Madisonville, KY · Hopkins County

Demolition Permit Application and Affidavit

This two-page application and affidavit requests permission to demolish a structure in Madisonville and is completed by the property owner or an authorized applicant.

Standard form~15 min to notarize
  • licensed online notary
  • ~15 min average
  • Notarized PDF emailed

What you’ll need

  • Government-issued photo ID
  • Webcam-enabled device (laptop or phone)
  • This form, ready to upload as a PDF

What this form is

The form requests a permit to demolish a structure within Madisonville and collects property, owner, contractor, debris-disposal, and insurance information. The applicant must attach a drawing of the property and structures, and, when applicable, an asbestos inspection certificate. The affidavit confirms the applicant’s authority, safety responsibilities, utility status, debris disposal, and permission for city inspections; the supplement also covers sewer capping and inspection.

Who needs it

A property owner or an applicant authorized by the owner needs this form to request permission to demolish a structure within Madisonville city limits.

Why it needs a notary

The affidavit has a subscribed-and-sworn jurat; the applicant named in the notarial block must sign and swear to the affidavit before the notary.

How to get this notarized

  1. 1

    Download the Form

    Get the two-page demolition permit application, affidavit, and supplement.

  2. 2

    Complete Both Pages

    Fill in the applicant, property, owner, contractor, and project details, and complete all required sections.

  3. 3

    Gather Attachments

    Include the required property drawing and, if applicable, a copy of the asbestos inspection certificate.

  4. 4

    Book an Online Notary

    Arrange a remote notarization for the affidavit’s subscribed-and-sworn jurat.

  5. 5

    Sign on Video

    Sign and swear to the affidavit in front of the commissioned online notary during the online session.

  6. 6

    Submit to the City

    Send the completed form and attachments to the City of Madisonville as directed by the city.

Preview the form

The blank PDF straight from Madisonville. Look it over, then upload your filled copy to start the notary session.

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Info

You’ll need ID and a webcam.

A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.

Frequently asked questions

How do I complete the demolition permit affidavit?
Complete both pages, attach the required property drawing and any applicable asbestos inspection certificate, then sign and swear to the affidavit before a notary.
Do I need to attach a drawing to the application?
Yes. The application says to attach a drawing showing property boundaries, existing structures, the structure to be demolished, and the required distances.
Can I sign this affidavit with a commissioned online notary?
Kentucky recognizes notarial acts performed by a notary public or other authorized officer of another state. A commissioned online notary can notarize remotely; confirm the city will accept the completed form if unsure.
Where do I submit the completed application?
The form lists the City of Madisonville Zoning & Permits Office. Contact the city using the details on the form to confirm how to submit your application and attachments.
What happens after the sewer service lateral is capped?
The supplement says the owner or representative must contact the Wastewater Collection Department during regular working hours to arrange an inspection of the completed work.

Ready to notarize your Demolition Permit Application and Affidavit?

Drop your email below — we’ll hand you straight to a licensed notary in the next session.