Demolition Permit Requirements
Please complete and save this form. After you have obtained all the permits and met the following requirements, you will then
upload this form into the Documents folder in ProjectDox.
Requirements Before Demolition Permit Will Be Issued
Obtain the following permits and provide permit number:
Storm Management Permit #_______________________
Tree Preservation Permit #_______________________
Inflow/Infiltration Permit #_______________________
Sewer Disconnect Permit #_______________________
Water Disconnect Permit #_______________________
(Sewer and water must be removed to the main or cut off at the property lines as required by the City Engineer.)
Complete the following:
Submit demolition documentation to
MPCA and provide receipt
Have City of Golden Valley Utilities
Department remove water meter
Disconnect gas
Disconnect electricity
Remove or cap well per State
regulations
Remove underground tanks
Remove elevator (required State of Min-
nesota Elevator Department permit)
Remove sewer and water
Provide residential spot elevations
approved by Planning Department
Indicate demolition start date and
completion date
Provide demolition plans if required
by the Inspections Department
May require ROW permit
Requirements During Demolition
• Remove entire foundation, all piping, and other man-made materials.
• Site must be wetted during demolition.
• An inspection by the Building Inspector is required before fill.
• Use clean fill only to adjacent contours.
Signature
X
Date
Physical Development–Inspections | 7800 Golden Valley Road, Golden Valley, MN 55427
763-593-8090 | FAX: 763-593-8109 | TTY: 763-593-3968 | www.goldenvalleymn.gov
8/21/19
click to sign
signature
click to edit