Application MEYER&FTJLLER
PLLC ATTORNEYS AT LAW
Attorneys Retired
Matthew F. Fuller, Esq. Howard I. Krantz, Esq.
Jeffrey R.Meyer, Esq.
Mary-Ellen E. Stockwell, Esq.
November 12, 2013
Laura Moore, Planner
Queensbury Planning Board
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
RE: Shaw Residence
Dear Ms. Moore:
I am writing to follow up on the questions raised upon your review of the site plan materials,
particularly, whether the proposed landscaping on the property. The submitted plans detail the limits
of clearing and disturbance along with a general note that state the site will be stabilized with
plantings.
My client will be landscaping around the house with customary residential shrubs and plantings,
most likely with native plants. On the proposed plat plan for Mark Shaw, prepared by D.L.
Dickinson and Associates, the limit of disturbance is clearly outside of the shoreline setback zone
and approximately ninety(90) feet from the banks of the Hudson River. This area is presently a mix
of grass,early mid-successional trees of varying diameters,and a small number of older trees
measuring ten inches or greater in diameter at breast height(10 DBH).
My client is not proposing any disturbances within the shoreline setback zone. Further,any
landscaping disturbances, which may be contemplated in the future, will be in accordance with
sections 179-8-040 and 179-6-050 of the Code of the Town of Queensbury(as it may be amended)
detailing the shoreline buffer requirements and the importance of an undisturbed natural buffer strip.
If there are additional questions or concerns, please do not hesitate to contact me.
Very truly yours,
Jeffrey R. Meyer, Esq.
jmever@meverfuller.com
161 Ottawa Street • Lake George, New York 12845
Phone(518)668-2199 • Fax(518)668-4653
SERVICE BY FAX NOT ACCEPTED
MEYER FtLLER _Ur4 '
EL
Attorneys Retired
Matthew F. Fuller, Esq. Howard I. Krantz, Esq.
Jeffrey R.Meyer, Esq.
Mary-Ellen E.Stockwell, Esq.
October 29, 2013
Laura Moore, Planner
Queensbury Planning Board
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
RE: Shaw Residence
Dear Ms. Moore:
I am writing to follow up on the questions raised upon your review of the site plan materials
presented. Attached hereto, please find the signed pre-submission conference form and corrected
page 3 of the application, which should supersede and replace the original version and contains the
corrected setbacks. Also attached is a revised Plot Plan prepared by D.L. Dickinson and Associates
detailing the setbacks.
The corrected setback numbers are based off of the Map of a proposed plot plan for Mark Shaw,
prepared by D.L. Dickinson and Associates. The original setbacks were depicted and shown on the
Williams and Williams plot plan that also showed the proposed septic system. The house location
and setbacks were approximate visual representations of how the site would be laid out. Please
disregard the setbacks and dimensions on the Williams and Williams and rely on the actual
dimensions from Mr. Dickinson's latest survey.
Thank you and I apologize for any confusion.
Very truly yours,
Jeffrey R. Meyer, Esq.
jmeyer@meyerfuller.com
161 Ottawa Street • Lake George,New York 12845
Phone (518) 668-2199 Fax(518)668-4653
SERVICE BY FAX NOT ACCEPTED
Site Plan Review Revised June 2009
Pre-Submission Conference Form F179-4-0401
1. Tax Map ID 309.18-1-12
2. Zoning Classification WR
3. Reason for Review: site PlanApplicat!on-sue
4. Zoning Section#: 1T9-6 C.60
5. Pre-Submission Meeting Notes; Outstanding ftern,To Be Addressed Include:
Deed "Yes No
General Information complete I/ Yes _ _ No
Site Development Data Complete ,-/- Yes No
Setback Requirements Complete Yes No
Additional Project Information Complete ? es No
FAR Worksheet complete fifes No
Standards addressed __ No
Checklist items addressed "y es No
Environmental Form completed V Yes No
Signature Page completed ✓Yes No
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Staff Representative: l.&vim- `' ` VL& e'T "-\
Applicant/Agent: -
Date:
Town of Queensbury Planning Office.742 Bay Road • Queensbury,NY 12804• 518-761-8220 8
Site Plan Review Revised June 2009
Site Development Data
Area /Type I Existing sq.ft. Proposed ' Total sq. ft.
Addition sq.
ft.
A. Building footprint 0 2,297 2,297
B. Detached Garage 0 0
C. Accessory Structure(s) 0 0 0
D. Paved, gravel or other hard surfaced area 2,300 700 3,000
E. Porches /Decks 0 319 X319
F. Other 0 0 0
G. Total Non-Permeable [Add A-F] 2.300 3,316 5,616
H. Parcel Area [43,560 sq.ft. /acre]
74,052 74,052 74,052
L Percentage of Impermeable Area of Site [I=G/H] 3% 4.5% I 7.6%
Setback Requirements
Area
Front [1]
Front [2]
Required Existing Proposed
30 Vacant 113.1
30 Vacant 128
Shoreline 50 Vacant 128
Side Yard [1] 25 I Vacant 45.2
Side Yard [2] 25 Vacant 72
Rear Yard [1] 30 Vacant ---
Rear Yard [2] 30 Vacant ---
Travel Corridor
--- Vacant ---
Height [max] 28 Vacant 28
Permeability 75% 97% °
92.4 /o
No. of parking spaces
To of Queensbury Planning Office- 742 Bay Road•Queensbury, NY 12804• 518-761-8220 3
Deed Reference
322
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Mark Shaw \ "'h, *7 0
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MEYER&FULLER
PLLC ATTORNEYS AT LAW
Attorneys Retired
Matthew F. Fuller, Esq. Howard I. Krantz, Esq.
Jeffrey R.Meyer, Esq.
Mary-Ellen E.Stockwell, Esq.
RECEI D
October 25, 2013
OCT 2 X313 i
Chris A. Hunsinger, Chairman TOWN OF QUEENSBURY
Queensbury Planning Board
ZONING OFFICE
Town of Queensbury
742 Bay Road
Queensbury,NY 12804
RE: Shaw Residence
Dear Chairman Hunsinger:
Please accept the enclosed site plan review application for Mark Shaw. Mr. Shaw is proposing to
construct a single family residence in the WR zone along the Hudson River. Due to the presence of
slopes in excess of 15% on his property, the proposal requires site plan review.
Accompanying the application materials are the building elevations, a rendering of their proposed
home,the septic details, plot plans detailing the gradient and stormwater controls and a stormwater
pollution prevention plan,which was submitted directly to Mr. Craig Brown.
The proposed single family residence is in keeping with the surrounding area and the comprehensive
plan. This zone was designed to accommodate single family houses and the proposed location is one
of the largest lots in the area. That said, slopes of 15%-30%are also common in this area along the
Hudson River. The presence of this grade has not inhibited development or resulted in negative
stormwater impacts due to the development. In selecting a location for the proposed home,my
client elected to avoid the areas of steep slopes and maintain a large setback from the Hudson. The
location of the proposed home is also in-line with the average setbacks for the area. Again,the
house was designed to blend into the surrounding area without having any impact on the adjoining
properties, or the Hudson River.
In order to comply with the requirements of the Chapter 179 of the Code of Town of Queensbury,
my client has developed an extensive stormwater management plan to ensure their proposed home is
in keeping with the surrounding environment and does not result in any negative stormwater impacts
either on or off their property. Mr. Dickinson has prepared detailed plans to ensure that the
161 Ottawa Street• Lake George, New York 12845
Phone(518)668-2199• Fax(518)668.4653
SERVICE BY FAX NOT ACCEPTED
Chairman Hunsinger
October 25, 2013
Page 2 of 2
stormwater is properly retained and treated, in accordance with the Code of the Town of Queensbury
as well as the rules and regulations of the State of New York.
Please place this application on the earliest possible agenda, we look forward to discussing the
materials with the Board. Thank you.
Very truly yours,
."14 .: -::,: __.
Jeffrey R. Meyer, Esq.
jmeyer@meyerfuller.com
161 Ottawa Street • Lake George, New York 12845
Phone (518) 668-2199 • Fax(518)668-4653
SERVICE BY FAX NOT ACCEPTED
Site Plan Review Revised Ju 2009
Site Plan Review Application
OCT2
REVIEW PROCESS:
TOWN OF Q NSBURY
ZONING OFFICE
1. Required Pre-submission meeting with staff to determine general completeness to be held no
later than 1 week prior to deadline day. Call (518) 761-8220 for an appointment
2. Submittal of complete application: 1 original and 14 copies of the application package by monthly
deadline.
3. Determination of application completeness. All necessary information must be provided and
appropriate fee(s) paid for consideration for placement on an agenda for that month.
4. Incomplete applications will not be considered for placement on any agenda until all missing
information has been submitted.
5. Submittal to Warren County Planning, if applicable.
6. Planning Board meeting, generally the third & fourth Tuesday of each month. You will be advised
in writing as to which meeting to attend.
7. Following the meeting you will be provided with a copy of the resolution stating the Board's
decision on your application. If your application was approved, the next likely step is a Building
Permit. Final drawings must be provided for the next phase of review. If your application was
denied your project cannot proceed as submitted.
DOCUMENTATION REQUIREMENTS:
Please submit 1 original & 14 copies of the completed application package to include:
• Completed Application: pages 1-11 completed, signed & dated
• Pre-Submission Meeting Notes: signed by staff
• Copy of Deed
• New: Checklist & Plot Plan
• Fee 0 - 10,000 sf = $100
10,001- 30,000 sf = $250
3Q001- 100,000 sf= $500
100,000 + sf = $1000
ZONING STAFF & CONTACT INFORMATION:
Craig Brown, Zoning Administrator craigb(c�queensbury.net
Keith Oborne, Land Use Planner keitho(c�queensbury.net
Pam Whiting, Office Specialist 518-761-8220 pamwAqueensbury.net
Visit our website at www.queensbury.net for further information and forms
Town of Queensbury Planning Office• 742 Bay Road • Queensbury, NY 12804 • 518-761-8220 1
Site Plan Review Revised June 2009
General Information RECEIVE D
3cS
Tax Parcel ID Number: 309.18-1-12 O T 212"/37)
Zoning District: Waterfront Residential(WR) �W t iN/ -u OF SBURY
ZONING + FILE
Detailed Description of Project [include current&proposed use]:
Applicant proposes the construction of a single family home in a residential district.
_ s
Location of project:
31 Twin Channels Road,off of Big Boom Boom Road,Queensbury
Applicant Name: Mark D. Shaw Address: 12 Keenan Street,Glens Falls,NY 12801
Home Phone Cell: NA
Work Phone 518-793-1111 Fax 518-670-0120
E-Mail:
mshaw @storedtech.com
Agent's Name: Jeffrey R. Meyer, Esq. Address: Meyer& Fuller, PLLC
Home Phone Cell: 518-791-9481
Work Phone 518-668-2199 Fax 518-668-4653
E-mail
jmeyer @meyerfuller.com
Owner's Name Same as Applicant Address
Home Phone Cell
Work Phone Fax
E-mail
Town of Queensbury Planning Office- 742 Bay Road • Queensbury, NY 12804• 518-761-8220 2
Site Plan Review Revised June 2009
Site Development Data
Area / Type Existing sq. ft. Proposed Total sq. ft.
Addition sq.
ft.
A. Building footprint 0 2,297 2,297
B. Detached Garage 0 0 0
C. Accessory Structure(s) 0 0 0
D. Paved, gravel or other hard surfaced area 2,300 700 3,000
E. Porches/ Decks 0 319 319
F. Other 0 0 0
G. Total Non-Permeable [Add A-F] 2,300 3,316 5,616
H. Parcel Area [43,560 sq. ft. / acre] 74,052 74,052 74,052
I. Percentage of Impermeable Area of Site [I=G/H] 3% 4.5% 7.6%
Setback Requirements
Area Required Existing Proposed
Front [1] 30 Vacant 58.9
Front [2] 30 Vacant 163.5
Shoreline 50 Vacant 163.5
Side Yard [1] 25 Vacant 46.2
Side Yard [2] 25 Vacant 58.9
Rear Yard [1] 30 Vacant ---
Rear Yard [2] 30 Vacant ---
Travel Corridor
--- Vacant ---
Height [max] 28 Vacant 28
Permeability 75% 97% 92.4%
No. of parking spaces
Town of Queensbury Planning Office- 742 Bay Road • Queensbury, NY 12804 • 518-761-8220 3
Site Plan Review Revised June 2009
Additional Project Information
1. Will the proposal require a Septic Variance from the Town Board of Health? No
2. If the parcel has previous approvals, list application number(s): NA
3. Does this project require coverage under the NYS DEC Stormwater Pollution Prevention
Program? No
4. Estimated project duration: Start Date Fa112013 End Date w nter 2014
5. Estimated total cost of project: x285,000.00
6. Total area of land disturbance for project: 23,300 Square Feet
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 CM 0.3
Commercial Intensive CI 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.
Parcel Area 74.052 sq. ft.
Existing Floor Area 0 sq. ft. [see above definition]
Proposed Additional Floor Area 4848 sq. ft.
Proposed Total Floor Area 4848 sq. ft.
Total Allowable Floor Area 16.291 (Area x 022 ) [see above table]
Town of Queensbury Planning Office- 742 Bay Road • Queensbury, NY 12804 - 518-761-8220 4
Site Plan Review Revised June 2009
§ 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. 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 loading 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.
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.
J. Storrwater 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 ponding. flooding and/or erosion will minimize or avoid
such impacts to the maximum extent practicable.
O. The site plan conforms to the design standards,landscaping standards and performance standards of this chapter.
Town of Queensbury Planning Office. 742 Bay Road - Queensbury, NY 12804- 518-761-8220 5
Site Plan Review Revised June 2009
§ 179-9-050 Application for Site Plan Review
Application for site plan approval shall be made to the Planning Board using forms supplied by the Board. Application materials
and the site plan shall include sufficient information for the Board to make its findings under§ 179-9-070 and 179-9-080 below.
In determining the content of the site plan and supporting documentation, the Planning Board may waive certain requirements if
the Planning Board deems such requirements or information unnecessary for the type of project proposed. Any such waiver
shall be made in writing, and shall contain statements of the reasons why the waived information requirements are not
necessary for an informed review under the circumstances. The Planning Board may grant such waivers on its own initiative or
at the written request of an applicant. Such request shall set forth the specific requirements that are requested to be waived and
the reasons for the requested waiver. Absent any waiver or waivers, an application for Site Plan Review shall include the
following:
Shown
REQUIREMENTS on Sheet
A A vicinity map drawn at the scale that shows the relationship of the proposal to existing community facilities which affect or
serve it, such as roads, shopping areas. schools, etc. The map shall also show all properties, identify owners, subdivisions, SUrVey
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 8'/2"x 11"sheets as necessary for written information. All plan
The information listed below shall be shown on the site plan and continuation sheets. sheets
C Name of the project, boundaries,date, north arrow,and scale of the plan.
All plan sneers
D Name and address of the owner of record,developer,and seal of the engineer, architect,or landscape architect. If the
applicant is not the record owner,a letter of authorization shall be required from the owner All sheets
E The location and use of all existing and proposed structures within the property. including all dimensions of height and floor
area,all exterior entrances,and all anticipated future additions and alterations. Stormwater Plan
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 Stormwa
containers shall also be shown. ter plan
G The location, height. intensity. and bulb type (sodium, incandescent, etc.) of all external lighting fixtures. The direction of
illumination and methods to eliminate glare onto adjoining properties must also be shown in compliance with§179-6-020. NA
H The location,height, size, materials, and design of all proposed signs. NA
I The location of all present and proposed utility systems including:
Septic
1. Sewage or septic system; Plan
2. Water supply system: Storm
3. Telephone,cable,and electrical systems; and water
4. Storm drainage system including existing and proposed drain lines. culverts, catch basins, headwalls, plan
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.
and flooding of other properties, as applicable. A Stormwater Pollution Prevention Plan (SWPPP)for all land development Storm
activities (excluding agricultural activities) on the site that results in land disturbance of 1-acre or more. A SWPPP shall water
comply with the requirements of the DEC SPDES MS-4 General Permit and Chapter 147 of the Town of Queensbury Code. It plan
shall be at the discretion of the Planning Board as to whether a SWPPP or an erosion and control plan shall be required for a
site plan review project land disturbance of less than 1-acre.
K Existing and proposed topography at two-foot contour intervals, or such other contour interval as the Planning Board shall
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 Storm
proposed site and within 50 feet of the proposed site where soil removal or filling is required,showing the approximate volume water
in cubic yards. plan
L A landscape plan showing all existing natural land features that may influence the design of the proposed use such as rock
outcrops. stands of trees, single trees eight or more inches in diameter, forest cover, and water sources, and all proposed Storm
changes to these features including sizes and types of plants. Water sources include ponds, lakes, wetlands and water
watercourses.aquifers,floodplains,and drainage retention areas. plan
Town of Queensbury Planning Office. 742 Bay Road Queensbury, NY 12804 • 518-761-8220 6
Site Plan Review Revised June 2009
M Land Use District boundaries within 500 feet of the site's perimeter shall be drawn and identified on the site plan. as well as
any Overlay Districts that apply to the property. N
/\
N ' Traffic flow patterns within the site.entrances and exits,and loading and unloading areas,as well as curb cuts on the site and 1 11�1
within 100 feet of the site The Planning Board may,at its discretion. require a detailed traffic study for large developments or NA
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.
O For new construction or alterations to any structure,a table containing the following information shall be included:
1. Estimated area of structure to be used for particular purposes such as retail operation,office,storage,etc.; NA
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 1. Floor Plans.
Storm
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 water
to be used. plans
Q Soil logs. water supply well and percolation test results. and storm runoff calculations. as needed to determine and mitigate
project impacts, Stomwalerplanns
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
shall be submitted as part of the application. If the proposed project requires a special use permit and an EAF has been Inc.
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
application for all such uses provided the proposed uses are accurately delineated on a site plan drawn pursuant to the NA
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.
✓ 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. Inc.
Town of Queensbury Planning Office. 742 Bay Road • Queensbury, NY 12804 518-761-8220 7
Site Plan Review Revised June 2009
Pre-Submission Conference Form 1179-4-0401
1. Tax Map ID 309.18-1-12
2. Zoning Classification WR
3. Reason for Review: Site Plan Application-Slope
4. Zoning Section#: 179-6-060
5. Pre-Submission Meeting Notes; Outstanding Iten",To Be Addressed Include:
Deed � Yes No
General Information complete ✓ Yes No
Site Development Data Complete ✓ Yes No
Setback Requirements Complete Yes —7 No
Additional Project Information Complete —7-Yes No
FAR Worksheet complete ✓Xes No
Standards addressed Yes No
Checklist items addressed ✓yes No
Environmental Form completed /Yes No
�
Signature Page completed �Yes No
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Staff Representative: C.L R- MOO o V tc- errs`
Applicant/Agent:
Date: ''1 2:4
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Town of Queensbury Planning Office- 742 Bay Road • Queensbury, NY 12804 • 518-761-8220 8
617.20
Appendix B
Short Environmental Assessment Form
Instructions for Completing
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:
Shaw Residence
Project Location(describe,and attach a location map):
31 Twin Channels Road,Queensbury,New York,12804
Brief Description of Proposed Action:
Applicant seeks to build a single family residence on a 1.7 acre lot.
Name of Applicant or Sponsor: Telephone: 518.793.1111
Mark D.Shaw E-Mail:
mshaw @storedtech.com
Address:
12 Keenan Street
City/PO: State: Zip Code:
Glens Falls NY 12801
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 IN ❑
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 governmental Agency? NO YES
If Yes,list agency(s)name and permit or approval:
Town of Queensbury Building Department,Building Permit n
3.a.Total acreage of the site of the proposed action? 1.7 acres I 1
b.Total acreage to be physically disturbed? acres
c.Total acreage(project site and any contiguous properties)owned
or controlled by the applicant or project sponsor? 1.7 acres
4. Check all land uses that occur on,adjoining and near the proposed action.
❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial OResidential(suburban)
❑Forest EAgriculture CI Aquatic ❑Other(specify):
❑Parkland
Page 1 of 4
5. Is the proposed action, NO YES N/A
a.A permitted use under the zoning regulations? ❑ 0 ❑
b.Consistent with the adopted comprehensive plan? ❑ ❑
6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES
landscape? IT
7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES
If Yes,identify:
NI ❑
8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES
0 ❑
b.Are public transportation service(s)available at or near the site of the proposed action? ❑
c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? 0 ❑
9.Does the proposed action meet or exceed the state energy code requirements? NO YES
If the proposed action will exceed requirements,describe design features and technologies:
no
10. Will the proposed action connect to an existing public/private water supply? NO YES
If No,describe method for providing potable water: ❑ IN
11.Will the proposed action connect to existing wastewater utilities? NO YES
If No,describe method for providing wastewater treatment: ❑
Conventional septic system
12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES
Places? 0 ❑
b.Is the proposed action located in an archeological sensitive area? ❑
13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES
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:
14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply:
Shoreline ❑Forest ❑Agricultural/grasslands m Early mid-successional
❑ Wetland ❑Urban ❑Suburban
15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES
by the State or Federal government as threatened or endangered? ❑
16.Is the project site located in the 100 year flood plain? NO YES
NgCQ►tit rvc-frbv- s S I occr 0,-412 04" clue L. I I III
17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES
If Yes,
a.Will storm water discharges flow to adjacent properties? ❑NO DYES 0 ❑
b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)?
If Yes,briefly describe: ❑NO DYES
Page 2 of 4
18.Does the proposed action include construction or other activities that result in the impoundment of NO YES
water or other liquids(e.g.retention pond,waste lagoon,dam)?
If Yes,explain purpose and size:
Ll
19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES
solid waste management facility?
If Yes,describe: � ❑
20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES
completed)for hazardous waste?
If Yes,describe: 0 El
I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY
KNOWLEDGE
Applicant/sponsor name: Mark D.Shaw Date: 10.25.2013
Signature: �11.
Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. 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 ❑ ❑
regulations?
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 ❑ ❑
affect existing infrastructure for mass transit,biking or walkway?
6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ ❑
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? 0
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)?
Page 3 of 4
No,or Moderate
small to large
impact impact
may may
occur occur
10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage ❑
problems?
11. Will the proposed action create a hazard to environmental resources or human health?
Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. 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.
ElCheck 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.
nCheck 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.
Town of Queensbury Planning Board
Name of Lead Agency Date
Chris A.Hunsinger Chairman
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 Page 4 of 4
Site Plan Review Revised June 2009
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: Mark D Shaw
Designates: Jeffrey R.Meyer,Esq,Meyer&Fuller.PLLC
As agent regarding: Variance X Site Plan Subdivision
For Tax Map No.: 30912 Section 1 Block 12 Lot
Deed Reference: Book Page Date
OWNER SIGNATURE: v DATE: jo.Zf r�
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 agreed to the above.
•k lam- D��.� !d. 2_577 I'S
Signatur 4A. cant] Print Name [Applicant] Date signed
/� , Ye-ileey Q- /O.2 :I
•s' •: Print Narr(e [Agefit] Date signed
Town of Queensbury Planning Office- 742 Bay Road • Queensbury, NY 12804 • 518-761-8220 11
WARREN COUNTY
PAMELA J.VOGEL DOCUMENT 00005034
COUNTY Lake George NY 12845 R UME a 479th PAGE: 141
602013 Volm-4790 Pg-141
Instrument Number: 2013-00005034
As
Recorded On: June 21,2013 Deed Commercial or Vacant
Parties: SHAW JAMES E
To
SHAW MARK D Billable Pages: 3
Recorded By: MEYER&FULLER PLLC Num Of Pages: 4
Comment:
*"Examined and Charged as Follows:**
Deed Comme-vial or Vacant 55.50 Cover Page 5 CC RP-5217 Commercial 250 00
P-SB� 5.00
Recording Charge: 315.50
Consideration
Amount Amount RS##CS#
Transfe-Tax 0 00 0.00 TT 2228 Basic 000
QUEENSBURY Local 0.00 Special Additional 0 00
Additicnal 0.00 Transfer 0 00
Tax Charge: 0.00
RECORDED
Counts Clerks Office
Jun 21,2013 12:01P
Parela J. Vosel
liarrec County Clerk
•*THIS PAGE IS PART OF THE INSTRUMENT*"
I hereby certi`y that the within and foregoing was recorded in the Clerk's Office For: WARREN COUNTY, NY
File Information: Record and Return To:
Document Number: 2013-00005034 MEYER&FULLER PLLC
Receipt Number. 302046 161 OTTAWA ST
Recorded Date/Time. June 21,2013 12:01:51P LAKE GEORGE NY 12845
Book-VoVPg: Bk-RP VI-4790 Pg-141
Cashier/Station. C Latham 1 Cash Station 3
DOCUMENT: 00005034
VOLUME: 4790 PAGE: 142
i\u\
Quit Claim Deed
0`)DATE OF DEED: ,Iii NE a?I ,2013
vv GRANTOR: JAMES E.SHAW and KAREN A.SHAW,husband and wife,
S0 both residing at
52 Third Street
�
�{ Glens Falls,New York 12801
br GRANTEE: MARK D.SHAW
12 Keenan Street
Glens Falls,New York 12801
This Quit Claim Deed made between Grantor and Grantee on the deed date stated
above Witnesses That Grantor in consideration of
-One Dollar(S 1.00)--------------__--------
lawful money of the United States and other good and valuable consideration,paid by Grantee,
Does Hereby Remise,Release,And Quit Claim Unto Grantee and his
assigns all of Grantor's interest in the property located at:
Twin Channels Road
Town of Queensbury
County of Warren
State of New York
Tax Map No.: 309.18-1-12
(The property is described more fully in Schedule"A"attached)
This Grant Is Made:
Together with the appurtenances and all the estate and rights of the Grantor in and to
said premises.
To Have And To Hold the premises granted by this Quit Claim Deed unto the
Grantee and his assigns forever.
Subject to the trust fund provisions of section thirteen of the lien law.
If there are more than one Grantor or Grantee,the words"Grantor"and"Grantee"used in
this deed includes them.
DOCUMENT: 00005034
VOLUME= 4790 PAGE: 143
In Witness Of This conveyance,Grantor has executed this Quit Claim Deed
on the deed date stated above.
In Presence Of J�
(L.S.)
es E.Shaw
k ( c r�car-- (L.S.)
Karen A.Shaw
STATE OF NEW YORK )
) ss..
COUNTY OF WAPZEN )
On the at day of June in the year 2013,before me,the undersigned,personally
appeared James E.Shaw and Karen A.Shaw,personally known to me or proved to me on the
basis of satisfactory evidence to be the individual whose name is subscribed to the within
instrument and acknowledged to me that he executed the same in his capacity,and that by his
signature on the instrument,the individual,or the person upon behalf of which the individual
acted,executed the instrument. /�
047 Public
WY KM MUNN
lir Maw
d M wrMrpm.as* • •
DOCUMENT: 00005034
VOLUME: 4790 PAGE: 144
Schedule "A"
ALL THAT CERTAIN PARCEL OF LAND situate in the Town of Queensbury,Warren
County,New York,bounded and described as follows:
BEGINNING at an iron pipe monument set in the easterly line of the Twin Channel Road,and
which said iron pipe marks the Southwest corner of a parcel of land conveyed by Ida Fisher to
Hazel Batease by Deed dated August 17, 1938 and recorded in Book 209 of Deeds at page 128,
running thence North 77 degrees 38 minutes East for a distance of 90 feet to the Southeast corner
of said lands conveyed to Batease;thence South 14 degrees 55 minutes East for a distance of
125.63 feet to the West face of a 4-inch elm tree;thence South 36 degrees 46 minutes East for a
distance of 204.67 feet to the East face of a 14-inch locust tree;standing opposite and to the
Northeast of the center of a frame building located on the premises herein described;thence
South 40 degrees 05 minutes East and passing through the center of a 12-inch ash tree located 15
feet more or less northwesterly from the old road running along the westerly bank of the Hudson
River for a distance of 126.41 feet to the center line of the said road;thence continuing South 40
degrees 05 minutes East for a distance of 20 feet more or less to the Westerly shore of the
Hudson River,thence south-westerly along the westerly shore of the Hudson River for a distance
of 190 feet more or less;thence North 46 degrees 52 minutes West for a distance of 10 feet more
or less to the center line of the above mentioned old road and which said last mentioned point is
situated at a distance of 189.72 feet on a course of South 41 degrees 43 minutes West from the
last mentioned point in the center of the old road;thence continuing North 46 degrees 52 minutes
West and running along the center line of an old abandoned road for a distance of 125 feet to an
angle point therein;thence North 22 degrees 43 minutes West for a distance of 73 feet to another
angle point in said road;thence North 13 degrees 03 minutes West for a distance of 94.40 feet to
an iron pipe in the easterly line of the Twin Channel Road;thence North 12 degrees 24 minutes
West along the easterly line of the Twin Channel Road for a distance of 266.26 feet to the place
of beginning and containing 1.73 acres more or less.
Being the same premises conveyed by Robert A.Ronan,party of the first part to James E.Shaw
and Karen A.Shaw,husband and wife,parties of the second part,by deed dated September 27,
1984 and recorded in the Warren County Clerk's Office on November 1,1984 in Book 665 of
Deeds at page 1030.
R&R: Matthew F.Fuller,Esq.
Meyer&Fuller,PLLC
161 Ottawa Street
Lake George,New York 12845