Site Plan Modification Application .neragyp. y�y�" ��,�y �3,
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'Tax Parcel ID Number: 2018
Zoming District:
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Detailed Dewription of PrcljectChwhWwcwt&proMed use].
Locatiort.of project.
1
Home Phone Cull:
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Work Phone
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Agent's Name; Adm:.
Home Phone Cell,
WordPhone Fax
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Address
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Work PhDae
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Site Plan Review aPPlitatiba— ,mdOck)b,6r2Ol,6
Tof Queensbury PImning Office-742 Bay Roam,Quecnsbury,Ny 12 04
Site Develpment:Data
A.rea Type E Xisting Seq. ft. Proposed Total sq.
A, uilding footprint Addition
B. DcWhed Garai
. pu ,gravel other heal u
d
Oavv
H. PSI
[4 , 60 sq.&J sr
S-ethack Regui pMents
AreA Required ExistingProposed
Frant [�]
Front l
r ,
Shoreline, 97
j Yard[1]
�i [ ] ,
RiDay Yard 1]
Rear Yard
Travel r
Height I
3
.Nnnubility
L4 q-5
No. of parking spaces
3
SiW lPla:Roview application-RevisiW October 2016,
Towti of Qucewbury Ph=,, Jng Off=042Bay:1R d, Queensblury,NY 12804
1. Will the PrOPOsalrequire H Septic Variame frothe " "own B4O ? '0
M If the pal has pre'Viol.,approvals, list a Pll ationn number(s):
. l e,s this roj ect requim coverage theNew york 'State Pollutant Discharge Mimiwtjon system
( PDES)Pennit Program 7
4. Esfirriated 1c duration. Start Date 4Eel Date
5 ed total,cost of
.. .. "Total area of land dishirbance for projed
Floor Area isatin h
get
FLOOR AUA building RATIO (FAR) '
The relatiOnsWp of building size to lot size, derived by dividing•,
floor b the-lot in squarc feet� Yielding a ip to ;e,:
Zoning D sr
Floor Area Ratio (PAR]
t
0.22
Co! a10 s I�
c embine a
A.
ure-from, c Or wally structures cern the prop
lrrclu n, ill structures, basements with, property, .
height andcovered,1 . BWl a five 5 hit of cell
covered docks,.exwmft over water and one storage shed+e sow not ne deo Opp deck,docks and t t portion of"
dldioru�ll b included. (120) feet or less..
(See ` WO A l ,MY .
CommerciLpil
'ndustrial- the total area in squM fW as
r libl the sum tote o all floor o �' � ��
building Meas t� or o�"t o els
�� �the
b of � �i�it.snta" � r � ��
A.
. Floor Area
. . abov"e "t ion-
D. Pro UAW Floor
we
tabs
""It J1 is largmthan E-a ce orrevisions lea Your Plan May neected. consult with Staff. .
Site
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Town of QUeensbury Site PlanPre- 'u -gsin Conference Form ! Section 1 -9.7
L Applicant Names
2. Tax Nbp,ED OU
Lo=tiou: m
3. Zoning heS tin
. Reason for ReAew., C A ,(J tit �,14 CrL)t-1
S. zoning� e oll . 179-, 9 — 12-0
6. z
Pre-sulymission Ming Nom: Provided le
by
Genenil hiformation wmjew .
Site Development
AdditionW eject Ingoirmatjon Comply
Pte.addressed
*quimments far siteplats s
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sipatum pa OGMPIOW
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Staff Repmntafiw:
Applicant " Tate:
She Plan Revim appficaflon' ReAsW Ocwber 2016
TOvM OfQ=ensbury Plaflulug Officc^742 BAYRoad,Quembwy,I 12804
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