Architectural Reviewapplication: 19 Washington Street Hotel and Spa Saratoga Springs, Ny

Architectural ReviewApplication
19 Washington Street Hotel and Spa

Saratoga Springs, NY
CHA Project Number: 28352-7002
Prepared for:
RBC Construction
8 Paddocks Circle
Saratoga Springs, NY 12866
Submitted to:
City of Saratoga Springs Design Review Commission
Mr. Bradley Birge
Administrator of Planning & Economic Development
Prepared by:
III Winners Circle

Albany, New York 12205
Phone: (
August 30, 2017

August 30, 2017
Mr. Bradley Birge

Administrator of Planning & Economic Development
City Hall
474 Broadway
Saratoga Springs, New York 12866
RE: 19 Washington Street Hotel and Spa Architectural Review Application

CHA Project No.: 28352-7002
Dear Mr. Birge,
CHA Consulting, Inc. (CHA) is pleased to provide this application for Architectural Review for 19
Washington Street Hotel and Spa located at 19-23 Washington Street in Saratoga Springs, New York.
This submission includes 2 copies of the following:

x Project Narrative and Photos
x Application for Architectural Review
x Full Environmental Assessment Form
x Site Plans
x Architectural Plans and Elevations and Rendering with architects description of proposed materials
and colors
x Architectural Review application fee ($300.00 check payable to Commissioner of Finance)
Thank you, and if you have any questions, please call me at 518-453-3927 or Jeremy Sherring, AIA at Mark
Zeff Architecture 646-883-1781.
Very truly yours,
Anthony P. Stellato, Jr. PE

Vice President
cc: Jeff Ward, RBC Construction

Toby Mild, Adelphi Hospitality Group
Michel Ducamp, Adelphi Hospitality Group
Jeremy Sherring, Mark Zeff Architecture
V:\Projects\ANY\K3\28352\Permitting\19 and 23 Washington St\170830 DRC Application\2_DRC narrative and photos.docx
Project Background
Adelphi Hotel Partners, LLC is the owner of property at 19/23 Washington Street in Saratoga Springs,
New York, which it acquired in 2014 from Bethesda Episcopal Church. The property is comprised of
two tax parcels (165.67-1-14 and 165.67-1-15), and approximately 0.47 acres. It is situated on the north
side of Washington Street between Universal Preservation Hall and the Rip Van Dam site. The
northeast corner of the property abuts the Adelphi Hotel (361-365 Broadway), also owned by Adelphi
Hotel Partners, LLC.
The most significant feature on the site is the stone house at 23 Washington Street which formerly
served as the rectory for the Bethesda Episcopal Church, located across Washington Street. According
to the Bethesda Churchs website, the building was purchased in 1920 from the Wiggins family by the
congregation as a wedding present for Reverend Irving Rouillard. The original stone structure measures
approximately 30 by 40 with a bay window on the east side. A 1,200 SF (approximately) wood
addition was added to the rear of the house at an unknown time. The addition appears to be made up of
two structures that had been enclosed together and attached to the main house. The quality of
construction and condition of the addition are poor, and the owner considers it to negatively impact the
main house. The existing wood addition will be removed as part of the project.
Project Description
The project involves the construction of a hotel, spa, indoor pool and outdoor patio for the enjoyment of
guests.
The new six-story hotel and spa will be situated to the rear of the stone house. Access to the first floor
lobby will be centered on the Washington Street faade. Guests will enter here for hotel and spa
registration. The spa will be located on the basement level along with a variety of back of house
functions. The remainder of the first floor will include restrooms, a gym, a lounge, three small meeting
rooms and back of house space, including a warming kitchen. A one-story connector will provide
access to the existing stone house, which will be renovated as a guest suite. The north end of the first
floor provides access to an indoor pool. The pool will be in an attached single-story structure. The
second through sixth floors of the new building will include 50 additional guest suites. The hotel will be
operated independently from the Adelphi Hotel.
19-23 Washington Street Redevelopment Architectural Review Application

23 Washington Hotel and Spa Page 2
Proposed Building Area (Square Feet)
Total
Ground Second Floor No. of Approx.
Building Description Floor Floor Area Stories Height
Hotel and Spa 8,000 8,000 48,000 6 70
Pool 2,800 0 2,800 1 20
Connector Building 160 160 1 16
Finished Basement 9,007 0
TOTAL NEW BUILDING AREA 10,960 8,000 59,967
Total Single-Story Building Area 2,960

Second Floor Percent of First Floor Area 73%
The total building area involved in this project includes 59,967 SF of new construction and 2,600 SF of
existing building renovation, for a total of 62,567 SF. A breakdown of building area by use follows:
Building Area by Use (Square Feet)
Use Description Total Floor Area

Hotel 51,760
Spa 8,007
Pool 2,800
TOTAL 62,567
Site and Landscape
The Project proposes an intimate outdoor setting. Soft, low intensity, pedestrian scale lighting will
illuminate walks and gathering areas. Fixtures will include wall-mounted sconces and/or hanging
pendants.
The Project includes 99 feet of frontage along Washington Street. An existing stone wall currently runs
at the back of the sidewalk along this frontage, with openings for the walkway to the front door of the
stone house and the existing driveway. The wall will be dismantled from the driveway opening to the
eastern property corner, which will provide space for a one-way U-shaped driveway for guest drop-off.
The driveway surface will incorporate unit pavers in a brick herringbone pattern with granite curb
edging. The area between the in and out drives and the sidewalk will be landscaped to enhance the
streetscape along the City sidewalk. The stones from the dismantled section of wall will be used to
repair/reconstruct the existing wall running along the back of sidewalk in front of the stone house. The

area between the reconstructed stone wall and the stone house will be landscaped to provide screening of
the electrical transformer located in this area.
The existing Washington Street curb and sidewalk will be replaced in-kind along the entire project
frontage. Two Sternberg street light fixtures will be installed, and their locations will be coordinated to
be consistent with the alignment and spacing of new light fixtures recently installed in front of 41
Washington Street and those included on the Rip Van Dam approved site plans. The new public
sidewalk will incorporate radiant heating, as will a significant amount of the hardscape interior to the
Project Site.
The indoor pool area exits onto a terrace at the north end of the site. The terrace steps down to a
courtyard that will extend to the existing courtyard on the adjacent Adelphi Hotel property. This area is
envisioned as a quiet retreat for spa and hotel guests with outdoor furniture and potted plants.
The new building will be set back approximately 5 feet from the north, east and west property lines to
allow alley access around all sides of the building. These alleys will accommodate deliveries of food,
beverage and supplies from the adjacent Adelphi Hotel property. The site driveway from Washington
Street has been designed to accommodate a 30-foot box delivery truck, which also allows some
deliveries to be received via the east alley. The east alley connects to the existing 10-foot wide
ingress/egress easement extending to Washington Street through the adjacent Rip Van Dam property.
This easement provides emergency egress for the existing Adelphi Hotel as well as access for deliveries
and trash removal. Trash generated by the new hotel and spa will be stored indoors in wheeled
containers and transported to the curb on trash day. Trash will generally contain paper and non-organic
waste. Quantities are not anticipated to be significant.
Site Photographs
The following pages include photographs of the site and existing structures.

Photo 1: Taken from Washington Street looking north at stone house. The stone wall
along the Washington Street sidewalk will be preserved in front of the stone house.

Photo 2: Taken from Washington Street looking north between the stone house and
Universal Preservation Hall.

Photo 3: Taken from Washington Street looking northwest at the east side of the stone
house. The addition is visible at the rear of the house.

Photo 4: Taken from Washington Street looking northeast toward the Rip Van Dam
property.

Photo 5: Taken from Washington Street looking north along the eastern property
boundary.

Photo 6: Taken from the Washington Street sidewalk looking northeast at the west side of
the existing building.

Photo 7: Taken from the driveway of 19/23 Washington Street looking west at the east
side of the addition.

Photo 8: Taken from the driveway of 19/23 Washington Street looking northwest.

Photo 9: Taken from the rear yard of 19/23 Washington Street looking southwest at the
rear (north) side of the addition.

Photo 10: Taken from the rear yard of 19/23 Washington Street looking north.

Photo 11: Taken from the rear yard of 19/23 Washington Street looking south toward the
rear (north) side of the addition.

Photo 12: Taken from the rear yard of 19/23 Washington Street looking east toward the
Adelphi property.

CITY OF SARATOGA SPRINGS
[FOR OFFICE USE]
D ESIGN R EVIEW C OMMISSION _______________

(Application #)
City Hall - 474 Broadway
Saratoga Springs, New York 12866 _______________
Tel: 518-587-3550 x.515 fax: 518-580-9480 (Date received)
www.saratoga-springs.org
ARCHITECTURAL / HISTORIC REVIEW APPLICATION

5%&& $+3
APPLICANT(S)* OWNER(S) (If not applicant) ATTORNEY/AGENT
RBC Construction, LLC Adelphi Hotel Partners, LLC Mark Zeff Architecture
Name
8 Paddocks Circle Same as Applicant 20 John Street
Address
Saratoga Springs, NY 12866 Brooklyn, NY 11201
Phone / (Jeff Ward) /

Email
Identify primary contact person: Applicant Owner Attorney/Agent
* An applicant must be the property owner, lessee, or one with an option to lease or purchase the property in question.
Applicants interest in premises: Owner Lessee Under option to lease or purchase
PROPERTY INFORMATION
Property Address/Location:
19-23 Washington Street
Tax Parcel #: 165 . 67 - 1 -
14&15
(for example: 165.52 4 37 )
Current Zoning District: T-6 Property use: Residential Non-residential/mixed-use
Type of Review: Architectural Historic Extension/modification (of current approval)
Summary description of proposed action:

The Project involves the construction of a hotel and spa at 19-23 Washington Street in Saratoga Springs, NY. Fifty hotel
rooms will be located in a new six-story building to be constructed adjacent to an existing stone house on the property.
The stone house will be restored as a two-bedroom guest suite. The project also includes an indoor swimming pool and
spa.
Has a previous application been filed with the DRC for this property? No Yes date(s)? _____________________
- App. No.(s)? _________________
Revised 0/16
APPLICATION FEE (payable to Commissioner of Finance):
Residential Structures (principal, accessory) $25 Non-residential / mixed-use structures (principal) $300
Residential approval extension $25 Non-residential signs, awnings, accessory structures $100
Residential - administrative action $25 Non-residential approval extension $100
Non-residential - administrative action $100
**A complete application consists of Kard copiesRULJLQDO, and 1 electronic copy of application & ALL other
materials as required below:
New Construction / Additions
Color photographs showing site/exterior details of existing structures and adjacent properties
Site plan, drawn to scale, showing existing & proposed construction, property lines & dimensions, required & proposed setbacks & lot
coverage, site features (fences, walks, trees, etc.); on no larger than 2x3 sheet smaller preferred if legible
Elevation drawings showing design of all sides of existing & proposed construction label dimensions, colors, materials, lighting (fixture
& lamp type, wattage), etc. - include compass bearing & scale; no larger than 2x3 sheet smaller permitted if legible
Floor plans for proposed structure; on sheet no larger than 2x3 smaller permitted if legible
Product literature, specifications and samples of proposed materials and colors
Change in exterior building materials (windows, doors, roof, siding, etc.), or color (in non-residential districts only)
Color photographs showing site/exterior details of existing structures and that illustrate affected features
Elevation drawings showing all sides of existing & proposed construction label dimensions, colors, materials, lighting (fixture & lamp
type, wattage), etc. - include compass bearing & scale; no larger than 2x3 sheet smaller permitted if legible
Within front yard setbacks in Historic Districts only (Front setbacks: UR-1 & INST-HTR=30; UR-4=25; UR-2, UR-3 & NCUD-1=10)
- Installation, removal or change in material of drive- and walkways
- Installation or removal of architectural, sculptural or vegetative screening over 3 in height
- Installation of accessory utility structures or radio/satellite transmission/reception devices (more than 2 diameter)
For any of above:
Color photographs showing site/exterior details of existing structures, and of adjacent properties
Site plan showing existing & proposed construction: include property lines & dimensions, required & proposed setbacks & lot
coverage, site features (fences, walks, trees, etc.) street names, compass bearing & scale; no larger than 2x3 sheet smaller
preferred if legible
Signage / Awnings
Color photographs showing site/exterior details of existing structures, and adjacent properties
Plan showing location of proposed sign/awning structure on building/premises: no larger than 11x17
Scaled illustration of proposed sign/awning structure and lettering (front view & profile): include all dimensions of structure; type,
dimensions and style of lettering or logo; description of colors, materials, mounting method and hardware
Descriptions, specifications of proposed lighting including fixture & lamp type, wattage, mounting method, and location
Demolition
Color photographs showing site/exterior details of existing structures, and of adjacent properties
Site plan showing existing and any proposed structures - include dimensions, setbacks, street names, compass bearing, and scale
Written description of reasons for demolition and, in addition:
For structures of architectural/historical significance, demonstrate good cause why structure cannot be preserved
For structures in an architectural district that might be eligible for listing on National Register of Historic Places, or for a
contributing structure in a National Register district (contact City staff), provide plans for site development following demolition -
include a timetable and letter of credit for project completion
Telecommunication facilities
Color photographs showing site/existing structures, and of adjacent properties
Site plan showing existing and proposed structures: include dimensions, setbacks, street names, compass bearing, and scale
Scaled illustration of proposed structures: include all dimensions; colors, materials, lighting, mounting details
Consult Article 240-12.22 of the Citys Zoning Ordinance and City staff to ensure compliance with requirements for visual impact
assessment and existing and proposed vegetative screening
Revised 0/16
Request for extension of current approval
Identify date of original DRC approval: ______________Current expiration date: ________________ Org. App. No. ____________
Describe why this extension is necessary and whether any significant changes have occurred either on the site or in the neighborhood.
SEQR Environmental Assessment Form

Applicants proposing the following must complete Part I of the SEQR Short Environmental Assessment Form (available here:
http://www.dec.ny.gov/docs/permits_ej_operations_pdf/seafpartone.pdf):
- Construction or expansion of a multi-family residential structure (4 units +)
- Construction or expansion (exceeding 4,000 sq. ft. gross floor area) of a principal or accessory non-residential structure
- Telecommunications facility, radio antennae, satellite dishes
- Demolition
Disclosure
Does any City officer, employee or family member thereof have a financial interest (as defined by General Municipal Law
Section 809) in this application?
No Yes - If yes, a statement disclosing the name, residence, nature, and extent of this interest must be filed with this
application.
Certification
I/we, the property owner(s), or purchaser(s)/lessee(s) under contract, of the land in question, hereby request an appearance
before the Design Review Commission.
By the signature(s) attached hereto, I/we certify that the information provided within this application and accompanying
documentation is, to the best of my/our knowledge, true and accurate. I/we further understand that intentionally providing
false or misleading information is grounds for immediate denial of this application.
I/we hereby authorize the members of the Design Review Commission and designated City staff to enter the property
associated with this application for purposes of conducting any necessary site inspections relating to this application.
Furthermore, I/we agree to meet all requirements under Article VII for Historic Review or Article VIII for Architectural
Review of the Zoning Code of the City of Saratoga Springs.
-HIIUH\::DUG5%&&3URMHFW0DQDJHU Date:

(applicant signature)
(a
Date:
(applicant signature)
If applicant is not the currently the owner of the property, the current owner must also sign.
Owner Signature: -HIIUH\::DUG$+32ZQHU Date:

5HSUHVHQWDWLYH
Owner Signature: Date:
Revised 0/16
FOR OFFICE USE ONLY
This application has been reviewed by the Zoning Enforcement Officer and is being forwarded to the Commission.
Signature: Date:
Additional Comments:
Revised 0/16
Full Environmental Assessment Form
Part 1 - Project and Setting
Instructions for Completing Part 1
Part 1 is to be completed by the applicant or project sponsor. 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; indicate whether missing information does not exist,
or is not reasonably available to the sponsor; and, when possible, generally describe work or studies which would be necessary to
update or fully develop that information.
Applicants/sponsors must complete all items in Sections A & B. In Sections C, D & E, most items contain an initial question that
must be answered either Yes or No. If the answer to the initial question is Yes, complete the sub-questions that follow. If the
answer to the initial question is No, proceed to the next question. Section F allows the project sponsor to identify and attach any
additional information. Section G requires the name and signature of the project sponsor to verify that the information contained in
Part 1is accurate and complete.
A. Project and Sponsor Information.

Name of Action or Project:
19 Washington Hotel and Spa
Project Location (describe, and attach a general location map):
19-23 Washington Street, Saratoga Springs, Saratoga County
Brief Description of Proposed Action (include purpose or need):

The Project involves the construction of a hotel and spa at 19-23 Washington Street in Saratoga Springs, NY. Fifty hotel rooms will be located in a new
six-story building to be constructed adjacent to an existing stone house on the property. The stone house will be restored as a two-bedroom guest suite.
The project also includes an indoor swimming pool and spa.
Name of Applicant/Sponsor: Telephone:

RBC Construction, Inc. c/o Jeff Ward E-Mail:
Address: 8 Paddocks Circle
City/PO: Saratoga Springs State: Zip Code:

New York 12866
Project Contact (if not same as sponsor; give name and title/role): Telephone:
CHA c/o Tony Stellato, PE E-Mail t
Address:
3 Winners Circle
City/PO: State: Zip Code:
Albany New York 12205
Property Owner (if not same as sponsor): Telephone:
Adelphi Hotel Partners, Inc. E-Mail:
Address:
8 Paddocks Circle
City/PO: State: Zip Code:
Saratoga Springs New York 12866
Page 1 of 13
B. Government Approvals
B. Government Approvals Funding, or Sponsorship. (Funding includes grants, loans, tax relief, and any other forms of financial
assistance.)
Government Entity If Yes: Identify Agency and Approval(s) Application Date
Required (Actual or projected)
a. City Council, Town Board, Yes No
or Village Board of Trustees
b. City, Town or Village
Yes No Planning Board - Site Plan Approval Site Plan Application submitted 8/2017
Planning Board or Commission
c. City Council, Town or
Yes No ZBA - Area Variance Initial application filed 3/2015. Resubmission
Village Zoning Board of Appeals pending.
d. Other local agencies
Yes No Design Review Commission - Demolition Permit Architectural Review to be submitted 8/2017
and Architectural Review
e. County agencies Yes
No
f. Regional agencies Yes

No
g. State agencies Yes

No
h. Federal agencies Yes

No
i. Coastal Resources.
i. Is the project site within a Coastal Area, or the waterfront area of a Designated Inland Waterway? Yes
No
If Yes,
ii. Is the project site located in a community with an approved Local Waterfront Revitalization Program? Yes
No
iii. Is the project site within a Coastal Erosion Hazard Area? Yes
No
C. Planning and Zoning
C.1. Planning and zoning actions.

Will administrative or legislative adoption, or amendment of a plan, local law, ordinance, rule or regulation be the Yes
No
only approval(s) which must be granted to enable the proposed action to proceed?
x If Yes, complete sections C, F and G.
x If No, proceed to question C.2 and complete all remaining sections and questions in Part 1
C.2. Adopted land use plans.
a. Do any municipally- adopted (city, town, village or county) comprehensive land use plan(s) include the site
Yes No
where the proposed action would be located?
If Yes, does the comprehensive plan include specific recommendations for the site where the proposed action
Yes No
would be located?
b. Is the site of the proposed action within any local or regional special planning district (for example: Greenway Yes
No
Brownfield Opportunity Area (BOA); designated State or Federal heritage area; watershed management plan;
or other?)
If Yes, identify the plan(s):
_______________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
c. Is the proposed action located wholly or partially within an area listed in an adopted municipal open space plan, Yes
No
or an adopted municipal farmland protection plan?
If Yes, identify the plan(s):
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
Page 2 of 13
C.3. Zoning
a. Is the site of the proposed action located in a municipality with an adopted zoning law or ordinance.
Yes No
If Yes, what is the zoning classification(s) including any applicable overlay district?
_________________________________________________________________________________________________________
Transect Zone T-6 and Architectural Review Overlay District
_________________________________________________________________________________________________________
b. Is the use permitted or allowed by a special or conditional use permit? Allowed by right
Yes No
c. Is a zoning change requested as part of the proposed action? Yes
No
If Yes,
i. What is the proposed new zoning for the site? ___________________________________________________________________
C.4. Existing community services.

a. In what school district is the project site located? ________________________________________________________________
Saratoga Springs School District
b. What police or other public protection forces serve the project site?
_________________________________________________________________________________________________________
City of Saratoga Springs Police Department
c. Which fire protection and emergency medical services serve the project site?
__________________________________________________________________________________________________________
Saratoga Springs Fire Department
d. What parks serve the project site?

__________________________________________________________________________________________________________
Congress Park
__________________________________________________________________________________________________________
D. Project Details
D.1. Proposed and Potential Development
a. What is the general nature of the proposed action (e.g., residential, industrial, commercial, recreational; if mixed, include all
components)? Commercial
_________________________________________________________________________________________________________
b. a. Total acreage of the site of the proposed action? _____________
0.5 acres
b. Total acreage to be physically disturbed? _____________
0.5 acres
c. Total acreage (project site and any contiguous properties) owned
or controlled by the applicant or project sponsor? _____________
0.8 acres
c. Is the proposed action an expansion of an existing project or use? Yes No

i. If Yes, what is the approximate percentage of the proposed expansion and identify the units (e.g., acres, miles, housing units,
square feet)? % ____________________ Units: ____________________
d. Is the proposed action a subdivision, or does it include a subdivision? No
Yes
If Yes,
i. Purpose or type of subdivision? (e.g., residential, industrial, commercial; if mixed, specify types)
________________________________________________________________________________________________________
ii. Is a cluster/conservation layout proposed? Yes No
iii. Number of lots proposed? ________
iv. Minimum and maximum proposed lot sizes? Minimum __________ Maximum __________
e. Will proposed action be constructed in multiple phases? Yes No
i. If No, anticipated period of construction: _____
18 months
ii. If Yes:
x Total number of phases anticipated _____
x Anticipated commencement date of phase 1 (including demolition) _____ month _____ year
x Anticipated completion date of final phase _____ month _____year
x Generally describe connections or relationships among phases, including any contingencies where progress of one phase may
determine timing or duration of future phases: _______________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
Page 3 of 13
f. Does the project include new residential uses? Yes
No
If Yes, show numbers of units proposed.
One Family Two Family Three Family Multiple Family (four or more)
Initial Phase ___________ ___________ ____________ ________________________
At completion
of all phases ___________ ___________ ____________ ________________________
g. Does the proposed action include new non-residential construction (including expansions)?
Yes No
If Yes,
i. Total number of structures ___________ 1
70'
ii. Dimensions (in feet) of largest proposed structure: ________height; ________width;
90' and _______
100' length
iii. Approximate extent of building space to be heated or cooled: ______________________
62,567 square feet
h. Does the proposed action include construction or other activities that will result in the impoundment of any Yes
No
liquids, such as creation of a water supply, reservoir, pond, lake, waste lagoon or other storage?
If Yes,
i. Purpose of the impoundment: ________________________________________________________________________________
ii. If a water impoundment, the principal source of the water: Ground water Surface water streams Other specify:
_________________________________________________________________________________________________________
iii. If other than water, identify the type of impounded/contained liquids and their source.
_________________________________________________________________________________________________________
iv. Approximate size of the proposed impoundment. Volume: ____________ million gallons; surface area: ____________ acres
v. Dimensions of the proposed dam or impounding structure: ________ height; _______ length
vi. Construction method/materials for the proposed dam or impounding structure (e.g., earth fill, rock, wood, concrete):
________________________________________________________________________________________________________
D.2. Project Operations

a. Does the proposed action include any excavation, mining, or dredging, during construction, operations, or both? Yes No
(Not including general site preparation, grading or installation of utilities or foundations where all excavated
materials will remain onsite)
If Yes:
i .What is the purpose of the excavation or dredging? _______________________________________________________________
ii. How much material (including rock, earth, sediments, etc.) is proposed to be removed from the site?
x Volume (specify tons or cubic yards): ____________________________________________
x Over what duration of time? ____________________________________________________
iii. Describe nature and characteristics of materials to be excavated or dredged, and plans to use, manage or dispose of them.
________________________________________________________________________________________________________
________________________________________________________________________________________________________
iv. Will there be onsite dewatering or processing of excavated materials? Yes No
If yes, describe. ___________________________________________________________________________________________
________________________________________________________________________________________________________
v. What is the total area to be dredged or excavated? _____________________________________acres
vi. What is the maximum area to be worked at any one time? _______________________________ acres
vii. What would be the maximum depth of excavation or dredging? __________________________ feet
viii. Will the excavation require blasting? Yes No
ix. Summarize site reclamation goals and plan: _____________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
b. Would the proposed action cause or result in alteration of, increase or decrease in size of, or encroachment Yes No
into any existing wetland, waterbody, shoreline, beach or adjacent area?
If Yes:
i. Identify the wetland or waterbody which would be affected (by name, water index number, wetland map number or geographic
description): ______________________________________________________________________________________________
_________________________________________________________________________________________________________
Page 4 of 13
ii. Describe how the proposed action would affect that waterbody or wetland, e.g. excavation, fill, placement of structures, or
alteration of channels, banks and shorelines. Indicate extent of activities, alterations and additions in square feet or acres:
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
iii. Will proposed action cause or result in disturbance to bottom sediments? Yes No
If Yes, describe: __________________________________________________________________________________________
iv. Will proposed action cause or result in the destruction or removal of aquatic vegetation? Yes No
If Yes:
x aFUHV of DTXDWLFvegetation proposed to be removed ___________________________________________________________
x _____
expected acreage of aquatic vegetation remaining after project completion________________________________________
x purpose of proposed removal (e.g. beach clearing, invasive species control, boat access): ____________________________
____________________________________________________________________________________________________
x proposed method of plant removal: ________________________________________________________________________
x if chemical/herbicide treatment will be used, specify product(s): _________________________________________________
v. Describe any proposed reclamation/mitigation following disturbance: _________________________________________________
_________________________________________________________________________________________________________
c. Will the proposed action use, or create a new demand for water? Yes No
If Yes:
i. Total anticipated water usage/demand per day: __________________________ 9,560 gallons/day
ii. Will the proposed action obtain water from an existing public water supply? Yes No
If Yes:
x Name of district or service area: Saratoga
_________________________________________________________________________
Springs Water System
x Does the existing public water supply have capacity to serve the proposal? Yes No
x Is the project site in the existing district? Yes No
x Is expansion of the district needed? Yes
No
x Do existing lines serve the project site? Yes No
iii. Will line extension within an existing district be necessary to supply the project? No
Yes
If Yes:
x Describe extensions or capacity expansions proposed to serve this project: ________________________________________
____________________________________________________________________________________________________
x Source(s) of supply for the district: ________________________________________________________________________
Saratoga Springs Water System
iv. Is a new water supply district or service area proposed to be formed to serve the project site? Yes
No
If, Yes:
x Applicant/sponsor for new district: ________________________________________________________________________
x Date application submitted or anticipated: __________________________________________________________________
x Proposed source(s) of supply for new district: _______________________________________________________________
v. If a public water supply will not be used, describe plans to provide water supply for the project: ___________________________
_________________________________________________________________________________________________________
vi. If water supply will be from wells (public or private), maximum pumping capacity: _______ gallons/minute.
d. Will the proposed action generate liquid wastes? Yes No
If Yes:
i. Total anticipated liquid waste generation per day: _______________ 9,560 gallons/day
ii. Nature of liquid wastes to be generated (e.g., sanitary wastewater, industrial; if combination, describe all components and
approximate volumes or proportions of each): __________________________________________________________________
_________________________________________________________________________________________________________
sanitary wastewater
_________________________________________________________________________________________________________
iii. Will the proposed action use any existing public wastewater treatment facilities? Yes No
If Yes:
x SCSD treatment plant- Mechanicville, NY
Name of wastewater treatment plant to be used: _____________________________________________________________
x Name of district: Saratoga
______________________________________________________________________________________
County Sewer District #1
x Does the existing wastewater treatment plant have capacity to serve the project? Yes No
x Is the project site in the existing district? Yes No
x Is expansion of the district needed? Yes
No
Page 5 of 13
x Do existing sewer lines serve the project site?
Yes No
x Will line extension within an existing district be necessary to serve the project? Yes No
If Yes:
x Describe extensions or capacity expansions proposed to serve this project: ____________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
iv. Will a new wastewater (sewage) treatment district be formed to serve the project site? Yes No
If Yes:
x Applicant/sponsor for new district: ____________________________________________________________________
x Date application submitted or anticipated: _______________________________________________________________
x What is the receiving water for the wastewater discharge? __________________________________________________
v. If public facilities will not be used, describe plans to provide wastewater treatment for the project, including specifying proposed
receiving water (name and classification if surface discharge, or describe subsurface disposal plans):
________________________________________________________________________________________________________
________________________________________________________________________________________________________
vi. Describe any plans or designs to capture, recycle or reuse liquid waste: _______________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
e. Will the proposed action disturb more than one acre and create stormwater runoff, either from new point Yes No
sources (i.e. ditches, pipes, swales, curbs, gutters or other concentrated flows of stormwater) or non-point
source (i.e. sheet flow) during construction or post construction?
If Yes:
i. How much impervious surface will the project create in relation to total size of project parcel?
_____ Square feet or _____ acres (impervious surface)
_____ Square feet or _____ acres (parcel size)
ii. Describe types of new point sources. __________________________________________________________________________
_________________________________________________________________________________________________________
iii. Where will the stormwater runoff be directed (i.e. on-site stormwater management facility/structures, adjacent properties,
groundwater, on-site surface water or off-site surface waters)?
________________________________________________________________________________________________________
________________________________________________________________________________________________________
x If to surface waters, identify receiving water bodies or wetlands: ________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
x Will stormwater runoff flow to adjacent properties? Yes No
iv. Does proposed plan minimize impervious surfaces, use pervious materials or collect and re-use stormwater? Yes No
f. Does the proposed action include, or will it use on-site, one or more sources of air emissions, including fuel Yes No
combustion, waste incineration, or other processes or operations?
If Yes, identify:
i. Mobile sources during project operations (e.g., heavy equipment, fleet or delivery vehicles)
_________________________________________________________________________________________________________
ii. Stationary sources during construction (e.g., power generation, structural heating, batch plant, crushers)
________________________________________________________________________________________________________
iii. Stationary sources during operations (e.g., process emissions, large boilers, electric generation)
________________________________________________________________________________________________________
g. Will any air emission sources named in D.2.f (above), require a NY State Air Registration, Air Facility Permit, Yes
No
or Federal Clean Air Act Title IV or Title V Permit?
If Yes:
i. Is the project site located in an Air quality non-attainment area? (Area routinely or periodically fails to meet Yes No
ambient air quality standards for all or some parts of the year)
ii. In addition to emissions as calculated in the application, the project will generate:
x ___________Tons/year (VKRUWWRQV) of Carbon Dioxide (CO2)
x ___________Tons/year (VKRUWWRQV) of Nitrous Oxide (N22)
x ___________Tons/year (VKRUWWRQV) of Perfluorocarbons (PFCs)
x ___________Tons/year (VKRUWWRQV) of Sulfur Hexafluoride (SF6)
x ___________Tons/year (VKRUWWRQV) of Carbon Dioxide equivalent of HydrofloXrocarbons (H)&V)
x ___________Tons/year (VKRUWWRQV) of Hazardous Air Pollutants (HAPs)
Page 6 of 13
h. Will the proposed action generate or emit methane (including, but not limited to, sewage treatment plants, Yes No
landfills, composting facilities)?
If Yes:
i. Estimate methane generation in tons/year (metric): ________________________________________________________________
ii. Describe any methane capture, control or elimination measures included in project design (e.g., combustion to generate heat or
electricity, flaring): ________________________________________________________________________________________
_________________________________________________________________________________________________________
i. Will the proposed action result in the release of air pollutants from open-air operations or processes, such as Yes
No
quarry or landfill operations?
If Yes: Describe operations and nature of emissions (e.g., diesel exhaust, rock particulates/dust):
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
j. Will the proposed action result in a substantial increase in traffic above present levels or generate substantial Yes
No
new demand for transportation facilities or services?
If Yes:
i. When is the peak traffic expected (Check all that apply): Morning Evening Weekend
Randomly between hours of __________ to ________.
ii. For commercial activities only, projected number of semi-trailer truck trips/day: _______________________
iii. Parking spaces: Existing _____________ Proposed ___________ Net increase/decrease _____________
iv. Does the proposed action include any shared use parking? Yes No
v. If the proposed action includes any modification of existing roads, creation of new roads or change in existing access, describe:
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
vi. Are public/private transportation service(s) or facilities available within mile of the proposed site? Yes No
vii Will the proposed action include access to public transportation or accommodations for use of hybrid, electric Yes No
or other alternative fueled vehicles?
viii. Will the proposed action include plans for pedestrian or bicycle accommodations for connections to existing Yes No
pedestrian or bicycle routes?
k. Will the proposed action (for commercial or industrial projects only) generate new or additional demand
Yes No
for energy?
If Yes:
i. Estimate annual electricity demand during operation of the proposed action: ____________________________________________
_________________________________________________________________________________________________________
To be determined. Electric Service Order has not been filed yet.
ii. Anticipated sources/suppliers of electricity for the project (e.g., on-site combustion, on-site renewable, via grid/local utility, or
other):
________________________________________________________________________________________________________
National grid
iii. Will the proposed action require a new, or an upgrade to, an existing substation? Yes No
l. Hours of operation. Answer all items which apply.

i. During Construction: ii. During Operations:
x Monday - Friday: _________________________
7:00 AM- 7:00 PM x Monday - Friday: ____________________________
24 hours (hotel rooms)
x Saturday: ________________________________ x Saturday: ___________________________________
24 hours
x Sunday: _________________________________ x 24 hours
Sunday: ____________________________________
x Holidays: ________________________________ x 24 hours
Holidays: ___________________________________
Page 7 of 13
m. Will the proposed action produce noise that will exceed existing ambient noise levels during construction,
Yes No
operation, or both?
If yes:
i. Provide details including sources, time of day and duration:
_______________________________________________________________________________________________________
Ambient noise levels will increase slightly during construction. Noise levels will revert to existing upon completion of construction activities.
_______________________________________________________________________________________________________
ii. Will proposed action remove existing natural barriers that could act as a noise barrier or screen? Yes No
Describe: _________________________________________________________________________________________________
_________________________________________________________________________________________________________
n.. Will the proposed action have outdoor lighting?
Yes No
If yes:
i. Describe source(s), location(s), height of fixture(s), direction/aim, and proximity to nearest occupied structures:
_________________________________________________________________________________________________________
Lighting to provide safe passage between facilities as appropriate. All lighting will meet the requirements of applicable codes.
_________________________________________________________________________________________________________
ii. Will proposed action remove existing natural barriers that could act as a light barrier or screen? Yes
No
Describe: _________________________________________________________________________________________________
_________________________________________________________________________________________________________
o. Does the proposed action have the potential to produce odors for more than one hour per day? Yes
No
If Yes, describe possible sources, potential frequency and duration of odor emissions, and proximity to nearest
occupied structures: ______________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
p. Will the proposed action include any bulk storage of petroleum (FRPELQHGFDSDFLW\RIover 1,100 gallons) Yes
No
or chemical productsJDOORQVLQDERYHJURXQGVWRUDJHRUDQ\DPRXQWLQXQGHUJURXQGVWRUDJH?
If Yes:
i. Product(s) to be stored ______________________________________________________________________________________
ii. Volume(s) ______ per unit time ___________ (e.g., month, year)
iii. Generally describe proposed storage facilities ___________________________________________________________________
________________________________________________________________________________________________________
q. Will the proposed action (commercial, industrial and recreational projects only) use pesticides (i.e., herbicides, Yes No

insecticides) during construction or operation?
If Yes:
i. Describe proposed treatment(s):
________________________________________________________________________________________________________
As necessary to protect landscaping from pests and disease, All federal and state laws will be followed and best practices
utilized for application.
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
ii. Will the proposed action use Integrated Pest Management Practices? Yes No
r. Will the proposed action (commercial or industrial projects only) involve or require the management or disposal Yes No
of solid waste (excluding hazardous materials)?
If Yes:
i. Describe any solid waste(s) to be generated during construction or operation of the facility:
x Construction: ____________________6 tons per ________________ month (unit of time)
x Operation : ____________________ 1.5 tons per ________________ month (unit of time)
ii. Describe any proposals for on-site minimization, recycling or reuse of materials to avoid disposal as solid waste:
x Construction: The ________________________________________________________________________________________
buildings scheduled for removal will be selectively stripped prior to demolition to salvage any materials that may have the
potential for adaptive reuse.
____________________________________________________________________________________________________
x Operation: __________________________________________________________________________________________
The operation is expected to generate less than 100 lbs. per day of waste. The owner will recycle of cardboard, glass, plastic
and metals in accordance with available Saratoga County recycling programs.
____________________________________________________________________________________________________
iii. Proposed disposal methods/facilities for solid waste generated on-site:
x Construction: transport
________________________________________________________________________________________
to a licensed waste handling facility/transfer station or transport to licensed recycling facility
____________________________________________________________________________________________________
x Operation: __________________________________________________________________________________________
transport to a licensed waste handling facility/transfer station or transport to licensed recycling facility
____________________________________________________________________________________________________
Page 8 of 13
s. Does the proposed action include construction or modification of a solid waste management facility? Yes No
If Yes:
i. Type of management or handling of waste proposed for the site (e.g., recycling or transfer station, composting, landfill, or
other disposal activities): ___________________________________________________________________________________
ii. Anticipated rate of disposal/processing:
x ________ Tons/month, if transfer or other non-combustion/thermal treatment, or
x ________ Tons/hour, if combustion or thermal treatment
iii. If landfill, anticipated site life: ________________________________ years
t. Will proposed action at the site involve the commercial generation, treatment, storage, or disposal of hazardous Yes No
waste?
If Yes:
i. Name(s) of all hazardous wastes or constituents to be generated, handled or managed at facility: ___________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
ii. Generally describe processes or activities involving hazardous wastes or constituents: ___________________________________
_________________________________________________________________________________________________________
________________________________________________________________________________________________________
iii. Specify amount to be handled or generated _____ tons/month
iv. Describe any proposals for on-site minimization, recycling or reuse of hazardous constituents: ____________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
v. Will any hazardous wastes be disposed at an existing offsite hazardous waste facility? Yes No
If Yes: provide name and location of facility: _______________________________________________________________________
No hazardous wastes are expected but if it becomes necessary, hazardous wastes will be transported to a licensed hazardous waste facility.
________________________________________________________________________________________________________
If No: describe proposed management of any hazardous wastes which will not be sent to a hazardous waste facility:
________________________________________________________________________________________________________
________________________________________________________________________________________________________
E. Site and Setting of Proposed Action
E.1. Land uses on and surrounding the project site

a. Existing land uses.
i. Check all uses that occur on, adjoining and near the project site.
Urban Industrial Commercial Residential (suburban) Rural (non-farm)

Forest Agriculture Aquatic
Other (specify): Religious
____________________________________
Institution
ii. If mix of uses, generally describe:
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
b. Land uses and covertypes on the project site.
Land use or Current Acreage After Change
Covertype Acreage Project Completion (Acres +/-)
x Roads, buildings, and other paved or impervious
surfaces 0.13 0.44 +.31
x Forested 0 0 0
x Meadows, grasslands or brushlands (non-
0 0 0
agricultural, including abandoned agricultural)
x Agricultural
0 0 0
(includes active orchards, field, greenhouse etc.)
x Surface water features
0 0 0
(lakes, ponds, streams, rivers, etc.)
x Wetlands (freshwater or tidal) 0 0 0
x Non-vegetated (bare rock, earth or fill) 0 0 0
x Other
Describe: Landscaped
_______________________________
area 0.34 0.03 (.31)
________________________________________
Page 9 of 13
c. Is the project site presently used by members of the community for public recreation? Yes
No
i. If Yes: explain: __________________________________________________________________________________________

d. Are there any facilities serving children, the elderly, people with disabilities (e.g., schools, hospitals, licensed
Yes No
day care centers, or group homes) within 1500 feet of the project site?
If Yes,
i. Identify Facilities:
________________________________________________________________________________________________________
Multiple churches on Washington Street
________________________________________________________________________________________________________
e. Does the project site contain an existing dam? Yes
No
If Yes:
i. Dimensions of the dam and impoundment:
x Dam height: _________________________________ feet
x Dam length: _________________________________ feet
x Surface area: _________________________________ acres
x Volume impounded: _______________________________ gallons OR acre-feet
ii. Dam=s existing hazard classification: _________________________________________________________________________
iii. Provide date and summarize results of last inspection:
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
f. Has the project site ever been used as a municipal, commercial or industrial solid waste management facility, Yes
No
or does the project site adjoin property which is now, or was at one time, used as a solid waste management facility?
If Yes:
i. Has the facility been formally closed? Yes No
x If yes, cite sources/documentation: _______________________________________________________________________
ii. Describe the location of the project site relative to the boundaries of the solid waste management facility:
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
iii. Describe any development constraints due to the prior solid waste activities: __________________________________________
_______________________________________________________________________________________________________
g. Have hazardous wastes been generated, treated and/or disposed of at the site, or does the project site adjoin Yes
No
property which is now or was at one time used to commercially treat, store and/or dispose of hazardous waste?
If Yes:
i. Describe waste(s) handled and waste management activities, including approximate time when activities occurred:
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
h. Potential contamination history. Has there been a reported spill at the proposed project site, or have any Yes
No
remedial actions been conducted at or adjacent to the proposed site?
If Yes:
i. Is any portion of the site listed on the NYSDEC Spills Incidents database or Environmental Site Yes No
Remediation database? Check all that apply:
Yes Spills Incidents database Provide DEC ID number(s): ________________________________
Yes Environmental Site Remediation database Provide DEC ID number(s): ________________________________
Neither database
ii. If site has been subject of RCRA corrective activities, describe control measures:_______________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
iii. Is the project within 2000 feet of any site in the NYSDEC Environmental Site Remediation database? Yes
No
If yes, provide DEC ID number(s): ______________________________________________________________________________
iv. If yes to (i), (ii) or (iii) above, describe current status of site(s):
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
Page 10 of 13
v. Is the project site subject to an institutional control limiting property uses? Yes
No
x If yes, DEC site ID number: ____________________________________________________________________________
x Describe the type of institutional control (e.g., deed restriction or easement): ____________________________________
x Describe any use limitations: ___________________________________________________________________________
x Describe any engineering controls: _______________________________________________________________________
x Will the project affect the institutional or engineering controls in place? Yes No
x Explain: ____________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
E.2. Natural Resources On or Near Project Site

a. What is the average depth to bedrock on the project site? ________________
8-13 feet (based on adjacent site info.)
b. Are there bedrock outcroppings on the project site? Yes

No
If Yes, what proportion of the site is comprised of bedrock outcroppings? __________________%
c. Predominant soil type(s) present on project site: ___________________________
Urban (fill) over fine-coarse sand/silt/ 100
__________%
___________________________
gravelly till, based on nearby info. __________%
____________________________ __________%
12 feet (based on adjacent site info.)
d. What is the average depth to the water table on the project site? Average: _________
e. Drainage status of project site soils:

Well Drained: _____%
100 of Vite
Moderately Well Drained: _____% of site
Poorly Drained _____% of Vite
f. Approximate proportion of proposed action site with slopes:
0-10%: _____%
100 of site
10-15%: _____% of site
15% or greater: _____% of site
g. Are there any unique geologic features on the project site? Yes
No
If Yes, describe: _____________________________________________________________________________________________
________________________________________________________________________________________________________
h. Surface water features.
i. Does any portion of the project site contain wetlands or other waterbodies (including streams, rivers, Yes
No
ponds or lakes)?
ii. Do any wetlands or other waterbodies adjoin the project site? Yes
No
If Yes to either i or ii, continue. If No, skip to E.2.i.
iii. Are any of the wetlands or waterbodies within or adjoining the project site regulated by any federal, Yes No
state or local agency?
iv. For each identified UHJXODWHGwetland and waterbody on the project site, provide the following information
x Streams: Name ____________________________________________ Classification _______________________

Lakes or Ponds: Name ____________________________________________ Classification _______________________
t Wetlands: Name ____________________________________________ Approximate Size ___________________
Wetland No. (if regulated by DEC) _____________________________
v. Are any of the above water bodies listed in the most recent compilation of NYS water quality-impaired Yes No
waterbodies?
If yes, name of impaired water body/bodies and basis for listing as impaired: _____________________________________________
___________________________________________________________________________________________________________
i. Is the project site in a designated Floodway? Yes
No
j. Is the project site in the 100 year Floodplain? Yes
No
k. Is the project site in the 500 year Floodplain? Yes
No
l. Is the project site located over, or immediately adjoining, a primary, principal or sole source aquifer?
Yes No
If Yes:
i. Name of aquifer: Schenectady-Niskayuna
_________________________________________________________________________________________
SSA per DEC Mapper.
Page 11 of 13
m. Identify the predominant wildlife species that occupy or use the project site: ______________________________
Gray & Red squirrels
______________________________ _______________________________ ______________________________
______________________________ _______________________________ ______________________________
n. Does the project site contain a designated significant natural community? Yes
No
If Yes:
i. Describe the habitat/community (composition, function, and basis for designation): _____________________________________
________________________________________________________________________________________________________
ii. Source(s) of description or evaluation: ________________________________________________________________________
iii. Extent of community/habitat:
x Currently: ______________________ acres
x Following completion of project as proposed: _____________________ acres
x Gain or loss (indicate + or -): ______________________ acres
o. Does project site contain any species of plant or animal that is listed by the federal government or NYS as Yes
No
endangered or threatened, or does it contain any areas identified as habitat for an endangered or threatened species?
p. Does the project site contain any species of plant or animal that is listed by NYS as rare, or as a species of Yes
No
special concern?
q. Is the project site or adjoining area currently used for hunting, trapping, fishing or shell fishing? Yes
No
If yes, give a brief description of how the proposed action may affect that use: ___________________________________________
________________________________________________________________________________________________________
E.3. Designated Public Resources On or Near Project Site

a. Is the project site, or any portion of it, located in a designated agricultural district certified pursuant to Yes
No
Agriculture and Markets Law, Article 25-AA, Section 303 and 304?
If Yes, provide county plus district name/number: _________________________________________________________________
b. Are agricultural lands consisting of highly productive soils present? Yes
No
i. If Yes: acreage(s) on project site? ___________________________________________________________________________
ii. Source(s) of soil rating(s): _________________________________________________________________________________
c. Does the project site contain all or part of, or is it substantially contiguous to, a registered National Yes
No
Natural Landmark?
If Yes:
i. Nature of the natural landmark: Biological Community Geological Feature
ii. Provide brief description of landmark, including values behind designation and approximate size/extent: ___________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
d. Is the project site located in or does it adjoin a state listed Critical Environmental Area? Yes
No
If Yes:
i. CEA name: _____________________________________________________________________________________________
ii. Basis for designation: _____________________________________________________________________________________
iii. Designating agency and date: ______________________________________________________________________________
Page 12 of 13
e. Does the project site contain, or is it substantially contiguous to, a building, archaeological site, or district
Yes No
which is listed on, or has been nominated by the NYS Board of Historic Preservation for inclusion on, the
State or National Register of Historic Places?
If Yes:
i. Nature of historic/archaeological resource: Archaeological Site
Historic Building or District
ii. Name: Broadway
_________________________________________________________________________________________________
Historic District (adjacent to)
iii. Brief description of attributes on which listing is based:
_______________________________________________________________________________________________________
Multiple historic buildings located along Broadway.
f. Is the project site, or any portion of it, located in or adjacent to an area designated as sensitive for Yes
No
archaeological sites on the NY State Historic Preservation Office (SHPO) archaeological site inventory?
g. Have additional archaeological or historic site(s) or resources been identified on the project site? Yes
No
If Yes:
i. Describe possible resource(s): _______________________________________________________________________________
ii. Basis for identification: ___________________________________________________________________________________
h. ,Vthe project site ZLWKLQILYHVPLOHVRI any officially designated and publicly accessible federal, state, or local
Yes No
scenic or aesthetic resource?
If Yes:
i. Identify resource: _________________________________________________________________________________________
Saratoga Spa State Park
ii. Nature of, or basis for, designation (e.g., established highway overlook, state or local park, state historic trail or scenic byway,
etc.): State
___________________________________________________________________________________________________
park
iii. Distance between project and resource: _____________________1 miles.
i. Is the project site located within a designated river corridor under the Wild, Scenic and Recreational Rivers Yes
No
Program 6 NYCRR 666?
If Yes:
i. Identify the name of the river and its designation: ________________________________________________________________
ii. Is the activity consistent with development restrictions contained in 6NYCRR Part 666? Yes No
F. Additional Information
Attach any additional information which may be needed to clarify your project.
If you have identified any adverse impacts which could be associated with your proposal, please describe those impacts plus any
measures which you propose to avoid or minimize them.
G. Verification
I certify that the information provided is true to the best of my knowledge.
Applicant/Sponsor Name ___________________________________

Anthony Stellato, PE / CHA Date_______________________________________
August 22, 2017
Signature________________________________________________
Anthony P. Stellato, Jr. Title_______________________________________
Engineer for Applicant
PRINT FORM Page 13 of 13

APPROVED BY THE SARATOGA SPRINGS PLANNING BOARD
UNDER AUTHORITY OF A RESOLUTION: _
ADOPTED: _______________________________________________________________________________________________________________________________________________________________________________
CHAIRPERSON : ____________________________________________________________________________________________ DATE: _______________________________________
Designed By: Drawn By: Checked By:

APS CHA APS
Issue Date: Project No: Scale:

08/23/17 28352 AS SHOWN
Drawing No:
C-101
ADOPTED: _______________________________________________________________________________________________________________________________________________________________________________
LIGHT WELL
LIGHT WELL
TERRACE
SITE PLAN

APS CHA APS

08/23/17 28352 AS SHOWN
Drawing No:
C-102
ADOPTED: _______________________________________________________________________________________________________________________________________________________________________________
LIGHT WELL
LIGHT WELL
TERRACE
LAYOUT PLAN

APS CHA APS

08/23/17 28352 AS SHOWN
Drawing No:
C-103
ADOPTED: _______________________________________________________________________________________________________________________________________________________________________________
CHAIRPERSON :
LIGHT WELL ____________________________________________________________________________________________ DATE: _______________________________________
LANDSCAPE
ENTRANCE
PLAN
APS CHA APS

08/23/17 28352 AS SHOWN
Drawing No:
C-104
August 29, 2017
Mr. Toby Milde

RBC Construction LLC
Saratoga Springs
New York, 12866
Re. 19 Washington
Hotel & Spa
Saratoga Springs, New York
Dear Mr. Milde
The following faade materials are being proposed for all elevations of the Hotel & Spa building;
Brick exterior walls

Horizontal Stone bands at 2nd and 6th floors
Painted wood window & door frames
Painted wood crown & brackets
Painted wood entry porch
Blue stone pavers front & rear terrace areas
Painted steel handrails
Sincerely,
Jeremy Sherring, AIA

Project Manager
MARKZEFF
0" PROJECT:
41'-0" 97'-0"
19 WASHINGTON HOTEL +
10'-73 4" 10'-73 4" 10'-73 4" 10'-73 4" 10'-73 4" 10'-73 4" 10'-73 4" 10'-73 4"
SPA SARATOGA SPRINGS
3'-0"
UP
5'-5" NEW YORK
3'-51 4" 3'-51 4"

- - - -
COUPLES COUPLES WET WET 3'-0" 4'-3"
4"
KEYPLAN:
20'-21 4"
- - - - - - - -
17'-2"
17'-2"
17'-2"
17'-2"
17'-2"
32'-212"
5'-5"
3'-5 4"
-
2" 1
18'-10"
3'-0" 6'-03 4" 3'-0" 8'-03 4" 3'-0" 8'-03 4" 3'-0" 8'-03 4" 3'-0" 8'-03 4" 3'-0" 8'-03 4" 3'-0" 8'-03 4" 3'-0"
3'-93 4"
5'-5" 1'-93 4"
3'-8"
3'-0"
3'-51 4" 3'-51 4"
UP 27'-5" 27'-5"
8"
-
3'-0"
10'-312" 10'-312"
EQ
EQ
8'-1"
19'-0"
5'-5" 14'-5" 12'-10" 4"
3'-4" 7'-8"
12'-6"
15'-03 4"
15'-03 4"
EQ
EQ
40'-7" -
ARCHITECT OF RECORD:
6'-113 4"
5'-5"
64'-83 4"
- -
KIT MIDDLETON
EQ
EQ
- -
- 5'-5" ARCHITECT, P.C.
4'-1"
4'-5"
2'-0"
5'-0" 4'-812" 3'-0" - 34 EAST 23RD ST 5TH FLR,
EQ
EQ
1'-0"
3'-23 4" 11" 3'-0" NEW YORK , NY 10010
10'-7"
2'-6" 2'-6"
3'-0"
38'-10"
3'-0"
5'-5"
44'-111 4"
MECHANICAL ENGINEERS:
5'-93 4"
3'-6"
16'-71 4"
38'-312"
16'-312"
STRUCTURAL ENGINEER:
ELECTRICAL 1'-6"
29'-312"
8'-111 4"
8'-111 4"
STEAM GENERATORS - -
-
-
3'-0"
- - 16'-312"
19'-5" PHASE:
1'-1"
8'-1"
SCHEMATIC DESIGN
3'-0"
8'-111 4"
8'-111 4"
- DESIGN DEVELOPMENT
- 18'-312"
5'-71 4"
PERMIT DOCUMENT
3'-312" 8'-1112" 8'-1112" 15'-812" 16'-312" 7'-7"
16'-312" 1'-1" BID DOCUMENT
3'-10" 3'-0" 3'-0"
CONSTRUCTION DOCUMENT
8'-0"
- -
PROGRESS / REVIEW DOCUMENT
10'-01 4"
PRESENTATION
9"
20'-101 4"
18'-101 4"
18'-101 4"
9"
20'-01 4"
OPEN 6'-71 4" 7'-103 4" OPEN
TO ABOVE TO ABOVE
11'-8"
- -
- -
2'-0"
4'-7"
29'-412" 16'-0" 16'-0" 25'-412"
5'-0" 90'-0" 5'-0"
CELLAR FLOOR PLAN

1 SCALE: 1/8"=1'-0"
FLOOR PLAN SYMBOLS LEGEND PLUMBING FIXTURE SCHEDULE FLOOR PLAN SHEET NOTES ADDITIONAL INFORMATION CELLAR FLOOR PLAN
-
EXISTING LOAD BEARING -

-
-
-
INDICATES ELEVATION MARKER 1
WALL TO REMAIN -
NEW WALL PARTITION XX

XXXX
INDICATES SECTION MARKER
DRAWING TITLE:
0'-0"
BUILT-IN MILLWORK INDICATES FINISHED HEIGHT
FLR.
SCALE: 1/8" = 1'-0"
INDICATES OVERHEAD SOFFITS
1 PLUMBING FIXTURE SYMBOL 2017 MARK ZEFF. ALL RIGHTS RESERVED
AND/OR OPENINGS THIS DRAWING AND ALL GRAPHIC AND WRITTEN MATERIAL CONTAINED HEREIN, CONSTITUTES THE
ORIGINAL AND UNPUBLISHED WORK OF MARK ZEFF. AND MAY NOT BE COPIED, DISTRIBUTED OR
A INDICATES DOOR TYPE USED IN WHOLE OR IN PART, WITHOUT EXPRESSED WRITTEN PERMISSION FROM MARK ZEFF.
INDICATES NEW STONE MILLWORK TOPS
1 INDICATES HARDWARE TYPE
NEW GLAZING ALIGN SURFACES
XX DETAIL MARKER -
NEW CUSTOM MILLWORK XXXX
DRAWING NUMBER/ SHEET NUMBER
FLOOR PLAN SHEET NOTE NUMBER.
1 EXHAUST FAN
SEE NOTES ON THIS DRAWING. SHEET NO:
INDICATES PARTITION TYPES
A DOOR TAG
(REFER DETAILS)
0-000
DATE: 12-08-2016
2-HOUR FIRE-RATED PARTITION 1-HOUR FIRE-RATED PARTITION
DRAWN BY: JS CHECKED BY: MZ
- PROJECT:
127'-11"
3'-9" 3'-0" 76'-71 2" 3'-0" 41'-63 4" 19 WASHINGTON HOTEL +
26'-7" 26'-0" 17'-4" 13'-0" 30'-11 4"
3'-0"
10'-0"
NEW YORK
UP 5'-6" 3'-0"
DOWN 1'-11"
KEYPLAN:
24'-61 4"
16'-11"
1 2 3 4 5 6 7
14'-91 4"
SUITE
21'-63 4"
- - - -
23'-73 4"
5'-63 4"
UP 18'-6"
3'-0"
14'-7"
23'-7"
3'-0"
9'-1"
5'-0"
6'-73 4"
3'-6"
14'-7" 6'-0" 3'-6"
-
17'-23 4"
4"
3'-0"
6'-0"
6'-0"
4'-0"
1'-81 4"
71'-6"
13'-03 4"
-
5'-10"
13'-714"
-
KIT MIDDLETON
7'-03 4"
5'-0" 4'-0"
ARCHITECT, P.C.
5'-0"
9'-61 2" 5'-012"
3'-01 4"
34 EAST 23RD ST 5TH FLR,
37'-111 2"
-
NEW YORK , NY 10010
44'-9"
10'-7"
16'-9"
6'-0"
-
2'-51 2"
1'-7"
6'-4"
5'-0"
7'-03 4"
6'-41 4" 11'-63 4"
4'-63 4"
5'-0"
8" STRUCTURAL ENGINEER:
3'-03 4"
8'-0"
4"
7'-01 2"
15'-83 4"
- -
3'-0"
16'-11"
21'-13 4"
6'-0"
6'-0"
- - 18'-4"
4'-0" PHASE:
8'-1"
SCHEMATIC DESIGN
3'-1"
11'-7"
5'-51 4"
19'-0"
2'-73 4"
22'-7" DESIGN DEVELOPMENT
7'-1"
32'-1"
14'-4" 29'-5"
5'-0"
PERMIT DOCUMENT
1'-0"
26'-63 4"
3'-23 4"
9'-0" 9'-1012" 6'-0" 22'-112" BID DOCUMENT
23'-8"
EQ. EQ. 6'-5"
6'-51 4"
10'-10"
10'-10"
- 7'-0" 3'-0" 3'-0" 8'-93 4"
8'-71 4"
18'-7"
- PROGRESS / REVIEW DOCUMENT
9'-01 4"
13'-11" PRESENTATION
2'-6"
LIGHT
19'-101 4"
11'-1" 4'-0" 4'-0"
22'-1"
WELL
- TERRACE
19'-51 4"
20'-01 4"
RAMP
6'-0"
LIGHT RAMP
WELL -
7'-1" 14'-7"
-
10'-10"
10'-10"
4'-7"
3'-0"
- RAMP
EQ. EQ. EQ. EQ.
3'-11"
7'-01 4"
4'-0"
4'-0"
20'-6" 11'-1" - 24'-3"
RAMP
5'-0" 38'-4" 48'-8" 5'-0"
1ST FLOOR PLAN

1 SCALE: 1/8"=1'-0"
FLOOR PLAN SYMBOLS LEGEND PLUMBING FIXTURE SCHEDULE FLOOR PLAN SHEET NOTES ADDITIONAL INFORMATION 1ST FLOOR PLAN
-

-
-
-
WALL TO REMAIN -

XXXX
DRAWING TITLE:
0'-0"
FLR.
SCALE: 1/8" = 1'-0"
XX DETAIL MARKER -
1 EXHAUST FAN
A DOOR TAG
(REFER DETAILS)
0-000
DATE: 12-08-2016
2'-101 4" PROJECT:
90'-0"
17'-73 4" 12'-111 4" 23'-11" 5'-73 4" 3'-0" 20'-4"
4'-43 4"
4'-412"
9'-41 4" NEW YORK
8'-31 4"
3'-6"
9'-6"
10'-11"
11"
4'-71 2"
7'-61 4"
KEYPLAN:
16'-8"
17'-31 4"
4'-3" 3'-0" 4'-3"
-
17'-31 4"
13'-91 4"
2'-3"
11"
-
9'-0"
-
844.8 SQ.FT
SUITE
5'-43 4"
2'-101 4"
20'-9"
4'-0"
5'-0"
5'-0"
6'-112"
6'-112"
5'-01 4"
ROOF 1'-6" POOL ROOF
27'-0" 29'-2" 27'-0"

437.5 SQ.FT 437.5 SQ.FT
3'-0"
3'-0"
11'-11" 11'-11"
17'-31 4"
17'-31 4"
- 4'-3" 3'-0" 3'-0" 3'-0" 3'-0" 4'-3" -
15'-03 4"
8'-9"
8'-9"
8'-83 4"
8'-83 4"
6'-3"
6'-3"
68'-13 4"
SKYLIGHT
KIT MIDDLETON
ARCHITECT, P.C.
8'-83 4"
8'-83 4"
5'-0" 19'-2" 5'-0"
6'-3"
6'-3"
8'-9"
8'-9"
ROOF
LOBBY
10'-7"
NEW YORK , NY 10010
51'-512"
17'-31 4"
17'-31 4"
- 4'-3" 3'-0" 3'-0" 3'-0" 3'-0" 4'-3" -
11'-11" 11'-11" MECHANICAL ENGINEERS:
3'-0"
3'-0"
437.5 SQ.FT 437.5 SQ.FT
27'-0" 18'-4" 27'-0"
5'-61 4"
5'-61 4"
-
5'-61 4"
5'-61 4"
17'-4"
5'-0" 5'-0"
437.5 SQ.FT 437.5 SQ.FT PHASE:
3'-0"
3'-0"
17'-31 4"
17'-31 4"
11'-11" 11'-11"
- - SCHEMATIC DESIGN
4'-3" 3'-0" 3'-0" 3'-0" 3'-0" 4'-3"
DESIGN DEVELOPMENT
PERMIT DOCUMENT
6'-3"
6'-3"
9'-4"
9'-4"
BID DOCUMENT
5'-0"
4'-0" -
2'-41 4"
5'-43 4"
5'-0"
2'-0"
2'-0"
31'-0" PRESENTATION
10'-71 4"
844.8 SQ.FT
11"
- LAUNDRY& -
19'-101 4"
4'-9" 3'-0" 5'-7"
6'-71 4"
TRASH
16'-8"
4'-712"
CHUTES 4'-3" 3'-0" 4'-8"

17'-31 4"
17'-31 4"
-
10'-5"
9'-6"
11"
12'-111 4"
6'-3"
6'-8"
-
4'-41 2"
5'-43 4"
17'-73 4" 3'-6" 9'-41 4" 23'-11" 3'-0" 5'-73 4" 3'-3" 20'-4"
TYPICAL UPPER FLOOR PLAN

1 SCALE: 1/8"=1'-0"
LOOR PLAN SYMBOLS LEGEND

-
PLUMBING FIXTURE SCHEDULE FLOOR PLAN SHEET NOTES ADDITIONAL INFORMATION TYPICAL UPPER
EXISTING LOAD BEARING
FLOOR PLAN
-
-
-
-
WALL TO REMAIN -

XXXX
0'-0" DRAWING TITLE:

FLR.
SCALE: 1/8" = 1'-0"
A INDICATES DOOR TYPE
INDICATES NEW STONE MILLWORK TOPS USED IN WHOLE OR IN PART, WITHOUT EXPRESSED WRITTEN PERMISSION FROM MARK ZEFF.
XX DETAIL MARKER -
1 SEE NOTES ON THIS DRAWING.
EXHAUST FAN
SHEET NO:
INDICATES PARTITION TYPES 0-000 DOOR TAG
(REFER DETAILS) DATE: 12-08-2016
PROJECT:
NEW YORK
KEYPLAN:
KIT MIDDLETON
ARCHITECT, P.C.
MECHANICAL
NEW YORK , NY 10010
PHASE:
SCHEMATIC DESIGN
DESIGN DEVELOPMENT
PERMIT DOCUMENT
BID DOCUMENT
PRESENTATION
ROOF
ROOF PLAN
1 SCALE: 1/8"=1'-0"
FLOOR PLAN SYMBOLS LEGEND PLUMBING FIXTURE SCHEDULE FLOOR PLAN SHEET NOTES ADDITIONAL INFORMATION ROOF PLAN
-

-
-
-
WALL TO REMAIN -

XXXX
DRAWING TITLE:
0'-0"
FLR.
SCALE: 1/8" = 1'-0"
XX DETAIL MARKER -
1 EXHAUST FAN
A DOOR TAG
(REFER DETAILS)
0-000
DATE: 12-08-2016

Architectural Reviewapplication: 19 Washington Street Hotel and Spa Saratoga Springs, Ny

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Architectural ReviewApplication

19 Washington Street Hotel and Spa

III Winners Circle

August 30, 2017

Mr. Bradley Birge

RE: 19 Washington Street Hotel and Spa Architectural Review Application

Dear Mr. Birge,

This submission includes 2 copies of the following:

Very truly yours,

Anthony P. Stellato, Jr. PE

cc: Jeff Ward, RBC Construction

19-23 Washington Street Redevelopment Architectural Review Application

Total Single-Story Building Area 2,960

Building Area by Use (Square Feet)

Use Description Total Floor Area

Site and Landscape

19-23 Washington Street Redevelopment Architectural Review Application

19-23 Washington Street Redevelopment Architectural Review Application

19-23 Washington Street Redevelopment Architectural Review Application

19-23 Washington Street Redevelopment Architectural Review Application

19-23 Washington Street Redevelopment Architectural Review Application

19-23 Washington Street Redevelopment Architectural Review Application

19-23 Washington Street Redevelopment Architectural Review Application

19-23 Washington Street Redevelopment Architectural Review Application

19-23 Washington Street Redevelopment Architectural Review Application

19-23 Washington Street Redevelopment Architectural Review Application

19-23 Washington Street Redevelopment Architectural Review Application

19-23 Washington Street Redevelopment Architectural Review Application

19-23 Washington Street Redevelopment Architectural Review Application

19-23 Washington Street Redevelopment Architectural Review Application

D ESIGN R EVIEW C OMMISSION _______________

ARCHITECTURAL / HISTORIC REVIEW APPLICATION

Phone / (Jeff Ward) /

Applicants interest in premises: Owner Lessee Under option to lease or purchase

(for example: 165.52 4 37 )

Current Zoning District: T-6 Property use: Residential Non-residential/mixed-use

Type of Review: Architectural Historic Extension/modification (of current approval)

Summary description of proposed action:

- App. No.(s)? _________________

SEQR Environmental Assessment Form

-HIIUH\::DUG5%&&3URMHFW0DQDJHU Date: 

Owner Signature: -HIIUH\::DUG$+32ZQHU Date: 

Owner Signature: Date:

Instructions for Completing Part 1

A. Project and Sponsor Information.

Brief Description of Proposed Action (include purpose or need):

Name of Applicant/Sponsor: Telephone:

City/PO: Saratoga Springs State: Zip Code:

f. Regional agencies  Yes

g. State agencies  Yes

h. Federal agencies  Yes

C. Planning and Zoning

C.1. Planning and zoning actions.

C.4. Existing community services.

d. What parks serve the project site?

D.1. Proposed and Potential Development

c. Is the proposed action an expansion of an existing project or use?  Yes  No

D.2. Project Operations

l. Hours of operation. Answer all items which apply.

E. Site and Setting of Proposed Action

E.1. Land uses on and surrounding the project site

 Urban  Industrial  Commercial  Residential (suburban)  Rural (non-farm)

i. If Yes: explain: __________________________________________________________________________________________

-HIIUH\::DUG5%&&3URMHFW0DQDJHU Date:

Owner Signature: -HIIUH\::DUG$+32ZQHU Date:

f. Regional agencies Yes

g. State agencies Yes

h. Federal agencies Yes

c. Is the proposed action an expansion of an existing project or use? Yes No

Urban Industrial Commercial Residential (suburban) Rural (non-farm)

b. Are there bedrock outcroppings on the project site? Yes

CHAIRPERSON : ______________________________________________________ DATE: _

CHAIRPERSON : ______________________________________________________ DATE: _

CHAIRPERSON : ______________________________________________________ DATE: _