Building Permit Application Form - 2014
ADVERTISEMENT
1BUILDING PERMIT APPLICATION
WASHINGTON COUNTY PLANNING & ZONING DEPT.
150 Ash Ave
Akron, CO 80720
Ph(970) 345-2701 Fax(970) 345-2702
Permit Number
BP________
Date_______________________________
Name _____________________________________________________________________________
Email (optional)
Address
City,
St,
Zip
) _________________________________________________________________
Telephone number (s
Phone(1)
Phone(2)
Fax
Contractor
Phone(1)
Fax)
Legal description: ¼ - ¼ Section ______________________Township__________ Range__________
Off of which county road or highway do you have access to your property?_______________________
Class of work: _____New building/structure _____Addition _____Remodel _____Manufactured Home
Construction materials: ____Wood ____ Brick ____ Composite _-__ Steel
Type of building: _____ Masonry ____ Frame ____ Steel
Do you intend to set building on permanent foundation or basement? _________yes ________no
Intended use of building _____________________________
Are there other buildings on property?____________
Size of house/building ________________________________Size of acres/lots________________
(If less than 35 acres a subdivision exemption may be required)
Sewer facility ____________________________________________________________________
Water source_________________________________ Water well #_________________________
MFG HOME: I understand and agree that placement and proper licensing (inspection) for this unit will be
Year built
completed within six (6) months of the date this application is signed. **
_________________
Signature ___________________________________________ Date _______________________
Property owner
Approved by:_________________________________________ Date _______________________
Commissioner Chairman
(1) Total Value of Building_________________
Permit Fees:
(Total value of completed building including labor)
(a)
$___________________________
2) Value of (1) x 0.48______________________
(
(Tax)
48% of value of Building
(a) Value of (2) x 0.015_____________________
(b)
$___________________________
(Use Tax:1.5% )
(Permit)
(b) Building Permit Fees for all buildings except Use by
Special Review: $100.00
(c)
$___________________________
(MFG Home
(c) Division of Housing fees for inspection and placement
Insignia)
of insignia on Manufactured Home $415.00 See
“Additional Criteria for Mobile or Manufactured Home
TOTAL FEES $___________________________
Permits” information sheet.
(d) OR UBSR (Commercial Use)
Building Permit Fee for:
OR (d) USBR
$_________________________
Use by Special Review Application - $150.00
(Commercial Use with USBR application)
Make check payable to: Washington County (mail to address above)
*Washington County does not have a building code ordinance. It is the responsibility of the applicant to insure Uniform
Building Codes and current state standards are adhered to.
Building Permit Form.doc
rev 06/14
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business