Site Plan ApplicationTown of Queensbury Site Plan Pre-Submission Conference Form / Section 179-9-040
1. Applicant Name: __________________________________________________
2. Tax Map ID ________________ Location: _______________________
3. Zoning Classification __________
4. Reason for Review: __________________________________________________________
5. Zoning Section #: ________________________
6. Pre-Submission Meeting Notes: Provided Outstanding; Please provide by
Deed ____ _____________
General Information complete ____ _____________
Site Development Data Complete ____ _____________
Setback Requirements Complete ____ _____________
Additional Project Information Complete ____ _____________
FAR addressed ____ _____________
Requirements for Site Plan-Standards ____ _____________
Checklist items addressed ____ _____________
Environmental Form completed ____ _____________
Signature Page completed ____ _____________
Staff Representative: ________________________________
Applicant / Agent: ________________________________ Date: ___________
Joe Sheehan
227.13-2-42 80 Rockhurst
WR
618 sq ft garage addition and rebuild of a 500 sq ft porch,stormwater management, shoreline plantings and landscaping plantings and features
179-3-040 WR, 147 stormwater, 179-5-020 garage, 179-6-065 new floor area, 179-13-010 expansion
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x
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NA
confirm building size
BOH resolution#
confirm first floor to attic area
lighting noted update checklist
owner signature
Laura Moore via email 04/15/2022
Applicant proposes a 618 sq ft garage addition to an existing home and a 500 sq ft deck to replace an
existing deck. A portion of the new deck will be covered 12 ft 7 inches x 10 ft 4 inches. Updates to the
covered entryway also proposed. The project includes stormwater management, shoreline plantings,
retaining wall and steps to be reconstructed. The new home will have a footprint of 2,000 sq ft and floor
area of 3,728 sq ft. The existing home in rps indicates 832 sq ft foot print with a 328 sq ft deck footprint,
then new footprint is to be 2500 sq ft with a floor area of 3,728 sq ft. Site Plan for new floor area in a
CEA, hard surfacing within 50 ft of the shoreline, expansion of non conforming structure. Area variance
for front yard 12 ft 3 inches proposed where 30 ft is required, side setback north 10 ft 3 inches proposed
where 20 ft is required , side setback south (deck) 8 ft 5 inches proposed where 20 ft required; infiltration
device less than 100 ft proposed ___, floor area proposed 40.41 % where 22% is the maximum allowed.
Items reviewed - site plan and variance application, site drawings, elevations, floor plans, survey
Items to be updated or provided
1) page 3 confirm building size rps and current
2) page 4 add BOH resolution #
3) page 4 confirm all floors and attic area for floor area - cross section of attic area if more than 5 ft.
4) page 6 and 7 checklist floor plans and elevations need dimensions to out side walls; update lighting
note on plan sheet
5) owners signature
6) denial letter for variance
8
9
Site Plan Review application – Revised October 2016
Town of Queensbury Planning Office-742 Bay Road, Queensbury, NY 12804
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
OWNER SIGNATURE: ___________________________________DATE: _______________
APPLICANT’S AGENT FORM:
Complete the following if the APPLICANT is unable to attend the meeting or wishes to be represented by another party:
Owner: ____________________________________
Designates: ____________________________________
As agent regarding: _____ Variance _____ Site Plan _____ Subdivision
For Tax Map No.: _____ Section _____ Block _____ Lot
Deed Reference: _____ Book _____ Page _____ Date
OWNER SIGNATURE: ___________________________________DATE: _______________
2.) ENGINEERING FEE DISCLOSURE: Applications may be referred to the Town consulting engineer for review of septic design, storm
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.) 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.
5.) 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 certificate of
occupancy
I have read and agree to the above.
____________________________ ___________________________ __________________
Signature [Applicant]Print Name [Applicant] Date signed
____________________________ ___________________________ __________________
Signature [Agent]Print Name [Agent]Date signed
227.13 2 43
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______________________________________________________
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Joe Sheehan
Environmental Design Partnership
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5134 298
Chris Keil (EDP)4/20/2022
Joseph Sheehan 04/20/22