Application Form For Demolition Permit printable pdf download

CITY OF SCRANTON

APPLICATION FOR DEMOLITION PERMIT

TO THE DEPARTMENT OF LICENSING, INSPECTIONS AND PERMITS:

APPLICATION IS HEREBY MADE ON BEHALF OF THE OWNER OF THE PREMISES HEREIN DESCRIBED FOR A DEMOLITION

PERMIT UNDER THE BOCA NATIONAL BUILDING CODE/1996 AND THE FOLLOWING STATEMENTS OF FACT AND

ANSWERS TO QUESTIONS ARE REPRESENTED AS TRUE AND CORRECT.

1. KIND OF STRUCTURE: _______________________________

FACED WITH: _____________________________________

2. NAME OF OWNER OR OWNERS: ______________________________________________________________________________

3. ADDRESS OF OWNER OR OWNERS: ___________________________________________________________________________

PHONE NUMBER: ___________________________________

4. ADDRESS OF PROPOSED OPERATION: ________________________________________________________________________

5. SIZE OF LOT _______________FT. IN WIDTH

____________________ FT. IN DEPTH

6. TYPE OF STRUCTURE: _______________________________________________________________________________________

SIZE OF STRUCTURE: ________________________________________

TOTAL SQ. FT.:______________________________

7. ARE THERE ANY OTHER STRUCTURES ON THIS LOT?: ____________________________

If yes, please describe:___________________________________________________________________________________________

_____________________________________________________________________________________________________________

8. HOW FAR AWAY FROM BUILDING TO BE DEMOLISHED IS THE NEAREST BUILDING: ___________________________ FT.

9. DOES THIS STRUCTURE ATTACH TO A PARTY WALL?: _________________________________________________________

If yes, the owner or contractor shall provide the Department of Licensing, Inspections, and Permits a bond to cover the cost of

weatherproofing the party wall on the exposed side. Such weatherproofing shall be stucco, drivit, brickote, gunite or other approved non-

combustible materials.

10. NAME OF COMPANY/CONTRACTOR: ________________________________________________________________________

11. ADDRESS OF COMPANY/CONTRACTOR: ______________________________________________________________________

12. DUPLICATE COPY OF INSURANCE CARRIED TO BE FURNISHED AND ATTACHED TO APPLICATION.

13. THE TOTAL COST OF PROPOSED OPERATION, LABOR AND MATERIALS: $_______________________________________

14. BRIEF DESCRIPTION OF WORK TO BE DONE

_____________________________________________________________________________________________________________

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Application Form For Demolition Permit