DEMOLITION APPLICATION
CITY OF DECATUR, IL
PROJECT ADDRESS__________________________________________________6252___
ZONING____________ CT______ RESIDENTIAL COMMERCIAL CITY BID JOB
OWNER’S NAME OWNER’S ADDRESS CITY/STATE/ZIP PHONE NUMBER
CONTRACTOR CONTRACTOR’S ADDRESS CITY/STATE/ZIP PHONE NUMBER
PROJECT COST: $________________________
DESCRIPTION OF WORK:___________________________________________________
_________________________________________________________________________
_________________________________________________________________________
(INCLUDE BUILDING TYPE, SIZE, USE AND ANY IMPORTANT BUILDING DESCRIPTION, INFO ON CONCRETE ETC)
FUTURE USE OF PROPERTY__________________________________________________
NOTE:
ALL CONSTRUCTION DEMOLITION DEBRIS MUST BE REMOVED FROM THE
SITE AND LEGALLY DUMPED. DEMOLITION DEBRIS CAN NOT BE BURNED.
THE ESTIMATED DEBRIS AMOUNT ___________ CU YD. WILL BE REMOVED
TO _____________ LAND FILL BY _____________________ (DATE).
IF ANY RESIDENTIAL PROPERTY IS TO BE USED FOR ANYTHING OTHER
THAN 1-2 FAMILY RESIDENCE OR VACANT LOT, YOU MUST CONTACT THE
ILLINOIS ENVIRONMENTAL AGENCY IN SPRINGFIELD. ALL
COMMERCIAL/INDUSTRIAL PROPERTY DEMOLITIONS REQUIRE
NOTIFICATION (DALE HALFORD 217/557-2478).
IT IS THE RESPONSIBILITY OF THE APPLICANT TO CALL FOR A FINAL
INSPECTION AFTER THE SITE HAS BEEN GRADED AND SEEDED.
I ACKNOWLEDGE THAT ALL THE INFORMATION ON THIS APPLICATION IS
TRUE TO THE BEST OF MY KNOWLEDGE.
APPLICANT SIGNATURE_____________________________________ DATE:____________
ELECTRIC SHUT OFF GAS SHUT OFF WATER SHUT OFF WATER & SEWER CAP PERMIT#/CLEAR DATE/BY
FOR OFFICE USE ONLY
3/5/04
