Demolition_Permit_App_202402
Page 1 of 1 Demolition_Permit_App_202402.docx
Demolition Permit Application City of Prattville, Building Department 102 West Main Street Prattville, AL 36067 334.595.0400 / building@prattvilleal.gov
Address of Subject Property: ________________________________________________________________________________________
Name of Applicant(s): ________________________________________________ Phone: ______________________________________
Address: ___________________________________________________________ Email: _______________________________________
Name of Owner(s): ___________________________________________________ Phone: ______________________________________
Address: ___________________________________________________________ Email: _______________________________________
Name of Contractor: _________________________________________________ Phone: _______________________________________
Address: ___________________________________________________________ Email: _______________________________________
Prattville Business License #: _____________________________ Alabama General Contractor License #: __________________________
Year Built: _________________ Is property in Historic District?
Will any demolition operations or demolition debris be on or near a public right-of-way or public easement?
Describe current/former use of structure and type of construction:
Initial spaces below to indicate understanding/willingness to comply:
_____ ALL applications (including but not limited to commercial, municipal, residential, and nonresidential structures) must provide proof of
compliance with Alabama Department of Environmental Management (ADEM) asbestos regulations.
According to ADEM Form 496 (as of 10/10/2023):
WHO MUST SUBMIT A NOTIFICATION FORM?
Regulations require that someone (usually a contractor, property owner or consultant) submit a notification to the appropriate agency 10
weekdays prior to disturbing any regulated asbestos-containing material (RACM) or beginning demolition. Specifically, a notification must
be submitted if one of the three following situations exists:
1. It is a renovation project and at least 260 linear feet or 160 square feet or 35 cubic feet of RACM is to be removed.
2. It is a demolition project with or without asbestos-containing material (ACM).
3. A structure is going to be burned for fire training (requires Departmental approval).
You may visit the ADEM website here: https://adem.alabama.gov/ or contact the ADEM—Air Division at PO Box 301463, Montgomery, AL
36130; Phone 334-271-7879; Fax 334-279-3044; 1400 Coliseum Blvd, Montgomery, AL 36110; or email asbestosmail@adem.alabama.gov
_____ I certify that I have contacted ADEM and have become familiar with their requirements for demolition and asbestos and will comply with those
regulations; I have provided ADEM at least the minimum required notification prior to beginning work; proof of required notification to ADEM
must be included with this application
_____ Applicant is responsible for coordinating with Prattville Public Works (sanitary sewer), Prattville Water Works, gas, electric, and any other utilities to
ensure services have been properly disconnected, protected, or otherwise rendered safe prior to beginning demolition operations; confirmation of
disconnect or otherwise no service must be included with this application
_____ Applicant is responsible for placement of adequate barriers and notice on and around property to prevent unauthorized access during demolition
operations
_____ Pre-demolition pest control/extermination services must be performed by a licensed pest control firm at least five days prior to demolition; include
documentation from pest control firm that confirms this
_____ Demolition Bond ($1000; refundable after final inspection and all debris properly removed from site)
_____ Fee ($25 per story)
I have read the above statements and warrant in good faith that I understand and will comply, and that the information submitted is true and
correct. I certify if I am not the owner, I have proper authorization from the owner to act on the owner’s behalf.
Applicant Signature: _________________________________________________________________ Date: ______ / ______ / _________
Yes No
The applicant will be the point of contact for all communication with City staff
Yes
No
Properties in Historic District must receive a Certificate of
Appropriateness prior to demolition