SEP-000036-2017 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
l Community Development-Building&Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: SEP-000036-2017 Date Issued: Thursday, February 9, 2017
This is to certify that work requested to be done as shown by Permit Number SEP-000036-2017
has been completed.
Tax Map Number: 301.14-2-5
Location: 34 MCECHRON LN
Owner: Kevin O'Brien,Susan O'Brien
Applicant: IBS Septic
This structure may be occupied as a: Residential Septic Alteration
Subdivision Name: The Grove By Order of Town Board
TOWN OF
QUEENSBBURYA
Issuance of this Certificate of Compliance DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, � `l/i)aavvSalF" VV
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
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
OL Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: SEP-000036-2017
Tax Map No: 301.14-2-5
Permission is hereby granted to: HIS Septic
For property located at: 34 MCECHRON LN
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: Kevin OBrien Septic Disposal-Residential $0.00
Owner Address: 34 McEchron LN Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
IBS Septic
2 WARREN ST
Glens Falls,NY 12801
Plans&Specifications
Residential Septic Alteration
Subdivision Name: The Grove
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,February 8,2018
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbu before the exxwratio��nn date.)
Dated at the Town o Queensb f/ //We a ruary 8,2017
SIGNED BY: (/ �d for the Town of Queensbury.
Director of Building&Code Enforcement
301.14-2-5 SEP 36-2017
IBS Septic for Kevin & Susan O'Brien
34 McEchron Lane (The Grove)
Residential Septic Alteration
OFFICE USE ONLY <�� 7 D D
Vy
TAX MAP NO.361,I4a1 5' PERMIT NO. t PERMIT FEE
FFEB0 7 2017
APPROVALS: ZONING TOWN CLERK
APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT. TOWN of QUEENSBURY
Y DEVELOPMEN
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS. APPLICATION IS SUBJEC
ISSUANCE F A VALID MIT. n'{ fir`
OWNER: r ` INSTALLER: 7 U 1 `
ADDRESS:A q ADDRESS: DL=0 'Pr
PHONE NOS. T_ �-- PHONE NOS. I I 1
LOCATION OF INSTALLATION: L r'1.
RESIDENCE INFORMATION:
NO.OF COMPUTATION
YEAR BUILT BEDROOMS X Gallons r bedroom = TOTAL DAILY FLOW •. GARBAGE GRINg7
1980 or older X 150 = INSTALLED? N 7f
1981-1991 X 130 = - SPA OR HOT
1992-present X 110 = INSTALLED?
PARCEL INFORMATION: �(�,
✓ TOPOGRAPHY: FLAT ROLD G STEL Et: %SLOPE
✓ SOIL NATURE: SAND LOAM_n CLAY OTHER
✓ GROUNDWATER: AT WHAT DEPTH?
✓ BEDROCKIIMPERVIOUS MATERIAL: AT W DEPTH?
✓ DOMESTIC WATER SUPLY: MUNICIPAL_ WELL(If well:water supply from any septic system absorption is:hl
✓ PERCOLATION TEST: RATE ISPER MIINUTE PER INCH[mpii
(Test to be completed by a licensed professional engineer or architect)
PROPOSED SYSTEM FOR NEW CONSTRUCTION: All individual sewage disposal systems must be designed by a licensed professional engineer
or architect(unless installed in a Planning Board approved subdivision).
TANK SIZE: ���GALLON(MIN.SIZE IS 1,000 GAL.)Add 250 gallons to the size of the septic tank for
each garbage grinder,spa or whirlpool tub.
�x� (�y �D
SYSTEM E: C�
ABSORPTION FIELD(WITH NO.2 STONE) Total length�� ft. Each Vench 1 X�_
17 SEEPAME PIT(S)(WITH NO.3 STONE) How many? Size? _
❑ALTERNATIVE SYSTEM Bed or other type?
❑HOLDING TANK SYSTEM Total required capacity?AL�—Tank size?A4—Number of tanks?
NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN
APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED.
For your protection,please note that pursuant to Section 136-29 of the Code of the Town of Queensbury,any permit or approval
granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or
circumstance known by or on behalf of an applicant,shall be void.
I have read the regulations wi r ect to this application and agree
to abide by these and all r s of the Town of Queensbury QUESTIONS? CALL 761.8256 OR EMAIL
Sanitary Sewage ' p ante. codes aC.t rmnrc ueensbumnet
VISIT OUR WEBSITE FOR MORE INFORMATION
Sign P Responsible Date Wwwuueensburv.net
T W eensbury* Community Development Office*742 Bay Road, Queensbury NY 12804
moon
on ME wo MEN ma,I Sam
mmm Jim
y Y
-M �