Application 1
' 8/20/02 Site Plan Review
General Information
' Application No. (Office Use Only)
Project Location: Quaker Service Road
Tax Map ID: 303 15-1-18
' Zone Classification: HC - Int.
Compliance with Zoning Ordinance Section: 179-9-10/179-4-020
' Detailed Description of Project:
(include current & proposed use): Establish used auto sales
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Modification to existing Site Plan, Yes: No: x
' (If so,indicate Site Plan No.& approval date)
Square Footage of proposed structure: 5,514
IApplicant: Diamond Auto
Address: 9 Sunnvview Lane
' Lake George. NY 12949
Home Phone:
Work Phone/Fax: 527-1930(cell) /346-5559
' Applicant's Agent: Jarrett-Martin Engineers- PT.LC
Address: 12 E. Washington Street
' Glens Falls, NY 12801
Home Phone:
Work Phone/Fax: 792-2907/7981864
Property Owner: Robert & Geraldine Troutman
' Address: 30 Amethyst Drive
QueensburY, NY 12804
Home Phone:
' Work Phone/Fax: 832-6743
Directions to Site: NW end of East Quaker Road Service Road
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' INCLUDES ALL PHASES
Site Develo ment Data
Area/Type Existing sq. ft. Proposed Addition Total sq. ft.
so. ft.
' A. Building Footprint
0 14 5514
B. Detached Garage
' 0
C. Accessory Structure(s)
0
' D. Paved, gravel or other
hard surfaced areas 0 33850 33850
E. Porches/Decks
' F. Other
' Total Non-Permeable
Sum A through F 0 39364 39364
Parcel Area
' 68980 68980 68980
Percent Non-Permeable
Total Non-Permeable/Parcel Area) 0 57% 57%
' Setback Requirements
' Required Existing Proposed
Front(1)
50 ft 0 50
Front(2)
' Shoreline
Side Yard (1)
' 20 ft 0 20
Side Yard (2)
Rear Yard(1)
25 ft 0 44
' Rear Yard(2)
Buffer/Travel Corridor
' Height
40 ft 0 20±
Permeability
' 437
Sign Setback
No. of Parking Spaces
20 0 20
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' Area Variance
' FLOOR AREA RATIO WORKSHEET
' Any construction,addition or replacement of structures in the Waterfront Residential Zones(WR-lA & WR-
3A)is subject to the Floor Area Ratio requirements as defined in Section 179-16 of the Town of Queensbury
Zoning Ordinance.
' Floor Area Ratio (FAR) is the relationship of building size to lot size derived by dividing the total building
square footage by the lot size in square feet, yielding a percentage. The maximum allowable FAR is 22
percent.
' **Please note that FAR requirements are separate and distinct from the permeable area requirements that
may apply.
' Building square footage includes all floors of the primary structure, covered porches,and basements(when at
least three(3) feet in height of one (1) wall is exposed and the space meets the living space requirements as
defined in Section 711 and 712 of the NYS Building Code — see reverse side of page. Detached storage
' buildings greater than 100 sq. ft. and detached garages are so included in the FAR calculations. Building
square footage does not include: open decks, docks and that portion of coveted docks extending into the
water,and one shed 100 sq.ft.or less. All additional sheds are included in the FAR calculations.
Use/Location Existing Areas . ft. Proposed Areas . ft.
PrimaryM�W Bui ing
' First Floor 2314
Second Floor
Basement(living space)
' Covered or enclosed porches 160
Covered decks
GYMNAM Future Building 3200
' Apartment
Detached Garage(s)
Shed(I shed 100 sq,ft.or less exempt)
' Covered Dock or Boathouse(portion on land)
Other(describe):
' A. Lot area: Acres x 43,560= 68980
B. Total Allowable Floor Area=A x.XX .30 20694
C. Existing Floor Area;Total from above lines
' D. Remaining Area:potentially developable=B minus C 20694
E. Proposed Area of Construction 5674
If E is larger than D, a variance or revisions to your plan may be needed.
Please consult with Staff.
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' Area Variance
Last Revised: August 20, 2002
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' 8/20/02 Site Plan Review
Checklist—please prepare a map depicting existing and proposed conditions. Failure to complete the following
' checklist or include all required information may result in a determination of incompleteness and a delay in the
to essing of our application
PR NA WR
' GENERAL
X A. Title, name, address of applicant&person responsible for preparation of drawing
X B.North arrow,Tax Map ID, date prepared and scale (minimum I in. —40 ft.)
' X C. Boundaries of the property plotted to scale, zoning boundary
X D. Location of principal structures,accessory structures with exterior dimensions
E. Location of site improvements incl. outdoor storage areas, driveways (existing & proposed) parking
' X areas, etc.
X F. Setbacks for all structures and improvements
X G. Elevations of proposed structures
' WATER & SEWER
A. Location of on-site sewage disposal facilities, design details, construction details, flow rates, and
X number of bedrooms proposed
' B. Location of water supply (i.e., well) and septic on adjoining lots with separation distances to existing
X I or proposed on-site water supply and septic
C. Separation distances for proposed sewage disposal system to well and waterbodies
D. Location and description of 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
X usage
X E. Percolation test location and results
' PARKING/PERMEABLE AREAS
A.Number of spaces required for project including calculations and justification
B. Number of existing parking spaces, number to be removed, number to maintain and type of surfacing
' X material e. .,gravel, paved)
X C. Provision for pedestrian and handicap access and parking
X D. Location and design details of-ingress,egress, loading areas and cutting
' E. Location and character of green areas (existing and proposed), modification to green area, buffer zone
X to remain undisturbed
X F. Lighting, location and design of all existing or proposed outdoor lighting
' ADDITIONAL SITE DEVELOPMENT AND NUSCELLANEOUS
X A. Location of on-site& adjacent watercourses, streams, rivers, lake and wetlands
X B. Location of proposed&existing: utility/energy distribution systems(gas, electric,solar,telephone)
C. Location, design and construction of all existing and proposed site improvements including: drains,
' X culverts,retaining walls, fences, fire&emergency zones and hydrants
D. Location and amount/portion of building area proposed for office, manufacturing, retail sales or other
X commercial activities
' X E. Signage: Location, size,type,design and setback
X F. Waiver Request: provide letter with application requesting any waivers
G. Commercial / Industrial Development requires submission of a Landscaping Plan, Stormwater
' X Management Plan, Grading Plan and a Lighting Plan
X H. The Bd. may request other elements as considered necessary.
X I. Identify any Federal, State or County permits required for the project.
I. Please submit record of application for approval status of all necessary permits required from Federal,
X State and County officials.
' Legend: PR—Provided; NA—Not Applicable; WR—Waiver Requested
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' TOWN OF Q UEENSBURY
' 742 Bay Road, Queensbury, NY. 12804-5902
' Town of Queensbury
Planning Board
' Waiver Request
' I hereby request that the Planning Board grant me a waiver from the
requirement for the submission of the following item(s);
' ❑ Stormwater Management Plan
❑ Grading Plan
' ❑ Lighting Plan
' ❑ Landscaping Plan
❑ Sketch Plan approval ( Subdivision )
' ❑ Other (Explain)
' I acknowledge that these plans are required and I seek such waivers)
knowingly and for the following reasons:
' The applicant is requesting a waiver from the buffer zone requirements
between the north corner and the niagara mohawk R.O.W.
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' 4/14/OS
Applicant Date
L\Craig\Templates\WoiverReg8602.doc
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617.20 1* SECIR
' PROJECT ID NUMBER • APPENDIX C
STATE ENVIRONMENTAL QUALITY REVIEW
' SHORT ENVIRONMENTAL ASSESSMENT FORM
for UNLISTED ACTIONS Only
PART 1- PROJECT INFORMATION (To be completed by Applicant or Project Sponsor)
' 1.APPLICANT/SPONSOR 2.PROJECT NAME
Diamond Auto Diamond Auto
3.PROJECT LOCATION:
' Municipality Queensbury County Warren
4.PRECISE LOCATION: Street Access and Road Intersections. Prominent landmarks etc -or Drovide mar)
' NW end of East Quaker Service Road
5.IS PROPOSED ACTION: Fx—1 New ❑ Expansion ❑Modification/alteration _
' 6.DESCRIBE PROJECT BRIEFLY:
Establish used auto sales
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7.AMOUNT OF LAND AFFECTED:
Initiany68980 zmaar sqft Ultimately68980 sgftaaeaii
' 8.WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS?
FilYes ❑ No If no,describe briefly:
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9.WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.)
' F—IResidential Eircustrial a Commercial OAgriculture F_x�Park/Forest/Open Space Other (describe)
' 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL
AGENCY (Federal, State or Local)
Yes FINo If yes, list agency name and permit / approval:
' NYS DEC Phase II Stormwater gengeral permit
11.DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
Yes 5x1 No If yes, list agency name and permit / approval:
12 AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION?
' QYes 0 No
1 CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Applicant / Sponsor 11we Thomas M. Di ert Date: 4/14/05
Signature '< K'l,
I If the action is a Costal Area, and you are a state agency,
complete the Coastal Assessment Form before proceeding with this assessment
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' PART 11• IMPACT ASSESSMENT To be completed by Lead Agency)
A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617.49 If yes,coordinate the review process and use the FULL EAF.
Yes No
' B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.67 If No,a negative
declaration may be superseded by another involved agency.
Yes ENo
' C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,if legible)
C1. Existing air quality,surface or groundwater quality or quantity,noise levels,existing traffic pattern,solid waste production or disposal,
potential for erosion,drainage or flooding problems? Explain briefly:
1 C2. Aesthetic,agricultural, archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly:
' C3. Vegetation or fauna,fish shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly:
' C4. A community's existing plans or goals as officially adopted or change in use or intensity of use of land or other natural resources?Explain briefly:
' C5. Growth,subsequent development,or related activities likely to be induced by the proposed action?Explain briefly:
' C6. Long term,short term,cumulative,or other effects not identified in CI-05? Explain briefly:
C7. Other impacts(including changes in use of either quantity or type of energy? Explain briefly:
D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL
' ENVIRONMENTAL AREA CEA? If yes,explain briefl
❑ Yes ❑No
' E. IS THERE, OR IS THERE LIKELY TO BE CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain:
Yes �No
' PART III-DETERMINATION OF SIGNIFICANCE(To be completed by Agency)
INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,important or otherwise significant. Each
effect should be assessed in connection with its (a)setting(i.e. urban or rural); (b)probability of occurring; (c)duration; (d)irreversibility; (a)
' geographic scope;and (I) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain
sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked
yes,the determ ination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA.
' Checkthisboz ifyou have identified one ormore potentially large orsignifcant adverse impactswhich MAY occur. Then proceed directlytothe 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 actin
WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi
' determination.
Name of Lead Agency Date
Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer
ISignature of Responsible Officer in Lead Agency Signature of Preparer(If different from responsible officer)
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8/20/02 Site Plan Review
Signature Page
' This Page includes the Authorization to Act as Agent Form, Engineering Fee Disclosure, Other Permit
Responsibilities and Agreement to provide documentation required.
' Complete the following if the OWNER of the property is not the same as the applicant
Owner's Agent Form
' Owner: Robert & Geraldine Troutman
Designates: Jarrett—Martin Engineers PT.LC
As agent regarding Variance may_Site Plan Subdivision
For Tax Map No.: 303—.15Section 1 Block i g—Lot
' Deed Reference: Book e Date
SIGNATURE: (Owner) S (Date)
' Complete the following if the APPLICANT is unable to attend the meeting or wishes to be represented
by another party:
' Applicant's Agent Form
Owner: Diamond Auto
Designates: Jarrett—Martin Engin_ eerc.PLL
' As agent regarding: _Variance X Site Plan _Subdivision
For Tax Map No.: 303 i Block I s_Lot
SIGNATURE: �iv/a� �GJG/i� (Owner) 4 14/05(Date)
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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.
' Please Note: 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.
' Official Meeting Minutes Disclosure: It is the practice of the Community Development Dept. to have a
designated stenographer tape record the proceedings of meetings resulting from application, and that
minutes transcribed from those tapes constitute the official record of all proceedings. If there is a
' discrepancy between such record and the handwritten minutes taken by the designated stenographer, the
handwritten minutes shall be deemed the official record.
' I, the undersigned, have thoroughly read and understand the instructions for submission, agree to
the submission requirements and completed the checklist.
SIGNATURE OF APPLICANT: � - Date 4/14/05
SIGNATURE OF AGENT: -Date 4/14/05
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