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Application Area Variance JZBAapproved: St!PIUM F21 �Olfrl - - D� } � fiaeneral infor_E1'iwiort Tax Parcel ID Ttiwrtber Zoning District- 14 D Z Detailed Description of Project [include current proposed use]: TOW � G �EE BQUEENSBURY Current Use:_ .��, � ,� �l � �C� ;, .. Proposed Use: 6,k/ 4 7—P Location of Project: 49 CORI ov- ,1 1 - F Q L/E_EMSA541epJ /may Applicant Nome: Mailing Address Ro. 640C Horne Phone City, State,zip Work Phone Cell Phone E-Dail. FAX No- Agent's Name: Mailing Address Horne Phone City, State, Zip Yyz Work Phone Cell Phone E-mail FAX No. Owner's Name � ` Mailing Address Home Phone City, State, Zip Work Phone Cell Phone E-mail FAX No. Ns ] Area Variance Z-AV- - 018 Daniel Hajeck 50 Corinth Road 5 Area Variarice 1713AaWmed: Septembu21 20161 Site Development Data Area Type Existing sq. ft. Proposed Total N. & Additions .ft. A. Building footprint _ B, Detaches! Garage C. Accessory Structure(s) ' !j 44 D, Paved,gravel or other hard surfaced area 1 .3- E. Parches/Decks F. Other Total Non-Permeable [Add A-Fj , 70 H, Parcel Area [43,560 sq, ft.l acre] 1. Percentage of Impermeable Area of Site [1lH] _ r ct x Setback Requirements Area Required Existing Proposed Front Yard [1] Front Yard [2] Shoreline Side Yard [11 1, 5I E Side Yard [2] o Rear Yard [t LX1-5 S ] w ' 'V r 32 Rear Yard [2] �10A Travel Corridor Height [maximum] Permeability Number of parking spaces 17 Page 2 Area VarianCe [ZRA appra d- StTocmhcr21 21)1q Additional Project Information 1. Will the proposal require a Septic Variance from the Town Board of Health 2- if the parcel has previous approvals,list application nurnber(s): I Does this project requir coverage under the New York State Pollutant Discharge Elimination System(SPDES)Permit Program? —Yes 70 d. Estimated project duration: Slart C: 17 0{ End Date; Y 5- Estimated total cost of proj cot: T[. G. Total area ofland disturbance for project. do o [ , tx r 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, Zvtling District Symbol -door-Area Ratio [FAR] Waterfront Residential � 1 0,22 Commercial Mod te-y'commercial C 1 Cl Intensive 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 parches. 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 (1 0) square feet or less. Any additional sheds wilI be included.(See"FLOOR AREA RATIQ")_ 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. ` arce[Arco s .-f. - Existing Floor Xi-ea- , s . ff. see above definition] Proposed Additional Floor Area - �_v s .ff. Proposed Total Floor-Afea Total llowable Floor Area Area x see'above table Page 3 Area Variance (ZBAaWiyvcd; srptrmbar->12olfja Compliance with Zoning Ordinance Requesting relief fromSECTION: — 99A 7- Need relief from the requirernmt(s)listed below which can not be met by the project as proposed. [Cheek oll ehur apply] ❑ etbac€c D Buf# r Zone ❑Lot W idth Or:-,er ARM 07- The Following questions reflect the criteria for granting this type of variance. Please complete them: use additional sheets iF needed- l. 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? �J 'Frog Je'� 4,trz> CA VA—]0., 5, Whether the al eged difficulty was self-created? fL)'k V6 Y _ f * 1 = — r Page 4 Area Variance (ZEAapprawcd- 3eptemhat2120E61 Section 179-14-030—Application materials Application materials and site plan drawing is to include sufficient information for the Board to review and provide a decision. The applicant is to provide a site plan drawing(s)—a survey showing exisiingconditions,a proposed conditions map(see page OU for specific criteria)and include any other attachments that address A-D as applicable to the proposed project A. General Shown on Sheet# 1 Title,dame, Address ofapplicant&person responsible for preparation of drawing 2 Deed 3 North arrow, Tax Map ID, date prepared and scale rninimurn: I inch=40 feet 5UR Vey 4 Boundaries of theprop" loged to scale, wning boundary 5 Principal structures, accessory structures with exterior dimensions 6 Site improvements incl,outdoor storage areas,driveways,parking areas, etc.: existing prop2sed 7 Setbacks for all structures and improvements, existing 8c proposed + S Elevations and floor plans of all proposed and affected structures B. Water& Sewer Shawn on Sheet# 1 Project sewage disposal facilities,design details, construction details, flow rates, and number of bedrooms propased. 5 V 2 Water supply[i.e. well] & septic on adjoining lots with separation distances to existing or � proposed on-site water supply and septic 3 Separation distances for pyposed sewage disposal system to well and water bodies ! 4 4 Existing pubs is or Private water supply [well,lake, etc.]. Method of securing public or private grater, location design and construction of water supply including daily water usage 5 Percolation test location and results . Parking I Permeable Areas Shown on Sheet# 1 Number of spaces required for project including calculations and justification. existing proposed A�zl No.of existing parking spaces, number to be removed, number to maintain and type of surfacing 01 4e material e. , gravel,paved] 3 Provision for pedestrian and hand icap access and n existing&Rroposed 4 Dcsi n details of ingress,a s, load ing areas and cuttin : existin 8c proposred 5 Location and character of green areas [existing and proposed],modification to green area, buffer zone to remain undisturbed 6 Lighting, location and design of all existing and proposed outdoor lighting D. Additional Site Development and Miscellaneous Shown Qn Sheet#€ 1 On-site&adjacent watercourses, streams,rivers, lake and wetlands 2 Utility I energy distributions stem , electric,solar,telephone]. existing Lc ro used ea 3 Location, design and construction details of all existing and proposed site improvements includin - drains,culverts,retaining walls, fences, fire& emergency zones and hydrants, etc. 4 Square foots ofbldg. area proposed for offlce, manufacturing, retail sales or other commercial activities'. existing& ra sed � 5 Signage. Lomtion size, type, design and setback: existin & proposed 6 Waiver Request: provide letter with application requesting any waivers: please reference s ecif c items 7 Commercial!Industrial Development requires submission of Landscaping,Stormwater Nlana emeiit,Grading& Ughting Plans 8 Identification of Federal, State or County permits required for the project together with a record ofapplication for all necessary permits Page 5 Area Variance [ZBA approvi.A: September21 N161 Pre-Submission Conference Forth/Section 179-9-040 1. Applicant Name: _ O ' YXal �CL^ld � �1 C 2. Tax Map ID IL L �^ Loeatinn: c 3. Zoning Classification Iri 4. Reason for Revicw: .1 — � �.� c:�ti� } ��}� � t _ 5. Zoning Section #: — , lll tom-; LO 6. Pre-Submission Meeting Notes: Provided Dutstandiag; Please provide by ���► - Deed General Information complete Site Development Data Complete _ Setback Requirements Complete _ Additional Project Information Complete FAR addressed Compliance with Zoning Ordinance Checklist items addressed Environmental Form completed r1 - Signature Page completed 1 l } r r 5 err r . t� k, u� (C-20(%� - � r C 4 429lp _ c, a . s KLE G r Staff Representative: Gc f Applicant/Agent, � T7a1e: r2 � Paga 6 ,ill` n Variance [ZBA approved: Suprrmber 21 2016) 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.)Agroment to provide documentation required. OWNER's AcsxT rioRm- Complete the following if the OWNER of the property is not the same as the applicant; Owner: 1C Designates: Ol,lj , ., sa agent regarding the following: Variance V-11" Site Pla Subdivision For Tax Map No_: Deed Reference; BooLv P Date � 11 OWNER SIGNATURE: DATE, APPLICANT's AGENT FORM. Complete the fvi lowing if the APPLICANT is unable to attend the meeting or wishes to be represented by another petty: Owner Designates_ as Agent regarding the following: Variance Site Plan Subdivision For Tax Map Flo.: Deed Reference- Boats_ Page Date OWNER SIGNATURE: DATE. 20_ 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 Plarming Department. Fees for engineering review services will be charged directly to the applicant. Fees for engineering Teview will not exceed S 1,400 without notification to the appi icaut_ 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. FFI IAL M FETING 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 al I proceedings. 6.) ACREEMENT TO PROVIDE DOCUMENTATION REQUIRED. 1, the undersigned, have thoroughly read and understand the instructions for submission and agree to the submission requirements, I acknpwledge no construction activities shall be commenced prior to issuance of valid permit_ T certify that the application, plans and supporting materials are atrue and complete statement/description of the existing conditions and the work proposed, and that all work will he 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. T also understand that 11we may be required to provide an as-built sZeead icensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy 1nd agree to the above. gna#ure [A pica Print name [Applicant] Dat signe Signature ent] Print Ixlame [Agent] D e si e Pagc 7 Short Environmental Assessment For, Part I - Project Information Instructions for Completing Part 1 - Project Information. The applicant of project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further vedflution. Complete Part i based on information currently available. If additional research or investigation would be needed to fully respond to any item, please answer as thoroughJy as possible based on current information, Complete all items in Par! 1. You may also provide any additional information which you be]ieve will be needed by or useful to the lead agency; attach additional pages as necessary to supplement any item- Part 1 - Project amd Sponsor tnfermation Name of Action or project: Project Location(describe, and attach a location map): 4>'e Q 6 A31 Ux Brief Description of Proposed Action: 6,"J 711, e " Name of Applicant or Sponsor: Telephone.52 Address- cityw.. 7^/ tc: Zip Code. y 12FOi t-Dq)es the proposed action only involve the 1egislat[ve adopt ion of plan, local law,ordinance, N0 YES administrative rule,or regulation? ❑ If Yes,attaf-b a narrat ive description of the intent of the proposed action and the environmental resources that nity be affected in the municipality and proceed to Part Z. If no,continue to question 2- 2. Does thu proposed action require a permit,approval pr funding from any other government2aI Agency? NO YES If Yes,list agency(s)name and permit or approval: E�f 3.a,Total acreagi:.0 f th e site of the proposed action? A acres b-Total acreage to be physically disturbed` _. 4_2 _acres c-Total acreage(project site and any contiguous properties)awned or contra I led by the appl[cant or proj ea sponsoO r acres 4. Check al [and uses that occur on, adjoining and neiv the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑tvotnmereial 11]Residential (suburban) ❑Forest ❑Agriculture El Aquatic ❑Other(specify)-. ❑Parkland Page 1 of 3 5, is the proposed action, NO VLS N"A a-A permitted use under the zoning regulations? Pr ❑" ❑ b. Consistenf with the adopted comprehensive plan? ❑ ❑ G. is the proposed action consistent wi[h the predominant character of the existing built or natural N0 YES landscape? ❑ 7, Is tite site of the proposed acLipn located in, or does it adjoin,a state listed Critical Environmental Areal N0 YES [f Yes,identify_ 8. a.Will the proposed action result in a substantial increase in Eraf)ic above present levels? 0 YE ` b- Are public transportafion service(s)available at or near the site of the proposed action? ❑ c. Are any pedestrian accommodations or bicycle routes available an or near site of the proposed action? ❑ 9- Dies the proposed action meet or exceed the state energy code requirements? NO YES Ifthe proposed action wilt exceed requirements,describe design features and technologiEs' 10. Wi11 the proposed action connect to an existing pub]iclprivate%eater supp[y? N0 YES If No,describe method for providing potable water: _ ❑ 11. WiII the proposed action connect to existing wastewater utilities? NO YES ' If No,describe method for providing wastewater treatment, Ef ❑ I I a.Does the site contain a structure that is I isted on either the State or National Register of Hi stari c NO V ES Places? ❑ b.1s the proposed action located in an archeological sensitive~area? Ll 13. a. Does any portion of the site of the proposed action,or lands adjoiningthe proposed action, contain N0 YTS wetlands or other waterbodies regulated by a federal, stage or local agency? ❑ b.Would the proposed action physically alter,or encroach into, any existing wetland or waterbody7 ❑ If Yes,idcnti fy the wetland or wawrbody and extent of alterations in square feet or acres. _ 14- identify the typical habitat t}apes that occur on,or are likely to be found on the project site- Cbeck all that apply: �Shoreline ❑Foress ❑Agrlculturallgrasslands ❑Early InId-successional ❑ Wetland ❑Urban burban ]5-Daes the site of the proposed action contain any species of animal,or associated habitat, listed NO YES by the State or Federal government as threatened or endangered? ❑ 16,is the project site located ur the 140 year flood plain? NO YES 17. Will the proposed action create storm water discharge, either from point or non-point sources? NO YES If Yes, a. Will storm water discharges flow to adjacent properties? ❑ NO ❑YES ❑ b, WiII storm water discharges be directed to established conveyance systoms (runoff and storm drains)? IfYes,briefly describe; NO []YES Page 2 of 3 18.Dees the proposed action include construction or other activities that result in the irnpoundinent of NO YES water or other liquids(e.g.retention pond,waste lagoon,darn)? If Yes, explain purpose and size; 19. Has the site of the proposed action or an adioining property been the location of an active or Closed lib YES solid waste Managcmcnt facility? if Yes,describe: ❑ 20. Has the site of the proposed action or an adjoining property been thi:subjectofremediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe; I AFF1 RM THAT THE TNFORMAT10N PROVTDF.D ABOVE IS TRUE ,AND AC URATE TO THE BEST OF M V ' KNOWLEDGE Applicanbsp s r n � � �c � Dam: Signature: r PRINT FORM Page 3 of 3