City of Bedford, Indiana



Home »   Planning-Zoning Department »  Demolition Permit

Demolition Permit Application
City of Bedford, Indiana

Please fill out the form below to submit a request for a Demolition Permit.


Demolition Permit - Applicant Information
Owner of the Premises where Demolition is Occuring:
Last Name First Name
Middle Name 		 
Email Address Phone Number  
Street Address
City
State
Zip

Person Responsible for this permit:
Last Name First Name
Middle Name 		 
Contractor
License # 		 
Email Address Phone Number  
Street Address
City
State
Zip
Individual Responsible For Payment:
Last Name First Name
Middle Name 		 
Phone Number  

Demolition Specific Information:
Address Location of Demolition Activity:
Total Height (ft):
# of Stories:
Class of Structure:
(i.e. Conventional, Industrial,) 		Type of Structure:
(i.e. Principal or Accessory structure)
Most Recent Use of the Structure:
(i.e. Residential, Multi-Family, Commercial, Industrial, etc.)
Disposal of Debris:
I certify that I have the authority to make the foregoing application, that all accompanying documents are complete and correct and that the demolition activity will comply with applicable Ordinances of the City of Bedford and the State of Indiana.
Please Enter Name:

Estimated Start Date:
v
Estimated Completion Date:
v
Estimated Value of Demolition Activity:




Authorization
Authorization
The applicant hereby certifies and agrees as follow: (1) I am authorized to make application. (2) I have read this application and attest that the information furnished is correct, including that contained in plans. (3) I certify that I have the authority to make the foregoing application, that all accompanying documents are complete and correct and that the demolition activity will comply with applicable Ordinances of the City of Bedford and the State of Indiana.

This Permit is not valid, and work is not permitted until signed and issued by the agent of the Planning and Zoning Department.

Please Enter Name:
Security Verification

Please enter the security verification below. Click the "show another code" button if you have trouble reading the verification code.

Captcha image
Show another codeShow another code

Submit Application


Planning/Zoning Department
1102 16th Street
Bedford, IN 47421
812-275-1631
bwoodward@bedford.in.us