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ApplicationSite Plan Review Revised June 2009 General Information Tax Parcel ID: 302.9-1-1 & 3 Zoning District: NR Current Use: Plumbing & Heating Shop or Similar Uses Proposed Use: Conversion of existing building to Medical Office and one Apartment Location of project: 310 Dixon Road, Queensbury, New York Applicant Name Paul Schuerlein Teri Schuerlein Address: 162 Palisades Road Brant Lake New York 12815 Home Phone Cell: (518) 365-8994 Work Phone Fax E-Mail: tchuerlein@nbtbank.com Agent's Name: Michael J. O'Connor Address: 19 W. Notre Dame St, PO Box 898 Glens Falls New York 12801 Home Phone Cell: (518) 796-8822 Work Phone (518) 792-8728 Fax (518) 792-6972 E-mail mjoconnor@littleoconnor.com ADDITIONAL AGENTS: G. Thomas Hutchins, P.E. Paul L. Dowen CPA Owner's Name: SAME AS APPLICANT Address Home Phone Cell Work Phone Fax E-mail Town of Queensbury Planning Office- 742 Bay Road • Queensbury, NY 12804 • 518-761-8220 2 Site Plan Review Revised Tune 2009 Site Development Data Area / Type FAsting sq. ft. Proposed Total sq. ft. Add0h s .» A. Building footprint Z�Z i V"1Z1 B. Detached Garage 1 g3 TOD C. Accessory Structure(s) D. Paved, gravel or other hard surfaced area 197 I U 5/ 7953 E. Porches / Decks 6Z z —622 D F. Other G. Total Non -Permeable [Add A-F] [ H. Parcel Area 143,560 sq. ft. / acre] 25161 U 25161 I. Percentage of Impermeable Area of Site [I=GM] 27.6 % 16.0 °To Setback Reauirements Area Required Existing Prgoposed Front [1 ] t 2 1. y Front [2] Shoreline Side Yard [1] r to �9.3 f G9.3 Side Yard [2] Rear Yard [1] JCf ZR �f Rear Yard [2] Travel Corridor Height [max] qo r I 3f1 t Permeability 35% Z� L/ 70 . y47o No. of parking spaces o 81 3 Town of Queensbury • Zoning Office • 742 Bay Road • Queensbury, NY 12804.518-761-8238 Site Plan Review Revised June 2009 Additional Project Information 1. Will the proposal require a Septic Variance from the Town Board of Health? No 2. If the parcel has previous approvals, list application number(s): Use Variance 77-1997 3. Does this project require coverage under the NYS DEC Stormwater Pollution Prevention Program? No 4. Estimated project duration: Start Date 1/30/2014 End Date 3/31/2014 5. Estimated total cost of project: $407,360.00 6. Total area of land disturbance for project: $13,167.00 Floor Area Ratio Worksheet N/A 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 District Symbol Floor Area Ratio [FAR] Waterfront Residential WR 0.22 Commercial Moderate CM 0.3 Commercial Intensive CI 0.3 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. Parcel Area sq. ft. Existing Floor Area s . ft. see above definition Proposed Additional Floor Area s . ft. Proposed Total Floor Area s . ft. Total Allowable Floor Area Area x see above table Town of Queensbury Planning Office- 742 Bay Road • Queensbury, NY 12804 • 518-761-8220 4 Site Plan Review Revised June 2009 § 179-9-060 Reauirements for Site Plan Approval. The Planning Board shall not approve a Site Plan unless it first determines that such site plan meets the following Standards. Please prepare responses to each of the following topics. STANDARDS A. The proposed project furthers or is consistent with the policies of the Tom's Comprehensive Plan. B. The proposed project complies with all other requirements of this Chapter, including the site plan review standards as set forth in Paragraph F of this section, the dimensional, bulk, and density regulations of the zoning district in which it Is proposed to be located (Article 3 and Table 1). the applicable requirements of all other Articles that apply. C. The site plan encourages pedestrian activity internally and, if practicable, to and from the site with pedestrian paths or sidewalks connected to adjacent areas. D. The site plan must conform to Chapter 136 Sewage and Sewage Disposal, Chapter 147 Stormwater Management Local Law, and other applicable local laws. E. the proposed use shall be in harmony with the general purpose or intent of this Chapter, specifically taking into account the location, character and size of the proposed use and the description and purpose of the district in which such use is proposed, the nature and intensity of the activities to be involved in or conducted in connection with the proposed use and the nature and rate of any increase In the burden on supporting public services and facilities which vrill follow the approval of the proposed use. F. The establishment, maintenance and operation of the proposed use will not create public hazards from traffic, traffic congestion or the parking of vehicles and/or equipment or be otherwise detrimental to the health, safety or general welfare of persons residing or working in the neighborhood or to the general welfare of the town. Traffic access and circulation, road Intersections, road and driveway widths, and traffic controls will be adequate. G. Off-street parking and loading facilities will be appropriately located and arranged and sufficient to meet traffic anticipated to be generated by the new use. The establishment of vehicle links between parking areas of adjacent properties are provided where feasible. This furthers the Town's goal of reducing curb cuts and reducing congestion. A twenty -foot wide connection is required. If adjacent properties are either undeveloped or previously developed without having made provision for future linkage, then a future connection must be Identified and provided for in the site plan under review for such future linkage when the time arises. The Planning Board may require proof that the applicant has made contact with adjacent property owners for purposes of coordinating linkages with adjacent properties. H. The project shall not have an undue adverse impact upon the natural, scenic, aesthetic, ecological, wildlife, historic, recreational or open space resources of the town or the Adirondack Park or upon the adequate provision of supporting facilities and services made necessary by the project, taking into account the commercial, industrial, residential, recreational or other benefits that might be derived from the project. In making the determination hereunder, the Planning Board shall consider those factors pertinent to the project contained in the development considerations set forth herein under § 179-9-080 of this chapter, and in so doing, the Planning Board shall make a net overall evaluation of the project in relation to the development objectives and general guidelines set forth in § 179-9-080 of this Article. I. The provision for and arrangement of pedestrian traffic access and circulation, walkway structures, control of intersections with vehicular traffic and overall pedestrian convenience shall be safe and adequate for pedestrian movement. Pedestrian connections between adjacent sites shall be provided to encourage pedestrian use. J. Stormwater drainage facilities will prevent an increase of post development drainage flows as compared to pre -development drainage flows. Drainage of the site shall recharge ground water to the extent practical. Surface waters flowing off -site shall not degrade any streams or adversely affect drainage on adjacent properties or public roads. Facilities shall be in conformance with the drainage standards of Chapter 147 of the Town Code and the Town of Queensbury Subdivision Regulations where applicable. K. The water supply and sewage disposal facilities will be adequate and will meet all applicable and current requirements set forth by Department of Health regulations and Chapter 136 of the Town Code. L. The adequacy, type and arrangement of trees, shrubs and other suitable plantings, landscaping and screening shall effectively provide a visual and/or noise buffer between the applicants and adjoining lands, including the maximum retention of existing vegetation and maintenance, including replacement of dead or deceased plants. M. Fire lanes, emergency zones, and fire hydrants vdil be adequate and meet the needs and requirements of emergency service providers. N. The design of structures, roadways and landscaping in areas susceptible to ponding, flooding and/or erosion will minimize or avoid such impacts to the maximum extent practicable. O. The site plan conforms to the design standards, landscaping standards and performance standards of this chapter. Town of Queensbury Planning Office- 742 Bay Road - Queensbury, NY 12804 • 518-761-8220 5 Site Plan Review Revised June 2009 § 179-9-050 Application for Site Plan Review Application for site plan approval shall be made to the Planning Board using forms supplied by the Board. Appl ication materials and the site plan shall include sufficient information for the Board to make its findings under § 179-9-070 and 179-9-080 below. In determining the content of the site plan and supporting documentation, the Planning Board may waive certain requirements if the Planning Board deems such requirements or information unnecessary for the type of project proposed. Any such waiver shall be made in writing, and shall contain statements of the reasons why the waived information requirements are not necessary for an informed review under the circumstances. The Planning Board may grant such waivers on its own initiative or at the written request of an applicant Such request shall set forth the specific requirements that are requested to be waived and the reasons for the requested waiver. Absent any waiver or waivers, an application for Site Plan Review shall include the following: Shown REQUIREMENTS on Sheet A A vicinity map drawn at the scale that shows the relationship of the proposal to existing community facilities which affect or serve it, such as roads, shopping areas, schools, etc. The map shall also show all properties, identify owners, subdivisions, streets, and S-2 easements within 500 feet of the property. Such a sketch may be superimposed on a United States Geological Survey map of the area. B The site plan shall be drawn at a scale of forty feet to the inch (1" = 40 feet) or such other scale as the Planning Board may deem appropriate, on standard 24" x 36" sheets, with continuation on 8%2" x 11" sheets as necessary for written information. The S-2 Information listed below shall be shown on the site plan and continuation sheets. C Name of the project, boundaries, date, north an=, and scale of the plan. S-1 D Name and address of the owner of record, developer, and seal of the engineer, architect, or landscape architect. If the applicant is not the record owner, a letter of authorization shall be required from the owner ALL E The location and use of all existing and proposed structures within the property, Including all dimensions of height and floor area, all exterior entrances, and all anticipated future additions and alterations. ALL F The location of all present and proposed public and private ways, off-street parking areas, driveways, outdoor storage areas, sidewalks, ramps, curbs, paths, landscaping, walls, and fences. Location, type, and screening details for all waste disposal S-1 containers shall also be shown. G The location, height, intensity, and bulb type (sodium, incandescent, etc.) of all external lighting fixtures. The direction of illumination and methods to eliminate glare onto adjoining properties must also be shown in compliance with §179-6-020. WAIVER H The location, height, size, materials, and design of all proposed signs. S-2 The location of all present and proposed utility systems including: 1. Sewage or septic system; 2. Water supply system; S-2 3. Telephone, cable, and electrical systems; and S-3 4. Storm drainage system including existing and proposed drain lines, culverts, catch basins, headwalls, endwalls, hydrants, manholes, and drainage swales. J Plans to prevent the pollution of surface or groundwater, erosion of soil both during and after construction, excessive runoff, and flooding of other properties, as applicable. A Stomnwater Pollution Prevention Plan (SWPPP) for all land development activities (excluding agricultural activities) on the site that results In land disturbance of 1-acre or more. A SWPPP shall comply with the N/A requirements of the DEC SPDES MS-4 General Permit and Chapter 147 of the Town of Queensbury Code. It shall be at the discretion of the Planning Board as to whether a SWPPP or an erosion and control plan shall be required for a site plan review project land disturbance of less than 1-acre. K Existing and proposed topography at two -foot contour intervals, or such other contour interval as the Planning Board shall allow. All WAIVER elevations shall refer to the nearest United States Coastal and Geodetic Bench Mark. If any portion of the parcel is within the 100. year floodplain, the area will be shown, and base flood elevations given. Areas shall be indicated within the proposed site and within S-2 50 feet of the proposed site where soil removal or filling is required, showing the approximate volume in cubic yards. L A landscape plan showing all existing natural land features that may influence the design of the proposed use such as rock outcrops, stands of trees, single trees eight or more Inches in diameter, forest cover, and water sources, and all proposed changes to these WAIVER features including sizes and types of plants. Water sources include ponds, lakes, wetlands and watercourses, aquifers, floodplairs, and drainage retention areas. M Land Use District boundaries within 500 feet of the site's perimeter shall be dram and identified on the site plan, as well as any S-2 Overlay Districts that apply to the property. Town of Queensbury Planning Office- 742 Bay Road • Queensbury, NY 12804 • 518-761-8220 6 Site Plan Review Revised June 2009 N Traffic flow patterns within the site, entrances and exits, and loading and unloading areas, as well as curb cuts on the site and within 100 feet of the site. The Planning Board may, at its discretion, require a detailed traffic study for large developments or for those in heavy traffic areas, which shall include: 1. The projected number of motor vehicle trips to enter or leave the site, estimated for weekly and annual peak hour traffic levels; S-2 2. The projected traffic flow pattern including vehicular movements at all major intersections likely to be affected by the proposed use of the site; 3. The impact of this traffic on levels of service on abutting public streets and at affected intersections. Existing and proposed weekly and annual peak hour traffic levels and road capacity levels shall also be given. O For new construction or alterations to any structure, a table containing the following information shall be included: 1. Estimated area of structure to be used for particular purposes such as retail operation, office, storage, etc.; 2. Estimated maximum number of employees; S-2 3. Maximum seating capacity, where applicable; and 4. Number of parking spaces existing and required for the intended use. P 1. Floor Plans. 2. Elevations at a scale of one -quarter inch equals one foot (114" = i foot) for all exterior facades of the proposed structure(s) and/or A-1 alterations to or expansions of existing facades, showing design features and indicating the type and color of materials to be used. Q Soil logs, water supply well and percolation test results, and storm runoff calculations, as needed to determine and mitigate project N/A impacts. R Plans for disposal of construction and demolition waste, either on -site or at an approved disposal facility. Approved by DEC S Plans for snow removal, including location(s) of on -site snow storage. S-2 T An Environmental Assessment Form ("EAF"), as required by the SEQRA regulations, with Part 1 completed by the Applicant shall be submitted as part of the application. if the proposed project requires a special use permit and an EAF has been submitted in X conjunction with a special use permit application, a duplicate EAF is not required for the site plan application.. l) If an application is for a parcel or parcels on which more than one use is proposed, the applicant may submit a single application for all such uses provided the proposed uses are accurately delineated on a site plan dram pursuant to the requirements set forth above. The Planning Board may grant the application with respect to some proposed uses and not others. For purposes of X reviewing an application (and for SEQRA compliance) all proposed uses on a single parcel or on contiguous parcels shall be considered together. V A brief narrative statement on how the project proposed for review furthers or is consistent with the vision, goals and policies in the X Tom's Comprehensive Plan. Town of Queensbury Planning Office- 742 Bay Road • Queensbury, NY 12804 • 518-761-8220 7 Site Plan Review Revised June 2009 Pre -Submission Conference Form r179-4-0401 1. Tax Map ID 302.9-1-1 & 3 2. Zoning Classification NR 3. Code Reference for Review: Site Plan 4. Ordinance Reference #: 5. Pre -Submission Meeting Notes; Outstanding Items To Be Addressed Include: Deed _ Yes No General Information complete Yes _ No Site Development Data Complete _ _ Yes _ Setback Requirements Complete _ Yes —No Additional Project Information Complete _ Yes —No No 'Coverage under DEC SWPPP Program _ Yes _ FAR Worksheet complete _ Yes —No Standards addressed _ Yes —No Checklist items addressed _ Yes —No Environmental Form completed _ Yes —No Signature Page completed _ Yes —No —No 'Applicant must Provide office with Notice of Intent (NOI)7 SWPPP Acceptance Form DEC letter issuing permit number Notice of Termination (NOT) Staff Representative: Applicant / Agent: Date: Town of Queensbury Planning Office- 742 Bay Road • Queensbury, NY 12804 - 518-761-8220 8 Site Plan Review Revised June 2009 Signature Page This page includes the 1.) Authorization to Act as Agent Form: 2.) Engineering Fee Disclosure; 3.) Authorization for Site Visits; 4.) Other Permit Responsibilities; 5.) Official Meeting Disclosure and 6.) Agreement to provide documentation required. OWNER's AGENT FORM: Complete the following if the OWNER of the property is not the same as the applicant Owner: Designates: As agent regarding: —Variance — Site Plan_ Subdivision For Tax Map No.: _ Section _ Block _ Lot Deed Reference: _ Book _ Page Date SIGNATURE: DATE: APPLICANT'S AGENT FORM: Complete the following If the APP41Ql� T is n e e m tin or wishes to be represented by another party: Owner: �� Designates: Mrci)ael S. O'Conrna-,- As agent regarding: Variance �X Sfte Plan _ Subdivision For Tax Map No.: 3 Section f � Block 1-3 Lot 1 Iy 515cr7 ; IZI,I I22-'7 Deed Referpep Book Page Date OWNER SIGNATURE: '/, -- DATE: Z 15 13 2.) ENGINEERING FEE DISCLOSURE: Applications may be referred to the Town consulting engineer for review of septic design, stone drainage, etc. as determined by the Zoning or Planning Department Fees for engineering review services will be charged directly to the applicant. Fees for engineering review will not exceed $ 1,000 without notification to the applicant. 3.1 AUTHORIZATION FOR SITE VISITS: By signing this page and submitting the application materials attached herein, the Owner, Applicant, and his/her/their agent(s) hereby authorize the Zoning Board or Planning Board and Town Staff to enter the subject properties for the purpose of reviewing the application submitted. 4.) OTHER PERMIT RESPONSIBILITIES: Other permits may be required for construction or alteration activity subsequent to approval by the Zoning Board or Planning Board. It is the applicant's responsibility to obtain any additional permits. 6.) OFFICIAL MEETING MINUTES DISCLOSURE: It is the practice of the Community Development Department to have a designated stenographer tape record the proceedings of meetings resulting from application, and minutes transcribed from those tapes constitutes the official record of all proceedings. 6.) AGREEMENT TO PROVIDE DOCUMENTATION REQUIRED: I, the undersigned, have thoroughly read and understand the instructions for submission and agree to the submission requirements, I acknowledge no construction activities shall be commenced prior to issuance of a valid permit I certify that the application, plans and supporting materials are a true and complete statement/description of the existing conditions and the work proposed, and that all work will be performed in accordance with the approved plans and in conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents, will obtain a certificate of occupancy as necessary. I also understand that I/we may be required to provide an as -built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a cerfificate of occupancy I L e read a s ree to the Signature [Applicant Signature [Agent] Tev-; A Sji ev1eAr, Print Name [Applicant] Print Name [Agent] [ 2 13 / Date sighed Date signed Town of Queensbury Planning Office- 742 Bay Road • Queensbury, NY 12804 • 518-761-8220 11 NARRATIVE STATEMENT Applicant has owned premises since 1998/2001 and obtained a use variance for operation of a Plumbing and Heating Business in 1997. The property has consistently been used for commercial purposes over the last 50 years. We believe that the builder of the structure was Warren Clark who cleaned and sold rugs. The tower was used for drying rugs. The present owners have attempted to market the property over the last 8 to 10 years without success. The property has been listed with Mark Levack (Levack Real Estate) and Charlotte Potvin (Front Gate Real Estate). The property was reasonably priced. Mark Levack called every service business and no offers were ever made. The cost basis for the land and building is $72,835.00. If you add to that the cost of total demolition, you are probably talking $90,000.00. A vacant lot in this neighborhood would not bring $90,000.00. The neighborhood values are influenced by the busy tree service operation to the north of Dixon Road. Of the permitted uses, the closest to the proposed use would be a duplex, but the projected residential rent does not justify the investment with a 3.76% return. The conversion to medical offices with an apartment creates a projected rental stream that works even though it falls short of the ideal return of 15%. This will be an improvement to the neighborhood without any negative impact. It also suits the desires of the Applicant, who has a son graduating as a Chiropractor and who wants to establish an office with his own apartment in the same building. Balancing impact over benefit, the variance and site plan should be approved. Town of Queensbury Planning Board Community Development Department Staff Notes January 21, 2014 Application: Site Plan 5-2014 SEORA Unlisted Applicant: Paul & Terri Schuerlein Public Hearing: 1-28-2014 Location: 350 Dixon Road Variance / Other: Use Variance 1-2014 Zoning: NR-Neighborhood Residential Waiver Requests: Lighting, 2 ft. contours, landscaping REOUESTED ACTION: Recommendation to the Zoning Board of Appeals concerning the relief requested in the variance application as well as the potential impacts of this project on the neighborhood and surrounding community PROJECT DESCRIPTION: Applicant proposes to convert existing 2,421 +/- sq. ft. plumbing office and warehouse to a medical office and an apartment. An addition to garage of 483 sq. ft. for a total of 900 sq. ft. garage. Office area 1,657 sq. ft. (one floor); Residential area 1,274 +/- sq. ft. (both floors). Site Plan: Office in a NR zone requires Planning Board review and approval. Use Variance: Office is not an allowed use in the NR zone. Planning Board shall make a recommendation to the Zoning Board of Appeals. PARCEL HISTORY: Use Variance 77-97: Change the relief and provide for the use of the building by two businesses; Schuerlein Plumbing & Heating and Kellwood Cabinetry. 8-20-03 NOA 2-03: Appealing Zoning Administrator's determination regarding the addition of a commercial business to an Urban Residential property. 6-25-03 MATERIAL REVIEW: Cover letter, narrative, Application, short EAF, deeds 11 x 17 drawings: proposed I' & 2nd floor plans Maps S-1 (survey); Map S-2 (overall site plan); Map S-3 (overall site plan -septic) STAFF COMMENTS: The applicant proposes to alter and reuse an existing building for a medical office and a one bedroom apartment Modifications to the site are also proposed where an existing garage is to be removed and a 900 sq. ft. garage is to be constructed and additional hard surfacing of 4,156 sq. ft. for a total of 7,653 sq. ft. to accommodate the parking and site access. The office area is to be 1, 657 sq. ft. and the apartment is to be 1,274 sq. ft. total for both floors. The plans show the location of the parking on the site for office and the apartment, the location of the new garage and floor plans for both uses. The applicant has requested waivers from G-lighting, K-two foot contours, L-landscaping. The plans do not include stormwater controls for the site modifications. The plans also show location of an existing sign that is located less than 15 ft. from the property line. The applicant has explained that the previous uses of plumbing and heating and a cabinetry business received a use variance in 1997. NATURE OF AREA VARIANCE The applicant proposes to utilize the building for medical office and an apartment where office is not a permitted use in the Neighborhood Residential zone. The file records indicate the building was built in 1955. The NR Zone allows through site plan Bed and Breakfast, Cemetery, Condominium Development or unit, Library, Multifamily dwelling, Outdoor recreation, Place of worship, Playground, Private school, Produce stand greater than 100 sq. ft., Public/semipublic building, Town House the Special Use Permits may be applied for that includes, Personal Service, and permitted uses include Duplex, Mobile home, Produce stand less than 100 ft. and a Single family dwelling. The applicant proposes a medical office that is non -compliant commercial use where the zone does allow for compliant money -making uses. The NR zone is intended to protect and enhance traditional, high -density neighborhood character while providing the opportunity for infill and high -density housing. SUMMARY The applicant proposes a medical office that is a non -compliant commercial use where there are uses listed in the NR zone that are compliant and suitable. The Planning Board is to provide a recommendation to the Zoning Board in regards to the variance relief request. APPLICATION PROTOCOL: 1-21-2014 PB recommendation to ZBA 1-22-2014 ZBA review 1-28-2014 PB review -2- FIRE MARSHAL'S OFFICE Toum of Queensbury 742 Bay Road, Queensbury, NY 12804 "Howie of Natural Beauty... A Good Place to Live" PLAN REVIEW 330 Dixon Road SP 5 - 2014 12/23/2013 The following comments are based on drawings submitted: SITE • FM has no site issues at this time Michael J Palmer Fire Marshal 742 Bay Road Queensbury NY 12804 firemarshal@queensbury.net Fi r e M a r s h a l' s Off i c e • P h o n e: 518-761-8206 • F a x: 518-745-4437 firemarshal@ueensbunJ.net zuzvro.cqueensbun/.net TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY. 12804-5902 Town of Queensbury Planning Board PLANNING BOARD RECOMMENDATION TO ZONING BOARD OF APPEALS USE VARIANCE 1-2014 PAUL & TERRI SCHUERLEIN Tax Map ID 302.9-1-1, 3 The applicant has submitted an application for the following: Applicant proposes to convert existing 2,421 +/- sq. ft. plumbing office and warehouse to a medical office and an apartment. An addition to garage of 483 sq. ft. for a total of 900 sq. ft. garage. Office area 1,657 sq. ft. (one floor); Residential area 1,274 +/- sq. ft. (both floors). Site Plan: Office in a NR zone requires Planning Board review and approval. Use Variance: Office is not an allowed use in the NR zone. Planning Board shall make a recommendation to the Zoning Board of Appeals. The Town of Queensbury Zoning Ordinance, per Section 179-9-070 J 2 b. requires the Planning Board to provide a written recommendation to the Zoning Board of Appeals for projects that require both Zoning Board of Appeals & Planning Board approval; The Planning Board has briefly reviewed and discussed this application, the relief request in the variance application as well as the potential impacts of this project on the neighborhood and surrounding community, and found that: MOTION TO MAKE A RECOMMENDATION ON BEHALF OF THE PLANNING BOARD TO THE ZONING BOARD OF APPEALS FOR USE VARIANCE NO. 1-2014 PAUL & TERRI SCHUERLEIN: Introduced by Mr. Krebs who moved its adoption, seconded by Mr. Traver; and a) The Planning Board, based on a limited review, has not identified any significant adverse impacts that cannot be mitigated with the current project proposal. Duly adopted this 21 st day of January 2014 by the following vote: AYES: Mr. Traver, Mr. Krebs, Mr. Magowan, Mr. Ford, Mr. Schonewolf, Mr. Deeb, Mr. Hunsinger NOES: None Cc: Michael J. O'Connor 61 Z20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1 - Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding, are subject to public review, and may be subject to further verification. Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item, please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency; attach additional pages as necessary to supplement any item. Part 1 - Project and Sponsor Information Paul & Teri Schuerlein Name of Action or Project: Dixon Road Use Variance & Site Plan Project Location (describe, and attach a location map): 310 Dixon Road Brief Description of Proposed Action: Conversion of Plumbing & Heating Shop to Medical Office & Apartment Name of Applicant or Sponsor: Telephone: (518) 494-3084 Paul & Teri Schuerlein E-Mail: Address: 162 Palisades Road City/PO: State: Zip Code: Brant Lake NY 12815 1. Does the proposed action only involve the legislative adoption of a plan, local law, ordinance, NO YES administrative rule, or regulation? If Yes, attach a narrative description of the intent of the proposed action and the environmental resources that X may be affected in the municipality and proceed to Part 2. If no, continue to question 2. 2. Does the proposed action require a permit, approval or funding from any other governmental Agency? NO YES If Yes, list agency(s) name and permit or approval: Both Queensbury Zoning Board of Appeals X and Planning Board 3.a. Total acreage of the site of the proposed action? 0.63 acres b. Total acreage to be physically disturbed? 0.30 acres c. Total acreage (project site and any contiguous properties) owned or controlled by the applicant or project sponsor? 0.93 acres 4. Check all land uses that occur on, adjoining and near the proposed action. ❑ Urban ❑ Rural (non -agriculture) ❑ Industrial lH Commercial X Residential (suburban) ❑ Forest ❑ Agriculture ❑ Aquatic Id Other (specify): Glens Falls Reservoir o Parkland Page 1 of 4 5. Is the proposed action, a. A permitted use under the zoning regulations? b. Consistent with the adopted comprehensive plan? NO YES N/A X 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? NO YES X 7. Is the site of the proposed action located in, or does it adjoin, a state listed Critical Environmental Area? If Yes, identify: NO YES X 8. a. Will the proposed action result in a substantial increase in traffic above present levels? b. Are public transportation service(s) available at or near the site of the proposed action? c. Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? NO YES X X X 9. Does the proposed action meet or exceed the state energy code requirements? If the proposed action will exceed requirements, describe design features and technologies: NO YES X 10. Will the proposed action connect to an existing public/private water supply? If Yes, does the existing system have capacity to provide service? ❑ NO ® YES If No, describe method for providing potable water: NO YES X 11. Will the proposed action connect to existing wastewater utilities? If Yes, does the existing system have capacity to provide service? ❑ NO O YES If No, describe method for providing wastewater treatment: NO YES X 12. a. Does the site contain a structure that is listed on either the State or National Register of Historic Places? b. Is the proposed action located in an archeological sensitive area? NO YES g 13. a. Does any portion of the site of the proposed action, or lands adjoining the proposed action, contain wetlands or other waterbodies regulated by a federal, state or local agency? b. Would the proposed action physically alter, or encroach into, any existing wetland or waterbody? If Yes, identify the wetland or waterbody and extent of alterations in square feet or acres: NO YES X 14. Identify the typical habitat types that occur on, or are likely to be found on the project site. Check all that apply: ❑ Shoreline ❑ Forest ❑ Agriculturallgrasslands ❑ Early mid -successional ❑ Wetland ❑ Urban ® Suburban 15. Does the site of the proposed action contain any species of animal, or associated habitats, listed by the State or Federal government as threatened or endangered? NO YES X 16. Is the project site located in the 100 year flood plain? NO YES X 17. Will the proposed action create storm water discharge, either from point or non -point sources? If Yes, a. Will storm water discharges flow to adjacent properties? ❑ NO O YES b. Will storm water discharges be directed to established conveyance systems (runoff and storm drains)? If Yes, briefly describe: ❑ NO O YES NO YES X Page 2 of 4 18. Does the proposed action include construction or other activities that result in the impoundment of water or other liquids (e.g. retention pond, waste lagoon, dam)? If Yes, explain purpose and size: NO YES 19. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste management facility? If Yes, describe: NO YES 20. Has the site of the proposed action or an adjoining property been the subject of remediation (ongoing or completed) for hazardous waste? If Yes, describe: NO YES I AFFIRM THAT THE INFORMATION PROVIDED AB IS RUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE 2 Applicant/sponsor narh • / r ./i L'- Date: 12/ 1 5 /13 Signature: T2✓t �1 ,^xl uy1e t✓a --- Part 2 - Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept "Have my responses been reasonable considering the scale and context of the proposed action?' No, or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area (CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit, biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate available energy conservation or renewable energy opportunities? —reasonably 7. Will the proposed action impact existing: a. public / private water supplies? b. public / private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic, archaeological, architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources (e.g., wetlands, waterbodies, groundwater, air quality, floor and fauna)? Page 3 of 4 No, or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion, flooding or drainage problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3 - Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered "moderate to large impact may occur", or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact, please complete Part 3. Part 3 should, in sufficient detail, identify the impact, including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant. Each potential impact should be assessed considering its setting, probability of occurring, duration, irreversibility, geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. ❑ Check this box if you have determined, based on the information and analysis above, and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. ❑ 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. Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency Date Title of Responsible Officer Signature of Preparer (if different from Responsible Officer) Page 4 of 4 T{ VIN OF UFFF,P:aSE>tJPY Town of Queensbury Planning Board SEQR RESOLUTION — APPROVE NEGATIVE DECLARATION SITE PLAN 5-2014 / PAUL & TERI SCHUERLEIN TAX MAP ID 302.9-1-1, 3 / Property Address: 310 Dixon Road The applicant proposes to convert existing 2,421 +/- sq. ft. plumbing office and warehouse to a medical office and an apartment. An addition to garage of 483 sq. ft. for a total of 900 sq. ft. garage. Office area 1,657 sq. ft. (one floor); Residential area 1,274 +/- sq. ft. (both floors). Site Plan: Office in a NR zone requires Planning Board review and approval. Use Variance: Office is not an allowed use in the NR zone. Planning Board shall make a recommendation to the Zoning Board of Appeals. The Planning Board has determined that the proposed project and Planning Board action is subject to review under the State Environmental Quality Review Act; The proposed action considered by this Board is Unlisted in the Department of Environmental Conservation Regulations implementing the State Environmental Quality Review Act and the regulations of the Town of Queensbury; No Federal or other agencies are involved; Part 1 of the Short EAF has been completed by the applicant; Part 2 of the Short EAF has been reviewed by the Planning Board; Upon review of the information recorded on this EAF, as noted, it is the conclusion of the Town of Queensbury Planning Board as lead agency that this project will result in no significant adverse impacts on the environment, and, therefore, an environmental statement need not be prepared. Accordingly, this negative declaration is issued. MOTION TO APPROVE A NEGATIVE DECLARATION FOR SITE PLAN 5-2014 / PAUL & TERI SCHUERLEIN, Introduced by Mr. Magowan who moved for its adoption, seconded by Mr. Traver; As per the resolution prepared by staff. Duly adopted this 28th day of January 2014 by the following vote: AYES: Mr. Ferrone, Mr. Ford, Mr. Shonewolf, Mr. Deeb, Mr. Magowan, Mr. Traver, Mr. Hunsinger NOES: None Cc: Michael J. O'Connor 1' ),)VN OF Q1 EENSB+CRY 11Y. Town of Queensbury Planning Board RESOLUTION TO APPROVE SITE PLAN 5-2014 PAUL & TERRI SCHUERLEIN Tax Map ID 302.9-1-1, 3 / Property Address: 310 Dixon Road A site plan application has been made to the Queensbury Planning Board for the following: Applicant proposes to convert existing 2,421 +/- sq. ft. plumbing office and warehouse to a medical office and an apartment. An addition to garage of 483 sq. ft. for a total of 900 sq. ft. garage. Office area 1,657 sq. ft. (one floor); Residential area 1,274 +/- sq. ft. (both floors). Site Plan: Office in a NR zone requires Planning Board review and approval. Use Variance: Office is not an allowed use in the NR zone. Planning Board shall make a recommendation to the Zoning Board of Appeals. PB provided a recommendation to the ZBA on 1-21-14; the ZBA approved the variance requests on 1-22-14; A public hearing was advertised and held on 1-28-2014; This application is supported with all documentation, public comment, and application material in the file of record; MOTION TO APPROVE SITE PLAN 5-2014 PAUL & TERRI SCHUERLEIN, Introduced by Mr. Magowan who moved for its adoption, seconded by Mr. Traver: 1) Pursuant to relevant sections of the Town of Queensbury Zoning Code -Chapter 179-9-080, the Planning Board has determined that this proposal satisfies the requirements as stated in the Zoning Code; 2) The requirements of the State Environmental Quality Review Act have been considered and the Planning Board has adopted a SEQRA Negative Declaration; 3) Waiver requests granted: G, K, & L from checklist; 4) Final approved plans, in compliance with the Site Plan, must be submitted to the Community Development Department before any further review by the Zoning Administrator or Building and Codes personnel. Page 1 of 2 i CONTINUED PLANNING BOARD RESOLUTION 1.28.2014 SITE PLAN 5-2014 PAUL & TERRI SCHUERLEIN Tax Map ID 302.9-1-1, 3 / Property Address: 310 Dixon Road 5) The applicant must meet with Staff after approval and prior to issuance of Building Permit and/or the beginning of any site work. 6) Subsequent issuance of further permits, including building permits is dependent on compliance with this and all other conditions of this resolution 7) As -built plans to certify that the site plan is developed according to the approved plans to be provided prior to issuance of the certificate of occupancy. Duly adopted this 28th day of January 2014 by the following vote: AYES: Mr. Deeb, Mr. Shonewolf, Mr. Ford, Mr. Traver, Mr. Ferrone, Mr. Magowan, Mr. Hunsinger NOES: None cc: Michael J. O'Connor Page 2 of 2