Application and Floor Plans -c71-6i -7
Area Variance [ZBA approved: September21 2016]
[:
General Information RECLs ;-
Tax Parcel ID Number: a 6) 6 . < 1Y
Zoning District: S F n / i4 //%d MAR 1 _23;7
l IhvU%cC / PT-
TOWN
`TTOWN OF QUE :NSGURY
Detailed Description of Project[include current&proposed use]: ZONING OFFICE-
Current
FFICECurrent Use: 34.e-,k vord
Proposed Use: '�Gl',C A E.c q a rar O)Das
Location of Project: co i iy Cllt(j 42Gf, 42),e U rye )0)
Applicant Name: Mailing Address
r' /iner 6-9 CO24-4-y e20101-
Home Phone City, State,Zip
Work Phone Cell Phone
570, 71,4- A75-7
E-Mail: FAX No.
Agent's Name: /JA Mailing Address
Home Phone City, State,Zip
Work Phone Cell Phone
E-mail FAX No.
Owner's Name Mailing Address
Home Phone City, State,Zip
Work Phone Cell Phone
E-mail FAX No.
Page 1
Area Variance [ZBA approved: September 21 2016]
Site Development Data
Area/Type Existing sq.ft. Proposed Total sq.ft.
Addition sq. ft.
A. Building footprint co
, V)-26"z)
B. Detached Garage
1, / PD ) / 4a
C. Accessory Structure(s) S ' 1 Cci ) .,7,,d 0 /,J-..
D. Paved,gravelorother hard surfaced area y�
�/MYae Nie•-y— 5/.0`x' lr 1 blafickc- 331 8O a A 3 2P D
E. Porches/Decks J g
F. Other ,�{
F .fi !/
G. Total Non-Permeable [Add A-F]
) 60659
H. Parcel Area [43,560 sq. ft./acre] J J7 13 2
I. Percentage of Impermeable Area of Site [I=G/H] I
a'7 ;
Setback Requirements
Area Required Existing Proposed
Front Yard [1] 1
3o it +4Z t
Front Yard [2]
1/A A t/A
Shoreline /Y
5Z7 J 5--'9"
Side Yard [I] / _ / '/ ,f,
Side Yard [2] / c� ) 2. 8 i r
-
Rear Yard [1] 2 01
01
Rear Yard [2] A r` )A A1/4>�
Travel Corridor /� lA WA
Height [maximum] /2. 0 t
Permeability
Number of parking spaces Nifr 0
Page 2
Area Variance[ZBA approved: September 21 2016]
Additional Project Information 1(/
1. Will the proposal require a Septic Variance from the Town Board of Health?�) / Y
2. If the parcel has previous approvals,list application number(s): /r!A-
3. Does this project require coverage under the New York State Pollutant Discharge Elimination System(SPDES)Permit
Program? _Yes/ No
4. Estimated project duration: Start Date:c/) 7 End Date:9/1 7
5. Estimated total cost of project: 5— D 0 d T"-.4)
r L 1
p DO (i 0' 6'°O -�'g - 7�Ta 1
6. Total area of land disturbance for project: 1 1( ( 0 111
/V/A 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 CM/CI 0.3
Intensive
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.
Parcel Area sq.ft.
Existing Floor Area sq. ft. [see above definition]
Proposed Additional Floor Area sq. ft.
Proposed Total Floor Area sq. ft.
Total Allowable Floor Area (Area x ) [see above table]
Page 3
Area Variance [ZBA approved: September 21 2016]
Compliance with Zoning Ordinance
Requesting relief from SECTION: l 7 9 - Cr o ,
Need relief from the requirement(s)listed below which can not be met by the project as proposed.)1
[Check all that apply] El Setback 1-1 Buffer Zone fl Lot Width q Other VtCZCh _e
The following questions reflect the criteria for granting this type of variance. Please complete them; use additional sheets if
needed.
1. Whether an undesirable change will be produced in the character of the neighborhood or a detriment to
nearby propertywill be created by the granting of this area varian?e? L
� n
a !.a 4 SI a"cL��� c athgt (n y�
I •er �-d yleGYly
.�,-2--1 es /..i > > I C -; ',
/)1 17 6 nra-�� A 1��� h o-r,sii
2. Whether the benefit sought by the applicant can be achieved by some method, feasible for the applicant
to pursue, other than an area variance?
.-h )-60- y a Y i oar, € 1 S h e c 7"1 ,
1.1t, o f--.f e r' S /4/-r4,'rrlrs -7"a l— / Y/5(4-a---- S�o '�t'�-
3. Whether the requested area variance is substantial? ,
e_c_-1- i$ e L777, s ),"/ G�2 P y-.
is &-r %dr ' i it � j A j) Y-)6 ao1.
4. Whether the proposed variance will have an adverse effect or impact on the physical or environmental
conditions in the neighborhood or district? ]
l7G� --)i `3'l C w :�` l� 4 r G� el V 7Y',54,',
999NA A v 5 5 a 10 five.ocs; 61).2.0Y prnert-ta-
5. Whether the alleged difficulty was self-created?
rDtp Wes / -�rC��,�ed /ti a a15� f r'�rn
'
Page 4
Area Variance [ZBA approved: September21 2016]
Section 179-14-030
Application materials and site plan drawing is to include sufficient information for the Board to review and provide a decision. The
applicant is to provide a site plan drawing(s)—a survey showing existing conditions,a proposed conditions map(see page 00 for
specific criteria)and include any other attachments that address A-D as applicable to the proposed project.
A. General Shown on Sheet#
1 Title,Name,Address of applicant&person responsible for preparation of drawing S
2 Deed _./9-17"-1? he
3 North arrow,Tax Map ID,date prepared and scale [minimum: 1 inch=40 feet] �ac s.-
4 Boundaries of the property plotted to scale,zoning boundary stir-v-4,y.
5 Principal structures,accessory structures with exterior dimensions 57a2fc A
6 Site improvements incl.outdoor storage areas,driveways,parking areas,etc.: existing&
proposed ey
7 Setbacks for all structures and improvements: existing&proposed *notrb y4-
8 Elevations and floor plans of all proposed and affected structures y
B. Water&Sewer /�jf��1,� Shown on Sheet#
1 Project sewage disposal facilities,design details,construction details,flow rates,and number of
bedrooms proposed
2 Water supply[i.e.well]&septic on adjoining lots with separation distances to existing or
proposed on-site water supply and septic
3 Separation distances for proposed sewage disposal system to well and water bodies
4 Existing public or private water supply[well,lake,etc.]. Method of securing public or private
water,location,design and construction of water supply including daily water usage
5 Percolation test location and results V
C. Parking/Permeable Areas MO 416. Shown on Sheet#
1 Number of spaces required for project including calculations and justification: existing& �)
proposed
2 No.of existing parking spaces,number to be removed,number to maintain and type of surfacing
material [e.g.,gravel,paved]
3 Provision for pedestrian and handicap access and parking: existing&proposed
4 Design details of ingress,egress,loading areas and cutting: existing&proposed
5 Location and character of green areas[existing and proposed],modification to green area,buffer
zone to remain undisturbed
6 Lighting, location and design of all existing and proposed outdoor lighting '
D. Additional Site Development and Miscellaneous Shown on Sheet#
1 On-site&adjacent watercourses, streams,rivers,lake and wetlands e,
2 Utility/energy distribution system [gas,jctric,solar,telephone]: existing&proposed E -p q .I;�l-r1Jo j 'J-
3 Location,design and construction details of all existing and proposed site improvements
including: drains,culverts,retaining walls,fences,fire&emergency zones and hydrants,etc.
4 Square footage of bldg.area proposed for office,manufacturing,retail sales or other commercial `
activities: existing&proposed
5 Signage: Location,size,type,design and setback: existing&proposed
6 Waiver Request: provide letter with application requesting any waivers: please reference
specific items
7 Commercial/Industrial Development requires submission of Landscaping,Stormwater
Management,Grading&Lighting Plans
8 Identification of Federal,State or County permits required for the project together with a record
of application for all necessary permits
Page 5
Pre-Submission Conference Form/Section 179-9-040
Pre-Submission Conference Form f179-4-04011t (�
1. Tax Map ID
2. Zoning Classification 1/14 (S t I 4 (G i61
3. Reason for Review: Pr--)p0tcTh :p4(1 9ei fc(cfe C iccR C!
4. Zoning Section#: '7 - 0c O
5. Pre-Submission Meeting Notes; Outstanding Items To Be Addressed Include:
Deed V/Yes No
General Information complete ✓S'es No
Site Development Data Completedyes No
Setback Requirements Complete Yes No
—
Additional Project Information Complete ✓Yes No
FAR addressed VA Yes No
Compliance with Zoning Ordinance V Yes No
Checklist items addressed V Yes No
Environmental Form completed A/,/-Yes No
Signature Page completed t/ Yes No
rAP�Q\t ( C n.� .pn c sc'S 4) CO,/1�� ��i c g 1;490'1 I__( .C;U-sc(4-f-
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t� � � � f
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hct a b cArt cam)-eiti-tC1 S 3/gf/ 7-0 A p,-<< c(
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AYSEC_ 1,e cr
Staff Representative:
Lci
Applicant/Agent:
Date: -t > r I l
6
Area Variance Revised March 2014
Town of Queensbury•Zoning Office•742 Bay Road•Queensbury, NY 12804.518-761-8238
pfrr' , 1 2t
617.20 11412'
G' O
(III i> Appendix B
7 Short Environmental Assessment Form
Instructions for Completing
Part 1-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses
become 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 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:
Project Location(describe,and attach a location map):
Brief Description of Proposed Action:
Name of Applicant or Sponsor: Telephone:
E-Mail:
Address:
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
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:
3.a.Total acreage of the site of the proposed action? 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? acres
4. Check all land uses that occur on,adjoining and near the proposed action.
❑Urban ❑Rural(non-agriculture) 0 Industrial 0 Commercial 0 Residential(suburban)
0 Forest 0 Agriculture 0 Aquatic 0 Other(specify):
❑Parkland
Page 1 of 4
Area Variance [ZBA approved: September 21 2016]
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:
Designates: as Agent regarding the following:
Variance Site Plan Subdivision
For Tax Map No.: Deed Reference: Book Page Date
OWNER SIGNATURE: DATE:
APPLICANT'S AGENT FORM: Complete the following if the APPLICANT is unable to attend the
• meeting or wishes to be represented by another party:
Owner:
Designates: as Agent regarding the following:
Variance Site Plan Subdivision
For Tax Map No.: Deed Reference: Book Page Date
OWNER 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/her/their 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 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 additional permits.
5.) OFFICIAL MEETING MINUTES DISCLOSURE: It is the practice of the Community 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 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. I 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 facilities 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 licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy
1 have read and agree to e above.
kpler 7/1C-117
ignature[Applicant] Print Name[Applicant] Date signed
Signature[Agent] Print Name[Agent] Date signed
Page 7
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NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
Division of Natural Resources,Region 5
232 Golf Course Road,Warrensburg,NY 12885
P:(518)623-1203 I F:(518)623-3603
www.dec.ny.gov
March 9, 2017
Mr. Robert Fulmer
54 Country Club Road
Queensbury,NY 12804
Re: Wetland Delineation,FWW GF-23
54 Country Club Road
Queensbury (T), Warren (Co)
Dear Mr.Fulmer,
On March 9th, 2017,NYSDEC staff inspected the above-described property located on
Country Club Road, in the town of Queensbury, Warren County. The purpose of the inspection
was to delineate the boundary of state-regulated freshwater wetland GF-23. The actual wetland
boundary was determined to differ slightly from what is mapped by the DEC. The actual wetland
boundary is marked in black outline on the attached map, and corresponding 100-ft adjacent area
in gray shading.
A Freshwater Wetlands Permit from the DEC is required to conduct a regulated activity in the
wetland or the 100-foot adjacent area surrounding the wetland. Some regulated activities include
placement of fill, excavation, and clear cutting of vegetation. Whether or not a freshwater •
wetlands permit will be required, you are responsible for determining if any other local, state or
federal permits are required for development of this property.
For information regarding permits administered by the Department of Environmental
Conservation,please contact the Division of Environmental Permits at 518-623-1200. For
information regarding freshwater wetlands and permits administered by the United States Army
Corps of Engineers, contact their office in Watervliet at 518-266-6350.
Thank you for your inquiry and the opportunity to serve you. If you have any questions regarding
the Freshwater Wetlands Law or Regulations,please contact me at 518-623-1250, or visit the
DEC website at the address above.
•
Sincerely,
nna Leskovec
Fish&Wildlife Technician 1
1'
NUEOi
EW YORK Department of
ST
OPPOgE1NUTY Environmental
Conservation
314 WARRANTY DEED WITH LIEN COVENANT
THIS INDENTURE,made the 7- day of September,2014,
'I�2) pUO BETWEEN: JOSEPH L. SOPRANO and CLEMEN TNA SOPRANO, residing at 54
Country Club Road, Queensbury,New York 12804;and LETIZIA PETRUZZO of same
address,as life tenant,
parties of the first part,and
ROBERT FULMER and SUSANNE FULMER,husband and wife,residing at
31C Hiland Springs Road,Queensbury,New York 12804,
parties of the second part
WITNESSETH,that the parties 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 parties of the second part,do hereby grant and release unto the parties of the second part,
their heirs and assigns forever premises situate at:
54 Country Club Road
Town of Queensbury
County of Warren
State of New York
Tax Map Number 296.14-1.49
(THE PROPERTY BEING DESCRIBED MORE FULLY IN THE ATTACHED SCHEDULE"A")
The conveyance is made subject to any and all covenants, easements, conditions and
restrictions of record.
BEING the same premises described in a conveyance from Valente Builders,Inc.to Joseph
L.Soprano and Clementina Soprano by Warranty Deed dated July 5, 1995 and recorded in
the Warren County Clerk's Office on July 7, 1995 in Book 951 of Deeds at Page 194.By
execution hereof,the life tenant Letizia Petruzzo voluntarily terminates and extinguishes the
life estate created and reserved for her benefit in a Quit Claim Deed from Joseph L.Soprano
and Clementina Soprano to Joseph L.Soprano,Clementina Soprano and Letizia Petruzzo
dated June 30,2008 and recorded in the Warren County Clerk's Office on September 15,
2008 in Book 3635 of Deeds at Page 83.
TOGETHER with the appurtenances and all the estate and rights of the parties of the first
part in and to said premises,
TO HAVE AND TO HOLD the premises herein granted unto the parties of the second part,
their heirs and assigns forever,
And said parties of the first part covenant as follows:
FIRST,that the parties of the second part shall quietly enjoy the said premises;
SECOND,that the said parties of the first part will forever WARRANT the title to said
premises.
THIRD,that in compliance with Section 13 of the Lien Law,the parties of the first part shall
receive the consideration for this conveyance and shall hold the right to receive such
consideration as a trust fund to be applied first for the purpose of paying the cost of the
improvement and shall 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.
IN WITNESS WHEREOF,the parties of the first part have duly executed this deed the day
and year first above written.
IN PRESENCE OF:
"w'--- L.S. 32.4V1t_r1 - �AAr� L.S.
OS .SOPRANO CLEMENTIN SOPRANO
�� L.S.
LETIZIATRUZZO'Life
Tenant
STATE OF NEW YORK)
COUNTY OF WARREN)ss.:
On this_ egY day of September in the year 2014,before me,the undersigned,a
Notary Public in and for said state,personally appeared JOSEPH L.SOPRANO,personally
known to me or provided to me on the basis of satisfactory evidence to be the individual
whose name is subscribed to the within instrument and acknowledged tome that he executed
the same in his capacity,and that by his signature on the instrument,the individual,or the
person upon behalf of which the individual acted,executed the instrument.
Notary Public
CHARLANN HURLEY
Notary Public,State of New York
Warren County,#01HU5023146
Commission Expires Jan.10,2oa
STATE OF NEW YORK)
COUNTY OF WARREN)ss.:
On this 027/- day of September in the year 2014,before me,the undersigned,a
Notary Public in and for said state, personally appeared CLEMENTINA'SOPRANO,
personally known to me or provided to me on the basis of satisfactory evidence to be the
individual whose name is subscribed to the within instrument and acknowledged to me that
she executed the same in her capacity, and that by her signature on the instrument, the
individual,or the person upon behalf of which the individual acted,executed the instrument.
Notary Public CHAR NN HURLEY
Notary Public,State of Now York
Warren County,#01 HU5023146
STATE OF NEW YORK) Commission Expires Jan.10,20
COUNTY OF WARREN)ss.:
On this day of September in the year 2014,before me,the undersigned,a
Notary Public in and for said state,personally appeared LETIZIA PETRUZZO,personally
known to me or provided to me on the basis of satisfactory evidence to be the individual
whose name is subscribed to the within instrument and acknowledged to me that she
executed the same in her capacity,and that by her signature on the instrument,the individual,
or the person upon behalf of which the individual acted,ct� exec led the,' strument.
Notary Public
CHARLANN HURLEY
Notary Public,State of New York
['!A�____ ,aII � Wart en County, 0iHJ5O2 146
.6 Ifs- Commission Expires Jan.10,20L/r
•
SCHEDULEA
ALL THAT CERTAIN PIECE OR PARCEL OP LAND, situate, lying and being
inNn.the Town of Queensbury, Warren County, New York, and shown as Lot
No. _ on dated"Mapa Octoberof Country
r C12, l B3 lub Manor" prepared by Coulter &
Queensbury Planning Board andNew ew York StteprDeparment of Health on
November 1, 1983, and filed, in the Warren County Clerk's Office on
November 23, 1983, more particularly bounded and- described as
follows:
•
BEGINNING at a point which.is the northeasterly corner of Lot
No, 3, which point is also the westerly boundary of Country Club
Road right of way, thence the following tour courses and distances:
(1) South 07° and 05' West, a distance of two
hundred sixty-six and 18/100 feet (266.18' ) to a point
for a corner; then
(2) North 75° 11' 20" West, a distance of five
hundred ninety-four and 27/100 feet (594.27') to a
point for a corner; then
hundred)thirty tri ce and 25/100 feetz (233,25 )stance E towa
point for a corner; then
(4) South 78° 41' 10" East, a distance of five
hundred thirty feet and 63/100 (530.63') to the point
and place of beginning.
Containing 3.20 acres of land, being the same more or less.
SUBJECT to Declaration of Covenants and Restrictions of
Valente Builders, Inc. dated November 27, 1984 and recorded on
November 29, 3.984 in Book 666 of Deeds at page 726.
SUBJECT to easements of record.
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