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Application
Area Variance [ZBA approved: November 15,20191 Town of Queensbury Area Variance Application REVIEW PROCESS: 1) Required Pre-Submission meeting with staff to determine general completeness of application materials to be held no later than 1 week prior to deadline day. Call(518)761-8238 or(518)761-8265 for an appointment. DO NOT MAKE COPIES UNTIL AFTER THIS MEETING WITH STAFF. 2) Determination of application completeness.All necessary information must be provided and appropriate fee(s)paid for consideration for placement on an agenda. 3) Incomplete applications will not be considered for placement on any agenda until all missing information has been supplied. 4) Submittal to the Warren County Planning.Board,if applicable. 5) Zoning Board meetings,generally the third and fourth Wednesday of each month. You will be advised in Nwiting as to which meeting to attend. 6) Following the meeting,you will be provided with a copy of the resolution stating the Board's decision on your application. If your application was approved,the next likely step is a Building Permit.Final plans/drawings must be provided for the next phase of review. If your application was denied your project cannot proceed as submitted. DOCUMENTS TO BE SUBMITTED:(HARD COPY&ELECTRONIC) 1 original and 14 copies of the completed application package to include: Completed Application: pages 1-9 completed,signed&dated Pre-Submission Meeting Notes: signed by staff Denial Letter: from the Zoning Administrator Survey Current Survey: survey map depicting current conditions—sign,stamped,date by surveyor Proposed Conditions Map: The proposed conditions map must be based on a current survey and may by prepared by Surveyor,Professional Engineer(Civil)or a Registered Architect. Area/Sign Applications: must provide a final as-built survey depicting all site conditions and improvements Survey Waiver: Applicant may request a waiver from the survey pre and post requirements. Copv of Deed Fee: $50 residential;$100 commercial ZONING STAFF&CONTACT INFORMATION: Craig Brown,Zoning Administrator craigbQqueensburv.net Laura Moore,Land Use Planner Imoore@1queensburv.net Karen Dwyre,Office Specialist karendna aueet.sbury.net (518)761-8238 Visit our% ebsit::at a:cw.olr_ensburv.net for`urdt�r inti�rmatic:n an tbr:7s. Page 00 Area Variance[ZBA approved: November 15,20191 General Information Tax Parcel ID Number: 24'�Q . 6 Zoning District: ;�I_iQ Lot size: A"E s Detailed Description of Project[includes current&proposed use]: j�y/LYJ /a Z33 �Z t��Ficc 6164 TG -�A- ZI( /_Si-/.L /YO C>,5 �. 1'h'G•' /`�'O y S G L—i // G G.c.-T/.t�li� TO i3G t:.,.SL- �✓ /�< /� �GSI✓,J�.�J'>�L /�`OiyJ.� c'JitJG� %ii'C �i'�dJEGT c..ILL b'E Tt,G- X >S T//V AV OZZ /i-T s�n I G r, ?® l c7 Location of Project: C'J v t A,s.3 y rz� /l1�/z ,6 0 � Applicant Name: Mailing Address Home Phone City,State,Zip Work Phone Cell Phone E-Mail: FAX No. Agent's Name: / Mailing Address Home Phone City,State,Zip Work Phone Cell Phone E-mail FAX No. Owner's Name Mailing Address Home Phone City, State,Zip Work Phone Cell Phone E-mail FAX No. Page i Area Variance [zBA approved: November 15,2019) Site Development Data Area/Type Existing sq.ft. Proposed Total sq.ft. Additions .ft. A. Building footprint B. Detached Garage C. Accessory Structure(s) gp a C9 o D. Paved,gravel or other hard surfaced area YJ8.7 U 3 i 67 E. Porches/Decks / ci7 O / 0/7 F. Other (D G. Total Non-Permeable [Add A-F] H. Parcel Area [43,560 sq.ft./acre] © l rc f'Z 9S/ 2 S I. Percentage of Impermeable Area of Site [I=G/H] 3 y y,7. 1 © 3 y. Setback Requirements Area Required Existing Proposed Front Yard [I Front Yard [2] /-,; ,c *,0//L C I- /ri"C;a R,I 3 c .F.� 7 8 9 6 Shoreline 7S_ 70 96 Side Yard [1] Side Yard [2] Rear Yard [I] A--,e sl r1r A G rR C 30 F r `.-�_6 6 Rear Yard [2] 1 5-c, 7T/r I`',I c /n- c 30 �T f Travel Corridor Height [maximum] Permeability 7s�o <"S% Number of parking spaces Page 2 Area Variance [ZBA approved: November 15,20191 Additional Project Information 1. Will the proposal require a Septic Variance from the Town Board of Health? /V0 2. If the parcel has previous approvals,list application number(s):&,r4 V19 iZIA X e-c —,SEr��c/; (/I V 57 '-20i5/02,0013-Z0 3. Does this project require coverage under the New York State Pollutant Discharge Elimination System(SPDES)Permit Program? _Yes/V No 4. Estimated project duration: Start Date: /Z Z End Date: 6 Z Z 5. Estimated total cost of project: 6 o O 6. Total area of land disturbance for project: Alo.vc - To 8c r3 r 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/Commercial CM/Cl 0.3 Intensive 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 fi-om 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 i 2 4S 7 s .ft. Existing Floor Area :33 7 s .ft. [see above definition] �%:SL3St,: Zt/7� �r� Gig+ZAttrTJ'�i1c�i'Eb.� `�d`J��T Proposed Additional Floor Area e3 3 ro fro r s .ft. Proposed Total Floor Area 3 5 7o s .ft. Total Allowable Floor Area 2 SS (Area x •2 2 [see above table] Page 3 Area Variance [ZSA approves: November 15,2019] Compliance with Zoning Ordinance Requesting relief from SECTION: / 7 `)- 3 - Need relief from the requirement(s)listed below which can not,be met by the project as proposed. [Check all that apply] Xsetback �� Buffer Zone a Lot Width ;D Other The following questions reflect the criteria for granting this type of variance. Please complete them; use additional sheets if needed. l. Whether an undesirable change will be produced in the character of the neighborhood or a detriment to nearby property will be created by the granting of this area variance? /L/6 0NDC-5/,q19(S 1 4 E FF C 7s . %riffs o?c'e i Cy/L� C",4-7/^-LE 70 �,�CIirT�c/fu✓jA� t7CS/CJ.. C7 F %YL- A/0 C /,- - /A-E 7i;'C-: ,r�20S/7I v&- €i�>5i9/�c�✓he',t�?5 OCCUle/A-C CJ rt/ofyiG 5 7"o-,2 E)L 13.1,L. 2. Whether the benefit sought by the applicant can be achieved by some method,feasible for the applicant �to pursue, other than an area variance? rjER->I JY �/�t /1%Gl 14E /ricr/ir�rE� 3y o%fl�sZ /'hE%il0/7Ss Zi/S .J12o.I4-CPC—,14L 3C )?,G/LT G.i7"y-i/.�. �X/Sl/� C. Fo(�%Pad/J.:T cL/l"�Cl//"/9 /�EG.I.�LO,i_. G G Hr�Gj,✓/J�.T'FJ20Jy! r/7'c GoJL0, 199"r 41-/Z-c'z >jc. P-44 - e�oe.G� �'€s'oG/ /�- ,ELF f C. s-1 oG/,-I -C C S /9%J G o S 7:. 3. Whether the requested area variance is substantial? 416-4L;'/C"y7-ce a %>'/S pgc'J /S I`ir<-J 4-/lfi/ X Cr/T e-iTiaC.i'%� d G�, ti� ti Cc�f'c,Zsy7,.'7 )vCLFS. 4. Whether the proposed variance will have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district? /t/G �OvL�>1 st' lry,✓�rleT e„�. Ei.�v/2u.�.� �;vT Sir�L /Ts ate- E'X/ST/n-e: moo/'�,�>n_:i C/i.-JJkCC-'S !C' G-'Tel r: X74-'A,U <',C -.r d)Figt/Oi G Ls�.�tJr sEE 7�� n,5 a v FG 2 0e-.5/tJ -c P/rY. /6.-5,4 EF/�LCTS . 5. Whether the alleged difficulty was self-created? /VCI F %rim k/s -C/U d L /'�'r/S 6c c"•�. >/- S 7' ��Jc ,;- � Page 4 Area Variance [ZBA approved: November 15,2019) Section 179-14-03 Application materials and site plan drawing is to include sufficient information for the Board to review and provide a decision. The applicant is to provide a site plan drawing(s)—a survey showing existing conditions,a proposed conditions map(see page 00 for specific criteria)and include any other attachments that address A-D as applicable to the proposed project. A. General Shown on Sheet# 1 Title,Name,Address of applicant&person responsible for preparation of drawing u vEY 2 Deed rr 3 North arrow,Tax Map ID, date prepared and scale [minimum: I inch=40 feet J U.K vc Y 4 Boundaries of the property plotted to scale,zoning boundary $0 4 vc y 5 Principal structures,accessory structures with exterior dimensions S u C r 6 Site improvements incl. outdoor storage areas,driveways,parking areas,etc.: existing& proposed vZ�Y 7 Setbacks for all structures and improvements: existing&proposed v L�7- 8 Elevations and floor plans of all proposed and affected structures O'Es.'6j- Pz'q".S B. Water&Sewer A10 C& < ,iue4 s_ SSE v Ign 4 T/v,�- Shown on Sheet# 1 Project sewage disposal facilities,design details, construction details,flow rates,and number of sEr 4-9xK97>vi bedrooms proposed •-Z 13t z7,Iq©:-, s e K/s% - "(/'D C/>'9'<-C e, s 2 Water supply [i.e.well] &septic on adjoining lots with separation distances to existing or scr .L94R,17IvC proposed on-site water supply and septic /I;r r-J/�s.� 1,#7j 3 Separation distances for proposed sewage disposal system to well and water bodies 4 3 4 Existing public or private water supply[well,lake, etc.]. Method of securing public or private ScC.tvir'Z.2ia iI vc water,location,design and construction of water supply including daily water usage 5 Percolation test location and results C. Parking/Permeable Areas n,e cS ,2,4 n A.-I 7/v a- Shown on Sheet# 1 Number of spaces required for project including calculations and justification: existing& proposed y 4 2 No.of existing parking spaces,number to be removed,number to maintain and type of surfacing material (e.g., gravel,paved] 3 Provision for pedestrian and handicap access and parking: existing&proposed .c..,9 4 Design details of ingress,egress, loading areas and cutting: existing&proposed 5 Location and character of green areas [existing and proposed],modification to green area,buffer zone to remain undisturbed /--10 �vO,�,C�lio.� s GIB Su+C'VE y� 6 Lighting,location and design of all existing and proposed outdoor lighting �0 -r Scl---Z; D. Additional Site Development and Miscellaneous it o cz $ Sd-c.Ur9&e'4I1 v Shown on Sheet# I On-site&adjacent watercourses,streams,rivers, lake and wetlands I t'SU AL,,& - c;CA 9A.r,. 2 Utility/energy distributions stem [gas,electric, solar,telephone]: existing& ro osed SGF.SuRr,E -/vC Gll,^1A-6C 3 Location,design"and construction details of all existing and proposed site improvements including: drains,culverts,retaining walls,fences,fire&emergency zones and hydrants,etc. ,ct-10AVey -A.,U 4 e 4 Square footage of bldg. area proposed for office, manufacturing,retail sales or other commercial activities: existing!&proposed A•/4 5 Signa e: Location,size,type,design and setback: existing&proposed It-1-4 6 Waiver Request: provide letter with application requesting any waivers: please reference specific items 7 Commercial/Industrial Development requires submission of Landsc ping, Stormwater Management,Grading&Lighting Plans 8 Identification of Federal, State or County permits required for the project together with a record of application for all necessary permits Page 5 Area Variance Pre-Submission Conference Form/Section 179-9-040 1. Applicant Name' Fritz and Mary Stefanzick 2. Tax Map ID 240.6-1-11 Location: 43 Hanneford Road 3. Zoning Classification WR 0.42 ac 4. Reason for Review' Applicant proposes a 233 sq ft second story addition to an existing 1434 sq ft(footprint home) 5. Zoning Section#' 179-3-040 dimensions,179-13-010 expansion, 6. Pre-Submission Meeting Notes: Provided Outstanding; Please provide by Deed x General Information complete x Site Development Data Complete x Setback Requirements Complete x updated setbacks to new construction Additional Project Information Complete x FAR addressed x Compliance with Zoning Ordinance x Checklist items addressed x survey waiver needed Environmental Form completed NA Signature Page completed X Applicant proposes a 233 sq ft second story addition to an existing 1,434 sq ft(footprint) home. There are no changes to the site. All work alterations are interior. The existing floor area is 3337 sq ft and the new floor,area is 3570 sq ft. The project is subject to site plan for new floor area in a cea and expansion of a non confonning structure. The project is subject to an area variance for setbacks and expansion. The addition is to be 16 ft from the side property line where a 30 ft setback is required as the lot has two fronts. Reviewed application, survey and building plans Items to be updated. 1) survey waiver request- letter to the Zoning Board Chair-using a 2014 survey no changes to the footprint of the home..... 2)updated new construction setback infonnation Staff Representative: Laura Moore in person meetingl2/22/2021 a Applicant/Agent: el � Date: /Z_ Z 3 141 d / Page 6 Area Variance[ZBA approved: November 15,2019] This page includes the 1.)Authorization to Act as Agent Form:2.)Engineering Fee Disclosure;3.)Authorization for Site Visits;4.) Other Permit Responsibilities;5.)Official Meeting Disclosure and 6.)Agreement to provide documentation required. OWNER's AGENT FORM: Complete the following if the OWNER of the property is not the same as the applicant: Owner: Designates: as Agent regarding the following: Variance Site Plan Subdivision For Tax Map No.: Deed Reference: Book Page Date OWNER SIGNATURE: DATE: APPLICANT'S AGENT FORM: Complete the following if the APPLICANT is unable to attend the meeting or wishes to be represented by another party: Owner: - Designates: as Agent regarding the following: Variance Site Plan Subdivision For Tax Map No.: 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.) AUTHORIZATION FOR SITE VISITS: By signing this page and submitting the application materials attached herein, the Owner,Applicant,and his/her/their agent(s)hereby authorize the Zoning Board or Planning Board and Town Staff to enter the subject properties for the purpose of reviewing the application submitted. 4.) OTHER PERMIT RESPONSIBILITIES: Other permits may be required for construction or alteration activity subsequent to approval by the Zoning Board or Planning Board. It is the applicant's responsibility to obtain any additional permits. 5.) OFFICIAL MEETING MINUTES DISCLOSURE: It is the practice of the Community Development Department to have a designated stenographer tape record the proceedings of meetings resulting from application, and minutes transcribed from those tapes constitutes the official record of all proceedings. 6.) AGREEMENT TO PROVIDE DOCUMENTATION REQUIRED: I, the undersigned,have thoroughly read and understand the instructions for submission and agree to.the submission requirements, I acknowledge no construction activities shall be commenced prior to issuance of a valid permit. I certify that the application,plans and supporting materials are a true and complete statement/description of the existing conditions and the work proposed, and that all work will be performed in accordance with the approved plans and in conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed,I or my agents, will obtain a certificate of occupancy as necessary. I also understand that I/we may be required to provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy I-have reaA ree to the above. a. T's S Z 57 e,mil A..'Z/e- /Z o Z Sign•ture[Applicant] Print Name[Applicant] Date si ned Signature[Agent] Print Name[Agent] Date signed Page 7 J13 RD f-?�aJZ-6r T Z -4 jz1y9 o S?jgZ FO Av Z/CH V9Ri�1 . P /V"4,qI3/9 r vs C e,t r li= c ,-i 1 v n- -S R v� WARREN COUNTY' F PAMELA J.VOGEL COUNTY CLERK Lake George, NY 12846OCUMENTT 00002358 VOLUME." 3512 PAGE. 45 . 2 Instrument Numbers 2008-0000235.8 As Recorded On: March 27,2008 Deed Parties: 'SLOSEK JAMES F To STEFANZICK FRITZ C Billable Pages: 3; Recorded By: MARK REHM'ESQ Num Of Pages: 4 Comment: "*Examined and Charged as Follows: Deed 34.50' Cover Page 5.00' RP-52,17 Resid/Agde 75.00' TP-584 5.00 Recording Charge: 11950 Consideration Amount Amount RS#1CS# Transfer Tax 2,340 00 505,000.00 TT 1944 Basic 0.00 QUEENSBURY Special Additional 0.00 Additional 0.00 Transfer 2,340.00 Tax Charge: 2,340.00 RECORDED Caonty Clerks Office Nor 27,2008 011131' Papela J. 'Vogel Vorren County Clerk THIS PAGE IS PART OF THE INSTRUMENT I hereby certify that the within and foregoing;was recorded in the Clerk's Office For: WARREN COUNTY,NY File Information Record.and Return To: Document Number: 2008-00002358 MARK REHM ESQ Receipt Number: 67526 PO BOX 286 Recorded Daterl'me: March 27,2008 01:15:02P LAKE,GEORGE NY 12845 Book-VoVPg: Bk-RP VI-3512 Pg-45 Cashier/Station: s slater / Cash Station 3 U 6 DOGUMEhtT; 1DQOib'2358 VOLUME 3512 PAGE 46 3'P WARRANTY DEED WITH LIEN COVENANT' 0-J p0 SAS' DATE OF DEED March 21,2008 3 � GRANTOR: James F.Slosek i � 43 Hanneford Road Queensbury New York 12804 SRRANTEE Fritz C.Stefanzick. Mary T.Stefanzick,husband and wife, as Tenants by the Entirety S Kaydeross Avenue,E. Saratoga Springs,New York 12866 THIS WARRANTY DEED made between Grantor and Grantee on the deed date stated above WITNESSES THAT GRANTOR in consideration of ---------------------- -- --One Dollar($1 00)----------------------------------------- lawful money of the United States and other good and valuable consideration,paid by Grantee, DOES HEREBY GRANT AND RELEASE UNTO GRANTEE and his assigns forever all that property located at: 43 Hanneford Road Town of Queensbury County of Warren State of New York k TAX MAP#:2406-1-11 (THE PROPERTY IS DESCRIBED MORE FULLY IN SCHEDULE"A"ATTACHED) THIS GRANT IS MADE: N 'r:. 4 r TOGETHER with the appurtenances and all the estate and rights of the Grantor in and is to said premises. i DOCUMENT t 0002358 VOLUME 3512 PAGES 47 TO HAVE AND TO HOLD the premises granted by this Warranty Deed unto the Grantee and his assigns forever. AND THE GRANTOR COVENANTS:as follows: FIRST: That Grantee shall QUIETLY ENJOY said premises; SECOND: That Grantor will forever WARRANT the title to said premises; �HIRD►: That this conveyance is made subject to the trust fund provisions of section thirteen of the lien law. i j If there are;more than one Grantor or Grantee,the words"Grantor"and."Grantee"used in this deed includes them. IN WITNESS OF THIS CONVEYANCE,Grantor has executed this WARRANTY { DEED on the deed date stated above. i IN PRESENCE OF 1 �•S) 3 JAMES F SLOSEK I STATE OF NEW YORK ) ss.: COUNTY OF WARREN On the 21 st day of March in the year 2008,before me,the undersigned,;a Notary Public in and for said State,personally appeared JAMES F.SLOSEK,personally known to me 1 or proved to me on the basis of satisfactory evidence to be the individual whose name is s subscribed to the within instrument and acknowledged to me that he executed the same in his capacity,and that'by his signature on the instrument,the individual,or the person upon behalf of which the individual acted,executed the instrument. T Notary Public i n DOCUMENTI 000 02358 VOLUME: 3512 PAGE 4$ SCHEDULE"A" ALL THAT CERTAIN,PIECE,PARCEL OR LOT OF LAND,situate,lying and being in the Town of Queensbury,Warren County,New York,.bounded and described as follows: BEGINNING at the high water mark of Lake George at the southwest line of lands now or formerly owned by M.DeVine and Elizabeth,Mead,and running 1) Thence North 89 degrees East,along the south line of said DeVine and Mead's lands,212 feet to an iron driven in the ground for a corner. 2) Thence South 1 degree West,100 feet to an iron driven in the.ground for a corner. 3) Thence South 89 degrees West,212,feet and along the lands of Stainsby to Lake George at high water mark.. 4) Thence North along the east shore of Lake George,as it winds and turns to the place of beginning. Being Lot No.1 on a map of lands of William J.Latham and Anna M.Latham,his wife, heretofore filed in the Warren County Clerk's Office on October 20,1921. SUBJECT to the rights of the public in Pilot Knob Road. SUBJECT to a dock conveyance,easement and described'in,a deed from.Harold A.Smith and Eleanore M.Smith dated December 16,2,004.and recorded in the Warren County Clerk's Office on December 17,2004 in Book'1423 of Deeds at Page 114. SUBJECT to Dock and Access Agreement from James F.Slosek to Joseph Barone and Jill Barone dated November L5,2006 and recorded in the Warren County Clerk's Office on May 3 2007 in Book 3259 at Page 261 SUBJECT to Dockand Access Agreement from lames F.`Slosek to Allyson P.Peek dated, January 25,,2008 and recorded in the Warren County Clerk's Office on February 4,2008 in Book 3477 at Page S 1.. SUBJECT to-easements,restrictions,covenants and conditions of record,if any,affecting said premises. RESERVING to the Grantor an easement and access right to the exclusive use of the dock and slip numbered"1"`and the parking space numbered"3" as shown on the map attached to the above two referenced Dock and Access Agreements. BEING the same premises described in a:deed form Howard A. Smith and Eleanore M. Smith to James F,Slosek dated March 25,;2005 and recorded in the Warren County Clerk's Office April 8,2005 in Book 1440 of Deeds at Page 103.. R&R; Mark Rehm,Esq. P.O.Box 286' Lake George,New York 12845 NARRATIVE This project will be conducted on a house that has been, and will continue to be used, by the owners soley as a residential property. Furthermore, the proposed project to add a 233 SF office dormer will be for personel use only. To these 2 points: ITEM B: Water and Sewage — No increase or changes to waters usage, waste generation and waste discharge. — The existing septic system and water supply will continue to be used as is with no changes. — On 12/16/21 the septic system received certification from a licenced PE stating that the system is in compliance with current requirements. See attached. ITEM C and ITEM D: Parking, Permeable and Site Development — There will be no changes or increase to occupancy and who accesses the the propery, pedestrian traffic. There are no changes or impact to property, grading, surrounding areas etc. Therefore no changes to parking areas, egress and provisions, permeability, lighting, utility usage etc. ENVIRONMENTAL DESIGN PARTNERSHIP, LLP. 900 Route 146 Clifton Park,NY 12065 (P)518.371.7621 (F)518.371.9540 edpilp.com December 20,2021 Town of Queensbury Planning/Zoning Dept. 742 Bay Road Queensbury, NY 12804 Attn: Craig Brown Re: Existing Wastewater System—43 Hanneford Road Dear Craig: At the request of Fritz Stefanzick, owner of property located at 43 Hanneford Road, I have been asked to provide a Septic System Certification as per the requirements of Zoning Ordinance- Chapter 179-3-040A(5)(e). Based on the review of the files and existing site conditions, and discussions with the Owner, I offer the following. • On June 12, 1984 the Town of Queensbury Building Department issued a Septic Disposal System permit based on wastewater design plans. The design consisted of a 1000-gallon septic tank, a d-box and six(6) 301f distribution laterals. This sized system is adequate for the reported two-bedroom flow rate. A copy of the original Building Permit is attached. • The Town of Queensbury has subsequently issued several permits for projects associated with this property including BP 93-279 which provided a plan indicating the location of the existing wastewater system. A copy of the plan is provided herein. RC 74-2016, undertaken by the Stefanzicks, involved a residential addition that transformed the residence to a more suitable year-round residence with the bedroom count remaining at 2 bedrooms. • 1 have recently (12-16-21) inspected the system via the accessible ports of the septic tank and d-box. My review of the system,which has been in operation for over 37 years serving the year-round residence,was found to be in good condition. The septic tank appeared to be in good operating condition. It has a concrete baffle which is still solid and shows little sign of deterioration. The concrete d-box has 6 pipe outlets leading to the absorption field system. Appearance indicated normal operation. The area of the absorption field also appears to be operating normally as there are no indications of abnormal operation. The Owner has reported that over their thirteen years of ownership and operation he doesn't recall any abnormal conditions. They have provided regular routine maintenance (pumping/inspection) over the years. Attached from the Owner's files is documentation of pumping history from 2015, 2017 and 2019. The Owner also reports that he completed another pump out(12-17-21)following my review but a receipt is not yet available. In compliance with Section 179-3-040A(5)(e) I provide this written certification that the operating system is in compliance with adopted standards and requirements based on the Town's approvals and issuance of a building permit. My site review of the wastewater system provides reasonable Craig Brown ENVIRONMENTAL DESIGN PARTNERSHIP, LLP. December 20, 2021 Shaping he physical environment Page 2 assurance that the system was constructed as approved. In addition, the operating condition of the system is properly maintained and appears to be providing satisfactory service to the residence. Components of the system (septic tank, d-box and absorption field) are all at known locations and accessible. It is my understanding that Mr. Stefanzick will soon be submitting an application for Zoning/Planning approvals for a house addition. As the proposed addition will not change the bedroom count in the house it will remain as a 2-bedroom flow rate. The existing wastewater system will continue to be a compliant system for the proposed use. This letter shall serve as the septic system certification required for those Zoning/Planning applications to proceed through the process. Please contact me with any further questions. Sincerely Dennis MacElroy Dennis MacElroy, PE 112 Sunset Trail Queensbury, NY 12804 attachments Cc: Fritz Stefanzick 900 Route 146 Clifton Park,NY 12065 2 (P)518.371,7621 (F)518.371.9540 edpllp.com 1 Urv114 Ur 1,1 U L,.C.IV JD U ICS OWN t' F �t�..EENS�3C.�s�•,.�. BUILDING & ZONING DEPARTMENT � ,.,� �� 1 SEWAGF DISPOSAL PERMIT APPLICATI 11 1. Owner ' s Name hf Jam' �`�; J," ' �'( i �Y- 1�� 4 Address r A.M. PA. ( �S ' Telephone No. 2. Property location �/ PC)C D `L� tj=i- 3 . Name of person or firm responsible for installing system j'-� Telephone No. Address 4 . Number of bedrooms (residential buildings only) 5. Daily flow j gallons/day 6. Septic tank capacity �, � � gallons 7 . Topography fla' , rolling, steep of slope 8 . Nature of soil and depth j; G?, 1 9. If ground water, bedrock or impervious material is apparent at what depth does it begin? ft. 10. Percolation test: A is required B ,�_ is not required C If required what is the rate—p- minutes/inch 11. Water supply: municipal, well, other Ed et(- 12 . Type of system proposed: drywell, tile field, other Any contractor,. corporation, individual, etc. engaged in the construction of a sanitary sewage disposal system who covers the same before inspection, does not have an approved permit, or varies from the approved application will be subject to a penalty of $250 as provided for inn Section 6 . 010 of the Queensbury Sanitary Sewage Ordinance. 1 Date J� Y L-v�� X signature o applicant On separate sheet of paper submit a diagram of the proposed septic system with all dimensions, including distance from any structure, distance from property line and domestic water supply, etc. Include all dimensions of the system itself— Form 3-8 2 _ BUILDING PERMIT TOWN OF QUEENSBURY No. 8553 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Erwin H. Johnson OWNER of property located at Hannef ord Road Street, Road or Ave. t1 in the Town of Queensbury,To Construct or place a Sewage Alteration N at the above location in accordance to application together with plot plans and other information hereto filed and C-1 approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. O 1. OWNER'S Address is 24 Sherwood Drive O Glens Falls, New York 2. CONTRACTOR or BUILDER'S Name Robert Ellsworth 3. CONTRACTOR or BUILDER'S Address IL 4. ARCHITECT'S Name ll-t O Fi 5. ARCHITECT'S Address O Pi 6. TYPE of Construction— (Please indicate by X) ( )Wood Frame ( ) Masonry ( )Steel ( ► CJ7 7. PLANS and Specifications ('D 1000 gallon septic tank, dist. box No. 180 L.F. the field ( 6 laterals @ 30 ' each) QQ per plot plan and application submitted. m 8. Proposed Use .N Sewage system for dwelling F1 N. 0 $ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 12 1986 ::j (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 12th Day of June 19 84 SIGNED BY for the Town of Queensbury Building and Zoning Inspector �w„o TOWN OF QUEENSBURY Building Department / lnqwmtw* Report Date_ �,�� Name cvJ .�JV Location_L°7 Permh No. `,�. -y- s�_;r� Weather io Remarks Exca0at on Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backf ill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plb9r. Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors PZ . Fixtures Gar. Fire g proofan Door Closers Chimney Water Meter Inst. yr Se tic Approval Floors Insulation Foundation Walls Ceilin fl Building Inspector REMARKS ' e �,- / i r4IS. ; -e I i - ! fy b s - \ k J o iM Y - Cook's Septic Service, LLC. Invoice 84 Ralph Rd Date Invoice Lake Luzerne 12/17/2021 13403 New York 12846 Bill To Fritz Stefanzick 43 Hanneford Rd PO Box 165 Kattskill Bay, NY 12844 P.O. No. Terms Project Quantity Description Rate Serviced Amount septic tank cleaned-system appears to 250.47 250.47T be functioning at operating level at this time Sales Tax for Warren County 7.00% 17.53 Phone# Totem 1 $268.00 518-696-4500 Cook's Septic Service, LLC. Invoice 84 Ralph Rd Date Invoice Lake Luzerne 4/18/2019 11592 New York 12846 Bill To Fritz Stefanzick 43 Hanneford Rd PO Box 165 Kattskill Bay, NY 12844 P.O. No. Terms Project Quantity Description Rate Serviced Amount septic tank cleaned 190.00 4/18/2019 190.00T Sales Tax for Warren County 7.00% 13.30 Phone# Total $203.30 518-696-4500 Cook's Septic Service, LLC. Invoice 84 Ralph Rd Date Invo Lake Luzerne ice # 4/18/2017 13359 New York 12846 Bill To Fritz Stefanzick 43 Hanneford Rd PO Box 165 Kattskill Bay, NY 12844 P.O. No. Terms Project Quantity Description Rate Serviced Amount septic tank cleaned 190.00 4/18/2017 190.00T Sales Tax for Warren County 7.00% 13.30 Phony $203.30 518-696-4500 0 HOMETOWN SEWER SERVICE 267 State Route 28 WARRENSBURG, NY 12885 623-2453 Customers > /� 20 / Order too. Date Name Address ;✓ I ;Phone: f24 6 I { I i f � i TAX l ® 3i�j 5 Received = _�