Demolition Permit Application – Town of Oakfield, NY

1Applicant & Property Information

2Demolition Details

3Insurance & Utility Information

4Certification & Signature

Applicant Name(Required)

First Last

Applicant Address(Required)

Street Address Address Line 2 City State ZIP Code

Applicant Email(Required)

Applicant Phone(Required)

Property Owner Name(Required)

First Last

Property Owner Address(Required)

Street Address Address Line 2 City State ZIP Code

Property Owner Phone(Required)

Location of Structure to Be Demolished(Required)

Street Address Address Line 2 City State ZIP Code

Type of Structure(Required)

Last Use of Structure(Required)

Number of Dwelling Units(Required)

Enter 0 if the structure contains no dwelling units.

Please enter a number greater than or equal to 0.

Proposed Demolition Start Date(Required)