97-010 BUILDING PERMIT
VALUE $ 0 TOWN OF QUEENSBURY No. 97010 •
TAX MAP NO. 36 . —2-3 . 1 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted tb GREAT ESCAPE FUN PARK
OWNER of property located at 1172 ROUTE 9 Street, Road or Ave.
in the Town of Queensbury,To Construct or place a
DEMOLITION OF CAROUSEL
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
ROUTE 9
LAKE GEORGE , NY 12845
2. CONTRACTOR or BUILDERS Name
COLLINS , JOHN
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
NEW YORK BOARD
5. ARCHITECT'S Address
NEW YORK BOARD OF FIRE UNDERWRITERS
6. TYPE of Construction—(Please indicate by X)
DEMOLITION
( )Wood Frame ( 1 Masonry ( ) Steel ( )
7. PLANS and Specifications
DEM2PLITION OF CAROUSEL AS PER APPLICATION
8. Proposed Use
DEMOLITION OF CAROUSEL
20 PERMIT FEE PAID —THIS PERMIT EXPIRES January 17 19 99
$ (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this
17 Day of January 19 97
SIGNED BY for the Town of Queensbury
Building and Zoning I vctor
TOWN OF QUEENSBURY j ` a i
742 Bay Road 1 JAN -13 7
Queensbury, N.Y. 12804-9725 1 .i.C)+,r`,OF- ,l,^ ; ,G ;i,,.aiY
Application for DEMOLITION PERMIT BUILDING AND CODE_
Permit o.
Instructions for completing the application Date: i , U
Fee Paid o-
1. All applicable spaces are to be completed.
2. Two plot plans are to be submitted, drawn to scale, showing:
a. lot boundaries, with dimensions and adjacent roads and streets.
b. all existing structures, indicating which are to be removed.
c. location of all utilities.
3. Fee submitted per current fee schedule.
Owner of property: ware' QlI'Y.I.; l n e i Property Location: 1210k-kie c t 1 NtLe 1:l i)11.1
Mailing Address: 1'lW e1 e l l l &Gaye, Tax Map No. Section 3(p , Block ,Lot 3, (
{Ox511
L.CL1c & .o rq.e t N L1 I2V4
Person responsible for work: Telephone No. 518-1(1)-3
Mailing Address: SCLYYLQ- OS (..bo V e.
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Where will demolition material be disposed of? S\-e 0 — v� V000(�.—/jy1 tLHGet'rii ,
Is there any asbestos within building to be demolished? Yes / 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:
Previous use of building (circle one): residence garage storage business other ( 0_01/4X1: .X9
OCR
Have all utilities been disconnected? gas MA—, electric NA- , propane NA- , water IVA k e. sC_1 /�
`j r(L .
Size of building(s):
1. ft. by ft. Location on property 1LO dzCm4."
2. ft. by ft. Location on property
3. Number of stories: I
4. Foundation type(circle one): full cellar crawl space slab pe_fs
Foundation will REMAIN BE REMOVED V
5. Another struyc�turee0W�IILL� WILL NOT ✓ , replace this building.
.A vpr.-1-ioA
NOTES: L[J() !(1-af\f ��1'C Y C1.4�ti t w \ fe,O( e H 116 J-rUC�J re r
Signature of Applicant: �' ..�4 L,1 �)s ' Y �� _ Co\l t`l s 1 6.11A..
owner, owner's agent,architect, contractor
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