CITY OF ATLANTABUREAU OF BUILDINGS - BUILDING PERMIT APPLICATION

55 TRINITY AVE SW, SUITE 3900, ATLANTA, GA 30303CHECK YOUR PERMIT STATUS ONLINE:

WWW.ATLANTAGA.GOVPHONE: (404) 330-6150

Application# Permit# Date:TO INSURE THAT YOUR APPLICATION WILL BE PROCESSED ------

ALL APPLICABLE INFORMATION MUST BE PROViDED. (Please Print)*The City of Atlanta is not responsible for any incorrect information provided on this application."

COMMERCIAL D RESIDENTIAL D Owner occupied? 0Check all D New Building D Addition D Ext. Alterationthat apply: D Re-Permit- Provide Old#

DInt. Alteration D DemolitionD Tenant Finish D Repair

What is the project street address? -~-~--------------------Building Name/ Tenant Name/ Space Name? -:--:---: ---'-_Total construction cost? What is the Square Footage for the Permit? ----Applicant Name: E-mail Address:Address: City State ~_Zip _Company Name: Phone Number: --------As the applicant what is your role?Architect D EngineerD Contractor DOwner D Permit ServiceDProper~Owner'sName: --:~ _Address: City State ~_ZipPhone Number: E-mail Address: ---Contractor/ Builder:Address: ---------C-=--i:-ty---------S-t-at-e- _-_-_-Z-ip----

Georgia Business License# State of Georgia License #Phone Number: E-mail Address: --------------------Architect/Architectural Company:Address: City State ~_Zip _Georgia Business License# State of Georgia License # --------Phone Number: E-mail Address:------------

_Engineel-/ };~ngi!l~ering Co~:uy~=======::::::::==::::· :::-=-=__ -==:::;;;:,.-=-- - _-__ -_.~_--_-_-_._-Address: City State _-~ Zip __Georgia Business License# State of Georgia License # ~Phone Number: E-mail Address:

OtherD

Impact Fee Payor Name: Phone Number: ----------Fe . Employment Number: SSN# _Address: City: State __ Zip __The Fee Payor I is the: DOwner D Other Person or Entity Paying Impact FeesPayment of the Impact is authorized by the owner. The Fee Payor information stated above istrue and accurate to the best 0

Signature of Permit Applicant: _~,..----------------------_

COMMERCIAL/ DENTIAL GENERAL REPAIR1. Is this an open, operating business? YESD NoD _ Is this a one or two family residence? YESD NoD2. Will the floor plan of the business/residence (Including wa remain the same? YEsD NoD3. Will the cost of construction be under $25,000? YEsD NoD

PLEASE CHECK THE FOLLOWING ITEMS THAT YO RE GOING TO REPAIR OR REPLACE:DEXTOl- REPAIR EXISTING ROOF DINTOI PAIR EXISTING FLOORDEXT02- RE-ROOF DINT02- PLACE EXISTING FLOORSDEXT03- REPAIR EXISTING PORCH DINT03- RE IR EXISTING WALLSDEXT04- REPAIR EXISTING DECK DINT04- REPL CE WALLSDEXT05- REPAIR EXISTING WINDOWS DINT05- REPAI XISTING CEILINGDEXT07- REPAfR EXISTING DOORS DINT06- REPLAC CEILINGSDEXT08- REPLACE DOORS DINT07 - REPAIR E STING BATHROOMDEXT09- REPAIR EXISTING SIDING DINT08- REPLACE B THDEXTlO- RESIDE DINT09- REPAIR EXISNNG KITCHENDEXTll- REPAIR EXISTING FOUNDATION DINTlO- REPLACE KITCMENCABINETSDEXTl2- REPAIR EXISTING STEPS DINTll- REPAIR EXISTINCi,ELECTRICALDEXTl4- REPAIR FENCE DINTl2- REPLACE ELECTRfGALDEXTl7- PAINTING DINTl3- REPAIR EXISTING PL\JMBINGDEXTl8- OTHER EXTERIOR REPAIRS DINTl4- REPLACE PLUMBING -,

DINTl5- REPAIR EXISTING HVACDINTl6- REPLACE HVACDINTl7- OTHER INTERIOR REPAIRS

I UNDERSTAND THAT ONLY THE ITEMS CHECKED ON THE FRONT PAGE ARE APPROVED TO BEWORKED ON FOR THIS PERMIT.Signature of Permit Applicant: _

1

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Demolition Permit ProceduresFor The City of Atlanta

Bureau of Buildings

A Rodent Letter and Plumbing Permit for a sewer plug are required forDemolition permits.

Residential and Commercial-less than one (1) acre

- Three (3) site plans reflecting trees, buildings, roads and driveways

- Detail sheets provided by the Bureau of Buildings to the applicant will illustrate installation ofsilt fencing at the perimeter of the land disturbance activity along with constructionentrance/exit details and tree protection

- A current Rodent Letter establishing that the property has been treated for rodents. (This lettermust be on exterminating companies letter head.)

- A plumbing permit for the sewer plug.

- Notation to be placed on the plans by BOB staffwill state:"Silt fencing and construction entrance/exit shall prohibit soil from exiting the site. Thispermit is not valid if an existing stream is located on the property. A separate plan reviewand approval is required from Site Development and Arborist."

Residential and Commercial Demolitions-greater than one (1) acre

- Applicant must submit eight (8) site plans with erosion control. Plans will be forwarded to-------.Z""'o'-=ru-.·-n-g-, Site' Development and Arborist for review and approval. - - -

- A current Rodent Letter establishing that the property has been treated for rodents. (This lettermust be on exterminating companies letter head.)

- A plumbing permit for the sewer plug.

3 Copies - Site Development3 Copies - Arborist2 Copies - Zoning

All Residential and Commercial Asbestos Removal:

Will this project involve the removal or encapsulation of asbestos? [ ] Yes [ ] No

If yes, this permit may not be issued until you have presented this office with your Notification of AsbestosRenovation, Encapsulation, or Demolition from the Georgia Department of Natural Resources, AsbestosLicensing and Certification Unit, Environmental Protection Division. By signing this demolition form, youhereby certify that you have read and examined this demolition form and know the same to be true andcorrect. All provisions of laws and ordinances governing this type of work will be complied with whetherspecified herein or not. The granting of a permit does not presume to give authority to violate or cancel theprovisions of any other state or local law regulating construction and demolition on any property.

_____________________ Owner/Agent Date

Any ofthe following E.P.D. Offices can provide information:Atlanta: (404) 363-7026 Brunswick: (912) 264-7284 Savannah: (912) 353-3225

Notification forms can be provided by fax or mail. They are also available from the E.P.D. website at:www.dnr.state.ga.us/dnr/environ OR www.ganet.org/dnrlenviron

Mail: EPD Asbestos Program OR4244 International Parkway, Suite 104Atlanta, Georgia 30354

EPD Coastal District OfficeOne Conservation WayBrunswick, Georgia 31520

Note: If you are demolishing a structure and DO NOT plan on building a structure to replace theexisting you will have additional steps before your demolition permit is considered.