WHEN A BUILDING IS DEMOLISHED OR REMOVED, THE ESTABLISHED GRADES SHALL BE RESTORED AND
ANY NECESSARY RETAINING WALLS AND FENCES SHALL BE CONSTRUCTED AS REQUIRED BY THE BOCA
CODE, CHAPTER 33.
I ALSO ACKNOWLEDGE FOR WHICH THE AFFECTED PORTIONS TO BE DEMOLISHED BY THIS PERMIT
COMPLIES WITH THE CODE OF VIRGINIA SECTION 36.99.7 & THE VIRGINIA UNIFORM STATEWIDE BUILDING
CODE , HAS BEEN INSPECTED FOR THE PRESENCE OF ASBESTOS BY AN INDIVIDUAL LICENSED TO
PERFORM SUCH INSPECTIONS PURSUANT TO SECTION 54.1-503 OF THE CODE OF VIRGINIA AND THAT NO
ASBESTOS CONTAINING MATERIALS WERE FOUND OR OTHERWISE HAVE BEEN RESPONDED TO IN
ACCORDANCE WITH THE REQUIREMENTS OF THE CLEAN AIR ACT NATIONAL EMISSION STANDARD FOR THE
HAZARDOUS AIR POLLUTANT (NESHAPS) (40 CFR 61, SUBPART M) OR IS EXEMPT AS NOTED IN THE
EXEMPTIONS LISTED BELOW:
_____ SINGLE FAMILY DWELLING
_____ RESIDENTIAL HOUSING WITH 4 OR FEWER UNITS
_____ LESS THAN 260 LINEAR FEET ON PIPES
_____ LESS THAN 160 SQUARE FEET OF EFFECTED AREA
_____ LESS THAN 30 CUBIC FEET OF AREA
_____ STRUCTURE BUILT AFTER JANUARY 1, 1985
APPLICANT (PRINT) : ____________________________________________ DATE: __________
APPLICANT SIGNATURE: _________________________________________________________
BUILDING OFFICIAL: _____________________________________________________________
_____ APPROVED _____ DENIED DATE: ________________
SITE PLAN OF PROPERTY
