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SEP-0781-2020 Office Use Onlv. SEPTIC V ANCE . Received:. . . . 1 PL��T�®TAT l�f Permit#: �-0 47 - ZQ 7� Town of Permit Fee: 742 lay goad;Oueensbury,NY.128®4 JZ2 P:Sb8-761-8256 Invoice#: warw.dueensburv.net . '. APProvals: W.bMlt.w.- l.(o-ne)original.&8 copies-of-the:c®mpleted_appiicati®ea package Property Oin►iier(s):_GO MU S Ct `I/I Owner's Agent flan l Y y I Z�11LUX I4- Address: , Address:. .. RfAd Phone#• Phone Site Address' da :Iv Tax-ID#: �� Direc tions to Site: Distance from well on roPe.�Y o.se t.icsYste (i .aPPl' able) feet Is it possible to-instail.a conforming septic system on this property? Yes No If Mo please explain and attach.a diagram: Does the proposed system meet setback.requ' ements for distance from.wells&septic.systems on neighboring:.- properties? .Yes. . No If:N®;please explain: .MW1300414E1 . .- . . . . . . . . . Is Elie proposed system to be,in ailed under:a.parking areal Yes . No - MEL Section of the Sanitary Sewage Ordinance.from which you.are seeking the-variance(Le. leaching-system will be 89:ft. from well in lieu of required:100 ft.): ev D Q� Septic variance Appiicatibn February 2018 List the names, parcel addresses, and tax map numbers of all adjoining property owners. You may obtain tax map numbers from the Assessor's Office as well as the names and addresses: North Name ��Y lyi 1 If i I' yl�� Address 5 C ►r - �/n g�_ Tax Map ID 2-gq - 1A- -I -26 South Name aoX 0 y e_� a R 00 TsT Address Ll I F ! TZ b Tax Map ID 2- nI . 14 East Name Ro 6 Address ()o'� FITS&, Tax Map ID 2 9 . 14 f k " 2-1 .Z West Name hl F/ y Address Tax Map ID OWNER STATEMENT I/We do hereby relieve the Town of Queensbury from any liabilities on the plumbing and septic system located at: I/We realize that putting the well,septic tank or leaching system less than the required 10D feet from the may increase the risk of pollution. Owner-Print Name: Craig CardA Date:11/20/2020 Owner-Signature: Date.11/20/2020 NEIGHBOR OR TE T RELEASE STATEMENT(if applicable) I/We do hereby relieve the Town of Queensbury from any liabilities on the plumbing and septic system located at: I/We realize that putting the septic tank or leaching system less than the required feet from the may increase the risk of pollution. Neighbor/Tenant—Print Name: Date: Neigh bor/Tenant-Signature: Date: Septic Variance Application February 2018 AUTHORIZATION AND SIGNATURE PAGE This page includes the Authorization to Act as Agent form, engineering fee disclosure,authorization for site visits,other permit responsibilities and agreement to provide documentation required. Complete the following if the OWNER is using an Agent: Owner's Name:. Designates: ?IUNswt -�yv A�r1'1`��d> as agent regarding the Septic Variance for Tax Map#: W1• OWNER'S SIGNATURE: DATE: // Zo Engineering Fee Disclosure:Applications may be referred to the Town consulting engineer for review of septic. design, storm drainage,etc. as determined by the Town Board of Health. Fees for engineering review services will be charged directly to the applicant. Authorization for Site Visits: By signing this page and submitting the application materials attached herein,the Owner,Applicant and his/her/their agent hereby authorize the Town Board of Health, building and code Enforcement Officers and Town Engineer to enter the subject properties for the purpose of reviewing the application submitted. Please Note:Other permits may be required for construction or alteration activity subsequent to approval by the Town Board of Health. It is the applicant's responsibility to obtain any additional permits. Official Meeting Minutes Disclosure: It is the practice of the Town Board of Health to have a designated stenographer tape record the proceedings of the meetings resulting from the application, and that the minutes transcribed from those tapes constitute the official record of all proceedings. If there is a discrepancy between such record and the handwritten minutes taken by the designated stenographer,the handwritten minutes shall be deemed the official record. I,the undersigned, have thoroughly read and understand the instructions for submission; agree to the submission requirements and completed checklist: OWNER—PRINT NAME:Craig Carder OWNER—SIGNATURE: DATE: 11/20/2020 AGENT—PRINT NAME: l� AGENT—SIGNATURE: DATE: Septic Variance Appiication February 2019 Property Description Report For: 93 Fitzgerald Rd, M. municipality of Queensbury Status: Active Roll Section: Taxable Swis: 523400 e j r Tax Map ID#: 289.14-1-24 Property Class: 210 - 1 Family Res I Site: RES 1 In Ag. District: No -w- j Site Property Class: 210 - 1 Family Res Zoning Code: WR Neighborhood Code: 00123-Glen Lake Total.Acreage/Size: 0.28 School District: Queensbury Land Assessment: 2020-$221,300 Total Assessment: 2020 -$401,300 Full Market Value: 2020 -$401,300. Equalization Rate: ---- Property Desc: Res. Ward 1 100'if Deed Book: 4312 Deed Page: 133 Grid East: 713312 Grid North: 1651471 Area Living Area:. `1,646 sq. ft. First Story Area: 1,094 sq:ft. Second Story Area: 552 sq.ft. Half Story Area: 0 sq. ft. Additional Story Area: 0 sq. ft. 3/4 Story Area: 0 sq.ft. Finished Basement: 0 sq. ft: Number of Stories: 2 Finished Rec Room 0 sq.ft. Finished Area Over 0 sq.ft. Garage Structure Building Style: Contemporary Bathrooms(Full-Half): 2- 0 Bedrooms: 4 Kitchens: 1 Fireplaces: 1 Basement Type: Slab/pier Porch Type: Porch-up opn Porch Area: 130.00 Basement Garage Cap: 0 Attached.Garage Cap: 0.00 sq.ft. Overall Condition: Normal Overall Grade: Average Year BuilU 1969 Owners Charles R Carder Craig Carder Caren Tucker 93 Fitzgerald Rd 93 Fitzgerald Rd 12 Henry Austin Dr Queensbury NY 12804 Queensbury NY 12804 Wilton CT 06897 Shelly Mauro 38 Rolling Brook Dr Ballston Spa NY 12020 Sales Property Prior Value Arms Addl. Deed Book Sale Date Price Class Sale Type Owner Usable Length Parcels and Page 8/4/2011 $0 210- 1 Land & Carder, No No No 4312/133 Family Building Charles Res Utilities Sewer Type: Private Water Supply: Private Utilities: Electric Heat Type: Electric Fuel Type: Electric Central Air: No Improvements Structure Size Grade Condition Year Porch-up opn 26 x 5 Average Good 1986 Stake dock 160.00 sq ft Average Normal 1990 Porch-open/deck 10 x 14 Average Normal 1990 Porch-open/deck 36 x 6 Average Normal 1994 Shed-machine 15 x 15 Average Normal 1996 Land Types Type Size Waterfront 100 x 120 Special Districts for 2020 Description Units Percent Type Value EMOGI-Emergency 0 0% 0 medical FP007-Fire 0 0% 0 protection GL001-Glen Lake 1 0% 0 Protect LB001-Crandall 0 0% 0 library dst