Application gy ral InforM ti n
��r r
'fax Parcel ID Number:
Zoning DistrIlct:
Detailed Description of Project [includes current & proposed ease];
W
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,
420—
Location of project:
Applicant Name: oav A& Address
11011' lane Cil:
Work Plione Fax
E-Mail
Agent's Name: Address
Hol e< Phone Cell
W'or . Phone Fax
Entail
Owner"s Name: Address
C-°iorne Phone (!;/Y_)-
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Work Phoney Fax
-Mail
f—
Aroo VM nce Ravi ed April;2016
Town of Queensbury M Zoning Office M 742 Bay(Road* Queensbury, NY 12804 M 518-761-8238
Site Development Data
Area I'Type Existing sq, ft. I l q. ft.
A,dditlon sq, ft.
A. Building footprint „t�
.ti
13: Detached Garage
C. Accessory Structure(s)
D. Paved, graval or offer hard surfaced area
E, Porches I Decks
Nwd
F. Other
er m.
G. Tota I N o n-Perm eabi e [AddA-F] lm
H. Parcel Areal [43,560 sq.ft I acre]
' ,�
I. Percentage of I¢ prrrdabC ' raufit: I- !H] ,�� ,�� " a 2
'
etback RequIrements
Area V d Existing Propose 1
Front[1]
Front[ ] w
Shoreline
idearci [ . ,A
Side Yard [2,)
Eu » r YardL 1
Fear Yard [ ]
Travel Corridor
"'Mrw;,,°a;�r.;,. 4R4A
i
Permeability
No. of parking spaces
Town of Queensbury Planning Uff i , ,,t4 6,,s.y .:;uiad-QueenUDUF+y, IN 1 X2504 518-761-8220
Additional Project Information
Will the proposal require a Septic Variance from the Town Board of Health?
2. Ifthe parcelhas previous approvals, listapplication number(s):
&
Does th is Project require coverage under the New York State Pollutant, Discharge E I i rn i na,tio n
System (SPIDES) Permit Program? 1,
krlll LI1
4, Estimated project duration-. tar . ate
End Date
................
5. Estimated total cost of p rojpct:_ o
6. Total area of land disturbance fo r project'
F
Ior Area Ratio Worksheet
FLOOR AIS EA R AT 10 (FAR) T h e relationship of building size to lot size, derived by d ivid i ng:the total
building floor area by t h e lot size in sq u a re feet, yielding a pe rcentag e
Zoning District Symbol 7TT6`®rArea Ratio [FAR]
Waterfront Residential WR 0=
Commercial Moderate I Commercial CM / Cl 03
Intensive
Main Street MIS 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 wfth rnore 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
shed's will be included, (Seep r L R AREA RATIO"'),
13, 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 Natal of all floor areas of the principal and accessory buildings or
structures on the project site,
A
Parcel Areasq. fit,
B. Existin Floor Area
9, Sq. ft. (soe definit ion above)
�',11 L
C. Proposed Additional Floor Area 5q. fL
D, Proposed Total Floor Area
R
E. Total Allowable Floor,Area (Area x ,,, (see above table)
NP ImII p
o,
If D is larger than E, a variance or revisions to your plan may be needed. Please
I
consult w/Staff.
Area Variance Revised April 2016
Town of Queensbury -Zoning Office-742 Bay Road-Queensbury, NY 128D4*,518-761-8238
Compliance with Zoning Ordinance
Requesting relied"from TI M
deed relief from the requirenrent( ) listed below wh ich cannot be met by the project as proposed.
[Check aff MW appfyj NSetback 0 Buffer Zone ne Lot Width '�,fir'Other
Y.
The following questions reflect the criteria for granting tuns type sof variance, Please complete thern;; use additional
sheets if needed.
t, Whether an undesirable chainge will be produced inthe character of the neighborhood or a defrirnent to,
nearby property will be created by the granting of this area variance'
1txi r
. Whether the benefit sought by the applicant can be achieved by some method, feasible for the applicant to
pursue, other than an area variance"
Whether the requested area variance is substantial?
4, Whether the proposed variance will have an adverse effect or impact cn the physical or environmental
oondtions inthe neighborhood or distinct?
5. Whether the alleged difficulty was self-created?
,"
4 Zrw.
Area Variance Revised April 2,016
Town of Queensbury •Zoning Offl .742Bay Rod Queensbury, NY 12M4«518-761-6 2,38,
Submittal of a stamped and signed SURVEY MAP depicting existing and proposed conditions shall
include the items as noted below,
A, GENERAL SHOWN ON
SHEET#
I Title,Marne,Address of applicant&person—responsitfle for preparation of drawing
2 Deed 't,i.c,
3 North arrow,Tax Map ID,,date prepared and scale(Minilmum I In, 40 0-1
4 Boundartes of the property plotted to scale,Zoning boundary
'_rf Eel pal structures, accessory structures with exterior dimensions
6 Site Improvements,ind,outdoor storage areas,driveways. pa.rkingi alears,elc..: existing proposed
7 etbacks for all structures and improvements: existl nil A proposed
& Elevations and floor plans of all propned and affected structures
B. WATER&SEWR SHOWN ON
SHEET#
I Prollecl sewage disposal facilities,design details,,construction details.flow rates,and number of bedrowns proposed
Waiter sg&[Le..well]&se is on,adjoining lots with separation distances to existing or pr9posed qp�slja water supply and septic
Separation distances for proposed sewage disposal system to well,and water bodies
4 Existing public or private water supply[well,lake,etc-]- IMethod of securing public or private mler, location,d4sl9n and construction
of water supply,includ1g,daily water usaLe
5 Percolation loot tocatlon and results
C. PARKING I PERU EABLE AREAS SHOWN ON
SHEET 9
1 Number of spaces required for project including calculations and jugtification: existing!&proposed
2 No..of existing parking spaces. rkumber to be removed,number to main tainjyl Vpa of surfaciN material[e.g., gravel, paved]
a Provision for pedestrian and handicap access and parking. o4willn g A proposed
Design details of ingress,egress, loading areas and cutting-, existing&proposed
15 Location and cha ratter of green areas[ex sling and propused],,modification to green area, buffer zone to remain undisturbed
6 Lighting,locatIonacrd desJgn of all.ex�isling and proposed outdoor lighting
D. ADDITIONAL SITE DEVELOPMENT AND MISCELLANEOUS �,SHOWN ON
SHEET
I Cin-site&adjacent watercourses,sitearns,rivers,lake and vmllarids
2 Utility energyr distribution system[Sas,electric,solar,letephone],, existing Lproposed
7— LoGalion, design and consirurAion;details,of all exisling and proposed site improvements includ1q: drains, culverts, retaining walls,,
fences.fire&emergency zones and hydrants,etc.
4 Square footage of'bldg, area 1p±qposed for offlce,_Ma aq�L qly� jnretail sales ales or other commerci a]activirfes, eX19tI"kjkr022L0d
--------------------------------
e SIgnage: Location,size,type,design and setback., exigitl ng,&proposed
f Waiver Request: provide letter vAth application requesting any walveirs' ploaso reference spur-Me items
g CommerciaAndu strial Development teqUires,submiss Ion ofLa n4scaping,Stormwaler Tonagement, Grading,&Lighting Plans
Idenliflcation or F Federal, State or County permits required for the prcfect together vAth a record of application for all ne
Area Wflanc* Revised ApAl 20 16
Town of Queenabury -Zoning Office 142 Say Road Queensbury,NY 12804.518-x'61-8,238
Pre-Submi'ss[on: Conference Form [179-4-0401
1. Tax Map ID
2. Zoning Classification
31, Rea so n fo r Key Iew
0M
4. Zoning Section#: T�be, (inau r
5. Pro-Su bmiss ion M Meting N oteg;Outstanding Items To Be Add ressed I nc lude:
Deed Yes
General Information complete No
Site Development Data Complete No
Setback Requirements Complete No
Add ftionall Proj ect I nform ation Complete YNo
FAR addressed Y:;'-�
Compliance with Zoning Ordinance Yes bo
Checklist iterns addressed Y;;� No
E nvIronmenta I Form ompl'elied alb
Signature Page completed No
rr.............
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f4oi-eLjed, -Soru-e% Ttam-.,o Lxi
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16CCA L26 R)qS R
(A oil
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Staff Representative'. CIL Q)f%,(L
Applicant I Agent:
Date:
Area Variance Revised ApTil 2016
Town of Queensbury -Uni ng OfrIG8-742 Bay Road 0 ueensbury, NY 12804•51,8-761,-8238
Signature, Page
This page includes the 1) Authorization to Ad as Agent Form: 2.) Engineering Fee Disclosure; 3.) Authorization for Site
Visits, 4) Other Permit Respon,sibillties, 5,.) Official M,eetingi Djsclosure, and 6.) Agreement to provide docurnentAicin
required.
OWNER"$AGENT FORM:
Complete the followi ng ifthe OWN E R of,the property is not the same as the applicant
Owner:
Designates:
As agent regarding: Variance Site Plan Subdivision
For Tax Map No,,� Section Block Lot
Deed Reference: Book Page Date
OWNER SIGNATURE-. DATE
APPLICANT'S AGENT FORM:
Complete the fi ng i If the AP P LICANT 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 Mock Lot
Deed Reference, Book -Page Date
APPUCANT SIGNATURE: DATE:
2.) gNgj9gg8jN_Q_FEE DISCLOSURE: Applications, may be referred to the Town consulting angineer for review of septic designi,
storm drainage, etc, as determined by the Zoning or Planning Dispartm.ept, Fees for engineering revibw services will be charged
directly to the,applicant, roes for a ngineering review will not exceed 5 1,000,without notification to the applicant.
3.) AUTH ORI ZAT ION FOR SITEYLUS: By signing this page and submitting the application materials attached herein, the Owner,
Applicant, and hisihorli agent(s) hereby authorize the Zoning Board or P[snrflng Board and Town Staff to enter the Subject
properties for the,purpose of revieviiiiiing the applicatibin submitted,
4..) QTHLR PERMIT R ES PONS I BILITI E& Other permits may be required for construction or alteration activity subsequent to approval
by the Zoning Board or Planning Board. It isthe applicant"s responsibility to obtain any additional permits.
5) OFFICIAL MEETING MINUTES DISCLOSURE, It is the practice of the Commupity Development Department to have a designated,
stenographer tape record the proceedings of meetings resulting from application, and minutes transcribed from those Wpesconstitutes
the:official record of all proceedings.
6.) AGREEMENT TO PROVIDE DOCUMENTATION REQUIRED: 1, the undersigned, have thoroughly read and understand the
Instructions for submission and agree to the submission requiremiants, I acknowledge no construction activities shall be commenced
prior to Issuance of a valid permit. I certify that The application, plans and supporting maleflals are a true and complete
%late mervVd escTlptlon ofthe existing conditions and the work proposed, and that all work will be performed In accordance wilth'the
a pproved pla n s and in conformance with local on In 9!re g u lations. I acknowledg a that prior to occu pyin g the facilities p roposed, I or my
agents,will oblain a cerliftele of occupancy as necessary,. I also understand that Ilwe may be requIred to provide,an as-built survey by
a 11cen sad land surveyor of sill n awly co nstruoted facillilles prJorto Issuance of ace r1ificate ofoccupiancy
I have read and agree to the above.
Signature [,applicant] Print Name (Applicant] DatesIgned
I I
SIgnature[Agent] Print Name [Agent] Date signed
Area Variance Revised Aprill 2016
Town of Quee nsbury -Zoning Office-742 Bay Road-Q ueenabury,, NY 128D4-5181-761-8238
N.Y. DEED-WARRANTY with, lien Covenant � 60 ,
i ,
THIS INDENTURE
Made the days of �
In the Year Two Thous and Fourteen
Between PAUL P. SHAMBO, II and THERESA A I. SHAMBO,wT lye i9siding at 31,,
Sullivan Road, Lake George,, New 'oris 12845,
party of the first part, and
PAUL F. SHAMBO, II and THERESA M. 8HAMBO, currently residing at 31 Sullivan Road,
Lake George, New ork 12845,, as tenants by the entirety"
mart of the second part,
Witnesseth that the party of the first part, in consideration of --------ONE AND 00, 1
---------- -------- DOLLAR 1 .00 lawful money of the United Status", and other good and valuable
consideration paid by the party of the, second part, does hereby grant and releasin unto the party of
the second: part, their heirs, and assigns forever, All that parcel of land located along the northerlyr
side of Sullivan! load 'in the Town of Queensbury, Warren County, New 'fork and being more
particularly bounded and described as follows: Beginning at an Iron pipe fbun,d in the northerly
bounds of Sullivan Toad at the boundary between Lot No. 27 (Twenty seven) on the 'wet and Lot
No, 'Twenty eight) on the east as shown, on a "Map Of Part Of The Lands Of Johan H. 'Sullivan
And Others" dated May 28, 1947 by Leslie W., Counter, L.S. and filed in the Warren County
Clerk's. Office on June 12, 1947 and runs Thence South " 46 b" 'west, along said northerly
bounds, 59,79 feat to a point in the east hyo boundary of Lot No. 2 (Twenty six); Thu,ence North 061
8' 40" West, along said easterly boundary, 99.75 feet to a point; Thenoe North 072 02" 45" West,
+'est,
139,65 feet to an iron pipe found; Thence (""North 826 3" 3 East, 5'9.93 feet to an iron pipe found-7
T'hence, North 83" " 30" Ea, t, 59.84 feet to iron pipe found; Thence South 070 0 0" East,.
139.17 feet to an iron pipe Bound in the westerly bouindary of Lot filo. 29 (Twenty nine) T°bence South
" 0' 20" East„ along said westerly boundaryr 99.,80 feet to a point in the northerly bounds of
Sullivan I oaud; 'Thence South 82" 7" 40" West, along sai',d northerly bounds, 59.+80 feet to the point of
beginning. Containing 0.06 - acres.
Being the same premises, conveyed by Warranty [deed from Theresa M. Shambo f/k/a
Theresa M., Garvin to Paul P. hambv, Il and Theresa M. ShamboT dated August 12, 2014, and.
recorded in the Warren +ount l rk's Office on August 13, 2814, as Instrument No, 2014-50,00, in
Boob 5024 of Deeds at page 2 y
Also conveying the premises previously conveyed by Warranty Deed from James E. Garvin
to Paul P. 3hambo, II and Theresa M. Shambo, dated Januarys 29, 2007, and recorded in the
Warren County Glory's, Office on February 20, 2007, as Instrument No. 0018,11, in Book 3197 of
Deeds at Page 183,
Intending to convey parcels indentified on the ''Farren County Tax Baps as Tax lapping
Parcels 289.9-1-20, 289,9-1-1 28'9.'9-1-1i g. It is the intention of the parfiues to join all three, )
taxing parcels into one parcel for all taxing and zoning purposes,
Together with the appurtenances, and all the estate and rights of the party of' the fiat p rt in
and to said premises,
To Have and to Hold the Premises herein granted unto the party of the second part, their
heirs and assigns forever.
And said party of the first part covenants as,follow;
First, that the party of the second) part shall quietly enjoy the said premises;
Second, that said party, of the first pert will forever Warrant the title to said premises.
Third, That, in Compliance with Sec, 13, of the Lien Lair, the grantors will receive the
consideration for this conveyance and will hold the right to receive such consideration as a trust
Brad to be appiled first for the purpose of paying the cost of the improvement and will apply the
same fiat to the payment of the cost of the improvement before using any part of the total of the
same for any other purpose.
In Witness Whereof, the parties of the fiat part have hereunto set their, hands and seals
the day and year fiat above written.
In Presence of
PealP. hambo, It
• od L.S.
Theresa M. Sharnbo .
TATE. QFNEW YORK
:
COUNTY OF
n this :� ° day of �`" � 2014, before e, the undersigned personally
appeared Paul P. Shambo. If& Theresa M. h m personally known to me or proved to me
on the basis of satisfactory evdence to be; the individuals whose names are subscribed to the
within instrument and acknowledge to me that they executed the same in their capacities, and that
by their signatures on the instrument„ the individuals, or the person upon behalf of which the
individuals acted, executed the instrument.
w , N T UBLI1C
Timolby J.Akka
Naftry PoW ShiRe d New'fork
TT THY"J. MCecord& ReWm TO: #=4ofa 47 1
5113616n Commi Ilion EXPJ =Id /
GWm Fellis, NY 12M