INSP-30 - Rev. 9/2020
TOWN OF HUDSON
FIRE DEPARTMENT - INSPECTIONAL SERVICES DIVISION
12 School Street · Hudson, New Hampshire 03051
· Tel: 603-886-6005 · Fax: 603-594-1142
DEMOLITION PERMIT APPROVAL FORM
AND BUILDING CODE REQUIREMENTS
Demolition of structures must comply with the provisions of Section 3303 of the 2015 International Building
Code:
Section 3303.6 Utility Connections: Service utility connections shall be discontinued and capped in accordance
with approved rules and requirements of the authority having jurisdiction.
Prior to the Inspectional Services Division issuing a demolition permit, this approval form must be completely
filled out and signed by all the utility providers listed below and submitted with the completed demolition
application. The property owner/contractor bears responsibility for the proper disconnection of all utilities.
Demolition Address: _________________________________________________
Type of Occupancy: Residential Commercial Industrial
Single Family Multi-Family
Number of Stories: __________ Number of Units:___________
Estimated Cost: _____________ Building Demolition: Partial Full
Office Use:
Permit#: __________
Map: __________
Lot: __________
Zone: __________
Owner: _____________________________________
Mailing Address:_____________________________
_____________________________________________
Daytime Phone #: ___________________________
Cell Phone #: _______________________________
Contractor: _________________________________
Mailing Address:_____________________________
_____________________________________________
Daytime Phone #: ___________________________
Cell Phone #: _______________________________
Date Approved for
Release
Utility Representative/ Work Order
Number
Hudson Water Utility 603-886-6002
603-882-5894
Fair Point
Communications
*Before a Demolition Permit is approved, it is the applicant’s responsibility to supply this office with photographs of the
structure. These photos shall include all four sides of the structure and any unusual or interesting features of the inside
or outside of the structure. Please provide the address on the back of the photos. The Building Official or his designee
may waive sheds, porches, etc. from this requirement.
*Per RSA 141-E (ENV-A1800 Regulations) requires all buildings to be inspected for asbestos before demolition. A report
must be submitted to the Town saying that there is no asbestos or it has been cleaned-up.
APPROVED DENIED Fees Due: ________________
_____________________________________________ ___________________________
Building Official or Designee Date
