Part 1 - Instructions

Listed below are the items that are required to be submitted to Sadsbury Township to apply for Demolition Permit.  This list is not all inclusive for the construction project.  Failure to submit the required items may result in permit denial.
1.	This Demolition Permit Application must be made by the owner or lessee of the building or structure, or by the owner or lessee’s agent.
2.	All applications must include two sets of site or plot plans and building construction plans.
3.	For On-Lot Disposal Systems (OLDS/ Septic Systems) approved permits from the issuing agency are required, when applicable. The Sadsbury Township Sewage Enforcement Officer (SEO) approves OLDS.
4. A seperate Road Occupancy Permit application is required if any construction will occur within the Township or state road bed, shoulder, or right-of-way.
5. A separate Stormwater Management Permit Application may be required in accordance with the Sadsbury Township Stormwater Management Ordinance.
6. All Demolition Permit Applications must be accompanied by Zoning Permit approved by Sadsbury Township unless the proposed work is building interior only, or otherwise waived by Sadsbury Township.

Property Street Address:

City, State, and Zip Code of Property:

Sub Division/Site Plan Lot #

Tax Parcel ID Number:

Name of Property Owner:

Full Name

Street Address (and mailing address if different)

City, State, and Zip Code of Property:

Property Owner Email:

Property Owner Phone Number:

Name Of Applicant

Full Name

Street (and mailing address if different)

City, State, and Zip Code of Property:

Phone Number:

Email:

Name:

Full Name

Phone Number:

Email:

Project Type:

Commercial

Residential

Expedited Review (Additional Fees Will Apply)

Please Describe The Project:

Has A Sadsbury Township Zoning Permit Been obtained?

Yes

No

Will the proposed construction activity required a new OLDS or an expansion to the existing OLDS?

Yes

No

Has an OLDS permit been obtained from Lancaster County Health Department?

Yes

No

Has Your Water Service Been Disconnected?

Yes

No

Water Service:

Private

Public

Electrical Service To Building:

Yes

No

Electrical Contractor Name:

Full Name

Phone Number:

Email:

The applicant is a worker within the meaning of Pennsylvania Workers Compensation Act:

Yes

No

Federal or State Employer ID:

Full Name

Applicant Name:

Full Name

Applicant is qualified Self-Insurer for Workers Compensation

Yes

No

Certificate Attached:

Yes

No

Applicant Worker's Compensation Insurer Name:

Full Name

Workers Compensation Policy #:

Full Name

Policy Expiration Date

Exemption: If applicant is a contractor claiming exemption from providing Pennsylvania Worker Compensation Insurance. The undersigned swears or affirms that he/she is not required to provide PA Workers Compensation Insurance coverage under the provisions of the PA Workers Compensation Act for one of the following reasons:

Contractor with no employees (contractor is prohibited by law from employing any individual to perform work pursuant to the permit).

Religious Exemption under Pennsylvania Workers Compensation Act

Applicant Name:

Full Name

Date

Street Address

Full Name

City, State, Zip

Full Name

Phone Number:

Full Name

E-Mail:

Signature Of Applicant

Clear

Office Procedure

Applicant Certification: 
As the owner or authorized agent of the project for which this application is filed, I certify that:
1. The estimated construction cost and all other information provided as part of this application for a building permit is correct. 
2. The building or structure described in this application will not be occupied until construction has been completed, all known code violations are corrected, and a Certificate Of Occupancy has been received from Sadsbury Township. 
3. This project will be constructed in accordance with the approved drawings and specifications (including any required non-design changes and the Uniform Construction Code standards as specified in 34 PA Code. 
4. Any changes to the approved building permit documents will be filed with Sadsbury Township. 
5. If the applicant, applicant's agent, or design professional change, written notice shall be provided to Sadsbury Township. 
6. No error or omission in the drawings, specifications, or application, whether approved or not, shall relieve the owner or applicant from constructing the work in any manner other than provided for in 34 PA UCC Codes. Misrepresentation of facts or statements may be cause for permit revocation by the Building Code Official. 
7. The Building Code Official or authorized representative shall have the authority to enter areas covered by this permit at any reasonable hour to enforce the provisions of the code(s) applicable to this permit. 
8. I/We have received a copy of the required inspections and are fully aware of these requirements.

Applicant/Agent Name:

Full Name

Signature Of Applicant/Agent

Clear

Date

Owner Name:

Full Name

Signature Of Owner

Clear

Date

Office Procedure

Two copies of a site plan showing the proposed demolition must accompany this application. These drawings much be drawn to a minimum scale (1"=50' / 1/8"=1').
-Location of all buildings or structures to be demolished, distances to property lines and distances to sidewalks, pavement and curbs where they abrupt property lines.
-Location of any existing buildings or structures that will remain on site. 
-Area to be filled to existing grade and seeded or to be fenced and otherwise protected in anticipation of new construction. 
-If applicable, location, dimension, and construction details for pedestrian protections required in section 3306 of the IBC.

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