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2017 03 15 Glendening SPR App T, iT 15 March 2017 Town of Queensbury Planning Board 742 Bay Road Queensbury, NY 12804 Re: Site Plan Review Application Adirondack Animal Hospital Faqade and Landscape Improvements JMZ Project No. 1600.6 To Whom It May Concern: On behalf of Adirondack Animal Hospital and Glendening Realty, LLC I am submitting the following application for Site Plan Review at the April Planning Board Meeting. The Adirondack Animal Hospital is located at 462 Ridge Road (Tax Parcel: 297.18-1 -1). It is currently zoned as Moderate Density Residential (MDR), which allows for the current use under a special use permit. The scope of work is a renovation of the front fagade (facing Ridge Road) as well as an addition of a 165 sf. vestibule. The renovation will allow for improved client access to the Animal Hospital, as well as a significantly improved visual character to the building and the site from Ridge Road. Additionally, we are proposing a new parking layout with the intent to repave and expand upon the current lot in order to provide a code compliant number of spaces, as well as two designated handicap accessible spaces. There will be site work that addresses the stormwater management of the new parking areas, as well as new site lighting that will match the existing decorative light poles on site. The current lot has two areas of paved parking that provide approximately 17 parking spaces. Prior to a transfer of 55 feet of property from the lot to the North, the existing parking was located within 5 feet of the property line. The code requires a Type C buffer between commercial/retail and single- family residential uses. A Type C buffer is extremely restrictive at this property. Based on the Town of Queensbury Zoning Code, the property is required to have 23 spaces (13 based on square footage, 10 based on number of employees). The proposed layout is shown with a Type A buffer of 10 feet. This would allow for both an improved separation and the necessary number of parking spaces. Please feel free to contact me with any questions or comments prior to the meeting. Thank you. Sincerely yours, Andrew Parsons, AIA Architect JMZ Architects and Planners, P.C. 190 Glen Street rel 518-793-0786 P.O. Box 725 fax 518-793-1 735 Glens Falls, NY 12801 JMZarchitects.com TOWN OF QUEENSBURY Site Plan Review Application Review Process: 1. Required Pre-submission meeting with staff to determine general completeness to be held no later than 1 week prior to deadline day. Call (518) 761-8265 or(518) 761-8220 for an appointment. 2. Submittal of complete application: 1 original and 14 copies of the application package by monthly deadline. 3. Determination of application completeness. All necessary information must be provided and appropriate fee(s)paid for consideration for placement on an agenda for that month. 4. Incomplete applications will not be considered for placement on any agenda until all missing information has been submitted. 5. Submittal to Warren County Planning, if applicable. 6. Planning Board meeting, generally the third & fourth Tuesday of each month. You will be advised in writing as to which meeting to attend. 7. 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. Final drawings must be provided for the next phase of review. If your application was denied, your project cannot proceed as submitted. DOCUMENTATION REQUIREMENTS (hard copy & electronic): Please submit 1 original & 14 copies of the completed application package to include: • Completed Application pages 2-9, signed& dated • Pre-Submission Meeting Notes: signed by staff • Copy of Deed • Checklist&Plot Plan • Environmental Assessment Form for any non-residential project • Fee: $100 (0 — 10,000 sq. ft.); $250 (10,001 — 30,000 sq. ft.); $500 (30,001 -100,000 sq. ft.); $1,000 (100,000+ sq. ft.) Staff& Contact Information: Craig Brown,Zoning Administrator crai2b(agueensbury.net Laura Moore, Land Use Planner lmoore(&,aueensbury.net Sunny Sweet, Office Specialist—Planning sunnys(agueensbury.net (518) 761-8220 Visit our website at www.gueensbury.net for further information and forms 1 Site Plan Review application—Revised October 2016 Town of Queensbury Planning Office-742 Bay Road,Queensbury,NY 12804 General Information Tax Parcel ID Number: 297.18-1-1 Zoning District: NMR Lot size: 2.12 acres Detailed Description of Project [includes current&proposed use]: Small addition(165 sf vestibule),facade renovation(new covered sidewalk and pitched roof),additional parking,and new signage for Adirondack Animal Hospital.There will be no change in usage. Location of project: 462 Ridge Road,Queensbury,NY 12804 Applicant Name: James R. Glendening Address: 395 Ridge Road,Queensbury,NY Home Phone 518-793-0577 Cell: 518-260-2607 Work Phone Fax E-Mail: aandoc@roadrunner.com Agent's Name: Andrew Parsons, JMZ Arch. Address: 190 Glen St.,Glens Falls,NY Home Phone Cell: Work Phone 518-793-0786 Fax 518-793-1735 E-mail aparsons@jmzarchitects.com Owner's Name Address Glendening Realty, LLC 395 Ridge Road,Queensbury,NY Home Phone Cell Work Phone Fax 518-793-0577 E-mail 2 Site Plan Review application—Revised October 2016 Town of Queensbury Planning Office-742 Bay Road,Queensbury,NY 12804 Site Development Data Area/Type Existing sq.ft. Proposed Total sq. ft. Additions . ft. A. Building footprint 5960 165 6125 B. Detached Garage - - - C. Accessory Structure(s) D. Paved,gravel or other hard surfaced area 14165 4505 18670 E. Porches/Decks 0 465 465 F. Other G. Total Non-Permeable [Add A-F] 20125 5135 25260 H. Parcel Area [43,560 sq. ft./acre] 92358.4 92358.4 1. Percentage of Impermeable Area of Site [I=G/H] 21.8% 27.3% Setback Requirements Area Required Existing Proposed Front[1] 30 ft. 71.9 ft. 63.9 ft. Front [2] Shoreline Side Yard [1] 25 ft. 105.2 ft. 105.2 ft. Side Yard [2] 25 ft. 31.8 ft. 30.8 ft. Rear Yard [1] 30 ft. 235.8 ft. 235.8 ft. Rear Yard [2] Travel Corridor 75 ft. 71.9 ft. 63.9 ft. Height [max] 40 ft. 14'-6" 14'-6" Permeability 50% 21.8% 27.3% No. of parking spaces 23 17 26 3 Site Plan Review application—Revised October 2016 Town of Queensbury Planning Office-742 Bay Road,Queensbury,NY 12804 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): 3. Does this project require coverage under the New York State Pollutant Discharge Elimination System (SPDES) Permit Program ? No 4. Estimated project duration: Start Date 07/2017 End Date 10/2017 5. Estimated total cost of project: $150,000 6. Total area of land disturbance for project: 0.73 acres Floor Area Ratio Worksheet N/A 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/Intensive CM/ Cl 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 Floor 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] *If D is larger than E. a variance or revisions to your plan may be needed. Consult with Staff. 4 Site Plan Review application—Revised October 2016 Town of Queensbury Planning Office-742 Bay Road,Queensbury,NY 12804 § 179-9-080 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 topics: STANDARDS A The proposed project furthers or is consistent with the policies of the Town's Comprehensive Plan. Yes 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 1),the applicable requirements of all other Articles that apply. Yes 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. Yes, N/A D The site plan must conform to Chapter 136 Sewage and Sewage Disposal,Chapter 147 Stormwater Management Local Law,and other applicable local laws. Yes 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 description 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. Yes F The establishment,maintenance and operation of the proposed use will not create public hazards from traffic,traffic congestion or the parking of vehicles and/or 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. Yes CJ Off-street parking and 19oading 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. Yes H The project shall not have an undue adverse impact upon the natural,scenic,aesthetic,ecological,wildlife,historic,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§ 179-9-080 of this Article. Yes 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. NSA J. 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. Yes K. The water supply and sewage disposal facilities 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. NSA I The adequacy,type and arrangement of trees,shrubs and other suitable plantings,landscaping and screening shall effectively provide a visual and/or noise buffer between the applicants and adjoining lands,including the maximum retention of existing vegetation and maintenance,including replacement of dead or deceased plants. Yes M Fire lanes,emergency zones and fire hydrants will be adequate and meet the needs and requirements of emergency service providers. NSA N The design of structures,roadways and landscaping in areas susceptible to ponding,flooding and/or erosion will minimize or avoid such impacts to the maximum extent practicable. Yes 0 The site plan conforms to the design standards,landscaping standards and performance standards of this chapter. Yes 5 Site Plan Review application—Revised October 2016 Town of Queensbury Planning Office-742 Bay Road,Queensbury,NY 12804 § 179-9-050 Checklist-Application for Site Plan Review. Application materials and site plan shall include sufficient information for the Board to review and provide a decision. The applicant is to provide a site plan drawing and all attachments that address items A-V. The applicant may request a waiver from A-V and is to provide reasons for waiver(s) requested. Please label information to be submitted. REQUIREMENTS Sheet 9 A A vicinity map drawn at the scale that shows the relationship of the proposal to existing community facilities which affect or serve it,such as roads,shopping areas,schools,etc. The map shall also show all properties,identify owners, App.A subdivisions,streets and easements within 500 feet of the property. Such a sketch may be superimposed on a United States S-1 Geological Survey map of the area. B 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 8 U2`�x I F sheets as necessary for written S-1,C1 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. S-1 D Name and address of the owner of record,developer,and seal of the engineer,architect or landscape architect. If the S-1,C2,Al applicant is not 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 S-1 floor area,all exterior entrances,and all anticipated future additions and alterations. F 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 A-001 containers shall also be shown. G The location,height,intensity and bulb type(sodium,incandescent,etc.)of all external lighting fixtures. The direction of A-001, illumination and methods to eliminate glare onto adjoining properties must also be shown in compliance with§ 179-6-020. H The location,height,size,materials and design of all proposed signs. A-001/AppB 1 The location of all present and proposed utility systems including: 1.Waive 1. Sewage or septic system; 2.Waive 2. Water supply system; 3.A-001 3. Telephone,cable and electrical systems;and 4.C2 4. Storm drainage system including existing and proposed drain lines,culverts,catch basins,headwalls,endwalls, hydrants,manholes and drainage swales. J Plans to prevent the pollution of surface or groundwater,erosion of soil both during and after construction,excessive runoff C2 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 one acre or more. A SWPPP 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 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 one acre. K Existing and proposed topography at two-foot contour intervals,or such other contour interval as the Planning Board shall S-11 C2 allow. All elevations shall refer to the nearest United States Coastal and Geodetic Bench Mark. If any portion of the parcel is within the 100-year floodplain,the area will be shown and base flood elevations given. Areas shall be indicated within the proposed site and within 50 feet of the proposed site where soil removal or filling is required,showing the approximate volume in cubic yards. L A landscape plan showing all existing natural land features than may influence the design of the proposed use such as rock A-001 outcrops,stands of trees,single trees eight or more inches in diameter,forest cover and water sources and all proposed changes to these features,including sizes and types of plants. Water sources include 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 site plan,as well as any Overlay Districts that apply to the property. Waive 6 Site Plan Review application—Revised October 2016 Town of Queensbury Planning Office-742 Bay Road,Queensbury,NY 12804 REQUIREMENTS (CONTINUED) Sheet# N Traffic flow patterns within the site,entrances and exits,loading and unloading areas,as well as curb cuts on the site and A-001 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.Waive 1. The projected number of motor vehicle trips to enter or leave the site,estimated for weekly and annual peak hour traffic levels; 2.Waive 2. The projected traffic flow pattern including vehicular movements at all major intersections likely 3.Waive 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.Waive 1. Estimated area of structure to be used for particular purposes such as retain operation,office, Storage,etc.; 2.Waive 2. Estimated maximum number of employees; 3.Waive 3. Maximum seating capacity,where applicable;and 4. Number of parking spaces existing and required for the intended use. 4.A-001 P 1. Floor Plans. 1.A-101 2. Elevations at a scale of one-quarter inch equals one foot(1/4"=I foot)for all exterior facades of the proposed structure(s) 2.A-401 and/or 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 water runoff calculations as needed to determine and mitigate project impacts. C2 R Plans for disposal of construction and demolition waste,either on-site or at an approved disposal facility. Waive S Plans for snow removal,including location(s)of on-site snow storage. A-001 T. An Environmental Assessment Form("EAF")as required by the SEQRA regulations,with Part 1 completed by the Applicant Included shall be submitted as part of the application. If the proposed project requires a special use permit and an EAF has been submitted in conjunction with a special use permit application,a duplicate EAF is not required for the site plan application. U If an application is for a parcel or parcels on which more than one use is proposed,the applicant may submit a single N/A 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 an application(and for SEQRA compliance)all proposed uses on a single parcel or on contiguous parcels shall be considered 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. 7a 7 Site Plan Review application—Revised October 2016 Town of Queensbury Planning Office-742 Bay Road,Queensbury,NY 12804 TA iT 15 March 2017 Site Plan Review Application Planning Office Town of Queensbury Waiver Requests • 1-1/2: The proposed work does not affect the existing septic and water supply system. • M: The Transit Overlay district is already identified in the application. The immediate surrounding properties are zoned the some as the site (MDR) with a 10-acre Land Conservation zone off the back of the property (not affected by the project) • N-1/2/3: The proposed work will not increase traffic to the area/business. There are no alterations to curb cuts or the main driveways on the site, therefore there is no effect on the traffic entering or leaving the property. • 0-1/2/3: The project does not increase the buildings capacity for clients or employees. It is simply cosmetic fagade improvements and a new entrance vestibule. • R: The minimal demolition required for the project will be disposed through an approved disposal facility. V: The project: improves the street-side appearance of an aging site and building along a major roadway aligns the building aesthetically with the neighboring properties and the general design character of the area brings the number of parking spaces into compliance of the Town code brings the site signage into compliance of the Town code requirements improves the on-site vehicular and pedestrian traffic improves the energy efficiency of the existing structure 7a Town of Queensbury Site Plan Pre-Submission Conference Form / Section 179-9.040 1. Applicant Name: l ✓l 2. Tax Map 1D c?R 212- -(- 1 Location: �[ �C �lol 3. Zoning Classification rV`�K 4. Reason for Review: Af wL e Ede 5. Zoning Section##: 6. Pre-Submission Meeting Notes: Provided Outstanding; Please provide by Deed General Information complete Site Development Data Complete ,7- Setback Requirements Complete Additional Project Information Complete FAR addressed Requirements for Site Plan-Standards Checklist items addressed Environmental Form completed Signature Page completed �cc O l`^ Ao-P4( u_X G C.1(1cV7 11 �r o CChP (`P l 1l ujR Pmt Pn�� 4 CAC��cn an �eUJ(O(C'h rU�+cIP et I/vl c� �lOA'd � 1 USCG C'P C)t'rCO� cI`PC- rLr c�p c f t C tei UkJ` / '1 12 ZQUS& C LL c ct r l. L &'V c n a Staff Representative: C c L)k Pffir-Q- Applicant /Agent: Date: 8 Site Plan Review application—Revised October 2016 Town of Queensbury PIanning Office-742 Bay Road,Queensbury,NY 12804 Signature Page 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 Owne r 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 following if the APPLICANT is unable to attend the meeting or wishes to be represented by another party- Owner: r .r Designates: te"l zarcavx� As agent regarding: Variances_Site Plan Subdivision For Tax Map No.: 2,�2 Section kC Black Lot Deed Reference: _1Boo P e l s�zDate APPLICANT SIGNATURE: DATE: 2.) ENGINEERING FEE DISCLpSURE: Applications may be referred the Town co sulti g engineer for review of septic design, storm drainage, etc. as deter mi�ned by the Zoning or Planning Department. Fees for engineering review services will be charged directly to the applicant. FeesTor engineering review will not exceed$1,000 without notification to the applicant. 3.] AUTHORI7-4TION 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 maybe 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.j 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, pians 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 11we 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 I have d a agree to th e. 19m1;3 Ji drN�i �J �af gna [Applicant] Tint Name [Applicant] D e s' ned / Tit 'r�G+I �G(Y.3"ayz I 3 If/0 4 I 5 nature [Agent] Print Name [Agent] Dates geed 7 Area Variance Revised March 2014 Town of Queensbury•Zoning Office•742 Bay Road•Queensbury, NY 12804•518-761-8238 Short Environmental Assessment Form Part l -Project Information 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: Site Improvements for Adirondack Animal Hospital Project Location(describe,and attach a location map): 462 Ridge Road,Queensbury,NY;see attached documents Brief Description of Proposed Action: Small addition(165 sf vestibule),facade renovation(new covered sidewalk and pitched roof),additional parking,and new signage for Adirondack Animal Hospital.There will be no change in usage. Name of Applicant or Sponsor: Telephone: 518-793-0577 James R.Glendening E-Mail: aandoc@roadrunner.com Address: 395 Ridge Road City/PO: State: Zip Code: Queensbury NY 12804 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 Z 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 of Queensbury 3.a.Total acreage of the site of the proposed action? 2.12 acres b.Total acreage to be physically disturbed? .73 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 2.12 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban m Rural(non-agriculture) [—]Industrial [—]Commercial ❑Residential(suburban) ❑Forest ❑Agriculture ❑Aquatic El Other(specify): ❑Parkland Page 1 of 3 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ❑ ✓❑ ❑ 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: ❑ 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 action? ❑✓ F-1- c. c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ❑✓ ❑ 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: El Fv_71 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑ ✓❑ 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? ❑✓ ❑ b.Is the proposed action located in an archeological sensitive area? ❑✓ ❑ 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? ❑ ❑ If 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 m Agricultural/grasslands ❑Early mid-successional m Wetland ❑Urban ❑Suburban 15.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? ❑✓ ❑ 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, 11 0a.Will storm water discharges flow to adjacent properties? m NO DYES b.Will storm water discharges be directed to established conveyance systemsrunoff and storm drains)? If Yes,briefly describe: NO ❑YES 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: ❑ 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: ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Andrew Parsons,AIA Date: 03/1517 Signature: PRINT FORM Page 3 of 3 Agency Use Only [If applicable] Project: Date: Short Environmental Assessment Form Part 2 -Impact Assessment Part 2 is to be completed by the Lead Agency. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ Elregulations? 2. Will the proposed action result in a change in the use or intensity of use of land? ❑ ❑ 3. Will the proposed action impair the character or quality of the existing community? ❑ ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the El 1:1establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or El 1:1affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate El ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: El a.public/private water supplies? b.public/private wastewater treatment utilities? ❑ ❑ 8. Will the proposed action impair the character or quality of important historic,archaeological, El architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, El waterbodies,groundwater, air quality,flora and fauna)? 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage El problems? 11. Will the proposed action create a hazard to environmental resources or human health? ❑ ❑ PRINT FORM Pagel of2 Agency Use Only[If applicable] Project: Date: Short Environmental Assessment Form Part 3 Determination of Significance For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3.Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting, probability of occurring,duration,irreversibility,geographic scope and magnitude. Also consider the potential for short- term,long-term and cumulative impacts. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Name of Lead Agency Date Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT FORM Page of H i T4� 0 0 0 0 8 I WARREN COUN LUME9 46-0 F A,G- PAMELA J. VOGEL COUNTY CLERK Lake George, NY 12845 Volm-4610 Pg-14 Instrument Number: 2012-00008620 As Recorded On: November 01, 2012 Deed Commercial or Vacant Parties: GLENDENING JAMES R To GLENDENING REALTY LLC Billable Pages: 3 Recorded By: COMMUNITY TITLE Num Of Pages: 4 Comment: Examined and Charged as Follows: Deed Commercial or Vacant 55.00 Cover Page 5.00 RP-5217 Commercial 250.00 TP-584 5.00 Recording Charge: 315.00 Consideration Amount Amount RS#/CS# Transfer Tax 0.00 0.00 TT 657 Basic 0.00 QUEENSBURY Local 0.00 Special Additional 0.00 Additional 0.00 Transfer 0,00 Tax Charge: 0.00 RECORDED - I.. -I" c i s a !--s Y� Rev 01.521cl�41r-2 01—J51, THIS PAGE IS PART OF THE INSTRUMENT I hereby certify that the within and foregoing was recorded in the Clerk's Office For: WARREN COUNTY, NY File Information: Record and Return To: Document Number: 2012-00008520 BARTLETT PONTIFF STEWART& RHODES PC Receipt Number: 275569 ONE WAQf INGTON STREET Recorded Date/Time: November 01, 2012 01:05:01P PO BOX 2168 Book-Vol/Pg: Bk-RP VI-4610 Pg-14 GLENS FALLS NY 12801 Cashier/Station: C Latham / Cash Station 3 WARRANTY DEED WITH LIEN COVENANT THIS INDENTURE made the 15TH day of October,2012 between JAMES R.GLENDENING, residing at 395 Ridge Road, Queensbury, New York 12804, party of the first part, and GLENDENING REALTY, LLC, a New York limited liability company with an office address of 395 12 Ridge Road, Queensbury, New York 12804, party of the second part, WITNESSETH, that the party of the first part, in consideration of One Dollar($1.00) lawful money of the United States and other good and valuable consideration paid by the party of the second part, do hereby grant and release unto the party of the second part, its successors and assigns forever, ALL THAT CERTAIN PIECE OR PARCEL OF LAND, situate, lying and being in the Town of Queensbury, County of Warren, State of New York, and more particularly described in the Schedule A attached hereto and made a part hereof. 0 Being the same property conveyed to James R. Glendening from Richard E. Miller by Deed dated April 27, 1973, and recorded on May 1, 1973 in the Warren County Clerk's Office in Book 566 of Deeds at Page 487. Together with all right, title and interest, if any, of the party of the first part in and to any streets and roads abutting the above-described premises, to the centerline thereof. Together with the appurtenances and all the estate and rights of the party of the first part in and to said premises. To have and to hold the premises herein granted unto the party of the second part, its successors and assigns forever. And said party of the first part covenants as follows: First, that the party of the second part shall quietly enjoy the said premises; Second, that said party of the first part will forever warrant the title to said premises. Subject to the trust fund provisions of Section Thirteen of the Lien Law. 1 IN WITNESS WHEREOF, the party of the first part has duly executed this deed. / ,,JAMES R. GL KING L STATE OF NEW YORK ) ss-. COUNTY OF WARREN ) On the -LL11day of October in the year 2012 before me, the undersigned, personally appeared JAMES R. GLENDENING, personally known to me or proved 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 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. No U MALCOLM B. OHARA Notary Public, State of New York Warren County, No. 4755409 328949 My commission Expires Oct 31 2 VOLSME n a PAGE,- SCHEDULE A All that tract or parcel of land as was conveyed by Ruth C. Miller to the Grantor herein by deed dated January 2, 1971; recorded April 15, 1971 in the Warren County Clerk's Office in Book 534 of Deeds at Page 38; more particularly bounded and described as follows: ALL THAT CERTAIN PIECE OR PARCEL OF LAND, situate in the Town of Queensbury, County of Warren and State of New York and known as lots 19, 20, 21, 22, 23, 24, 25, 82, 83)' 84, 85, 86, 87 and 88 on a map of premises of P.H. Breen designated as one "Plat, Adirondack Underwriters & Realty Corp." being part of the farm of P.H. Breen, Ridge Road, Queensbury, Warren Co., N.Y. Surveyed Aug. 1929 by H.D. Chambers which said map was filed in the Warren County Clerk's Office September 19, 1929, to which map reference in hereby made for a more complete description of the premises hereby conveyed. Subject to all conditions and restrictions contained in previous conveyances of record. Together with a right of way as described in an agreement between Patrick H. Breen and Katherine F. Breen, his wife, Rose S. Murray, and Albert J. Crane, which agreement was dated December 14, 1945 and recorded December 18, 1945 in the Warren County Clerk's Office in Book 235 of Deeds at page 303. SUBJECT to a reservation made by Ruth Miller in a deed to the Grantor herein wherein she reserved to herself, her heirs and assigns, in common with the Grantor herein, the right to use. for all purposes the aforementioned right of way and further reserved to herself, her heirs and assigns, the right of use of a 25 foot right of way extending north and south across the easterly end of lot 88 on the aforesaid map, for the purpose of access to and egress from the right of way first herein described. Subject to whatever state of facts an accurate survey and an inspection of the premises may show, and subject to the zoning ordinances of the Town of Queensbury,Warren County, New York. Po l3o x -0, Va r—. 11S t WOOD PANEL 'AREA o ® 30 s.f.OF SURFACE WOOD POST, El Z% �CmOO � TYP. rL"I STONE VENEER BASE,TYP. r, (see A401) 8'-0" APPROX.39 s.f.OF SURFACE AREA PROPOSED FREESTANDING TWO-SIDED SIGN ELEVATION N.T.S. Appendix B: Proposed Site Signage