Application - Preliminary StageTOWN OF QUEENSBURY
SUBDIVISION APPLICATION - PRELIMINARY STAGE
Application No.:
1. Name/Title of Subdivision: N/A
2.
3.
Owner -
Name:
Dave Kapoor
D & C Management
Address: 1F TlPer M,n
_ raneGvmrt. New York 12831
Phone O: (518) 587-3451 Herne (518) 587-4270 (work)
Subdivider - Sanjay Kapoor
Owner: Everst Enterprises, LI.0
Address: 21 Sunnerfield lane
(518) 587-7217 (Herne) 87-4270 (work)
4. Agent - Peter Loyola
Name: Continental Landscape Architecture, P.C.
Address: 26 Comuter Drive West
Albany, New York 12205
Phone (i: (518) 458-9203
5. Surveyor/Engineer.-
Name: Chester Graminski, LLS
Address: 157 Lake Avenue
Saratoga Springs, New York
Phone #: 5 8 7-W)3
6. Location of Proposed Subdivision: IT'S Route 9 - Eastside
between Sweet Road and Montray Road (see location ).
Tax Map No.: 71-2-2 Zoning Classification: HC-1A
7. Description of Current Use: Residential Apt.
8. Description of Proposed Use: 82 Unit Sleep Inn Hotel.
9. Description of previous Town Planning or Zoning determination
regarding this:site:
10. Description of provision for sewage disposal:
town sewer, reauestincr sewer extension
11. Fees
The fee for submission of a preliminary stage application is
$50.00.
The applicant is required to pay for the costs associated with
the notification to property owners within five -hundred feet
in each direction from the boundary line along any contiguous
street or highway. Notices to property owners are to be sent,
by the applicant, registered mail, return receipt requested.
SEE PAGES 4 & 5 of application packet.
The preliminary application may be referred to the Town
Consulting Engineer for review of septic design, storm
drainage, etc. The hourly rate charge for the engineer review
will be charged directly to the application. Fees for
engineering review will not exceed $1,000.00 without
notification to the applicant.
12. Signature of Owner:
To the best of my knowledge the information provided in this
application and on the attached preliminary plan is true and
accurate.
I, the undersigned, have thoroughly read and understand the
instructions for preliminary submission, the preliminary plan
application and the list of items to be shown on the
preliminary plan and I consent to all the requirements as set
forth in the application.
Furthermore, I hereto consent that the proceedings which
result from the above application may be tape recorded and
transcribed by the Town Clerk or his/her agent and that such
minutes as may be transcribed shall be 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 Hoard, in which event the
handwritten minutes as to such inconsistencies shall be deemed
the official record.
Owner's
ture
Date
PLEASE CALL THE TOWN PLANNING STAFF AT 761-8220 WITH ANY
QUESTIONS REGARDING THIS APPLICATION
13. ** Authorization too Act as Agent For:
In the event that the owner of the property desires to have
another individual act as his/her authorized representative in
support of this application the following statement must be
completed and signed:
I, Dave Ka000r , owner of the premises located at
(Name of Owner)
Route 9 with the Tax Map No. 71_2_2
(Property Location)
hereby designate Sanjay Ka000r as my agent
(Name of Agent)
regardi g an ap ication for subdivision of t e premises.
5� q
Owne 's Signature Date
** Do not complete this response is completed with the sketch
Plan application.