DEM Permit Application
Effective 1/1/2020
Planning & Building Services Department
Building Division
200 S. Willow St.
P.O. Box
Jackson, WY
phone: (307) 733-7030
For Office Use Only
Check # Credit Card Cash
PROJECT: All public and commercial facilities must be inspected for the presence of asbestos prior to any demolition or renovation
activity. Written notification is required 10 working days prior the start of all commercial demolition jobs whether asbestos is
present or not. A Notification of Demolition and Renovation form is available on the Wyoming Department of Environmental
Quality’s website.
Job Description:
Residential Demolition
Commercial Demolition
Physical Address:_____________________________________________________________________________________________
Subdivision & Lot:________________________________________ PIDN #:_____________________________________________
OWNER: A copy of the Warranty Deed or Contract of Sale must accompany this application.
Name: Phone:
Mailing Address: City, State:
Email: ZIP:
APPLICANT/AGENT: If the applicant is other than owner, a notarized Teton County Planning & Development Letter of Authorization
must accompany this application. Only the owner or his/her authorized agent may sign the application or permit.
Name: Phone:
Mailing Address: City, State:
Email: ZIP:
Name: Phone:
Mailing Address: City, State:
Email: ZIP:
License No:
DEM Permit Application
Effective 1/1/2020
Gross Floor Area (sf)
Number of Stories
Construction Type
Is the system to remain or will it be removed?
Well Community Water Supplier:
Physical Address:
Key: Y = meets submittal requirements
N = missing or incomplete information – letter of explanation required
NA = not applicable to this application
Provide two (2) sets of plans for residential demolition projects, three (3) sets for commercial demolition projects. Plans
shall be submitted to the Building Safety Division, Planning & Development, and include the following:
Site plan showing the property with all buildings. Show location of wells, septic system, and incoming buried
utilities. As applicable, show location of wetlands, streams or ditches, slopes in excess of 30%. Show area of
disturbance due to demolition and area where debris will be stored awaiting shipment to a waste facility.
A disconnect letter from Lower Valley Energy and/or other utility suppliers stating removal of gas meter(s), and
disconnect of electric service, phone service and cable service as required.
For commercial projects or residential projects in high density developments, a plan for securing the site and
pedestrian protection may be required. Notification of adjacent landowners and/or residents by the party
demolishing the building may be required.
A letter from an individual qualified to assess the presence of potentially toxic materials in the structure being
demolished (i.e. lead based paints, insecticides, oil based paints, etc.), their removal and site of disposal may be
DEM Permit Application
Effective 1/1/2020
Temporary sanitary facilities shall be provided for workman on site.
An approved fire extinguisher shall be available at times during demolition.
Prior to shipment to a final disposal area, all debris shall be sorted. Failure to sort debris will result in higher disposal cost
to the contractor and owner. No on-site burning or burying of debris is permitted.
Recyclable items and certain hazardous waste products may be disposed of at the Jackson Community Recycling center.
Contact the Recycling Center at the number below to determine what hazardous products are accepted and
Finished materials in good repair, such as toilets, shower and tub valves, kitchen sinks, hardware and doors may be donated
to the Habitat for Humanity resale outlet, Restore. Contact the store about other items they may need.
Other materials, such as drywall, insulation, treated lumber, plumbing waste and vent materials, etc., should go to the
County Landfill to be transferred to a disposal facility.
Woodstoves or manufactured fireplaces may be disposed of at the Trash Transfer Station.
Sorting: Prior to transporting demolition waste to the Trash Transfer Station, Teton County Integrated Solid Waste and
Recycling requires 48 hour advance notice, as well as receipt of asbestos abatement paperwork from contractors delivering
volumes of demolition waste. Please call the scale house, 733-7172, 48 hours in advance for all loads.
Items that go to the Trash Transfer Station (for current cost please call 733-7172)
Concrete Pile: Concrete, asphalt, tile (items must be broken into pieces not more than 300lbs (about 2’X2’). Steel
posts or rebar must be cut flush with
Upper Hill Wood Pile: Dimensional wood (must be clean of large metal pieces, wires, foam, and insulation. Nails,
and small metal component are acceptable)
Upper Hill Compost Pile: Trees, branches, weeds, grass, shrubs.
Scrap Metal Pile: Scrap metal, wire.
Tip Floor: Gypsum board/drywall, non-certified refrigeration units
Items that go to the Recycling Center (no cost)
Corrugated cardboard (no wax board or paper board)
INSPECTIONS: Commercial projects will require a pre-demolition inspection. A final inspection is required after all work is done for
both residential and commercial projects. At the time of the final inspection, all grading shell be restored to
ty standards
and all utilities disconnected and capped. Abandoned septic tanks shall be pumped, their lids broken in and filled with clean fill
Inspection Line 307-732-5745 Please call before 4:00 pm to receive an inspection the following business day
Inspection Type Sign-off Inspector’s Initials
Pre-Demolition (if required)
NOTICE: I certify that I have read and examined this application and know the same to be true and correct. All provisions of the
laws and ordinances governing this work will be complied with whether specified herein or not. The granting of this permit does not
give authority to violate or cancel the provisions of any state or local law regulating construction or the performance
Signature of Owner/Applicant Date
Printed Name Contact Phone Number
click to sign
click to edit
DEM Permit Application
Effective 1/1/2020
The following resources may be of assistance in planning your demolition project:
Teton County Recycling Center
3270 S. Adams Canyon Drive
Jackson, WY 83001
(307) 733- 7678
Hours of Operation: 8-6, M-F
460 E. Pearl Avenue
Jackson, WY 83001
(307) 732-8490
Hours of Operation: 8-5, M-F
Teton County Transfer Station
5400 S. Highway 89/191
Jackson, WY 83001
(307) 733-7172
Hours of Operation: 9-3, M-Sat.
(Call for seasonal hours)
854 W. Broadway
Jackson, WY 83001
(307) 734-0389
Hours of Operation: 10-6, T-F, 10-5, Sat.
Asbestos Program Coordinator, Linda Dewitt
State of Wyoming Department of Environmental Quality
Air Quality Division
122 West 25
Street, 2-E
Cheyenne, WY 82002
Phone: (307) 777-7394
Cell: (307)-214-8517
Fax: (307) 777-6937
450 W. Snow King Avenue
Jackson, WY 93001
Phone: (307) 733-3079
Teton County Household Hazardous Waste Collection Facility
3270 S. Adams Canyon Dr.
Jackson, WY 83001
Hours of
and 3
Tuesday of each month from April
To October, by appointment only. Call ahead To make an
appointment and more information about accepted items.