Revised Application pages
General Information
Tax Parcel ID Number: ____________________
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Zoning District: ____________________
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Lot size: _____________________
Detailed Description of Project
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[includes current & proposed use
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Location of project:
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Applicant Name: Address:
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E-Mail:
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Agent’s Name:Address:
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Owner’s NameAddress
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Site Plan Review application – Revised October 2016
Town of QueensburyPlanning Office-742 Bay Road, Queensbury, NY 12804
Site Development Data
Area / TypeExisting sq. ft. Proposed Total sq. ft.
Addition sq. ft.
A. Building footprint
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B. Detached Garage
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C. Accessory Structure(s)
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D. Paved, gravel or other hard surfaced area
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E.Porches / Decks
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F. Other
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G. Total Non-Permeable [Add A-F]
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H. Parcel Area [43,560 sq. ft. / acre]
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I. Percentage of Impermeable Area of Site [I=G/H]
Setback Requirements
AreaRequiredExistingProposed
Front [1]
Front [2]
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Shoreline
Side Yard [1]
Side Yard [2]
Rear Yard [1]
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Rear Yard [2]
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Travel Corridor
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Height [max]
Additional Project Information
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1.Will the proposal require a Septic Variance from the Town Board of Health? _______________
2.If the parcel has previous approvals, list application number(s): _________________________
3.Does this project require coverage under the New York State Pollutant Discharge Elimination System
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(SPDES) Permit Program ? _______________
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4.Estimated project duration: Start Date __________ End Date __________
5.Estimated total cost of project: _______________
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6.Total area of land disturbance for project: _______________
Floor Area Ratio Worksheet
FLOOR AREA RATIO (FAR) --The relationship of building size to lot size, derived by dividing the total
building floor area by the lot size in square feet, yielding a percentage.
Zoning DistrictSymbolFloor Area Ratio [FAR]
Waterfront ResidentialWR0.22
Commercial Moderate/ IntensiveCM/ CI0.3
A.The combined area of all square footage, as measure from exterior walls of all structures on the property,
including all floors of the structures, garages, basements and attics with more than five (5) feet of ceiling
height and covered porches. Building square footage does not include: Open deck, docks and that portion of
covered docks extending over water and one storage shed of one hundred twenty (120) square feet or less.
Any additional sheds will be included. (See “FLOOR AREA RATIO”).
B.Commercial or industrial: the total area in square feet as measured from the exterior of the outside walls of a
building or structure, and when applicable, the sum total of all floor areas of the principal and accessory
buildings or structures on the project site.
A.Parcel Area___________________________ sq. ft.
B.Existing Floor Area___________________________ sq. ft. [see above definition]
C.Proposed Additional Floor Area___________________________ sq. ft.
D.Proposed Total Floor Area___________________________ sq. ft.
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E.Total Allowable Floor Area___________________________ (Area x _____) [see above table]
*If D is larger than E. a variance or revisions to your plan may be needed. Consult with Staff.
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Site Plan Review application – Revised October 2016
Town of QueensburyPlanning Office-742 Bay Road, Queensbury, NY 12804