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Application Top of the World Auto Body, Inc. 619 Quaker Rd. Queensbury, NY 12804 April 14, 1999 Town of Queensbury Planning Office 742 Bay Rd. Queensbury, NY 12804-5902 Attention: Laura Moore Subject:Site Plan Application Items Dear Laura, Enclosed you will find the Site Plan Review Application. I wanted to explain that this application is to cover two items. The first is possibly renting some building space for car rental, and the second is for the installation of fencing on part of the property. Sincerely yours, ��li �"'r✓nGy Stan Gannon President s s SITE PLAN REVIEW APPLICATION The Site Plan Review process involves presenting a proposal to the Planning Board and answering any questions that may arise regarding your project. As part of its review process, the Town of Queensbury Planning Board notifies the general public and property owners within 500 feet of the proposed project, conducts a public hearing and performs an environmental assessment of the proposal in accordance with the N.Y.S. Environmental Quality Review Act (SEQRA) requirements. This application was designed to solicit the information necessary for applicants to comply with the Town of Queensbury Site Plan Review requirements. A pre- application meeting with the Planning Staff is highly recommended. Staff members are available by scheduling an appointment, our office is open weekdays between 8:00 a.m. and 4:30 p.m. Town of Queensbury Planning Staff Chris Round, Director Laura Moore, Planning Assistant Craig Brown, Code Compliance Officer Pam Whiting, Office Specialist SUBMISSION REQUIREMENTS: Please submit one original and nine (9) copies of the completed application package and plans with a $25 fee to the Planning Office by the last Wednesday of the month for consideration during the following month. Call or visit our offices with any questions. This Application Package includes: Page Description 12 General Information 3 Site Development Data & Setback Information 4 Floor Area Ratio Worksheet (For Projects in the Waterfront Residential Zone) 5 Signature Page includes Agent Authorization & Engineering Fee Disclosure 6&7 Application and Plan Checklist A Short Environmental Assessment Form (EAF) is attached Complete Part I of the EaF for Unlisted SEQR Actions (Consult with Staff) Q wn of Queensbury TToo Bay Road Queensbury, NY 12804 Phone:(518) 761-8220 Fax:(518) 745-4437 E-mail: planningCaqueensbury.net www.queensburv.net General Information Property Location: Tax Map ID: 1 u(I , -3 Zone Classification: PLAZA Nmft1EP C!AAL Applicant 1 �Gttl 1O r 1 _ , Address: {�, &)CLEEu,,)bLL2Y , n Home Phone: 618- 74 - a667 Work Phone/Fax: Applicant's Agent / J r . .. AR Address: Phone: Work Phone/Fax: Property Owners f ti0l"j Address: ®i�Fx �Jsbuy , TX-) iKo4 Phone: 7q9 - L9y -7,3 Work Phone/Fax: ,dig ni Directions to Site: La 1 I C Applicant: Tax Map ID Page 2 of 7 Site Development Data ? Area/Type E"ng ",`Proposed 1`otal (sq.`ft) : , on (sq fQIT' • i A) Building Footprint(s) B) Detached Garage — C) Accessory Structure(s) D) Paved, gravel, or other hard surfaced areas 00 _ u,;0 E) Porches/Decks F) Other Total Non-Permeable (Sum A through F) Parcel Area Percent Non-Permeable (Total Non Permeable/Parcel Area) Setback'Requirements Location Required Proposed Front (1) Front (2) (if corner) _ Shoreline Side Yard (1) ^- 4L Side Yard (2) Rear Yard (1) Rear Yard (2) Buffer/Travel Corridor Applicant: Tax Map M Page 3 of 7 FLOOR AREA RATIO WORKSHEET Any construction, addition or replacement of structures in the Waterfront (Residential Zones (WR-lA & WR-3A) are 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). 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 covered jdocks extending into the water, and one shed 100 sq. ft. or less. All additional sheds are included in the FAR calculation. Use/Location Area (sq. ft.) Primary House First Floor Second Floor Basement (living space) Covered or enclosed porches Covered decks Guest House Apartment Detached Garage(s) Shed (1 shed 100 sq. ft. or less exempt) Covered Dock or Boathouses (portion on land) Other (describe) A.) Total Building Sq. Footage B.) Lot Area in sq. ft. (Acres x 43,560 Floor Area Ratio = AM = % Applicant: Tax Map ID Page 4 of 7 SIGNATURE PAGE I Please Read Carefully / This Page includes the Authorization to Act as Agent Form, Engineering Fee Disclosure, Other Permit Responsibilities, and Agreement to provide the documentation required. Complete the following if the OWNER of the property is not the same as the applicant: OWNER'S AGENT FORM Owner: (Print Owner Name) designates: (Print Agent Name) as agent regarding Site Plan Subdivision for Tax Map No.: Section_ Block Lot SIGNATURE: X (Owner Signature) (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 Applicant: (print Applicant Name) designates: (print Agent Name) as agent regarding _Site Plan Subdivision for Tax Map No. Section_ Block Lot SIGNATURE: X (Applicant Signature) (Date) Engineering Fee Disclosure: Applications may be referred to the Town consulting engineer for review of septic design, storm drainage, etc. as determined by the Planning Department. Fees for engineering review services will be charged directly to the applicant. Fees for engineering review will not exceed $1,000.00 without notification to the applicant. 6 Please Note: Other Permits may be required for construction or alteration activity subsequent to approval by the Planning Board. It is the applicant's responsibility to obtain any additional permits. Official Meeting Minutes Disclosure: It is the practice of Community Development Department 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. APPLICANTS SIGNATURE: X (Date) � � APPLICANTS AGENT SIGNATURE:X (Date) Applicant: Tax Map ID Page 5 of 7 • 14-164(12/97}—Q SEOR PROJECT IO NUMBER - 81720 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1—PROJECT INFORMATION (lb be completed by Applicant or Project Sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME Tw (iAuuvn; Tv 3. PROJECT LOCATION: 1'f I� Municipality I✓tk).5 1d.2 County tOARREN a. PRECISE LOCATION:(Street address and mad intersections,prominent landmarks,etc..or provide map) („ICI QUAKER Q-6 5. IS PROPOSED ACTION: ❑ New ❑ Expansion Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: FEA>LIlJE7 7a '_)ceUf'C7 AGA9, PAP�Km�)6 AfNEA A,,% KcvIAZ OAR ;t3 JI`tAkC- Ex l51__J 6 64Fiee 7. AMOUNT OF LAND AFFECTED: Initially _ acres Ultimately _acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? 'M Yes ❑ No If no,describe briefly .ZO/L;6Z /A)4NtL?Ay [I-ommEkbgL. S. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ❑ Residential ❑ Industrial )k Commercial ❑ Agriculture O ParWForest/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)? 11 Yes ❑ No If yes,list agency(s)and permitapprovals 6)-Tl� FEW RevICLJ 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? $I Yes ❑ No If yes,list agency name and permit/approval 61TIFE p(AL APPn„,CyYIX oMntlev PQKJL LvT TE'ArL;LC- Au.� I u�; r/ SiZCkHOF �.a.ti�e_ 12, AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? ❑ Yes M No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE ApplicanVSpo r Name r rtll�% r-7 �i�� �% Date - G�Ci Signature ti If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER PART II—ENVIRONMENTAL ASSESSMENT (robe completed by Agency) A. DOES ACTION bi(CEED ANY TYPE I THRESHOLD IN 6 NYCRR PART 617./? - ` O Yea ; No If yes.coordinate the review process and use the FULL EAR B. WILL AC71ON RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR PART 617.6? ❑ Yes 11 No If no a negative decimation may be superseded by another hn olved agency C. COULDACMN RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten.it legible) C1. Existing air quality,surface or groundwater quality or quardity,noise levels,existing traffic podiums:solid waste production or disposal;potential for erosion, drainage or flooding problems?Explain bn W. No C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources:or community or neighborhood characler7 Explain briefly: / LO C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,of threatened or endangered species?Explain briefly: fjo Ca. A community's existing plans or goals as officially adopted,or a change in use of intensity of use of land or other nab"resources?Explain briefly: C5. Growth,subsequent development,cr related actiftes likely to be induced by the proposed action?Explain briefly: n �1 C6. Long term,short term,cumulative,or other effects not identified in Cl-CS?Explain briefly: C7. Other impacts(including changes in use of either quantity or type of energy)?Explain briefly: D. WILL THE PR�ECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CEA? ❑ Yes No E. IS THERE-OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTULL ADVERSE ENVIRONMENTAL IMPACTS? ❑ Yes No If yes,explain briefly PART II—DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial, large, Important or otherwise signiflcenL Each affect should be assessed in connection with ib(a)setting(i.e.,urban or rural);(b) Probability of Occumng;(c)duration;(d)Irreversibility;(a)geographic scope; and(f)magnitude.If necessary,add attachments or reference supporting materials.Ensure that expbnatiou contain Sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed.If question D of Part 11 was checked yes,the determination and sig- nificance must evaluate the potential impact of the Proposed action on the environmental characteristics of the CEA. ❑ Check this box if you have identified one or more potentially large and significant adverse impacts which may occur.Then proceed directly to the FULL EAF and/or prepare a positive declaration. Z 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 Lea Agency `97�2L'FUxt IU Print or TYPO Name of Responsible Officer in Lead Agency Title of Respo 'b a Officer �Xlt� �7rieEu i c�i121r T Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from respon ible officer) Date • • Check/Initial The Applicable Box Please complete every checkbox Provided = Not Waiver I. GENERAL s ° hcible Re uested A ' A. Title, name, address of applicant and person r_esponsibl_e fo_r preparation of drawin / B. North arrow, Tax Map ID, date prepared and scale -- ----_—__-- ---(minimum 1 in. = 40_£t_) ✓ C. Boundaries of the property plotted to scale, zoning _bounda_rv_ / D. Location of principal structures and accessory V _ structures with exterior dimensions / E. Location of site improvements including outdoor storage areas, driveways (existing and proposed), parking areas, etc. F. Setbacks for all structures and improvements. II.WATER &SEWER / A. Location of on site sewage disposal facilities, design �f details. construction details flow rates and number of bedrooms served �' B. Location of water supply, (i.e., well) and septic on adjoining lots with separation distances to existing _ 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 usage. E. Percolation test location and results. III. PARKING/PERMEABLE AREAS T A. Number of spaces required for project including calculation/justificatio_n. _ j B. Number of existing parking spaces. number to be V removed. number to remain, and type of surfacing material (e.g_, gravel, paved). / C. Provision for pedestrian and handicap access and parking. D. Location and design details of ingress. egress, loading areas, and curbing. j E. Delineation of existing permeable areas versus ✓ proposed including character of ground cover(i.e., grass wooded, etc.) F. Location and character of buffer areas (existing and ✓ proposed). modification to buffer areas. including screening of storage and refuse areas. / G. Lighting. location and design of all existing or V proposed outdoor lighting Applicant: Tax Map ID Page 6 of 7 Check/Initial The Applicable Box Please complete every checkbox Provided Not Waiver IV.ADDITIONAL SITE DEVELOPMENT& Applicable Requested MISCELLANEOUS / A. Location of on-site and adjacent watercourses: V streams, rivers, lakes, wetlands / B. Location of proposed and existing, utility/energy distribution systems (gas, electric, solar, telephone, cable), include design and construction details. C. Location, design and construction of all existing and proposed site improvements including: drains, 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 commercial activities / E. Signage: location, size, type, design and setbacks. ADDITIONAL REQUIREMENTS A. Other elements integral to the proposed development as considered necessary by the reviewing board. B. Identification of any State and County permits required for the project's schedule C. Record of application for approval status of all necessary permits from State and County officials WAIVER REQUEST Applicant requests waivers from the following items as identified on the checklist: Applicant's Signature Checklist Reviewed by: Date Please complete this section with the assistance of staff PLEASE NOTE COMMERCIAL DEVELOPMENT ACTIVITIES TYPICALLY REQUIRE SUBMISSION OF: s A. Landscaping and Planting Plan B. Stormwater Management Plan C. Grading Plan Applicant: Tax Map I) Page 7 of 7 1 000 CA ey uJ Oc 0( �6 D � Aa��*'b LiNC oaf, 674 R s5 ro� R4 ti