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Site Plan Application General Information Tax Parcel ID Number: ____________________ ùðó Zoning District: ____________________ Lot size: _____________________ Detailed Description of Project ]: [includes current & proposed use Î»«» ±º »¨·¬·²¹ ëôëëð ¾«·´¼·²¹ ¿²¼ ïòéî ¿½®» ·¬» º±® Ò±®¬¸ Ý±«²¬®§ Ð®±°»®¬§ Ó¿²¿¹»³»²¬ò __________________________________________________________________________________________ Ì¸» ìïë Þ·¹ Þ¿§ Î±¿¼ °®±°»®¬§ · ½«®®»²¬´§ ª¿½¿²¬ ¿²¼ ¬¸» °®±°±»¼ «» · ¿ ³¿·² ±ºº·½»ô ·²¬»®²¿´ ®»°¿·® ¸±°ô ¿»¬ ¬±®¿¹» øÌ®«½µô __________________________________________________________________________________________ ¬®¿·´»®ô ¸»¿ª§ »¯«·°³»²¬ô ³¿¬»®·¿´ ÅÞ«·´¼·²¹ ³¿¬»®·¿´ô Ñ®¹¿²·½ ³¿¬»®·¿´ô Ü»·½·²¹ ³¿¬»®·¿´ »¬½úÃô ³¿´´ »¯«·°³»²¬ô ´¿²¼½¿°» ¿²¼ ©·²¬»® »¯«·°³»²¬÷ò Ý®»© ©·´´ ¼·°¿¬½¸ º®±³ ¬¸» ·¬» ¼¿·´§ò __________________________________________________________________________________________ Location of project: úÓÕúÛÃêÍÛØëÇ××ÎÉÚÇÊÃî×ÅãÍÊÑ ________________________________________________________________________________ Applicant Name: Address: îÍÊÈÔùÍÇÎÈÊÃìÊÍÌ×ÊÈÃïÕÏÈ ïÛÌÐ×éÈÊ××ÈõÐ×ÎÉöÛÐÐÉîã Home PhoneCell: Work PhoneFax E-Mail: ³³»®®·´´à²±®¬¸½±«²¬®§²±©°´±©·²¹ò½±³ Agent’s Name:Address: Home PhoneCell: Work PhoneFax E-mail Owner’s NameAddress ìíúÍÄ ðÛÈÔÛÏîã êìëÇÛÑ×Ê ê×ÛÐÈÃððù Home PhoneCell Work PhoneFax E-mail î Site Plan Review application – Revised October 2016 Town of QueensburyPlanning Office-742 Bay Road, Queensbury, NY 12804 Site Development Data Area / TypeExisting sq. ft. Proposed Total sq. ft. Addition sq. ft. A. Building footprint B. Detached Garage î ûî ûî û C. Accessory Structure(s) ÉË ÖÈ ÉË ÖÈ ÉË ÖÈ D. Paved, gravel or other hard surfaced area ÉË ÖÈ ÉË ÖÈ ÉË ÖÈ E.Porches / Decks î ûî ûî û F. Other G. Total Non-Permeable [Add A-F] H. Parcel Area [43,560 sq. ft. / acre] I. Percentage of Impermeable Area of Site [I=G/H] Setback Requirements AreaRequiredExistingProposed Front [1] Front [2] Shoreline î ûî ûî û Side Yard [1] Side Yard [2] î ûî ûî û Rear Yard [1] Rear Yard [2] î ûî ûî û Travel Corridor Height [max] Additional Project Information îÍ 1. Will the proposal require a Septic Variance from the Town Board of Health? _______________ ÍÐéïóîðïð Ì±© Ì®«½µ Ý±³°¿²§ 2. If the parcel has previous approvals, list application number(s): _________________________ ÍÐêèóçç Ø»¿ª§ Ì®«½µ Î»°¿·® 3. Does this project require coverage under the New York State Pollutant Discharge Elimination System îÍ (SPDES) Permit Program ? _______________ 4. Estimated project duration: Start Date __________ End Date __________ Òñß 5. Estimated total cost of project: _______________ î û 6. Total area of land disturbance for project: _______________ 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 DistrictSymbolFloor Area Ratio [FAR] Waterfront ResidentialWR0.22 Commercial Moderate/ IntensiveCM/ CI0.3 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. A.Parcel Area___________________________ sq. ft. B.Existing Floor Area ___________________________ sq. ft. [see above definition] C.Proposed Additional Floor Area___________________________ sq. ft. D.Proposed Total Floor Area ___________________________ sq. ft. E.Total Allowable Floor Area ___________________________ (Area x _____) [see above table] *If D is larger than E. a variance or revisions to your plan may be needed. Consult with Staff. ì Site Plan Review application – Revised October 2016 Town of QueensburyPlanning Office-742 Bay Road, Queensbury, NY 12804 North Country Property Management (415 Big Bay Road - Application) § 179-9-080 Requirements for Site Plan Approval. ë ëòï § 179-9-050 Checklist-Application for Site Plan Review . Application materials and site plan shall include sufficient information for the Board to review and provide a decision. The applicant is to provide a site plan drawing and all attachments that address items A-V. The applicant may request a waiver from A-V and is to provide reasons for waiver(s) requested. Please label information to be submitted. REQUIREMENTS Sheet # A.A vicinity map drawn at the scale that shows the relationship of the proposal to existing community facilities which affect öÓÕ or serve it, such as roads, shopping areas, schools, etc. The map shall also show all properties, identify owners, subdivisions, streets and easements within 500 feet of the property. Such a sketch may be superimposed on a United States Geological Survey map of the area. B.The site plan shall be drawn at a scale of forty feet to the inch (1” = 40 feet) or such other scale as the Planning Board may é deem appropriate, on standard 24” x 36” sheets, with continuation on 8 l/2 “x 11” sheets as necessary for written information. The information listed below shall be shown on the site plan and continuation sheets. C.Name of the project, boundaries, date, north arrow, and scale of the plan. é D.Name and address of the owner of record, developer, and seal of the engineer, architect or landscape architect. If the é applicant is not the record owner, a letter of authorization shall be required from the owner. E.The location and use of all existing and proposed structures within the property, including all dimensions of height and é floor area, all exterior entrances, and all anticipated future additions and alterations. F.The location of all present and proposed public and private ways, off-street parking areas, driveways, outdoor storage areas, é sidewalks, ramps, curbs, paths, landscaping, walls and fences. Location, type and screening details for all waste disposal containers shall also be shown. ïéçóçóðèð Í»½¬·±² Ô ¿²¼ Íóï G.The location, height, intensity and bulb type (sodium, incandescent, etc.) of all external lighting fixtures. The direction of Íóï ¿²¼ Ô·¹¸¬·²¹ illumination and methods to eliminate glare onto adjoining properties must also be shown in compliance with § 179-6-020. ß¼¼»²¼«³ H.The location, height, size, materials and design of all proposed signs. îÍéÓÕÎ I.The location of all present andproposed utility systems including: é 1. Sewage or septic system; 2. Water supply system; 3. Telephone, cable and electrical systems; and 4. Storm drainage system including existing and proposed drain lines, culverts, catch basins, headwalls, endwalls, hydrants, manholes and drainage swales. J.Plans to prevent the pollution of surface or groundwater, erosion of soil both during and after construction, excessive runoff îÍ and flooding of other properties, as applicable. A Stormwater Pollution Prevention Plan (SWPPP) for all land development ùÔÛÎÕ× activities (excluding agricultural activities) on the site that results in land disturbance of one acre or more. A SWPPP shall comply with the requirements of the DEC SPDES MS-4 General Permit and Chapter 147 of the Town of Queensbury Code. It shall be at the discretion of the Planning Board as to whether a SWPPP or an erosion and control plan shall be required for a site plan review project land disturbance of less than one acre. K.Existing and proposed topography at two-foot contour intervals, or such other contour interval as the Planning Board shall öÓÕ allow. All elevations shall refer to the nearest United States Coastal and Geodetic Bench Mark. If any portion of the parcel is within the 100-year floodplain, the area will be shown and base flood elevations given. Areas shall be indicated within the proposed site and within 50 feet of the proposed 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 influence the design of the proposed use such as rock ð Ô¿²¼ Ð´¿² outcrops, stands of trees, single trees eight or more inches in diameter, forest cover and water sources and all proposed ß¼¼»²¼«³ changes to these features, including sizes and types of plants. Water sources include ponds, lakes, wetlands and watercourses, aquifers, floodplains and drainage retention areas. M.Land Use District boundaries within 500 feet of the site’s perimeter shall be drawn and identified on the site plan, as well é as any Overlay Districts that apply to the property. ê Site Plan Review application – Revised October 2016 Town of QueensburyPlanning Office-742 Bay Road, Queensbury, NY 12804 REQUIREMENTS (CONTINUED)Sheet # N.Traffic flow patterns within the site, entrances and exits, loading and unloading areas, as well as curb cuts on the site and within 100 feet of the site. The Planning Board may, at its discretion, require a detailed traffic study for large developments or for those in heavy traffic areas, which shall include: 1. The projected number of motorvehicle trips to enter or leave the site, estimated for weekly and annual peak hour traffic levels; Î»º»®»²½»¼ ·² ïéçóçóðèð 2. The projected traffic flow pattern including vehicular movements at all major intersections likely Í»½¬·±² Ú to be affected by the proposed use of the site; 3. The impact of this traffic on levels of service on abutting public streets and at affected intersections. Existing and proposed weekly and annual peak hour traffic levels and road capacity levels shall also be given. O.For new construction or alterations to any structure, a table containing the following information shall be included: ÌÞÜ ß®½¸·¬»½¬ Ü®¿©·²¹ ý 1. Estimated area of structure to be used for particular purposes such as retain operation, office, Storage, etc.; 2. Estimated maximum number of employees; 3. Maximum seating capacity, where applicable; and 4. Number of parking spaces existing and required for the intended use. P.1. Floor Plans. 2. Elevations at a scale of one-quarter inch equals one foot (1/4” = 1 foot) for all exterior facades of the proposed structure(s) and/or alterations to or expansions of existing facades, showing design features and indicating the type and color of materials to be used. Q.Soil logs, water supply well and percolation test results,and storm water runoff calculations as needed to determine and Ò± Ý¸¿²¹» mitigate project impacts. R.Plans for disposal of construction and demolition waste, either on-site or at an approved disposal facility. Ô±½¿´ Ú¿½·´·¬§ S.Plans for snow removal, including location(s) of on-site snow storage. é T.An Environmental Assessment Form (“EAF”) as required by the SEQRA regulations, with Part 1 completed by the Applicant î û shall be submitted as part of the application. If the proposed project requires a special use permit and anEAF has been submitted in conjunction with a special use permit application, a duplicate EAF is not required for the site plan application. U.If an application is for a parcel or parcels on which more than one use is proposed, the applicant may submit a single î û application for all such uses, provided the proposed uses are accurately delineated on a site plan drawn pursuant to the requirements set forth above. The Planning Board may grant the application with respect to some proposed uses and not others.For purposes of reviewing an application (and for SEQRA compliance) all proposed uses on a single parcel or on contiguous parcels shall be considered together. V.A brief narrative statement on how the project proposed for review furthers or is consistent with the vision, goals and policies in the Town’s Comprehensive Plan. Í»» »½¬·±² ïéçóçóðèð Î»¯«·®»³»²¬ º±® Í·¬» Ð´¿² ß°°®±ª¿´ øßò÷ é Site Plan Review application – Revised October 2016 Town of QueensburyPlanning Office-742 Bay Road, Queensbury, NY 12804 èòï Ò±®¬¸ Ý±«²¬®§ Ð®±°»®¬§ Ó¿²¿¹»³»²¬ô ÔÔÝò