OFFICE OF THE BUILDING INSPECTOR
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Lockport, N.Y.
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APPLICATION FOR PERMIT TO DEMOLISH BUILDING
OR STRUCTURE
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Application is hereby made for a permit to demolish
a building or structure as described herein. The information which
follows, together with the diagram attached, is made as a part of
the application for permit.
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Type of building or structure to be demolished
_______________
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Location __________ Owner__________
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Size: Width __________ Length__________
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Height__________ Material__________
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Any party walls? __________ Is any adjacent
property affected? __________
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Reason for removal, or use of property __________
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Basement or cellar to be filled in and graded?
__________
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_________________________
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Are public ways involved? __________ An application
must be made for permit to use any portion of public way and approval
granted in writing.
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Insurance __________ (Required where use of
public way in involved.)
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Public liability policy No. __________
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Company __________ Agent __________
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Property damaged policy No. __________
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Company __________ Agent __________
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Performance bond No. __________
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Company __________ Agent __________
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Cutoff of unused sewer and water services at
street mains is to be done in accordance with § C-370A of
the City Charter. An application for street opening must be filed
with this application.
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Name of applicant for street opening permit
__________
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Street opening bond No. __________
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Company __________ Agent __________
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Estimated completion date __________
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It is understood and agreed by this applicant
that any error, misstatement or misrepresentation of material fact
or expression of material fact, either with or without intention on
the part of this applicant, such as might or would operate to cause
a refusal of this application, or any change in the proposed work
or manner of accomplishing the same without the approval of the Building
Inspector, shall constitute sufficient ground for the revocation of
such permit and for taking such legal action as may be appropriate
to enforce the provisions of the Building Code and demolition regulation
of the City of Lockport, New York, and Rule 23 of the New York State
Industrial Code.
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I hereby subscribe to the accuracy of the above
statements.
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Fee paid $_____ Date _____
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Signed _____
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Above application for a permit to demolish the
building or structure described above is hereby approved.
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Date _____
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______________________
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Building Inspector
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PERMIT FOR DEMOLITION OF EXISTING BUILDING OR
STRUCTURE
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Permission is hereby granted to __________, whose residence or principal place of business is __________, to proceed as set forth and represented in an application for demolition which is on file with the Building Inspector, and at the particular location therein described which is known as __________, in accordance with details of work hereto attached and pursuant to Chapter 68 of the Code of the City of Lockport and any special conditions hereinafter set forth, all forming a part hereof, to wit:
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SPECIAL CONDITIONS
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Dated __________ Lockport, New York
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Building Inspector, by __________
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In consideration of the granting of the within
demolition permit, the undersigned hereby accepts the same, subject
to the restrictions and regulations therein described.
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Dated __________ Lockport, New York
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Applicant ____________________
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APPLICATION TO CLOSE OFF PUBLIC WAY
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Permission is hereby requested to close off
space __________ (width), (length) on __________ (public way) in __________
(front, rear or side) of premises located on the __________ side of
__________ Street for the following purpose:__________.
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Permission is requested for __________ days
from __________ 20 _____ to __________ 20 _____.
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Public liability policy __________ (policy No.),
(company), (expires).
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Property damage __________ (policy No.) (company),
(expires).
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Signed __________
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NOTE: Public liability minimum must be $100,000/$300,000
coverage, and property damage, $100,000/$300,000. An insurance company
rider must be furnished co-insuring the City of Lockport for the length
of time permit is requested and must be approved by the Corporation
Counsel.
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PERMIT TO CLOSE OFF A PUBLIC WAY
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Permission is hereby granted to close off a
__________ space on the __________ of premises located on the __________
side of __________ Street for the following purpose: ____________________
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This permit is conditional upon the grantee
adhering in full to the following requirements: __________ and is
valid to and including __________ 20 __________
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__________
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Building Inspector
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__________
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Superintendent of Streets
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CERTIFICATE OF COMPLETION OF DEMOLITION
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This certificate declares that of this date
the demolition of __________ located at __________ and done under
permit No. _____ dated __________ has been satisfactorily completed.
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Inspected for compliance with Plumbing Code
and rules and regulations set forth in permit and for compliance with
regulations and conditions affecting sewer and water services.
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____________________
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Plumbing Inspector
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Inspected for compliance with regulations and
conditions affecting streets and thoroughfares and public ways.
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____________________
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Superintendent of Streets
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Inspected for compliance with regulations and
conditions affecting demolition of structures.
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____________________
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Building Inspector
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Dated at Lockport, New York __________
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THIS BUILDING IS IN PROCESS OF DEMOLITION
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Such demolition has been approved by the City
of Lockport, New York, and a permit issued therefor.
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WARNING
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Only those persons authorized by the provisions
of Lockport Municipal Code regulating demolitions are permitted to
enter a protected area of demolition.
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