Grove City Building Division
4035 Broadway
Grove City, OH 43123
614-277-3075 (Phone)
614-277-3090 (Fax)
GroveCityOhio.gov
24-Hour Inspection Line: 614-277-1815
For next business day inspections, requests must be called in before noon or contractors may use the online inspection service as late as 8 p.m., seven days a week.
Permit No. ______________________________________________________________________
Method by which you would like your permit returned: o Fax o Email o Pickup
PROPERTY INFORMATION
Address _________________________________________________________________________ Grove City, OH 43123 Lot _____________
Parcel I.D. _________________________________ Subdivision ____________________________________________ Zoning ______________
OWNER INFORMATION
Name _______________________________________________________________ Phone ____________________________________________
Address _____________________________________________________________ Email _____________________________________________
DEMOLITION PERMIT APPLICATION
COMMERCIAL / RESIDENTIAL
OFFICE USE
Receipt # _____________
Ref. # ________________
Date Entered ______________________
Date Issued ________________________
APPROVALS
Area Commission
__________________
Date ______________________________
Approving Authority ________________
Date ______________________________
Worksheet Adequacy _______________
Date ______________________________
ZONING OVERLAYS
o HPA o CBD
FEES
Building < 400 sf $ 0.00
Building 401-1,000 sf $ 50.00
Building 1,001 > sf $ 150.00
Total Fees Due $ ___________________
PROJECT INFORMATION
Description of Work ____________________________________________________________
No. of Structures _______ No. of Units ________ Acreage _______ Flood Zone _______
Total Construction Sq. Ft. ________________________ Ownership o Private o Public
Heating Fuel o Gas o Electric o Other
Water Supply o Private o Public Water Contractor _________________
Sewage Disposal o Private o Public Sewer Contractor _________________
Principal Construction Type
o Masonry/Wall-Bearing o Reinforced Concrete o Structural Steel o Wood Frame
APPLICATION CHECKLIST
o Owners Affidavit o Utilities Statement o Sewer Cap o COA
• All demolition shall proceed only on weekdays, Monday through Friday, between
7:30 a.m. and 6 p.m., unless specifically extended or altered by the Administrator.
• The Administrator may order an inspection at any time during the demolition to
assure that all procedures are being followed.
• Asbestos report required. Asbestos will be handled and removed prior to any
demolition in accordance with the Ohio Administrative Code Ordinance #3745-
20, under penalty of law. For more information, contact the Ohio Environmental
Protection Agency, Division of Air Pollution Control, 614-728-3816.
• The debris from any building shall be thoroughly dampened to prevent circulation
of dust.
• The demolition contractor shall call for a final inspection upon completion of the
demolition.
Note: No permit to raze a building or structure shall be granted until notice of the application has been given to the owners of lots adjoining the lot upon which the building or structure is to be razed,
to the owners of wires or other impediments, the removal of which will be necessary, and an opportunity has been given the owners to be heard before the Building Inspector; nor until a bond of not
less than $50 and not more than $500 as fixed by the Director of Public Safety has been filed to indemnify the City for damages.
CONTRACTOR INFORMATION Registration No. ______________________________________________
Contractor ______________________________________________________________ Contact ________________________________________
Address ________________________________________________________________ City/State/Zip___________________________________
Phone
________________________ Fax __________________________ Email ______________________________________________________
Signature
___________________________________________________________________________________________ o Owner o Agent
o Cash
o Card
o Check
Demolition Application Owner’s Statement - Page 1 of 2 — Revised 4/2019
Grove City Building Division
4035 Broadway
Grove City, OH 43123
614-277-3075 (Phone)
614-277-3090 (Fax)
GroveCityOhio.gov
DEMOLITION APPLICATION
OWNER’S STATEMENT
I (We), _______________________________________________________, property owner(s), state that I (we) own the property located at
address __________________________________________________________________, for which a demolition permit application is being
made to the City of Grove City Building Division.
Name of Demolition Contractor _____________________________________________________ is acting as my (our) agent and will
demolish the structure on the property with my (our) approval and permission after the City of Grove City issues a demolition permit.
SEWER / SEPTIC / WELL CAP INFORMATION
Is the structure habitable? o Yes o No
Does it have sewer/water service?
o Yes o No
• If YES, attach water capping permit obtained for the job site from City of
Columbus Division of Sewerage and Drainage, 910 Dublin Road, Columbus, OH
43215, 614-645-7490, or well letter obtained from the Franklin County Board of
Health.
• If YES, attach letter from Grove City Service Director, 3262 Ventura Blvd., Grove
City, OH 43123, 614-277-1100, for Grove City sewer, well or private septic system.
UTILITY DISCONNECTION
The utilities at the above property have
been or will be disconnected prior to
demolition.
Gas
______ Electric ______ Water _______
INITIAL TO INDICATE EACH DISCONNECTION.
Submit original notarized statement.
If you have any questions regarding this form, please call 614-277-3075.
Incomplete information may result in rejection of this submittal.
24-Hour Inspection Line: 614-277-1815
For next business day inspections, requests must be called in before noon or contractors may use the online inspection service as late as 8 p.m., seven days a week.
NOTARIZED SIGNATURE
Printed name of applicant/owner _________________________________________________________________________________________
Signature of applicant/owner ___________________________________________________________ Date ____________________________
Sworn to before me and subscribed in my presence this ______________day of _________________________, in the year ____________.
Notary Public
_________________________________________________________ My commission expires ___________________________
NOTARY SEAL HERE
Falsification of a public document is a violation of the Ohio Revised Code, Section 2921.13(a)(5), a misdemeanor of the first degree,
punishable by up to six months imprisonment and a fine of $1,000, or both.
Demolition Application Owner’s Statement - Page 2 of 2 — Revised 4/2019