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2014-568 TOWN OF QUEENSBURY 742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201 ��� Q rY Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20140568 Date Issued: Friday, April 24, 2015 This is to certify that work requested to be done as shown by Permit Number P20140568 has been completed. Tax Map Number: 523400-288-020-0001-020-000-0000 Location: 1172 STATE ROUTE 9 Owner: GREAT ESCAPE THEME PARK LP Applicant: GREAT ESCAPE THEME PARK LP This structure may be occupied as a: Demolition 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, J 4 Variance, or other issues and conditions as a result of approvals by the Director of Building&Codes nforcement Planning Board or Zoning Board of Appeals. (� TOWN OF QUEENSBURY E4, 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20140568 Application Number: A20140568 Tax Map No: 523400-288-020-0001-020-000-0000 Permission is hereby granted to: GREAT ESCAPE THEME PARK LP For property located at: 1172 STATE ROU I E 9 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 Value Owner Address: GREAT ESCAPE THEME PARK LP PO BOX 543185 Demolition DALLAS TX 75354-3185 Total Value Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2014-568 DEMO Noah's Ark Top Structure $30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,November 14,2015 (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 • nsburyy Fri t a, ,November 14,2014 SIGNED BY r -F/ for the Town of Queensbury. Director of Building&Code En‘i,cement Town of Queensbury Building & Codes Office Use Only DEMOLITION PERMIT APPLICATION Received: NOV 0'7 2014 NO WORK MAY COMMENCE UNTIL PERMIT IS ISSUED Permit No.: I Fill in applicable spaces and submit two (2) plot plans, drawn to scale, showing lot boundaries with dimensions and adjacent roads I streets. Show all existing structures Permit Fee: on the property and indicate which are to be demolished. Indicate on the plot plan the location of all utilities. ADate 11 ! /ZC'I Demolition Location /1/6'" ' S f�r\C — 1oP j1 •-c}�.ce Tax Map ID Applicant (^;c �.-� T-S Pc.! k Ciiwner Ne �� Pc5 S E - it ��;•.�...{- K Address \\ ) . jj C dE Cc °"�e Address 921( Av c r u t. NY IZr1C)li C �l r�,TX o // �Scd sew ?sat Phone ( PO a `1Z - 3 S"`-' n3 3) Phone Contact Person for Building&Code Compliance: \a, e w <��,l rr— Day Phone: (Si 3("Al'—;Ge-)/ 1. Person Responsible for work: j e h,'c eJe c' 2. Where will demolition material be disposed? -f /"` 3. Asbestos Information: The Asbestos Removal Report must be filed with our office before demolition begins. a) Is there any asbestos within the building to be demolished _Yes L—No b) If Yes,our office need the following information: • Name of firm removing the asbestos: • License number of firm: • Indicate where the asbestos material will be disposed: 4. Structure Information a) Indicate the structure(s)to be demolished:_residence _garage _business rage bldg. _Other b) Size of structure: � x 1 S- c) Number of stories: 1 d) Foundation Type: SII cellar crawl space —slab e) Foundation: will be replaced SII not be rrOttifti f) Structure(s): will be replaced ✓will not be replaced 5. Utilities Information a) Indicate utilities for this structure: Gas 1---""Electric Propane Public Water On-Site Well Water Pump Public Sewer b) Have you notified the Town Water Dept.for public water and sewer disconnect? _Yes No c) Have all utilities been disconnected? _Yes _No 6. Signatures: Print Name: c )ck c' Date: 1 /7 /� /Li/ Signature: Town of Queensbury Building&Codes Demolition Permit 518-761-8256 Town of Queensbury Building & Code Enforcement Office No. (518) 761-8256 $ -IO Demolition Inspection Report Inspection request received: 1,22115 Name: (Q Escc & pcAkrj cZ1 Inspected on: '\22 \ Location: \\ - C O . �c(.,cl Arrive: Z=i.1Mil ., 1 p.m. Permit No.: I\--‘-�(Qc6 Inspector's Initials: OWL; Comments and/or diagram Y N N/A 41/41( 5cg --ft*0_01 Gas Shut-off y( t toi- it, Water Shut-off ` 1� L U / Iln() O `s Electric Disconnected Asbestos Removed/ Documentation ),//P Property Cleaned Up and Graded . / Okay to Issue Certificate of Compliance Demolition Inspection_11 20 12 TOWN OF QUEENSBURYbp 1- S6 )7 . BUILDING & i • - • P . P . 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