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Location Of Project Number Street City Zip Geocode* Legal Description Required Name (print) Telephone Number Email Address Owner Contact Licensed Proffesional Contractor Contractor Bonded for Demolition? Yes/No Reason for Demolition and Description of Structure to be Demolished: Number of buildings Historic Site YES/NO Public Owned Yes / No Assesment Code* Name of Disposal Site to be Used Method of Transporting Demolished Material: Stories Butte - Silver Bow Building Code Department 155 West Granite Street Room 108, Butte, MT 59701 Demolition Permit Application $ *Permit application correspondance will be conducted via email Address,City, State, Zip Contractor BSB Buisness License Applicant Job Value Housing Units Total Floor Area of Structure Building Depth Building Width Building Height Estimated Start Date: Estimated Completion time (Days): ---PAGE BREAK--- Type of Construction: Wood Frame Masonry (Wall Bearing) Structural Steel Reinforced Concrete Wallframe (brick veneer) Basement Other *All material and debris to be removed and excavation back-filled to grade (must have final approval from Inspector) Back-fill shall be placed and compacted in 6 to 12 inch lifts Any disruption of soil will require an excavation permit application submitted in addition to this application Signature or documentation of approval required below before submittal to Building Department Approval Signature by BSB Water Company [PHONE REDACTED]: Date: Water Company Comments: Approval Signature by Historic Preservation [PHONE REDACTED]: Date: Historic Preservation Comments: Approval Signature by Public Works (Roads) [PHONE REDACTED]: Date: Public Works (Roads) Comments: Approval Signature by Public Works (Metro) [PHONE REDACTED]: Date: Public Works (Metro) Comments: Signiture of Applicant Date Received By Date Approved By Date *Dimensional Site Plan Submitted? (Required) YES/NO Explain construction safeguard methods for neighboring properties and public right-of-way Think Asbestos! Before you renovate or demolish INSPECT for Asbestos using a Montana accredited inspector. NOTIFY Montana’s Department of Environmental Quality. PERMIT Asbestos activities with DEQ. [PHONE REDACTED] It’s the Law!