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91 Rockhurst-Deed & photos 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 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 following if the APPLICANT 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 Block Lot 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 Uwe 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 read and agree to the above. n'& -I, / �-/A ci-a ck, 1-7 Signature[Applicant] Print Name[Applicant] Date signed Signature [Agent] Print Name [Agent] Date signed 9 Site Plan Review application—Revised October 2016 Town of Queensbury Planning Office-742 Bay Road,Queensbury,NY 12804 - A WARRANTY DEED THIS INDENTURE, made the 3' day of December, Two Thousand and Eight, BETWEEN: Heather J.McLeod and Mark E.McLeod, residing at 91 Rockhurst Road Queensbury,NY 12804 Party of the first part,and Cheryl H. Hackett and Winfred A. Thomas residing at 10 Lazy Acres Road Chittenden, VT 05763 as tenants in common,with Cheryl H.Hackett getting an undivided 25% as getting an undivided 75%interest in the interest in the parcel and Winfred A. Thom subject property. Parties of the second part, WITNESSETH that the parties of the first Part,rrand other good valuabonsideration of one leocons'deration llar and no 00/100 ($1.00)lawful money of the United States, paid by the party of the second part,do hereby grant and release unto the parties of the second part,their heirs,distributes and assigns forever. All those lots or parcels of land, situate,lying and being at Rockhurst on the westerly side of Sheldon Point,Lake George,in the Town of Queensbury, County of Warren and State of New York, SCHEDULE"A"—See Annexed Page Being and intending to describe and convey the same premises conveyed by Heather J. McLeod to Heather J.McLeod and Mark E.McLeod simultaneously herewith. 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 party of the second part, his heirs, distributes and assign forever, as tenants of the entireties, survivor to take the whole. And said party(ies)of the first part covenant as follows: First,that the party(ies)of the second part shall quietly enjoy the premises; Second, that said party(ies) of the first part will forever Warrant the title to said premises. Third, that in compliance with Section 13 of the Lien Law, the grantor will receive the consideration for this conveyance and will 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 will 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 on the day and year first above written. % Heath . McLeod 4 A�')U�A — ark KMAod STATE OF NEW YORK COUNTY OF L On this the I Pday of December in the year 2008. Before me, the undersigned, a Notary Public in and for said State,personally appeared Heather L McLeod personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies),and that by his/her/their signature(s)on the instrument, the individual(s) or the person upon behalf of which the individual(s) acted, executed the instrument. Dimas M.Manan Qaa�diaBensaelaerCaalf __-__ No.OlMA60S0747/ /(I '� ,\M Commission Ezplres 11/13 \ Notary Public STATE OF NEW YORK COUNTY OF 4N A•R A----' a On this the 36 day of December in the year 2008. Before me, the undersigned, a Notary Public in and for said State,personally appeared Mark E.McLeod personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s)is(are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies),and that by his/her/their signature(s)on the instrument,the individual(s) or the person upon behalf of which the individual(s) acted, executed the instrument. �WCOUFFTI(,-CAM-- ' Notary Public SCHEDULE A All those lots or parcels of land, situate, lying and being at Rockhurst on the westerly side of Sheldon Point,Lake George, in the Town of Queensbury, County of Warren and State of New York,known as Lots Numbers 4 and 5, as shown on map entitled"Map of Rockhurst on Lake George,developed by How-Mac Developments,Inc.,Town of Queensbury, Warren County,New York made by Lester W. Coulter dated December 20, 1955,revised January 16, 1956 and filed in the Warren County Clerk's Office January 24, 1956", each lot having a frontage of 90.07 feet on the roadway at the rear;Lot number 5 having a depth of approximately 125 feet plus or minus on the north and Lot number 4 having a depth of approximately 105 feet plus or minus on the south. TOGETHER WITH AND SUBJECT to all enforceable covenants, easement, restrictions and conditions of record. Excepting from the above described premises the premises conveyed by the following deeds: 1. Warranty Deed dated December 5, 1966 from Alexander Covals and Elizabeth Covals,his wife,to Alexander Covals,Jr, and Ilse M. Covals,recorded in the Warren County Clerk's Office December 12, 1966 in Book 476 of Deeds at page 548: 2. Warranty Deed dated June 8, 1977 from Alexander Covals and Elizabeth Covals,his wife,to Alexander Covals, Jr., and Ilse M. Covals,his wife,recorded in the Warren County Clerk's Office June 9, 1977 in Book 605 of Deeds at page 824. WARREN COUNTY 0 0 0 00 -7 9 PAMELA J. VOGEL COUNTY CLERK - - - - Lake George, NY 12845 (oc1O POLYS levo- H9 so zoos o000007s Instrument Number: 2009-00000079 As Recorded On: January 07, 2009 Deed Parties: MCLEOD HEATHER J To HACKETT CHERYL H Billable Pages: 3 Recorded By: STAFFORD CARR&MCNALLY Num Of Pages: 4 Comment: ** Examined and Charged as Follows: ** Deed 56.00 Cover Page 5.00 RP-5217 Resid/Agric 75.00 TP-584 5.00 Recording Charge: 141.00 Consideration Amount Amount RS#/CS# Transfer Tax 3,940.00 985,000.00 TT 1144 Basic 0.00 QUEENSBURY Local 0.00 Special Additional 0.00 Additional 0.00 Transfer 3,940.00 Tax Charge: 3,940.00 RECQRDEE f:oun;9 fderks u ,_- Jan n7t2iiilq iCi:i n Pamela J. t`o3f:-1 Warren Cnun L, C1_ii: **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: 2009-00000079 MATTHEW R LUDEMANN Receipt Number: 100087 PO BOX 2844 Recorded Date/Time: January 07, 2009 10:12:48A GLENS FALLS NY 12801 Book-Vol/Pg: Bk-RP VI-3690 Pg-196 Cashier/Station: B Post / Cash Station 3 Page 1 of 3 Q1'o%vtl of ueensbury C227.13-2-37 * 91 Rockhurst Rd ® Parcel Information: O Parcel Location Acres Property Class School District Ward 1227.13-2-3777]191 Rockhurst Rd 0.22 210 - 1 Family Res Lake George CsdWard 1 Owner Information: O Owner Owner Address P.O. Box Owner Address Line 3 Winfred Thomas 1191 Rocichurs I JjQueensbury NY 12804 Cheryl Hackett 1191 Rockhurst Rd Queensbury NY 12804 .i`►2017 Assessment Values: (Previous Assessments) O Parcel Assessed Land Value Assessed Total Value Uniform % Full Market Value 227.13-2-37 846,000.00 1,084,300.00 100.0% 1,084,300.00 Images: 6- 72 ft �1 12. »' e1' n i 30 n• i.vrolF.a.c wv r»o. R isss n• s• Rmwa ns Ilm ,. — 13J0 h• 41- Fin,g eii I'I mage Date: 11/2.3/2016 [mage Date: 11/23/2016 11/13/2017 Page 2 of 3 Image Date: 3/24/2009 <0 Sales Information: Sale Net Sale Sale Ars Land Tot. Value Prior Date Sale Price price Book Pa a Type Cond. Code m Len. TOSe TOS Owner E12 Land & McLeod, 30- 985,000.00 985,000.00 3690 196 Building None Yes 602,000.00 985,000.00 Heather 1 08 12 Land & McLeod, 13- 0.00 0.00 3690 192 Building Buyer=Belle No 602,000.00 985,000.00 Heather 1 08 N Land & McLeod, 0.00 0.00 3690 192 Building Other No 602,000.00 985,000.00 xeather 1 Land & McLeod, 0.00 0.00 3493 EBuilding Relatives No 602,000.00 1,150,000.00 Mark 10- Land& Covals, 12- 400,000.00 400,000.00 1188 EBuilding None Yes] 1000-00337,700.00 Alexande 00 A Site Information: Site Nbad Site Nbad Nbad Road Ent �Yoning-1111 ❑�Sewer Water Utilities��� # Code Desire Type Ratin T e Type ode E'I 0-1 R ILakefront Inter W ®Land Information: Site# Land # T e Front Depth Acres S Ft 1 1 j 10-Waterfront 87 109 �0 &Residential Building Information: Site# Bldg Style #Stories Ext Wall Mat Yr Built #Kit. #Baths # 1/2 Baths #Bedrm #Fire 1 11/13/2017 Page 3 of 3 L___]Ranch L___]Wood j 1962 L-1L ___] Site# Heat T e Fuel Type Central Air Bsmt Tvne 110verall Cond Constr Grade ISFLA Electric Electric Yes =lFull ormal IFAverage 2728 ,,sl Commercial Building Information: D "Improvements Information: O Site# Struct Code IDim 1 Dim 2 SO FT ®Constr Grade Overall Cond Yr Built 1�BH7-Boat shelter I00 212 10 Average =lNormal I2002 1�RPI-Porch-open/deck I12 ®0EAverag INormal 2000 RG4-Gar-1.0 det EAverage INormal I1970 RP4-Porch-enclsd-120 00a Average JINormal 1952 RP4-Porch-enclsd J22 000 Average JINormal 1952 0 Special District Information: O S ecial District IlEnits IFTaxable EM001-Emergency medical 110 111084300 FP007-Fire protection 110 111084300 LB001-Crandall library dst 110 1084300 Exemption Information: �=Permit Information: 0 Permit Number I Permit Date IPermit Use I Cost Estimate P20020950 11-15-02 Septic Alteration VOID I0.00 P20020309 05-08-02 Boatshelter 17,000.00 P2002015103-14-02 Dock 20,000.00 The information in the ® RPS database is maintained by the Town of Queensbury Assessors Office The hifo rmation provided on this website is fcs-GENERAL REFERENCE PURPO,SF,,S Oi\'L)"(incl should not he relied upon in lieu of referring to of/icially adopted Tarn Codes, Local Laws or other documents available in'Torun Hall. 11/13/2017 �. 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