Faden Enterprises Pre-App Town of Queellsbury Site Plan Pre-Submission Conference Form } Section 179-9-040
1. APPliearL#Name. Foden Enlc ris-,laic,
2. Tax Map 11) 296.17-1-49 Location' S94 WYs ltaule4,QucembLirV
3. Zoning Classification CM
�Lur,
4. Reason four Review: Proposed 0 �f buildng€Dr reslaurgnt and retail use,
5. 7Aning Seetion 179-3-040
6. 1Piv-Submission lit-ting Notes: Provided Outstanding; Please Provide by
Deed
General 111fennation Colwle-e x — LL, +
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Site DevclnprC<
n�nt Data rnttplete x �
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Setback R,equirellxents COMPlete x --
Additional Project Infonnasion Complete rIA
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FAR addressed , 1 e
Resquitmnents for Site Plan-Standards
Checklist 31 ns addressed � M
Environmental Form completed '~-�- _ it ~ o .
igmur'e Page comple led x
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A iicant I A gen CL Date: ! f f -� 4 f
ite Pkar,Iteview applicatiolx—Revi sod October 2016
]'`ovm oi` uee�tsUury Punning Office-742l ay hood,Quomisbury,NY 12804`
General 111formation
Tac Panel 1D Number: 296.17-1-49
Zoning District: almnercirl Model-ale(CM)
Lot size: 1. *1 Ac,
Detailed Description of Project (inelWes current&proposed u ]:
[ ranAlilion ol'lb�-,existing two-s;ln[y wrsixi rmkim L;l U irk!and ofan 11,400 sroommerciQ.1 huiiding.copmiyii w - .... . _
2,500 sf of restamant will] 50 sclus aoid 8,900 s f of Mild I space w k h an ameimed p@ rk ing arca,Tbo 1rT oat wil I include site and
utility llnprovemenls.
Location ofln'Djecl:
894 XY5 Route 9. Town ofQit lsbury,NY
Appliefinl Name: Fallen Enterprises, Inc. Address, 29 Liz Ann DrivC,Samtogia Spflngs,
Y 12806
Hotm,-Phom Cell: S l Fi-79b 371 G
Work Phone rax
E-mail: rusre!I Ff daa@yahao.r.am
Agent's Name. Lansing Engineed-)r Address: 2452 S#ftlC Route 9,Siake 301,lNalla,
NY 12 20
I•Iome Phone Cell:
Work Plione 518-899-5243 Fax 51�-899-5245
E-mail ysl@Jansingengineedng. *rn
Owner's Name ,Address S94 NYS Rouse 9,Quecnsbury.NY
89 Realty LLQ 12904
Holm,Phone bell
Won< Phono Fax
E-:nai l
2
Slic Pian Review appiication—Rcvised uglier 2016
'roam ofQueensbury Plaitnilig Office-742 Bay Road,Quammbury,NY 12804