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Application and deed A I Sketch Plan Revised Apd[2010 General Information � Ta " rcel IID Number: CIO �1i Zoning District,- RURAL RESIDENTIAL 5-ACR (RR-5A) A2pli ation Stage [check onelA DEC15 201 Sketch Plan Stagie Prellmtnary Stage OF Final Stagy ���� ���� r r� F.FIdE Indicate the folloin Number of brats proposed Residential or Commercial RESIDENTIAL; Total Lot acreage 60.6E Proposed loot sizes LOT,1 90.2-Ar; SOT 2.5.4-AC/LOT 3 S.r-Ac Project location 77 OLD WEST MOUNTAIN R Detailed Description of Project priclude current&proposed use]' 3- RESIDENTIAL SUBDIVISION WITH PRIVATE DRIVE TO'SERVE 2-NEW BUILDING LOSS TA DOUGLAS MARIE BAER_ISEHI Address: rle WEST MTN.RD w LAKE GEORGE NY 1,2845 H � elk ��� n . ) 1� ' 307 . 173' Work F'hbnie, lie- 41q02 E- aji: Addre 1169 HAVILAND ROAD HUTCHINS ENGINEERING QUEENSHURY NY 12804 Work Phone � G, (518)1745- car - '(5181745-0308 LVMBIE rhT,CHINSE dr.INEERI .ESN wnep,* Abil . v. ry (SAME AS PPLI ANT) Work Phonee hn ll Town of Queembury Planning ice- 742.Bay Road ^ Qu ansbury.NY 12804 518-761-8220 Sketch Plan Revised April 2010 ITEMS TO BE IDENTWIED BY STAFF DURING P'RE-SUBMISSION MEETING. You should use this page for guldance When drafting your applicafion, however, it will be completed by a staff member. Submittal of a sketch plan depliMingi existing and proposed conditions, shall iflodude the items as noted below. Failure to Include all required Information may result In,a determInation ofincomplieteness,and a delays in the processing of your application. A183-10 PLA,N DETAILS AND REQUIREMENTS. A, The applicant shall submit 15 copies, of a sketch plan, application. Such subdivision sketch plain need not be a survey or be prepared by a licensed professional, 18, Sluch sketch, plan shall contain the fDllbwlng elements and Informationfor the purpose of sketch plan,review. (1), The sketch, plan need not be a survey but should be prepared at a scale andl of such accuracy so as to provide a general depiction of the proposal (an enlarged copy of the tax map of the parcel may be: used) and should show: Z(a)The boundaries of the proposed subdivision. jXb) Topographic features, linclUding existing grade contours utilizing existing Ulnite!d States Gieoiogica,4 Survey data. /, (c) General location of existing watercourses, including lakes, poinds, wellandintermittent streams. ktn!�� Ad) General areas of existing vegetation, including lots wood lo , and in Ividual,freestandi g tree's over six bches diameter at breast height. 'S e/'&.V�l AAD T-S(? Approximate areas within the designated ona-hundred-year floodplain, as determined bythe united ates,Department of Housing and Urban Development Flood Insurance Program. General location of exisfing man-made features,, including the location and sizes of power lines., pipelines„ipelines,, buildings andl stTuotures, storm drains,and culverts, wells and septic tanks. and fields of adjoining properties. (g) Existing rights-pf- nay anidlor easements across or adjacent to the Iproposed subdivision, �o e�h) The names and addresses of all applicants, if an individual or partneirship, and! the names and addresses of principal officers of a corporation(. ,A)The name and address of the owner(s),of, land on whi,ch the subdivision Is to be located., A)A location map showing the property included In the proposed sUbdivision, and all contiguous properties of the proposed smbdivision and all properties within 500 feet in each direction from the boundary line of the proposed subdivision along any contiguous street or highway. AllI properties shall be Identified by lot and parcel number and names ofowners. L/4)The location and width of proposed street right-of-way and pavements. (l) The proposed arrangement and approximate area, Width, length, and setback requirements of each lot and street pattern for the purpose of demonstrating to the Board that the proposed location of streets, NA allows, for lot layout in accordance With the Zoning ILaw for the zoning distrItt or districts in, which the subdivision is located. (m) Additional information. Such additional information and exhibits the devetoper or the IPllannin,g Board may feel necessary to describe the project and Its compliance with the requirements of these regulations shall be submitted. (2) Fees. There is currently no,fee:for sketch plan review To of Queensbury Manning Office, 712 Bay Road - Queensbury, NY 12804 - 51 8-761-8220 2 Sketch Plan Revised April 2010 Signature Page This page Includes. 1.) Authorization tio Act as Agent Form. ,) Engineering Fee Disclosure; 3.) Authorization for Site Visl1s, 4.), Other Permit Responsibiliffes, 5.) Offilcial Meeting Disclosure and 6.) Agreement to, provide documentation required. OwNER's AGENT FORM. Complete the:following If the OWN i of the property is not the same as the appItcant ,Owner. Designates: As agent regarding:! Variance Site Plan Subdivision For Tax,Map No,: Section Block Lot Deed Reference,., Book Page Date OWNERal'GNATURE. DATE: APPLICANVs AGENT FORM' Complete:the fol[OvAng If the APPLICANT Is unabile to attend the meeting orWishes t�o be represented by another party- Owner: D0,111)GLAS&MAKIE BAERTSCH I Designates: HUTCHINS ENG.,GREG&JENNIFER FRANCE As agent regardiing, Variance Site Plan V SuW[vislon For Tax Miap No.. 289!., Section I Block, 80 Lot Deed Reference'. 875 Book 143 Page 1.29.913 Date OWNER SIGNATURE., DATrEr:r1r1r1-12.14.116 2J 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 service s Will be charged d'irectlyto thie applicant. Fees for engineeding review will not exceed$ 1,000 without notification to the appllicanit. 3.1 AUTHORIZATION FOR SITE VISITS: By is[qning this page, and submitting The application materials, attached hieTain, the Owner, Applicant, and hisiheritheir nerit�s) hereby authorize the Zonli Board or Planning! Board and Town Staff to, enter the subject properties for the purpose,of reviewing the application submitted. 4.) OTHER PEIi RESPONSIBILITIES. 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 additicn*,permits. 5,),.-jQEEIGIAL MEETING, MINUTES DISCLOSURE- lit is the practice of the Community Development Department to have a designated stenographer tape record the proceedings of meaflinius resulting from application. and minutes transcrIbed from those tapes constitutes the offiblall record of all pooceedini QJ AGREEMENT TO PROVIDE DOCUMENTATION REQUIIRED: 1, the undersigned, have thoroughly read and undlerstandl the (instructions for submission and agree to ffie sub m,issionrequirements, I acknowledge no,construction activities sl all be commenced prier to, Issuance of a valid permit. I certify that the application, plans, and supporting materials are a "e and complete statemilenUdescriptlon of the existing conAltJons and the workproposed, and Oliat all work will be perlbirmed In accordance with the approved plains and in confbrmance with locall zoning reguilaCons- I acknowledge that priorto occupying the ifacllities proposed, I or my agents, will obtain a certificate of occupancy as necessary. I also understand that I/we may be required to provide an as-built survey by a 11"Cerised hand surveyor of all newly constructed facilities pr1of to isisuance,of a ceirtificate:of occupancy 1 have read and agree tothe above.. DOUG BAERTSCHI 12/1,li Sig fica t] Print Name [Applicant] Date signed 20f LUCAS D,OBEE,P.E, 12114120161 Sig nature [Agent] Print Name [Agent] E)ate:signed Town of Queensbury Planning Office- 742 Say Road ,Quacnisbury,NiY 12804- 518-761-8220 6 N1.Y. 1+pAK9lil&Td," vzw 000835 Tddl"6 INDENTURE, PaadO the Al*day of January, Nt,na~toan ldunadred A l kdfnoty-throo BETWEEN CO MAYNA11b PKR,9QmS,, rooAd ng at 74 Helen Dz,lva, Owanebur'y, New Arl Ps 1, paartY of thO firayt Part, and V. 1 r 11 d.A BURT TSCH AND k44R 1 A,. 11aURT$ 11I, his aa,ifm, taaajdding at e 1 rge Rocad, �Qujoannabury, New York, ae teAmnta hY the entirety, � i parties of than daruar nd part, K f lY l➢ dd, that the 04rtY Of the first Part, In.cons Ldorntion Of ONE VOLLAR E$1.00) l,aaafaai mvney Of the Unitaedl 6te'toa, and othar good and Valuable consideration paid by than partiaaa of the eecona part, dodo horeby grant and realoaoa unto the PartlUb Of than second part, their hairs and asaiips forever, all That, corta,in iri+eCe Or parcel of fano ottuots, lying, and haAn5 lar t" Tcvn Of Qaae044burY, County sof' Warren and Etat,a of Now :*rk,. ro particularly iaaaundamI and, described na follows:: mEG1R"1TXG at an iron rod fo+meed in tha grcvuMd' Scar as cornor In nerstsr3y bounds Of Old West M1 u,nt,apiea Road at the northeast corner of tha land; conveyod to Earn,ard f Efaana palnsr by dead daats'd April 5, 498.4, and recorded In book 4;46 Of deeds at pagaa 697; running th.e:nco ati.lo &414 lands the f011Owin tV* ccearanaax abna�' dlstaaa�ua Mtdaartht 112 d�a�q�r ea 'E � ml utca and 15 seaae�a Wost, a d�inta ^4u f d65 .+6t, feat; '21 outh 01 dograeptp, t miaartee 'aead X15 40cOs Want, a dristancq o,f 317 .fart Passat to tlma SQUthuaeat cPrlea;t thaaraaff sand L40 .raouthweaei corner of asst 74 Of this Owe0 asb ry PaEont And the ACUthe&ut corner of Leat 87 of sage Queenaeb'wry paetaa'4tl aduIn in,q thance North 62 &9re,taa, lwl Minutes arrdl 15 aeccndo twat AXOnq the bounda of aen,id Lot 01 1dueonabury PAtcat, a dtataaaca of 648-6e feat; cunnLh9l tlrancaa North 67 d grecs, 66 rruln"Lnah and 55 aaaconde East, ALOng than l,an4daa now or froraoaarly' Of WAILOL A t�ocnaa E,oLwi"anp a d;ldtaacc Of 1705.52 fsot to the lands of ;E�olittad ruraaaing thence North 74 ade'graot, 3$ aa100t�da end 7p aac"dle East, alaanad ao,id lands, a dletanca Of 1;)3,3;1 feet. running titoaaa,a South 62 dogrcaa5, 30 minntoa and So aocaaads Ra4t, a distance of ,;240 ,ae .foot, to gtl+d Heat N00ntaa.in Road; running thence along said road 0101 fol'lowinj four aoaarsaaa and diatanC0.01 " (1 1 South 46 edc9rsea, 01 a inutea And T5 esccaads lash, a di atance of 28,T$ d Get,; M South 26 degra es, is mh�nUtoa snd 6!S Reacmda Won't,, a afiatanva uof 121,S9 faaut1 d Til South td degree,n,, 58 =L nnutes ai)d 25 3aDcs ndlaiWug,t, a di3tdncaa Of 199.8,3 f +t� M South 17 dm, r*aa, OZ &Lanutes and 50 'Succanods attest, as digtanou 01 9 '- fQ*t tO than Poirot An$ pl&cap Of h0alifth,LAl, pontaainiang 60.68 acres, o4land,, to bo the SAM& more or l,oaai. ®,e:arings given in C40 above w eacript9,on u°ofQr to t;p'ra &agfjotic p.ua naridimn awi Of 15�9f. *� RRING the same prvaaises conveyed from 13mbrau Raa4irraraas gra j,er'wai ila,' aleffrey Paul gobinaaon, and Debra R:. G000rwaiil,e as Voluntary kdminlatraaLor of the Estate OC Todd w v tianhaiais on to Maynard Persons by wdeed:is bewriung seven dat-as ha towtth, third intbh&-d to 1Da- ramcorded salmul.tallaouely harewith. TQr5VT F. With thus, asppaar enaness and all that ertate anal vights apt thio party o theEl,'r,�at ,pari in,, anq to said iartmpsa'wpa ,TO khvi AND 14OLD the pDr6migera hfirsin granted unto the !parties i *f that' a dcond park,, Lha it hairs and, aas;lgos forav+varr, AND na id' party of the first port convenanit aau Follows;, PI RST, That th-M payrtioc of tlho Saco nd inaurrr rhaall quietly anjoy tho :;saki; praamisoax pp SE Da ThAt sapid paurty Of the first part will fo:revrer WARRANT N th* title to -aid promizes. 't"ttl'iD, That, in COMPliancQ with13 Of tkae Liam i„,aw, the grantor will ruculvo the cQng0 duration for tblpa rvsnar y^dnca and will hold the rlajh,t to rocpi.ve such cons ider«a,t,ion mesa- a tr:art fund to be applied, 'first The U10 purpose of peaytng than coot sof' the improvement and +gill anpPly the Saft'd f1rut to the payment of rho cost of the Loprovaa:wnt before apa4La5q any part *A the total Of the saffie tQr any i' Other psux poo3u,. IN WIMSS IOERI P, this party of the t'irat parthsas h1drouuntaa mint his hand and anaaal than days aurid year first.'above vrit'ton. fl+i Pnsttr dip STATE Gap' NEW YORK )FR Ai 14 On thio . irioteen Piundred N1,,116ty-Throo, belare me, than ww �ropA9,Pjn a >oo d i"UAA D PERSONS to no personaknown Ara blah'.ts5raaa�.to be the zamc person described in and who anarucut wf th(jr..-j't iia; t rl sa ntand he ackDovI" + 1 to me he #Dx;ucuted the aaalsm Oa �'apt«ii� A UUSM& aUY,: aiaaFia�M.Sia&