CITY OF GALVESTON BUILDING DEPARTMENT PO Box 779, Galveston, Texas 77553
Phone: 409/797-3660 Email: planningcounter@cityofgalveston.org
DEMOLITION PERMIT APPLICATION
S: /Planning/Building Division/Building Div Forms/Permit Applications/Demo Permit Application 1
I. JOB INFORMATION
____________________________ ________________ ________________________
Address for Proposed Job Lot / Block Number CAD Identification # (Required)
II. APPLICANT INFORMATION (Check One): [ ] Owner [ ] Tenant [ ] Contractor [ ] Architect [ ] Engineer
( )
Applicant Name Telephone
( )
Mailing Address Alternative Telephone and/or Fax
Email Address(es) (Email address will be utilized as the primary method of communication to discuss or notify applicant of
project status, including, but not limited to project approval, denial or request for additional information.)
III. OWNER INFORMATION Property Owner must sign the application or submit a letter of authorization.
( )
Property Owner Name Telephone
( )
Mailing Address Alternative Telephone and/or Fax
________________________________ ___________________________
Owner Signature Date
*Was this property purchased within the last 5 years? Yes _____ No _____
IV. CONTRACTOR/ARCHITECT/ENGINEER INFORMATION Please note, anyone listed below will be permitted
to discuss and obtain information relating to this project.
( )
Contractor Mailing Address City Registration No. Telephone
( )
Architect Mailing Address Telephone
( )
Engineer Mailing Address Telephone
click to sign
signature
click to edit
CITY OF GALVESTON BUILDING DEPARTMENT PO Box 779, Galveston, Texas 77553
Phone: 409/797-3620 Fax: 409/797-3604 Email: buildingdivision@cityofgalveston.org
DEMOLITION PERMIT APPLICATION
S: /Planning/Building Division/Building Div Forms/Permit Applications/Demo Permit Application 2
V. SITE INFORMATION
A. Type of Structure: [ ] Residential [ ] Commercial
B. Total cubic feet of structure: ____________
C. Will the demolition work require barricading of the sidewalk or street? [ ] Yes [ ] No
If yes, per Section 32-5 of the City Code, a separate temporary License to Use the City right-of-way permit is required.
Please contact the Administrative Division at 409/797-3660 or obtain permit information from www.cityofgalveston.org.
VI. PROPERTY HISTORY and USE INFORMATION
A. Previous/Current Use of Property: _________________________________________________________
B. Reason for Demolition: [ ] City Demolition Orders Is this a City Contract? [ ] Yes [ ] No
C. Future Use of Property: ___________________________________________________________________
D. Demolition Contract Cost: $____________________
VIII. PUBLIC WORKS CONDITIONS
Is there existing plumbing in structure? [ ] Yes [ ] No
If yes, a master plumber must purchase a plumbing permit and disconnect all sewer and water supply lines, at the property lines,
connected to the building/structure being demolished.
Has a plumbing permit been issued and inspected? [ ] Yes [ ] No
_______________________________________ ____________________________
Plumbing Contractor Plumbing Permit # (Required)
The plumber must have the sewer disconnect permitted, inspected, and finaled by the Plumbing Department prior to requesting a
demo permit. Contact the Plumbing Department at (409) 797-3644.
VII. ASBESTOS SURVEY INFORMATION
An asbestos survey has been conducted in accordance with the Texas Asbestos Health
Protection Rules (TAHPR) and the National Emission Standards for Hazardous Air
Pollutants (NESHAP) for the areas being demolished.
Yes No*
CITY OF GALVESTON BUILDING DEPARTMENT PO Box 779, Galveston, Texas 77553
Phone: 409/797-3620 Fax: 409/797-3604 Email: buildingdivision@cityofgalveston.org
DEMOLITION PERMIT APPLICATION
S: /Planning/Building Division/Building Div Forms/Permit Applications/Demo Permit Application 3
**FOR OFFICE USE ONLY**
IX. BUILDING DEPARTMENT
Applicants wishing to remove a building or structure from a property must first obtain a demolition (demo) permit. A demo
permit is required for the demolition of any structure or building regardless of whether it is a commercial or a residential
property. A building demo permit requires the removal of all construction materials from the jobsite including the building
foundation (with certain exceptions if approved by the Building Official). The site must be left free of debris and be level within
the boundaries of the property. Must secure area with fence; separate fence permit required. A demo permit does not authorize
work located in the right-of-way such as, “sidewalks, driveways, curbs, or accessibility ramps.”
PERMIT EXPIRES WITHIN _________ DAYS OF ISSUE DATE.
______________________________________________________ ____________________ Permit Fee: $______________
Building Department Staff Date
X. PLANNING DEPARTMENT
[ ] Structure is not located within a district with demolition review (ex: historic districts,
San Jacinto Neighborhood Conservation District, or the Height and Density
Development Zone).
[ ] Structure is located within the San Jacinto Neighborhood Conservation District and is:
[ ] an accessory structure,
[ ] constructed after 1984, or
[ ] conforms to the requirements of Section 29-80 (i)(1)(b) as determined by
the Historic Preservation Officer: _______________.
[ ] Structure is located within the Height and Density Development Zone and has been
found to be Not Eligible for Listing on the National Register of Historic Places by the
Historic Preservation Officer: ________________.
[ ] Demolition approval has been granted by the Landmark Commission.
Case No: _______
[ ] Other: _______________________________________________________________
XI. FIRE DEPARTMENT
Are there any ongoing investigations at this property? [ ] Yes [ ] No
Is this property approved for demolition? [ ] Yes [ ] No
_______________________________________ _________________
Fire Department Staff Date
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