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ApplicationArea Variance [ZBA approved: September 21 2016] Town of Queensbury Area Variance Application REVIEW PROCESS: 1) Required Pre-Submission meeting with staff to determine general completeness of application materials to be held no later than 1 week prior to deadline day. Call (518) 761-8238 or (518) 761-8265 for an appointment. 2) Determination of application completeness. All necessary information must be provided and appropriate fee(s) paid for consideration for placement on an agenda for that month. 3) Incomplete applications will not be considered for placement on any agenda until all missing information has been supplied. 4) Submittal to the Warren County Planning Board, if applicable. 5) Zoning Board meetings, generally the third and fourth Wednesday of each month. You will be advised in writing as to which meeting to attend. 6) Following the meeting, you will be provided with a copy of the resolution stating the Board’s decision on your application. If your application was approved, the next likely step is a Building Permit. Final plans / drawings must be provided for the next phase of review. If your application was denied your project cannot proceed as submitted. DOCUMENTS TO BE SUBMITTED: (HARD COPY & ELECTRONIC) 1 original and 14 copies of the completed application package to include: Completed Application: pages 1–9 completed, signed & dated Pre-Submission Meeting Notes: signed by staff Denial Letter: from the Zoning Administrator Survey: Current Survey: survey map depicting current conditions – sign, stamped, date by surveyor Proposed Conditions Map: The proposed conditions map must be based on a current survey and may by prepared by Surveyor, Professional Engineer (Civil) or a Registered Architect. Area / Sign Applications: must provide a final as-built survey depicting all site conditions and improvements Survey Waiver: Applicant may request a waiver from the survey pre and post requirements. Copy of Deed Fee: $50 residential; $100 commercial ZONING STAFF & CONTACT INFORMATION: Craig Brown, Zoning Administrator craigb@queensbury.net Laura Moore, Land Use Planner lmoore@queensbury.net Sue Hemingway, Office Specialist sueh@queensbury.net (518) 761-8238 Visit our website at www.queensbury.net for further information and forms. Page 00 Area Variance [ZBA approved: September 21 2016] General Information Tax Parcel ID Number: ____________________ Zoning District: ____________________ Detailed Description of Project [include current & proposed use]: Current Use: _________________________________________________________________ Proposed Use: ____________________________________________________________ Location of Project: _______________________________________________________________ Applicant Name: Mailing Address Home Phone City, State, Zip Work Phone Cell Phone E-Mail: FAX No. Agent’s Name: Mailing Address Home Phone City, State, Zip 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. Page 1 Area Variance [ZBA approved: September 21 2016] Site Development Data Area / Type Existing sq. ft. Proposed Addition sq. ft. Total sq. ft. A. Building footprint B. Detached Garage C. Accessory Structure(s) D. Paved, gravel or other hard surfaced area E. Porches / Decks 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 Area Required Existing Proposed Front Yard [1] Front Yard [2] Shoreline Side Yard [1] Side Yard [2] Rear Yard [1] Rear Yard [2] Travel Corridor Height [maximum] Permeability Number of parking spaces Page 2 Area Variance [ZBA approved: September 21 2016] 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 number(s): _________________________ 3. Does this project require coverage under the New York State Pollutant Discharge Elimination System (SPDES) Permit Program? __ Yes / __ No 4. Estimated project duration: Start Date: __________ End Date: __________ 5. Estimated total cost of project: _______________ 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 District Symbol Floor Area Ratio [FAR] Waterfront Residential WR 0.22 Commercial Moderate / Commercial 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. Parcel Area ___________________________ sq. ft. Existing Floor Area ___________________________ sq. ft. [see above definition] Proposed Additional Floor Area ___________________________ sq. ft. Proposed Total Floor Area ___________________________ sq. ft. Total Allowable Floor Area ___________________________ (Area x _____) [see above table] Page 3 Area Variance [ZBA approved: September 21 2016] Compliance with Zoning Ordinance Requesting relief from SECTION: ________________________________ Need relief from the requirement(s) listed below which can not be met by the project as proposed. [Check all that apply]  Setback  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? ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ 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? ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Page 4 Area Variance [ZBA approved: September 21 2016] 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 2 Deed 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 & proposed 7 Setbacks for all structures and improvements: existing & proposed 8 Elevations and floor plans of all proposed and affected structures B. Water & Sewer Shown on Sheet # 1 Project sewage disposal facilities, design details, construction details, flow rates, and number of bedrooms proposed 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 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 water, location, design and construction of water supply including daily water usage 5 Percolation test location and results C. Parking / Permeable Areas Shown on Sheet # 1 Number of spaces required for project including calculations and justification: existing & proposed 2 No. of existing parking spaces, number to be removed, number to maintain and type of surfacing 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 zone to remain undisturbed 6 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 distribution system [gas, electric, solar, telephone]: existing & proposed 3 Location, design and construction details of all existing and proposed site improvements 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 activities: existing & proposed 5 Signage: 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 Management, 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 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.) 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 the following: Variance ___ Site Plan ___ Subdivision ___ For Tax Map No.:________________ 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: __________________________ Designates: ____________________________________ as Agent regarding the following: Variance___ Site Plan ___ Subdivision ___ For Tax Map No.:________________ Deed Reference: Book____ Page ____ Date ____ OWNER SIGNATURE: ___________________________________ DATE: _______________ 2.) 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.) 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 I/we 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 have read and agree to the above. ______________________________ _____________________________ _______________ Signature [Applicant] Print Name [Applicant] Date signed ______________________________ _____________________________ _______________ Signature [Agent] Print Name [Agent] Date signed Page 7 Short Environmental Assessment Form Part 1 - 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: Project Location (describe, and attach a location map): Brief Description of Proposed Action: Name of Applicant or Sponsor: Telephone: E-Mail: Address: City/PO: State: Zip Code: 1. Does the proposed action only involve the legislative adoption of a plan, local law, ordinance, 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. NO YES 2. Does the proposed action require a permit, approval or funding from any other governmental Agency? If Yes, list agency(s) name and permit or approval: NO YES 3.a. Total acreage of the site of the proposed action? ___________ acres b. Total acreage to be physically disturbed? ___________ acres c. Total acreage (project site and any contiguous properties) owned or controlled by the applicant or project sponsor? ___________acres 4. Check all land uses that occur on, adjoining and near the proposed action. 9 Urban 9 Rural (non-agriculture) 9 Industrial 9 Commercial 9 Residential (suburban) 9 Forest 9 Agriculture 9 Aquatic 9 Other (specify): _________________________ 9 Parkland Page 1 of 3 Page 2 of 3 5. Is the proposed action, a. A permitted use under the zoning regulations? b. Consistent with the adopted comprehensive plan? NO YES N/A 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? NO YES 7. Is the site of the proposed action located in, or does it adjoin, a state listed Critical Environmental Area? If Yes, identify: __________________________________________________________________________ _______________________________________________________________________________________ NO YES 8. a. Will the proposed action result in a substantial increase in traffic above present levels? 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? NO YES 9. Does the proposed action meet or exceed the state energy code requirements? If the proposed action will exceed requirements, describe design features and technologies: _______________________________________________________________________________________ _______________________________________________________________________________________ NO YES 10. Will the proposed action connect to an existing public/private water supply? If No, describe method for providing potable water: ______________________________________ _______________________________________________________________________________________ NO YES 11. Will the proposed action connect to existing wastewater utilities? If No, describe method for providing wastewater treatment: ________________________________ _______________________________________________________________________________________ NO YES 12. a. Does the site contain a structure that is listed on either the State or National Register of Historic Places? b. Is the proposed action located in an archeological sensitive area? NO YES 13. a. Does any portion of the site of the proposed action, or lands adjoining the proposed action, contain wetlands or other waterbodies regulated by a federal, state or local agency? 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: _______________ _______________________________________________________________________________________ _______________________________________________________________________________________ NO YES 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 † Suburban 15. Does the site of the proposed action contain any species of animal, or associated habitats, listed by the State or Federal government as threatened or endangered? NO YES 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? If Yes, a. Will storm water discharges flow to adjacent properties? † NO † YES b. Will storm water discharges be directed to established conveyance systems (runoff and storm drains)? If Yes, briefly describe: † NO † YES _______________________________________________________________________________________ _______________________________________________________________________________________ NO YES 18. Does the proposed action include construction or other activities that result in the impoundment of water or other liquids (e.g. retention pond, waste lagoon, dam)? If Yes, explain purpose and size: ____________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ NO YES 19. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste management facility? If Yes, describe: _________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ NO YES 20. Has the site of the proposed action or an adjoining property been the subject of remediation (ongoing or completed) for hazardous waste? If Yes, describe: __________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ NO YES I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: ___________________________________________ Date: ___________________________ Signature: _______________________________________________________ Page 3 of 3 Page 1 of 2 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 small impact may occur Moderate to large impact may 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? Page 2 of 2 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) Short Environmental Assessment Form Part 3 Determination of Significance Agency Use Only [If applicable] Project: Date: Area variance [ZBA approved: September 2120161 Pre-Submission Conference Form/Section 179-9-040 1. Applicant Name: Charlene Arpaio y 2. Tax Map ID S , �p`�a' a/ Location /✓�(jC.�C[ n /G� 3. Zoning Classification Y 1�5('I7C� 4. Reason for Review: Installation of 20'above ground pool in side yard with decking around it 5. Zoning Section#: Gf — jr— b 6. Pre-Submission Meeting Notes: Provided Outstanding; Please provide by Deed General Information complete �^ Site Development Data Complete _� Setback Requirements Complete r/ Additional Project Information Complete C L) f�t_ r 9<<<ti F FAR addressed Compliance with Zoning Ordinance Checklist items addressed /pvtf c� 4 t N 6 I Environmental Form completed ga Signature Page completed S'('ro o CSC. G �tCc"_�1tI —�'.a��C'.� any\I c� �✓� a r�` ��c�- pic✓� S 0-12 G r, 14 Staff Representative: I q J(Z Mgt)re, Applicant/Agent: Date: Z Page 6 Area Variance [ZBA approved: September 2120161 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 the following: Variance Site Plan Subdivision For Tax Map No.: 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: Designates: as Agent regarding the following: Variance Site Plan Subdivision For Tax Map No.: Deed Reference: Book_ Page_Date OWNER SIGNATURE: DATE: 2.) 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.) 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: 1, 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 I/we 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 have read and agree to the above. X !'G1 tS6lG� C Charlene Arpaio 8/22/2019 Signature [Applicant] Print Name[Applicant] Date signed Signature [Agent] Print Name [Agent] Date signed Page 7 (DW TOWN OF OUEENSBURY 742 Bay Road, Queeusbury, NY. 12804-5902 September 4, 2019 Charlene Arpaio 4 Mockingbird Lane Queensbury,NY 12804 Re: Pool 4 Mockingbird Lane Tax Map Parcel: 315.6-2-42 Dear Ms. Arpaio: I am writing you concerning my review of the above-referenced project. As I understand, you are proposing or have begun construction on a pool and deck in your front yard along Mockingbird Lane. Based on my review of the plan you submitted, an Area Variance is required as the proposed pool location, in the front yard, is not allowable per the Town Zoning Ordinance. Further, the pool deck must meet the minimum property line setbacks as well or additional variance relief will be necessary. Please note that a stamped, signed survey map depicting the proposed location of the planned improvements must be part of your variance submittal. This letter serves as your denial letter for the processing of your applications. Please note our required pre-submission meeting requirement when compiling your application materials. Should you have any questions or comments regarding your application, please do not hesitate to contact this office. Sincerely, N Craig Brown Zoning Administrator CB/kd LACraig Brown\2019 Letters\Denial Arpaio 9_4_19.doc " Home of Natural Beauty ... A Good Place to Live " R O RGOS & DEL SIGNORE , P.C. A T T O R N E Y S A T L A W • MICHAEL S. BORGOS, E50. 82 Glenwood Avenue • MARK S. DEL SIGNORE, ESQ. Queensbury,New York 12804 ph:518-793-4900 fax:518-793-4902 email:mborgos®bordellaw.com email: mdelsignore®bordellaw.com November 1, 2017 Charlene Burlett 4 Mockingbird Lane Queensbury, NY 12804 Dear Charlene, Enclosed herewith please find the original recorded Deed in regard to your recent purchase of the premises known as 4 Mockingbird Lane, Queensbury, NY 128o4. Please be sure to keep this original in a safe place as you will need it when the time comes to refinance or sell your property, or should an issue arise during your ownership. Sincerely, BORGOS & DEL SIGNORE, P.C. WARREN COUNTY— STATE OF NEW YORK ?m µm PAMELA J.VOGEL, COUNTY CLERK 1340 STATE ROUTE 9, a4 fii LAKE GEORGE, NEW YORK 12845 `1RReY SIK�%. COUNTY CLERK'S RECORDING PAGE 'THIS PAGE IS PART OF THE DOCUMENT—DO NOT DETACH' III IIIIIIIIIIIIIIII III I I Cover Recording : I IIIIIIII Recording gFee 35 .00 Cultural Ed 14.25 Records Management - Coun 1.00 Records Management - Stat 4.75 TP584 5 .00 BOOK/PAGE: 5626 / 244 RP5217 Residential/Agricu 116.00 INSTRUMENT #: 2017-6431 RP5217 - County 9.00 Receipt#: 2017444384 sub Total : 190.06 Clerk: CL Rec Date: 09/14/2017 11: 46:03 AM Transfer Tax Doc Grp: RP Transfer Tax - State 692 .00 Descrip: DEED _ Num Pgs: 4 Sub Total : 692 .06 Rec 'd Frm: BORGOS & DELSIGNORE PC Partyl: VOLCHECK DONNA M Total : 882 .00 Party2 : BURLETT CHARLENE V * NOTICE: THIS IS NOT A BILL **** Town: QUEENSBURY ***** Transfer Tax ***** Transfer Tax #: 373 Transfer Tax consideration: 173000.00 Transfer Tax - State 692 .00 Total : 692 .00 WALL'1,TlNG*** I hereby certify that the within and foregoing was recorded in the Warren County Clerk's Office, Record and Return To: State of New York. This sheet constitutes the Clerks endorsement required by Section 316 of the Real Property Law of the State of New York. BORGOS & DELSIGNORE PC 82 GLENWOOD AVE Pamela Vogel PO BOX 4392 Warren County Clerk QUEENSBURY NY 12804 a WARRANTY DEED 1 1) with Lien Covenant THIS INDENTURE, made the /3 day of September, Two-Thousand and Seventeen, Between, DONNA M. VOLCHECK, residing at 4 Mockingbird Lane, Queensbury, New York 12804, party of the first part, and CHARLENE V. BURLETT, residing at 34 Hunter Brook Lane, Queensbury, New York 12804, parties of the second part, Witnesseth 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 parties of the second part, does hereby grant and release unto the parties of the second part, their heirs and assigns forever, the property located in the Town of Queensbury, County of Warren, and State of New York, which is more particularly described as follows: See Schedule "A" attached hereto. Being the same premises conveyed by Dennis K. Daly to Donna M. Volcheck, by Warranty Deed dated July 21, 2014 and recorded in the Warren County Clerk's Office on July 23, 2014 in Book 5012 at Page 118. 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 parties of the second part, their heirs and assigns forever. And said party of the first part covenants as follows: First, That the parties 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. Third, that, in compliance with Sec. 13 of the Lien Law, the grantor will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose. In Witness Whereof, the party of the first part has hereunto set her hands and seal the day and year first above written. In Presence of i DONNA M. VOLCHECK STATE OF NEW YORK ) )ss.: COUNTY OF IM4129-Ekl 1 On the X7 day of September in the year 2017, before me, the undersigned, a notary public in and for said state, personally appeared DONNA M. VOLCHECK 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 he executed the same in his capacity, and that by his signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument. Notary Publi 71MOTHY S.SHOLEN Notary Public,State of Now York Washington County,No.4949151 0 My Commission Expires April 3,262 SCHEDULE "A" ALL THAT CXRTAIN PIECE OR PARCEL QB LAND,situate,lying and being in the "Fawn of Queensbury,County of Warren and State of New York,being more particularly known and designated as Lot No. 22 Mockingbird Lane as shown on a map entitled"inspiration park Subdivision Layout Plan,Af3ondable Housing Project,Adams end Rich, 1ne.-Developer',dated December 1990,last revised September_, 1992,prepared by C.T.Male Associates, P.C.and filed in the Warren County Clerk's office on September 14, 1992 in Plat Cabinet A Slide No. 190. Parcel ID : 315.6-2-42 O WNER`REGIN'.4'Pil3fiLCN OWNE4 'It:NAEL REE Y), iD,I. 5 BL 315 6-2_41 v :OCYhEK.'ITYO BE,'v WARE .SBL:315.6,-2-40 - "�}"' OWNER: INSPIRARONPARK k r S .... -.,, 'SBL. 3156-2-42 \ -- OWNER CHARLENEb SURLETT \ _ SSL:,315.6-2.43 WNER:CRAIG TAYLO lNSP1RATlOh'PARK - .SBL:3}5b2-39 OWNER-PATRICKTJ O'CONNOR tff SSL:315.E-2-38. OWNER:MARGARETC QUINTAL SSLr 3156-2.37 O WNER.�JAR1E5 R JONN August 22, 2019 1:564 0 15 30 60 ft 0 5 10 20 m NYS ITS GIS Program Office "32 03:3.1. C.T. HALF F. I .!i[EMA w A MON ro I M 1NAP. Re9er..GUcB: S A FO lNE E N LYf 6 SEC1 II2 M N $IAi[ ^a3ppIV LS1aU uW' �CtiYOUT Pl.\Ai-P¢!_p..Ct•p OY NML)!_V 'E WSU EC¢,Po� C.T.,nylE Ay50C.P.G. i Landg !4/F too me O� YY e,rS Assoei a.-I-ion La+ ��� 5 •i 5ao5'oo"6 tS2.12 -o- 21 N .40 �. 0 r� } ,— — I,cl 3 \H�d N \N4re Lo+ 2z 13 t7 Rae O g• ;o N O Ge \A4 P = ek YI P.d❑ [sico�..N. x e•x[3[Y to [N• e.11..fnY l — �• __ _ t\.[ .d .u. L.. 6 of ` �Mi► t•I[jGI.NLLiT. GvwuTen P^V•x.J L. • xd.ea• fep A ' ?e,N1.WA¢h NMM�.a3v..lbweJe M• Y- L Ie.n[3°• Lox T.. Ao.• . ac➢x f OY [L. t LO r TeC9.1 O.Y T4G.Cs•CATEL ae.em.<fe• a axeY•u fmn -Ef•AT.�I•.199�'-- LW autoYec. u.lu[ -. T•Tl.a. L poly 0e ...e S}ar.w�dc Fund�n9 Co^p li5 c.L'+ccc33e rp AM/Or ASS i9 n5 CCh:ca9° Trtla Insuranm Compnm� 'qµY x0llt[of 1NN YM t,WH°W K° IMY MIL[WO[xW WRN iMC..AL e!W OgIC[II Of G T L. bxOCIATea. C. Je FLrey i]en�aw PL3 4Aa+<pcke on A L[OaNAT[L •[!N{e[Mwrrve nnAtt •{ecnmcKo ro tt A vw.m mac car Dote RECORD OF WORK APPr. LOT Z.Z - IMOCKI MCs B 1 R.D LqN E, z.�.9z Fa nd`+la° `°`4,"n 1 N S P 1 RAT 1 O N PAR K ,� _ To..An oP taueenEb..ry Wurren COUNTY, NEW YORK C.T. MALE ASSOCIATE6, P.C. Wfwm g 1 SD CENM1(316) A.f60Y�n,M�m,x,+o .2 Drafter. L Checker: J FNCIvtExE. uxNMIG i Appr. Dy P-j. No. 92.1'f65 $Cptg; 1"= 3rj I DATF Dcc. fr..lq'a2 Parcel ID : 315.6-2-42 SBL:,315.6 OWNER-REGINA'M BALCH SBL: 8156-2=58. OWNER:MICHAEL.GREENWOOD SBL:315.E-2-41 OWNER.�THOPAAS BENWARE SBL:.315.6,-2-40 OWNER: INSPIRATION PARK A l �I 3BL j156-2-42 OWNER CHARLENE V BURtET7 _ WNER:CRAIG TAYLO k AID IN&PIRAT1Ofv'PARK �� - SBL:3i5.(r2.39 OWNER:PATRICK'J O'CONNOR SBL:,30.6-2-38 SBL•3f 5.8-2-37`,._. OWNER:MARl.;:4REFCQUfNFAL OWNER'-JpMES"RJOHN August 22, 2019 1:564 0 15 30 Soft 0 5 10 20 m NVS ITS GIS Pmgmm Office Map Produced by Oueensbury GIS. Map is for General Reference Purposes Only