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ApplicationNew Business Area Variance No. Review in the month of April 2011 Vanputte Edward & Philomena 23 Jay Road West Construction of SFD Relief from front and shoreline setbacks, FAR, and permeability requirements Cross Ref. SPR General Information Tax Parcel ID Number: 2sa1o-1-1s ,' ~j ~ ~ Zoning District: Watertront Residential Detailed Description of Project findudes current & vroposed usel: cw,swcnon of a ,hale tamry home «, an exiarnp wc,witl, supporrnp uWries 1T Area Variance Rev`'i`sed June 2009 3f a~-~~i i Location of project: 23 Jay Road V1bst Quesneaay r~' 12 E VVastiipbn Street Glens Fars, rh 701 CCelI: Na 79&1864 r~ ~ ;~ 3 Deprtrood F'laoe Bengharrttott NY ~i ' ~ (607) 725-6906 Na r~'~ ~ S N x.,_S:S Applicant'-Name: , ' . vartpu8e: Edwaro a PM7omena ~~~ ~~~ ~ (607) 7723374 Work Rhone ` Na ~-Mai1: Na Agent's.Name: H. Thomas Jarrett F_rlgineers, plk FiOnle PhOfle Na Wof1c Phprre 792-2907 .E--mail yarrett~jarlettengineers.oom ~~.Wttel~s ~anll'. Vanptdbe: Edward & Pltibmena OI71~ PfilOr'!e ^ ~ (607) 772374 WOCIf ei,orye ',' Na ~~~i~ Na f Town of Queensbury • Zoning Office • 742 Bay Road • Queensbury, NY 12804 •518-761-8238 j Area Variance Revised June 2009 Pre-Submission Conference Form (179-4-0401 1. Tax Map ID Z j~~j, /~ ~ / ` ~~ 2. Zoning Classification 1.d.3/~ ~~ 3. Reason for Review: A. V , /~~ ~/u/ ~ ~~8~~ ..'~`~C:~l.~'rr 4 ~,+- /~i~~9~c ; 4. Zoning Section #: ~ 79- 3 5. Pre-Submission Meeting Notes; Outstanding ItemJ~To Be Addressed Include: Deed V Yes General Information complete Yes No No Site Development Data Complete Yes No Setback Requirements Complete Yes No Additional Project Information Complete Yes No FAR addressed ~ Yes No Compliance with Zoning Ordinance Yes Ch ~ No ecklist items addressed ~ Yes No ~ Environmental Form completed Yes Si nature P l /V~ No g age comp eted Yes No v N'~PiP~}T~ ~- _ ~GNA~TC.d2C ~,.,~ TFi~7`' ~~ ~~9i ~ --~ ~i~~~N ~C LGq~iViRIG iN /~J,~P,4 T/~,~ " - ~ l~tli¢ i~p~c,/ Wm~i~Tion/ } OiC~ bw~i-rte it/`~ F ~" Staff Representative: Applicant /Agent: Date: 4, Town ol~ueensbury • Zoning Office • 742 Bay Road • Queensbury, NY 12804.518-761-8238 6 nl{ -~1-',° L"~ TOWN OF QUEENSBURY 742 Bay Road. Queensbury, NY 12804-5902 S 18-761-8201 January 13, 2011 Tom Jarrett Jarrett Engineers, PLLC 12 East Washington St. Glens Falls, NY 12801 RE: 23 Jay Road West i~anPutte Residence Tax Map Parcel No: 289.10.1-I S Dear Mr. Jarrett: I am writing to you in response to my review of your proposal associated with the above referenced project and to document my findings on the same. My review of your plans has revealed that the proposed building project will require an Area Variance-and Site Plan Review prior to the issuance of a Building Permit. Specifically, the proposed home does not meet the front, side or shoreline setback requirement of the Waterfront Residential district. Additionally, the proposal exceeds the maximum height, permeability and Floor Area Ratio requirements as well. Site Plan Review is necessary as the proposal calls for filing and the creation of hardsurfacing within 50 feet of the shoreline of Glen Lake as well as construction on a site having slopes iri excess of 15 % within SO feet of the proposed structure. The findings offered in this letter are based on the plans submitted; however, an accurate property survey may have an effect on the amount of relief necessary from the permeability and floor area ratio requirements. Sheet Cl of your plan set refers to a minimum side setback of 15 feet. My calculations show the lot to be in excess of 60 feet in width thus requiring a 20 foot minimum side setback. FurthetYnore,Yyourp1ans note shallow test pits performed by your office on January 5, 2011. Were these tests observed by the Town Engineer as required? I understand that you are preparing the necessary application materials for this project. Please note our established submittal deadline and pre-submission meeting requirements when preparing your papers. Should you have any questions regarding the above comments, please do not hesitate to contact this office. Sincerely, Town of Queensbury Craig Brown Zoning Administrator CB/sh L:\Craig Bmwn~2011 Letters~Denial Jarrett-VanPuue 1_13_1 l.doc ut tl111 At-.` /fir.` 1-i ATE 7A A ~ AT` A ~ Ti`s/ A !'`/1/l~l At A !ten T/l ^ it TM Site Plan Review Revised June 2009 General Information ~, a Tax Parcel ID Number. 28 Q, to --) _ 1~ Zonin District: tN~ - 9 ~-~~2-v 11 Detailed Description of Project [include current ~ proposed use]: Location of project: ~~, ~, c~i~~62 t r~s ~ - 2 ~"S~' tN~S Fh~~N' S~' Gi LtP°rlS ~'L~ S N Y / ~ J1.~r,, its J.~~"p ~. ~~¢- S?~ ~ 9 ,.. ~R ~ ~ 2QoT --~ a,,r~;l~'~~ arr~~ ~n~ ~f1 KA$4 ~ i~4~t.~t~ul~ 3~ ~ ~ ~ . ~v'7- 7~2 -3324 Via? - 72~ -~~tp,6 Town of Queenstwry Planning Offices 742 Bay Road • Queensbury, NY 12804.51&761-8220 2 Pre-Submission Conference Form X179-4-0401 1. Tax Map ID Z~~. /Q "` ~ Area Variance Revised June 2009 2. Zoning Classification /1C.c.>~E' ~~ 3. Reason for Review: x1.11, ©/'~~ f7~N> ~C~~~ .~`l~J~.~~ t~'~~~y 4. Zoning Section #: l 77 ~ 3 5. Pre-Submission Meeting Notes; Outstanding ItemJ~To Be Addressed Include: Deed V Yes No General Information complete Yes No Site Development Data Complete Yes No Setback Requirements Complete Yes No Additional Project Information Complete Yes No FAR addressed C li ith Z i O di Yes No ~ omp ance w on ng r nance Yes No Checklist items addressed ~~ Yes No Environmental Form completed Yes /l! No Signature Page completed Yes No i IV~°gl/v,~ .~G~c/~Tt~r ~1¢,~,.~ -- T~7`- ~/T ~~i -~ ~- ~ ~~ i~u9~N .C'L~~iviyG _ i/y N~2P.4 i/~,~' Staff Representative: Applicant /Agent: Date: ~.. l Town ofQueensbury • Zoning Office • 742 Bay Road • Queensbury, NY 12804.518-761-8238 JARRETTF~neers, P~C Civil & Environmental Engineering March 8, 2011 Chris Hunsinger, Chairman, and Queensbury Planning Boazd Members 742 Bay Road Queensbury, NY 12804 Steve Jackoski, Chairman, and Zoning Boazd of Appeals Members Re: VanPutte Residential Site Plan 23 Jay Road West on Glen Lake Tax Parcel # 289.10-1-18 JE 10-032 Deaz Chairmen Hunsinger and Jackoski, and Boazd Members, Attached aze respective applications for site plan review and azea variances to support the re-development of a residential pazcel at 23 Jay Road on Glen Lake. The house that was located on this 0.10 acre site was lost to fire several years ago, and in its place is proposed a thoughtfully designed home that would not only fit in the neighborhood but serve the owners well for yeazs to come. The site is so constrained by size that any reasonable residential structure built on this lot, in our opinion, would require variances. Through careful planning, we have been able to limit the variances to four: 1) setback from Jay Road, 2) setback from Glen Lake, 3) Floor Area Ratio (FAR), and 4) site (zoning) permeability. The setback from Jay Road was chosen to be relatively consistent with other houses in the area, mindful that setback to Glen Lake is more important. From that perspective, the proposed structure is to be setback from Glen Lake more than those on adjoining properties. The proposed FAR (25%) is higher than the zoning requirement (22%), however, the size of this lot dictates an allowable living space of 995 squaze feet, which would allow less than 500 square feet per floor in a two story home (2 stories is deemed to preferable in this situation). The owners feel that a practical home, one that the family could utilize as a gathering place, should be lazger than 995 square feet. On balance, the 25% FAR requested amounts to 780 square feet of living space on the main floor plus 350 square feet in the loft for a total of 1130 square feet; this is deemed to be fair, reasonable, and functional. Lastly, site permeability is required to be at least 75%, whereas the proposed development would equate to approximately 62%. The house and deck, explained above, account for a considerable portion of the variance request, as does the pazking azea. Town design standazds call for 2 pazking spaces for a single family residence, and although 1 space could be eliminated in order to come closer to meeting the permeability requirement, we feel that in all practicality two spaces aze needed for a family summer retreat. In deference to the zoning requirement, as well as Glen Lake water quality, the pazking azea has been designed using permeable (grass) pavers which not only discourage runoff but 12 East Washington Street 518-792-2907 Glens Fa11s,1VY 12801 Fax 798-1864 Queensbury Planning Board & Zoning Board of Appeals Members Re: VanPutte Residential Site Plan March 8, 2011 provide a greener feel and look for the site. To put this variance in perspective, 25% of impermeable surface on a conforming 2 acre residential lot would be over 21,000 square feet, whereas this design calls for just 1711 square feet of impermeable surface which is less than 10% of the normally compliant amount. The home has been conceptually designed with two floors of living space, as noted above, that are situated well above the 100 yeaz flood elevation on Glen Lake. A crawl space would be provided beneath for storage and utilities. The main floor would contain two bedrooms, kitchen,. full bath, plus dining azea and living/family room. The upper loft area would contain a 3/4 bath and dorm style room that could be used as an extra bedroom, play room, hobby room, etc. The upper level would be accessed by an exterior open stairway so that interior space is optimized. Lastly, muted earth tone house colors and landscape plantings should make this property visually pleasing to both owners and neighbors. Support for this residence would be provided by a new wastewater holding tank that was approved by the Town Boazd in 2010, two off-street parking spaces constructed using permeable pavers, and stormwater management. Roof and driveway runoff would be infiltrated, and a vegetated waterfront would provide aesthetic appeal and protection of lake water quality. Additional plantings azound the property would enhance the aesthetic appeal as well as add a measure of privacy. Design of the stormwater system followed test pits and percolation tests conducted. by this office in early January of this yeaz. Soils in this azea around Glen Lake aze known to~ be coarse granulaz sand and gravel, as has been demonstrated by many neazby test pits/ea~cavations, as well as the excavation for removal of the burned house on this property (still open for confirmation following snow melt). Shallow percolation tests showed permeable soils suitable for stormwater infiltration and/or treatment. A waiver from the requirement that the Town Designated Engineer witness the test pits is requested, in as much as the Town was in the process of selecting a new engineer during the period when the tests were completed (waiting for a new TDE risked frozen ground conditions where the tests were completed). We look forward to presenting this project to each Board. Sincerely, JARRETT F.r.~gineels, PLLC . Th as- Jarrett, P.E Principal Page 2 of 3 Queensbury Planning Board & Zoning Board of Appeals Members Re: VanPutte Residential Site Plan March 8, 2011 Encl: CD containing Stormwater Management Report Site Plan Application Variance Application Copy of Deed Site Plan Drawings entitled "Residential Re-Development VanPutte Family" Coversheet Existing Conditions & Demo Plan - EX Site Plan - C 1 Erosion Control Plan - C2 Landscape Plan - C3 Site Details - D 1 Site Details - D2 Site Details - D3 Water Supply Details - D4 Holding Tank Details - DS Revision A, dated 3/3/11 Variance Drawings entitled "Residential Re-Development VanPutte Family" Coversheet Variance Plan -VAR Revision A, dated 3/3/11 Building Plans entitled "Residential Re-Development VanPutte Family" Building Floor Plans - A 1 Building Elevations - A2 Building Elevations - A3 Revision A, dated 3/3/11 eCopies w/encl. Patrick VanPutte Michael Borgos, Esq. F: IDataFile12010 Projects Filesl2010 Residential110-032 YanPutte SPITechnicallWork Docs110032110107 Rev A SP & YARISource Files110032110112 Coverltr Town.doc Page 3 of 3 Area Variance Revised June 2009 General Information Tax Parcel ID Number: 2ss.1o-1-1a Zoning District: Waterfront Residential Detailed Description of Project finciudes current & proposed use_l: Construction or a single famtly home on an existing lot with supporting utilities Location of project: 23 Jay Road West tlueensbury ApP~~Canit ~~' Vanputte: Edward 8~ Philomena ACldl'eS5' 3 Dellwood Place Benghamton NY Home Phone (607) 772-3374 Celt: (607) 725-6906 Work Phone n/a Fax n/a E-Mail: n/a A ent's Name: 9 H. Thomas Jarrett Engineers, pllc ~~` 12 E. Washington Sheet Glens Fafls, N 12801 y Home Phone n/a mil' n/a Work Phone. 792-2907 Fax 798-1864 E-mall tjarrett@jarrettengineers. com Owner's Name Vanputte: Edward 8 Philomena Address 3 Dellwood Place Benghamton NY Home Phone (607) 772-3374 Cell (607) 725-6906 Work Phone n/a Fax n/a E-majl n/a Town of Queensbury • Zoning Office • 742 Bay Road •Queensbury, NY 12804.518-761-8238 Area Variance Revised June 2009 Site Development Data Area /Type Existing sq. ft. Proposed Total sq. ft. Additions . fL A. Building footprint 9651 -1851 7801 B. Detached Garage 170 f _170 0 C. Accessory Structure(s) 0 0 0 D. Paved, gravel or other hard surfaced area 1581 4241 5821 E. Porches /Decks 161 3331 3491 F. Other 0 0 0 G. Total Non-Permeable [Add A-F] 13osf 4021 1~11f H. Parcel Area [43,560 sq. ft. /acre] `~`~t 45221 45221 I. Percentage of Impermeable Area of Site [I=G/H] 28 9°~* 8.9°~* 37.8°~f Setback Requirements Area Required Existing Proposed Front [1] Jay Road West 30' , S t 6'-5° Front [2] n/a n/a n/a Shoreline 50' 17'1 23~~~ Side Yard f11 ~, 15, 2,~t 15' Side Yard [2] south 15, 15'1 15' Rear Yard [1] Na Na n/a Rear Yard [2] Na Na Na Travel Corridor Na Na n/a Height [max] ' 28 Na 3o'-s° Permeability 75% 71.1 % 62.2°h No. of parking spaces 2 2 2 Town of Queensbury • Zoning Office • 742 Bay Road •Queensbury, NY 12804 • 518-761-8238 Area Variance Revised June 2009 Additional Project Information 1. Will the proposal require a Septic Variance from the Town Board of Health? Holding tank to well 2. If the parcel has previous approvals, list application number(s): _ BOH: 24,2010 3. Does this project require coverage under the NYS DEC Stormwater Pollution Prevention Program? no 4. Estimated project duration: Start Date _3i1i2o11 End Date _5i1i2o12 5. Estimated total cost of project: _ 250,000 _ 6. Total area of land disturbance for project: _ 0.1 acres Floor Area Ratio Worksheet FLOOR AREA RATIO (FAR) -- The relationship of building size to lot size, derived by dividing the total building floor area by the lot size in square feet, yielding a percentage. Zoning District Symbol Floor Area Ratio [FAR] Waterfront Residential WR 0.22 Commercial Moderate CM 0.3 Commercial Intensive CI 0.3 A. The combined area of all square footage, as measure from exterior walls of all structures on the property, including all floors of the structures, garages, basements and attics with more than five (5) feet of ceiling height and covered porches. Building square footage does not include: Open deck, docks and that portion of covered docks extending over water and one storage shed of one hundred twenty (120) square feet or less. Any additional sheds will be included. (See "FLOOR AREA RATIO"). B. Commercial or industrial: the total area in square feet as measured from the exterior of the outside walls of a building or structure, and when applicable, the sum total of all floor areas of the principal and accessory buildings or structures on the project site. Parcel Area tea; s . ft. F~cistin Floor Area ~ . ft. see above definition Pro osed Additional Floor Area ,65 ~sq. ft. Pro osed Total Floor Area „~o . ft. Total Allowable Floor Area sse.a Area x ~~ see above table Town of Queensbury • Zoning Office • 742 Bay Road •Queensbury, NY 12804.518-761-8238 Area Variance Revised June 2009 Compliance with Zoning Ordinance 179-3-040 A. (5) {b) [2] , 179-3-040 A. (5) (b) [5], 179-3-040 A. (5) (b) [10J, 179-3-040 A. (5) (b) [11] & Requesting relief from SECTION: - »9-s-o4o a. (5] (b] !~J Need relief from the fequirement(s) listed below which can not tx~ met by the project as proposed. jChecka/lthatapplyJ [~~etback ^ Buffer Zd1e ^ Lot Width ®Other Fnaar~~MPe~~c~e The following questions reflect the criteria for granting this type of variance. Please complete them; use additional sheets if needed. 1. Whether an undesirable change will be produced in the character of the neighborhood or a detriment to nearby property will be created by the granting of this area variance? 2. Whether the benefit sought by the applicant can be achieved by some method, feasible for the applicant to pursue, other than an area variance? 3. Whether the requested area variance is substantial? 4. Whether the proposed variance will have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district? 5. Whether the alleged difficulty was self-created? Town of Queensbury • Zoning Office • 742 Bay Road •Queensbury, NY 12804 • 518-761-8238 4 COMPLIANCE WITH ZONING ORDINANCE Requesting relief from SECTION: 179-3-040 A. (5) (b) f2]' 179-3-040 A (5) (b) j51. 179-3- 040 A. (5) (b) f 101; 179-3-040 A. (5) (b) f 11]• 179-3-040 A (5~(b2[9] Need relief from the requirement(s) listed below which can not be met by the project as Proposed. (check all that apply) X Setback _ Buffer Zone Lot Width X Other FAR and Percent Permeable ~ Height Vaziance for House The following questions reflect the criteria for granting this type of variance. Please complete them; use additional sheets if necessary. 1. Whether an undesirable change will be produced in the character of the neighborhood or a detriment to nearby property will be created by the granting of this area variance? The variances requested (front & reaz setbacks, along with FAR, permeability, and building height) are necessary/reasonable for the replacement of a structure that was lost during a fire. The lot on which the replacement is proposed is extremely small (O.IOf acre), therefore any reasonable and practical replacement structure would require area variances. In this case, the structure proposed, with a 26' x 30' footprint (780 sf), is based on a balance of environmental concerns, neighborhood compatibility and owner needs. The proposed structure would be situated on the lot with a similaz (or greater) front (Jay Road West) setback as that on adjoining (and nearby) lots, and would have a shoreline setback greater than that of adjoining residences. The height variance is based on the plan to build the house no more than 28' above what has been interpolated as the original, or `natural' (as the code reads) grade. In this case, the house is proposed as 28' above finished grade which would mean that the house would be constructed approximately 25'4" above `natural grade' and 30'6" above the lowest grade at the time of the survey in 2010 which was after the removal of the old house remains. Based on the re-design of the structure and of the site, we believe that there will be a positive change in the character of the neighbor, ie: no detriment to neazby properties. 2. Whether the benefit sought by the applicant can be achieved by some method, feasible for the application to pursue, other than an area variance? Many alternatives were considered for re-development of the lot, and no reasonable alternative was found that would require fewer variances or variances with lesser magnitude. With regard to the height variance, the owner is required to build living space at least 2' above the FEMA 100 year flood elevation, which in this case dictates that the first floor be at 406.0 or above (lake level on the 2010 survey was 398.Of). The owner had originally wanted to construct a lower living level at walkout elevation, but the building code does not make that practical. Instead, the lowest living space (main level) has been proposed at 408, which is approximately at the Jay Road West elevation, and setting the main living level much below road elevation on this site, in our opinion, is not recommended due to drainage and access considerations. (Note: A crawl space for storage of equipment and `toys' has been provided below the main floor, at a finished floor elevation of 402.0.) 3. Whether the requested area variance is substantial? In absolute magnitude, the variances could be considered substantial, but considering the size of the pre-existing lot, along with the new design of the site and residence, the variances should be considered reasonable if not minimal. 4. Whether the proposed variance will have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district? Considering that the new residence will be served by a wastewater holding tank (Local Board of Health wastewater variance granted in 2010), and that stormwater management is proposed for the site where none existed previously, the re- development proposed should have a positive impact on the neighborhood. S. Whether the alleged difficulty was self-created? The re-development is necessary due to fire, therefore the variances should not be considered self-created. F.•IDataFile12010 Projects Files12010 ResidentialVO-032 YmtPutte SPITeclmicallWork Docs110032 110107 Rev A SP & YARISource Files110032110112 Yariarxe Qnestio»s.doc Area Variance Revised June 2009 Submittal of a stamped and signed SURVEY MAP depicting existing and proposed conditions shall include the items as noted below. A GENERAL: SHrp1AMf ON SPIFFY # 1 Title, Name, Address of a licant & pp person responsible for preparation of drawing C1 2 Deed Attached 3 North arrow, Tax Map ID, date prepared and scale [minimum t In. = 40 tt.] C1 4 Boundaries of the property plotted to scale, zoning boundary C1 5 Principal structures, accessory structures with exterior dimensions C1 6 Site improvements inc. outdoor storage areas, driveways, parking areas, etc.: existing & proposed C1 7 Setbacks for all structures and improvements: existing 8 proposed C1 8 Elevations and floor plans of all proposed and affected structures Cover B. WATER23<SEWER ---- ---- - ~urrn VN SHEET # 1 Project sewage disposal facilities, design details, construction details, flow rates, and number of bedrooms proposed C1 2 Water supply [i.e. well] & septic on adjoining lots with separation distances to existing or proposed on-site water supply and se tic C 1 3 Separation distances for proposed sewage disposal system to well and water bodies C1 4 Existing public or private water supply [well, lake, etc.]. Method of securing public or private water, location, design and construction of water su I includin dail water usa a C1 5 Percolation test location and results EX C. PARKING /PERMEABLE AREAS ariairn SHEET 1 Number of spaces required for project including calculations and justification: existing & proposed C1 2 No. of existi arkin s aces, number to be removed, number to maintain and of surfadn material e.., ravel, aved ~ex 3 Provision for pedestrian and handicap access and parking: existing & proposed n/a 4 Design details of ingress, egress, loading areas and cutting: existing ~ proposed C1 5 Location and character of green areas [existing and proposed], modification to green area, buffer zone to remain undisturbed C1 6 Lighting, location and design of all existing and proposed outdoor lighting n/a D ADDITIONAL SITE DEVELOPMENT AND MISCELLANEOUS; ai+a,~1N ~1 SHEET # 1 On-site & adjacent watercourses, streams, rivers, lake and wetlands C1 2 Utility /energy distribution system [gas, electric, solar, telephone]: existing proposed EX&C1 3 Location, design and construction details of all existing and proposed site improvements including: drains, culverts, retaining walls, fences, fire 8 emergency zones and hydrants, etc. C 1 4 Square footage of bldg. area proposed for office, manufacturing, retail sales or other commercial activities: existing 8 ro osed C 1 e Signage: Location, size, type, design and setback: existing & proposed C1 f Waiver Request: provide letter with application requesting any waivers: please reference specific items Attached g Commercal/lndustrial Development requires submission of Landscaping, Stonnwater Management, Grading 8 Lighting Plans n/a h Identification of Federal, State or County permits required for the project together wRh a record of application for all necessary ermits n/a Town of Queensbury • Zoning Office • 742 Bay Road •Queensbury, NY 12804.518-761-8238 Area Variance Revised June 2009 Pre-Submission Conference Farm X179-4./0401 Q ~1. Tax Map ID Z ~7 • ~~ "' ~ - ~ ~/ 2. Zoning Classification ~1W/~ ,~e~ 3. Reason for Review: A~ U~ ~~ ~~Ni S~~>~Xi •~ IU~U"' ~`~ '~`' ~~~'~~~~ 4. Zoning Section !#: C ~ 1 r 5. Pre-Submission Meetpng Notes; Outstanding Item To Be Addressed include: t~Yes No Deed General Information complete Yes No Site Development Data Complete Yes No Setback Requirements Complete Yes No Additional Project Information Complete Yes No FAR addressed ~ Yes Y No ~ N Compliance with Zoning Ordinance es o Checklist items addressed ~~ Yes No Environmental Form completed Yes N No Signature Page completed Yes No - ~t/~Ar/v~~ T~7'' i°/T _~~i!`} _ -~ u~x ~`9~N .E'~s1.~ar~i~c1G . i~y NA,Q~P,9 T/~~ G,~cl~¢ i<c~~+J ~Gurvi,~i~i~}~~c~~tf r~~ b~wrl c-~ itl'~ _. -- Staff Representative: Applicant /Agent: Date: Town a eensbury • Zoning E}ffice • 742 Bay Road • Queensbury, NY 12804.518-761-8238 Area Variance Revised June 2009 t4•ttr~a (111861_Taat 12 • PROJECT I.D. NU 817.20 APPeadlx C State EnvlroamaRtal Cuallty RetrlBar SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only SEAR PART I-PROJECT INFORMATION (TO btt COIRD19ted by ADnHeant M Prnlunr e......e,.n 1. APPUCAN7 /SPONSOR Jarrett Engineers, PLLC 2. PRt~IECT NAME VanPutte 3. PROJECT LOCATION: Muntclpallly ~~~ ~~n Count 4. PREGSE LtxA710N (Street address and road Interseclkns, prominent landmarks, etc., or proNde map) Map provided see cover" 5. lS 1'MU~OSED ACTION: ®Nsw [] E><panslon ^ Modlllcatlon/allerollon 6. DESCiuBE PROJECT BRIEFLY: CansW Won of a single family home wilA supporting uhlAes: hcl~ng tank, slgmwater, water wpply on a 0.10 sae IoL 7. AMOUNT OF t.L•:..ee~°7 fntUalt ~0-t _ acroa UlUmttel 0"1 c 8. WILL PROPOSEu ACTION OOMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRIC710NSS ^Yes ®NO 11 Nq descrltW pAefly 8. YirinT IS PRESENT LAND USE IN VICINITY OF PROJECTS ®PorsldenUal ^Induatnal ^l,ommerclal i(]Agrkullure OParWForeaVOpanspsca ^Ot~ nwn~ribe: 10. DOES ACTION WYOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENC Y IFEOERAL. STATE OA Lt>CAyi i~Ysa i81No 11 yes, Ilsl aganoyls) and permlVapprovale 11. DOES ANY ASF'eh' OF THE ACTION NAVE A CURRENTLY VALID PERMIT OR APPROVALS 0 Yea ®Nc 11 yea, Ilel agency name and parmtt/approval t2. AS A RESULTvF rr~OPOSED ACTION WILL EXISTING PERMR7APPROVAL REQUIRE MODIFICATIONS ^Yq ®Nc 1 CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE 70 THE BEST OF MY KNOWLEDGE ApplkanUSpo name: Edward VanPutte Z . ~ ,l/ Data: _~/ ~ Slpneture: a'~'•' - If the action b in the Coastal Area, and you are a stela agency, complete the Coastal Assessment Form before proceeding with thb aaaessment OVER 1 Town of Queensbury • Zoning Office • 742 Bay Road •Queensbury, NY 12804.518-761-8238 Area Variance Revised June 2009 PART 11-ENVIRONMENTAL ASSESSMENT (To tie completed by Aaencv- A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN ti NYCRR PART 817.4? If yes, coordinate the review process and use the FULL EAF. ^ Yea ^ No B. WtLL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 817.8? If No, a negative declaration may be superseded tty another involved agency. ~ ^ Yes ^ No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answer may be handwritten, if laglble) Ct. Existing sir quality, surface or groundwater quality or quantity, noise levels, existing traffic pattema. solid waste production or disposal, potential for erosion, drainage ar flooding problems? Explain briefly: C2 Aesthetic agricultural. archaeological, historic, or other natural or cultural resources; or community or neighborhood character? ExpWin briefly: C3. Vegetation or fauna, fish, shellflah or wildflfe species, signifkant habitats, or threatened or endangered species? Explain briefly: Ca. A community's existing plans o- goals as officially adopted, or a ehenge in use or intensity of use of land or other natural resources? Explsln C5. Growth, subsequent development, or related activities Ilkety to be induced Dy the proposed action? Explain hnafly. Cfi. Long term, short term, cumulative, or other elfects not Identified in Ct•C5? Explain briefly. C7. Other impacts (including changes in use of either quantity or type of energyl? Explain briefly. D. WILL 7HE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A ^ Yes ^ No E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ^ Vas ^ No It Yes, explain bnefly PART 111-DETERMINATION OF SIaNIFlCANCE (To be completed by Agency) INSTRUCTION>~ For each adverse effect idantiNed show, determine whether It Is substantial, large, important or otherwiw significant. Each effect should be assessed in connection with its (a) setting p.e. urban or rump; (b) probability of occurring; (c) duration; (d) imwraibillty; (e- geographic at:ops; and (f- magnitude, if necessary, add attatthmsnts or reference supporting materials. Ensure that explanaNtma contain suff~lent detaN to show that all relevant adverse impacts hew been iderltiNed and adequately addroased. If question D of Part tl wsa checked yes, the dfHerrnlnatltxt and slgniNcance must evaluate the potential Impact of the proposed action on the environmental eharaeterislk:s of the CEA. ^ Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL F.AF and/or prepare a positive declaration. ^ Check this box if you have determined, based on the information and analysts above and any supporting documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide on attachments as necessary, the reasons supporting this determination: me o lea ~aency riot or Ype Name o Respons~ icer m L Aaency it a espons a stet ignaturc o esponn a car in Le Aaency iputure reparer ( i Brent rom resiwm~ e o icer Date Town of Queensbury • Zoning Office • 742 Bay Road • Queensbury, NY 12804 •518-761-8238 g Area Variance Revised June 2009 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: vim. eaweb Designates: _•a^~E^~naers.ruc As agent regarding: . x _ Variance _ X _ Site Ptan_ _ Subdivision For Tax Ma No.: zae.,o Section _ ~ Block ,e Lot Deed r 2~ Sock 249 Page nug 9. t~ Date OWNER SIGNATURE: trG~~-/ ~~.rs•t ~ DATE: ~-'~~%I 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: yanPuae, eawam Designates: _•a^~E^•e-~c As agent regarding: X Variance _ X Site Plan_ Subdivision For Tax Map No.: 2aa.,o Section _ + _ Block _ ,e Lot Deed R '' // +27 Book s+a Page mss. ~~ Date OWNER SIGNATURE'L.U Dcr...j. ~- DATE: ~• 4"i - ~i 2.1 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. 3.1 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. 4.1 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 applicants responsibility to obtain any additional permits. 5.1 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. 6.1 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 constnuction 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 Edward VanPutte Print Name (Applicant] H. Thomas Jarrett. PE Print Name [Agent] JARRETT Engineers, PLLC 2- ~^~~ Date sip ned Date signed try • Zoning Office • 742 Bay Road • Queensbury, NY 12804.518-761-8238 9 I have read and agree to the above. 10/28f 2010 13:05 5187455842 '~ ' wtwwTnw:R ~_ wr.r , 1' , A ~+ ~~~ C.1 1 cP- z~9 W~44~11TTI' ~~,~b wt~la L+K. 'L-~e :mow! THIS INDENTVRi MADE THIS 5th day of August; Ninsteen Hunched and Dllttsxy-Nitta ii1STW81gN ARNOLD L. DINGMAN and ROS>? B. DINGMAN, redding u >t6 Wuren Street. Hudson Fella, New Yor1t, 12839, parties of the Rrst part, snd 1£bWARD R. VANPUT'TL and PHILOMENA D. VANPU'I"t`L, residing at 78 i~tir[dgh Avenue, Rochester, New York, Aa Tenanb By'Ihc Endrety, partite of the second l~ ' WITNi88S)&TH, that the parties of the first part, in conaideradon ef--------•- ONE----------•- [Ib11ar(a} !i 1.00) lawful tnoncy of the United States, and other good and valuable consideration paid by the patties of the accord part, do hereby grant and release unto the pardea of the second part, their heirs and assigns ALL THAT PIECE, PARCEL 011 LOT OE LAND aituata,lying and being in the 'Town of Quccnabury, County of Warren and 3tutr o!' New Yark, store partlcutariy bounded and described as follows: Segioning at an iron pipe se[ !n the ground on the easterly aide of Jay Road 1n the Town of Queenabury; thence proceeding south 51 degrees 5 minutes east a distance of 81.23 &et m an iron pipe act in >fse ground; thence continuing sou[tt {f 1 degroea 5 minutes cast a distance of 3.4 feet to the wea[erly shoreline of Glen Lake; thence south 38 degrees 58 minutes wee[ 47 feet more or less along the short of (3lcn bake to a point for a cort+er, thentx north ?4 dcgma 44 minutes 30 seconds want 8.6 foci azorc er leas to an iron pipe set in the ground; thence continuing north 74 degrees 44 minutes 30 uconds wtst a distance of 65,51 feet along the narrharty line now or formerly of N-itliaai McMahon m an iron pipe set in the ground; thence north 2 degrees 48 miatttea 30 seconds west a diuance of 54.05 fee[ co an iroa pipe xt in the gtvund far a corner and located at a stone wall; chess abuth 80 degrees 1 minute 90 second: east and uessing Jay Road a distance of 20.37 feet to an iron pipe stein the grou nd for a career, then N. P6 degrees 59 tninutca east a distance of 48.47 feet to an iron pipe sec in the ground; being the point and piare of 6eginaing. Exapdng and Reserving from the abort dcxribed premises that portion thereof lying in Jay RaSd. Alga, convoying all the right, title and interest acgtelrcd by Boundary Lines Agt+ccntcncbctwccn Robert W. Austin and Ellen S, Austin, his wife, and Mthony 1'ichco !: <~ tFy : ;, PIDGEON ~~~ww,~y1!~~mi!!InTP'M.n!•a .r... `lit...... ~~!~F, ,•. 01 .~.~ . .r ,~ .:•;. b. M k: '. i :~'~~ E 4.+!,~ .~ ~,~ ..>~: a. .. r