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Application Area Variance Revised June 200E General Information • Tax Parcel ID Number: 3��• �� S `✓ Zoning District: Detailed Description of Project [includes current&proposed use]: C C< CC tic Gr L Location of project: ? 3 —Sicxa 2S CA 3 (P �t - cl C)nI-e Town of Queensbury•Zoning Office• 742 Bay Road• Queensbury, NY 12804.518-761-8238 1 Area Variance Revised June 2009 Pre-Submission Conference Form r179-4-0401 C • 1. Tax Map ID 3/S. 6 2. Zoning Classification m2)12. 3. Reason for Review: 4. Zoning Section#: / 77 ',3 f 1/P. 5. Pre-Submission Meeting Notes; Outstanding Items To Be Addressed Include: Deed ✓ 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 addressed Yes WP7 No Compliance with Zoning Ordinance _Yes � No ✓ Checklist items addressed Yes No Environmental Form completed es No Y Signature Page completed es _No W4t utV FU,P .5UPv c5' /N �9e��111e Et DANK tea: 201VIAI& o,eblAJ. 7AICE Staff Representative. Applicant/Agent: '' Ote: /p Town of Queensbury-Zoning Office- 742 Bay Road- Queensbury,NY 12804-518-761-8238 6 Area v une 2009 General Information • Tax Parcel ID Number: Zoning District: ���• L' Detailed Description of Project [includes current&proposed use]: C �cc e v Location of project: AUG 1 2 �Jt iLck TOWN URY i , ruGir.F i l GcA& V C)oS� _s *, V�✓,— Town of Queensbury•Zoning Office• 742 Bay Road•Queensbury, NY 12804•518-761-8238 1 Area Variance Revised June 200E Site Development Data X� A,i Building footprint (p B. Detached Garage C. Accessory Structure(s) D. Paved, gravel or other hard surfaced area Ej Porches/Decks F. Other G. Total Non-Permeable [Add A-F] 1 .H. Parcel Area [43,560 sq. ft. /acre] 1 �1 OoU I. Percentage of Impermeable Area of Site [I=G/H] IS . Setback Requirements Front [1] -30 F ., Front [2] Shoreline Side Yard [1] �C)l 3o r 30 Side Yard [2] Rear Yard [1] Rear Yard [2] Travel Corridor Height [max] Permeability No. of parking spaces Town of Queensbury•Zoning Office• 742 Bay Road• Queensbury, NY 12804.518-761-8238 2 Area Variance 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): 3. Does this project require coverage under the NYS DEC Stormwater Pollution Prevention Program? 1\1Cl QIIa 4. Estimated project duration: Start Date_ End Date 1 o c� 5. Estimated total cost of project: I :t- is N c c! 6. Total area of land disturbance for project: (, Is S4. 1=k-. Floor Area Ratio Worksheet /iIn FLO0 REA RATIO (FAR) --The relationship of building size to lot size, derived t � c i the total building floor are by the lot size in square feet, yielding a percentage. Waterfront Resi ntial WR 0.22 Commercial Moderat CM X.3 Commercial Intensive Cl 0.3 A. The combined area of all square tage, as measure fr exterior walls of all structures on the property, including all floors of the structures, garages, ements and a ' with more than five (5) feet of ceiling height and covered porches. Building square footage do not inclu : Open deck, docks and that portion of covered docks extending over water and one storage shed of o hu ed twenty (120) square feet or less. Any additional sheds will be included. (See "FLOOR AREA RATIO"). B. Commercial or industrial: the total area ' squ feet as measured from the exterior of the outside walls of a building or structure, and when applicable, th um total all floor areas of the principal and accessory buildings or structures on the project site. Parcel Area s . ft. Existing Floor Are s . ft. see above definition Proposed AclonTonal Floor Area s . ft. Propos Total Floor Area sq,ft. T Allowable Floor Area Area x see above table C Town of Queensbury•Zoning Office• 742 Bay Road•Queensbury, NY 12804•518-761-8238 3 Area Variance Revised June 200E Compliance with Zoning Ordinance • Requesting relief from SECTION: /79" J - o qc Need relief from the requirement(s) listed below which can not be met by the project as proposed. [Check allthatapply] 0 Setback ❑ Buffer Zone C Lot Width ❑ Other 5 irk e- St tan c. - The following questions reflect the criteria for granting this type of variance. Please complete them; use additional sheets if needed. 1. Whether an undesirable change will be produced in the character of the neighborhood or a detriment to nearby property will be created by the granting of this area variance? 2. Whether the benefit sought by the applicant can be achieved by some method, feasible for the applicant to pursue, other than an area variance? Cam. oV c.C& r c9- .. C� G `Ve'"� >,-..-.....z s '� C-�✓ C c�r.t 7���^-�. �Se � �L.�. V�rl.c� ��G�c l �i��s. c • l�2iL\ 0.� So br c Cc lav k „ c� c O � ilc 5 3. Whether the requested area variance is substantial? 117� - FvL Foes)- yct✓ ic �- \ �- ck Y�c ✓ \ t. c_ Vcsw� C�� <Uee • hbo� S ec ✓L--v: C 4. Whether the proposed variance will have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district? 0-kt c"v 't� fe- - S c L \ . c l\ ch c�3,Qoic� 1"Ic iA Vn c (moot OLC C-C�yS V " Lv' ei .c 1 4kst' t�- CCWs SeLyr -LL kd Ve6 -de. 5. Whether the alleged difficulty was self-created? 1\1 0 - At'x C-( w<-1 o arc �- �cc�Z-- y�\u U-L VUC�,gy%C\ Fu,/4- cr Dc vcl o�.p� a-c 5� LcQ. 1tc tee_ Vc�ci K S - SUc � 4 CZ�'�atis Town of Queensbury •Zoning Office• 742 Bay Road•Queensbury, NY 12804• 518-761-8238 4 Area Variance Revised June 200! Submittal of a stamped and signed SURVEY MAP depicting existing and proposed conditions shall include the items as noted below. fEorth Title,Name,Address of applicant&person responsible for eparation of drawing u�4.; W s do r t 17, C eed arrow,Tax Map ID,date prepared and scale[minimum 1In.=40 ft.] 4 Boundaries of the property plotted to scale,zoning boundary 5 Principal structures,accessory structures with exterior dimensions 6 Site improvements Incl.outdoor storage areas,driveways,parking areas,etc.: existing$proposed 7 Setbacks for all structures and improvements: existing&proposed Pr 8 Elevations and floor plans of all proposed and affected structures 1 Project sewage disposal facilities,design details,construction details,flow rates,and number of bedrooms proposed 2 Water supply[i.e. well]&septic on adjoining lots with separation distances to existing or proposed on-site water supply and septic -3 Separation distances for proposed sewage disposal system to well and water bodies 4 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 usage 5 Percolation test location and results • -1. Number of spaces required for project including calculations and justification: existing&proposed --2 No.of existin arkin s aces,number to be removed,number to maintain and type of surfacing material e. .,gravel. aved 3 Provision for pedestrian and handicap access and parking: existing&proposed 4 Design details of ingress,egress,loading areas and cutting: existing&proposed 5 1 Location and character of green areas[existing and proposed],modification to green area,buffer zone to remain undisturbed 6 1 Lighting,location and design of all existing and proposed outdoor lighting RIM r 1 1 On-site&adjacent watercourses,streams,rivers,lake and wetlands 2 1 Utility/energy distribution system[gas,electric,solar,telephone]: existing&proposed 3 Location,design and construction details of all existing and proposed site improvements including: drains,culverts,retaining walls,fences,fire&emergency zones and hydrants,etc. (4: Square footage of bldg. area proposed for office, manufacturing, retail sales or other commercial activities: existing &_ proposed e, Signage: Location,size,type,design and setback: existing&proposed Lh Waiver Request: provide letter with application requesting any waivers: please reference specific items Commercial/Industrial Development requires submission of Landscaping,Stonnwater Management,Grading&Lighting Plans Identification of Federal,State or County permits required for the project together with a record of application for afl necessary ennits • Town of Queensbury•Zoning Office•742 Bay Road• Queensbury, NY 12804•518-761-8238 5 Area Variance Revised June 2009 Pre-Submission Conference Form r179-4-0401 1. Tax Map ID 2. Zoning Classification 3. Reason for Review: 4. Zoning Section #: / 77 ' 3 e9 9. 5. Pre-Submission Meeting Notes; Outstanding Ite To Be Addressed Include: Deed 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 addressed Yes P7 No Compliance with Zoning Ordinance _Yes — 'o Checklist items addressed Yes ✓ No Environmental Form completed es EMNo Signature Page completed V Yes _No '.: � la u5t-Xc�. \'.�G-c_.. cam_, l.. �c:� v e .i S,-c�r S J✓ e,.-t - D�c. +-p ��-e._. j�tic1 7v c yc,� c� a S � .C_ LPL X,� C_t-C_ yl Qk1d 4- ' 1cPC✓t S, TU✓ C` 5U✓J e .: l `> '1 NnJ u jr, v ✓c, e,9 r rrrr 4t. 1 u(ch Lt )^J C2 �TC f�e L-. U v� an, l c c X. ,-Q+-< C7iA Cc< -_-b C k rLu �c 15e_ ,�ccl� � S l]/� V�e c � SSc �✓� �1 n 7- nC L Y� C°Ur" MCA hC-4-o✓t W- �, �C' ✓ �Qk-S V..° Cti � a� � vvew � � ✓yeu woJLC - e, 55. t ( C_` G_ YUt.�.� S U✓"�f. �-1 Li_ ;n_awl C� �1C�� C. C 1.C k �w �-I Cl C4 CY a�.c3vtC�.! t U� ��✓ w.nn�._k � .�� � t1..c�1- � . ,C, icS T f\� r Qcc-� Y'T � -�K.-✓ �--, ca v,.�� a S 4.1c `e e� e C�., FC ✓ 5 f C �1✓ {�� 6'f c�S U'l..S 1-6 VcA k-)k y L yt, . V\C1V ✓ c '�` L l O✓l LJ. r-1 ri Ct ,w� K'L vt c C..3 C-L C / ✓ Lac L W v�{4 Staff Representative t Applicant/Agent: \. spate: e� Town of Queensbury•Zoning Office• 742 Bay Road• Queensbury, NY 12804•518-761-8238 Area Variance Revised June 200£ Signature Page • 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 FORM: Complete the following if the APPLICANT is unable to attend the meeting or wishes to be represented by another party: Owner: Designates: As agent regarding: Variance Site Plan Subdivision For Tax Map No.: Section Block Lot Deed 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.) 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.) 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: I, 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 ttatement/descripfion 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,will obtain a certificate of occupancy as necessary. I also understand that I/we 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 have read and agree to the above. C^l-^'' �1 CL✓� plc.��"'C O � � Signatur [A plicant] Print Nam pplicant] Date signed ignature [Agent] Print Name [Agent] Date signed Town of Queensbury•Zoning Office•742 Bay Road•Queensbury, NY 12804•618-761-8238 9