Application Je
General Information
Application No.(Office Use Only)
Project Location: �euGe lQg .�c , CJ� o�'f 'Zes�
Tax Map UP - -
Zone Classification: N-L 1 A A 3
Detatled Description of Project:
(include current& proposed use): Use of existing former construction vehicle
maintenance arld repair'bullding for boat engine repair _
Applicant: I 9t *Sae,
Address:
�as�' r rr.lsush 7.(Y 120Gf
Home Phone: ZZ- R94D
Work Phone/Fax: Ly-t R -34-6
Applicant's Agent: Le -P
Address: /(py 4ao' +.d 2�a�
(Dur..Nrbw.� l,[y lZlre4
Home Phone: StS= 745- 44do
Work Phone/Fax: 7?L-8 S'll
Property Owner. S 0 mr- a c NV V LL C,& �-l.
Address:
Home Phone:
Work Phone/Fax:
Y
Directions to Site: �� ��d ✓i•'
•
Site Development Data
Area!Type Existing sq. ft. Proposed Addition Total sq. ft.
sq.ft.
A-Building Footprint
z5o � 10,003
B. Detachedriarage I _
..+'i Cko b ek �nt�Vjej
C. Accessory Structure(s)
.0%ola�Al - — iKi6,d.a
D. Paved,gravel or other
hard surfaced areas 2$ 4 i q 4 7_3
E. Porches I Decks
F. Other
Total Non-Permeable
(SumAthrough 55 L o 54 _34
Parcel Area
4-40 a 4Yo t7So dg0 O5o
Percent Non-Permeable
otal Non-PmneahlwVwcd A=) .lR ?a 3.9A Z l•07`Z
Setback Requirements
Required Existing Proposed
Front 1 _A 1 LSS
Front 2 • o 0
il
Shoreline
Side Yard 1 S s t Zo
Side Yard 2 we41- Zo N 04 480
Rear Yard l
Rear Yard 2
Buffer 1 Travel Corridor 5 S Z3
Height 4o 3 o:t Z .
Permeability o `Pe1 G( Z. f5 Z. I $G.9 76
Signature Page
This Page cialudes the Authorization to Act as Age ii Fonn, Frigaming Fee Diseloaut, Otrw Permit
Rag msibilkiss and Ayrsament to provide dvctm madiea required.
Complete the fbllOwms irthe $oftbe property s aetthe same as Sher appticwc
Owner's Apsit Form
Owner.
Dasigrates:
As'Igr+t ropf ra Vuirt«_Sae P1srt Sabdtviuon
For Tax MWNo.: —SeWm stook `Lot
DeadRslMnoe _Hook Fop —Oats
SIGNATURE: (O.met) (Dhte)
Cempiete der tbilwArIng If the APPLICANT is Unable to good the rt eaft or wishes to be mpr maw by
another .ptatlr
Applicant's Agent Forat
CKTM' `�r '-t ,�wA bR aratro4 aT✓vL
Deel(j7itMf Aleoe SntMKr.
Reagan rcaand as Varunce Ske Plan lidUvision
For Ter.Map No.: M Section _y Block f Let
SIGNATURE: (Q%Wr) (Due) �—
Er ZngrinL Foy Disefware: gpphptms may be referred to tht Tows vanw1:4 angieeer fbr review of
serene deign, rtam drairsat, etc u dearmirud by the Zcdag Or Plmafag DepaRahncL Few for
agineoring review tarvices will bit chased dkactly to the applicant Fees for mgacering review aria sot
exceed SI ODO without nadicauem tote applicant
!tease Nate: Oom permits uoy bo rernhired for wnsRuctiw a ahmstim activity mbnqu ott to approval by
the Zmutg Bard a llaonata Boetd haft apphcrwt's rnpmsibdkvte obtam wyadditimal peesmo.
Ql�ial Meetipa MhMM Discbsase: Its the practice ortho Conummay Dew)apmenI putt.to have a ..
ehsiprated suaoarapli"tape recordthe pioesodinas ofm comp resubing buns appticeioa,and"raiment
Uncombed fmm Shona Upss cm*bA*this effiosl record of all pros WUW If tbera is a dsorapaney
between such record and the he idwrinsa wtomas taken by the destgrraad craoar*w, the hendwriam
minutes shall be doomed the official rward.
I,tbe amkrsigr"have thoroughly read rand anderatsod the orrdrudiom for sobatiaeieth"to the
aabmiaeiou regairemato road mmpkted the ebeoidist.
69
SIGNATURE OP APPLICANT: �_.pate G ZG v f
SiONATURB OF
MAR 25 2002 4:21PM H HSERJET 3200 • p. 3
Site Development Data
Area/Type Existing sq. ft. Proposed Addition Total sq. ft.
sq. ft.
A-Building Footprint
e'L"1S3 IL-So 01005
B. Detached Garage
h d.bAL
C. Accessory Structure(s)
D. Paved,gravel or other
hard surfaced areas ZS 4-1 Al 4 L3
E. Porches/Decks
F. Other
Total Non-Permeable
(Sum Athrough 35 Z.Z. 6 54 Z34-
Pazcel Area
4A o 0 4rm oSo A10 OS o
Percent Non-Permeable
(rota)Non-Penneableffto:i Area) .lg ?a 3. 88 Z.
Setback Requirements
Required Existi Proposed
Front 1 _y LDS
Front 2 o e
Shoreline
Side Yard 1 SotVL ZS S�!
Side Yard 2 we4 20 A 480
Rear Yard 1
Rear Yard 2
Buffer/Travel Corridor 5 y z 3
Height 4-0 3 0= I Z
Permeability $G.9 Za
MAR 25 2002 4: 21PM H�RSERJET 3200 • PAGE 03 p• 4
❑W4014vul ac:<< Ola-Dlln
6-26-2wl 3.02Pm FROM STEVES/WiCE/et1LLER 578 792 a51 r P. 2
Signature Page
This Fag* atri der the Aud+aeiradoa to Aix as Agent Foam, Rims utY Fee Discloam. Other Peema
Retpossibilitia mW Agtreman to provide dvnsnmtatim required.
Caupkta 1ho faRowmg tf%I 93nmB ofthe property is=the same as the applieem
Owner's Agmt Form
Owner
DesiprAm
AsrgetKngerdstg _Variance Sin Fun Subdmsm
Por Dead ax No.; _Boo Seaka Pa wDa`
Daft
SKtNATURE: (Owner) (Data)
Comp*e the fatlWAring if tba APPLICANT is rmabA to aaead the mew or wisbes to be ropmeraod by
wKx wrparty:
Applicmt's Agent Form
Owner' :.1
Dacignata: _ ace Fi Fyaer..tc ?L.of.•°mint
As agatt regarding Venana Site Plan , bdivision
For Tax Map No.: A&Saaion I Block Z�r Cot
SIGNATURE: (Owner) (Date)
E Fts DiedMlj: Appltar u my be referred to llta Tom conwkitg an me i for misty of
septic dais storm drahup. dc. n determined by the Zoning or Planning DspaRaunc Pea for
eagiraec ng renew tern ces will be cdatged directly to the applioat Foes for mgnsveritig review will am
oueedSI,000vridwrano[ifio[ientotheapptieam
dense)Yarn: Other peratits noy be required for wmCuctm or alteration activity stdtsequ m to apptmd by
the ZOOM Banda Flmnmg Brad, k lathe applurara's ngaatdbdldtyte vbtayLenyad&Umal patrmb.
Q6�igt Mretiaa 1rluutee Detbeen: k u the practice of rho Comaumdty Developmaa Dept m have s
3sipuaad atetegtepMt ape tacordthe proceadasg:of meetarp raukisg 4arr trppiineioa,and that mimsas
tmwmbd fmaa those taps ooastinsw the official record of all promedatgr if dwre is a discrepancy
brtwm such rmxd and the handwaiaae nmtoua taken by the desipnad rtenepapher,the hanihmam
minutes shall be deemed the official rauwd.
1,the wnderftned,bsve tbvrou=hiy read and uuderyeaad the oxkvstiom for soba"on,agree to tbt:
ssbminioa mquircmeaa end compkted the deeeklist.
m
SIGNATUREOFAPPLIGANT: pate G Z(. pi'
SIGNATURE Of&}Fib: Dice L lt4lo r
Form*996
Pzji I.D.Nurna50.
SEQR
j 617 . 21
Appendix F
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- RT 149 BOAT DISPLAY/SALES
J & J MANAGEMENT ASSOC. INC.
3 . PROJECT LOCATION: WARREN
MUNICIPALITY:TOWN OF QUEENSBURY COUNTY
4 . PRECISE LOCATION (STREET ADDRESS AND ROAD INTERSECTIONS, PRCNINENS LANMAAR%S, ETC., OR PROVIDE MAP)
INTERSECTION STATE ROUTE 149 AND WALKUP CUTOFF
5 . IS PROPOSED ACTION: 1
NEW _ EXPANSION X MODIFICATION/ALTERATION
6 . DESCRIBE PROJECT BRIEFLY: USE OF EXISTING FORMER CONSTRUCTION VEHICLE MAINTENANCE
AND REPAIR BUILDING FOR BOAT ENGINE REPAIR
7 . AMOUNT OF LAND AFFECTED:
INITIALLY 1 . 8 ACRES ULTIMATELY 1 . 8 ACRES
8 . WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS?
X YES _ No IF NO, DESCRIBE BRIEFLY:
9 . WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT?
X RESIDENTIAL _ INDUSTRIAL X COMMERCIAL _X AGRICULTURE _ PARK FOREST OPEN SPACE _ OTHER
DESCRIBE: MIX OF RESIDENTIAL AND HIGHWAY COMMERCIAL
10 . DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL
AGENCY (FEDERAL, STATE OR LOCAL) ?
YES X No IF YES, LIST AGENCY(S) AND PERMIT/APPROVALS
11 . DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID A PERMIT OR APPROVAL?
X YES _ NO IF YES, LIST AGENCY (S) AND PERMIT/APPROVALS
SITE PLAN APPROVAL RECEIVED 2001
12 . AS A RESULT OF PROPOSED ACTION, WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATIONS?
X YES _ No PRIOR SUBDIVISION APPROVAL MODIFICATION OF SITE PLAN APPROVAL
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
APPLICANT/S pop sczNAME: J & J MANAGEMENT ASSOC INC DATE: MARCH 2002
S I GNATURE: '' c� .d9I66IC
If the action is in the Coastal Area, and you are a state agency, complete the
Coastal Assessment Form before proceeding with this assessment
1