2000-266 TOWN,QF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Develop'iuent- Building &.Codes' (518)761-8256
BUILDING PERMIT
Permit Number: ' P20000499 Application Number: 2000266
Tax tilap No: 523400-034-000-0001-009-000-0000
Permission is hereby granted to: LUMBERJACK-PASS
Owner of property located at: 1511 ,STATE ROUTE 9
in the Town of Queensbury,to construct or place a Unknown
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.
Owner Address: LUMBERJACK PASS AMUSEMENTS, L.L.C. -
171 WINTHROP St
NORTHVALE,NJ 07647
Contractor or Builder's Name/ --Address Electrical'Impection°Agency
VOGEL. PAUL
Type of Construction: DEMOLITION Value : $
.Plans & Specifications
DEMOLITION'OF RESIDENCE/DEMOLITION OF RESIDENCE AS PER PLOT.PLAN
SPECIFICATION'S
S20.00 PERMITFEE PAID'- THIS PERMIT EXPIRES: 'Sundav,July 07,2002
(If a longer period is required,an application for`an extension must be made to the code Enforcement Officer
of the Torn of Queensbury before the expiration date.)
Dated at the Towii aueer; r 'ri ay July 07,2000
SIGNED BLS . 2=� /
for the Town of Queensburt%.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY�
742 Bay Road
Queensbury, N.Y. 12864-9725
' P
Application for DEMOLITION PERMIT
Permit No.
Instructions for completing the application Date: :52
Fee Paid:
1. All applicable spaces are to be completed.
2. Two plot plans are to be submitted, drawn to scale, showing: RE Go
a. lot boundaries, with dimensions and adjacent roads and streets.
b. all existing structures, indicating which are to be removed. MAY 0 3 2000
C. location of all utilities.
3. Fee submitted per current fee schedule. TOWN OF QUEENS BURY
BUILDING AND CODE
Owner of property: /,JJ VM [ e ti 0 e V� - t7�:.'� Property Location: 3-31`y LL 11. 6-1 u e i v,.r�� t
Mailing Address: eo 136 q Tax Map'No. section-, Block ,Lot J—
Person responsible for work: [d-�V l e C-A._t U (' h e- Telephone No.
Mailing Address:
Where will demolition material be disposed of?
Is there any asbestos within building to be demolished? Yes I No
If YES, name of firm removing asbestos from structure, license number, and where asbestos will be disposed of•.
NAME OF FIRM LICENSE NUMBER
LOCATION WHERE ASBESTOS WILL BE DISPOSED
A COPY OF ASBESTOS REMOVAL REPORT MUST BE FILED WITH THIS DEPARTMENT BEFORE DEMOLITION BEGINS.-
The following building(s) located on property described above are to be removed: p ,yt�
I'c�-,
Previous use of building (circle one): residence lg�rage storage business other
Have all utilities been disconnected? gas electric , propane , water
Size of building(s):
1. ft. by ft. Location on property
2. ft. by ft. Location on property
3. Number of stories:
4. Foundation type(circle one): 11 cellar crawl space slab
Foundation will REMAIN BE REMOVED _
5. Another structure WILL WILL NOT , replace this building.
NOTES:
Signature of Applicant: .�
owner's a nt,architect, cort1ractor
OF �kL,5
MAY 4 3 2000
JN OF QUEEhtSE'URY
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