City of Madison Building Department
100 Hughes Rd Madison, AL 35758
Fax: 256-772-5601 DEMOLITION PERMIT APPLICATION
www.madisonal.gov ePermitting: www.buildportal.madisonal.gov
*Incomplete applications may not be processed. Valuation of Work: $ Date:
LOCATION OF WORK / CONSTRUCTION
Demolition Address: Lot#: Block: Subdivision:
Property Owner Name: Phone:
Property Owner Address: Email:
City of Madison License #: Email:
Contractor Name: Phone:
DESCRIPTION / REASON FOR DEMOLITON:
Is this property located within the Historic District?
Demolition applications are typically reviewed by the Building Official or Plans Examiner but may be subject to review by other City staff and/or
approval by City Council. OWNERS/CONTRACTORS FOR COMMERCIAL DEMOLITION PROJECTS MAY REQUIRE ADDITIONAL APPROVAL FROM
THE ALABAMA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT PRIOR TO START OF DEMOLITION ACTIVITY.
***I certify that o the best of my knowledge all information provided is true and correct and all work performed under this permit shall conform
to plans and specifications submitted and shall conform to the Building Code as adopted by the City of Madison and all other Laws and Ordinances
THE OWNER/CONTRACTOR IS RESPONSIBLE FOR PERFORMING THE FOLLOWING PRIOR TO DEMOLITION:
Coordinating with applicable utilities to ensure that water, sewer, gas and electrical service lines have been disconnected, protected, or
otherwise rendered safe.
Placement of barriers and signage on and around the property to prevent unauthorized access during demolition operations.
Protecting all vehicular and pedestrian rights-of-way(s) and any easement(s).
Applicant Signature: ______________________________________________ Date: ________________________
Chief Building Official: ____________________________________________ Date: ______________________________ Not Approved
Engineering / Floodplain: ___________________________________________ Date: ______________________________ Not Approved
Zoning Administrator: _____________________________________________ Date: ______________________________ Not Approved
Fire Marshall: Date: Not Approved
Madison Utilities: Date: Not Approved
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