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Site Plan ApplicationTax Parcel ID Number: 289.13-1-17 Zoning District: WR General Information Lot size: 8,416 SF (0.16 acres) Detailed Description of Project [includes current & proposed use]: Existing 4FR _ permanent residence - owner occupied Owners converted an existing covered porch into mudroom entry due to deterioration of existing porch. No expansion of footprint of the home - reconstruction of existing floor area --conversion of unconditioned space to conditioned space without permit. Replacement of shed & previous owner addition of master closet space. Location of project: 5 Chestnut Road - Glen Lake Applicant Name: Steve & Tracey Bureau Address: 5 Chestnut Road, Lake George NY Home Phone Cell: 518-260-3177 Work Phone Fax E-Mail: tbureaufitfun@gmail.com Agent's Name: Ethan Hall - Rucinski Hall Arch Address: Cell: 134 Dix Ave, Glens Falls NY 518-260-2888 Home Phone Work Phone 518-741-0268 Fax 518-741-0274 E-mail ephall@nycap.rr.com Steve &Tracey Bureau Owner's Name Address Cell 5 Chestnut Road, Lake George NY 518-260-3177 Home Phone Work Phone Fax E-mail tbureaufitfun@gmail.com Site Plan Review application — Revised October 2016 Town of Queensbury Planning Office-742 Bay Road, Queensbury, NY 12804 RUCINSKI HALL ARCHITECTURE Ronald Richard Rucinski Ethan Peter Hall 134 Dix Avenue Glens Falls NY 12801 Voice 518 741-0268 Fax 518 741-0274 Email ephall@nycap.rr.com Bureau Residence — 5 Chestnut Road — Glen Lake This project is being reviewed due to a complaint filed regarding an existing covered entry porch that was deteriorated and replaced and enclosed by the owner without a building permit. The property was purchased by Steve & Tracey Bureau in 2016, when purchased the property was severely overgrown and had been neglected for many years. The property was not owner occupied and was used as a seasonal camp. The Bureau's have invested a significant amount of time and money into the property to improve the landscaping, drainage, building and sewage disposal systems. Large overgrown trees that were damaged were removed, overgrown grass areas and dilapidated retaining walls were repaired and manicured. An existing shed at the upper portion of the property that was in danger of collapse was removed and replaced with a freestanding shed from Shed Stop, essentially an Amish Barn that is on skids, not permanently affixed to foundations. Significant amounts of paved walkways were removed and replaced with stepping stone and landscape stone beds to improve stormwater run-off. There are no post lights, the main lighting on the property is ground mounted pathway lighting and wall mounted exterior down lights with cut-off lenses. The Planning Administrator indicates that the 3' x 7' bump out which contains the closet for the master bedroom doesn't show up on the RPS however this was existing when the Bureau's purchased the property in 2016. Also indicated by the Planning Administrator is the open deck at the lake side of the building, it is indicated that the deck had new handrails installed which is correct, the handrails that were on the open deck were dangerous and they were replaced with new wood framing to prevent falls from the elevated deck surface. Additionally the owners did stain the deck as well as they painted the entire residence when the property was purchased. The owner's have taken it upon themselves to upgrade the sewage disposal system on this very small lot to provide an on -site waste treatment system by Fuji -Clean, the system was reviewed and variances granted by the Town Board of Health (BOH 23-2022) and the system was installed in May of 2022. The site is a very small, steep lot on Chestnut Road, the total parcel size is 8,416 SF (0.19 Acres) and in many cases the owners of properties of this size will seek variances for floor area ratio, however in this case the Bureau's are well within the FAR requirements utilizing only 1,338 SF of total floor area for their permanent year round residence. Of this total space 463 SF of the space is included in sheds that are not conditioned spaces and are used to store items that they do not wish to be left outside. The Bureau's do acknowledge that the enclosing of the previous covered porch should have obtained a building permit prior to doing the work but at the time the work was done they were not aware that a permit was necessary to enclose the existing porch structure that was severely deteriorated. The work that has been done has been reviewed by the code enforcement office of the Town and they have indicated that once the project has been reviewed by the planning and zoning boards that a certificate of occupancy can be issued for the residential addition. Site Development Data Area / Type Existing sq. ft. Proposed Addition sq. ft. Total sq. ft. A. Building footprint 1110 0 1110 B. Detached Garage NA NA NA C. Accessory Structure(s) 228 0 228 D. Paved, gravel or other hard surfaced area 1240 0 1240 E. Porches / Decks 463 0 463 F. Other NA NA NA G. Total Non -Permeable [Add A-F] 3041 0 3041 H. Parcel Area [43,560 sq. ft. / acre] 8,416 0 8416 1. Percentage of Impermeable Area of Site [I=G/H] 36.13% - 36.13% Setback Requirements Area Required Existing Proposed Front [1] 30'-0" 55'-19' 55'-1" Front [2] NA NA NA Shoreline 50'-0" 38'-5" 38'-5" Side Yard [1] 15'-0" 15'-0" 1514" Side Yard [2] 15'-0" 8'-7" 8'-7" Rear Yard [1] 30'-0" 38'-5" 38'-5" Rear Yard [2] NA NA NA Travel Corridor NA NA NA Height [max] 28'-0" 207-0" 20'-0" Permeability 75% 63.87% 63.87% No. of parking spaces 2 2 2 Site Plan Review application — Revised October 2016 Town of Queensbury Planning Office-742 Bay Road, Queensbury, NY 12804 1. 2. Additional Project Information Will the proposal require a Septic Variance from the Town Board of Health? rec'd If the parcel has previous approvals, list application number(s): BOH 23-2022 3. Does this project require coverage under the New York State Pollutant Discharge Elimination System (SPDES) Permit Program ? No 4. Estimated project duration: Start Date completed End Date 5. 31 Estimated total cost of project: $5,000 Total area of land disturbance for project: 0 Sf Floor Area Ratio Worksheet 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/ Intensive CM/ Cl 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. A. Parcel Area 8,416 sq. ft. B. Existing Floor Area 1,338 s . ft. [see above definition] C. Proposed Additional Floor Area 0 sq. ft. D. Proposed Total Floor Area 1,338 s . ft. E. Total Allowable Floor Area 1 1,852 (Area x 0.22 [see above table] *If D is larger than E. a variance or revisions to your plan may be needed. Consult with Staff. Site Plan Review application — Revised October 2016 Town of Queensbwy Planning Office-742 Bay Road, Queensbury, NY 12804 § 179-9-080 Requirements 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 Town'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. I 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 will 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 19oading 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. 1. 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. r. 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 will be adequate and meet the needs and requirements of emergency service providers. N. The design of structures, roadways and landscaping in areas susceptible to pending, flooding and/or erosion will minimize or avoid such impacts to the maximum extent practicable. Q. The site plan conforms to the design standards, landscaping standards and performance standards of this chapter. 5 Site Plan Review application — Revised October 2016 Town of Queensbury Planning Office-742 Bay Road, Queensbury, NY 12804 RUCINSKI HALL ARCHITECTURE Ronald Richard Rucinski Ethan Peter Hall 134 Dix Avenue Glens Falls NY 12801 Voice 518 741 0268 Fax 518 741 0274 Email ephall@nycap.rr.com Response to A-O Standards — Bureau Residence — 5 Chestnut Road The following are responses to questions A thru O of the site plan review standards. A. The project is an existing single-family residence with an existing detached storage shed. The project is consistent with the Town's Comprehensive Plan and is being reviewed due to a complaint filed with the building department for the enclosing of an existing covered entry porch without building permit. B. The project may require variances from the requirements of 179-3-040 including side yard setback for a closet extension that was part of the structure when purchased in 2016 by the current owner. These variances have been applied for though the Town Zoning Board of Appeals. C. The site is a single-family residence and therefore pedestrian activities are limited. D. The current sewage disposal system has been updated in May of 2022 to an on -site waste treatment package and this system has been reviewed and approved by the Town Board of Health. (BOH 23-2022) E. The existing use is a single-family residence in the WR zone and is in keeping with the surrounding homes in the area. F. The property driveway access is existing and therefore little additional traffic is anticipated in or around the subject parcel. G. Off street parking is provided as depicted and the existing driveway is in conformance with the Town requirements. H. Steps have been taken to minimize any adverse effects on the environment. The property was in serious disrepair when purchased by the current owner and the property is the main, year round residence of the owner. I. The site is accessed from Chestnut Road, a Town Road. J. Steps have been taken to manage the roof and pavement drainage through stone infiltration trenches at the eaves and all around the parking and walkway areas. The percolation rate of the soil is very good, and the soil make-up is mainly medium sands and gravel and the ground water location is at least 60" below existing ground surface at the proposed infiltration devices. K. Existing water supply is drawn from the lake as are the adjoining properties. A compliant sewage disposal system for the existing residence is shown. L. The existing lot is well planted with trees and shrubs and will be maintained as this is the permanent residence of the owners. M. The existing site is on a Town Road, Chestnut Road, and is adequate for emergency vehicle access. N. All existing work has been done to prevent ponding, flooding and/or erosion and there are no current issues with the site drainage since the property has been owned by the Bureaus. O. The site plan takes as many steps as possible to conform to all design standards and reduce the environmental impact as much as possible for the project. Existing lighting is recessed downcast fixtures with cut-off lenses mounted at the personnel entrances to the proposed single-family residence and ground mounted fixtures at the walkways throughout the property YABureau - Glen LakeTaperwork\Response to A-O standards.doc § 179-9-050 Checklist -Application for Site Plan Review. Application materials and site plan shall include sufficient information for the Board to review and provide a decision. The applicant is to provide a site plan drawing and all attachments that address items A-V. The applicant may request a waiver from A-V and is to provide reasons for waiver(s) requested. Please label information to be submitted. REQUIREMENTS A vicinity map drawn at the scale that shows the relationship of the proposal to existing community facilities which affect Sheet # A. C-1 or serve it, such as roads, shopping areas, schools, etc. The map shall also show all properties, identify owners, subdivisions, streets and 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 81/2 "x I I" sheets as necessary for written C-1 information. The information listed below shall be shown on the site plan and continuation sheets. C. Name of the project, boundaries, date, north arrow, and scale of the plan. All D. Name and address of the owner of record, developer, and seal of the engineer, architect or landscape architect. If the All applicant is not the record owner, a letter of authorization shall be required from the owner. E. The location and use of all existing and proposed structures within the property, including all dimensions of height and C-1 floor area, all exterior entrances, and all anticipated future additions and alterations. 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 C-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 C-1 illumination and methods to eliminate glare onto adjoining properties must also be shown in compliance with § 179-6-020. H. The location, height, size, materials and design of all proposed signs. NA I. The location of all present and proposed utility systems including: C-1 & C-2 1. Sewage or septic system; 2. Water supply system; 3. Telephone, cable and electrical systems; and 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 C-1 and flooding of other properties, as applicable. A Stormwater Pollution Prevention Plan (SWPPP) for all land development activities (excluding agricultural activities) on the site that results in land disturbance of one acre or more. A SWPPP shall comply with the 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 S WPPP or an erosion and control plan shall be required for a site plan review project land disturbance of less than one acre. K. Existing and proposed topography at two -foot contour intervals, or such other contour interval as the Planning Board shall C-1 allow. All 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 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 than may influence the design of the proposed use such as rock C-1 outcrops, stands of trees, single trees eight or more inches in diameter, forest cover and water sources and all proposed changes to these features, including sizes and types of plants. Water sources include ponds, lakes, wetlands and watercourses, aquifers, floodplains and drainage retention areas. Land Use District boundaries within 500 feet of the site's perimeter shall be drawn and identified on the site plan, as well M. C-1 as any Overlay Districts that apply to the property. 6 Site Plan Review application — Revised October 2016 Town of Queensbury Planning Office-742 Bay Road, Queensbury, NY 12804 REQUIREMENTS (CONTINUED) Sheet # N. Traffic flow patterns within the site, entrances and exits, loading and unloading areas, as well as curb cuts on the site and NA 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; 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. 0. For new construction or alterations to any structure, a table containing the following information shall be included: NA 1. Estimated area of structure to be used for particular purposes such as retain operation, office, Storage, etc.; 2. Estimated maximum number of employees; 3. Maximum seating capacity, where applicable; and 4. Number of parking spaces existing and required for the intended use. P. f. Floor Plans. A-1 2. Elevations at a scale of one -quarter inch equals one foot (1/4" =1 foot) for all exterior facades of the proposed structure(s) and/or 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 water runoff calculations as needed to determine and mitigate project impacts. NA R. Plans for disposal of construction and demolition waste, either on -site or at an approved disposal facility. NA S. Plans for snow removal, including location(s) of on -site snow storage. NA T. An Environmental Assessment Form ("EAF") as required by the SEQRA regulations, with Part 1 completed by the Applicant Yes shall be submitted as part of the application. If the proposed project requires a special use permit and an EAF has been submitted in conjunction with a special use permit application, a duplicate EAF is not required for the site plan application. U. If an application is for a parcel or parcels on which more than one use is proposed, the applicant may submit a single NA application for all such uses, provided the proposed uses are accurately delineated on a site plan drawn 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 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 Town's Comprehensive Plan. I NA Site Plan Review application — Revised October 2016 Town of Queensbury Planning Office-742 Bay Road, Queensbury, NY 12804 Town of Queensbury Site Plan Pre -Submission Conference Form / Section 179-9-040 1. Applicant Name: Steve & Tracey Bureau 2. Tax Map ID 289.13-1-7 Location: 5 Chestnut Road 3. Zoning Classification WR0.16ac Already constructed mudroom of 45 sq ft to existing home of 1.110 sq ft with porch/deck areas of 463 sq ft. Additional review for updated garage, and south side of 4. Reason for Review: home improvements 5. Zoning Section #: 179-3-040 WR, 179-6-065CEA 6. Pre -Submission Meeting Notes: Provided Outstanding; Please provide by Deed x General Information complete x square footage of mudroom area Site Development Data Complete .confirme losedpowhareas, outbuilding is a detaehed garage Setback Requirements Complete x relief needs to be highlighted Additional Project Information Complete X FAR addressed confirm living areas Requirements for Site Plan -Standards X Checklist items addressed x lighting, stormwater, landscaping, dimensions etc. Environmental Form completed NA Signature Page completed x Applicant has constructed a 45 sq ft mudroom addition to an existing home where the home with the mudroom has a footprint of 1,110 sq ft and a floor area of 1,320 sq ft. The existing porch facing the shoreline had new hand railings installed and stained the porch deck floors. The septic system in the process of being installed. Project subject to site plan review for new floor in a cea, expansion of non conforming structure. Area Variance needs to be confirmed - if mudroom only and within the footprint may not need variance, however south side bumpout needs supporting information for its existance otherwise probably needs a variance. An area variance may be needed for what appears to be an updated garage structure. Items reviewed - site plan application, area variance application site drawings, elevations and floor plans, violation notice ms to be updated or provided deed needed survey needed south side supporting information for "open deck area" and "master bath bump out" -- the RPS doesn't licate the south side porch and bumpout page 3 and 4 dimensions needed on drawings and confirmation of floor area usage - ie office area Sheet C 1 - doesn't match page 4, 6 and 7 of the application. Recheck floor area calculation on Page 4 and on eet C, as well as building footprint, open deck footprint, covered porch footprint page 5 - need responses for A-O Supporting information for the detached garage - doesn't match the 2014 RPS information for the site. Sheet A-1 - will need dimensions added to the outside walls, there should be a clear indication of the un- proved development area(s) ie mudroom, garage, south -side of home. signatures ) Will need to review updated information for a second pre application review Staff Representative: Laura Moore via email 08/23/2022 Applicant / Agent: /qw Date: _71.40--feZ 8 Signature Page This page includes the 1.) Authorization to Act as Agent Form: 2.) Engineering Fee Disclosure; 3.) Authc Other Permit Responsibilities; 5.) Official Meeting Disclosure and 6.) Agreement to provide documentation 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 Owner: Steve & Tracey Bureau Designates: Ethan Hall - Rucinski Hall Architecture As agent regarding: Fap4lay Map No.: Deed efererG OWNER SIGNA' X Variance X Site Plan Subdivision 0�_- Section -� Block 7— Lot Book Page Date DATE:. a0-- for Site Visits; 4.) 2.) ENGINEERING FEE DISCLOSURE! Applications may be referred to the Town consulting engineer fnr 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 S 1,000 without notification to the applicant. 3.ti AUTHORIZATION FOR SITE VISITS: By signing this page and submitting the application materials attached hcra in, the Owner, Applicant, and his/her/their agent(s) hereby authorize the Zoning Board or Planning Board and Town Staff to enter the subject pro wrties for the purpose of reviewing the application submitted. 4.) OTHER PERMIT RESPONSIBILITIES: Other permits may be required for construction or alteration activity subs quent 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 Depart mt to have a designated stenographer tape record the proceedings of meetings resulting from application, and minutes transcribed from those to s constitutes the official record of all proceedings. 6.I AGREEMENT TO PROVIDE DOCUMENTATION REQU1ItED: 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 41or to issuance of a valid permit. I certify that the application, plans and supporting materials are a true and complete statement/description of the isting conditions and the work proposed, and that all work will be performed in accordance with the approved plans and in conformance with i .al zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents, will obtain a certificate of occupancy as nceess•�''y. I also understand that Uwe 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 Iand agr the above. Ap lican Signature [Agent] Tracey Bureau Print Name [Applicant] Ethan P. Hall Print Name [Agent] a �.z Date signed 22 Aug 2022 Date signed Site Plan Review application — Revised October 2016 Town of Queensbury Planning Office-742 Bay Road, Queensbury, NY 12804 Short Environmental Assessment Form Part 1- Project Information Instructions for Comlaletint=_ 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 1 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 Name of Action or Project: Bureau Residence Project Location (describe, and attach a location map): 5 Chestnut Road Brief Description of Proposed Action: Project review required due to an un-permitted enclosure of an existing covered porch that had a complaint filed with Town Code Enforcement Office Name of Applicant or Sponsor: Telephone: 518-260-3177 Steve & Tracey Bureau E-Mall • tbureaufitFun@gmail.com Address: 5 Chestnut Road City/PO: State: Zip Code: Lake George New York 12845 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 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 government Agency? NO YES If Yes, list agency(s) name and permit or approval: ❑ 3. a. Total acreage of the site of the proposed action? 0.19 acres b. Total acreage to be physically disturbed? 0 acres c. Total acreage (project site and any contiguous properties) owned or controlled by the applicant or project sponsor? 0.19 acres 4. Check all land uses that occur on, are adjoining or near the proposed action: 5. ❑ Urban ❑ Rural (non -agriculture) ❑ Industrial ❑ Commercial m Residential (suburban) ❑ Forest ❑ Agriculture m Aquatic ❑ Other(Specify): ❑ Parkland Page l of 3 5. Is the proposed action, a. A permitted use under the zoning regulations? b. Consistent with the adopted comprehensive plan? NO YES N/A ❑ ❑✓ ❑ ❑ ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? NO YES ❑ ❑✓ 7. Is the site of the proposed action located in, or does it adjoin, a state listed Critical Environmental Area? Name: Glen Lake, Reason: Benefit to human health, natural setting, Agency:Queensbury, Town of, Date:11-30-89 If Yes, identify: NO YES 8. a. Will the proposed action result in a substantial increase in traffic above present levels? b. Are public transportation services available at or near the site of the proposed action? c. Are any pedestrian accommodations or bicycle routes available on or near the site of the proposed NO YES ❑✓ ❑ ❑✓ ❑ IZI Elaction? 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 ❑ ❑✓ 10. Will the proposed action connect to an existing public/private water supply? If No, describe method for providing potable water: Water is drawn for the waters of Glen Lake NO YES ❑ 11. Will the proposed action connect to existing wastewater utilities? If No, describe method for providing wastewater treatment: NO YES 12. a. Does the project site contain, or is it substantially contiguous to, a building, archaeological site, or district which is listed on the National or State Register of Historic Places, or that has been determined by the Commissioner of the NYS Office of Parks, Recreation and Historic Preservation to be eligible for listing on the State Register of Historic Places? b. Is the project site, or any portion of it, located in or adjacent to an area designated as sensitive for archaeological sites on the NY State Historic Preservation Office (SHPO) archaeological site inventory? NO YES ❑ ✓❑ ❑ 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 ❑ ❑✓ ❑ Page 2 of 3 14. Identify the typical habitat types that occur on, or are likely to be found on the project site. Check all that apply? 0Shoreline ❑ Forest ❑ Agricultural/grasslands [:]Early mid -successional [-]Wetland ❑ Urban m 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 ✓❑ ❑ 16. Is the project site located in the 100-year flood plan? NO YES ❑✓ ❑ 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? b. Will storm water discharges be directed to established conveyance systems (runoff and storm drains)? If Yes, briefly describe: Entire site has stormwater management devices at the eaves and along the walkways to allow stormwater to be infiltrated into the grounds of the pmpeM which is extremely well drained stable soils on a relativelysteep lot. NO YES ❑ ❑✓ ❑✓ ❑ ❑ ❑✓ 18. Does the proposed action include construction or other activities that would result in the impoundment of water or other liquids (e.g., retention pond, waste lagoon, dam)? If Yes, explain the purpose and size of the impoundment: 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 20.11as 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 CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor/name: Ethan P. Hall Date: 10 Sept 2022 Signature: a 9 --Title: Architect - Agent for the Applicant PRINT FORM Page 3 of 3 EAF Mapper Summary Report Monday, August 22, 2022 12:37 PM 289.13 t -5 29913-t-6 1 Queensbury Disclaimer: The EAF Mapper is a screening tool intended to assist project sponsors and reviewing agencies In preparing an environmental assessment form (EAF). Not all questions asked in the EAF are answered by the EAF Mapper. Additional information on any EAF question can be obtained by consulting the EAF Workbooks. Although the EAF Mapper provides the most up-to-date digital data available to DEC, you may also need to contact local or other data sources in order to obtain data not provided by the Mapper. Digital data is not a substitute for agency determinations. �i Montre f t TorontoAllbaily 1 �y�R�yekMlS>Lgf Potion - • - Giwrl�d-;Pfwteel+ce �w rak $9.134-41 rn�t ra� :3�Mht�ur�h PhRadei hla iatmirl,USGS �efmapINCREN*f�ITP,NR ttEs1ilaparx.I tErl Evt Itit" Ha II ttrp Fsn tMENTR ff�Can E u1allarl NIETI,E;n China iKjngF.'.axa Esn Korea, Esri(IMIWA. NGCC, (4 0p nSi MNWp'&*fibUt,_x,, xK(tIre litat'00- c{gn@1)etS1g?etl`3ap cCgltnb%r3u,O+Alie GIS UserCodii)ep' Part 1 / Question 7 [Critical Environmental Area] Part 11 Question 7 [Critical Environmental Area - Identify] Part 1 / Question 12a [National or State Register of Historic Places or State Eligible Sites] Part 1 / Question 12b [Archeological Sites] Part 1 / Question 13a [Wetlands or Other Regulated Waterbodies] Part 1 / Question 15 [Threatened or Endangered Animal] Part 1 / Question 16 [100 Year Flood Plain] Part 1 / Question 20 [Remediation Site] V eS Name:Glen Lake, Reason:Benefit to human health, natural setting, Agency:Queensbury, Town of, Date:11-30-89 No .. `Yes _.._.. Yes - Digital mapping information on local and federal wetlands and waterbodies is known to be incomplete. Refer to EAF Workbook. No __.._._.... Digital mapping data are not available or are incomplete. Refer to EAF 'Workbook. Short Environmental Assessment Form - EAF Mapper Summary Report Agency Use Only [If applicable] Project: Date: Short Environmental Assessment Form Part 2 - Impact Assessment Part 2 is to be completed by the Lead Agency. Answer all of the following questions in Part 2 using the information contained in Part 1 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 ❑ Elregulations? 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 ❑ El existing infrastructure for mass transit, biking or walkway? 5. Will the proposed action cause an increase in the use of energy and it fails to incorporate El ❑ reasonably available energy conservation or renewable energy opportunities? 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, flora and fauna)? ❑ ❑ 10. Will the proposed action result in an increase in the potential for erosion, flooding or drainage problems? 111. Will the proposed action create a hazard to environmental resources or human health? ❑ ❑ PRINT FORM Pagel of 2 Age n Use Only [If applicable] Project: Date: Short Environmental Assessment Form Part 3 Determination of Significance 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 Date Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (if different from Responsible Officer) PRINT FORM Page 2 of 2 WARRAN7YDEED WITH LIEN COVENANT DATE OF DEED: September 7, 2016 GRANTOR: WILLIAM J. UTTER AND JUDITH A. UTTER 120 Crine Road Morganville, New Jersey o7751 GRANTEE: STEVE BUREAU AND TRACEY BUREAU Husband and Wife 57 Lyndon Road Queensbury, New York 12804 THIS WARRANTY DEED made between Grantor and Grantee on the dee date stated above WITNESSES THAT GRANTOR in consideration of I -------------------------One Dollar ($1.00)------------------------- lawful money of the United States and other good and valuable consideration, paid by Grantee, DOES HEREBY GRANT AND RELEASE UNTO GRANTEE and his hei s and assigns forever all that property located at: 5 Chestnut Road Town of Queensbury County of x hfi gtvn mp Tax Map #: 289.13-1-7 ALL THAT TRACT OR PARCEL OF LAND situate, lying and being in the Tc Queensbury, Warren County, New York, bounded and described as follows: Beginning at a point on the shore of Glen Lake at the southeast corner of Lot northeast corner of Lot 2 as shown on a map entitled "Map of Lots on the Noi Glen Lake, Warren Co., N.Y. Being a sub -division of Lands of Mrs. Mary S. He by Carlton J. King dated 09/20/23 and filed in the Warren County Clerk's Ofi 09/24/23 as Instrument No.1923-3000015, running thence northerly along 1 of Glen Lake to the northeast corner of said Lot 3 and the southeast corner of said map, running thence North 810 59' West,138.og feet to a point being on easterly side of a right of way, running thence South 04° 27' West, 5o.00 feet 1 southwest corner of said Lot 3, running thence South 820 29 East,147.25 to ti beginning, being Lot 3 on the above mentioned map. Being the same premises as described in a deed from Eileen D. Vincent to Utter and Judith A. Utter dated August 24,1982 and recorded August 27, Warren County Clerk's Office in Deed Book 648 Page 411. Of and the h Shore of on shore 4 on the point of iam J. in the THIS GRANT IS MADE: TOGETHER with the appurtenances and all the estate and rights of the Gr for in and to said premises. TO HAVE AND TO HOLD the premises granted by this Warranty Deed unjo the Grantee and his heirs and assigns forever. AND THE GRANTOR COVENANTS as follows: FIRST: That Grantee shall QUIETLY ENJOY said premises; SECOND: That Grantor will forever WARRANT the title to said THIRD: THAT IN COMPLIANCE WITH SECTION 13 OF THE LIEN I AW, Grantor will receive the consideration for this conveyance and will hold the ri ht to receive such consideration as a trust fund to be applied first for the purpose o paying the cost of the improvement and will apply the same first to the payment of ti e cost of the improvement before using any part of the total of the same for any other purpose. If there are more than one Grantor or Grantee, the words "Grantor" "Grantee" used in this deed includes them. IN WITNESS OF 7'HIS CONVEYANCE, Grantor has executed this WARRANTY DEED on the deed date stated above. IN PRESENCE OF F,?L.S.) William J. Utter dith A. Utter STATE OF NEW YORK ) ss.. COUNTY OF WARREN ) On this 6th day of September, 2016 before me, the undersigned, person ly appeared William J. Utter and Judith A. Utter personally known to me c r proved to me on the basis of satisfactory evidence to be the individuals whose na es re subscribed to the within instrument and acknowledged to me that they e e u d the same in their capacities, and that by their signatures on the ins ents t i dividua] or the person upon behalf of which the individ als acted, ex c ed is i s nent. i MATTHEW R. LUDEMANN NOTARY PUBLIC -STATE OF NEW PORK No.02LU4829772 Qualified in Saratoga County my Commission Expires November 30. 201-1 Notary Public