Application MAPLE tCK NOV 15 2013
Marketing & Project Development
November 11, 2013
Laura Moore, Land Use Planner
Town of Queensbury Planning Office
742 Bay Road
Queensbury, NY 12804
Dear Laura:
Please find enclosed a check for one hundred dollars ($100.00) plus an original (clipped in black)
and fourteen (14) copies (clipped in red) of the application and plans for the proposed
Hannaford Bros. Co., pharmacy drive-thru for submittal to the Planning Board. Hannaford
respectively requests to be put on a December 2013 Planning Board agenda to re-approve what
the Planning Board originally approved in 2011.
If you have any questions or concerns, please do not hesitate to contact me.
Si• ,
top
J. , Lord, P.E.
J • in 'pal
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1
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Maple Rock,LLC PO Box 28, 560 South Road Rye Beach,NH 03871 imlord 560:email.com 603.502.3650
Site Plan Review Revised June 2009
General Information NOV 15 2013
Tax Parcel ID: ��-• -4 4
Zoning District: C L.I
Current Use: 4 A,141\1 PsF-0 ZUPC-12-tiN fT PHf3 C`►'
Proposed Use: NANUAFCP SiJYG M+4 ■ J( PitAl21i C-(
Location of project: CC 2-1∎i 12- (;F- gJ ktE 42 f_CiND , gAY ti2..0 AD
Applicant Name tt-A Np,Fe� gem 0O Address: 145 PtEA.S+►- -r rilu—Ib
ScAlts,c12OoGrt M (4(41
Home Phone Cell:
201 -8E5 -2cII 2.0 t - 4058
Work Phone Fax r'
207- 5 --200
E-Mail:
F)tII ,Mdeth(19oc IbLite ,ccm
p4cC j Fi,n 5 N0 H S avC3i 1 5 i K EW Agent's Name: M Address:
Home Phone Cell:
V,03-502-36So 6e)3-S07 2,6 So
Work Phone Fax
X03-502 •3ES6 1003-%4 -i(61
E-mail
StvikVia.SiaO QCrIkil,ccm
Owner's Name: Address
lAt.osikRfe b4 •Cc)- 4.NaE .r6.5' AE07
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
e3 ,1-c I h _1' c 63,7S I
B. Detached Garage ►.il A N/r1 ti/ (-�
C. Accessory Structure(s)
D. Paved, gravel or other hard surfaced area [601000 < i6ZGr > ( r4GC I
E. Porches/ Decks
INIRR N/A N/A
F. Other
hit NI l- N/A
G. Total Non-Permeable [Add A-F]
ZZ3,7$0`� < ( GZ0C- ) 2Zirl3Ct
H. Parcel Area [43,560 sq. ft. / acre]
469 ,900t NiPt 4-o 9,9 Go E
_
I. Percentage of Impermeable Area of Site [I=G/H] i SC 3, N/A 54 r
.
Setback Requirements
1 Area Required Existing Proposed
Front[1]
15 ' l 6 6 / l66
Front[2] -7 5, SM), 838
Shoreline
r.i t A ts!A N/A
Side Yard [1] -20' 36 I 1 36 l
Side Yard [2] ,.0, 8 7 861
Rear Yard [1] ZS , l I , 7'
1
Rear Yard [2] i,� NI It N/A
Travel Corridor 5 14 i I 6
Height[max] 401 'T' 3S-s"
Permeability
30% 46 4C
No. of parking spaces '3S 2 34 Z
3 ► :
Town of Queensbury Planning Office-742 By 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? t&O
2. If the parcel has previous approvals, list application number(s): ¶ € ZO]
3. Does this project require coverage under the NYS DEC Stormwater Pollution Prevention Program?
4. Estimated project duration: Start Date 51�Zi+;G-. 2c 14 End Date 5ftfzi-` "-AmmFIZ 20 14
5. Estimated total cost of project: I- 35,GO0 r
6. Total area of land disturbance for project: 2000 Sr t
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 4oq,g00 sq. ft.
Existing Floor Area (03,7 5 i sq. ft. [see above definition]
Proposed Additional Floor Area O •. ft.
Proposed Total Floor Area (s31S I sq. ft.
Total Allowable Floor Area 1 Z.L,q1( Area x -3 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
I 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.
I. 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. 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 ponding, flooding and/or erosion will minimize or avoid such
impacts to the maximum extent practicable.
0. 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, streets, and , ao
easements within 500 feet of the property. Such a sketch may be superimposed on a United States Geological Survey map of the 1
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 834' x 11" sheets as necessary for written information. The Cj, >0
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.
Ci,rJ
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 C l i C)
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. C( L"(A10(
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 Ci.v
containers shall also be shown.
G The location,height, intensity,and bulb type(sodium, incandescent,etc.)of all external lighting fixtures. The direction of illumination w4t'ee_
and methods to eliminate glare onto adjoining properties must also be shown in compliance with§179-6-020. ea-t"S)
H The location,height,size,materials,and design of all proposed signs. L 2,t
I The location of all present and proposed utility systems including:
VELe-
1. Sewage or septic system; WM
2. Water supply system; grAsiCilt9
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, and iii.4%
flooding of other properties, as applicable. A Stormwater Pollution Prevention Plan (SWPPP) for all land development activities S
(excluding agricultural activities) on the site that results in land disturbance of 1-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 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 proposed site and within C+I't
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 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 changes to these A l , t
features including sizes and types of plants. Water sources include ponds,lakes,wetlands and watercourses, aquifers,flood plains,
and drainage retention areas.
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 A t L,
Overlay Districts that apply to the property.
Town of Queensbury Planning Office- 742 Bay Road •Queensbury, NY 12804• 518-761-8220 6
Site Plan Review Revised June 2009
N Traffic flow patterns within the site,entrances and exits,and loading and unloading areas,as well as curb cuts on the site and 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 Ci i1
levels; J
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.;
2. Estimated maximum number of employees;
C1.1
3. Maximum seating capacity.where applicable;and
4. Number of parking spaces existing and required for the intended use.
P 1. Floor Plans.
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 A Lot
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 runoff calculations, as needed to determine and mitigate project (ge6kie.,
impacts.
R Plans for disposal of construction and demolition waste,either on-site or at an approved disposal facility. /NW
S Plans for snow removal,including location(s)of on-site snow storage. C(.U
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 submitted in T r
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 requirements set forth
above. The Planning Board may grant the application with respect to some proposed uses and not others. For purposes of h►«
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. N 06
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[179-4-040]
1. Tax Map ID 3 7- t -11
2. Zoning Classification C t...E
3. Code Reference for Review: {i -71:?-3-0410 t•
4. Ordinance Reference#: .;-1 ctC/N f etfi'€�A )&-i t-, 4-Sirecjitt(2 C94'ts
5. Pre-Submission Meeting Notes;Outstanding Items To BeAddressed Include:
Deed _ , Yes No
General Information complete Yes No
Site Development Data Complete VYes No
Setback Requirements Complete — Yes No
Additional Project Information Complete —7 yes No
'Coverage under DEC SWPPP Program TrAYee No
FAR Worksheet complete �,.,,Yas No
Standards addressed Yes No
Checklist items addressed —.7 7� No
Environmental Form completed Yes No
Signature Page completed i/Yes No
-A \%cs-c ilccvOSCS C t-\-[cc 4w' s ert SiT rrk ' yr(c.f6-7I
PA.--, c_04.. 4 t:Qu4- c, ck t jr 'fhru 10 V-1:--1.rK VJ'
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p\1 cei1t- tee_ e3L-b.-1 Vrt� Ace%-> `ma c- G eA c if s_,
ecev;„,.), cc,nee[f►5 c)c co ;t. CC.: 1%>,-i ir.1, tf 4.elCir,
*Applicant must provide office with Notice of Intent_(NOI)SWPPP Acceptance Form,DEC letter issuingpermit number:
Notice of Termination(NOT) Y�
Staff Representative: �''`^`� t� `�-�
Applicant/Agent .
7 l
Date: (C,\\ 1
C Vl+Ccery\c.1,
Town of Queensbury Planning Office.742 Bay Road•Queensbury,NY 12804• 518-761-8220 8
I
5. Is the proposed action, NO YES N/A
a. A permitted use under the zoning regulations?
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?
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:
8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES
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? X
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: X
10. Will the proposed action connect to an existing public/private water supply? NO YES
If Yes,does the existing system have capacity to provide service? ❑NO YES
If No,describe method for providing potable water:
11.Will the proposed action connect to existing wastewater utilities? NO YES
If Yes,does the existing system have capacity to provide service? ❑NO YES
If No,describe method for providing wastewater treatment:
12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES
Places?
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 ❑Early mid-successional
❑ Wetland l 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? X
16.Is the project site located in the 100 year flood plain? NO YES
x
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? ISNO❑YES
b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)?
If Yes,briefly describe: ❑NO EYES
ExtS-rikk bVAtN/&C tvirEitS t<01— tFFEs✓T j 12-014 OFF WtLi-
co►�Ti iJ��E �� Exisi IIJc Rat i IAooc S1'ilk,crvf4-s•
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)? X
If Yes,explain purpose and size:
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: X
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: X
I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY
KNOWLEDGE
Applicant's.. '�i"-: '+ , IA. � t 9 Date: 11 1 61 ZO 13
Signature: -L��
Part' -Impact Asses 1 ent. The Lead Agency is responsible for the completion of Part 2. Answer all of the following
ques sons in Part 2 'it g the information contained in Part 1 and other materials submitted by the project sponsor or
othe , 'se avai •: e 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?
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 I
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.
❑ 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)
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
n Owner: . :Cc. A 1 tP(-.L: c
Designates: IAA L0?-0
As agent regarding: Variance X Site Plan Subdivision
For Tax Map No.: 302" 7 Section ► Block 4i, Lot
Deed Reference: Book Page 71 r!e Date
r OWNER SIGNATURE: DATE:
I APPLICANT'S AGENT
Complete the following FORM:if the APPLICANT is unable to attend the meeting or wishes to be represented by another party:
Owner:
Designates:
As agent regarding: Variance Site Plan Subdivision
For Tax Map No: Section Block _ Lot
Deed Reference: Book Page Date
OWNER SIGNATURE: DATE:
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.
3.1 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 ob a certificate of occupancy as necessary. I also understand that I/we may be required to provide an as-built survey by
a licensed . • surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy
I av= - .d a,7. ,gree to the above.
44, J.A.A. W D It lb IZC'15
.ignat e [Applicant] Print Name [Applicant] Date signed
Signature Agent] Print Name [Agent] Date signed
Town of Queensbury Planning Office.742 Bay Road-Queensbury, NY 12804 • 518-761-8220 11
PROJECT NARRATIVE
In December of 2011, Hannaford proposed and received approval from the Town of
Queensbury, a modified site plan approval (#80-2011) for a pharmacy drive-thru for its store
located on Quaker Road. Because of changing priorities within the Company, the pharmacy
drive-thru was never constructed and the permit expired on December 15, 2012. Hannaford
would now like to proceed with the construction of the drive-thru by re-permitting the plans
that were approved by the Planning Board in 2011.
The application calls for the removal of 10 parking spaces and a section of sidewalk along the
left side of the building in a section of the site where it is presently fully paved. A pharmacy
drive-thru would then be created where the spaces and sidewalk were removed adding about
1620 SF of landscaped islands to isolate and define the drive-thru. This will still leave enough
space for a 24' drive aisle.
At the time when the permit was approved, the Planning Board determined that the proposal
satisfied the requirements as stated in the Zoning Code and therefore was in compliance with
the Comprehensive Plan. The applicant requested then, and was granted, three waiver
requests; one for utilities, one for lighting and one for storm water management. The three
waivers are subsequently requested for this application because of the deminimus impact the
project will have on the parcel. A waiver for soil logs is also requested.
The Planning Board at that time had a problem with cut-thru traffic between the CVS Plaza and
the Hannaford parking lot. The Board requested an extension of the split rail fence and
additional landscaping in that area of the site to ensure unauthorized access to and from the
CVS Plaza. Hannaford also agreed to provide a fifty (50') foot interconnection easement for a
possible twenty four (24') wide drive aisle from the Hannaford entrance off Bay Road to the CVS
for a possible future connection point. Traffic congestion and traffic movements precluded
access on the access aisle from Quaker Road. That easement is also shown on the plans.
The Planning Board also requested the relocation of the existing propane storage tank
dispensing area which is shown, and they requested that we show pavement striping to the
pharmacy drive-thru which was added to the plans as well.
Since the Planning Board approved the plans, Hannaford revised the curbing located next to the
pharmacy drive-thru from bituminous to granite for longer life and durability. Other than that
change, the plans remain the same as those approved by the Planning Board in 2011. The
original approval is attached hereto for reference.
Hannaford respectfully requests that the Planning Board re-approve the modified site plan that
it previously approved.
4`� TOWN OF QUEENSBURY
. Community Development Office
� 742 Bay Road, Queensbury, NY 12804-5902
RECEIVED
December 16,2011 DEC 2 3 2011
Hannaford Brothers Company REAL ESTATE
145 Pleasant Hill Road
Scarborough, ME 04074
Re: Site Plan 80-2011
Dear Hannaford Brothers Company:
1) Your application,after review and consideration by the Planning Board,was APPROVED(resolution attached).
2) Your approval is valid for one year from the date of approval—12/1512012
3) Additional requirements and review for this project shall include:
PLANNING BOARD APPROVED PLANS
Approved Plans:
■ Submit four(4)copies of the final approved plans to the Planning Office with:resolution copied on the final plans in its entirety;
signature block for the Zoning Administrator's approval stamp.
• One(1)copy of the plans with the Zoning Administrator approval stamp will be returned to you to be posted on site.
✓ Before any work is commenced: Please contact Bruce Frank, Code Compliance Officer at 761-8226 for site inspection
BUILDING&CODES
✓ Application for a Building Permit
Application for a Certificate of Occupancy
Application for necessary Sign permits, if applicable
No further discretionary review is necessary at this time
This office will be performing necessary inspections related to Site issues, not Building Code issues, throughout the duration of the
project Completion of and continued compliance with all details and conditions of approval are required in order to receive and
maintain approvals.
1u al
Craig Brown,Zoning Administrator
C B1pw
cc: Creighton Manning Engineering
,,,,r TOWN OF QUEENSBURY
—z a Community Development Office
742 Bay Road, Queensbury, NY 12804-5902
Town of Queensbury Planning Board
RESOLUTION TO APPROVE SITE PLAN 80-2011 FOR HANNAFORD BROTHERS COMPANY
A site plan application has been made to the Queensbury Planning Board for the following: Applicant proposes construction of a drive-
thru pharmacy. Expansion of a business and lack of site plan review in the past seven years in a CI zone requires Planning Board
review and approval;
A public hearing was advertised and held on 12/15/2011;
This application is supported with all documentation, public comment,and application material in the file of record;
MOTION TO APPROVE SITE PLAN NO. 80-2011 HANNAFORD BROTHERS COMPANY, Introduced by Gretchen Steffan who
moved for its adoption,seconded by Stephen Traver
According to the resolution prepared by Staff with the following:
1) Pursuant to relevant sections of the Town of Queensbury Zoning Code [Chapter 179-9-0801, the Planning Board has
determined that this proposal satisfies with the requirements as stated in the Zoning Code;
2) Type II-no further SEQRA review is necessary;
3) Final approved plans, in compliance with the Site Plan, must be submitted to the Community Development Department before
any further review by the Zoning Administrator or Building and Codes personnel. The applicant must meet with Staff after approval
and prior to issuance of Building Permit and/or the beginning of any site work. Subsequent issuance of further permits, including
building permits is dependent on compliance with this and all other conditions of this resolution;
4) As-built plans to certify that the site plan is developed according to the approved plans to be provided prior to issuance of the
certificate of occupancy;
5) Waiver requests granted: utility systems, lighting,and stormwater mgmt..;
6) This is approved with the following conditions:
a) That the applicant will extend the rail fence to existing shrubs to the north to ensure elimination of unauthorized access to
the CVS Plaza.
b) Add an orange construction fence to cordon off construction area for drive thru construction.
c) To rotate the propane storage 90 degrees so it is parallel to the building.
d) That the applicant will add directional pavement striping to the pharmacy drive thru.
e) That the final plans will need to be sealed by a licensed professional engineer.
f) That the applicant will add a 50 foot future interconnect to the CVS plaza site off of the Bay Road entrance access drive,
within that 50 foot interconnect We will require a 24 foot drive aisle that must be placed within that 50 feet.
Duly adopted this 151h day of December,2011,by the following vote:
AYES: Mr.Traver,Mr. Krebs,Mrs.Steffan, Mr.Ford, Mr.Schonewolf,Mr. Sipp,Mr. Hunsinger
NOES: NONE
Cc: Creighton Manning Engineering
a�nafo\
Hannaford Bros. Co.
AGENT AUTHORIZATION
November 5, 2013
RE: Hannaford Supermarket& Pharmacy
190 Quaker Road
Queensbury, New York
To Regulatory Authorities:
The following individual is hereby authorized to act as our Agent in obtaining permits for the addition of
a pharmacy drive-through at the above referenced location:
J. M. Lord, P.E.
Maple Rock, LLC
PO Box 28,560 South Road
Rye Beach, NH 03871
Mr. Lord is authorized to attend regulatory meetings and speak on our behalf, prepare and sign permit
applications, and obtain all regulatory approvals for this project. This agent authorization expires on
February 5, 2014. If you have any questions or concerns I can be contacted at (207) 885-2092.
Sincerely,
William E. McKenne
Hannaford Bros. Co.
P.O. BOX 1000 PORTLAND, MAINE 04104 TELEPHONE 207-883-2911