MUNICIPAL OFFICES 1481 EAST COLLEGE AVENUE, STATE COLLEGE, PA TELEPHONE: FAX:

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MUNICIPAL OFFICES 1481 EAST COLLEGE AVENUE, STATE COLLEGE, PA 16801 TELEPHONE: 814-231-3021 FAX: 814-231-3020 Checklist for Submission of APPLICATION for DEMOLITION PERMIT To obtain a permit for demolition of the on-site structure please do the following: 1) Obtain ZONING approval from COLLEGE TOWNSHIP phone: 814-231-3021. *Complete the Application for Building Permit *Complete the Building Demolition Disclosure Form 2) *Submit three sets of site plans indicating the structure to be razed. (1-Township/2-Code) 3) *Submit a letter or fax or email from each of the utilities which indicate that the utilities have been disconnected in accordance with the respective utilities regulations. 4) The zoning officer will review, and approve with his signature on the back of the application (following pages) and issue a zoning permit. 5) You will receive a call from COLLEGE TOWNSHIP advising you that the approved permit and original submission documents are ready for pick-up to be SUBMITTED to the Centre Region Code Office, 2643 Gateway Dr Suite 2, State College PA phone: 814-231-3056 for the On-Site Code Permit - Inspection Card (to be posted at the job site). 6) Once the above has been received the application will be processed and a CENTRE REGION CODE PERMIT issued. 7) Prior to commencement of demo, place a phone call to NED LIGGETT at this agency to notify NED LIGGETT that you are proceeding with the demo PHONE: (814-231-3056). 8) Precautions appropriate to protect the public are the responsibility of the contractor (review chapter 33 of the 2009 International Building Code). 9) Demo materials are to be trucked by licensed hauler to the Centre County Solid Waste Authority (814-238-7005). 10) Contractor shall retain copies of the transfer station receipts as proof to the building inspector that the materials have been properly disposed of. Said copies shall be given to the inspector at the time of the required building demo inspection which you are required to call for prior to departing the site. Please call for inspection(s) one day prior to the day you want the inspection. Following pages Demolition Application Packet: Application Demolition Disclosure Informative-Demolition Fact Sheet Informative-PA DEP Informative

CENTRE REGION CODE ADMINISTRATION 2643 Gateway Drive, Suite #2 State College, PA 16801 Telephone: 814-231-3056 Fax: 814-231-3088 Building Permit No. Zoning Permit No. Department of Labor and Industry No. Worker's Comp. Ins. No. APPLICATION FOR BUILDING PERMIT APPLICATION REQUIREMENTS: Documents to be submitted with an application for - NEW SINGLE FAMILY BUILDINGS - Zoning, Water and Sewer Permits and Two sets of Plans NEW COMMERCIAL BUILDINGS - Zoning, Water and Sewer Permits, Two Sets of Plans and Labor & Industry Approval BUILDING ADDITIONS - Zoning Permit, Two Sets of Plans and may Need Water and/or Sewer Permits and/or Labor & Industry Approval OTHER WORK - Two Sets of Plans and May Need Zoning, Water, and Sewer Permits. LOCATION OF PROPOSED WORK OR IMPROVEMENT Municipality Tax Parcel No. Number and Street Rural Directions TYPE AND COST OF WORK OR IMPROVEMENT Type of Improvement Describe Work: 1. New building 2. Addition 3. Alteration 4. Repair, replacement 5. Demolition 6. Electrical (only) 7. Plumbing (only) 8. Sprinkler System (only) Declared Cost (Omit cents) Dimensions Type of sewage disposal $ Height in feet: Public or private company Number of stories: Private (septic tank, etc.) Total square feet of all floor areas Type of water supply (inc. garage & basement) based on Public or private company exterior dimensions: Private (well, cistern) IDENTIFICATION 1. Owner 2. Contractor 3. Architect Name Mailing address - number, street, city, and state Phone no. AFFIDAVIT I hereby certify that I am the owner in fee or the authorized agent of the owner in fee of the property upon which the work authorized by the permit sought will be performed. All work will be performed in accordance with all applicable laws of the Commonwealth of Pennsylvania and this jurisdiction. Signature of owner or authorized agent Address Application date

NOTES Square Footage: Basement: Garage: Housing:

NOTES and DATA - (For department use)

SITE PLAN - DIMENSION TO BE FILLED IN BY APPLICANT N ZONING PLAN EXAMINER'S NOTES Zone Lot Square Footage Percent Cover Permit No. Set Backs Required Provided Front (place ) Number of off-street parking spaces North 1. Enclosed East 2. Outdoors South Date West Permit issued 20 Approved Notes: Type of Construction Permit Fee $ OCCUPANCY INFORMATION Approved Use Group Number Maximum Maximum Number Maximum Maximum of Occupancy Live Loads of Occupancy Live Loads Units Load lbs. Per sq. ft. Units Load lbs. Per sq. ft. BASEMENT SEVENTH FLOOR FIRST FLOOR EIGHTH FLOOR SECOND FLOOR NINTH FLOOR THIRD FLOOR TENTH FLOOR FOURTH FLOOR OTHER FIFTH FLOOR ROOF SIXTH FLOOR VALIDATION Building Date Permit Number Permit Issued 20

BUILDING DEMOLITION DISCLOSURE FORM In addition to the Application for Building Permit when demolition waste is a factor this document is required on submission. College Township Municipal Offices 1481 East College Avenue State College PA 16801 Phone: 231-3021 Fax: 231-3020 The Code of College Township Chapter 172-11. Construction and demolition waste. All waste materials resulting from the building, structural alteration, repair, construction or demolition of buildings or structures shall be disposed of as permitted by applicable Township, state and federal laws and regulations as may be in effect or as subsequently imposed. It shall be the responsibility of the property owner to ensure the disposal of such waste in accordance with applicable laws and regulations. Nothing contained herein shall be deemed to prohibit any person not regularly engaged in the business of collecting municipal solid waste from hauling his/her construction and demolition waste to a state-permitted disposal facility or to a disposal facility as designated by the Township in accordance with the regulations of the disposal facility. Address: LOCATION OF DEMOLITION: Tax Parcel Number: Type of Structure: Location where waste will be disposed of: PROPERTY OWNER INFORMATION: Name: Address: Phone Number: APPLICANT INFORMATION: Company Name: Contact Person: Address: Phone Number: INSTRUCTIONS: (1) You must include a site plan drawing of the site-(enclosed IN PERMIT APPLICATION) (2) Provide a copy of a current liability insurance policy. (3) Exterior Demolition, install a barrier(s) around demolition site to ensure public safety. (4) A final inspection will be conducted after demolition; applicant must call for inspection. Applicant Signature: Zoning Officer Approval: Date: Date:

CONSTRUCTION / DEMOLITION / RENOVATION FACT SHEET - Part 1 of 2 All commercial contractors who plan to haul construction/demolition/renovations waste should be aware of the following Centre County and Centre Region requirements enforced through municipal solid waste ordinances. DISPOSAL REQUIREMENTS Definition: The term construction/demolition/renovation waste shall consist of that waste resulting from the construction, demolition, or renovation of buildings and others structures, including wood, plaster, drywall, metals, asphaltic substances, bricks, block and unsegregated concrete. The term also includes dredging waste, grubbing waste, street sweepings and Non-Friable Asbestos Waste. Exceptions: The term construction/demolition/renovation waste does not include the following if they are separate from other waste and used as clean fill: 1. Uncontaminated soil, rock, stone, gravel, brick and concrete. 2. Waste from land clearing, grubbing, and excavation including trees, brush, stumps and vegetative material. Location: All construction/demolition/renovation waste must be disposed of at the Centre County Solid Waste Authority (CCSWA) Transfer Station located at 253 Transfer Road, in College Township near the Nittany Mall. Fees: CALL FOR CURRENT RATES, CENTRE COUNTY SOLID WASTE AUTHORITY Phone: 814-238-7005 Other: The Centre Region Code Administration Agency and Inspections Staff will monitor job sites for the proper handling and containment of construction debris and refuse. While performing regularly scheduled inspections, the Code Official will look for an approved waste container on each active job site. The type of containment method is approved at the discretion of the Code Official and can include, but is not limited to, the following: 1. Containers such as those provided by licensed refuse hauling companies. 2. Trash hauling vehicles parked on site. 3. Fenced or corralled areas. 4. Any other method deemed acceptable by the Code Official. Failure to provide proper trash confinement can result in all inspections being suspended and/or a Stop Work Order until the conditions are corrected. LICENSE REQUIREMENTS - CENTRE COUNTY No person shall commercially collect or transport construction/demolition/renovation waste within the geographic boundaries of Centre County in any vehicle or transportation container unless licensed by CCSWA. Using the services of an unlicensed hauler is a violation of the County Ordinance. A license will be issued by CCSWA for each vehicle to the person who owns or leases the vehicle upon satisfaction of the following conditions: Application Form: A completed License Application Form must be submitted along with and the following application fee (CURRENT YEAR): 1. CALL FOR CURRENT FEES, per year for each vehicle used exclusively for hauling construction/demolition/renovation waste. 2. CALL FOR CURRENT FEES, one time charge, each roll-off container or transportable container. CENTRE COUNTY SOLID WASTE AUTHORITY - Phone: 814-238-7005

CONSTRUCTION / DEMOLITION / RENOVATION FACT SHEET - Part 2 of 2 Insurance Certification: Certificates of Insurance in the following minimum amounts must be submitted and maintained correct: 1. Vehicle Liability - $500,000 for each person and $500,000 each accident. 2. General Liability - $500,000 each accident for personal and property damage. 3. Worker's Compensation - As required by law. LICENSE REQUIREMENTS - CENTRE REGION (College, Ferguson, Harris and Patton Townships) CENTRE REGION CODE ADMINISTRATION - Phone: 814-234-7198 Conditions Not Requiring a COG License: A Centre Region Council of Governments (COG) License is not required if a commercial contractor hauls construction/demolition/renovation waste generated through said contractor at the job site. (Example: "A" is general contractor and hires "B" to do drywall, and "B" hauls away waste. Neither "A" nor "B" needs a COG license, however, both would need to have vehicles licensed by CCSWA if hauling is done on a frequent basis during the year.) A COG Hauler License is not required for non-commercial generated construction/demolition/renovation waste. Any property owner may remove such waste from his own property without a license; however, such waste must be disposed of at the transfer station, or through a licensed refuse hauler. Conditions Requiring a COG License: A COG Hauler License is required if a commercial contractor hauls construction/demolition/renovation waste, which has been generated by parties other than the hauling contractor. This does not include waste generated by subcontractors working under the main contractor. (Example: "A" is general contractor and hires "B" to only remove waste. "B" needs a COG license and CCSWA vehicle license.) A license will be issued by COG for each person/company upon satisfaction of the following conditions: Application Form: A completed COG License Application form must be submitted along with a letter of verification from the CCSWA requirements and the following application fee (CURRENT YEAR): 1. CALL FOR current fee and agreement period, per --- year period per person/company hauling construction/demolition/renovation waste. COMPLIANCE CENTRE REGION CODE ADMINISTRATION - Phone: 814-234-7198 Those persons not in compliance with the CCSWA and COG regulations risk the revocation of their hauling licenses, suspension of privileges to use the CCSWA Facilities, and upon conviction by a district magistrate, shall be subject to a fine of not more than $1,000 per each separate offense and costs of prosecution, may undergo imprisonment in the Centre County prison for a period not to exceed 30 days, or both. CONTACT PERSONS: CCSWA COG 814-238-7005 - Enforcement Officer-Centre County Solid Waste Auth. 814-234-7198 - Administration - Refuse Program Coordinator

You dedlolish any building for commercial development * without notifying - -...' Get notification form at: http://www.dep.st ate.pa.us Go to: Subjects, Air Quality, Index, Asbestos, Contractor Info ~ ~ Depa rtment of Envi ronmenta l Protection Questions? Call (570) 327-3745 *see NESHAP Regulation 40 CFR 61 Subpart M