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Area-Variance Application Area.Variance [ZBA approved: September 21 2016] General Information 309.14-1-5 Tax Parcel ID Number: Cl Commercial Intensive Exit 18 Zoning District: Detailed Description of Project [include current&proposed use]: Diner/Restaurant Current Use: Medical Offices Proposed Use: 124 Main Street Location of Project: Applicant Name: Columbia Development Mailing Address 302 Washington Avenue Extension Home Phone Richard Rosen City, State,Zip Albany, NY 12203 Work Phone 518-862-9133 Cell Phone E-Mail: rrosen@columbiadev.com FAX No. 518-862-9443 Agent's Name: Environmental Design Partner Mailing Address 900 Rte 146 Home Phone Gavin Vuillaume City, State,Zip Clifton Park NY 12065 Work Phone 518-371-7793 Cell Phone E-mail gvuillaume@depllp.com FAX No. 518-371-6540 Owner's Name Saratoga Hospital Mailing Address 211 Church Street Home Phone Kevin Ronayne City, State,Zip Saratoga Springs NY 12866 Work Phone 518-587-3222 Cell Phone E-mail kronayne@satatogacare.org FAX No. Page 1 Area Variance [ZBA approved: September 2120161 Site Development Data Area/Type Existing sq.ft. Proposed Total sq.ft. Additions .ft. A. Building footprint 5,200(removed) 8,800+/- 8,800+/- B. Detached Garage 0 0 0 C. Accessory Structure(s) 0 0 0 D. Paved,gravel or other hard surfaced area 35,800 (removed) 31,000+/- 31,000+/- E. Porches/Decks 0 0 0 F. Other 0 0 0 G. Total Non-Permeable [Add A-F] 41,000+/- 39,800+/- 39,800+/- (removed) H. Parcel Area [43,560 sq. ft./acre] 45,500 sf/1.04 ac. 4,300 sf/.10 ac. 49,650 sf/1.14 ac. L Percentage of Impermeable Area of Site [I=G/H] 90% N/A 80% Setback Requirements Area Required Existing Proposed Front Yard[1] 50' 81' (Main Street) 55' (Main Street) Front Yard[2] 50' 56' (Big Boom) 39' (Big Boom) Shoreline 75' 0 0 Side Yard [1] 20' (50' Both) 21 2' Side Yard [2] 20' (50' Both) N/A N/A Rear Yard [1] 25' 267' 265' Rear Yard [2] 25' N/A N/A Travel Corridor 100' From 1-87 20' 2' Height [maximum] 40'-70' 20'+/- 32+/- Permeability 30% 10% 20% Number of parking spaces 59 60+/- 76 Page 2 Area.Variance [ZBA approved: September 2120161 Additional Project Information 1. Will the proposal require a Septic Variance from the Town Board of Health? No 2. If the parcel has previous approvals,list application number(s): Unknown 3. Does this project require coverage under the New York State Pollutant Discharge Elimination System(SPDES)Permit Program? X Yes/_No 4. Estimated project duration: Start Date: 7/1/2019 End Date: 7/1/20 5. Estimated total cost of project: 4.5 Million 6. Total area of land disturbance for project: 1.20 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/Commercial CM/Cl 0.3 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 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 s . ft. Existing Floor Area NIA s . ft. [see above definition] NIA Proposed Additional Floor Area s . ft. NIA Proposed Total Floor Area s . ft. Total Allowable Floor Area NIA Area x see above table Page 3 Area Variance [ZBA approved: September 2120161 Compliance with Zoning Ordinance Requesting relief from SECTION: 179-7-050 and Table 1 Area Requirements 0 Need relief from the requirement(s)listed below which can not be met by the project as proposed. [Check all that apply] R Setback El Buffer Permeable Buffer Zone ❑Lot Width ❑Other 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? The project site is located within the Main Street land use area identified on the Recommended Land Use Map as part of the 2007 Town's Comprehensive Plan. The proposed two-story building with parking at the rear of the site is consistent with trie owns CompretiensiVe Ftan recommen a ions or Me Main Street area.Ttiere are numerous ui mg!ocations and site green areas along Main Street that are similar in size and loeation then that which is proposed. 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? The project is designed to fit more within the Main Street Zoning District. The dimensional setback requirements of the Commercial Intensive Exit 18 zoning district do not allow for buildings to be located close to the street which is more ypica or the surrouniring area. 3. Whether the requested area variance is substantial? The requested variances are not substantial considering that the existing site is fully developed with paved and building surfaces covering 90%of the property. 4. Whether the proposed variance will have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district? The site is located within an existing sewer and water district and will connect existing utilities. All stormwater runoff from impervious areas shall be managed both on and off site in accordance with Chapter 147 and NYS Department of Conservation SPDES Generalermt or Construction Activities. 5. Whether the alleged difficulty was self-created? In order to improve the property with the building in the front of the property under current zoning,the difficulty may be considered non self-created. Page 4 Area.Variance [ZBA approved: September 2120161 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 existing conditions,a proposed conditions map(see page 00 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,Name,Address of applicant&person responsible for preparation of drawing q 2 Deed Attqchpd 3 North arrow,Tax Map ID, date prepared and scale minimum: 1 inch=40 feet 4 Boundaries of the property plotted to scale,zoning boundary 5 Principal structures, accessory structures with exterior dimensions 6 Site improvements incl. outdoor storage areas, driveways,parking areas, etc.: existing& 2 & 3 proposed 7 Setbacks for all structures and improvements: existing&proposed 8 Elevations and floor plans of all proposed and affected structures Attqrhpd B. Water& Sewer Shown on Sheet# 1 Project sewage disposal facilities,design details, construction details, flow rates, and number of 4 bedrooms proposed 2 Water supply [i.e. well] &septic on adjoining lots with separation distances to existing or 4 proposed on-site water supply and septic 3 Separation distances for proposed sewage disposal system to well and water bodies 4 Existing public or private water supply[well,lake, etc.]. Method of securing public or private 4 water, location,design and construction of water supply including daily water usage 5 Percolation test location and results C. Parkin /Permeable Areas Shown on Sheet# 1 Number of spaces required for project including calculations and justification: existing& 3 proposed 2 No. of existing parking spaces,number to be removed,number to maintain and type of surfacing 3 material [e.g.,gravel,paved] 3 Provision for pedestrian and handicap access and parking: existing&proposed 4 Design details of ingress, egress, loading areas and cutting: existing&proposed 5 Location and character of green areas [existing and proposed],modification to green area,buffer 3 zone to remain undisturbed 6 1 Lighting, location and design of all existing and proposed outdoor lighting D. Additional Site Development and Miscellaneous Shown on Sheet# 1 On-site&adjacent watercourses, streams,rivers, lake and wetlands 2 Utility/energy distributions stem as, electric, solar,telephone]: existing& ro osed 3 Location, design and construction details of all existing and proposed site improvements 3 & 4 including: drains, culverts,retaining walls, fences, fire&emergency zones and hydrants, etc. 4 Square footage of bldg. area proposed for office,manufacturing,retail sales or other commercial 2 & 3 activities: existing&proposed 5 Si na e: Location, size,type, design and setback: existing&proposed 6 Waiver Request: provide letter with application requesting any waivers: please reference specific items 7 Commercial/Industrial Development requires submission of Landscaping, Stormwater 3, 4, 5 & 6 Mana ement, Grading&Lighting Plans 8 Identification of Federal, State or County permits required for the project together with a record of application for all necessary permits Page 5 Area Variance [ZBA approved: September 2120161 Pre-Submission Conference Form/Section 179-9-040 1. Applicant Name: Columbia Develonment 0 2. Tax Map ID 309.14 - 1 - 5 0 Location: 124 Main Street 0 3. Zoning Classification CI-18 Commercial Intensive Exit 18 4. Reason for Review: Pronosed Area Variances 5. Zoning Section#: 179-7-050 and Table 1 Area Requirements 6. Pre-Submission Meeting Notes: Provided Outstanding; 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 Signature Page completed Staff Representative: Applicant/Agent: Gavin Vuillaume (Anent) Date: 2/8/19 Page 6 i f Area Variance (ZeA apPuMd: September 21201e1 This page includes the 1) Authorization to Act as Agent Farm: 2) Engineering Yea Disclosure; 3,) Authorization for Site Visils; 4) Other Permit Responsibilities; 5) Official Meeting Disclosure and 6.) Agreement to provide documentation required. Ow1vEn'sAceturFonnt: Complain the fallowing If the OWNER of troproperty Is not the some as lire applicant: Owner: Saratoga Hnapllal Designates: ColumbiaDovelopment as Agent regarding the following: Variance X Stleplan _ Subdivision_ For Tax Map No,_309.14-18 Deed Reference; Dook6688Page 263 Date 1249.2017 OWNER SIGNATURE: 4&iz DATE: or W APPLiCANT's AGENT Foam: Complete the following if the APPLICANT Is smeblo to attend the meeting or wishes to be represented by another party: Owner: Saratoga Hospllal Deslgnalon; Environmental Design Partnership no Agent regarding the following: Variance X $i(aPlan _ Subdivision _ For Tax Map No; 309A4- -5 ' DeedReferenoo: Book5688 page 203 D la 12.2g-2017 OWNER SIGNATU _, DATE: 2.) ENGINEERING FEE DISCLOSURE; Applications may be rAmd to the Town consulting anghicer for review of septic design, atoms drainage, etc, as determined by the Zoning or Planning Depatlrnanl. Fees for eughu:ering review services will be charged directly to the applicant. Fees for engineering review will not exceed $ 1 ,000 without notfleation to tbo applicant. 1) AUTHORIZATION FOR SITE VISITS, By signing this pago and submitting the application matoriois attached horeiu, the Owner, Applicant, and hisllter/their agent(s) hereby nulhorize the Zoning Board or Planning Board and Town Staff to enter the subject properties for the purpose ofreviewing the Application submitted. 4.1 OTHER PERMIT RESPONSIBILITIESt Other pormits may ba required for eomiruotion or alteration activity subsequent to approval by the zoning Board or planning Board, It is tho npplicant's rosponaibtiltyto obtain any additonntpormito. 5.) OFFICIAL MEETING MUTES. DISCLOSURE: It Is the practice of tie 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 ofieieI record of all proceedings. 6.) AGREF.MRNT TO PROVIDR DOCUMENTATION REOUIRM 1, the undersigned, have thoroughly rend and understand the instructions for submission and agree to the submission requirements, I acknowledge no construction activities shall be commenced prior to Issuance of a valid permit. 1 certify that the application, plans and supporting materials are a into and eomplole statomont/doscriplion of the existing conditions and the work proposed, and That all work will be perfomled in accordance with tho approved plans and in c9afonnanoa with local zoning regulations. I acknowledge that prior to occupying the tbciWlas proposed, I or my agents, will obtain a certificate of occupancy As necessary. I also understand that Vivo may be required to provide an as•built survey by a licensed land surveyor of all newly constructed faoilit n; prior to issuance of a cediflcnto of oocupanoy Ihaveread Id e o b Richard Rosen z - /Z WO lu A e Print Monte rrApptcautj Date signed Gavin Vulifaume l gt a A rlj Print Name (Agent] Date signed Page 7 Short Environmental Assessment Form Part I -Project Information Instructions for Completing Part 1-Project Information. The applicant or 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 verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1 -Project and Sponsor Information Name of Action or Project: Medical Center At Queensbury Project Location(describe,and attach a location map): 124 Main Street Brief Description of Proposed Action: Applicant requests(8)area variances to demolish an existing restaurant and construct a 17,700 sf. Medical Center with parking for approximately 76 cars on 1.14 acres. Name of Applicant or Sponsor: Telephone: 518-862-9133 Columbia Development E-Mail: rrosen@columbiadev.com Address: 302 Washington Avenue Extension City/PO: State: Zip Code: Albany New York 12203 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: Town of Queensbury Planning Board(Site Plan)NYSDEC(Stormwater), �✓ 3.a.Total acreage of the site of the proposed action? 1.14 acres b.Total acreage to be physically disturbed? 1.2o acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 1.14 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial 0 Commercial ❑Residential(suburban) ❑Forest ❑Agriculture El Aquatic El Other(specify): ❑Parkland Page 1 of 3 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ❑ RI ❑ b. Consistent with the adopted comprehensive plan? ❑ Z ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ R 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: Z ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES ❑✓ ❑ b.Are public transportation service(s)available at or near the site of the proposed action? ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? Z ❑ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: El W-1 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: ❑ Fv 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? V ❑ b.Is the proposed action located in an archeological sensitive area? W/1 ❑ 13. a. Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? Rl ❑ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ❑ Wetland ❑Urban 0 Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? ❑✓ ❑ 16.Is the project site located in the 100 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 AYES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO AYES Existing stormwater basin adjacent to site. Page 2 of 3 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: 1.9.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or I NO I YES completed)for hazardous waste? If Yes,describe: ❑� I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Gavin Willaume(sponsor) Date: 2-6-19 Signature: PRINT FORM Page 3 of 3 Agency Use Only [If applicable] Project: Date: Short Environmental Assessment Form Part 2 -Impact Assessment Part 2 is to be completed by the Lead Agency. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ ❑ regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? ❑ ❑ 3. Will the proposed action impair the character or quality of the existing community? ❑ ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ ❑ establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or ❑ ❑ affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: ❑ ❑ a.public/private water supplies? b.public/private wastewater treatment utilities? ❑ ❑ 8. Will the proposed action impair the character or quality of important historic,archaeological, ❑ ❑ architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, ❑ ❑ waterbodies,groundwater, air quality,flora and fauna)? 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage ❑ ❑ problems? 11. Will the proposed action create a hazard to environmental resources or human health? ❑ ❑ PRINT FORM Pagel of2 Agency Use Only[If applicable] Project: Date: Short Environmental Assessment Form Part 3 Determination of Significance For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3.Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting, probability of occurring,duration,irreversibility,geographic scope and magnitude. Also consider the potential for short- term,long-term and cumulative impacts. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Name of Lead Agency Date Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT FORM Page 2 of