APAALLUP Variance Referral Information
APA LOG # LV 2021-0101
TOWN VARIANCE #AV58-2021
APPLICANT West
NOTES Tear down rebuild w/ attached garage -
Property setbacks, access from adjoining lot,
stormwater device <100ft from SL
Tax#226.15-1-16
Tax#.--.
Date Received**
2022-03-01
Date of Pre-Ap
2021-10-05
Date Additonal Info
Date Response
OTHER APA TRANSACTIONS
LV2010-18, LV2021-0056, LV2021-
0100
Date Response Due*
Thursday, March 31, 2022
Status/Action
pending
SHORELINE DENSITY OTHER TOWN REQUIREMENTS USEAPA STATUTE PROVISION
HA MI LI RU RM IU UNKAPA Land Use Area NEEDS AN APA PERMIT
*Please note the Agency's 30-day review period begins upon receipt of the complete variance record.
(Additional information may be required by staff in order to complete review)
ATF – After The Fact
BLA – Boundary Line Adjustment
NC – Non-conforming
OSWTS - On-site Wastewater Treatment
System
PB – Principal Building
SFD – Single Family Dwelling
SL – shoreline
SEPTIC
Warren County
TOWN Queensbury
Town Town of Queen
** Note referrals received by the Agency after 3pm will be date stamped for the next business day.
Town of Queensbury - Variance Referral to APA
Agency-approved Local Land Use Program Referral
Please use this form as a cover sheet for any correspondence associated with a variance referral to the
Adirondack Park Agency as provided for in the Town's Agency-approved Local Land Use Program.
Send this cover sheet& variance referral record to:
Adirondack Park Agency,`/o Local Government Services,PO Box 99,Ray Brook,NY 12977
or fax to: (518) 891-3938 or email*to: LocalGovernment@apa.ny.gov
From: /YCUG 3Tvwll. _ Title: Date Sent: --3 1 Ob }
The Adirondack Park Agency is hereby notified of the receipt of a variance referral record.
Applicant(s): 7ye14- 4- pCc melt Par.Application #:Al 58-<9aP,)L
Parcel(s) A2 6, /S=-1 - /(,:, (tax map#)
For: N Area Variance ❑ Use Variance ❑ Septic Variance
Local Zoning District(s): APA Land Use Areals): ❑ Unknown
1 ❑ Hamlet ❑ Moderate Intensity Use ❑ Low Intensity Use
(�lJ ❑ Rural Use ❑ Resource Management ❑ Industrial Use
The variance involves (check all that apply):
❑ Shoreline Setback ❑ Density ® Front/Rear/Side/Road Setbacks
❑ Shoreline Lot Width ❑ Lot Size ❑ Road Frontage
❑ Dock/Boathouse ❑ Structure Height ❑ Maximum Lot Coverage
❑-Other Shoreline Requirements ❑ Other:A ceP5q-4-o,,-,
(ess +1,—, Id o fit.
The attached correspondence contains:
12"Notice of Application 2"Applicatijon Materials 2'Meeting Minutes
L/Record of Decision/Decision Date: !'Granted ❑Denied
Denied variances do not need to
❑ Postponed/Tabled (until: ) be referred to the Agency
Thank you for your assistance in helping to keep the variance decision record complete.
For Agency Use: Agency Date Stamp—Received:
Log#: LV
Cross References:
*Note referrals submitted via email may require follow-up with paper copies. Revised:8/2017