Site Plan Application Town of Queensbury Site PlanPre-Submission Conference Form / Section 179-9-040
1. Applicant Name: M t �`�i.Ct�2\ CC'\C Y
2. Tax Map ID ZZ6v -�� Location: 50344 4 Ott.rc Lc it' f
3. Zoning Classification L )4
4. Reason for Review: /Ise Lk, St nc�Ce, ko, &e ?ceuC r.��s ky G,c�pfa1� UcC se• `P'
5. Zoning Section#: 1 761" °CfC)-6-C.cle C cjc[ (A fkctC/
6. Pre-Submission Meeting Notes: Provided Outstanding; Please provide by
Deed V
General Information complete r-
a
Site Development Data Complete `
Setback Requirements Complete
Additional Project Information Complete
FAR addressed
Requirements for Site Plan-Standards ;�,
•
Checklist items addressed
Environmental Form completed t.--
Signature Page completed
c c. Pr721?Oes Oq S`t4-t- rc `<12 `r
�F-ll(r`f c c,t Pe . I)c e C c✓l c�v ciQ S of-e— L ��C `i-or C
s i-ecice ✓ ci , Pcoj e S A La L.v1(✓1 1 c9C9.4
eok- ,�e L r.(A . p D e e (Po%ov Cc, ,. \ �� s -c,p c ft-ri
MD_et c c Lic n9 eS k Cie `c-C4 1('✓1
Ch.Gt' n k c} ie e ct pot(cc (11.02,1 /lei( pccvic a
w l l LA, L 4 les4-Q.is LAND , Co4 $fvc_&cs.‘
tS1/2) eC1( ✓1 . . phC "14.5 Leer t,-eois1/40-tiutti 6Lt vuc1di ccacio3
e4 t& /1C-) titGt ae- 7 A%%4,0
(2e001,P.A.P ( C /3c\(_e-c-i0 t S t cf 2 wt.,S, C Teti-A s, , ) 4(J d-
�l`�tlt(�i'scc ri�L (- Na c 1-7c.4&,4).. pq•c 4
`1�,--) 6 >> S sr f /Icy,C)/cx
Staff Representative: �Gt of it t
Applicant/Agent: / Date:
8
Site Plan Review application-Revised October 2016
Town of Queensbury Planning Office-742 Bay Road,Queensbury,NY 12804
General Information
Tax Parcel ID Number: 226.19-1-37
Zoning District: WR
Lot size: 7.27acres
Detailed Description of Project[includes current&proposed use]:
Construct single family dwelling with on-site wastewater treatment,porous parking,drilled well and stormwater management.
Location of project:
Forest Lane(vacant)
Applicant Name: Address:
Home Phone Cell:
Work Phone Fax
E-Mail:
Agent's Name: Address:
Home Phone Cell:
Work Phone Fax
E-mail
Owner's Name Address 1001 Morgan Ave.,Niskayuna 12309
Michael Chrys
Home Phone Cell 518-339-3559
Work Phone Fax
E-mail
2
Site Plan Review application—Revised October 2016
Town of Queensbury Planning Office-742 Bay Road,Queensbury,NY 12804
Site Development Data
Area/Type Existing sq.ft. Proposed Total sq. ft.
Addition sq. ft.
A. Building footprint 0 896 896
B. Detached Garage 0 0 0
C. Accessory Structure(s) 0 0 0
D. Paved,gravel or other hard surfaced area 0 700 350
E. Porches/Decks 0 160 160
F. Other 0 0 0
G. Total Non-Permeable [Add A-F] 0 1756 1406
H. Parcel Area [43,560 sq.ft./acre] 316,681 316,681 316,681
I. Percentage of Impermeable Area of Site [I=G/H] 0 0.005 0.004
Setback Requirements
Area Required Existing Proposed
Front[1] 30 0 41.8
Front[2]
Shoreline 50 0 51
Side Yard [1] 25 0 51
Side Yard[2]
Rear Yard [1]
Rear Yard[2]
Travel Corridor
Height[max] 28 0 27' 10 1/4"
Permeability 75% 0 99.996%
No.of parking spaces 2 0 2
3
Site Plan Review application—Revised October 2016
Town of Queensbury Planning Office-742 Bay Road,Queensbury,NY 12804
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):
3. Does this project require coverage under the New York State Pollutant Discharge Elimination System
(SPDES)Permit Program ? NO
4. Estimated project duration: Start Date Fall 2018 End Date Spring 2018
5. Estimated total cost of project: $250,000
6. Total area of land disturbance for project: 10,000
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/Intensive CM/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.
A. Parcel Area 316,681 —sq. ft.
B. Existing Floor Area 0 sq. ft. [see above definition]
C. Proposed Additional Floor Area 2112 sq. ft.
D. Proposed Total Floor Area 2112 sq. ft.
E. Total Allowable Floor Area 69,670 (Area x 0.22 ) [see above table]
*If D is larger than E.a variance or revisions to your plan may be needed. Consult with Staff.
4
Site Plan Review application—Revised October 2016
Town of Queensbury Planning Office-742 Bay Road,Queensbury,NY 12804
§ 179-9-080 Requirements for Site Plan Approval.
The Planning Board shall not approve a Site Plan unless it first determines that such site plan meets the
following Standards. Please prepare responses to each of the following topics:
STANDARDS
A. The proposed project furthers or is consistent with the policies of the Town's Comprehensive Plan.
B. The proposed project complies with all other requirements of this Chapter,including the site plan review standards as set forth in Paragraph
F of this section,the dimensional,bulk and density regulations of the zoning district in which it is proposed to be located(Article 3 and
Table 1),the applicable requirements of all other Articles that apply.
C. The site plan encourages pedestrian activity internally and,if practicable,to and from the site with pedestrian paths or sidewalks connected
to adjacent areas.
D. The site plan must conform to Chapter 136 Sewage and Sewage Disposal,Chapter 147 Stormwater Management Local Law,and other
applicable local laws.
E. The proposed use shall be in harmony with the general purpose or intent of this Chapter,specifically taking into account the location,
character and size of the proposed use and the description and purpose of the district in which such use is proposed,the nature and intensity
of the activities to be involved in or conducted in connection with the proposed use and the nature and rate of any increase in the burden on
supporting public services and facilities which will follow the approval of the proposed use.
F. The establishment,maintenance and operation of the proposed use will not create public hazards from traffic,traffic congestion or the
parking of vehicles and/or equipment or be otherwise detrimental to the health,safety or general welfare of persons residing or working in
the neighborhood or to the general welfare of the town. Traffic access and circulation,road intersections,road and driveway widths and
traffic controls will be adequate.
G. Off-street parking and 19oading facilities will be appropriately located and arranged and sufficient to meet traffic anticipated to be generated
by the new use. The establishment of vehicle links between parking areas of adjacent properties are provided where feasible. This furthers
the Town's goal of reducing curb cuts and reducing congestion. A twenty-foot wide connection is required. If adjacent properties are either
undeveloped or previously developed without having made provision for future linkage,then a future connection must be identified and
provided for in the site plan under review for such future linkage when the time arises. The Planning Board may require proof that the
applicant has made contact with adjacent property owners for purposes of coordinating linkages with adjacent properties.
H. The project shall not have an undue adverse impact upon the natural,scenic,aesthetic,ecological,wildlife,historic,recreational or open
space resources of the town or the Adirondack Park or upon the adequate provision of supporting facilities and services made necessary by
the project,taking into account the commercial,industrial,residential,recreational or other benefits that might be derived from the project.
In making the determination hereunder,the Planning Board shall consider those factors pertinent to the project contained in the
development considerations set forth herein under§ 179-9-080 of this Chapter,and in so doing,the Planning Board shall make a net overall
evaluation of the project in relation to the development objectives and general guidelines set forth in§179-9-080 of this Article.
I The provision for and arrangement of pedestrian traffic access and circulation,walkway structures,control of intersections with vehicular
traffic and overall pedestrian convenience shall be safe and adequate for pedestrian movement. Pedestrian connections between adjacent
sites shall be provided to encourage pedestrian use.
J. Stormwater drainage facilities will prevent an increase of post development drainage flows as compared to pre-development drainage flows.
Drainage of the site shall recharge ground water to the extent practical. Surface waters flowing off-site shall not degrade any streams or
adversely affect drainage on adjacent properties or public roads. Facilities shall be in conformance with the drainage standards of Chapter
147 of the Town Code and the Town of Queensbury Subdivision Regulations where applicable.
K. The water supply and sewage disposal facilities will be adequate and will meet all applicable and current requirements set forth by
Department of Health regulations and Chapter 136 of the Town Code.
L. The adequacy,type and arrangement of trees,shrubs and other suitable plantings,landscaping and screening shall effectively provide a
visual and/or noise buffer between the applicants and adjoining lands,including the maximum retention of existing vegetation and
maintenance,including replacement of dead or deceased plants.
M. Fire lanes,emergency zones and fire hydrants will be adequate and meet the needs and requirements of emergency service providers.
N. The design of structures,roadways and landscaping in areas susceptible to ponding,flooding and/or erosion will minimize or avoid such
impacts to the maximum extent practicable.
O. The site plan conforms to the design standards,landscaping standards and performance standards of this chapter.
5
Site Plan Review application—Revised October 2016
Town of Queensbury Planning Office-742 Bay Road,Queensbury,NY 12804
§ 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
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
deem appropriate,on standard 24"x 36"sheets,with continuation on 81/2"x 11"sheets as necessary for written 1
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. 1
D. Name and address of the owner of record,developer,and seal of the engineer,architect or landscape architect. If the 1
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 1
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,
sidewalks,ramps,curbs,paths,landscaping,walls and fences. Location,type and screening details for all waste disposal 1
containers shall also be shown.
G. The location,height,intensity and bulb type(sodium,incandescent,etc.)of all external lighting fixtures. The direction of 1
illumination and methods to eliminate glare onto adjoining properties must also be shown in compliance with§179-6-020.
H. The location,height,size,materials and design of all proposed signs. N/A
I. The location of all present and proposed utility systems including: 1
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 2
and flooding of other properties,as applicable. A Stormwater Pollution Prevention Plan(SWPPP)for all land development
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
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
outcrops,stands of trees,single trees eight or more inches in diameter,forest cover and water sources and all proposed
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 1
as any Overlay Districts that apply to the property.
6
Site Plan Review application—Revised October 2016
Town of Queensbury Planning 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 N/A
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 motor vehicle trips to enter or leave the site,estimated for weekly and
annual peak hour traffic levels;
2. The projected traffic flow pattern including vehicular movements at all major intersections likely
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.
a, For new construction or alterations to any structure,a table containing the following information shall be included: N/A
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. 1 &2
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) Arch.
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
mitigate project impacts. 2
R. Plans for disposal of construction and demolition waste,either on-site or at an approved disposal facility. 1
S. Plans for snow removal,including location(s)of on-site snow storage.
T. An Environmental Assessment Form("EAF")as required by the SEQRA regulations,with Part 1 completed by the Applicant
shall be submitted as part of the application. If the proposed project requires a special use permit and an EAF 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 N/A
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.
7
Site Plan Review application—Revised October 2016
Town of Queensbury Planning Office-742 Bay Road,Queensbury,NY 12804
§179-9-050 Item V
The neighborhood surrounding the project parcel is a residential area consisting primarily of
modest, single family homes. The proposed project will keep with the character of the
neighborhood by adding a home of appropriate scale and architectural quality. Stormwater
runoff will be treated using infiltration devices and wastewater will be treated using Eljen Sand
Filters. The site has been designed to minimize disturbance and tree cutting on the site.
Requirements for Site Plan Approval
(§179-9-080)
A. This project is consistent with the Town's Comprehensive Plan.
B. This proposal is consistent with the requirements of this Chapter.
C. There are no public pedestrian walks in the adjacent neighborhood.
D. This onsite wastewater design, stormwater management plan and site plan complies
with Chapters 136 and 147.
E. The proposed single family home is consistent with the neighborhood and is modest in
size.
F. There will be no significant impact to traffic from this proposed site plan.
G. Off street parking for(2)vehicles is provided.
H. The site has been designed to minimize impact to the land and limit tree clearing and
grading.
I. The surrounding properties are residential and therefore access to adjacent properties is
not shown.
J. The proposed stormwater management plan complies with Town of Queensbury
zoning requirements.
K. All water supplies and sewage treatment meet Town of Queensbury and NYS DOH
standards.
L. The site plan has been designed to limit the amount of lot clearing.
M. Fire trucks will be able to reach the house from the street due to the small lot size.
N. The site will be fully stabilized and vegetated.
O. The site plan conforms to design standards of this Chapter.
Updated: 03/05/2004
R
0"
i
.4.1
TOWN OF QUEENSBURY
FRESHWATER WETLANDS PERMIT APPLICATION
APPLICATION NO.:
APPLICATION DATE:
This is an Application for a Permit to conduct/cause to conduct a regulated activity on or
adjacent to a freshwater wetland pursuant to Freshwater Wetlands Protection Law - Local
Law 1, 1976.
TO: Town Clerk of the Town of Queensbury - Please immediately forward this
application to the Planning Board of the Town of Queensbury by way of service upon the
Planning Department of the Town of Queensbury.
TO: Applicant-Please type or print the information required and complete all blanks and
answer all questions. If the information requested is not applicable,please enter N/A. Please
provide the original plus 14 copies of this application with a$100 application fee.
* * * * * * * * * * * * * : * : * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
INFORMATION FOR APPLICATION
Applicant:
Name: Michael Chrys
Address: 1001 Morgan Ave.
Niskayuna, NY 12309
Phone: 518-339-3559
Property Information:
1. Name of wetland or any body of water/stream involved:
unkown
2. Address of parcel upon which wetland is located and address of parcel(s)upon which
work is proposed.
Forest Lane (vacant no number)
TMP#226.19-1-37
Updated: 03/05/2004
3. Tax Map No. of parcel upon wetland is located and Tax Map No. of parcel upon
which work is proposed: 226.19-1-37
4. Current zoning of parcel upon which wetland is located and current zoning of parcel
upon which work is proposed: WR
5. Total area of property upon which work is proposed: 0.54 acres
6. Total area of wetland: 570 sf
7. Dimensions of wetland: 16 x 40'
8. Existing uses of wetlands, if any:
16 x 40'
9. Adjacent uses within 400 ft. of wetlands,if any: Residential
10. State,County,Town property within 500 ft. of wetland:
none
Information About the Project:
1. Detailed description of proposed activity: Construct single family residence.
On-site wastewater treatment and stormwater management.
2. Purpose, character and extent of proposed activity upon or adjacent to wetland:
Construct single family dwelling. No disturbance to wetlands.
3. On a map to be submitted with this application, show the area of the freshwater
wetland or adjacent area directly affected with the location of the proposed activity
shown to scale thereon as well.
4. Will the project require any other Federal, State or local permits? NO
5. Has work begun on the project? NO
6. Approximate starting date of project? Fall 2018
7. Approximate completion date of project? Spring 2018
Updated: 03/05/2004
About the adjacent property owners:
List the names of the owners of record of lands adjacent to the freshwater wetland or
adjacent area upon which the project is to be undertaken:
Name of claimants of water rights which you have noticed and which relate to any land
within or within 100 ft. of the boundary of the property on which the proposed regulated
activity will be located:
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
The foregoing information will be reviewed by the agency, and the agency,may if it desires,
request any further information necessary to make a decision.
I hereby affirm under penalty of perjury that the information provided herein and all
attachments submitted herewith are true to the best of my knowledge and belief.
Signature:
I hereby authorize to act as my agent and represent me
in connection with this application on my behalf.
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:
Designates:
As agent regarding: Variance Site Plan Subdivision
For Tax Map No.: Section Block Lot
Deed Reference: Book Page Date
OWNER SIGNATURE: DATE:
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: Michael Chrys
Designates: Jon Lapper&Devin Dickinson
As agent regarding: Variance X Site Plan Subdivision
For Tax Ma -o.: ection T—Block 3+Lot Yg 9
• Deed Refere c4: ook P ge Date
OWNER SIGNATURE: DATE: 8/9/19
2.) ENGINEERING FEE DISCLO : Apph on y be referred to the Town consulting engineer for review of septic design, storm
drainage,etc.as determined by the Zoning or lanai epartment. 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.) 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.) 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.) 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 construction 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
I h ; read: d agr a to e :bo e.
� Michael Chrys 8/9/19
Si y a Print Name[Applicant] Date signed
Devin Dickinson 8/9/19
7
gnature[Agent] Print Name[Agent] Date signed
. 9
Site Plan Review application—Revised October 2016
Town of Queensbury Planning Office-742 Bay Road,Queensbury,NY 12804
THE
C 1iZ
en CLandEngineers NORTH COUNTRY OFFICE
Land
— Planners 375 Bay Road
COMPANIES EnviLandscaperonmentalArchit&ects
S etYProfessionals Queensbury,NY 12804
Proud to be Employee Owned Transportation Planners&Engineers P:518.812.0513 or 888.539.9073
www.chazencompanies.com
August 2,2018
Mr.Craig Brown
Zoning Administrator and Code Compliance Officer
Town of Queensbury
742 Bay Road
Queensbury,New York 12804
Delivered via email only:CraigB@queensbury.net
Re: Michael Chrys
Town of Queensbury, Warren County,New York
Chazen Project#91800.27
Queensbury Ref#SP49-2018
Dear Mr.Brown:
The Chazen Companies (Chazen) has received the latest submission responding to technical comments
offered by Chazen on July 12,2018.Based upon our review,all technical comments have been addressed
to our satisfaction.It is noted the Applicant shall perform test pits prior to construction of the stormwater
devices to confirm the vertical separation.The Applicant shall contact the Town prior to test pits being
performed,so the Town can witness if they so choose.If any design changes occur because of discovered
inconsistency in soil conditions,the project may be subject to additional site plan review.
In the event the Planning Board or Town staff have any questions or require additional information,please
do not hesitate to contact me at(518)824-1926.
Sincerely,
7//17)5)
Sean M. Doty, P.E.,LEED AP,CMS4S
Principal
Director, Municipal Engineering Services
cc: Sunny Sweet,Town Planning Office Administrator(via email)
Laura Moore,Town Land Use Planner(via e-mail)
File
Chazen Engineering,Land Surveying&Landscape Architecture Co.,D.P.C.
Chazen Environmental Services,Inc.
The Chazen Companies,Inc.
BK: 5466 PG: 40 11/28/2016 DEED Image: 2 of 7
•
1;1 CONFIRMATORY DEED
11-
THIS INDENTURE made the - day of November, 2016, between Jane B. Dubin,
255 Highland Avenue, Sleepy Hollow, New York 10591, party of the first part, and Michael
// Chrys, 1001 Morgan Avenue, Niskayuna, New York 12309, party of the second part,
0/,// WITNESSETH, that the party of the first part, in consideration of One Dollar ($1.00)
y / lawful moneyof the United States and othergood and valuable considerationpaid bythe art
a10. party
of the second part, does hereby grant and release unto the party of the second part, his heirs
and assigns forever,
All that certain plot, piece or parcel of land, lying and being in the SHORE COLONY,
ASSEMBLY POINT, LAKE GEORGE, TOWN OF QUEENSBURY, COUNTY OF
WARREN, NEW YORK, and being part of the premises formerly owned by JAMES
DUBIN AND FRANCIS J. DILLON, JR., AND KNOWN AS "The Shore Colony on
Assembly Point-Lake George", on a Map made by Leslie W. Coulter, dated June 12,
1957, revised August 17, 1957, and filed in the Warren County Clerk's Office and
designated on said Map as:
PARCEL 1. In Block E, Lots 5, 6, and 7, and
PARCEL 2. All that piece or parcel of land, lying and being in the Town of Queensbury,
Warren County, New York and designated on the aforementioned "Map of the Shore
Colony" as: The Development of this Area Not Yet Planned", less that strip of land
previously deeded in the Southwest side of the property to J. Sebis and another.
Subject to all covenants, conditions, restrictions and easements of record.
PARCEL 1 and PARCEL 2 above being the same premises conveyed by James Dubin
and Francis J. Dillon, Jr. to Jane B. Dubin and Nancy C. Rinaldi by deed dated
October 24, 1992 and recorded in the Warren County Clerk's Office on March 5, 1993 in 1
Book 877 of Deeds at page 147.
Nancy C. Rinaldi conveyed her one-half interest therein to Jane B. Dubin by deed dated
May 28, 2004 and recorded in the Warren County Clerk's Office on February 28, 2005 in
Book 1433 of Deeds at page 260.
This conveyance is made and accepted with the following restrictions:
1. The property hereby conveyed may be improved by only one single family residences and
no more except as hereinafter provided.
2. Upon the conveyance of lands under contract to be conveyed to the party of the second
part by Scott B. Dubin, Jane B. Dubin and Helene Y. Dubin (Block F, Lots 5, 6, 8, 9. and 10),the
property hereby conveyed together with other lands in Shore Colony concurrently being
conveyed to the party of the second part by deed from Scott B. Dubin and Margaret P. Liston
(Block D,the westerly one-half(1/2) of lot 6 and all of Lot 7, and Block E, Lots 8 and 9) and said
lands under contract to be conveyed to the party of the second part by Scott B. Dubin, Jane B.
5557003_l
BK: 5466 PG: 40 11/28/2016 DEED Image: 3 of 7
Dubin and Helene Y. Dubin may be improved by only three single family residences and no
more and may have the lot lines adjusted and be resubdivided into three lots and no more, with
one dwelling on each lot, except that any portion thereof may be conveyed to governmental or
not-for-profit entities for conservation purposes.
3. The foregoing restrictions shall run with the land and are for the benefit of all owners of lots
in Shore Colony and may be enforced by any owner of a lot in Shore Colony at the time any of
the foregoing restriction is violated, including without limitation the party of the first part, her
heirs or assigns.
Together with all right, title and interest, if any, of the party of the first part in and to any
streets and roads abutting the above-described premises, to the centerline thereof.
Together with the appurtenances and all the estate and rights of the party of the first part
in and to said premises.
To have and to hold the premises herein granted unto the party of the second part, his
heirs and assigns forever.
This deed is made for the sole purpose of ratifying and confirming that certain
conveyance made by party of the first part to party of the second part as evidenced by that
certain deed dated December 23, 2005 and delivered by party of the first part to party of the
second part on December 30, 2005, a true, correct and complete copy of which is attached
hereto and made a part hereof as Exhibit "A" (the "Initial Deed") the original of said Initial Deed
having been misplaced and never recorded in the Office of the Clerk of Warren County.
And said party of the first part covenants as follows:
First, that the party of the second part shall quietly enjoy the said premises;
Second,that said party of the first part will forever warrant the title to said premises.
Notwithstanding the foregoing, the above two (2) warranties of title are made and
extended only to, through and including December 30, 2005, the date of delivery of the Initial
Deed, and party of the first part hereby also remises, releases and quitclaims unto the party of
the second part, his heirs and assigns forever, all of her right, title and interest, if any,which she
may have acquired in and to the premises from and after December 30, 2005.
Subject to the trust fund provisions of Section Thirteen of the Lien Law.
5557003_1
BK: 5466, PG: 40 11/28/2016 DEED Image: 4 of 7
IN WITNESS WHEREOF, the party of the first part has have duly executed this deed the
day and year first above written.
Jane B. Dubin
STATE OF NEW YORK )
) ss:
COUNTY OF 51-0- e,5 .
On the-l2` 1day of November in the year 2016 before me, the undersigned, personally
appeared Jane B. Dubin, personally known to me or proved to me on the basis of satisfactory
evidence to be the individual whose name is subscribed to the within instrument and
acknowledged to me that she executed the same in her capacity, and that by her signature on
the instrument, the individual, or the person upon behalf of which the individual acted executed
the instrument.
Notary Public
GISSELLE MATA
Notary Public-State of New York •
! NO.01MA6309437
Qualified in Westchester County
4 My Commission Expires Aug 11,2018 0
•
Harter Secrest&Emery LLP
1600 Bausch &Lomb Place
Rochester, NY 14604-2711
5557003 1
BK: 5466PG: 40 11/28/2016 DEED Image: 5 of 7
•
EXHIBIT A
BK: 5466 PG: 40 11/28/2016 DEED Image: 6 of 7
• R&R: Hite, O'Donnel?.=. Beaumont, P.C.
•
26 Century Hiles- r. , Ste. 204
Latham, NY 12110
WARRANTY DEED WITH LIEN COVENANT
THIS INDENTURE made the 23rd day of December, 2005, between Jane B. Dubin,
255 Highland Ave., Sleepy Hollow, New York 10591, party of the first part, and Michael
Chrys, 1001 Morgan Ave., Niskayuna, New York 12309, party of the second part,
W ITNESSETH,that the party of the first part, in consideration of One Dollar($1.00)
lawful money of the United States and other good and valuable consideration paid by the
party of the second part, does hereby grant and release unto the party of the second part,
his heirs and assigns forever,
All that certain plot,piece or parcel of land, lying and being in the SHORE COLONY,
ASSEMBLY POINT, LAKE GEORGE, TOWN OF QUEENSBURY, COUNTY OF
WARREN, NEW YORK, and being part of the premises formerly owned by JAMES
DUBIN AND FRANCIS J. DILLON, JR., AND KNOWN AS "The Shore Colony on
Assembly Point-Lake George",on a Map made by Leslie W. Coulter,dated June 12,
1957, revised August 17, 1957, and filed in the Warren County Clerk's Office and
designated on said Map as:
PARCEL 1. In Block E, Lots 5, 6, and 7, and
PARCEL 2. All that piece or parcel of land, lying and being in the Town of
Queensbury,Warren County,New York and designated on the aforementioned"Map
of the Shore Colony" as :The Development of this Area Not Yet Planned", less that
strip of land previously deeded in the Southwest side of the property to J.Sebis and
another.
Subject to all covenants, conditions, restrictions and easements of record.
PARCEL 1 and PARCEL 2 above being the same premises conveyed by James
Dubin and Francis J. Dillon,Jr.to Jane B. Dubin and Nancy C. Rinaldi by deed dated
October 24, 1992 and recorded in the Warren County Clerk's Office on March 5,
1993 in Book 877 of Deeds at page 147.
Nancy C. Rinaldi conveyed her one-half interest therein to Jane B. Dubin by deed
dated May 28, 2004 and recorded in the Warren County Clerk's Office on February
28, 2005 in Book 1433 of Deeds at page 260.
This conveyance is made and accepted with the following restrictions:
1.The property hereby conveyed may be improved by only one single familyresidences and
no more except as hereinafter provided.
2. Upon the conveyance of lands under contract to be conveyed to the party of the second
206733 1
BK: 5466 PG: 40 11/28/2016 DEED Image: 7 of 7
•
part by Scott B. Dubin, Jane B. Dubin and Helene Y. Dubin (Block F, Lots 5, 6, 8, 9, and
10), the property hereby conveyed together with other lands in Shore Colony concurrently
being conveyed to the party of the second part by deed from Scott B. Dubin and Margaret
P. Liston (Block D, the westerly one-half(1/2)of lot 6 and all of Lot 7, and Block E, Lots 8
and 9) and said lands under contract to be conveyed to the party of the second part by
Scott B. Dubin, Jane B. Dubin and Helene Y. Dubin may be improved by only three single
family residences and no more and may have the lot lines adjusted and be resubdivided into
three lots and no more, with one dwelling on each lot, except that any portion thereof may
be conveyed to governmental or not-for-profit entities for conservation purposes.
3. The foregoing restrictions shall run with the land and are for the benefit of all owners of
lots in Shore Colony and may be enforced by any owner of a lot in Shore Colony at the time
any of the foregoing restriction is violated, including without limitation the party of the first
part, her heirs or assigns.
Together with all right, title and interest, if any, of the party of the first part in and to
any streets and roads abutting the above-described premises, to the centerline thereof.
Together with the appurtenances and all the estate and rights of the party of the first
part in and to said premises.
To have and to hold the premises herein granted unto the party of the second part,
his heirs and assigns forever.
And said party of the first part covenants as follows:
First, that the party of the second part shall quietly enjoy the said premises;
Second,that said party of the first part will forever warrant the title to said premises.
Subject to the trust fund provisions of Section Thirteen of the Lien Law.
IN WITNESS WHEREOF,the party of the first part hasii a duly execute is deed
the day and year first above written.
STATE OF NEW YORK ) ane B. Dubin
)ss:
COUNTY OF r-FX' " )
On the t day of r t! cf in the year 2006 before me,the undersigned,personally
appeared Jane B. Dubin, personally known to me or proved to me on the basis of satisfactory
evidence to be the individual whose name is subscribed to the within instrument and acknowledged
to me that she executed the same in her capacity,and that by her signature on the instrument,the
individual, or the person upon behalf of which the individual ct d - e n )ted the instru
Notary 'ublic ••-' - ' 'MNROBERTS.
NOTARY MM.WATSOS NEW YORK
206733 2 WARRENCOUNIYNQ2611150
uV f.OMMISSION EXPIRES AUGUST 31.2009