Site Plan Application with narrative & deed PAUL E.PaNTiFF HAR,TLETT,PON 1 F, , "�'E.' '',�wr of -, P.C., KARLt WILLIAM BUETTNaER
ALArr R.Broom ELISABETH B.MAHONEY
BoaERT 5.114 cMiLLEN ATT[nRNEys.fIY,T LAw J N D.WmmiT
P111UT C.J]VICINTIRE P.O.BOX 21168 acus Hur.Anw vrma N
MARK A.LEsow iTz ONE ASH1INGTON STREIET M
J.LAwRENcE PALTR*vera
k4 OLM S..O"HAS I' ,1 �p J� 112801-2168 �3 NNlf�1IWlltltil ,PRATT,SFr
OwaNSe:L
PATBICI;A F.WATKINdS
ARK L UFLASANO
Baum 0.Lirwsm TELMONE($13)792.2117 RDCHARD J.BA TLETT
PAULA NADEAU BERUBE FAx 1511n17n-33113 19 21N1,5
AwATeeJ m C.LArPER, MAIL ROBERT s-.'S"I 'WART
STEFieNiE D iLALLo BeTTER BERTRA Mw J.Bum
ERVECE BY FACSIAHLE NC9 ACCEPTED n91 199
February 15, 2018
- &
Stephen Traver, hairnrna , 8� � � � �,
Planning Board
Town of Queensbury 11
724 Bay RoadQueensbury,NY 12804
Harrison Freer, Chairman.
Zoning Board of Appeals
Town,of'Queensbury
724 Bay Road
Queensbury, NY 12804
Re: Jason and Rebecca Southwood
388 leverdale Road
Dear Chairman Traver and Chairman Freer:
On behalf of Jason and Rebecca Southwood l have been asked to prepare and submit
applications for ,area Variance: and Site Plan Review forafter-the-fact approval of their recent
conversion of an open porch to an enclosed porch. Although, clearly, they should have sought
permission before commencing this renovation, the change was undertaken in order to remedy
rainwater leaking beneath the pre-existing porch. 1 have enclosed beforeand after photos which
hoar that the horse is; visually improved from the lakeside. please place this ::natter an your,
respective agendas for March.
Very truly yours„
BARTL TT,PONTIFF, STEWART
(7P.. RHODES', P.C.
B
n hail „ l app , Esq.
,, ,mSN �
N eel 18824_1 034
e; Jason and.Rebecca,Southwoods
� S,
'SOW OF QUEENSBURY
Site Plan Review lei tion
Rev�iew Pry e :
1. Required pre-s,unbrnissinn meeting with staff to determine general completeness to be held no inter than ll
week,prior to deadline day, Call ( 1 ) 761-826,5 or( 1. ) 761-8220 for an appointment.
Submittal of complete application. p ori ,final and 14 copies,of the application package by monthly deadline.
„ )determination of application completeness. All necessary information must be provided and appropriate
t"* paid for consideration for placement urns , agenda for that month,
4. jncoMg1Lte agglicaLlonj, ill not. be considered for placement on any endrin until all mission
information has been submitted.
. Submittal to ''",Farren County Planning,,if applicable
b. Platming Board meeting, generally the third & fourth Tuesday of each month. You will be advised in
writing as to which meeting to attend,
. 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 nest likely step is a Runilding Nrmit, Final
drawings must be provided for the next phase of'review. If your application was denied, your projtct cannot
proceed as submitted.
DOCUMENTATION I, E T (hard copy & electronic):,
1 l asz,submit 1 prigjgat ~ f4 opi
i the c rrnpleted application package to include:
• oM 1 wed li tho ages 2-9:, signed dated
• Pre-Submission.Meetinz Totes,, signed by staff
• oauv rrf Doed
• Checklist& Plot Plan
• Environmental Assessment Form f r any non-residential project
• Fee, $100 (0 — 10,000 sip, f#); S250 (10,001 — 311„040 sq, ft.); '$500 (30,,001 -100,010,10, sal. m) $1,,000
(1 , 1 sip, ft,)
Staff& Corktact )Information:
Craig Brown, Zoning Administrator craipb rrueensbunrv,net
Laura Moore, Land Use Planner Imoorekgueensbury.,net
Sunny Sweet, Office:Specialist—Planning sunnys gueens'buury,.net (51 ) 61-8220,
Visit our website at www.gueensbyry,jjgt for fUrtluer iant'crnnaticri andr forms
t
Site Plan Review application-Revised 000cr 2Q]6
'Town of Queen!bury Nanning ft'uce-"fid a Road,Queensbury,NY 12804
Tax Paarc l TTS Numbr-. 226.8-1-8
Daafled Description of Project [includes current&proposed Huse]:
Set backand FAR varianoeLW enclose a pre-existing pouch,
Location of project:
388 lever ale Road
Applicant Name: Jason,and Rebecca Soufli,woold Address: 388 Clevardale Road.
Home Pone fl8-542-8072 Cela.:
Work,Phone Fax
E-Mail:
Agent's Mame: Address. Once Washington Street
Jon lr , Glens Fa9is,,'l Y 12801
Hen>t><ue Phone Cell:
Work Phone 518-79,2-2117 Fax.
-mail
Owner's Name same as app icant :address
ome Phone cell
Work Phone fax
E-mail
2
Site Plan Review applieatinn-•:Qtevised October 2016
Town of Queens ary Nanning Office-742 Bay Road.,Queensbimy,NY 12804
Site Development Data
Aren i Type Existing sq.,ft. Proposed Total !sq. ft.
AddifiGn sq. to
A. Building footprint 1,446 no change 1,446
B. Detached Garage no change
C. Accessory Structure(s) no change
D. Paved,gravel orr o(her'
hard sorfamd area
1,073 no change 1,073
E. Pos rches/'Decks 706 no, change 706
F. Other
�no chan e
G. Total Non-P enneable [Add A-Fj 1,225 no change 3�225
11. Parcel Area [43,5 4 sq� ,i acre 0.12 acres no change 0.1.2, acres
1. Percentage of Impermeable Area of Site [I /H]
519.5%, no chanp .51%
Setback Requirement
Area Required Existing Proposed
Front [1] 30' 61 Si6
Front [2]
Shoreline
50" 36.5' 36.51'
Side hard [I]
15, 14' 1 1.4'
Side Yard [2)
Is, 1A IN
Rear Yard [1]
Rear Yard [2]
Travel Corri'dor
Height(max] 28' 26'
Penne,ability 75% 40.5% 40.5%,
No, of parking spaces
3
Site Plan Review application-Revised October 2016
To of Queensbury Planning Office-742 Bay Road.,Queensbury,N'Y 12804
Additional l Pr j t ItlforMat'io
I. Will the proposal. require a Septic Variance frond the Town Board of Health? no
2. If the parcel less prt wriouus approvals, last application number(s),
3.1 Does this p:rojiect require coverage under the New York State Pollutant Discharge Elimination,n,S ten
4. Estimated project duration. 'Start Tate rn a lend Date—done
. Estunated total coast of project-
. Total area of land disturbance fuer project- none
Floor Area RattoWorksheet
FLOORAREA RATIO (FAR) -- The relationship of building size to lot size, derived by dividing the total
buu;ildi n oor area by the lot size in square feet, yielding a pe:rceuta e,.
Zoning District Symbol Flower Area patio [FAR]
aterftonnt Residential WR 0.,22
Commercial Mo: Berate/Intensive M/ l 03
A. The combined area of roll squame footage, as measure from exterior walls, of all structures unnua the property,
irncluudann all floors of the structures, ara es, basmeunts and attics with more than five feet of ceil:inn,
height and covered porches. Buuildirn, square:footage does not include: Open deck, docks and that portio�tn of
covered docks extending over water and one storage shed of o ne huurndred twernty (120) square Feet or less.
Any additional sheds will be included. (See",FLR AREA RATIO").
B., Conunercial or industrial. the total area in.square feet as messuumd from the exterior of the outside walls o,f
building or structure, and when appllicablle,, the sunrrn total of all floor areas of the principal and accessory
buildirn s or structures on this,project site.
A. Parcel Area 5,417.6 sq. p.
B., Exi€ stiiun Floor Area 2j 12 s � ft, see above defnrniti ra
C. P'roposed Additional Floor Area 240 sq, ft.
D. P"roposed.'Total Floor area sq,
.
E. Total AllowableFloor,Area j (Area see above table
*If D is larger than E. a variance or revisions to your plan may be uueeded, Consult with Staff.
4
Site Plan,Review app]icatioua .„Rovised 00ober 201 6
TownofQueensbury Planning Office-742 Bay Road, uue sbuury,, 12804
§ 179,-9-080 Requirements for Site P�lan AURroval.
'The Planning Board Aall not approa Site Plan unless it first determines that sucb site plan meets the
following Standards. Please prepare responses lo ezEcb of the,following.topics:
STANDARDS
A. I1 ie proposed project furthers or is consistent with(lie policies of die Town's Comprehensive Plan.
B7 The proposed prpjW complies with all-other nquIrements of dais Chapter,including Elm site pion 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 prnliosed,to be located(Article 3 and
Table 1)�, the applicable rcqu ii-cments of MI other Articles that apply,
�C7 The site plan encourages pedestrian activity internally and,if pr000coble,to and from the:site with pedestrian paths or-sidewalks connected
to adjacent areas,.
D. The site plan rust-conform to Chapter 06 ewage and Sewage Disposal,Chapter E47 Stonnwaler Managernent Local Law,and oflier
applicable local laws.,
E. The proposed use,shall be in hartnony with the generat purpose or intent of this Chapter,specifically taking Ingo account the location,
ehanioter and size,of thu pToposed use and the description and purpose of the district in which such use is praposed,the naturc and intensity
of the activities to be involved in or oonduetcd in connection with the:proposed use and the nature and rate of any'inroreaso in the burden on
supporting,public services and facifitim which will follow sho approval of Ole pr(qxised lus'e,
F. The establishment,Maintenance and operation of the proposed use wilt not create publicliazards ftorn traffic,traffic congestion or this
parking of VehiejeSr and/or equiN"CMt or be otherwise detrimental to the health,szfcty or general welfare of persons residing or working in
the neighborhood or In the general welfare of the.k)lwn,, Traffilo access and circulation,road intersections,road and driveway widths and
traffic,ountro Is wil I be,adequate.
OMstreet parking and l9oading f4edities,will be appropriately located and arranged and sufficient to meet traffic anticipated to be generated
byElie new use. Ile establishment of vehicle lInks between parking areas of Aiacent.propetties are provided%iliere feasible. Tbisforthors
the Town's goal of reducing curb cuts and reducing congestion. Ativenty-toot,wideconnection isrequi.red. if adjacent properties ate either
undeveloped or previnusly cIzveloped wi(thout having made provision for future linkage,then a future connection must be identified and
provided for in the site;plart under review for such Mure linkago when thc time arises, Thr.Planning Board may require proof that the
applicant has made contact with adjacent property owners for purposes linkages with adjacent properties.
This project shall not have an undue adverse:i mpoet upon the:natural,scenic,aesthetic,ecoEogical,wildlife historic,recreational or open,
space resources o F the town or the Ad hondack Perla or upon the adequate provision of supporting facifil iesand services ruade necessary by
the pffijecl,taking Wo account the commercial,industrial,residential,recreational or other benefits,that might be derived from Elie project,
In retaking,the determination he-minder.the Planning 13OARI shall consider those Fuctors pcTlinem to the prqJecl,00rilairted in the
development considerations set forth,herein under§ 179-9'-MG of this Chapter,and in so doing,the Pla.nning Board shall make a net overall
evaluation ofthe project in relation to the development objectives and general guidelines,set f6rth in§ 179-9-090 of this A�rticle,
The provision for and arrangement of pedestrian traffic access,and circulation,walkway structures,control of intersections,with vehircular
traffic and overall pedmirian convenience shall be safe andadequate for pedestrian,movement, pedestrian tonne ction8boween adjacent
sites shall be provided to encourage pedestrian usi:.
Stormwater drainage faoihtieswill prevent an increase of.post development drainage flows as compared to pre-development drainage flows.
Drainage of the site shall rediarge ground water to.the extent pm tical. 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 wide the drainage standards of Chapter
147 of the Town Code and the Town of ueensbury Subdivision Regulations where app]icable.,
K« The wafer supply and sewage disposal foci lities will be adequate and will rneet all applicable and current requiremetlis set forth by
Departynen t of)-health regulations and Chapter 136 of the Town Code.
The adequacy,type and arrangement of trees,shrubs and other suitable platifings,landscaping and screening shall effectively provide a
visual"Wor noisabuffcr between Elie applicants and adjoining lands,including Ific inaximurn retention ofexisting vegetation and
mointenooe, in)O10ding mplacemcm of dead or deceased plants,.
M., Fire,lanes,cmcrgency zones and fire hydrants will be adequate and meet the needs and requirements of emergency service p�roviders-
'N. The design ofsmictures,,mpadways and landscaping in areas susceptible to,ponding,.flooding andlor erosion will minimize or avoid such
impacts to Ilse maximum extent pmticaWo,
0. The site Plan conforms to the design standards,landscaping standards and performance standards of this chapter,
5
Site Plan ,eview application--Revised October 2016
Town of Queensbury Plaming Oice-742 Bay Road,Queensbury,N'Y 128)04
§ 179-9-050 Checklist-Applivation for Site Plan Review,
Application materials,and site plan shall include sufficient inibrmatiern for the Board to review and Provide a
decision. The applicant is to provide a site plan drawing and all attaclunents di,at address,itenis AN N. The
applicant may request a waiver froin AN and is to,provide reasons,forwaiveus) requeqed, Please label
inf6rrnation to be subinitted.
REQUIREMENTS, Sheet#
A, A vicinity,map drawn at the scale:thal shows the relationship of flieproposal to exisling community facilities which affect
or serve it,such as maedi,shopping areas,schools,etc. The map shall also show alt properties,identify owners, waiver
subdivisions,streels,andcasements wilhin 50 feet of the property. Such a sketch maybe superimposed on a United States
I Geological Survey map of the area.
B, The site plain shalt be drawn at a scale of lbrLy,feet to the inch(F-40 fet)or such-wether scale as the Planning,Board may
deem appropriate,on standard 24"x W sheets,with continuation on 8'1/2"x I I"sheets as necessary for written
S-1
information. The information lis-teal below shall be,shown an tliz site plan and continuation sheets.
Ck 'Barrie of the project,boundaries,,date,north arrow„and scale of the plan.
D, Name and adhdrcss of the owner of record,developer,and seal of the engineer,architect or landscape @r)&fiAOvt,, If the 8".]
Applicant is not the record owner,a Icttcr of authorization shall be rcquircil front,the;owner.
E, The location and use of all existing and proposed structures within time property,including all dimensions of height and
floor area.a]11 exterior entrances,and all antici E94cd future additions and alterations® S-1
F. Th,-'location of all presew�and proposed public and private ways,,elf-street parking areas,driveways,outdoor storage areas,
sidewalks,r�amps,curbs,,paths, landscaping,wal Is and fences. Location,type and screening details for all waste disposal S-1
containers dual I also be shown,.
C. The:location,height,intensity and bulb type(sodium,incandescent,etc),af al I external lighting fixtures. The direction of
illumination and methods,to eliminate glare onto a&� in n=g propertics must also be shown in complfance with§ 179-6-020� Waiver
H. The:location,height,size,materials and design of all proposed,sivs. NA
The location of all present and proposed utility systerns includinjg: Holding
I. Sewage or septic system, tanks
2.
Water supply system; S-1
3. Telephone,cable and electrical systenis,;and
4. Storm drainage sygtcj-.n including existing and proposed dmin lines,culverts,catch basins,headwalls.,OqWwalls,
hydrants,rnan4oles and drainage syndos.
J 7—
. 11ans to prevent die pollution of surface or groundwater'erosion.of soil bothi during.and after cm,struotioni.,exoessjvee roulo bl
and flooding of otber propirrfles.,as applicable, A Scormwaser PoDolion'Prevention,Plan(9WPPP)J.far all land deveicipment NA
activities(excluding agricutturat activifies)on the site Iliac results in land disturbance of one acre or more. A SWPPP'shall
comply with the requirements of the DVEC SPDE�S MS,-46 General Permit and Chapter 1.47 of the Town of QuccnbbruTy
Code. 11shall beat the discretion of the Planning Board,as to whether a SWPPP or an erosion and control plan shall'be
required for a sate plan review project land disturbancc of less than zone ao�rc.
K. Existing and proposed tapographyat two-foot contour intervals,or such other contour interval as the Planning Board shall Waiver
a]low,. All elevations shall refer to the nearest United States Coastal and Goodefic Bench Mark. I f any portim of the parcel
is within,the [0year floodplain,the area will be shown and base flood elevations given,. Areas shall be indicated within
the prolp(Hed site and within 50,feet of the Propo'"'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 in flucrcce the design of the proposed use such as rook
oulorops,stands 0 f trees,single trees eight for more inches i n diameter,Forelst paver and'water saames an4 all prop used Waiver
changes to these features,including sixes and types of plants, Water sources include ponds,takes,wetlands and
watercourses,aquifers,,floodplains and drainage retention areas.
M. Land Use District boundaries within 500 feet ofthe site's perimeter shall be drawn and id4mfified(in(ho site ptan,as well NA
as arly Overlay Districts that apply to the property,
Site Plan Review application—RevisedOctober 2016
Town of Queensbury Planning Office-742 Bay Road,Quccnsbury128G4
REQUIREMENTS (CONTINUED) Sheet At
K Traffic flow patterns with in the sitc,entrances and,exits,loading and unloading areas,as well as curb cuts on the site and
vvitliin I 00 feet of the site. ThoPlanning Board may,at its discretion,requirc a detailed traffic study for large devc1opmcnts or
for thase in heavy traffic:areas,which shall in4u4e,
-
I The projected number of motor vehicle trips:to enter or leave the site,estimated for weekly and NA
arill uial peak lwar traffic,levels;
2, The projected traffic flog w pattern incl ud[ug vehiou lar movements at all majr)r jiiters"t ions likely
to be affected by flie proposed use of the site,
3. The imp itot of this traffic on levels of service on abutting pub]is streets and at:affected
intersections. Existing and proposed weekly and aninwil peak Maur traffic levols and Toad capacity
levels shal I also be Si ven,
0� For new construction or afteratiom tai away structure,a table containing the fbllowing:information shall be includod,
1, Estimated area of stnicturc ta be used,for particular purposes such as retain operation,office,
Storage,etc,;
2. Estimated max i'muni nwntiber of employe",,
3. Maximium scatting capacity,where applicable,and N,A
4, Number of parking spaces existing and mquired for the intended we.
p. 1. Floor PlAnS.
2, Elevations at a scale of one-qkjoi-Wr inch eqvals one foot(114"= I foot)fb'T all t4crillT fMdeg Of the PTOPOSCd StFUCWTO(S)
and/or a Iterations to or expansions ofexisting facades,sibowing dWgn featores and indicating the:Vypa and color of materials Al
to be used. A4
Q
Boit logs,water,supply wel I and percolotioo leit re u Its,and stourm water runoff calcu kililons as need to determine tau W NA
mitigate project Impacts.
R. Plans for disposal of construction and dernolition mwtic,either en-site or at an apprcwtd djsposal fuil ity.
NA
S, Plans for snow remova I,includinglocalion(s)ofon-site siiow storage, NA
T.
An-1-,;1vjwnmen1td Asscssmcnt Form("EAF)as required by the SEQR.A regulations,with Part 1 completed by the Applicant
shall be submitted as part ottlie application. Ifffie proposed project requires a special ease permit and an EAF has been. NA
submitted in conjunction with a special use permit applioation,,a duplioWe AT"is not required for the site Pi"aplAcatioll, type 11
LJ, If an application is ibr as parcel or parcels ori which more lbar oinic we is;jymposed,the applicant may subliTIR a single
application for all such uses,provided time proposed uses are accurately delineated on a site plan drawn pursuant to the NA
requirements set forth ibove. The Planning Board may grant the appHeation with respect to some proposed uses and not
otheirs. For purposes of reviewing an application(and for SEQRA compliance)all propolsexi uscs on a singla;Nircel Or on
contiguous parcels shall be considered ioggther.
..............
A brief'rianrafive statement on how the project proposed for review furthers or is consistent with the vision,goals and PACiCs
in flie Town's Cornprebonsive Plan, NAJ
7'
Site:Plan Review appI ication,—Revised October 2016
Town of Queettsbury Planning Office-742 Bay Road, Queensbury,NY 12804
Signature Page
This page, includes the 1.) Authorization to Act as Agent Fonw! 7.)Engineering Fee Disclosurq 3.) Authori7ation for Site Visits; 4.)
Other Permit Respom9ibil ifies, 5.)OU cial,Meeting Disclosure and 6.),Agreement to provide docurnenlation required
.............................-
O'tvrrrtn' lG ENT FORM,-
Complete the following if the OWNER of the property is not the saint:as the applicant
Owner,
Desigilate's.
As agent regarding, Variance .................. SitePlan
FoT Tax Map No.. Section Block Lot
Deed Reference- Book Page Date
OWNER SICNATURE, DATE:
APPL.ICANT's AGENT F'oRm
Complete the following if'the APPLICANT is unable to attend the ineeting or wishes to be represented by another party:
Ownev Jason and Rebecca Southwood
Designates. Jon Lapper, Esq.of Bartlett,Pontiff,Stewart and Rhodes
As agent regarding: X Variance " X Site Plait Subdivision
For Tax Map N,o. 226,11-1-15ection Block Lot
Deed Reference.,, 5537 Book 293 Page 4/7/17 Date
OWNER Sl(;NATVRE: DATE.
23 ENGINEERIN M DISCLOSIsREa Applications may be referred to the "rown consulting engineer for review of septic design, storm
drainage,etc, as dewmined by the Zoning or Planning Department. Fees fDrcnginccring rcvicw services,will be charged directly to Me applicant.
Fees for engineering review w]11 not exceed S 1,0OO without nk)fification to,the appEcan t.
3.) AUTHORIZATION Et' R SHE VISITS Sy signing;fliisp4ge and submining the application materials attached,herein,the Owner,Applicant,
and histlierigheit ageat(s), hereby authorize the Zoning Board,or Planning Board and Town Staff to enter the subjoci propict-dics for the purpose of
revinving the application submitted,
4.) OTHER PERMIT RESP QNSIMUT
,JES Officr permits nlay bcroquirec]�forcurlstnEction oraltcration activity subsequent to approval by the
Zoning,Board or Planning Board, It is the applicant's msponsibility to,obtain any additional pcmifts.
11 UEEICIAL 24EETING-MINVTES DISCLOSURE: It is the practice of the Community Development Department to have a designated
stenographer tape re ad the procoudlings of mectings,resulting from application,and ininutes transcribed from those tapes constitutes the official
record of all proceedings.
§,) AGREEMENT TQ PROVIDE DOCUMENTAT10N REOUIRED: 1,the undersigned,have thorou7jily read and,understand the instructions
for submission and agree to the sabmission requircments, I acknowIrAgc no construction activities shall be rornnicnced prior to issuance ofa valid
perftlft. I certify that the application,pllans and supporting materialsaro a true and complete statcmenUcscription of die existing condit"mons and the:
work proposed,,and that all work will be performed in accordance with the approved plans and, in inonfonnance with local 7orflng rogolations, I
acknow Badge that prior to occupy ing the,facilities proposed,1.or my agents,wi I I obla in a ocri ificate of occupancy as necessary, I also understand that
11we nigy be equired to provide an as-built survey by a liccftscd land surveyor of al 11 newly constructed facilities prior to issuance of a certificate of
occupancy
1 have read and agree to the above.
Signature [Applicant) r.int Name [Applicant:]1 Date signe:d
Signature [Agent] Print Name [Agentl Date signed
Site:Planitevievv application—Revised October 20,16
Town ofQueensbury Planning Offict-742 Bay Road,Queensbary,NY 12804
0
Signature lugs
Tilis pogC ittctWes the I,)Alitltairirntion to abet as AgcW Ftmim 2j EnSinccring Fee Disoita•suire„3.) a ulhori�a ion for SW Vishs;4,)
0'111er re"liit,Rcspwuonsibilll,ks;;,)Official lwaturetinp I'liscloiwreand 6j AgmcnicritIfu,11mvidc docuanehitatiarn required.
OWNER'S AGENT FRPM
°outapulo c the Following it gntti:OWN Flip,0 f the,pi-operty is not the same as,the appliu:itrut
owner.
71� i�Iiaat�eta,
As,apenire,garding: Varian ,,' iteplan —Subdivision
For Tax,Map No.. Sceliictl Blowck
Decd eflereisce. Book Page Late
OWNER SIGNATURE: DATE,
Apt"l.cANN'T'sAGENT FoRm
Complete the fol lowring It the APPLICAN-r is unable to attend the rnecti ng or wishes,to the represented by another parte:
Owner Jason and Rebacca Soutbiwood
Designales, Jon Lap r,Esq.ark°Baa.Mett,Pond IT,Stewart and Rho s
As agent r Ing: X I Variance X Site Flan Subdivision
For Tara Map No,. 226. I-I se,0 bil Blocks �loot
Dccd Reference, 5537 Book 291 Page jLV17 Date.
OWNERSIGNATURE. DATE,
2:) W_qjrjEKLtjNgI • Appliestions may he reRrved to the Town consulting ongintrer for review of septic desip,storm
drainage,em as dtterrnin d by the Zoning or Plaattiing Deparonent. Fees for enppinecring review services will be eha Bled dimly to tho applicant.
Fees foT eiisincertng review will not axoced,5 1.000 xwittrout notilFmion to tlwc applicant.
aj Altl1I19LUZA I•ION F all SUTE I15�1TR By signing this page and sudbmd",in;g flue application materials an ched'hereia„the Owner,applicant,
and hisffieriftir agenosR hemby authorize the Zoning,Board or planning board and Town Staff to enter the saubjetl properties for the purpose of
re"Niewwln;ft epplioation aubmrwttod,
4:) QIHFBr f ERM r'RI CTFZ ': fairer Permits may be requimd l`or co niers rw altorstion activity:c sequLeaua air approval by the
Zoning t card or Planning Board. It is,flue applioent°a Tvapusibility to obtain any additional perrjals.
Q QFOAL MEETING MINUTO WLrLQaM—. It is the practice''of the Community Develeptnow Deparlawitt to have a desigomod
sleivaopiluet tare reeoad flue prooecdings of yroetLngs resulting from application,and minutes transcribed Ii m,those tapes rourstitutes tlmc official
"cord of all pm tidings,
.) A01ICKNFNT TtI P'IIQ'Aw'PIIR DQCU' 'ENT,r'u7(QN I;E iWbp I1�ED-, k„the uudcMi ,have ftra uglily mead and uanderstauwd the instmciio s
for submission acrd agree to the sub mission requirements,I acknowledge no construction aeiMtics Mull be ountameaccd prior to irsuance of a waNid
peamwit,. I Cattily,that the nppEcaaioma,PIOUS and pporting foaberials are a trace and complete startement1descai am of'the waisting conditions and flu:
"rk,Proposed,and that all work will be paerl'enned in accordance tiwridu the approved plans and in aaunfa`,rrall uo with Iwai zoning rcpulaiiawns, li
acknowledge that prior to vx upyinj�the Acilities pTopuscil,I or my agents,will dim n ifietute ofaaocrup ey Al nut%Xoy, Ir 960 Un4MUMd'hat
a
Uwe may be atequuirerl to provWk;an as-built sooty by a licensed land surveyor of 4 nowvly oonstrucerbtl fujililie.5 prior to assn wt!of o corait• nto Of
a
Occupancy
a
k leave read and as above,
L t
ftFurve(Applicant] Print Naarnr[Applicant] ' efts&is t3
"Mturelt] Print amt:[ plit] Date sued
fl.
Sit*Flan Review ampp1ieurli0n—RIM5ed October 2016
k cavrrf of Queonsbury Planning k'Riit o-742 Rudy add Qvocnsbury,NY 12804
v
wF
. ARREN COUNTY STATE OF NEW YORK,
y r
PAMELA m VOG EL, COUNTY CLERK
11340 STATE ROUTE 9,
COUNTY CLERK'S RECORDING PAGE
,**THIS.PA GS ISPART RT OrP 7149 DOCUMENT-DO NOT DETACH,***
H,
Cover Page 5 010,
Recording Fede. 35.00
Cultural Ed 14.25
Records Management - Coun 1.00
Records Management Stat 4.75
it
Add oral Names 1.510
R,0OK PAGE: 553 " 293 TPS84 5.00
INSTRUMENT 2017-2274 RPS 17 R,e , danti al/ r`icu 1161.00
ReceipClerk: 2N�17428�8N3 I.S sub Total .M 19,13
I
Rec 'Date: 04/0,7/2017 02:221:18:1 PM
Doc Grim: RP Transfer Tai.
Descri w NEED Transfer Ta, - State 4626.00
Num4 Mansiion Ta; 1,156 . 0,
Rec d Frim BROADWAY ABSTRACT
b 'Total : 1. 3L8.5N0
Partyl: BURNaNETT REBECCA A TR TE
Party2t SOUTHWOOD REBECCA A,
iQUEENSBURY Tcr't
NOTICE: THIS IS NOT A BALL
'Transfer Tai
Transfer Tai ; 1.9'32
Trams-fuer Tax
Consideration: 11562501-00
Transfer Tax. - State, 462:6.00
�Mansion Tax ^�
562.50
Total, 1. I Ni»5
WARN ` 4'"
1 hereby cmiffy that the within foregoing was.
recorded in a '1Yti,'=en. C mty Cluk's Offie,
Ree rd and, Return, 'T SWte oti'New York.
This sheet constiNws the; Clerks endmement
required by S tiorm 316 of the P=1 Property Lemur
of the,stato of New York.
BROADWAY ABSTRACT
60,01 BROADWAY Pamela J'.VDg+CN
ALBANY NIY 12,207 WmTen County Clark
RECORD AND,RETURN TO:
Rroadway Abstract
600 Broadway
Albany,Now York I
PIKI
9hisIndenture Made the115a daffy,of March, in the year Two Tis=d and
" t ,,
REBECCA A. DURAOTT, Wa, RZBZOCA A. SOXIT)TWOOD, as Trustee of the
MVLDERRY FAMLYMEVOCABLE M'NG TRUST under trust, agmernent
dated March 22, 2010' and amended on May 27, 2014 ceding at 388,
ieverdate Road, P.O. Box 226; Cleverdale, NY 12820-0226,, AND BARBARA
AAW DRR ', as Grantor of the MMDERRY FAMLr MEVOCABLE
MING TREIST under trust agreement eer ent dat "March ,22, 2010 and'antended
on May 27, 2,0114, residing at 136 'para Schoick Avenue, Albany, New York
12209,parties of the t par ,
and
RZBZCQ4 A. SOUTIf WOOD and JASON A. SOUTHWOOD, as HusbandWife,
residing t 388 Cleverdale .load, P.O. Box X26, Cleverdale, IVY 12820-0226,
parties of the second part;
ftusseth haat the par-ties of the first paTI, in consideration of One -Daait'ar and nae
cents �$I, ) Iaftat money ofthe United States, ,laid by the pqrties of the second part,„
do hereby grant andrelease unto the parties of the second part, their,successors andl or
assignsforever,
AiMt CoUin Lotftcefqf L aG,with the buildings and
improvements thereon, situate, ;lying and bei in the Townof
Queensbury, County of Warren, State of New York and baro
partof arab on the northerly par of what is, known as ipley'
oint and is known as Lot Number2 on ax survey made by Jame
Mattison in 18'77 and more particuilarescribedas follo s.-
•ra at the o theastarnrer of said lot number 2 area the
northeast wrner of feat number 3 an saidsurvey and being on
the shore of tam George and running from thence westerly
along the north line of said haat number 3 to the east aide of an.
av'en a laid oaat for a highway to said leets, thence northerly
along the east dine of said Avenue facet to the northwest
carrier of said tart number 2 and the, southwest corner of tart
number I on sari saarvey; thence easterly and along the south
line qf said tot number I to the shore! of Lake George, thence
southerly along the shore of the lake as it winds d and turns to
theplace of beginning.
TogTogsKer Wth any r ht of way the party of the first part may
have over lands now or JbTmerly owned by R.S. ftleery and
senna:, fTom the highway at said aplery's fonner residence
along the sanest shore of dpley's Point to ax plaice opposite said
avenue and to the herein described premises.
as portion of the Asa ,mer'aemis conveyed by Alit R.
Winegard to Harman A Staley by Deed dated January, 17,
.1927 and recorded' January 19, 1927 in, Wi2rren, County
Clerk's Ojfxe in Book 171 of e s at Page 204.
It intezfed6y thii conveyance to convey all.fee sirpleinterest in
the premises detdsed by, Leland Frederick Stale a/k/a
aa,
Leland d P. Staley' and a/k/a as laanad ,a . Staley to Benjamin F.
Mulderry by Para .12 of his Will which said Will was
recorded ars Warren County Clerk's on June 27, 1953 in
,Book 323 of Deeds at Page 63.
Beit/ the ware premises conveyed' to Rebecca A,. Barrett and Beryarnin F.
Mulderry, as Trustaess of the MULDERRY FAY IRREVOCABLE ANG CRUST under
trust agreement dated March 22, 2010, Tay deed frame B rbara. bran, Muld8rry dated
Marc,h 22nd 2010, and recorded in the Warren County Clerk's race on April 15Lh, 2010
n Volume 3999 at Page 133 as Instrument Number er 1 a0 0 10.
Su6i,ect To all easements,ts, venants and restrictions of record if any, and to any set
offacts which an accurate survey may disclose.
Togetfier with the appurtenances and all the estate and rights of the parties of the
rst part in, and to said premises.
To fiave alto fiordthe premises herein granted ad untag the parties ofthe second part
their successors, heirs and as;s( ras forever,
And-said r parties of the first part covenant as follows.-
ffrj4, That the parties of the second part shalt quietly etl e�,j r the said premises;
S,econ4 that said d pates of the first part will forever Warrant the title to said
premises.
9W 'That, in Compliance with Sec, 13 of the Lien Lara, the grantors will receive
the considercuion for this conveyance and will hold the right to receive such,
considerati6n as a trustfund to beapplied first dor;tae purpose ofpaying the cost of the
improvement and willapply the same,karst to tpayment of the cost of"theimprovea a .t
beforsing any,part of the total of the same for an,y other puros .
,M Wtnan Wiemf, the parties, o the first parthave hereunto, set their sands and
seals the maty and yaarfimt above written.
in ftmew Of
CL
REBECCA A., BURMT, n/k/a REBECCA A.
SOLTHWOOD, as Trustee
BARBARA ANS MULDERRY, raptor
STATE OFNEWYORK
'
COUNTYOF ALBANY .
On this3 h l day, of 2017, before me,
thes bs tiber, personally appeared' _REBECCA A. BVRBETT, WWa REBECCA, A.
SOUTHWOOD and BARMRA AAW MVLDER.RY, to me personally known or, roved t
mei on the basis of' saa isf actory evidenceto be the individuals avbose mares are
subscribed to the witNin instrument and they axcknoa a led:'fired to me that they executed
the same, in, their capacities, and that by their signatures on the instrument, t
individuals, or the person upon behatf' of which the, individuols acted, executed the
i strum ent.
i
tary Public
n I GARY
.�98tO CO a Y
NO2r; aa2,rgip
CbMmriWM cnpar&%N,y` Id.,2mtk