Application_Final Final Stage Revised April 2010
General Information
Tax Parcel ID Number: 296.13-1-22
Zoning District: HC-INT (COMMERCIAL INTENSIVE)
Application Stage [check onel:
Sketch Plan Stage
Preliminary Stage
Final Stage ✓
Indicate the following:
Number of lots proposed 2
Residential or Commercial COMMERCIAL
Total Lot acreage 3 .58-AC
Proposed lot sizes 2 .58-AC, 1.0-AC
Project location 989 STATE ROUTE 9
Detailed Description of Project [include current& proposed use]:
SUBDIVIDE A 3 .58-ACRE PARCEL INTO A 2 .58-AC AND 1.0-AC PARCEL
Applicant Name: 697 UPPER GLEN STREET LLC Address: 989 STATE ROUTE 9
QUEENSBURY NY 12804
Home Phone (518) 792-8836 Cell: (518) 376-3291
Work Phone Fax
i
E-Mail:
Agent's Name: S.,
HUTCHINS ENGINEERING Address. ib9 hAviLANU MOM
QUEENSBURY, NY 12804
Home Phone Cell:
Work Phone Fax
(518) 745-0307 (518) 745-0308
E-mail
THUTCHINSHUTCHINSENGINEERING.COM
Owner's Name Address
(SAME AS APPLICANT)
Home Phone Cell
Work Phone Fax
E-mail
Town of Queensbury Planning Office- 742 Bay Road Queensbury, NY 12804 - 518-761-8220 1
•
Final Stage Revised April 2010
ITEMS TO BE IDENTIFIED BY STAFF DURING PRE-SUBMISSION MEETING
You should use this page for guidance when drafting your application: however it will be completed by a staff member.
Submittal of a preliminary plat depicting existing and proposed conditions shall include the items as noted below.
Failure to include all required information may result in a determination of incompleteness and a delay in the
processing of your application.
§ A183-16. Plat details and requirements.
The applicant is required to submit one (1) original and fourteen (14) copies of the final plat application. Such
application shall include the following documents and/or information:
A. FINAL PLAT. The final plat shall be laid out by a licensed professional engineer with a properly executed New
York State Education Department Exemption N or a licensed land surveyor. Such final plat shall be prepared
at a scale of one inch equals 50 feet zero inches. clearly showing.
(1) The bearing and length of all straight lines and the radii, lengths and central angles of all curves along all
property and street lines.
(2) The area of each lot in square feet or in acres, if such lot is larger than one acre.
(3) The connection by proper measurement between street center lines where such streets are not straight
across an intersecting street. both within the subdivision and where opposite existing streets or subdivisions.
(4) A system of monuments to be located at all corners of intersections and angle points.
(5) The building setback lines for each lot.
(6) Fire and school district boundaries within the subdivision area
(7) Existing zoning, with the location of any district boundaries within 200 feet of the property to be subdivided.
(8) The boundaries of the property. the lines of proposed lots, streets and parks. and the lines of all adjoining
streets. their names and exact survey locations.
(9) The names of all subdivisions immediately adjacent and opposite or. if not subdivided, the names of the
owners of record of adjacent and opposite property.
(10) A statement that the plan is in compliance with the Town of Queensbury Zoning Law
(11) A statement reading as follows: "Approved under authority of a resolution adopted
by the Planning Board of the Town of Queensbury, New York.
. Chairman,"
(12) A title block. showing the name of the subdivision, the owner the scale. the date and North point.
(13) A certificate of the licensed engineer and/or land surveyor making such plan to the effect that the plan is
correct and made from an actual survey: the license number and seal of the engineer and land surveyor shall
be affixed to the drawing.
B. ENDORSEMENT OF STATE AND COUNTY AGENCIES Evidence shall be supplied that any proposed water
supply and sewage disposal facilities associated with the subdivision plat requiring approval by the
Department of Environmental Conservation and/or New York State Department of Health have received at
least preliminary approval(s) of such facilities and that any special district extensions required have been
authorized by the Queensbury Town Board. Any proposed water supply and sewage disposal facility shall
meet the Town of Queensbury design and construction standards for such facility. Editor's Note: See Ch. 136,
Sewers and Sewage Disposal, and Ch. 173, Water. The plat shall not be stamped approved until all state-or
county- required approvals for each lot of the subdivision have been received in writing by the Planning Board.
Town of Queensbury Planning Office 742 Bay Road • Queensbury. NY 12804 • 518-761-8220 2
Final Stage Revised April 2010
C. OTHER PLANS AND REPORTS. Other plans and reports shall be submitted as follows:
(1) A planting plan illustrating species and location of proposed tree planting.
(2) A tree clearing plan illustrating areas and methods of protection of existing trees to remain.
(3) An erosion control plan illustrating methods and location of erosion control devices and schedule of
maintenance of such devices and other actions to reduce erosion.
(4) A stormwater management plan and a pollution prevention plan consistent with the requirements of Town
of Queensbury Stormwater Management Local Law. and with the terms of preliminary plat approval.
(5) Construction plans showing grading and other site improvements and details of those site improvements.
D. If the subdivision is to include any PROTECTED OPEN SPACE, all appropriate easements. deed covenants,
conditions and restrictions approved by the Planning Board and/or the Town Attorney related to such protected
lands.
E. HOMEOWNERS' ASSOCIATION OR CONDOMINIUM AGREEMENTS. If the subdivision is to be managed
by a homeowners' association or condominium, copies of their regulations and agreements. indicating any
restrictions required by the Planning Board. shall be submitted. If the subdivision is to be sold fee simple.
copies of deeds indicating any restrictions required by the Planning Board shall be submitted.
F. STREETS, RECREATION LAND OR OPEN SPACE.
(1) The plat shall be endorsed with the necessary agreements in connection with required easements or
releases. Offers of dedication to the Town shall be presented prior to plat approval. Formal offers of dedication
to the Town of all streets and parks. not marked on the plat with notation to the effect that such dedication will
not be offered. shall be filed with the Planning Board prior to plat approval. If the owner of the land or his agent
who files the plat does not add as part of the plat a notation to the effect that no offer of dedication of such
streets, highways or parks, or any of them. is made to the public. the filing of the plat in the office of the County
Clerk or register shall constitute a continuing offer of dedication of the streets, highways or parks, or any of
them. to the public. and said offer of dedication may be accepted by the Town Board at any time prior to
revocation of said offer by the owner of the land or his agent.
(2) The approval by the Planning Board of a subdivision plat shall not be deemed to constitute or imply the
acceptance by the Town of any street, park. playground or other open space shown on said plat. The Planning
Board may require said plat to be endorsed with appropriate notes to this effect. If the Town Board determines
that a suitable park or parks of adequate size cannot be properly located in any such plat or is otherwise not
practical, the Board may require, as a condition to approval of any such plat, a payment to the Town of a sum
to be determined by the Town, which sum shall constitute a trust fund to be used by the Town Board
exclusively for neighborhood park, playground or recreation purposes, including the acquisition of property.
The Planning Board may require the filing of a written agreement between the applicant and the Town Board
covering future title. dedication and provision for the cost of grading, development, equipment and
maintenance of any park or playground area.
G. FEES.
(1) The application for final plat approval shall be accompanied by a fee as established by the Town Board by
resolution and as listed on the correct schedule of fees for the Town of Queensbury posted in the Planning
Office.
(2) In addition to the fee listed on the schedule of fees. the Planning 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.
Town of Queensbury Planning Office. 742 Bay Road • Queensbury. NY 12804 • 518-761-8220 3
Final Stage Revised April 2010
Pre-Submission Conference Form
1. Tax Map ID g6 I, I — — O 3
2. Zoning Classification COM tvZ e t C\ 1-(6, - -Q
3. Reason for Review: 2— 104'S. ) L c'(ctjt Si c),1
4. Ordinance Section#: at c (J k" (g
5. Pre-Submission Meeting Notes; Outstanding Items To Be Addressed Include:
1. Deed Yes '".' No
2. General Information Yes No
3. Final Plat Details& Requirements Yes No
4. Final Plat Yes No
5. Endorsement of State & County Agencies Yes No
6. Other Plans & Reports Yes No
7. Protected Open space documents A.A.--Yes .,.. No
8. Homeowners Assoc. or Condominium Agreements A.,"4--Yes , No
9. Streets, Recreation Landor Open Space A/A—Yes o
10. Fees Yes No
11. Signature Page Yes No
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f i.—,- ' `��— ()Lc-, P�� c Staff Representative:
Applicant/Agent:
Date: flip it
Town of Queensbury Planning Office- 742 Bay Road. Queensbury, NY 12804 • 518-761-8220 4
Final Stage Revised April 2010
Signature Page
This page includes: 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: 697 UPPER GLEN STREET LLC
Designates: HUTCHINS ENGINEERING
As agent regarding Variance Site Plan X Subdivision
For Tax Map No.: 296.13 Section 1 Block 22 Lot
Deed Refe)en e 3968 ok 56 Page 2/12/1oDate
OWNER SIGNATURE: r ', DATE: i J
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 an_gree to the above.
AL , ic tit \ ( roS i c — 13 - l3
ig�,tur= Ap•Iicant] Print Name [Applicant] Date signed
��AK ►�C..O G. THOMAS HUTCHINS //3
gnature [Agent] Print Name [Agent] Date si ed
Town of Queensbury Planning Office. 742 Bay Road Queensbury. NY 12804 • 518-761-8220
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