Office Use Only
No.________
VILLAGE OF
DANSVILLE
Livingston
County, New York
APPLICATION
FOR DEMOLITION PERMIT
DATE:
____________
INSTRUCTIONS:
A. Two (2) COMPLETED copies of this
application to be filled in by typewritter or in ink and submitted to the Code Enforcement
Office. Any application which is missing information will be denied by the Code
Enforcement Office.
B. A Plot Plans showing location of the
lot and of the buildings on the premises, relation to public streets or areas
and to adjoining premises, giving a DETAILED description of the layout of the
property to be drawn on a diagram which is a part of this application.
C. The work covered
by this application shall not be commenced before the issuance of a DEMOLITION
permit.
D. Upon approval of this application,
the Code Enforcement Officer will issue a DEMOLITION Permit to the applicant
and return one (1) set of the plans and
application. The permit shall be kept on the premises during the progress of
the work.
E. NO site shall be occupied or used
in whole or in part for any purpose until a CERTIFICATE OF COMPLIANCE shall
have been granted by the Code Enforcement Office.
APPLICATION
IS HEREBY MADE to
the Code Enforcement Office for the issuance of a DEMOLITION Permit, pursuant
to the Zoning Ordinance of the Village Of Dansville for the buildings,
additions, alterations or relocation as herein described. The applicant agrees
to comply with all applicable laws, ordinances and regulations.
_______________________________________________________________________________________________
Signature of Applicant Address
1. Owner
Name:__________________________________ Company
Name:__________________________
Owner
Address:________________________________ Owner
Phone#: ___________________________
Contractor:____________________________________ Contractor
Phone#: _______________________
2. Location of
land on which the proposed work will be done:______________________________________________
3. Tax Map
No.:____________________________________
[can be found on tax bill]
4. Present
Use:____________________________
5. Intended
Use:_____________________________
6. Size and
Area of the lot __________________ Ft. by __________________Ft.
_______________________Sq. Ft.
7. If
Dwelling: No# of Stories:
___________ No# of Families:
___________ Garage:___________ Cars:_________
8. If Other
Use, Specify Use:_______________________________________________________________________
9. Type of Demolition:
____________________________________________________________________________
10. Zone or Use District in which the premises are
situated:________________________________________________
11. The Plot diagram, shown on page 2 of this
application or on separate drawings, showing location of all buildings, together with dimensions from the property
lines, the surface elevation of front yard at the front wall of the principal
building as related to the surface of the street or highway, lot number, street
names and type of lot (interior or corner) and lot description is a part of
this application.
I HEREBY CERTIFY THAT I AM THE ____________________________________ and that I am duly authorized to make and file this application; that
all statements contained in this application are true to the best of my
knowledge and belief, and that the work will be performed in the manner set
forth in this application and in the plans filed herein.
_____________________________________________
Signature of Applicant
DISAPPROVED_________________________________________
Code Enforcement Officer DATE
Office Use Only:
FEES: $5.00 Permit Fee $5.00 TOTAL
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