Subdivision Sketch plan application with plot plan l
Sketch Plan Revised April 2 D10
General Information
Tax Parcel ID-Number: � � �0 U, 4-I -L7
Zoning District: pn,56 l O m e NO-IA
.Applioatia kWF,chec and +�
katoh Plan Stage
Prellminar $Uge
Final Stage
Indicate the following:
Num Wof IOts propoged 1 TO
ResidehtiaX Ot CoMmercial
Total Lot-acreage A. e A c kes
Ptop ed-lot i es. q i oo`x a co' e 10- a ,jc`y o ICC
ProjerA location 'f W€Agu-m LArti,t
Detailed Description of Project [inrIud6:wrrent&prop.osed used:
NOW.'. xOw 1w W.-
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T O-Quaertsbury,Mnt,M Ofr". 742 9 ay Road - Quawilo uary;NY 12804 - ffl-N7614220 1
Sketch Plan Revised April 2410
ITEMS TO BE IDENTJFIFmD BY STAFF DURING PRE-SUBMISSION MEETING- You shoufd use this page for
guidance whep drafting ybur application, however, it will be completed by a staff.member, Submfflsl of a skefrh plan
d6pfctiing exlstfng and proposed corkdltfohs shall include the fternts. as noted Wow. Failure to Irid.ude all required
information Mdy result In a deWmI nation d lMompiexeness $nd a delay fn the prooessing df you application.
§. l85-10 PLAN DETAILS AND.OL[ UIKEMENTS.
A. The appliaarit shall subrnit 15 copies of a sketch plan applicatlon. Such subdivision sketch plan need riot be a
survey or be prepared by a licensed professional.
B. Such skPWb pian.Stull contain the following elerneT%and infom'Abn for the purpose of sketch plan review:
(1) Tho skOtch-plan need hat be a dUrvey but should by-prepared at a wale and of suGh accuracy so as to
prpylde.,3 oeneral depiction of t6 proppsaf (an enlarged copycf the tax map af.the parcel May be us0d) and
shquld shin.,
(a).The boundar€es of the proposed subdfvlslon.
� - (b) Topographic features, including existing grade contours utillzfrng existing United States Geological
Survey-data"
AIA (c) Genqr Iccafion of eXisting Vmterpourses, Including lakes-. ponds, wetlands, streams or intermittent
slreRarns.
eel"*&A (d) General areas of existing vegetation, including woad lots and individual freestanding trees over six
lr:ohO diameter at breast height : -T(fe!=-
(p) Approximate areas Within the ,designated orae=hind etf- oelr flod.dplafn, as determined by true United
States Departrnent of Housfng and Urban De lepmprtFload insurance Program,
(} general location of exlsUng man-made features, lh�judft the locatibh aired -sloes W power lines,
pfpelines, boffdings and structures, sto" drains and ciilVbrtlt,vie Is Wid septic tanks end flplds of adjoining
properti$&.
(g)Exiaiing ri is-of�way andfor aasaments eoross. r-ad' cant to the R rop. sed subdI'v1slon,(or&4 O-rc
(h The harries and addresses bf all -applicants, if orf irndivldual or partnemhfpf, and the names and
a ri s es of prirticlpal f#€c�ars of a corpOrptlan..
t Qt C'
(I)'The name and address of the owner(s).of Cand do Whicftfhe subdivision is to be located.
0)A fdoa4on map rftWfrig the property Included In the proposed subdivision-and all contlguous propertias
oFthe proposed subdwisian and all pmpertlas within 504 feal in each direction from the boundary line of-the
proposed subdivislon along any cW[ uous street or highway. All properties shall be identified by lot and
pWW number ar}d nares of owners.
(k)The tocatibn and width cif proposed street dolit-ef way and paverhents.
.(I} The proposed. arrangement grid apprGS imtiit . area width, ierigth-and setback-requirements of each tot
'arid r
street pattern for the purpose of demonstratlng :to-the Board that-the proposts
ed location: of stree
alJ�ws fbr fat layout in accordance with the ZorlIrLg Law far-the zoning district or dlstdcts In which the
subdlvisfon is located,
(m)AOdiffonal Ii FO a;jpn. such addlbimal irnforrnatlon and exhttAs the .developer or the Planning Baan
may feel necessary.-to describe the project and its.rornplldit6 w4th'E 6 rerquftrnents of these reguiatrons
shaill be subtni d.
(2) Fees. There Is.currently no fee for sketch plan review
T6vwn of Queensbary Planning Office- 742 Bay Road •Queensbury.NY 12804- 518-761-8220
Sketch Plan Revised AAAI 2010
Pre-SUbmfssioh. onference Form
1 Tam�41ep.ED: — 6
2. ZbnIng Clas9fliGation- r IY}Or r e Ame- U e)41
reason fbr Rdvievd: 'p rw {-�• � � !c '
4. Ordinance Sea= C ` �• 1~c��]�o�C
Pre-$UbMl8;ston Meeting Notes; .ctft
�.�M5 ekedJ A P-1
1. Deed f Yes _No
3. Pne-5.Ubfn(ssfon floating Notes �/Yes.
igrUfa
4. 4ure Page Yes o
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Applicant}Agent:
Data: Cesko"A
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TOM Of Queenst ry.PEoriTng.fto- 74Z Ny Rood QU isi�u-ry;W 1�08 -51 WM"9220
Sketch Plan Revhsed April 2010
Signature Page
This page Tido s: 1:}A,*'oir[z8UDq to reit as Agent Form: .) Eflgln fing jFqo Distilo m, 9.) Authorization for Me
Visi#s; d.j 0(her`Permlit Fte�pWSTbilltio% 5.) OffWel iwlee*[g Disclosure and 6.) Agreement to provide documentation
required.
01Nf EWE DENT FORM:
C.omple#e.the foJloxing if the OWNER of the property is riot tine 88 me as the appllcar-t
Owner,
Designates:
As agent regarding: V.ence;__ Site Platy SUbdlVlsien
For Tag Map No.: ,Section Block Lot
Deed Reference: Book Page Date
OWNER-SIGNATURE: LIATE:
APPI,c*WsAc3E T. Fbl:zNt:
C.QmPkto tho'folfoNiing if'th-e APPLICANT is urgabfl to-attend the rnea#rng or wishes to be represented by another
party-,
Owner:
Designates:
As agent regarding: Madame Site Pian:StibdiVislon
For Tax Map Tho.: _ ectlon .Bjcx* Lot
'D'e�*006tqnoo. Bbbk P'ge _.Date
2 'ENGWEEKIHg F $CL : ApptcalEons may be referred to ft Town wnlauWng finginw for revkW of septld design,
sWth drailnage. Ott. ei�datermined by the Zontrig or Planning Department. Feet for eng43aeririg raView aer&ea 41 be charged
dk tiy-to the appllcpriL Fees for e0inaaring rev[Ew will rrat wcd"d S 1 000 without rrotlfl atiian to file applicant.
3.) All RATION. FOR.SfM VlSfTS: By signing Buis page and subrnK0rrg the appllcatlon matwials 12=chad herein, the
Ove,.AppllcanL,and hWhiar/theilr agant(v)'hemaby iauthodze this Za ing E3%wd or Plenrilng Board and Town Staff to enter the
Qk&dt ropodids f6r11ie` [pose ofr~ng tPtL-applk:ati&n3tubiniftW,
ALI OTHER.PERMIT FtESPONStBItJltiE t Q#Fier i r
jivds WY lie r ttiF cl: .ca str[rclfOn V OtWnbn actj]Wt .subsequent to
apprwW by thu ZoniG.tg Board-or Piam lire Board. 'STs the applIrAW..ia.Mq bAs3btllty.-fo 04.W tidy liiid9ial$?ems..
gj 7f MCI AI MEETING MINUTES DIS.CLOSU It is the prac$ce of the.Comrnurifty'DevelO"Ant department to have a
destgnaNd sten4g�Apil qr 1opri mcotd the ptoaeadings of meetings easuiting from eppiicdtlon, and minutes transcribed from those
taped domfitules the official record of all proceedings,
6.)AGNEWENT TO.PRO,UIDE DOCUMENTATION REQUIRED: I, the UncMWOned, have 3h0MM9hiy read end understand the
Instructions tar submimlion aid�gr!ee to-the submission vequverne6ts,t aolciiovdeJge iia gvaalr5,ction�LotTv $shoU be.onmawced
odor to lsswwo or a VaTild. pealwfi. I fy #kilt the :appiicatilan, plans ani suppgrttna mater#els are a trtre arid owpista
st !r�e]tUc# scu 1ptiokt.t4{he exCstl�tg or tl tf.and tha work p( aid, and thht ell%bort fW 4 bb periawnred'in, orders&with tha
r pio+i la aridL(n cortForera ce W.tl IpCat zoning ra'gui�k#Etiirts. !ao(241o�Vledge fi pilot f+ upyJrtg the t"a Ytl prapoab I or
my agoras-,w1k�abtak a�rtlkate of-o' mrup;iri -as.kew'ssary. 1 e undOMW4 tit t.We may-iia r0401rg4tp'proWe ani as-built
survey by a ltcerissd Iand'surveyorof all nw*constrtr.,ad faciptles prior to is%uance af a carliticaf&of egaupency
I have read and aww to ithe above.
IFO
YZAK A e- 1j, 0//71
1919 awls[AP . rpt Pdn�t. ame[App €giant] Date sighed
Signature [Agent) Misfit Narita[ gdritj 'bate. signQ
'Town of Queensbury Planning QFFicv 742 Bay Road -Queensbury, NY M04. 878-767-8220