Application Jown 01Q11teenjAPPLICATION N3JMBER
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SITE PLAN REVIEW
A P P L I C A T I O N Date Submitted to Department
To Be Reviewed By: Queensbury Planning Board
Type I or Class A: ❑
Adirondack Park Agency Referral: _
Warren County Planning Referral. Date Accepted and Fee Received
(amomrt)
Type II or Class B: Received by: (initial)
_ -- --
1. Applicant's Name: Richard Rozell , Jr .
Street Address:
19 Fox Hollow Road
City, State, Zip: Queensbury , NY 12801 _-
Telephone No. (518) 798-8918
Z. Agent: Richard S . Morse , P . E
Street Address: 99 Dix Avenue
City, State, Zip: Glens Falls , NY 12801
Telephone No. ( 51 � 792-5382
3. Owner's Name: Richard Rozell , Jr .
Street Address: 19 Fox Hollow Road
City, State, Zip: Queensbury , NY 12801
Telephone No. 1518 ) 798-8918
N/A
4. Ownership Intentions, i.e., Purchase options:
5. Property Location: _Corinth Road
6. Description of how to find the property: Corinth Road approximately
1700 ft . northeasterly of West Mountain Road intersection
on left hand side ( easterly ) of road , just north of Adiron-
dack Grinding .
7. IN TIIE SPACI; 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.
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8. Tax Map Number: Section: 150 Block: 1 Lot: 20
9. Zone Classifcation: SR- 1 A
10. 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 CCUNTY PLANNING BOARD:
Yes: X No:
11. List all required County, State, Federal permits, approvals, and status:
None
12. Present Use of Property: Phase I front 2 . 25 acres developed with
two duplexes with garages and remaining5 . 44 acres vacant land .
13. Proposed Use of Property: describe the proposed project:
Phase II , two additional duplexes with two ( 2 ) car garage each
One single family dwelling with two car detached garage .
14. A. Total lot Acreage: 7 . 69 acres
B. Total Site Area (square feet or acres): 5 . 44 acre Phase IT
15. Any previous Planning or Zoning Board determinations made regarding this property?
Yes X No
If yes, please state previous application number(s):
S . P . R . Type II No . l(o-87
and Applicant's name: Richard Rozell , Jr .
16. Any deed restrictions, easements, or covanents?
Yes X No
If yes, please explain in detail: 25 undisturbed bu f Cer at
northerly property line as shown on attached site plan
map .
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17. A. Anticipated date to start construction: Mi d November ' 88
B. Anticipated date to finish construction: Spring of 189
C. Please provide the following information (use additional pages if nece5:>ary):
1. An estimated project construction schedule:
Immediately upon all necessary approvals , will
concentrate on erection of Coundations and
structures . Interior construction completed by
springtime , 1989 .
18. Character of surrounding lands (Suburban, Commercial, Industrial, Wetlands, etc.):
Primarily forested residential
19. Current condition of Site (buildings, brush, open field, forest): Phase I ,
two duplexes with garages . Phase II , forested .
20. Current Sewage Disposal System (condition, type, tank size, location).
Condition to be determined by inspection of system by appropriate authorities.
two each
Two each at 30 ft . x 40 ft . ( at 250 1N leach fields , 2 at 1250
gal - septic ,tanks . Both systems located at rear of duplexes .
Both systems 14 months old . Inspected 9/22/87 , by Queensbury
Building & Codes Department .
IF this site plan is within 500 feet of a body of water and involves the addition of
bedrooms and/or bathrooms, the Board requires certification that the septic system
is adequate to handle the addition. This certification can be obtained from
information provided by the installer or by an engineer.
21. Proposed Sewage Disposal System (type, tank size, location): Each duplex
to be serviced by a 1250 gal . septic tankwd/box and 30 ft . x
42 ft . ( 250 IN leach field . Located at rear yard of
buildings . Single family dwelling - one 1 , 000 gal . septic
tank with 6 laterals of min . at 21 ft . ( 126 if leach field ) .
22. 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.
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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 32-2-12.3, the 32 indicates Section Number 32. The Section
Number appears in the lower right hand corner of the map. Once you are on 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.
* The property owners listed
NORTHERLY: below are to the west side
of Corinth Road :
Tax Map Number:
SR- 1A 125-2-18
Zone: SR- 1A
Warren County R . O .W. Joanna & Winslow McGuire
Name: RD #2 Corinth Road
Location:
County Road 28 Queensbury , NY 12801
_
125-2-19
SR- 1A
William G . & Laurene A .
SOUTHERLY: Ringer
RD #2 Corinth Road
Tax Map Number: ly8 - I - I Queensbury , NY 12801
Zone: SR- 1A 150- 1 -4 . 1
Name: Niagara Mohawk Power Corp . 125-2-20 , 20 . 1 , 21 , 22
R- 1A
12 Maple Street Kathy & Elizabeth Naatz
Location: RD #2 Corinth Road
Glens Falls , NY 12801 Queensbury , NY 12801
125=2-20 . 2 , 22 , 22 . 1 ,
EASTERLY: 23 , 24 . 1 , 36
150- 1 - 18 SR- 1A
Tax Map Number: Starburst Development Co . ,
SR- 1A Inc .
Zone: P . O . Box 76
Name:
Guy & Beatrice Bevins Glens Falls , NY 12801
Location: Queensbury , NY 12801
WESTERLY:
Tax Map Number: 1 50- 1 - 1 4 . 1
Zone: SR- 1A
Name: John & Debra Girard
Location: 68 Grant Avenue
Glens Falls , NY 12801
Tax Map Number : 150- 1 -23
Zone : SR- 1A
Name : Curtis & Elaine Madison
Location : Corinth Road
Queensbury , NY 12801
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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.
All maps must be folded to an 8% 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 5.041 Application and Fees for Site Plan Review Approval. In addition to
the fee listed on the schedule of fees, the Planning Board may charge a fee
to 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)
Please return the original application with all pages intact.
Applicant please initial
Signature of Applic t
76
Signature of Agent
Dated this C.J day of Ocf j year
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QUEENSBURY PLANNING BOARD CHECKLIST
THE SITE PLAN: Draw to scale (preferably 1 inch = 40 feet or less) a detailed description
of the proposed site.
Items A through J must be included on the Site Plan drawing.
Items K through Z shall be included on the site plan if applicable.
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.
H. Location of existing and proposed sewage disposal facilities including lot line,
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.
I. Location and description of existing public or private water supply.
J. Description of the method of securing public or private water and location, design
and construction materials of such facilities.
K. Proposed maximum daily water usage in gallons per day.
L. Location and design of all existing and proposed parking and loading areas, showing
driveways, ingress, egress, handicapped parking and curbing. For proposed parking
and loading areas, include design details, construction materials and dimensions.
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
proposed new paved space 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
improvements including drains, culverts, retaining walls and fences.
P. Location of fire and other emergency zones, including the location of fire hydrants.
Q. Location of all existing and proposed energy distribution facilities and other utilities,
including electrical, gas, solar energy, telephone, etc. For proposed facilities, include
design details and construction materials.
R. Location, setbacks and size of all existing and proposed signs, including design and
construction details of proposed signs.
S. Location and proposed development of all buffer areas, including existing vegetative
cover and screening of storage or refuse areas.
T. Location and design of all existing and proposed outdoor lighting facilities.
U. Identification of the location and amount of building area proposed for retail sales
or similar commercial activity.
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V. General landscaping plan and planting schedule, including existing trees over 3 inches
in diameter.
W. Grading and stormwater management plan, showing existing and proposed contours
and including drainage calculations.
X. Percent of lot which is presently permeable, including composition of ground cover
(grass, shrubs, gravel, etc.)
Y. Percent of lot which is proposed to be permeable, including composition of ground
cover.
Z. Other elements integral to the proposed development as considered necessary by
the Planning Board and staff.
Applicant please initial tz
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14-164(2/97)—Text 12
PROJECT I.D.NUMBER 617.21 SEQ R
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. APPLICANT/SPONSOR 2. PROJECT NAME
Richard Rozell , Jr . Foothills Apartments
3. PROJECT LOCATION:
Municipality Town of Quesaabury county Warren
♦. PRECISE LOCATION(Street address and road Intersections,prominent landmarks,etc.,or provide map)
Please see attached map .
6. IS PROPOSED ACTION:
❑New M Expansion ❑Modllicalionlalleratlon
6. DESCRIBE PROJECT BRIEFLY:
2 phase , 4 duplex , 1 single family dwelling rental apartment complex
( total 6E 9 rental units ) sited on 7 . 69 acres . Phase I ( 2 duplex )
completed 1987 •
7. AMOUNT OF LAND AFFECTED:
Initially 2 . 2 5 acres Ultimately 7 • 6 9 acres
a. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS?
®Yes ❑No If No,describe briefly
a. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT?
®Residential ❑Industrial ❑Commercial ❑Agriculture ❑Park/Forest/Open space ❑Other
Describe:
Many older homes and several newer subdivisions in area .
General area wooded and/or open fields .
10. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL,
STATE OR LOCAL)?
0 Yes ❑No If yes,list agency(s)and permlUapprovals
Town of Queensbury - building permits
11• DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
®Yes ❑No If yes,list agency name and permiUapproval
Town of Queensbury Planning Board approval , Phase I ( SPRII No . 87-16 )
12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION?
❑Yes ®No
1 CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Applicant, onsor a k
hard S . Morse , P . E . Date: Zl�
Signature:
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
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PART II—ENVIRUNMENTAL ASSESSMENT (To be completed by Agency)
A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617.127 If yes,coordinate the review process and use the FULL EAF.
❑Yes ❑No
B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative declaration
may be superseded by another Involved agency.
El Yes ❑No
C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,If legible)
C1. Existing air quality, surface or groundwater quality or quantity noise levels, existing traffic patterns, solid waste production 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 habitats,or threatened or endangered species? Explain briefly:
C4. 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 action?Explain briefly.
CIS. Long term,short term,cumulative,or other effects not Identified In C7•C5?Explain briefly.
C7. Other Impacts(including changes In use of either quantity or type of energy)?Explain briefly.
0. IS 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 (To 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; (d)
Irreversibility;(e)geographic scope; and (f)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 andlor 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
Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Office,
Signature o Responsi e Officer in Lead Agency Signature of Preparer(it different from responsible officer)
Date
2
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TOWN OF QUEENSB URY
AUTHORIZATION
"TO ACT AS AGENT FOR"
Richard Rozell , Jr . Corinth Road
I. ............................................... seHT-T/owner of premises located at ........................................
150- 1 -20 Richard S . Morae , P . E .
Tax Map Number hereby designate ........................................................
as my agent regarding an application for:
Site Plan Review
................................................................................................................................................
(Sut7divisien) (Site Plan Review) (V7a an*e�
of the above premises.
673 842
Deed Reference Book ............ Page ........... Date ...................
Does the above parcel represent owner's entire contiguous holdings? Please attach explanation.
Signed . ........
10/26/88
Date ..........................................
i_Cl_—
TOWN OF QUEENSBURY
"The parties hereto consent that the proceedings which result from the within
application may be taped 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."
DATE: October 26 , I988
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(Applicant's Signature TIP ( �
BAY AT HAVILAND ROAD
QUEENSBURY, NEW YORK, 12801
FOR OFFICE USE ONLY: TELEPHONE: (518) 792-5832
Application Number:
Applicants Name: ,
SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOD PLACE TO LIVE