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Application TOWN OF QUEENSBURY ■Aw/ � ❑w VARIANCE N( ,_ 7 _ AREA' ❑= ❑ Type I Action variance of f ice s� RJ1 p ❑ Type H Action ❑ Type Unlisted ❑ Warren County Planning / ❑ Adirondack Park Agency N N / « 1. Applicant's Name E [ 141 C N N M Street Address: -�2 �' fL f, L61 v1 C' * City, State, Zip: » Telephone No. /y / 1J ?< « « N N « 2. Agent's Name: Street Address: « City, State, Zip: « N M Telephone No. « • N N * N N N N M3. Owner's Name: S �hYl �_ Gl..;] c( * Street Address: N N « City, State, Zip: « N M « Telephone No. « N N N N N p� N 4. Location of property: �( (, (�FS� �Gi 4'1F , ( k ( (E CIS (io_c N N N« rrrr 5. escription of how to find the property: SC" Y� Fn GL/�fj ( /Ll ( PW «N a « 6. Tax Map Number: Section )22- Block , Lot N N N N « 7. Zone Classification: C Lot Size: /S /sr'7. S' j sq. ft.{aegis +Nr i N N N N « 8. Section(s) of the Zoning Ordinance from which you are seeking this Variance: « Sic /72 2 N N N 11 M 9. Present use(s) of property (explain in detail): '�L { Cro n (d� N N N N N N M N N N N N 10. Proposed use of property (describe the proposed changge"th t you�are making to « the present use): RN: (Q<, v�C fa L �� N N N N N N 11. Is the property in question within 500 feet of a County or State Right of Way, iPark, Municipal Boundary, or Watershed draining any County or State facilities, irequiring review by the Warren County Planning Board? YES, ❑ NO M "HOME OF NATURAL BEAUTY. . . A GOOD PLACE TO LIVE" SETTLED 1763 r 12. List the names and location of the parcel (include tax map number and zone) of adjoining property owners. NORTHERLY SOUTHERLY Tax Map # Tax Map # — Zone /Z Zone: Name: rJ4Ce �'+ Name: T - F EASTERLY WESTERLY Tax Map #� �2. Tax Map # Zone: YQ�( (�' Zone: -� Name: t 1 ) t.t C tYLt 1/1 Name: ta.: An AREA VARIANCE is a request for modification of the dimensional standards contained in the Zoning Ordinance, such as yard requirements, setback lines, lot coverage, frontage requirements or density regulations, in order that the property may be utilized for one of the uses permitted by the Zoning Ordinance. The applicant must demonstrate that strict application of the regulations would cause practical difficulty. In making a determination of practical difficulty, the Zoning Board of Appeals may consider: • A. How substantial the variation is in relation to the requirement. B. The potential effect of increased density on public facilities and services. C. Whether the variance will cause a substantial change in the character of the neighborhood. D. Whether the difficulty can be feasibly mitigated by some other method. The Zoning Board of Appeals may grant the minimum relief necessary to allow reasonable use of the land in question. It is the applicants job to prove that a stru,ture which conforms to the Ordinance cannot be placed on the site. Alternative plans may have to be provided. Please answer the following questions. Attach additional sheets if necessary. 13. Describe the practical difficulty which does not allow placement � �o�f� a structure which meets the zoning requirements. �Z'(CS-S,( 16' -'( .( C ? IN,.IC 66La L� I-f ,v\Ckd 96CefQtlx2 � 5IS �1vl �£'hGIFYE' � F6ri�l9�(� fiw' " � F ?(1S th(� �: 1 C n CC'�c 14. Is this the minimum variance necessary to alleviate the specific practical difficulty or is there any other option available which would require no variance? 15. Would this variance be detrimental to the other properties in the district or neighborhood or conflict with the objectives of any plan or policy of the Town? �G 16. What are the effects of the variance on public facilities and services? �1ti �)f 17. Is this request the minimum relief necessary to alleviate the specified practical difficulty? Area Variance 18. Other comments: 1 1 I �1 CZ�1'�,[ �', 1 ( G t, (}L� kl /J �(_ , \C Li'1 C VAC CC MESSAGE TO THE APPLICANT/AGENT We recommend your purchasing the ZONING ORDINANCE so that you may be fully apprised of all Town of Queensbury regulations. Please return the ORIGINAL APPLICATION with all pages intact. The Planning Department requires 13 copies of your application. A complete application shall include a variance site plan with narrative and supporting reports, if applicable. All maps must be folded to an 8Y2 by 14 inch or smaller format. All components of the submittal must contain all information required under the applicable Town law or regulation. • A complete application is necessary for placement of the Queensbury Zoning Board of Appeals agenda. The necessary information that you will need for a complete variance site plan will follow after this message. Applications must be received by 2 p.m. on the deadline date. The deadline dates for submission are listed on the Deadline Submission Sheet available in the Planning Department. However, submittals will be accepted prior to the submission deadline date for staff review and placement on the agenda. Other permits may be required for construction or alterations subsequent to • approval by the Zoning Board of Appeals. It is the applicant's responsibility to obtain these permits. I have read and understand the above message: (signature of applicant) (signature of agent) Please attach the following items to your application: 19. A site plan showing existing and proposed features of the property, including: A. lot dimensions B. north arrow and scale7 ti C. location and dimensions of existing and proposed buildings, showing setback r "T distances and uses 3 � D. parking layout to scale E. physical features (streets, steep slopes, lakes, wetlands, etct) y +., N F. location of water and sewer systems, if applicable G. easements and public roads H. adjacent ownership 20. A location map showing the site within the Town. IN THE SPACE PROVIDED BELOW, draw an overview (site location) of where your property is located in the Town of Queensbury. Show north arrow, street corners (name them) and identify your property. Note: this particular map does not have to be drawn to scale. ....... •�� c i 6 BAY i7lCOtf a BW[eerry n COURSE Ceb'd �O $AT WESTw00 ' a C W E x0 r WAY NARx ` len Dr •Av RLAFA ? PLAZA O NSOURr TOWN YSd R) I u ier i Rd COURT r OVFFx xtl BURY,n4 x.[i Lvs1Me vL fI LLE d.." fOVAR xee �J` 4 r� Rd DURF v'4arr�.on INOUsrR/aL RX r� e J �I I o` ^• ra Dou iss w.ur i _ ' Rre RO W[ T[Lex in 11 Av Xa reap CRAPDALL Vw[xx `B weMM ( s• IIBI[, °^.y a ,•Y w C•WO4 NRI/ .l Cm k \ .C,� fe tll'I x1' �� ~ �� IMI. Zy i INxw IW • . n [ asO N •�ya 4 Yo..r're i f f • •s. � WODDS • rL' L .r..w'r l wumsaVRY .y... [B ...k ` FOREST A. Town ofxOmu..0 vI c.es y .f CU." Q L.� L E i�j J•^�. ?,! '. „t 't S ARM[ L l Z `. a� • r ifq f'e Ls y CA, • WEST9 0. WARALD GLENS FALLS ♦Y•LR fNlq f i /•w• x0 .� •5 O S 4 •Ln.nxe x uexTxnsr ["'v f .Lns :3- s.I a [•V - nw.� F ...•. iA 4 r. .11 f Y `S MpxlnFiT Rr ) a I.� 'IL4.L[ �I•^ r VOLMFyx J x.D[O I, dry r!)7 x'i t E kIN..Fv...i,R•,.rr.•.Rb r Queensbury Zoning Board of Appeals Checklist Draw to scale (preferably 1 inch equals 40 feet or less) a detailed description of the proposed site. A. Title of drawing, including name and address of applicant and person responsible for preparation of such drawing. B. North arrow, scale, and date. C. Boundaries of the property with dimensions in feet, including zoning boundary delineations. D. Existing watercourses, wetlands, and other waterbodies. E. Location of all existing principle and accessory structures and their uses with / exterior dimensions and lot line and waterfront setbacks. F. Location of all proposed principle and accessory uses and structures with exterior dimensions and setbacks. G. Location of any existing or proposed easements, driveways, outdoor storage and refuse containment areas, including setbacks. R. Location of existing and proposed sewage disposal facilities, including lot line, waterfront and well setbacks. Also, location of existing sewage and water systems on adjoining lots. I. Location and description of existing public or private water supply. J. Description of the method_of securing_gubl' private water and location. Location and design of all existing and proposed parking and loading are , showing driveways, ingress, egress, handicapped parking and curbing. • L. Tota number of existing parking spaces, including the number of those to remain to be removed, those to be paved, those to be gravelle , and total number o roposed new paved spaces and proposed gravelled as, including basis for dete ining parking adequacy. M. Location, design, d construction materials of all a sting or proposed site improvements; includ; drains, culverts, retaining w s, and fences. N. Location, setbacks, and si of all existing an proposed signs; including design and construction details of pr osed signs. O. Location and proposed developm t all buffer areas, including existing vegetative cover and screening of st a or refuse areas. P. Location and design of all exist' g and prop ed outdoor lighting facilities. Q. Identification of the loca ' n and amount of b 'lding area proposed for retail sales or similar commer ' activity. • R. If applicable, the a licant is required to submit a Ma rial Safety Data Sheet (MSDA) as requir d by the Environmental Protection A ncy. The list must include the ch icals and hazardous materials to be store and used on site and the qua ties of such. The plan presented to the Bo ust show any storage an ontainment areas. S. Genera andscaping plan. \ T. Ot r elements integral to the proposed development as considered necessary b the Zoning Board of Appeals. U. -'The applicant has to accurately identify all setbacks between buildings and the property boundaries. All areas where variances are requested most be clearly identified and accurately measured. current setback proposed setback (feet) (feet) side yard front yard rear yard shoreline Structure sq. ft. (current size) Structure sq. ft. (proposed size) Applicants should be advised that they are to address all of the items on the checklist. - If the required information is not on the submission, the application will be removed from the agenda. Applicant/Agent,please initial: TOWN OF QUEENSBURY AUTHORIZATION TO ACT A AGENT FOR I, (seller, owner) of premises located at Tax Map Number hereby designate as my agent regarding an application for (Subdivision, Site Plan Review, Variance) of the above premises. Deed Reference Book Page Date Does the above parcel represent owner's entire contiguous holdings? Please attach explanation. Signed: Date: ******************************************************************************** PLEASE READ AND SIGN "The parties hereto consent that the proceedings which result from the within application may be tape-recorded and transcribed by the Town Clerk or his agent and . that such minutes as may be transcribed shall constitute the official record of all proceedings regarding this application, unless the same may vary from the handwritten minutes taken by the Town Clerk or the Secretary of the Planning Board or Zoning Board of Appeals, in which event the handwritten minutes as to such inconsistencies shall be deemed the official record." � a Applicant's Signature Date: ' �� ��_ `%164 42171—Text 12 71JECT I.D. NUMBER 617.21 SEOR Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I—PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. ^PPLICANZJSPONSOR 2. P OJECT NAME l V E-. L l/VC I s-7o s hPW J. PROJECT LOCATION: Municipality Q Ul>✓E 2 County W4R R E N a. PRECISE LOCATION(Street adore..and roes intersections,prominent landmarks,etc.,or provide map) 02o FoRESI i-,DIVE 5. IS PROPOSED ACTION: New ❑Expansion ❑Modlhcaboniaberat.on 6. DE CRIBE PROJECT BRIEFLY: 5 Apr Pa C W r` {1 Q 7C g 7. AMOUNT OF LAND AFFECTED: as ' ✓' Initially acres Ultimately sores 9. WILL PROPOSE,Dv�/ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? ❑Yes lXl No It No,describe briefly 1qr,9a Gca/7 I C_(? C6 -© Cf rat 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? !\�J _RRaldentlal ❑Industrial ❑Commercial ❑Agriculture ❑Park/ForestiOpen Space ❑Other Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL.OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STATVR LOCAL)? Yas ❑No It yes,list agency(s)and parmlUapprovals Bttii(6,19 �(JP010t7at P," mi� Ow In B-� Q�(PPOSJ �(.i 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes ANo It yes,list agency namf and parmlUapproval 12. AS RESULT OF PROPOSED ACTION WILL EXISTING PERMITIAPPROVAL REQUIRE MODIFICATION? Yes ❑No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE /� AppllcanUsponsor name:: 1r ��•t fl Al • L -I-Ne_� Date: `2e -/ Z' Signature: /nC /L r It the action Is in the Coastal Area, and you ere a state agency, complete the Coastal Assessment Form before prop with this assessment OVER 1 PART II—ENVIRONMENTAL ASSESSMENT (To be Completed by Agency) A. DOES ACTION EXCEED ANY TYPE 1 THRESHOLD IN 6 NYCRR, PART 617.127 If yes,coordinate the review process and use the FULL FAF. ❑Yes ❑No S. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 517.6? It No,a negativs declaration may be superseded by another Involved agency. Cl Yes ❑No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,11 legible) Ct. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid waste Procucllon or disposal, potential for erosion,drainage or flooding problems? Explain briefly: 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 neonate,or threatened or endangered species?Explain briefly: Cs. A Community's existing plans or goals as officially adopted,or a 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 rrdtlon7 Explain bristly.. Ca. Long term, short term,cumulative,or otnet effects not Identified In ClC5?Explain briefly. C7. Other impacts(Including changes In use of either quantity or type of energy)?Explain briefly. D. 1S THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑Yes ❑No If Yes.explain briefly PART III—DETERMINATION OF SIGNIFICANCE (ro 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; fd) irreversibility;(a)geographic scope; and (1) 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. ❑ 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: Name of Lead Agency I' Print or Type Name of Responri le icer in Lead Assn" Title of Rmisceisibli,officer ianalute of Responsible Officer in Lead Agency Igrsature of Preparer(I i ertltt from respOesl e officer) Date 2