeasterly corner of said premises, conveyed. to Kane; thence North 87 degrees oo
minutes 40 seconds East, along as rail fence and the renvains of as stone vvallmarking the
southerly line of lands now or form erly of Ernest, Kirch.off, for a distance Of 512.54 feet;
thence, South ,5 degrees, 17 minutes 3,0 seconds East, and along the westerly° line of
lands now oi"-for nie r]y of Di cki nso n a nd alo n g the re ri ia i ns of'a st o nae �x11, for a distance
of 164.86 feet to the northerly line of lands appropriated by the County, of'Warren in
1,932 for the construction of'Che highway nwv knm.%,-n as New York State Route 91, atid
which last mentioned point is sittiate at a distance of_ro f6et, more: or less,, on as course of
North 5 degrees 17 MiTlUtOES 30 seconds, West ftom the center of a stunip galas to,,iri io
i noli 1-i ihrArnm* trogi- thr�,rlr-0 "ZOO 1111 A k ')-7 I-el I"k If 00 1 fA L'Oflr N"f 4� NAT o4:F �1 I e,kir'p 1m 6 4ti
Being thatparcel of land shown on a suz-vey entitled "Map ofLands Proposed to be.,
Conve =ed b �° Frank White Cowles, to Claire C, Fraser, situate in the Tovvil of Queensbury,
Comni, of Warrens, State of New York", dated Nove,,niber 13, 1978, prepared by Coulter &
McCormack, Land Sunre,vOrs, and filed ha the Warren Unint); Clerk's Office on
Novernber '27, 1 78 in. Drawer, 12, Fold,er '15.
Being,thesame prein ises as described in a deed from Claire C. Fraser to Peter C. Fras�-",r
and Cheryl L. Fraser, dated June 28, 19 9,1 and recorded September 23, 1991 in the
Warren County Clerk's Offlee as in Book 833 of Deeds at Page ?46.
The use and occupancy of any portion of the Subject Property, other than the one (1)
acte contemplated SUbdi-Odell Office Part-cel with officebuilding occul,)ied. by DAVIES,
shall be restricted to preclude Real Estate Brokenage (Salesand lZentats), or Propert-v
Management business, including a prohibition of any related ad-vertising on the
promises.. 11his Restrict'ive Coverr ant shall be effective and shall run %,%.ith the land ft) o
ng ,r s
loas DAVIEDAV
S- IES & ASSOCIATES REAL ESTATE, LIX, its successors and/or
assigns,, and/or DANIEL DAVI'ESjndb�qdually shall operate a real estate brokerage or
property manager elit business vrithin flk�, (50), miles of tl-.ie subject property'.
T'1-1,'I',i GRANT IS MADE;
TOGETHERwith the appurtenances and all the est tie anti rigi-itsof the (31rantor in, and
to said, premises.
'I'" 1 -emi unt the
I ''i AVE AND TO HOLD the pi,� ses granted b�, this Warranty Deed 0
Grantee end his heirs and assigns forever.
AND THE GATOR COVENANTS as follows:
FIRST: That Grantee shall QUIFTLY ENJOY said preinises,
SECOND: That Grantor will forever WARR-ANTthe title to said premises;
THI �: THNNNCOMPLIANCE WITH SECTION 13 OF THE LIEN LAW,
Grantor will receive the consideration for, this con-vevance and will hold. the right to
receive such cons ideratio n a,s a trust fund to be applied first for the purpose of pa ,j,iig
the cost of the im' provement and will apply the carne first to the payment of the cost of'
the improvement before using any part of the total. of the same for any other purpose,
If there are more than one Grantor or Grantee, the woods "Grantor" and
"Grantee" used in this deed includes,them.
IN "INESS OF5 THIS CON'VE IIANCE, Gnantor has executed this
WARRANTY DEED on the deed date stated above.
l' ll OF
(L.S.)
Peter C. Fraser
e, Sj
Che1,yl,,,. Fraser
STATE 0 F' N F.W Y()R K
s,nk'FE, OF NEW YORK
COUNTY OF
On thisday of May, 2016 beforemme, the undersigned, personally,
appeared Cheryl L.. Fraser personally Icnown to in or- proved to me on the Uasis of
satisfactoi3, evidento be the hidi-Odual whose nam is subscribed to the with in,
instFUment and acknowl edged.to me that she executed the semis in he" , Pacity, and that
by her signature on the instruments, the individual, and the pe.,on k, .)on ehalof whicli,
the indKidual acted, executed this instrumen.t.
Notary Public
r,AATTRFW R, LUDEMANN
i-,iOTA& p,ujs,LEc-,STATc 0,F NEW YORK
Nb G?LU4529772
,aumifled �f) utratogai colutr ty,
coln�M�mlotl �AV419$ NovemiM SID, 24L