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Site Plan ApplicationGeneral Information Tax Parcel ID Number: ____________________ Zoning District: ____________________ Lot size:_____________________ ÉË ÖÈ Detailed Descriptionof Project includes current & proposed useìÊÍÒ×ÙÈÓÎÆÍÐÆ× ÉÈÔ×ÛØØÓÈÓÍÎÍÖ ÛÉ×ÙÍÎØÉÈÍÊÃÈÍÛÌÍÊÈÓÍÎ ÍÖÈÔ×ÄÓÉÈÓÎÕØÅ×ÐÐÓÎÕ ÛÎØÛÐÈ×ÊÛÈÓÍÎÉ ÈÍÈÔ×ÄÓÉÈÓÎÕÓÎÈ×ÊÓÍÊ ÍÖ ÈÔ×ØÅ×ÐÐÓÎÕ éÓÈ× ÓÏÌÊÍÆ×Ï×ÎÈÉÓÎÙÐÇØ×ÈÔ×Ê×ÏÍÆÛÐÍÖ ÛÐÐáÉË ÖÈßÍÖ ÄÓÉÈÓÎÕ ÙÍÎÙÊ×È×ØÊÓÆ×ÅÛÃÛÎØ ÌÛÈÓÍÛÊ×Û ÈÍ Ú×Ê× ÌÐÛÙ×ØÅÓÈÔÌÍÊÍÇÉ ÚÐÍÙÑ ÌÛÆ×ÊÉ ÎÕÓÎÎ×× Ê×ØÉÈÍÊÏÅÛÈ×Ê ÌÐÛÎ Û Î× Å ÅÛÉÈ× ÅÛÈ×ÊÈÊ×ÛÈÏ× ÎÈÉÃÉÈ×Ï ÉÔÍÊ×ÐÓÎ× ÐÛÎØÉÙÛÌ× ÌÐÛÎ Location of project: ùÛÎÈ× ÊÚÇÊÃ øÊ ðÛÑ×ı×ÍÊÕ× îã ApplicantName: Address: ìÛÇÐ ø× ÊÚÃ ùÛÎÈ× ÊÚÇÊÃøÊÓÆ×ðÛÑ× ı×ÊÍÕ× îã Home PhoneCell: Work PhoneFax E-Mail: Agent’ s Name:Address: êÍÇÈ×ùÐÛÊÑåÓÐÑÓÎÉÍÎ ì ÎÆÓÊÍÎÏ× ÎÈÛÐHome PhoneCell: ùÐÓÖÈÍÎ ìÛÊÑ îã Work PhoneFax E-mail ÙÅÓÐÑÓÎÉÍÎü×ØÌÐÐÌ ÙÍÏ Owner’s NameAddress ìÛÇÐø×ÊÚÃ ÛÌÌÐÓÙÛÎÈ ÉÛÏ×ÛÉÛÚÍÆ× Home SiteDevelopment Data Area / TypeExisting sq. ft. Proposed Total sq. ft. Addition sq. ft. A. Building footprint ÎÍÙÔÛÎÕ× B. Detached Garage C. Accessory Structure(s) ÉÔ×Ø D. Paved, gravel or other hard surfaced area Ê×ÏÍÆÓÎÕ ÉËÖÈ E.Porches / Decks F. Other G. Total Non-Permeable [Add A-F] H. Parcel Area [43,560 sq. ft. / acre] ÉË ÖÈ I. Percentage of ImpermeableArea of Site [I= G/H] Setback Requirements AreaRequiredExistingProposed Front [1] áÊÍÛØ ÉÓØ×ß ÎÍ ÙÔÛÎÕ× Front [2] Shoreline ÎÍ ÙÔÛÎÕ× Side Yard [1] ÎÍ ÙÔÛÎÕ× Side Yard [2] ÎÍ ÙÔÛÎÕ× Rear Yard [1] Rear Yard [2] Travel Corridor Height [ max] Permeability No. of parking spaces í Site Plan Review application –Revised October 2016 Town of QueensburyPlanning Office-742 Bay Road, Queensbury, Additional ProjectInformation 1.Will the proposal require a Septic Variance from the Town Board of Health? _______________ úíô 2.If the parcel has previous approvals, list application number(s): _________________________ ÎÍÌ×ÊÏÓÈÉÍÊÊ×ÆÓ×ÅÉÓØ×ÎÈÓl×Ø 3.Does this project require coverage under the New York State Pollutant Discharge Elimination System SPDES) Permit Program ? _______________ 4.Estimated project duration: Start Date __________ End Date __________ òÇÎ× ïÛÃ 5.Estimated total cost of project: _______________ 6.Total area of land disturbancefor project: _______________ ÉËÖÈ FloorAreaRatioWorksheet 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 179-9-080RequirementsforSitePlanApproval. 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: é××ø×ÊÚÃéÇÌÌÐ×Ï×ÎÈÛÐóÎÖÍÊÏÛÈÓÍÎÛÈÈÛÙÔ×ØÖÍÊÎÛÊÊÛÈÓÆ×ÉÌ×ÊÈÔÓÉÉ×ÙÈÓÍÎ STANDARDS A.The proposed project furthers or isconsistent with thepolicies ofthe Town’sComprehensive Plan. B.The proposed project complies with allother requirements ofthisChapter, including thesiteplanreview standards assetforth inParagraph Fofthis section, thedimensional, bulk anddensity regulations ofthezoning district inwhich itisproposed tobelocated(Article 3and Table 1), theapplicable requirements ofall other Articles that apply. C.The siteplan encourages pedestrian activity internally and, ifpracticable, toand from thesitewith pedestrian paths orsidewalks connected toadjacent areas. D.The siteplan must conform toChapter 136 Sewage and Sewage Disposal, Chapter 147 Stormwater Management Local Law, and other applicable local laws. E.The proposed useshall be inharmony with thegeneral purpose orintent of this Chapter, specifically taking into account thelocation, character andsize oftheproposed useand thedescription and purpose ofthedistrict inwhich such useisproposed, thenature andintensity ofthe activities to beinvolved inor conducted inconnection withthe proposed useandthenature andrate ofanyincrease inthe burden on supporting public services and facilities which will follow the approval oftheproposed use. F.The establishment, maintenance and operation oftheproposed usewillnotcreate public hazards from traffic, traffic congestion orthe parking ofvehicles and/orequipment orbeotherwise detrimental tothehealth, safety orgeneral welfare ofpersons residing orworking in theneighborhood ortothegeneral welfare ofthetown. Traffic access and circulation, road intersections, road and driveway widths and traffic controls will beadequate. G.Off-street parking andl9oading facilities will beappropriately located andarranged andsufficient to meet traffic anticipated tobegenerated bythenew use. Theestablishment ofvehicle links between parking areas ofadjacent properties areprovided where feasible. This furthers the Town’sgoal ofreducing curb cuts andreducing congestion. Atwenty-foot wide connection is required. Ifadjacent properties areeither undeveloped orpreviously developed without having made provision forfuture linkage, then afuture connection must beidentified and provided forinthesiteplan under review forsuchfuture linkage whenthetime arises. The Planning Board may require proofthat the applicant hasmade contact with adjacent property owners forpurposes ofcoordinating linkages with adjacent properties. H.The project shall nothave anundue adverse impact upon thenatural, scenic, aesthetic, ecological, wildlife, historic, recreational oropen space resources ofthetown ortheAdirondack Park orupon theadequate provision ofsupporting facilities and services made necessary by theproject, taking intoaccount thecommercial, industrial, residential, recreational or other benefits that might bederived fromthe project. Inmaking thedetermination hereunder, thePlanning Board shall consider those factors pertinent to theproject contained inthe development considerations setforth herein under § 179-9-080 of this Chapter, and inso doing, thePlanning Board shall make anetoverall evaluation of theproject inrelation tothedevelopment objectives andgeneral guidelines setforthin § 179-9-080of thisArticle. I.The provision forand arrangement ofpedestrian traffic access and circulation, walkway structures, control ofintersections with vehicular traffic and overall pedestrian convenience shall besafe and adequate forpedestrian movement. Pedestrian connections between adjacent sitesshall beprovided toencourage pedestrian use. J.Stormwaterdrainage facilities will prevent anincrease ofpost development drainage flows ascompared topre-development drainage flows. Drainage ofthesiteshall recharge ground water totheextent practical. Surface waters flowing off-site shall notdegrade any streams or adversely affectdrainage onadjacent properties orpublic roads. Facilities shall beinconformance with thedrainage standards ofChapter 147 oftheTown Code and theTown ofQueensbury Subdivision Regulations where applicable. K.The water supply andsewage disposal facilities will beadequate andwill meetallapplicable and current requirements setforthby Department ofHealth regulations and Chapter 136 oftheTown Code. L.The adequacy, type and arrangement oftrees, shrubs and othersuitable plantings, landscaping and screening shall effectively provide a visual and/or noise buffer between theapplicants and adjoining lands, including themaximum retention ofexisting vegetationand maintenance, including replacement ofdead ordeceased plants. M.Fire lanes, emergency zones and firehydrants will beadequate andmeet theneeds and requirements ofemergency service providers. N.The design ofstructures, roadways andlandscaping in areassusceptible toponding, flooding and/orerosion will minimize oravoid such impacts tothemaximum extent practicable. O.The siteplan conforms tothedesign standards, landscaping standards and performance standards ofthis chapter. ë Site Plan Review application –Revised October 2016 Town of QueensburyPlanning Office-742 Bay Road, Queensbury, NY 12804 179-9-050Checklist-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. REQUIREMENTSSheet # A.Avicinity map drawn atthescale that shows the relationship oftheproposal toexisting community facilities which affect É××ÐÓÉÈorserveit, such asroads, shopping areas, schools, etc. The map shall also show allproperties, identify owners, ÍÖÉÔ××Èsubdivisions, streets and easements within 500feet oftheproperty. Such asketch may besuperimposed onaUnited States Ø×ÉÙÊÓÌÈÓÍÎÉGeologicalSurveymapofthearea. B.The siteplan shall bedrawn atascale offorty feet totheinch (1” = 40feet) orsuch other scale asthePlanning Board may deem appropriate, onstandard 24” x36” sheets, with continuation on8l/2 “x11” sheets asnecessary forwritten information. The information listed below shall be shown onthesiteplan and continuation sheets. C. Name oftheproject, boundaries, date, north arrow, and scale oftheplan. D.Name andaddress of theowner ofrecord, developer, and seal oftheengineer, architect orlandscape architect. Ifthe applicant isnottherecord owner, aletter ofauthorization shall be required from the owner. E.The location and useofallexisting and proposed structures within theproperty, including alldimensions ofheight and floor area, allexterior entrances, and allanticipated future additions and alterations. F.The location of allpresent andproposed public andprivate ways, off-street parking areas, driveways, outdoor storage areas, sidewalks, ramps, curbs, paths, landscaping, walls and fences. Location, type and screening details forallwaste disposal containers shall also beshown. G.The location, height, intensity and bulb type (sodium, incandescent, etc.) ofallexternal lighting fixtures. Thedirection of illumination andmethods toeliminate glare onto adjoining properties mustalso beshown in compliance with § 179-6-020. H.The location, height, size, materials and design of allproposed signs. I.The location of allpresent andproposed utility systems including: 1. Sewage or septic system; 2. Water supply system; 3. Telephone, cable and electrical systems; and 4. Storm drainage system including existing andproposed drain lines, culverts, catch basins, headwalls, endwalls, hydrants, manholes and drainage swales. J. Plans toprevent thepollution ofsurface orgroundwater, erosion ofsoil both during and after construction, excessive runoff andflooding ofother properties, asapplicable. AStormwater Pollution Prevention Plan (SWPPP) forallland development activities (excluding agricultural activities) onthesitethat results inlanddisturbance ofoneacre ormore. ASWPPP shall comply with therequirements oftheDEC SPDES MS-4General Permit and Chapter 147 oftheTown ofQueensbury Code. Itshall beatthediscretion ofthePlanning Board astowhether aSWPPP oranerosion and control plan shall be required forasite plan review project land disturbance ofless than oneacre. K.Existing andproposed topography attwo-foot contour intervals, or suchother contour interval asthePlanning Board shall allow. Allelevations shall refer tothenearest United States Coastal and Geodetic Bench Mark. Ifanyportion oftheparcel iswithin the100-year floodplain, thearea will beshown and base flood elevations given. Areas shall beindicated within theproposed siteand within 50feet oftheproposed sitewhere soil removal orfilling isrequired, showing theapproximate volume incubic yards. L.Alandscape plan showing allexisting natural land features than may influence thedesign oftheproposed usesuch asrock èÍÚ× outcrops, stands oftrees, single trees eight ormore inches indiameter, forest cover and water sources and allproposed ÓÎÙÐÇØ×Øchangestothesefeatures, including sizes and types ofplants. Water sources include ponds, lakes, wetlands and watercourses, aquifers, floodplains and drainage retention areas. M.Land Use District boundaries within 500 feetofthesite’sperimeter shall bedrawn and identified onthesiteplan, aswell asany Overlay Districts that apply totheproperty. 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 thesite, entrances andexits, loading andunloading areas, aswell ascurb cuts onthesite and within 100 feetofthesite. The Planning Board may, atitsdiscretion, require adetailed traffic study forlarge developments or forthose inheavy traffic areas, which shall include: 1. The projected number of motorvehicle trips toenter or leavethe site, estimated forweekly and annual peakhour traffic levels; 2. The projected traffic flow pattern including vehicular movements atallmajor intersections likely tobeaffected bytheproposed useofthesite; 3. The impact ofthis traffic onlevels ofservice onabutting public streets andataffected intersections. Existing and proposed weekly and annual peak hour traffic levels and road capacity levels shall also be given. O.Fornew construction oralterations toanystructure, atable containing thefollowing information shall beincluded: 1. Estimated area ofstructure tobeused forparticular purposes such asretain operation, office, Storage, etc.; 2. Estimated maximum number ofemployees; 3. Maximum seating capacity, where applicable; and 4. Number of parking spaces existing and required fortheintended use. P.1. Floor Plans. 2. Elevations at ascale ofone-quarter inch equals one foot (1/4” = 1foot) forall exterior facades oftheproposed structure(s) and/oralterations toorexpansions ofexisting facades, showing design features and indicating thetype and color ofmaterials tobe used. Q.Soil logs, water supply well and percolation test results,and storm water runoff calculations asneeded todetermine and mitigate project impacts. R.Plans fordisposal of construction anddemolition waste, either on-site orat anapproved disposal facility. S.Plans forsnow removal, including location(s) ofon-sitesnow storage. T.AnEnvironmental Assessment Form (“EAF”) asrequired bythe SEQRA regulations, with Part 1completed bytheApplicant shall besubmitted as part oftheapplication. Iftheproposed project requires aspecial usepermit and anEAF hasbeen submitted inconjunction with aspecial usepermit application, aduplicate EAF is notrequired forthesiteplan application. U.Ifanapplication isforaparcel or parcels onwhich more than oneuseisproposed, the applicant may submit asingle application forallsuch uses, provided theproposed uses areaccurately delineated onasiteplan drawn pursuant tothe requirements setforth above. The Planning Board may grant theapplication with respect to some proposed uses and not others.Forpurposes ofreviewing an application (and forSEQRA compliance) all proposed uses onasingle parcel or on contiguous parcels shall beconsidered together. V.A briefnarrative statement onhow theproject proposed for review furthers or isconsistent with thevision, goals andpolicies ûÈÈÛÙÔ×ØintheTown’sComprehensive Plan. é Site Plan Review application –Revised October 2016 Town of QueensburyPlanning Office-742 Bay Road, Queensbury, NY 12804 Town of Queensbury Site Plan Pre-Submission Conference Form / Section 179-9-040 1. Applicant Name: __________________________________________________ 2. Tax Map ID ________________ Location: _______________________ 3. Zoning Classification __________ 4. Reason for Review: __________________________________________________________ 5. Zoning Section #: ________________________ 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 ____ _____________ Requirements for Site Plan-Standards ____ _____________ Checklist items addressed ____ _____________ Environmental Form completed ____ _____________ Signature Page completed ____ _____________ Staff Representative: ________________________________ Applicant / Agent: ________________________________ Date: ___________ Paul Derby 289.17-1-22 31 Canterbury Drive WR Residential upper level addition and new patio area 179-3-040, 179-6-065, 179-13-010 X x X X X NA X footprint, porous block paver and canterbury drive-square footage- front , shoreline,side,setbacks; permeability BOH resolution number Laura Moore via email 02082021 The applicant proposes a 639 sq ft upper level addition to an existing single story home- 2044.5 sq ft footprint. The house is to have interior alterations as well. The project includes the removal of a concrete patio/driveway area of 1200 sq ft area replaced with permeable pavers. The project is subject to site plan review for new floor area in a cea, expansion of a non conforming structure in a cea, The project is also subject to area variances expansion of a non conforming structure, setbacks - shoreline proposed 30 ft 7 inches where a 50 ft setback is required, front setback (Canterbury Road) 30 ft is required - need setback distance); floor area 2683.9 proposed--2040.3 maximum allowed--2044.5 existing; permeability 75% is required --site data will need to reflect the 600 sq ft of the 1200 sq ft of permeable pavers to be installed - 50% credit is given for hard surfacing, shed size needs to be included in site data, also to be included is the square footage of Canterbury Drive. Items to be updated or provided: 1) page 3 Site Data Row C shed square footage needs to be included, Row D square footage of Canterbury Drive needs to be included, 600 sq ft of permeable paver (noting the 1200 sq ft of the total) needs to be included, then any other hard surfacing on the site to be included. 2) page 3 Setback Data Front (road side) 30 ft setback - setback to new addition in proposed, shoreline setback to new addition in proposed, side yard one (north) setback to new addition, rear yard setback note shoreline is more restrictive, Permeability 75% is required - recalculate after hard surface is totaled. 3) page 4 - 1.add BOH resolution number,2. add no permits or reviews identified house constructed in 1965 Other items.... 4) Is the existing garage to be removed? If it the garage is to remain will it support the second story? 5) applicant has noted additional information to be provided for shoreline landscaping 8 Signature Page 1.)2.)3.)4.) This page includes the Authorization to Act as Agent Form: Engineering Fee Disclosure; Authorization for Site Visits; 5.) 6.) Other Permit Responsibilities; Official Meeting Disclosure and Agreement to provide documentation required. O’AF: WNERSGENT ORM OWNERCompletethefollowingiftheof 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 SIGNATUREDATE A’AFPPLICANTSGENTORM ifAPPLICANTCompletethefollowingthe is unable to attend the meeting or wishes to be represented by another party: Owner: ____________________________________ ìÛÇÐø×ÊÚÃ Designates:____________________________________ ùÐÛÊÑåÓÐÑÓÎÉÍÎ ì As agent regarding:_____ Variance_____ Site Plan_____ Subdivision For Tax Map No.:_____ Section_____ Block_____ Lot Deed Reference:_____ Book_____ Page_____ Date OWNER SIGNATUREDATE ö×Ú 2.) ENGINEERING FEE DISCLOSURE Applications may bereferred totheTown consulting engineer forreview ofseptic design, storm drainage, etc. asdetermined bythe Zoning orPlanning Department. Feesforengineering review services will becharged directly totheapplicant. Fees for engineering review will notexceed $ 1,000 without notification to theapplicant. 3.) AUTHORIZATION FOR SITE VISITS: Bysigning this page and submitting the application materials attached herein, the Owner, Applicant, andhis/her/their agent(s) hereby authorize theZoning Board orPlanning Board and Town Staff toenter thesubject propertiesfor the purpose of reviewing theapplication submitted. 4.) OTHER PERMIT RESPONSIBILITIES: Other permits may berequired forconstruction oralteration activity subsequent toapproval bythe Zoning Board orPlanning Board. Itistheapplicant’sresponsibility toobtain anyadditional permits. 5.) OFFICIAL MEETING MINUTES DISCLOSURE Itisthepractice oftheCommunity Development Department tohave adesignated stenographer tape record theproceedings ofmeetings resulting from application, and minutes transcribed from those tapes constitutes theofficial record of allproceedings. 6.) AGREEMENT TO PROVIDE DOCUMENTATION REQUIRED I, theundersigned, have thoroughly read and understand the instructions forsubmission and agree tothesubmission requirements, Iacknowledge noconstruction activities shall becommenced prior toissuance ofavalid permit. Icertify that theapplication, plans and supporting materials are atrueand complete statement/description ofthe existing conditions andthe work proposed, and that allwork will beperformed inaccordance with theapproved plans and inconformance withlocal zoningregulations. I acknowledge that prior to occupying thefacilities proposed, Iormyagents, will obtain acertificate ofoccupancy asnecessary. Ialso understand that I/wemay berequired toprovide anas-built survey byalicensed landsurveyor ofallnewly constructed facilities prior toissuance ofacertificate of occupancy I have read and agree to the above. ìÛÇÐø×ÊÚÃ ö×ÚSignature [Applicant]Print Name [Applicant]Date signed ùÐÛÊÑåÓÐÒÑÓÎÉÍÎ ìSignature [Agent]Print Name [Agent]Date signed ç Site Plan Review application –Revised October 2016 Town of QueensburyPlanning Office-742 Bay Road, Queensbury, NY 12804