Sketch Plan applicationRevised: 8/3/05 Subdivision — Sketch Plan
Subdivision Application — Sketch Plan Stage
The subdivision process consists of three phases or presentations to the Planning Board: Sketch Plan,
Preliminary Stage and Final Stage. The application provides information that is required for each stage.
The following is a brief description of each stage:
• Sketch Plan: This stage provides the applicant an opportunity to present a concept plan of the
subdivision to determine requirements of SEQRA, NYSDOH, NYSDEC and other state agencies,
requirements of local county and town agencies, clustering per Article IX and the proposed layout
with regard to goals and objectives of the Town Master Plan and other Articles of these regulations.
• Preliminary Stage: This stage is the first step following sketch plan to ensure that the subdivision
meets all requirements of the Zoning Ordinance, Article VIII, Design Standards, to receive public
comments, to ensure the proposed subdivision addresses all issues raised during sketch plan, and
finally to initiate formal review of the proposed subdivision.
• Final Stage: This is the second step of the two step review process to ensure the proposed
subdivision meets all state and local regulations related to provision of public services, to ensure all
issues raised during preliminary have been addressed, to receive additional public comment if
necessary and to facilitate the orderly approval of phases of the proposed subdivision.
This application was designed to solicit the information necessary for the applicant to comply with the
Town of Queensbury Subdivision regulations. A Pre -Application meeting with the Planning Staff is
required. Staff members are available by appointment during the hours of 8:00 a.m. to 4:30 p.m.
Town of Oueensbury Planning Staff
Marilyn Ryba
Executive Director of Community Development
Craig Brown
Zoning Administrator
Bruce Frank
Code Compliance Officer
Stuart Baker
Senior Planner
George Hilton
GIS Administrator
Susan Barden
Land Use Planner
Submission Requirements: Please submit fifteen copies, one (1) original and fourteen (14) copies of the
completed application, 1 (one) copy of deed, and the appropriate fee to the Planning Office by the
specified date (see Meeting Date Information).
Town of Queensbury Planning Office
742 Bay Road, Queensbury, NY 12804
Phone: (518) 761-8220
Fax: (518) 745-4437
E-mail: planning@gueensbury.net www.gueensbury.net
Page 9 — To be submitted
Revised: 8/3/05
Subdivision — Sketch Plan
Application No. (Office Use Only)
General Information
Pre -Application Mtg. Date: (Office Use Only)
Application Stage Submitted (Check One):
Sketch Plan Stage
Preliminary Stage
Final Stage
Indicate the following:
Number of lots proposed
Residential - R or Commercial - C
Lot acreage
Project Location:
Tax Map No.:
Zone Classification:
Lot size:
x
17
c
20,000 t to 85,402t sq. ft. not including
residual wetland lot #17
Bay Road, Queensbury, NY 12804
296.15-1-28
Professional Office
26.15 acres
Detailed Description of Project (include current and proposed use): vacant land, commercial
subdivision for Professional Offices
Applicant Name: Legacy Land Holdings, LLC
Address: 50 Country Club Road
QuPPngbvey, NY 19804
Home Phone:
Work Phone / Fax: 792-4462/798-5200
Applicant's Agent Name: Jarrett -Martin Engineers. PLLC
Address: 12 E. Washington Street
Glens Falls, NY 12801
Home Phone:
Work Phone / Fax: 792-2907/798-1864
Name of Property Owner: 1 egsy Land Holdings,
Address: 50 Country Club Road
Queensbury. NY 12804
Work Phone/Fax: 792-4462/798-5200
Directions to Site: Bay Road @ Walker Lane
Page 10 — To be submitted
Revised: 8/3/05
Subdivision — Sketch Plan
§ A183-6. Sketch Plan Review Plan Details and Requirements
A. The applicant shall submit fifteen (15) copies, one original and 14 copies, of a sketch plan for
a parcel of land which has not been clear-cut within five (5) years. Such subdivision sketch plan
shall be prepared by a licensed professional engineer, a licensed professional land surveyor with
properly executed New York State Education Department Exemption N or a licensed landscape
architect. [Amended 11-11-1993 by L.L. No. 3-1993]. Check each box to indicate information
has been provided.
B. Such sketch plan shall contain the following elements and information for the purpose of sketch
plan review:
El SURVEY. The sketch plan shall be laid out on a survey prepared by a licensed professional
land surveyor or a licensed professional engineer with a properly executed New York State
Education Department Exemption N. Such survey shall be prepared at a scale of one (1) inch
equals fifty (50) feet zero (0) inches, clearly showing:
® The boundaries of the subdivision.
l Topographic features, including existing grade contours at two -foot contour intervals,
United States Geological Survey datum.
® Existing watercourses, including lakes, ponds, wetlands, streams or intermittent
streams.
Areas of existing vegetation, including wood lots and individual freestanding trees over
six (6) inches diameter at breast height
Areas within the designated one -hundred -year floodplain, as determined by the United
States Department of Housing and Urban Development Flood Insurance Program.
+� Existing man-made features, including the location and sizes of power lines, pipelines,
buildings and structures, storm drains and culverts and wells and septic tanks, and
fields of adjoining properties.
Existing rights -of -way and/or easements across or adjacent to the proposed
subdivision.
2) SKETCH PLAN. The proposed sketch plan shall show the following:
12 The names and addresses of all applicants, if an individual or partnership, and the
names and addresses of principal officers of a corporation.
The name and address of the owner(s) of land on which the subdivision is to be
located.
A location map showing the property included in the proposed subdivision and all
contiguous properties of the proposed subdivision and all properties within five
hundred (500) feet in each direction from the boundary line of the proposed
subdivision along any contiguous street or highway. All properties shall be identified by
lot and parcel number and names of owners.
The location and width of proposed street right-of-way and pavements.
Page 11— To be submitted
Revised: 8/3/05 Subdivision — Sketch Plan
U The proposed arrangement and approximate area, width, length and setback
requirements of each lot and street pattern for the purpose of demonstrating to the
Board the proposed location of streets allows for lot layout in accordance with the
Zoning Ordinance for the zoning district or districts in which the subdivision is located.
U A sketch grading and drainage plan prepared by a licensed professional engineer or
landscape architect or licensed professional land surveyor with a properly executed
New York State Education Department Exemption N. Such plan shall indicate the
general slope of the land and method of draining stormwater, including proposed
culverts, storm drainage structures and retention ponds.
❑ A sketch landscape plan (for over twenty -lot subdivisions) prepared by a licensed
landscape architect. Such plan shall set forth those trees and vegetation to be
removed and those trees, plantings and vegetation to remain or to be planted.
❑ Any parcels of land proposed to be dedicated to public use, such as parks, recreation
areas, conservation areas or scenic easement.
3) ENVIRONMENTAL ASSESSMENT FORM
9 An environmental assessment describing the potential environmental impact of the
proposed subdivision on the adjoining area and the Town of Queensbury, including the
environmental assessment short form, and proposed actions to minimize potentially
adverse environmental impacts shall be submitted. Additional environmental
information may be required in accordance with the provisions of the State
Environmental Quality Review Act.
(4) OTHER
❑ Such additional information and exhibits the developer or the Planning Board may feel
necessary to describe the project and its compliance with the requirements of these
regulations shall be submitted.
(5) FEES
❑ There is no fee for Sketch Plan Review.
❑ In addition to the fee listed on the schedule of fees, the Town Board may charge a fee
to developers of projects requiring legal and technical review, provided that the fee
charged reflects the actual cost of the legal and technical assistance to the Planning
Board.
❑ A Recreation Fee of $500 per lot/dwelling unit is required to be paid at the time a
building per it pplication is submitted.
Date: 3 It3 0 7
for providing the above information)
Page 12 — To be submitted
Revised: 8/3/05
Subdivision — Sketch Plan
1e-16.4 (111951—Text 12
PROJECT I.D. NUMBER 617.20 SEOR
Appendix C
State Environmental Quality Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
PART I —PROJECT INFORMATION (To be completed by Applicant or Project sponsor)
1.
APPLICANT SPONSOR
2. PROJECT NAME
Legacy Land Holdings, LLC
Fairfield Professional Offices
3.
PROJECT LOCATION:
Municipality Oueensbury County Warren
a.
PRECISE LOCATION (Street appeal and road intersections, prominent landmarks, sic., or provide map)
Southwest corner of Bay Road & Walker Lane
5.
IS PROPOSED ACTION:
New ❑Expansion ❑ Modiilcation/alterallon
6.
DESCRIBE PROJECT BRIEFLY:
Commercial subdivisin for professional offices.
7.
AMOUNT OF LAND AFFECTED:
14.05t 14.05±
Initially acres Ultimate) acres
B.
WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS?
® Yes ❑ No If No, describe briefly
9.
W�JH�77AT IS PRESENT LAND USE IN VICINITY OF PROJECT?
)5 Residential ❑Industrial f1commemial ❑Agriculture ❑ Park/Forest/Open space ❑Other
Deaulbe
10.
DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL.
STATE OR LOCAQ? -
Ekes ❑ No If yes, list agencyls) and pennitlapprovals
NYS DEC, SPDES, SWPPP
11.
DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
❑Yes ®No If yes, list agency name and parrnlUapproval
12.
AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMITIAPPROVAL REQUIRE MODIFICATION?
❑Yes ®NO
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Applicant sponsor n Dale:
Signature:
If the action is In the Coastal Area, and you are a state agency, complete the
Coastal Assessment Form before proceeding with this assessment
OVER
1
13
Revised: 8/3/05
Subdivision — Sketch Plan
PART II —ENVIRONMENTAL ASSESSMENT (To be completed by Aoencv)
A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR PART 617.4? If yea, coordinate the review process and use, the FULL EAF.
❑ Yes ❑ No
B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative declaration
may be superseded by another involved agency.
❑Yes ❑No
C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, it legible)
C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid waste production or disposal,
potential for erosion, drainage or flooding problems? Explain briefly
C2. Aesthetic agricultural. archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain brielly
C3. Vegetation or fauna. fish. shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly:
Ca. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly
C5. Growth, subsequent development. or related activities likely to be induced by the proposed action? Explain bnefly.
CS. Long term, short term. cumulative, or other effects not Identified in Cl-CS? Explain briefly.
C7. Other impacts (Including changes in use of either quantity or type of energy)? Explain briefly.
D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CEA?
❑Yes ❑No
E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS?
❑Yes ❑No It Yes, explain briefly
PART III —DETERMINATION OF SIGNIFICANCE (To be completed by Agency)
INSTRUCTIONS; For each adverse effect Identified above, determine whether It Is substantial, large, important or otherwise significant.
Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; to) duration; (d)
Irreversibility; la) geographic scope; and (q magnitude- If necessary, add attachments or reference supporting material& Ensure that
explanations contain sufficient del to show that all relevant adverse impacts have been identified and adequately addressed. If
question D of Part It was checked yes, the determination and significance must evaluate the potential Impact of the proposed action
on the environmental characteristics of the CEA.
❑ Check this box if you have identified one or more potentially large or significant adverse impacts which MAY
occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration.
❑ 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
AND provide on attachments as necessary, the reasons supporting this determination:
Name of Lead Agency
Print or Type Name of Rinipo.s,Ible Officer in Lead Agency Title of Responsible Officer
Signature of ltnp<,nsible ¢et 7Le Agency ignature of Freparerf eren[ from response e o icer
note
• Revised: 8/3/05
Subdivision -Sketch Plan
SIGNATURE PAGE
This Page includes the Authorization to Act as Agent Form, Engineering Fee Disclosure, Authorization for Site
Visits, Other Permit Responsibilities and Agreement to provide documentation required.
Complete the following if the OWNER of the property is not the same as the applicant
Owner's Agent Form
Owner: Legacy Land Holdings, LLC
Designates:. Jarrett -Martin Engineers, PLLC
As agent regarding Variance _ Site Plan X Subdivision
For Tax Map No.: 296.15 Se0on 1 Block 28 Lot
Deed Reference: 14_ 2 2 Page 1/27 03 Date
SIGNATURE: (Owner)3 `� (Date)
Complete the following if the APPLICANT is unable to attend the meeting or wishes to be represented by
another party:
Applicant's Agent Form
Owner: Legacy Land Holdings, LLC
Designates: TnrrPtt-Martin En cars, PTIC
As agent regarding: _ VArliance —Site Plan x Subdivision
For Tax Map No.: 296. 15 e 1 Block 8 Lot
SIGNATURE: (Owner) � r (Date)
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.
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.
PLEASE NOTE: 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.
OFFICIAL MEETING MINUTES DISCLOSURE: It is the practice of the Community Development Dept. to have a
designated stenographer tape record the proceedings of meetings resulting from application, and that minutes
transcribed from those tapes constitute the official record of all proceedings. If there is a discrepancy between
such record and the handwritten minutes taken by the designated stenographer, the handwritten minutes shall be
deemed the official record.
I, the undersigned, have thoroughly read Wriderstand the instructions for submission, and agree to the
submission requirements and completed th c ist.
s /3 07
SIGNATURE OF APPLICANT: to
SIGNATURE OF AGENT: Date 3 0 7
age 15 —To be submitted