Fillable Application For Demolition 1

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Application For Demolition 1

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Country of origin: US
File type: PDF

U.S.A. forms for Town of Ashland City

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Ashland City Fire, Building &
Life Safety Department
101 Court Street
Ashland City TN 37015
Fire & Life Safety: (615) 792-4531 – Building Codes (615) 792-6455
Permit No.____________
Approved by:_________
Date:________________
DEMOLITION PERMIT APPLICATION
PERMIT FEE: $50.00
Contractor Information
Company Name of Contractor:______________________________________________________
Primary Contact Name:____________________________________________________________
Address:______________________________ City:__________________ State:_____ Zip:______
Phone:________________________________ Email:____________________________________
Tennessee License #:______________________________________________________________
Property Owner Information
Property Owner Name:______________________________________________________________
Address:_____________________________ City:___________________ State:_____ Zip:________
Phone:_______________________________ Email:______________________________________
Building to be demolished
Address/Location:__________________________________________________________________
Length:_________________________ Width:________________ Height:______________________
Use of Building: __________________________________________ Zoning:___________________
Principle materials of construction:_____________________________________________________
Length of time to perform demolition:___________________________________________________
Contact person during demolition:______________________________________________________
Phone:__________________________________ Email:___________________________________
Name of demolition debris landfill where debris will be disposed, or an open burning permit to burn
the debris.
Landfill:_____________________________________ Phone:_______________________________
Address:_________________________________________________________________________
The following information is to accompany the completed application:
1. Documentation that all public utilities have been properly disconnected.
2. Proof of permission from the owner of the current location of the building allowing the building to be
demolished.
3. Approval for the abandonment of the sewage disposal system by Ashland City Public Works or TDEC.
4. A satisfactory pre-demolition evaluation inspection from the Building Inspection Department or from an
architect or engineer registered by the state of Tennessee on general code conformance of the structure to
be demolished.
5. Provide Landfill/Dump Receipt.
Applicant/Owner Signature:________________________________________ Date:______________
Applicant/Owner (printed name):________________________________ Phone:________________
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Application For Demolition 1

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Completed 11 July 2020

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