Application COMMERCIAL,INDUSTRIAL, PROFESSIONAL OFFICE Date Sp11 tLIfd toeof tyent
SITE PLAN REVIEW I
To Be Reviewed By: Queensbury Planning Board
Adirondack Park Agency Referral: 4Datepedq Fee d
Type I or Class A: Warren County Planning Referral: PR 21
Type II or Class B: Received by: (initial)
Nwe
Application is hereby made for COMMERCIAL SITE PLAN REVIEW pursuant to
the procedures set forth in the TOWN OF QUEENSBURY ZONING LAW.
(FOR OFFICE USE ONLY)
This application is hereby`- approved(disapproved) and permission is hereby granted
(refused) to the applicant to apply for a Building Permit. This approval is good for one
year from'date of issuance.
Subject to the following conditions: (including Beautification Committee and Planning
Board Recommendations)
Approved by.
Variance Granted _yes _ no
Variance Number Date of Variance Approval
1
I. GENERAL INFORMATION
1. Applicant's Name: 5nHwi cy Pr ANrJoN 5� J Tg7 uY `t}fF.lA�e(Llh�1C1D�v�4 r 1
Street Address: I'K 0I)AkrP �t1
City, State, Zip: U w � �a S G L(
Telephone No. (61y) 76I
2. Agent's Name:
Street Address:
City, State, Zip:
Telephone No.
3. Owner's Name: S-imnlP)Lr
Street Address: Ml 11S
�l
City, State, Zip: C o' Al ��t ) 2 �a7
Telephone No. (51V) 7�1i-DSa7S
4. Property Location: "^5T on (�oodE'
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: thu particular map does not have to be drawn to
r &U tw+` ~ t )kG Oi� )pFAu
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5. Description of how to find the property: Ed67- 0nf 0:)At<F-P 1�:1
&RCOTLU /VrfD. COL nre-L' j -mn02TS .
b. Tax Map Number: Section: (OC( Block: 3 Lot:
7. Zone Classification: flu-A
8. Is the lot in question within 500 feet of a County or a State Right of Way or
Park, Municipal Boundary, or watershed draining any County or State facilities,
requiring review of the WARREN COUNTY PLANNING BOARD:
YES: NO:
IL APPLICANTS PROPOSED ACTION (Check where applicable)
_ New Site Change of Use Site Change
r ✓ Addition Demolition Renovation
1. Present Use of Property (If vacant existing building, describe last prior use.)
f tL�-'-D IJG'al� Jl>"�AIR 1��'10�
Z. Proposed Use of Property (describe the proposed project):
/JrvJ " I�FF:( F Anf)\ Two (a) Net.,) I L""iAiL
QRy)5 .
Proposed Use (Check where applicable and provide floor area for each use.)
USE GROSS FLOOR AREA
General Office y 10 sq. ft.
Professional Office alga o,C sq. ft.
Retail Sales sq. ft.
Motel, Hotel sq. ft.
Wholesale/Distribution sq. ft.
Fast Food sq. ft.
Restaurant, barroom sq. ft.
Manufacturer sq. ft.
✓Other (specify) sq. ft.
CAR nREp 6PVlrr 719REP
3. Number of Employees in Maximum Shift
III. SITE DEVELOPMENT DATA I
Area of Parcel 3, J C D + acres sq. ft.
Maximum Size Building Allowed sq. ft.
Disposition of Parcel:
F=isting
Building Area sq. ft. % of parcel
Paved Area sq.ft. % of parcel
(including walks)�� n
Green Area 3 sq. ft. % of parcel
Proposed g `L
Building Area --, sq. ft. 7•9 % of parcel
Paved Area )(n sq.ft. Le % of parcel
(including walks)
Green Area sq. ft. ���,F) % of parcel
Building Setbacks
Front Yard gQ
Rear Yard ��n5
Left Side Yard
Right Side Yard ^!
Access (check where applicable)
Town Highway County _ State
Length of Frontage c�s�
Number of Parking Spaces: Existing c9C Proposed OQ0
Town Water: Yes _ No
Town Sewer: Yes No
IV. BUILDING DATA
Type of Building to be built: DLO(Y Lycq 1 S &0 T�LLSSE SS
Height of Building (at peak): a FT-
Number of seats (where applicable): X.
V.
List the names and location of the parcel (Include Tax Map Number and Zone) of
adjoining property owners:
HOW TO USE THE TAX MAPS
Every property in Queensbury is identified by a number. These numbers relate
to the Town Tax Maps. Each parcel has a 3 number code by which you can locate
it in the Town.
If you know the name of the person who owns the property you can find the
Tax Map Number of the parcel by looking up the person in the "Alphabetical Listing
Book•. This listing has the owners name and identifies his property by the tax map
number.
If you have a Tax Map Number but need to know the owner you look in the
"Numerical Listing Book'. This book identifies the property owners.
If you only know the property location and need to find the owner, the adjacent
neighbors or the zoning, you need to go to the Tax Map. The first sheet of the tax
maps shows the Town broken into a number of areas which are numbered. These
areas indicate which map (below the cover sheet) to look onto for the property.
This map number is also the first number of the tax map identification number.
For example, in number 32-Z-12.3, the 32 indicates Section Number 32. The Section
Number appears in the lower right hand comer of the map. Once you are an the
correct map you need to find the Block Number. The Block Number is the second
number on the tax map. For example, in 32-2-12.3, the 2 is the Block Number.
The Block Number usually has a circle around it.
The last number of the tax map is the parcel number. For example, 12.3 would
indicate the exact piece of property. This number is usually on the map parcel or
has an arrow indicating to which parcel it belongs.
If you have to identify property or adjacent properties for an application it
is very important that you accurately identify the numbers. The first number is
the Section Number. The second number is the Block Number and the third number
is the Parcel Number.
NORTHERLY:
ioq . t.
Tax Map Number: � -5 L-Jf—
Zone: H D- 1 A
Name: 1--�AQL-1V-OnI (n/kQ
/.., Location: /(I I-1% .t)/11 6Y% .l'7�.�17
SOUTHERLY: `
Tax Map Number: ��1 -/�/' • �LII
Zone:
Name: 1AQITycOW
Location: �!%Y'T �`J�i�G G�l &J17.
EASTERLY: n 1 /
Tax Map Number: -
Zone: - In - �
Name: EAA-rocOd ///e ,k
Location: -RFPq D� ALL,
WESTERLY: A ,
Tax Map Number: 10q. 3 -40- I M X
Zone: �L ' /��
Name: ArD 774 ( n /M .nfT.,k_•�
Location: iCP6r/7- LA(�
• QUEENSBURY PLANNING BOARD CHECKLIST
THE SITE PLAN: Draw to scale (preferably 1 inch = 40 feet or lesk) a detailed description
of the proposed site.
Items A through Z must be included on the Site Plan and addressed in the submission.
A. Title of drawing, including name and address of applicant and person responsible y�
for preparation of such drawing.
B. North arrow, scale, and date. i
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. /
H. Location of existing and proposed sewage disposal facilities including lot line, is
waterfront and well setbacks. For proposed system or if expanding use, include
design details, construction materials, flow rates or number of bedrooms served
and percolation test results. Also, location of existing sewage and water systems
on adjoining lots.
I. Location and description of existing public or private water supply.
h it
J. Description of the method of securing public or private water and location, design i
and construction materials of such facilities.
K. Proposed maximum daily water usage in gallons per day. N-VA-
L. Location and design of all existing and proposed parking and loading areas, showing
ingress,
and curbing. For proposed
a d loading are s s, incl de de gn detailsa constructionparking materials and dimensionsparking ?�
M. Total number of existing parking spaces, including the number of those to remain
or to be removed, those to be paved, those to be gravelled, and total number of y/
proposed new paved spaces and proposed gravelled spaces, including basis for
determining parking adequacy.
N. Provision for pedestrian and handicapped access.
O. Location, design and construction materials of all existing or proposed site v;
improvements including drains, culverts, retaining walls, and fences. /
P. Location of fire and other emergency zones, including the location of fire hydrants.
Q. The applicant is required to submit either a Material Safety Data Sheet (MSDS)
as required by the Environmental Protection Agency, or a Hazardous Materials Report
Form as required by New York State General Municipal Law (Section 209-u) and
the New York State Uniform Fire Prevention and Building Code (Section 1174.1(i)).
and hazardous
erials
o be
The list
d the quantities of such.lsThe plan presented t t stored
must include the to theBoardmust show any
on s
storage and containment areas.
R. Location el all exfstias,aso ar energy, telephooposed energy ne, etc. For proposed facilitiesstribution facilities and other ,including electrical, g
design details and construction materials.
S. Location, setbacks, and size of all existing and proposed signs, including design and
construction details of proposed signs.
I�
T. Location and proposed development of all buffer areas, including existing vegetative �!
cover and screening of storage or refuse areas. /
U. Location and design of all existing and proposed outdoor lighting facilities. l
V. Identification of the location and amount of building area proposed for retail sales til`
or similar commercial activity.
{
W. General landscaping plan and planting schedule, including existing trees over 3 inches ^ k,
in diameter.
X. Grading and stormwater management plan, showing existing and proposed contours
and including drainage calculations. /
Y. Percent of lot which is presently permeable, including composition of ground cover
(grass, shrubs, gravel, etc.).
'r
Z. Percent of lot which is proposed to be permeable, including composition of ground
cover.
AA. Other elements integral to the proposed development as considered necessary by
the Planning Board and staff.
Applicant please initial
Additional information needed if applicable to your situation:
As of June 20, 1989, the Planning Department requires the following information
for the Queensbury Planning Board's review:
If you are expanding a nonconforming preexisting use as per Article 9 of the
Queensbury Zoning Ordinance effective October 1988, you are required to
submit elevational drawings of your proposed project/plan. Include all sides.
e e 8 El8
EXAMPLE: front elevation EXAMPLE: side elevation
6
A COMPLETE APPLICATION IS NECESSARY FOR PLACEMENT
ON THE QUEENSBURY PLANNING BOARD AGENDA
APPLICANT PLEASE READ
The Planning Department requires 14 maps of your site plan, one original application
and 13 copies of the application with narrative and supporting reports, if applicable. Also,
Z copies each of the deed and survey plat. Review fees as required.
In support of your application, it would help the Planning Board if a copy of the
elevations showing how the structure(s) will appear were made available to them.
(If you have already received a Beautification Committee report, attach it to your application.)
All maps must be folded to an 8%i by 14 inch or smaller format. All components
of the submittal must contain all information required under the applicable Town Law or
Regulation and Planning Department checklist.
Section 179-35App11cation and Fees for Site Plan Review Approval. In addition to
the fee listed on the schedule of fees, the Planning Board W charge a fee
1.o developers of projects requiring legal and technical review provided that
the fee charged reflects the actual cost of legal and technical assistance to
the Planning Board. This fee is not to exceed One Thousand ($1.000) Dollars
without notice to the applicant.
The necessary information that you will need for a complete site plan is listed on
the next page: (Queensbury Planning Board Checklist)
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.
Applicant please initial
i
Signature of Applicant
Signature of Agent
Dated this day of year
ANY MODIFICATIONS OR STIPULATIONS ON A SITE PLAN WHICH IS A P P R O V E D
BY THE PLANNING BOARD SHALL BE IDENTIFIED ON A REVISED SITE PLAN AND PRESENTED
TO THE PLANNING DEPARTMENT WITHIN IO DAYS OF THE MEETING AT WHICH THE SITE
PLAN IS APPROVED.
OTHER PERMITS MAY BE REQUIRED FOR CONSTRUCTION OR ALTERATIONS SUBSEQUENT
TO APPROVAL BY THE PLANNING BOARD OR ZONING BOARD OF APPEALS. 1T IS THE
APPLICANTS RESPONSIBILITY TO OBTAIN THESE. j
I have read the above and understand the instructions f%_ `L-
Signature'.of Applicant or gent
1
NOON
I
S S:wl e k f6all NoN J
-- l'IS Qu9/fe�t /;d 01AX
1r P.C,
•
9
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."
Applicant's Signature
Date: