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Harris20Knoxrpreapsiteplanareavariance5182020 Town of Queensbury Site Plan Pre-Submission Conference Form /Section 179-9-040 1. Applicant Name: Anne Walsh&Mary Harris 2. Tax Map ID 239.7-1-23 Location 20 Knox Road,Assembly Point-Lake George 3. Zoning Classification WR-Waterfront Residential a f 1 4. Reason for Review: P t s0 ►' f Ae, l fl tt� c,,'Q 5. Zoning Section#: dmae VZC C (E!c,, (Y) C;E'C-, ?Cr r-?`OY0 t7G�f 6 eto�crlstm (,i ac 6. Pre-Submission Meeting Notes: Provided Outstanding; Please provide by Deed General Information complete Site Development Data Complete ✓ Setback Requirements Complete L Additional Project Information Complete FAR addressed Requirements for Site Plan-Standards Checklist items addressed Environmental Form completed — _ Signature Page completed Ccs� ? e6 � as t�0 t 13 ( �a e . ce 0C.,r n ' `kjL 6 a e"A P CD Staff Representative: Applicant/Agent: Date: Z 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: 239.7-1-23 Zoning District: WR-Waterfront Residential Lot size: 0.31 acres Detailed Description of Project[includes current&proposed use]: It is proposed to construct an addition on the east side of an existing residence.The project will include a new on-site wastewater system and stormwater management practices. Location of project: 20 Knox Road,Assembly Point-Lake George Applicant Name: Anne Walsh&Mary Harris Address: 181 Paris Road(Harris) New Hartford NY 13413 Home Phone Cell: 315-527-7585 Work Phone Fax E-Mail: Agent's Name: HUTCHINS ENGINEERING PLLC Address: 169 HAVILAND ROAD UEENSBURY NY 12804 Home Phone Cell: Work Phone 518-745-0307 Fax 518-745-0308 E-mail LWDO IE@HUTCHINSENGINEERING.COM Owner's Name Address same as applicants Home Phone Cell Work Phone Fax E-mail 2 Site Plan Review application—Revised October 2016 Town of Queensbury Planning Office-742 Bay Road,Queensbury,NY 12804 Area Variance [ZBA approved: September 21 2016] Pre-Submission Conference Form/Section 179-9-040 1. Applicant Name: Anne Walsh&Mary Harris 2. Tarr Map ID 239.7-1-23 Location: 20 Knox Road 3. Zoning Classification WR ( , r 4. Reason for Review: r M02, Ef `�lc/ll,���Q j?�'SG 1 St C � � �C� � � -1- i 5. Zoning Section#: _C7 Lt . 04A 60Q,115i 0 nck \ o'a 1 4t -C)1 o ('WC,r1S(()/J /'1 4co 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 A/ A-no\LCGICX► _PcLc�t`� > C Sr,'\r t kP 16VC14S i- c�dcl hurn 4-v G( n e---,CA 5kl c� �y t /o �, � s ��4 -aa , r ties P one 4 C(c j[ __ff n i p!D Q C C9r- m,1 C,C-Q— �a c., -tie PC= k, C.-� Staff Representative: c. y tc- r Applicant/Agent: Date: Page 6 Area Variance [ZBA approved: September 21 2016] General Information Tax Parcel ID Number: 239.7-1-23 Zoning District: WR-Waterfront Residential Detailed Description of Project[include current&proposed use]: Current Use: Residential Proposed Use: Residential Location of Project: 20 Knox Road-Assembly Point-Lake George Applicant Name: Anne Walsh&Mary Harris Mailing Address 181 Paris Road(Harris) Home Phone City, State,Zip New Hartford,NY 13413 Work Phone Cell Phone 315-527-7585 E-Mail: FAX No. Agent's Name: Hutchins Engineering PLLC Mailing Address 169 Haviland Road Home Phone City, State,Zip Queensbury, NY 12804 Glens Falls, NY 12801 Work Phone Cell Phone 518-745-0307 E-mail lwdobia@hutchinsengineering.com FAX No. 518-745-0308 Owner's Name Mailing Address same as applicants Home Phone City, State,Zip Work Phone Cell Phone E-mail FAX No. Page 1