SEP-0161-2018 Y
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
- Community Development-Building& Codes (518)761-8256
CEINALIFIATE F COMPLIANCE
Permit Number: SEP-0161-2018 Date Issued: Wednesday, May 9, 2018
This is to certify that work requested to be done as shown by Permit Number SEP-0161-2018
has been completed.
Tax Map Number: 301.8-1-88
Location: 16 HEE\aICK ST
Owner: Jeffrey Olson
Applicant: Cooks Septic
This structure may be occupied as a: Residential Septic Alteration
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan,
Variance,or other issues and conditions as a result of approvals by the Director of Building&code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
t.
742 Bay Road,Queensbury,NY 128045904 (518)761-8201
s
Community Development-Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: SEP-0161-2018
Tax Map No: 301.8-1-88
Permission is hereby granted to: Cooks Septic
For property located at: 16 BEE-MCK ST
In the Town of Queensbury,to construct or place at the above location in accordance with application together
with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform
'Building Codes and the Queensbury Zoning Ordinance
Type of Construction
Owner Name: Jeffrey Olson Septic Disposal-Residential $0.00
Owner Address: 16 Heinrick ST Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Cooks Septic
7 Donkley RD
Lake Luzerne,NY 12846
Plans&Specifications
Residential Septic Alteration
$ 75.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Saturday,April 13,2019
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of sbury; rid A it 13,2018
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement