Application Site Plan Review Revised June 2009
General Information
Tax Parcel ID Number: 30B. M. -2- 14. 1 1 4.2 (nw 1 tunas dsfl)
Zoning District: U.L
Detailed Description of Project [include current&proposed use]:
McoiFicATLoN of (2GSoL Ttord Te APP(2oyE 5:Lry- Pr.A.a 2011 - RoBCRT
l.• PEa K.INS (SEE copy ANN¢+CEQ HEREro 4r.10 MADE H PART HEREOF .
Location of project:
31G LO42r,1TH aoAO t 26 CAR&M ROAD
299 Lowea OpmaeN ST.
2o31i2T" L. PFP— INS TQ. OuggposAvgy NY 12804
(5 is) ay5- q}II
Qtl'klnsrcct,Ielrn,B esdsl .nc+
f►IAeK c 2£HM 1 ESO. PO fbox 21M
IEA ' FA" N`f 17601
(Ste) bt.B-
(51e) 210� g}}O
(St8) }99- I�sB SS�o
Mark Q rel,rn- 1.�1• tom
245 l.�af2 1.waa�N ST•
RvgCRT (,. Q(zRKINS JR. u N uRy NY 128o`i
CS1g) "FHB -�j�il
Perkrn.f rec ycl,v5 @ csds I.nc�
Town of Queensbury Planning Office• 742 Bay Road•Queensbury,NY 12804. 518-761.8220 2
Site Development Data Site Plan Review Revised June 2009
A. Building footprints
B. Detached Garage 53, IS3 11 259 Sq, LI
C. Accessory Structure(s) NIA Nj
N/A N/A NIA
D. Paved,gravel or other hard surfaced area
8� 434 3 f,24 5i ivi
E. Porches/Decks
N/R N/R N/n
F. Other
31 lo} 4 9a/ r.3f
G. Total Non-Permeable [Add A-F]
1az 334 9 SS3 f82 v5o
H. Parcel Area (43,560 sq. ft. /acre]
248, 348. 40 2�8, 348. yo 27e . 4,48. do
1. Percentage of Impermeable Area of Site [I=G/H]
(). b1-1 0.035 ti. bSS
Setback Requirements
Front[1]
35-
' I29.9 ' �j,om¢ ps ErTSiTi.1
Front[2]
So ' AArnr As ZI?IX&
Shoreline
N/R
Side Yard [1] NIA N/A
3o < 20 '
Side Yard [2]
Rear Yard [1] 10 25 MC r:x:IVU ' SAmC AS 6%T577N6
N/A A N A
Rear Yard [2]
NIA N A A
Travel Corridor
za '
Height[max]
ca �
Permeability
3o b > > 0 7-
No. of parking spaces
}2 L MAN,u. -43
Town of Queensbury Planning office- 742 Bay Road•Queensbury,NY 12804•518-761.8220 3
Site Plan Review Revised June 2009
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): 64 - zoli - Roe¢aT P¢RKSNS
3. Does this project require coverage under the NYS DEC Stonnwater Pollution Prevention
Program? No
4. Estimated project duration: Start Date AsA P End Date 3io4holf
5. Estimated total cost of project: $ loor ooc.oo +
6. Total area of land disturbance for project: h, a S 3 sb �4
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.
Waterfront Residential WR 0.22
Commercial Moderate CM 0.3
Commercial Intensive Cl 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 2 y .ft.
Existing Floor Area 3 . oo sq.ft. see above definition
Proposed Additional Floor Area sq.ft.
Proposed Total Floor Area 93, . oo sq.ft.
Total Allowable Floor Area o 2- Area x o.3 see above table
Town of Queensbury Planning Office- 742 Bay Road-Queensbury,NY 12804•518-761-8220 4
Site Plan Review Revised June 2009
§ 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.
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 wnform to Chapter 136 Sewage and Sewage Disposal, Chapter 147 Slormwater 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 supposing pudic 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 a the
parking of vehicles andfor 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 loading 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 properly owners for purposes of coordinating
linkages with adjacent properties.
H. The project shall rat have an undue adverse impact upon the natural, scenic,aesthetic,ecological,wildlife, historic, recreafional 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 Plashing Board shall consider those factors pertinent to the project
contained in the development considerations set font 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 bees, shrubs and other suitable plantings, landscaping and screening shall effectively
provide a visual andlor raise buffer between the applicants and adjoining lands, including the maximum retention of existing
vegetation and maintenance,including replacement of dead or deceased plans.
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.
Town of Queensbury Planning Office- 742 Bay Road•Queensbury,NY 12804•518-761-8220 5
Site Plan Review Revised June 2009
§ 179-9-050 Aanlication for Site Plan Review
Application for site plan approval shall be made to the Planning Board using forms supplied by the Board.Application materials
and the site plan shall inducts sufficient information for the Board to make its findings under§ 179-9-070 and 179-9-080 below.
In determining the content of the site plan and supporting documentation,the Planning Board may waive certain requirements K
the Planning Board deems such requirements or information unnecessary for the type of project proposed. Any such waiver
shall be made in writing, and shall contain statements of the reasons why the waived information requirements are not
necessary for an informed review under the circumstances. The Planning Board may grant such waivers on its own initiative or
at the written request of an applicant.Such request shall set forth the specific requirements that are requested to be waived and
the reasons for the requested waiver. Absent any waiver or waivers, an application for Site Plan Review shall include the
following:
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 8%"x 11"sheets as necessary for written information.
The information fisted 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.
SP- r
D Name and address of the owner of record,developer,and seal of the engineer,architect,or landscape architect. If the
applicant is not the record owner,a letter of authorization shall be required from the owner
sop-i
E The location and use of all existing and proposed structures within the property, including all dimensions of height and 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 packing areas,driveways,outdoor storage areas.
sidewalks,ramps,curbs,paths,landscaping,walls,and fences. Location,type,and screening details for all waste disposal
containers shall also be shown.
G The location, height, intensity, and bulb type(sodium, incandescent, etc.)of all external lighting fixtures. The direction of
illumination and methods to eliminate glare onto adjoining properties must also be shown in compliance with§179-6-020. lJAI pIL/t
H The location,height,size.materials,and design of all proposed signs. S P f
I The location of all present and proposed utility systems including:
1. Sewage or septic system;
2. Water supply system; ,SP-1
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,
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 resuRs in land disturbance of 1-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 0orrensbury Code. It SP--f
shall be at the discretion or 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 1-acre.
K Existing and proposed topography at two-fool 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 se-1
proposed site and within 50 feet of the proposed site where soil removal or filling is required,showing the approximate volume
in cubic yards.
)- A landscape plan showing all existing natural land features that 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 5f -t
watercourses,aquifers,floodplains,and drainage retention areas.
Town of Queensbury Planning Office- 742 Bay Road-Queensbury,NY 12804-518-761-8220 6
Site Plan Review Revised June 2009
M land Use Distract boundaries within 500 feet of the site's perimeter shall be drawn and identified on the site plan,as well as
any Overlay Districts that apply to the property. Sr-I
N Traffic flow patterns within the site,entrances and exits,and loading and unloading areas,as well as curb cuts on the site and
within 100 feet of the site. The Planning Board may,at its discretion,require a detailed traffic study for large developments or
for those in heavy traffic areas,which shall include:
1.The projected number of motor vehicle trips to enter or leave the site,estimated for weekly and annual peak hour
traffic levels; 5P-1
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.
Q For new construction or alterations to any structure,a table containing the folkrMng information shall be included:
1. Estimated area of structure to be used for particular purposes such as retail operation,office,storage,etc.;
2. Estimated maximum number of employees;
3. Maximum seating capacity,where applicable;and 5F-)
4. Number of parking spaces existing and required for the intended use.
P 1. Floor Plans.
2. Elevations at a scale of one-quarter inch equals one foot(1/4"=1 foot)for all exterior facades of the proposed structure(s)
andfor alterations to or expansions of existing facades,stowing design features and indicating the type and color of materials S P--I
to be used.
Q Soil logs,water supply well and percolation test results,and storm runoff calculations.as needed to determine and mitigate
project impacts, SIP- I
R Plans for disposal of construction and demolition waste,either on-site or at an approved disposal facility.
sv - 1
S Plans for snow removal,including location(s)of an-site snow storage.
SP - I
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"unction 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
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. SP-1
Town of Queensbury Planning Office- 742 Bay Road•Queensbury,NY 12804-518-761-8220 7
Site Plan Review Revised June 2009
Pre-Submission Conference Form r179-4-0401
1. Tax Map ID
2. Zoning Classification L1
3. Reason for Review: S17e Pa6/�N /ylDj>,�r�,¢riOiC/ 71.) 9W,aV/-� 5 P
4. Zoning Section#: /7%9- -/
5. Pre-Submission Meeting Notes;Outstanding It To Be Addressed Include:
Deed L�Yes _No
General Information complete Yes _No
Site Development Data Complete Yes _No
Setback Requirements Complete Yes _No
Additional Project Information Complete Yes —No
FAR Worksheet complete T/ Yes _No
Standards addressed Yes —No
Checklist items addressed Yes _No
Environmental Form completed V as —No
Signature Page completed _Yes —No
Staff Representative:
Applicant/Agent: "h ` (2
Date: �Z /
Town of Queensbury Planning Office- 742 Bay Road•Queensbury,NY 12804• 518-761-8220 8
Site Plan Review Revised June 2009
t4/e�mAm—T..t lz
PROJECT I.D.NUMBER 617.20 SEOR
Appendix C
State Enyhonmemal Quality III
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
PART 1—PROJECT INFORMATION(TO be Completed by Applicant or Project sponsor)
1. APPLICANT ISPONSOF1 2. PROJECT NAMgg
A04cAT L PF f IfXfi5 7K . Pfi TINS KI£�Y�LTNL - Sf[c1 AL us¢ PC[
>. PROJECT LOCATION:
Munkipaety Q4 >. U2Y Cam "W1.94tfE/J
4. P14ECOSE LOCATION(Sliest sddfoa aW IOW intensptkm,pmmimm Mmmadu.Mc.,a pmida map)
.315 CfJAT.rLT?t 24,R0 + 26 LRf2CY 4oA-0 GL.t[sniOI+RY J N6� �42K 12$0y
5. IS PROPOS TI ED ACON:
❑NM ❑Eapal,ablr M0diflu0oA%tt ratkn
6. DESCRIBE PROJECT BRIEFLY:
MOo�FscR rtgo or i2Ta PL^rJ by-2oU
T. AMOUNT OF LAND AFFECTED:
Inith,11Y dens URbml
S. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS?
19Yp ❑NO If N%dasefitw bmfiy
g. WHAT IS PRESENT UND USE IN VICINITY OF PROJECT?
❑Rewwdw ❑twistfMl GcW.ImW ❑Aaf enu. ❑PwF-.vop-apaw ❑oms,
Deavibc
10. DOES ACnON INVOLVE A PERMIT APPROVAL OR FUNDING,NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL,
STATE OR LOCAQ??,��((
❑Ym ONO If yea,iNt&O.Myto aW paml Ppn
It. qDOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VAUD PERMIT OR APPROVAL?
14Yas Om n yea,Iw agemy nafm aW PefmlUapwro
TOWN of 4..441,JsaS a Y QLANNINb 3oARD 64-2011
12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION?
Yaa ❑NO
1 CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRITE TO THE BEST OF MY KNOWLEDGE
Apptfuntlepo rtame: MASK C• 128 tifn Data: 12/,T 20i l
If the action Is In the Coastal Area,and you are a stets agency,complete the
Coastal Assessment Fonn before proceeding with this assessment
OVER
1
Town of Queensbury Planning 01fioe• 742 Bay Road•Queensbury, NY 12804. 518-761-8220 9
Site Plan Review Revised June 2009
•PART[I—ENVIRONMENTAL ASSESSMENT(To be completed by Agency)
' A DOES ACTON EXCEED ANY TYPE I TNRESNOLD IN a WCRR PANT 517.4? 1f yae,coomlnele the review proms who ues an,FULL EAF.
❑Yes gf No
S. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNUSTED ACTIONS IN S NYCRR,PART e17167 If No,a neat"dacNntion
may be adOeraacraed by another Irimched agency.
❑Yes JIM No
C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Anewera may be hendantrum.It lerglblel
C1. E[Mling air mifity,surface a groundwater,quality or quantity, toles Ieve,F eslstFp traffic patterns,solid watt.proluctbn or disposal
Ph"N tin for Wosim drainage or Hooding Pro MV Explain bnfelly.
Aio
C2 AngWic agricultural.archasdogiW.Metone,or otter refund or cultural resources:or community or thgnbomood oheracm;,E ,Nhn tuMily.
,W
CS.Ver9"Icn er fsune.fish,MshfIM W wiMHla species,significant helfth,or three or endlinge ed Imme?ExpMM bWlr.
No
C4 A community's ealetmg Plane W OMN as offWWly adopted,a a charge In use or Intensity he use of Isno or other nature,rewumm?Expain erlah
Y
No
CS. Growth,esbe t dowlppmertt,Or ra W Mheles likely to Oe educed by the imposed action?Explain Matly.
NO
Ce. Long term,short hem,q MlM,er Sher effects not l entifW W C/C57 Espldn Maly.
NO
C7. Other InrpacM(Inpludeg changes W use of eahe,quantity or type of wentR?Explain artery.
NQAr@
D.WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CNARACIEFWT=THAT CAUSED THE ESTMUSHME14T OF A CEA?
Ely"
Yes 10Ne
E IS THERE,OR 15 TT14EM LIKELY TO eE CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS?
❑Yes IN No If YM explain briefly
PART III—DETERMINATN)N OF SIGNIFICANCE(To be completed by Agency)
INSTRUCTIONS For each adverse affect identmed above,detWMIM Whe1Mf R Is Substantial,large,important or otherwise significant.
Each &Nett Should be asweW in corn ctiOn with ha(a)"Ring g.e.urban IN rurstr(b)probability of occurring:(o)duration:(d)
irtew sibliltYi(0)gsopraphlC cops;and M mapnitude.If necessary,add attaehmanU Or reference supporting matMaM.EMura that
axPluMtions contain sufflclant datall to show that all relevant adverse Impacts haw been identified ash adegwtsty Wass se,.ff
question O Of Part 11 Wig Checked yes,the determination and slgnidci nt s must"uate the potential Impact of the proposed action
On the environmental CIMTaCNMt1Os of the CEA-
❑ Check this box If you have Identified one or more potentially large or significant adverse Impacts which MAY
occur.Then proceed directly to the FULL EAF and/or prepare a positive declaration.
❑ 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
AND provide on attachments as necessary,the reasons supporting this determination:
L Asmwy
er TTh,None of Runpoeuihio Offircer kr i.ead Aocy Title 0 Itinamnihie Offihiu
,p,elan o erp,m m Lad Agency sionw.ol lwurn(IF
, ercnt rem re,Pern en
ate
2
Town of Queensbury Planning Office-742 Bay Road•Queensbury, NY 12804•518-761-8220 10
Signature Page Site Plan Review Revised June 2009
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 FGRM:
Complete the following if the APPLICANT is unable to attend the meeting or wishes to be represented by another
party
Owner: Q0622T L. t�121cZNS 5¢
Designates: ma¢r C. 2€Hrn 6 Tl00111fl3 rJRCE t P.h .
As agent regarding: Variance x Site Plan Subdivision
For Tax Map No.: 30rc ifa Section z Block 4.1 5 4.2 Lot
Dead 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
3.1 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.
4.1 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/desaiption 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,wilt obtain a certficate of occupancy as necessary. 1 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 ha r d nd agree to the above.
Signature [Applicant] Print Name[Applicant] Date signe
m-'' t (2 s re1Fer c. 2ENm Esc_ )1/6::1z tl
Signature[Agent] Print Name[Agent] ' Date signed
12/2// r
Town of Queensbury Planning Office- 742 Bay Road•Queensbury,NY 12804.518-761-8220 11
PAMELAJ. VOG&b f3OCUI-IEINTt
L_UNE : 44351 PAGE
COUNTY CLERK
Lake George, NY 72845
so zon oaao 77et Volm-4351 Pg-224
Instrument Number: 2011-00007781
As
Recorded On: October 25, 2011 Deed Commercial or Vacant
Parties: NDC REALTY LLC
To
PERKINS ROBERT L JR Billable Pages: 3
Recorded By: MARK REHM Num Of Pages: 4
Comment:
* Examined and Charged as Follows: **
Deed Commercial or Vacant 55.00 Cover Page 5.00 RP-5217 Commercial 250.00
TP-584 5.00
Recording Charge: 315.00
Consideration
Amount Amount RS#/CS#
Transfer Tax 5,600.00 1,400,000.00 TT 542 Basic 0.00
QUEENSBURY Local 0.00 Special Additional 0.00
Additional 0.00 Transfer 5,600.00
Tax Charge: 5,600.00
**THIS PAGE IS PART OF THE INSTRUMENT**
I hereby certify that the within and foregoing was recorded in the Clerk's Office For: WARREN COUNTY, NY
File Information: Record and Return To:
Document Number: 2011-00007781 MARK C REHM ESQ
Receipt Number: 230875 LAW OFFICES OF NEWELL & KLINGEBIE.
Recorded Date/Time: October 25, 2011 02:24:25P 16 MAPLE STREET PO BOX 2152
Book-Vol/Pg: Bk-RP VI-4351 Pg-224 GLENS FALLS NY 12801
Cashier/Station: T Ryther / Cash Station 2
Bargain and Sale Deed with Covenant Against Grantors Acts Record and Return to:
Mark C. Rehm, Esq.
J Law Offices of Newell & Klingebiel
�U 16 Maple Street
P.O. Box 2152
Glens Falls, New York 12801
This Indenture
Made the 25th day of October, Two Thousand Eleven
1�.
Between NDC REALTY, LLC, a Delaware limited liability company with an
address at 3342 Lake Point Boulevard, Sarasota, Florida 34231, party of the first part,
and
ROBERT L. PERKINS, JR., with an address at 299 Lower Warren Street,
Queensbury, New York 12804, party of the second part,
Witnesseth that the party of the first part, in consideration of Ten Dollars and
other valuable consideration paid by the party of the second part, does hereby grant
and release unto the party of the second part, the heirs or successors and assigns of
the party of the second part forever,
All that certain tract, piece or parcel of land situate in the Town of Queensbury,
County of Warren, State of New York, lying South of Corinth Road (County Route 28)
and West of Carey Road as shown on a map entitled "Proposed Amended Minor
Subdivision Lands Now or Formerly of NDC Realty LLC 315 Corinth Road and 26 Carey
Road," Town of Queensbury, Warren County, New York, prepared by C.T. Male
Associates, P.C., dated March 11, 2010, last revised June 6, 2011 and filed in the
Warren County Clerk's Office on August 25, 2011, as Document No. 03000092, Plat
Cabinet C, Slide 253, and being more particularly bounded and described as follows:
BEGINNING at a point on the Southerly road boundary of Corinth Road (County
Route 28) at its point of intersection with the division line between Lot -i R on the East
and Lot 2 as shown on the above referenced map on the West and runs thence from
said point of beginning along said Southerly road boundary of Corinth Road (County
Route 28) South 84 deg. 59 min. 18 sec. East 321.27 feet to a point of curvature on the
Southwesterly road boundary of Carey Road; thence in a Southeasterly direction along
said Southwesterly road boundary of Carey Road along a curve to the right having a
radius of 50.00 feet, an arc length of 78.54 feet and a chord bearing of South 39 deg. 59
min. 27 sec. East 70.71 feet to a point of tangency on the Westerly road boundary of
Carey Road; thence along said Westerly road boundary the following two (2) courses.
1) South 05 deg. 00 min. 42 sec. West 664.66 feet to a point of curvature; and 2) in a
Southerly direction along a curve to the right having a radius of 275.00 feet, an arc
length of 35.04 feet and a chord bearing of South 08 deg. 39 min. 43 sec. West 35.02
DOCUMENT- 013007781
VOLUME : 4351 PAGE : ";tea
Bargain and Sale Deed with Covenant Against Grantors Acts
feet to its point of intersection with the division line between said Lot 1 R on the North
and Lot 3 on the South; thence North 84 deg. 59 min. 18 sec. West along the last
mentioned division line 370.50 feet to its point of intersection with the above first
mentioned division line; thence along said above first mentioned division line North 05
deg. 07 min. 23 sec. East 749.60 feet to the point or place of beginning and containing
6.39 acres of land, more or less.
Being a portion of that premises conveyed to NDC Realty, LLC by deed from
John J. Carey a/k/a John J. Carey, Jr. dated September 22, 2005 and recorded in the
Warren County Clerk's Office on September 26, 2005 in Liber 1469 at page 55.
SUBJECT TO all covenants, easements and restrictions of record.
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 center lines
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, the heirs or successors and assigns of the party of the second part forever.
AND said party of the first part covenants that the party of the first part has not
done or suffered anything whereby the said premises have been encumbered in any
way whatever, except as aforesaid.
AND the party of the first part, in compliance with Section 13 of the Lien Law,
covenants that the party of the first part 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 before using any part
of the total of the same for any other purpose.
2
DOCUMENT= l i[jS_ 07781
VOLUME: 4351 PAGE - 227
Bargain and Sale Deed with Covenant Against Grantors Acts
In Witness Whereof, the party of the first part has duly executed this deed the
day and year first above written.
In Presence of: NDC REALTY, LLC
By: kuz, C . o a
r en E. Ireland, Vice President
STATE OF NEW YORK )
) ss.:
COUNTY OF SARATOGA )
On the ?3 e day of August in the year 2011 before me, the undersigned,
personally appeared MAUREEN E. IRELAND, 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.
en/a J.
Not Publicc
JENNIFER A. RICE
Notary Public,State of Now York
No. Ot RIS066213
Qualified In Saratoga County
Commission Expires Sept 23. 20A
RWCLICAREY.JJWCC Realty LLCPe*ins 2011%aMain8 sale
L .tlOc
�o fur 2ilSz ) (' )
3