IM Inspection Worksheet_30-10-2023_13-32-08INSPECTION WORKSHEET (PTI-028613-2023)
PT-0472-2023Case Number:Case Module:Permit Management
10/30/2023 PassedInspection Status:Inspection Date:
Property Transfer InspectionsInspection Type:Inspector:John O'Brien
Job Address:Parcel Number:17 Heron Hollow Rd
Queensbury, NY 12804
227.17-1-4.1
Company Name NameContact Type
Applicant Luke Sears
Contact Jane Sears
Primary Owner Sears Pers. Residence Trust
Checklist Item CommentsPassed
Building Inspector Notes True 10/30/23 Received LGPC Letter stating that the septic system at
17 Heron Hollow Rd is compliant and exempt from the Property
Transfer Inspection.
System appears to have functioned adequately True 10/30/23 Received LGPC Letter stating that the septic system at
17 Heron Hollow Rd is compliant and exempt from the Property
Transfer Inspection.
System passes all function testing True 10/30/23 Received LGPC Letter stating that the septic system at
17 Heron Hollow Rd is compliant and exempt from the Property
Transfer Inspection.
October 30, 2023 Page 1 of 1